OurHealth Charlottesville & Shenandoah Valley May/Jun 2017 Edition

may • june 2017 ourhealthcville.com

BREATHE FREE! 6 Healthy Plants for Your Home

GET

SUN SMART How to care for your skin this summer

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BORN TO

MOVE

Tips to Follow for Your Arthritic Pet

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

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TABLE OF CONTENTS MAY • JUNE 2017

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29

Q&A ON HEALTH Healthcare questions answered by local professionals

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THE PULSE Keeping the pulse on local healthcare news, new physicians, providers, locations and upcoming events in the Charlottesville & Shenandoah Valley communities.

AUTO HEALTH

OurHealth explores how the right music can push us to go that extra mile.

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HEALTHCARE IN A FEW WORDS

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HELLO, HEALTH

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BEFORE THE FALL

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EIGHT GREAT SPRING VEGGIES

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CHARLOTTESVILLE & SHENANDOAH VALLEY’S DERMATOLOGY & COSMETIC SURGERY RESOURCE GUIDE

| Seven Simple Steps to Summer

Travel Success

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BETTER BOTANY |

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PET HEALTH

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THE OURHEALTH BOOKSHELF

Breathe Free

| 5 Tips to Follow for Arthritic Pets

Showcasing some of the most authoritative books on how to get and stay healthy.

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THE ANATOMY CHALLENGE

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GET SUN SMART

Test your knowledge when it comes to YOUR SKIN.

The pool, the beach, the backyard—these are all great places to be on a sunny day. But too much sun can cause premature wrinkling, sun spots, sunburn—and in the worst cases, skin cancer.

FITBITS | Moving to the Beat

In honor of national healthcare recognition month, OurHealth challenges local healthcare providers to describe what their profession means to them and how important it is to their community.

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

No matter the time of year, seniors need to assess their risk for slips and falls.

Tricia Foley RD, MS, OurHealth's resident nutritionist, shares nutrient-rich vegetables perfect for spring time.

Your resource guide for dermatology and cosmetic surgery in the Charlottesville & Shenandoah Valley area. www.OurHealthCville.com

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MORE THAN A MAGAZINE PRINT

may • june 2017

ONLINE

PUBLISHER

PRESIDENT/EDITOR-AT-LARGE

VICE PRESIDENT OF PRODUCTION

CHIEF DESIGNER

GRAPHIC DESIGNER DIGITAL CONTENT MANAGER | EVENT SPECIALIST

DIGITAL MEDIA STRATEGY

COVER PHOTOGRAPHY

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ACCOUNTING MANAGER

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Fields Hungate Karrie Pridemore Tori Meador Heidi McClintic Dalton Holody Shawn Sprouse / www.sdsimages.com Susan Manning Parmar Laura Bower

CONTRIBUTING MEDICAL EXPERTS

Dana H. Breeding, RN, BSN, CTTS Corey C. Burgoyne, DMD Amanda Jones, MD, FAAP JoAnn V. Pinkerton, MD, NCMP

Tracy Cornatzer Rich Ellis Trisha Foley, RD Tina Joyce Elizabeth S. McNeal Rick Piester Christy Rippel Christine Stoddard

CONTRIBUTING PROFESSIONAL EXPERTS & WRITERS

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

SOCIAL MEDIA

Cindy Morris-Scruggs • Senior Media Account Executive

804.300.0650 • cmscruggs@ourhealthvirginia.com

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SUBSCRIPTIONS To receive OurHealth Shenandoah Valley & Charlottesville via U.S. Mail, please contact Heidi McClintic via email at heidi@ourhealthvirginia.com or at 540.387.6482

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E-NEWSLETTERS

@ourhealthcville

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.

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

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

BY LOCAL PROFESSIONALS

“

If you are prone to swimmer's ear, consider wearing a swim cap or using wax ear plugs. You can also place a few drops of a mixture of half rubbing alcohol and half vinegar into your ear canals after swimming to help dry them out.

Do not use these drops if you have ear tubes, damaged or perforated ear drums, or any drainage coming from your ears.

”

– Amanda Jones, MD, FAAP

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My 10-year-old lost a permanent tooth due to a sports injury. Is a dental implant an option for us?

Yes, dental implants are an option for your child, but due to a child’s growth, the treatment may need to be delayed for a period of time.

Generally, implant placement is delayed for female patients until age 15 and for male patients until age 18. During that time, the missing tooth may be temporarily replaced with a removable device such as a retainer, attached to existing braces, or bonded to the adjacent teeth. On occasion, the foundation of bone and the gums need to be prepared before the implant can be placed, such as through moving the teeth orthodontically, bone grafting, or gingival grafting. Oral and maxillofacial surgeons will collaborate with your dentist in your child’s dental implant care.

Finally, prevention is key. A protective mouthpiece (an athletic mouth guard) worn during sports activities may minimize any injuries, preserving the beautiful and natural dentition that we all strive to maintain.

Corey C. Burgoyne, DMD

Blue Ridge Oral and Maxillofacial Surgery Fishersville and Lexington 540.886.2956 www.blueridgeoralsurgery.com

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

What is a Health Savings Account (HSA), and how do I know if it’s right for me?

Swim season is here!

How can I help prevent swimmer's ear in my child?

A Health Savings Account (HSA) is an account used to pay for qualified medical expenses tax-free. An HSA must be paired with a qualified high deductible health plan. You can use funds from your HSA to pay for expenses covered under your insurance plan. You can also use your HSA to pay for qualified medical expenses that are not covered by your insurance, such as dental or vision expenses. Unlike a flexible spending account, HSA funds roll over each year, allowing you to save for unforeseen medical expenses tax-free. There are annual limits as to how much you may contribute to your HSA. For 2017, the Self-only limit is $3,400, while the Family limit is $6750. When you reach the age of 55, the IRS allows you to add an extra $1000 to these caps. When considering an HSA, you need to look at your overall health status and your healthcare spending patterns. Talk with a qualified health insurance agent; they will help you to determine if this is the right fit for you.

Otitis externa, or “swimmer's ear,” is most commonly caused by inflammation from a bacterial infection in the ear canal. The best way to prevent infection is to limit the trauma to the canal and to keep the ears as dry as possible. To prevent accidental trauma, avoid sticking anything in your ears (including fingers and cotton-tipped swabs!). After swimming, dry your ears with a towel and shake excess water from them. If they are still a little wet, it is okay to use a hair dryer on its lowest setting, but be sure to keep it at least 12 inches from your ear. If you are prone to swimmer's ear, consider wearing a swim cap or using wax ear plugs.

You can also place a few drops of a mixture of half rubbing alcohol and half vinegar into your ear canals after swimming to help dry them out. Do not use these drops if you have ear tubes, damaged or perforated ear drums, or any drainage coming from your ears. If you have any questions or concerns, please talk to your doctor.

Tracy Cornatzer

Amanda Jones, MD, FAAP

Sales Manager, Health Insurance Consultants Virginia Farm Bureau Richmond | 804.290.1115 www.vafb.com

Pediatric Associates of Charlottesville Charlottesville | 434.296.9161 www.charlottesvillepeds.com

www.OurHealthCville.com

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

BY LOCAL PROFESSIONALS

I’m feeling a little discouraged after a friend told me about a waiting list at the retirement community I am considering. Should I just look somewhere else?

Don’t be discouraged. The best retirement communities have waiting lists. Consider putting your name on the waiting list for your top two or three communities, many people do.

“

Unfortunately,

the marketing of

e-cigarettes has led

consumers to believe they are a healthy alternative. More

research is needed to understand the

health consequences

”

of e-liquids and e-cigarettes.

Each community’s waiting list policy and practice may vary; talk to the marketing staff — they will always be eager to help you get a realistic understanding of how long an actual wait may be.

At Bridgewater Retirement Community, regular communication, updates and special events for our wait list members enable us to focus on a smaller group of ‘ready’ members when there is a vacancy.

Additionally, our new 34-apartment expansion, The Grove, means that some members can move in sooner.

Elizabeth S. McNeal

Director of Sales and Marketing Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brc-online.org

– Dana H. Breeding, RN, BSN, CTTS

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

Do the health benefits outweigh the health risks associated with hormone replacement therapy (HRT)?

Are “e-cigarettes” a healthy alternative to regular cigarettes?

Hormone therapy is the most effective treatment for the hot flashes, night sweats, and sleep disruption caused by menopause; it also prevents bone loss and fractures. Hormone therapy is safe for most menopausal women under 60 or within 10 years of menopause, using the lowest dose and safest route to relieve symptoms.

E-cigarettes are devices that heat a liquid into an aerosol to be inhaled.

The liquid contains nicotine, flavorings and other additives.

These e-liquids are produced and sold without regulations for manufacturing, purity standards or labeling.

For women with a uterus, progestogen protects against estrogen-stimulated uterine cancer.

The risk of developing breast cancer is associated with the combination of estrogen and progestogen or longer durations of estrogen alone.

No increased risk was seen with conjugated estrogen alone during the seven years in the Women’s Health Initiative study.

For women beginning hormone therapy more than 10 years from menopause or who are older than 60, there are greater absolute risks of heart disease, blood clots and embolisms, stroke and dementia.

Longer durations for persistent menopausal symptoms or bone loss should be evaluated individually.

No, e-cigarettes are not a healthy alternative to regular cigarettes.

There are many unhealthy risks to e-cigarettes. Extracting nicotine from tobacco may produce harmful impurities like nitrosamines; the flavorings in e-liquids may be safe for ingestion, but not inhalation; e-cigarettes produce high doses of fine particles that can cause lung diseases; and hazardous compounds and carcinogens have been detected in e-liquids, including formaldehyde, benzene and lead.

A 2016 report by the Surgeon General stated that “e-cigarette use among US youth and young adults is now a major public health concern.”

In youth, exposure to the nicotine in e-cigarettes can disrupt the parts of the brain that control attention and learning, lower impulse control and increase mood disorders.

Dana H. Breeding, RN, BSN, CTTS JoAnn V. Pinkerton, MD, NCMP Director, Midlife Health Center University of Virginia Health System Charlottesville | 434.243.4720 www.uvahealth.com

RN Health Educator and Certified Tobacco Treatment Specialist Augusta Health Fishersville | 540.332.4988 www.augustahealth.com

www.OurHealthCville.com

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KEEPING THE PULSE ON HEALTH NEW OPENING AT 5TH STREET STATION >> Sentara announces the opening of its newest family practice location.

Sentara Family Medicine at 5th Street Station, located at 435 Merchant Walk Square, is now accepting patients. The practice offers primary care services, as well as extended hours and weekend hours to better meet the needs of the community.

For more information or to make an appointment, call 434.654.1800 or visit www.sentara.com.

NEW PHYSICAL THERAPY PRACTICE OPENS IN CHARLOTTESVILLE >> Rehab Associates of Central Virginia announces the opening of their newest location in Charlottesville.

The practice, located at 1406 Greenbrier Place, is the fourteenth location for Rehab Associates. Services offered at this location include general orthopaedics, manual therapy, spinal rehabilitation, lower extremity rehabilitation, and dry needling.

For more information or to schedule an appointment call 434.327.1616 or visit www.racva.com.

Stephanie Chin, MSN, AG-ACNP Critical Care Medicine Augusta Health Heart & Vascular Center Fishersville | 540.245.7190 www.augustahealth.com

Michael D. Flam, DO

General Surgery/Robotic Surgery Augusta Health Surgery Fishersville | 540.245.7705 www.augustahealth.com

Mark LaRosa

Vice President of Business Development & Chief Strategy Officer Augusta Health Fishersville | 540.932.4000 www.augustahealth.com

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Tony Grillo, PT, DPT Rehab Associates of Central Virginia Charlottesville 855.722.8478 www.racva.com

Donna W. Markey, ACNP-CS

Vonda K. Johnston, MSN, ACNP-CS

Christina Ide, PA-C

General Surgery Augusta Health Surgery Fishersville | 540.245.7705 www.augustahealth.com

UVA Cancer Center UVA Community Oncology Network Pantops | 434.982.6900 Cancer.uvahealth.com

Carrie Schlabach, MS, FNP-C

Alexander Wolf, DNP, RN, ACNP, CNS, CCRN

Urgent Care Oncology Augusta Health Cancer Center Augusta Health Urgent Care Fishersville | 540.332.5960 Augusta County 540.932.4000 www.augustahealth.com www.augustahealth.com

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

Palliative Care Augusta Health Post-Acute Transitional Care Fishersville | 540.245.7262 www.augustahealth.com

Nicole Kahler, RN, MSN, AG-ACNP

UVA Cancer Center UVA Community Oncology Network Fishersville | 540.213.2220 Cancer.uvahealth.com

JOIN THE OURHEALTH COMMUNITY

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

@OurHealthCville on twitter

@OurHealth on pinterest

SOCIALBUZZ MOTIVATIONAL MONDAY:

Make today the day. Don’t wait until tomorrow to take one small step toward better health. #Motivational Monday #OurHealthCharlottesville

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TASTY TUESDAY:

Seek nutritionally dense foods today (ratio of calories to nutrients), tomorrow, and the next day. After just a week, you will feel like a new person. #TastyTuesday #OurHealthCharlottesville For more information go to www.choosemyplate.gov/nutritionnutrient-density.

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WELLNESS WEDNESDAY:

Wednesdays are more than mid-week; Wednesdays give a perfect opportunity to recalibrate our thinking and our activity. Evaluate today what one thing you can adjust to improve your overall wellness this week. #WellnessWednesday #OurHealthCharlottesville

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THINKING THURSDAY:

Give thought to purposefully stimulating your brain. Reading, crossword puzzles, and trivia games are fun ways to keep our brains active. Try it without electronic devices, just for fun. #ThinkingThursday #OurHealthCharlottesville

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FUN FRIDAY:

Begin your Friday fully hydrated. Then, take your water intake to a new level.

Opening weekend is coming soon at the Onesty Family Aquatic Center. Seek out your community’s water park and begin your weekend early. #FunFriday #OurHealthCharlottesville For more information go to www.charlottesville.org

www.OurHealthCville.com

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AUTOMOBILE H E A LT H T I P S words | RICH ELLIS

SEVEN SUMMER SIMPLE STEPS TO

TRAVEL SUCCESS

BE PREPARED AND CHECK YOUR VEHICLE BEFORE YOU TRAVEL! While today’s vehicles are safer and more reliable than ever, that doesn’t mean that an accident or breakdown can’t happen. Being prepared and checking your vehicle before you travel can help you get back on the road faster when misfortune does strike.

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Nothing ruins a summer vacation road trip or gets you even hotter during already sweltering temperatures like a vehicle breakdown that leaves you stranded on the side of the road. That’s why it’s important to ensure that both you and your vehicle are prepared for the unexpected before you hit the road this summer. Follow these seven steps to perform a vehicle safety check that will help stop a minor breakdown from becoming a major headache.

1

FIRST-AID KIT

2

EMERGENCY ROADSIDE/ACCIDENT KIT

3 4 5 6 7

Confirm that there’s one in the vehicle and that it’s stocked with the basic emergency supplies.

Useful in the event of an accident or breakdown, a good kit should include jumper cables, flares, reflective roadside triangles/markers, hand tools, tape, a tire inflator and a flashlight.

SPARE TIRE

Know where your tire is, how to access and remove it, and how to check its air pressure. Also, know the location of the jack and how to use it. (Instructions can often be found in the vehicle owner’s manual.)

FOOD AND WATER

Always keep water and snacks available, particularly if you’re traveling with children.

EXTERNAL CELL PHONE CHARGER AND CORD

If you vehicle experiences a battery failure or other electrical problem, you might not be able to charge your cell phone. Carry a small, external battery pack and charging cord that fit the phone.

EMERGENCY CONTACTS

Research and save important phone numbers in your cell phone before traveling, including those for AAA and the roadside assistance offered by many vehicle manufacturers.

TEST THE VEHICLE’S SECURITY SERVICES

If your vehicle is equipped with OnStar or a similar service, test it before traveling. These services can provide directions or let you call for help in the event of an emergency. Some services even offer the option of activating and paying for them for short periods, such as during a two-week vacation.

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

Breathe Free

6 Indoor Plants that Produce the Most Oxygen in Your Home

H E A LT H Y GARDEN TIPS words | TINA JOYCE

As we seek ways to purify our homes, examining the air we breathe becomes a critical factor in improving our everyday health and wellness.

Indoor air pollution, caused from synthetic building materials, mold, cleaning products, upholstery, and artificial scents can emit a variety of toxins in the air we breathe daily. Researchers are finding ways to reduce pollutants and improve air quality; some solutions are as simple as the everyday houseplant.

(Sansevieria trifasciata)

(Chlorophytum comosum)

SPIDER PLANT

BAMBOO PALM

Snake plants are low maintenance and offer appealing vertical growth from 1-6 feet.

Also, it tends to convert carbon dioxide into oxygen at night, making it ideal bedroom greenery. The snake plant was recommended by a NASA study as one of the top oxygen producing plants and requires little water.

Spider plants are ideal for the novice plant owner because the plants are easy to take care of and remove small amounts of formaldehyde and xylene from our homes.

They prefer bright, indirect sunlight and weekly watering.

Bamboo palm thrive in indoor spaces, this plant may grow to more than 10 feet and is pet friendly. It best filters trichloroethylene and benzene but doesn’t thrive if over watered.

ALOE VERA

WEEPING FIG

PEACE LILY

The aloe plant has been known for years for its burn-healing gel within the leaves, a combination of anti-bacterial and antiinflammatory properties. Also, aloe is known to help rid our homes from benzene (found in some chemical cleaners and paint).

Weeping figs reduce pollutants like benzene and formaldehyde, this fig loves indirect sunlight and requires infrequent watering, making it an easy keeper. Also, in warmer months this plant can easily be moved outside for decorative purposes.

Often a beautiful gift, the peace lily offers much more than condolences. By reducing levels of mold spores, this lily is likely to help keep mildew to a minimum. The lily makes it known when it needs watered but be careful not to over water. Peace lilies thrive in bright, indirect light. Be careful of allergies, blooms may contribute to pollen or scents in your home.

SNAKE PLANT

(Aloe barbadensis)

(Fiscus benjamina)

One large, or two smaller plants every 100 square feet can significantly improve air quality in our workplaces or homes.

(Chamaedorea seifritzii)

(Spathiphyllum)

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H E A LT H Y P E T T I P S words | TINA JOYCE

TIPS

TO FOLLOW FOR

Arthritic Pets

The cold nose, the loving eyes, and the faithful return all describe man’s best friend. It’s no wonder we seek to offer our canine friends the best care. Many pets, especially large-breed dogs, are prone to developing arthritis. The larger the breed, the more debilitating arthritis can be.

The climate in Charlottesville can make getting outdoors in the summer months particularly challenging, due to heat and humidity. There are a few ways to help recognize your dog(s) arthritis and creatively help him or her move more comfortably.

The most obvious sign of arthritis (in both dogs and cats) is limping. Your pet may also begin to move more slowly up steps or down hills. Usually, pets rise tenderly from laying down.

1 2 THE MOST OBVIOUS SIGN OF ARTHRITIS IN PETS IS LIMPING! For the most accurate diagnosis of symptoms and solutions, contact your regular veterinarian who is familiar with your pet’s habits and tendencies.

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3 4 5

PREVENTION

The best way to keep your pets from suffering from arthritis is to keep them at a healthy weight in the first place.

REDUCE THE POUNDS

Helping your pet lose weight reduces stress on his entire body. This may include utilizing a special type of food, removing a “free will” food options, skipping excess treats, and/or increasing exercise.

GO EASY

As with humans, exercise must be entered into gradually. Choose low-impact activity, with a 5-10 minute warm-up. Swimming is ideal for dogs, as are leisure walks. Avoid rough play or excessive jumping and running, which can lead to significant pain the next day, defeating the purpose.

PAY ATTENTION

Allow your pet to exercise in the cool of the morning or evening and keep a close watch signs of dehydration and unusual fatigue. An adequate cool down helps to reduce the heart rate and stiffness later. A good massage may also be beneficial for sore muscles, not to mention enjoyable for both you and your pooch.

AT LAST

If all natural attempts fail to alleviate your pet’s discomfort, ask your veterinarian about an antiinflammatory medication, such as LTCI (Lymphocyte T-Cell Immunomodulator) or other safe alternatives.

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

BO OKSHELF words | RICK PIESTER

>> Showcasing some of the most authoritative books on how to get and stay healthy In 2015, medicine got a wake up call in the pages of the Journal of the American Medical Association: a 24-year study showed that nearly half of the adults living in the U.S. have diabetes or pre-diabetes, which is a condition in which a person’s blood sugar is elevated and the person is at risk of developing the disease. That’s a lot of people, and publishers have responded by releasing tons of books on the subject. In this issue, we take a look at two of the most approachable sources of general information on diabetes, along with a book examining the Danish approach to well-being.

The American Diabetes Association Complete Guide to Diabetes (5th Ed.) By the American Diabetes Association | 512 Pages

This association has served as America’s most trusted source of information on diabetes for more than 70 years. This book is an encyclopedic, one-volume sourcebook on how to live an active, healthy life with diabetes.

Diabetes for Dummies

By Alan L. Rubin, MD | John Wiley & Sons | 432 Pages

Perhaps a “friendlier” read than the ADA guide, this is an equally trustworthy look at up-to-date information about all aspects of diabetes. Significantly revised and updated, the book is an accessible, reliable guide to taking the guesswork out of living with diabetes. A nifty companion piece to this book would be The Diabetes Cookbook for Dummies, by author Rubin and Cait James.

The Little Book of Hygge: Danish Secrets to Happy Living

By Meik Wiking | William Morrow | 225 Pages

Lest you think we’ve gone too far afield with this book, consider that it’s been named one of People magazine’s Best Health and Wellness Books of 2017. Hygge (pronounced HOO-ga) loosely translates from the Danish as a sense of comfort and well-being, which after all is the prime benefit of good health. This entertaining little book shows us how to experience joy and contentment the Danish way.

www.OurHealthCville.com

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How much do you know about the Skin?

2. Your skin accounts for about _______________ of your body weight.

1. True or False Your skin is the largest organ in your body.

A: 3. The average person’s skin contains around _______________ of blood vessels.

A:

2 miles

B:

2%

15%

C:

D:

5%

20%

4. It is estimated that more than _______________ of the dust in your home is made up of dead skin.

A:

15

B:

percent

50

percent

C:

30

percent

20

D:

percent

B:

11 miles

C:

5 miles

5. The average person’s skin weighs around _______________.

D:

23 miles

A:

6. The average person’s skin covers an area of _______________ .

A:

2 lbs 7. The skin renews itself every _____________ .

21 ft

2

A: 2 months

D:

C:

B:

9 lbs

6 lbs

3 lbs

8. The vital role(s) your skin plays:

vs.

A: Detecting hot and cold

x12 B:

32 ft

2

B: A year

B: Regulating your body temperature

x6 C: Protecting your muscles, bones, and internal organs D: All of the above 6. A

7. D

8. D

Sources: www.forefrontdermatology.com

D: 28 days

5. B

2

4. B

12 ft

C: 6 months

3. B

2

2. C

D:

14 ft

1. True

C:

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

SUN GET

SMART

How to Care for Your Skin This Summer words | CHRISTY RIPPEL

As the temperature rises and the days grow longer, people spend more time outdoors. The pool, the beach, the backyard — these are all great places to be on a sunny day. But too much sun can cause premature wrinkling, sun spots, sunburn — and, in the worst cases, skin cancer.

While wearing sunscreen daily should be a part of your routine, it’s most important when the sun shines brightest in the summer months.

Thankfully, the newest sunscreens, clothing and sunglasses can provide excellent protection so that you can safely enjoy your time outside. Even if you think you’ve heard it all before, brush up on your sun IQ before the heat hits this summer, and your skin will thank you!

Just a Mark or Something More Serious?

Sun spots — also known as age or liver spots — have nothing to do with your liver, but result from repeated sun exposure on an area of the body. They range in color from white to brown, and, once they appear, they continue to darken or (Continued on page 23...)

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Sun Care Cheat Sheet: Apply Sunscreen Early and Ofter

Apply sunscreen daily to all exposed skin, rain or shine. Choose a broad spectrum formula of SPF 30 or higher; generic brands can be just as effective and save you money. Slather on your choice of sunscreen 30 minutes before you head outside, and re-apply every 80 minutes to two hours. Remember, you need a full shot-glass worth to cover your body!

Sunglasses Aren’t Just a Fashion Statement

Look for a pair that offer 100% UV protection, and know that the color of the lens does not tell you how much protection your shades offer. Darker doesn’t mean better!

UPF Clothing is Always a Good Idea

UPF (ultraviolet protection factor) rated clothing adds another layer of protection between you and the sun’s harmful rays — so find a hat or swim shirt this summer.

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

(...continued from page 21)

increase with every UV ray that hits your skin. They often appear on the hands, arms, chest, face and shoulders, though they can appear anywhere on the body if it has been exposed to UV rays.

But how do you know if a spot on your skin is simply a sun spot or something more serious, like skin cancer? First, if a spot is new, you should run it by a dermatologist, as they have specialized training in skin conditions.

If you are over age 50, it’s a good idea to have a full-body check with a dermatologist or primary care physician to get a baseline for what your moles, freckles and spots look like.

Plus, some areas are hard to examine on your own, like your back. If you are under 50 but have had a lot of sun exposure, are fair-skinned or have a family history of skin cancer, it’s a good idea to get a fullbody check.

Another strategy for keeping track of changes in your sun spots, moles or freckles is to take a picture — a phone camera works fine — every six months to a year so that any changes will be more apparent.

(Sometimes, you don’t notice a chance that happens gradually, but a picture will tell a clear story.)

If you’re determined that your sun spot is not cancerous, but you don’t like the way it looks, you have options. Some over-the-counter creams can gradually fade dark spots. A low strength of hydroquinone, which is a bleaching cream, is available over-the-counter at many drugstores.

You can also look for creams that contain retinoids, which can also help spots fade. A doctor can provide stronger topical creams that may be more effective, and new laser technologies that are available through dermatologists can treat sun spots, causing them to disappear completely. However, they can reappear unless sunscreen is used religiously and you avoid too much sun exposure in the peak hours of the day when the sun’s rays are strongest.

How to Choose the Best Sunscreen for You Protecting your skin outdoors starts with sunscreen. While older formulas left a tell-tale white film that was messy and difficult to rub in, the newest sunscreens are easy to apply and can virtually www.OurHealthCville.com

23

SUNSCREEN I0I 1

APPLY REGULARLY For best results, try applying your sunscreen 30 minutes before sun exposure. Make sure to reapply every two hours, every hour and a half if you are swimming or sweating.

disappear into the skin. Look for the words “broad spectrum” on your bottle or spray, as this means that it will protect against both UVA and UVB rays.

UVA rays penetrate deep into the skin and are responsible for wrinkles and aging; UVB rays cause sunburn and play a big role in the development of skin cancer — so protection from both is important.

2

BE GENEROUS Use at least 1 ounce (about a palm-full) to cover your arms, legs, neck and face.

3

BROAD SPECTRUM When buying sunscreen, look for the words “broad spectrum” on the bottle. This means it will protect against UVA and UVB rays.

4

SPF 30 MINIMUM Make sure to use at least SPF 30, which blocks 97% of UV rays.

5

WATER-RESISTANT If you are swimming or playing sports make sure your sunscreen is water-resistant.

6

DON'T FORGET Make sure not to miss the ears, hands, feet and underarms.

7

SUNSCREEN EXPIRES! Did you know that suncreen can expire? Make sure to check your sunscreen's expiration date before use.

If you are swimming or playing sports, look for a formula that is waterresistant so it will stay with you through your tennis game or splash in the pool.

If you have sensitive or acne-prone skin, scan the sunscreen aisle for a formula made specifically for babies or sensitive skin for less chance of irritation. People of all ages, from babies 6 months old and up, need sunscreen protection when outdoors. (Younger babies should always be covered.)

Sunscreen is a weapon, but to protect you well, it has to be used wisely.

Ideally, apply it 30 minutes before sun exposure, using a full shot-glass worth of the product. Dermatologists advise you to use more than you think you need. Reapply at least every two hours or every 80 minutes if you are swimming or sweating. There are now sprays that can be applied to wet skin, so if you can only grab your kid on his way to the diving board for a quick spray, it can still be effective.

In addition to sunscreen, many bathing suits, swim coverups and fabric hats now come with sun protection builtin. Instead of an SPF rating, clothing has a UPF rating — giving you an idea of how effective it is at blocking harmful rays. UPF ratings range from 15 (good) to 50+ (excellent).

In addition to sunscreen and UPF clothing, sunglasses are an easy way to protect your eyes and the skin around them from exposure. Look for shades that offer 100% UV protection — and know that darker lenses don’t offer better protection. Dark-tinted glasses without UV protection are more dangerous, as they dilate your pupils more than a lighter lens color, leaving them more exposed to damaging light.

When Avoiding the Sun is Your Best Move Some medications can make you photosensitive — a fancy word for more sensitive than usual to the sun. There are many medications that (Continued on page 26...)

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(...continued from page 24)

can do this, including many nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, many antibiotics and some diuretics. Most drugs will have a warning on the label.

Additionally, you can ask any pharmacist, and they’ll be able to advise you if a medication you are currently taking will cause sun sensitivity.

Photosensitivity can result in an inflammation of the skin created by the combination of sun exposure and the medication. This can look similar to a sunburn, rash or eczema. Some topical creams like retinoids and hydroquinone also cause sun sensitivity. If you are taking any of these medications, you should heed the warning to avoid the sun, or you may wind up with painful, blistered or red skin.

The outdoors were meant to be enjoyed — and if you wear your sunscreen, don a hat and sunglasses, seek shade breaks and avoid the sun if taking photosensitive medications, you won’t be sidelined by sunburn.

Sources

American Cancer Society | www.cancer.org The Skin Cancer Foundation | www.skincancer.org

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

Music energizes us. Music puts some extra pep in our step. And the right music can push us to go that extra mile, take us around that final lap and get us to the top of that steep hill. But finding the perfect playlist to inspire and motivate us can be a challenge. Who has time to create one? Have no fear — there’s an app for that. In fact, we found three that we really like. Plus, some can even sync to your ideal workout beat!

RockMyRun

by Rock My World, Inc. Available on iTunes and Google Play Cost: FREE with upgrades starting at $2.99 per month Aimed specifically at runners, this app allows you to pick a music genre and a beats per minute (BPM) tempo to match your individual pace. The app adjusts the BPM of mixes and playlists to match your steps or goal cadence. Also works seamlessly with your other running apps, such as Nike+ and MapMyFitness.

“Rated the number one workout music app worldwide!“

Fit Radio App

by Social Study Media, LLC Available on iTunes and Google Play Cost: Subscriptions starting at $2.99 per month With FIT Radio, manually putting together upbeat playlists for the gym is now a thing of the past. Thousands of mixes are all in one easy place, so listeners can simply choose their favorite genre, push play and go! The music never stops, not even for ads. Also features over 45 stations sorted by genre, workout type and BPM.

“The motivation of trainer synced with the perfect playlist!“

Aaptiv

by Skyfit Sports, Inc. Available on iTunes and Google Play Cost: $9.99 per month The amazing playlists filled with some of our favorite music are really an added perk to this robust app. Its main feature is the unlimited access to hundreds of fitness classes in running, cycling, elliptical, treadmill, strength training, yoga, meditation and walking with the motivational guidance of a trainer.

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

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Every day, I start my job thankful for

how I can impact others

__________________________________________________ Every day I start my job thankful for the privilege to partner and play a role in improving our community’s health and well-being.

Elizabeth Beasley Community Relations Lead UVA Health System

What I love most about my job in healthcare is

caring for others

__________________________________________________ What I love most about my job in healthcare is the warmth I feel inside while caring for someone, and the love and appreciation I see in their eyes because someone cared. It is such a humbling experience when a person places their life completely in your hands.

Lori Flemister, RN, BSN, BA, CPC Blue Ridge PACE

By improving communication

___________________________________________________

I am able to make a difference in people’s lives every day.

As a hearing healthcare provider, I am able to make a difference in people’s lives every day through better connection with family, friends and nature.

Karen Klotz Virginia Hearing Group

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One of the most important lessons I have learned working in healthcare has been

the importance of service _______________________________ _______________________________

I have served as a physical therapist in an inpatient rehabilitation hospital since 2005 and one of the many lessons I have learned is that giving of yourself, selflessly, is the primary way to help patients find their success. Serving those who are dealing with a life changing event can be so rewarding over time.

As a physical therapy student, I had no intention of choosing this level of care to serve in a career.

However, after two short clinical months at UVAHealthSouth Rehabilitation Hospital, I could see how working in a medically complex environment with a level of care that is unprecedented can result in giving most patients their function and many times, their life back. Also, having a sense of humor and helping your patients find a reason to laugh again can be phenomenal for all involved. Serving others has been incredibly rewarding.

Rob Dixon Director of Therapy Operations UVA Healthsouth Rehabilitation Hospital

...giving of yourself selflessly is the primary way to help patients find their success. www.OurHealthCville.com

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I choose to work in healthcare because

I care

__________________ I choose to work in healthcare because growing up, I was surrounded by a culture of caring, being inquisitive and appreciating how advances in science and medicine were as important as taking a moment to listen and assure.

Initially, teaching seemed to be a good fit for what I felt was my “destiny.” However, while in school, my uncle passed as a result of a pulmonary disease called silicosis. I learned a lot about the disease, and the grief that affects loved ones after a loss.

My father used explanations of anatomy and physiology to process and work through his grief. I was the object of his processing and was touched and fascinated. It was at that time that I made the shift from teaching to healthcare.

Throughout my healthcare career, I have realized the importance of “being a part of the team”. Now, as a pre-lung transplant nurse coordinator, I understand that at the end of the day there may be boxes checked, but the list of caring for patients will continue and there is no real “period” after a day at work.

While at UVA, I have been allowed the opportunity to learn, problem solve, teach, and provide comfort, which has given me perspective for my own personal and professional life. As I have observed the difficulties of many patient populations over the years, I have been able to realize and teach my girls that “we have good problems” and repeat what my parents taught me, “don’t take your health for granted!”

The question is, why I chose to go into healthcare.

Not to sound cliché, but I do believe it chose me, and I absolutely know that I am content and blessed to be working in healthcare, now as a UVA nurse, no matter how it happened!

Heidi Flanagan, RN, BSN Lung Transplant Coordinator UVA Transplant Center

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satisfied

Working in healthcare makes me feel _________________ Working in healthcare makes me feel satisfied because I know I have done my best to provide quality linen to our patients.

Sarah Myers Laundry Aide Augusta Health

My most memorable day working in healthcare

made a difference

___________________________________________________ My most memorable day working in healthcare was early in my career as a nurse. I was taking care of a terminally ill patient who was actively dying. I commented to my preceptor that it was too bad that the patient was going to die alone—there was no family with the patient. She quickly pointed out that the patient would not die alone, that we would be with her. Later in the shift I had the privilege of holding her hand as she took her last breath. I learned that, as nurses, we provide much more than the technical tasks that we perform. We are able to provide comfort, reassurance, a little humor, information— whatever the patient needs to get through a difficult time.

Jay Murphy, RN Cath Lab Coordinator Augusta Health Heart and Vascular Center

satisfied

After a challenging day, I am _________________ After a challenging day, I am reminded of how lucky I am to be able to be passionate about my work; providing healthcare to menopausal women to improve their health as they age.

JoAnn V. Pinkerton, MD, NCMP Professor of Obstetrics and Gynecology | Director, Midlife Health Center UVA Health System

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trust

Every day, I start my job thankful for______________ Every day, I start my job thankful that I am trusted enough by my clients to make a difference in their life. This quote by Steve Jobs says it all, “The only way to do great work is to love what you do.”

Erin McKeon Director of Marketing & Admissions Our Lady of Peace Retirement Community

My most memorable day working in healthcare was the day I discovered

I could make a difference

_____________________________________________________ One of my most memorable days working in healthcare was in 2003, during an especially bad flu season. It was one of those flu seasons with many deaths throughout the country. We (Employee Health) went to administration and asked permission to offer flu vaccine at no cost to our employees’ family members and the community. We vaccinated 1615 people in one day! We believed we made a difference. It was a true joy to see the response and the genuine support from our administration, staff and community.

Gail Johnson, RN Director, Employee Health Augusta Health

What I love most about my job in healthcare is

helping others

__________________________________________________ What I love most about my job in healthcare is helping people stay connected to their friends and family through better hearing!

Kristin Koch, AuD, F-AAA Evolution Hearing

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I am able to make a difference in people’s lives every day

using creative problem solving ______________________________ ______________________________

Being creative and finding new ways to solve problems for your patients by showing them how invested you are in their care can help them commit to their own rehab experience. Patients see the full extent I am willing to do to provide them ways to recover and renew themselves. Rehabilitation is a hard environment to work and recover in. Every day many patients make small gains and small progress towards their larger recovery goal. Every day these small steps make a difference in their lives. Yet many times we have to stop and encourage them to reflect and then they finally see how far they have traveled and improved. It’s an amazing moment!

Rob Dixon Director of Therapy Operations UVA Healthsouth Rehabilitation Hospital

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SCAN HERE to check out VIA’s 2017 inspiring video.

Original photography by Susan Manning Parmar.

2017 Run for Autism 5K This year’s Run for Autism 5k, held at Charlottesville High School in late April, has proven to be one of the region’s most successful races, raising over $127,000 for the Virginia Institute of Autism!

Over the past 18 years the Run for Autism 5K has become a major event in the Charlottesville community, filled with fun and heart. Funds raised by the run benefit the Virginia Institute of Autism and their effort to meet the needs of over 200 families– whether it's teaching a child to communicate, teaching families how to build life skills at home, or working with school districts to enhance their ability to teach children with autism spectrum disorder. The run also helps to raise awareness in the community, that kids and adults with autism can learn and grow to their full potential and lead richer, more connected lives in the community.

For more information about Virginia Institute of Autism call 434.923.8252 or visit www.viaschool.org.

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words | CHRISTINE STODDARD

Even with No Snow in Sight, Seniors Need to Assess Their Risk for Slips and Falls.

If you think that falls are just a winter concern, think again. You or your elderly loved ones can fall and suffer injuries even when there isn’t snow and ice on the ground. Inclement weather is not the only cause of severe falls among seniors.

That’s why fall prevention should be a year-round endeavor for those in their golden years and the people who take care of them.

“The causes for falls are often multifactorial,” says Kate Armstead, a UVA HealthSouth occupational therapist. “That means that there are extrinsic and intrinsic factors.” She explains that these factors can range from living in a “tricky” environment — think inconvenient steps or clutter — to visual impairment and more.

The first step to assessing your fall risk is to discuss the matter with your healthcare provider.

“Talking to healthcare providers about falls and fall prevention can help patients understand that many factors contribute to falls,” says Armstead. “Your doctor can then take a clinical approach to help you minimize your risk.”

For instance, your doctor may ask you when you last had your vision checked. You may be experiencing falls simply because you are having trouble seeing stairs or the corners of walls.

This can lead to under-reaching or overreaching, which can result in falls.

“For patients who are 65 years or older, I recommend that they get their eyes checked once a year to ensure their prescription is up to date,” says Armstead. Even if your prescription is 40

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

up to date, she still advises marking your home’s hard-to-see spots with bright pink tape and installing handrails on both sides of any stairs. Organizing your belongings and minimizing clutter shouldn’t be neglected, either.

But your eyes aren’t the only things that should be evaluated. Your physical fitness needs to be assessed, too. This is another area where it helps to get a healthcare provider’s expert opinion. Remember that being slender does not necessarily mean that you are fit. If you are strong and agile, you are less likely to succumb to frequent and harmful falls.

“Maintain your strength and your endurance with a good exercise routine, especially one that incorporates balance exercises,” says Armstead. She lists yoga and Tai Chi as beneficial examples. “You want to improve your lower body strength, but also your upper body strength because you need to be able to catch yourself,” she adds. “Participating in those kinds of exercise activities prolongs your independence and safety.”

Your healthcare provider should also be aware of all of the medications you are taking. Certain types of medications, such as opiates, diuretics, laxatives and sedatives, may increase your risk for falling. Armstead warns that taking two or more of these drugs in combination could significantly increase your risk.

“You should also talk to your pharmacist about how your medications interact with each other,” she says. “Pharmacists play a role in fall prevention as well.”

Of course, no matter how much you try to prevent falls, you cannot anticipate every risk. Accidents still happen. So what should you do if you take a hard fall?

“Maintain your strength and your endurance with a good exercise routine, especially one that incorporates balance exercises. You want to improve your lower body strength, but also your upper body strength because you need to be able to catch yourself. Participating in those kinds of exercise activities prolongs your independence and safety.”

KATE ARMSTEAD, OTR/L, CBIS is an occupational therapist at UVA HealthSouth in Charlottesville.

“The first thing you should do is try and stay calm,” says Armstead. “Then get help. This is why I tell patients to keep a cell phone with them or a phone in every room or to wear some kind of medical alert system.”

Once you have gotten help, notify your doctor, even if you don’t appear to be seriously hurt. “Your doctor needs to keep track of your falls,” says Armstead, explaining that healthcare professionals need to note patterns in order to pinpoint the cause of a recurring problem. If you keep falling — even if none of the falls seem severe — there must be a reason. It is common for healthcare providers to ask seniors if they have had a fall in the last six months or so as well as to question them about the steadiness of their gait.

Do not let embarrassment hold you back. Otherwise, you could face dire consequences — especially if you hit your head or feel sore after falling. “If you hit your head or have any kind of pain, you must be evaluated,” says Armstead.

“It’s better to be safe than sorry.”

read this edition of

Expert Contributer Kate Armstead, OTR/L, CBIS is an occupational therapist at UVA HealthSouth in Charlottesville.

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Tricia Foley’s

Great Spring Check Out These Nutrient-Rich Vegetables Perfect for Spring Time Ahhhh Spring‌We can finally enjoy our garden-fresh, nutrient-packed, local veggies again. Besides the great taste, keeping a steady stream of vegetables in our diet can reduce blood pressure, prevent certain types of cancer, lower the risk of heart disease and stroke, reduce eye and digestive problems and a lot more! By eating a variety of fruits and vegetables, we give our body the mixture of needed nutrients to stay healthy. Check out our eight favorite spring picks and the special health benefits that each offers.

1

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Cucumbers:

BIOTIN

This surprising super food contains molybdenum, a trace mineral that acts as a catalyst aiding in the metabolism of fats, carbohydrates and amino acids. They also pack a punch of pantothenic acid (vitamin B5), which assists in using carbohydrates, protein and fat for energy. As a bonus, cucumbers also provide a good source of copper, potassium, manganese, vitamin C, phosphorus, biotin, vitamin K and vitamin B1. For maximum impact, be sure to incorporate them into salads and as snacks several times per week!

COPPER

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MANGANESE PHOSPHORUS POTASSIUM VITAMINS B1, B5 + K

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Asparagus:

These mighty spears have an amazing amount of vitamin K per serving, providing more than one hundred percent of the recommended daily allowance. Known for cardiovascular health, asparagus also supplies about half the daily need of folate.

A serving size is approximately six spears and provides two grams of fiber with only 20 calories per serving. Those on blood thinners should monitor their intake of asparagus closely.

FIBER

FOLATE

VITAMIN K

FOLATE – body uses to create genetic material

Artichokes: Packed with fiber, calcium, iron, phosphorus and potassium, these leaves and hearts are known to promote overall health!

Enjoy them boiled to aid in the prevention of arteriosclerosis, gout, and ward off migraines. They also aid in digestion, promote liver health and help to regulate blood sugar levels. One medium artichoke contains only sixty calories and a whopping seven grams of fiber.

CALCIUM

PHOSPHORUS

FIBER

POTASSIUM

IRON

3

Summer Squash:

Also known as yellow squash, this summer favorite provides about twenty-five percent of your vitamin C per one cup serving!

The yellow pigment is also due to the beta-carotene, which has been shown to reduce the risk of certain cancers, heart disease and age related vision impairment. Manganese is another important mineral you can find in summer squash, this mineral is required to maintain healthy bones and connective tissue and plays a role in brain and nerve function. Enjoy it several times a week raw or cooked.

MANGANESE

VITAMIN C

COPPER – helps with the growth and development of various organs PHOSPHORUS – helps with filtering waste and repairing tissue and cells POTASSIUM – helps maintain fluid and electrolyte balance in the body MANGANESE – creates essential enzymes used to create bones SOURCES:

www.choosemyplate.gov www.fruitsandveggiesmorematters.org www.medicalnewstoday.com

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5 6

Mushrooms:

Known for their health promoting benefits, mushrooms are more than just a typical vegetable, they are a fungus. Unlike most veggies, mushrooms are rich in selenium, which can decrease inflammation, improve immunity, promote heart health and decrease cancer risk.

In addition, mushrooms are rich in B vitamins, can boost Vitamin D levels and can assist in weight regulation thanks to their high fiber content. Enjoy one cup raw or one half cup cooked several times a week with other veggies to maximize your nutritional profile.

Onions:

Cry for joy next time you’re slicing onions! Rich in antioxidants, these veggies have amazing antiinflammatory power. They have been associated with a decreased risk of cancer, improved blood sugar management and better bone health. In addition, onions are rich in polyphenols, a type of phytonutrient that protect us from oxidative stress associated with aging.

ANTIOXIDANTS

POLYPHENOLS

8

ANTIOXIDANTS – protect the cells in the body from damage

Bell Peppers: Bell peppers are a excellent source carotenoids, a form of antioxidants that protect against cellular damage.

They are also rich in vitamins C and E giving a boost to your immune system. Enjoy them several times per week choosing different colors to liven up your dishes.

One medium bell pepper provides only six grams of carbohydrate (two grams fiber) and thirty calories.

ANTIOXIDANTS

FIBER

SELENIUM VITAMIN B VITAMIN D

7

Sugar Snap Peas:

Craving a crunch? These delicious peas deliver every time! With only thirty-five calories per cup, these peas pack a nutritious punch providing two grams of fiber and a healthy dose of B vitamins and vitamin C. In addition, they offer about ten to twenty percent of your daily need for iron, magnesium, phosphorus and potassium making them a heart healthy choice!

FIBER + IRON MAGNESIUM PHOSPHORUS POTASSIUM

VITAMINS C + E

MAGNESIUM – aids blood pressure, bones strength, and heart rhythm

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FIBER

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VITAMINS B + C

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DERMATOLOGY & COSMETIC SURGERY RESOURCE

GUIDE

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DERMATOLOGY & COSMETIC SURGERY RESOURCE

GUIDE

COSMETIC & PLASTIC SURGERY

Facial Plastic Surgery at UVA

A. Frederick Gall Jr., MD, PLC

Winchester | 540.722.2280

Charlottesville | 540.243.9391

Hallmark Plastic Surgery

Winchester | 540.642.0054

John G. Kenney, MD Asfa Plastic Surgery

Charlottesville | 434.296.3622

Harrisonburg | 540.432.0303

Augusta Health: Augusta Plastic Surgery

Laura Knox, MD Fishersville | 540.932.5771

Sentara Martha Jefferson Aesthetic and Reconstructive Surgery

Martha Jefferson Aesthetic and Reconstructive Surgery

Charlottesville | 434.817.0200

Charlottesville | 434.654.8920

Exclusively Faces

Meadowcrest ENT, Facial Cosmetics & Medi Spa

Winchester | 540.773.2258

Harrisonburg | 540.433.9399

Eyelid and Facial Aesthetics Charlottesville | 434.244.8610

Milton T. Edgerton, MD Charlottesville | 434.924.5068

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Harrisonburg | 540.437.1230

Charlottesville | 434.654.8920

Shenandoah Oral and Facial Surgery

Winchester Plastic Surgery Winchester | 540.667.5533

Harrisonburg | 540.433.1751

DERMATOLOGY

Stephen D. Keefe, MD

Access Dermatology

Fishersville | 540.245.7027

Fishersville | 540.932.5771

Central Virginia Plastic and Reconstructive Surgery

Whitney and Ramsey Oral and Facial Surgery

UVA Health System: Facial Cosmetic and Reconstructive Surgery Charlottesville | 434.982.0251 West Complex, Charlottesville, VA Charlottesville | 434.924.3627

Harrisonburg | 540.434.1756

Advanced Dermatology Charlottesville | 434.977.0027

Albermarle Dermatology Associates Charlottesville | 434.923.4651

Blue Ridge Dermatology Waynesboro | 540.949.6934

Celeste Romig, MD Lexington | 540.464.1860

Charlottesville Dermatology 600 Peter Jefferson Pkwy Suite 230 | Charlottesville 434.984.2400 www.cvillederm.com Services: • • • • • • • • • •

General dermatology Laser hair removal Fraxel VBeam IPL M22 FotoFacial Cosmetic injections Cosmetic fillers PRP (Platelet Rich Plasma) Surface rejuvenation Skincare products

James R. Reid IV, MD

Waynesboro | 540.942.1200

James W. Patterson, MD

Charlottesville | 434.982.4402

John C. Dumler Jr., MD

Harrisonburg | 540.433.2181

Winchester | 540.313.8976 Charlottesville | 434.924.5348

Rockingham Dermatology

Harrisonburg | 540.442.8056

Savola Aesthetic Dermatology Center, PLC

66 Parkway Lane, Suite 101A Fishersville | 540.451.2833 Services:

Harrisonburg | 540.442.6619

Aesthetic Revival at TAEL Laser Center, LLC

Primary Care Center

www.savoladermatology.com

Christopher N. Sheap, MD

MEDICAL SPAS & SKIN CARE SERVICES

Blue Ridge Therapeutic Massage Winchester | 540.667.5800 Bluestone Bodyworks Harrisonburg | 540.434.5000

Body Essence Skin & Laser 20 Bobby’s Way, Suite 104 Staunton | 540.887.8200 www.abodyessence.com Services: • • • • • • • • • •

Botox Treatments Lip/Nose/Cheek/Chin Dermal Filler Double Chin Reduction Microdermabrasion Dermaplaning Dermal Infusion Chemical Peels Spray Tanning Laser Hair & Body Fat Removal Skin Improvement Laser Treatments

Body Alluure MedSpa Staunton | 540.213.3633

• General & aesthetic dermatology • Fillers & injectables • Laser treatments • Medical spa services • Skincare & makeup

Dermatologic Surgery of Central Virginia Charlottesville | (434) 979-7700

Dermatologic Surgery Charlottesville | 434.979.7700 Waynesboro | 434.979.7700

Dermatology Associates Inc. Winchester | 540.667.4499

Dermatology PLC Charlottesville | 434.296.0113

Donald Richardson, MD

Thomas Krop, MD

Afton | 757.481.1666

UVA Health System: Dermatology Charlottesville | 434.243.3675

Charlottesville | 434.296.0113

Family Dermatology of Albamarle

Valley Dermatology Harrisonburg | 540.801.8080

Charlottesville | 434.964.9500

Harrisonburg Dermatology, PC

Valley Dermatology, LLC

Waynesboro | 540.221.6701

Harrisonburg | 540.433.8700

Harry L. Parlette III, MD Charlottesville | 434.293.4310

William F. Sowers, MD

Staunton | 540.885.2087

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MEDICAL SPAS & SKIN CARE SERVICES CONTINUED...

Breeze Hill Day Spa Staunton | 540.886.0887

Bristles Hair Design & Day Spa

Charlottesville | 434.977.1411

Cedar Stone: A Wellness Spa

City Spa

Saumaj

Charlottesville Skin & Laser Center

Charlottesville | 434.984.5046

Winchester | 540.535.1208

2214 Ivy Road Charlottesville | 434.984.4491 www.cvilleskinandlaser.com

De Rouge Salon & Skincare

Serendipity Spa & Wellness

Winchester | 540.535.0099

Waynesboro | 540.486.5666

Encore Salon 215 Spa

Shear Dimensions Salon & Day Spa

Services: • Laser hair removal • Botox and fillers • Microneedling • Laser removal of facial veins • Nonsurgical fat reduction • Peels • Microdermabrasion • Facials • Dermaplaning • Waxing

Harrisonburg | 540.437.0411

Lexington | 540.464.4215

Escapes Mini Day Spa Harrisonburg | 540.383.7953

Waynesboro | 540.943.8212

Signature Medical Spa Charlottesville | 434.923.4646

Eyelid & Facial Aesthetics Charlottesville | 434.244.8610

Freda's Skin Sudio Waynesboro | 434.327.4628

Silver Lining Day Spa Charlottesville | 434.964.0137

Skin and Zen Harrisonburg | 540.810.0141

Georgetown West Salon Crozet | 434.823.4247

Spa at ACAC

Halo Salt Spa

Charlottesville (Albemarle Square) 434.978.3800

Charlottesville | 434.234.3827

Hand & Stone Massage and Facial Spa Charlottesville | 434.218.2740

Healing Touch Body Work Staunton | 540.290.3383

Charlottesville (Downtown) 434.984.3800 Charlottesville (Crozet) 434.817.2055 Charlottesville (Adventure Central) 434.978.7529

High Tech Salon & Spa Studio Harrisonburg | 540.574.3333 Verona | 540.248.3333

Starway Spa Winchester | 540.773.4091

L'ldee Medical Spa Harrisonburg | 540.437.1296

Mane Attraction Salon & Wellness Spa Winchester | 540.667.0180

Meadowcrest ENT, Facial Cosmetics & Medi Spa Harrisonburg | 540.433.9399

Mill Street Body & Soul Staunton | 540.885.2133

Moxie Hair Lounge Charlottesville | 434.979.5556

Neroli Spa & Beauty Lounge Charlottesville | 434.984.3450

Tangle's Day Spa Harrisonburg | 540.432.5544 The Beauty Spa Harrisonburg | 540.564.1925

The Healing Touch Harrisonburg | 540.434.8892

Tonya's Day Spa LLC Buena Vista | 540.570.4895

Tropical Escapes Day Spa Charlottesville | 434.973.9440

West End Day Spa Charlottesville | 434.995.5391

Oasis Day Spa & Body Shop Charlottesville | 434.244.9667

Paragon Day Spa Charlottesville | 434.295.3871

Relaxation Day Spa Charlottesville | 434.953.7088

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