OurHealth Lynchburg & Southside Aug/Sep 2016 Edition

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table of contents | august • september 2016

20 PROSTATE’S BIG

To help observe September as Prostate Cancer Awareness Month, we talked with some local experts about prostate cancer, its detection, and its treatment.

MEDI•CABU•LARY.....................10 Local experts define health-related terms

JUST ASK!.......................................12 Healthcare questions answered by local professionals

NEW & NOTEWORTHY.............14 A listing of new physicians, providers, locations and upcoming events in the Lynchburg and Southside communities

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

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

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

30 Even though summer is still in full swing, school will be back in session before we know it. Getting a head start on preparing kids for the new school year is always a smart idea, especially when it comes to their health.


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OurHealth presents the 6th Annual Senior Living Awards for Lynchburg and Southside!

AWARDS

AWARDS 201

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16 BRONZE

6 GOLD

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hello, HEALTH!.............................. 70 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

FIT BITS!........................................ 73 What is the Hype with HIT Part III of OurHealth’s four-part series explores healthcare careers requiring postgraduate studies, including graduate school, professional school, residency programs and fellowships.

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Deidre Wilkes, OurHealth's resident fitness specialist, shares the many training benefits of high intensity workouts.

CLOSER LOOK..............................82 Images reflecting the landscape of healthcare in Lynchburg and Southside * PLUS * a chance to win a free year's subscription to OurHealth!

T IV PAR This article, the fourth in a yearlong OurHealth series about primary care, will focus on inspiring your care, and how to work healthy practices into your daily life and motivate others to do the same.

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august • september 2016

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ourhealthlbss.com CLICK ON THE MAGAZINE COVER TO VIEW THE DIGITAL EDITION! COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2016 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth 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 | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.



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

What is the difference between Alzheimer’s disease and dementia?

Dementia is defined as a group of symptoms relating to cognitive impairment, including memory loss and loss of thinking skills. Alzheimer’s is the most common type of dementia, but there are many other types, including vascular dementia, Parkinson’s, Huntingtons, Lewy body, traumatic brain injuries, and more.

Alzheimer’s is dementia, but dementia is not always Alzheimer’s. Well, that’s confusing! Let’s look at this further. Dementia is defined as a group of symptoms relating to cognitive impairment, including memory loss and loss of thinking skills. Alzheimer’s is the most common type of dementia, but there are many other types, including vascular dementia, Parkinson’s, Huntingtons, Lewy body, traumatic brain injuries, and more. Think of dementia as an umbrella term, under which many causes and types of dementia fall. There are in fact some causes of dementia which are curable, such as medication overdose or nutritional deficits. If you or a loved one is experiencing dementia, you’ll want to see your physician to determine the cause and seek medication intervention to cure or lessen the effects.

Scars result from any wound, accidental or surgical, and are what the body uses to heal. Scar revision is the process by which a surgeon changes a scar, usually in the skin, to make it less visible or less likely to break open if it is fragile. The scar is cut out completely and the wound is closed in two or more layers. The deep layers hold the tension so that the skin can heal with as narrow a scar as possible. Occasionally, the direction of the scar is changed so that it falls along the naturally occurring lines in the skin where it is less visible. Most commonly, scar revision is used to improve the appearance of facial scars resulting from trauma such as motor vehicle accidents, falls, dog bites or knife wounds. Stitches are removed in five days but the patient should protect the new wound for six months.

Enrique Silberblatt, MD, FACS Aesthetic Surgery of Virginia www.silberblatt.com

Heather Pippen, Executive Director

Heritage Green Assisted Living and Memory Care Lynchburg | 434.333.0503 www.heritagegreenlynchburg.com

– Heather Pippen, Executive Director

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What is scar revision?

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

What is hemoglobin A1c and how do I lower it? Hemoglobin A1c—A1c for short—is a test that measures the amount of glucose (sugar) attached to red blood cells. This value measures your risk for diabetes or control of diabetes if you already have it. A normal A1c is less than 5.7 percent. Anything between 5.7 and 6.4 percent indicates pre-diabetes, an increased risk for developing diabetes. An A1c greater than 6.5 percent indicates diabetes. If your A1c is high, diet and exercise are key to improving blood sugar control. Avoid high-sugar foods such as soda, candy, and desserts. Keep starchy foods like potatoes, peas, corn, rice, bread, and other grains to about one quarter of your plate. Aim to make half of your plate non-starchy vegetables. Eat regularly throughout the day to maintain even blood sugar. Finally, increase your physical activity. Both exercise and improved diet can lead to weight loss, which is also proven to lower A1c.

Kelsey Dehart, MS, RD

Heartland Lynchburg Lynchburg | 434.846.4626 www.manorcare.com/lynchburg



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

How much and what kind of therapy can you expect from a nursing home? Nursing homes, or skilled nursing centers, offer a variety of therapy to patients. These centers typically offer services for short-term patients who will be returning home as well as services to patients who live in the center. The amount of therapy a patient receives depends on how much is needed, and may be several hours a day.

The recommended approach for protecting your assets is through a specially designed asset protection trust that will protect the assets for your use, avoiding the issues as providing additional benefits.

– Ron Feinman, Esq.

Occupational therapy works with patients on safely and efficiently bathing, dressing, grooming, using the toilet, meal preparation, and any other daily tasks needed. Physical therapy works on moving around in the bed, going from sitting to standing, walking, and determining the safest device to use, if any, while walking. Speech therapy works on eating and swallowing, memory, and language. Each nursing home or skilled nursing center is different so be sure to ask how many days a week therapy is offered and if they have the therapy equipment to maximize recovery. It is also important to ask if they perform home visits to prepare patients and their family for discharge. These things will lead to a better chance of having success once returning home.

Jaime Smiley

Clinical Education Coordinator LifeWorks Rehab Centers Lynchburg Area | 540.989.3618 www.lifeworksrehab.com

Are there prosthetic devices available for amputees who are active in sports? Active amputees are able to obtain advances in amateur and competitive sports with new prosthetic feet and knees designed for specific activities. The feet are designed with high strength, low weight carbon fiber or plastic composites to withstand the increased forces and return the maximum amount of energy to the patient. These composites return the energy back to the amputee for increased speed, mobility and endurance. The sport feet allow the below knee amputees to run short or long distances, play tennis, golf, hunt, fish and even compete in triathlons. The above knee amputee not only has the feet to help but special micro-processor knees that return the ability of the person to their sports activity. The prosthetic knees have the ability to enter different modes such as biking or running that allows more free motion or lifting weights which requires increased knee flexion resistance.

My spouse and I want to protect our assets in the event we need expensive long term care; can’t we just give our assets to a child to protect them? Generally, outright gifts of assets to children are not recommended. If the child gets into creditor trouble or divorces, your hard-earned assets may end up in the hands of creditors or your child’s ex-spouse. Another scenario may occur if your child dies – who would end up with your assets in that case? Long term care can be extremely expensive, potentially exceeding $10,000 per month. Medicaid benefits may not be available, as there is something called the “look back penalty” for uncompensated transfers within five years of applying for Medicaid. After the five-year period, there is no penalty, and you will receive full Medicaid benefits. The recommended approach for protecting your assets is through a specially designed asset protection trust that will protect the assets for your use, avoiding the issues raised above as well as providing additional benefits.

Richard Ruble, CPO

Excel Prosthetics and Orthotics Lynchburg | 434.528.3697 www.excel-prosthetics.com

Ron Feinman, Esq.

Law Offices of Ron Feinman Lynchburg | 434.528.0696 www.elderlawanswers.com



NEW

NOTEWORTHY Don't Miss

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

Centra Foundation Announces 2016 Community Health Initiative Fund Grant Recipients Centra announces the 2016 recipients of the Centra Foundation Community Health Initiative Fund grants totaling $495,205 to support health-related projects and programs in the region. The funding provided through these grant awards will help many area agencies support new projects and programs that will greatly enhance the community’s health. According to Kathryn M. Pumphrey, EdD, executive vice president of the Centra Foundation, “The Centra Foundation has supported priority issues that are closely linked to improving our region’s immediate and longterm health.” She comments that “the grants awarded align closely with the goals we’ve established as a result of our most recent Community Health Needs Assessment.” The following list represents this year’s recipients:

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on page

Megan Allison, PA-C

• • • • • • • • • • •

• • • • • • •

Park View Community Mission Program Coordination Peer to Peer Recovery Program RX Partnership Safe at Home Summer Camp Scholarships & 3 Point Play Program TAKE CHARGE: Priority Care Transitions Program Zoll X-Series Monitor/Defibrillator Amelia County

For more information, visit www.centrahealth.com.

Sharon Daughtry, NP

RidgeView Dermatology Centra Medical Group Lynchburg | 434.363.4190 Amherst | 434.946.9565 www.ridgeviewdermatology.com www.centrahealth.com

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Amazing Grace Food Outreach Bedford Bridges Out of Poverty Initiative Central Virginia HIV Testing & Counseling Project Dental Care Program EMS Training Expanding Access to Healthy Food: Fresh Corner Fear 2 Freedom After Care Kits Hospital Readmission Prevention – Burkeville Mass Casualty Incident Unit Proposal - Farmville Medical/Dental Services Integration Project Oak Lane Residential Recovery Program for Pregnant and Post-Partum Women & Their Infants

Tooba Kazmi, Chief Medical Officer

Memorial Hospital of Martinsville and Henry County Martinsville | 276.666.7200 www.martinsvillehospital.com

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Steven Koziol, MD

Centra Medical Group Urology Center Lynchburg | 434.200.5297 www.centrahealth.com

Jamie Martin, PA-C

Tory Shepherd, RidgeView Dermatology Assistant Administrator Lynchburg | 434.363.4190 Memorial Hospital of www.ridgeviewdermatology.com Martinsville and Henry County Martinsville | 276.666.7200 www.martinsvillehospital.com


RidgeView Dermatology to Opens New Office for Aesthetic Dermatology RidgeView Dermatology announces that Aesthetics by RidgeView Dermatology, is now open - focusing on your aesthetic and cosmetic needs. Some of the services offered at Aesthetics by RidgeView Dermatology include: • • • • •

Coolsculpting® MiraDry® Botox® Cosmetic Dermal Fillers Asclera®- Spider Vein Therapy

• • • •

Micro Needling Chemical & Micro Peels Waxing Services Facials

The new office is located at 300 Enterprise Drive, Suite E, Forest, VA 24551. For additional information, call 434.333.7370, or visit www.ridgeviewdermatology.com.

Centra Virginia Baptist Hospital Recognized as Center of Excellence for Minimally Invasive Gynecology Centra Virginia Baptist Hospital has been recognized as the region’s first Center of Excellence for Minimally Invasive Gynecology (COEMIG) by the American Association of Gynecologic Laparoscopists. The designation recognizes surgeons and hospitals that have a proven commitment to safe, effective and evidence-based care. The rise of minimally invasive surgical techniques has significantly improved the treatment experience for women. Minimally invasive surgery allows for smaller incisions and shorter recovery time for common gynecological procedures. “The COEMIG designation not only shows our commitment to performing minimally invasive surgeries, but also our dedication to perform surgeries at the highest standard in order to have the best possible outcomes for our patients,” says Matt Tompkins, MD, Lynchburg Gynecology. COEMIG offers a database to compare surgeries around the world to help physicians continually improve patient experience and outcomes.“The COEMIG designation is reflective of the excellent care given by the minimally invasive team at Centra Virginia Baptist Hospital. The minimally invasive approach allows patients to get back to their normal routine with only a minor disruption,” says Lynnett Schindler, MD, Women’s Health Services of Central Virginia. For more information on minimally invasive surgery options, visit www.WC.CentraHealth.com.

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

MAN OF STEEL? September is National Childhood Obesity Month Not only is September back-to-school time, it is also NATIONAL

CHILDHOOD OBESITY MONTH.

1 IN 3 CHILDREN IS

obese or overweight

Ounce for ounce, human bones are

FIVE TIMES STRONGER than steel!

Obese children are 80 PERCENT MORE LIKELY to become obese adults, which puts them at risk for associated adult health problems such as heart disease, type 2 diabetes, sleep apnea, stroke, several types of cancer and osteoarthritis. Source: American College of Sports Medicine

HERE ARE SOME

SIMPLE LUNCHBOX MEALS THAT WILL BE FUN TO EAT, AND HEALTHY TOO!

BRUNCHBOX – pancakes, strawberries, vanilla yogurt tube, hard-boiled egg

ABCD LUNCHBOX – Applesauce, Berries, Chicken strips with Dipping sauce

ORANGE CRUSH LUNCHBOX – macaroni and cheese, roasted sweet potatoes, clementine orange, cheddar bunnies.

SANDWICH ON A STICK – layer a kabob stick with small pieces of bread, deli meat, cheeses and black olives with apple slices and low-fat vanilla yogurt for dipping.

IT’S A ‘WRAP’ – tortilla wrap rolled with low fat cream cheese and strawberry jelly with popcorn, sliced cucumbers and grapes. Source: American College of Sports Medicine

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Lunch

Packing Tip:

Encourage kids to come up with their own unique themes and ideas using healthy choices. Allowing kids to choose and prepare their own lunch piques interest in the meal and makes it more likely they will eat their own creations.


Why sa y OM?

14th Annual

Lynchburg Half Marathon and 5K Experience why Lynchburg was named a Runner Friendly Community by the Road Runners Club of America. Yes…we host a half marathon in August. Finisher medal to the first 375 that complete the half distance, chip timed, technical shirt, and part of the Lynchburg Road Runners Race Series. If 13.1 is a bit much, consider the Lynchburg 5k (flat and fast) out and back course on the Blackwater Creek bikeway.

Ever Wonder?

What does OM – the mantra that is traditionally chanted at the beginning and end of yoga sessions - mean? It is said to be the sound of the universe. Everything that exists pulsates and creates a rhythmic vibration that the ancient yogis acknowledged with the sound of OM. As a result of its calming effect, practicing yoga can help lower blood pressure and reduce insomnia.

Date:

Saturday, August 13, 2016

Time:

7:30 am

AUGU

ST

Location:

Blackwater Creek Natural Area 1200 Concord Turnpike Lynchburg, VA 24504 For more information and to register, go to www.riversiderunners.com.

SEND THEM TO THE

BUS STOP!

School buses are the safest form of ground transportation – approximately

40 TIMES SAFER than the family car!

Source: American Osteopathic Association

Source: National Safety Council

34th Annual River City Run The Danville Running and Fitness Club

in conjunction with presenting sponsor Danville Regional Medical Center host the River City 5K Run/Walk. The event raises money for area high school cross country teams. Schools in Danville and Pittsylvania County receive equal portions of the proceeds of this race in an effort to promote cross country running.

FASCINATING FACT

Your eyeballs stay the same size your whole life, but your nose and ears

NEVER

STOP GROWING!

Date: Time: Location:

Saturday, September 3, 2016

SEPT

9:00 am

EMB

ER

JTI Fountain 215 Main Street Danville, VA 24541 The course is new this year, but still fast and flat with a combination of street and park trail. High school team and corporate team competitions are offered. For more information on the event and to register, go to www.danvillerunner.org.

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The Resource for Healthy Living in Lynchburg and Southside

Local health. Anywhere you go. OurHealth magazine is Central Virginia’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 900 locations throughout the area or get the digital edition by visiting

ourhealthlbss.com .


the

Anatomy

CHALLENGE How much do you know about the

Prostate? First, complete the

word search below. Next, match up the correct word with the part of the body in the illustration.

[ the Prostate ]

WORD SEARCH adrenal gland

seminal veside

bladder

testis

epididymus

ureter

kidney

urogenital orifice

prostate gland

vas deferens

scrotal sac

____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________

For answers, visit OurHealth Lynchburg & Southside’s Facebook page at

____________________ www.OurHealthlbss.com

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words | RICK PIESTER

PROSTATE’S

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside


September is Prostate Cancer Awareness Month, a time set aside each year to focus on the disease that is the second largest cancer killer of men in the United States. The good news, however, is that if prostate cancer is caught early, the five-year survival rate is almost 100 percent. To help observe this special month, we talked with some local experts about prostate cancer, its detection, and its treatment. Here's what they say to help you keep ahead of the game, and possibly avoid prostate cancer.

If I have a family history of prostate cancer, should I get checked more often? Men who have a first degree relative (father or brother) with prostate cancer are more likely to develop the disease. If you choose to have prostate cancer screening, men with average to low risk should begin at age 50. Men with higher risk factors for prostate cancer (such as black men or men with a father or brother who had prostate cancer) may want to begin screening at age 40 to 45. Once screening has begun, however, there is no difference in how often a patient should get checked.

Joseph M. Carbone, MD President Southside Urology & Nephrology Danville | 434.792.1433 www.southsidedocs.com

Joseph M. Carbone, MD is president of Southside Urology and Nephrology in Danville. Dr. Carbone is certified by the American Board of Urology.

Prostate cancer is most common in men age 65 and older, although younger men can be diagnosed with it as well. Source: National Cancer Institute

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Am I at higher risk for developing prostate cancer based on my race?

In 2016, about

181,000

new cases of prostate cancer will be diagnosed. Source: Cancer Treatment Centers of America

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

The rate of men getting prostate cancer does vary by race and ethnicity. Roughly speaking, there are three “groups� of risk. The men at highest risk for developing prostate cancer are black men. The men at average risk for developing prostate cancer are white men and Hispanics. The men at low risk for developing prostate cancer are American Indians, Alaskan Natives, Asians and Pacific Islander. The encouraging news is that, for all races and ethnicities, the rate of men getting prostate cancer has decreased over the past decade.

Joseph M. Carbone, MD President Southside Urology & Nephrology Danville | 434.792.1433 www.southsidedocs.com


What are symptoms of prostate cancer? Prostate cancer gives no symptoms when it is early in its course. Seventy percent of patients have no symptoms at the time of diagnosis. That is why it is important to screen for prostate cancer. A patient can experience difficulty with voiding such as a slow stream, straining to void and urinary retention. When late in the disease, patients can experience pain in the bones weight, hematuria and weight loss.

Robert Cook, MD Centra Medical Group Urology Center Lynchburg | 434.200.5297 www.centrahealth.com

Robert Cook, MD is a urologist with Centra Medical Group Urology Center in Lynchburg. Dr. Cook is certified by the American Board of Urology.

What are treatment options for prostate cancer? This depends on the stage and aggressiveness of the individual patient's disease. For localized disease, treatment options include active surveillance, surgery to remove the prostate gland, external beam radiation therapy, radiation seed implant of the prostate and cryotherapy. When it is very early, non-aggressive active surveillance is often recommended, which is a planned method of holding off on treatment and monitoring the cancer closely. Surgery removes the entire prostate and thus eliminates the cancer. This is usually done using a laparoscopic robotic technique which is less invasive. External beam radiation delivers radiation to the prostate from outside the body in a series of approximately 40 treatments. Radiation seed implant, also known as brachytherapy, is a procedure where the radiation source is placed directly in the prostate through an outpatient procedure. Cryotherapy is an outpatient procedure in which the prostate is frozen to try and destroy the cancer. In certain situations, a combination of treatments are used. Androgen deprivation therapy is doing something to take away the male hormone on which the prostate cancer feeds. This is usually done through a shot given once a month. This is the first line of treatment for advanced disease, but in certain situations it can be used in localized disease in conjunction with other therapies, to make them more successful.

The American Cancer Society estimates about 1 in 7 American men will receive a diagnosis of prostate cancer in their lifetime.

Robert Cook, MD Centra Medical Group Urology Center Lynchburg | 434.200.5297 www.centrahealth.com www.OurHealthlbss.com

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Prostate cancer is the 2nd most common cancer in men right behind skin cancer. Source: American Cancer Society

What should I ask my healthcare provider if I’ve been diagnosed with prostate cancer? It’s important to have honest, open discussions with your cancer care team. Feel free to ask any question, no matter how small it might seem. Here are some questions you might want to ask if you’ve been told you have prostate cancer: •

What are the chances that the cancer has spread beyond my prostate? If so, is it still curable?

Do I need any other tests before we decide on treatment?

Should I see any other types of doctors before deciding on treatment?

What is the clinical stage and Gleason score (grade) of my cancer? What do those mean to me?

Source: American Cancer Society

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside


More than 2.9 million American men who were diagnosed at some point in their lives with prostate cancer are sill alive today. Source: Cancer Treatment Centers of America

2.9

MILLION

What is “watchful waiting� and why would I choose it as a treatment? With watchful waiting, a man's condition is closely monitored, but treatment does not begin until symptoms appear or change. The doctor may suggest watchful waiting for some men who have prostate cancer that is found at an early stage and appears to be growing slowly. Over a third of men diagnosed with early-stage prostate cancer currently choose watchful waiting. Also, watchful waiting may be advised for older men or men with other serious medical problems. For these men, the risks and possible side effects of surgery, radiation therapy, or hormonal therapy may outweigh the possible benefits. Doctors monitor these patients with regular check-ups. If symptoms appear or get worse, the doctor may recommend active treatment. Source: National Cancer Institute at the National Institutes of Health

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At what age should I start getting a prostate exam? For routine screening for prostate cancer without symptoms, the answer is never. Within the last few years, prostate cancer screening tests with digital rectal exams and PSAs have been evaluated and reviewed extensively. Current recommendations do not support routine screening for prostate cancer with PSAs or digital rectal exams.

Mark Kleiner, MD is a family practice physician with Central Virginia Family Physicians in Forest. Dr. Kleiner is certified by the American Board of Family Medicine.

The reason is because it has been found that these tests do not decrease overall mortality. This may not make sense to many people, but prostate cancer is complicated. For example, 85 percent of men who have elevated PSAs will not die from prostate cancer in a 15 year period. For the majority, prostate cancer is something most can live with, never know about, and will eventually die from something else. Speak with your doctor about the advantages and disadvantages of screening for prostate cancer. Then, together with your doctor, make an informed decision about whether screening makes sense for you.

Mark Kleiner, MD

SOURCES AND EXPERT CONTRIBUTERS Sources www.cancer.gov www.cancer.org www.cancercenter.com

Expert Contributers Joseph M. Carbone, MD with Southside Urology and Nephrology in Danville. Robert Cook, MD with Centra Medical Group Urology Center in Lynchburg. Mark Kleiner, MD with Central Virginia Family Physicians in Forest.

Central Virginia Family Physicians Forest | 434.525.6964 www.cvfp.net

Can prostate cancer be prevented? Unfortunately, according to the American Cancer Society, prostate cancer cannot be prevented because these risk factors (age, race, and family history) cannot be controlled. But there are some things you can do that may lower your risk of prostate cancer. Keeping healthy servings of fruits and vegetables in your diet, staying physically active, and maintaining a healthy weight can help lower your risk of prostate cancer. Schedule a visit with your local provider to make sure you are on the right track.

ON THE WEB

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside


Health Tools words | SUZANNE RAMSEY

Even though summer is still in full swing, school will be back in session before we know it. Getting a head start on preparing kids for the new school year is always a smart idea, especially when it comes to their health. Some things on the back-to-school checklist can wait until the last minute. Three-ring binders. Pens, pencils and paper. Computers and calculators.

Reprints To order reprints of the original artwork featured on this issue’s cover, contact Deidre Wilkes at

But other things, like a young one’s annual physical, vision test or allergy assessment, require some advanced planning. The following list is a good starting point for parents to use when it comes to checking off back-to-school health needs.

Make sure shots are up to date. Before the first day of preschool or kindergarten, kids need the following vaccines: •

Diphtheria, tetanus and whooping cough/pertussis, also called “DTaP”

deidre@ourhealthvirginia.com.

Polio

To view additional work by our

Measles, mumps and rubella, also known as “MMR”

Chickenpox

Flu (the Centers for Disease Control and Prevention (CDC) recommends a flu shot every year, from preschool through adulthood.)

540.387.6482 or via email at

artist, Joe Palotas, visit www.salemartcenter.com

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What’s the difference between DTaP and Tdap? Both vaccines contain inactivated forms of the toxin produced by the bacteria that cause the three diseases [diphtheria, tetanus, pertussis]. Inactivated means the substance no longer produces disease, but does trigger the body to create antibodies that give it immunity against the toxins. DTaP is approved for children under age 7. Tdap, which has a reduced dose of the diphtheria and pertussis vaccines, is approved for adolescents starting at age 11 and adults ages 19 to 64. It is often called a booster dose because it boosts the immunity that wanes from vaccines given at ages 4 to 6. Source: WebMD.

Between ages 7 and 10, the CDC recommends children be vaccinated against Hepatitis A and pneumonia. For middle-school-age boys and girls, physicians recommend the human papillomavirus (HPV) vaccine. At that age, children also need a Tdap booster and a vaccine to protect them from meningococcal disease, more commonly known as meningitis.

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ave one

practice.

HPV is the most common sexually transmitted infection (STI). HPV is a different virus than HIV and HSV (herpes). HPV is so common that nearly all sexually active men and women get it at some point in their lives. There are many different types of HPV. Some types can cause health problems including genital warts and cancers. But there are vaccines that can stop these health problems from happening. Source: CDC.

At 16, kids need a meningitis booster. The meningitis vaccine is required by colleges, where dorm and dating life puts students at increased risk for the life-threatening disease. Between 16 and 18, the CDC also recommends the serogroup B meningococcal vaccine, which protects students from another type of meningitis.

Screen for depression. At about age 13, many pediatricians start screening their patients for depression. It’s something to think about. Middle school is tough enough.

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Danny Gnewikow, PhD Audiologist, CCC, FAAA Audiology Hearing Aid Associates Lynchburg | 434.528.4245 www.digitalhearing4u.com

Hearing is the most important school supply. “Even a minimal hearing loss can impact learning. If there is any question about your child’s hearing sensitivity, or if you have been told that your child is inattentive in class, a brief exam by your audiologist can set your mind at ease and insure good communication in the classroom.”

Schedule speech therapy, if needed. If your child is having trouble speaking or being understood by others, they might benefit from speech therapy. Not being able to communicate or be understood can lead to frustration and even bullying at school. www.OurHealthlbss.com

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Schedule an eye checkup. “Be sure to have your student's eyes examined each year. You prepare them for school with new clothes, textbooks and supplies. Why not prepare them for the classroom visually? Proper vision will enhance their classroom Gary St.Clair

St. Clair Eye Lynchburg | 434.239.2800 www.stclair-eye.com

experience and maximize their learning potential.”

Make sure kids know how to find help. Teach young children how to dial 9-1-1 in case of an emergency. And Mommy’s name is not Mommy. Kids need to know their parents’ names and their address.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside


Have “The Talk.” Before leaving for college, there needs to be a discussion about sex, drugs, alcohol and issues like date rape and depression. If you’re not comfortable talking about these things, your child’s pediatrician can have this conversation. Because Mom and Dad aren’t involved, it might even result in a more open conversation and better results.

Provide a plan of action. “Parents need to make schools aware if their children have food allergies or asthma. Ensure that a plan of action is in place and that appropriate medications are available at the school.” Saju Eapen, MD

Asthma and Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net

www.OurHealthlbss.com

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Backpack T

Scoliosis scre

ip:

ening isn’t the only thing you need to worry abou t when it comes to your studen t’s back health. H ow heavy is yo ur kid’s backpack ? Doctors say a child’s backpa ck, full of book s, should weigh no more than 10 percent of th eir body weight.

Don't forget to brush. “Don't forget that students with braces should brush their teeth multiple times everyday. Don't let your oral health take a back seat during the back-to-school rush. If you have braces, you should consider brushing before leaving for school, once home from school and before bed. And remember, it takes several minutes to do a good job brushing around those braces.” Eric Baugher, DMD Central Virginia Orthodontics Lynchburg | 434.385.4746 www.bracesbycvo.com

Update contact information. Make sure the school knows how to get reach you if your child becomes ill or has a medical or other emergency.

Develop independence.

ters

Expert Contribu

with Eric Baugher, DMD thodontics in Or ia gin Vir al ntr Ce Lynchburg. PhD, CCC, Danny Gnewikow, y Hearing log dio Au th wi FA AA burg and nch Ly in Aid Associates . ille nv Da th St. Clair Gary St.Clair, OD wi Eye in Lynchburg. th Asthma Saju Eapen, MD wi in Lynchburg. r and Allerg y Cente

Before preschool or kindergarten, work on developing your child’s independence, so being separated from you at school isn’t such a big deal. One way to do that is by taking them to your local library’s story time session. There, kids learn to be in a group setting with other kids and aren’t constantly with Mom or Dad. Story time also re-enforces reading every day and gets kids ready for school. And it’s free. Can’t beat that.

Play with your kids. Little brains need to be stimulated over the summer, too. Put down the smartphone. Play board games, read books and create things together. Sources www.CDC.gov www.WebMD.com

ON THE WEB

More at ourhealthlbss.com

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AWARDS 201

6 GOLD

OurHealth Lynchburg and Southside magazine presents the second annual Senior Living Awards which recognizes senior health communities and services who are voted on by the local community for their exceptional service and care to seniors. Please join us in congratulating this year’s sixth annual Senior Living Award winners. The Voting Process During April 2016, the Senior Living Awards Voting Form was available on OurHealth’s website, www.ourhealthlbss.com. The form consisted of 16 categories which the public could submit the business or community name by the applicable category. If you have any questions, please contact Stephen McClintic Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482. www.OurHealthlbss.com

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AWARDS 201

6 GOLD

First Place Tharp Funeral Home & Crematory, Inc. Lynchburg | 434.237.9424 www.tharpfuneralhome.com

“Family owned and affordable, everyone at Tharp stays focused on providing excellent service every time, for every family.” – Tharp Funeral Home & Crematory, Inc.

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Lynchburg | 434.845.4521 www.whittenfuneralhome.com

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Third Place

16 BRONZE

Heritage Funeral Service & Crematory Lynchburg | 434.239.2405 www.heritagefuneralandcremation.com

Honorable Mention Norris Funeral Services Amherst | 434.946.5529 www.norrisfuneral.com


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Second Place (tie)

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– Ron Feinman, Esq. Law Offices of Ron Feinman

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Third Place

Second Place

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Forest | 434.485.6513 www.wetzelandwashburn.com

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Wetzel & Washburn

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Second Place

1 6 S I LV E R

Forest | 434.329.7575 www.hscwealthadvisors.com

– HSC Wealth Advisors

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Lynchburg | 434.237.3009 www.valleyviewretirement.com Ly

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“Share with us your goals and plans for the future. We listen and work with you to develop your personalized financial management and investment strategies. You can count on HSC Wealth Advisors to always act in your best interest and be there to fine tune and adjust your financial plans as your life changes and you face challenges both good and bad.”

Lynchburg | 434.455.1699 www.summitlynchburg.com nch

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Lynchburg | 434.528.0696 www.ronfeinman.com

”We provide seniors with effective strategies to ensure they get the best care while protecting their assets from being entirely spent prior the end of life. We also provide guidance through the complex and often confusing maze of estate planning and administration, governmental benefits, assisted living facilities, and nursing homes, with a focus on providing peace of mind that your wishes will be followed and your family’s needs provided.”

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www.heritagegreenlynchburg.com

– Heather Pippen, Executive Director Heritage Green Assisted Living and Memory Care

First Place Ron Feinman, Esq.

Lynchburg | 434.333.0503

“Heritage Green Assisted Living sets the standard in long term care because of our experienced leadership, excellent care, and well trained compassionate staff; all of which contribute to the positive experience our residents enjoy each and every day.”

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Third Place

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Stuart Kenneth Lane Jr. Forest | 434.534.8875 www.ameripriseadvisors.com

16 BRONZE

Robert W. Carter Jr. Lynchburg | 434.847.8888 www.nursing-home-neglect.com

Honorable Mention King’s Grant Retirement Community Martinsville | 1.800.462.4649 www.sunnyside.cc

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Gretna Health & Rehabilitation Center

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Seven Hills Home Health Lynchburg | 434.847.6400 www.sevenhillshh.com

16 BRONZE

Centra Virginia Baptist Hospital Lynchburg | 434.200.4668 rehab.centrahealth.com

Honorable Mention Centra Rehabilitation - Gretna Gretna | 434.656.4607 rehab.centrahealth.com

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Second Place

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Centra Home Health

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Genesis Rehab Services

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Honorable Mention Liberty Ridge Health & Rehabilitation Center

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Lynchburg | 434.455.6500 www.generationsolutions.net

Lynchburg | 434.200.4111 AtHomeWithCentra.com www.centrahealth.com/services/homehealth

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Lynchburg Health & Rehab

6 GOLD

– Tulane Patterson, CEO Generation Solutions

Third Place OurHea

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First Place

“The strength of Generation Solutions is our award winning team of healthcare professionals. The depth of knowledge and experience that our nurses, therapists and caregivers offer to our patients far exceeds others in the region. We are patient/client focused-providing quality, compassionate home visits every day, every time!”

– Rehab Associates th

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Lynchburg | 434.528.1848 www.racv.hostcentric.com

“Our physical therapists are evidence-based healthcare professionals who offer costeffective treatment that improves mobility and relieves pain, reduces the need for surgery and prescription drugs, and allows patients to participate in a recovery plan designed for their specific needs. We believe in a patient-first model that is driven by exceeding expectations on clinical outcomes as well as patient satisfaction. Rehab Associates has several offices in Central Virginia to make it convenient to get expert, specialized physical therapy close to home or work. Rehab Associates is the proud winner of the Private Practice of the Year by Advance Magazine in 2015.”

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First Place

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Lynchburg | 434.845.6045 www.summitlynchburg.com

“The Summit Health and Rehab specializes in short term rehabilitation and is situated on The Summit’s 143 acre campus located in the heart of the Wyndhurst community.”

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Honorable Mention First Dominion Home Health Care Lynchburg | 434.384.2800 www.fdhhhomecare.com


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Gentle Shepherd Hospice AWARDS 201

6 GOLD

Lynchburg | 434.846.6270 gentleshepherdhospice.com

“Locally family owned and operated since 1994 the mission and purpose of Gentle Shepherd Hospice is to provide our patients with the best hospice care available in a manner that exemplifies Christ's ministry while He was on earth.”

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– Kim and Don Eckenroth Gentle Shepherd Hospice

AWARDS 20

Second Place

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Centra Hospice

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Lynchburg | 434.200.3204 www.centrahealth.com/services/hospice

AWARDS

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Third Place

16 BRONZE

Seven Hills Hospice Lynchburg | 434.847.6400 www.sevenhillshh.com

www.OurHealthlbss.com

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First Place Valley View Retirement Community Lynchburg | 434.237.3009 www.valleyviewretirement.com

“I would like to thank the wonderful staff who dedicate their time and talents to making Valley View the top choice for independent living for senior adults. Many of our staff have been with us for a long time, and that stability lends itself to creating an environment that is well respected in our community. We couldn’t do it without everyone working as a team!”

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– Pam Grigg, Community Director of Valley View Retirement Community

AWARDS 20

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King’s Grant Retirement Community Martinsville | 1.800.462.4649 www.sunnyside.cc

Westminster Canterbury

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Lynchburg | 800.386.3500 www.wclynchburg.org

AWARDS

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Third Place

16 BRONZE

The Summit Lynchburg | 434.582.1500 www.summitlynchburg.com

Honorable Mention Bentley Commons at Lynchburg Lynchburg | 434.316.0207 www.bentleyatlynchburg.com

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Heritage Green Lynchburg | 434.333.0503

AWARDS 201

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Runk and Pratt Senior Living Communities

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Lynchburg | 434.846.5381 www.robertshomemedical.com

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Forest | 434.237.2268 www.runkandpratt.com

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Third Place

16 BRONZE

Centra Guggenheimer Health and Rehabilitation Lynchburg | 434.947.5100 www.centrahealth.com

Honorable Mention Brookdale Danville Stokesland Danville | 434.327.4188 www.brookdale.com

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First Place Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com

Second Place

The Summit Health and Rehabilitation Center Lynchburg | 434.845.6045 www.centrahealth.com Ly

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www.heritagegreenlynchburg.com

“We stay abreast of the latest changes with regard to insurance. We provide state-of-the-art equipment but our biggest advantage is we are dedicated to providing the best patient care possible. As our logo states, Lincare, The Caring Choice.”

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Runk & Pratt Senior Living Communities Liberty Ridge | 434.515.1247 www.libertyridgeretirement.com

Honorable Mention Centra Guggenheimer Health and Rehabilitation Lynchburg | 434.947.5100 www.centrahealth.com


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Lynchburg | 434.200.3204 www.centrahealth.com/ services/hospice

“Centra Hospice brings compassionate care to patients and families whether they live at home, assisted living, a nursing facility or the Lynchburg or Bedford Hospice House.”

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“With ten locations for outpatient therapy and four Health and Rehab Centers, Centra makes Post- Acute rehab convenient for you.” – Centra Rehabilitation

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Lynchburg | 434.846.4626 www.heartland-manorcare.com/lynchburg

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Heartland Health Care Center

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AWARDS 201

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Lynchburg | 434.455.4115 www.lynchburgparksandrec.com

“The Templeton Senior Center is the hub of activity for active adults who want to stay happy, healthy and engaged. Centrally located and easily accessible, the center is a great place to learn new things, have fun and explore your potential. Stop by the center for bridge, canasta, mahjong, or engage in a lively discussion on current issues or literature. Try your hand at beading, watercolors, botanicals, oils or acrylics. For something a little more active Templeton offers yoga, Zumba, cardio, tai chi, ballet and dance workshops. Lifelong learning opportunities allow you to explore health topics, travel, foreign language, wellness, gardening, cooking and more. Details on these activities and more are published monthly in the Templeton Senior Center newsletter. ”

16 BRONZE

– Templeton Senior Center

Heritage Green Lynchburg | 434.333.0503 www.heritagegreenlynchburg.com

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Heartland Health Care Center

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Centra Lynchburg General Hospital

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Lynchburg | 434.200.6546 rehab.centrahealth.com

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Centra PACE

The Carrington

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Adult Care Center of Central Virginia Lynchburg | 434.847.8111 www.adultcarecenter.org

Honorable Mention Jamerson Family YMCA Lynchburg | 434.237.8160 www.centrahealth.com

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Centra Rehabilitation at Virginia Baptist Hospital

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Heartland Health Care Center

Genesis Rehab Services

Lynchburg | 434.846.4626 www.heartland-manorcare.com/lynchburg

Lynchburg | 434.316.0001 www.genesishealthsolutions.net

Third Place

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Lynchburg Health & Rehab

Lynchburg | 434.846.4626 www.heartland-manorcare.com/lynchburg

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Senior Living Awards

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– Centra Acute Rehabilitation Center at Virginia Baptist Hospital

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“Providing the only hospital based inpatient rehabilitation in the area the Centra Acute Rehab Center specializes in caring for patients requiring comprehensive rehabilitation and close medical management.”

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Centra Oakwood Manor Health and Rehabilitation Center

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“Speech and language pathology services located at Virginia Baptist Hospital provide expert care to patients with speech, language, articulation, voice, fluency, cognitive or swallowing disorders.”

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Lynchburg | 434.200.4668 rehab.centrahealth.com

“We believe that providing the best care begins with getting to know you first—that's the cornerstone of our personalized approach to rehabilitation services and nursing care.”

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AWARDS

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16 BRONZE

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For 28 years, seniors from the Lynchburg community and across the country have delighted in Valley View Retirement Community’s gracious amenities and joyful 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. Valley View Retirement Community 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.

“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.”

Valley View encourages family and friends to visit. We offer access to a private dining room and catering services are available for special occasions. 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.

www.OurHealthlbss.com 51 1213 Long Meadows Drive | Lynchburg, VA 24502 | 434.237.3009 | www.valleyviewretirement.com


The Williams Home, Inc. “We are nestled on six acres in one of the finest neighborhoods of Lynchburg, Virginia. We are a community of gracious ladies who enjoy daily activities, comfort, security and friendships both with staff and other residents. The Williams Home, Inc. may be the solution you have been looking for. The stately columned entrance to the beautiful lobby, relaxing sitting areas, elegant dining room, comfortable resident’s rooms and peaceful gardens are waiting to be seen by you.”

Serving Ladies in Lynchburg For Over 66 Years! Our Mission Statement: The Williams Home, Inc. is a non-profit organization providing Independent and Assisted Living to meet the needs of its female residents in a caring environment. We are nestled on six acres in one of the finest neighborhoods of Lynchburg, Virginia. We are a community of gracious ladies who enjoy daily activities, comfort, security and friendships both with staff and other residents. The Williams Home, Inc. may be the solution you have been looking for. The stately columned entrance to the beautiful lobby, relaxing sitting areas, elegant dining room, comfortable resident’s rooms and peaceful gardens are waiting to be seen by you.

Monthly Rates: Effective July 1, 2016 Tier 1 - Independent Tier 2 - Minimal Assistance Tier 3 - Moderate Assistance Tier 4 - Additional services including Tier 3

$1,496 $1,805 $3,090 $3,390

Rates include: private room/bath, three daily meals, snacks, activities, housekeeping, laundry, WI-FI and cable television. Medication Administration, L.P.N and licensed staff on duty 24/7 (excludes Independent Living).

Our History: If you want to understand what makes The Williams Home, Inc. unique in Central Virginia it is important to know about our founding and how we have arrived at where we are today. The Williams Home, Inc. was founded in 1941 by Mr. James Luther Williams. He had been the Secretary of the Lynchburg Coca-Cola Bottling Works and then the President of the Depositors Industrial Loan Bank. In his Will he provided for the construction and maintaining of a non-profit home for women 55 years of age and older. The land was purchased in 1944 but due to WWII the building was not completed until 1950 when the doors opened in March. At that time the capacity was just 11 residents. The capacity is now 38 residents.

Like us on The Williams Home, Inc.

What Sets Us Apart: We are Lynchburg’s only retirement home for ladies. We strive to keep a home-like environment and are unique with our one-to-one personal care. Our residents play an essential role in creating a sense of belonging at The Home. You are sure to benefit from our intimate family atmosphere and friendly personalized service.

52 OurHealth | The Resource Living in Lynchburg and Southside 1201 Langhorne Rd. for| Healthy Lynchburg, VA 24503 | 434.384.8282 ext5

| www.thewilliamshome.org | williamshomeinc@aol.com


Heritage Green Assisted Living Community 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 againg 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 semi-private accommodations, Heritage Green offers 24-hour personal care assistance managed by a Clinical Care Director with an onsite Medical Director. DayBreak Memory Care Heritage Green shares its campus with DayBreak, which offers programs for residents with Alzheimer’s and other dementias. For those who desire 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 and monthly Alzheimer’s Support Group attend to the resident’s and families’ needs.

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The Lynchburg area is home to two Heritage Green Assisted Living Communities. Located in the foothills of the Blue Ridge Mountains, Heritage Green offers both assisted living and memory care accommodations.

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“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, alike.”

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. Services and Amenities 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, and menus are adjusted seasonally to meet the preferences of each resident. 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, as well. 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, alike. We are Growing a Tradition of Care at Heritage Green Assisted Living and Memory Care!

www.OurHealthlbss.com 200 Lillian Lane | Lynchburg, VA 24502 | 434.385.5102 | www.heritagegreenal.com

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the

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OurHealth Lynchburg & Southside

HOW TO IN HEALTHCARE SERIES:

RT PA

an issue-by-issue overview

III

words | TINA JOYCE

GRADUATING TO

GRADUATE SCHOOL OurHealth’s four-part series: How to in Healthcare, is a step-by-step guide for those interested in pursuing a career in healthcare. Imagine a career that has the potential to save lives each and every day. From emergency medical technicians and anesthesiologists to physical therapists and trauma surgeons, those who work in the healthcare field come together to save lives or improve the quality of life for their patients. OurHealth is exploring numerous healthcare employment opportunities and sharing expert advice on ways to reach career goals in healthcare. In Part I, the April/May issue, we shared tips for families of students interested in exploring collegiate opportunities with a medical focus in mind.

PART THREE

Entering graduate school and residency/fellowship/ clinical training.

August | September

In Part II, the June/July issue, OurHealth asked college and university representatives to share insights on certificate and degree programs that transition students directly into the healthcare workforce as well as tips to help students successfully pursue a four-year degree. In this issue, we explore healthcare careers requiring postgraduate studies, including graduate school, professional school, residency programs and fellowships. We also offer planning considerations to assist students who are currently pursuing a bachelor’s degree but looking to further their education. Previous OurHealth issues have revealed that career opportunities in healthcare are numerous, and each program of study has different requirements. Understanding the complex world of graduate school includes comprehending

PART FOUR

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

October | November


ENTRANCE EXAM REQUIREMENTS FOR

POST-GRADUATE SCHOOLS

Applying to a graduate or professional school often requires taking a standard entrance exam. Standardized exams are designed to measure an applicant's potential to succeed in graduate or professional school. While a high grade point average (GPA) indicates success at an undergraduate college or university, standardized tests permit fair comparisons of students from a variety of universities and colleges with potentially differing grading standards. Below is an overview of the different types of graduate and professional schools entrance exams.

GRADUATE RECORD EXAMINATION (GRE)

The GRE is the general test that is used for admission into most graduate school programs. Administered by the Educational Testing Service (ETS), the GRE tests verbal reasoning, quantitative reasoning (math), and analytical writing (essay section). This computer-based test is available yearround at locations across the United States. Scores are available at the test center and you have the option of sending the scores to whichever schools you choose. There is a fee to take the GRE, and registration can be completed online.

GRADUATE MANAGEMENT ADMISSIONS TEST (GMAT)

The GMAT exam is primarily used for admissions decisions by business school graduate programs. If you’re considering a Master’s in Healthcare Administration degree, you may also be required to take the GMAT. It consists of a 30 minute analytical writing assignment, 12 integrated reasoning questions (30 minutes), 37 quantitative questions (75 minutes) and 41 verbal questions (75 minutes). These questions are designed to measure the skills needed to succeed in business school. The GMAT is given year-round and there is an average of fee of $250 to take the exam. While unofficial scores are available at the test center, your official scores will be sent to you within 20 days of completing the exam. Registration can be completed online.

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undergraduate requirements, entrance exams and waiting lists — a potentially overwhelming process if it is conducted without guidance. The best plan of action is to conduct thorough research — as early as possible — about programs and colleges with specific career interests in mind. Undergraduate students who are considering an advanced degree in healthcare must begin preparing well in advance of receiving their bachelor's degree. This includes maintaining a high GPA and taking required and advanced courses. For example, a student who wants to attend medical school is likely to be enrolled in a pre-med undergraduate program, taking a course load with a heavy concentration in math and science. When it comes to graduate programs in the healthcare field, students can either attend a graduate school or a professional school. Graduate schools offer master's and doctoral degrees. Medical schools fall into a category called professional schools, which also includes dental schools, pharmacy schools, chiropractic schools, etc.

THERE ARE SEVERAL QUESTIONS

STUDENTS SHOULD CONSIDER WHEN MAKING DECISIONS ABOUT ADVANCED EDUCATION: 1. What career am I seeking? 2. What graduate degree do I need for that career? 3. Does location matter? 4. Which colleges/universities offer the program or degree I want? 5. What are my financing needs and options? 6. Is the school accredited? 7. What is the reputation of the school or program I am considering? 8. What is the school’s placement rate for graduates? 9. Do I have the needed undergraduate requirements to apply to the program? 10. Are entrance exams required for admission? 11. Is work experience required for admission? 12. When is the application deadline?


The best resource for a student beginning to look into graduate schools would typically be the institution’s website. Most, if not all, programs have extensive descriptions of the application process, entrance requirements and deadlines on their websites. Once an online search has narrowed down which colleges and universities offer the chosen graduate program of study, students can begin to dissect the steps needed to apply to their school(s) of choice. Graduate programs are usually quite competitive; therefore, it is recommended that students apply to more than one. Each school has its own requirements, and every program within the school has yet another set of criteria for admission. “My advice [to students looking to apply for graduate school], is to start the process as soon as possible. Do your research, do your homework. You have to find an area you are passionate about. If you can work in the field in some capacity, it helps. You don’t have to go directly into graduate school. Experience in the field can be very helpful. Look for internships and assist faculty when possible…and of course, keep your grades up,” advises Dr. F. Douglas Boudinot, Dean of Graduate School at Virginia Commonwealth University. Additionally, undergraduate schools generally have pre-graduate and pre-professional advising programs that students can access, either online or in person. If there are specific questions an applicant has about a program, an email or phone call will likely prompt a helpful response from someone in the department. “I would not suggest calling professional programs with general career advising questions — they have neither the expertise nor time to answer those types of questions. But if there is a specific question to which an answer cannot be found on the website, then contact is appropriate,” explains R.J. Canterbury, MD, senior associate dean for education at the University of Virginia School of Medicine.

EXPLORING POSSIBILITIES It is important to realize there are numerous, highly sought after and lucrative healthcare opportunities besides becoming a physician. Students can explore many different facets of healthcare — both clinical and administrative — that require graduate work. For example, Virginia Tech offers a professional Master of Public Health degree. “We also offer graduate programs in biochemistry; biomedical engineering; consumer health; human nutrition, foods, and exercise; psychology; genetics; bioinformatics; and computational biology — all health sciences fields,” says Cathy Grimes, communications manager for Virginia Tech Graduate School. Virginia Commonwealth University offers a Master of Health Administration degree and a graduate concentration

ACRONYMS RELATED TO

ADVANCED DEGREE PROGRAMS

As a reminder and to help alleviate confusion, acronyms related to advanced degrees and some licensure programs are listed below:

MSN – Master of Science in Nursing MNA – Master of Nurse Anesthesia CRNA – Certified Registered Nurse Anesthetist

NP – Nurse Practitioner DNP – Doctor of Nursing Practice PhD – in nursing, psychology and other healthcare areas

PharmD – Doctor of Pharmacy PA – Physician’s Assistant MD – Doctor of Medicine DO – Doctor of Osteopathic Medicine DPM – Doctor of Podiatric Medicine DPT – Doctor of Physical Therapy LCMHC – Licensed Clinical Mental Health Counselor

LCP – Licensed Clinical Psychologist LCPC – Licensed Clinical Professional Counselor

LCSW – Licensed Clinical Social Worker PsyD – Doctor of Psychology DC – Doctor of Chiropractic DPM – Doctor of Podiatric Medicine DrPH – Doctor of Public Health DDS – Doctor of Dental Surgery DMD – Doctor of Dental Medicine AuD – Doctor of Audiology OD – Doctor of Optometry DVM – Doctor of Veterinary Medicine www.OurHealthlbss.com

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DOCTOR OF PHILOSOPHY (PhD) A PhD is an advanced, post-graduate academic degree awarded by universities to a candidate who has submitted a thesis or dissertation that is based on extensive and original research in his/her chosen field. In general, the PhD is the highest level of degree a student can achieve, and usually follows a master’s degree. In most cases, a PhD involves three to four years of full-time study.

REQUIREMENTS FOR PhD PROGRAMS: In order to be accepted into a PhD program, a student must have a master’s degree from an accredited college or university. In addition, most universities will require several letters of recommendation, a research proposal for the thesis or dissertation, letter of motivation from the application specifying his or her objections and determination to work hard on a project, and a face-to-face interview. Some universities also require a PhD entrance exam.

DOCTOR OF HEALTH SCIENCE (DHS OR DHSc) A Doctor of Health Science (DHS or DHSc) is a post-professional academic degree for those with a master’s degree who intend to pursue or advance a professional practice career in health arts and sciences and healthcare delivery systems, to include clinical practice, education, administration and research. Individuals who complete the DHS/DHSc face the particular challenge of understanding and adapting scientific knowledge in order to achieve health gain and results. This degree leads to a career in high-level administration, teaching, applied research, or practice, where advanced analytical and conceptual capabilities are required. The Doctor of Health Science is a degree that prepares scholarly professionals in healthcare.

ENTRANCE EXAM REQUIREMENTS FOR DOCTOR OF HEALTH SCIENCE: DHS and DHSc programs require a master’s degree from an accredited college or university, as well as related work experience in a clinical or healthcare-related educational setting. An interview may also be required as part of the admission process. There are no specific entrance exams required for this program.

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in healthcare management as part of a Master of Business Administration degree. Liberty University also offers a Master of Public Health and a Master of Science in biomedical sciences. Exploring the success rates of students in particular programs should be a consideration in the program selection process. “We regularly have over 60% of our students who complete that program [pre-med] are accepted into medical school. Those students who meet the benchmarks after the first semester are guaranteed a seat in the DO program at one of three campuses for the following August. Other similar programs only guarantee an interview for a medical program,” shares Dr. Brain Hill, Vice Dean for Graduate Biomedical Sciences with Edward Via College of Osteopathic Medicine (VCOM).

UNDERSTANDING THE DIFFERENCE The healthcare field is immense. Exploring careers can be overwhelming to even the most astute students. Unless students have personal experiences with a particular health profession, they might misunderstand the differences between common medical careers. For example, the differences between psychologists and psychiatrists; optometrists and ophthalmologists; and dentists, orthodontists and periodontists. Confusion often exists between Doctor of Medicine (MD) and Doctor of Osteopathic Medicine (DO) degrees. Both degrees mean the doctor is a licensed physician, but their training and approach to healthcare differs slightly. Medical doctors generally focus on one condition or area of the body, whereas osteopathic physicians are dedicated to treating and healing the patient as a whole. Another point of clarification has to do with a specialization. An orthodontist has completed dental school and gone on to receive further training to specialize in the prevention and correction of misaligned teeth and jaw. A psychiatrist is a medical doctor who specializes in mental health. In contrast, a psychologist has earned a master’s or doctorate degree but focuses on studying and evaluating mental processes. Some career paths are similar, but do have distinctions. “One of the biggest differences between a PT and an OT is that a physical therapist treats the patient’s actual impairment, while an occupational therapist treats that impairment in action,” explains Sarah Boswell, Assistant Director of Admissions at Jefferson College of Health Sciences. It is important for students to research and learn as much as possible about the careers they are considering prior to investing time, money, and energy in academic pursuit. During undergraduate studies, summer internships or part-time jobs allow students to explore careers and interview people working in the field of interest. Refer to the March/April issue of OurHealth for other recommendations.


APPLICATION AND ENTRANCE EXAMS The application process varies from school to school and program to program. Sometimes there is a common application form. For example, students applying to medical school complete a national application through the American Medical College Application ServiceÂŽ (AMCASÂŽ). Information about the application and medical careers can be found on the website of the Association of American Medical Colleges. The organization provides valuable information for all students seeking admission to medical schools across the country.

Cathy Grimes is the communications manager for Virginia Tech Graduate School.

Most clinical postgraduate programs require some type of entrance exam. For example, most graduate programs in clinical psychology require the Graduate Record Exam for application. The GRE is widely regarded as an entrance exam for many postgraduate programs, not just for medical fields. Some healthcare graduate programs require both an entrance exam and work experience.

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APPLYING TO GRADUATE SCHOOL?

When planning, it’s helpful to work backward from the application deadline and follow these steps: 1. Research schools with your program of study. 2. Consider visiting the schools you are applying to and make contact with staff/professors. 3. Take a practice GRE or other entrance exam if required or recommended for admission. Brian Hill, PhD is the vice dean for graduate biomedical sciences with Edward Via College of Osteopathic Medicine.

4. Sign up for a GRE prep course. 5. Register for the GRE general test if necessary. 6. Begin drafting your statement of purpose for your application. 7. Complete and submit applications by deadlines. 8. Request that undergraduate transcripts be sent. For example, if a student receives a Bachelor of Science in nursing and wants to pursue a Master of Science in nursing, the Continued on page 61...

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“Obtaining the benchmark MCAT is essential to admission to the VCOM medical program. However, our benchmark MCAT is lower than most other similar programs as we have found that the GPA within the Post-Baccalaureate program is more indicative than MCAT for student future performance within the DO program.” — Brian Hill, PhD, vice dean for graduate biomedical sciences at Edward Via College of Osteopathic Medicine (VCOM). Continued from page 60...

tests required to get into a school that offers an MSN vary. Christine Kueter, communications coordinator at the University of Virginia School of Nursing explains, “A year's worth of clinical experience is required for the Clinical Nurse Specialists (CNS) master's and Nurse Practitioner (NP) master's tracks, but the Clinical Nurse Leader (CNL) master's program — that's the one degree for non-nurses pivoting into the profession who have at least a bachelor's degree in another field — has no such requirement. Students who already have a bachelor of science in nursing (BSN) and are applying to an Master of Science in Nursing (MSN) program must have passed the National Council Licensure Examination (NCLEX) and have at least a year of clinical experience, but GREs are not required for entry. All students applying to a master's program must have completed a statistics course within the last five years.” Similarly, students seeking admission to a medical school might be required to take the Medical College Admissions Test (MCAT). However, not all programs require the MCAT for admission, and some require the test but do not have a minimum score to be considered for admission, according to College Admissions Partners, a college admissions counseling service provider. Continued on page 62... www.OurHealthlbss.com

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“Generally, students should pick their home state to apply to public graduate and professional schools because a larger number of in-state students are accepted each year. Student have a better chance of being accepted outside of their state of residence if they apply to a private school.”

— Stephen M. Workman, PhD, associate dean for admissions at Virginia Tech Carilion School of Medicine

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“Obtaining the benchmark MCAT is essential to admission to the VCOM medical program. However, our benchmark MCAT is lower than most other similar programs as we have found that the GPA within the Post-Baccalaureate program is more indicative than MCAT for student future performance within the D.O. program,” says Brian Hill, Vice Dean for Graduate Biomedical Sciences at Edward Via College of Osteopathic Medicine (VCOM). For admission to Liberty University College of Osteopathic Medicine, the MCAT is a factor, as are grades, but it is not an overriding factor in the selection process. “We establish a high enough level for test scores and grades that it demonstrates with 95 percent probability they can do the work of medical school, but it is not a determining factor,” says Ronnie Martin, DO and professor of family medicine. “The MCAT predicts how the students will do on national boards like the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) or United States Medical Licensing Examination (USMLE) but not the type of doctor they will be or how they will perform in medical school.” Similar to deciding on an undergraduate college or university, choosing the “best fit” graduate school is extremely important for success. Expending energy to apply to schools that a student has no interest in attending or has a low 62

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probability of being admitted can be unwise. Conduct the research first and then apply to schools that are a good fit academically, socially and professionally. According to Stephen M. Workman, PhD, associate dean for admissions at Virginia Tech Carilion School of Medicine, “Generally, students should pick their home state to apply to public graduate and professional schools because a larger number of in-state students are accepted each year. Student have a better chance of being accepted outside of their state of residence if they apply to a private school.” Students shouldn’t overlook schools close to home. Virginians are fortunate to have outstanding colleges and universities within a few hours drive. Graduate schools are plentiful and diverse, while medical schools are competitive and wellrespected in the state.

Randolph Canterbury, MD is senior associate dean for education at the University of Virginia School of Medicine.

RESIDENCY PROGRAMS Once students have completed four years of medical school, they enter the next stage of training called “residency.” During Continued on page 65...

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ENTRANCE EXAM REQUIREMENTS FOR PROFESSIONAL SCHOOL PROGRAMS: PROFESSIONAL DEGREE PROGRAMS A professional degree is a graduate level degree that is offered upon completion of necessary undergraduate components, followed by additional study in a specialized field. In this model, the undergraduate portion generally lasts five or more years, followed by four years at the graduate level.

CHIROPRACTIC SCHOOL The educational requirements for chiropractors specify a minimum of two years of pre-chiropractic study and four years of chiropractic school, after which the Doctor of Chiropractic degree is awarded. However, the majority of successful applicants have completed three or four years of college work before entering chiropractic school. There is no entrance exam required for admission into chiropractic school.

DENTAL SCHOOL The Dental Admissions Test (DAT) is a timed multiplechoice exam conducted by the American Dental Association (ADA) that is used as part of the admissions process for dental school. The DAT measures the general academic ability, comprehension of scientific information, and perceptual ability of the prospective dental student.

MEDICAL SCHOOL The Medical College of Admission Test (MCAT) is a computer-based standardized exam required for prospective medical students. It is designed to assess problem solving, critical thinking, written analysis and knowledge of scientific concepts and principles.

NURSING SCHOOL For graduate students entering nursing school, the required exams include the Graduate Record Exam (GRE), The Test of Essential Academic Skills (TEAS) and the National Council Licensure Examination (NCLEX). Exams can vary by institution, and some may require only one test.

OPTOMETRY SCHOOL All schools of optometry require the Optometry Admission Test. The OAT is a standardized examination, sponsored by the Association of Schools and Colleges of Optometry (ASCO), designed to measure general academic ability comprehension of scientific information.

PHARMACY SCHOOL The Pharmacy College Admission Test (PCAT) is a specialized test that helps identify qualified applicants to

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pharmacy colleges. It measures general academic ability and scientific knowledge necessary for the commencement of pharmaceutical education. The PCAT is constructed specifically for colleges of pharmacy. The PCAT consists of 232 multiple-choice items and one writing topic. Candidates are given approximately four hours to complete the test (including administrative time for instructions and time for a short rest break about halfway through the test).

PHYSICIAN ASSISTANT SCHOOL Physician assistant schools may vary when it comes to which exam they require. For example, some schools require the Graduate Record Examination (GRE), which is also often required for various types of master's degree programs. Other schools will accept the Medical School Admissions Exam (MCAT) instead of the GRE.

PHYSICAL THERAPY SCHOOL Most physical therapy (PT) programs require applicants to complete the Graduate Record Examination (GRE). Programs may have minimum acceptable scores and last acceptable test dates. Policies regarding the consideration of multiple sets of GRE scores vary by institution.

PODIATRIC MEDICAL SCHOOL Almost all podiatric medical schools require applicants to take the Medical College Admissions Test (MCAT).

SPEECH-LANGUAGE PATHOLOGY SCHOOL Applicants are required to submit scores earned within the last five years from the general test portion of the Graduate Record Examination (GRE). The general test of the GRE measures verbal reasoning, quantitative reasoning, and writing skills. The test is available year round in a computer-based format.

VETERINARY SCHOOL The Graduate Record Examination (GRE) is required by most veterinary schools, and some also require the Biology GRE. The Medical College Admission Test (MCAT) is also accepted by some schools in place of the GRE.


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residency, students practice medicine under the direct or indirect supervision of an attending physician in a hospital or clinic setting. Third-year medical students complete electronic applications to apply for a residency match. The residency placements are typically coordinated by the medical school's student affairs office. According to the American Academy of Family Physicians, all students seeking a residency position should enroll in “The Match.” Once enrolled, students are bound to abide by the terms of the National Resident Matching Program.

Sarah Boswell, assistant director of admissions, Jefferson College of Health Sciences.

During the fourth year of medical school, students participate in residency interviews. Based on the interviews and applications, the National Resident Matching Program places applicants for postgraduate medical training positions into residency programs at teaching hospitals throughout the U.S. Match results are made public in March. A day in March is known as National Match Day — the day medical students find out where they will complete their residency.

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“The state where you practice residency very often becomes where you are likely to end up residing,” Dr. Workman says. “National Match Day is a very anticipated day for medical students.” Graduation from medical school happens in May, and students begin their residencies in the summer. A residency is a minimum of three years. Not all students will receive a match for placement. Student who graduate at the bottom of their class or are not competitive might not receive a residency match. Ronnie Martin, DO is dean and professor of family medicine at Liberty University College of Osteopathic Medicine.

FELLOWSHIP TRAINING A fellowship is post-residency education that provides training in an area of specialization, ultimately allowing students to also teach or work in a large hospital. Students gain additional knowledge and expertise in a particular area, which might or might not include a certificate of added qualification. According to the website of the American Academy of Orthopaedic Manual Physical Therapists, “A fellowship is designed for the graduate of a residency or a board-certified therapist to focus on a subspecialty area of clinical practice, education or research.”

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CHANGING DIRECTION A question looming in the minds of some graduate students may be, “I feel like I might be heading in the wrong direction. What do I do now?” Some students question their program path often throughout undergraduate studies, causing a change of majors, while others have known their career choice from high school or earlier. Several factors can contribute to a change in academic direction heading into graduate school or after a couple of semesters. Test scores, work and personal experiences, finances and advisor recommendations continue to shape a student’s career direction. For example, a student might not get accepted into the graduate or professional school of choice. “They may apply a second time or choose to go into a more research-based program,” Dr. Workman says. Dr. Canterbury recommends, “a medical student who is unhappy with his or her choice generally should not continue. Medicine is a great career and many would say a 'calling,' but it’s very hard work with many challenges. If a student does not find it gratifying, it will be difficult to be a good physician. There are many other wonderful careers that might make the person happier.” To continue down a path of rigorous academic challenge, students must be completely committed to the profession they are pursuing. Doubts and fatigue may seep into their minds, but relying on strong relationships with advisors, professors and supportive family members will provide the support necessary to finish strong. Because there are so many options in healthcare, it is possible for a student to change directions but still remain in pursuit of health-related profession. However, changes cost time and money.

SEEKING BALANCE In addition to supportive relationships, diet and exercise play an important role in the mental, physical and social health of students. Inadequate sleep is common and often leads to chronic fatigue for students completing residencies and other intense work experiences.

LYNCHBURG AND SOUTHSIDE

GRADUATE AND PROFESSIONAL SCHOOLS OFFERING HEALTHCARE RELATED PROGRAMS Liberty University Liberty University offers master’s degrees in biomedical sciences, clinical mental health counseling, divinity (healthcare chaplaincy), exercise science, psychology, and public health. Also offered are the doctor of nursing program (DNP) and the doctor of osteopathic medicine (DO). For more information visit www.liberty.edu.

Longwood University Longwood University offers the master’s of science in communication sciences and disorders (speech-language pathology). For more information visit www.longwood.edu.

Lynchburg College Lynchburg College offers master’s degrees in athletic training, physician assistant (PA), public health, and nursing. They also offer a doctor of nursing (DNP) program. They also offer a doctor of physical therapy (DPT) program. For more information visit www.lynchburg.edu.

Fatigue in turn leads to illness and can have an adverse affect on course work and personal relationships. Competitive programs have very little room for error, and grades falling below a B can result in dismissal from the program. Therefore, it is vitally important for students to stay physically active, eat a healthy diet with limited use of stimulants such as energy drinks and excess caffeine and get as much rest as possible. Continued on page 68...

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U.S. News & World Report has reported that many medical schools are initiating wellness and social programs to help students achieve work-life balance. Last year, Psych Central recommended 12 tips for surviving graduate school, commenting that unlike college, grad school is a full-time job.

Stephen Workman, PhD is the associate dean for admissions at Virginia Tech Carilion School of Medicine.

THE TOP SIX TIPS

FOR SURVIVING GRADUATE SCHOOL INCLUDE: 1. Know your work 2. Read smarter, not harder 3. Focus less on grades and more on learning 4. Pick opportunities wisely 5. Consult others 6. Manage your time well

read this edition of

on your tablet or smartphone

Expert Contributers R.J. Canterbury, MD with University of Virginia School of Medicine. Cathy Grimes with Virginia Tech Graduate School. Christine Kueter with University of Virginia School of Nursing. F. Douglas Boudinot, PhD with Virginia Commonwealth University Graduate School. Dr. Michelle Whitehurst-Cook with VCU School of Medicine. Ronnie Martin, DO with Liberty University College of Osteopathic Medicine. Stephen M. Workman, PhD with Virginia Tech Carilion School of Medicine. Brian W. Hill, PhD Vice Dean for Graduate Biomedical Sciences with Edward Via College of Osteopathic Medicine. Sarah Boswell, Assistant Director of Admissions with Jefferson College of Health Sciences.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Also, taking study breaks every few hours optimizes the retention of information. This is a good time to take a walk, have dinner with a friend or take a nap. If these breaks are not built into their schedule, students soon find themselves working or studying 24/7 and ultimately experiencing burnout. Also, looking for blended programs or alternative course offerings maybe the best fit for some students. “Jefferson College of Health Sciences facilitates student success in the Doctor of Health Science and Doctor of Nursing Practice programs by providing an online learning environment, allowing students to study and complete coursework whenever and wherever it is most convenient. Students have access to library resources such as journals, databases, and eBooks using an online portal,” Sarah Boswell, Assistant Director of Admissions offers students. Professional healthcare careers require planning and discipline to complete. Those with a heart to serve and a desire to continually learn will likely have the mindset for this type of career. Researching, planning, studying and finding balance will help make the student’s transition to graduate school a success.

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Photos courtesy of Robert Copelan.

Percival’s Island 5-Miler The Lynchburg Road Runners celebrated the 4th of July holiday with the running of the 14th Annual Percival’s Island 5-Miler. With support from the Lynchburg City Parks and Recreation Department, nearly 200 participants enjoyed the scenery of the James River and Blackwater Creek Trail on a mildly warm summer day. Despite Lynchburg being known as the “Hill City”, this event is known for its flat and fast layout, making it a perfect family experience! The Lynchburg Road Runners Club focuses on keeping runners motivated as they train for the historic Genworth Virginia 10 Miler scheduled for September 24th this year. So, lace up your running shoes, it’s not too late! For more information on the Lynchburg Road Runners, visit www.lynchburgroadrunners.org

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THE NINTH ANNUAL

BEST

BEDSIDE MANNER

AWA R D S IN

LYNCHB URG & SOUT HSID E

F O R M ORE INFORM AT ION SCAN HERE OR GO TO WWW.OURHEALTHLBSS.COM


S T I ITB

F

words | DEIDRE

WILKE

S

ND TH A HEAL N SS O FITNE O THE G

Deidre Wilkes, AFAA, ACSM Certified Personal Trainer Deidre is the resident fitness specialist for OurHealth Lynchburg and Southside.

WHAT

’S THE

HYPE W

HIIT – no, it’s not a typo, and there isn’t any actual hitting involved – stands for high-intensity interval training. It is

ITH HII

T?

a training technique that involves 100 percent effort through quick, intense bursts of exercise, followed by short, sometimes active, recovery periods.

A high-intensity workout increases the body’s need for oxygen during the effort and creates an oxygen shortage, causing the body to ask for more oxygen during recovery. This after burn effect is referred to as excess post-exercise oxygen consumption (EPOC) and is the reason why intense exercise will help burn more calories in less time than aerobic and steady-state workouts. An additional benefit from EPOC is the metabolism boost that will last for up to 48 hours after a complete HIIT workout!

Ready for a challenge? Try your hand (or full body, rather) at a class offered at the local facilities listed below.

FIND A HIIT CLASS: Check out these local facilities that offer core classes and training: *membership and/or class fees may be required

Kinetix Health Club

Jamerson Family YMCA

Lynchburg and Forest www.kinetixlynchburg.com

Lynchburg www.ymcacva.org

WORKOUT STATS: HIGH INTENSITY LOW

STRENGTH

MODERATE

ENDURANCE

HIGH

CARDIO

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the 2016 OurHealth Lynchburg and Southside Primary Care Series: an issue-by-issue overview

+++ february

| march

KNOW YOUR CARE:

T PAR

understanding your health and how to maintain it

IV

+++ april

| may

DO YOUR CARE: taking action with your health

+++ june

| july

SHARE YOUR CARE:

INSPIRE YOUR

care words | GERI ASTON

Keeping creative with fresh care ideas!

Primary care physicians are our partners on the road to good health. They urge us to get our vaccinations and preventive health screenings. They’re the ones reminding us to eat healthy and exercise. Getting on the road to good health is often easier than staying on it. Today, many people have — or are at risk of developing — common chronic conditions such as diabetes, high blood pressure or heart disease. Oftentimes, those health concerns prompt them to visit a primary care physician. That’s a great first step. Primary care doctors work with their patients to develop a plan of action specific to each patient's health needs and goals.

setting good examples for others to learn and live by

+++ august

| september

INSPIRE YOUR CARE: keeping creative with fresh care ideas

+++ october

| november

MEASURE YOUR CARE:

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

+++ december

| january

CELEBRATE YOUR CARE:

rejoicing the rewards realized from taking good care of yourself


Those patients often start out eager to make the lifestyle changes — like losing weight or exercising — that are necessary to prevent or combat most chronic conditions. But as the months go by, many formerly motivated individuals begin to lose steam. Sometimes they fall back into old, unhealthy habits. And sometimes they don’t see the results they expected, so they throw up their hands and quit trying. Regardless of why people falter, their primary care physician can help get them back on track. Laura Mann is a family nurse practitioner at Johnson Health Center in Lynchburg.

This article, the fourth in a yearlong OurHealth series about primary care, focuses on “inspiring your care.” In it, primary care physicians offer ideas on how to overcome the obstacles that might sidetrack people on their path to better health.

Reach for a Helping Hand Many common health problems — including sleep issues, fatigue, headaches, allergies, arthritic pain, anxiety or stress, high blood pressure or blood sugar, high cholesterol levels, digestive concerns — can be improved with lifestyle changes. But making those positive changes can be a challenge. The first thing patients should do if they find themselves floundering is to ask their primary care doctor for help. If it’s been months since your last appointment and you’ve lost the momentum to stick with your health behavior goals, it’s worth it to schedule a follow-up appointment. Kim Wright, MD, a family physician with Central Virginia Family Physicians, or CVFP, in Appomattox, understands that people lose momentum. “It is difficult to be consistent,” she says. “Everyone's lifestyles are so busy.” Checking in with your doctor can be the shot in the arm you need to get back on track, Dr. Wright says. Many primary care offices have nurse navigators patients can talk to if they have any questions or need advice.

Nurse Navigator: A nurse or lay professional who coordinates care, shares information among providers, and removes barriers to care. David Cannon, MD, a primary care doctor with Medical Associates of Central Virginia in Lynchburg, stresses the importance of good communication with your physician. “When you see your doctor, discuss your health goals and establish what parameters you wish to follow together,” he says. Patients are encouraged 76

OurHealth | The Resource for Healthy Living in Lynchburg and Southside


to communicate with physicians via their electronic health record, so if you can use a computer, this can be helpful. If you can’t use a computer, find out how your doctor would like you to communicate. “Establishing a plan with your doctor to help you get good feedback on your progress will help you be successful with your health goals,” Dr. Cannon says.

Digging deep Laura Mann, a family nurse practitioner at the Johnson Health Center in Lynchburg, realizes obstacles are part of everyday life. She starts by having an open discussion with patients to identify their challenges and health issues. To understand barriers patients might face in improving their health, Mann asks them about their lives — their income, housing situation, who shops and cooks, how they cook, the makeup of the family unit and their level of schooling. “These things must be identified to start working out a plan together for treatment to help keep these folks from becoming discouraged or overwhelmed,” she says. After getting an idea of their situations, Mann begins to help patients understand, in their own terms, their health issues and how they might work on them. “Small steps are a beginning to accomplishing larger goals,” she says. Depending on the patient, Mann might recommend any of a number of doable actions — a switch to generic medications, a medication assistance program, tips on shopping for healthy seasonal or frozen foods, food preparation techniques or safe exercise choices. People are known to overestimate what they can accomplish when they first set their health goals. Many get discouraged when they don’t see the change they wanted or it doesn't happen fast enough.

KEEPING TABS ON YOURSELF Life can be chaotic, so tracking results — positive and negative — and keeping them in one location can help patients in the short term and down the road. It’s important to report results to your primary care physician at your appointments. Your doctor might have some insight about why you sometimes succeed and sometimes don’t. The feedback you give your doctor can help guide your treatment plan on a more successful course. If one approach isn’t working, your doctor likely can recommend something else.

“It may take many appointments to help patients gain confidence, see positive results with their health management

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and reduce discouragement,” Mann says. “But this is what we as health care providers must continue to strive to accomplish.”

Keep things fresh Sometimes after months of going strong with their health improvement plan, people begin to falter. The problem could be boredom, Dr. Wright suggests. “It helps to have variety. Include some fun in your routine.” Dr. Wright likes to look for new routines and recipes on social networks like Pinterest (www.pinterest.com). She also suggests trying out fun apps, such as Couch to 5K (www.c25k.com), an exercise plan that starts slow and builds endurance. Some people prefer exercising at home, while others do better in a gym or with a personal trainer. “It just depends on what works best for you,” she says. Another way to liven things up is to have an “accountability partner” — a friend who can encourage you while you encourage them, Dr. Wright says. Sometimes patients don’t lose weight or they stop losing weight even though they’ve improved their eating and exercise habits. When that happens, David Pelfrey, MD, a family physician at Centra Medical Group in Amherst, recommends that patients look more closely at the calories they're taking in (their diet) compared to the calories they're burning (exercise and activity). Websites such as www.myfitnesspal.com can help patients find the right balance for gradual, sustained weight loss, he says.

Give yourself a pat on the back To keep up your momentum, health professionals recommend that you celebrate your achievements. A success is a success, no matter how small it is. Sometimes treating yourself to a small reward is enough. For example, if you’re trying to quit smoking and have gone two weeks without a cigarette, find an activity you enjoy, such as going to a movie. When larger goals are met, the reward can be more significant. By recognizing your achievements, you’re more likely to stay motivated. Mann praises her patients for any successes at each office visit. “Patients need to feel good about Continued on page 80...

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THE MENTAL AND PHYSICAL HEALTH CONNECTION “When you see your doctor, discuss your health goals and establish what parameters you wish to follow together. Patients are encouraged to communicate with physicians via their electronic health record, so if you can use a computer, this can be helpful. If you can’t use a computer, find out how your doctor would like you to communicate.” - David Cannon, MD

Many people consider their mental health to be separate from their physical health, but that’s not the case. Taking care of your mental health is part of a healthy lifestyle. Patients should inform their primary care physician when anxiety or depression is interfering with their ability to work, enjoy relationships or enjoy life. Chronic illnesses can cause or worsen mental health issues, such as anxiety or depression. For example, people with diabetes are at higher risk for depression because the difficulty of managing diabetes can lead to depression. On the flip side, a mental health problem can make a person less motivated to exercise, eat right or take their medicine, which can lead to or worsen a chronic illness. Physical and mental health problems can feed off each other. A person depressed about a diabetes diagnosis might lose the willpower to manage their disease, which would make both the disease and their depression worse. As with all other attempts to adopt a healthier lifestyle, people shouldn’t become discouraged and give up if their efforts to improve their mental health don’t work as quickly as expected, doctors say.

David Cannon, MD is an internal medicine physician with Medical Associates of Central Virginia in Lynchburg. Dr. Cannon is certified by the American Board of Internal Medicine.

Many mental health prescription medications don’t take full effect for several weeks or months. Additional treatments that usually involve some mix of individual psychotherapy, group psychotherapy, exercise and diet or lifestyle changes are often necessary for a person to notice improvement. These interventions can provide enough support during the treatment process to help prevent those making health behavior changes from becoming discouraged.

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Continued from page 78...

something and to understand why they need to keep on trying or their burdens will just continue to grow,” she says. And when patients stumble — and most people will — it's important that they don’t give up, doctors emphasize. Sometimes patients don’t notice the progress they made on improving their health because they haven’t lost weight. Dr. Pelfrey reminds patients that the scale can't tell them anything about their body composition. “If the weight hasn't moved but their clothes are fitting better, they've probably traded fat for denser muscle, and that's a healthy exchange,” he says. Even if patients don't lose any of their excess weight, positive lifestyle changes can still improve their health, Dr. Pelfrey says. A 2011 study of overweight and obese people showed that incorporating exercise and dietary changes, independent of weight loss, improved their cardiometabolic risk profile — that is, it improved the way their bodies processed fat and sugar as well as their blood pressure. So don't give up!

Next in our series Part IV of OurHealth magazine's six-part series “The Bridge to Better Health Starts with Primary Care” examines ways you can track your efforts to ensure you're on the right path. The ability to measure your care will make it easier to see your success. Be on the lookout for Part IV in the October/November issue!

Expert Contributers David Cannon, MD a primary care doctor at Medical Associates of Central Virginia in Lynchburg. Laura Mann, a family nurse practitioner at the Johnson Health Center in Lynchburg. David Pelfrey, MD, a family physician at Centra Medical Group in Amherst. Kim Wright, MD, a family physician at CVFP in Appomattox.

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“If the weight hasn't moved but their clothes are fitting better, they've probably traded fat for denser muscle, and that's a healthy exchange.� - David Pelfrey, MD

David Pelfrey, MD is a family medicine physician with Centra Medical Group in Amherst. Dr. Pelfrey is certified by the American Board of Family Medicine.

R. Kim Wright, MD is a family medicine physician with Central Virginia Family Physicians in Appomattox. Dr. Wright is certified by the American Board of Family Medicine.

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closer LOOK

Can you identify which local practice the image belongs to?

E E R AF

n N o I i W ript

c h s t b l u a S e H r u ! e O n o i T agaz M

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