August • September 2018 ourhealthlynchburg.com
TRAVEL
SALON &
DAY SPA
FAMILY FITNESS
LOCAL PHARMACY COMPANION
CARE
IN
ynchburg Southside
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FEATURES
AUGUST • SEPTEMBER 2018
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2018 SENIOR LIVING AWARDS
OurHealth Lynchburg & Southside Magazine is pleased to recognize the 126 businesses and individuals that make up the winners of our 8th Annual Senior Living Awards, which were voted on by our community.
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A GUIDE TO SUCCESSFUL AGING INTO YOUR 90s AND BEYOND Whether you’re a senior or a caregiver helping a loved one, we’ll show you how to stay healthy, active and happy well into your 90s and beyond.
OurHealth Community ON Social Media!
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WHAT YOU NEED TO KNOW ABOUT MEDICARE
Write us, tweet us, or tag us today! #OurHealthLynchburg
In recent years Medicare has become increasingly complex as Medicare Advantage plans, Medigap policies and prescription coverage have become available. Do you know what plans you need to manage your healthcare costs?
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DEPARTMENTS AUGUST • SEPTEMBER 2018
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The Pulse | People. Places. News to Know.
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Calendar | Things to Do in Lynchburg & Southside during August and
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44 - September is Prostate Cancer Awareness Month: Insight Imaging
Volunteer Spotlight | Heroes. Champions. Community Minded.
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Q&A on Health | Questions. Answers. Knowledge.
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Health A-Z | Insight. Awareness. Mindfulness for the Whole Family. 25 - How to Build Resilience in Kids Going Back-to-School: Kids face issues their parents never did: social media predators, an opioid crisis that’s snaking its way into first-grade classrooms, and epic levels of stress. 31 - Focus on Mind, Body, and Spirit: Fork Union Military Academy prepares boys to become healthy young men. 37 - Who's Watching Your Kids Online?
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Health Observance | Educate. Eradicate. Victory. 41 - August 12-18 is National Health Center Week Johnson Health Center
September for your Mind, Body and Soul
Lynchburg's Jimmy Watts' passion for sports drives his volunteerism at the YMCA.
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Aging Well | Wisdom. Dignity. Support. 76 - Big Leap in Joint Replacement Surgery
80 Food and Fitness | Nutrition. Exercise. Prevention. 80 - Fresh and Fabulous Fall Produce: The fall harvest season brings a whole new assortment of delicious and heart-healthy fresh fruit and vegetables.
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Funny Bone | Spot the Seven Differences
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august • september 2018
PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION ACCOUNTING MANAGER CHIEF GRAPHIC DESIGNER GRAPHIC DESIGNER GUEST PHOTOGRAPHER
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Laura Bower Karrie Pridemore Tori Meador Gordon Harris
CONTRIBUTING MEDICAL EXPERTS
Sue Irvine, RN Indre Lithyouvong, DMSc, MPAM, PA-C Sherman Smock, DDS Harold Wilson, RPH Ryan Wolfe, PharmD
CONTRIBUTING PROFESSIONAL EXPERTS & WRITERS
Catherine Brown Brandy Centolanza Denise Doyle Jennifer Lamont Stephen McClinitc Jr. Michelle McLees Rick Piester
ADVERTISING AND MARKETING Cindy Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com SUBSCRIPTIONS Subscriptions are $19.95 per year. To receive OurHealth Lynchburg and Southside via U.S. Mail, please contact Jenny Hungate at jenny@ourhealthvirginia.com
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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2018 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside 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 words | OURHEALTH STAFF WRITER
Awards, Recognitions and Accreditations DON'T MISS
Centra Health’s Cancer Services Receives National Accreditation Centra Alan B. Pearson Regional Cancer Center’s radiation oncology department has obtained the Accreditation Program for Excellence (APEx) accreditation through the American Society of Radiation Oncology (ASTRO). Centra is one of two healthcare systems in the state of Virginia to achieve this accreditation and one of only forty healthcare systems in the nation that have achieved this mark. APEx is a program developed by ASTRO based on a comprehensive set of sixteen evidence-based standards of radiation oncology practice. These standards are focused on five pillars of patient care: 1) the process of care; 2) the radiation oncology team; 3) safety; 4) quality management; and 5) patient-centered care.
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The survey team assessed Centra’s radiation oncology department on compliance with these standards. They evaluated its policies and procedures, reviewed its quality assurance program, audited patient charts and interviewed team members. Based on their findings, ASTRO awarded Centra full accreditation. This award recognizes that the care provided by Centra’s radiation oncology department is of the utmost quality and exceeds the highest standards that exist in the radiation oncology field. More information: www.centrahealth.com
Opening, Expansions and Relocations Johnson Health Center Completes Expansion of its Bedford Community Health Center Bedford Community Health Center has completed its expansion and renovation of its office, located at 582 Blue Ridge Avenue in Bedford. With the expansion and remodel, the Center has added nine additional exam rooms, a conference room with telepsychiatry equipment and a pharmacy. The added space allows for continued growth to serve as a medical home for current and future patients. More information: www.jhcvirginia.org/bedford-locations
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The Pulse
Dermatology Consultants, Inc. Lynchburg | 434.847.6132 lynchburgdermatology.com
Jason Coleman, MD Centra Medical Group – Amherst Amherst | 434.946.9565 www.centrahealth.com
• NEWS TO KNOW
Ashley N. Chieppa, PA-C
Ashley Lammers, PA-C Centra Medical Group Southside Pulmonology Center Farmville | 434.315.2880 www.centrahealth.com
CHECK OUT THE
OurHealth
Lynchburg & Southside WEBSITE FOR EVEN MORE HEALTH RESOURCES! Indre Lithyouvong, DMSc, MPAM, PA-C
Blue Ridge Ear, Nose, Throat & Plastic Surgery, Inc. Lynchburg | 434.947.3993 www.blueridgeentps.com
Catherine Williams, NP-C
Centra Medical Group – Nationwide Lynchburg | 434.200.3908 www.centrahealth.com
Brian C. Willis, MD
Pathology Consultants of Central Virginia Lynchburg | 434.947.3925 lynchburgpathology.com
SCAN HERE OR VISIT US AT OurHealthLynchburg.com
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The Pulse
• NEWS TO KNOW
News and Notes
Free Clinic of Central Virginia to Accept Medicaid in 2019 The Board of Directors of the Free Clinic of Central Virginia has adopted new eligibility criteria, effective January 1, 2019, which allows them to provide medical services to patients with Medicaid insurance as well as accept Medicaid payment for medical and dental services provided. The Clinic’s Board adopted this action to ensure that the Free Clinic’s 2,900 patients who are expected to qualify for Medicaid insurance in 2019 can continue to receive care from the Free Clinic. “Continuity of care is especially important for our patients with complex, chronic health conditions,” says Christina Delzingaro, CEO of the Free Clinic. “The Board wants to ensure that our patients can continue to be served at both our Main Street and Holcombe Hurt Community Health Center locations, and that we preserve the important relationships our volunteer providers have with their patients.” On June 7, 2018 Virginia Governor Ralph Northam signed a two-year state budget that includes expansion of the Medicaid program to include Virginians over age 19 with incomes up to 138 percent of the federal poverty level (FPL). Delzingaro reports that approximately 2,900 of the 3,000 Free Clinic patients have incomes below 138 percent FPL and, therefore, would be eligible for Medicaid health insurance. “This is very good news for patients of the Free Clinic,” notes Delzingaro, “Medicaid expansion, however, does not mean that there is no longer a need for the Free Clinic or its volunteer medical, pharmacy and dental volunteers.” “The issue,” says Delzingaro, “is that there are only a few medical practices in our region that are accepting new Medicaid patients. Virginia Medicaid payment rates are so low that they don’t cover the costs of providing the service. At about $40 a visit, the payment isn’t even enough to cover the Free Clinic’s costs, and we use volunteer providers. In a way, Medicaid care is charity care.”
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
The Free Clinic will continue to serve uninsured adult patients with incomes below 200 percent FPL. Patients with incomes between 138 percent and 200 percent FPL are not eligible for Medicaid under the expansion. The budget language expanding Medicaid includes a work requirement and a premium requirement for some individuals. Delzingaro notes, “The exact requirements have not yet been established, but we expect that there will be patients who are unable to meet the Medicaid premium payment requirements or document that they meet the work requirements. There will also be those who fall through the cracks in other ways. The Free Clinic will serve these patients, too.” The organization has begun implementing a plan to enroll as a Medicaid provider, and to assist volunteer providers who would like to serve Free Clinic patients with Medicaid in completing the credentialing process with the Medicaid insurance providers. In addition, the Free Clinic’s eligibility staff and volunteers will be assisting patients with enrolling in the new Medicaid plan. “This will be an ‘all hands on deck’ situation,” reports Delzingaro. “Enrolling 2,900 patients in Medicaid will take some time, but we look forward to partnering with our local Department of Social Services to make the process as easy as possible for our patients and volunteers.” Jim Wright, Vice President of the Free Clinic Board, notes: “Since 1987, the Free Clinic’s purpose has been to meet the gaps in healthcare coverage in our community. We have adapted to changes, and filled the holes where they exist. Volunteers have been integral to fulfilling our mission. Now more than ever, we believe that our volunteers are the foundation to continue meeting our mission of providing high quality healthcare for everyone.” More information: www.freeclinicva.org
The Pulse
Awards, Recognitions and Accreditations
• NEWS TO KNOW
Amherst Community Health Center Nurse Practitioner Named Virginia Community Healthcare Association’s 2018 Provider of the Year Duane Kresge, PNP, a nurse practitioner with Amherst Community Health Center, which is a division of Johnson Health Center in Lynchburg, has been named the 2018 Provider of the Year by the Virginia Community Healthcare Association. The award recognizes an outstanding healthcare provider who has demonstrated dedication, expertise and concern for his patients in a compassionate and comprehensive manner. Kresge has helped Johnson Health Center significantly grow its patient base. Additionally, he regularly serves as preceptor, or mentor and role model, to medical students and assists with on-boarding new, advanced level practitioners. “One of the reasons community health centers stand out is for the personalized and sincere care they provide patients,” says Gary Campbell, CEO of Johnson Health Center. “Our providers spend the time to get to know their patients and to really listen to what is happening in their lives. Duane has a reputation within our community for administering an excellent level of patient care. He truly live out our core values every day.” More information: www.jhcvirginia.org Marcia and Duane Kresge, PHP at the Virginia Community Healthcare Association’s Award Ceremony.
For More of The Pulse Visit: ourhealthlynchburg.com
Do you have health-related news to share for The Pulse? Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com.
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AUGUST & SEPTEMBER
CALENDAR
INFORMATION • EVENTS • AWARENESS
8.5 & 9.2 FIRST SUNDAY
FREE YOGA
Get your pose on! Visit Yoga Goodness for First Sunday Free Yoga (donations appreciated)! This all-levels class is perfect for everyone! Bring your own mat or borrow one at no charge.
Free | 9:30 am – 10:45 am Yoga Goodness Studio 901 Jefferson Street | Lynchburg More Information: w www.ourhealthvirginia.com/ events/yogagoodness
8.8: WYNDHURST WEDNESDAY
FOOD TRUCKS
Just two more Food Truck Wednesdays left! Lots of healthy and yummy options for your hump-day lunch! Food trucks are set up on The Summit’s North Lawn (closest to the YMCA). Outdoor seating is available or bring a blanket and friends!
Cost of meal |11 am – 2 pm The Summit | 1400 Enterprise Dr. | Lynchburg More Information: w www.ourhealthvirginia.com/events/ wyndhurstwednesday
8.31: LOVE. PETS. MATCH.
Mark your calendar and practice your serve for a tennis tournament to benefit the pets of the Lynchburg Humane Society! August 31st through September 2nd at Oakwood Country Club. Event sponsorships still available!
Visit link below for costs | 8 am Oakwood Country Club 3409 Rivermont Avenue | Lynchburg MORE INFORMATION: w www.ourhealthvirginia.com/events/ petslovematch
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Calendar • AUGUST & SEPTEMBER
8.18: FACE THE FOREST 5K OBSTACLE COURSE RUN
Runners take your mark and get set for adventure! Join Poplar Forest and the Jamerson YMCA for the 7th annual Face the Forest Obstacle Course Run. Test your abilities as you run through the hills, dales and woodlands and the obstacles placed along the way—climbing walls, balancing teetertotters, flipping tires and trenching through mud, to name just a few. Open to all ages.
$35-$40 | 7:30 am – 12 noon Thomas Jefferson’s Poplar Forest 1542 Bateman Bridge Road | Forest More Information: c 434.534.8120 or w www.ourhealthvirginia.com/events/facetheforest
8.27 50+ PUTT PUTT
MINIATURE GOLF The game of the season! You don't need to be a pro to enjoy miniature golf. Meet at the course, weather permitting. Adults only please. Registration not required. Sponsored by Lynchburg Parks & Rec. $3/two games | 9 am – 11 am Putt Putt Golf & Games 8105 Timberlake Road | Lynchburg More information: w www.ourhealthvirginia.com/events/50putt
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Calendar
• AUGUST & SEPTEMBER
9.8:
CENTRA REHAB
THROWDOWN N TANKTOWN (TNT)
8.25: RIVERFRONT
CHALK FESTIVAL & ART CONTEST
Be Inspired! That’s the theme for this year’s colorful chalk masterpieces. Artists of all ages, backgrounds and abilities are invited to participate in this fourth annual event! In addition to the chalk art, the community is invited to soak up the last moments of summer with a downtown block party at Amazement Square featuring various summer activities!
Entry to the Festival is FREE | $10 - $20 to register | 10 am – 2 pm Amazement Square | 27 9th Street | Lynchburg More Information: w www.ourhealthvirginia.com/events/chalkfest2018
It’s the annual TNT Mountain Bike Race in Montvale! This is one of the late season races in the Virginia Off Road Series (VORS) where points will be available. The course is 95+percent single track that crisscrosses through old growth oak forests and is fast. Come out and experience Montvale’s hidden treasure trove of trails and have a great time!
$10 - $30 | 10:30 am Montvale Park 1092 Marketplace Drive | Montvale More Information: w www.ourhealthvirginia.com/events/ centrathrowdown
9.22: GUT
9.8
CHECK:
COLON HEALTH MATTERS
HEALTHCARE PROVIDER
CPR, FIRST AID & HEARTSAVER CPR CLASSES
These healthcare classes are designed to prepare students to provide first aid, CPR and Heartsaver CPR in a timely and effective manner. These courses can be taken together or individually and are intended for anyone who wants to be prepared for an emergency in any setting.
$40+ | 8 am – 6:30 pm Raspberry Hill Adult Daytime Center | 300 Enterprise Dr., Suite B | Forest More Information: w www.ourhealthvirginia.com/events/heartsaver
Nationally known speaker, Barb Bancroft, MSN, PNP, will discuss colorectal health, including diet, at this free continuing education program for nurses and nurse practitioners. Open to the public. Continental breakfast included. Host site is New College Institute, Martinsville, with multiple local satellite sites available.
Free | 8:30 am – 12 noon New College Institute | 191 Fayette Street Martinsville More Information: w www.ourhealthvirginia.com/events/ gutcheck
For More Events Visit: ourhealthlynchburg.com
Do you have an event that our readers simply must know about? Tell us about it by emailing Stephen McClintic Jr. at steve@ourhealthvirginia.com. Please submit your information at least three months in advance to be considered for publication in the magazine.
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9.29: GENWORTH VIRGINIA 10 MILER
Enjoy the 45th year of The Genworth Virginia 10 Miler! Running, walking and relay events for every age from ¼ mile to 10 miles. Great live music along the course and refueling with post-race food and entertainment! And of course, encouragement from thousands of spectators!
$15 - $125 | 8 am – 12 noon Several locations throughout Lynchburg More Information: w www.ourhealthvirginia.com/ events/2018-10miler
JOIN THE OURHEALTH COMMUNITY We would love to hear from you. Write us, tweet us, or tag us today! facebook.com/ OurHealthLBSS @OurHealthLBSS on twitter @OurHealth on pinterest
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VOLUNTEER
Spotlight
Y?
HEROES • CHAMPIONS • COMMUNITY-MINDED
WHY
THE
HIS PASSION FOR SPORTS LEAD HIM TO VOLUNTEER FOR THE YMCA words | CATHERINE BROWN
Jimmy Watts, a Lynchburg native, grew up participating in YMCA of Central Virginia programs and camps. Through the Y, he developed his love for sports, including tennis and football, which he played in high school, and his passion for fitness, which persists today. “I love sports,” Watts says, “and I feel like sports are so important for teaching life lessons and fitness.” Watts has four children, and they also participated in YMCA programs when they were younger. Given his background, it is not surprising that Watts serves on the board of the YMCA of Central Virginia. Though he has served on many boards, the YMCA board holds special significance. Watts has had strong personal connections with the Y throughout his life, he grew up with some of the Y staff members, and he has consulted with the Y for many years as a risk advisor. “It’s good to be associated with an organization you know is going to deliver on its value proposition,” Watts says.
his friends. “The tournament typically raises about $30,000,” Watts says with pride. “This money is used to fund scholarships for several of the Y’s youth programs, like the Summer Learning Loss Prevention Program,” which helps close the academic achievement gap. Although he has participated in the golf tournament for many years, Watts has served on the board of the Lynchburg Y for only about two years. Part of his responsibilities involve working on a committee related to the Lynchburg YMCA’s relationship with the Southside Virginia Family YMCA of Farmville. Watts enjoys serving on the YMCA board in part because he is impressed by the talent and intelligence of the other members. Next year, Watts will serve as vice president. He jokes, self-deprecatingly, that when they asked him to be vice president, he responded, “There’s got to be someone you want more than me.”
“I love sports and I feel like sports are so important for teaching life lessons and fitness.”
Watts first became involved as a volunteer with the Y about ten years ago through the Youth Scholarship Golf Tournament and Golf Ball Drop. Because of his work with the YMCA, and because he enjoys playing golf, Watts became involved in the planning committee. He has been chairman of the committee for many years, and each year, he looks forward to playing in the tournament with
Watts sells himself short. What truly makes Watts a perfect fit for the YMCA board— beyond his intelligence, friendliness, and business experience—is his passion for the YMCA and its mission. It is meaningful for him that the Y plays such a pivotal role in the community and that it is a Christian organization that is open to and accepting of everyone. “For me,” Watts says, “it’s important that the Y is a strong and compassionate community that does so much to help the youth and family of Lynchburg.”
ON THE WEB
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VOLUNTEER Spotlight • Jimmy Watts’ Passion for Sports Lead Him to Volunteer for the YMCA
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Questions. Answers. Knowledge.
Medicare covers
100
PERCENT
for skilled nursing and therapy services, when the services are considered reasonable and medically necessary, following an acute episode such as hospitalization or change in health status.
How likely is it that Medicare Part A will cover my parent’s home health care? Medicare covers 100 percent for skilled nursing and therapy services, when the services are considered reasonable and medically necessary, following an acute episode such as hospitalization or change in health status. The patient must be homebound, which means the patient is unable to leave his or her home without assistance or leaving the home is not medically recommended because of his or her condition. Patients must have an order from their doctor that outlines the specific services needed. Your parents have the right to choose the Medicare certified home health agency from which they would like to receive services, and their choice should be honored by the prescribing doctor, hospital discharge planner, or other referring agency. Once the agency receives the order, a clinician will make a home evaluation to confirm that the above criteria are met and to determine the plan of care.
Sue Irvine, RN
Vice President of Operations Generation Solutions Lynchburg | 434.455.6500 www.generationsolutions.net
What is Intellectual Disability (ID)?
What is Aesthetic Ridge Augmentation?
Intellectual Disability (ID) is a disability characterized by significant limitations in both intellectual functioning and in adaptive behavior, which covers many everyday social and practical skills. The three main characteristics of an ID are:
Our smile is made from the size, position, and color of our dental structures. Because many people may be embarrassed to smile, procedures can be performed to give them a measure of self-confidence by correcting areas of recession and deficient bone support for the gums. During aesthetic ridge augmentation, areas of recession are best treated by a gum graft using either the person’s own tissue or a donor’s tissue. The success rate is high, and the result is durable.
1.
Intelligent quotient (or IQ) between 70-75 or below
2.
Significant limitations in adaptive behaviors (the ability to adapt and carry on everyday life activities such as self-care, socializing, communicating, etc.)
3.
The onset of the disability occurs before age 18
Intelligence refers to general mental capability and involves the ability to reason, plan, solve problems, think abstractly, comprehend complex ideas, learn quickly, and learn from experience. Studies show that somewhere between one percent and three percent of Americans have an ID. As adults, many people diagnosed with an intellectual disability are able to lead independent lives in the community without paid supports. A small percentage will have serious limitations in functioning and require on-going care. Regardless of the level of functioning for an individual diagnosed with an ID, they all can lead happy and satisfying lives within their community.
Denise Doyle
ID Case Manager Horizon Behavioral Health Lynchburg | 434.477.5040 ext. 2416 www.horizonbh.org
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
When a person has bone resorption, which takes place when a tooth has been lost and there’s no tooth root left to anchor or stimulate the surrounding bone, procedures are used to increase the bone to permit implants or support to the gums. It takes both the bone and the soft tissue to provide the foundation for a smile. These procedures are done in the office with local anesthetic, and mild post-procedure discomfort.
Sherman Smock, DDS
Periodontal Health Associates Lynchburg | 434.455.2444 www.periodontalhealthassociates.com
Q A ON HEALTH • Knowledge
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Questions. Answers. Knowledge.
The Medication Assistance Program (MAP) is a
program provided to patients who do not have
INSURANCE
and qualify financially based on Federal Poverty Guidelines. The program provides brand name medications through drug companies.
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What is the Medicaid Assistance Program (MAP) and what are the requirements to qualify to receive reduced prescription medications? The Medication Assistance Program (MAP) is a program provided to patients who do not have insurance and qualify financially based on Federal Poverty Guidelines. The program provides brand name medications through drug companies. Generally, 90-day prescription quantities are either mailed to a pharmacy within two to four weeks of submitted and approved paperwork or directly to a patient’s home. These medications are provided at no charge to the patient. Only certain doctors’ offices and pharmacies participate in this program. The MAP program differs from Johnson Health Center’s (JHC) reduced fee prescriptions service. Reduced fee prescriptions are for any prescription stocked in JHC’s pharmacy and are provided at significantly reduced prices. The price is related to where the patient falls on the federal poverty level.
Harold Wilson, RPH
Johnson Health Center Lynchburg | 434.947.5967 www.jhcvirginia.org/pharmacy
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
What are the common causes of nasal obstruction? Nasal obstruction can be a manifestation of numerous acute and chronic conditions that vary between children and adults. In children, a foreign body is the most common cause of an acute nasal obstruction and often present with one-sided, foul-smelling, purulent nasal discharge. Enlarged adenoid tissue, on the other hand, is the most common chronic cause. In teens and adults, septal hematomas tend to be preceded by a trauma and are among the most common acute causes of nasal obstruction. Acute and chronic sinus infections, allergic and viral rhinitis, and deviated septum are also amid the frequent culprits. Abscess, nasal polyps, and tumors are less common and may have a gradual onset. Consequently, further evaluation by a specialist may be necessary to identify the cause.
Indre Lithyouvong, DMSc, MPAM, PA-C
Blue Ridge Ear, Nose, Throat & Plastic Surgery, Inc. Lynchburg | 434.947.3993 www.blueridgeentps.com
What is Digoxin Toxicity? Digoxin is a medication used for heart failure and heart rhythm issues. Digoxin toxicity is when there is too much digoxin in a patient’s body and he or she experiences side effects. Toxicity symptoms may vary in each patient. Most patients experience nausea, vomiting, abdominal pain, confusion, fatigue and weakness. These symptoms can happen suddenly or over time. The toxic cardiac effects are the most concerning and can lead to life threatening heart rhythm issues. If you take this medication and experience some of these symptoms, it is important to seek medical attention. Healthcare providers will assess your symptoms, draw a digoxin level and other lab work, as well as monitor your heart rate and rhythm. There is a reversal agent that can be used for digoxin toxicity, if your healthcare provider feels it is necessary.
Ryan Wolfe, PharmD
Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com
Q A ON HEALTH • Knowledge
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Health
A-Z
INSIGHT • AWARENESS • MINDFULNESS
words | JENNIFER LAMONT
Keeping our children healthy and safe today goes beyond proper nutrition, exercise and good hygiene habits. Kids face issues their parents never did: social media predators, an opioid crisis that’s snaking its way into firstgrade classrooms, and epic levels of stress. While children shouldn’t live in fear, they need resiliency skills to be successful. This Back-to-School guide addresses some of the more difficult issues kids face, including social media safety, substance abuse and mental health disorders.
Elementary K – 5: They know more than you ever knew at their age. Are You a “Sharent?” Oversharing pictures, or “sharenting,” of your young children on your social media or other public sites gives them a digital presence without their consent. It can also expose their image to predators, who steal those innocent photos and manipulate them in grotesque ways for use on illegal sites by pedophiles. There are as many addictive video and social media sites for young kids as there are for teens and adults. Maybe more. Limit their screen time with a timer. Don’t let YouTube or other video sites babysit your child. Unsavory content can be wrapped up in ‘fun’ kid’s videos.
TODAY,
KIDS FACE ISSUES
THEIR PARENTS
NEVER DID: social media predators, an opioid crisis that’s snaking its way into firstgrade classrooms, and epic levels of stress.
Drugs are Everywhere. It’s Never Too Early to Talk About Them Always keep medicines locked up and never refer to pills as candy. Teach children to never take anything they stumble upon accidentally or if given to them. www.OurHealthlbss.com
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Health A-Z
• INSIGHT
Young children love to know how things work. Educate them on how medications affect the brain and body.
Young Kids Get Stressed Too Stress shows up in young kids as:
A B C D
aggressiveness nightmares fears
E F G
regressive behaviors like bed-wetting trouble concentrating harming behaviors like head-banging
sadness
Help them find the words to express themselves and listen to what they are—and are not—saying.
DID YOU KNOW? THE RATE OF OPIOID OVERDOSES IN CHILDREN AGES 1 – 17 HAS
Middle School: This time of transition is when kids first get exposed to online bullying, predators, drugs and alcohol—right at a time when their brains are geared toward more risk-taking behaviors. Less Screen Time = More Authentic Friendships
DOUBLED SINCE 2004.
To tweens the online world is the real world. They form relationships through social media, gaming apps and other sites you may know nothing about. You may roll your eyes, but your daughter thinks all her 1,900 friends on Facebook are real.
More children are getting accidentally poisoned by parent’s painkiller medications than ever before.
If you are a parent who ‘respects your child’s privacy,’ you’re the only person on the planet who has no clue about what they’re doing. Online privacy doesn’t exist for anyone. Follow them on all their accounts and talk to them about who they’re in contact with.
NO RACE, SOCIOECONOMIC STATUS, GENDER OR AGE IS IMMUNE.
Encourage offline activities. Joining sports or other groups, volunteering and attending church help them acquire interpersonal and coping skills, and empathy. Know that social media and apps are all engineered to hack the brain’s neurological triggers. In other words, get it addicted to “likes” and attention. That’s according to a Google product manager.
“Just Saying No” Doesn’t Always Work Middle schoolers can get prescribed opioids after an injury or getting teeth pulled. Teaching them about the science of addiction will help them better understand why prescribed painkillers can be just as dangerous as illegal drugs. Showing them the effects of drug addiction may go further than telling them to “just say no.” Teach your children what the National Institute on Drug Abuse calls “refusal behaviors” against peer pressure. Brainstorm and practice strategies for saying no, exiting the situation and relying on help if needed.
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Health A-Z •
Supervise and spend time with your child (without your phones in hand). Studies show the stronger the bond between parent and child, the less likely they are to become addicted to substances.
How to Build Resilience in Kids Going Back-to-School
Middle Schoolers Experience the Worst Stress Between bullying—which happens more in middle school than anywhere— social pressure, and trying to figure out where they “fit,” middle schoolers are an extremely stressed bunch of kids. Help them by keeping organized at home including good sleep habits and consistent routines. Teach your child that stress is a normal part of life and lead by example. Show them how you effectively deal with stress through:
A B
exercise breathing
C D
prayer mindfulness and other techniques.
Be supportive of their homework, extracurricular activities and social calendar—while being consistent about your expectations.
High School: On the brink of adulthood, high school teens need to feel independent and successful, without feeling alone. Online: Is That Your Finsta or Rinsta? Often, teens have fake accounts on sites like Instagram. You may have ‘complete control’ over their “finsta” (fake Instagram account) while their “rinsta” (real Instagram) is where you’ll find their true activities. High school kids are frequently one step ahead of parents. Even if you take away one device, they usually have another way to get online. Be aware of how your child feels about their reputation and self-esteem. Kids who suffer from depression, self-esteem and mood disorders are more likely to share sexually explicit photos of themselves with other teens. That can create a cascade of exploitation. Go beyond Facebook. Your teen doesn’t even use it, mostly because you’re on it. Predators prey on kids through apps like Instagram, Kik and WhatsApp, and through gaming sites.
A HEALTHY SENSE OF SELF For a teenager, having clear skin and putting his or her best face forward is more than just being zitfree and looking good for classmates. It’s about the development of a “senseof-self” that happens during the middle and high school years, which can determine how much appropriate self-confidence is carried forward into adulthood. Equipping teens with healthy self-esteem doesn’t just set them up for success, it also gives them the fortitude to handle life’s inevitable challenges and occasional defeats. SAMANTHA HILL, MD is a Pediatric and Adult Dermatologist with RidgeView Dermatology in Lynchburg.
Encourage offline activities to get them engaged in real life. Joining sports or other groups, volunteering and attending church will help them develop interpersonal skills and empathy.
Resilient Teens are Sober Teens The most commonly abused drugs by highschoolers are:
A B
alcohol marijuana
C
prescription opioids like Oxycontin, Oxycodone and Vicodin
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Health A-Z
• INSIGHT
Withdrawing from everyone is not a normal “teenager habit.” Any of the following changes can signal that your teen is struggling with a drug problem:
A B
behavior dress
C D
E social life F mood
grades friends
G
eating habits
Show your teen how to move forward through challenges rather than selfmedicate with drugs or alcohol to feel better.
DID YOU KNOW?
Get them—and yourself—resiliency training if needed: Studies show kids who can figure out how to bounce back from adverse situations and maintain good coping skills are more likely to refuse drugs and alcohol.
The Best Years of Their Life? Teens feel the same amount of stress as their parents, and sometimes more. But research shows they have little idea of the physical and mental impact that stress causes them.
NEARLY
ONE IN FIVE
Twenty percent of teens are clinically depressed, according to Mental Health America’s estimates. They say many teens go without treatment because their behavior is seen by parents as normal adolescent “adjustments.”
teens say they have used
PRESCRIPTION MEDICINE AT LEAST ONCE
If you see signs of stress and depression in your teen, don’t ignore it. Encourage them to make new friends, engage in sports or other activities, or join a group.
in their lifetime to get high. In 2015,
58 PERCENT of 12th grade students were
REPORTED AT “GREAT RISK” FOR TRYING HEROIN.
SOURCES American Psychological Association (www.apa.org) CBS News (www.cbsnews.com) CNN (www.cnn.com) Mental Health America (www.mentalhealthamerica.net) National Center for Biotechnology Information (www.ncbi.nlm.nih.gov) National Institute on Drug Abuse (www.drugabuse.gov) Psychiatric News – American Psychiatric Association (www.psychnews.psychiatryonline.org) Psychology Today (www.psychologytoday.com)
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Health A-Z • How to Build Resilience in Kids Going Back-to-School
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Health
A-Z
INSIGHT • AWARENESS • MINDFULNESS
FOCUS ON
MIND,
BODY, AND
SPIRIT
Fork Union Military Academy Prepares Boys to Become Healthy Young Men words |BRANDY CENTOLANZA
Josh Henriques, 2018 valedictorian of Fork Union Military Academy.
When Joshua Henriques was in middle school, he began expressing interest in attending a military academy in lieu of a traditional high school experience. Though hesitant at first, his parents enrolled him in Fork Union Military Academy, where Henriques graduated this past spring at the top of his class as Valedictorian. He was also named Battalion Commander. “My experience at Fork Union has been one of trials as well as boundless learning,” Henriques says. “The majority of my enjoyment while attending Fork Union comes from the hardships I faced. I found amazing friendships and learned lessons of utmost value that will stick with me forever. It also developed core values in me.” Fork Union Military Academy, founded in 1898, is a college-prep boarding school emphasizing Christian values. Its military school system provides structure and discipline for boys in grades seventh through twelfth as well as postgraduates. In an age where cyberbullying, school shootings and other issues plague America’s public classrooms, some parents may be in search of an unconventional education for their sons. Enter Fork Union Military Academy. “I believe our mission statement summarizes us well: ‘Our mission is to educate, develop, and inspire young men in a college preparatory, Christian, military environment. Cadets build character, learn leadership, independence, confidence, responsibility, and discipline in a setting that encourages mental, physical, and spiritual growth,’” says Col. Stephen M. Macek, Vice President for Operations for Fork Union Military Academy.
Spiritual Growth Cell phone use as well as social media is prohibited at Fork Union and there is limited opportunity for video game play, but none of that was even a factor when Henriques, a native of New York, first told his parents he wanted to attend the academy after visiting the campus. “I figured once Josh saw that he couldn’t have his cell phone, he would change his mind,” recalls his mother, Pauline. “Imagine my surprise when he came home and announced he knew which academy he wanted to go to and he didn’t want to wait for high school. He wanted to go for eighth grade.” www.OurHealthLynchburg.com
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Health A-Z
• AWARENESS
Without the distraction of cell phones, boys at Fork Union can focus more on their academics and other aspects of the academy’s curriculum, including faith, which is a huge part of Fork Union Military Academy. “We are a school founded on and guided by Christian values and faith,” says Ltc. James Benson, Chaplain for Fork Union Military Academy. “While the vast majority of cadets profess to be either Christian or come from a Christian tradition, we also have young men of other faiths as well. All, regardless of their faith, participate in the spiritual formation aspect of the school. All attend chapel services three times a week.” Benson has been the academy’s Chaplain for nearly a dozen years.
“My goal is to help these young men to shift focus from themselves to others. Loving God provides us
identity, LOVING OTHERS THROUGH SERVICE provides purpose for our lives. Even a young man of another faith can learn lessons in chapel about the importance of helping others This is a benefit for all cadets as they move on from Fork Union along the journey of life.” - Ltc. James Benson
One unique course offering for seniors at Fork Union Military Academy is called Applied Christianity. The class, which Benson has taught for the past three years, incorporates various community service activities. “Some of the places we have visited and helped out are White Bird Appaloosa Horse Rescue, Fluvanna SPCA, West Central Elementary, Carysbrook Elementary, Ronald McDonald House of Richmond, Eagle Eyrie Camp and Conference Center, and the National Kidney Foundation,” says Benson. “This class provides the students with an opportunity to put their Christian faith and Jesus’ command to serve others into practice.”
Focus on Fitness Maintaining a healthy lifestyle is also an essential part of life for students at the academy. Most days are structured, with class instruction held every morning and then afternoons set aside for sports and exercise. “We believe that structure and routine are beneficial to a young man as they enable him to focus his energy on activities that will help him reach his potential,” says Macek. “Much of a cadet’s day is planned in advance, relieving them of many of the distractions faced by youth today.” Physical activity is a part of daily life at the academy. Students either participate in interscholastic sports or an intramural program called Skirmish. “Skirmish breaks students of all levels into teams so they can experience the benefits of working together in sports and fitness-related team building activities,” explains Macek. Pauline Henriques appreciated the focus on fitness during her son’s time at Fork Union. “Joshua learned to push his limits physically and take his fitness to the next level,” she 32
Health A-Z •
says. “He played soccer, ran track and field, and did orienteering as well as lifting in the gym. He also learned the importance of fueling his body to maximize its performance.”
Focus on Mind, Body, and Spirit
Personal Responsibility Good mental health is also a vital component. All of the residential life and admissions staff as well as other faculty and staff are certified in Youth Mental Health First Aid, a program offered through the National Council for Behavioral Health. Bullying is unacceptable, and cyberbullying isn’t an issue since the boys are not permitted on social media. Those who attend Fork Union Military Academy also learn time management skills, discipline, and personal responsibility and accountability as they prepare for college. “The most surprising thing for me was how Joshua was held responsible for himself,” says Pauline Henriques. “When he was home and enrolled in our local public school, there was an expectation that the parents would be involved in making sure homework was done. At Fork Union, it was his responsibility to get his work done and to learn without any parent involvement. This clearly helped Joshua grow and mature.” Students at Fork Union Military Academy range in age from 12 to 19. Last year, students came from 28 different states and seven different countries. Most live on campus, though there are some day students who commute from surrounding areas. While the misconception is that parents send their children to boarding school to address behavioral issues, most moms and dads who choose Fork Union typically do so because they prefer a more structured environment for their sons than a traditional school setting.
Safety First Pauline Henriques, like most mothers, had some initial concerns about sending her son to an institution so far away from home. She worried about whether her son would be eating well and what would happen if he fell ill. “A fear his father and I had was if Joshua got sick or hurt, we wouldn’t be there to help him,” she says. “The nurses at the Fork Union infirmary were wonderful and put those fears to rest. The other big concern I had was that I would no longer be a daily part of Joshua’s life. There would be no more daily opportunities to guide him, pray with him, and share my views. But in the end, Joshua has had tremendous spiritual growth at Fork Union. The daily devotionals www.OurHealthLynchburg.com
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FORK UNION MILITARY ACADEMY 4744 James Madison Hwy | Fork Union, VA | 434.842.3212 | www.forkunion.com
had a big impact on developing his character and deepening his faith. And how knowing that cadets are able to call home often from their dorm room land lines was a big positive.” General school safety may also weigh on the minds of some parents. At Fork Union Military Academy, campus safety is also a top priority. “Safety is our number one concern,” says Macek. “We want parents to feel comfortable leaving their sons in our care. Our 1300+ acre campus is rural, providing us with an ideal environment free from the distractions of an urban setting. We consistently evaluate our environment to identify potential issues.” Later this year, a satellite office of the Fluvanna County Sheriff’s Office will be located on the campus. Both Joshua Henriques and his mother feel they made the right decision in coming to Fork Union Military Academy for his education. “While at the academy, I was able to discipline myself to a schedule of rigorous studying in both academia and Christianity,” says Joshua Henriques, who is moving on to the United States Air Force Academy as an officer. “I grew in my faith and learned so much. I was also able to become close with many instructors, who helped to guide my journey in so many ways. A couple teachers in particular helped to guide my diet plan as well as assist in workout routines. I have grown in many ways.” Pauline Henriques is proud of her son and grateful to those who helped shape him at Fork Union Military Academy. “I wish every boy could spend at least one year at Fork Union,” she says. “This school turns boys into men of integrity. Joshua went into Fork Union as a 13-year-old boy and came out an 18-year-old man of integrity and honor beyond what I could’ve expected. Sending our son to Fork Union Military Academy was one of the best decisions we have ever made.” Josh Henriques and his mother, Pauline at the Fork Union Mother’s Day Parade.
EXPERT CONTRIBUTORS Col. Stephen M. Macek, Vice President for Operations for Fork Union Military Academy. Ltc. James Benson, Chaplain for Fork Union Military Academy.
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Health
A-Z
INSIGHT • AWARENESS • MINDFULNESS
WHO’S WATCHING
YOUR
KIDS ONLINE? words |JENNIFER LAMONT
When Janet’s 15-year old daughter hesitantly approached her this summer telling her she was “scared” by the messages she was getting from someone online, Janet was relieved her daughter trusted her enough to talk about it. “But I was horrified by what I saw on my daughter’s phone,” she says. Through an app called Whisper, an ‘anonymous’ online diary app Janet had no idea existed, her daughter was getting explicit and threatening messages from an anonymous user asking her for nude pics. When she didn’t respond, he messaged her street address to her. That’s when her daughter became frightened enough to tell Janet about it and they reported it to the police.
Why Parents Need to School Themselves in Social Media Safety Predators no longer need to drive up beside your kid in a windowless van, they have a direct line right into your child’s bedroom through the endless number of social media and gaming apps on your child’s phone, internet or gaming system such as Xbox or PlayStation. And it’s not just sexual predators. It’s human traffickers, cyberbullies and explicit content that’s incredibly easy for your child to access.
CHILDREN & YOUNGER TEENS are not usually mature enough to handle social media strangers or the adult content they encounter online.
houses with internet actively protect their children.
Social media has it benefits, like helping your child build a positive reputation for college recruiters to find, stay in touch with family or friends, and to express themselves artistically. But law enforcement experts say crimes against children that begin as a social www.OurHealthLynchburg.com
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Health A-Z
• AWARENESS
CYBERBULLYING
FACTS AGE
the average age cyberbullying starts.
media interaction are increasing at an alarming rate. The web has just become too big for kids to navigate safely and it has global implications. The statistics are frightening:
of kids have been bullied online
21% have received threatening messages via e-mail or otherwise.
One in 5 children between the ages of 10 and 17 have received an unwanted sexual advance online, according to the U.S. Justice Department. There are more than 19,395 registered sex offenders in the state of Virginia alone. In 2017, there were 156 human trafficking cases reported in Virginia, according to the National Human Trafficking Hotline. Fifty of them were children. The International Labour Organization estimates there are 10 million children being trafficked around the globe right now. The average age for girls is 13. The average age for boys is 11.
35% of kids have been threatened online.
58
%
of kids have not told an adult about the bullying or threats. And the numbers keep growing.
“While our children shouldn’t have to live in fear, they need to be very aware. Strangers are no longer outside our home. They’re right at our fingertips,” says Faith Towles, Director of Programs for Freedom 4/24, a non-profit organization in Lynchburg that raises funds and partners with organizations around the globe to stop exploitation and human trafficking.
How Freedom 4/24 Fights Exploitation of Your Child and Others Around the World Freedom 4/24’s Awareness & Education (A&E) Initiative educates and empowers youth in the greater Lynchburg area to fight exploitation of themselves and others. Speaking to upper middle and high school students, they provide tools for safe online behavior and educate students how to protect themselves against predators. They show them how not to be victims.
It’s vitally important to dialogue with students about internet safety, cyberbullying and predator tactics. Key to this is teaching them what exploitation vs. healthy relationships look like, says Faith. Through two of their current curriculum options, Sold No More’s Power Over Predators program and the Richmond Justice Initiative’s Prevention Project, they offer schools an assembly-type overview or in-depth interactive sessions. Because children are exposed to so much explicit material online, she says, the programs talk about the neurological, addictive impacts pornography has on the brain—and how it fuels
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1 in 5
US teens have received unwanted solicitation online
And, Faith adds, it’s not just enough to educate our children. “As parents we really need to educate ourselves on how social media is impacting our children neurologically and what behaviors they’re exhibiting that may be concerning. It’s easy for people – and especially kids – to think they’re having a real relationship online with someone they’ve never even met before,” she says.
know are INSTAGRAM,
FACEBOOK and
SNAPCHAT. These and other apps have benefits, but are also HUNTING
GROUNDS FOR PREDATORS AND BULLIES. Here is a small sampling of other popular apps and devices with teens and tweens:
WHISPER – all users are anonymous but the app is tied to your geolocation so users can search for “whispers near me.” It’s known to be used by cyberbullies and predators.
Beyond Facebook: Know the Apps Your Kids are Really Using Many times, that means parents need to educate themselves on what apps are trending, how to access everything in their child’s phone, set appropriate filters and monitor all their accounts. Apps that allow your child and other users to remain anonymous are especially risky because they lead to cyberbullying, sexualized behavior and predation. (See sidebar for a list of some of the top trending risky apps.)
KIK, WECHAT, VIBER and WHATSAPP – these alternative texting services bypass the phone’s messaging service, making it easy to talk to strangers without a parent’s knowledge.
New apps are constantly being created. To keep up-to-date on popular or risky social media apps and how to stay safe online, visit sites like www.commonsensemedia.org and www.netsmartz.org. Resources like these offer good training tips and also show parents how kids hide apps on their phones and get around filters and explicit ratings.
TINDER, BUMBLE and BLENDR – these apps are all used for “hooking up” and do not enforce age restrictions.
The Core Skills Every Child Needs if They’re Online While knowing how to monitor your child’s electronic and social media usage, the core lessons for kids – and parents – to help children stay resilient against online exploitation is to teach them how to build healthy relationships and behaviors. Explaining what positive face-to-face peer and mentor relationships look like is key to helping them navigate online. Faith advises, “Really talk to your kids about what apps they have on their phone, obviously create a good space and open dialogue, asking them, ‘Who are you exposing yourself to with your settings and your social media?’”
PLAYSTATION and XBOX – kids can game and chat with anyone around the world.
9GAG – used for memes and pictures that aren’t moderated, kids can view explicit or terrible images. It’s known to be full of cyberbullies.
VOXER – a free walkie-talkie type app that automatically makes profiles public, revealing name, geolocation and phone number instantly when you sign up.
Social Media
human trafficking. Many times, students are not aware that in sharing pictures of themselves or others, they are exploiting themselves or the other person.
Some of the more popular social media apps parents
•
YOUR APPS!
Health A-Z
KNOW
Health A-Z
• AWARENESS
“We have to realize our kids are going through a culture shift and that relationships are happening online. So, parents need to really be intentional about helping kids have face-toface interactions. Parents also have to be willing to have conversations about social media and how their children are using it, and be the bad guy if necessary,” says Faith. More than that, she says, it’s setting up healthy behaviors through mentoring and modeling such as the following:
“We have to realize our kids are going through a culture shift and that relationships are happening online. So, parents need to really be intentional about helping kids have face-to-face interactions. Parents also have to be willing to have conversations about social media and how their children are using it, and be the bad guy if necessary.”
FAITH TOWLES
Setting up kids with opportunities to interact with other people, like your faith community, sports teams, community groups, etc. Parents must be intentional with helping children form positive relationships offline. Modeling through your own relationships and online behavior what a healthy relationship looks like is key. Serving in the community in some way can help children and teens acquire empathy for others. “It helps them get outside of themselves and learn what’s really going on with other, real people,” says Faith. Parents need to take control of their children’s social media and phone usage if their child is under 18 years old. Our children’s safety is more important than their perceived privacy. Especially if they don’t understand there really is no privacy online for anyone.
Psychology experts agree that children and younger teens are usually not mature enough to handle social media, strangers or the adult content they encounter online – especially if they don’t have a proper sense of what exploitation and unhealthy relationships look like. Through programs like Freedom 4/24’s Awareness & Education Initiative, students are learning how to recognize exploitation and fight it within their own communities and around the world.
Director of Programs, Freedom 4/24
EXPERT CONTRIBUTORS Faith Towles, Director of Programs, Freedom 4/24 RESOURCES https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/ Children-and-Social-Networking-100.aspx https://www.aap.org/en-us/Pages/Default.aspx https://polarisproject.org/human-trafficking/facts www.isafe.org www.unh.edu/ccrc READ THIS EDITION OF
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HEALTH OBSERVANCES
AUGUST 12-18, 2018 | NATIONAL HEALTH CENTER WEEK
words |STEPHEN McCLINTIC, JR.
COMMUNITY
HEALTH CENTERS
IMPROVING CARE IN MORE WAYS THAN ARE
YOU MIGHT THINK
Karen Lee, dental hygienist, eases little minds at Johnson Health Center's dental office
Health centers are part of a nationwide network that is the family doctor to more than 27 million Americans. Their mission to provide affordable options for primary care is well established. What may be lesser known is that they are proven innovators and problem-solvers in treating chronic disease. Community health centers look beyond medical charts not only to prevent illness but also to address the factors that actually cause poor health, such as poverty, homelessness, substance use, mental illness, lack of nutrition and unemployment. Each year, National Health Center Week (NHCW) is observed to recognize community health centers in our communities and to bring awareness to their role in the changing healthcare landscape. OurHealth Lynchburg & Southside Magazine recently spoke with two members of leadership at Johnson Health Center (JHC) in Lynchburg – Gary Campbell, CEO and Mehgan McCrickard, COO – to discuss the impact JHC and its supporters are having on the health of those in our local community.
What are some of the advancements/ improvements that JHC has recently made to improve access to care, and what are some of the direct results of these improvements/ advancements? Gary Campbell: JHC has increased access to care more than 60 percent since 2014 by adding new locations in Madison Heights and Rustburg, relocating and expanding our pediatric and OB/GYN practice in Lynchburg, adding dentistry services for expectant mothers and children and most recently doubling the size of our Bedford County health center. These expansions helped JHC serve nearly 20,000 patients in 2017 with an expected increase of another 1800 patients in 2018. In conjunction with the physical expansions, JHC has intensified its focus on quality and better outcomes by adding dedicated care managers (Registered Nurses) who work directly with patients to improve chronic health conditions and enhance preventative care measures. JHC has also centralized administrative services such as referrals and medical records while standardizing clinical practices that enable our providers to spend more time with their patients. Quality measures and patient satisfaction have improved steadily over the last three years and this is noted by the Health Resources and Services Administration (HRSA) through quality award
Johnson Health Center p
Locations in Amherst, Bedford, Lynchburg, Rustburg & Madison Heights
w
www.jhcvirginia.org
Gary Campbell, CEO
Mehgan McCrickard, COO
SPECIALTIES/SERVICES: Primary Care Services, Dental Services, Behavioral Health, Family Medicine, OB/Gyn, Pharmacy, Immediate Care
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HEALTH OBSERVANCES
National Health Center Week
AUGUST
12-18 healthcenterweek.org Tana McCoull, CNM examines a patient at Johnson Health Center.
Health centers are on the front lines dealing with complex problems no one wants to think about, including the devastating opioid crisis and the growing problem of obesity in economically challenged neighborhoods – health conditions that, if left unchecked, put patients in hospital emergency rooms for costly treatment. Health centers save the U.S. healthcare system 24 billion dollars a year by managing health conditions and reducing unnecessary visits to the hospital.
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dollars that are specifically tied to improved outcomes. We have also enhanced timely access to care by offering many more same day visits and this has been very popular with patients. They can call that day for a sick visit and most likely be seen at one of our locations that same day. Finally, much work has gone into integrating all of our services under one roof including dental, medical, OB/GYN, behavioral health, pharmacy, patient engagement, outreach, insurance counseling, and nutrition and wellness programs. JHC recently hired a second psychiatrist and also has a licensed clinical psychologist dedicated to pediatrics. Our behavioral health services are open to all which means you do not have to be a medical or dental patient to engage this service, however we have found that once someone does see one of our behavioral health team members, they want to learn more about our other offerings and typically become part of the larger program. Being a one-stop shop is unique and having the ability to offer all of these services has been beneficial for our patients and the community in general.
What are the top pressing community health needs that JHC is focusing on and what are the different ways that it is addressing these needs? Mehgan McCrickard: There is a substantial need for wellness education and programming, especially in underserved communities. These programs focus on wellness and overall healthy living as a means of both preventing and managing chronic disease. JHC has recently launched wellness programming including a group focusing on pediatric obesity as well as groups focused on both prevention and management of diabetes. In addition, we have implemented outreach efforts to encourage patients to schedule wellness exams and routine screenings. We also offer 1:1 education through our Care Management and Nutrition staff. As well, there is need in the community for available and affordable treatment for opioid addiction. As the opioid crisis has grown, we have seen an increase in the number of patients seeking help for addiction. We currently offer help through individual counseling with our Behavioral Health staff as well as Acudetox (auricular acupuncture for the relief of withdrawal, cravings, and other associated symptoms). We are also in the process of implementing an OBOT (Office Based Opioid Treatment) program through which patients will be able to access MAT (Medication Assisted Treatment) for opioid addiction as well as both group and individual counseling, primary care, dental and psychiatry services. We anticipate this service being available in Fall 2018 through our Bedford location.
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Meghann Bowyer, NP makes checkups easy for this little Lynchburg patient.
What are some misperceptions or unknowns about community health centers? Gary Campbell: A common misperception about community health centers is that we only see patients who do not have insurance or have Medicaid. As a Federally Qualified Health Center (FQHC), we see every patient that walks through the door regardless of ability to pay, so this means we take all insurances in addition to those who don’t have it. JHC wants to be the provider of choice and that means we focus on creating a great experience every time – insured or not. One unknown is that health centers have been tracking quality outcomes for years, well before it became a push under some of the ACA (Affordable Care Act) guidelines. What this means is that health centers are well positioned in the shift towards value based care (reimbursements tied to quality vs. number of visits) because they are already set up to measure and improve quality through the electronic medical records and required annual reporting. Finally, community health centers have been around for more than 50 years and while they operate as separate entities, they are connected at a state and national level through a common vision – to take care of the underserved. As the CEO of JHC, I also serve as the Vice Chair on the Virginia Community Healthcare Association’s board of directors and get to speak nationally at many National Association of Community Health Centers (NACHC) conferences and events. In my professional career that spans over 25 years, I have never seen a more unified, passionate and committed group of independent organizations working together to learn from and help each other do what we do every day – truly and deeply care for the millions we serve.
A community health center’s model of care works by treating the whole patient with an integrated range of services located under one roof. That way, patients, including low-income families, veterans and the elderly, need not navigate a confusing maze of services to see a dentist or to fill a prescription. Yet, all too often this happens in our fragmented system of care, even for patients who have both insurance and
What are the primary challenges that JHC faces in meeting the needs of the community?
a regular provider. At health centers the
Mehgan McCrickard: With the recent decision to expand Medicaid in Virginia, there are expected to be thousands of individuals newly eligible for coverage who had not been previously eligible. The first challenge will be effectively reaching and educating these individuals regarding the services available at JHC including enrollment assistance. The secondary challenge will be continuing to ensure adequate access to care as the demand for services increases. JHC is committed to expanding and evolving to meet patient needs, and continually monitors data in an effort to determine when and where expansion is needed.
where they are from, or if they have an
goal is to provide everyone with easy access to care no matter who they are, insurance card.
Visit Your Local Community Health Center to Learn First Hand How They Are Making a Difference During NHCW this year (August 12 – 18, 2018), we invite you to learn more about health centers by visiting one near you and learning about the range of services and programs they offer. Talk with their clinicians and staff and find out why health centers are a good prescription for our nation’s health. To learn more about JHC, visit www.jhcvirginia.org.
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HEALTH OBSERVANCES
MRI,
SEPTEMBER | PROSTATE CANCER AWARENESS MONTH
words |RICK PIESTER
NEW
THE
DIAGNOSTIC
TOOL FOR
PROSTATE CANCER
Insight Imaging p
2923 Franklin Road, SW Roanoke VA 24014
N w
540.581.0882 www.mycdi.com
MEDICAL PROVIDER:
Mark C. Lopiano, MD Body and Neuroradiologist OFFICE HOURS: Mon-Fri (MRI): 7am-9pm; Mon-Fri (CT): 8am-4:30pm; Mon-Fri (X-ray): 9am-5pm Sat (MRI): 8am-4:30pm SPECIALTIES/SERVICES: High-field MRI, Prostate MRI, Injections for Pain, Ultrasound, High-field Open MRI, CT, Biopsies, X-ray
After lung cancer, cancer of the prostate is the leading cause of cancer deaths among men in the United States. This year, over 164,000 men in America will be diagnosed with prostate cancer, and it will kill more than 29,000 men. All told, more than 2 ½ million American men are living with prostate cancer right now. Diagnosis is rare in men younger than 40, and most men who have prostate cancer are 65 and older, according to the American Cancer Society. And as the population ages, the incidence of prostate cancer in the United States keeps growing. It can be a stealthy disease, creeping up on its victims and, without diagnostic screening, often does not leave clear symptoms until it’s too late. That’s why each September, health professionals dedicated to preventing, diagnosing and treating the disease observe Prostate Cancer Awareness Month, a time to focus extra attention on the disease. Prostate cancer can sometimes be very tricky to diagnose. The very first step — with or without symptoms — is usually a digital rectal exam, during which a physician estimates the size and texture of the prostate gland. If a physician feels that there may be a problem of some sort with the prostate, the next step will usually be the somewhat controversial PSA blood test.
WHAT’S THE PROSTATE? It’s a vaguely kidney-bean-shaped gland that sits at the base of the male bladder and encircles the urethra, the tube that carries urine and semen out of the body. Its job is to produce some of the fluid that nourishes and protects sperm cells in semen.
The test (the initials stand for prostate specific antigen) does not detect cancer in the prostate, as many people commonly think. Instead, the test is a measure for the level of PSA in the blood that can indicate noncancerous conditions of the prostate, as well as prostate cancer. It’s a bit controversial because the test may show false positive or false negative results. This can mean that men without cancer may have abnormal results and get tests that are not necessary. It could also mean that the 44
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INSURERS: We’ll wait and see In a position comparable to just about any new method of diagnosis, health care insurance companies are unhurried to approve the several-thousand-dollar price tag of an MRI to diagnose and aid in the biopsy of prostate cancer. To speed acceptance and to further establish the legitimacy of the MRI approach, radiologist Dr. Lopiano has decided to offer
•
screening versions of MRI of the prostate — similar to a mammography screening — to patients. Images produced in the
Prostate Cancer Awareness Month
screening version will not be as detailed as a full version, yet will still be highly accurate. Your physician can refer you. test could miss cancer in men who may need to be treated. Most physicians will recommend the test, but you should talk to your doctor about the right decision for you. But with an elevated level of PSA, physicians do need more information. The usual next step is usually performed by a urologist, a surgeon who treats cancers of the genital and urinary tract. It’s a needle biopsy commonly called a TRUS biopsy (for transrectal ultrasound). Using ultrasound to form images of the prostate, the doctor quickly inserts a thin, hollow needle through the wall of the rectum and into the prostate.. When the needle is pulled out it removes a small cylinder of prostate tissue. Most urologists will take about 12 core samples from different parts of the prostate, following a grid pattern.
Enter the MRI Here again, however, the TRUS biopsy can be subject to false positive or false negative results, either indicating cancer where there is none, or missing a cancer entirely. Further, not everyone with prostate cancer needs treatment. Sometimes, screening finds cancer that is so small and so slow growing that, for many men, active surveillance could be the best option.
PROSTATE CANCER SYMPTOMS One of the confounding aspects of prostate cancer is that there may be no signs or symptoms in the cancer’s early stages, yet in more advanced stages may produce these symptoms: • Trouble urinating
In Roanoke, urologists working in partnership with Insight Imaging see a promising new advancement in getting to a faster, more accurate diagnosis of prostate cancer. It uses the superior imaging power of magnetic resonance imaging (MRI) to view and detect suspected cancer in the prostate, and then visually guide the biopsy needle to pinpoint locations of suspected tumors.
• Decreased force in the stream of urine
It’s a two-step process, according to radiologist Mark C. Lopiano, MD, who has performed about 1,500 of the diagnostic exams over about three years. In the first step, urologists send patients with suspected prostate problems to Insight Imaging, where a high-resolution MRI is interpreted by Dr. Lopiano, who either confirms or refutes a suspected prostate cancer.
• Bone pain
If Dr. Lopiano believes a tumor is present, the MRI image is then converted by software to a visual overlay, used along with ultrasound imaging to pinpoint the exact spot for a needle biopsy by the urologist. In this way, only 2-4 needle sticks — compared to a dozen or more — are needed to accurately confirm the presence of a prostate cancer that should be treated.
• Blood in semen • Discomfort in the pelvic area
• Erectile dysfunction
to learn more about
“One of the first goals I have,” Dr. Lopiano says, “is that I want to keep as many men as possible out of the biopsy suite and having needless biopsies, while at the same time providing highly, highly accurate diagnosis of prostate cancer.” Results? Dr. Lopiano says that he has been able to accurately detect prostate cancers with 95 percent accuracy after the first MRI, and with nearly 100 percent accuracy after biopsy. One European study showed that use of an MRI scan reduced the number of invasive biopsies by up to 28 percent, with more accurate diagnosis of harmful cancer and fewer harmless cancers being diagnosed.
talk with your doctor or
visit myinsightimaging.com/ roanoke
www.OurHealthLynchburg.com
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ynchburg outhside The 8th Annual 2018 OurHealth Lynchburg & Southside Magazine Senior Living Awards OurHealth Lynchburg & Southside Magazine is pleased to recognize the 126 businesses and individuals that make up the winners of our 8th Annual Senior Living Awards, which were voted on by our community. To learn more about the voting process for our Awards, please visit www.ourhealthlynchburg.com/2018-lynchburg-sla.
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THIRD PLACE
Diuguid Funeral Service & Crematory Wiggington Chapel | 434.338.6989 Waterlick Chapel | 434.338.7094 www.diuguidfuneralservice.com
HONORABLE MENTION
Centra PACE Lynchburg | 434.200.6516 www.AtHomeWithCentra.com
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AFTER LIFE SERVICES FIRST PLACE
Whitten Funeral Home Park Avenue Lynchburg | 434.845.4521 www.whittenfuneralhome.com
SECOND PLACE Tharp Funeral Home & Crematory, Inc. Lynchburg | 434.237.9424 www.tharpfuneralhome.com
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Heritage Funeral Service & Crematory Lynchburg | 434.239.2405 www.heritagefuneralandcremation.com
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ADULT DAY CARE CENTERS
Colbert and Moran Funeral Home Gretna | 434.656.2211 www.colbertmoran.com
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ASSISTED LIVING COMMUNITY
FIRST PLACE
Runk & Pratt at Liberty Ridge Lynchburg | 434.515.1247 www.libertyridgeretirement.com
SECOND PLACE
Heritage Green Lynchburg | 434.333.0503 www.heritagegreenlynchburg.com
THIRD PLACE
Valley View Retirement Community Lynchburg | 434.237.3009 www.valleyviewretirement.com
HONORABLE MENTION Commonwealth Senior Living at Stratford House Danville | 434.799.2266 www.commonwealthsl.com The Summit Assisted Living Lynchburg | 434.455.1699 www.summitlynchburg.com The Williams Home Lynchburg | 434.384.8282 www.thewilliamshome.org Westminster Canterbury Lynchburg Lynchburg | 434.386.3500 www.wclynchburg.org
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AWARDS AWARDS AWARDS 201
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THIRD PLACE
Centra Home Health Lynchburg | 434.200.4111 AtHomeWithCentra.com www.centrahealth.com/services/ homehealth
HONORABLE MENTION
WINNERS ON SOCIAL MEDIA! #OurHealthLynchburg
Planet Fitness Danville | 434.792.1723 Lynchburg | 434.237.0287 www.planetfitness.com
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James River Yoga Lynchburg | 434.444.5395 www.jamesriveryoga.com
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HONORABLE MENTION
AWARDS 201
FINANCIAL ADVISING FIRST PLACE
CONGRATULATE
Kinetix Health Club Forest | 434.525.0015 www.kinetixlynchburg.com
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Team Nurse, Inc. Altavista | 434.309.2645 Danville | 434.799.1959 Gretna | 434.656.6000 Lynchburg | 434.582.4755 Madison Heights | 434.929.1047 www.teamnurse.com
Jim Richards Lynchburg | 434.846.2768 www.pldrlaw.com
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HONORABLE MENTION
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HONORABLE MENTION
Relevant Law Lynchburg | 434.200.9567 lynchburg.relevantlaw.com
Legacy Wealth Management Group Lynchburg | 434.266.1214 www.lynchburglegacy.com
SECOND PLACE HSC Wealth Advisors Forest | 434.329.7575 www.hscwealthadvisors.com
THIRD PLACE
John Hoskins, Merrill Lynch Lynchburg | 434.485.8282 www.ml.com
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Peace Haven Home Care Service Lynchburg and Danville 434.799.5731 www.peacehavenhealth.org
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FIRST PLACE
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Kindred at Home Lynchburg | 434.846.5219 www.kindredhealthcare.com
Davies & Davies Lynchburg | 434.528.5500
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SECOND PLACE
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Visiting Angels Lynchburg | 800.365.4189 www.visitingangels.com
Law Offices of Ron Feinman, Esq. Lynchburg | 434.528.0696
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Visiting Angels Lynchburg | 800.365.4189 www.visitingangels.com
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Generation Solutions Lynchburg | 434.455.6500 www.generationsolutions.net
Kindred at Home Lynchburg | 434.846.5219 www.kindredhealthcare.com
ROANOKE & NEW RIVER VALLEYS
FIRST PLACE
FITNESS CENTER
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COMPANION CARE
AWARDS 201
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HOSPICE CARE FIRST PLACE
Gentle Shepherd Hospice Lynchburg | 434.846.6270 www.gentleshepherdhospice.com
SECOND PLACE
Centra Hospice Lynchburg | 434.200.3204 www.centrahealth.com/services/ hospice
THIRD PLACE Seven Hills Hospice Lynchburg | 434.847.6400 www.sevenhillshh.com
HOME HEALTH CARE
HONORABLE MENTION SOVAH Hospice Danville | 434.799.5313 www.lhcgroup.com
FIRST PLACE
Seven Hills Home Health Lynchburg | 434.847.6400 www.sevenhillshh.com
SECOND PLACE
SENIOR LIVING
Generation Solutions Lynchburg | 434.455.6500 www.generationsolutions.net
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2018 SENIOR LIVING AWARDS •
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Roberts Home Medical Lynchburg | 434.846.5381
HONORABLE MENTION Commonwealth Home Health Care, Inc. Danville | 434.797.2332 www.commonwealthcare.com
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MEDICAL EQUIPMENT PROVIDER
FIRST PLACE
GME Medical Supply Lynchburg | 434.528.3765 www.gmemedical.com
Riverside Health & Rehabilitation Center Danville | 434.791.3800 www.riversidehealthrehab.com
HONORABLE MENTION Avante at Lynchburg Lynchburg | 434.846.8437 www.avantecenters.com
MEMORY CARE
SECOND PLACE Runk and Pratt Pearls of Life Lynchburg | 434.237.2268 www.runkandpratt.com
THIRD PLACE
Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com Piney Forest Health & Rehabilitation Center Danville | 434.799.1565 www.pineyforestrehab.com
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Commonwealth Senior Living at Stratford House Danville | 434.799.2266 www.commonwealthsl.com
Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
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Heritage Green Lynchburg | 434.333.0503 www.heritagegreenlynchburg.com
Gretna Health & Rehabilitation Center Gretna | 434.656.1206 www.gretnahealthrehab.com
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SECOND PLACE Lincare Lynchburg | 434.237.3712 www.lincare.com
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Appomattox Health & Rehabilitation Center Appomattox | 434.352.7420 www.appomattoxrehab.com
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WINNERS
The Summit Health and Rehabilitation Lynchburg | 434.582.1500 www.summitlynchburg.com
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Centra Guggenheimer Health and Rehabilitation Lynchburg | 434.947.5100 www.centrahealth.com
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NURSING HOME CARE
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HONORABLE MENTION
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Bentley Commons at Lynchburg Lynchburg | 434.316.0207 www.bentleyatlynchburg.com
Gretna Drug Company Gretna | 434.656.1251 www.gretnadrug.com
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McGurk House Lynchburg | 434.846.2425 www.mcgurkhouse.org
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WINNERS!
Hill City Pharmacy Lynchburg | 434.237.2221 www.hillcitypharmacy.com
Timberlake Family Pharmacy Lynchburg | 434.237.MEDS (6337) www.timberlakefamilypharmacy.com
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Runk & Pratt at Liberty Ridge Lynchburg | 434.515.1247 www.libertyridgeretirement.com
FIRST PLACE
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Westminster Canterbury Lynchburg Lynchburg | 800.386.3500 www.wclynchburg.org
SENIOR LIVING AWARD
PHARMACY
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INDEPENDENT LIVING COMMUNITY
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2018 SENIOR LIVING AWARDS • ROANOKE & NEW RIVER VALLEYS
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AWARDS 8 GOLD
Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
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REHABILITATION FIRST PLACE
Rehab Associates of Central Virginia Lynchburg | 434.528.1848 www.racva.com
SECOND PLACE
Blue Ridge Therapy Associates Lynchburg | 434.845.8765 www.blueridgetherapy.com
THIRD PLACE
Centra Outpatient Rehabilitation Central and Southwest Virginia 434.200.3000 Rehab.centrahealth.com
HONORABLE MENTION
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Genesis Rehab Services at Heritage Green Lynchburg | 434.333.0503 www.heritagegreenlynchburg.com
AWARDS 201
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PALLIATIVE CARE
FIRST PLACE
Centra Health Lynchburg | 434.200.3000 www.centrahealth.com
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POST-ACUTE REHAB SERVICES
FIRST PLACE
Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
SECOND PLACE
Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
THIRD PLACE Liberty Ridge Health & Rehabilitation Center Lynchburg | 434.847.2860 www.saberhealth.com
HONORABLE MENTION Avante at Lynchburg Lynchburg | 434.846.8437 www.avantecenters.com Centra Fairmont Crossing Health and Rehabilitation Center Amherst | 434.946.2850 www.centrahealth.com Gretna Health & Rehabilitation Center Gretna | 434.656.1206 www.gretnahealthrehab.com Stanleytown Health & Rehabilitation Center Bassett | 276.629.1772 www.stanleytownrehab.com
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Avante at Lynchburg Lynchburg | 434.846.8437 www.avantecenters.com
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The Spa and Salon at Acorn Hill Lynchburg | 434.528.2200 www.acornhilllodge.net
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THIRD PLACE
Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
THIRD PLACE Westminster Canterbury Lynchburg Lynchburg | 800.386.3500 www.wclynchburg.org
HONORABLE MENTION Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
AWARD WINNERS ON SOCIAL MEDIA! #OurHealthLynchburg
THIRD PLACE
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Charley’s Restaurant Lynchburg | 434.237.5988 www.charleyslynchburg.com
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La Carreta Restaurants Great Lynchburg Area www.lacarretaonline.com
HONORABLE MENTION Cotton at Riverside Mill Danville | 434.421.6711 www.cottonatriversidemill.com Magnolia Foods Lynchburg | 434.528.5442 www.magnoliafoods.com Shoemakers American Grille Lynchburg | 434.455.1510 www.shoemakersdining.com
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SECOND PLACE
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Piney Forest Health & Rehabilitation Center Danville | 434.799.1565 www.pineyforestrehab.com
Seasons Boutique at Centra Lynchburg | 434.200.3777 www.centrahealth.com
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Centra Acute Rehabilitation Center at Virginia Baptist Hospital Lynchburg | 434.200.4651 www.centrahealth.com
Sage Tryall Salon Lynchburg | 434.239.4454 www.sagetryallsalon.com
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The Neighbors Place Lynchburg | 434.455.4300 www.theneighborsplace.com
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FIRST PLACE
HONORABLE MENTION
AWARDS 201
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SENIOR RELOCATION SERVICES
FIRST PLACE
Caring Transitions Roanoke | 540.977.2801 www.caringtransitions.com
SECOND PLACE
Gin McCabe John Stewart Walker Inc. REALTORS Lynchburg | 434.385.6655 www.johnstewartwalker.com/ gin-mccabe
THIRD PLACE SENIOR COMMUNITY CENTER
My Guys Moving & Storage Lynchburg | 434.200.9191 www.myguysmoving.com
FIRST PLACE
Templeton Senior Center Lynchburg | 434.455.4115 www.lynchburgparksandrec.com
SECOND PLACE Centra PACE Lynchburg | 434.200.6516 www.AtHomeWithCentra.com
THIRD PLACE Campbell County Senior Recreation Services Rustburg | 434.332.9570 www.co.compbell.va.us
SALON AND DAY
CHECK OUT
SPA SERVICES
FIRST PLACE
Mia Bella Hair & Nails Lynchburg | 434.386.0400 f @miabellarocks
SENIOR LIVING
OurHealth Lynchburg & Southside ONLINE FOR EVEN MORE HEALTH RESOURCES! www.OurHealthLynchburg.com
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LYNCHBURG & SOUTHSIDE
FIRST PLACE
RESTAURANT
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Body Works Day Spa & Salon Lynchburg | 434.384.9053 www.bodyworkslynchburg.com
2018 SENIOR LIVING AWARDS •
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SKILLED NURSING CARE FIRST PLACE
Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
Piney Forest Health & Rehabilitation Center Danville | 434.799.1565 www.pineyforestrehab.com
Centra Rehabilitation Services Central and Southwest Virginia 434.200.3000 rehab.centrahealth.com Gretna Health & Rehabilitation Center Gretna | 434.656.1206 www.gretnahealthrehab.com
Appomattox Health & Rehabilitation Center Appomattox | 434.352.7420 www.appomattoxrehab.com Riverside Health & Rehabilitation Center Danville | 434.791.3800 www.riversidehealthrehab.com
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The Summit Health and Rehabilitation Center Lynchburg | 434.845.6045 www.centrahealth.com
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SPEECH THERAPY
FIRST PLACE
Blue Ridge Therapy Associates Lynchburg | 434.845.8765 www.blueridgetherapy.com OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Riverside Health & Rehabilitation Center Danville | 434.791.3800 www.riversidehealthrehab.com
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Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
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TRAVEL SERVICES
FIRST PLACE
The Travel Team Lynchburg | 434.385.0036 www.gotravelteam.com
HONORABLE MENTION
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HONORABLE MENTION
Generation Solutions Lynchburg | 434.455.6500 www.generationsolutions.net
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for passionately and selflessly dedicating their lives to senior care.
THIRD PLACE
HONORABLE MENTION
Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
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AWARD WINNERS
Centra Guggenheimer Health and Rehabilitation Lynchburg | 434.947.5100 www.centrahealth.com
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SECOND PLACE
THIRD PLACE
Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
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OurHealth Lynchburg & Southside Magazine would like to give a special thanks to all the
Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
SECOND PLACE
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STROKE CARE FIRST PLACE
Centra Acute Rehabilitation Center at Virginia Baptist Hospital Lynchburg | 434.200.4651 www.centrahealth.com
SECOND PLACE
Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
SECOND PLACE Connoisseur Travel (formerlyTravelbugs) Lynchburg | 434.455.0245 www.travelbugsinc.com
THIRD PLACE Cavalier Tours Lynchburg | 434.237.8087 www.cavaliertours.com
HONORABLE MENTION Travel Lovers Forest | 434.385.5192 www.travellovers.com
CONGRATULATIONS
SENIOR LIVING AWARD WINNERS!
ON THE WEB More at OurHealthLynchburg.com
Carriage Hill 1203 Roundtree Drive | Bedford | 540.586.5982 | www.carriagehillretirement.com SERVICES PROVIDED: Assisted Living, Memory Care, Respite Care, Rehab Services
About Us
Located in the heart of quaint and historic Bedford, Carriage Hill Retirement is more than just a retirement and assisted living community. While Carriage Hill Retirement specializes in Assisted Living and Memory Care, our amenities, facilities, and activities create an environment and atmosphere that is perfect for all residents. Our qualified and attentive staff are available around the clock to provide caring and compassionate service. The team at Carriage Hill Retirement is ready to welcome you home.
Assisted Living
Carriage Hill provides the perfect complement of assisted living services that fit the individual needs of our residents and are offered at two different levels of care. We recognize that every resident is unique, and that is precisely why we customize our care plans to make sure they support each of our residents specifically. We also recognize that over time, the needs of our residents may change. Carriage Hill is committed to monitoring the well-being of our residents, and our specialized care team discusses the intricacies and details regarding our resident’s care on a continuous basis. Our unique approach to customizing care allows Carriage Hill and our employees the opportunity to develop specialized relationships with the residents in our care.
Join us for Lunch Schedule a tour at Carriage Hill, and lunch is on us!
Call
540.586.5982
Family‌the way it should be! Memory Care
Memory Care at Carriage Hill is a community within a community. Carriage Hill provides a specialized care model with two levels of care options and a separate secured community for our Memory Care residents to call home. Our Memory Care building is a therapeutically designed environment with specialized services that stimulate cognitive abilities and maximize functionality so our residents can maintain as much independence as possible
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Gretna Drug Company
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108 Vaden Drive | Gretna | 434.656.1251 | 800.462.5958 | www.gretnadrug.com | f @GretnaDrugCompany
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PICTURED ABOVE FROM LEFT: Lisa Adams, Pharmacy Technician | Tom Morris, Pharmacist Chapman Brown, Pharmacist | Bryan Dalton, Pharmacist
Serving the Local Community
Gretna Drug Company has been serving Gretna and Pittsylvania County for over 100 years. In July 1967, H. Chapman Brown, Jr. purchased the firm. He and his wife and two sons moved to Gretna, VA from their native Lynchburg, VA. Since then, Gretna Drug Company has evolved from a small “corner drug store” with two major expansions in 1974 and 2002. In 1983, H. Chapman Brown III joined the firm after graduating from the University of North Carolina School of Pharmacy. Over the years as the business has grown, additional pharmacists and staff members have been added to offer quality healthcare and personal service to all. We appreciate the opportunity to serve you. Gretna Drug offers a full range of medication services, including: »» Flu shots and immunizations »» Blood pressure screening »» Durable medical equipment »» Adherence packaging »» Medication synchronization »» Medication therapy management services »» E-prescriptions
»» Private consultations with a pharmacist »» 24-hour prescription line »» Diabetic testing supplies
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ASK ABOUT RX COUPONS AND
SAVE UP TO
$450 ON TOP BRAND MEDICATIONS!
*Not eligible with government insured programs.
“As a pharmacist, the best advice we can offer is to always ask questions if you’re unsure about your medications or treatments. At Gretna Drug, our pharmacists and staff will listen to your concerns. Being a good listener
»» Yearly prescription summaries
is an important facet of being a great
»» Medication flavoring
provider. If your provider will not
»» And much more!
listen to you, perhaps it’s time to seek another.” – H. Chapman Brown III, RPh
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Heritage Green Assisted Living 200 Lillian Lane | Lynchburg | 434.385.5102 | www.heritagegreenlynchburg.com SERVICES PROVIDED: Assisted Living
About Us
Amenities
Heritage Green Assisted Living Community caters to seniors who require assistance with the activities of daily living, ranging from a variety of needs from very independent to aging in place with hospice care. The 48-unit community encourages residents to maintain maximum independence by providing a unique mix of support services and privacy. With both private and semiprivate accommodations, Heritage Green offers 24-hour personal care assistance managed by a Clinical Care Director with an onsite Medical Director.
Residents of both communities look forward to three delicious meals per day and nutritious snacks. Meals prepared in consultation with a nutritionist are cooked from scratch. Menus are adjusted seasonally and all special dietary needs can be met. In the elegant dining room, holidays and special events are particularly festive. Heritage Green encourages residents to invite family and friends to experience special events and activities with their loved ones.
Services At Heritage Green Assisted Living Communities residents enjoy the benefits of weekly laundry and housekeeping services, therapeutic and social activities, safety features, care assessment, ongoing case management, and wellness programs. Staff members delight in providing respect, care, and compassion to residents, family, and guests.
WE ARE GROWING A TRADITION OF CARE AT HERITAGE GREEN ASSISTED LIVING AND MEMORY CARE!
DayBreak Memory Care Heritage Green shares its campus with DayBreak, which offers programs for residents with Alzheimer’s and other dementias. For those who need memory care, DayBreak offers a 32-unit, fully secured community that caters to seniors with various degrees of memory impairment. The unique facility features self-contained neighborhoods, each with a living room, dining room, and outside courtyard. The staff is highly trained to assist in all activities of daily living, including bathing, dressing, and managing health and wellness. A consulting Geriatric Psychiatrist meets resident needs and a monthly caregiver support group helps meet family member needs. DayBreak’s memory care program, overseen by a Clinical Care Director and a Life Enrichment Director, incorporates clinical, personal, and social needs into an individualized yet interactive approach by promoting sensory activities, reminiscence techniques, physical exercises, motor skills therapy, and social engagement. Call today for a tour.
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Award winning services 8 years in a row!
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801 Main Street, Suite 702 | Lynchburg | 434.528.0696
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Elder Law | Medicaid Planning | VA Benefits Planning | Asset Protection | Long Term Care Qualification Powers of Attorney | Wills & Trusts | Sophisticated Estate Planning | Special Needs Trusts
About Ron
Elder Law Attorney
Ron Feinman, Esq., a Lynchburg native, received his law degree from University of Virginia in 1979 and maintains an Elder Law practice serving all of Central Virginia. His practice focuses on helping families preserve and protect their assets and effectively plan for end-of-life issues and concerns.
As an elder law attorney, Ron handles a wide variety of legal matters affecting the older or disabled person, including Medicaid or VA Benefits Qualification, Special Needs Planning, Conservatorships and Guardianships, protecting your assets from all being spent on the nursing home, and other important issues.
Ron is a member of WealthCounsel, a national collaborative of estate planning attorneys developing and sharing state of the art planning techniques, documentation and processes, and its sister organization, ElderCounsel, with a similar focus on Elder Law.
Estate Planning involves everything you have and everyone you love. If that doesn’t warrant paying attention, I’m not sure what does. Ron is also a member of the National Association of Elder Law Attorneys (NAELA) and serves on the Board of the Virginia Association of Elder Law Attorneys. He is a former Board Member and Past President of the National Association of Philanthropic Planners (NAPP), and is a member of the Virginia State Bar Taxation Section, and the Trusts and Estates Sections. He has helped hundreds of families achieve the peace of mind that comes with establishing a comprehensive and unified long term care and estate plan crafted to meet the particular needs of each family.
In the Community Ron is a past Chairman and Member of the Board for the Central and Western Virginia Chapter of Alzheimer’s Association (covering the western half of Virginia), as well as past chair of its Lynchburg Advisory Council. He is Past President of the Association of Fund Raising Professionals, Piedmont Chapter,and he has been named the Regional Vice-Chair of the B’nai B’rith international Planned Giving Committee. Ron is a past member of the Board of University of Virginia Hillel Center, and he is on the board and heads the Planned Giving Committee for the Children’s Miracle Network of Western Virginia. He is a member of the Development Committee for the Virginia Foundation for the Humanities.
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5 Things an Elder Law Attorney Can Help With • Medicaid Long Term Care Qualification • Preserving & Protecting Your Assets • Special Needs Trusts for the Disabled • Specially Designed Estate Documents • Guardianships and Conservatorships
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1971 English Tavern Road | Lynchburg | 434.266.1214 | www.lynchburglegacy.com
8 GOLD
Please visit and LIKE our Facebook page! f @lynchburg.legacy
About Us Legacy Wealth Management Group was founded out of a desire to provide the best client service experience available. After working for years in the traditional corporate investment world, the founders of Legacy Wealth Management knew that there was a better way. With so many companies pushing their clients to call centers while providing little education and face-time with their adviser, we decided to be different. At Legacy, we offer our clients multiple educational opportunities throughout the year and then sprinkle in a handful of client appreciation events such as cooking demonstrations and our annual Christmas party.
What Makes Us Different So many firms only cater to those who have enough money to meet their firm’s minimum and neglect those families who don’t meet their arbitrary standards. We believe that is an awful way to judge a person or a relationship and we have investment models for just about any investor. We work with some families just starting their savings journey, and those who are simply looking to preserve what they have and earn a reasonable return on their money. We find that most people benefit greatly from a thoughtful financial plan and we offer that to every client as they join our practice.
JOIN US! Please join us as our guest for one of our upcoming educational events!
Estate and Legacy Planning Seminar August 21st at 6PM RSVP: 434.266.1214
Visit us online at www.lynchburglegacy.com
It’s more than a plan for your money, it’s a plan for your life! The Fundamentals Serving as a Fiduciary, it is of paramount importance that our client’s interests are ahead of ours. With a rigorous and disciplined investment approach, we seek to invest each client’s account in a manner consistent with the risk that they think they should take to reach their goals. We have a monthly investment committee that reviews each holding and model portfolio to assess any potential issues surrounding each investment holding, as well as the changing investment landscape. While some firms still believe in commissions, we have a fee only practice where we do better, when you do better. Our goal is to provide you with advice that is free from conflicts of interest and suited for your individual situation.
Securities and Advisory services offered through Cailtin John Private Wealth Management, headquartered at 1024 E. Grand River Ave., Brighton, MI, 48116. Legacy Wealth Management and Caitlin John Private Wealth Management Group are non-affiliated entities.
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Peace Haven Home Care Services
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401 Piney Forest Rd. ~ Danville | 517 Leesville Rd., Suite 101 ~ Lynchburg | 434.799.5731 | www.peacehavenhealth.org Proudly Serving the Communities of Danville, Bedford, Campbell, Roanoke, Salem, Pittsylvania, Amherst, Madison Heights, Lynchburg and surrounding areas.
What We Do
Peace Haven Home Care Services offers personalized nonmedical home care to homebound clients. We care for clients who often need assistance in most activities that they have to do at home every day.
Become a PERSONAL CARE ASSISTANT At Peace Haven, we are a close-knit team of caregivers who rely on each other to ensure our clients receive the
Our care services include: »» Meal Preparation
»» Alzheimer’s Care
highest quality of care. We only hire committed caregivers
»» Medication Reminders
»» Pre & Post Operative Care
who love working with the elderly, disabled youth and/or
»» Companion Care »» Bathing/Grooming
»» Assistance with Disabled Youth and Adults
impaired during all hours of the day and night. Register
»» Housekeeping
»» Mommy and Baby Care
»» Concierge Services
»» Supervision
»» Dementia Care
Providing personalized quality care to our patients through unique and individualized home care plans designed to meet the specific needs of each patient. The care plan of each patient is personalized according to his or her needs. Such care plans include a combination of different services that we offer. Through a personalized care plan, we can be sure that the overall needs of our clients are addressed.
for one of our Certified Personal Care Assistant classes today to become part of our team!
Seven Hills Home Health offers tailored home health plans that are just right for you and your specific needs from the comfort of your home. Services include: skilled nursing, physical therapy, occupational therapy, speech therapy, social worker and home health services. Seven Hills also provides skilled wound care and management including wound vac therapy and other specialty dressings, ostomy teaching/training, disease process teaching to manage care at home and prevent hospitalization, RX injection training, IV therapy and vital-stim therapy. We are an agency certified by Medicare/Medicaid and able to take some insurance plans.
Hospice Care
Seven Hills Hospice serves the community by utilizing a comprehensive approach to end-oflife care in the comfort of your home. We are committed to providing a life-affirming concept with compassion towards our patients’ goals, as well as extending our hearts to families and caregivers while crossing the bridge during the final transition of life’s journey.
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Proudly serving the health needs of Lynchburg, Amherst, Appomattox, Bedford, Campbell, and parts of Nelson and Pittsylvania counties.
Home Health
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Hospice House Nestled in the beautiful hills of Lynchburg, Seven Hills Hospice House provides quality services to assist patients and their families through the end-of-life journey. Seven Hills Hospice House provides individualized hospice care in the peaceful atmosphere of our home. Our team of caregivers believes this journey should not be travelled alone.
Our hospice services and care include: »» Skilled nursing care »» Medical director and medical social worker »» Certified nursing assistant »» Chaplain services »» Physical, occupational, and speech therapy »» Personalized care and support »» Bereavement support care »» 24/7 on-call service »» We are Medicare/Medicaid certified
Familiar Smiles & Expert Care.
Valley View Retirement Community 1213 Long Meadows Drive | Lynchburg | 434.237.3009 | www.valleyviewretirement.com SERVICES PROVIDED: Independent Living and Assisted Living
About Us
For 30 years, seniors from the Lynchburg community and surrounding area have delighted in Valley View Retirement Community’s gracious amenities and home-like atmosphere. Valley View provides a unique blend of independent and assisted living, offering each resident the flexibility to make their living arrangement feel like home. Across Valley View’s community, residents enjoy luscious, mature trees, walking trails, and raised gardening beds, and each apartment offers a private balcony, allowing residents to further enjoy the natural beauty surrounding each home. In this quiet, park-like community, Valley View also offers dining, housekeeping, and a wellness center, each maintained by an outstanding, experienced staff.
Services and Amenities
With two full-time activity coordinators, Valley View looks forward to entertaining residents with a variety of social events. Valley View prides itself on hosting a rich calendar of social activities, including fitness classes, outdoor activities, crafts, outings, games, volunteer opportunities, and more. In addition, the community’s free transportation service provides each resident with access to his or her favorite medical facilities, shopping, and entertainment in the Lynchburg area. Valley View encourages family and friends to visit. We offer access to a private dining room and catering services are available for special occasions.
Needs Change…Life Continues at Valley View Independent Living
Assisted Living
For two generations, seniors from the Lynchburg community and surrounding area have been delighted with Valley View’s worry-free lifestyle, gracious amenities and truly joyful atmosphere. We’re staffed 24 hours a day so whenever you need assistance of any kind, you can count on an immediate response from well-trained staff who genuinely care about their jobs – and about you.
As a licensed home for adults, Valley View can provide services from medication management to hands-on care 24-hours a day. Plus, our fullstaffing model means our employees have the time to do a good job and to listen to each resident’s needs and their stories.
Feel free to get involved in the social activities or relax in the comfort of your own apartment, or in our cozy lounge. We can take care of all your transportation and cooking. But, if you love to cook, your apartment has a full kitchen and you’re welcome to bring your car. Pets are allowed, too. In fact, Valley View is your home, so we give you the flexibility to make it just the way you want it to be.
Unlike other assisted living communities that offer rooms or suites, Valley View offers residents the space and privacy of their own apartment homes. Each has a private balcony or patio so it’s easy to enjoy sunlight, fresh air and the beautiful views.
Home-like Apartment Living Both independent and assisted living residents enjoy the privacy and homey feel of living in their own apartment rather than a room or suite. Every Valley View apartment features a private balcony or patio for plenty of sunlight and fresh air.
1 Bedroom 1 Bath
2 Bedroom 2 Bath
2 Bedroom 1 & ½ Bath
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Celebrating 30 Years of Service What Sets Us Apart
While residents can look forward to experiencing the independence and freedom they want, family and friends are put at ease knowing the community is staffed by 24-hour personnel, and monthly rental fees include emergency pull cord and response system services for an added level of security. Because Valley View offers both independent and assisted living care, residents can stay on site as needs change. Residents interested in moving to a higher level of care can do so without losing contact with the staff and fellow residents they have come to know well and value as family. Month-to-month leases are available for flexibility without long-term commitment, entrance fee, and buy-in expense, providing excellent senior living value.
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Rendering of new healthcare center under construction, opening in mid-2019.
Westminster Canterbury 501 VES Road | Lynchburg | 434.386.3500 | www.wclynchburg.org SERVICES PROVIDED: Independent Living, Assisted Living, Skilled Nursing Care, Memory Care, Physical Rehabilitation, Home Health and Hospice Services
Bringing a New Model of Care to Lynchburg Westminster Canterbury-Lynchburg is just a year away from opening an all-new, six-story healthcare center built around an innovative household model. This model moves away from the traditional, hospital-style of skilled-nursing care toward a Person-Directed Living approach within neighborhood settings. While the traditional model allows for medical care, it doesn’t enhance quality of life for people. “A household model is a change in philosophy for providing health services. Our team members strive to empower residents to take a more active role in decision-making with respect to how their days will unfold,” said Sean Huyett, President and CEO, of Westminster Canterbury. “It’s something different than Central Virginia’s ever seen before.”
The new healthcare center, now under construction, will offer four households—or “neighborhoods”—each accommodating 21 people in private rooms with their own full bathrooms. Each neighborhood includes a living room with a fireplace, an open kitchen and dining area, and recreation areas. Rather than conforming to a set schedule, residents will have more choices. This approach is more flexible and leads to healthier attitudes and better engagement in day-to-day life. Needed services such as medication management, nursing care, therapy sessions, and a wide range of activities will still be provided.
IMPROVING TO BETTER SERVE OUR COMMUNITY About Us
Westminster Canterbury, Lynchburg’s leading retirement community, is recognized both locally and nationally for its dedication to quality care. Located within the Rivermont/Boonsboro area of Lynchburg, Westminster is an interfaith, nonprofit community offering independent, senior living in cottages and apartments as well as health-related services that include assisted living, memory support, short-term rehabilitation, skilled nursing care, home health and hospice services through Senior Independence. The community consistently receives high marks, including a five-star rating from U. S. News & World Report which has named it one of the Best Nursing Homes in the nation.
Gracious Retirement Living For Ladies Since 1950!
The Williams Home, Inc.
1201 Langhorne Road | Lynchburg | 434.384.8282 Ext. 5 | www.thewilliamshome.org SERVICES PROVIDED: Independent Living and Assisted Living For Ladies.
Amenities and On-Site Services
The Williams Home offers private rooms only with private bathrooms, Weekly housekeeping/laundry services and cable TV(included in rent), Voice-tovoice emergency call system in bedrooms and baths, Individually controlled heat pumps, Three daily meals served in two elegant dining rooms with snacks offered between meals, A private dining room available for special occasions, Activity Director on staff, R.N. or L.P.N. and Licensed staff on duty 24/7(excludes Independent Living), Medication Administration, Scheduled transportation to/ from local medical appointments(excludes Independent Living), Elevators and handrails, Sitting rooms with televisions, Guest room, Personal in-door mailboxes, Sunroom, Kitchenette and Telephone booth on each floor, Banking and postal services, “Will-Mart” in-house shopping, Library stocked with old favorites and best sellers, Assigned parking, Podiatry care, Quarterly Dietitian, Internet Café with free WI-FI, History room, Relaxation Station, J.L.W. Theatre, Maintenance Director on staff, Conveniently located near two hospitals and other medical facilities and the freedom to come and go as you please.
Our History
The Williams Home, Inc. was founded by James Luther Williams. The once Secretary of the Lynchburg Coca-Cola Bottling Works and then the President of the Depositors Industrial Loan Bank, Mr. Williams provided for the construction and maintenance of a non-profit home for women aged 55 years and older. The residence was completed after World War II and opened its doors in March of 1950.
Monthly Rates ( Effective July 1, 2018 )
Tier 1 - Independent - $1,548 Tier 2 - Minimal Assistance - $1,857 Tier 3 - Moderate Assistance - $3,157 Tier 4 - Additional Services Including Tier 3 - $3,457
THE WILLIAMS HOME, INC. IS A NON-PROFIT ORGANIZATION PROVIDING A HOME-LIKE ENVIRONMENT FOR WOMEN WITH CARE, SERVICES AND AMENITIES THAT PROVIDE COMFORT, SECURITY AND FRIENDSHIPS.
What Sets Us Apart
We are Lynchburg’s only retirement home for ladies. Our residents play an essential role in creating a sense of belonging at The Home. You will benefit from our intimate family atmosphere and personalized care and services.
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Whitten Timberlake Chapel | 7404 Timberlake Road | Lynchburg | 434.239.0331 Whitten Park Avenue | 1336 Park Avenue | Lynchburg | 434.845.4521 Whitten Monelison Chapel | 3966 S. Amherst Highway | Madison Heights | 434.929.5712 www.whittenfuneralhome.com SERVICES PROVIDED: Funeral and Cremation Services
About Us
Whitten Funeral Homes are dedicated to helping you celebrate your life or that of a loved one with a funeral and memorial service befitting of the life lived. As part of the Dignity Memorial® network, Whitten Funeral Homes will ensure you not only receive the compassionate care you expect from a locally operated establishment, but also the value you deserve from North America’s largest network of funeral, cremation and cemetery service providers. Our services include National Transferability, Bereavement Travel Services, Child/Grandchild Protection, 24-Hour Compassion Helpline® and other programs designed to help you with the myriad questions and issues that arise when a death occurs.
Life well celebrated. Our History
Whitten Funeral Home was established in 1937 by W.C. “Red” Whitten at the original location on Park Avenue in Lynchburg. In 1960, a second location on Timberlake Road opened to serve the needs of a growing city. Later in 1982, the Madison Heights location opened, serving the families in Amherst County. For over 80 years, three generations of the Whitten family have led the way in funeral services for the greater Lynchburg area, serving the funeral needs of Lynchburg area families.
As we help you plan a service—for yourself or a loved one—we’ll guide you through the process, discussing costs, benefits, visitation options and your special requests. Our hope is to ease the burden of planning so you can focus on healing.
Funeral and memorial services to remember. Paul Whitten, Funeral Director
Q: What is the cost of cremation versus a traditional funeral service with burial? A: There are a number of options available for those who wish to be cremated and prices vary depending on what services a family chooses.
Like burial or entombment, cremation is just another form of final disposition. It does not have to preclude having the deceased prepared for a private or public viewing and visitation. Many families who choose cremation have that gathering time and then have the casket present for a funeral ceremony.
Cremation can be a more economical choice however if a family requests no embalming and preparation and does not select a casket. Additionally, cemetery costs are less for an urn than for a casket.
Q: What is the process of cremation? I signed so many papers and had to initial here and there so many times to have my father cremated. Why is that? A: Cremation is a high heat process that reduces the body to bone fragments which are then usually processed into a finer particulate. Most people commonly refer to cremated remains as ashes. Because cremation is such a final and irreversible process, there are many safeguards in place to protect both the family and the funeral director. We require positive identification and appropriate authorization forms to be signed before we schedule any cremation. Additionally, there laws that govern cremation. Q: Do all funeral homes provide the same services? A: All funeral homes are not the same. Because of our affiliation with the Dignity Memorial network, Whitten Funeral Homes offer many valuable services at no cost to the family, that other funeral homes simply do not have available. A few examples include: • National transferability. Life changes constantly and you need a provider who is as flexible as you are. If you move more than 75 miles from where your original arrangements were made, your prearranged funeral services are fully transferable and will be honored at any of the more than 2,000 Dignity Memorial providers throughout North America. • Bereavement travel assistance. When you are grieving a loss, the last thing you want to do is keep up with travel details. Dignity Memorial providers offer travel assistance for family and friends traveling to a funeral from out of town. • 24-hour Compassion Helpline®. When you are coping with the loss of a loved one, it often helps to talk to someone—and we understand that. All of the families we serve, and the guests attending the service, are invited to use our complimentary 24-hour phone service to seek assistance from professionals trained in grief counseling.
Q: When selecting a funeral home, how can I feel confident in choosing the right one? A: The best way to feel comfortable making any funeral arrangement is to do so well in advance. That way you can make important decisions with a clear head and not be influenced by grief. When selecting a funeral home you should consider the reputation of the firm and how long they have served the community. At Whitten Funeral Homes we have served the greater Lynchburg area for over 81 years, we offer a 100% service guarantee, bereavement travel services, aftercare support for families and our staff is required to complete ongoing training and professional development.
As we have become more of a consumer oriented society, most people seek the best value for money spent. Fortunately for the consumer, the funeral profession is highly regulated and pricing information is readily available. One final note about shopping around for the best price, is “you get what you pay for”. Or the converse, “you don’t get what you don’t pay for”. Price alone is never the best way to shop for a funeral home. Be sure to ask a lot of questions so you can make an informed decision on a funeral home that will best serve your family.
Q: Would someone from your funeral home help me plan my funeral today with the understanding that it will not be paid until I pass away? A: YES. Our preplanning staff is trained in guiding you through that, all important conversation, where your wishes are documented and kept on file at our funeral home. We also offer a free “Personal Planning Guide” that allows you to document your end of life decisions and valuable estate information in one convenient book. Q: If I choose to pay for my funeral today, will my survivors have to pay more at the time of my death due to inflation? A: NO. You may choose from a wide variety of prepayment options and all prices for services and merchandise are guaranteed to never increase over time due to inflation. Since the mid1970’s the cost of funerals has increased between 8-12 percent annually. By creating a payment plan, you and your family can rest assured no additional money will be required at the time of your passing for services and merchandise. Q: Why are so many people making these plans today? A: Most people understand that planning ahead is considered prudent and responsible behavior and they make their plans because they love their family. The single worst time for a family to have to come into a funeral home to make arrangements is immediately following the death of a loved one. If we die without advance funeral plans, the last thing we do on earth is leave our loved ones with an emotional burden and a financial debt. Planning ahead establishes a sense of peace of mind.
Aging Well WISDOM • DIGNITY • SUPPORT
A Guide to SUCCESSFUL
AGING
INTO YOUR 90s
and Beyond words JENNIFER LAMONT
MORE THAN
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of Americans aged 65 and older have diabetes while
HALF OF THE POPULATION IS ALREADY PRE-DIABETIC.
Of those people, a
DISPROPORTIONATELY
HIGH NUMBER
ARE AT RISK FOR A SERIOUS HEART EVENT.
Further, cognitive impairment and depression among seniors is
SO COMMON THE TWO CONDITIONS ARE CONSIDERED PUBLIC HEALTH ISSUES.
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As Sarah Holter tells it, she’s fitter now at 73 than she was at 53. The greatgrandmother walks two miles every day with a group of friends, gardens and does a Saturday yoga class. Her social calendar rivals her granddaughter’s schedule. Her doctor calls her a “successful ager,” she says with a laugh, “whatever that means.” To most longevity researchers and active seniors, successful aging in its simplest terms means living independently while staying healthy, happy and engaged with others. These are the characteristics shared by Sarah and other gracefully aging seniors around the globe, including those “Blue Zones” you’ve probably heard about. Home to the highest concentrations of happy, healthy people living vital lives well into their 100s, Blue Zones experience little to no diseases like cancer, heart disease, Alzheimer’s and diabetes. Clearly, they’re doing something right.
Why Blue Zone Residents Live Longer Than the Rest of Us To age successfully, you need good nutrition and consistent physical activity. Blue Zone residents eat more traditional, plant-heavy diets that don’t include processed foods or refined sugar. They also naturally move their bodies—a lot—by incorporating physical activity into their day and walking most places. And they’re happier than the rest of us. Blue Zone centenarians have better mental health and social support. They prioritize time for rest, family and spiritual fulfillment, while maintaining a sense of purpose. Meanwhile, in the United States, cardiovascular disease, diabetes, cognitive impairment and mental health issues affect seniors in astonishing numbers. Research is beginning to show that
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Five distinct—and relatively tiny— areas are home to the healthiest, longest-living centenarians around the globe. They include:
A Guide to Successful Aging into Your 90s and Beyond
Whether you’re a senior or a caregiver helping a loved one, we’ll show you how to stay healthy, active and happy well into your 90s and beyond with this Guide to Successful Aging.
The Blue Zones
•
But new studies also support what healthy, active seniors like Sarah and Blue Zone residents already know. It’s possible to ward off disease, increase lifespan and improve your quality of life, regardless of age.
Aging Well
diabetes, cardiovascular disease, dementia and depression are all related. Too many Americans are not aging well.
There’s No Such Thing as the Mediterranean Diet In her early fifties, Sarah steadily began gaining weight. A Mediterranean Diet was recommended by her doctor to get both her triglycerides and weight down. But, the “Mediterranean Diet” doesn’t exist. From Spain to Morocco, the countries along the Mediterranean eat vastly different diets. Like Blue Zones, people in countries along the Mediterranean have one thing in common however. They eat more polyphenols, the antioxidants that fight inflammation. Polyphenols are found in nutrient-dense foods like seasonal vegetables, nuts, berries and unrefined olive oil.
Ikaria, Greece
Here are a few ways you can eat more “Mediterranean”: Eat a rainbow of vegetables and fruits, aiming for 3 – 4 cups of vegetables per day, including a salad or other raw vegetable. Eat 1 – 2 servings of fruits, especially berries. Reduce or eliminate sugar, processed foods, white flour, pasta and excessive alcohol to stabilize your blood sugar. Get rid of processed vegetable and canola oils. These oils are refined with harsh chemical solvents unless they say “expeller” or “cold-pressed” on the label.
Okinawa, Japan
Eat more healthy fats like avocado, nuts and extra-virgin olive oil. The food you eat can ‘make or break’ your health. Your longevity also depends on how much you move.
DID YOU KNOW?
Jason Given, MD is a Dermatologist and Mohs Skin Cancer Surgeon with RidgeView Dermatology in Lynchburg.
Polyphenols are not only good for your diet, they’re good for your skin too! According to a study published in the April 2011 edition of The Journal of Nutrition, polyphenols also can have skin-protective benefits. Consuming a diet rich in antioxidants helps to prevent skin from the dangers of UV damage. But don’t stop there, says Jason Givan, MD with RidgeView Dermatology. “Protecting your skin from exposure to UV light by applying sunscreen every single morning is the most important factor for successful aging of the skin. Also, use of a retinoid or retinol cream every night can help reduce fine lines, small wrinkles and help prevent certain skin cancers.” Together, diet and a good skincare regimen will help keep your glow as you age.
Why Sheep Herders Outlive Us All
Ogliastra Region, Sardinia, Italy
Loma Linda, California
Living longer than anyone else in the world, sheep herders in Sardinia’s Blue Zone walk all day long. And while you don’t have to herd livestock to get healthy, walking is the easiest and most beneficial activity you can do to increase your lifespan. Studies show the simple act of moderate walking can add years to your life whether you’re 51, 71 or even 91. It increases balance, circulation, bone mass and muscle strength while lubricating your joints to reduce pain. Researchers also believe walking helps you form new brain cells, improve memory, and increase your cognitive and decision-making skills. Studies show that women who walk two miles a day have lower rates of mental decline. The benefits are even greater for those who walk in social groups or with a caregiver.
Nicoya Peninsula, Costa Rica
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Aging Well
• SUPPORT
Get started with these tips:
Get Fit in 4-3-2-1… Walking is a core activity. Customize your sessions with the exercises or activities you enjoy. Always consult your doctor first and go at your own pace. Each week, do a 4-3-2-1 schedule of workouts:
If you’re sedentary, build up to 30-minute sessions at your own pace. Break it up into three 10-minute sessions throughout the day. Adding resistance or strength training twice a week can reduce the chance of accidental falls by 50 percent. Once you’re more active, try the “Get Fit in 4-3-2-1” schedule. (see left sidebar)
DID YOU KNOW? Taking a brisk walk 4 – 5 times per week decreases insulin resistance and the risk of Type 2 diabetes. Walking with a caregiver or social group also increases cognition, while decreasing the risk of depression. WALKING SESSIONS, preferably outdoors when possible.
While walking is so beneficial to mental health, it’s not the only secret to keeping sharp and happy. Successful agers are lifelong learners. They also have strong family and social connections to support them.
Beyond Crosswords: Finding a Sense of Purpose BALANCE SESSIONS, including t’ai chi or simple balancing exercises.
Puzzles are good for relaxing. But they probably won’t ward off Alzheimer’s. According to a recent study, seniors who learn more intellectually demanding skills like photography, quilting, or a new language have a better chance at preventing mild cognitive impairment (MCI). Even better off are those seniors who learn something new within the happy circles of their friends or family. Learning challenging activities while being active and around people you like (the ones who are happy) is the special recipe for increasing your own happiness and giving you a sense of purpose.
RESISTANCE SESSIONS, building up slowly according to your level and strength.
Like other successful agers around the globe who feel a sense of purpose, Sarah says the key is eating right, and staying active and social, even when you don’t feel like it. “I laugh every day on my walk with the girls. I think that’s the key to being happy,” she says.
DID YOU KNOW? Mental illness is more prevalent among seniors over 55 than any other age group. But it’s not a normal part of aging. The good news is that researchers say latelife depression is just as treatable with proper medication, psychotherapy, nutrition, exercise, social support and sunlight.
FLEXIBILITY SESSION, like yoga or simple stretches at home.
SOURCES American Diabetes Association (www.diabetes.org) American Psychological Association (www.apa.org) Cardiovascular Diabetology (https://cardiab.biomedcentral.com) Circulation – American Heart Association Journals (www.circ.ahajournals.org) For a quick cheat sheet on balance, strength and flexibility exercises, visit the NIH Go4Life Program’s website.
www.go4life.nia.nih.gov
Go4Life – National Institute on Aging at NIH (www.go4life.nia.nih.gov) JAMA Network (www.jamanetwork.com) National Center for Biotechnology Information (www.ncbi.nlm.nih.gov) ScienceDirect (www.sciencedirect.com)
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Aging Well WISDOM • DIGNITY • SUPPORT
WHAT YOU
NEED TO KNOW ABOUT
MEDICARE words | CATHERINE BROWN
In recent years Medicare has become increasingly complex as Medicare Advantage plans, Medigap policies and prescription coverage have become available. Do you know what plans you need to manage your healthcare costs? Read on for answers to some of the questions you may have.
What is Medicare? Medicare is a national health insurance program for people over 65, people under 65 with certain disabilities and people of all ages with end-stage renal disease.
What does someone need to do to sign up for Medicare?
ONLINE RESOURCES: Where should I go for more information? Multiple websites offer helpful information about Original Medicare, Medicare Advantage Plans and Medigap. Here are two government-run sites:
Generally, people qualify for Medicare the first day of the month they turn 65. If you plan to use Medicare, you can do it online, at the social security office or by phone. Part A is automatically available when you turn 65, but you still need to sign up for it. You can take Part B at 65 or delay it if you have not yet retired and have a health plan through your job.
What are the parts of Medicare? Medicare has four distinct parts: Part A (Hospital Insurance). Part A provides coverage for in-patient hospital care, rehab or skilled nursing, hospice and home health, among other things. There are certain conditions you must meet to receive those services. Most people do not have to pay premiums for Part A because the coverage was already paid for through payroll taxes.
www.Medicare.gov
Part B (Medical Insurance). Part B covers 80 percent of doctor visits, outpatient care and preventive services, occupational and physical therapies, diagnostic testing and medical equipment. Part C (Medicare Advantage). Seniors have the option to enroll in a Medicare Advantage Plan through a private insurance company. Medicare Advantage plans are approved by Medicare and offer Medicare-covered benefits as well as extra perks. Through Medicare Advantage Plans, insurers can provide benefits that Medicare cannot. That includes dental and vision benefits, coverage for more preventive care services, fitness
www.SocialSecurity.gov
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Aging Well
• SUPPORT
POSSIBLE BENEFITS OF A MEDICARE ADVANTAGE PLAN Medicare Advantage Plans are not standardized. Plans are customized, and benefits can vary by location. Some possible benefits are as followed:
programs, access to nurses by phone and a mail-order pharmacy. If you choose to workwith a private insurance company to create a Medicare Advantage plan that works for you, you will get your Medicare Part A and B coverage—as well as other benefits you choose— through that plan. Part D (Prescription Drug Coverage). Recipients who receive Part A and B, either through Medicare or a Medicare Advantage Plan, are eligible to sign up for Part D benefits.
What does Medicare not cover? The original Medicare was not set up to cover routine services, like a routine healthy eye exam or preventive dental services. Medicare also does not cover dentures or hearing aids or exams for fitting them. While many people think Medicare covers nursing care and long-term care, it does not. Medicare will only cover a short-term stay in a skilled nursing facility.
What is Medicare Supplemental Insurance (Medigap)? Vision Benefits
Mail-order option for prescription drugs
Medigap, or Medicare Supplemental Insurance, helps pay for some of the health care costs, like deductibles, co-pays and coinsurance, not covered by Medicare. The Medigap policy would pay after Medicare has paid its share of costs. Although Medigap plans are sold by private insurance companies, they are standardized by the government and thus cannot be customized for each person. Medigap policies do not cover long-term care, hearing aids, eyeglasses, vision or dental exams or private-care nursing.
Why should I consider a Medicare Advantage Plan? A Medicare Advantage Plan is not a supplemental policy; rather, it is offered as an alternative to Original Medicare Parts A and B. The main benefit of Medicare Advantage is that it might give you the opportunity to cover something that wouldn’t otherwise be covered. For instance, you could include a vision benefit, and that might be covered for everyone or for a specific individual.
Receive generic medications at no cost
Preventive Care Covered Including items such as flu shots, mammograms, and colonoscopies.
Over-the-Counter Benefits Including items such as toothpaste and vitamins.
Reward Programs
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Medicare Advantage Plans often have a mail-order option for prescription drugs, allowing patients to receive generic medications at no cost. The plans also cover preventive care, like flu shots, mammograms and colonoscopies to help maintain good health. Some also offer over-the-counter benefits to help cover items like toothpaste, vitamins and denture cleaner. Others offer reward programs when patients practice preventive care. Patients with Original Medicare may only receive benefits when using providers who accept Medicare. Another benefit of Medicare Advantage Plans is that they contract with healthcare providers in managed care programs like HMOs (health maintenance organizations) or PPOs (preferred provider organizations). In addition, while Medicare does not cap potential out-of-pocket costs, Medicare Advantage Plans do, preventing patients from owing excessive amounts of money if a catastrophic event occurs. Medicare Advantage Plans are not standardized the way a Medigap policy is. Medicare Advantage Plans are reviewed and approved annually by the Centers for Medicare and Medicaid Services. Plans are customized, and benefits can vary by location. A Medicare member can shop during the Annual Election Period (October 15th to December 7th of each year) to find a plan that meets their level of risk tolerance, benefits and budget. Insurance agents can consult with individuals to determine which benefits to include and how to structure premiums, deductibles and copays.
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Aging Well • Ease the Stress on Your Loved Ones
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Aging Well WISDOM • DIGNITY • SUPPORT
words | RICK PIESTER
OrthoVirginia
with more than 20 locations in Lynchburg, Richmond and Northern Virginia.
c 434.485.8598 w www.orthovirginia.com
A lot has changed about joint replacement surgery in the past ten years. What you don’t know might surprise you, for the better. The bad news is that you will probably outlive your joints, especially your hips or knees. But the good news is that hip, knee and other joint replacements have become the most common elective surgeries in the country. That’s because over the past decade or so, they have become safer, more durable, less painful, and less of an interruption of busy lives. Although hip joint replacements have been performed since the late 1890s and knee joint replacements followed about a decade later, the surgeries did not become widespread until the 1970s. It was then that medicine began learning how replacement joints actually should function, and advances in bone cement made joint replacement more successful and durable.
KRIS COLLINS, MD, is an orthopedic surgeon at OrthoVirginia in Lynchburg.
THE TOTAL NUMBER OF HIP REPLACEMENTS
INCREASED from 2000 through 2010.
STEVE WILEY, PT, ATC, is the Director of Therapy at OrthoVirginia in Lynchburg.
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INCREASED BY:
85%
62%
68%
Ages 55-64
Ages 65-74
Ages 75+
A joint replacement involves removing parts — or all — of a damaged or arthritic joint, and replacing it all with metal, plastic or ceramic parts that mimic a healthy, undamaged joint. In addition to knees and hips, joint replacement surgeries are done on ankles, elbows, shoulders, and wrists.
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NOW
Aging Well
THEN
VS. IN JOINT REPLACEMENT SURGERY Not too long ago, the notion that a person would have had a total hip replacement or a total knee replacement and then leave the hospital within days would have been unthinkable. Here's a side-by-side look at where we were and where we have come in joint replacement surgery.
THEN: An 8 to 10 inch vertical incision in the center of the front of the knee to view and access the joint.
DECREASED
NOW: Minimally Invasive Total Knee Replacement*, which is performed through a shorter incision – 4 to 6 inches. A smaller incision allows for less tissue disturbance. In general, techniques used in minimally invasive knee replacement are "quadriceps sparing," meaning they avoid trauma to the quadriceps tendon and muscles in the front of the thigh.
from 2000 through 2010.
surgical technique:
BY 3.9%
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HIP
THEN: A surgical approach from the rear of the hip, which require muscles to be removed and reattached at the end of surgery, thus prolonging the recovery process.
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NOW: Direct Anterior Hip Replacement, which is a form of minimally invasive surgery in which the surgeon approaches the hip joint from the front to leave important muscles undisturbed.
personalized joint device:
KNEE
THEN: Early on in joint replacement, there were only a few sizes of implants available for all patients. NOW: Today, we have a large inventory of off the shelf implants that can accommodate every type of knee. The most recent step in this development is the personalized implant made for each patient.
pain management THEN: Mostly heavy doses of narcotic painkillers NOW: Long-acting pain meds, anti-inflammatories, longacting local anesthetics, over-the-counter meds
recovery THEN: Up to six months NOW: One – two months
HIGHER PERCENTAGE
A
of patients who were hospitalized for TOTAL KNEE
REPLACEMENT WERE DISCHARGED HOME
in 2010 then 2000. 80%
69.8 54.1
53.5
40%
40.8
2000
2010
WOMEN MEN
joint durability THEN: Ten years maximum NOW: Up to 30 years, and some say “for life.”
*The minimally invasive technique is not suitable for all patients. Your orthopaedic surgeon will discuss the different surgical options with you.
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Big Leaps in Joint Replacement Surgery
KNEE
•
surgical technique:
MEAN AGE OF TOTAL KNEE REPLACEMENTS
Aging Well
• SUPPORT
Joint Replacement Surgery has Come a Long Way in a Relatively Short Time
hip
replacement surgery BEFORE
Make no mistake about it that joint replacement is still major surgery. There will be some pain, there will be some swelling, there will be some loss of function. But thanks to the significant advancements in technology, techniques, joint devices and rehabilitation, patients are realizing a renewed quality of life much sooner and with significantly less impact than ever before.
THE TOTAL NUMBER OF KNEE REPLACEMENTS
INCREASED from 2000 through 2010.
99%
Increase for Women
86% Increase for Men
“We’ve learned so much more about how joints function, and how replacement joints should function,” notes Kris Collins, MD, an orthopedic surgeon with the Lynchburg location of OrthoVirginia. Dr. Collins performs both knee and hip replacement surgery. He notes that in recent years, most especially within the last decade, advances in knee and hip replacements have been the most significant. Less invasive surgical techniques, implants made of state-of-the-art materials and more effective medications and pain management delivery, Dr. Collins explains, collectively adds up to a faster recovery time at home and a higher degree of satisfaction in the outcome for patients.
AFTER
Broad-spectrum progress in all aspects of joint replacement also “makes the recovery process so much better on our end,” notes Steve Wiley, PT, ATC, who is Director of Therapy at OrthoVirginia. Wiley and the corps of physical therapists at OrthoVirginia work to start rehabilitation “almost immediately” after surgery, he says. In fact, Wiley says that recent practice is to start the therapy process at least a month before actual surgery.
Proactive Patient Engagement Better Prepares Them for the Road Ahead “We want to take every opportunity to see that each person’s surgery is successful,” Wiley notes. That’s why OrthoVirginia professionals meet with patients between four and six weeks before surgery. The purpose of the advance time — some people are calling it “prehab” — is to provide each patient with a clear picture of what his or her surgery will involve, dispel any misconceptions, make advance preparations for any needed support, and suggest exercises and perhaps changes in diet that will have each person in better shape by the time of their surgery. EXPERT CONTRIBUTORS Kris Collins, MD, Orthopedic Surgeon with OrthoVirginia, Lynchburg Steve Wiley, PT, ATC, Director of Therapy at OrthoVirginia, Lynchburg
There’s a lot of anxiety surrounding this type of surgery,” says Wiley. “The more information patients have and the better prepared they are, the less anxiety they will feel. And that increases the chance that patients, when they are well into recovery a month or so after the surgery, will be reassured they made the right decision to have joint replacement surgery because they are realizing an improved quality of life.”
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Aging Well •
b u rg & So u
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Big Leaps in Joint Replacement Surgery
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AWARDS 20
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Food Fitness NUTRITION • EXERCISE • PREVENTION
FRESH &
FABULOUS FALL PRODUCE words | MICHELLE MCLEES, AMERICAN HEART ASSOCIATION
The fall harvest season brings a whole new assortment of delicious and heart-healthy fresh fruit and vegetables. Apples, pears, broccoli and Brussels sprouts are fresh in the market – or in your garden. Autumn is a time to shift from the seed fruit that we eat in the summer to all the nutrition-rich goodies, like the grapes and persimmons we get in the fall. These fresh foods are not only tasty, but can help you feel better, get healthier and may protect against heart disease and stroke. Fruits and vegetables with color contain vitamins, minerals, fiber and phytochemicals that have different disease-fighting elements. These compounds
Colors of Fall Fall brings its own color wheel of seasonal fruits and vegetables. Deep colors like oranges, reds, and purples are especially prominent in the cooler months. However, it’s important to strive for variety with your fall favorites. Don’t just have a green salad; add all different colors into the salad. More colors usually means there is good nutritional value in your meal.
may be important in reducing the risk of many conditions, including cardiovascular disease. The American Heart Association recommends at least 4-5 servings per day of fruits and vegetables based on a 2000-calorie diet as part of a healthy lifestyle that can lower your risk for these diseases.
Fruits, Vegetables and Your Weight The autumn months bring additional health and nutritional challenges. The shorter, cooler days can make it harder to get physical activity outdoors. And there are the looming (and caloriepacked) temptations of football party snacks, Halloween sweets and Thanksgiving buffets. However, one good way to avoid those extra seasonal pounds is to keep eating plenty of fresh fruit and vegetables. For example, apples are thought to have a unique source of fiber that is excellent for weight control. They are especially crisp and delicious during the fall because this is when they are harvested.
Other Fresh-food Benefits
While grocery stores will carry an assortment of fruits and vegetables throughout the year, buying seasonal produce can take some of the strain off your wallet. When foods are in season locally, they are usually more abundant and affordable. Buying seasonal produce may also add zest and flavor to your meals. Fruits and vegetables that are in season are typically fresher and more flavorful.
Web-exclusive Recipes Also don't miss additional recipes featuring fabulous fall produce at OurHealthLynchburg.com
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However, some canned or frozen fruits and vegetables can be just as healthy and satisfying. Some people think frozen or canned vegetables lack nutritional value, but they are usually processed at the peak of harvest, so they can provide nutritional value, which is similar to fresh produce. Consider selecting fruit canned in its own juices and canned vegetables labeled “no” or “reduced” sodium.
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ROASTED SUNDRIED TOMATO
BEEF TRI-TIP
WITH PEPPERS
& SWEET
POTATOES This beef tri-tip roast is served with red peppers and sweet potatoes.
DIRECTIONS SERVING SIZE: About ½ cup beef (3 ounces cooked beef); ½ cup cooked vegetables. Makes about 8 servings.
INGREDIENTS 1
beef Tri-Tip Roast (1-1/2 to 2 pounds)
1/2 cup reduced-fat Italian salad dressing 1/4 cup drained sun-dried tomatoes (oilpacked) 1/4 cup water 1 1/2 lbs sweet potatoes (cut into 2-inch pieces)
A
Preheat oven to 425°F. Place dressing, tomatoes and water in blender or food processor container. Cover; process until smooth. Divide mixture into thirds.
B
Combine sweet potatoes, peppers and 1/3 tomato mixture in large bowl; toss to coat. Place vegetables on parchment-lined shallowrimmed baking pan. Set aside.
C
Season beef Tri-Tip Roast, as desired. Spread 1/3 tomato mixture evenly onto all surfaces of beef roast. Place roast on prepared vegetables. Insert ovenproof meat thermometer so tip is centered in thickest part of beef, not resting in fat. Do not add water or cover. Roast in 425°F oven 30 to 40 minutes for medium rare; 40 to 50 minutes for medium doneness.
NUTRITION FACTS
2
red bell peppers (cut into 2-inch pieces)
1
teaspoon salt
2
tablespoons grated Parmesan cheese
Calories: 265; Total Fat: 9.1 g; Saturated Fat: 3.1 g; Trans Fat: 0.01 g; Polyunsaturated Fat: 0.8 g; Monounsaturated Fat: 4.2 g; Cholesterol: 67 mg; Sodium: 551 mg; Total Carbohydrate: 21 g; Dietary Fiber: 3 g; Sugars: 6 g; Protein: 25 g;
Fresh, chopped parsley (optional)
Dietary Exchanges: 1 starch, 1/2 vegetable, 3 lean meat, 1/2 fat This Heart-Check Certified recipe is brought to you by National Cattlemen’s Beef Association, a contractor to the Beef Checkoff.
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Funny BONE HUMOR • SEARCH • CHECK
pot the Differences Can you spot the SEVEN differences between the two cartoons? Be the first reader to email us describing what the seven differences are and you will earn the satisfaction (and bragging rights) of having your name in print in the next edition. OK, START YOUR SEARCH! Email info@ourhealthvirginia.com with the subject line Funny Bone Lynchburg.
CON•GRAT• U•LATIONS! SHEILA JACKSON was the first person to email us the correct seven differences in last issue’s Funny Bone.
Visit our website ourhealthlynchburg.com or our Facebook page @OurHealthLynchburg and sign up for our e-newsletter for more fun games, quizzes and contests to win great prizes!
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