August • September 2017 ourhealthlbss.com
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AGE REALLY IS JUST A NUMBER
AWARDS AWARDS AWARDS
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1 7 B R O N2Z0E1 7 S I LV E2R0 1 7 G O L D
2017 Senior Living Award WINNERS!
Plus: GROWING HEALTHY GRADE BY GRADE
NATURE VS. NURTURE
TAKING PHYSICAL THERAPY OUTDOORS
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TABLE OF CONTENTS AUGUST • SEPTEMBER 2017
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THE PULSE
| KEEPING THE PULSE ON HEALTHCARE
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SENIOR CARE
| HEALTHY SENIOR LIVING
12 – Q&A ON HEALTH
28 – SIX MYTHS ABOUT ACTIVITIES & AGING
16 – NEW PEOPLE & PLACES
31 – NATURE VS. NURTURE | Taking therapy outdoors accelerates recovery for former Boy Scout.
CHECKUP
| LOCAL HEALTH & MEDICINE
18 – IS EYE SURGERY RIGHT FOR ME? 20 – TUMMY TROUBLE? | It could be gastroparesis
35 – 2017 SENIOR LIVING AWARDS | Celebrating the 7th annual Senior Living awards in the Lynchburg & Southside area.
23 – OURHEALTH BOOKSHELF
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BEYOND THE BOARD GAMES The image of a retiree lounging in a recliner all day, or needing a walker to get around, is an outdated stereotype. There are many options available to area seniors to keep them engaged and healthy – both physically and mentally.
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TABLE OF CONTENTS AUGUST • SEPTEMBER 2017
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NUTRITION
| LOCAL FOODS & RECIPES
FAMILY CARE
62 – GOT GROUP B? | A painless screening test vital for pregnant women and their babies.
54 – HEALTHY EATS | Local restaurant reviews
64 – BIGGER ISN'T ALWAYS BETTER | Pampering your prostate in youth could make for a healthier man later on.
GROWING HEALTHY GRADE BY GRADE Top 13 safety and wellness tips to keep in mind as kids head back-to-school!
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CLOSER LOOK
| LOCAL HEALTHCARE Images reflecting the local landscape of healthcare.
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| HEALTH FOR THE WHOLE FAMILY
52 – FANTASTIC FARMER’S MARKETS | Nutritious finds for the whole family
56 – COOK'S NOOK | Scrumptious seafood
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august • september 2017 PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION ACCOUNTING MANAGER CHIEF GRAPHIC DESIGNER GRAPHIC DESIGNER DIGITAL CONTENT MANAGER | EVENT SPECIALIST DIGITAL MEDIA STRATEGY WEBSITE
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Laura Bower Karrie Pridemore Tori Meador Heidi McClintic Dalton Holody Heidi McClintic
CONTRIBUTING MEDICAL EXPERTS Eric Baugher, DMD Heather Farmer, RN, BSN, CHPN Brian Jalbert, PA-C Gregory O’Shanick, MD Tanya Overbey, PTA Kelli Rosas, RN, MSN, FNP-C CONTRIBUTING PROFESSIONAL Brandy Centolanza EXPERTS & WRITERS Rich Ellis Holly Ford Tina Joyce Rick Piester Christy Ripple Christine Stoddard
ADVERTISING AND MARKETING Cynthia Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth Lynchburg and Southside via U.S. Mail, please contact Heidi McClintic at heidi@ourhealthvirginia.com or at 540.387.6482
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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2017 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.
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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
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Braces don’t cause cavities or white-spots; poor brushing and flossing around braces are what causes damage to teeth and gums. Remember to continue regular appointments with your dentist for exams and cleanings.
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– Eric Baugher, DMD
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Do I need a DNR (do not resuscitate) or a living will to qualify for hospice care? Neither a living will (Advance Directive) or a DNR is a requirement for admission to Gentle Shepherd Hospice. Living wills and other advance directives are written, legal instructions regarding your preferences for medical care if you are unable to make your desires known. By planning ahead, you can get the medical care you want, avoid unnecessary suffering and relieve caregivers of decision-making burdens. You also help reduce confusion or disagreement about the choices you would want people to make on your behalf. For persons who reside in a private residence, a Durable Do Not Resuscitate Order is signed by a physician and instructs emergency medical service personnel not to resuscitate you. Our hospice staff does not resuscitate patients as this is contrary to the nature of hospice. Our compassionate staff provides ongoing support and education to our patients and loved ones about this and many other end of life topics.
Heather Farmer, RN, BSN, CHPN Director of Quality Assurance Gentle Shepherd Hospice Lynchburg | 434.846.6270 www.gentleshepherdhospice.com
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
What are signs of spondylolisthesis? Spondylolisthesis is a Latin term that means a slip of the spine. Listhesis means slip and spondylo means spine. Thus, slip of the spine. The main complaint with spondylolisthesis is back pain. Other symptoms may include leg pain and worsening of back and leg pain when standing and walking. Leg pain is alleviated by sitting or lying down. This condition may be diagnosed with an x-ray. Flexion and extension x-rays may be performed to evaluate stability.
V. Kelli Rosas, RN, MSN, FNP-C Virginia Neurospine Lynchburg | 434.200.9009 www.virginianeurospine.com
My daughter will be getting braces this month. Will we need to change her oral hygiene routine afterwards? Yes, there will need to be changes to the routine, and for two reasons. First, adding braces to the teeth creates more ‘nooks and crannies’ for food and plaque to hide in the mouth. It will take new tools like floss threaders and proxybrushes, in addition to your regular toothbrush, to do as good a job cleaning teeth with braces on. Second, it will take more time to brush and floss once the braces are on. What used to take a couple minutes may take 10 minutes at first to brush and floss well around the braces. Braces don’t cause cavities or white-spots; poor brushing and flossing around braces are what causes damage to teeth and gums. Remember to continue regular appointments with your dentist for exams and cleanings.
Eric Baugher, DMD
Central Virginia Orthodontics Lynchburg | 434.385.4746 www.bracesbycvo.com
THE P ULSE | Q&A on Health
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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
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The Buffalo Concussion Treadmill Test is a new method of measuring the concussed athlete’s physical response to exercise. The Test helps determine the likely speed of recovery from a concussion and how best to use a progressive exercise program to assist with that recovery.
My 10 year-old-son is already experiencing moderate acne and is selfconscience about his skin. Is he too young to begin a treatment plan? Your son is not too young to create an acne treatment plan. Luckily, we live in a day and age when there are many different treatment options for combating acne. I would encourage you to reach out to your child’s pediatrician or dermatologist to help guide you on where to begin his treatment. There are several different types of acne, as well as differing levels of severity. Therefore, it’s imperative to create the focus of intervention based on each and every unique case.
Brian Jalbert, PA-C
Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com
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– Gregory O’Shanick, MD
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My wife will be coming home soon after several weeks of physical rehabilitation at a local rehab facility. How will I know what to do to help her at home? LifeWorks Rehab has a unique tool to help each patient’s return to home a successful one. At discharge, our patients receive a guide: Healthy Living: Your Guide to Success at Home. This tool offers information on reducing fall risks, managing health conditions, exercise, medication management and nutrition. Prior to discharge, patients will participate in a physical therapy class to learn about these topics. Spouses and/or other loved ones are also welcome to participate in this class. We believe education empowers patients and families during the transition home.
What is the Buffalo Concussion Treadmill Test? The Buffalo Concussion Treadmill Test (BCTT) is a new method of measuring the concussed athlete’s physical response to exercise. The Test helps determine the likely speed of recovery from a concussion and how best to use a progressive exercise program to assist with that recovery. Developed by a team of researchers at the University of Buffalo, the BCTT is now available at the Center for Neurorehabilitation Services as one component of its comprehensive evaluation of concussion and its management. When used in conjunction with a thorough diagnostic evaluation, the BCTT provides an additional measure of progress and recovery of concussions.
Gregory O’Shanick, MD Tanya Overbey, PTA
Gretna Health & Rehabilitation Center Gretna | 434.656.1206 www.gretnahealthrehab.com
Center for Neurorehabilitation Services, PC Richmond | 804.272.0114 www.centerforneurorehabilitation.org
THE PULSE
KEEPING THE PUL SE ON HEALTH
AT THE FOREFRONT
>> Noteworthy News from Local Healthcare Providers
CENTRA FOUNDATION ANNOUNCES 2017 COMMUNITY HEALTH INITIATIVE FUND GRANT RECIPIENTS Centra Foundation announces the 2017 recipients of the Centra Foundation Community Health Initiative Fund grants totaling $486,331 to support health-related projects and programs in our region. The grants funded are closely aligned to the funding goals that have been established as a result of the most recent Community Health Needs Assessment. Recipients are: All Second Graders Learn to Swim Southside Virginia Family YMCA - $8,170 Bedford Ride Non-Emergency Medical Transportation Bedford Ride/Central Virginia Alliance for Community Living, Inc. $20,000 Burkeville Lodge for the Blind Improvement Project The Virginia Association of Workers for the Blind - $5,000
Centra Health Reach out and Read Program Reach out and Read Virginia - $5,000 Central Virginia HIV Testing & Counseling Project Coalition for HIV & Prevention of Central VA (CHAP) - $14,500 Kids Equipment Palooza Children’s Assistive Technology Service (CATS) - $7,000 Connect Central Virginia – An initiative of Central Virginia No Wrong Door Central Virginia Alliance for Community Living, Inc. - $30,000 EMS Training Grant for Year 2017- 2018 Central Virginia Community College Educational Foundation, Inc. (CVCC) - $25,000 Forging a Healthier, Stronger Community; One Girl at a Time Girls on the Run of Central Virginia, Inc. - $5,000 Fresh RX Lynchburg Grows - $14,500 Healthy Behaviors Diamond Hill Health & Wellness (DHHW) Community Services $7,500 Hospital Readmission Prevention Piedmont Senior Resources Area Agency on Aging, Inc. - $22,000 Medical/Dental Services Integration Project Free Clinic of Central Virginia, Inc. - $80,000 Medication Access Program (MAP) Heart of Virginia Free Clinic (Farmville) - $13,450 (ORRP) Oak Lane Residential Recovery Program for Pregnant and Postpartum Women & Their Infants Roads to Recovery - $45,000 RX Partnership RX Drug Access Partnership - $10,000 “Safe at Home” Interfaith Outreach Association - $20,000 Summer Camp Scholarships and 3-Point Play Program Jubilee Family Development Center - $12,600 TAKE CHARGE: Priority Care Transitions Program Central Virginia Alliance for Community Living, Inc. - $69,500 United Neigh Scholarship Brook Hill Retirement Center for Horses, Inc. - $7,500 Women and Children’s Community Outreach Programs Centra Women and Children’s Services - $30,960 Women’s Health Center The Free Clinic of Danville - $33,651 For more information, visit www.centrahealth.com/foundation.
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SUSAN G. KOMEN LAUGH FOR THE CURE® WHEN: Friday, September 8th at 6:30 PM WHERE: Academy Center of the Arts in Lynchburg WHAT: Join Komen Virginia Blue Ridge for the 4th Annual Laugh for the Cure. Featuring comedian Brent Blakeney and Will Jacobs. HOW: Purchase tickets ($125) by visiting www.komenvablueridge.org Breast cancer is no laughing matter, but for one night, it will be!
44TH ANNUAL GENWORTH VIRGINIA 10 MILER WHEN: Friday and Saturday, September 22-23 WHERE: E.C. Glass High School, 2111 Memorial Avenue WHAT: Join more than 4,000 runners on a historic course that has hosted participants from around the globe. The festivities begin Thursday night with packet pick-up, and continue Friday evening with the Amazing Mile Children’s Run, and a fun, family-friendly festival. On Saturday, thousands will take part in the 10-mile run, 4-mile run, and 4-mile walk. HOW: Visit www.virginiatenmiler.com to register.
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CHECKUP
LOCAL HEALTH & MEDICINE
LASIK
IS
[ lā'zĭk ] : Noun
Eye Surgery
A surgical procedure that uses a laser to correct nearsightedness, farsightedness, and/or astigmatism. In LASIK, a thin flap in the cornea is created using either a microkeratome blade or a femtosecond laser.
RIGHT FOR ME?
AN INTERVIEW WITH DAVID HARMAN, MD THE OPHTHALMOLOGIST BEHIND HARMAN EYE CENTER IN LYNCHBURG words | CHRISTINE STODDARD
interviewee | DAVID HARMAN, MD
How wonderful would it be to wake up being able to see clearly? For many people who depend on glasses or contacts, this sounds like a dream come true. That’s exactly what makes corrective eye surgery sound so appealing. However, LASIK and related surgeries are not for everyone. We asked David Harman, MD, the ophthalmologist behind Harman Eye Center in Lynchburg, a few essential questions about this potentially life-changing procedure.
Q: What are the main types of corrective eye surgery options? A: LASIK has the largest range of vision correction and it is usually the go-to procedure when correcting nearsightedness, farsightedness and astigmatism in patients that are 18 or older. Patients that have the beginning signs of cataracts, usually 55 years and older, would need to undergo cataract surgery. During cataract surgery, the surgeon removes the natural lens of the eye, which has turned cloudy due to cataracts, and then replaces it with a lens tailored to the patient’s unique pre-operative measurements. The lenses can correct even the most severe cases of nearsightedness, farsightedness and astigmatism. We now have lenses called premium near vision lenses that can reduce or eliminate the need for reading glasses or bifocals following cataract removal. In fact, most patients that receive these lenses can do most things most of the time without glasses. 18
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Q: Who are the best candidates for LASIK these days?
QUIZ
eliminate their dependence on glasses or contact lenses and haven’t had any previous eye surgeries.
Q: What should a patient consider before getting laser vision correction?
ARE YOU AT LEAST 18 YEARS OLD?
YES
NO
A: Patients may not always know which procedures might be best for them. That is why they should select a surgeon that has dedicated a large portion of their practice to laser vision correction. Most surgeons that perform LASIK offer free, no-obligation consultations. During the consultation, a series of eye tests are conducted to determine if LASIK is right for them. The benefits of vision correction include possibly being able to have a lifestyle that doesn’t involve glasses or contact lenses, waking up in the morning with clear vision, and buying off the shelf sunglasses. As with any surgical procedure, there are risks. However, LASIK is one of the safest and most widely performed elective procedures available. LASIK is so safe and accurate that it is approved by the military for its pilots and NASA for its astronauts – and most patients that undergo the procedure see 20/20 or better.
Q: How should age and lifestyle affect someone's choice of corrective eye options? A: We do not perform LASIK on a patient that is under the age of 18 because their eyes may still be changing. We often wait until a patient is at least 21 to ensure their vision is stable, which can be determined during the free consultation. There is really no upper age limit. However, once a patient has the beginning signs of cataracts, LASIK is no longer the best option. Once the cataract begins to negatively impact a patient’s vision, cataract surgery can be discussed. LASIK is usually more beneficial for patients that have an active lifestyle. Imagine not having to wear glasses or contacts when playing sports or enjoying the beach. It’s also great for moms. Not having to worry about your toddler grabbing at your glasses can be well worth the investment.
EXPERT CONTRIBUTOR David Harman, MD, is an ophthalmologist with Harman Eye Center in Lynchburg.
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HAS YOUR VISION BEEN STABLE FOR THE LAST FEW YEARS?
YES
NO
ARE YOU CATARACT-FREE?
YES
NO
HAVE YOU HAD ANY PREVIOUS EYE SURGERIES?
YES
NO
RESULTS If you answered YES to every question, you may be a good candidate for LASIK, but only a doctor can give you a professional, medically sound opinion. If you answered NO to every question, you are probably not a good candidate for LASIK, but only a doctor can give you a professional, medically sound opinion. Schedule a consultation today to find out. www.OurHealthlbss.com
Is Eye Surgery Right for Me?
A: Patients that are between the ages of 18 and 59 who want to reduce or
C HEC K UP |
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LOCAL HEALTH & MEDICINE
GASTROPARESIS
Tummy TROUBLE?
[ gās'trō-pə-rē'sĭs, -pār'ĭ-sĭs ] Noun A descriptive term meaning the stomach is functioning abnormally and emptying slowly, which can cause many symptoms that are consistent with other conditions.
Persistent, Unexplained Stomach Issues Could be Gastroparesis words | CHRISTY RIPPEL
If you’ve bounced around like a pinball from urgent care to physicians’ offices for stomach issues, but are still undiagnosed, consider whether gastroparesis could be the cause of your symptoms. Often, patients suffer for an extended period of time before they receive a diagnosis—and treatment options may improve quality of life. While gastroparesis is a relatively uncommon disorder, the degree that the condition disrupts a person’s life can be debilitating.
WHAT IS GASTROPARESIS? Gastroparesis is a disorder in which the motility of the stomach is delayed or absent,” says Ralph Wisniewski, MD, FACG, a gastroenterologist who treats patients with gastroparesis at Gastroenterology Associates of Central Virginia in Lynchburg. “When this occurs, the stomach cannot crush and move food into the small intestine properly.” Patients may experience symptoms differently, but they can include nausea, vomiting or regurgitation of undigested food, bloating, abdominal discomfort, and weight loss, and what physicians call early satiety—meaning, you feel full after only eating a small amount of food.
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C HEC K UP | Tummy Trouble?
The reason why patients run into dead ends before being diagnosed is because symptoms can mimic those of other conditions. Often, other causes are ruled out first, like gallbladder disease, pancreatitis, irritable bowel syndrome (IBS) or tumors.
THE PATH TO DIAGNOSIS Radiographic tests and endoscopic procedures are used to exclude bowel obstruction or other causes and lead a physician to the diagnosis. A patient may undergo a gastric emptying study, which is a common procedure that measures the rate that food empties from the stomach and enters the small intestine. In the study, a patient eats a meal that is mixed with a small amount of radioactive material. A scanner is placed over the patient’s stomach to monitor the amount of radioactivity in the stomach for several hours, which reveals the rate that the stomach empties. Other physicians might use a wireless motility capsule—a small, non-invasive pill-like device that is swallowed, and gathers information about your digestive system as you go about daily activities. Dr. Wisniewski says the cause of gastroparesis varies by patient. One population that is vulnerable to developing gastroparesis is diabetics. In diabetics, elevated blood sugar over a period of years affects the nerve endings in the body (including the stomach) and makes them dysfunctional. The damage to the stomach nerves creates a ripple effect, and the stomach no longer functions and empties property. In diabetics, good blood sugar control does not guarantee that a patient won’t get gastroparesis—but could help prevent or delay its onset. Neuromuscular problems, infections, endocrine disorders, autoimmune conditions, and prior surgeries involving the vagus nerve can also be associated with gastroparesis. Medications prescribed for other conditions can cause delayed stomach emptying such as narcotics and certain antidepressants.
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While diabetics are prone to it, the most common form of gastroparesis is idiopathic— meaning, the cause is unknown. The condition more commonly affects middle-aged women who were previously well and now have unexplained nausea and vomiting. Sometimes it follows a viral stomach illness or food poisoning.
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CHECKUP
LOCAL HEALTH & MEDICINE A third, more rare cause of gastroparesis is previous gastrointestinal surgery—ulcer, reflux, stomach or esophageal surgery.
TREATMENT OPTIONS FOR GASTROPARESIS “Treatment includes dietary modifications, medication, and treatment of the underlying cause such as improving diabetic control,” explains Dr. Wisniewski. “Diet is the primary course of action. Fatty foods and fibrous foods take longer to digest, thus, a low fat, low fiber diet is recommended.” Smaller, more frequent meals (four to six per day), cutting and chewing food well before swallowing, and drinking fluid with meals are effective. There are a few medications available to treat gastroparesis; however, they have limited effectiveness and unwanted side effects.
“A common diet for gastroparesis is low fat, with limited caffeine and no raw fruits or vegetables, as the raw, fibrous material is difficult for the stomach to break down. Softer foods are easier on the stomach, such as pasta, cooked vegetables, oatmeal and low-fat yogurt.” RALPH WISNIEWSKI, MD, FACG A gastroenterologist who treats patients with gastroparesis at Gastroenterology Associates of Central Virginia in Lynchburg.
A common diet for gastroparesis is low fat, with limited caffeine and no raw fruits or vegetables, as the raw, fibrous material is difficult for the stomach to break down. Softer foods are easier on the stomach, such as pasta, cooked vegetables, oatmeal and low-fat yogurt. A dietician is helpful in managing the condition and following diagnosis most patients are referred to one for guidance.
SURGICAL TREATMENT A very small percentage of patients are very symptomatic, and may require surgical intervention. These patients may be unable to tolerate any food or liquids, which, until recently, could require the placement of a feeding tube (jejunostomy tube) in the small intestine. Now, there are two additional options that exist for these patients—one is a gastric stimulator, which has been FDA approved since 2000, and works much like a cardiac pacemaker, but for the stomach. It is wired to the stomach through a laparoscopic procedure, meaning incisions are tiny. It has proven helpful for diabetic gastroparesis. The other, newer surgical intervention is called pyloroplasty which is helpful in about 75 percent of gastroparesis cases of unknown cause. This surgery is also done with lessinvasive techniques. Pyloroplasty involves permanently opening the valve at the end of stomach, thus leaving it open helps food move to the small intestine more efficiently. “Fortunately, and in most cases, gastroparesis is manageable with dietary interventions and treating or controlling the underlying cause,” says Dr. Wisniewski.
CLINICAL TRIALS There are ongoing studies to find treatments for gastroparesis. The Mayo Clinic website, www.mayoclinic.org is an excellent resource for locating these national studies. Locally, the Blue Ridge Medical Research division of Gastroenterology Associates of Central Virginia will begin a study for new innovative medications and treatments for gastroparesis later this fall. EXPERT CONTRIBUTOR Ralph Wisniewski, MD, FACG, with Gastroenterology Associates of Central Virginia in Lynchburg.
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C HEC K UP |
OurHealth BOOKSHELF words | RICK PIESTER
OurHealth Bookshelf
The Fault in Our Stars By John Green Dutton Books | 318 Pages Although written and published for young adult readers (subjectively defined as people between the ages of 15 and the early 20s), this is a book that has held great appeal for adult readers, so much so that it earned a place at the top of many bestseller lists, including #1 in the New York Times, Wall Street Journal, and USA Today. The book is also the inspiration for a 2014 motion picture. Novels about teenagers with cancer is not normally everyone’s first choice, but this one is different. This novel avoids garment-rending sentimentality to instead draw its characters with strength, humor, and courage. This is a read you won’t forget. Ever.
Cutting for Stone By Abraham Verghese Knopf Publishers | 541 Pages On its surface, this is a novel about the life stories of twin brothers who share a fascination with medicine during a time of personal and political upheaval. Its roots, however, are about the peculiar splendor that surrounds the work of healing others. A physician himself, author Verghese has given us an epic, fact-filled, near-magical portrayal of compassion, the struggle for identity, and the ways in which lives can intertwine.
Alice & Oliver By Charles Bock Penguin Random House | 416 Pages Author Bock could have written this novel as a partial autobiography. His elegant, harrowing novel is informed by his own 2 ½-year saga that began with his young wife’s diagnosis with leukemia and ended with her death, leaving him and their 3-year-old daughter. Drawn upon his wife’s journals from that period, the fictional Oliver gives us an unflinchingly powerful narrative of a family’s struggle for survival. www.OurHealthlbss.com
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Beyond the
Board Games Seniors Embracing More Ways to Get Physically and Mentally Fit words | TINA JOYCE
Maybe you don’t quite consider yourself a senior. After all, having a mailbox that delivers retirement publications, joint supplement offers and estate-planning advice is certainly not the only indicator of age. But perhaps — quite possibly — you are a baby boomer reaching senior status. This is great news! Today’s seniors are more active than ever before and expanding their social activities to include physically challenging hobbies. Bridge, bingo and crosswords are not the only pastimes being enjoyed by this generation. In fact, many seasoned adults are continuing to enjoy biking, gardening and yoga well into their golden years. Even more impressive is the fact that some are exploring more rigorous and demanding activities such as rock climbing, hiking, Zumba® and even competing in running races such as 5Ks and marathons. Age is truly only a number. There are various reasons why seniors may be choosing to become more active. One reason may be a health scare. A heart attack, a diabetes diagnosis, or a surgery may motivate a person to make healthy lifestyle changes. The other reason may be that many boomers started a fitness activity in their 60s and 70s, so being active is a lifestyle that they want to continue or return to. “I think many seniors are realizing what can happen if they are not active and the health risks associated with obesity,” explains Christopher Webb, MD, a physician partner with Medical Associates of Central Virginia and who specializes in geriatric medicine.
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SENIOR HEALTH
HEALTHY SENIOR LIVING
Embracing a more aggressive style of fitness can have tremendous benefits. Since many physical activities also tend to be social, they stimulate the brain in different areas. The well-known cliché “If you don’t use, you lose it” holds true for mental sharpness, muscular strength and joint range of motion. “Deconditioning is a term used to describe getting out of shape,” explains Dr. Webb. “The less you do, the less you can do, and the less you want to do. When you lose balance and agility, you are more prone to falls.” Challenges will come with age. However, those challenges can be faced proactively with a desire to improve the quality of life or prolong life itself. A healthy lifestyle, including both a balanced diet and active habits, will help combat many physical and mental ailments if done consistently. After making some minor changes, many baby boomers will find positive results in just a few weeks.
WHERE TO START There are numerous activities that work well for people of all ages, including those with more life experience. The key is finding activities that you enjoy and that can be modified to your needs or lifestyle.
“I think many seniors are realizing what can happen if they are not active and the health risks associated with obesity.” CHRISTOPHER WEBB, MD
A physician partner with Medical Associates of Central Virginia
If you are transitioning from a sedentary lifestyle to incorporating more activity, walking can be the best form of exercise. Walking elevates your heart rate, increases blood flow and begins toning muscles. “The easiest thing to do for many is walking. A brisk walk 30 minutes a day at least three times per week is a good start,” says Dr. Webb. Walking also improves joint mobility, which in turn helps alleviate joint pain. Begin by walking to the end of your sidewalk, driveway, or mailbox. As that task becomes easier, gradually increase your distance and/or speed to increase your heart rate to the desired level. Your age and fitness level can help you calculate your target heart rate. Doing something active (even if it seems small) is better than sitting and doing nothing at all. TARGET HEART RATE FOR AEROBIC EXERCISE IS 50 – 69% OF YOUR MAXIMUM HEART RATE.
“Seniors that exercise are so thrilled with how much better they feel – it gives me great joy to keep them moving!” PAULA DAHL
Group Fitness Director at YMCA of Central Virginia Storming of Thunder Ridge Director
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55 YEARS - 83-140 beats per minute -
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60 YEARS - 80-136 beats per minute - Max = 160 beats per minute
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65 YEARS - 78-132 beats per minute - Max = 155 beats per minute
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70 YEARS - 75-128 beats per minute - Max = 150 beats per minute
Max = 165 beats per minute
*Provided by YMCA of Central Virginia.
Fitness-minded seniors who are looking to add variety to their already active lifestyles may find that local fitness clubs, gyms and senior centers offer an array of classes and contests to meet the needs of a diverse population. Differentiation is key. Being involved in various activities will help you avoid boredom and the overuse of certain muscles, tendons and ligaments, possibly causing injuries.
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
S ENI O R HEALTH |
•
CROSS TRAINING LITE – Specifically designed for active seniors
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MUSCLE & BODY PUMP – A total body strength class
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PILATES – Mat exercises to elongate the muscles and strengthen the core
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ZUMBA® – Fun Latin dance class
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INDOOR CYCLING – A great class that doesn’t impact joints
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AQUATIC CLASSES – Low impact and endurance-building
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GENTLE YOGA – Yoga postures that utilize a chair as a prop and are good for all ages and abilities
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CHAIR AEROBICS – For the de-conditioned senior
“Swimming is also a great form of exercise,” adds Dr. Webb. Activities that are held in the water have a low impact on the joints while building endurance fairly quickly. Some fitness centers offer underwater treadmills for rehabilitation from injuries or surgeries, making walking or jogging a more feasible form of exercise for many. Senior living communities are adding activities to include more physical options as well. According to their website, Westminster Canterbury offers personal training and water classes, while Runk & Pratt Senior Living Communities have added yoga to their Forest activities calendar and The Summit includes weekly Zumba® classes. Regardless of age or previous exercise experience, professionals advise consulting your primary care physician prior to beginning any new physical activity. “Listen to your body — you should never be in pain when exercising. If it hurts, stop! Start out slow, and give it time to make exercise a habit,” advises Paula Dahl, the group fitness director of the YMCA of Central Virginia in Lynchburg, and Mary Taylor, the YMCA’s active adult program director. Advise your class instructor of any health concerns or past injuries when beginning a new class or program. The goal is to provide the best possible results while keeping the risk of injury to a minimum. Simply having experienced another birthday (or two) doesn’t mean that you should give up setting fitness goals or lose the benefits of a healthy lifestyle. There are numerous activities just waiting for you to experience them.
Beyond the Board Games
Seniors should look for activities that increase their heart rates, but also include strength-building and flexibility components. Misty Vinson-Spitzer, the Communications Director for the YMCA of Central Virginia, shares, “the YMCA offers many classes that are perfect for the active senior as well as classes for less active adults.”
Attention, Active Senior Citizens! Start here to get out, get involved and learn something new:
Amherst Senior Centers www.countyofamherst.com
Campbell County Senior Recreation Services Rustburg | 434.332.9570 www.co.compbell.va.us
Templeton Senior Center Lynchburg | 434.455.4115 www.lynchburgparksandrec.com
The Ballou Recreation Center Danville | 434.799.5216 www.playdanvilleva.com
YMCA of Central Virginia Jamerson | 434.582.1900 Downtown | 434.847.5597 www.ymcacva.org
EXPERT CONTRIBUTORS Christopher Webb, MD, with Medical Associates of Central Virginia. Paula Dahl, group fitness director at YMCA of Central Virginia.
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SENIOR HEALTH
HEALTHY SENIOR LIVING
1
ABOUT
ACTIVITIES AGING
MYTH: THERE’S NO POINT TO EXERCISING. I’M GOING TO GET OLD ANYWAY.
MYTH: EXERCISE PUTS ME AT RISK OF FALLING DOWN.
FACT: Regular physical activity helps you look and feel younger and stay independent longer. It also lowers your risk for a variety of conditions, including Alzheimer’s and dementia, heart disease, diabetes, certain cancers, high blood pressure, and obesity. And the mood benefits of exercise can be just as great at 70 or 80 as they were at 20 or 30.
FACT: Regular exercise, by building
strength and stamina, prevents loss of bone mass and improves balance, actually reducing your risk of falling.
3 4 MYTH: I’M TOO WEAK OR HAVE
MYTH: I’M TOO OLD TO START EXERCISING.
TOO MANY ACHES AND PAINS.
FACT: You’re never too old to get moving and improve your health! In
FACT: Getting moving can help
fact, adults who become active later in life often show greater physical and mental improvements than their younger counterparts. If you’ve never exercised before, or it’s been a while, you won’t be encumbered by the same sports injuries that many regular exercisers experience in later life. In other words, there aren’t as many miles on your clock so you’ll quickly start reaping the rewards. Just begin with gentle activities and build up from there.
you manage pain and improve your strength and self-confidence. Many older people find that regular activity not only helps stem the decline in strength and vitality that comes with age, but actually improves it. The key is to start off gently.
5 6 MYTH: I CAN’T EXERCISE BECAUSE I’M DISABLED.
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2
source | HEALTH.ORG
MYTH: IT’S TOO FRUSTRATING: I’LL NEVER BE THE ATHLETE I ONCE WAS.
FACT: Chair-bound people face special challenges
FACT: Changes in hormones, metabolism, bone density,
but can lift light weights, stretch, and do chair aerobics, chair yoga, and chair Tai Chi to increase range of motion, improve muscle tone and flexibility, and promote cardiovascular health. Many swimming pools offer access to wheelchair users and there are adaptive exercise programs for wheelchair sports such as basketball.
and muscle mass mean that strength and performance levels inevitably decline with age, but that doesn’t mean you can no longer derive a sense of achievement from physical activity or improve your health. The key is to set lifestyle goals that are appropriate to your age. And remember: a sedentary lifestyle takes a much greater toll on athletic ability than biological aging.
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
SENIOR HEALTH S ENI O R HEALTH |
HEALTHY SENIOR LIVING
Nature VS. Nurture
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NATURE VS. NURTURE Taking Therapy Outdoors Accelerates Recovery for Former Scout words | HOLLY FORD
Using FireSteel and lint collected from the laundry, 50-year-old former archaeologist Langdon Plaster lit his first campfire in years. He was far from the grounds of the Boy Scout camp he once loved, and there were no young campers there to observe his fire-starting skills. But for Plaster, this spring afternoon among the trees renewed his spirit and motivated him to keep working toward recovery.
HURDLE AFTER HURDLE For him to give up or to feel down on his luck would have been expected and understood. Plaster had faced a string of health setbacks in recent years. He’d just successfully undergone a kidney transplant when a case of pneumonia zapped his strength and made him unsteady on his feet. “I was just sweeping my front porch when I tripped over the door mat,” says Plaster. “I reached out for the column to break my fall, but I missed and landed so that the edge of the porch hit between my femur and hip. Fortunately, I didn’t injure my new kidney.” Plaster was admitted to Stanleytown Health and Rehabilitation Center for inpatient therapy after a successful surgery to repair his hip. “He was in a lot of pain and was www.OurHealthlbss.com
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SENIOR HEALTH
HEALTHY SENIOR LIVING
very weak when he arrived,” says physical therapy assistant Wes Stone. “He couldn’t put any weight on his right leg, so we took it slow in the beginning and focused on leg strengthening and balance.”
TAILOR-MADE THERAPY
“If we can make therapy sessions patient-centered, then patients are more likely to stay engaged and push themselves.” LISA NELSON An occupational therapy assistant with Stanleytown Health and Rehabilitation Center.
After a couple of weeks in Stanleytown’s exclusive LifeWorks Rehab program, Plaster was strong enough to get out of his wheelchair. “Every day they had a new exercise or activity for me, so I was never bored,” says Plaster. “I love playing games so they set up Yahtzee at the counter. I could stand while playing and work on strengthening my leg.” “We like to find out [our patients’] hobbies so we can incorporate them into their therapy,” says occupational therapy assistant Lisa Nelson. “If we can make therapy sessions patient-centered, then patients are more likely to stay engaged and push themselves. Each patient that enters our LifeWorks program follows their progress on our Recovery Map. Their journey to health is personalized to them and that’s why we work hard to get creative to motivate them to their next phase of wellness.” When the Stanleytown staff learned of Plaster’s love of camping, they jumped at the chance to get him outdoors. “I hadn’t been camping in recent years due to health problems, but I used to really love it,” says Plaster. “I craved the solitude and peacefulness of the outdoors.” It wasn’t as scenic as the Blue Ridge, but the makeshift camp — complete with tent, fire pit and camp chairs donated by employees — set up on the grounds at Stanleytown Health and Rehabilitation Center offered Plaster the change of scenery he needed. “We sat in the shade by the fire and people came by to make s’mores,” says Plaster. “I was still using a walker, so I couldn’t do as much as I wanted to, but I did help direct them on setting up the tent. Then we sat around and talked until dinnertime. It was a very fun day.”
“He was in a lot of pain and was very weak when he arrived. He couldn’t put any weight on his right leg, so we took it slow in the beginning and focused on leg strengthening and balance.”
“This was an activity that [Mr. Plaster] would actually do at home, so we were able to incorporate it into his care,” says Nelson. “The experience really boosted his confidence and I could see a difference in his therapy sessions after that day.” After just two months of therapy, Plaster was discharged and was able to return home. “Very rarely do we get patients who are so motivated,” says Stone. “For most patients, recovery from that injury would have taken six to 12 months. [Mr. Plaster] was unique.” “I had a vision when I arrived for therapy that I would walk out of there, and I did,” says Plaster. His next goal: camping at the fiddlers’ convention in Galax. “I didn’t make it this time, but maybe next year.” EXPERT CONTRIBUTOR
WES STONE A physical therapy assistant with Stanleytown Health and Rehabilitation Center.
Lisa Nelson is an occupational therapy assistant with Stanleytown Health and Rehabilitation in Lynchburg. Wes Stone is a physical therapy assistant with Stanleytown Health and Rehabilitation in Lynchburg.
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Heritage Funeral Service & Crematory Lynchburg | 434.239.2405 www.heritagefuneralandcremation.com
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Elite Care Services Madison Heights | 434.509.1001 www.elitecareservicesva.com
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FIRST PLACE
FIRST PLACE The Summit Assisted Living Lynchburg | 434.455.1699 www.summitlynchburg.com
SECOND PLACE Heritage Green Lynchburg | 434.333.0503 www.heritagegreenlynchburg.com
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AWARDS 201
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Tharp Funeral Home & Crematory, Inc. Lynchburg | 434.237.9424 www.tharpfuneralhome.com
Sage Tryall Salon Lynchburg | 434.239.4454 www.sagetryallsalon.com HONORABLE MENTION Fusion Salon Lynchburg | 434.455.2525 Maven Salon Lynchburg | 434.534.3115 www.mavensalon.com Salon Virtue Lynchburg | 434.333.4662
HONORABLE MENTION King’s Grant Retirement Community Martinsville | 1.800.462.4649 www.sunnyside.cc
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Bentley Commons at Lynchburg Lynchburg | 434.316.0207 www.bentleyatlynchburg.com
THIRD PLACE
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Runk & Pratt at Liberty Ridge Lynchburg | 434.515.1247 www.libertyridgeretirement.com
Mane Styles and Tanning Rustburg | 434.332.5401
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Adult Care Center of Central Virginia Lynchburg | 434.847.8111 www.adultcarecenter.org
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SECOND PLACE
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SECOND PLACE Raspberry Hill Adult Daytime Center Forest | 434.525.4422 www.raspberryhilladc.com
Before and After Hair Designs, Inc. Lynchburg | 434.239.3030
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Centra PACE Lynchburg | 434.200.6516 www.AtHomeWithCentra.com
Beauty Salon
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Team Nurse, Inc. Altavista | 434.309.2645 Danville | 434.799.1959 Gretna | 434.656.6000 Lynchburg | 434.582.4755 Madison Heights | 434.929.1047 www.teamnurse.com
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AWARDS 201
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The Williams Home Lynchburg | 434.384.8282 www.thewilliamshome.org Valley View Retirement Community Lynchburg | 434.237.3009 www.valleyviewretirement.com
Elder Law Attorney FIRST PLACE Law Offices of Ron Feinman, Esq. Lynchburg | 434.528.0696 www.ronfeinman.com
SECOND PLACE Robert W. Haley The Estate and Elder Law Center of Southside Virginia, PLLC Danville | 855.503.5337 www.vaelderlaw.com
THIRD PLACE Davies & Davies Lynchburg | 434.528.5500 HONORABLE MENTION
Companion Care
Relevant Law Lynchburg | 434.200.9567 www.lynchburg.relevantlaw.com
SECOND PLACE Whitten Funeral Home Park Avenue Lynchburg | 434.845.4521 www.whittenfuneralhome.com
THIRD PLACE
Colbert and Moran Funeral Home Gretna | 434.656.2211 www.colbertmoran.com
CONGRATULATIONS
SENIOR LIVING
FIRST PLACE Generation Solutions Lynchburg | 434.455.6500 www.generationsolutions.net
SECOND PLACE
Home Instead Lynchburg | 434.200.8911 www.homeinstead.com
SENIOR LIVING
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Home Health Care FIRST PLACE Generation Solutions Lynchburg | 434.455.6500 www.generationsolutions.net
Centra Home Health Lynchburg | 434.200.4111 AtHomeWithCentra.com www.centrahealth.com/services/ homehealth
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Local Pharmacy
FIRST PLACE Timberlake Family Pharmacy Lynchburg | 434.237.MEDS (6337) www.timberlakefamilypharmacy.com
SECOND PLACE
Independent Living Community
Gretna Drug Company Gretna | 434.656.1251 www.gretnadrug.com
THIRD PLACE FIRST PLACE Valley View Retirement Community Lynchburg | 434.237.3009 www.valleyviewretirement.com
SECOND PLACE
Hill City Pharmacy Lynchburg | 434.237.2221 www.hillcitypharmacy.com HONORABLE MENTION CVS Pharmacy Lynchburg www.cvs.com Rustburg Family Pharmacy Rustburg | 434.332.1730 www.timberlakefamilypharmacy.com
THIRD PLACE
The Summit Lynchburg | 434.582.1500 www.summitlynchburg.com HONORABLE MENTION
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Bentley Commons at Lynchburg Lynchburg | 434.316.0207 www.bentleyatlynchburg.com
CONGRATULATIONS
Medical Equipment Provider
7 GOLD
FIRST PLACE
Hospice Care
THIRD PLACE Planet Fitness Danville | 434.792.1723 Lynchburg | 434.237.0287 www.planetfitness.com
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SECOND PLACE Kinetix Health Club Forest | 434.525.0015 www.kinetixlynchburg.com
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YMCA of Central Virginia Downtown | 434.847.5597 Jamerson | 434.582.1900 www.ymcacva.org
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Gentiva Home Health Amedisys Home Health of Lynchburg Lynchburg | 434.845.7555 www.amedisys.com Interim Healthcare – Danville Danville | 434.836.4686 www.interimhealthcare.com
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Seven Hills Home Health Westminster Canterbury Lynchburg | 434.847.6400 Lynchburg | 800.386.3500 www.sevenhillshh.com www.wclynchburg.org HONORABLE MENTION
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Stuart Kenneth Lane Jr. Lane, Stanley & Associates Forest | 434.534.8875 www.ameripriseadvisors.com
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Seven Hills Hospice Lynchburg | 434.847.6400 www.sevenhillshh.com
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David Hudson Master’s Estate & Financial Services Bedford | 434.942.3451 www.masters-estate.com
Chad Craven Edward Jones Bedford | 540.586.4682 www.edwardjones.com
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Centra Hospice Lynchburg | 434.200.3204 www.centrahealth.com/services/ hospice
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Crosswhite Fitness Lynchburg | 434.202.6955 www.crosswhitefitness.com
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FIRST PLACE Gentle Shepherd Hospice Lynchburg | 434.846.6270 www.gentleshepherdhospice.com
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
SENIOR LIVING
Lincare Lynchburg | 434.237.3712 www.lincare.com
SECOND PLACE GME Medical Supply Lynchburg | 434.528.3765 www.gmemedical.com
S ENI O R HEALTH |
THIRD PLACE Roberts Home Medical Lynchburg | 434.846.5381 www.robertshomemedical.com
2017 Senior Living Awards
HONORABLE MENTION
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Commonwealth Home Health Care, Inc. Danville | 434.797.2332 www.commonwealthcare.com
AWARDS 201
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Memory Care FIRST PLACE
Heritage Green Lynchburg | 434.333.0503 www.heritagegreenlynchburg.com
SECOND PLACE Runk and Pratt Senior Living Communities Forest | 434.237.2268 www.runkandpratt.com
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Carriage Hill Bedford | 540.586.5982 www.carriagehillretirement.com
AWARDS 201
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Nursing Home Care FIRST PLACE Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
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Nursing Home Care Continued... SECOND PLACE The Summit Health and Rehabilitation Center Lynchburg | 434.845.6045 www.centrahealth.com
THIRD PLACE Gretna Health & Rehabilitation Center Gretna | 434.656.1206 www.gretnahealthrehab.com HONORABLE MENTION Avante at Lynchburg Lynchburg | 434.846.8437 www.avantecenters.com Centra Guggenheimer Health and Rehabilitation Lynchburg | 434.947.5100 www.centrahealth.com Piney Forest Health and Rehab Danville | 434.799.1565 www.pineyforestrehab.com Stanleytown Health and Rehabilitation Center Bassett | 276.629.1772 www.stanleytownrehab.com
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Outpatient Rehabilitation FIRST PLACE Rehab Associates of Central Virginia Lynchburg | 434.528.1848 www.racv.hostcentric.com
SECOND PLACE Centra Outpatient Rehabilitation Central and Southwest Virginia 434.200.3000 Rehab.centrahealth.com
THIRD PLACE Genesis Rehab Services Lynchburg | 434.316.0001 www.genesishealthsolutions.net HONORABLE MENTION Bassett Physical Therapy Stanleytown | 276.622.3636 www.bassettpt.com
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Restaurant
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FIRST PLACE
FIRST PLACE
FIRST PLACE
Westminster Canterbury Lynchburg | 800.386.3500 www.wclynchburg.org
FIRST PLACE
Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
Charley’s Restaurant Lynchburg | 434.237.5988 www.charleyslynchburg.com
Templeton Senior Center Lynchburg | 434.455.4115 www.lynchburgparksandrec.com
SECOND PLACE
SECOND PLACE
SECOND PLACE
Centra Acute Rehabilitation Center at Virginia Baptist Hospital Lynchburg | 434.200.4651
The Neighbors Place Lynchburg | 434.455.4300 www.theneighborsplace.com
Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
THIRD PLACE
THIRD PLACE
HONORABLE MENTION
Centra Fairmont Crossing Health and Rehabilitation Center Amherst | 434.946.2850 www.centrahealth.com
THIRD PLACE Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg HONORABLE MENTION Gretna Health & Rehabilitation Center Gretna | 434.656.1206 www.gretnahealthrehab.com
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HONORABLE MENTION Piney Forest Health and Rehab Danville | 434.799.1565 www.pineyforestrehab.com
SENIOR LIVING
Campbell County Senior Recreation Services Rustburg | 434.332.9570 www.co.compbell.va.us
THIRD PLACE Centra PACE Lynchburg | 434.200.6516 AtHomeWithCentra.com
Bulls Steak House Forest | 434.385.7581 www.bullssteakhouse.net Shakers Lynchburg | 434.847.7425 www.shakers.com
CONGRATULATIONS
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Gretna Health & Rehabilitation Center Gretna | 434.656.1206 www.gretnahealthrehab.com
Shoemakers American Grille Lynchburg | 434.455.1510 www.shoemakersdining.com
SECOND PLACE
SENIOR LIVING
SENIOR LIVING
WINNERS!
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Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
EVEN MORE HEALTH
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Skilled Nursing Care
Centra Fairmont Crossing Health and Rehabilitation Center Amherst | 434.946.2850 www.centrahealth.com
SECOND PLACE (tie)
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Centra Rehabilitation Services Central and Southwest Virginia 434.200.3000 rehab.centrahealth.com
SECOND PLACE Heartland Health Care Center Lynchburg | 434.846.4626 www.heartland-manorcare.com/ lynchburg
THIRD PLACE Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com HONORABLE MENTION Stanleytown Health and Rehabilitation Center Bassett | 276.629.1772 www.stanleytownrehab.com
Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
CONGRATULATIONS
HONORABLE MENTION
FIRST PLACE
OR VISIT US AT
FIRST PLACE
THIRD PLACE
RESOURCES!
SCAN HERE
Speech Therapy FIRST PLACE
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Centra Acute Rehabilitation Center at Virginia Baptist Hospital Lynchburg | 434.200.4651 www.centrahealth.com
Caring Transitions Roanoke | 540.977.2801 www.caringtransitions.com
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CHECK OUT THE
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My Guys Moving & Storage Lynchburg | 434.200.9191 www.myguysmoving.com American Moving and Storage Lynchburg | 434.525.3444 www.americanmovingnstorage.com
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Piney Forest Health and Rehab Danville | 434.799.1565 www.pineyforestrehab.com
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Centra Oakwood Manor Health and Rehabilitation Center Bedford | 540.586.2441 www.centrahealth.com Lynchburg Health & Rehabilitation Center Lynchburg | 434.239.2657 www.lynchburghealthrehab.com
Blue Ridge Therapy Associates Lynchburg | 434.845.8765 www.blueridgetherapy.com Generation Solutions Lynchburg | 434.455.6500 www.generationsolutions.net Genesis Rehab Services Lynchburg | 434.316.0001 www.genesishealthsolutions.net Gretna Health & Rehabilitation Center Gretna | 434.656.1206 www.gretnahealthrehab.com
LYNCHBURG & SOUTHSIDE
SENIOR LIVING
SENIOR LIVING
THIRD PLACE Stanleytown Health and Rehabilitation Center Bassett | 276.629.1772 www.stanleytownrehab.com
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WINNERS
ON THE WEB
More at ourhealthlbss.com
S ENI O R HEALTH | 2017 Senior Living Awards
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Synchrony ™ Now Available At
Heartland
Unlike any other system, Synchrony™ enables medical staff and patients to literally “See the Swallow”. What are some of the benefits of using Synchrony? Synchrony is a comprehensive clinical program used for the treatment of dysphagia (difficulty swallowing) that provides a variety of benefits for both the patient and the speech language pathologist. Synchrony helps to reduce a patient’s risk for aspiration pneumonia, malnutrition, and dehydration by using a combination of virtual reality sEMG biofeedback and electrical stimulation waveform called PENS. Synchrony introduces new and different treatment options for patients who may not respond to typical and traditional therapies. The therapist benefits in that it provides objective data and results to interpret while integrating progressive treatment techniques and improving outcomes and the quality of life for patients with dysphagia.
Delisa Rogers M. Ed, CCC-SLP Director of Rehabilitation Heartland Health Care Center
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About Us
For 29 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. 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.
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Services and Amenities
With two full-time activity coordinators, Valley View looks forward to entertaining residents with a variety of social events. Valley View prides itself on hosting a rich calendar of social activities, including fitness classes, outdoor activities, crafts, outings, games, volunteer opportunities, and more. In addition, the community’s free transportation service provides each resident with access to his or her favorite medical facilities, shopping, and entertainment in the Lynchburg area. Valley View encourages family and friends to visit. We offer access to a private dining room and catering services are available for special occasions.
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.
What Sets Us Apart
While residents can look forward to experiencing the independence and freedom they want, family and friends are put at ease knowing the community is staffed by 24-hour personnel, and monthly rental fees include emergency pull cord and response system services for an added level of security. Because Valley View offers both independent and assisted living care, residents can stay on site as needs change; residents interested in moving to a higher level of care can do so without losing contact with the staff and fellow residents they have come to know well and value as family. Month-to-month leases are available for flexibility without long-term commitment, entrance fee, and buy-in expense, providing excellent senior living value.
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From the Beginning
Q&A’s
For the Ettare’s, a big-box, chain pharmacy would not allow them the opportunity to connect the dots between the patient’s needs, the prescriber, and the cost of medications. That’s the mantra that set into place the need and desire for Drs. Vince and Jodi Ettare to open their first family pharmacy in 2007, followed by Rustburg Family Pharmacy in 2009, and the just recently open, Timberlake Family Pharmacy in 2016. The Ettare’s hope to continue to serve the community with trusted pharmacy services and the hometown comforts of a family run business.
WHAT IS PATIENT COMPLIANCE PACKAGING?
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20276 Timberlake Road, Suite A | Lynchburg | 434.237.MEDS (6337)
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AWARDS 201
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Timberlake Family Pharmacy offers patients compliance packaging to help eliminate prescription confusion! Pharmacists study the patient’s daily medication regimen and place pills in bubble packs, clearly labeled with when they are supposed to be taken. WHAT IS COMPOUNDING? Pharmacy compounding is the art and science of combining, mixing, or altering ingredients of a drug to create a medication tailored specifically to the needs of an individual patient. Compounded medications are made based on a provider’s prescription in which individual ingredients are mixed together in the exact strength and dosage form required by the patient.
LYNCHBURG’S ONLY ACCREDITED COMPOUNDING PHARMACY Pharmacist owned and operated | Free shipping and delivery options | Vintage 1940'S soda fountain
More than a pharmacy! Not only is Timberlake Pharmacy the place to fill your prescription, you can also watch the process in action through the windows to the lab. Timberlake Pharmacy also offers a full-service vintage soda fountain and hosts a broad line of natural and organic supplements, old-time remedies skin care, and makeup including BareMinerals.
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About Us
Amenities
Heritage Green Assisted Living Community caters to seniors who require assistance with the activities of daily living, ranging from a variety of needs from very independent to aging in place with hospice care. The 48-unit community encourages residents to maintain maximum independence by providing a unique mix of support services and privacy. With both private and semiprivate accommodations, Heritage Green offers 24-hour personal care assistance managed by a Clinical Care Director with an onsite Medical Director.
Residents of both communities look forward to three delicious meals per day and nutritious snacks. Meals prepared in consultation with a nutritionist are cooked from scratch. Menus are adjusted seasonally and all special dietary needs can be met. In the elegant dining room, holidays and special events are particularly festive. Heritage Green encourages residents to invite family and friends to experience special events and activities with their loved ones.
Services At Heritage Green Assisted Living Communities residents enjoy the benefits of weekly laundry and housekeeping services, therapeutic and social activities, safety features, care assessment, ongoing case management, and wellness programs. Staff members delight in providing respect, care, and compassion to residents, family, and guests.
LIVING AND MEMORY CARE!
DayBreak Memory Care Heritage Green shares its campus with DayBreak, which offers programs for residents with Alzheimer’s and other dementias. For those who need memory care, DayBreak offers a 32-unit, fully secured community that caters to seniors with various degrees of memory impairment. The unique facility features self-contained neighborhoods, each with a living room, dining room, and outside courtyard. The staff is highly trained to assist in all activities of daily living, including bathing, dressing, and managing health and wellness. A consulting Geriatric Psychiatrist meets resident needs and a monthly caregiver support group helps meet family member needs. DayBreak’s memory care program, overseen by a Clinical Care Director and a Life Enrichment Director, incorporates clinical, personal, and social needs into an individualized yet interactive approach by promoting sensory activities, reminiscence techniques, physical exercises, motor skills therapy, and social engagement. Call today for a tour.
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Gracious Retirement Living For Ladies Since 1950!
The Williams Home, Inc.
1201 Langhorne Road | Lynchburg | 434.384.8282 Ext. 5 | www.thewilliamshome.org SERVICES PROVIDED: Independent Living and Assisted Living For Ladies.
Amenities and On-Site Services
The Williams Home offers private rooms only with private bathrooms, Weekly housekeeping/laundry services and cable TV(included in rent), Voice-to-voice emergency call system in bedrooms and baths, Individually controlled heat pumps, Three daily meals served in two elegant dining rooms with snacks offered between meals, A private dining room available for special occasions, Activity Director on staff, L.P.N. and Licensed staff on duty 24/7(excludes Independent Living), Medication Administration, Scheduled transportation to/from local medical appointments(excludes Independent Living), Elevators and handrails, Sitting rooms with televisions, Guest room, Personal in-door mailboxes, Sunroom, Kitchenette and Telephone booth on each floor, Banking and postal services, “Will-Mart” in-house shopping, Library stocked with old favorites and best sellers, Assigned parking, Podiatry care, Quarterly Dietitian, Internet Café with free WIFI, History room, Relaxation Station, Maintenance Director on staff, Conveniently located near two hospitals and other medical facilities and the freedom to come and go as you please.
Our History
The Williams Home, Inc. was founded by James Luther Williams. The once Secretary of the Lynchburg Coca-Cola Bottling Works and then the President of the Depositors Industrial Loan Bank, Mr. Williams provided for the construction and maintenance of a non-profit home for women aged 55 years and older. The residence was completed after World War II and opened its doors in March of 1950.
Monthly Rates ( Effective July 1, 2017 )
Tier 1 - Independent - $1,523 Tier 2 - Minimal Assistance - $1,832 Tier 3 - Moderate Assistance - $3,127 Tier 4 - Additional Services Including Tier 3 - $3,427
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.
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 will benefit from our intimate family atmosphere and personalized services.
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Blue Ridge Therapy Connection Skilled nursing | Short-term rehab | Long-term care 105 Landmark Drive | Stuart, VA | 276.694.7161 or 276.692.6876 (after hours) | www.blueridgetherapyconnection.com Nestled at the foot of the Blue Ridge Mountains sits one of the top-rated physical, occupational and speech therapy centers in the region. Blue Ridge Therapy Connection is a special place. A place where smiles readily greet you upon arrival. A place where highly trained nurses and therapists will take care of your every need with the aim of making you feel right at home during your wellness journey. Visit our website to learn more about our state-of-the-art facility, comprehensive list of services and progressive therapy techniques which all mean an effective transition home for you—our friends and neighbors.
Where Our Heart Is In It! The Landmark Assisted Living Center 227 Landmark Drive | Stuart, VA | 276.694.3050 | www.landmarkassistedlivingcenter.com Our next door neighbor is The Landmark Center—an assisted living and memory care community locally owned and operated where you will have the support and freedom to live your life to its fullest.
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NUTRITION
LOCAL FOODS & RECIPES
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Fantastic Farmer's Markets NUTRITIOUS FINDS FOR THE WHOLE FAMILY words | CHRISTINE STODDARD
August and September mean an abundance of delicious Virginia foods are at their freshest. Both months are a great time to buy Asian pears, beets, blackberries, and cabbage. But you will want to buy cantaloupes, nectarines, peaches, and sweet corn before September hits (if you can find them much at all.) September is when the broccoli and pumpkin seasons start. No matter what you love to eat, consider buying your groceries from the local farmer’s market for healthy options grown close to home. You’ll give your diet and the local economy a boost. Here are some of the fantastic markets in the Lynchburg and Southside areas, and what you will find there: 52
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NUTR I TI O N |
LYNCHBURG COMMUNITY MARKET
DANVILLE FARMERS’ MARKET 629 Craghead Street | Danville
Photos marked by 1
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Wednesdays, 10 am to 2 pm
Wednesdays (July-August) 3 pm to 6 pm and Saturdays (MayOctober) 7:30 am to 12 pm
WHAT TO GET BEFORE IT RUNS OUT: Rockbridge Cider’s pure apple cider vinegar; heritage breed pork from Easy Does it Farm; apples and sweet corn from Silver Creek Produce.
HEALTH EDUCATION MADE FUN: Kids and adults are welcome to take part in the We Got the Beet campaign for demos on how to cook nutritious meals. Thanks to a cooperative effort between the City of Lynchburg, Central Virginia Health District of Virginia Department of Health, and Virginia Cooperative Extension, you can get FREE educational programming every Wednesday and Saturday from 10 am to 12 pm through August.
ADVICE FROM MASTER GARDENERS: Want to grow your own food? Every Saturday, you can find master gardeners on site at the market giving free gardening tips. Come with your questions!
CITY OF EMPORIA FARMERS MARKET 107 S. Main Street | Emporia Photos marked by 5 Open 7 days a week, 6 am to 7 pm
SOUTHSIDE FARM MARKET AT MECKLENBURG SUPPLY 11130 VA-92 | Chase City Photos marked by 2 Fridays from 12 pm to 6 pm
COUPONS FOR SENIORS: The City of Emporia is passing out coupon booklets to qualifying local seniors. Coupons can be redeemed for discounts on fruits, veggies, and herbs. Apply for your booklet at the City of Emporia Municipal Building, 201 South Main Street, or at the Virginia Cooperative Extension Office at 105 Oak Street in Emporia.
WHAT TO GET BEFORE IT RUNS OUT: Cucumbers, eggplants, squash, and more from Circle H Farm; artisan breads and cookies from Baker Babe.
MAKING HEADLINES! This new market opened for the first time this year on April 7th.
UPTOWN MARTINSVILLE FARMERS MARKET 65 W. Main Street | Martinsville Photos marked by 6
SOUTH HILL FARMER’S MARKET Market Square | 105 W. Danville Street | South Hill Photos marked by 3 Saturdays
Wednesdays and Saturdays (thru September 27) 7 am to 12 pm
KNOW WHAT YOU’RE EATING: Liz Secrest, director of Martinsville Uptown, summed up the benefit of shopping at farmers’ markets to the Martinsville Bulletin in saying: “You can get the story from beginning to end, from the time it was growing to the time it was picked to the time it is being bought.”
WHAT TO GET BEFORE IT RUNS OUT: Eggs from young 4-H entrepreneur Ivey; chewy bulgur wheat from Country Kitchen Herbs; seasonal produce from Fair Produce.
YOU CAN BE A VENDOR, TOO! Have some good eats to sell? 10”x10” spaces are just $5 per day. You must provide your own table, tent, and other amenities. Contact Anna Cratch at the Town Hall, 434.447.3191.
We want to hear from you!
Looking for something to do this weekend? Check out one of these local farmers markets. Then, tag us on social media to tell us what you think. #OurHealthLBSS
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Fantastic Farmer's Markets
1219 Main Street | Lynchburg
NUTRITION
LOCAL FOODS & RECIPES
HealthyEats >> First Impressions of Three Healthy Restaurants in Central and Southside Virginia words | RICK PIESTER
Moose’s Cafe
AZUL
Moon River Thai
540.583.5088
434.791.2939
f | Azul
f | MoonRiverThai
Open Monday – Wednesday 10 AM to 7 PM and Thursday – Saturday 10 AM to 3:30 PM.
Open Monday –Saturday 11:30 PM to 8 PM
Open Monday – Friday 11:30 AM to 2:30 PM and 5 PM to 9:30 PM, Saturday 5 PM to 10 PM
It takes a bit of a sharp eye to find
this service station-turned restaurant
Moose’s Café. You turn between two
in Bedford, Michael and Lauren Siehien
gas stations (a Marathon and an Exxon)
(who also operate the Bedford Social
on Lynchburg’s Boonsboro Road. Do
Club) have established a made-from-
that and you’ll find fresh, creative
scratch restaurant that’s a far cry from
and delicious sandwiches, soups and
the typical Mexican sit-down joint.
salads made under the hand of owner
The chicken is fresh, and antibiotic-
Paul Webster (his nickname is Moose.)
and hormone-free. The beef is corn-
Paul and wife Lonnie first made
fed angus. The pork is slow-roasted
their reputation by creating the now
cuts from Smithfield. And the salsas
nationally famous Moose Mix, a Bloody
and sauces are all house-made with
Mary mix born at the late, lamented
fresh herbs and no grease or lard. The
T.S. Trotter’s restaurant and now
ordering line is somewhat similar to
made at the café. The menu changes
Chipotle Grill, but the similarity ends
seasonally, with ingredients sourced
there. And there are plenty of choices on
from Thistle Tree Farms in Bridgewater,
the menu to appear to vegetarians; case
VA. The sandwich board includes The
in point: Azul’s Bombay Burrito, with
Toad (grilled mushrooms and Swiss
white rice, garbanzo beans, spinach,
with house-made avocado mayo on
onion, ginger, and a lime curry yogurt
multigrain bread; add spinach for The
sauce. Another plus: daily fish specials,
Toad Meets Popeye.) Gluten-free breads
with tilapia, salmon and grouper.
4327 Boonsboro Road | Lynchburg 434.944.6641 f | MoosesCafeLynchburg
306 N Bridge Street, Bedford
Mexican cuisine and healthy eating are oftentimes conflicting notions. But at
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629 North Main Street, Danville
Located in an historic home on Danville’s North Main Street, Moon River Thai is one of the few Thai spots in Virginia to be listed by HappyCow, the public service website that helps people ever find plant-based/vegan options and healthy food. With Thai food, it’s always a good idea to ask service people for their recommendations for healthy dishes. Noodle-based Pad Thai is always a safe bet. Although the average serving clocks in at about 600 calories, the dish is very low in saturated fat. Thai curries are made with coconut milk, high in saturated fat, but most of the fat comes from lauric acid, shown by multiple studies to reduce risk of heart disease. Pick a lean protein such as chicken or shrimp, and you’ll enjoy Moon River Thai guilt-free.
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NUTR I TI O N | HealthyEats
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NUTRITION
LOCAL FOODS & RECIPES
– Guest Chef
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Tom Schumaker of Commonwealth Senior Living –
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
recipes | TOM SCHUMAKER
Heart Healthy Seared Scallops with Black Beans Makes 4-5 servings | 314 calories per serving Ingredients: • 2 tablespoons olive oil • 1 ½ pounds fresh bay scallops • 1 cup chopped onions • 1/8 teaspoon old bay seasoning • ¼ cup dry white wine • ¼ cup chicken broth • 2 pounds cooked black beans • 12 ounces baby spinach • 1 tablespoon chopped fresh basil Heat olive oil in a large skillet over medium-high heat. Add scallops and sauté approximately 2 minutes per side. Remove scallops from pan. In same pan over medium-high heat, add onions and seasoning. Sauté onions until transparent and soft. Add black beans and spinach and continue cooking until spinach begins to wilt. Add chicken broth and finish with white wine. Plate spinach and black beans topped with scallops. Garnish with basil and serve immediately.
Pan Seared Sea Bass with Summer Vegetables Makes 2 servings | 271 calories per serving Ingredients: • 1 cup cherry tomatoes • 6 ounces fresh spinach • 6 ounces fresh mushrooms • 4 ounces freshly cooked shucked corn • 2 ounces onion diced fine • ¼ cup red wine • 1 tablespoon fresh basil • 1 tablespoon fresh garlic
2 tablespoons freshly squeezed lime juice Salt and pepper to taste 2 tablespoons olive oil Two 6-ounce sea bass filets Garnish with fresh fruit if desired
Heat oil in a skillet over medium heat. Add basil, garlic and onion, cook for 1 minute. Add sea bass and sear first side for approximately 3 minutes. Turn the bass and add mushrooms, corn, tomatoes and spinach. Cook for approximately 3 more minutes or until spinach is wilted and vegetables warmed through. Squeeze lime juice and deglaze pan with red wine. Serve over fresh salad, pasta or rice. Garnish with fresh fruit if desired.
Shrimp Piccata with Sautéed Spinach Makes 4 servings | 275 calories per serving Ingredients: • 1 ½ pounds of fresh peeled and deveined shrimp (16 to 18) • 2 tablespoons extra virgin olive oil • 2 tablespoons butter • 1 small garlic clove minced • Juice of one (1) lemon • 4 teaspoons capers • 10 ounces of baby spinach • ½ cup white wine • Salt and pepper to taste Heat oil and butter in a large skillet over medium heat. Add garlic and cook until soft but not browned (1-2 minutes). Add shrimp, stir frequently, until shrimp are pink and opaque, about 2 minutes. Add capers, lemon juice, stir for 1 minute. Add baby spinach to wilt. Deglaze pan with white wine. Add salt and pepper to taste. Serve on a bed of pasta or rice.
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Feel free to stop by! If you’d rather stay out of the kitchen, visit a Commonwealth Senior Living community for lunch or dinner! Call the community nearest you to reserve your space: www.commonwealthal.com/our-communities/
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Summer Seafood
Tom Schumaker of Commonwealth Senior Living makes it tasty to stay healthy this summer! These delicious surfside dinners are low in calories, sodium and cholesterol, while packed with protein, vitamins and minerals that will make your heart swim with joy and help lower blood pressure too!
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NUTR I TI O N |
Scrumptious Seafood
FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
GROWING HEALTHY – Grade by Grade – words | BRANDY CENTOLANZA
All parents want their children to start off the new school year fresh and healthy! Here are some safety and wellness tips to keep in mind to reduce the risk of illness or injury depending on what grade your son or daughter is entering this year.
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KINDERGARTEN
1ST GRADE
Children tend to get sick more once a new school year rolls around. Ensure your child gets the flu shot annually. Flu shots are typically available beginning in August. “Avoid sending your child to school sick to reduce spreading illness, and especially to not have your child catch something else while their immune system is hard at work on one illness,” says Melody M. Ailsworth, MD, a pediatrician with Richeson Drive Pediatrics. Do not send your child back to school until they are fever free for 24 hours.
If your child has a chronic condition that requires daily medication, inform the school and fill out all necessary forms. “Make sure your child understands how to let their teacher know when to ask for medication,” says Dr. Ailsworth. “Talk with your child's teacher about their medications and what works best for your child.”
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
As children start heading off to the school bus stop on their own, remind them of school bus safety: look both ways before crossing a street, wait until the bus comes to a complete stop before stepping off the curb, and remain seated while the bus is in motion. Parents may also wish to reiterate “stranger dangers” rules.
Food allergies affect one in 25 children. Make sure your child’s school has a plan in place should your child have a reaction. “Parents can also encourage children with food allergies to not trade food with other kids, not eat anything they aren't sure about the ingredients, wash hands before and after eating, notify an adult right away if they suspect a reaction, know how to use the epi-pen, and tell someone if they are being bullied about their allergy,” says Jay Michael Cline, MD, a pediatric ENT physician with Blue Ridge Ear, Nose and Throat & Plastic Surgery.
4TH GRADE Schedule annual appointments with an eye doctor to ensure they have healthy vision. Most issues with sight are hereditary and occur between the ages of seven and 13. “The most common vision conditions in children are nearsightedness (trouble seeing far away), farsightedness (trouble seeing up close) and astigmatism, which can affect vision both far and near,” says Gary H. St. Clair, OD, with St. Clair Eye Care. “Common symptoms of nearsightedness are squinting, sitting close to the TV, and holding books close to the face, while common symptoms of farsightedness may be difficulty reading and holding books farther away.” GARY H. ST. CLAIR, OD An optometrist with St. Clair Eye Care in Lynchburg.
Growing Healthy Grade by Grade
3RD GRADE
FAMI LY CAR E |
2ND GRADE
JAY MICHAEL CLINE, MD A pediatric ENT physician with Blue Ridge Ear, Nose and Throat & Plastic Surgery in Lynchburg.
5TH GRADE School bullying is often a concern. Keep open communication with your child’s teacher. If your child starts complaining of headaches or bellyaches or simply not wanting to go to school, speak with your child’s teacher about what might be happening.
7TH GRADE 6TH GRADE Students become more involved in sports activities in middle school. For maximum performance, ensure your student athlete is up-to-date on any physical examinations; chooses the right team for his or her size, weight, and skill; uses safe equipment; and knows when his or her body has had enough and needs time to rest.
Acne may start to become an issue at this age as children begin puberty. Remind your child to wash their face every day. “Start with a good facial cleanser and use it when you are in the shower,” suggests Samantha Hill, MD, a pediatric dermatologist with RidgeView Dermatology. “It helps to make it a part of your daily routine. Consistency is also key.” SAMANTHA HILL, MD A pediatric dermatologist with RidgeView Dermatology in Lynchburg.
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
8TH GRADE
10TH GRADE
Assist children with the development of good homework and study habits, including organization. To alleviate eye fatigue, neck fatigue or brain fatigue during study sessions, students should take frequent breaks, getting up to stretch or have a snack.
Proper rest is vital for academic performance for all students, especially teenagers. Ensure your teen gets plenty of sleep eight to ten hours of shuteye is recommended for children aged 13-18 - and limit caffeine intake and screen time before bed.
9TH GRADE Encourage your child to eat healthy throughout the day and avoid skipping meals. See to it that “they have a good breakfast that is low in sugar,” recommends Dr. Ailsworth. Also ensure your teen “stays hydrated by drinking water, and eats three or more meals a day,” she adds. MELODY M. AILSWORTH, MD A pediatrician with Richeson Drive Pediatrics in Lynchburg.
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FAMI LY CAR E |
11TH GRADE
Growing Healthy Grade by Grade
Teach new drivers to play it safe with the cell phone while they are in the car. Student drivers should turn off their phones or place them out of reach while they are behind the wheel to avoid an accident.
12TH GRADE Kids this age still need plenty of physical activity. Encourage your child to find time during the day for exercise, whether it’s walking or biking to school, or trying an exercise video. Developing proper fitness habits now will set them up for life.
EXPERT CONTRIBUTOR Melody M. Ailsworth, MD, is a pediatrician with Richeson Drive Pediatrics in Lynchburg. Jay Michael Cline, MD, is a pediatric ENT physician with Blue Ridge Ear, Nose and Throat & Plastic Surgery in Lynchburg. Samantha Hill, MD, is a pediatric dermatologist with RidgeView Dermatology in Lynchburg. Gary H. St. Clair, OD, is an optometrist with St. Clair Eye Care in Lynchburg.
ON THE WEB
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
DID YOU KNOW? A pregnant woman who tests positive for group B strep bacteria and gets antibiotics during labor has only a 1 in 4,000 chance of delivering a baby who will develop group B strep disease, compared to a 1 in 200 chance if she does not. Source: Centers for Disease Control and Prevention
Painless Screening Test Vital for Pregnant Women and Their Babies words | CHRISTY RIPPEL
Expectant moms, take note. While you are tested for a number of things during your pregnancy, from iron deficiency to gestational diabetes, one of the most important tests comes towards the end of your 40 weeks. Between 35 and 37 weeks, you’ll be tested for group B streptococcal—also called group B strep or GBS—and knowing the result is necessary for the health of your baby. If you test positive for group B strep, you are considered a carrier of, or are colonized with, the bacteria. “Group B strep is a bacteria that usually lives in the GI tract,” says Katie Page, CNM, a certified nurse-midwife at Centra Medical Group Women’s Center. “Ten to thirty percent of women are colonized, so the bacteria sometimes grows in the vagina.” Bacteria can be passed from mother to baby during delivery. Group B strep disease in newborns can cause sepsis, pneumonia, meningitis, and even death. There is no way to know if you have the bacteria without a test, as the presence of group B strep often causes no symptoms in pregnant women. 62
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FAMI LY CAR E |
The test, which is quick and painless, involves a swab of the lower vagina and rectum, which is then sent to a lab for results. It is a similar process to swabbing the tonsils and the back of the throat to check for strep.
Got Group B?
If you do test positive, don’t panic—antibiotics greatly reduce the risk of passing the bacteria to your baby. Penicillin is the preferred drug to prevent group B strep transmission, and there are other options for patients who are allergic to penicillin. If patients are leery of the group B strep screening test, which is recommended by the Centers for Disease Control and Prevention (CDC) for all pregnant women, Page explains the importance. “With current evidence, the risk to mom or baby from receiving antibiotics during labor is significantly less than the risks to mom and baby from GBS infection. I recommend screening, and treatment for those who test positive,” she says. If a woman goes into labor before the group B strep test can be completed, IV antibiotics are usually given as a preventative measure. EXPERT CONTRIBUTOR Katie Page, CNM, is a certified nurse-midwife at Centra Medical Group Women’s Center.
ON THE WEB
“Group B strep is a bacteria that usually lives in the GI tract. Ten to thirty percent of women are colonized, so the bacteria sometimes grows in the vagina.” KATIE PAGE, CNM A certified nurse-midwife at Centra Medical Group Women’s Center.
More at ourhealthlbss.com
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
BIGGER ISN'T ALWAYS BETTER
PROSTATE [ pro-stat-ik ] : Noun A kidney-bean-shaped gland sits at the base of the male bladder and encircles the urethra, the tube that carries urine and semen out of the body.
Pampering Your Prostate in Youth Could Make for a Healthier Man Later On words | RICK PIESTER
For such a small thing (about the size of a walnut), the prostate sure gets a lot of press. The vaguely kidney-bean-shaped gland sits at the base of the male bladder and encircles the urethra, the tube that carries urine and semen out of the body. Its job is to produce some of the fluid that nourishes and protects sperm cells in semen. Every male should be mindful of the prostate, because every male has one. And after age 50 or so, it can be the source of trouble that no man would want. The prostate tends to enlarge as a man ages, with ills ranging from an overly enlarged prostate (benign prostatic hyperplasia in medical terms) to inflammation of the gland (prostatitis) to prostate cancer, which can affect as many as 230,000 men each year. So, it makes good sense for every man to do what he can in youth to avoid problems with the prostate later on in life. There’s no guarantee, but there are steps that men can take in their 20s, 30s and 40s to up the chances for a healthier 50s and beyond. 64
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According to Robert D. Cook, MD, of the Centra Health Seven Hills Urology Center in Lynchburg, the main step to take in prostate care is to take care of the packaging around it. Good general health practices, Dr. Cook says, can pay dividends in prostate health. Certain risk factors, he says, can’t be avoided. Those include your age, your family history, your race, and even where you live. Research suggests that men living above the 40th degree of latitude have a higher chance of a diagnosis of prostate cancer. Virginia is below 40 degrees latitude.
“The main step to take in prostate care is to take care of the packaging around it. Good general health practices can pay dividends in prostate health.” ROBERT D. COOK, MD
A urologist with Centra Health Seven Hills Urology Center in Lynchburg. Dr. Cook is certified by the American Board of Urology.
THOSE FACTORS ASIDE, HERE ARE SOME THINGS YOU CAN DO TO KEEP YOURSELF, AND YOUR PROSTATE, HEALTHY: •
PROPER NUTRITION. Cultivate a diet low in saturated fats and high in fruits and vegetables. Limit your intake of animal fats, including dairy products; eat lots of fish, fruits (especially watermelon) and vegetables (especially cooked tomatoes, onions, garlic, broccoli, cauliflower, leafy green vegetables and others). Green tea also helps
•
EXERCISE. Thirty minutes of exercise four to five times a week is a baseline.
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HERBAL SUPPLEMENTS. Although there are no studies that suggest clear benefit to the prostate of herbal supplements, Dr. Cook cautions that if you take them, see them as medications and treat them accordingly.
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REGULAR PROSTATE SCREENING. The American Urological Association recommends screening for prostate cancer between the ages of 40 and 70. The screening is quick, simple and painless, involving a rectal exam and a blood test called the PSA.
EXPERT CONTRIBUTOR Robert D. Cook, MD, with Centra Health Seven Hills Urology Center in Lynchburg.
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