OurHealth Magazine for Charlottesville and Shenandoah Valley - March/April 2020 by OurHealth Media LLC

CONNECTING YOU TO

trustworthy CARE CLOSE TO HOME

| OurHealthCharlottesville.com

March | April 2020

Charlottesville & Shenandoah Valley

Delivering a Different Dose of

Medicine:

OurHealth Charlottesville & Shenandoah Valley’s THE DEBUT OF

HOW SPECIALTYCARE IS

Changing for the Better Guide

Three D’s

to do during

Spring Cleaning

Defining

What’s Special

Can You Pass the Test of Coronavirus Disease Terms?

How Specialty Care is Changing for the Better.

TIMES

about your

Specialty

OurHealth | Connecting You to Trustworthy Care Close to Home

March/April

contents

Regular

THREE D’S TO DO DURING SPRING CLEANING

There’s more to spring cleaning than opening windows. See what it takes to really deep clean your home — and why it means tossing out as much junk as possible.

DEPARTMENTS 10 12 16 18

The Pulse New People Health Scene Q&A on Health

ON THE COVER

Delivering a Different Dose of Medicine: The

Debut of OurHealth Charlottesville & Shenandoah Valleys’ How Specialty Care Is Changing for the Better Guide

Four local medical providers share notable advancements that have changed how health conditions are diagnosed and/or treated in their specialty.

WHAT’S SPECIAL ABOUT YOUR SPECIALTY?

www.OurHealthCharlottesville.com

MARCH • APRIL

Contents

QUARANTINE BEAUTY QUEEN

DEFINING TIMES

It’s likely to be a little while before anyone sees the inside of a salon or spa. Here are a few do-it-yourself beauty practices to help you look and feel your best while you’re under lockdown.

You might be surprised to learn that the definitions for words like ‘social distancing’ and ‘quarantine’ have taken on different meanings from those you might have known.

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MoreThana

ONLINE

MARCH • APRIL 2020

PUBLISHER McClintic Media, Inc. PRESIDENT/EDITOR-AT-LARGE Steve McClintic, Jr. | steve@ourhealthvirginia.com VICE PRESIDENT OF PRODUCTION Jennifer Fields Hungate GRAPHIC DESIGNER Tori Meador ACCOUNTING MANAGER Laura Bower CONTRIBUTING MEDICAL EXPERTS Erdal Adam, OD

Saied Asfa, MD Elizabeth Cox, CNM Katherine Kois BSN, RN, PCCN Dave Varma, MD

SOCIAL MEDIA

CONTRIBUTING PROFESSIONAL Rachel King EXPERTS & WRITERS Dylan Roche

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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 © 2020 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

NewFacilitiesandServices

CommunityService

Carilion Clinic to Provide Support, Education and Treatment for Huntington’s Disease

Sentara Martha Jefferson to Light Up the Hospital for Hope

Carilion Clinic is now offering programing to serve individuals impacted by Huntington’s Disease (HD) and their families. Led by Bonnie Hennig-Trestman, PhD, the Carilion Clinic Huntington’s Disease Program through collaboration between Neurology and Psychiatry will provide education, support, and treatment to individuals who are at-risk for Huntington’s Disease, people who have tested positive or negative for the disease gene, people with symptoms, and families who are coping with a loved one impacted by the disease. Moreinformation: To learn more about the Carilion Huntington’s Disease Program, or to make a referral, please contact Dr. HennigTrestman at blhennigtrestma@carilionclinic.org.

Recognitions,AwardsandAccreditations

Laurie Landers Appointed Augusta Health Board Chair Laurie Landes has recently been appointed Chair of the Augusta Health Board. Landes is Senior Vice President of Frontier Community Bank and has been active in the financial services industry and the local community for many years. “Laurie’s tenure on the Augusta Health Board is a testament to her leadership,” says Mary N. Mannix, President and CEO of Augusta Health. “She’s served on our Governance Committee, and chaired both the Human Resources and Finance Committees as well as having been Vice Chair and a member of the Executive Committee. Under her leadership, Augusta Health developed a fiveyear financial plan to provide the resources to implement our Journey 2025 Strategic Plan.” Reverend John Peterson, former Chair and current member of Augusta Health’s Board adds, “Laurie has a servant’s heart and a deep commitment to the community. Laurie Landes She has provided great leadership in her past roles. She has a firm grasp of the issues and challenges facing Augusta Health in a constantly changing environment, and she enjoys the confidence of the entire Board. I look forward to serving with her.” Moreinformation: Visit www.augustahealth.com. FOLLOW US ON SOCIAL MEDIA!

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Beginning Monday May 4th Sentara Martha Jefferson will light up the main hospital along the building’s edges that will shine each evening throughout the coronavirus pandemic as a sign of hope for the community. These “Lights of Hope” will also act as a lead-in to #GivingTuesdayNow on May 5, a national and global day of giving and unity as an emergency response to the unprecedented need caused by COVID-19. “The Lights of Hope shine to express our admiration for the strength and resilience of our frontline caregivers, to express our gratitude to our community for their on-going generous support, to provide a symbol of our solidarity as a community, and to be a call to action—for all to shine their lights, express their gratitude and know we stand together in this fight,” says Jonathan Davis, FACHE, president of Sentara Martha Jefferson Hospital. The lights also serve as a reminder to the community that the Martha Jefferson Hospital Foundation has established an Emergency Response Fund to ensure that the hospital has dedicated funds to meet the sudden, but rapidly evolving and ongoing, healthcare needs of our community during the current COVID-19 crisis, and into the future. IfyouwouldliketosupportSentaraMartha Jefferson,youcandosointhefollowingways: » Place lights or candles in your window, or outside your home, and shine your “Lights of Hope” along with the hospital. » Make a financial contribution to the Emergency Response Fund: www.mjhfoundation.org/forms/---donate-now---general. » Continue to support the hospital through donations of supplies and homemade masks for Philips Cancer Center patients. » Send a message of gratitude to our nurses and frontline staff: www.mjhfoundation.org/forms/covid-19-gratitude-notes. Moreinformation: Visit www.mjhfoundation.org.

Recognitions,AwardsandAccreditations

Physician Assistant Program Achieves Full Accreditation The Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) has granted full accreditation to the physician assistant (PA) graduate program at Murphy Deming College of Health Sciences at Mary Baldwin University, bringing all the founding graduate programs of study (occupational therapy, physical therapy, and now PA) in its college of health sciences to full accreditation. After welcoming its first students to campus in January 2016, MBU’s PA program operated with provisional accreditation for the first three years. Students have been eligible to take the Physician Assistant National Certifying Exam — the final step before becoming a certified PA — since the program’s inception. With the addition of PA, all of Murphy Deming’s founding graduate programs in health sciences are now fully accredited. Murphy Deming is celebrating its fifth anniversary during the 2019-20 academic year. Moreinformation: Visit www.marybaldwin.edu.

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The Pulse

• NEWS TO KNOW

NewTechnologies

NewFacilitiesandServices

Carilion Clinic Offers Breakthrough Technology for COPD Patients

Maury River Family Practice Joins Augusta Medical Group

Carilion Clinic’s Department of Pulmonary Medicine is the first in southwest Virginia to offer endobronchial valves, a new treatment for certain patients with severe emphysema. A “breakthrough device,” as designated and approved by the FDA, the Zephyr® Valve is the first minimally invasive, nonsurgical procedure to help qualified patients breathe easier.

As a part of Augusta Health’s strategic plan, Journey 2025, and its commitment to the community to expand and enhance access to outpatient services throughout the region, the Maury River Family Practice, along with physician Jane Sailer, MD, has joined the Augusta Medical Group. Elizabeth Berry, MSN, FNP, will also join the medical practice.

Results have shown for most patients treated with the Zephyr Valves that they breathe easier; become more active and have more energy; while enjoying improved respiratory function for at least one year.

“My choice to align with Augusta Health is made with confidence after five years partnering with them as part of their Accountable Care Organization,” says Dr. Sailer. “I am impressed with Augusta Health’s commitment to the health and well-being of its patients, and I am excited to be a part of their expanded efforts to serve Rockbridge County.”

Patients interested in this program, who meet the medical criteria for selection, will have a thorough diagnostic workup prior to moving forward. Zephyr Valve program director Maria del Mar Cirino-Marcano, MD, interventional pulmonologist, and Carilion Clinic Pulmonary and Critical Care Medicine Division Chief Edmundo Rubio, MD championed bringing this new procedure to Southwest Virginia. Both see this minimally invasive procedure as a “quality of life” opportunity for appropriately selected patients. More information: Contact the referral and procedure coordinator at Carilion Clinic, at 540.985.8505.

The practice will be known as Augusta Health Maury River Family Practice and will provide the full scope of family practice services. The office location, phone number and hours will remain the same: AugustaHealthMauryRiverFamilyPractice 730 McCullouch Street | Glasgow 540.258.1700 Monday – Friday, 8:30 am – 5:30 pm Moreinformation: Visit www.augustahealth.com or to schedule an appointment, call 540.258.1700.

NEWPEOPLE

Erdal Adam, OD

David Calhoun, MD

Corey Cavanaugh, DO

Brooke Csaky, PA

Harman Eye Center Lovingston | 434.263.5100 www.harmaneye.com

Nephrology UVA Health University Physicians Orange Orange | 540.661.3004 www.uvahealth.com

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Sentara Martha Jefferson Medical and Surgical Associates Charlottesville | 434.654.5260 www.sentara.com

Sentara Martha Jefferson Emergency Department Charlottesville | 434.654.7150 www.sentara.com

NEWPEOPLE

Abby Dickenson, NP

Kurtis Elward, MD

Leonardo Espinel, MD

Caitlin A. Going, PA

Tracy Hughes, NP

Anubhav Kumar, MD

Kevin Lawrence, MD

Mary Long, NP

Janaki Patel, MD

Christopher Porter, MD Amanda Renaghan, MD Augusta Health Surgery Fishersville | 540.245.7705 www.augustahealth.com

Nephrology UVA Health Primary and Specialty Care Pantops Charlottesville | 434.924.9333 www.uvahealth.com

Kara A. Sims, PA-C

John T. Stranix, MD

Richard Suyes, PA

Emily Williams, NP

Augusta Health Transitional Care Fishersville | 540.245.7262 www.augustahealth.com

Nephrology UVA Health University Physicians Orange Orange | 540.661.3004 www.uvahealth.com

Sentara Family Medicine at Augusta Health Surgery Albemarle Square Fishersville | 540.245.7705 Charlottesville | 434.654.2830 www.augustahealth.com www.sentara.com

Augusta Health Pulmonology Fishersville | 540.245.7190 www.augustahealth.com

Barbara L. Royston, CNM Kelly E. Rupp, PA

Jefferson OB/GYN Carilion Clinic Charlottesville | 434.977.4488 Family Medicine www.jeffersonobgyn.net Dayton | 540.879.4300 Bridgewater| 540.828.2634 www.CarilionClinic.org

Augusta Health Wound Healing and Hyperbaric Clinic Fishersville | 540.245.7230 www.augustahealth.com

Sentara Martha Jefferson Emergency Department Charlottesville | 434.654.7150 www.sentara.com

Carilion Clinic Family Medicine Dayton | 540.879.4300 Bridgewater| 540.828.2634 www.CarilionClinic.org

Augusta Health Rheumatology and Osteoporosis Clinic Fishersville | 540.245.7170 www.augustahealth.com

Plastic Surgery UVA Health Plastic Surgery Clinic Charlottesville | 434.924.5078 www.uvahealth.com

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

Augusta Health Staunton Medical Associates Staunton | 540.245.7730 www.augustahealth.com

Amira Ali Ibrahim, MD

Augusta Health Gastroenterology Fishersville | 540.245.7350 www.augustahealth.com

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The Pulse

• NEWS TO KNOW

Recognitions,AwardsandAccreditations

UVA Wins National Award for Neurosurgery and Spine Care For the sixth consecutive year, UVA Medical Center has been honored by Becker’s Hospital Review in its list of 100 hospitals and health systems with great neurosurgery and spine programs. “Many hospitals and health systems featured have earned top honors for medical excellence, outcomes and patient experience in their spine and brain surgery departments,” wrote editors at the national healthcare publication in their introduction to the honorees. “Our neurosurgery and spine teams not only provide high-quality care for a wide range of conditions but also work diligently to research breakthrough treatments,” says Chris Ghaemmaghami, MD, Interim Chief Executive Officer for UVA Medical Center.” In its description of UVA, Becker’s highlighted the work of the UVA Spine Center, where UVA neurosurgeons and orthopedic spine surgeons combine to perform more than 1,500 spine procedures annually. The publication also recognized the groundbreaking work led by UVA neurosurgeon W. Jeffrey Elias, MD, to develop focused ultrasound, a scalpel-free surgical approach using focused sound waves. Dr. Elias was named the 2018 Edlich-Henderson Innovator of the Year by the UVA Licensing and Ventures Group for pioneering the use of focused ultrasound to treat essential tremor, heading the clinical trials that led to U.S. Food and Drug Administration approval of this treatment approach for the common movement disorder. Dr. Elias also spearheaded the testing that led to FDA approval of focused ultrasound to treat medication-resistant Parkinson’s tremor. Moreinformation: Visit www.beckershospitalreview.com or www.uvahealth.com.

NewFacilitiesandServices

Carilion Clinic Orthopaedics to Offer Specialty Services in Rockbridge County Carilion Clinic Orthopaedics will offer specialty services this spring in Rockbridge County, located at the VelocityCare urgent care practice in Raphine at 735 Steeles Fort Road. George Godette, MD provides general orthopaedic care and is certified by the American Board of Orthopaedic Surgery. Dr. Godette will provide care at the satellite clinic two days a week for orthopaedic needs, providing assessment and diagnostic care for all musculoskeletal conditions. Moreinformation: Visit Carilion Clinic VelocityCare at www.VelocityCarebyCarilion.com.

For More of The Pulse Visit: www.OurHealthCharlottesville.com

DOYOUHAVEHEALTH-RELATEDNEWSTOSHARE FORTHEPULSE?Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com.

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | OURHEALTH STAFF photos | AUGUSTA HEALTH

A Community Comes Together in Time of Need When a community comes together the way the Augusta County community has, beautiful things happen. In a time of stress when often the first response might be “fight or flight”, local businesses, organizations, and members of the community have responded in a remarkable way. Through donations of medical supplies, meals, and financial contributions Augusta Health has had the honor of seeing what happens when a community surrounds and lifts its own. It’s ironic that at a time when physical distancing is a top priority, people have been “coming together” in more ways than imaginable. Supply donations streamed in from local businesses like Harbor Freight Tools in Waynesboro, The Home Depot in Waynesboro, and Cadence, Inc., while other businesses found innovative ways to help, like sanitizer production from local distilleries and 3-D printed face shields from the Augusta County Library. Then there are the countless meals and treats from local restaurants and businesses donated to a dedicated medical community. There is not near enough room to recognize all the local businesses and individuals who have contributed time and supplies, but here are just a few that have made a big difference in the care that Augusta Health has continued to provide the community.

1 2

For more information on the continued needs of the Augusta Health community, visit www.augustahealth.com/foundation or call Tami Radacke at 540.332.5174.

1) Silverback Distillery in Afton developed Silverback Sani Antiseptic Hand Rub. 2) Christine and Lilly Riggleman of Silverback Distillery in Afton Virginia. 3) Local businesses like Eye One recognize the medical community. 4) An Augusta Health nurse samples sanitizer donated from a local distillery. 5) The Heroes Work Here signs at Augusta Health can be sponsored weekly. Local sponsors have included Regency at Augusta, Weaver Insurance Company and others. 6) Hundreds of gallons of bottled hand sanitizer have been donated to hospitals, first responders and medical personnel by both Silverback Distillery and Ragged Branch Distillery. 7) Mask maker, Diane Crone with The Sewing Ministry, helping keep others safe with her donations. 8) Mask maker Mary Fannin from The Sewing Ministry at St. John the Evangelist Catholic Church in Waynesboro. 9) Tami Radecke, Executive Director of Augusta Health Foundation receives the delivery of mask donations from Judith Charles of The Sewing Ministry at St. John the Evangelist Catholic Church in Waynesboro. 10) Candy Kopp with The Sewing Ministry sews masks that have been donated to both Augusta Health and the Waynesboro police and rescue squad. 11) Additional donated masks for administration staff. 12) Delivery of 3-D printed face shields from Matt Frenger and the Augusta County Library. 13) The Augusta Health Foundation is overseeing and organizing all community donations. 14) 3-D printed mask from Augusta County Library. The masks are held in place using printed brackets and rubber bands.

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8 9

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Questions. Answers. Knowledge.

75% Did you know? NIGHT SWEATS often follow the hot flashes and flushes that are ASSOCIATED WITH PERIMENOPAUSE AND MENOPAUSE. As many as

75 PERCENT OF PERIMENOPAUSAL WOMEN in the United States have THESE VASOMOTOR SYMPTOMS.

What are night sweats a sign of?

What should I know about breast implant sizing?

What are signs of sleep apnea?

Night sweats can be a sign of thyroid disease, infection, new onset high blood pressure or a side effect of some medications. They can also be a sign of tuberculosis or lymphoma. However, more commonly night sweats often follow the hot flashes and flushes that are associated with perimenopause and menopause. As many as 75 percent of perimenopausal women in the United States have these vasomotor symptoms. A hot flash is experienced as unpleasant heat in the face, neck and chest while a hot flush is a sudden visible redness in these areas. Both hot flashes and flushes that occur while sleeping can produce intense sweating. Symptoms can be helped by dressing in layers, maintaining a healthy body weight and not smoking. Nonprescription therapies include the use of soy foods, black cohosh (dietary supplement) and Vitamin E. Your women’s health provider can also offer prescription medications to help manage these symptoms.

The profile of the breast implant (silicone or saline) refers to how much an implant can create projection (perkiness) of the breast from the chest wall when standing. Breast implants have different types of profiles, including a low, moderate, moderate plus, high and ultrahigh profile. A low-profile implant usually has more width compared to the higher-profile implants. While there are many different options to choose from to suit individual preferences, patients who have less breast tissue and/ or deflation of the breasts (usually a result of breastfeeding or weight loss), a higher profile implant may be recommended to create more projection/perkiness.

Sleep apnea, a potentially serious sleep disorder, occurs when breathing stops and restarts during sleep. The most common and easily identifiable symptom of sleep apnea is loud snoring. Although snoring can be an indicator of sleep apnea it’s not always linked to the sleep disorder. Other symptoms that could suggest you have sleep apnea include but are not limited to: witnessed pauses in breathing during sleep by your sleep partner, gasping or choking during sleep, excessive daytime sleepiness, excessive weight gain or obesity, morning headaches, irritability or depression, and memory loss or difficulty concentrating. If you or a loved one suspects possible sleep apnea, make an appointment with your healthcare provider as soon as possible. Your provider will evaluate your symptoms and determine if you are a candidate to undergo a sleep study evaluation.

Saied Asfa, MD Asfa Plastic Surgery and Medical Spa Harrisonburg | 540.432.0303 www.asfaplasticsurgery.com

Rachel King

ABC Health Care Charlottesville | 434.326.0900 www.abc-hc.com

Elizabeth Cox, CNM

Augusta Healthcare for Women Fishersville | 540.213.7750 Lexington | 540.213.7755 www.ahcfw.com

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Questions. Answers. Knowledge. What is digital eye strain? With increased use of digital technology many adults and children can experience physical discomfort associated with screen use. Complaints often include eye strain, dry eyes, blurry vision and headaches, as well as neck and shoulder pain. For wearers of progressive lens glasses (no line multifocals), optimizing the angle of your screen to sit 20 to 30 degrees below eye level is recommended.

Did you know? EVERY

20 MINUTES

OF SCREEN USE, YOU SHOULD TAKE A

20 SECOND BREAK.

To relieve eye strain throughout the day take frequent breaks from the device (for every 20 minutes of screen use, take a 20 second break), reduce overhead lighting and direct sunlight from windows to minimize screen glare, and increase the text size or background on digital devices to better define the content on the screen. Specialized eyewear such as lenses with magnification and/or antireflective coating with blue light protection or specialized contact lenses for digital use are also available. Artificial tears, tear duct plugs, and prescription dry eye medications may be used to relieve dry eye due to reduced blink rate, a common side effect of prolonged screen use. If you are having symptoms of digital eye strain, talk to your eye care provider about solutions. Erdal Adam, OD

Harman Eye Center Lovingston | 434.263.5100 www.harmaneye.com

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Why do I need to remove nail polish prior to surgery?

What is a silent heart attack?

The primary reason patients are requested to remove nail polish prior to undergoing certain surgeries is to allow healthcare providers to use two methods to monitor a patient’s health before and after surgery. Pulse oximetry assesses the level of oxygen carried in a patient’s red blood cells. This monitoring system is most frequently attached to a patient’s finger or toe. The oximeter uses a light source that shines through the fingertip and a sensor that analyzes the light source to detect the percentage of oxygen in the red blood cells. Certain types of nail polish have been found to reduce the effectiveness of this monitor, so removing nail polish prior to the day of surgery helps facilitate early detection of potential health changes due to low oxygen levels.

A silent heart attack implies that the patient never had symptoms of a heart attack but did in fact have a heart attack. This can be seen by a doctor who notices new electrocardiogram (EKG) changes compared to an older EKG during a routine office visit. This may be due to a patient not recognizing symptoms of a heart attack; or ignoring minimal signs like shortness of breath, nausea, or some left arm pain.

Additionally, examining a patient’s nails following surgery is one way to perform a peripheral perfusion assessment, which checks how well blood is flowing to extremities. This assessment can quickly identify patients at risk for a variety of postoperative complications, including infections. Katherine Kois BSN, RN, PCCN Surgical Admissions Suite UVA Health Charlottesville | 434.924.0000 www.uvahealth.com

If a silent heart attack is identified on an EKG, further testing with nuclear imaging and/ or echocardiography can help in determining if any further intervention is required. Extra caution is taken to be sure there are no other significant blockages that predispose a patient to more heart muscle damage. Most importantly, pay attention to symptoms of left arm pain, chest tightness, indigestion or shortness of breath. These sometimes can be mistaken for symptoms that are not related to the heart and can lead to a heart attack without the patient seeking medical attention. It is most important to take steps to prevent heart attack by not smoking, exercising, maintaining a good body weight, and treating high blood pressure, high cholesterol, and diabetes as directed by your physician. Dave Varma, MD

Augusta Health Cardiology Fishersville | 540.245.7081 www.augustahealth.com

www.OurHealthCharlottesville.com

OurHealth | Connecting You to Trustworthy Care Close to Home

Step #1

MAKING YOUR HOUSE A

HEALTHIER HOME

Find times to schedule each part of the home so it makes the most sense.

CLEAN • DECLUTTER • ORGANIZE

Three D’s

Herearejusta fewideastoget youstarted:

To do during

Spring Cleaning Spring cleaning is a perfect time to organize

your home and make it that much healthier and more inviting, and it begins with following the three D’s: Declutter, Disinfect and Deep Clean. But there’s more to it than opening windows when you feel a warm breeze in the air. See what it takes to really deep clean your home — and why it means tossing out as much junk as possible. words | MEREDITH SHAW

Medicine cabinet: If your law enforcement group has a Take Back Prescription Day, start clearing out this cabinet prior to the event.

Garage:

If you’re getting ready to air out your rooms in preparation for spring cleaning, you may want to try a different tactic this year. There’s more to this ritual than just clearing out the stale winter funk. Instead of treating the surface dust of the home, a real deep cleaning should combine decluttering with disinfecting and organizing. Learn more about how to break it down, which tools can help, and when to let go of your packrat tendencies.

Stop Referring to It As Spring

Pantry: The holidays are a great time to remove items from the shelves. Check expiration dates, donate fresh items that you’re unlikely to eat, toss unidentifiable foods, and rediscover usable items.

Most neighborhoods have trash days when residents can dispose of bulk trash, or schedule right before a community yard sale.

Cleaning

This isn’t about bringing out your summer clothes and letting the sunlight be your natural disinfectant. You really can’t tackle everything in one season because when you’re going about it the right way, the sheer volume of work would seem too overwhelming. Instead, focus on deep cleaning each section of the home thoroughly and in the process, set the stage for maintenance in the long term. Much like tips for general health and fitness, keeping a status quo is far easier than starting from scratch every single time.

Home office: If your office is stuffed with old documents, make (and pre-pay for) an appointment with a professional shredding service so you have a reason to start sorting.

www.OurHealthCharlottesville.com

These apps can

HELP YOU

organize, digitize, and generally get rid of junk—and maybe make some money while you do so.

Sortly App: for the hyper-organized, this is a dream app. Sortly lets you create a visual inventory by taking photos of your items or scanning QR codes. After you input your items, you can sort them into category folders by location (like in the jewelry box or in the garage closet). You can also tag certain items for easy search and include purchase and warranty dates for even more detail.

COST: FREE Download from iTunes, iOS devices only.

Decluttr: Make selling DVDs, CDs, video games, and more the work of minutes— not a whole afternoon— with Decluttr’s barcode scanner, which makes short work of figuring out how much you can sell your items for. All shipping is free, so you can get those space hogs out ASAP, and any earnings can help fund some spacefriendly digital downloads.

COST: FREE, for iOS and Android

Tody: Motivate yourself (and your family members) to clean more often with this smart app. You can create cleaning tasks and to-do lists by frequency and the app will tell you when a chore is due or overdue, and when something was last cleaned.

Step #2

Map Out Your Decluttering

Most of us have a difficult time deciding whether we should keep something or not. Multiply that mental exhaustion over countless items in the home, and it’s easy to see why decluttering isn’t a common practice. One tip is to think everything through objectively before you even start cleaning.

First, determine the best ways to dispose of

everything, including hazardous materials such as old batteries and electronic waste.

COST: $4 Download from iTunes, iOS devices only.

Second, decide how you’ll justify keeping certain

Handy: Sometimes you might need to ask for extra help. This is where Handy comes in. With this app you can schedule a date and time for a cleaning professional to come and tidy up. Plus, track the progress of your cleaning session—from when the cleaner is on the way to when he or she is just finishing up.

COST: FREE, for iOS and Android

Criteria

items. Ask yourself who is likely to use each item in the home, and if you can’t come up with a concrete answer, then it really should go.

“

If you haven’t used your old cake-decorating kit in three years, chances are this year is not going to be a turning point for you.

OurHealth | Connecting You to Trustworthy Care Close to Home

”

Step #4

It’s Time for a Deep

Step #3 Bring Out

THE TOOLS

The decluttering has to come before the deep clean, because it’s all too easy to let surface problems cloud the real dangers below. That soda spill behind the couch that’s been out of sight, out of mind? The sticky residue on the floor can attract anything from a build-up of bacteria to an army of ants. The same goes for the spills in the back of the fridge that are hidden by expired condiments.

Besides general household cleaners, you can use natural disinfectants like LEMON JUICE and VINEGAR

Hang cookware on cabinet pot racks, store shoes in a tree, and arrange knick-knacks in a bookcase. Shelving can be

to kill off a number of bacteria and pathogens.

Some people use TOOTHPASTE to get out silver tarnish, and Kool-Aid powder to remove the rings on their toilet.

especially handy in a closet or garage because you’re not wasting all that precious wall space to put items front and center (so you’re not constantly upending your closet every time you want to find your favorite scarf).

Organization

TIPS & TRICKS

You can even wipe down metal fixtures with used DRYER SHEETS to give them a nice sheen. Deep cleaning brings items out in the open and improves the quality of the air you breathe. It’s no wonder that studies conducted at Princeton University have shown a strong link between mental health and the state of one’s environment. For example, clutter can make it more difficult to focus on a single task because it distracts and overwhelms the visual cortex. In addition, house cleanliness has been shown to be strongly correlated with physical health.

“

Frustration can be a common feeling even in the cleanest of homes, but it’s only exasperated if the place is a sty.

Step #5

”

Create an Add magnets to garage shelving and tack up smaller tools.

Employ clotheslines in an attic to store summer hats and winter scarves.

Use shower curtain rings on a single hanger to separate and organize multiple scarves in one place.

Use heavy-duty hooks for major items, such as surfboards, rakes, or fishing rods.

Clean

Inventory

If you’ve ever wondered why you have four wine openers and nine old measuring cups, you’re not alone. A meticulous inventory is the best way to stop the endless cycle of replacing items you already have.

This is where app suggestions can really come in handy: “Hey Alexa, we have seven pairs of pajamas that don’t fit Ricky!” From the basement to the attic and everything in between, you have a real opportunity to dig into your mess and root out the underlying problems that cause it. Once your home is organized and disinfected, you’ll feel like a weight has been lifted off you.

It all starts with taking the first step in one section of your home, and then working your way out from there.

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words | DYLAN ROCHE

OurHealth Charlottesville & Shenandoah Valley’s first annual How

Specialty Care Is Changing for the Better Guide brings to light some of the more notable advancements that have changed how health conditions are diagnosed and/or treated across 13 different medical specialties. No matter how in-tune to current events you may be, there’s a good chance you’ll learn something from this Guide because you truly want to, especially when it will likely make a difference in yours or a loved one’s health one day.

How Specialty Care is Changing for the Better

Guide Breakdown: Most of us have heard the phrase ‘the only constant in life is change’. The lesson learned from this seven-word statement is a valuable one, and perhaps even more important to live by in today’s faster-than-ever-paced world than during any other time we’ve known. Still, the notion of change can be difficult for many to embrace, even when the difference is for the better.

“

Fear that’s associated with change often comes down to having a lack of knowledge about something already considered intimidating because of the complicated and negative shape it has been molded into by those we believe we can trust.

”

Couple this with the sheer speed and volume of inconsistent information coming at us in so many formats – computers, phones, tablets, television, radio and print – it can not only feel like drinking from a fire hose, but also completely close the door on any chance of considering a different perspective. There’s perhaps no better example in which uncertainty that stems from misperception and fear of the unknown can be more detrimental than when it comes to understanding healthcare. That’s where OurHealth Charlottesville & Shenandoah Valleys’ How Specialty Care Is Changing for the Better Guide comes in. This Guide is built upon the format OurHealth Charlottesville & Shenandoah Valleys’ is known for, with language that’s easy to understand, technical terms that are defined and a friendly tone that encourages a desire to learn more how positive change has transformed or is transforming 13 major medical specialties our readers have indicated a need to know more about. Our hope is this Guide will serve as a way to start and keep the conversation going about the services offered by experts who recognize how emotional the topic of healthcare is, and why it’s vital for these professionals to continue reinforcing the message they are allies on the same team as their patients, committed to serving and helping them realize their best health potential possible.

PAGE

Allergy & Immunology Cardiology PAGE

Dermatology Endodontics PAGE

Ear, Nose & Throat (Otolaryngology) Gastroenterology » FOR MORE | page 31

How Charlottesville Gastroenterology Associates’ Specialty Care is Changing for the Better.

PAGE

Neurology Obstetrics/Gynecology (OB/GYN) » DON’T MISS | page 33

How EyeOne’s Specialty Care is Changing for the Better.

PAGE

Ophthalmology Physical Therapy

» DON’T MISS | page 35

How Hospice of the Piedmont’s Specialty Care is Changing for the Better.

PAGE

Plastic Surgery Urogynecology

» DON’T MISS | page 37

How Pantops Prosthodontics’s Specialty Care is Changing for the Better.

PAGE

Urology

www.OurHealthCharlottesville.com

Allergy and Immunology The Role of an Allergist Allergist/Immunologist Immunologist

An allergist/immunologist diagnoses and manages medical conditions involving the immune system such as asthma, anaphylaxix (allergic reaction), rhinitis (inflammation of the mucous membrane of the nose) and eczema, as well as negative reactions to drugs, foods, and insect stings. Allergy/ immunology specialists also focus on immune deficiency diseases and problems related to autoimmune disease (condition in which the immune system mistakenly attacks the body), organ transplantation, or malignancies of the immune system.

Cardiology The Role of a

Cardiologist

A cardiologist diagnoses and manages conditions of the heart, blood vessels and circulatory system. In many cases, this means helping patients understand the dangers of heart disease and preventing it through healthy lifestyle practices. In more extreme cases, this could entail treating heart attacks, heart failure and serious heart rhythm disturbances. Although a cardiologist will diagnose and treat cardiovascular disease, and they may undertake procedures such as the insertion of a pacemaker, they are not the same as a cardiac surgeon, who performs heart surgery.

Recommended Recommended

Trustworthy Resources

To Use When Researching Cardiology

To Use When Researching Allergy/Immunology

American College of Cardiology www.acc.org

American Board of Allergy and Immunology www.abai.org

American Society of Echocardiography www.asecho.org

American Academy of Allergy, Asthma and Immunology www.aaaai.org

Heart Rhythm Society www.hrsonline.org

American College of Allergy, Asthma and Immunology www.acaai.org

American Heart Association www.heart.org

BreakthroughDiagnostic/Treatment for:

Early evidence provided by a Stanford-led pilot study has determined that an injection of an antibody treatment called etokimab, lets people with severe peanut allergies eat a nut’s worth of peanut protein two weeks later.

Although transcatheter aortic valve replacement (TAVR), also known as transcatheter aortic valve implantation (TAVI), was being developed as far back as the 1980s, it was approved by the Food and Drug Administration less than a decade ago as a minimally invasive option for people with aortic stenosis, a condition that prevents their heart’s aortic valve from opening all the way, thus limiting blood flow from the heart to the rest of the body. A cardiologist can implant a TAVR via a catheter, which is inserted through tiny blood vessels in the leg or a tiny incision in the chest. The cardiologist then guides the catheter along the blood vessels until it reaches the aortic valve, where a small balloon on the tip of the catheter is inflated to set the new valve in place.

Peanut Allergies

“

Researchers are repeating the study with a larger group of participants to better learn who will

benefit from antibody treatment, and scientists also need to determine the appropriate timing and dosing amount of the antibody before being

” New Diagnostic/Treatment

made available to the public. How is this

Different/ImprovedOver Existing/PastOne(s)? Option

The only existing treatment for peanut allergy is oral immunotherapy, which requires patients to eat tiny, gradually escalating doses of the food-allergy triggers under medical supervision. Desensitizing someone to their allergens with oral immunotherapy takes six months to a year, and can cause allergic reactions along the way. In contrast, 73 percent of people who received the etokimab antibody treatment were able to eat a modest amount of protein 15 days after receiving a single injection. 28

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Faulty Heart Valves

How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before TAVR, a cardiology patient in need of a new aortic valve had only one other option: to undergo open-heart surgical aortic valve replacement (SAVR). Because open-heart surgery, as its name suggests, requires a sternotomy (a surgical incision along the sternum), it can be a risky procedure for older patients or for patients with medical conditions, such as kidney or lung disease, which increases risk of complications. TAVR, on the other hand, is an effective alternative that is available to patients in all risk categories.

Dermatology The Role of a

Dermatologist

A dermatologist specializes in conditions related most notably to the skin but also to hair and fingernails or toenails. Some of these conditions are harmful or uncomfortable while others are simply cosmetic. Dermatologists can diagnose and treat eczema, psoriasis, acne or skin cancer, and can help identify why patients are suffering certain reactions of the skin, such as hives or rashes.

Recommended

Trustworthy Resources

Endodontics The Role of an

Endodontist

An endodontist is a dentist with specialized training in the interior of the tooth and protecting teeth from disease. In fact, they often refer to themselves as “specialists in saving teeth.” Those who experience serious tooth pain will often see an endodontist, who can diagnose what’s wrong and perform the necessary procedure, often what’s commonly known as a root canal.

Recommended

Trustworthy Resources

To Use When Researching Dermatology

To Use When Researching Endodontics

American Academy of Dermatology www.aad.org

American Association of Endodontists www.aae.org

American Board of Dermatology www.abderm.org

American Dental Association www.ada.org

Skin Cancer Foundation www.skincancer.org

BreakthroughDiagnostic/Treatment for:

Skin Cancer

It was back in the 1930s that Mohs surgery was originally developed by Dr. Frederic E. Mohs, and it was during the 1960s and 1970s that it gained prominence.

“

But this skin cancer treatment

continues to be held in high regard today — in fact, it’s what the Skin Cancer Foundation calls the most effective technique for treating basal

Procedural Pain

Root canal treatment is much easier today than it was in the past thanks to the use of anesthetics — specifically, in the case of endodontic procedures, patients will receive what’s known as local anesthetic, which is injected into the area that needs to be numbed or administered in the form of a gel that’s rubbed onto the location. The most common type of local anesthetic used by dentists, lidocaine, blocks the nerve signals so the endodontist can work without the patient feeling anything. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

cell carcinomas (BCCs) and squamous cell carcinomas (SCCs).

In the past, endodontic therapy — that’s the formal name for a root canal procedure — was notoriously painful.

This surgical procedure involves removing layers of cancer tissue so a dermatologist can examine them under a microscope one layer at a time until the cancer is entirely removed.

During the procedure, which is done to preserve a tooth that is badly decayed or infected, an endodontist

”

How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

At the end of the 19th century and the beginning of the 20th century, radiation therapy was the go-to treatment for cancer, although it was discovered shortly thereafter that radiation could cause cancer as well as cure it, according to the American Cancer Society. Advances in radiation physics and computer technology over the past 100 years have made it possible to use radiation more effectively, but Mohs surgery continues to be the “gold standard,” in the words of the Skin Cancer Foundation, for BCCs and SCCs.

“

removes the nerve and pulp from the inside of an infected tooth and does a deep-clean of the inside.

”

The American Academy of Endodontics acknowledges that root canal treatment was painful in past decades, but modern anesthetics have put an end to that strife.

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Ear, Nose and Throat (ENT)

Gastroenterology TheRoleofa

Otolaryngology

The Role of an Ear,NoseandThroat(ENT)

Specialist(Otolaryngologist)

An ear, nose and throat specialist, commonly known as an ENT, also called an otolaryngologist, specializes in conditions of the head and neck. As their title suggests, ENTs deal with ears, noses and throats, but they also work with the sinuses and the respiratory system. A person might go to an ENT for something as simple as a sinus headache or as complex as sleep apnea. Other reasons you might see an ENT are ear infection, tinnitus, allergies, nasal obstruction, gastroesophageal reflux disease and airway disorders.

Recommended

Trustworthy Resources

To Use When Researching ENT (Otolaryngology)

American Academy of Otolaryngology – Head and Neck Surgery www.entnet.org

BreakthroughDiagnostic/Treatment for:

Chronic Rhinitis

“

The 25 million people who suffer from chronic rhinitis —

an inflammation of the nasal tissue characterized by sneezing, congestion, runny nose and postnasal drip — saw a game changer in

”

The nasal device uses cryotherapy technology to freeze the irritated nasal tissue, thus providing fast and long-lasting relief of symptoms. How is this

Recommended

Trustworthy Resources

To Use When Researching Gastroenterology

American College of Gastroenterology www.gi.org American Gastroenterological Association www.gastro.org

BreakthroughDiagnostic/Treatment for:

ENT Health www.enthealth.org

2017 with the release of ClariFix.

Gastroenterologist

A gastroenterologist diagnoses and treats conditions of the digestive tract, which encompasses the esophagus, the stomach, the small intestine, the colon and the rectum, as well as related digestive organs like the pancreas, gallbladder, bile ducts and liver. In short, this is a medical specialty concerned with the breakdown of food, the absorption of nutrients and the elimination of waste. A gastroenterologist can help patients who are fighting colon polyps and cancer, heartburn, irritable bowel syndrome (IBS), colitis, peptic ulcer disease, gallbladder and biliary tract disease, and nutrient malabsorption.

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before the release of ClariFix, people with chronic rhinitis had to rely on short-term solutions that treated their symptoms but did not bring any longstanding relief: common over-the-counter medications such as antihistamines or nasal decongestants, as well as neti pots and nasal sprays. These required continual administration or use, unlike ClariFix, which is a one-and-done treatment option for this chronic problem.

Colorectal Cancer Screening

In recent years, alternative screening options for colorectal cancer have gained prominence for their ease and noninvasiveness. A fecal immunochemical test (FIT), which uses antibodies to detect blood in a patient’s stool, is deemed the screening test of choice by European Union Guidelines. A similar screening option is the stool DNA tests, which looks for altered DNA in a patient’s fecal matter. These screenings can be done once a year, and if they come back positive for colorectal cancer, a gastroenterologist can schedule the patient to have a colonoscopy for a more definitive answer. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before these noninvasive procedures, a colonoscopy was the only way to screen for colorectal cancer. The procedure involves sending a thin tube up inside a patient’s colon to check for polyps or cancer; in addition to being expensive, it requires inconvenient pre-procedural preparation consisting of a bland diet for several days, followed by a liquid diet for a day, then drinking a solution that cleanses the colon by means of diarrhea. Simple screenings like FIT and stool DNA tests make it practical for more people to get screened annually, and the Centers for Disease Control and Prevention recommends a colonoscopy only once every 10 years for people who do not have increased risk of colorectal cancer. Continued on page

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Colonoscopy

What’s Special About

YOUR SPECIALTY?

and How

it Has Advanced

CHARLOTTESVILLE GASTROENTEROLOGY ASSOCIATES

G a s t r oenterology Gastroenterology [,ga-strō-,en-tə-’rä-lə-jē] is the specialty of healthcare focused on the diagnosis and treatment of conditions affecting the gastrointestinal tract and the liver.

Benefits of Getting a

Colonoscopy Colorectal cancer is common and preventable. Because polyps and early stage colon cancer may not cause symptoms, having a colonoscopy can help catch colorectal cancer at its earliest stages and lead to the best possible outcome. It’s called “the gold standard” for a reason. Removing

polyps at the earliest stages reduces the incidence of colon cancer. It’s a test you should not put off.

Medical Condition People

Commonly Associate with the Specialty of Gastroenterology Colorectal cancer

isacommontypeofcancer;infact, approximately 1 in 24 people will be diagnosedwithcolorectalcancer (colonorrectalcancer)intheirlifetime. While it can affect individuals of any age, it is more common in older adults. Abnormal growths (polyps) form in the large intestine and may lead to cancer (which can be localized or metastasize.) Polyps that are found early can be removed at the time of colonoscopy before they lead to cancer.

“

A colonoscopy is highly recommended for adults over the age of 50 and in those who are considered to be at high risk for the disease.

”

SERVICES | ABDOMINAL PAIN | ACID REFLUX INFLAMMATORY BOWEL DISEASE | CONSTIPATION COLONOSCOPY | ENDOSCOPY

1139 E. HIGH STREET, SUITE 203 | CHARLOTTESVILLE 434.817.8484 | www.cvillegi.com

Atitsbasiclevel,a

colonoscopyhas notchangedmuch sinceitwasfirstdeveloped

butadvancements inpreparation, sedation,andimaging haveimprovedthe toleranceandaccuracyof theprocedure.

A small scope is inserted through the rectum so the physician can see if there are polyps or abnormal mucosa lining the colon. The most common symptom patients experience after a colonoscopy is minor bloating. With advances in carbon dioxide inflation, patients experience much less bloating today than years ago. Not only that, the bowel

preparation process is now easier with lower volume preps and taste mixes that can improve taste of the solution. For most, the

colonoscopy process is an easy process—overcoming the fear of colonoscopy is the most important part.

David Balaban, MD with Charlottesville Gastroenterology Associates

Emily Christman, MD with Charlottesville Gastroenterology Associates

Diego Gomez, MD with Charlottesville Gastroenterology Associates

Arun Mannem, MD with Charlottesville Gastroenterology Associates

Daniel Pambianco, MD with Charlottesville Gastroenterology Associates

Elliot Smith, MD

with Charlottesville Gastroenterology Associates

www.OurHealthCharlottesville.com

Neurology The Role of a

Neurologist

A neurologist studies and treats a patient’s nervous system, which encompasses the brain, spinal cord and nerves. Disorders of the nervous system include conditions as simple as a headache or something as serious as Parkinson’s disease. Neurologists treat epilepsy, neuritis, neuropathy, brain and spinal cord tumors, multiple sclerosis, stroke and muscular dystrophy, among other conditions. These specialists will also work with patients who have neurodevelopmental disorders, learning disabilities and similar chronic conditions.

Recommended

Obstetrics/Gynecology (OB/GYN) The Role of an

OB/GYN OB GYNSpecialist

An obstetrician-gynecologist, often known simply as an OB/ GYN, specializes in women’s reproductive health. Specifically, the practice of gynecology refers to care of a woman’s reproductive system and organs (her vagina, uterus and ovaries) while the practice of obstetrics refers to care throughout childbearing (pregnancy, birth and postpartum care). An OB/GYN handles fertility issues, family planning, hormone disorders, sexually transmitted diseases and menstruation problems. The American College of Obstetricians and Gynecologists recommends girls begin to visit a gynecologist between the ages of 13 and 15.

Trustworthy Resources

To Use When Researching Neurology

Recommended

Trustworthy Resources

To Use When Researching Ob/Gyn

American Academy of Neurology www.aan.org

American Board of Obstetrics and Gynecology www.abog.org

BreakthroughDiagnostic/Treatment for:

Association of Women’s Health, Obstetric and Neonatal Nurses www.awhonn.org

There’s still so much progress to be made in restoring mobility to paralyzed individuals, but a major breakthrough happened in 2018 when the Mayo Clinic and UCLA collaborated on spinal cord stimulation to help Jered Chinnock, a man paralyzed from the waist down in 2013, take several steps with a frontwheel walker.

American College of Obstetricians and Gynecologists www.acog.org

Paralysis

“

Dr. Kendall Lee with the Mayo Clinic noted that the study shows the neurons (cells that transmit nerve impulses) below a spinal cord

injury still function after paralysis; when the spinal cord is stimulated by electrodes, as Chinnock’s was, the neurons receive the signal that he wants to stand or walk.

”

Although this breakthrough was not able to treat Chinnock’s paralysis completely, it gives hope that individuals with paralysis can regain function. How is this

New Diagnostic/Treatment

Option Different/ImprovedOver

Existing/PastOne(s)? Prior to this, there was no cure or treatment for paralysis, although rehabilitation through physical therapy, occupational therapy, mobility aids and supportive devices helped paralyzed people live as independently as possible.

OurHealth Charlottesville & Shenandoah Valley 32

BreakthroughDiagnostic/Treatment for:

Ultrasound

The progress of ultrasound technology has reached a point where 3-D images are more prevalent and widely available for gynecology and obstetric patients. Thanks to this technology, an OB/GYN can get a full view of the anatomy of the uterus and cervix, making it easier to see abnormalities like polycystic ovarian syndrome (also known as PCOS, often characterized by follicles on the ovaries), place intrauterine device (also known as an IUD, a device used for birth control that is put inside the uterus to stop sperm from getting to the eggs) and even diagnose and understand fetal anomalies. Ultrasounds also offer 4-D imaging, which could be likened to a live stream of a fetus inside the uterus, meaning the OB/GYN can see the motion of fetal organs. How is this

New Diagnostic/Treatment

Option Different/ImprovedOver

Existing/PastOne(s)? OB-GYN specialists have used ultrasound since the 1950s, but today’s modern technology is much better than it was even 20 years ago, when ultrasound equipment produced images that were two-dimensional and very grainy — not the best means for an OB/GYN to see what’s happening inside the uterus and cervix. While many expectant parents might be eager to see an ultrasound image that’s more detailed than the blurry outline produced by 2-D technology, medical professionals discourage 3-D and 4-D ultrasounds simply for the sake of seeing the developing fetus. Instead, this technology should be reserved for when there’s suspicion of a medical condition, as these require exposing a fetus to more ultrasound than necessary. Continued on page

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How is Eye One Playing a Role in the

What’s Special About

YOUR SPECIALTY? EYE ONE

ophthalmology Ophthalmology [äp-thə(l)-’mä-lə-jē] is the specialty of healthcare focusing on the structure, functions and diseases of the eye.

Medical Condition

Commonly Associated with Ophthalmology Cataracts

affectapproximately

13 million individuals age 40 and olderinthe UnitedStates. Cataracts, the most common cause of vision loss in those over the age 40, are formed by the clumping of protein in the eye, causing cloudiness of the eye’s natural lens. When

cataracts become severe, vision loss can occur. Because the condition comes on very slowly, many people do not realize they have a problem until it seriously affects vision, or they are diagnosed by their ophthalmologist.

Cataract Treatment Advanced? How has

Cataract treatment today ismuchmore advanced than it was in years past. Decades ago, treatment involved cutting into the eye and manually removing the cataract piece by piece. This wasn’t always successful and led to a difficult and lengthy recovery for many patients. In the

1980’s, an ultrasound technique (which was often referred to as laser treatment) was developed to break down and remove the cataract. This was a significant

advancement but was still a lengthy surgery.

“

Today, cataract procedures use high-frequency ultrasound that breaks up the cloudy lens into small pieces, which are then gently removed with suction, followed by the replacement of the eye’s lens with a clear synthetic lens, called an intraocular lens. The

process, called phacoemulsification, promotes faster healing with less risk of complication.

”

Advancement of Cataract Treatment? Eye One offers

premium lens replacementfor cataract treatment.

Ophthalmologists at Eye One use a PanOptix Intraocular Cataract Lenses for cataract surgery patients. The lens becomes a permanent part of your eye that you will not be able to feel and does not require special care.

The premium lenses are designed to provide clear vision for near, intermediate and far distance. These trifocal lenses can also reduce astigmatism, further reducing the probability of the need for glasses following cataract surgery. After cataract surgery and lens replacement, many patients may find that their vision is better than it ever has been before.

PROVIDERS: (from left to right) Todd Long, MD Cataract Surgery and Glaucoma Lasers

Paul McConnell, MD Cataract Surgery and Glaucoma Lasers

Marc Shields, MD Oculoplastic Specialist

Susan Gresham, OD Optometrist

Timothy Harrison, MD Cataract Surgery and Glaucoma Lasers

James Tiedeman, MD Retinal Specialist

James Gillespie, MD Cataract and Glaucoma Surgery

Susan Herndon, OD Optometrist

David Barnes, MD Cataract Surgery and Glaucoma Lasers

Rachna Patel, MD

Corneal Specialist, Cataract Surgery and Glaucoma Lasers

Lauren Rivellino, OD Optometrist

SERVICES | PREMIUM CATARACT LENSES (TORIC® AND MULTIFOCAL, PANOPTIX®) COSMETIC SURGERIES | BOTOX® AND JUVÉDERM® | CONTACT LENS AND FITTINGS INJECTIONS FOR MACULAR DEGENERATION | GLASSES (OPTICAL SHOPS IN EACH LOCATION)

www.eyeoneva.com www.OurHealthCharlottesville.com

Ophthalmology The Role of an

Ophthalmologist

Not to be confused with an optometrist, who does vision care and primary eye health care, an ophthalmologist is an eye doctor who provides medical and surgical eye care. An ophthalmologist will treat such conditions as glaucoma, iritis, cataracts and macular degeneration. With a license to practice both medicine and surgery, an ophthalmologist will not only conduct eye exams and diagnose conditions but also perform procedures like LASIK.

Recommended

Trustworthy Resources

Physical Therapy The Role of a

PhysicalTherapist

Although not strictly a doctor, a physical therapist is a trained and licensed health professional who provides care and guidance that can help alleviate pain, recuperate function and movement, and prevent future issues as a patient either recovers from an injury or manages a physical condition. A physical therapist will examine and assess an individual’s physical abilities to determine their specific needs, looking at movement, posture, balance, gait, heartbeat and other indicators. A physical therapist can then develop a treatment plan and guide a patient on how to do specific stretches and exercises to meet their goals.

To Use When Researching Ophthalmology

Trustworthy Resources

American Academy of Ophthalmology www.aao.org

Recommended

International Council of Ophthalmology www.icoph.org

American Physical Therapy Association www.apta.org

BreakthroughDiagnostic/Treatment for:

Choose PT www.ChoosePT.com

Myopia, Hyperopia and Astigmatism

Laser assisted in-situ keratomileusis eye surgery, more commonly known as LASIK surgery, was implemented in the United States and approved by the Food and Drug Administration in the early 1990s, paving the way for ophthalmologists to correct such problems as myopia (nearsightedness) hyperopia (farsightedness) and astigmatism (an eye defect that causes distorted images) by reshaping the cornea (front part of the eye) with the use of a laser. LASIK has the capability to improve a person’s vision to 20/25 so that they no longer need glasses or contact lenses. The Mayo Clinic acknowledges that results can vary and will depend on a person’s eyesight before surgery, though people with mild nearsightedness have the most success. How is this

New Diagnostic/Treatment

To Use When Researching Physical Therapy

BreakthroughDiagnostic/Treatment for:

Rehabilitation

With the advent of the Kinetisense system — a 3-D motion sensor device and movement assessment software — physical therapists achieved the ability to analyze a person’s posture, measure their range of motion and track physical improvements in an accurate and objective way.

“

This system, which video records every movement, does a complete

functional assessment of all standard physical therapy modules (balance,

posture, range of motion and functional movement) in only three minutes.

Option Different/ImprovedOver

Existing/PastOne(s)? Before laser surgery, ophthalmologists would use radial keratotomy (RK) to reshape the cornea by making slits with a knife. RK later gave way to photorefractive keratectomy (PRK), an early precursor to LASIK that uses the same type of laser. According to the Food and Drug Administration, PRK is different from LASIK because of the different ways the procedures expose the middle layer of the cornea, known as the stroma. With PRK, an eye surgeon will remove the epithelium (the top layer of the cornea) before using the laser to reshape the eye, whereas with LASIK, an eye surgeon creates small flaps in the cornea, raises the flap, reshapes the cornea with the laser, then lowers the flap after the surgery is over so the cornea can repair itself. PRK also requires a much longer healing process than LASIK, which usually requires only a few days of recovery afterward. 34

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How is this

” New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before this technology, physical therapists could do tests, take measurements and perform screenings, but these subjective observations took lengthy periods of time, were not as precise and were prone to human error. Kinetisense provides a more accurate assessment, thus improving results, and can be done quickly so as to provide more time for actual therapy. Continued on page

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What’s Special About

Do I Have To

YOUR SPECIALTY? HOSPICE OF THE PIEDMONT

Palliative Care

Palliative Care [‘pa-lē-,ā-tiv /ker] is specialized medical care for people living with an advanced illness. Hospice of the Piedmont recently started a new program—Piedmont Care—that will offer palliative care to patients in our twelve-county service region.

MOST

insurance planscoverall orpartof palliativecare.

Who Pays for

Palliative Care?

Palliative care is billed the

same way as any other medical specialty

(e.g. cardiology, oncology). Most insurance plans, including Medicare

and Medicaid, cover all or part of palliative care.

Piedmont Care

Advanced Illness Program

Piedmont Care,part of Hospice of the Piedmont, is an advanced illness program focused on

providing relief from the stress and symptoms (including pain, nausea, fatigue, anxiety, and more) of an advanced illness.

The goal is to improve quality of life for both the patient and the family. The Piedmont Care program provides care by a team of medical providers who work together with a patient’s primary care physician to provide an extra layer of support. It is appropriate at any age and at any stage in an illness, and it can be provided along with curative treatment.

Give Up My Doctor Or Forgo Curative Treatment? Patients receiving treatment through Piedmont Care do not

have to give up their primary Care Provider. Piedmont Care’s medical staff works alongside primary care providers to create the best care plan for each patient. Patients

may still receive curative treatment while they are being cared for under Piedmont Care’s model. Patients can continue to live independently— receiving services where they call home instead of in a hospital setting—as part of this program.

Find Out More... Piedmont Care arranges consultations through primary care physicians. Ask your doctor about arranging a consultation with Piedmont Care or call us at 833.888.0265 and we will follow up with your doctor. www.PiedmontAdvancedIllness.org

Piedmont Care is appropriate for patients with all kinds of advanced illness. Patients that could benefit from this level of care may be living with cardiac disease, respiratory disease, kidney failure, Alzheimer’s, HIV/AIDS, amyotrophic lateral sclerosis (ALS), and other illnesses. Most individuals receive care on an intermittent basis that increases over time as their disease progresses. PIEDMONT CARE IS PART OF HOSPICE OF THE PIEDMONT. HOSPICE OF THE PIEDMONT SERVICES ALSO INCLUDE: IN-HOME HOSPICE CARE | CENTER FOR ACUTE HOSPICE CARE | HOSPICE HOUSE | CENTER FOR CHILDREN | CENTER FOR GRIEF & HEALING 675 PETER JEFFERSON PARKWAY | SUITE 300 CHARLOTTESVILLE | 434.817.6900

J. Cameron Muir, MD, HMDC, FAAHPM with Hospice of the Piedmont

Ashleigh Bergstrom, MSN, RN, FNP-BC with Hospice of the Piedmont

Claire Palmer, NP-C with Hospice of the Piedmont

Fannie Utz, FNP-BC with Hospice of the Piedmont

www.hopva.org

www.OurHealthCharlottesville.com

Plastic Surgery The Role of a

PlasticSurgeon

A plastic surgeon is a surgical specialist focusing on both reconstructive and cosmetic surgical and non-surgical procedures that alter the shape, appearance, or function of structures of the body. Plastic surgery procedures can include skin rejuvenation and facial and body contouring that may alter the aesthetic symmetry and proportion of the body and reconstructive treatments of physical conditions caused by trauma, infection, tumors, disease, congenital defects and developmental abnormalities.

Recommended

Trustworthy Resources

To Use When Researching Plastic Surgery

American Society of Plastic Surgeons www.plasticsurgery.org American Board of Plastic Surgery www.abplasticsurgery.org

BreakthroughDiagnostic/Treatment for:

Wrinkles

A well-liked cosmetic procedure and one of the more popular plastic surgery options, BOTOX® injection, was approved by the FDA in 2002 after researchers discovered that botulinum toxin A could be used to relax the muscles and prevent severe spasms. The botulinum toxin blocks chemical signals from the nerves that cause muscles to contract. By injecting it into the face, scientists could relax the facial muscles that cause wrinkles in the forehead and around the eyes.

“

Today, BOTOX® injections are used for much more than simply reducing wrinkles.

”

The noninvasive procedure carries few risks or side effects and can also be used to treat lazy eye, muscle contractures, chronic migraine, bladder dysfunction, eye twitching and other conditions. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Throughout the 1970s, the latest in cosmetic facial surgery was the facelift, according to the American Academy of Plastic Surgeons. This procedure, which is still available today, is an invasive surgical procedure where an incision is made along the hairline so that fat or underlying tissue in the face can be repositioned or removed altogether, ultimately with the goal of removing wrinkles and smoothing out the skin. The procedure carries numerous risks, including bleeding, infection, facial nerve injury, poor wound healing and fluid accumulation.

Urogynecology The Role of a

Urogynecologist

Urogynecology is a field of medicine that combines urology with gynecology. A urogynecologist diagnoses and treats conditions or disorders pertaining to the pelvic floor (the muscles, ligaments, connective tissue and nerves that support the bladder, uterus, vagina and rectum). According to the National Institutes of Health, one-quarter of women have pelvic floor disorders, which could include urinary incontinence, overactive bladder or pelvic organ prolapse.

Recommended

Trustworthy Resources

To Use When Researching Urogynecologist

American Urogynecologic Society www.augs.org

Voices for PFD www.voicesforpfd.org

International Urogynecological Association www.iuga.org

BreakthroughDiagnostic/Treatment for:

Stress Urinary Incontinence

Urogynecology innovators Ulf Ulmsten and Peter Petros introduced the midurenthral synthetic sling in the mid 1990s, and it has since become the most common surgical intervention to treat stress urinary incontinence (the unintentional loss of urine caused by stress on the bladder such as coughing, laughing, running or heavy lifting). With this minimally invasive procedure, specially designed needles are used to place a thin strip of mesh under the urethra, which prevents urine from leaking out. Altogether, the procedure takes about 15 to 30 minutes and can be performed on an outpatient basis using local anesthesia. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

According to Harvard Medical School, the various procedures to treat urinary incontinence before the invention of the midurenthral synthetic sling were invasive, requiring hospitalization, anesthesia and recovery time, as well as posing risk. Women with mild cases of incontinence who wanted to avoid surgery were encouraged to do Kegel exercises or try a pessary (a removable device inserted in the vagina to support the urethra). Continued on page

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What’s Special About

NEW

YOUR SPECIALTY?

digital

PANTOPS PROSTHODONTICS

Denture

prosthodontics

Prosthodontics [,präsTHə’dän(t)iks] is the dental

specialty involved with restoration and replacement of missing teeth and/or facial structures, including crowns, bridges, veneers, dentures, and implants.

How have Dentures

Advanced?

In the past, fitting for dentures was a long, drawn out process. Luckily, Digital denture technology allows Pantops Prosthodontics to provide patients naturallooking tooth replacements with fewer visits. Digital impressions are made in the first visit which are then turned into 3D models to aid in the creation of a truly customized prosthesis. Once

the dentures have been crafted, our prosthodontics team will assure they fit the patient perfectly. The 3D technology allows for a better fit and appearance than has ever been available in the past. Because the 3D models become part of each patient’s medical record, crafting replacements is fast and easy.

Medical Condition People

Commonly Associate with the Specialty of

Prosthodontics

Themost common reason someonevisitsa prosthodontistisbecause of unexpectedtooth loss

due to either accident, decay or disease. A prosthodontist is a type of dental specialist who deals with reconstructive, aesthetic, and functional dentistry. These treatments include implants, cosmetic makeovers, full mouth rehabilitations, single and multiple crowns and bridges, as well as removable teeth. A prosthodontist

Technology

How is Pantops

Prosthodontics Using Advanced Technology? Technologyhas madePLANNING

AND PLACING implants amuch smootherprocess.

From digital x-rays, which are faster and lower dose radiation, to digital photography and CADCAM/3-D printing, the sky is the limit with Prosthetic dental technology!

We can now place a full set of temporary teeth on multiple implants in one day with proper preoperative planning, which includes a 3-D scan and the option for computer milled prosthetics. Technology exists today that allows us to digitally scan patients’ teeth, save that file, and access it years later when needed—this enables us to evaluate potential changes and structures to see where prosthodontics can be helpful.

also helps with tooth grinding/clenching problems, and with fitting sleep apnea appliances. Prosthodontists are the

experts when it comes to evaluating the whole mouth, to include the jaw and facial muscles, the temporomandibular joints (TMJ), and the teeth.

Ben B. Ross, DMD, FACP with Pantops Prosthodontics

404 PEOPLE PLACE, SUITE 301 | CHARLOTTESVILLE 434.977.9836 |

www.pantops.org

Urology The Role of a

Urologist

A urologist diagnoses and treats conditions of the urinary tract as well as the male reproductive system. The urinary tract encompasses the bladder, urethra, kidneys and adrenal glands, and the male reproductive system. Although a urologist does specialize in the male reproductive system, there are still reasons women see a urologist, such as a urinary tract infection (commonly called a UTI). Men commonly see a urologist because of male infertility, erectile dysfunction or an enlarged prostate, as well as for cancers related to the male reproductive system, such as prostate cancer or testicular cancer.

Recommended

Trustworthy Resources

To Use When Researching Urology

American Board of Urology www.abu.org American Urological Association www.auanet.org

Urology Care Foundation www.urologyhealth.org

BreakthroughDiagnostic/Treatment for:

Prostate Cancer

In February 2020, researchers at Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins announced they had made progress toward a urine test to diagnose prostate cancer after noticing cancer-specific changes in urinary RNA and metabolites. With these discoveries, the doctors hope they can develop a simple, noninvasive, reliable test for diagnosing prostate cancer, although further studies must be done to validate their findings before they can proceed. How is this

New Diagnostic/Treatment

As you can see, the

faceofhealthcare isaneverchanging one. Scientists

and researchers are continually making new discoveries that promise better treatment options.

“

Even longstanding perceptions on certain conditions can change, or knowledge that’s been around for decades can move to the forefront when doctors find a new way to make practical use of it.

”

All of this shows that change isn’t always bad. In the case of science and healthcare, change canbegood. Change can mean less expense. Change can mean minimal invasion or inconvenience. Change can mean fewer side effects or less recovery time. Change can mean an increased chance of survival or longevity. Overall, change can mean an improved quality of life — and that’s a change we can all embrace.

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Different/ImprovedOver Existing/PastOne(s)? Option

Currently, prostate cancer must be diagnosed with tissue biopsies, which can be invasive and will often miss cancer cells, explains Ranjan Perera, PhD the senior author behind the study and associate professor of oncology at Johns Hopkins University. However, this new research may pave the way for accurate noninvasive testing. According to the Mayo Clinic, currently a prostate biopsy is conducted using a thin needle that goes into the prostate to collect tissue, which is then analyzed in a laboratory.

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BEAUTY SELF-CARE • EXPRESSION • CONFIDENCE

QUARANTINE

BEAUTY QUEEN DIY Tips for When You Can’t Get to the Salon or Spa words | DYLAN ROCHE

After several weeks of staying at home during the coronavirus disease (COVID-19), you might feel as if you look a little rough around the edges. Not that you have to go anywhere, and everyone you live with is telling you that you look just fine. Still, what would you give for some pampering to clean yourself up? Well, there’s good news and there’s bad news. The bad news is that it’s likely going to be a little while longer before anyone sees the inside of a salon and spa. But the good news? There are a few do-it-yourself beauty practices you can undertake by yourself. Sure, your results might not be as good as the ones you would get with a professional. But as long as you manage your expectations and take plenty of care in what you’re doing, you can still look and feel your best while you’re under lockdown. And once you’ve mastered these skills, you might find they’re helpful in maintaining your look between salon appointments, saving you both time and money in the long run. 40

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Here are

FOUR EASIE WAYSST the

to g ive y our AT-HO self some

M COSM ETIC C E ARE.

Tweeze Your Eyebrows

If you have a few stray hairs that have sprung up and made your normally exquisite arches look more unruly that usual, DON’T STRESS — this is one of the easier beauty processes to master. But before you go haphazardly plucking at your brow, take a few moments to do the job properly.

Start by washing your face with warm

water to soften your skin. This will open your hair follicles and make it easier for the hairs to slide out.

the

Tweeze ’s

Do Don’t s

Cut Your Bangs

This one is the hardest to master and the easiest to mess up when you’re doing it yourself, but if your bangs have grown to be the length of a curtain and you can’t stand it anymore — well, desperate times call for desperate measures. However, trimming your own bangs isn’t impossible.

and

DO:

Take a step back after every few plucks to Identify the basic length of your eyebrows.The inside of the eyebrow should start

at a point perpendicular to your nose. The other end of the eyebrow should be at a point that intersects an imaginary diagonal line from the nostril through the outside corner of the eye. If it helps, mark these points with a white eyeliner pencil.

After you’ve marked the start and end points of your brows, use a clean spoolie (mascara wand-style brush) or toothbrush to pushyoureyebrowhairsin the same direction. This will let you identify any stray hairs outside the eyebrow’s natural shape.

Using a clean pair of tweezers with a fine, pointed end, grip the hair you want to remove and pull it in the direction of growth.

Pull each hair one at a time.

When you’re done, usealoeveragelon the skin around your eyebrows to soothe any irritation.

ensure you’re retaining the proper shape of your eyebrow and that your eyebrows are even.

DON’T:

Don’t get overly ambitious with pulling hairs — having

severely shaped eyebrows was trendy in the ‘90s, but today’s style is a more natural eyebrow. Focus only on stray or unruly hairs.

Begin with dry hair, as this will give

you the best idea of your hair’s true length. Use a comb to separate your bangs from the rest of your hair and bring them directly in front of your face.

Gather your bangs and straighten

them so they are perpendicular with the floor. Hold them between the index and middle finger of your nondominant hand close to where you want the trim to be.

With your hair still gripped between your fingers, lower them so that are

straight down in front of your face. Position your scissors alongside the

hair hanging out from underneath your fingers. This is where you’ll trim.

Remember to start longer

— you can always cut them shorter if you want to do so.

Cutthehairinshort,precisesnips.

Afterward, wash and style your hairasnormal. www.OurHealthCharlottesville.com

Give Yourself a Facial

Rejuvenating your skin isn’t a miracle that can happen only at the spa. With a few ingredients that you probably already have in your kitchen, you can treat yourself to a facial that will leave you feeling clean, smooth, tight and glowing.

Start by making your facial serum.

Slather it generously onto your face, avoiding your eyes and lips.

Clean Up Your Nails

Your natural fingernails are easy enough to maintain, but a manicure and pedicure just feel so good. You want your hands and feet to feel clean, soft and pampered. Well, DON’T WORRY — you won’t have someone else pampering your hands and feet for you (unless you can talk your partner into doing it), but you can still make them feel clean, soft and pretty. Here’s how.

FACIAL SERUM RECIPE: In a bowl, mix EQUAL PARTS of the following:

HONEY

IT’S ANTIBACTERIAL

LEMON JUICE RICH IN VITAMIN C

OLIVE OIL A MOISTURIZER

To reduce puffiness and dark circles Wash your hands and feet,

and remove any existing polish with acetone. Cut your nails to the desired length with clippers and shape them with a file or emery board.

Soak your hands and feet in warmwaterforfiveminutes

to soften the skin.

Try a Homemade Exfoliation Scrub: After soaking your hands and feet, give them a good scrub with a homemade mixture of equal parts brown sugar and olive oil. This will exfoliate and moisturize your skin. If necessary, use a pumice stone to remove callouses on your feet. Rinse and pat your hands and feet dry with a clean towel. 42

Give your hands and feet a good rub down with lotion or cream. Wait a few minutes to

allow the moisture to absorb.

Use a cuticle pusher to push your cuticle back, then clean

your nails with a cotton ball or Q-tip soaked in rubbing alcohol or witch hazel. This will remove any lotion or other residue on the nails.

Start with a base coat on yournailstocreateaneven surface. After this has dried,

apply a layer of nail polish in your desire color. Allow the polish to dry, then apply another layer.

Finally, apply a top coat that

will give your nails a glossy finish and protect them from any wear-or-tear that your hands or feet might endure.

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around your eyes, use thinly sliced cucumber or tea bags that have been steeped in warm water and allowed to cool.

Did you know? The ascorbic acid in the cucumber and the tannins in the tea can reduce swelling and discoloration. Find a comfortable chair or bed to lie down, placing either the cucumber or the tea bags on your eyes after your head is reclined.

Relax for 20 to 30 minutes in your mask

with your eye covers. If you’re feeling stressed, try listening to classical music or white noise.

Afterward, rinse the mask off your face and dab your skin with a natural toner made from equal parts apple cider vinegar and water.

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LIVING

LOCAL • TOGETHER • COMMUNITY

DEFINING TIMES Can You PASS

THE TEST of Coronavirus Disease Terms?

words | DYLAN ROCHE

You might be surprised to learn that the definitions for words like ‘social distancing’ and ‘quarantine’ have taken on different meanings from those you might have known. What’s the reason for the change? The coronavirus disease (COVID-19). And because of the unprecedented impact that COVID-19 continues to have on us, it’s safe to assume any earlier interpretations will be overshadowed by the standard it is known by now.

As the Centers for Disease Control and Prevention

There’s that phrase you’ve been hearing a lot lately, whether it’s when you log on to social media, catch up on the news, or talk to a friend over the phone — socialdistancing.

because coming in close contact with others is how viruses are spread, so maintaining distance in social settings

It’s not a new concept by any means, but it has gained ubiquity in recent weeks after countless health experts started encouraging it to slow the COVID-19 pandemic.

social distancing

defines it, (also called physical distancing) means avoiding mass gatherings, remainingoutofcrowdedpublic places where close contact with others may occur, and maintaining distance of approximately 6feet from others whenever possible.

Why? Well,

is an important practice for keeping yourself and others healthy.

www.OurHealthCharlottesville.com

SOCIAL DISTANCE in the Age of Coronavirus

This is not the first time health experts have encouraged social distancing — it was previously encouraged during the New York polio epidemic of 1916, as well as the influenza pandemic of 1918 (colloquially known as the Spanish flu), and numerous other health crises. Today, health experts encourage it as a way of preventing the spread of the novel 2019 coronavirus (also known as severe acute respiratory syndrome coronavirus 2 or SARS-CoV-2), which causes the disease known as COVID-19, a respiratory infection marked by fever, fatigue and dry cough.

Although the World Health Organization reports that

80 percent ofthepeople who catchCOVID-19recover safely without any special treatment, one in six people become seriously ill from the disease.

Because the coronavirus spreads through respiratory droplets a person expels when they speak, cough or sneeze, it’s easily passed from person to person when they are in close contact with one another. It doesn’t even require physical contact — you can simply breathe in these droplets when you are standing within 6 feet of a person. You could also get the respiratory droplets on your skin and clothing, and then become infected if you touch your eyes, nose or mouth without washing your hands first. Hence why the federal government implemented social distancing guidelines through April 30, with many state and local governments creating even stricter restrictions. It’s why #canceleverything has been trending on social media, as everything from street festivals to sporting events have been rescheduled or dropped altogether. Many businesses have had to change their model of operations, and colleges have had to switch to online classes. In short, it has meant a change in lifestyle for just about everyone.

Social Distancing, Quarantining, and Isolating —

What’s the Difference?

If you’re still a little iffy on the meaning of social distancing, particularly with how it compares with other practices that people have talked about in the context of COVID-19, don’t worry — the phrases are sometimes used interchangeably by casual speakers. But in formal contexts, you should note there’s a subtle difference between social distancing, quarantining and isolating. Johns Hopkins Medicine explains that social distancing means you can go out in public, but when you do so, you should keep the necessary 6 feet between you and other people to reduce the risk of spreading sickness. This applies to healthy people, whether they are at high risk or not. Then there are those who have likely been exposed to the novel coronavirus or are showing symptoms of COVID-19. These people are expected to quarantine themselves for 14 days, which means they should stay at home and not interact with healthy individuals. If they share a home with others — for example, their family members or roommates — they should do their best to maintain 6 feet of distance, practice good hygiene (e.g. frequent handwashing) and not share items like food utensils or bath towels.

Quarantining is intended to keep a potentially infected

person away from others so that they do not spread the sickness. This

isolation

is different from , which Johns Hopkins Medicine notes is for people who have a confirmed case of COVID-19. Theyarekeptawayfrom

non-infected individuals, either at home or at the hospital, and personal protective equipment should be used by caretakers who interact with them.

All three of these practices are intended to do what’s referred to as flattening the curve. Imagine a bunch of people all exposed to the novel coronavirus at once — there would be sharp rise (or curve) in the number of COVID-19 cases in a short period of time, far exceeding what health care systems can accommodate. When too many people are sick, there are not enough hospital beds, equipment or doctors for all of them. However, if the virus spreads slowly, the number of cases will rise gradually over a longer period of time; the same number of people might get it, but they will get it over the course of several weeks or months instead of all at the same time. The curve of cases is flatter, not a sharp spike.

Does this

APPLY TO EVERYONE?

2020

Everyone is required to practice social distancing. Even if someone is young and healthy, they might be inadvertently spreading the virus to others who are more vulnerable. But those who are young and healthy shouldnâ&#x20AC;&#x2122;t be so quick as to think they are invincible against coronavirus, as there is still some risk they could suffer severe symptoms. A report by the Centers for Disease Control and Prevention released on March 16, 2020, showed that 38 percent

of Americans hospitalized for COVID-19 were between 20 and 54 years old and that

THE6TH ANNUAL

half the patients who ended up in intensive care were younger than 65. But it is true that those more vulnerable to COVID-19 are seniors and people with compromised immune systems or other conditions.

8:10

According to the Centers for Disease Control and Prevention,

eight out of 10 deaths due to COVID-19inthe United Stateshavebeenpeople age 65 and older. Johns Hopkins reports that up to 29 percent of thoseage85andolderwho getCOVID-19will require intensive care.

People with heart disease are also at risk, as overworked lungs mean the heart has to work harder to circulate oxygen. The American Heart Association emphasizes that viral respiratory illnesses like COVID-19 can increase the risk of heart attack in people who have plaque buildup. Coronavirus also poses a risk of higher infection in people who have chronic airway or lung diseases, such as COPD, asthma or pulmonary fibrosis. Finally, because high blood sugar creates a bodily environment where coronavirus is more likely to flourish, people with diabetes (both type 1 and type 2) could be at greater risk.

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The Best

Practices for Social Distancing

Even if you grasp the importance of social distancing, it can be a little overwhelming to actually live by it — just what are you allowed to do and what aren’t you allowed to do? More importantly, how are you supposed to cope if you’re not supposed to go out in public? Let’sbreakitdown:

Stay Home When Possible Although you can go out for certain activities (more on that in a second), the main idea of social distancing is to stay home as much as possible. This is why most businesses are allowing their staff to work from home and most schools have switched to online courses.

Stay Connected Because you aren’t going to be getting out as much, download an app so you can visit with friends and loved ones digitally. Facetime, Skype, Zoom, Google Duo, Marco Polo, WhatsApp and Snapchat are all great options because they allow you to see and hear the person, which creates a better sense of connectivity than a simple phone call. Harvard Medical School encourages use of apps like these to relieve feelings of loneliness and isolation. If there’s a senior in your life who is not as adept with technology, be sure to help them download the app and show them how to use it. 48

No Large Groups Don’t go to places where large groups of people are gathered, as keeping six feet of distance from others is virtually impossible in these settings. Many states have enforced orders to cancel events that entail large gatherings of people (festivals, marathons, fundraisers) and to close nonessential businesses where people are packed close together (bars, sports stadiums, movie theaters, arcades).

Get Some Fresh Air You can still go outside to walk your dog or exercise, but don’t go in a large group. If you are on a sidewalk or trail, announce yourself as you pass so other people can have plenty of space.

“

Avoid spitting, and ifyouhave tocough orsneeze, do so into thecrook ofyour elbow.

”

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Avoid Unnecessary Errands Avoid errands as much as possible, but you can still go to the grocery store and pharmacy to get necessities.

“

When you go, remember yourSix feetof distance.

”

Some grocery stores may allow a maximum number of people in the store at a time to avoid overcrowding.

Make a Plan Have a plan in place on how you will function if you or someone close to you gets sick. Stock up on enough medication, food, pet supplies and other essentials (batteries, light bulbs, cleaning supplies) to last you at least two weeks. Research any delivery services in your area, or determine how a friend or neighbor can bring items to you. For example, they could do your grocery shopping and leave it on your doorstep at an agreed-upon time so there does not need to be any interaction.

Wash Your Hands After coming home from a public place, take care to wash your hands with soap and warm water, especially if you were touching surfaces that were touched by many other people, such as grocery carts, door handles, restaurant menus, elevator buttons or PIN pads.

Don’t Let Isolation Get You Down The American Psychological Association acknowledges that being isolated with little stimulation can take a toll on your mental health. In addition to keeping in contact with others to reduce feelings of loneliness and isolation, you can further cope by consulting only reliable sources for news updates and by keeping a routine that will help you maintain a sense of order and purpose. Stick with a healthy lifestyle, including eating well and exercising, and improve your daily mood by showering and getting dressed even if you don’t have to go anywhere.

Sourcesof Information: There’s a lot of misleading information out there. Be sure to stay informed by consulting only the most reliable sources on the novel 2019 coronavirus.

Centers for Disease Control and Prevention www.cdc.gov

The National Institutes of Health www.nih.gov

The World Health Organization www.who.int

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Who Do You

THINK HAS THE

BEST

BEDSIDE MANNER

IN Charlottesville & Shenandoah Valley?

2020

19 ABC Health Care 7

Alzheimerâ&#x20AC;&#x2122;s Association

American Heart Association

3, 21 19

Augusta Health

Augusta Health Care for Women

14 Blue Ridge Oral and Maxillofacial Surgery

Bridgewater Retirement

Carilion Clinic

17 Center for Neurorehabilitation Services 2020

2020

BEST BEDSIDE MANNER AWARDS

COMING SOON!

6th Annual Best Bedside Manner Awards Donâ&#x20AC;&#x2122;t miss the

in the November/December Edition of

OurHealth Charlottesville & Shenandoah Valley Magazine.

CATEGORIES INCLUDE: Allergy & Immunology Anesthesiology Audiology Cardiology Chiropractic Concierge Medicine Dentistry (Cosmetic) Dentistry (General) Dentistry (Pediatric) Dermatology Dietetics Emergency Medicine

A DV E R T I S E R D I R EC TORY

Endocrinology Family Practice Fertility Care Gastroenterology Geriatrics Hematology/Oncology Hospitalist Infectious Disease Internal Medicine Neonatology Nephrology Neurology

Nurse Practitioner Obstetrics & Gynecology Occupation Medicine Ophthalmology Optometry Oral Surgery Orthodontics Orthopaedics Osteopathic Medicine Otolaryngology Pain Management Palliative Medicine

Periodontics Pediatrics Pharmacist Physical Medicine Physical Therapy Physician Assistant Plastic Surgery (Cosmetic) Plastic Surgery (Reconstructive) Podiatry Psychiatry Psychology/Counseling

Pulmonary Medicine Radiation Oncology Radiology Rheumatology Sleep Medicine Sports Medicine Surgery (Cardiac) Surgery (General) Surgery (Neurosurgery) Surgery (Spine) Surgery (Vascular) Urology

43 Central Virginia Foot and Ankle Laser Center 13, 31 Charlottesville Gastroenterology Associates

44 Craig Builders 14 Edward Wolanski, MD, PC 49 Evolution Hearing 33 Eye One 35 Hospice of the Piedmont 17

Mary Baldwin University

Medical Facilities of America

Our Lady of Peace Retirement Community

Pantops Prosthodontics

Pediatric Associates of Charlottesville

Reproductive Medicine and Surgery Center of Virginia, PLC.

Rosewood Village

Savola Aesthetic Dermatology Center

15, 52 University of Virginia Health System 44 University of Virginia Imaging 11

Virginia Prosthetics and Orthotics