July • August 2018 ourhealthCharlottesville.com
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FEATURES JULY • AUGUST 2018
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2018 SENIOR LIVING AWARDS
OurHealth Charlottesville & Shenandoah Valley Magazine is pleased to recognize the 137 businesses and individuals that make up the winners of our 4th Annual Senior Living Awards, which were voted on by our community.
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A GUIDE TO SUCCESSFUL AGING INTO YOUR 90s AND BEYOND
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WHAT YOU NEED TO KNOW ABOUT MEDICARE
Whether you’re a senior or a caregiver helping a loved one, we’ll show you how to stay healthy, active and happy well into your 90s and beyond.
In recent years Medicare has become increasingly complex as Medicare Advantage plans, Medigap policies and prescription coverage have become available. Do you know what plans you need to manage your healthcare costs?
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DEPARTMENTS JULY • AUGUST 2018
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The Pulse | People. Places. News to Know.
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Calendar | Things to Do in Charlottesville and
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Volunteer Spotlight | Heroes. Champions.
Health A-Z | Insight. Awareness. Mindfulness for the Whole Family. 25 - How to Build Resilience in Kids Going Back-to-School: Kids face issues their parents never did: social media predators, an opioid crisis that’s snaking its way into first-grade classrooms, and epic levels of stress.
Shenandoah Valley during July and August for your Mind, Body and Soul.
30 - Focus on Mind, Body, and Spirit: Fork Union Military Academy prepares boys to become healthy young men.
Community Minded. Bobbye Cohen, a retired nurse, and her daughter Emily Cohen help UVA Health patients have a positive experience.
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34 - Happy Feet: Patients can now show off their toes thanks to a procedure called NovoNail.
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Food and Fitness | Nutrition. Exercise. Prevention. How to Eat Healthiest During the Busy Summer Season: Summer comes with an increase in temperature, more opportunities to be active outdoors and seasonal fruits and vegetables available to us.
Q&A on Health | Questions. Answers. Knowledge.
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Funny Bone | Spot the Seven Differences
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MORE THAN A MAGAZINE ONLINE JULY • AUGUST 2018
SOCIAL MEDIA
PUBLISHER PRESIDENT/EDITOR-AT-LARGE VICE PRESIDENT OF PRODUCTION CHIEF DESIGNER GRAPHIC DESIGNER ACCOUNTING MANAGER
CONTRIBUTING MEDICAL EXPERTS
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Fields Hungate Karrie Pridemore Tori Meador Laura Bower David Hryvniak, DO, CAQSM Laura Smith, MD, FACOG, SREI Kari Somers, CNM Robert Wilder, MD, FACSM
CONTRIBUTING PROFESSIONAL Catherine Brown EXPERTS & WRITERS Brandy Centolanza Nicole Grant, RD Jennifer Lamont Meagan Vickery Sara Warden
ADVERTISING AND MARKETING Steve McClintic, Jr. • President/Editor-At-Large 540.355.3071 • steve@ourhealthvirginia.com
E-NEWSLETTERS
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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 © 2018 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 | ourhealthroanokenrv.com | ourhealthlynchburg.com | ourhealthrichmond.com | ourhealthcharlottesville.com | Advertising rates upon request.
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The Pulse
INFORMATION • EVENTS • AWARENESS
Announcements
Recognitions
Local Chiropractor Releases Book offering Alternative Treatment Options for Neuropathy Sufferers
Sentara Healthcare Recognized as One of America’s Best Employers by Forbes
Brian Prax, DC of Prax Family Chiropractic in Charlottesville has released a book titled “Reversing Neuropathy: Making the Impossible, Possible”, which discusses alternative but effective solutions for the treatment and potential reversal of neuropathy. Dr. Prax has been successfully treating patients with neuropathy for more than 20 years. “It was very important for me to share my clinical experience with patients and other healthcare professionals, so others may benefit,” says Dr. Prax. Dr. Prax is an experienced chiropractic physician in functional neurology and functional medicine with more than two decades in clinical practice. He has been empowering his patients by sharing the necessary tools and knowledge for healthy living in ways chronic pain sufferers never thought possible. A free copy of the book (shipping and handling fees apply) may be obtained at www.drbrianprax.com/free-book or it can be ordered on Amazon for $19.97. More Information: Call 434.977.5433 or visit www.chroniccarecharlottesville.com
Moves and Mergers Shenandoah Valley Surgical Associates Joins Augusta Health Surgery Donald Carmichael, MD, FACS
Charles Goff, MD, FACS
Tonia Martin, FNP-C
Four of the medical staff of Shenandoah Valley Surgical Associates (SVSA) – William Thompson, MD, FACS; Donald Carmichael, MD, FACS; Charles Goff, MD, FACS and Tonia Martin, FNP-C – have joined Augusta Health Surgery, the surgical practice of Augusta Medical Group. “We are excited that Dr. Thompson, Dr. Carmichael, Dr. Goff and Ms. Martin have decided to join the Augusta Health Surgery practice,” says Scott Just, MD, President of Augusta Medical Group. “All are excellent providers and well-respected by both patients and healthcare providers in the area. We look forward to working even more closely with them to bring high quality surgical care to the community.” In addition to the SVSA practitioners, the combined group includes Mark Andres, MD; Stephen Carter, MD, FACS; Michael Flam, DO; Kristin Turza, MD, FACS and Vonda Johnston, MSN, ACNP-CS. Current patients will continue to be seen in Suite 213 in the Augusta Health Medical Building. All records and appointments will remain in place. Patients with questions are encouraged to call the practice at the new phone number, 540.245.7705. More Information: www.augustahealth.com
William Thompson, MD, FACS
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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Sentara Healthcare, the third largest employer in the state of Virginia, has been recognized as one of America’s Best Employers in 2018 by Forbes. Ranking in the Best Large Employers category, Sentara is No. 177 of 500 companies categorized into 25 industries. Sentara was named alongside only 24 other large organizations in the healthcare and social industry group. Forbes chose America’s Best Employers based on an independent survey from a vast sample of more than 30,000 U.S. employees working for companies employing at least 1,000 people in their U.S. operations. The employees were anonymously consulted through several online panels, not conducted by their employers. This methodology allowed the employee to openly state his/her opinion, avoiding any influence from their employer. In addition to being asked about work related topics, employees were asked whether they would recommend their current employer to others. They were also prompted to evaluate other employers in their respective industries that stood out either positively or negatively. More Information: www.forbes.com
The Pulse
Melissa Gulosh, DPM PODIATRY
Tami Collins, NP
Alicia Devine, MD
Erin Dove, MD
David Herring, MD
Laurel Hortvet, MD
Amy Kipp, MD
Michael Lipinski, MD
Anthony Martinez, MD
M. Katherine Mays, MD Jonas Rawlins, DO
Reproductive Medicine and Surgery Center of Virginia, PLC Winchester | 866.540.5190 www.rmscva.com
Sentara Family Medicine at Augusta Health Cardiology 5th Street Station Fishersville | 540.245.7080 Charlottesville|434.654.1800 www.augustahealth.com www.sentara.com
Carilion Clinic Emergency Medicine Lexington | 540.458.3300 www.CarilionClinic.org
SERVICES PROVIDED: •
Reconstructive bone and joint surgery
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Soft tissue and peripheral nerve disorders
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Plastic and cosmetic procedures
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Arthroscopy and endoscopy
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Sports medicine
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Trauma and wound care
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Diabetic related conditions
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Dermatology (skin and toenail conditions)
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Inflammatory and degenerative conditions
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Prescription foot orthotics
Carilion Clinic Emergency Medicine Lexington | 540.458.3300 www.carilionclinic.org
Cardiovascular Associates of Charlottesville Charlottesville | 434.293.4072 www.Cvilleheart.com
Sentara Waynesboro Internal Medicine Waynesboro |540.941.2400 www.sentara.com
Sentara Crozet Family Medicine Crozet | 434.823.4567 www.sentara.com
Albemarle Anesthesia National Spine & Charlottesville | 434.982.7000 Pain Centers www.albemarleanesthesia.com Charlottesville | 434.234.4910 www.treatingpain.com/ pain.clinic/virginia/ charlottesville-va
OB/GYN Associates Sentara Martha Jefferson Charlottesville | 434.979.2121 Inpatient Services www.obgynassociatescville.com Charlottesville |434.654.7000 www.sentara.com
Virginia Foot & Ankle Surgical Associates 103 S. Pantops Drive | Suite 201 Charlottesville | 434.977.8040 541 Sunset Lane, Suite 101 Culpeper | 540.825.1350
www.vfasa.com Melissa Gulosh, DPM is currently accepting new patients. Scan here for more information about our services and providers.
Elliot Smith, MD
Charlottesville Gastroenterology Associates Charlottesville | 434.817.8484 www.cvillegi.com
Baidaa N. Sullivani, MD
Sentara Martha Jefferson Inpatient Services Charlottesville |434.654.7000 www.sentara.com
Reagan Williams, PA
Carilion Clinic Cardiology Lexington | 540.463.2227 www.carilionclinic.org
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• NEWS TO KNOW
Welcome
Jashoman Banerjee, MD Tracy Buni, MD
The Pulse
• NEWS TO KNOW
Recognitions Announcements Augusta Health Introduces New Electrophysiology (EP) Lab Augusta Health has introduced a new Electrophysiology (EP) Lab to help meet the growing needs of its Electrophysiology program. EP procedures such as ablations and insertion of pacemakers and defibrillators treat the rhythms and electrical impulses of the heart. This is the third cardiac lab at Augusta Health – one dedicated Cardiac Cath Lab, one multifunctional lab for both Cath/EP and now one dedicated EP lab. The new equipment in the EP Lab is a state-of-the-art Azurion System. There are fewer than 100 Azurion systems in the U.S.; Augusta Health’s is one of the first ten Health systems with the new 12-inch detector.
UVA Honored on National ‘100 Great Hospitals’ List National healthcare publication Becker’s Hospital Review has named University of Virginia Medical Center to its 2018 list of 100 Great Hospitals in America. The hospitals included on this list have been recognized nationally for excellence in clinical care, patient outcomes, and staff and physician satisfaction. The list also includes industry innovators that have sparked trends in healthcare technology, hospital management and patient satisfaction. Along with nominations, Becker’s Hospital Review considered a range of rankings and ratings by third-party groups when compiling its 100 great hospitals list. In its listing for UVA Medical Center, Becker’s highlighted UVA’s ranking as the No. 1 hospital in Virginia for 2017-2018 by U.S. News & World Report for 201718. Becker’s also noted that six UVA specialties – cancer; ear, nose and throat; orthopedics; urology; diabetes and endocrinology; and cardiology and heart surgery – were ranked among the top 50 nationally by U.S. News. Those join four pediatric specialties – cardiology and heart surgery; diabetes and endocrinology; neonatology; and orthopedics – ranked among the top 50 nationally in the U.S. News Best Children’s Hospital rankings.
The new EP lab is located in the Heart & Vascular Center of Augusta Health, 78 Medical Center Drive, Fishersville, VA 22939.
“This honor from Becker’s Hospital Review is a testament to our entire team at UVA and their dedication to providing excellent, state-of-the-art care for our patients throughout Virginia and across the country,” says Pamela M. Sutton-Wallace, chief executive officer of UVA Medical Center. “This award also reflects our daily journey of continuous improvement to provide the best, safest care for our patients.”
More Information: www.augustahealth.com
More Information: www.uvahealth.com
New Services New Health Center Comes to Bridgewater Bridgewater Health Center has opened in the Bridgewater community. The new Center is home to Carilion Clinic Family Medicine – Bridgewater and to Sentara Therapy Imaging and Lab Services. The Center is located at 100 Health Center Drive, Bridgewater. Carilion Family Medicine – Bridgewater can be reached at 540.828.2634. Hours are: Mon. – Fri., 8 am – 4:30 pm. Sentara Services can be reached at 540.515.9100. Hours are: Lab and X-Ray: Mon. – Fri., 8 am – 4:30 pm (closed 12:30 – 1 pm for lunch); Therapy: Mon. and Weds., 8 am – 4:30 pm, Tues. and Thurs., 8 am – 5:30 pm and Fri., 8 am – 2 pm. More Information: visit www.bit.ly/2Jy3SYS for Carilion Clinic and www.bit.ly/2JUxFKJ for Sentara Services.
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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
The Pulse
Recognitions
Announcements UVA, Other Top Cancer Centers Endorse Steps to Eliminate HPV-Related Cancers University of Virginia Cancer Center has joined the other 69 National Cancer Institute-designated cancer centers in endorsing a goal of eliminating human papillomavirus (HPV) related cancers through vaccinations and screenings to treat cervical pre-cancers. Although an effective and safe HPV vaccine is available that prevents a large majority of the HPV infections that cause cancer, HPV vaccination rates remain well below the national goal of 80 percent. According to the federal Centers for Disease Control and Prevention, just 49.5 percent of girls and 37.5 percent of boys ages 13-17 were up to date with their HPV vaccinations in 2016. “For the past decade, medicine has had the ability to eradicate future cervical cancers (and markedly decrease other HPV-related cancers) with a combination of prevention via HPV vaccination and cancer screening, yet that dream has yet to be fully realized,” says Susan Modesitt, MD, a gynecologic oncologist at UVA Cancer Center. “As a medical community, we have the responsibility to forcefully advocate for HPV vaccination and educate all of our patients (as well as the physicians caring for them) about the benefits so that cervical cancer could become a disease of the past like polio or smallpox.” According to the joint statement from the 70 NCIdesignated cancer centers, about 12,000 cases of cervical cancers and nearly 40,000 cases of other HPV-related cancers are diagnosed annually. The full joint statement can be viewed at https://bit.ly/2LvH5cq. More Information: www.uvahealth.com
Augusta Health nurse Amanda Wilson, RN BSN, Medical Quality Coordinator for Augusta Health has been recognized by the Virginia Hospital & Healthcare Association as one of Virginia’s “4 Under 40” for her implementation of the ‘What’s UP?’ patient safety initiative at Augusta Health. The ‘What’s UP?’ campaign provides the solution to simplify care, streamline interventions to simultaneously address multiple concerns and outcomes and reduce the number of interventions for maximum benefit. It’s led by the Nursing Quality and Safety Council, which consist of 15 nurses from across Augusta Health who work to improve quality and safety. What’s UP? focuses on three basic interventions for clinicians: •
SOAP UP: Appropriate hand washing – addresses more than seven concerns related to infections and sepsis.
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WAKE-UP: Reducing unnecessary sleepiness and sedation – addresses seven different concerns, from patient falls to ventilator-associatedevents to venous blood clots.
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GET UP: Mobilizing patients to return to function more quickly – also addresses seven different concerns, ranging from venous blood clots to urinary tract infections to readmissions.
Augusta Health has added a fourth ‘up’ – Speak Up – to encourage staff, patients and families to form partnerships to improve care by speaking up about safety concerns. “With an ever-increasing number of tasks, responsibilities and clinical outcomes to track for various regulatory agencies, we were concerned that staff can easily become overwhelmed,” says Wilson. “This campaign simplifies how we prioritize safe care.” More Information: www.augustahealth.com
Relocation New Office for Home Health Agency Shenandoah Valley Home Health, a locally owned and operated home health agency providing skilled nursing, physical therapy, occupational therapy, and speech therapy services has recently relocated. The new location is at 19 Myers Corner Drive, Suite A05 in Staunton. Owners, Ugo Soloman, PT and Monica Gregory, OT offer over 20 year of combined home health experience. More Information: visit www.svhh.org or call 540.324.2360.
For More of The Pulse Visit: www.ourhealthcharlottesville.com www.OurHealthCharlottesville.com
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• NEWS TO KNOW
Augusta Health Nurse Recognized for Development of Patient Safety Program
JULY & AUGUST
CALENDAR
INFORMATION • EVENTS • AWARENESS
7.3
TOTS AND DOTS
According to early childhood development studies, infants and toddlers are attracted to high contrast visuals, bold images, and colorful objects, making Aboriginal art the perfect starting point for your child’s art education. This early visual literacy program features a brief tour focusing on basic elements of visual art, followed by an art activity for children aged two to four, while babies and caregivers enjoy social play with visually stimulating toys.
KIWANIS INDEPENDENCE DAY 5K
The Kiwanis Club of Charlottesville, in conjunction with the Charlottesville Track Club, and with major support from Better Living Inc., presents the 35th Annual Kiwanis Independence Day 5K Race at Forest Lakes North subdivision. Proceeds benefit Camp Holiday Trails, a camp for children with special health needs. Over the past three decades, the Kiwanis Independence Day race has raised more than $125,000. Open to runners of all ages. $20 and up (Discounts available for early entry, students and members) 7:30 am Hollymead Elementary School 2775 Powell Creek Drive, Charlottesville w www.bit.ly/2Jyp7tu
7.6 HISTORIC TREE
Free | 9, 10 or 11 am Kluge-Ruhe Aboriginal Art Collection of the University of Virginia 400 Worrell Drive | Charlottesville w www.bit.ly/2HHbYs0
WALK AT HIGHLAND
Learn more about Highland’s trees during this free 90-minute walk at James Monroe’s historic property with Charlottesville area Tree Stewards! Highland’s open spaces afford vistas of mature ash, black walnut, maples, oaks, and other native trees. You will also see a hemlock and towering white oak that date to President Monroe’s time! Learn how to identify trees in the summer using leaves, bark, twigs, form, and many other features, as well as how Highland trees and tree-ring dating have contributed to historical interpretation.
7.9 A Matter of Balance: MANAGING CONCERNS ABOUT FALLS A Matter of Balance is an evidence-based program designed to reduce the fear of falling and increase activity levels among older adults. Participants learn to set realistic goals to increase activity, change their environment to reduce fall risk factors, and learn simple exercises to increase strength and balance. UVA Health System and the Senior Center are offering this 8-session workshop each Monday and Wednesday, July 9th – August 1st (July 18 session will meet from 1-3 pm). Participants should attend at least five of the sessions. A workbook is provided and refreshments will be served. $20 | 10 am The Senior Center 491 Hillsdale Drive | Charlottesville w www.seniorcenterinc.org
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photo | LARRY BOUTERIE
Free | 9 am James Monroe’s Highland 2050 James Monroe Parkway | Charlottesville w www.bit.ly/2LLevEa
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Calendar • JULY & AUGUST
7.14 DISASTER + WILDERNESS Accidents happen, and all-too-often members of a group are not capable of dealing with the emergency. This leads to improper care of the patient, which could endanger the entire group. In this two-day course, learn how to care for an injured/ill person during the critical minutes or hours before ambulance/hospital arrival. A blend of classroom instruction and hands-on problem-solving rescue scenario practice, you will come away with actual do-ityourself care-giving confidence. No prerequisites. For adults and focused youths ages 12+. $195 | 8:30 am Mountaintop Montessori | 440 Pinnacle Place | Charlottesville w www.solowfa.com
7.26 ALBEMARLE COUNTY FAIR
This fun and festive “Old-Time Country Fair” will be a three-day agricultural celebration, complete with exhibits, baked goods, crafts, family entertainment, events, livestock, and grand old-time country fun. In addition to this year’s attractions, the fair, in collaboration with James Monroe’s Highland, will offer demonstrations of historic and cultural significance, including a blacksmith, wool spinning and weaving and a reproduction button maker. $5 (free age 6 and under) | 10 am James Monroe’s Highland 2050 James Monroe Parkway | Charlottesville w www.albemarlecountyfair.com
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Calendar
• JULY & AUGUST
ESSENTRICS EXERCISE
Essentrics is a slow and gentle, full body stretch and strengthening workout that focuses on increasing mobility, flexibility and relieving chronic aches, pains and joint stiffness. Reawaken the power of your 650 muscles while slowly building strength in your body. Bring your exercise mat and join in for this fun, flowing workout set to inspiring music. $35 for guests; $25 for members | 1:30 pm The Senior Center | 491 Hillsdale Drive | Charlottesville w www.seniorcenterinc.org
8.4 BOXERWOOD BIRD WALK
Members of the Rockbridge Bird Club invite bird enthusiasts to join them the first Saturday of every month to go birding at Boxerwood. Local birding experts aid people of all ages and skill levels in locating, identifying, and bird song interpretation. As many as 85 species of birds have been identified during past walks. Free | 8 am Boxerwood Nature Center | 963 Ross Road, Lexington w www.boxerwood.org
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CHARLOTTESVILLE
SING OUT!
Everyone in our community is invited to participate in a wonderful group-singing event – a positive celebration of our town to promote love and brotherhood among all races, cultures, and beliefs. No experience necessary! All ages and all walks of life welcome. Come as you are, ready to sing out! Free | 2 pm Mt. Zion First African Baptist Church 105 Lankford Avenue | Charlottesville w www.cvillesingout.org/event
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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Calendar
8.25 Life moves pretty fast…and so will you in the Totally 80’s 8k, part of the Run the Valley Race Series. Maybe you will run 88 miles per hour. You might even request a flyby! One thing is for sure at this event, you will cut loose…Footloose! So don’t forget to sweep the leg and give Uncle Sam your autograph by signing up today. The After Party includes a DJ spinning 80’s tunes, pool party, food trucks and awesome awards. Ages 6 – adult. $40 and up | 6 pm Ridgeview Park 700 S. Magnolia Avenue Waynesboro w www.bit.ly/2JPAlZY
For More Events Visit: ourhealthcharlottesville.com
Bring your American Girl doll and a picnic blanket to enjoy craft activities, American Girl trivia, and tea and refreshments with Elizabeth Monroe! Mrs. Monroe will also be available to pose for pictures with you and your doll. The recommended age range for participants is 6-12 years old. Accompanying siblings under 6 and Monroe’s Farm Friends are free. Participants must be accompanied by an adult. $5 | 10:30 am James Monroe’s Highland 2050 James Monroe Parkway | Charlottesville w www.bit.ly/2t44M40
Do you have an event that our readers simply must know about? Tell us about it by emailing Stephen McClintic Jr. at steve@ourhealthvirginia.com. Please submit your information at least three months in advance to be considered for publication in the magazine.
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• JULY & AUGUST
TOTALLY 80'S 8K
AMERICAN GIRL TEA
VOLUNTEER
Spotlight HEROES • CHAMPIONS • COMMUNITY-MINDED
Retired Nurse and Daughter
HELP UVA HEALTH PATIENTS Have a
words | CATHERINE BROWN
Pictured above: Bobbye Cohen with her daughter, Emily Cohen.
After forty years of working as a nurse with the UVA Health System, Bobbye Cohen wanted to continue her involvement because of her positive experiences there as an employee. “I had seen firsthand the benefits of volunteers from both the perspective of the employee but also as a friend of hospital patients,” Cohen says. Cohen’s first assignment in 2011 involved working with her lab, Gus, who had trained to become a therapy dog. Together they visited the pediatrics unit and the lobby to help cheer up the patients. “After a while,” Cohen explains, “Gus decided he did not want to be a volunteer anymore, so I asked the volunteer staff where they needed me most.” It turns out hospital staff needed Cohen in the Surgical Family Lounge at UVA Hospital, where patients and their loved ones go when they report to the hospital for surgery. As the Family Lounge volunteer, Cohen assists the staff by helping patients get signed in and taking them up to their rooms. During her three – to four-hour shift, Cohen helps support the patients and their loved ones. She tries to alleviate their anxiety by making them feel welcome and answering their questions. With her experience as a nurse in various fields, including oncology, psychiatry, surgery and radiology, Cohen is well equipped to help, whether that involves giving patients the answers herself or finding someone who can. 18
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
“Some of the people I meet are afraid or anxious to have surgery,” Cohen says. “Others are inpatient because they have waited so long for the operation.” Sometimes, an inpatient patient can be challenging, but Cohen calmly keeps in mind that the patient’s fear likely drives those difficult behaviors. “As a volunteer, my job is to be a good listener and a good resource for everyone who comes in,” Cohen says. Cohen’s altruistic drive is shared by her 33-year-old daughter Emily, who has been volunteering for UVA Health System since she was in high school. Over the years, Emily has served in various locations, including the gift shop and the children’s day care center. Because she works for the University of Virginia during the school year, Emily volunteers during the summers. She currently helps in the Infusion Center at the Emily Couric Clinical Cancer Center, where she serves snacks and lunches to the patients. She and the other volunteers also bring the patients blankets when needed. “It feels good to help patients and make them comfortable,” Emily says. “I like that I get to make their days better.” Cohen encourages anyone with extra time on his or her hands to consider volunteering. “This has been a very positive experience for both my daughter and for me,” she says.
ON THE WEB
More at OurHealthCharlottesville.com
VOLUNTEER Spotlight • Retired Nurse and Daughter Help UVA Health Patients Have Positive Experience
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www.OurHealthCharlottesville.com
Questions. Answers. Knowledge. How likely is pregnancy after a tubal reversal surgery? The chance of pregnancy after tubal reversal surgery depends on several factors. A woman’s age, egg supply, uterine and tubal anatomy, and sperm count all affect pregnancy.
The greatest chances of pregnancy following
TUBAL REVERSAL SURGERY are if a woman is less than 35 years old, has normal egg supply, her partner has a normal sperm count, had a “filshie clip” laparoscopic tubal ligation, and if there is not extensive pelvic scarring found at surgery.
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The surgical technique used to perform the tubal ligation, whether or not she has had cesarean sections or other pelvic surgery, pelvic scarring, and tubal length are also critical. The greatest chances of pregnancy following tubal reversal surgery are if a woman is less than 35 years old, has normal egg supply, her partner has a normal sperm count, had a “filshie clip” laparoscopic tubal ligation, and if there is not extensive pelvic scarring found at surgery. In this “ideal” instance, we would predict that she would have an approximately 50-75 percent chance of having a baby following tubal reversal. At her initial consultation, our physicians discuss a woman’s specific history and surgery, recommended testing, and estimate her chances of pregnancy following tubal reversal.
I’m starting my own small medical practice. What do I need to know about health insurance for my employees? While it’s not a requirement for small business owners (under 50 employees) to offer health insurance to their employees, at many times it’s a necessary benefit in order to attract and keep the best talent. There are many strategies a business owner can implement to provide coverage while controlling the company’s costs. Offering multiple plans, including a Health Savings Account (HSA) compatible option, and incorporating critical illness plans all help with your strategy. Also, there are great tax benefits to both the company and the employees by offering health insurance benefits. Business owners can call health insurance carriers directly to request rates and options. However, allowing a qualified health insurance agent to do that work for you can truly be invaluable. Your agent will do the legwork and shop various insurance carriers so you can focus on your company.
Laura Smith, MD, FACOG, SREI Reproductive Medicine and Surgery Center of Virginia, PLC Charlottesville | 434.654.8520 www.rmscva.com
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Meagan Vickery
Account Executive, Group Health Insurance Virginia Farm Bureau Charlottesville | 804.382.1274 www.vafb.com/quote
What is Centering Pregnancy? Centering Pregnancy is a nationwide model of group prenatal care. Each Centering group consists of eight to ten pregnant women and a support partner if they choose to bring one. All of the women in the group have due dates in the same month. They meet on the regular prenatal schedule, approximately nine times throughout pregnancy, and each session is two hours in length. During these sessions, some of the topics we cover include: breastfeeding, preparing for labor, what to expect postpartum and newborn care. Centering Pregnancy helps to empower women to take charge of their healthcare and to be well informed of their choices throughout pregnancy, labor and delivery. The program improves healthcare outcomes while providing a sense of community to its members.
Kari Somers, CNM
Augusta Healthcare for Women Fishersville | 540.213.7750 www.ahcfw.com
Q A ON HEALTH • Knowledge
www.OurHealthCharlottesville.com
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Questions. Answers. Knowledge. What causes side stitches when running? The side stitch is an annoying sharp pain under the rib cage that occurs suddenly while exercising. Causes may include the stretching of diaphragm ligaments or diaphragm fatigue or spasms. Contributing factors include rapid or irregular breathing and exercising with a full stomach, which prevent the diaphragm from relaxing.
To avoid side stitches, avoid heavy meals before exercise.
BREATHE DEEPLY (belly breathe),
exhale more fully and regulate your breathing to exhale when your left foot hits the ground. These will decrease stretch on the ligaments and relax the diaphragm.
22
To avoid side stitches, avoid heavy meals before exercise. Breathe deeply (belly breathe), exhale more fully and regulate your breathing to exhale when your left foot hits the ground (every fourth stride with slow running or every other stride with faster running). These will decrease stretch on the ligaments and relax the diaphragm. If you experience a side stitch, slow your pace or walk. Apply pressure under your ribs with your hand and breath deeply, fully exhaling against pursed lips. If that doesn’t work, stop and stretch the muscles by leaning away from the stitch. As you resume running, use slower, deep breathing.
Robert Wilder, MD, FACSM,
Medical Director of The Runner’s Clinic at UVA Health System Charlottesville | 434.243.5600 www.uvahelath.com
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
What is De Quervain’s Tendinitis and how is it treated?
What is the Reflections Memory Care Program at Our Lady of Peace?
De Quervain's tenosynovitis is inflammation of the tendons on the side of the wrist near the base of the thumb. It can present as pain and swelling with activities such as making a fist, bending the wrist or thumb, grasping something, or carrying something heavy. It is often caused by overuse and repetitive activities such as gardening, carrying heavy objects, or playing sports such as tennis or golf. It can also is associated with pregnancy and rheumatoid disease. It frequently can be treated with conservative management such as relative rest, ice, oral anti-inflammatories, physical therapy, bracing, and possibly a steroid injection. This is rarely a condition that requires surgery, but can be considered in recalcitrant cases.
The resident-focused Reflections Memory Care program at Our Lady of Peace is offered through the specialized training of carefully selected caregivers. The Reflections program combines the most up-todate therapeutic approaches to daily life with reminiscence therapy, art, music and sensory therapies, and sensory stimulation.
David Hryvniak, DO, CAQSM Assistant Professor UVA Department of Physical Medicine & Rehabilitation UVA Healthsouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvehealthsouth.com
This combination of therapies and services encourages enhanced resident engagement, provides opportunities for success based on current abilities and builds positive relationships among residents, families and caregivers.
Sara Warden, Executive Director
Our Lady of Peace Charlottesville | 434.973.1155 www.our-lady-of-peace.com
Q A ON HEALTH • Knowledge
www.OurHealthCharlottesville.com
23
Health
A-Z
INSIGHT • AWARENESS • MINDFULNESS
words | JENNIFER LAMONT
Keeping our children healthy and safe today goes beyond proper nutrition, exercise and good hygiene habits. Kids face issues their parents never did: social media predators, an opioid crisis that’s snaking its way into firstgrade classrooms, and epic levels of stress. While children shouldn’t live in fear, they need resiliency skills to be successful. This Back-to-School guide addresses some of the more difficult issues kids face, including social media safety, substance abuse and mental health disorders.
Elementary K – 5: They know more than you ever knew at their age. Are You a “Sharent?” Oversharing pictures, or “sharenting,” of your young children on your social media or other public sites gives them a digital presence without their consent. It can also expose their image to predators, who steal those innocent photos and manipulate them in grotesque ways for use on illegal sites by pedophiles. There are as many addictive video and social media sites for young kids as there are for teens and adults. Maybe more. Limit their screen time with a timer. Don’t let YouTube or other video sites babysit your child. Unsavory content can be wrapped up in ‘fun’ kid’s videos.
TODAY,
KIDS FACE ISSUES
THEIR PARENTS
NEVER DID: social media predators, an opioid crisis that’s snaking its way into firstgrade classrooms, and epic levels of stress.
Drugs are Everywhere. It’s Never Too Early to Talk About Them Always keep medicines locked up and never refer to pills as candy. Teach children to never take anything they stumble upon accidentally or if given to them. www.OurHealthCharlottesville.com
25
Health A-Z
• INSIGHT
Young children love to know how things work. Educate them on how medications affect the brain and body.
Young Kids Get Stressed Too Stress shows up in young kids as:
A B C D
aggressiveness nightmares fears
E F G
regressive behaviors like bed-wetting trouble concentrating harming behaviors like head-banging
sadness
Help them find the words to express themselves and listen to what they are—and are not—saying.
DID YOU KNOW? THE RATE OF OPIOID OVERDOSES IN CHILDREN AGES 1 – 17 HAS
Middle School: This time of transition is when kids first get exposed to online bullying, predators, drugs and alcohol—right at a time when their brains are geared toward more risk-taking behaviors. Less Screen Time = More Authentic Friendships
DOUBLED SINCE 2004.
To tweens the online world is the real world. They form relationships through social media, gaming apps and other sites you may know nothing about. You may roll your eyes, but your daughter thinks all her 1,900 friends on Facebook are real.
More children are getting accidentally poisoned by parent’s painkiller medications than ever before.
If you are a parent who ‘respects your child’s privacy,’ you’re the only person on the planet who has no clue about what they’re doing. Online privacy doesn’t exist for anyone. Follow them on all their accounts and talk to them about who they’re in contact with.
NO RACE, SOCIOECONOMIC STATUS, GENDER OR AGE IS IMMUNE.
Encourage offline activities. Joining sports or other groups, volunteering and attending church help them acquire interpersonal and coping skills, and empathy. Know that social media and apps are all engineered to hack the brain’s neurological triggers. In other words, get it addicted to “likes” and attention. That’s according to a Google product manager.
“Just Saying No” Doesn’t Always Work Middle schoolers can get prescribed opioids after an injury or getting teeth pulled. Teaching them about the science of addiction will help them better understand why prescribed painkillers can be just as dangerous as illegal drugs. Showing them the effects of drug addiction may go further than telling them to “just say no.” Teach your children what the National Institute on Drug Abuse calls “refusal behaviors” against peer pressure. Brainstorm and practice strategies for saying no, exiting the situation and relying on help if needed.
26
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Health A-Z •
Supervise and spend time with your child (without your phones in hand). Studies show the stronger the bond between parent and child, the less likely they are to become addicted to substances.
How to Build Resilience in Kids Going Back-to-School
Middle Schoolers Experience the Worst Stress Between bullying—which happens more in middle school than anywhere— social pressure, and trying to figure out where they “fit,” middle schoolers are an extremely stressed bunch of kids. Help them by keeping organized at home including good sleep habits and consistent routines. Teach your child that stress is a normal part of life and lead by example. Show them how you effectively deal with stress through:
A B
exercise breathing
C D
prayer mindfulness and other techniques.
Be supportive of their homework, extracurricular activities and social calendar—while being consistent about your expectations.
DID YOU KNOW? According to the U.S. Justice Department,
ONE IN FIVE
CHILDREN BETWEEN THE AGES OF 10 AND 17
High School: On the brink of adulthood, high school teens need to feel independent and successful, without feeling alone.
have received an unwanted sexual solicitation online.
Online: Is That Your Finsta or Rinsta? Often, teens have fake accounts on sites like Instagram. You may have ‘complete control’ over their “finsta” (fake Instagram account) while their “rinsta” (real Instagram) is where you’ll find their true activities. High school kids are frequently one step ahead of parents. Even if you take away one device, they usually have another way to get online. Be aware of how your child feels about their reputation and self-esteem. Kids who suffer from depression, self-esteem and mood disorders are more likely to share sexually explicit photos of themselves with other teens. That can create a cascade of exploitation. Go beyond Facebook. Your teen doesn’t even use it, mostly because you’re on it. Predators prey on kids through apps like Instagram, Kik and WhatsApp, and through gaming sites. Encourage offline activities to get them engaged in real life. Joining sports or other groups, volunteering and attending church will help them develop interpersonal skills and empathy.
Resilient Teens are Sober Teens
READ THIS EDITION OF
OurHealth
Charlottesville & Shenandoah Valley ON YOUR TABLET OR SMARTPHONE
The most commonly abused drugs by highschoolers are:
A B
alcohol marijuana
C
prescription opioids like Oxycontin, Oxycodone and Vicodin
www.OurHealthCharlottesville.com
27
Health A-Z
• INSIGHT
Withdrawing from everyone is not a normal “teenager habit.” Any of the following changes can signal that your teen is struggling with a drug problem:
A B
behavior dress
C D
grades friends
E social life F mood
G
eating habits
Show your teen how to move forward through challenges rather than selfmedicate with drugs or alcohol to feel better. Get them—and yourself—resiliency training if needed: Studies show kids who can figure out how to bounce back from adverse situations and maintain good coping skills are more likely to refuse drugs and alcohol.
DID YOU KNOW?
The Best Years of Their Life? Teens feel the same amount of stress as their parents, and sometimes more. But research shows they have little idea of the physical and mental impact that stress causes them.
NEARLY
ONE IN FIVE
Twenty percent of teens are clinically depressed, according to Mental Health America’s estimates. They say many teens go without treatment because their behavior is seen by parents as normal adolescent “adjustments.”
teens say they have used
PRESCRIPTION MEDICINE AT LEAST ONCE
If you see signs of stress and depression in your teen, don’t ignore it. Encourage them to make new friends, engage in sports or other activities, or join a group.
in their lifetime to get high. In 2015,
58 PERCENT of 12th grade students were
REPORTED AT “GREAT RISK” FOR TRYING HEROIN.
SOURCES American Psychological Association (www.apa.org) CBS News (www.cbsnews.com) CNN (www.cnn.com) Mental Health America (www.mentalhealthamerica.net) National Center for Biotechnology Information (www.ncbi.nlm.nih.gov) National Institute on Drug Abuse (www.drugabuse.gov) Psychiatric News – American Psychiatric Association (www.psychnews.psychiatryonline.org) Psychology Today (www.psychologytoday.com)
ON THE WEB
More at OurHealthCharlottesville.com
28
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Health
A-Z
INSIGHT • AWARENESS • MINDFULNESS
FOCUS ON
MIND,
BODY, AND
SPIRIT
Fork Union Military Academy Prepares Boys to Become Healthy Young Men Josh Henriques, 2018 valedictorian of Fork Union Military Academy.
words | BRANDY CENTOLANZA
When Joshua Henriques was in middle school, he began expressing interest in attending a military academy in lieu of a traditional high school experience. Though hesitant at first, his parents enrolled him in Fork Union Military Academy, where Henriques graduated this past spring at the top of his class as Valedictorian. He was also named Battalion Commander. “My experience at Fork Union has been one of trials as well as boundless learning,” Henriques says. “The majority of my enjoyment while attending Fork Union comes from the hardships I faced. I found amazing friendships and learned lessons of utmost value that will stick with me forever. It also developed core values in me.” Fork Union Military Academy, founded in 1898, is a college-prep boarding school emphasizing Christian values. Its military school system provides structure and discipline for boys in grades seventh through twelfth as well as postgraduates. In an age where cyberbullying, school shootings and other issues plague America’s public classrooms, some parents may be in search of an unconventional education for their sons. Enter Fork Union Military Academy. “I believe our mission statement summarizes us well: ‘Our mission is to educate, develop, and inspire young men in a college preparatory, Christian, military environment. Cadets build character, learn leadership, independence, confidence, responsibility, and discipline in a setting that encourages mental, physical, and spiritual growth,’” says Col. Stephen M. Macek, Vice President for Operations for Fork Union Military Academy.
Spiritual Growth Cell phone use as well as social media is prohibited at Fork Union and there is limited opportunity for video game play, but none of that was even a factor when Henriques, a native of New York, first told his parents he wanted to attend the academy after visiting the campus. “I figured once Josh saw that he couldn’t have his cell phone, he would change his mind,” recalls his mother, Pauline. “Imagine my surprise when he came home and announced he knew which academy he wanted to go to and he didn’t want to wait for high school. He wanted to go for eighth grade.” 30
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Health A-Z •
Without the distraction of cell phones, boys at Fork Union can focus more on their academics and other aspects of the academy’s curriculum, including faith, which is a huge part of Fork Union Military Academy.
Focus on Mind, Body, and Spirit
“We are a school founded on and guided by Christian values and faith,” says Ltc. James Benson, Chaplain for Fork Union Military Academy. “While the vast majority of cadets profess to be either Christian or come from a Christian tradition, we also have young men of other faiths as well. All, regardless of their faith, participate in the spiritual formation aspect of the school. All attend chapel services three times a week.” Benson has been the academy’s Chaplain for nearly a dozen years.
“My goal is to help these young men to shift focus from themselves to others.
Loving God provides us identity, LOVING OTHERS THROUGH SERVICE
provides purpose for our lives.
Even a young man of another faith can learn lessons in chapel about the
importance of helping others.
This is a benefit for all
cadets as they move on
from Fork Union along
the journey of life.” - Ltc. James Benson
One unique course offering for seniors at Fork Union Military Academy is called Applied Christianity. The class, which Benson has taught for the past three years, incorporates various community service activities. “Some of the places we have visited and helped out are White Bird Appaloosa Horse Rescue, Fluvanna SPCA, West Central Elementary, Carysbrook Elementary, Ronald McDonald House of Richmond, Eagle Eyrie Camp and Conference Center, and the National Kidney Foundation,” says Benson. “This class provides the students with an opportunity to put their Christian faith and Jesus’ command to serve others into practice.”
Focus on Fitness Maintaining a healthy lifestyle is also an essential part of life for students at the academy. Most days are structured, with class instruction held every morning and then afternoons set aside for sports and exercise. www.OurHealthCharlottesville.com
31
Health A-Z
• INSIGHT
“We believe that structure and routine are beneficial to a young man as they enable him to focus his energy on activities that will help him reach his potential,” says Macek. “Much of a cadet’s day is planned in advance, relieving them of many of the distractions faced by youth today.” Physical activity is a part of daily life at the academy. Students either participate in interscholastic sports or an intramural program called Skirmish. “Skirmish breaks students of all levels into teams so they can experience the benefits of working together in sports and fitness-related team building activities,” explains Macek. Pauline Henriques appreciated the focus on fitness during her son’s time at Fork Union. “Joshua learned to push his limits physically and take his fitness to the next level,” she says. “He played soccer, ran track and field, and did orienteering as well as lifting in the gym. He also learned the importance of fueling his body to maximize its performance.”
Personal Responsibility Good mental health is also a vital component. All of the residential life and admissions staff as well as other faculty and staff are certified in Youth Mental Health First Aid, a program offered through the National Council for Behavioral Health. Bullying is unacceptable, and cyberbullying isn’t an issue since the boys are not permitted on social media. Those who attend Fork Union Military Academy also learn time management skills, discipline, and personal responsibility and accountability as they prepare for college. “The most surprising thing for me was how Joshua was held responsible for himself,” says Pauline Henriques. “When he was home and enrolled in our local public school, there was an expectation that the parents would be involved in making sure homework was done. At Fork Union, it was his responsibility to get his work done and to learn without any parent involvement. This clearly helped Joshua grow and mature.” Students at Fork Union Military Academy range in age from 12 to 19. Last year, students came from 28 different states and seven different countries. Most live on campus, though there are some day students who commute from surrounding areas. While the misconception is that parents send their children to boarding school to address behavioral issues, most moms and dads who choose Fork Union typically do so because they prefer a more structured environment for their sons than a traditional school setting.
Safety First Pauline Henriques, like most mothers, had some initial concerns about sending her son to an institution so far away from home. She worried about whether her son would be eating well and what would happen if he fell ill. “A fear his father and I had was if Joshua got sick or hurt, we wouldn’t be there to help him,” she says. “The nurses at the Fork Union infirmary were wonderful and put those fears to rest. The other big concern I had was that I would no longer be a daily part of Joshua’s life. There would be no more daily opportunities to guide him, pray with him, and share my views. But in the end, Joshua has had tremendous spiritual growth at Fork Union. The daily devotionals had a big impact on developing his character and deepening 32
FORK UNION MILITARY ACADEMY 4744 James Madison Hwy | Fork Union, VA | 434.842.3212 | www.forkunion.com
his faith. And how knowing that cadets are able to call home often from their dorm room land lines was a big positive.” General school safety may also weigh on the minds of some parents. At Fork Union Military Academy, campus safety is also a top priority. “Safety is our number one concern,” says Macek. “We want parents to feel comfortable leaving their sons in our care. Our 1300+ acre campus is rural, providing us with an ideal environment free from the distractions of an urban setting. We consistently evaluate our environment to identify potential issues.” Later this year, a satellite office of the Fluvanna County Sheriff’s Office will be located on the campus. Both Joshua Henriques and his mother feel they made the right decision in coming to Fork Union Military Academy for his education. “While at the academy, I was able to discipline myself to a schedule of rigorous studying in both academia and Christianity,” says Joshua Henriques, who is moving on to the United States Air Force Academy as an officer. “I grew in my faith and learned so much. I was also able to become close with many instructors, who helped to guide my journey in so many ways. A couple teachers in particular helped to guide my diet plan as well as assist in workout routines. I have grown in many ways.” Pauline Henriques is proud of her son and grateful to those who helped shape him at Fork Union Military Academy. “I wish every boy could spend at least one year at Fork Union,” she says. “This school turns boys into men of integrity. Joshua went into Fork Union as a 13-year-old boy and came out an 18-year-old man of integrity and honor beyond what I could’ve expected. Sending our son to Fork Union Military Academy was one of the best decisions we have ever made.” EXPERT CONTRIBUTORS Col. Stephen M. Macek, Vice President for Operations for Fork Union Military Academy.
Josh Henriques and his mother, Pauline at the Fork Union Mother’s Day Parade.
Ltc. James Benson, Chaplain for Fork Union Military Academy.
ON THE WEB
More at OurHealthCharlottesville.com www.OurHealthCharlottesville.com
33
Health
A-Z
INSIGHT • AWARENESS • MINDFULNESS
Happy Feet PATIENTS CAN NOW SHOW OFF THEIR TOES Thanks to a Procedure Called NovoNail words | BRANDY CENTOLANZA
For years, Brian Taylor didn’t wear flip flops or sandals due to a toenail fungus condition, but this summer he’s wearing them thanks to a procedure called NovoNail. “I was uncomfortable with the way my feet looked,” Taylor says. “My case was extreme as all ten toenails were involved and I needed to have all of them removed.”
WE’VE TREATED OVER
17,000 NAILS,
and the protocols have only become more effective. Aside from our safety and efficacy profile, the thing that separates us the most from other treatments is that
WE HAVE OVER A
90 PERCENT SUCCESS RATE
in treating the most severe cases of toenail fungus, even the nails that get one-inch thick. - Christopher Stewart, DPM -
34
Taylor sought a consultation with Christopher Stewart, DPM, a podiatrist in Charlottesville who is also the founder and owner of NovoNail. NovoNail is an innovative procedure that treats toenail fungus through a variety of ways, including laser treatment, nail restoration, and a topical base treatment.
Toenail fungus is a medical problem that afflicts more than 35 million Americans. Many walk around with pain and embarrassment. Dr. Stewart and his medical team work to educate other medical professionals and patients about the NovoNail methods used to prevent and treat toenail fungus. Dr. Stewart launched the NovoNail company in 2011 after working for close to 15 years on development of the procedure, which involves laser-based protocols. Since then, “we’ve treated over 17,000 nails, and the protocols have only become more effective,” Dr. Stewart says. “Aside from our safety and efficacy profile, the thing that separates us the most from other
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Health A-Z
treatments is that we have over a 90 percent success rate in treating the most severe cases of toenail fungus, even the nails that get one-inch thick.”
•
Taylor is pleased with the results of his NovoNail experience.
Happy Feet
BEFORE TREATMENT
“My life has changed drastically since the procedure,” he says. “I am wearing sandals and flip flops again. I love to fish and being able to wear fishing sandals makes it easier when getting in and out of the water.” Donna Harlow, another patient of Dr. Stewart’s, feels the same way about NovoNail. “I had always been jealous of people who could go without nail polish on their toes and they looked white and great,” Harlow says. “I wanted to be that person.” This past winter, Harlow decided to turn to Dr. Stewart for treatment of her toenail condition after seeing an ad for the NovoNail procedure. “Dr. Stewart treated my toenails for being discolored,” she says. “I have worn dark colors on my nails for the last 15 years, even in the winter. I thought if he could do what his commercial said, I would be willing to give it a try. After three laser treatments, my nails are white and I am comfortable wearing open-toed shoes without nail polish.” Harlow adds that the treatment “is painless and the treatment is very quick. I would definitely recommend the NovoNail treatment.”
AFTER NOVANAIL TREATMENT
BEFORE TREATMENT
So would Taylor. “I have recommended this procedure to many of my friends,” Taylor says. “I know that NovoNail solved my toenail problem, and Dr. Stewart’s and his team’s continued concern and care keeps me confident that my nails are healthy.”
To learn more about NovoNail, visit www.cvillefootankle.com or call 434.979.0456. EXPERT CONTRIBUTOR Christopher Stewart, DPM, founder and owner of NovoNail in Charlottesville.
ON THE WEB
AFTER NOVANAIL TREATMENT
More at OurHealthCharlottesville.com
www.OurHealthCharlottesville.com
35
IN
Charlottesville Shenandoah Valley The 4th Annual 2018 OurHealth Charlottesville & Shenandoah Valley Magazine Senior Living Awards OurHealth Charlottesville & Shenandoah Valley Magazine is pleased to recognize the 137 businesses and individuals that make up the winners of our 4th Annual Senior Living Awards, which were voted on by our community. To learn more about the voting process for our Awards, please visit www.ourhealthcharlottesville.com/2018-cville-sla.
www.OurHealthCharlottesville.com
37
CHARLOTTESVILLE & SHENANDOAH VALLEY AWARDS AWARDS AWARDS 201
8 GOLD
20
1 8 S I LV E R
20
18 BR O NZE
SENIOR LIVING AWARDS THIRD PLACE
AWARDS 201
8 GOLD
Preddy Funeral Home Gordonsville | 540.832.2111 Madison | 540.948.3600 Orange | 540.672.3611 www.preddyfuneralhomes.com
Westminster Canterbury of the Blue Ridge Charlottesville | 434.972.2622 www.westminstercanterbury.org
AWARDS 201
8 GOLD
HONORABLE MENTION
ADULT DAY CARE CENTERS
Life Transitions Charlottesville | 540.314.9980 www.lifetransitions25.com
FIRST PLACE
JABA Adult Care Centers Charlottesville | 434.817.5235 Louisa | 540.967.4432 www.jabacares.org
SECOND PLACE Daily Living Center Waynesboro | 540.949.4151 www.dailylivingcenter.com
THIRD PLACE
Generations Crossing Harrisonburg | 540.434.4901 www.generationscrossing.com
AWARDS 201
8 GOLD
AFTER LIFE SERVICES FIRST PLACE
Hill & Wood Charlottesville | 434.296.6748 www.hillandwood.com
SECOND PLACE ( TI E ) Coffman Funeral Home & Crematory Staunton | 540.887.8111 www.coffmanfuneralhome.net Teague Funeral Home Charlottesville | 434.977.0005 www.dignitymemorial.com/ teague-funeral-home
38
AWARDS 201
8 GOLD
AWARDS 201
8 GOLD
COMPANION CARE FIRST PLACE
ASSISTED LIVING COMMUNITY
FIRST PLACE
RoseWood Village Assisted Living Charlottesville | 434.963.7673 www.rosewoodvillage.com
SECOND PLACE (T IE ) The Legacy at North Augusta Staunton | 877.554.8016 www.thelegacyatnorthaugusta.org
The Heritage Inn of Charlottesville Charlottesville | 434.977.0002 www.heritageinncharlottesville.com
THIRD PLACE
Mountainside Senior Living Crozet | 434.823.4307 www.mountainsideseniorliving.com
Open Arms Helping Hands Charlottesville | 434.293.4388 www.openarmshelpinghands.com
SECOND PLACE Home Instead Senior Care Charlottesville | 434.979.4663 www.homeinstead.com
THIRD PLACE
AT Home Care 195 Riverbend Drive, Suite 5 Charlottesville | 434.295.5355 www.athomecareandhospice.com
HONORABLE MENTION Care Advantage Charlottesville | 434.973.2000 Staunton | 540.213.7770 www.careadvantageinc.com Care is There Charlottesville | 800.434.1633 www.careisthere.com
Our Lady of Peace Assisted Living Charlottesville | 434.973.1155 www.our-lady-of-peace.com Summit Square Retirement Community Waynesboro | 540.568.5499 www.sunnyside.cc Village at Gordonsville Gordonsville | 540.832.2286 www.villageatgordonhouse.com
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
FIRST PLACE
Doris Gelbman Gelbman Law PLLC Charlottesville | 434.906.7022 www.gelbman-law.com
SECOND PLACE Simon Stapleton Stapleton Elder Law Charlottesville and Staunton 866.348.6375 www.elderlaw-va.com
THIRD PLACE
Cathy Jackson Leitner Leitner Law Group, PLC Harrisonburg | 540.217.6158 www.lawyerharrisonburg.com
HONORABLE MENTION James M. Vitt Vitt Law Offices, PLC Charlottesville | 434.971.3025 www.vittlaw.com
AWARDS 201
8 GOLD
Commonwise Home Care Charlottesville | 434.202.8565 www.commonwisecare.com
HONORABLE MENTION Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brcliving.org
ELDER LAW ATTORNEY
CONGRATULATIONS
SENIOR LIVING AWARD WINNERS!
FINANCIAL ADVISING FIRST PLACE
Wilkinson Wealth Management, LLC Charlottesville | 434.202.2521 www.susanwilkinsonwm.com
2018 SENIOR LIVING AWARDS •
SECOND PLACE Sarah Fowler Edward Jones Staunton | 540.885.5630 www.edwardjones.com
AWARDS 201
8 GOLD
THIRD PLACE
Margreta Swanson MH Swanson & Associates Charlottesville | 434.979.4822 www.mhswanson.com
HONORABLE MENTION
Don Hashagen Edward Jones Waynesboro | 540.946.4888 www.edwardjones.com
AWARDS 201
8 GOLD
FIRST PLACE
CHARLOTTESVILLE & SHENANDOAH VALLEY
Chad Hatter Weaver Insurance & Financial Advisors Waynesboro | 540.943.1221 ext. 101 www.weaverinsfin.com
HOME HEALTH CARE
Home Instead Senior Care Charlottesville | 434.227.4726 www.homeinstead.com
SECOND PLACE
Shenandoah Valley Home Health Verona | 540.324.2360 f @shenandoahvalleyhomehealth
THIRD PLACE
Commonwise Home Care Charlottesville | 434.202.8565 www.commonwisecare.com
HONORABLE MENTION
FITNESS CENTER FIRST PLACE
ACAC Charlottesville | 434.984.3800 Charlottesville | 434.978.3800 Charlottesville | 434.978.7529 www.acac.com/charlottesville
SECOND PLACE YMCA (Piedmont Family & Staunton Augusta) Charlottesville | 434.974.9622 Staunton | 540.885.8089 www.ymca.net
THIRD PLACE
Balance Studios Scottsville | 434.962.2350 www.balance-scottsville.com
HONORABLE MENTION Atlantic Sports & Rehab Fitness Charlottesville | 434.978.4915 www.atlanticsportsandrehab.com
Augusta Health Home Health Services Fishersville | 540.932.4900 www.augustahealth.com/home-health Continuum Home Health Charlottesville | 434.984.2273 www.uvahealth.com/services/continuum Interim Health Care Charlottesville | 434.295.5501 www.interimhealthcare.com
AWARDS 201
8 GOLD
HOSPICE CARE FIRST PLACE
Hospice of Piedmont Charlottesville | 434.817.6900 www.hopva.org
Augusta Health Fitness Center Fishersville | 540932.4000 www.augustahealth.com/fitness www.OurHealthCharlottesville.com
39
CHARLOTTESVILLE & SHENANDOAH VALLEY AWARDS AWARDS AWARDS 201
8 GOLD
20
1 8 S I LV E R
20
18 BR O NZE
SENIOR LIVING AWARDS
HOSPICE CARE
SECOND PLACE
New Century Hospice Charlottesville | 434.995.5367 newcentury.curohs.com
201
201
8 GOLD
201
8 GOLD
LOCAL
PHARMACY INPATIENT
REHABILITATION
UVA–HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com
SECOND PLACE INDEPENDENT LIVING COMMUNITY
FIRST PLACE
Westminster Canterbury of the Blue Ridge Charlottesville | 434.972.2622 www.westminstercanterbury.org
SECOND PLACE ( TI E ) Brightview Baldwin Park Staunton | 540.466.3755 www.brightviewseniorliving.com Commonwealth Senior Living at Charlottesville Charlottesville | 540.260.5059 www.commonwealthal.com
THIRD PLACE
Branchlands Charlottesville | 434.973.9044 www.branchlands.com
HONORABLE MENTION Sunnyside Retirement Community Harrisonburg | 540.568.8411 www.sunnyside.cc The Colonnades Charlottesville | 434.963.4198 www.sunriseseniorliving.com
Albemarle Health & Rehabilitation Center Charlottesville | 434.422.4800 www.albemarlehealthrehab.com
THIRD PLACE
The Laurels of Charlottesville Charlottesville | 434.951.4200 www.laurelsofcharlottesville.com
Grace Health and Rehab of Greene County Standardsville | 434.985.4434 www.gracehcgreenecounty.com
Top Notch Family Pharmacy Charlottesville | 434.995.5595 www.topnotchpharmacy.com
CONGRATULATIONS
SENIOR LIVING
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
AWARDS 201
8 GOLD
SECOND PLACE
Jefferson Good Neighbor Pharmacy Palmyra | 434.589.7902 www.jeffersondrug.com
THIRD PLACE
Fishersville Family Pharmacy Fishersville | 540.324.8042 www.fishersvillepharmacy.com
HONORABLE MENTION Parkway Pharmacy Crozet | 434.823.6337
AWARDS 201
8 GOLD
Louisa Health & Rehabilitation Center Louisa | 540.967.2250 www.louisahealthrehab.com The Colonnades Charlottesville | 434.963.4198 www.sunriseseniorliving.com
All Blessings Flow Charlottesville | 434.882.0135 www.allblessingsflow.org
FIRST PLACE
HONORABLE MENTION
AWARD WINNERS!
42
Care Home Medical Fishersville | 540.932.4995 www.carehomemedical.com
AWARDS
FIRST PLACE AWARDS
8 GOLD
HONORABLE MENTION
HONORABLE MENTION Augusta Health Hospice of the Shenandoah Fishersville | 540.332.4909 www.augustahealth.com/hospice
Capital Medical Supply Richmond | 804.353.0707 www.capitalmedicalsupply.com
AWARDS
Legacy Hospice Charlottesville | 434.970.7776 www.legacy-hospice.com
THIRD PLACE
THIRD PLACE
The Legacy at North Augusta Staunton | 540.416.0341 www.thelegacyatnorthaugusta.org
MEDICAL EQUIPMENT PROVIDER
FIRST PLACE
Roberts Home Medical Charlottesville | 434.973.7847 www.robertshomemedical.com
SECOND PLACE
ABC Health Care Charlottesville | 434.326.0900 www.abc-hc.com
MEMORY CARE FIRST PLACE (TIE) Rosewood Village Charlottesville | 434.963.7673 www.rosewoodvillage.com Our Lady of Peace Christopher Center Charlottesville | 434.973.1155 www.our-lady-of-peace.com/ memorycare
SECOND PLACE
The Heritage Inn of Charlottesville Charlottesville | 434.977.0002 www.heritageinncharlottesville.com
THIRD PLACE
Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brc-online.org
HONORABLE MENTION Brightview Baldwin Park Staunton | 540.466.3755 www.brightviewseniorliving.com Commonwealth Senior Living at Charlottesville Charlottesville | 540.260.5059 www.commonwealthal.com Mountainside Senior Living Crozet | 434.823.4307 www.mountainsideseniorliving.com
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CHARLOTTESVILLE & SHENANDOAH VALLEY AWARDS AWARDS AWARDS 201
20
8 GOLD
1 8 S I LV E R
20
18 BR O NZE
SENIOR LIVING AWARDS SECOND PLACE (T IE )
AWARDS 201
8 GOLD
NURSING HOME CARE FIRST PLACE
The Laurels of Charlottesville Charlottesville | 434.951.4200 www.laurelsofcharlottesville.com
SECOND PLACE
Shenandoah Nursing and Rehab Fishersville | 540.324.2420 www.saberhealth.com
THIRD PLACE
Augusta Nursing and Rehab Center Fishersville | 540.885.8424 www.consulatehealthcare.com
HONORABLE MENTION
Sentara Martha Jefferson Outpatient Physical, Occupational & Speech Therapy Charlottesville | 434.654.8333 www.sentara.com Pivot Physical Therapy Charlottesville | 434.245.6472 Hollymead | 434.218.1021 Palmyra | 434.510.7301 www.pivotphysicaltherapy.com
THIRD PLACE
UVA–HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com
HONORABLE MENTION Augusta Health Outpatient Therapy Fishersville | 540.932.5935 www.augustahealth.com/therapy/ outpatient-therapy Charlottesville Health & Rehabilitation Center Charlottesville | 434.978.7015 www.charlottesvillerehab.com Move Better Physical Therapy Charlottesville | 434.817.0980 www.movebettertherapy.com
Our Lady of Peace Charlottesville | 434.973.1155 www.our-lady-of-peace.com Dogwood Village Orange | 540.672.2611 www.dogwoodvillageocva.org
AWARDS 201
8 GOLD
REHABILITATION FIRST PLACE
Synergy Rehab and Wellness Verona | 540.416.0530 www.synergyrehabandwellness.com
8 GOLD
FIRST PLACE
POST-ACUTE REHAB SERVICES
FIRST PLACE
Albemarle Health & Rehabilitation Center Charlottesville | 434.422.4800 www.albemarlehealthrehab.com
SECOND PLACE The Colonnades Charlottesville | 434.963.4198 www.sunriseseniorliving.com
THIRD PLACE
UVA–HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com
Harrisonburg Health & Rehabilitation Center Harrisonburg | 540.433.2623 www.harrisonburghealthrehab.com
Sunnyside Retirement Community Harrisonburg | 540.568.8411 www.sunnyside.cc
THIRD PLACE
Augusta Health Fishersville | 540.932.4000 www.augustahealth.com
Moose’s by the Creek Charlottesville | 434.977.4150 f @moosesbythecreek
HONORABLE MENTION Aromas Charlottesville | 434.244.2486 www.aromascafecville.com Table 44 Staunton | 540.885.5026 f @table 44 The Light Well Orange | 540.661.0004 www.thelightwell.com
AWARDS 201
8 GOLD
SALON AND DAY
SPA SERVICES
FIRST PLACE
High Tech Salon & Spa Studios Verona | 540.248.3333 Harrisonburg | 540.574.3333 www.hightechsalon.com Coming Soon to Charlottesville.
SECOND PLACE AWARDS 201
8 GOLD
Oasis Day Spa & Body Shop Charlottesville | 434.244.9667 www.oasisspacville.com
THIRD PLACE
The River Bend Day Spa Scottsville |434.962.2350 www.theriverbenddayspa.com
SECOND PLACE
Sentara Martha Jefferson Hospital Charlottesville | 434.654.7000 www.sentara.com
The Villa Diner Charlottesville | 434.296.9977 www.thevilladiner.com
THIRD PLACE
Louisa Health & Rehabilitation Center Louisa | 540.967.2250 www.louisahealthrehab.com
UVA Palliative Care Charlottesville | 434.243.3675 www.uvahealth.com
OUTPATIENT
201
8 GOLD
PALLIATIVE CARE 201
AWARDS
HONORABLE MENTION
Virginia Mennonite Retirement Community Harrisonburg | 540.564.3400 www.vmrc.org
AWARDS
SECOND PLACE
RESTAURANT
HONORABLE MENTION Neroli Spa & Beauty Lounge Charlottesville | 434.984.3450 www.neroli-spa.com
FIRST PLACE
Mill Street Grill – Staunton Staunton | 540.886.0656 www.millstreetgrill.com
AWARDS AWARDS 201
44
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
8 GOLD
20
1 8 S I LV E R
AWARDS
20
18 BR O NZE
2018 SENIOR LIVING AWARDS •
THIRD PLACE AWARDS 201
8 GOLD
Transition Pros Afton | 434.234.4855 www.transitionpros.net
HONORABLE MENTION Care is There Charlottesville | 434.326.5323 www.careisthere.com
SENIOR COMMUNITY CENTER
201
8 GOLD
CHARLOTTESVILLE & SHENANDOAH VALLEY
FIRST PLACE
AWARDS
Senior Center Charlottesville | 434.974.7756 www.seniorcenterinc.org
SECOND PLACE JABA Charlottesville | 434.987.8433 www.jabacares.org
THIRD PLACE Staunton Senior Center Staunton | 540.886.4634 www.vpas.info/SSC
HONORABLE MENTION Waynesboro Senior Center Waynesboro | 540.942.1838 www.vpas.info/WSC
SKILLED NURSING CARE FIRST PLACE
Charlottesville Health & Rehabilitation Center Charlottesville | 434.978.7015 www.charlottesvillerehab.com
SECOND PLACE
The Laurels of Charlottesville Charlottesville | 434.951.4200 www.laurelsofcharlottesville.com
THIRD PLACE AWARDS 201
8 GOLD
Cedars Healthcare Center Charlottesville | 434.296.5611 www.communicarehealth.com
HONORABLE MENTION
SENIOR RELOCATION SERVICES
Shenandoah Nursing and Rehab Fishersville | 540.324.2420 www.saberhealth.com The Colonnades Charlottesville | 434.963.4198 www.sunriseseniorliving.com
FIRST PLACE
Caring Transitions of Charlottesville Charlottesville | 434.234.9799 www.caringtransitionsof charlottesville.com
SECOND PLACE Blue Ridge Patient Advocacy Palmyra | 434.466.9299
CONGRATULATIONS
SENIOR LIVING AWARD WINNERS!
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CHARLOTTESVILLE & SHENANDOAH VALLEY AWARDS AWARDS AWARDS 201
8 GOLD
20
1 8 S I LV E R
20
18 BR O NZE
SENIOR LIVING AWARDS
SECOND PLACE AWARDS 201
8 GOLD
AWARDS 201
8 GOLD
Integrative Therapeutic Massage Charlottesville | 434.282.8570 www.massageintherapy.com
THIRD PLACE (TIE)
OurHealth Charlottesville & Shenandoah Valley Magazine would like to give a special thanks to all the
SENIOR LIVING AWARD WINNERS
for passionately and selflessly dedicating their lives to senior care.
SPEECH THERAPY
FIRST PLACE
Encompass Charlottesville | 434.202.7138 www.ehhi.com/home-healthskilled-therapy
SECOND PLACE
Augusta Health Fishersville | Inpatient 540.932.4010 Fishersville | Outpatient 540.932.5935 www.augustahealth.com/therapy
THIRD PLACE
Sentara Martha Jefferson Outpatient Physical, Occupational & Speech Therapy Charlottesville | 434.654.8333 www.sentara.com
HONORABLE MENTION Shenandoah Valley Home Health Verona | 540.324.2360 f @shenandoahvalleyhomehealth
STROKE CARE FIRST PLACE
UVA Neurosciences and Behavioral Health Center Charlottesville | 434.243.1242 www.uvahealth.com
UVA–HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com
THIRD PLACE
Augusta Health Fishersville | Inpatient 540.932.4010 Fishersville | Outpatient 540.932.5935 www.augustahealth.com/therapy
HONORABLE MENTION Sentara Martha Jefferson Stroke Recovery Clinic Charlottesville | 434.654.8960 www.sentara.com
AWARDS 201
READ THIS EDITION OF
OurHealth
Charlottesville & Shenandoah Valley ON YOUR TABLET OR SMARTPHONE
46
SENIOR LIVING AWARD WINNERS!
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Massage Envy Charlottesville | 434.977.3689 www.massageenvy.com
AWARDS 201
8 GOLD
SECOND PLACE
UVA–HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com
CONGRATULATIONS
A Healing Touch Charlottesville | 434.466.9075 www.a-healingtouch.com
8 GOLD
THERAPEUTIC MASSAGE THERAPY
FIRST PLACE
Balanced Chiropractic & Physical Therapy Charlottesville | 434.293.3800 www.balancechiropracticva.com
TRANSPORTATION SERVICES
FIRST PLACE
Jaunt Charlottesville | 434.296.3184 www.ridejaunt.org
SECOND PLACE Valley Program for Aging Services (VPAS) Staunton and Waynesboro 540.949.7141 www.vpas.info/seniortransportation
THIRD PLACE
Charlottesville Area Transit (CAT) Charlottesville | 434.970.3649 www.charlottesville.org
CONGRATULATE
AWARD WINNERS ON SOCIAL MEDIA! #OurHealthCharlottesville
Blue Ridge PACE 1335 Carlton Avenue | Charlottesville, VA 22902 | 434.529.1300 | www.blueridgepace.org SERVICES PROVIDED: PACE Adult Day Center, Outpatient Health Services, Hospital Inpatient Care, Medical Specialists, Home Care, Physical, Occupational, Speech & Recreational Therapy, Transportation, Prescriptions & Medication Management, Dentistry, Podiatry, Optometry, Spiritual Care
About Us
Your mom, dad or other loved one may be unwilling or feel unready to go to a nursing facility. But you understand that they need the support. That’s why we’ve brought Blue Ridge PACE – an innovative and supportive program for older adults and their families – to the Charlottesville area.
WHO WE ARE Blue Ridge PACE (Program of All-Inclusive Care for the Elderly), a partnership between Riverside Health System, the University of Virginia Medical Center, and the Jefferson Area Board for Aging (JABA), serves seniors who live in Charlottesville and surrounding counties.
Our Program
All-inclusive medical care, warm and friendly social activities, professional therapies, and regular medications by professionally trained staff at our beautifully designed Blue Ridge PACE Center are all part of the program. So is respectful, trustworthy inhome assistance.
WHAT WE DO PACE is a program that provides and coordinates all of the care you need, all by one team, all in one place, so you can continue living in your home and community rather than a nursing facility. Blue Ridge PACE doctors and other caregivers specialize in working with older adults and their families. PACE is focused on caring for a person’s spiritual, emotional and social health, not just their combination of medical conditions. Take a look at PACE. You’ll find it is unlike any other care program you’ve seen.
All-inclusive physical and social care to keep older adults independent. A program of the Commonwealth of Virginia and the Federal Government
www.blueridgepace.org
Participants may be fully liable for the cost of services obtained without the authorization of the team (except for emergency services).
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Our Lady of Peace
751 Hillsdale Drive | Charlottesville, VA 22901 | 434.973.1155 | www.our-lady-of-peace.com
About Us
At Our Lady of Peace, we’ve gained your trust by offering value and exceeding expectations for a quarter of a century. Since 1992, Our Lady of Peace Retirement Community has provided comfortable and affordable senior living apartments and a full continuum of care for those who live within our community. As a not-for-profit, non-denominational community, it is our mission to enhance the quality of life for each resident through personalized attention and care.
Affordability One of the nicest features of your new home at Our Lady of Peace is the affordability. With no buy-in and reasonable market-rate monthly payments, customized care, and other à la carte services from which to choose, you will be able to preserve your nest egg for the future. And if your needs should ever change our full continuum of care will enable you to continue your retirement at Our Lady of Peace.
AWARDS 201
AWARDS 201
8 GOLD
8 GOLD
AWARDS 201
AWARDS 201
8 GOLD
8 GOLD
Exceptional Memory Care Service Four Years in a Row Also recognized for exceptional service for Assisted Living Community and Nursing Home Care in 2018.
Like a fine wine, we’ve gotten better with age.
Call today to schedule your personal tour. Residential | Assisted Living | Memory Care | Nursing Care 48
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
The Legacy at North Augusta A National Lutheran Community
1410A North Augusta Street | Staunton | 540.885.5454 | www.thelegacyatnorthaugusta.org SERVICES PROVIDED: Assisted Living Care delivered in the comfort of your apartment, Medical Director/Nurse Practitioner on-site
Our Care
The Legacy’s holistic model of care is designed to assist residents in maintaining personal comfort, independence and social engagement. Care is conveniently delivered to every apartment, which enables couples to stay together even if one partner needs more care than the other. Staff at The Legacy know the importance of honoring residents’ personal needs and interests, truly creating care that comes from the heart. Care and services at The Legacy include: •
Affordable month-to-month rental apartments
•
Fine dining, all meals daily
About Us
As a not-for-profit National Lutheran Community, integrity and sincerity are part of the very foundation. It creates an atmosphere that makes life at The Legacy truly exceptional among senior living communities which leads the residents in discovering their own deeply fulfilling way of life within a uniquely supportive senior community.
• Housekeeping • Transportation •
Emergency pendant
•
All utilities, including cable and Wi-Fi
•
Onsite rehabilitation services
•
Medical Director/Nurse Practitioner on-site
The Legacy fosters a positive approach towards a health-conscious senior living lifestyle with delicious dining, fascinating activities, entertainment, recreation and lovely grounds including a paved walking path. With 24/7 Concierge, the residents can rest easy that someone is always taking care of their requests and needs.
A culture of hospitality that comes from the heart. What Sets Us Apart
The Legacy at North Augusta has hospitality as a cornerstone of their notfor-profit senior living community. Services and Amenities are held to higher standards even allowing couples to stay together even if their needs for assistance or health services are different.
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Aging Well WISDOM • DIGNITY • SUPPORT
A Guide to SUCCESSFUL
AGING
INTO YOUR 90s
and Beyond words | JENNIFER LAMONT
MORE THAN
25 PERCENT
of Americans aged 65 and older have diabetes while
HALF OF THE POPULATION IS ALREADY PRE-DIABETIC.
Of those people, a
DISPROPORTIONATELY
HIGH NUMBER
ARE AT RISK FOR A SERIOUS HEART EVENT.
Further, cognitive impairment and depression among seniors is
SO COMMON THE TWO CONDITIONS ARE CONSIDERED PUBLIC HEALTH ISSUES.
50
As Sarah Holter tells it, she’s fitter now at 73 than she was at 53. The greatgrandmother walks two miles every day with a group of friends, gardens and does a Saturday yoga class. Her social calendar rivals her granddaughter’s schedule. Her doctor calls her a “successful ager,” she says with a laugh, “whatever that means.” To most longevity researchers and active seniors, successful aging in its simplest terms means living independently while staying healthy, happy and engaged with others. These are the characteristics shared by Sarah and other gracefully aging seniors around the globe, including those “Blue Zones” you’ve probably heard about. Home to the highest concentrations of happy, healthy people living vital lives well into their 100s, Blue Zones experience little to no diseases like cancer, heart disease, Alzheimer’s and diabetes. Clearly, they’re doing something right.
Why Blue Zone Residents Live Longer Than the Rest of Us To age successfully, you need good nutrition and consistent physical activity. Blue Zone residents eat more traditional, plant-heavy diets that don’t include processed foods or refined sugar. They also naturally move their bodies—a lot—by incorporating physical activity into their day and walking most places. And they’re happier than the rest of us. Blue Zone centenarians have better mental health and social support. They prioritize time for rest, family and spiritual fulfillment, while maintaining a sense of purpose. Meanwhile, in the United States, cardiovascular disease, diabetes, cognitive impairment and mental health issues affect seniors in astonishing numbers. Research is beginning to show that
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
Five distinct—and relatively tiny— areas are home to the healthiest, longest-living centenarians around the globe. They include:
A Guide to Successful Aging into Your 90s and Beyond
Whether you’re a senior or a caregiver helping a loved one, we’ll show you how to stay healthy, active and happy well into your 90s and beyond with this Guide to Successful Aging.
The Blue Zones
•
But new studies also support what healthy, active seniors like Sarah and Blue Zone residents already know. It’s possible to ward off disease, increase lifespan and improve your quality of life, regardless of age.
Aging Well
diabetes, cardiovascular disease, dementia and depression are all related. Too many Americans are not aging well.
There’s No Such Thing as the Mediterranean Diet In her early fifties, Sarah steadily began gaining weight. Her doctor recommended the Mediterranean Diet to get both her triglycerides and weight down. But, the “Mediterranean Diet” doesn’t exist. From Spain to Morocco, the countries along the Mediterranean eat vastly different diets. Like Blue Zones, people in countries along the Mediterranean have one thing in common however. They eat more polyphenols, the antioxidants that fight inflammation. Polyphenols are found in nutrient-dense foods like seasonal vegetables, nuts, berries and unrefined olive oil.
Ikaria, Greece
Here are a few ways you can eat more “Mediterranean”: Eat a rainbow of vegetables and fruits, aiming for 3 – 4 cups of vegetables per day, including a salad or other raw vegetable. Eat 1 – 2 servings of fruits, especially berries. Reduce or eliminate sugar, processed foods, white flour, pasta and excessive alcohol to stabilize your blood sugar.
Okinawa, Japan
Get rid of processed vegetable and canola oils. These oils are refined with harsh chemical solvents unless they say “expeller” or “cold-pressed” on the label. Eat more healthy fats like avocado, nuts and extra-virgin olive oil.
DID YOU KNOW?
Studies show extra-virgin olive oil, first cold-pressed, is the type of olive oil that reduces heart attack risk by helping your good cholesterol (HDL) shuttle bad cholesterol (LDL) away from your blood vessel walls. Only eat olive oil at room temperature or gently warmed. Heating it too high makes the oil become oxidized—and dangerous—to consume.
Ogliastra Region, Sardinia, Italy
The food you eat can ‘make or break’ your health. Your longevity also depends on how much you move.
Why Sheep Herders Outlive Us All
Loma Linda, California
Living longer than anyone else in the world, sheep herders in Sardinia’s Blue Zone walk all day long. And while you don’t have to herd livestock to get healthy, walking is the easiest and most beneficial activity you can do to increase your lifespan. Studies show the simple act of moderate walking can add years to your life whether you’re 51, 71 or even 91. It increases balance, circulation, bone mass and muscle strength while lubricating your joints to reduce pain. Researchers also believe walking helps you form new brain cells, improve memory, and increase your cognitive and decision-making skills. Studies show that women who walk two miles a day have lower rates of mental decline. The benefits are even greater for those who walk in social groups or with a caregiver.
Nicoya Peninsula, Costa Rica
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Aging Well
• SUPPORT
Get started with these tips:
Get Fit in 4-3-2-1… Walking is your core activity. Customize your sessions with the exercises or activities you enjoy. Always consult your doctor first and go at your own pace. Each week, do a 4-3-2-1 schedule of workouts:
If you’re sedentary, build up to 30-minute sessions at your own pace. Break it up into three 10-minute sessions throughout the day. Adding resistance or strength training twice a week can reduce the chance of accidental falls by 50 percent. Once you’re more active, try the “Get Fit in 4-3-2-1” schedule. (see left sidebar)
DID YOU KNOW? Taking a brisk walk 4 – 5 times per week decreases insulin resistance and the risk of Type 2 diabetes. Walking with a caregiver or social group also increases cognition, while decreasing the risk of depression. WALKING SESSIONS, preferably outdoors when possible.
While walking is so beneficial to mental health, it’s not the only secret to keeping sharp and happy. Successful agers are lifelong learners. They also have strong family and social connections to support them.
Beyond Crosswords: Finding a Sense of Purpose BALANCE SESSIONS, including t’ai chi or simple balancing exercises.
Puzzles are good for relaxing. But they probably won’t ward off Alzheimer’s. According to a recent study, seniors who learn more intellectually demanding skills like photography, quilting, or a new language have a better chance at preventing mild cognitive impairment (MCI). Even better off are those seniors who learn something new within the happy circles of their friends or family. Learning challenging activities while being active and around people you like (the ones who are happy) is the special recipe for increasing your own happiness and giving you a sense of purpose.
RESISTANCE SESSIONS, building up slowly according to your level and strength.
Like other successful agers around the globe who feel a sense of purpose, Sarah says the key is eating right, and staying active and social, even when you don’t feel like it. “I laugh every day on my walk with the girls. I think that’s the key to being happy,” she says.
DID YOU KNOW? Mental illness is more prevalent among seniors over 55 than any other age group. But it’s not a normal part of aging. The good news is that researchers say latelife depression is just as treatable with proper medication, psychotherapy, nutrition, exercise, social support and sunlight.
FLEXIBILITY SESSION, like yoga or simple stretches at home.
SOURCES American Diabetes Association (www.diabetes.org) American Psychological Association (www.apa.org) Cardiovascular Diabetology (https://cardiab.biomedcentral.com) Circulation – American Heart Association Journals (www.circ.ahajournals.org) For a quick cheat sheet on balance, strength and flexibility exercises, visit the NIH Go4Life Program’s website.
www.go4life.nia.nih.gov
Go4Life – National Institute on Aging at NIH (www.go4life.nia.nih.gov) JAMA Network (www.jamanetwork.com) National Center for Biotechnology Information (www.ncbi.nlm.nih.gov) ScienceDirect (www.sciencedirect.com)
ON THE WEB
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Aging Well WISDOM • DIGNITY • SUPPORT
WHAT YOU
NEED TO KNOW ABOUT
MEDICARE words |CATHERINE BROWN
ONLINE RESOURCES: Where should I go for more information? Multiple websites offer helpful information about Original Medicare, Medicare Advantage Plans and Medigap. Here are two government-run sites:
In recent years Medicare has become increasingly complex as Medicare Advantage plans, Medigap policies and prescription coverage have become available. Do you know what plans you need to manage your healthcare costs? Read on for answers to some of the questions you may have.
What is Medicare? Medicare is a national health insurance program for people over 65, people under 65 with certain disabilities and people of all ages with end-stage renal disease.
What does someone need to do to sign up for Medicare? Generally, people qualify for Medicare the first day of the month they turn 65. If you plan to use Medicare, you can do it online, at the social security office or by phone. Part A is automatically available when you turn 65, but you still need to sign up for it. You can take Part B at 65 or delay it if you have not yet retired and have a health plan through your job.
What are the parts of Medicare? Medicare has four distinct parts: www.Medicare.gov
Part A (Hospital Insurance). Part A provides coverage for in-patient hospital care, rehab or skilled nursing, hospice and home health, among other things. There are certain conditions you must meet to receive those services. Most people do not have to pay premiums for Part A because the coverage was already paid for through payroll taxes. Part B (Medical Insurance). Part B covers 80 percent of doctor visits, outpatient care and preventive services, occupational and physical therapies, diagnostic testing and medical equipment.
www.SocialSecurity.gov
54
Part C (Medicare Advantage). Seniors have the option to enroll in a Medicare Advantage Plan through a private insurance company. Medicare Advantage plans are approved by Medicare and offer Medicare-covered benefits as well as extra perks. Through Medicare Advantage Plans, insurers can provide benefits that Medicare cannot. That includes dental and vision benefits, coverage for more preventive care services, fitness
OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville
The original Medicare was not set up to cover routine services, like a routine healthy eye exam or preventive dental services. Medicare also does not cover dentures or hearing aids or exams for fitting them. While many people think Medicare covers nursing care and long-term care, it does not. Medicare will only cover a short-term stay in a skilled nursing facility.
What You Need to Know about Medicare
What does Medicare not cover?
POSSIBLE BENEFITS OF A MEDICARE ADVANTAGE PLAN
•
Part D (Prescription Drug Coverage). Recipients who receive Part A and B, either through Medicare or a Medicare Advantage Plan, are eligible to sign up for Part D benefits.
Aging Well
programs, access to nurses by phone and a mail-order pharmacy. If you choose to work with a private insurance company to create a Medicare Advantage plan that works for you, you will get your Medicare Part A and B coverage—as well as other benefits you choose— through that plan.
Medicare Advantage Plans are not standardized. Plans are customized, and benefits can vary by location. Some possible benefits are as followed:
What is Medicare Supplemental Insurance (Medigap)? Medigap, or Medicare Supplemental Insurance, helps pay for some of the health care costs, like deductibles, co-pays and coinsurance, not covered by Medicare. The Medigap policy would pay after Medicare has paid its share of costs. Although Medigap plans are sold by private insurance companies, they are standardized by the government and thus cannot be customized for each person. Medigap policies do not cover long-term care, hearing aids, eyeglasses, vision or dental exams or private-care nursing.
Why should I consider a Medicare Advantage Plan?
Vision Benefits
Mail-order option for prescription drugs
A Medicare Advantage Plan is not a supplemental policy; rather, it is offered as an alternative to Original Medicare Parts A and B. The main benefit of Medicare Advantage is that it might give you the opportunity to cover something that wouldn’t otherwise be covered. For instance, you could include a vision benefit, and that might be covered for everyone or for a specific individual. Medicare Advantage Plans often have a mail-order option for prescription drugs, allowing patients to receive generic medications at no cost. The plans also cover preventive care, like flu shots, mammograms and colonoscopies to help maintain good health. Some also offer over-the-counter benefits to help cover items like toothpaste, vitamins and denture cleaner. Others offer reward programs when patients practice preventive care. Patients with Original Medicare may only receive benefits when using providers who accept Medicare. Another benefit of Medicare Advantage Plans is that they contract with healthcare providers in managed care programs like HMOs (health maintenance organizations) or PPOs (preferred provider organizations). In addition, while Medicare does not cap potential out-of-pocket costs, Medicare Advantage Plans do, preventing patients from owing excessive amounts of money if a catastrophic event occurs. Medicare Advantage Plans are not standardized the way a Medigap policy is. Medicare Advantage Plans are reviewed and approved annually by the Centers for Medicare and Medicaid Services. Plans are customized, and benefits can vary by location. A Medicare member can shop during the Annual Election Period (October 15th to December 7th of each year) to find a plan that meets their level of risk tolerance, benefits and budget. Insurance agents can consult with individuals to determine which benefits to include and how to structure premiums, deductibles and copays.
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Receive generic medications at no cost
Preventive Care Covered Including items such as flu shots, mammograms, and colonoscopies.
Over-the-Counter Benefits Including items such as toothpaste and vitamins.
Reward Programs www.OurHealthCharlottesville.com
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Food Fitness NUTRITION • EXERCISE • PREVENTION
HOW TO EAT HEALTHIEST DURING THE BUSY
SUMMER SEASON
words | NICOLE GRANT, RD, CDE, SPECIAL CONTRIBUTOR TO OURHEALTH
Every season brings changes that impact what we eat. Summer comes with an increase in temperature, more opportunities to be active outdoors and seasonal fruits and vegetables available to us. Considering these factors, you may believe the myth that we make healthier food choices and eat less in the summer. Research is pretty inconclusive about that, though.
The Easy Way to
EAT HEALTHY CHART Not sure where foods fit or what an appropriate portion size is? Check out The Easy Way to Eat Healthy Chart at www.OurHealthCharlottesville.com or by scanning the QR code above. If you know that there are going to be limited healthy options at your event, it’s a great idea to bring a healthy option or two to share.
A RECENT STUDY, released by the Academy of Nutrition and Dietetics, looked at the food logs of 103 healthy adults for one week over four different seasons and found that there was very little difference in total calorie intake.
Choose Food from the Four Food Groups As you enjoy your summer BBQ’s, pool parties, picnics and festivals, it’s a great idea to have a game plan for making healthy choices. Foods that fit into one of the four food groups of A Protein, B Grains, C Dairy and D Fruits and Vegetables are going to be your healthiest options, assuming they haven’t been fried or prepared with lots of added sugar. It’s important to note that some vegetables, called starchy vegetables, are higher in calories and carbohydrates, and should be eaten in small portions like foods from the dairy, grains, and fruits food group.
What We Drink is Just as Important as What We Eat! Besides the food we choose to eat, drink selection is important too! The more often you can choose water, the better. Not only is water calorie-free, unlike 100 percent fruit juice and sweet tea, which is high in calories, but water keeps you well hydrated. The current water intake recommendation by the Institute of Medicine for men and women once water from food is considered is: »
MEN AGES 19-50 YEARS: 3.7 L of total water, or about 13 cups per day
»
WOMEN AGES 19-50 YEARS: Nine cups per day.
This varies from person to person, depending on activity level and medical concerns.
Web-exclusive Recipes Also don't miss three healthy summer recipes at OurHealthCharlottesville.com/ recipes.
STUDIES HAVE SHOWN that even at two percent dehydration, our ability to complete physical tasks, make decisions quickly, and recall information is affected.
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