OurHealth Lynchburg & Southside Dec 2012/Jan 2013 Edition

Winter Weather Preparedness | Healthy Holiday Eating | Insight on Eyesight | Our Health Highlights

Central Virginia edition • December 2012/January 2013

table of contents | december 2012/ january 2013 .

MEDI•CABU•LARY.....................10 Local experts define healthcare related terms

JUST ASK!..................................10 A variety of health questions answered by local professionals

THE LATEST...............................12 A listing of new physicians, providers, locations and upcoming events in the greater Richmond community

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WEATHER PREPAREDNESS Ensuring health during winter weather

19

COVER STORY Fifth Annual Best Bedside Manner Awards OUR HEALTH HIGHLIGHTS .......49 NUTRITION HEALTH..................57 12 days of healthy holiday eating

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KIDS’ CARE Seeking balance

FAMILY CARE..............................67 Physician assistants and nurse practitioners are helping to meet the growing demand for primary care

SENIOR LIVING...........................71 If sight starts going, get to a doctor

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APPOINTMENT NECESSARY! december 2012 • January 2013

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McClintic Media, Inc. Stephen McClintic, Jr. | steve@ourhealthvirginia.com Angela Holmes Jennifer Hungate Karrie Pridemore Heidi McClintic Adapt Partners

CONTRIBUTING MEDICAL EXPERTS Elena Black, DDS, PhD Jennifer Claiborne, DDS Jon Culp, OD Matthew Tompkins, MD

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Information in this magazine 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 © 2012 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. Our Health is published bimonthly by McClintic Media, Inc.. 305 Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. www.ourhealthvirginia.com. Advertising rates upon request.

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our health | MEDI•CABU•LARY & JUST ASK

me d i • ca bu • l ar y

T H E L A N G U A G E O F H E A LT H C A R E E X P L A I N E D

What is Computer vision syndrome (CVS)?

Computer vision syndrome (CVS) is one of the growing health risks for a population that is spending more time on the computer at their home and office. It is a group of symptoms that can result from prolonged computer use in an unsuitable environment. While it has not been shown to cause any permanent eye damage, it can affect performance and enjoyment of those who spend hours on the computer. It affects children and adults alike. Symptoms can include eye irritation, eye strain, intermittent blur, headaches, neck aches, and backaches. A few ways that one can avoid CVS is by reducing glare or reflections from computer screens by changing room lighting, using filters in front of your screens, and treatments to your glasses lenses. Keep your office environment and computer settings ergonomically correct to assure proper posture and working distance from computer screens. Take a break! If you are unable to get up and walk around use the ‘20-20-20 rule’- every 20 minutes look at something 20 feet away for 20 seconds.

This gives your eye muscles a break. Artificial tears can help with dryness and irritation. Finally, it is crucial that any eyewear you are using is current, updated, and well adjusted to fit properly and keep symptoms to a minimum.

Jon Culp, OD Newman, Blackstock, & Associates Lynchburg | 434.237.2100

What is accelerated orthodontics?

Periodontally-Accelerated Osteogenic Orthodontics (PAOO) involves orthodontic treatment in combination with different types of periodontal procedures that increase the rate of tooth movement 3-4 times, without harm to the teeth being moved.

During the periodontal phase of the treatment, tooth supporting bone is “wounded” to enhance bone remodeling around the teeth, which will then move faster during the orthodontic treatment. So for example, for someone whose conventional orthodontic treatment would take about 12 months, same results can be achieved in 3-4 months using accelerated orthodontics.

Research has shown that results after accelerated orthodontics are long-term and as stable as those of conventional treatment. Accelerated orthodontics can be combined with either braces or Invisalign. Consult your orthodontist or periodontist to see if you can benefit from accelerated orthodontics.

Elena Black, DDS, PhD Appalachian Orthodontics Lynchburg | 434.515.0370

ju st a sk!

T H E L A N G U A G E O F H E A LT H C A R E E X P L A I N E D How long do I need to wear braces?

What are my birth control options that don’t contain hormones?

The length of time required to wear braces varies from patient to patient depending on what has to be corrected. The average is approximately two years, but several factors must be taken into consideration. Teeth alignment, the patient’s age, crowding, and jaw alignment may affect the length of time a patient must wear braces.

Additionally, closely following your orthodontist’s instructions is crucial to achieve optimal results in the shortest amount of time.

There are several options for birth control that do not involve hormones. The intrauterine device (IUD) is a reversible option that lasts for 5 or 10 years, depending on the type. It is easily inserted into the uterus in the office. We also offer a permanent birth control option called Essure. This is a 10 minute in-office procedure during which we block the tubes vaginally, with no incisions.

Jennifer Claiborne, DDS Central Virginia Orthodontics Lynchburg | 434.385.GRIN (4746)

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Matthew J. Tompkins, MD OB/GYN Lynchburg Gynecology Lynchburg | 434.385.7818

our health | THE LATEST

the l atest

N E W P H Y S I C I A N S , P R O V I D E R S , L O C AT I O N S A N D U P C O M I N G E V E N T S

New medical stabilization service at Centra Centra has expanded its medical stabilization services for adults who are suffering acute withdrawal symptoms from alcohol or other drugs. New Vision, a medical stabilization service, is available at more than 40 hospitals across the country. The service has a proven track record of helping patients withdraw from substances safely and effectively.

Located at Centra Virginia Baptist Hospital, the New Vision service offers a medically supervised hospital stay, typically lasting 3-5 days. The treatment team includes Dr. Gregg Albers, medical director, and a team of Centra nurses with expertise in individualized and multi-disciplinary treatment approaches.

The patients receive a pre-screening, assessment, medical stabilization and discharge planning. Patients who want to receive further treatment may be referred to an inpatient or outpatient chemical dependency treatment program, such as Pathways Treatment Center.

New Vision accepts most insurance plans, Medicaid and Medicare. It is operated through a contract between Centra and SpecialCare Hospital Management Corporation of St. Louis, Missouri.

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Wagoner Family Eye Care (formerly Dr. Elizabeth M. Darby, PLLC) R. Luke Wagoner, OD performs comprehensive primary and pediatric care ocular examinations, fits contact lenses, co-manages pre/postoperative patients, and evaluates patients for ocular disease. He also has a special interest in treating dry eye, red eye and anterior segment trauma and pathology.

Wagoner Family Eye Care | 3701B Old Forest Road | Lynchburg | 434.385.0213

our health | THE LATEST

the l atest

N E W P H Y S I C I A N S , P R O V I D E R S , L O C AT I O N S A N D U P C O M I N G E V E N T S

Alecia W. Sizemore, MD Diagnostic radiologist Centra Breast Imaging Lyncburg

Hany Moustafa, MD Obstetrician/Oncologist Centra Southside Women’s Specialists Farmville

Adam W. Stevens, MD Emergency Medicine Physician Centra Emergency Services Group Lynchburg

Charles R. Mulligan, Jr, MD, FACS, FCCP Thoracic Surgeon Centra Alan B. Pearson Regional Cancer Center Lynchburg

James Warner, Jr., M.D. Cardiovascular surgeon.

The Cardiovascular Group Lynchburg

Karen Keeny, DDS Lynchburg Dental Lynchburg 434.384.7611

Centra Medical Group Opens Orthopaedic Office in Bedford The Centra Medical Group has expanded its orthopaedic services in Bedford, and hosted a ribbon cutting and open house at their new office located in Bedford Memorial Hospital. The practice welcomed local Chamber members to tour the new practice and meet Dr. John Carmody.

Dr. Carmody comes to Centra from Galax, Virginia, where he had his own practice. He will care for patients suffering from joint pain, range of motion issues, back problems and musculoskeletal injuries. With more than 25 years of experience, he now provides orthopaedic care to patients in Bedford, Smith Mountain Lake and the surrounding areas.

The practice is located in Bedford Memorial Hospital, off the Whitfield Drive entrance. To learn more about Centra’s orthopaedic services or to schedule an appointment, please call 540.297.7738 or visit bedfordortho.centrahealth.com.

Pictured above, from left to right: Thomas Nygaard, M.D. (Centra Medical Group), Patti Jurkus (Bedford Memorial Hospital), Tabitha Phillips, BJ Miller, Ellen Foster, R.N., John Carmody, M.D. (Centra Bedford Orthopaedics), EW Tibbs (Centra), Susan Martin (Bedford Chamber), Rebecca Sturm-Clauser (Directional Coaching), Anita Lowe (Bedford Memorial Hospital).

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Jeff Henderson, CO Virginia Prosthetics Charlottesville 434.220.2426

WEATHER PREPAREDNESS | our health

GET SET FOR

WINTER WEATHER words | RICK PIESTER

The National Weather Service refers to winter storms as the “Deceptive Killers.”

That’s because most deaths are not directly related to the storm. Instead, people die in traffic accidents on icy roads or of hypothermia from prolonged exposure to cold. So it’s important to be prepared for winter weather before it strikes.

It won’t be long now. In Lynchburg and Southside Virginia, we really start to feel winter’s chill in November and December, and in normal years, we can look for snow during those same months. Although we normally don’t get buried in snow — Lynchburg and Southside receives about 20-25 inches a year, according to Our Health media partner WDBJ7’s chief meteorologist Robin Reed — we’re always subject to sub-zero temperatures and the rare but dangerous blizzard or freezing rain that can bring everything to a halt for days.

But if that should happen, it’s a good possibility that heat, power, and communications in your home or office may be interrupted — for hours, days, or longer. You’ll feel better prepared if you set aside the supplies needed to take care of you and your family on your own for as long as 72 hours.

Winter Safety Precautions in the Home For home, here’s a recommendation from the Federal Emergency Management Agency (FEMA): Emergency Supplies. Water, food, and clean air are extra important if an emergency happens. Each family or individual’s kit should be customized to meet specific needs, such as medications and infant formula. It should also be customized to include important family documents.

Recommended supplies to include: • Water – one gallon of water per person per day for drinking and sanitation • Food – at least a three-day supply of non-perishable food www.ourhealthvirginia.com | 15

• Battery-powered radio, NOAA Weather Radio with tone alert, and extra batteries for both cell phone and charger • Laptop computer or tablet device and chargers • At least one flashlight and extra batteries • First Aid Kit • Whistle to signal for help • Infant formula and diapers if you have an infant • Moist towelettes, garbage bags, and plastic ties for personal sanitation • Dust mask or cotton t-shirt to help filter the air • Plastic sheeting and duct tape for shelter • Wrench or pliers to turn off utilities • Can opener for food

Clothing and Bedding You have to think about warmth. It’s possible that the power will be out, and you will not have heat. Rethink your clothing and bedding supplies to account for growing children and other family changes. Get together one complete change of warm clothing and shoes per person, including: • Jacket or coat • Long pants and long-sleeved (thermal clothing is ideal)

shirts

• Sturdy, weatherproof shoes • Hats and gloves • Sleeping bag or warm blanket for each person Here are some other items to consider adding to your supply kit. Some of these items can be dangerous, so an adult should collect and store these items: • Emergency reference materials such as a First Aid book or a printout of the information on www.ready.gov • Rain gear • Mess kits, paper cups, plates, and plastic utensils • Currency, traveler’s checks, and change • Paper towels • Fire extinguisher • Tent 16 | www.ourhealthvirginia.com

• Compass • Matches (place in a waterproof container) • Signal flares • Paper, pencils and pens • Personal hygiene items • Disinfectant • Medicine dropper • Household chlorine bleach (You can use bleach as a disinfectant, diluted nine parts water to one part bleach, or in an emergency, you can also use it to treat water.

Use 16 drops of regular household liquid bleach per gallon of water. Do not use scented, color safe, or bleaches with added cleaners.)

• Important family documents such as copies of insurance policies, identification, and bank account records. These documents should be placed in a waterproof, portable container.

Safety and Security in the Automobile Many people nowadays spend a lot of time away from home, and hour after hour in their vehicles. If you’re one of them, it makes good sense to also have a winter weather survival kit in your mode of transportation, according to Shelly Whitaker, spokesperson for Virginia-based Advance Auto Parts. “No one wants to break down ever, but it could happen,” she notes, “and a small survival kit is an ideal thing to carry with you at any time of the year.”

She says that even if you never use it, or use only a few items from it, you’ll still feel more safe and secure knowing that you have what you need if winter weather should strike while you’re on the road. “And you don’t necessarily have to be able to use it for yourself,” Whitaker adds. “Someone could come along to help you using the items in your car, or you could be a Good Samaritan to help someone else.”

Emergency Supplies for Your Vehicle • Jumper cables • Flashlights and extra batteries • First Aid Kit and necessary medications in case you are away from home for a prolonged time • Food items containing protein such as nuts and energy bars, canned fruit, and a portable can opener • Water for each person and pet in your car • AM/FM radio to listen to traffic reports and emergency messages • Cat litter or sand for better tire traction • Shovel • Ice scraper • Warm clothes, gloves, hat, sturdy boots, jacket, and an extra change of clothes • Blankets or sleeping bags • Fully-charged cell phone and phone charger (It’s also a good idea to have a battery powered phone charger on hand) • Flares or reflective triangles • Baby formula and diapers if you have a small child www.ourhealthvirginia.com | 17

During the winter especially, keep your gas tank full, and if you do find yourself stranded, be safe and stay in your car. Put on your flashers, call for help, and wait until it arrives.

Know Winter Weather Terms Compared to summer storms, it’s often easier to keep on top of winter weather because storm systems are usually slower to develop, giving meteorologists more of a warning, so that they, in turn, can warn us of the approach of dangerous weather. But it’s important to really understand the meaning of winter weather terms.

Robin Reed of WDBJ7 provided us with his definition of the terms he uses when he talks to the television audience about upcoming weather, and we learned some interesting things.

Reed explains that a watch means that conditions are favorable for the development of severe weather within a certain period of time. “In the winter,” he says “a watch can be declared substantially ahead of a weather development — between 12 and 48 hours in advance of a blizzard, heavy snow, or freezing rain.” In warmer weather, he continues, a watch for weather conditions such as a heavy thunderstorm or a tornado is declared much closer to the beginning of the actual event because weather patterns can develop more rapidly.

A warning is your cue that the weather is imminent or has already started. “When you a weather warning, that means potentially treacherous weather is certain to arrive,” explains Reed. “We may be able to tell the public of a warning 12 hours ahead.

In the summer, it may mean that a powerful storm is about to strike or that a tornado has been spotted. That’s when it’s time for you to make immediate preparations for whatever type of weather is in the very immediate future or is happening at the moment.

So a watch is relatively long-term notice of bad weather coming, Reed says, but a warning is for bad weather happening at the moment or very soon.

A Few More Timely Terms: • Alberta Clipper. This is a fast-moving storm system, Reed says, that forms in Canadian skies (and sometimes even in Russia) and often brings gusty winds and cold Arctic air to the Mid Atlantic states. Sometimes an Alberta Clipper is accompanied by snow, but not always.

• Black Ice. This is the dangerous stuff that looks like water, Reed explains, but is actually quickly-frozen ice. “It’s nasty stuff,” says Reed. “Any type of moisture can typically freeze overnight. And if it’s on an asphalt parking lot or street, or on concrete, it might look like it’s only a damp spot, but it’s ice.”

• Blizzard. This is a term that’s often misused, says Reed. There’s a formal definition of this term, but it’s basically summed up as snowin’ and blowin’. A blizzard occurs when there are sustained or frequent wind gusts over 35 mph and blowing snow has reduced visibility to less than ¼ mile, with conditions persisting for at least three hours.

Those are the weather watchwords, along with the things you need to stay safe and warm during heavy winter weather. Remember: be prepared to ensure you and your loved ones have a safe winter season!

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Allergy & Immunology

Allergy and Immunology encompasses a broad array of diagnoses, ranging from nasal and sinus problems and severe food or bee sting allergy to recurrent infections due to sinus disease, immune deficiency and asthma conditions.

First Place > Dane McBride, MD Asthma & Allergy Center Lynchburg > 434.846.2244

“Bedside manner is simply the natural expression of how you view patients, hopefully as fellow-travelers in life that you’re privileged to help on their way during times of health-related difficulties.”

Anesthesiology

Anesthesiology is the practice of medicine dedicated to the relief of pain and total care of the surgical patient before, during and after surgery.

First Place > Kathryn Lowry, MD Lynchburg Anesthesia Associates Lynchburg > 434.200.3015

“The importance of compassion and communication is key in patient care and it starts at the “bedside”. Taking the time to listen to patients and explain medical information in a simple, straightforward manner is the Golden Rule of medicine.”

Second Place

Joseph Hutchison, MD Blue Ridge Ear, Nose and Throat and Plastic Surgery Lynchburg > 434.481.5454

Third Place

Charles Lane, MD Allergy Partners of Lynchburg > Lynchburg > 434.385.8190

Honorable Mention Sajun Eapen, MD Asthma & Allergy Center > Lynchburg > 434.846.2244 Madeline Dillion, MD Allergy Partners of Charlottesville > Charlottesville > 434.951.2191

Second Place

Roger Pede, MD Lynchburg Anesthesia Associates > Lynchburg > 434.200.3015

Third Place

Martha Donegan, MD Anesthesia Services of Lynchburg > Lynchburg > 434.845.7392

Honorable Mention Edward Metzger, MD Anesthesia Services of Lynchburg > Lynchburg > 434.845.7392 Paul Mudrick, MD Lynchburg Anesthesia Associates > Lynchburg > 434.200.3015 Rick Lee, MD Lynchburg Anesthesia Associates > Lynchburg > 434.200.3015 Karen Burnham, MD Lynchburg Anesthesia Associates > Lynchburg > 434.200.3015 Luther VanDyke, MD Lynchburg Anesthesia Associates > Lynchburg > 434.200.3015

Cardiology

Cardiology is the branch of medicine focusing on the structures, functions and disorders of the heart.

First Place > Thomas Nygaard, MD The Cardiovascular Group Lynchburg > 434.947.5252

“Patients with cardiovascular disease are frequently quite concerned as they know many heart problems can be serious. They need to be reassured and have confidence in the physician they are seeing. A good doctorto-patient relationship and a collaborative approach to health concerns can go a long way to relieving the stress and worry of the patient and their loved ones. This doctor-to-patient relationship is the first and often the most important aspect of their care.”

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Second Place

Chad Hoyt, MD The Cardiovascular Group > Lynchburg > 434.947.5252

Third Place

Thomas Meyer, MD The Cardiovascular Group > Lynchburg > 434.947.5252

Honorable Mention Christopher Lewis, MD The Cardiovascular Group > Lynchburg 434.947.5252 William Brown, MD The Cardiovascular Group > Lynchburg 434.947.5252 Mark Townsend, MD The Cardiovascular Group > Lynchburg 434.947.5252 Michael Valentine, MD The Cardiovascular Group > Lynchburg 434.947.5252

Chiropractic

Chiropractic is a health profession concerned with the diagnosis, treatment (without drugs or medication) and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health.

First Place > James White, DC Commonwealth Pain Relief Center Lynchburg > 434.385.4000

“Communication is the cornerstone of a good bedside manner. It is our mission to listen carefully to the concerns of each individual patient and provide as much compassion, empathy, love, humor, and hope as possible.”

Dentistry – Cosmetic

Cosmetic Dentistry improves the appearance and function of a person’s teeth. Dentistry is the art and science of improving the appearance (esthetics), function and health of the teeth and associated structures.

First Place > Carrington Crawford, DDS Lynchburg Dental Center Lynchburg > 434.384.7611

“There is nothing I appreciate more about my career choice than the opportunity to make my patients feel comfortable and see their smiles.”

Dentistry – General

Dentistry is the evaluation, diagnosis, prevention and/or treatment (non-surgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity.

First Place > Jeff Riley, DDS

Riley Dental Associates of Central Virginia Lynchburg > 434.385.7707

“A good bedside manner is when the doctor is truly interested in the patient and listens to their concerns at the same time putting them at ease and establishing a trusting relationship.”

Second Place

Chris Libbey, DDS Libbey Family Dentistry > Lynchburg > 434.316.9090

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Second Place

Robert Stickle, DC Chiropractic Health Center, Inc > Lynchburg > 434.239.2243

Third Place

Adam Palmer, DC Palmer Chiropractic Center > Altavista > 434.369.1015

Honorable Mention Susan Earsing, DC Liberty Chiropractic > Rustburg > 434.332.3103 Robert Hedgepath, DC Bedford Chiropractic Center > Bedford > 540.586.5860 Michael Hess, DC Central Virginia Chiropractic > Lynchburg > 434.237.0413 A.J. LaBarbera, DC Tuck Chiropractic > Bedford > 540.586.1105

Second Place

Michael Davis, DDS Central Virginia Family Dentistry > Lynchburg > 434.237.0004

Third Place

Jeff Riley, DDS Riley Dental Associates of Central Virginia Lynchburg > 434.385.7707

Honorable Mention David Kiger, DDS Lynchburg Dentistry > Lynchburg > 434.385.6100 Kevin Midkiff, DDS Kevin Midkiff Family & Cosmetic Dentistry > Lynchburg > 434.239.8133

Third Place

Kyle Wheeler, DDS Dr. Kyle W. Wheeler, DDS > Forest > 434.385.6398

Honorable Mention Anthony Bailey, DDS Anthony D. Bailey, DDS, Inc > Bedford > 540.586.8106 Garland Gentry, DDS Forest Family Dentistry > Forest > 434.316.6050 Annie Libbey, DDS Libbey Family Dentistry > Lynchburg > 434.316.9090 Timothy Overby, DDS Timothy Overby DDS > Lynchburg > 434.239.8907 Kevin Midkiff, DDS Kevin Midkiff, DDS > Lynchburg > 434.239.8133 Robert Sorenson, DDS Robert N. Sorenson, DDS > Lynchburg > 434.846.8025 Thomas Warwick, DDS Holcomb, Savage, & Warwick DDS PC > Lynchburg>434.847.4581

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Dermatology

Dermatology is a specialty focusing on the diagnosis and treatment of diseases of the skin.

First Place > Kappa Meadows, MD Dermatology & MOHS Surgery Consultants Lynchburg > 434.847.6132

“In our practice, we appreciate the privilege of treating and managing skin diseases and are able to meet and spend time with so many wonderful patients. Helping them feel comfortable is crucial to our practice.”

Emergency Medicine

Emergency medicine is the specialty of providing care for patients requiring prompt medical attention and urgent medical evaluation and treatment.

First Place > Chris Thomson, MD Centra Emergency Services Group Lynchburg > 434.200.3101

“We are increasingly realizing that clinical quality of care and the ‘patient experience’ are on the same team when it comes to caring for the whole patient. The challenge in emergency medicine is developing confidence and trust quickly with someone in distress. I am proud of our entire team, since they can all do this – it makes ‘invisible’ clinical skills ‘visible.’”

Endocrinology

Endocrinology is the study of the glands and hormones of the body and their related disorders.

First Place > Alan Kauppi, MD Medical Associates of Central Virginia Lynchburg > 434.947.3944

“We are gratified to be able to help patients with diabetes – adults and children from all over Virginia. I’m glad I decided to specialize in Endocrinology – and to join Medical Associates here in Lynchburg.”

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Second Place

David Wilson, MD Central Virginia Dermatology > Forest > 434.385.1982

Third Place

Soni Carlton, MD Dermatology & MOHS Surgery Consultants Lynchburg > 434.847.6132

Honorable Mention Anna Magee, MD Charlottesville Dermatology, Aesthetic & Laser Institute Charlottesville > 434.984.2400 Grace Newton, MD Lynchburg Laser Services > Lynchburg 434.947.5321

Second Place

Jerry Price, MD Centra Emergency Services Group Lynchburg > 434.200.3101

Third Place

David Alligood, MD Carilion Clinic Emergency Physicians Bedford > 540.586.9500

Honorable Mention Alan Denekas, MD Carilion Clinic Emergency Physicians > Bedford > 540.586.9500 Bill Moore, MD Centra Emergency Services Group > Lynchburg > 434.200.3101 Patrick Wynnyk, MD Centra Emergency Services Group > Lynchburg > 434.200.3101

Second Place

Lisa Wisniewski, MD Medical Associates of Central Virginia Lynchburg > 434.947.3944

Third Place

Hatim M. Mahmond, MD Piedmont Endocrinology > Danville > 434.791.4070

Honorable Mention Alistair Bahar, MD Medial Associates of Central Virginia > Lynchburg > 434.947.3944 Patricia Powers, MD Endocrinology Associates of Central Virginia Lynchburg > 434.947.3944

Family Practice

Family practice is the specialty of medicine that includes diagnosis and treatment of disease, injury, and illness, for patients of any age.

First Place > Leah Hinkle, MD Central Virginia Family Physicians Forest > 434.525.6964

“It is truly an honor to be recognized for just “doing what I do” every day. Every patient I see has a story, a pain, a need. All of them want someone to listen and help, and to be heard and comforted. That is my job and I try to do my very best every day. Being recognized by my community in this way makes me know I have achieved that goal. I am humbled. Thank you.”

Second Place

David Smith, MD Access Healthcare > Forest > 434.316.7199

Third Place (tie)

Craig Petry, MD Wyndhurst Family Medicine > Lynchburg > 434.237.3664 Kimberly Combs, MD Central Virginia Family Physicians > Lynchburg > 434.846.7374

Honorable Mention Gregg Albers, MD

Light Medical > Lynchburg > 434.384.1581 Richard Bendall, MD Central Virginia Family Physicians > Madison Heights > 434.846.8421 John Carmack, MD Central Virginia Family Physicians > Forest > 434.525.6964 Sydney Harris, MD Internal Medicine Associates > Danville > 434.792.4041 Mark Kleiner, MD Central Virginia Family Physicians > Forest > 434.525.6964 Darlene Nigro, DO Bedford Medical > Bedford > 540.586.7273 Harb Rank, MD Wiggington Road Family Practice > Lynchburg > 434.385.7578 Manuel Peralta, Jr., MD Access Healthcare > Forest > 434.316.7199 Christopher von Elten, MD Central Virginia Family Physicians > Lynchburg > 494.239.0132

“Good, open communication is the key to a successful patient - physician relationship.”

Gastroenterology

Gastroenterology is the specialty dealing with the treatment of disorders of the digestive gastroenterology or GI system.

First Place > Ralph Wisniewski, MD Gastroenterology Associates of Central Virginia Lynchburg > 434.384.1862

“Good, open communication is the key to a successful patient - physician relationship.

Communication fosters trust and confidence, which leads to better compliance and positive outcomes.”

Second Place

Loretta Maffei, MD Gastroenterology Associates of Central Virginia Lynchburg > 434.384.1862

Third Place

Robert Richards, Jr., MD Gastroenterology Associates of Central Virginia Lynchburg > 434.384.1862

Honorable Mention Larry Clark, Jr., MD Gastroenterology Associates of Central Virginia Lynchburg > 434.384.1862 Charles Catalano, MD Gastroenterology Associates of Central Virginia Lynchburg > 434.384.1862 Chalmers Nunn, Jr., MD Gastroenterology Associates of Central Virginia Lynchburg > 434.384.1862 Mukesh Patel, MD Danville Gastroenterology Center > Danville > 434.791.1152

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Geriatrics

Geriatric care is a medical practice that addresses the complex needs of older patients and emphasizes maintaining functional independence even in the presence of chronic disease.

First Place > Verna Sellers, MD

Second Place

Patricia Pletke, MD Centra Hospice > Lynchburg > 434.200.3204

Third Place

Charles Driscoll, MD Lynchburg Family Medicine > Lynchburg > 434.200.5200

PACE > Lynchburg > 434.200.6516

Honorable Mention

“A good bedside manner is the foundation of a positive patient- physician relationship. Good bedside manner builds trust and facilitates communication between the patient and the physician. Patients and physicians must work together toward healthy living.”

Peter Betz Piedmont Psychiatric Center > Lynchburg > 434.947.5999

Hematology Oncology

The diagnosis, treatment and prevention of blood diseases (hematology) and cancer (oncology) and research into them.

First Place > Kathleen Paul, MD Lynchburg Hematology - Oncology Clinic Lynchburg > 434.200.5925

“I feel honored to care for such wonderful patients through their cancer journey and to get to know them as the unique individuals they are.”

Second Place (tie)

Dwight Oldman, MD Lynchburg Hematology - Oncology Clinic Lynchburg > 434.200.5925

Infectious Disease

A specialty focusing on the diagnosis, cause and treatment of contagious disease.

First Place > Robert Brennan, MD Medical Associates of Central Virginia Lynchburg > 434.947.3944

“For many years, it’s been a real privilege for Medical Associates to serve patients with infectious diseases such as hepatitis, cellulitis, osteomyelitis, respiratory tract and MRSA infections.”

Louis Graham, MD Central Virginia Family Physicians > Lynchburg > 434.237.6471 Phyllis Montellese, MD Palmyra Medical Associates > Palmyra > 434.589.6644 John Olmsted, MD Centra – Rehabilitation > Lynchburg > 434.200.2528

John MacNeil, MD Lynchburg Hematology - Oncology Clinic Lynchburg > 434.200.5925

Third Place

Joy Hilliard, MD Radiation Oncology Associates > Lynchburg > 434.200.4010

Honorable Mention Angela Brady, MD Radiation Oncology Associates > Lynchburg > 434.200.4010 John Halpin, MD Lynchburg Hematology - Oncology Clinic > Lynchburg > 434.200.5925 Robert Headley, MD Lynchburg Hematology - Oncology Clinic > Lynchburg > 434.200.5925 Cecilia MaCullum, MD Lynchburg Hematology - Oncology Clinic > Lynchburg > 434.200.5925 Daniel Temeles, MD Blue Ridge Cancer Care > Bedford > 540.586.5770

Second Place

Scott Wade, MD Medical Associates of Central Virginia Lynchburg > 434.947.3944

Third Place

Johanna Brown, MD Medical Associates of Central Virginia Lynchburg > 434.947.3944

Honorable Mention Daniel Sawyer, MD Daniel Sawyer, MD > Charlottesville > 434.977.1933

www.ourhealthvirginia.com | 27

Internal Medicine

The branch of medicine that deals with the diagnosis and nonsurgical treatment of diseases affecting adults.

First Place > Shawn Hayes, MD Lynchburg Internal Medicine Lynchburg > 434.200.3908

“[Bedside manner] sets the tone for quality care and the exchange of important information between the provider and patient. It makes the patient confident that they are the focus of the visit and activities of the organization.”

Second Place (tie)

David Cannon, MD Medical Associates of Central Virginia Lynchburg > 434.947.3944

Nephrology

Nephrology is the study of the function and diseases of the kidney and related organs.

First Place > Asad Ehtesham, MD Lynchburg Nephrology Physicians Lynchburg > 434.947.3954

James Cure, MD Lynchburg Internal Medicine > Lynchburg > 434.200.3908

Third Place

Susan Funk, MD Medical Associates of Central Virginia Lynchburg > 434.947.3944

Honorable Mention Jeanne Densmore, MD Piedmont Internal Medicine > Charlottesville > 434.293.5548 James Meadows, MD Medical Associates of Central Virginia > Lynchburg > 434.947.3944 Eugene Wolanski, MD Medical Associates of Central Virginia > Lynchburg > 434.947.3944 Scott Wade, MD Medical Associates of Central Virginia > Lynchburg > 434.947.3944 Michael Will, MD Medical Associates of Central Virginia > Lynchburg > 434.947.3944

Second Place

Mohammed Ashraf, MD Lynchburg Nephrology Physicians > Lynchburg > 434.947.3954

Third Place (tie)

Robert Lockridge, MD Lynchburg Nephrology Physicians > Lynchburg > 434.947.3954 Chip Moffatt, MD Lynchburg Nephrology Physicians > Lynchburg > 434.947.3954

Honorable Mention Jagan Kothapally, MD Lynchburg Nephrology Physicians > Lynchburg > 434.947.3954

Neurology

Neurology is the specialty of medicine which focuses on the diagnosis and treatment of disorders of the nervous system.

First Place > Miles Wallace, MD Neurology Associates of Lynchburg Lynchburg > 434.947.3928

Second Place

Charles Joseph, MD Neurology Associates of Lynchburg Lynchburg > 434.947.3928

Third Place

Rafael Hurtado, MD Neurology and Sleep Clinic of SWVA Danville > 434.791.2600

Honorable Mention Victor Owusu-Yaw, MD Danville Neurology Associates > Danville > 434.791.2600 Bruce Stelmack, MD Centra – Rehabilitation and Geriatric Specialists Lynchburg > 434.200.2528

28 | www.ourhealthvirginia.com

Nurse Practitioner

A nurse practitioner (NP) is a registered nurse with advanced academic and clinical experience, which enables him or her to diagnose and manage most common and many chronic illnesses, either independently or as part of a health care team.

First Place > Tracy Langebeck, NP-C Lynchburg Pulmonary Associates Lynchburg > 434.947.3963

“Good bedside manner is important to me because patients never forget the way you make them feel. Everyone is valuable to me, always leave them knowing you listened and that their concerns are important.�

Second Place (tie)

Heather Cook, NP-C Wyndhurst Family Medicine > Lynchburg > 434.237.3664 Vickie Moore, FNP Lynchburg Gynecology > Lynchburg > 434.385.7818

Third Place (tie)

Lisa Smith, MSN, FNP-C Gastroenterology Associates of Central Virginia Lynchburg > 434.384.1862 Kathy Worley, FNP Central Virginia Family Physicians > Hurt > 434.324.9150

Honorable Mention Violet Esposito, NP Centra Health Medical Center > Gretna > 434.656.1274 Patricia Hayes, NP Village Family Physicians > Moneta > 540.297.7181 Kathleen Kennedy, NP Radiation Oncology Associates > Lynchburg > 434.200.4010 Jennifer Lloyd-Fitzgerald, NP Seven Hills Urology Center > Lynchburg > 434.200.6625 Tammy Perdue, MSN, NP Gastroenterology Associates of Central Virginia Lynchburg > 434.384.1862 Robbie Price, NP The Cardiovascular Group > Lynchburg > 434.200.5252 Joyce White, NP The Cardiovascular Group > Lynchburg > 434.200.5252 Andrea Yesalis, NP Orthopaedic Center of Central Virginia > Lynchburg > 434.485.8500

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www.ourhealthvirginia.com | 29

OB/GYN

The specialty of medicine that includes care for women before, during, and after pregnancy and child birth and the diagnosis and treatment of disorders affecting the female reproductive system.

First Place > Kristi Kidd, MD

Women’s Health Services of Central Virginia Lynchburg 434.239.7890

“I am blessed to be able to care for patients. It is important to care for the whole patient and address all of their concerns.”

Second Place

Lewis Dabney, MD Lynchburg Gynecology > Lynchburg > 434.385.7818

Third Place

Anita Schmidt, MD Women’s Health Services of Central Virginia Lynchburg > 434.239.7890

Honorable Mention William Cook, MD Women’s Health Services of Central Virginia > Lynchburg > 434.239.7890 Stefania Dimofte, MD Johnson Health Center > Lynchburg > 434.455.3270 Samir Ghobrial, MD OB/GYN of Bedford > Bedford > 540.586.6818 Michael Robertson, MD Women’s Health Services of Central Virginia > Lynchburg > 434.239.7890 David Phemister, MD Women’s Health Services of Central Virginia > Lynchburg > 434.239.7890 Lynnett Schindler, MD Women’s Health Services of Central Virginia > Lynchburg > 434.239.7890 Matthew Tompkins, MD Lynchburg Gynecology > Lynchburg > 434.385.7818 Tracy Wheelock, MD Women’s Health Services of Central Virginia > Lynchburg > 434.239.7890

“...trust and compassion are vital so that both the physician and patient can work together more effectively to address whatever conditions arise.”

Ophthalmology

An ophthalmologist treats eye disorders, including injuries, infections, tumors, and cataracts.

First Place > Darin Bowers, MD Piedmont Eye Center Inc Lynchburg > 434.947.3984

“As a physician, I am blessed with the privilege of helping patients see better. I am always mindful that trust and compassion are vital so that both the physician and patient can work together more effectively to address whatever conditions arise.”

Second Place

Saxton Moss, MD Piedmont Eye Center > Lynchburg > 434.947.3984 30 | www.ourhealthvirginia.com

Third Place

Elizenda Ceballos, MD Piedmont Eye Center > Lynchburg >434.947.3984

Honorable Mention Chad Albright, MD Vistar Eye Center > Bedford > 540.855.5100 Landon Colling, MD Harman Eye Center of Bedford > Bedford > 540.425.7900 Gail Ganser, MD Piedmont Eye Center > Lynchburg > 434.947.3984 David Harman, MD Harman Eye Center > Forest > 434.385.5600 Golnaz Javey, MD Piedmont Eye Center > Lynchburg > 434.947.3984 Gene Moss, MD Piedmont Eye Center > Bedford > 540.586.8862 Robert Vogel, MD Piedmont Eye Center Inc > Lynchburg > 434.947.3984

Optometry

An optometrist is trained and skilled in examining and testing the eyes for defects in order to prescribe corrective lenses or treatments.

First Place > Gary St. Clair, OD

St. Clair Eye Care > Lynchburg > 434.239.2800

“I would like to thank all of my patients for showing their confidence and support in selecting me for “Best Bedside Manner” for the category of Optometrists. I feel it is extremely important to establish a relationship with each patient. The more comfortable a patient is with a doctor, the more likely they will abide by the doctor’s treatment plan and recommendations.

It also gives the patient a reason to come back which is important for continuity of care. A patient may not remember everything you say or do, but they will always remember how you made them feel.”

Second Place (tie)

Michael Curl, OD Harman Eye Center > Lynchburg > 434.845.2020 Shannon Compton, OD Shannon L. Compton, OD & Associates, PC Madison Heights > 434.846.7822

Third Place

Jonathan Culp, OD Drs. Newman, Blackstock & Associates Lynchburg > 434.237.0220

Honorable Mention Cathy Anderson, OD Virginia Eye Clinic > Lynchburg > 434.239.5323 Paul Chopra, OD Lynchburg Vision Associates > Lynchburg > 434.832.1362 Elizabeth Darby, OD Dr. Elizabeth M. Darby Optometrist, PLLC Lynchburg > 434.385.0213 Bryn Debass, OD Chatham Eyecare Center > Chatham > 434.432.4393 Timothy Wilson, OD Virginia Eye Clinic > Lynchburg > 434.239.5323

“...it is extremely important to establish a relationship with each patient. The more comfortable a patient is with a doctor, the more likely they will abide by the doctor’s treatment plan and recommendations.”

Oral Surgery

A dental specialist whose practice is limited to the diagnosis, surgery and treatment of diseases, injuries, deformities, and defects of the mouth.

First Place > Mitchell Magid, DMD Mountainview Oral Surgery & Implant Center Lynchburg > 434.316.7111

“By carefully paying attention to my patients’ needs and concerns, I can formulate the best treatment plan for that individual. I believe that combining this level of individualized planning and compassion, with updated technology, communication and skills provides the best overall care.”

32 | www.ourhealthvirginia.com

Second Place

Brian McAndrew, MD, DDS Central Virginia Oral and Facial Surgery Lynchburg > 434.832.8040

Third Place

Will Carvajal, MD, DDS Central Virginia Oral and Facial Surgery Lynchburg > 434.832.8040

Orthodontics

Orthodontics, is the first specialty of dentistry that is concerned with the study and treatment of malocclusions (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships, or both.

First Place > Bruce Bentley, DDS Central Virginia Orthodontics Lynchburg > 434.385.GRIN (4746)

“I think it is important to treat people the way I would want to be treated. Patients deserve to be treated with compassion and respect.”

Second Place

Mark Blanchette, DDS, MS Mark E. Blanchette, DDS > Lynchburg > 434.846.4014

Third Place

Shepherd Sittason, DDS Children’s Dentistry & Orthodontics of Lynchburg Lynchburg > 434.237.0125

Honorable Mention Elena Black, DDS Appalachian Orthodontics of Lynchburg Lynchburg > 434.515.0370 Jennifer Claiborne, DDS Central Virginia Orthodontics > Lynchburg > 434.385.GRIN (4746) Keith Pyle, DDS Children’s Dentistry & Orthodontics of Lynchburg Lynchburg > 434.237.0125 Norm Prillaman, DDS Orthodontic Arts > Forest > 434.385.4499

“I feel like my patients have given me much more than I have given them.”

34 | www.ourhealthvirginia.com

Orthopaedics

An orthopaedic surgeon is focused on diseases, injuries, and conditions of the musculoskeletal system relating to the body’s muscles and skeleton, as well as the joints, ligaments, tendons, and nerves.

First Place > H. C. Eschenroeder, MD

The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

“I enjoy communicating with my patients because I like them. In my years of practice, I feel like my patients have given me much more than I have given them. I feel very lucky to have the opportunity to practice medicine in Central Virginia.”

Second Place

Third Place

Peter Caprise, MD The Orthopaedic Center of Central Virginia > Lynchburg > 434.485.8500

Honorable Mention William Andrews, Jr., MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 John Barnard, Jr., MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 Gautham Gondi, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 John Prahinski, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 Jesse Stem, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 Robert Sydnor, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

Drew Kiernan, MD The Orthopaedic Center of Central Virginia > Lynchburg > 434.485.8500

www.ourhealthvirginia.com | 35

Otolaryngology

Otolaryngology is a surgical specialty focusing on the diagnosis, management, and treatment of diseases and disorders of the ear, nose, throat (ENT) and related structures of the head and neck.

First Place > Timothy Courville, MD Blue Ridge ENT & Plastic Surgery Lynchburg > 434.947.3993

“Having a good bedside manner is important because it helps develop trust and confidence with the patient. Once the patient develops rapport with their doctor, it’s easier for them to articulate what or how they feel and serves as a vital role to improve patient care.”

Pain Management

Pain management encompasses pharmacological, nonpharmacological, and other approaches to prevent, reduce, or stop pain sensations.

First Place > Murray Joiner, MD

Murray E. Joiner, Jr., MD, PC and Associates Lynchburg >434.845.6664

“1. Treat everyone like you would your Mother.

2. Never forget it is an incredible honor and responsibility for a patient to entrust you with their health. 3. All good things come from God.”

Pediatrics

A pediatrician focuses on the detection, diagnosis, treatment and prevention of diseases in children, ages infant to 18-years of age.

First Place > Gary Stewart, MD F. Read Hopkins Pediatric Associates Lynchburg > 434.237.8886

“Good bedside manner is part of the F. Read Hopkins health care team belief that the patient comes first. The good bedside manner award means the health care team of nurses, clerical staff, lab, x-ray, and administration value our patients and their health and social needs.

Patients value that they are important to us.”

Second Place

Skyler McCurley, MD F. Read Hopkins Pediatric Associates Lynchburg > 434.237.8886

Third Place

Morgan Mandeville, MD Richeson Drive Pediatrics > Lynchburg > 434.385.7776 36 | www.ourhealthvirginia.com

Second Place

Andrea Kittrell, MD Head & Neck Surgery Central VA > Lynchburg > 434.455.7999

Third Place

Joseph Hutchison, MD Blue Ridge Ear, Nose and Throat and Plastic Surgery Lynchburg > 434.481.5454

Honorable Mention Graham Gilmer, MD Blue Ridge ENT & Plastic Surgery > Lynchburg > 434.947.3993 James Hengerer, MD Blue Ridge ENT & Plastic Surgery > Lynchburg > 434.947.3993 Christopher Mawn, MD Blue Ridge ENT & Plastic Surgery > Lynchburg > 434.947.3993

Second Place

Akhtar Purvez, MD Pain Management Center – Centra Lynchburg > 434.200.4175

Third Place

Karen Burnham, MD Anesthesia Services of Lynchburg Inc Lynchburg > 434.845.7392

Honorable Mention Joyce Huerta, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

Honorable Mention Teresa Brennan, MD Medical Associates of Central Virginia > Lynchburg > 434.947.3945 Rachel Gagen, MD F. Read Hopkins Pediatric Associates > Lynchburg > 434.237.8886 Michael Hart, MD Carilion Clinic > Lynchburg > 434.386.4106 David Hawkes, MD Pediatric Associates of Charlottesville Charlottesville > 434.296.8300 Bradley Malcolm, MD Richeson Drive Pediatrics > Lynchburg > 434.385.7776 Elizabeth Mumper, MD Advocates for Children > Lynchburg > 434.528.9075 Justin Mutch, MD F. Read Hopkins Pediatric Associates > Lynchburg > 434.237.8886 Michael Padilla, MD Richeson Drive Pediatrics > Lynchburg > 434.385.7776 Robert Sullivan, MD F. Read Hopkins Pediatric Associates > Lynchburg > 434.237.8886 Stephanie Sullivan, MD F. Read Hopkins Pediatric Associates > Lynchburg > 434.237.8886 Keith Taylor, MD Pediatrix Medical Group of Lynchburg > Lynchburg > 434.200.5612

Periodontics

Periodontology or Periodontics is the specialty of dentistry that studies supporting structures of teeth, diseases, and conditions that affect them.

First Place > Sherman Smock, DDS Periodontal Health Associates Lynchburg > 434.455.2444

Second Place

Ryan Anderson, DDS Periodontal Health Associates > Lynchburg > 434.455.2444

Third Place

Gavin Aaron, DDS, MS Aaron Periodontics & Dental Implants Lynchburg > 434.316.0080

“I strive to understand what my patients hope to gain by going through treatment and then work very hard to help them achieve it.”

Pharmacist

Pharmacists are health professionals who are experts in the use of medicines.

First Place > Jodi Ettare, PharmD Rustburg Family Pharmacy Rustburg > 434.332.1730

Second Place

Cindy McInteer, RPh CVS – Timberlake Road > Lynchburg > 434.239.0311

Third Place

Jeff Dalton, RPh Medicine Shoppe > Altavista > 434.369.5257

“Within healthcare and in providing pharmacy services, I find it personally rewarding to be a patient advocate, prescriber liaison, and go above and beyond to help patients live healthier lives. In turn, people tend to appreciate those qualities more and I am able to make a better impact with empathy and a smile on my face.”

Physical Medicine

Physical medicine and rehabilitation, also referred to as physiatry, is a medical specialty concerned with diagnosis, evaluation, and management of persons of all ages with physical and/or cognitive impairment and disability.

First Place > Andrea Stutesman, MD Centra Rehabilitation Lynchburg > 434.200.2528

“The importance of compassion and communication is key in patient care and it starts at the “bedside”. Taking the time to listen to patients and explain medical information in a simple, straightforward manner is the Golden Rule of medicine.”

38 | www.ourhealthvirginia.com

Second Place

Bruce Stelmack, MD Centra – Rehabilitation and Geriatric Specialists Lynchburg > 434.200.2770

Third Place

Joyce Huerta, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

Honorable Mention Ashley McCowen, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 Angel Medina-Bravo Centra - Rehabilitation and Geriatric Specialists Lynchburg > 434.200.4473 Brenda Waller, MD Brenda S Waller MD PLC > Lynchburg > 434.528.0896

Physical Therapy

Physical therapy (or physiotherapy), often abbreviated PT, is the art and science of physical care and rehabilitation.

First Place > John Wallman, PT, CGFI Rehab Associates of Central Virginia Lynchburg > 434.528.1848

“Having a good bedside manner is extremely important from the first time you meet your patient until they are discharged. Being consistent every time they come to the clinic and always exhibiting a caring outlook is very important in gaining their confidence and motivating them, setting them up for success in their rehab process and for reaching their recovery goals.”

First Place > Heather Walling Brumfield, PT, DPT, OCS Rehab Associates of Central Virginia Lynchburg > 434.528.1848

“Bedside manner is extremely important when it comes to a doctor- patient relationship. Healthy communication can improve a patient’s comfort level when they are hurting physically, a patient’s confidence in their physical therapist, as well as a patient’s confidence that the service you are providing will have a successful outcome. This

type of a relationship greatly improves the overall healing process of the patient. I am truly honored to be voted best bedside manner for 2 consecutive years. I love working with my patients and believe that my passion to help people is expressed through my bedside manner.”

Second Place (tie)

Joshua Bailey, PT, DPT Rehab Associates of Central Virginia Lynchburg > 434.237.6812 Krista Leake, PT Centra Outpatient Rehabilitation at the Jamerson YMCA Lynchburg > 434.237.8160

Third Place

Robin Glover, PT Rehab Associates of Central Virginia Appomattox > 434.352.5799

Honorable Mention Allison Barksdale, PT, DPT Rehab Associates of Central Virginia > Appomattox > 434.352.5799 Kevin Cope, PT, CGFI Rehab Associates of Central Virginia > Lynchburg > 434.528.1848 Rachelle Dean, PT Rehab Associates of Central Virginia > Lynchburg > 434.528.1848 Micheal Richardson, DPT-MSPT Rehab Associates of Central Virginia > Forest > 434.525.4851 Joseph Spagnolo, PT Rehab Associates of Central Virginia > Forest > 434.525.4851 Andy Tatom, PT, DPT, OCS Rehab Associates of Central Virginia > Lynchburg > 434.528.1848 Ryan Webb, PT, DPT, CSCS Rehab Associates of Central Virginia Madison Heights > 434.845.5641 Harrison Hunt, PT, DPT Rehab Associates of Central Virginia > Bedford > 540.586.1138

“Healthy communication is at the root of a good bedside manner.”

40 | www.ourhealthvirginia.com

Physician Assistant

A person who is licensed to practice medicine under the supervision of a licensed physician, and who thereby extends the physician’s capacity to provide medical care.

First Place > Jennifer McCurley, PA-C Central Virginia Family Physicians Forest > 434.525.6964

“Healthy communication between the provider and patient is at the root of a good bedside manner. My goal as a provider is to listen to the concerns of the patient and address these in a way that promotes health and meets the emotional needs of the patient as well.”

Second Place

Michael Leake, PA-C Centra Emergency Services Group > Lynchburg > 434.200.3101

Third Place

Jesse Naples, PA-C The Cardiovascular Group > Lynchburg > 434.200.5252

Plastic Surgery: Cosmetic

The field of surgery that is performed to reshape structures of the body in order to improve appearance and self-esteem.

First Place > Timothy Silvester, MD Plastic Surgery Associates of Lynchburg Lynchburg > 434.384.0610

“It is my belief that patients want a physician who is generally concerned about their wellbeing. A physician who is willing to take time to listen to their concerns and involve them in the plans and decisions about their healthcare is of the utmost importance.”

Plastic Surgery: Reconstructive The field of surgery concerned with reducing scarring or disfigurement that may occur as a result of accidents, birth defects, or treatment for diseases, such as melanoma.

First Place > Henry Wilson, MD Plastic Surgery Associates of Lynchburg Lynchburg > 434.384.0610

“Best results are achieved when there is trust and communication between doctor and patient. I always try to establish both.”

Honorable Mention Rachel Behrmann, PA-C Lynchburg Internal Medicine> Lynchburg > 434.200.3908 Lisa Best, PA-C The Orthopedic Center of Central Virginia Lynchburg > 434.485.8500 Neil Cabaniss, PA-C Bedford Memorial Hospital > Bedford > 540.586.2441 Ryan Kling, PA-C The Orthopaedic Center of Central Virginia > Lynchburg > 434.485.8500 Lydia McKay, PA-C Lynchburg Family Medicine Residency Lynchburg > 434.200.6290 Tara McGuire, PA-C Medical Associates of Central Virginia Lynchburg > 434.947.3944 Jesse Naples, PA-C The Cardiovascular Group > Lynchburg > 434.200.5252 Judy Taylor, PA-C Cardiac Treatment Center > Lynchburg > 434.200.6710 Lydia McKay, PA-C Lynchburg Family Medicine > Lynchburg > 434.200.5200 Clay Shorter, PA-C The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 Allison Tompkins, PA-C Altavista Medical Center > Alta Vista > 434.309.1165

Second Place

Simon Hatin, MD Plastic Surgery Associates of Lynchburg Lynchburg > 434.384.0610

Third Place

Keith Pitzer, MD Plastic Surgery Associates of Lynchburg Lynchburg > 434.384.0610

Honorable Mention Christopher Mawn, MD Blue Ridge ENT & Plastic Surgery > Lynchburg > 434.947.3993 Henry Wilson, MD Plastic Surgery Associates of Lynchburg > Lynchburg > 434.384.0610

Second Place

Timothy Silvester, MD Plastic Surgery Associates of Lynchburg Lynchburg > 434.384.0610

Third Place (tie)

Simon Hatin, MD Plastic Surgery Associates of Lynchburg Lynchburg > 434.384.0610 Christopher Mawn, MD Blue Ridge ENT & Plastic Surgery > Lynchburg > 434.947.3993

www.ourhealthvirginia.com | 41

Podiatry

A podiatrist is a physician that specializes in the evaluation and treatment of diseases of the foot.

First Place > Michael Overfelt, DPM Advance Foot Care Lynchburg > 434.384.0481

“Good bedside manner is important. It allows patients to be comfortable talking to their physician. The ability that a doctor has to listen to what a patient is saying is key to providing quality care for that individual.”

Second Place

Pink Wimbish, III, DPM Hill City Food Care > Lynchburg > 434.528.1909

Third Place

Scot Zindel, DPM Associated Podiatry > Lynchburg > 434.385.0707

“...never lose sight of the person behind the test.”

42 | www.ourhealthvirginia.com

Psychiatry

The branch of medicine that deals with the diagnosis, treatment, and prevention of mental and emotional disorders.

First Place > Michael Judd, MD Piedmont Psychiatric Center Lynchburg > 434.200.5999

“Good bedside manner is important because it allows patients to feel respected and comfortable with their provider. It lets individuals know we are sensitive to their needs.”

Psychology/Counseling

Psychology is the study of the mind and behavior.

Its immediate goal is to understand individuals and groups by both establishing general principles and researching specific cases.

First Place > Terry Jefferson, PhD

Second Place

Peter Betz, MD Piedmont Psychiatric Center Lynchburg > 434.200.5999

Third Place

James Gallagher, MD Piedmont Psychiatric Center Lynchburg > 434.200.5999

Honorable Mention John Hendrickson, MD Bridges Treatment Center > Lynchburg > 434.947.5700 Edward Kuhnley, MD Piedmont Psychiatric Center > Lynchburg > 434.200.5999

Second Place

Mike Kunzinger, MA, LPC The Change Group > Lynchburg > 434.219.0138

Third Place

Steve Baker, LPC, ADC The Change Group > Lynchburg > 434.219.0138

Yoder Jefferson and Associates Lynchburg 434.385.0744

“To be effective in therapy you have to establish a relationship with the patient. I find that respect, empathy, and a small dose of humor help the relationship to develop and then therapeutic change can occur.”

Pulmonary Medicine

In medicine, pulmonology (aka pneumology) is the specialty that deals with diseases of the respiratory tract and respiratory disease.

First Place > Jeremy Hardison, MD Lynchburg Pulmonary Associates Lynchburg > 434.200.3963

“It is an honor and pleasure to help care for the people of Central Virginia.”

Second Place (tie)

Stephen Johnson, MD Bedford Pulmonary Medicine > Bedford > 540.587.7810 Joe Khoury, MD Lynchburg Pulmonary Associates Lynchburg > 434.200.3963

Third Place

Albert Baker, MD Lynchburg Pulmonary Associates Lynchburg > 434.200.3963

Honorable Mention Albert Baker, MD Lynchburg Pulmonary Associates > Lynchburg > 434.200.3963 Michael Milam, MD Lynchburg Pulmonary Associates > Lynchburg > 434.200.3963 John Plankeel, MD Lynchburg Pulmonary Associates > Lynchburg > 434.200.3963

www.ourhealthvirginia.com | 43

Radiology

Radiology is a medical specialty that employs the use of imaging to both diagnose and treat disease visualized within the human body.

First Place

Richard Newton, MD Radiology Consultants of Lynchburg Lynchburg > 434.237.4004

“Behind every x-ray, MRI, or CT Scan is a patient who needs our help and counts on our personal attention to their test in providing a timely, accurate report to the physician managing their care. We never lose sight of the person behind the test.�

Second Place

Tim Hellewell, MD Radiology Consultants of Lynchburg Lynchburg > 434.237.4004

Third Place

Brian Tweddale, MD Radiology Consultants of Lynchburg Lynchburg > 434.237.4004

Honorable Mention Robert Green, MD Radiology Consultants of Lynchburg > Lynchburg > 434.237.4004 Kevin Hicks, MD Radiology Consultants of Lynchburg > Lynchburg > 434.237.4004 Larry Redmond, MD Radiology Consultants of Lynchburg > Lynchburg > 434.237.4004 Tanner Shilling, MD Radiology Consultants of Lynchburg > Lynchburg > 434.237.4004

44 | www.ourhealthvirginia.com

Rheumatology

Rheumatology is a sub-specialty in internal medicine and pediatrics, devoted to diagnosis and therapy of rheumatic diseases. Rheumatologists deal mainly with clinical problems involving joints, soft tissues, autoimmune diseases, vasculitis, and heritable connective tissue disorders.

First Place > Jeffrey Wilson, MD Central Virginia Family Physicians Lynchburg > 434.382.1005

“What a pleasant surprise to be recognized as best bedside manner in Rheumatology.

One of the godfathers of medicine said that the most important things in approaching the

Sleep Medicine

Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders.

First Place > Joe Khoury, MD Lynchburg Pulmonary Associates Lynchburg > 434.200.3963

“Bedside manner is important to help establish a relationship of trust between a patient and provider. Patients often have to face difficult and life-altering issues, and

Sports Medicine

Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise.

First Place > Brad Haupricht, MD Liberty University Health Services Lynchburg > 434.200.6370

“A patient goes to the doctor’s office to be cared for. The patient has to trust their physician and know that the physician is listening and truly cares for them. From that, the entire patient-physician relationship is stemmed. To accomplish this, my goal is to treat each patient as I would want my daughter, wife, or other family member treated. It is my hope that this bedside manner earns the trust of the patient so that they allow me the privilege to care for their needs.”

patient is attention to the patient. It is easy today in the EMR era to pay more attention to the laptop than the patient. I never take a laptop into the exam room.”

Second Place

Lucy Zhang, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

Third Place

Eric Kenny, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

it is easier for them to do so with someone they trust and feel is going to be open and honest with them. I’m honored to be recognized by my patients in this way.”

Second Place

Michael Milam, MD Lynchburg Pulmonary Associates Lynchburg > 434.200.3963

Third Place

John Plankeel, MD Lynchburg Pulmonary Associates Lynchburg > 434.200.3963

Second Place

William Andrews, Jr., MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

Third Place

John Barnard, Jr., MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

Honorable Mention Michael Diminick, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 Gautham Gondi, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500 Joseph Wombwell, MD The Orthopaedic Center of Central Virginia Lynchburg > 434.485.8500

www.ourhealthvirginia.com | 45

Surgery: Cardiac

Cardiac surgery is surgery on the heart to correct congenital heart disease or the complications of heart disease or valve problems created by various causes.

First Place > David Frantz, MD Centra Cardiothoracic Surgery Lynchburg > 434.528.2212

through. It is only at the bedside, before and after the surgery, that we have a chance to make that connection.

That is when we need to convince patients we are dedicated to their wellbeing before, during and after the procedure.”

Second Place

Robert Messier, MD Centra Cardiothoracic Surgery Lynchburg > 434.528.2212

“Surgeons like to think all the action is in the OR, but for patients, the first step is always establishing the trust that will carry them

Surgery: General

General surgery is the treatment of injury, deformity, and disease using operative procedures.

First Place

Clinton Beverly, MD Central Virginia Surgery Lynchburg > 434.947.3933

“Patients are most vulnerable when they are ill. I try to see each patient as a member of my family striving to reach the goal of full recovery.”

Second Place

John Kerr, MD Bedford Surgery > Bedford > 540.586.3089

Third Place

Peter Ploch, MD Steven Hills Surgical Associates, PC Lynchburg > 434.947.3901

Honorable Mention Rob Bass, MD Seven Hills Surgical Associates, PC > Lynchburg > 434.947.3901 Bill Kittrell, MD Central Virginia Surgery > Lynchburg > 434.947.3933 John Guglielmetti, MD Central Virginia Surgery > Lynchburg > 434.947.3933

Surgery: Neurosurgery

A surgical specialty for the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.

First Place > Morris McCrary, MD Central Virginia Neurosurgery Lynchburg 434.947.3920

“It is a thrill to receive this honor. What I enjoy most is talking to patients and families in order to understand their problem. While discussing options for treatment, I always try to be conservative. It is exciting to help patients get better.”

46 | www.ourhealthvirginia.com

Second Place

Dilan Ellegala, MD The Neurosurgery Center > Lynchburg > 434.200.2900

Third Place

Katrina Murphy, MD The Neurosurgery Center > Lynchburg > 434.200.2900

Honorable Mention George Hurt, MD Central Virginia Neurosurgery > Lynchburg > 434.947.3920 Elisa Kucia, MD The Neurosurgery Center > Lynchburg > 434.200.2900 Lee Selznick, MD Central Virginia Neurosurgery > Lynchburg > 434.947.3920

Surgery: Vascular

Vascular surgery is the treatment of surgery on diagnosed patients with diseases of the arterial, venous, and lymphatic system.

First Place

Lawrence Poletti, MD Seven Hills Surgical Associates, PC Lynchburg > 434.947.3901

“To me, the most important part of bedside manner is treating people with dignity and respect. Also, I try to explain complicated medical problems in a way that patients and families can understand. This is important so they can make informed decisions about their care.”

Second Place

Jeff Widmeyer, MD Widmeyer Vein Center > Lynchburg > 434.847.5347

Third Place

Mark Salvaggio, MD Seven Hills Surgical Associates, PC Lynchburg > 434.947.3901

Honorable Mention Forrest Rubenstein, MD Centra Vascular Group > Lynchburg > 434.200.1650

“...explain complicated medical problems in a way that patients and families can understand.” www.ourhealthvirginia.com | 47

our health | KIDS’ CARE

Urology

A medical specialty that deals with disturbances of the urinary (male and female) and reproductive (male) organs.

First Place

Corey Passman, MD Seven Hills Urology Lynchburg 434.200.5297

“Making a patient at ease and taking the time to talk with them helps me to be a better doctor. When a patient feels comfortable talking with me, we are better able to diagnose their problems, address their concerns, and formulate the best treatment plan together.”

Second Place

Ronald Fisher, MD Seven Hills Urology > Lynchburg > 434.200.5297

Third Place

Robert Cook, MD Seven Hills Urology > Lynchburg > 434.200.5297

Honorable Mention Dean Clower, MD Seven Hills Urology > Lynchburg > 434.200.5297 Finnie Green, MD Seven Hills Urology > Lynchburg > 434.200.5297 Christopher Hicks, MD Urologic Surgery > Bedford > 540.444.4670

“When a patient feels comfortable talking with me, we are better able to diagnose their problems, address their concerns, and formulate the best treatment plan together.”

48 | www.ourhealthvirginia.com

Our Health Highlight

Advance Foot Center Services and Procedures We offer diabetic foot care and diabetic shoes, care for ingrown toenails, plantar fasciitis, corns/callouses, plantar warts, foot pain and general nail care.

What Sets Us Apart With over 25 years of experience serving the Central

VITAL STATISTICS Service Location: »» Advance Foot Center 2815 Linkhorne Drive, Lynchburg VA 24503

Contact Info: »» Sherry Ferguson Phone: 434.384.0481 Fax: 434.384.3226

Virginia Area, Dr. Overfelt and his staff are ready to assist you with quality foot care. We strive to provide excellent health care for our patients.

www.ourhealthvirginia.com | 49

Our Health Highlight

Interventional Pain Services provided by Anesthesia Services of Lynchburg VITAL STATISTICS Established: The Pain Service was established in 2002

Service Locations: »» Virginia Baptist Hospital 3300 Rivermont Avenue Lynchburg, VA »» The Surgery Center of Lynchburg 2401 Atherholt Road Lynchburg, VA »» Phone: 434.845.5493 »» Fax: 434.845.1099 »» Web: www.asol.md »»

Services and Procedures Our procedures are image guided by x-ray or ultrasound. We offer state of the art sedation and monitoring for procedures, and patients are always fully monitored. We offer a wide variety of interventional pain procedures to include: »» Epidural steroid injections cervical, thoracic, and lumbar »» Transforminal nerve root injections - cervical, thoracic, and lumbar »» Facet joint injections »» Medial branch blocks and radiofrequency ablations »» Stellate ganglion blocks »» Lumbar sympathetic blocks »» Joint injections with fluoroscopic guidance »» Bursa injections with fluoroscopic or ultrasound guidance

What Sets Us Apart

Contact Info: »» Karen Burnham, MD or Judy Martin 1922 Thomson Drive Suite D Lynchburg, VA 24501 Phone: 434.845.7392 Fax: 434.845.1099

50 | www.ourhealthrvirginia.com

All of our physicians providing interventional pain services are board certified Anesthesiologists with extensive training in image guidance for accurate placement of medications. We are experts in the pharmacology of medications used, selection of the appropriate technique, and safe monitoring practices for all types of patients. This group of physicians has more than 70 cumulative years of clinical experience to draw on. We safely provide thousands of these procedures every year, with excellent results.

Our Health Highlight

VITAL STATISTICS Established: 1971 as Feinman Ear, Nose, and Throat, Inc.

Service Locations: »» 2321 Atherholt Road, Lynchburg, VA 24501 »» Phone: 434.947.3993 »» Fax: 434.947.3992

Blue Ridge Ear, Nose, Throat, and Plastic Surgery, Inc. Services & Procedures »» Adult & pediatric ENT »» Sinus surgery »» Head and neck cancer surgery »» Certified audiologists »» Treatment of balance and dizziness disorders »» Treatment of tinnitus (ringing in the ears) »» Treatment of voice and swallowing disorders »» Allergy testing and immunology »» Treatment of sleep disorders and snoring »» Treatment of hearing loss with comprehensive hearing aid sales and service »» Facial plastic surgery »» Otoplasty (ear surgery) »» Septorhinoplasty (nose surgery) »» Laser hair removal and microdermabrasion From pediatrics to seniors, Blue Ridge Ear, Nose, Throat & Plastic Surgery offers a friendly and relaxing atmosphere for patients of all ages. We are the only practice in the area that offers comprehensive allergy treatment and sinus surgery, along with many other services our community depends upon.

For over 30 years, Blue Ridge ENT & Plastic Surgery , Inc. has provided

allergy services to our community.

We are otolaryngologists, trained and accredited in the diagnosis, treatment and management of ear, nose, throat and allergic conditions.

Many people suffer from allergies.

One of the best ways to control allergic symptoms is by regulating your environment exposure to reduce allergic symptoms. Some helpful controls would include keeping windows closed during pollen seasons, mite-proofing bedding, cleaning air ducts, carpet removal, wearing masks while cleaning or doing yard work. As well, remember not to hang clothes, bedding, towels or rugs outside to dry during pollen seasons as pollen and mold spores will adhere to them. Pets should be kept out of the bedroom. Comforters should regularly be put in a hot dryer for 30 minutes to remove dust and kill dust mites. Stuffed animals, which harbor large amounts of dust and dust mites should be removed from the bedroom (favorites may be put through a hot dryer fro 30 minutes.)

Dehumidifiers should be used from late spring until fall in basements or other damp areas. Avoid humidifiers or vaporizers except in the winter as high humidity promotes the growth of mold spores. We recommend air cleaners with a HEPA filter and not an ionizer because they produce ozone.

Hay fever symptoms are caused by pollens of trees, grasses, and weeds, but there are many other

substances which may aggravate your condition and produce symptoms. Chemical fumes, tobacco, smoke, cleaning products and strongly-scented soaps, perfumes and hair care products are common irritants. Buy unscented, nonaerosol products whenever possible.

Artificial Christmas trees packed away should be cleaned or washed every few years due to dust, dust mite, and mold buildup. Use plastic containers for storage instead of cardboard boxes that get dusty and moldy. Illness, infections, fatigue and alcoholic beverages lower the body’s natural immunity, which may allow allergies to flare up.

Along with environmental controls, there are many medications available to control symptoms.

Antihistamines are now available in several forms: oral, nasal sprays, over-the-counter and prescriptions.

Topical nasal steroid sprays may be used alone with antihistamines to help reduce inflammation.

If symptoms are not controlled well by environmental control and medication, allergy testing may be performed to determine specific allergens. This includes pollens, house dust, dust mites, mold spores and pets. Immunotherapy, or allergy injections, may be recommended to build up a patient’s immunity against those allergens. While allergy injections are not a quick process, they can provide long-

»» Web: www.blueridgeentps.com »»

Contact Info: »» Mary Sue Ramey 2321 Atherholt Road Lynchburg, VA 24501 Phone: 434.947.3993 x122 Fax: 434.847.2941

term relief from allergy symptoms, potentially reducing the need for daily medications. It is important, as a physician, to treat each patient individually based on their medical history, symptoms, and environmental exposures.

Allergies can cause problems of the ears, eyes, nose, sinuses, throat, lungs and skin. If we treat allergies more aggressively, symptoms can be reduced. Blue Ridge ENT & Plastic Surgery is unique in that we can treat for ear, nose and throat problems, as well as allergies, and all under one roof.

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Our Health Highlight

VITAL STATISTICS Established: Founding partners started the practice in 1906.

Dr. Kittrell joined in 1999, Dr. Guglielmetti in 2003, Dr. McClung in 2007 & Dr. Beverly in 2010

Service Locations: »» 1906 Thomson Drive, Lynchburg, VA 24501 »» Phone: 434.947.3933 »» Fax: 434.947.3988 »» Web: www.centralvirginiasurgery.com

Central Virginia Surgery

»»

Services and Procedures Our general surgeons are experienced in many fields including breast and colon disorders, gastrointestinal disorders, hernias and skin cancers. They bring to the table many years of experience in both traditional surgical methods as well as the latest laparoscopic surgical techniques.

Physicians perform surgery at both Lynchburg General and Va Baptist Hospital, as well as the Surgery Center of Lynchburg

Contact Info: »» Ellen Hendricks 1906 Thomson Drive Lynchburg, VA 24501 Phone: 434.947.3933 ext 21 Fax: 434.947.3988

52 | www.ourhealthrvirginia.com

What Sets Us Apart In Central Virginia, there are several choices available for medical care in our region. We serve a unique population of dedicated, committed, family oriented individuals who strive to make everyday count. At Central Virginia Surgery, we are devoted to the same principles that were established by our practice over 100 years ago in 1906. Today, we carry on the tradition of providing the highest quality surgical care in a friendly, confidential, compassionate family oriented atmosphere.

Our Health Highlight

LINCARE The Mission of Lincare

The mission of Lincare is to set standards of excellence for providing respiratory care and medical equipment to patients in the home. Our company’s success, which is characterized by responsiveness and clinical excellence, had been founded on the dedication of our professionals to quality care. Physicians, caregivers and patients trust Lincare to provide the quality of care they expect and deserve.

What Sets Us Apart VITAL STATISTICS

Lincare was founded on the belief that through patient education and clinical support, we can improve patient compliance with physicians’ prescribed therapies, resulting in a better quality of life. Although Lincare has long been known as a leader in respiratory care, we also provide a

Established: 1977

Service Locations:

»» 800 Blue Ridge Ave., Suite C Bedford, Va. 24523 P: 540.586.5743 F: 540.586.6345 »» 126 Woodside Dr., Suite C Danville, Va. 24540 P: 434.836.0979 F: 434.836.9409 »» 1710 West 3rd St. Farmville, Va 23901 P: 434.392.4549 F: 434-394=3282 »» 182 Neff Ave., Suite 9 Harrisonburg, Va. 22801 P: 540.433.1196 F: 540.433.0967 »» 130 Walker St., Suite B Lexington, Va. 24450 P: 540.464.8241 F: 540.464.8242 »» 1200 Fenwick Dr, Lynchburg, Va. 24502 P: 434.237.3712 F: 434.237.4136

»» 2023 Langhorne Rd. Lynchburg, Va. 24501 P: 434.847.8663 F: 434.847.6846 »» 4811 King Mountain Rd. Collinsville, Va. 24078 P: 276.647.7536 F: 276.647.7596

variety of services, some of which include enteral therapy, home INR testing, mastectomy, and ostomy fittings, disease management education and general medical equipment. At Lincare we focus on providing superior care for all our patients.

We offer state-of-the-art products, but we also recognize that each patient is unique, so we take time to evaluate each patient to determine which product or system will work best in their home. With over 1,000 locations

»» 1807 Murry Rd. SW Suites J & L Roanoke, Va. 24018 P: 540.344.8677 F: 540.344.8368

in 48 states and Canada, we are able to service each patient, whether they

»» 3150 Halifax Rd. South Boston, Va. 24592 P: 434.575.8072 F: 434.575.8174

in Lynchburg. Each center has a licensed clinical stall member (LPN or

are right down the street or across the country.

In the Lynchburg and surrounding counties, we are fortunate to have locations in Bedford, Roanoke, Farmville, South Boston, Danville, and two Respiratory Therapist) available at all times. In the Lynchburg retail office, we have three qualified and licensed fitters for ostomy, mastectomy and

»» 870 Mecklenburg Ave. South Hill, Va. 23970 P: 434.955.7476 F: 434.955.2340

diabetic products.

Contact Info:

With the ever changing world of medicine and insurance, we pride ourselves

»» Joey Mason 1207 Fenwick Drive, Suite A Lynchburg, VA 24502 Phone: 434.338.1997 Fax: 434.239.3278 Cell: 434.238.4679 Web: www.lincare.com

All our centers are available 24 hours a day, 7 days per week so we are responsive to our patient’s needs as well as the local medical community. on being a leader in this arena as well and make every attempt possible to keep our patients informed as well as the physicians we service.

We are all facing changes over the next few years but at Lincare we are poised to take each one head on and continue to put patient care first. www.ourhealthvirginia.com | 53

Our Health Highlight

VITAL STATISTICS

Mountainview Oral Surgery and Implant Center

Established: May 2010

Service Locations:

Services and Procedures

»» 1612 Graves Mill Road Lynchburg, VA 24502

Mountainview Oral and Maxillofacial Surgery offers wisdom teeth extraction, placement of dental implants for tooth replacement, and bone grafting to regenerate lost jaw bone. We also diagnose and treat oral diseases, TMJ disorders, and traumatic injuries to the teeth and face. In addition we offer technology for harvesting stem cells from a patient’s own extracted teeth, which can be preserved for the treatment of numerous medical conditions and tissue transplants later in life.

»» Phone: 434.316.7111 »» Fax: 434.316.7114 »» Web: www. lynchburgoralsurgery.com

We use a Carbon Dioxide laser for various soft tissue biopsies and lesion removal in order to minimize post surgical discomfort. Our in office three dimensional CT scanner can be used to precisely place dental implants to restore missing teeth and diagnose diseases of the face and jaws. IV sedation and general anesthesia are offered for the patient’s comfort.

What Sets Us Apart Dr. Magid is an Ivy League trained and Board Certified Oral and Maxillofacial surgeon. He is affiliated with Centra Health, who offers Central Virginia patients a wide variety of procedures including those requiring the most advanced technology, usually available only in large US metropolitan cities.

Dr. Magid has served as Associate Professor at Temple University and University of Colorado Health Sciences where he taught oral surgery, orthodontic and general practice dental residents. Dr. Magid believes, “taking the time to communicate with each patient and their referring doctor is a key in constructing a successful treatment plan for every patient.

54 | www.ourhealthrvirginia.com

Our Health Highlight

St. Clair Eye Care Services and Procedures St. Clair Eye Care is a full service, privately owned, professionally operated, optometric eye care facility. Our mission statement is to respectfully meet and exceed our patients vision and eye health needs through: honesty, integrity, quality, dedication, communication, and education.

Examinations include testing for routine vision problems such as nearsightedness, farsightedness, astigmatism, presbyopia, etc.

We examine and diagnose conditions such as cataracts and macular degeneration. We offer treatment for diseases including glaucoma, pink eye, iritis, foreign body removal, ocular trauma, dry eyes, etc.

VITAL STATISTICS Established: August 1980 by Dr. Gary St. Clair

Service Locations: »» 20838A Timberlake Road Phone: 434.239.2800 »» 2514 Langhorne Road Phone: 434.845.6086 »» Shoppes of Appomattox, Richmond Hwy Phone: 434.352.5908 »» www.stclair-eye.com »»

All of our optical galleries provide the new high definition lenses, no line progressive bi-focals, no-glare lenses, transitions, and ultra thin design. We have a wide selection of frames to fit every budget and designer eyewear including Gucci, Dior, Vera Wang, Oakley, Ray Ban, Calloway, Guess, Ted Baker, etc.

We fit all types of contact lenses for daily wear, extended wear, astigmatism, multifocal designs, gas permeables for keraronconus, etc.

What Sets Us Apart St. Clair Eye Care has bee in this area for more than 32 years. We have grown to 3 convenient locations and 5 doctors of optometry. We pride ourselves in giving each patient the time and attention they need to solve their individual ocular problems. Our high patient retention has allowed us to grow to this level. Our motto is: Patients may forget what you said or what you did, but they will never forget the way you made them feel.

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Our Health Highlight

VITAL STATISTICS Established: October, 2001 (as The Virginia Vein Center)

Service Locations: »» 7626 Timberlake Rd Lynchburg, VA

Widmeyer Vein Center Services and Procedures Advanced, comprehensive, minimally invasive solutions for varicose and spider veins, as well as hemorrhoids.

State of the art technology and testing by a board certified vascular surgeon. Fast, in-office treatment with minimal downtime. We also offer a physician supervised weight loss program called Ideal Protein. With all of these services, we provide individualized care, attention and service focused on an excellent and pleasant

»» Phone: 434.847.5347

experience with optimal results.

»» Fax: 434.316.7008

What sets you apart

»» www.WidmeyerVein.com »»

Jeffrey H. Widmeyer, MD - I am a board certified vascular surgeon ( as well as board certified in general surgery). I do all of my own ultrasound exams, and individually tailor each patients therapy to their specific needs. I provide this in a pleasant, calming environment, and make every effort to see everyone in a prompt time frame.

Contact Info: »» Jeffrey H. Widmeyer, MD 7626 Timberlake Rd Lynchburg, VA Phone: 434.847.5347 Fax: 434.316.7008

56 | www.ourhealthrvirginia.com

NUTRITION HEALTH | our health

12 DAYS OF

Healthy Holiday Eating words | TRICIA FOLEY, RD, MS

With the holidays approaching, many of us feel overwhelmed by the temptation of tasty treats and savory dishes served during this time of year. This is especially true if you are trying to watch your waistline! Many of us have deprived ourselves of our favorite holiday recipes due to fear of gaining weight. By doing so, we end up feeling irritable and deprived and may even end up having more cravings, eventually giving in. By making some simple substitutions, you will be shocked at how little changes can make a huge difference in calories and overall nutritional content of food. Follow the tips below to enjoy the holidays un-deprived, yet still healthy!

#1. Traditional Mashed Potatoes The Culprits: Lots of simple starches paired with butter and whole milk. This is a deadly combo for our waistlines, since simple carbohydrates break down quickly to sugar and make it easier for our bodies to store fat. The Fix: Try using chicken broth to soften the mashed potatoes instead.

You will save about 85 calories and cut the fat by eight grams (four grams saturated). Watching your carbs? No problem, cauliflower mashed potatoes are a great delicious substitution. You can use all cauliflower or half potato and half cauliflower. Whatever you decide, you can be sure it will save you between 50 and 100 calories and cut your carbs by at least half.

#2. Traditional Cornbread Stuffing The Culprits: Cornbread and butter. Again, the simple carbohydrates paired with fat always lead to trouble! The Fix: Try substituting one hundred percent whole wheat bread for the boxed cornbread mix. This will save you a whopping 250 calories per serving and 14 grams of fat! The whole grains will also provide a healthy dose of fiber and B vitamins.

#3. Pumpkin Rolls The Culprits: Powdered sugar, white flour, butter and cream cheese. The Fix: Forgo the powdered sugar and opt for reduced fat cream cheese. Consider substituting coconut flour for the white flour. Coconut flour is found in health food stores and is very high in fiber. Due to the high fiber content, you can actually cut back on the amount that is used in the recipe. For www.ourhealthvirginia.com | 57

our health | NUTRITION HEALTH

example, if a recipe calls for one cup of white flour, you can substitute one-third cup of coconut flour instead. You will also need to add more liquid (normally water) to help even things out. Also, consider cutting the sugar by substituting Stevia (an all-natural sugar substitute) instead. It measures cup for cup and is a great substitute. Be sure to buy the unsweetened can of pumpkin too, since the pumpkin pie fillings can be laden with sugar.

By just switching out the sugar alone you will save about 40 grams of sugar and 160 calories; switch out the cream cheese too and subtract another 40 calories and six grams of fat.

#4. Green Bean Casserole The Culprit: French fried onions and condensed cream of mushroom soup. The Fix: Try tossing the green beans in a light Italian dressing and sprinkling them with toasted slivered almonds instead. You will get a healthy dose of healthy fats and flavor and skip the not so healthy saturated fats from the fried onions and cream soup.

#5. Cranberry Sauce The Culprit: Lots of added sugar! The Fix: Use fresh cranberries, boil them on the stove, and add some Stevia. By doing so, you will save about 18 grams of sugar and 72 calories.

#6. Sweet Potato Casserole The Culprits: Orange juice, raisins, marshmallows, and brown sugar! The Fix: Consider a baked sweet potato sprinkled with Stevia, one tablespoon of orange juice and cinnamon. You won’t miss the casserole and will save yourself from tons of sugar and added calories.

#7. Chocolate Treats The Fix: When holiday baking recipes call for chocolate, substitute cocoa instead. This will help cut some fat and calories too. Try substituting three tablespoons of cocoa for every one ounce of chocolate.

#8. Sour Cream The Fix: Do you love sour cream on your baked potato? Consider a dollop of plain Greek yogurt! It will give you a boost of protein while saving you 50 calories and five grams of fat per ounce.

58 | www.ourhealthvirginia.com

NUTRITION HEALTH | our health

#12. Gravy

#9. Pasta The Culprits: High in calories and simple carbohydrates. The Fix: Consider trying high fiber pastas and even mixing them with spaghetti squash. Combining these two foods will increase bulk while saving tons of calories and carbohydrates without feeling deprived.

#10. Dips The Culprits: Heavy cream and cheese based dips like ranch and cheese fondue add lots of calories and saturated fat. The Fix: Instead try flavorful dips such as hummus and black bean dip to add a dose of filling fiber and healthy fats to keep you feeling full and satisfied throughout the night.

#11. Cobbler

The Culprit: The fat from the meat and the flour as a thickener can really undo your day! The Fix: Be sure to skim the fat from the top of the gravy and try thickening it with guar gum and xanthan gum. These thickeners are types of fiber that are healthier alternatives to flour. They can be found at your local health food store.

In addition to these tips, also consider enjoying the holiday atmosphere instead of focusing on food. Take a drive around town to look at the lights and décor. Cherish time spent with family and friends and talk more while eating less! Shop ’til you drop at your favorite stores. The exercise you will get from walking is just an added bonus. At parties swop out cider for sparkling water – this will help cut calories and keep you feeling satisfied without making multiple visits to the buffet line. Finally, focus on the gift of giving! If you love to bake, do so. Just be sure to give your baked goods away as a gift to neighbors and friends. You can also give the gift of volunteering by serving your community at the local rescue mission or soup kitchen. Tis the season to enjoy others. Happy Holidays!

The Culprits: Added sugar and the crust. The Fix: Go crust-less and consider adding Stevia to your fruit instead of sugar. Use spices such as nutmeg and cinnamon to add more flavor without the calories!

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SEEKING BALANCE words | TINA JOYCE

photography | KEITH THIENEMANN

KIDS’ CARE | our health

All from different backgrounds, similar goals and a desire for something not attainable just anywhere brought four young men to the front doors of Liberty Christian Academy (LCA) in Lynchburg, Virginia. Their stories begin to weave together, orchestrated by more than coincidence.

Sometimes, new eyes see clarity in an organization’s mission that others may take for granted. Every year LCA welcomes new families, many connected by seeking a balance of academic, emotional, and spiritual health. The mission of the K-12 institution, in part, is to provide opportunities which allow students to realize their God-given potential and to live lives that glorify God in the spiritual, academic, social, physical and vocational realms. This year, four of LCA’s new students also have another common bond—a love for the game of basketball.

Jeff Platt, Director of Academy Relations and Liberty Christian Academy’s boys’ basketball coach, opens up about his passion for the sport and his desire to develop the physical and spiritual health, as well as the maturity, of the boys he is blessed to mentor. “While the standard is to compete at the highest level, our goals are about more than basketball.

Ultimately, it’s about building character; the opportunity to compete at LCA is a privilege,” explains Platt. “The sport is simply a tool we use to help kids grow.”

Shortly after the school year begins, four young men provide a perspective that no one could prepare them to share—a testimony in the making.

Coach Platt is more than a coach. Most importantly, he is a husband and father of three young girls. He also happens to teach and guide young men as a profession. Platt is not new to competitive athletics. Both he and his father have had successful collegiate playing and coaching careers and have seen first-hand how sports, specifically basketball, can assist boys in navigating the path to become successful young men. www.ourhealthvirginia.com | 61

our health | KIDS’ CARE

“One of the greatest ways to learn life lessons, that will prepare boys for life beyond LCA, is through the experience of being part of a team and learning how to be an effective part of something bigger than themselves,” explains Platt. He embraces the opportunity to takes someone’s passion and use it as a motivator to achieve physical, emotional, and spiritual balance.

Ironically, this year’s team is molding together in ways a high school coach could only hope. Independently, the four newcomers applied and contacted admissions with the support and encouragement of their families.

“These kids were attracted to LCA’s vision, standards, and reputation for outstanding academics and athletics.

They are a welcome addition to our community,” explains Platt. The combination of current LCA studentathletes and these four fresh faces may, or may not, prove to be a successful combination on the court. However, the growth these young men are already experiencing under Platt’s leadership and the experience of LCA’s faculty, will forever shape the boys’ lives.

While visiting with Jordan Tillas, a junior whose family recently moved to the area from Vermont, he explains that LCA is larger than his previous school so he has to manage his time better. “I’ve also been reading the Bible a lot more.

It’s just what they focus on here,” he says.

His posture changes as he notes this difference—exuding a confidence that does not come solely from time invested on the court. “I am also looking forward to more competition basketball wise, but Coach Platt reminds us that basketball is a privilege here.”

Josh Majors, a senior from Culpepper, Virginia has aspirations to earn a college scholarship and may want to study sports medicine. When asked what stood out to 62 | www.ourhealthvirginia.com

him most about LCA prior to enrolling, Josh doesn’t hesitate to explain. “Last year, my basketball team played LCA and beat them pretty badly the first time. After the game, they called us over to pray. It really caught me off guard,” he shares as he shakes his head. He remembers thinking to himself, “Those are good people.”

2012-2013 Varsity Boys Basketball Schedule Date

Opponent

Location Time

Mon., November 26

Jefferson Forest (scrimmage)

LCA

6:30PM

Fri., November 30

Flint Hill Tourney(FHS,JPG,TES)

Flint Hill

TBD

Sat., December 1

Flint Hill Tourney(FHS,JPG,TES)

Flint Hill

TBD

Tues., December 4

Appomattox Co. H.S.

LCA

6:30PM

Thurs., December 6

Roanoke Catholic

Roanoke Catholic

6:00PM

Mon., December 10

North Cross

LCA

6:30PM

Thurs., December 13

Hargrave Military

Hargrave

5:30PM

Sat., December 15

Beacon Classic vs. William Fleming

EC Glass

TBD

Tues., December 18

Amelia Academy

LCA

6:30PM

Thurs., December 20

Franklin Co.

LCA

6:30PM

Fri., December 21

Rustburg High School

Rustburg

7:30PM

Thurs., December 27

Altavista Tourney vs. Amelia, Nottaway Altavista

6:00PM

Fri., December 28

Altavista Tourney vs. Amelia, Nottaway Altavista

TBD

Thurs., January 10

Lynchburg Home School

LCA

7:00PM

Sat., January 12

Rustburg High School

LCA

7:00PM

Tues., January 15

VES

VES

6:30PM

Sat., January 19

Blue Ridge School

LCA

6:30PM

Tues., January 22

Miller School

Miller School

6:00PM

Fri., January 25

Franklin Co. Classic vs. Bassett H.S.

Franklin Co.

6:00PM

Tues., January 29

Carlisle School

LCA

7:30PM

Thurs., January 31

Appomattox Co. H.S.

Appomattox

7:00PM

Sat., February 2

Williamsburg Christian

LCA

4:30PM

Thurs., February 7

VES (Winterfest)

LCA

8:00PM

Sat., February 9

Blue Ridge School

Blue Ridge School

6:30PM

Tues., February 12

Hargrave Military

LCA

7:00PM

Thurs., February 14

Miller School (Senior Night)

LCA

7:00PM

Thurs., February 21

VIC Tourney

TBD

TBD

Sat., February 23

VIC Tourney

TBD

TBD

Tues., February 26

State Quarter Finals

TBD

TBD

Wed., February 27

State Quarter Finals

TBD

TBD

Fri., March 1

State Semi-Finals

TBD

TBD

Sat., March 2

State Finals

TBD

TBD

updated 10/10/12 * Please note that this schedule is subject to change due to unforseen conflicts

Josh has a spirit about him that makes you want to stay engaged in conversation with him — he makes you want to know more. He is smart, and this year may be the time he begins to appreciate that quality about himself. “We really try to focus on the spiritual health of our student-athletes. They will experience things in Senior Bible class that will teach them life applications. Josh is being challenged with this,” acknowledges Platt. Josh admits that his biggest challenge on the court so far is “doing the little things, like talking. Coach tells us that not communicating is one of the most selfish things we can do. I just never thought of it like that before.”

Another strapping young man appears in the doorway of Platt’s office. His polite handshake and quiet demeanor are misleading. His words are filled with an astounding, matter-offact confidence. He is mature and has a physical presence that bodes well for him as an athlete, but his words highlight his scholastic proficiency. His favorite class is anatomy, known for its challenging curriculum. He enjoyed his previous school, but explains his change to LCA. “My dad wanted me to be around people like me and who would lift me up,” says Cameron Holdren, a junior who is known for his high jump accolades and plans to also participate in track for LCA this year. He wanted to attend LCA last year, but family circumstances were not conducive for a transfer at the time.

Finally, a senior named AJ Richerson, shares that he is also pleased with his decision to transfer to LCA. When asked what’s different about LCA compared to his public high school, he unabashedly states, “Here, I am not just a student. I am part of a community.” He explains further, “People are different.

Their motives are pure…for the most part,” he adds with a smile. His most challenging class is Algebra III, but he likes math and is motivated to stay engaged.

He comments that his most interesting class is Bible. “My teacher is so real. He gives it to you straight. I like the content and how it applies to everyday life.” AJ shares that he recently put his thoughts on paper in his Bible Journal where students are assigned a passage of scripture and asked to summarize and write about its personal application. A recent entry reveals that something unique is happening at LCA, in particular with the boys’ basketball program.

He writes about the passage, “Consider it pure joy, my brothers, whenever you face trials of many kinds, because you know that the testing of your faith develops perseverance” (James 1:2-3). Coincidently, AJ recently experienced his own trial when he sustained a torn meniscus in his knee requiring surgery.

Regardless, he is very positive, reflective of his outlook on many aspects of his journey so far this year.

He remarks about Platt, “Coach Platt is a great person overall. He was the first person I saw when I woke up from my surgery. I stop in his office every day and he asks me how I am doing and how my classes are going.” AJ’s mom Angie, also shares, “We were used to AJ starting, but Coach Platt shined a different light on the transfer than I expected. He made it clear by saying ‘I am not going to guarantee he is going to start. That will be based on his work.’ I thank him for his honesty in the beginning. I can see he really cares about their overall health.” AJ has aspirations of attending college at the University of Virginia and possibly majoring in business.

“These are great guys and a welcome addition to our school. I am thrilled to have them be a part of our basketball program as well. It’s early in the process, but I am excited about our entire group of young men and thankful for the opportunity to share my experiences and work with them each day,” notes Platt.

The athletic program mirrors the mission of LCA to provide quality interscholastic experiences in a distinctively Christian program. The addition of these four boys on the basketball roster affords Coach Platt the opportunity to share the mission of LCA with the newcomers in an effort to further develop their physical, social, and spiritual health.

Jeff Platt’s perspective focuses on seeking a healthy balance while integrating spiritual components to every facet of the game of basketball.

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Physician Assistants and Nurse Practitioners are helping to meet the growing demand for primary care words | SARAH COX

Ten thousand Americans turn 65 every day, according to the Association of American Medical Colleges. Not only is our population getting older, but it’s also growing at such a rate that by 2025 we will need an additional 52,000 family doctors. This strain on primary care is compounded by The Affordable Care Act, which expands health insurance coverage to an additional 38 million people.

According to the Kaiser Foundation (April 2011), while 56 percent of patient visits in America are primary care, a mere 37 percent of physicians practice primary care medicine, and only 8 percent of the nation’s medical school graduates go into family medicine. The result is a shortage of primary care doctors.

According to American Medical News, there is an anticipated deficiency of at least 125,000 physicians by 2025, but 22 states and 17 medical specialty societies are already reporting shortages. In 2002, U.S. medical schools graduated 5,746 students who selected family medicine as a career; five years later, that number fell to 4,210.

Another significant part of the challenge is that public and private reimbursement systems (Medicare, Medicaid, government and private insurance plans) undervalue primary care services in comparison to procedures done by specialists. Most medical students want to pursue careers other than being a primary care physician or an internal medicine physician. One reason is that the pay is lower than many specialties. According to Medscape Physician Compensation Report for 2012, www.ourhealthvirginia.com | 67

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in 2012, radiologists and orthopaedic surgeons “topped the list at $315,000, followed by cardiologists ($314,000), anesthesiologists ($309,000), and urologists ($309,000)…

The bottom-earning specialties in 2012’s survey were pediatrics, family medicine, and internal medicine.”

In Lynchburg, a number of solutions that reflect a national trend are meeting the needs of a growing patient base that demands the care of primary care and internal medicine

physicians. One is to hire physician assistants (PA) and nurse practitioners (NP), both positions costing less than an MD. While family physicians receive 21,700 hours of education and clinical training during their years of medical education, nurse practitioners and physicians assistants complete an average of 5,350 hours of education and clinical training during five to seven years (this, according to the American Academy of Family Physicians). However, Dr. Archibald Lord of Medical Associates of Central Virginia says that these mid-levels assist with urgent care, diabetes education, and some wellness exam services.

Dr. Lord notes that the patients at his facility have come to realize that the scope of medicine is changing and their attitude towards PAs and NPs should, as well. He says he has found that PAs and NPs are capable but have to know their limitations, and the local doctor should be available to assist them. “We make sure that we are fully accessible to them,” he says.

The American Academy of Physician Assistants states that PAs can conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, write prescriptions and make rounds in nursing homes and hospitals. The U.S. Bureau of Labor Statistics projects that PA will be the second fastest growing health occupation between 2008 and 2018. Additionally, the number of nurse practitioners will nearly double by 2025, according to an analysis published in the July 2012 Medical Care, the official journal of the medical care section of the American Public Health Association.

Paul Foster, a Physician Assistant who attended Eastern Virginia Medical School (EVMS) in Norfolk and has a critical care paramedic certification, works at Central Virginia Family Physicians in its immediate care centers. He says that at EVMS, over half of the PA curriculum was taught by the same doctors that instructed medical students.

The main difference was in the number of rotations – PAs and NPs had about half that of those studying to be doctors. Still, while

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he was working in an emergency room, he was allowed to do a lot of the same things as the attending physicians.

nurse practitioners and physician assistants, the pinch hasn’t been as severe.

As far as patient attitude, he says he has patients who prefer being seen by him. “They tend to listen to you and do better with their treatment if you explain it to them,” he notes, “and we are very capable of doing this.” He says it used to be that patients would request only a doctor, but it’s rarer now. They are beginning to realize that being seen sooner by a qualified person is better. Foster notes he has seen “a vast amount of different types of patients,” from heart attacks and pulmonary embolisms to sore throats and colds. He recalls a recent incident of a patient who was having difficulty breathing, and as he finally arrived at the front door of the center, coded.

He has diagnosed heart attacks and has been trained to “rule out the worst case scenarios and go from there.” He feels that the role of the PA is becoming more important as the shortage of primary care physicians is exacerbated.

Another solution to streamlining patient care is through electronic medical records. Dr. Mark Kleiner of Central Virginia Family Physicians points out that while the investment may be steep in man hours up front, eventually having electronic records on all the patients will save considerable time. He says that in a perfect world, physician practices would have

“PAs and NPs are really capable of filling a majority of these roles, but you have to prove that you are capable and able to see all the types of patients that come into the office. Once you have proven this to the physicians, there is a huge respect from the physician to any mid-level,” he explains. The physicians he works with review mid-levels’ charts 100 percent of the time. “There is no way that any provider, whether PA or physician, could see all the patients that are coming into any office now. One of the ways that we help primary care providers is that we are able to see less severe patients and free up physicians for the more detailed help,” he says.

Dr. Lord chose to become an internal medicine physician simply because he wanted to treat the whole patient and give them a continuity of care. At the time he graduated from George Washington University School of Medicine and Health Sciences in 2001, he was not aware of a primary care shortage, but he is now.

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two or three scribes – people who input electronic records – but that that goes against the bottom line. And while he also points out that doctors are hard-wired to take care of everybody and anybody, he acknowledges, “We can’t see 100 percent of them.”

Dr. Kleiner is involved in exploring another option, Medical Home, which is a concept that provides comprehensive primary care with the goal of reducing emergency room visits,

hospital stays, and repeat clinic visits. He says that integrated into this model is accountability, but for some patients this is difficult. They won’t follow doctor’s orders, won’t take their medicine, and won’t change their lifestyle. “There are so many variables and unknowns in medicine, but the general themes of accountable care are good to aspire to,” he explains.

The dream of accountable care may be that more money goes to primary care physicians and less goes to hospitals. Local insurance companies are exploring this option.

Dr. Kleiner could have gone into any specialty he wanted. He knows that the “prestige isn’t there” for primary care physicians and internists, but he also knows that those who go into primary care are driven by the desire to take care of their community. “We bring an overall breadth of knowledge to send patients in the right direction, but having a solid knowledge base is underappreciated,” he states.

The American Association of Medical Colleges sees the scary writing on the wall.

“The United States cannot afford to wait until the physician shortage takes full effect because by then, it will be too late,” it states.

While there are some loan pay-back programs and other draws to the primary care and internal medicine physicians, Lynchburg is not considered a shortage area, says Dr. Kleiner, even though he thinks it is. Meanwhile, a December 2008 report on the physician work force by the Health Resources and Services Administration found that the U.S. would need 976,000 physicians by 2020, but only 926,600 would be available to provide care.

Paul Foster, a Physician Assistant, attended Eastern Virginia Medical School (EVMS) in Norfolk has a critical care paramedic certification, and works at Central Virginia Family Physicians in its immediate care centers.

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Dr. Elizenda Ceballos of Piedmont Eye Center in Lynchburg.

If sight starts going, get to a doctor words | C. RUTH CASSELL photography | KEITH THIENEMANN

Eyes don’t tire with age. The years passing don’t take eyesight with them. If eyes are healthy, seniors can live their entire life with good vision.

Sound too optimistic? Not according to Dr. Elizenda Ceballos of Piedmont Eye Center in Lynchburg. But, she warns, a noticed loss of vision calls for a visit to the eye doctor. Eyes should be checked regularly for eye diseases such as glaucoma that may slowly be stealing sight.

“Sadly, some patients I see with advanced glaucoma at the time of diagnosis have been aware of a slow decline in their vision for quite some time,” Dr. Ceballos says.

“They mistakenly attribute this to normal aging or cataract development and have been compensating for the diminishing vision by cutting back on visually demanding tasks.”

Risk factors for glaucoma include having parents or siblings with the disease, African American or Latino race, diabetes, and being highly nearsighted.

Dr. Ceballos says an increase in public awareness is needed so that populations www.ourhealthvirginia.com | 71

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Dr. Jonathan Culp, an optometrist at Drs. Newman, Blackstock, and Associates Optometrists P.C. in Lynchburg

most commonly affected by glaucoma realize its severity and seek out a doctor to diagnose and then treat or refer them. For people with a family history of glaucoma, regular eye exams are recommended so any onset of the disease can be caught early.

“The genetics of glaucoma are complex,” Dr. Ceballos says. “Family members of persons with glaucoma have higher than average risk of developing the disease.”

Though glaucoma can develop at any time in life, including babies and younger adults, the risk of developing glaucoma does increase with age. Most of the patients Dr. Ceballos sees as Lynchburg’s only glaucoma specialist are 65 or older.

As glaucoma affects seniors’ vision, they may compensate by limiting driving to familiar areas, installing brighter house lights or purchasing larger television sets.

“These compensation strategies, however, eventually fail because the disease continues to progress,” the ophthalmologist says.

Damage to the optic nerve from glaucoma can result in vision loss and blindness.

Primary open angle glaucoma is the most common form of glaucoma, affecting about three million Americans. It happens when the eye’s drainage canals become clogged over time.

Glaucoma is a disease of the optic nerve, the cable that carries visual information from the eye to the brain. Dr. Jonathan Culp, the primary optometrist at Drs. Newman, Blackstock, and Associates Optometrists P.C. in Lynchburg compares the optic nerve to an extension cord. The insulation on the www.ourhealthvirginia.com | 73

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outside of the extension cord slowly wears over time and the internal cords that carry electricity become damaged.

In the eye, pressure builds up because fluid is not draining out of the eye properly. Dr. Culp explains that the increased fluid puts additional pressure on the optic nerve, causing it to sag like the insulation on the extension cord. The nerve fibers are damaged and vision loss occurs.

If open-angle glaucoma is not diagnosed and treated, it can cause gradual loss of vision progressing to total blindness.

The bad news is most people suffering from glaucoma have no symptoms early on.

“Most people associate loss with pain,” says Dr. Culp. “The vast majority of people with glaucoma have no signs.”

The worst news is if vision loss occurs with glaucoma, there is no curing it.

“Vision loss from glaucoma is irreversible,” Dr. Ceballos says. “The goal of treatment is saving the vision present at the time of diagnosis.”

The good news is, if diagnosed early, glaucoma usually responds well to medication.

“About half of the new glaucoma patients I see are referred by local optometrists who while conducting a routine eye exam find an elevation in the eye pressure or an abnormality in the optic nerves,” says Dr. Ceballos, a board-certified ophthalmologist who completed her ophthalmology training at Emory University in Atlanta and received subspecialty fellowship training in glaucoma at the Bascom Palmer Eye Institute in Miami.

“Because these are people who are having their eyes examined yearly, the disease tends to be caught in the early stages -- before any symptoms are present,” she says. “The prognosis for retaining good vision in these cases is very good.”

Dr. Ceballos receives referrals from many local optometrists, including Drs. Newman, Blackstock, and Associates Optometrists P.C., which has a Lynchburg office in addition to several offices in Roanoke. The practice is co-owned by Dr. Miles Newman and Dr. Joe R. Blackstock.

St. Clair Eye Care, with two locations in Lynchburg on Timberlake Road and

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Langhorne Road, as well as an Appomattox location, also refers patients to Dr. Ceballos.

The local optometrists, including Dr. Culp of Newman, Blackstock and Associates and Dr. St. Clair, appreciate having a glaucoma expert in the area.

Glaucoma lives up to its name as the “silent thief of sight.”

There may not yet be a cure for glaucoma, but early diagnosis and adequate treatment allow most people to live with the disease without losing their eyesight to it.

“I’m very happy to keep Dr. Ceballos as the primary clinician for glaucoma patients,” says Dr. Culp, a graduate of The Ohio State University, with a Bachelor of Science degree in Biology and a Doctor of Optometry degree.

The optometrists often see patients for the initial diagnosis. They screen for high pressure and dilate the pupil to look at the optic nerve. If the tests reveal a need for concern, the optometrists will refer the patient to Dr. Ceballos for expert treatment.

At Piedmont Eye Center, the glaucoma specialist offers medical, surgical and laser treatments for glaucoma.

“The initial treatment is with either eye drops or laser in most cases,” says Dr. Ceballos.

“Eye drops can be used either alone or in combination. Sometimes, all it takes is one eye drop once a day to control the disease.”

A patient with glaucoma may need to be seen two to four times a year, depending on the severity of the disease. The goal of follow-up visits is to make sure patients are following the treatment strategy and that the treatment is working to stabilize the disease.

“The most important lifestyle choice a patient with glaucoma can make is to take this disease very seriously, commit to taking the eye drops as prescribed, and keep all appointment to have the eye pressure checked,” Dr. Ceballos said. “Because glaucoma has no symptoms in the early and middle stages, it is difficult for some people to take it as seriously as they should.” www.ourhealthvirginia.com | 75