table of contents | december 2014 • january 2015
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The 7th Annual Best Bedside Manner Awards MEDI•CABU•LARY.....................10 Local experts define health related terms
The 2014 Best Bedside Manner Awards, presented by OurHealth magazine, recognize medical providers who were voted for by the local community for their kindness, empathy and attentiveness— attributes that go a long way in gaining a patient’s confidence.
JUST ASK!.......................................12 Healthcare questions answered by local professionals
NEW & NOTEWORTHY.............14 A listing of new physicians, providers, locations and upcoming events in Lynchburg and Southside Virginia
HEALTH POINTS.........................16 Interesting facts and tidbits about health
THE ANATOMY CHALLENGE..................................19 How much do you about your anatomy? In this issue, test your knowledge when it comes to the Fabulous Foot!
OurHealth HIGHLIGHTS............................... 50
p.34
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
FITBITS...........................................61 Rather than a ‘resolution’, why not make a ‘commitment’ to be fit as you ring in the New Year?
The Resource for Healthy Living in Lynchburg and Southside
62
Is Everything I Like Bad for Me? The line between healthy and unhealthy gets fuzzier every day. With the line so blurry between seemingly healthy lifestyle choices and the reports of things that are quietly leading to human demise, how does one push forward and make good choices?
72
[series]
Breaking the Silence: Living with HIV
This series explores diseases that can be devastating to the individuals and families they affect—yet no one is talking about them—until now.
NUTRITION.................................. 67 FEATURING HEALTHY, FRESH, LOCAL INGREDIENTS: Gluten Free Recipes—Beef Tenderloin, Quinoa Salad, and Pumpkin Rolls
hello, HEALTH!.............................. 70 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos
LOOKING BACK........................... 82 Images reflecting the history of healthcare in Lynchburg and Southside * PLUS * a chance to win prizes!
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The Resource for Healthy Living in Lynchburg and Southside
december 2014 • january 2015
read this edition of
OurHealth Lynchburg and Southside
on your tablet or smartphone
PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION PROJECT COORDINATOR ACCOUNTING MANAGER CHIEF DESIGNERS ORIGINAL COVER ART WEBSITE
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Deidre Wilkes Laura Bower Mike Charles and Karrie Pridemore Joe Palotas Next Generation Designs
CONTRIBUTING MEDICAL EXPERTS Joseph M. Carbone, MD Melanie H. Fastabend, MSN, APRN, NP-C Jason D. Givan, MD, FAAD, FACMS Caesar Gonzales II, MD Hank Hinshaw, CPO Diane Jones, MSN, RN, CIC
CONTRIBUTING PROFESSIONAL WRITERS Tricia Foley, RD Stephen McClintic, Jr. Aine Norris Suzanne Ramsey Deidre Wilkes
ADVERTISING AND MARKETING Cynthia Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com
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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2014/2015 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. The OurHealth Southwest Virginia (SWVA) edition is published six times annually by McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.
LOCAL EXPERTS D E F I N E H E A LT H R E L AT E D T E R M S
What is mild cognitive impairment?
What is regional anesthesia?
What is Stress Urinary Incontinence?
Mild cognitive impairment is a disorder in which the individual experiences cognitive deficits of a more serious nature as opposed to those of the normal aging process. For many, it is normal to experience some forgetfulness as aging occurs. However, individuals with mild cognitive impairment may experience increased memory loss, the inability to recall important events, loss of train of thought in conversation, and poor judgment. There may be feelings of anxiety, depression, or even indifference. Friends and family members may initially perceive the deficits. A visit to the primary care provider should be the first step in diagnosis. Advanced age, diabetes, hypertension, elevated cholesterol, and depression are thought to be a few of the risk factors for development of mild cognitive impairment. Further assessment by the medical provider will assist with diagnosis. Some individuals with mild cognitive impairment may advance to a diagnosis of dementia, even Alzheimer’s disease, though not all individuals with cognitive impairment will develop dementia.
Regional Anesthesia is basically a way of providing pain relief without necessarily needing to be asleep. It can be used for "awake"surgeries or to limit or even completely block the most intense pain during the recovery period. Some examples of regional anesthesia include spinals, epidurals, and peripheral nerve blocks. Peripheral nerve blocks are frequently used to provide post operative pain control for patients undergoing the more painful orthopedic surgeries, such as an ACL repair for the knee or a rotator cuff repair for the shoulder. These blocks are performed by injecting a small amount of local anesthetic (numbing solution) around the specific nerve that sends the pain signals from the operative area to the brain. These nerve blocks can last anywhere from 12 hours to over 24 hours depending on the solution used and the patient's particular anatomy.
Stress Urinary Incontinence, or SUI, is urinary leakage associated with any increased abdominal pressure such as coughing, sneezing or laughing. It is most common in women who have had multiple childbirths. Other risk factors include prior pelvic surgery such as hysterectomy, menopause, advanced age, excessive weight and smoking. All of these conditions can lead to weak pelvic floor muscles which don’t properly support the urethra when a woman strains, allowing urine to leak from the bladder. There are no medications currently used to treat SUI. Initial (and preventative) measures include kegel exercises to strengthen the pelvic floor muscles. Should these exercises fail, additional treatments are available from urologists or gynecologists. While dozens of procedures have been developed to treat SUI, most surgeons agree that sling procedures to support the urethra are the most successful. It is important to know that the FDA controversy surrounding mesh does not apply to procedures used to treat SUI. To find out which treatment is right for you, begin by talking to your physician about your symptoms and, if necessary, a urologist or gynecologist can tailor the therapy to address your specific condition
Melanie H. Fastabend, MSN, APRN, NP-C Summit Health and Rehabilitation Lynchburg | 434.660.8759 centrahealth.com
When performed by an experienced anesthesiologist, the risks involved in these procedures are low and compilations are rare. Caesar Gonzales II, MD
Anesthesia Services of Lynchburg Lynchburg | 434.845.7392 www.asol.md
Joseph M. Carbone, MD
Southside Urology & Nephrology Danville | 434.792.1433 www.southsidedocs.com
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
Is sunscreen needed in the winter, or does it only need to be worn during the hot summer months? Excellent question! There is definitely a common misunderstanding that sunscreen is only important during the summer or on “sunny” days. This is simply not true. Most of the sun’s damaging rays reach the earth all year round. Many of these rays are not blocked by the ozone layer, clouds, or ordinary window glass, and many do not produce significant heat or visible light. This makes it difficult to recognize our true exposure to the sun, and we all receive far more exposure than we may believe. The UV radiation in these rays is very damaging to our skin, and exposure over time results in pre-cancerous and cancerous skin growths. UV damage is also the major cause of skin aging (wrinkled, discolored skin). For these reasons, it is very important to protect exposed skin, such as the face and neck, with broad-spectrum sunscreen of at least SPF 30 every day and all year long.. Jason D. Givan, MD, FAAD, FACMS RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com
What is the difference between an endemic, and epidemic and a pandemic?
How can spinal bracing help in the treatment of juvenile scoliosis?
Endemic means a specific disease transmission is common in a certain geographical location. For example, malaria is common in warmer tropical regions of the world. These higher temperatures allow mosquitoes that transmit malaria to flourish. When a person is bitten by the malaria infected mosquito, transmission may occur. The World Health Organization (WHO) and The Centers for Disease Control and Prevention (CDC) track disease transmissions throughout the world and can identify diseases that are common or endemic to certain regions.
Having scoliosis can compromise normal musculoskeletal development in young patients and can adversely affect normal organ function. Scoliosis can occur at any age, but the most common treatable type is adolescent idiopathic scoliosis. This affects more female children than male, and typically occurs at or just before age ten. The general idea is to diagnose the scoliosis early in the child's development and brace the curves if they are progressing rapidly or are greater than an acceptable degree. Treating a scoliosis curve with a spinal brace greatly decreases the child's chances of having pain or deformity later in life. Bracing is possible with flexible curves by creating forces generated on the asymmetries of the torso; and bracing allows the child to participate in the treatment of their scoliosis. When the child is shown the X-ray or observes physically how the spine is being corrected, their compliance and outcomes typically improve.”
An epidemic, also known as an outbreak, occurs when more cases of a disease are transmitted above what is expected. Depending on the disease, an epidemic could impact a few people or great numbers of people within a region. A pandemic occurs when there is widespread disease transmission over multiple countries. Pandemics usually involve novel, or new, viruses that spread rapidly from human to human. The WHO declared the H1N1 Influenza outbreak of 2009 as a pandemic. Diane Jones, MSN, RN, CIC Director, Infection Prevention Centra Health Lynchburg | 434.200.7780 centrahealth.com
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Hank Hinshaw, CPO
Excel Prosthetics and Orthotics Danville | 434.797.1191 www.excel-prosthetics.com
NEW
NOTEWORTHY
NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS
Alan Pearson donates $200,000 for Nursing Scholarships Alan B. Pearson, a local philanthropist and major donor to Centra recently contributed $200,000 to the Centra Foundation towards nursing scholarships for students at Centra’s College of Nursing. With this gift, his combined donations make it one of the largest personal gifts ever made to the Centra Foundation, now exceeding over $4 million.
Pearson has a long history of supporting Centra’s College of Nursing. In 2013, he contributed $100,000 to the College, again, earmarked for nursing scholarships. “I am delighted to donate this money that is strictly for scholarships,” said Alan B. Pearson. “This is money to get an education started or money for those already in school to keep them moving forward and money for current nurses to continue their education,” says Pearson.
Rehab Associates of Central Virginia Local physical therapist from Lynchburg met with lawmakers on Capitol Hill to talk healthcare, patient cost and small business issues
Centra opens Gretna Medical Center Centra Gretna Medical Center, a 50,000-square-foot medical facility, includes
primary care physicians, 24-hour emergency services, a laboratory, state-of-the-art imaging services, wellness programs, physical therapy, telemedicine capabilities, a helipad and an on-site ambulance. The new Gretna facility, which opened in December, includes 10 emergency service bays and the latest imaging technology, including a 64-slice CT scanner. The medical center includes Centra Medical Group – Gretna, a primary care practice led by Alexander Wilgus, MD, Modupeola Abiodun, MD, Jamie Martin, PA and Jenifer Hoffert, PA Specialists make routine visits to Gretna, a community 30 minutes from the nearest hospital. Telemedicine programs allow Gretna physicians to transfer scans and test results in real-time to specialists at Centra Lynchburg General Hospital. Gretna Medical Center includes an advanced laboratory serving as a hub to process results quickly for outlying practices. Centra Gretna Medical Center leads the way in preventative care with a physical therapy gym and staff working closely with primary care physicians and cardiologists. Centra Gretna Medical Center is dedicated to providing excellent care to Gretna and the surrounding communities for generations to come. For more information, visit centrahealth.com/gretnamedicalcenter or call 434.656.1274. 14
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Andy Tatom, PT, DPT, OCS of Rehab Associates of Central Virginia, was among more than 75 private practice physical therapists from across the country that convened recently in Washington, DC to lobby members of the U.S. Senate and Congress. As part of the second annual fly-in hosted by the Private Practice Section of the American Physical Therapy Association, Dr. Tatom met with Tim Kaine (D-VA), Bob Goodlatte (RVA), and Mark Warner (D-VA) and discussed hard-hitting issues affecting the future of healthcare, physical therapy businesses and the patients they treat.
For more information, visit www.racva.com
Deborah Armstrong, JD, MD
Navneet Arora, MD
Christine Billings, PA
Claudia Corrales, MD
David Cox, DPM
CVFP - Staunton River Family Physicians | Hurt 434.324.9150 | www.cvfp.net
Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com
CVFP - Forest Family Physicians Resource Physical Therapist Forest | 434.525.6964 Rehab Associates www.cvfp.net Lynchburg | 855.722.8478 www.racva.com
Dana Cook - PT, DPT
Centra Medical Group Neuroscience Center Neurology Lynchburg | 434.200.2900 centrahealth.com
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
Samantha P. Foster - PT, DPT
Samantha Hill, MD, FAAD
Sean N. Higginson, MD
Priya Kohli, M.D.
Prema M.
Rehab Associates Timberlake Office Lynchburg | 855.722.8478 www.racva.com
Radiology Consultants of RidgeView Dermatology Lynchburg Lynchburg | 434.363.4190 Neuroradiologist www.ridgeviewdermatology.com Lynchburg |434.237.4004 www.lynchburgradiology.com
Vascular and Interventional Radiologist Radiology Consultants of Lynchburg Lynchburg |434.237.4004 www.lynchburgradiology.com
Centra Medical Group – Amherst Pamireddy, MD Amherst | 434.946.9565 Lynchburg Pulmonary centrahealth.com Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com
David R. Paulus, MD
David Pelfrey, MD
Agata Pikula, DDS, MS
Jeff Thilking - PTA
Islam Saleh, MD
Ashley Veloso, OD
CVFP - New London Family Practice Forest | 434.534.6868 www.cvfp.net
Centra Medical Group – Amherst Children’s Dentistry & Amherst |434.946.9565 Orthodontics of Lynchburg centrahealth.com Lynchburg | 434.237.0125 www.smilelynchburg.com
Resource Physical Therapist Assistant Rehab Associates of Central VA Lynchburg | 855.722.8478 www.racva.com
Centra Medical Group Physical Medicine & Pain Management Center Lynchburg |434.200.4175 centrahealth.com
St. Clair Eye Care Lynchburg | 434.239.2800 www.stclair-eye.com
Eric G. Kline, MD
Correction: In the October/November 2014 New People section, the providers at right were incorrectly listed.
Matthew Nolen, PT, DPT Rehab Associates of Central Virginia Lynchburg | 434.528.1848 www.racva.com
Blake Warren, PT, DPT Rehab Associates of Central Virginia Forest 434.525.4851 www.racva.com
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T I P S , T I D B I T S A ND MO R E TO IN F O R M A ND ENT ERTA I N YO U
Holiday Awareness AidsMonth Eating SURVIVING
International
December is International AIDS Awareness Month. Established in 1988 by the World Health Organization to focus attention on the continuing impact of the epidemic and encourages each of us to take action to expand our collective response to the epidemic of HIV/AIDS.
AIDS/HIV Facts
• Every 9 ½ minutes, someone in the United States is infected with HIV. • The Centers for Disease Control and Prevention estimates that more than one million people in the United States are living with HIV.
to even the healthiest eating plans.
On average, Americans gain about a pound at holiday time, which may not seem like a lot, but we
• One in five people living with HIV are unaware of their infection.
usually don't lose this pound. Long
• There are currently 33.4 million people living with HIV/AIDS worldwide.
of extra weight. Short term,
• Every year another 56,000 Americans become infected with the virus.
Unsure? Get checked
TODAY
DID YOU KNOW? 16
The holidays can pose a great risk
The ear’s malleus, incus and stapes (otherwise known as the hammer, anvil and stirrup) are the smallest bones in the human body. All three together could fit together on a penny.
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
term, after 10 years, you've put on a lot
all the sugar, calories, sodium and fat that you've consumed during the holidays may make for an extra wrinkle and dull skin for the New Year. You can survive holiday parties and avoid overeating with a few simple tactics. • Go for the passed hors d'Oeuvres, and skip the buffet • Choose low-calorie and healthy festive foods • Bring the healthy fare to parties and potlucks • Use a napkin to control portion size • Drink plenty of water • Watch ‘liquid calories’ • Bring gum or mints to parties • Hit the veggie tray
Popular
New Year’s Resolutions
Happy New Year! These New Year's resolutions are popular every year. Remember, pick something attainable and set short-term goals for your best chances of making permanent lifestyle changes in 2015! • Lose Weight
• Get a Better Job
• Eat Healthy Food
• Quit Smoking
• Save Money
• Manage Stress
• Get a Better Education • Get Fit
• Manage Debt
WINTER
ALLERGIES: To help
Dry, Red Eyes:
• Run a humidifier at night.
Omega 3s
• Eat more (fish and flax) • Use preservative-free
Artificial Tears
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17
the
Anatomy
CHALLENGE
The Anatomy Challenge is proudly sponsored by Dr. Michael Overfelt, DPM Advance Foot Care 2815 Linkhorne Drive Lynchburg, VA 24503 434.384.0481
Here’s your chance to see how much you know about your Fabulous
FOOT!
First, find all the hidden words in the word search below. Next, match up the correct word with the part of the body in the illustration.
[ the Fabulous FOOT ]
WORD SEARCH
DYK
calcaneus
talus bone
phalanges
fibula
navicular bone
cubold bone
tibia
cuneiform bone
plantar fascia
lateral malleolus
metatarsal bones
spur
DID YOU KNOW?
The foot and ankle contain 26 bones - one quarter of the bones in the human body - as well as 33 joints and more than 100 muscles, tendons and ligaments.
_________________
_________________ _________________ _________________ _________________ _________________ For answers, visit OurHealth Lynchburg and Southside’s
Facebook page at
_________________
_________________ _________________
_________________ _________________ www.OurHealthVirginia.com
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Best Bedside Manner Awards Medical expertise and compassionate care should always go hand-in-hand when it comes to treating patients. Going to the doctor or health provider can be an unnerving experience for many people. Professionals who incorporate The Golden Rule into their practice philosophy are ones that stand out in people’s minds for the better. The 2014 Best Bedside Manner Awards, presented by OurHealth Lynchburg and Southside magazine, honor medical providers who were voted by the local community for their kindness, empathy and attentiveness—attributes that go a long way in gaining a patient’s confidence.
The Voting Process In May 2014, a direct mail campaign announcing voting for the 2014 Best Bedside Manner Awards was sent throughout the Lynchburg and Southside communities. Print ads promoting voting were also included in OurHealth Lynchburg and Southside's April/May 2014 edition and consistent announcements about voting were promoted through OurHealth's social media mediums. Votes were submitted by the public through an online submission form available on OurHealth's website from June 1st - July 15th, 2014.
Reprints To order reprints of the original artwork featured on this issue’s
Please join us in congratulating this year’s 2014 Best Bedside Manner
Award winners in Lynchburg and Southside.
cover, contact Deidre Wilkes at
If you have any questions, please contact Stephen McClintic, Jr., publisher of
540.387.6482 or via email at
OurHealth, via email at steve@ourhealthvirginia.com or at 540.387.6482, Ext. 1.
deidre@ourhealthvirginia.com. To view additional work by our artist, Joe Palotas, visit www.salemartcenter.com
ALLERGY & 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 Joseph Hutchison, MD
Blue Ridge Ear, Nose and Throat and Plastic Surgery | Lynchburg | 434.481.5454 www.blueridgeeentps.com
B edside manner is like everything else. It’s all about the golden rule. I just try to treat people the way I want to be treated. —Joseph Hutchinson, MD SECOND PLACE Timothy Courville, MD
Blue Ridge Ear, Nose and Throat and Plastic Surgery Lynchburg | 434.481.5454 www.blueridgeeentps.com
THIRD PLACE (TIE)
HONORABLE MENTION
Dane McBride, MD
Saju Eapen, MD
Asthma & Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net
read this edition of
OurHealth Southwest Virginia
on your tablet or smartphone
Asthma & Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net
Charles Lane, MD
Allergy Partners of Lynchburg Lynchburg | 434.385.8190 www.allergypartners.com
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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 (TIE) Rick Lee, MD
Anesthesia Services of Lynchburg | Lynchburg | 434.845.7392 | www.asol.md
Being a physician is a gift I don't take for granted. Good bedside manner comes from a peaceful, empathetic heart. I want each patient to know that I authentically care about their heart & well being, their health & wholeness. — Rick Lee, MD
FIRST PLACE (TIE) Kathryn Lowry, MD
Lynchburg Anesthesia Associates Lynchburg | 866.426.7682
As anesthesiologists, patient safety is our primary concern. At the same time, we recognize that most patients experience some level of anxiety as they approach their surgery. We strive to promote a feeling of trust and confidence as each person faces a loss of control that must be relinquished with surgery and anesthesia . — Kathryn Lowry, MD SECOND PLACE Martha Donegan, MD
Anesthesia Services of Lynchburg Lynchburg | 434.845.7392 | www.asol.md
THIRD PLACE Karen Burnham, MD
Anesthesia Services of Lynchburg Lynchburg | 434.845.7392 | www.asol.md
HONORABLE MENTION Terry Hurt, MD
Lynchburg Anesthesia Associates Lynchburg | 434.200.3015
Roger Pede, MD
Lynchburg Anesthesia Associates Lynchburg | 434.200.3015
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
AUDIOLOGY is the branch of science that studies hearing, balance, and related disorders. Its practitioners treat those with hearing loss and proactively prevent related damage.
FIRST PLACE Danny W. Gnewikow, PhD, FAAA
Audiology Hearing Aid Associates | Lynchburg | 434.528.4245 | www.digitalhearing4u.com
Patients are generally somewhat apprehensive when meeting a practitioner for the first time. Our Audiologists take the time to listen with interest in a nonhurried manner as patients explain their hearing difficulty and how it affects their relationships, lifestyle, and work situations. This approach instills confidence that our Audiologists have both an understanding of the problem and a solution geared to the patients’ individual needs. Explaining diagnostic audiological findings in a concise manner with vocabulary that is easily understood, while at the same time inviting questions concerning specifics the patient or family doesn’t understand, helps greatly in allaying patient’s apprehension and also leads to better patient compliance with our Audiologists’ recommendations.
SECOND PLACE Douglas Cameron, AuD
Blue Ridge Ear, Nose and Throat and Plastic Surgery Lynchburg | 434.481.5454 www.blueridgeeentps.com
THIRD PLACE Carol S. Read, M.Ed., FAAA
Blue Ridge Ear, Nose and Throat and Plastic Surgery Lynchburg | 434.481.5454 www.blueridgeeentps.com
HONORABLE MENTION Tammy Garber, AuD Blue Ridge Ear, Nose and Throat and Plastic Surgery Lynchburg | 434.481.5454 www.blueridgeeentps.com
Although the hearing impaired patient needs to recognize the expertise of the Audiologist, the Audiologist also needs to respect and address the issues as expressed by the patient. A trusted practitioner is a good listener. — Danny W. Gnewikow, P hD, FAAA
CARDIOLOGY is the branch of medicine focusing on the structures, functions and disorders of the heart.
FIRST PLACE Mike Valentine, MD
Our group culture has always been about service and excellent care. We have superb nurses and staff that make it easy to do so,and I am fortunate to be a member of this team. — Mike Valentine, MD SECOND PLACE
THIRD PLACE (TIE)
HONORABLE MENTION
Chad Hoyt, MD
Edward Bonyak, MD
Carl Moore, MD
Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 stroobantscardiovascular.com
Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 stroobantscardiovascular.com
Brian J. Schietinger, MD
Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 stroobantscardiovascular.com
Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 stroobantscardiovascular.com
Matthew Sackett, MD Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 stroobantscardiovascular.com
Mark Townsend, MD Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 stroobantscardiovascular.com
OurHealthLBSS.com
Centra Medical Group Stroobants Cardiovascular Center | Lynchburg | 434.200.5252 stroobantscardiovascular.com
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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.
SECOND PLACE
HONORABLE MENTION
Will Likins, DC
Larry Bell, DC Forest | 434.455.2484 www.light-chiropractic.com
Chiropractic Care Center Forest | 434.525.4588 www.drlikins.com
FIRST PLACE
THIRD PLACE
Joey Arthur, DC
Robert Stickle, DC
Sally Mock, DC 206 Ambriar Plaza Amherst, VA 24521
Find and follow OurHealthChiropractic Lynchburg Media! Commonwealth Pain Relief Center LynchHealth Center, Inc.on Social
Lynchburg Chiropractic | Lynchburg | 434.384.1663 www.lynchburgchiropractic.com
James White, DC
burg | 434.385.4000
Facebook • Twitter • LinkedIn • YouTube
Bedside manner matters to me because it allows my patients to feel comfortable disclosing any health issues that may concern them. This is in return allows me to treat them more effectively by treating causes, and not just symptoms. — Joey Arthur, DC
Lynchburg | 434.239.2243 www.chiropractichealthcareva.com
DENTISTRY: COSMETIC
improves the appearance and function of a person’s teeth. Dentistry is the art and science of improving the appearance (aesthetics), function and health of the teeth and associated structures.
FIRST PLACE Carrington Crawford, DDS
Lynchburg Dental Center | Lynchburg | 434.384.7611 | www.lynchburgdental.com
Giving my patients the ability to smile proudly is such an amazing feeling. I absolutely love my job, and I know that reflects in my patient care. My goal is to perform high quality dentistry in a comfortable and anxiety free atmosphere. — Carrington Crawford, DDS
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Michael Hess, DC
Central Virginia Chiropractic Lynchburg 434.237.0413 www.centralvirginiachiro.com
SECOND PLACE A. Ronald Hendricksen
Hendrickson Cosmetic & Family Dentistry | Goode 540.587.5727 | www.hendricksendentistry.com
THIRD PLACE Kevin Midkiff, DDS
Kevin Midkiff Family & Cosmetic Dentistry | Lynchburg 434.239.8133 | www.kevinmidkiffdds.com
HONORABLE MENTION Michael Davis, DDS Central Virginia Family Dentistry | Lynchburg 434.237.0004 | www.centralvafamilydentistry.com
David Kiger, DDS Aesthetic and General Dentistry | Lynchburg 434.385.6100 | www.lynchburgsmiles.com
DENTISTRY: GENERAL 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 Shane Claiborne, DDS
Forest Smiles Forest 434.515.1388 www.forestsmiles.com
My office works hard to put patients at ease and discuss their treatment options in an open and friendly environment. We truly care about our patients and their dental health and use a combination of modern technology and kindness to make their dental experience stress free. — Shane Claiborne, DDS
DENTISTRY: PEDIATRIC specializes in treating children from birth through adolescence. FIRST PLACE Shepperd Sittason, DDS
Children’s Dentistry and Orthodontics of Lynchburg | Lynchburg 434.237.0125 | www.smilelynchburg.com
Going to the dentist can be fun. In fact, going to the dentist should be fun. When a child visits a doctor for the first time, they don’t know if that doctor is good or not. Their parents may have heard good things about the doctor from friends or read positive reviews on the internet, but the child rarely knows what to expect. Children, however, are very intuitive and can tell fairly quickly what kind of person you are. That is why good bedside manner is so important. It can make or break a child’s first impression of their visit to the doctor. It is essential to gain a child’s trust and recognize them as unique individuals to insure that they and their parents know they are in a safe and fun place. — Sheppard Sittason, DDS SECOND PLACE
THIRD PLACE
Shannon Sawyer, DDS
Drake Covey, DDS
Children’s Dental Health of Lynchburg | Lynchburg 434.239.6948 | www.cdhlynchburg.com
Children’s Dental Health of Lynchburg | Lynchburg 434.239.6948 | www.cdhlynchburg.com
SECOND PLACE Jeff Riley, DDS
Riley Dental Associates of Central Virginia | Lynchburg | 434.385.7707 www.rileydentalassociates.com
THIRD PLACE Summer Sawyer, DDS
Children’s Dental Health of Lynchburg Lynchburg | 434.239.6948 www.cdhlynchburg.com
HONORABLE MENTION Donald L. Holcomb, DDS Holcomb, Savage & Warrick PC Lynchburg | 434.847.4581
Chris Libbey, DDS Libbey Family Dentistry Lynchburg | 434.316.9090 www.libbeydentistry.com
Bobbi Oldham, DDS Aesthetic and General Dentistry Lynchburg | 434.385.6100 www.lynchburgsmiles.com
Brent Riley, DDS Riley Dental Associates of Central Virginia Lynchburg | 434.385.7707 www.rileydentalassociates.com
Kyle Wheeler, DDS Dr. Kyle W. Wheeler, DDS Forest | 434.385.6398
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DERMATOLOGY is a specialty focusing on the
THIRD PLACE
diagnosis and treatment of diseases of the skin.
Soni Carlton, MD
FIRST PLACE Kappa Meadows, MD
Dermatology & MOHS Surgery Consultants | Lynchburg | 434.847.6132 | www.dermconsultant.com
We are thankful for the privilege to see our patients and to treat and manage skin diseases. Our time with them is one of the most enjoyable parts of practicing medicine. It is an honor to receive this award. — Kappa Meadows, MD
Dermatology & MOHS Surgery Consultants Lynchburg | 434.847.6132 www.dermconsultant.com
HONORABLE MENTION Jason Givan, MD RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com
Grace Newton, MD Lynchburg Laser Services Lynchburg | 434.947.5321
SECOND PLACE David Wilson, MD
Central Virginia Dermatology | Forest | 434.385.1982 | www.centralvirginiadermatology.com
EMERGENCY MEDICINE is the specialty of providing care for patients requiring prompt medical attention and urgent medical evaluation and treatment.
FIRST PLACE Laura J. Potter, MD
OurHealthLBSS.com
Centra Emergency Services Group | Lynchburg 434.200.3101 | emergency.centrahealth.com
B edside manners means it is the ultimate privilege to care for children and their families, so I treat everyone as I would like my own family to be treated.. with compassion and concern. — Laura J. Potter, MD
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 | www.centralvamd.com
I really enjoy getting to know my patients and find out more about them than just their illness. Knowing my patients also helps me to better care for them and tailor my treatment to match their needs. — Alan Kaupi, MD
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SECOND PLACE Chris Thomson, MD
Centra Emergency Services Group Lynchburg | 434.200.3101 emergency.centrahealth.com
THIRD PLACE Angelo P. Guanzon, MD
Centra Emergency Services Group Lynchburg | 434.200.3101 emergency.centrahealth.com
HONORABLE MENTION Mairin Smith, MD Centra Emergency Services Group Lynchburg | 434.200.3101
emergency.centrahealth.com
SECOND PLACE Aashish A. Shah, MD
Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com
THIRD PLACE Hatim M. Mahmond, MD Piedmont Endocrinology Danville | 434.791.4070
HONORABLE MENTION Patricia Powers, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com
Lisa Wisniewski, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com
ENDODONTICS is the dental specialty concerned
SECOND PLACE
with the study and treatment of the dental pulp.
Thomas L. Walker, DDS
Hill City Endodontics Lynchburg | 434.385.1117 www.hillcityendo.com
FIRST PLACE James Stanley, DDS
James Stanley, DDS, PC | Lynchburg | 434.385.0273 www.lynchburgendodontics.com
In a lot of cases, patients come to our office apprehensive about needing root canal therapy. Root canals have been the brunt of comedians, politicians and the general publics jokes for years. Consequently, many patients present with negative preconceived ideas about what is to come. I have found the best way to make this experience positive is to show a legitimate caring, empathetic first contact, allowing ample time to assure patients they will be well cared for. It brightens my day when patients leave stating "That wasn't at all as I expected, I didn't feel a thing!” — James Stanley, DDS
FAMILY PRACTICE is the medical specialty that includes diagnosis and treatment of disease, injury, and illness for patients of any age.
FIRST PLACE Kimberly Combs, MD
Central Virginia Family Physicians - Piedmont Family Practice | Lynchburg 434.846.7374 | www.cvfp.net
B eing recognized as a “best bedside manner award” winner is very humbling. Each day is an opportunity to do what I absolutely love. It is also an honor to spend time with each patient and hear his or her story, to talk with family and to come up with the best plan.. Treating your patients as you would your family or friends is what good bedside manner truly is. To be recognized by the community in this manner, I can only say “Thank you very much.” — Kimberly Combs, MD SECOND PLACE Ann Thomas, MD
Centra Medical Group Lynchburg Family Medicine Residency Lynchburg | 434.200.5200 lfmr.centrahealth.com
THIRD PLACE (TIE) Thomas Eppes, Jr. MD
Central Virginia Family PhysiciansForest Family Physicians Lynchburg | 434.525.6964 www.cvfp.net
David S. Haga, MD
Central Virginia Family Physicians Monelison Family Physicians Madison Heights | 434.846.8421 www.cvfp.net
HONORABLE MENTION Jarrett S. Dodd, MD Central Virginia Family Physicians Forest Family Physicians | Lynchburg 434.525.6964 | www.cvfp.net
David Smith, MD
Trudy K. Shahady, MD Central Virginia Family Physicians - Rustburg Family Practice | Rustburg 434.332.7367 | www.cvfp.net
John E. Williams, MD Central Virginia Family Physicians - Piedmont Family Practice | Lynchburg 434.846.7374 | www.cvfp.net
Harb Rank, MD Wiggington Road Family Practice Lynchburg | 434.385.7578 www.wiggintonroadfamilypractice.com
Access Healthcare Forest | 434.316.7199 www.access-healthcare.net
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FERTILITY SPECIALIST
or reproductive endocrinology and infertility (REI) is a subspecialty of obstetrics/gynecology that trains physicians in reproductive medicine addressing hormonal functioning as it pertains to reproduction as well as the issue of infertility.
GASTROENTEROLOGY is the specialty dealing with the treatment of disorders of the digestive gastroenterology or GI system.
FIRST PLACE
FIRST PLACE
Robert Richards, Jr., MD
Gastroenterology Associates of Central Virginia Lynchburg | 434.384.1862 www.gastrocentralva.com
Ajith Cherian, MD
Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 | www.whscv.com
Being kind, empathetic, and wearing a smile on your face goes a long way in gaining a patient’s confidence. I carefully listen to my patient's concerns and encourage them to express their thoughts and expectations which leads to satisfied patients and a better overall experience at my office. — Ajith Cherian, MD
I enjoy talking with people and trying my best to fix their gastrointestinal tract problems. — William Brand, MD SECOND PLACE (TIE)
HONORABLE MENTION
Chalmers Nunn, Jr., MD
Ralph Wisniewski, MD
Gastroenterology Associates of Central Virginia | Lynchburg 434.384.1862 www.gastrocentralva.com
SECOND PLACE
THIRD PLACE
THIRD PLACE
Lewis Dabney, MD
Christopher Williams, MD
Charles Catalano, MD
Lynchburg Gynecology Lynchburg | 855.770.3933 www.lynchgyn.com
Reproductive Medicine & Surgery Center of Virginia PLC Charlottesville | 866.540.5190 www.rmscva.com
GERIATRIC CARE
is a medical specialty that addresses the complex needs of older patients and emphasizes maintaining functional independence even in the presence of chronic disease.
Gastroenterology Associates of Central Virginia | Lynchburg 434.384.1862 www.gastrocentralva.com
Gastroenterology Associates of Central Virginia | Lynchburg 434.384.1862 www.gastrocentralva.com
Mukesh Patel, MD Danville Gastroenterology Center Danville | 434.791.1152 www.yourgastrocare.com
HEMATOLOGY/ONCOLOGY is the diagnosis, treatment and prevention of blood diseases (hematology) and cancer (oncology) and research into them.
FIRST PLACE FIRST PLACE Charles Driscoll, MD
Lynchburg Family Medicine | Lynchburg 434.200.5200 | centrahealth.com
SECOND PLACE
THIRD PLACE
Verna Sellers, MD
John Olmsted, MD
Centra PACE Lynchburg | 434.200.6516 centrahealth.com/pace-program
Centra Rehabilitation and Geriatric Specialists Lynchburg | 434.200.2528 centrahealth.com
Robert N. Headley, Jr., MD
Centra Lynchburg Hematology Oncology Lynchburg | 434.200.5925 | centrahealth.com
SECOND PLACE
HONORABLE MENTION
John MacNeil, MD
Dwight Oldham, MD
Centra Lynchburg Hematology Oncology Lynchburg | 434.200.5925 centrahealth.com
Lynchburg Hematology Oncology Lynchburg | 434.200.5925 www.lynchburgoncology.com
THIRD PLACE Robert L. Driskill, MD
Radiation Oncology Associates Lynchburg | 434.200.4010 centrahealth.com
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INFECTIOUS DISEASE is the
medical specialty focusing on the diagnosis, cause and treatment of contagious disease.
FIRST PLACE Johanna Brown, MD
Medical Associates of Central Virginia Lynchburg 434.947.3944 | www.centralvamd.com
There are times when we can’t offer a cure. What we can always give are comforting, honest, and kind words that can help ease the fear when we are in a very vulnerable place such as being sick. — Johanna Brown, MD
INTERNAL MEDICINE is the branch of medicine that deals with the diagnosis and nonsurgical treatment of diseases affecting adults.
FIRST PLACE Peter Gibbs, DO
Centra Medical Group Lynchburg Internal Medicine Lynchburg | 434.200.3908 lim.centrahealth.com
It is such an honor to be acknowledged for this award and I appreciate my patients feeling so strongly about this aspect in my care for them. — Peter Gibbs, DO
NEPHROLOGY is the study of the function and diseases of the kidney and related organs.
SECOND PLACE Sarah K. West, MD
Medical Associates of Central Virginia Lynchburg 434.947.3944 www.centralvamd.com
THIRD PLACE Robert Brennan, MD
Medical Associates of Central Virginia Lynchburg 434.947.3944 www.centralvamd.com
HONORABLE MENTION Scott Wade, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com
SECOND PLACE
HONORABLE MENTION
Richard A. Miller, MD
David Cannon, MD
Blue Ridge Internal Medicine Lynchburg | 434.846.4444 centrahealth.com
THIRD PLACE (TIE) Daniel Horton, MD
Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com
Michael J. Kalafian, MD
Centra Medical Group Lynchburg Internal Medicine Lynchburg | 434.200.3908 lim.centrahealth.com
Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com
Danielle Lewis, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com
Geeta Rakheram, MD Medical Associates of Central Virginia 434.947.3946 | www.centralvamd.com
Christopher Webb, MD Medical Associates of Central Virginia Lynchburg | 434.947.3945 www.centralvamd.com
NEUROLOGY
is the specialty of medicine which focuses on the diagnosis and treatment of disorders of the nervous system.
FIRST PLACE
FIRST PLACE
Asad Ehtesham, MD
Charles Joseph, MD
SECOND PLACE
SECOND PLACE
THIRD PLACE
Miles Wallace, MD
Rafael Hurtado, MD
Lynchburg Nephrology Physicians | Lynchburg 434.947.3954 | www.lynchburgnephrology.com
Mohammed Ashraf, MD
Lynchburg Nephrology Physicians | Lynchburg 434.947.3954 | www.lynchburgnephrology.com
THIRD PLACE Robert Lockridge, MD (recently retired)
Neurology Associates of Lynchburg | Lynchburg | 434.947.3928 www.lynchburgneurology.com
Neurology Associates of Lynchburg Lynchburg | 434.947.3928 www.lynchburgneurology.com
Neurology and Sleep Clinic of Southern Virginia Danville | 434.792.3232 www.neurosleepva.com
Lynchburg Nephrology Physicians | Lynchburg 434.947.3954 | www.lynchburgnephrology.com www.OurHealthVirginia.com
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Lynchburg Gynecology | Lynchburg 434.385.7818 | www.lynchgyn.com
Showing personal care and compassion is of great importance in Women's Health; whether a woman is in the office for her annual exam or with a problem. I am blessed that my career as a nurse practitioner allows me to spend time and develop a close professional relationship with my patients. — Vickie Moore, FNP
OBSTETRICS & GYNECOLOGY
is 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 (TIE) Kristi Kidd, MD
Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 | www.whscv.com
I am blessed to be able to care for patients. It is important to care for the whole patient and address all of her concerns. — Kristi Kidd, MD FIRST PLACE (TIE) Matthew Tompkins, MD
Lynchburg Gynecology | Lynchburg 434.385.7818 | centrahealth.com
I feel strongly that physicians should put patients first and take the time to do the little things that help a patient feel as comfortable as she can during what can be a difficult appointment. This may be as simple as talking about a hobby or asking about her family. — Matthew Tompkins, MD
Richeson Drive Pediatrics Lynchburg | 434.385.7776 www.richesondrivepediatrics.com
Gene Amstutz, NP
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
THIRD PLACE Larissa Norman, FNP, AE-C
Asthma and Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net
HONORABLE MENTION Yasmeen M. Adams, CRNP Women's Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com
Heather Cook, NP-C Wyndhurst Family Medicine Lynchburg | 434.237.3664 www.wyndhurstmed.com
SECOND PLACE David Phemister, MD
Women’s Health Services of Central Virginia | Lynchburg 434.239.7890 | www.whscv.com
THIRD PLACE William Cook, MD
Women’s Health Services of Central Virginia | Lynchburg 434.239.7890 | www.whscv.com
HONORABLE MENTION Ajith Cherian, MD Women’s Health Services of Central Virginia | Lynchburg 434.239.7890 | www.whscv.com
Lewis Dabney, MD Lynchburg Gynecology | Lynchburg 434.385.7818 | www.lynchgyn.com
Alice Newell, MD Ob-Gyn Associates Danville | 434.792.7765 www.obgyndanville.com
Anita Schmidt, MD Women’s Health Services of Central Virginia | Lynchburg 434.239.7890 | www.whscv.com
Tracy Wheelock, MD Women’s Health Services of Central Virginia | Lynchburg 434.239.7890 | www.whscv.com
daily updates • web exclusive articles • calendar of events • doctor/provider directory
Vickie Moore, FNP
Tiffany Kidd, NP
(arriving early 2015)
FIRST PLACE
SECOND PLACE (TIE)
ourhealthlbss.com
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 healthcare team.
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OPHTHALMOLOGY
is the medical specialty that treats eye disorders, including injuries, infections, tumors, and cataracts.
FIRST PLACE Gail Ganser, MD
Piedmont Eye Center, Inc. | Lynchburg 434.947.3984 | www.piedmonteye.com
It is a true privilege to provide ophthalmic care from birth to the elderly for those in Central Virginia. I enjoy connecting with patients, nurturing their trust and educating them about their illness and treatment. — Gail Ganser, MD
SECOND PLACE (TIE)
HONORABLE MENTION
Saxton Moss, MD
Chad Albright, MD Vistar Eye Center | Bedford 540.855.5100 | www.vistareye.com
Piedmont Eye Center, Inc. Lynchburg | 434.947.3984 www.piedmonteye.com
Darin Bowers, MD Piedmont Eye Center, Inc. Lynchburg | 434.947.3984 www.piedmonteye.com
THIRD PLACE David Harman, MD
Elizenda Ceballos, MD
Harman Eye Center Forest | 434.385.5600 www.harmaneye.com
Piedmont Eye Center, Inc. Lynchburg | 434.947.3984 www.piedmonteye.com
Robert Vogel, MD Piedmont Eye Center, Inc. Lynchburg | 434.947.3984 www.piedmonteye.com
OPTOMETRY is the specialty where the practitioner is trained
ORAL SURGERY is the dental specialty that is limited to
FIRST PLACE
FIRST PLACE
Gary St. Clair, OD
Will Carvajal, MD, DDS
and skilled in examining and testing the eyes for defects in order to prescribe corrective lenses or treatments.
the diagnosis, surgery and treatment of diseases, injuries, deformities, and defects of the mouth.
St. Clair Eye Care | Lynchburg 434.239.2800 | www.stclair-eye.com
I would like to thank all of my patients for showing their confidence and support in selecting me for "B est B edside 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. — Gary St. Clair, OD SECOND PLACE
HONORABLE MENTION
R. Luke Wagoner, OD
B. Douglas Haley, OD
Wagoner Family Eye Care, PLLC Lynchburg | 434.385.0213 www.wagonereye.com
THIRD PLACE Frank Villa, OD
Central Virginia Oral and Facial Surgery Lynchburg | 434.832.8040 | www.cvofs.net
With electronic medical records and all of the healthcare changes over the last several years it is more difficult then ever to spend time with patients. Patients still deserve our undivided attention. It is an honor to be chosen by my patients for best bedside manner; it means I am still managing to give my patients the time and attention they deserve. — Will Carvajal, MD, DDS SECOND PLACE
THIRD PLACE
Mitchell Magid, DMD
Raj Guraya, MD, DDS
Mountainview Oral Surgery & Implant Center Lynchburg | 434.316.7111 www.lynchburgoralsurgery.com
Blue Ridge Oral & Facial Surgery Lynchburg | 434.845.1121
Harman Eye Center Lynchburg | 800.476.EYE1 (3931) www.harmaneye.com
Cathy Anderson, OD Virginia Eye Clinic, PLLC | Lynchburg/Forest 434.239.5323 | www.virginiaeyeclinic.com
Dr. Frank Villa Optometrist Lynchburg | 434.385.8800 www.drfrankvilla.com
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ORTHODONTICS
is the 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 Jennifer Claiborne, DDS
Central Virginia Orthodontics | Lynchburg | 434.385.GRIN (4746) | www.bracesbycvo.com
Good bedside manner can help calm a nervous or anxious patient. It is especially important in the field of dentistry as many patients are apprehensive about seeing a dentist. In addition to putting our patients at ease, good bedside manner enables us to get to know our patients and make their regular orthodontic visits to our practice more enjoyable. For me, good bedside manner simply means treating my patients the way I would want my family treated at their doctor (or dental) visits. — Jennifer Claiborne, DDS SECOND PLACE Mark Blanchette, DDS, MS Blanchette Orthodontics Lynchburg | 434.846.4014 www.blanchetteortho.com
THIRD PLACE Eric Baugher, DDS
Central Virginia Orthodontics Lynchburg | 434.385.GRIN (4746) www.bracesbycvo.com
HONORABLE MENTION Elena Black, DDS Appalachian Orthodontics of Lynchburg Lynchburg | 434.515.0370 www.lynchburgorthodontics.com
Keith Pyle, DDS Children’s Dentistry & Orthodontics of Lynchburg Lynchburg | 434.237.0125 www.Smilelynchburg.com
Richard Sterne, DDS Orthodontic Arts | Forest 434.385.4499 | www.orthodonticarts.net
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ORTHOPAEDICS 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.
Michael J. Diminick, MD
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
FIRST PLACE
THIRD PLACE
John Barnard, Jr., MD
Drew Kiernan, MD
Orthopaedic Center of Central Virginia | Lynchburg | 434.485.8500 | www.occva.com
Most folks don't like going to see the doctor. It's no fun. Particularly when it comes to orthopaedic issues that are frequently painful or the solution to the problem is painful. I certainly don't like it when I have to go. Trying to understand what it's like to be in their shoes lends valuable perspective, which hopefully allows me to make most of them feel a little more comfortable. — John Barnard, Jr., MD
ORTHOTICS AND PROSTHETICS is the evaluation, fabrication, and custom fitting of artificial limbs and orthopedic braces.
FIRST PLACE Richard Ruble, CPO
Excel Prosthetics | Lynchburg/Danville | 434.528.3695 | www.excel-prosthetics.com
I believe that in our field of orthotics and prosthetics, patients need to feel as though there is trust and a relationship with their practitioner. This trust will never develop if the practitioner has a poor bedside manner. Our patients deserve to have trust in their practitioners, which is developed by listening to their needs and goals. This action enables the proper device to be provided, which will assist the patient in reaching their maximum ambulatory function and goals. — Richard Ruble, CPO
OTOLARYNGOLOGY (ENT)
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 Ear Nose and Throat & Plastic Surgery Lynchburg | 434.947.3993 | www.blueridgeeentps.com
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 serve as a vital role to improve patient care. — Timothy Courville, MD 38
SECOND PLACE
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
HONORABLE MENTION Peter Caprise, MD Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
Jesse Stem, MD Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
SECOND PLACE Jeff Pullen, CPO, CPED, Practitioner
Virginia Prosthetics & Orthotics Lynchburg | 434.455.2930 www.virginiaprosthetics.com
THIRD PLACE Sharidy MacCord, CPO, PO, Practitioner
Virginia Prosthetics & Orthotics Lynchburg | 434.455.2930 www.virginiaprosthetics.com
SECOND PLACE Joseph Hutchison, MD
Blue Ridge Ear, Nose and Throat & Plastic Surgery Lynchburg | 434.481.5454 www.blueridgeeentps.com
THIRD PLACE James Hengerer, MD
Blue Ridge Ear, Nose and Throat & Plastic Surgery Lynchburg | 434.481.5454 www.blueridgeeentps.com
HONORABLE MENTION Andrea Kittrell, MD Head & Neck Surgery Central VA Lynchburg | 434.455.7999 www.hnscv.com
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PAIN MANAGEMENT
SECOND PLACE
encompasses pharmacological, non-pharmacological, and other approaches to prevent, reduce, or stop pain sensations.
Murray Joiner, MD
Murray E. Joiner, Jr., MD, PC and Associates Lynchburg | 434.845.6664
FIRST PLACE
THIRD PLACE
Karen Burnham, MD
Anesthesia Services of Lynchburg | Lynchburg | 434.845.7392 | www.asol.md
Patients suffering from severe and chronic pain need to know that there are solutions available for them and that we take the time to investigate and diagnose the cause of their specific pain issues, and then fully discuss all the treatment options with the primary goal of returning them to an active happy life as soon as possible. Improving the patients’ quality of life is always my primary concern. — Karen Burnham, MD
PEDIATRICS focuses on the detection, diagnosis, treatment and prevention of diseases in children, ages infant to 18 years of age.
SECOND PLACE Gary Stewart, MD
F. Read Hopkins Pediatric Associates Lynchburg | 434.237.8886 www.hopkinspediatrics.com
FIRST PLACE Richard Morris, MD
Richeson Drive Pediatrics | Lynchburg 434.385.7776 | www.richesondrivepediatrics.com
THIRD PLACE Justin Mutch, MD
F. Read Hopkins Pediatric Associates Lynchburg | 434.237.8886 www.hopkinspediatrics.com
HONORABLE MENTION Melody Ailsworth, MD Richeson Drive Pediatrics Lynchburg | 434.385.7776 www.richesondrivepediatrics.com
PERIODONTICS
is the specialty of dentistry that studies supporting structures of teeth, diseases, and conditions that affect them.
FIRST PLACE Ryan Anderson, DDS
Periodontal Health Associates | Lynchburg | 434.455.2444 | www.peridontalhealthassociates.com
All too often healthcare professionals neglect interpersonal skills and forget that a good bedside manner is one of the main tools for diagnosis. Patients are more likely to open up and share with their doctor when they feel comfortable with them. Certain ailments are awkward to discuss with a stranger and by providing a positive demeanor in a relaxed atmosphere we are more likely to get the information needed to administer effective care. — Ryan Anderson, DDS 40
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Joyce Huerta, MD
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
HONORABLE MENTION Joyce Huerta, MD
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
Teresa Brennan, MD Medical Associates of Central Virginia Lynchburg | 434.384.3047 www.centralvamd.com
Robert Broughton, MD Children’s Healthcare Center Danville | 434.799.2111 www.danvilleregional.com
Rachel Gagen, MD F. Read Hopkins Pediatric Associates Lynchburg | 434.237.8886 www.hopkinspediatrics.com
Robert A. Sullivan, Jr., MD F. Read Hopkins Pediatric Associates Lynchburg | 434.237.8886 www.hopkinspediatrics.com
SECOND PLACE Gavin Aaron, DDS
Aaron Periodontics and Dental Implants | Lynchburg 434.316.0080 | www.periohub.com
THIRD PLACE Sherman Smock, DDS
Periodontal Health Associates Lynchburg | 434.455.2444 www.peridontalhealthassociates.com
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PHARMACY is the health profession
SECOND PLACE
of experts in the use of medicines.
H. Chapman Brown, III, RPh
Gretna Drug | Gretna 434.656.1251 | www.gretnadrug.com
FIRST PLACE
Staci Brayars, PharmD
Glen Lang, RPh
Walgreens (Timberlake) | Lynchburg 434.239.5752 | www.walgreens.com
Kroger Pharmacy (Boonsboro) | Lynchburg | 434.384.3666
(arriving early 2015)
ourhealthlbss.com
Good bedside manner is the best attribute a health care provider can offer to his/her patients. Knowing that someone truly cares and not only shares, but listens to each individual concern can sometimes prove the best medicine. I make it a point to personally communicate with each person that comes to our pharmacy. I feel it an obligation to help people mend and feel better; by getting to know them, the trust and confidence in me can aid in their return to good health. The role of a pharmacist is to be there for any patient whenever the need arises. — G len Lang, RP h
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.
Jodi Ettare, RPh
Rustburg Family Pharmacy Rustburg | 434.332.1730 www.rustburgpharmacy.com
HONORABLE MENTION Michael Robertson, RPh Robertson Drug Company, Inc. Lynchburg | 434.239.2621 www.robertsondrug.com
SECOND PLACE Andrea Stutesman, MD
Centra Rehabilitation Lynchburg | 434.200.2528 centrahealth.com
THIRD PLACE Brenda Waller, MD
FIRST PLACE
Brenda S Waller MD PLC Lynchburg | 434.528.0896
Joyce Huerta, MD
Orthopaedic Center of Central Virginia | Lynchburg 434.485.8500 | www.occva.com
HONORABLE MENTION S. Ashley M. Botterill, MD Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
PHYSICAL THERAPY (or physiotherapy), often abbreviated PT, is the art and science of physical care and rehabilitation.
FIRST PLACE Wendy Williamson, PT, DPT
Rehab Associates of Central Virginia | Lynchburg 855.RACV4PT (722.8478) | www.racva.com
My unique position affords me the opportunity to meet many different people in different areas. I believe the key is to make a personal connection along with a professional one. I enjoy what I do and that feeling is conveyed to each of my patients. — Wendy Williamson, PT, DPT 42
THIRD PLACE
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
SECOND PLACE
HONORABLE MENTION
Josh A. Bailey, PT, DPT, OCS, CSCS, CPed
Bala Dhamodaran, PT, DPT
Rehab Associates of Central Virginia Lynchburg | 434.237.6812 www.racva.com
THIRD PLACE Rachelle Dean, PT, DPT
Centra Rehabilitation | Lynchburg 434.200.2900 rehab.centrahealth.com
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
Quinton Lewis, PT, DPT, CMTPT Centra Rehabilitation Lynchburg | 434.200.2900 rehab.centrahealth.com
Robin Glover, PT, DPT, ATC Rehab Associates of Central Virginia Appomattox | 434.352.5799 www.racva.com
Blake Warren, PT, DPT Rehab Associates of Central Virginia Forest | 434.525.4851 www.racva.com
PHYSICIAN ASSISTANT (PA) 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 Christy Powers, PA-C
Blue Ridge Ear, Nose, Throat and Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeeentps.com
I am touched to receive the B est B edside Manner Award as a reflection of my showing empathy and taking my time with each patient. I take time to listen to patients' concerns and hopefully provide them with enough information they need to feel comfortable about their care. I truly enjoy and love what I do and hope it always is demonstrated in my practice. — Christy Powers, PA-C
SECOND PLACE Neil Cabaniss, PA-C
Centra Bedford Memorial Hospital Bedford | 540.586.2441 bedfordmemorial.org
THIRD PLACE (TIE) Andrea Adamczak, PA-C
Blue Ridge Ear, Nose, Throat & Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeeentps.com
Kamal Chantal, PA-C, ATC
Orthopaedic Center of Central Virginia Lynchburg 434.485.8598 | www.occva.com
HONORABLE MENTION Norbel Poindexter, PA-C Medical Associates of Central Virginia Lynchburg | 434.384.3047 www.centralvamd.com
Allison Tompkins, PA-C Altavista Medical Center Alta Vista | 434.309.1165
All out?
visit us online to learn how to get a copy!
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PLASTIC SURGERY: COSMETIC
SECOND PLACE
is the field of surgery that is performed to reshape structures of the body in order to improve appearance and self-esteem.
Timothy Courville, MD
Blue Ridge Ear Nose and Throat & Plastic Surgery Lynchburg | 434.947.3993 | www.blueridgeeentps.com
FIRST PLACE
THIRD PLACE Keith Pitzer, MD
Timothy Silvester, MD
Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 | lynchburgplasticsurgery.com
Centra Medical Group Plastic Surgery Center | Lynchburg 434.200.4350 | lynchburgplasticsurgery.com
It is my belief that patients want to feel that you are genuinely interested in their well-being, are willing to sit and listen to their concerns and address them using terms they understand. — Timothy Silvester, MD
HONORABLE MENTION Simon Hatin, MD Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 | lynchburgplasticsurgery.com
Henry Wilson, MD Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 | lynchburgplasticsurgery.com
PLASTIC SURGERY: RECONSTRUCTIVE
SECOND PLACE
is 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.
Timothy Silvester, MD
Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 lynchburgplasticsurgery.com
FIRST PLACE
THIRD PLACE
Henry Wilson, MD
Simon Hatin, MD
Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 | lynchburgplasticsurgery.com
It’s very common to be fearful before surgery. If I am quietly confident about their good outcome, it seems to have a calming effect on my patient.
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— Henry Wilson, MD
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PODIATRY
is the branch of medicine that deals with the diagnosis, treatment, and prevention of diseases of the human foot.
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
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.
— Michael Overfelt, DPM
Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 lynchburgplasticsurgery.com
HONORABLE MENTION Christopher Mawn, MD Blue Ridge ENT & Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeeentps.com
SECOND PLACE Scot Zindel, DPM
Associated Podiatry of Central Virginia Lynchburg | 434.385.0707 www.lynchburgpodiatry.com
THIRD PLACE Pink Wimbish, III, DPM
Hill City Food Care Lynchburg | 434.528.1909 www.hillcityfootcare.com
HONORABLE MENTION David G. Cox, DPM Forest Foot & Ankle Center Forest | 434.616.2000 www.forestfoorandankle.com
PSYCHIATRY is the branch of medicine that deals with the diagnosis, treatment, and prevention of mental and emotional disorders.
FIRST PLACE Michael Judd, MD
Centra Medical Group Piedmont Psychiatric Center Lynchburg | 434.200.5999 centrahealth.com
It’s about letting the patients know that we hear what they are saying, we understand what they are feeling, and we want to help them get better. — Michael Judd, MD
SECOND PLACE Peter Betz, MD
Centra Medical Group Piedmont Psychiatric Center Lynchburg | 434.200.5999 centrahealth.com
THIRD PLACE Jamie M. Bamford, MD
Centra Medical Group Piedmont Psychiatric Center Lynchburg | 434.200.5999 centrahealth.com
HONORABLE MENTION James Gallagher, MD Centra Medical Group Piedmont Psychiatric Center Lynchburg | 434.200.5999 centrahealth.com
Renuka N. Prasad, MD Danville | 434.799.8398 www.renukaprasad.md.com
PSYCHOLOGY & COUNSELING is the branch of medicine that deals with the diagnosis, treatment, and prevention of mental and emotional disorders.
OurHealth Lynchburg/Southside
Find and Follow
FIRST PLACE Chuck Rogers, MA, LPC, LMFT
Wyndhurst Counseling Center Lynchburg 434.237.2655 www.wyndhurstcounselingcenter.com
SECOND PLACE Erica Theodorides, LPC
Thriveworks Counseling | Forest 434.485.5500 | www.lynchburgcounseling.com
THIRD PLACE Tim Barclay, PhD, LCP
Wyndhurst Counseling Center | Lynchburg 434.237.2655 | www.wyndhurstcounselingcenter.com
HONORABLE MENTION Terry Jefferson, PhD
Yoder, Jefferson and Associates | Lynchburg 434.385.0744 | www.yoderjeffersonandassociates.com
Mike Kunzinger, MA, LPC
The Change Group | Lynchburg | 434.219.0138 www.changegroupcounseling.com
Elaine Johnson-Snyder, MA, LPC
Light Counseling | Lynchburg | 434.384.1594 www.lightcounseling.com
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PULMONARY (pulmonology) is the specialty that deals with diseases of the respiratory tract and respiratory disease.
FIRST PLACE Joe Khoury, MD
Lynchburg Pulmonary Associates Lynchburg | 434.200.3963 www.lynchburgpulmonaryassociates.com
SECOND PLACE
HONORABLE MENTION
Jeremy Hardison, MD
Stephen Johnson, MD
THIRD PLACE
John Plankeel, MD
Lynchburg Pulmonary Associates Lynchburg | 434.200.3963 www.lynchburgpulmonaryassociates.com
Michael G. Milam, MD
Lynchburg Pulmonary Associates Lynchburg | 434.947.3963 www.lynchburgpulmonary.com
RADIOLOGY is a medical specialty that employs the use of imaging to both
46
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diagnose and treat disease visualized within the human body.
FIRST PLACE John Alfieri, MD
Radiology Consultants of Lynchburg | Lynchburg 434.237.4004 | www.lynchburgradiology.com
I think it is a very important part of patient care to take the time to listen. —John Alfieri, MD
Centra Medical Group Bedford Pulmonology Center Bedford | 540.587.7810 centramedicalgroup.com Lynchburg Pulmonary Associates Lynchburg | 434.200.3963 www.lynchburgpulmonaryassociates.com
Kwabena A. Donkor, MD Centra Southside Community Hospital Farmville | 434.392.7859 centrasouthside.com
SECOND PLACE Anita Joy Hilliard, MD
Centra – Alan B. Pearson Regional Cancer Center Lynchburg | 434.200.4048 cancer.centrahealth.com
THIRD PLACE Larry Redmond, MD
Radiology Consultants of Lynchburg Lynchburg | 434.237.4004 www.lynchburgradiology.com
HONORABLE MENTION Robert Green, MD Radiology Consultants of Lynchburg Lynchburg | 434.237.4004 www.lynchburgradiology.com
Richard Newton, MD Radiology Consultants of Lynchburg Lynchburg | 434.237.4004 www.lynchburgradiology.com
RHEUMATOLOGY is the specialty in the non-surgical treatment of rheumatic illnesses, especially arthritis.
FIRST PLACE Jeffrey Wilson, MD
Central Virginia Family Physicians | Lynchburg 434.382.1005 | www.cvfp.net
For me, the B est B edside Manner Award is a measure of success. By "success" I mean the definition offered in an interview with Bill Gates and Warren Buffett: "Doing the work you want to do with people who care about each other." I've been privileged to experience this. — Jeffrey Wilson, MD
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
SECOND PLACE Eric Kenny, MD
The Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
THIRD PLACE Sharukh Shroff, MD, MPH, MBA, FACR, FACP Danville Orthopedic Clinic Danville | 434.793.4711 www.danvilleortho.com
SPORTS MEDICINE
is an area of health and special services that apply medical and scientific knowledge to prevent, recognize, manage, and rehabilitate injuries related to sport, exercise, or recreational activity.
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FIRST PLACE Brad Haupricht, MD
Centra Medical Group Liberty University Health Services Lynchburg | 434.200.6370 | centramedicalgroup.com
Listening is a sign of respect. I want to treat my patients with the same respect I would want my wife and daughter given. My goal is to spend the time to listen to the patient's concerns and attempt to find a way to answer their questions and develop a care plan that the patient is comfortable with. — Brad Haupricht, MD SECOND PLACE
THIRD PLACE
HONORABLE MENTION
Omar Elkhamra, MD
John Barnard, Jr., MD
Gautham Gondi, MD
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
The Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 www.occva.com
Edward J. Lewis, MD The Orthopaedic Center of Central Virginia Lynchburg | 434.485.8500 Âşwww.occva.com
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SURGERY: CARDIAC
SECOND PLACE
is surgery on the heart to correct congenital heart disease or the complications of heart disease or valve problems created by various causes.
John A. Kern, MD
Centra Cardiothoracic Surgery Lynchburg | 434.200.2212 stroobantscardiovascular.com
FIRST PLACE
THIRD PLACE
David Frantz, MD
Centra Cardiothoracic Surgery | Lynchburg | 434.200.2212 | stroobantscardiovascular.com
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 through a frightening time. 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 let patients know their wellbeing is our highest priority before, during and after their surgery. — David Frantz, MD, FACS
SURGERY: GENERAL is the treatment of injury, deformity, and disease using operative procedures.
HONORABLE MENTION
John Guglielmetti, MD
Lucius D. Clay, III, MD
THIRD PLACE (TIE) Clinton Beverly, MD
William Kittrell, MD
Central Virginia Surgery | Lynchburg 434.947.3933 | www.centralvirginiasurgery.com
Centra Cardiothoracic Surgery Lynchburg | 434.200.2212 stroobantscardiovascular.com
SECOND PLACE Central Virginia Surgery Lynchburg | 434.947.3933 www.centralvirginiasurgery.com
FIRST PLACE
Irving Kron, MD
Central Virginia Surgery Lynchburg | 434.947.3933 www.centralvirginiasurgery.com
Peter Ploch, MD
Lynchburg Surgical Associates Lynchburg | 434.947.3950
Robert Honea, MD Colon and Rectal Specialists Richmond | 804.775.4500 www.crspecialists.com
Debra Hutchins, MD, FACS Piedmont Surgery Danville | 434.792.5964 www.danvilleregional.com
Steven Hills Surgical Associates, PC Lynchburg | 434.947.3901 www.sevenhillssurgical.com
SURGERY: NEUROSURGERY
is 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 | www.cvneuro.com
see page 82 for details
48
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
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. — Morris McCrary, MD
SECOND PLACE George Hurt, MD
Central Virginia Neurosurgery Lynchburg | 434.947.3920 www.cvneuro.com
THIRD PLACE Elisa Kucia, MD
The Centra Neuroscience Institute Lynchburg | 434.200.2900 centrahealth.com
HONORABLE MENTION Dilantha B. Ellegala, MD The Centra Neuroscience Institute Lynchburg | 434.200.2900 centrahealth.com
SURGERY: VASCULAR
is the treatment of surgery on diagnosed patients with diseases of the arterial, venous, and lymphatic system.
FIRST PLACE
UROLOGY is a medical specialty that deals with disturbances of the urinary (male and female) and reproductive (male) organs.
Jeff Widmeyer, MD
Widmeyer Vein Center | Lynchburg 434.847.5347 | www.veinhealing.com
FIRST PLACE
I truly enjoy taking care of people, helping them improve their health and their lives. I try to treat every patient as I would want one of my family members treated. — Jeff Widmeyer, MD
Finnie K. Green, MD
Centra Medical Group Urology Center | Lynchburg 434.200.5297 | centramedicalgroup.com
HONORABLE MENTION Joseph M. Carbone, MD
SECOND PLACE SECOND PLACE
THIRD PLACE
Mark Salvaggio, MD
Lawrence Poletti, MD
Seven Hills Surgical Associates, PC Lynchburg | 434.947.3901 www.sevenhillssurgical.com
Seven Hills Surgical Associates, PC Lynchburg | 434.947.3901 www.sevenhillssurgical.com
Christopher M. Hicks, MD Urologic Surgery | Bedford 540.444.4670
THIRD PLACE Robert D. Cook, MD
Centra Medical Group Urology Center Lynchburg | 434.200.5297 centramedicalgroup.com
Southside Urology and Nephrology Danville | 434.792.1433 www.southsidedocs.com
Ronald Fisher, MD Centra Medical Group Urology Center Lynchburg | 434.200.5297 centramedicalgroup.com
Corey Passman, MD Centra Medical Group Urology Center Lynchburg | 434.200.5297 centramedicalgroup.com
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Our Health Highlight
Interventional Pain Services provided by Anesthesia Services of Lynchburg VITAL STATISTICS Established: The Pain Service was established in 2002
Service Locations: »» Centra Virginia Baptist Hospital 3300 Rivermont Avenue Lynchburg, VA
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
»» The Surgery Center of Lynchburg 2401 Atherholt Road Lynchburg, VA
»» Facet joint injections
»» Phone: 434.845.5493
»» Lumbar sympathetic blocks
»» Fax: 434.845.1099
»» Joint injections with fluoroscopic guidance
»» Web: www.asol.md »»
»» Medial branch blocks and radiofrequency ablations »» Stellate ganglion blocks
»» Bursa injections with fluoroscopic or ultrasound guidance
What Sets Us Apart
Contact Info: »» Karen Burnham, MD »» Interventional Pain Services New Phone: 434.845.5493
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 Service Locations: »» Audiology Hearing Aid Associates »» Two Locations
Audiology Hearing Aid Associates Can you hear me now? If you are considering hearing aids, you will find a new world of devices that don’t resemble any hearing aid your grandfather used. In the past five years, just as digital imaging has replaced film, digital processing of sound has revolutionized sound clarity and improved word recognition with hearing aids. Danny Gnewikow, PhD, FAAA, Audiologist, CCC, Founder and Chief Audiologist of Audiology Hearing Aid Associates, has seen a lot of innovation in the forty years he has practiced, but nothing compares with what is happening now! Dr. Gnewikow says, “Hearing aids are smaller, with greater clarity and more precise settings. One of the most exciting innovations is Bluetooth® connectivity.” Bluetooth® technology can turn hearing aids into wireless headsets for phones, TVs, etc. In the past, cell phone use with hearing aids has been problematic. Bluetooth® has changed that. Hearing aid systems with Bluetooth® capabilities allow users to not only talk on their cell phones without annoying feedback and static, but also to listen to other Bluetooth® enabled devices. A Bluetooth® connection allows you to hear TV directly through your hearing aids without having to raise the volume for other family members. It provides dual stereo reception as the sounds are heard through the hearing aids in both ears, not just one.
Wireless technology also means that the hearing aid can be finely programmed by the audiologist so that there is little or no manual adjustment needed by the hearing aid wearer. This type of automation is particularly helpful to individuals with physical limitations such as poor dexterity or poor sense of touch in their fingertips. Another feature, a remote control, is particularly helpful for professionals who need to adjust the settings inconspicuously in public settings.
»» Danville: 434.799.6288 »» Lynchburg: 434.528.4245 »» Web: www.DigitalHearing4U.com »»
»» FREE Tuesday/Thursday TESTING
Have a friend or spouse who can’t hear, but you can’t get them to go to a doctor? Dr. Gnewikow says, “Often people don’t want to incur the cost of an evaluation because they don’t believe they have a hearing problem.” He offers free hearing screenings and additionally will ask patients questions such as: “Does it sound to you like others are mumbling? Are you able to hear lower frequencies but not higher ones?” Hearing impaired individuals quickly relate to these questions; and that, combined with auditory testing, makes them believers. For free testing of your hearing and discussion of the many advances of current hearing aid technology, call Dr. Gnewikow and his associates at their offices in Danville or Lynchburg. Having fit over 40,000 hearing aids, Dr. Gnewikow and his audiology staff have the experience and expertise to resolve most hearing issues.
Danville Office
Lynchburg Office
Our Health Highlight
Blue Ridge Ear, Nose, Throat, and Plastic Surgery, Inc. Services & Procedures »» Adult and pediatric ENT »» Sinus surgery »» Head and neck cancer surgery »» Certified audiologists »» Minimally invasive office sinus surgery »» Treatment of voice and swallowing disorders »» Allergy testing and treatment »» Treatment of sleep disorders and snoring »» Treatment of hearing loss with comprehensive hearing aid division »» Facial plastic surgery »» Laser hair removal and microdermabrasion Blue Ridge Ear, Nose, Throat & Plastic Surgery has treated patients in Central Virginia for more than 30 years. Each of our physicians is board certified or board eligible by the American Board of Otolaryngology and has extensive training in their specialty. This is up to 15 years of college and post-graduate training, including four years of college, four years of medical school and at least five years of specialty training. We offer the most up-todate techniques and state-of-the-art equipment in treating our patients. We believe all patients’ needs are unique and pride ourselves on the personal care all of our patients
receive. From infants to seniors, we offer a friendly and relaxing atmosphere for patients of all ages. That’s why for so many years; Blue Ridge Ear, Nose, Throat & Plastic Surgery has been the first choice in giving care to our community. As part of our ENT team, we have physician assistants with advanced ear, nose and throat training, who are also available to help with your otolaryngology needs. Hearing loss affects about one in ten Americans. We are the area’s only hearing aid center with medical doctors and audiologists. We are also trained in both the medical and surgical treatment of hearing, ear infections, balance disorders, ringing or ear noise (tinnitus) and other related conditions. About 35 million people develop chronic sinusitis each year, making it one of the most common health complaints in America. For chronic sinusitis sufferers, BRENT offers a quick, comfortable office procedure called balloon sinus dilation. The doctor uses a small balloon to gently expand and reopen the sinus drainage pathways, delivering sufferers instant, lasting relief. Communicating (speech and singing) and eating a meal all involve the mouth and throat. Also specific to otolaryngologists is expertise in managing diseases of the larynx (voice box) and the throat, including voice and swallowing disorders.
In the head and neck area, otolaryngologists are trained to treat infectious diseases, facial trauma and deformities of the face. We perform reconstructive facial surgery, as well as some cosmetic procedures. We also treat benign and malignant (cancerous) tumors of the head and neck. This includes removal and cosmetic reconstruction of skin cancers. The physicians and staff at Blue Ridge Ear, Nose, Throat and Plastic Surgery are dedicated to providing excellent care for our patients. We are committed to treating our patients and their families as we would want our loved ones treated. We strive to keep our knowledge of medicine current and to ensure access to the latest technological advances, in the most cost effective manner possible. We are committed to providing excellent patient care. Blue Ridge Ear, Nose, Throat & Plastic Surgery is a team and each member is important. Our team focus is to always put the patient first. 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.
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 »» Web: www.blueridgeentps.com »»
Contact Info: »» Mary Sue Ramey 2321 Atherholt Road Lynchburg, VA 24501 Phone: 434.947.3993, x 122 Fax: 434.847.2941
Our Health Highlight
VITAL STATISTICS Established: 2008
Service Location: »» Children’s Dentistry & Orthodontics of Lynchburg »» 105 Paulette Circle Lynchburg, VA 24502 »» Phone: 434.237.0125 »» Fax: 434.237.0498 »» Web: www.smilelynchburg.com
Children’s Dentistry & Orthodontics of Lynchburg
»»
At Children’s Dentistry and Orthodontics of Lynchburg, our board certified pediatric dentist and staff specialize in the unique needs of children’s dentistry. We provide a clean, safe and fun environment as well as exceptional service for your child’s dental home. The office and equipment are designed to specifically meet the needs of children. Our services include, but are not limited to exams, cleanings, restorative dentistry (sedation and general anesthesia) and orthodontics. Our bright and cheery office is a welcome environment for children. We strive to recognize the individual needs of every patient, helping them to feel comfortable and safe within our dental home. In addition to providing dental services, we educate our patients and their parents on the importance of good dental hygiene. Our mascot, Captain Smiles, also visits area schools and pre-schools supplying toothbrushes and giving presentations on the importance of preventive dentistry. We are committed to community involvement and believe education at an early age will create good habits lasting into adulthood.
Our Health Highlight
VITAL STATISTICS Service Locations: »» Central Virginia Orthodontics 7802 Timberlake Road Lynchburg VA, 24502 Phone: 434.385.GRIN (4746) Fax: 434.384.5656 Web: www.bracesbycvo.com »»
Central Virginia Orthodontics At Central Virginia Orthodontics, we take pride in providing exceptional smiles for every member of your family. Our experienced team has one mission: to serve you by delivering the finest orthodontic treatment available in a caring and fun environment. Drs. Eric Baugher and Jennifer Claiborne lead our dedicated team and build upon the legacy of quality care begun by Dr. Bruce Bentley 30 years ago. Braces are an investment that will benefit you for the rest of your life. An improved smile helps build self-esteem, establishes facial balance and ideal function for your teeth and jaws, and allows for better long-term oral health. Our goal is for every patient to achieve a beautiful, healthy smile that will last a lifetime. At Central Virginia Orthodontics, not only do we provide families with the highest caliber of service, but our state-ofthe-art practice offers treatments ranging from traditional metal braces to the newest technologies such as Invisalign, clear braces and self-ligating braces. We excel in creating beautiful, healthy smiles for patients of all ages. In fact, approximately 20 percent of our patients are adults. If you would like to discuss what options are available to you for improving your smile, call Central Virginia Orthodontics for a complimentary consultation at your convenience. We look forward to helping you see the smile you’ve always wanted!
Our Health Highlight
VITAL STATISTICS Service Locations: »» Excel Prosthetics and Orthotics »» Roanoke: 540.982.0205 »» Lynchburg/Danville: 434.528.3695 »» www.excel-prosthetics.com »»
Excel Prosthetics and Orthotics At Excel, we have extensive experience with all levels of lower and upper extremity prosthetics and orthotics. We understand that each patient has different circumstances, needs, goals, fears, and hopes. It’s our job to guide patients on this journey that they may have never expected. Our team of certified practitioners and technicians takes this responsibility very seriously. Patients can expect our team to take great care in analyzing specific needs and designing the appropriate prosthetic or orthotic. Excel Prosthetics & Orthotics is always working to bring the latest and most advanced technology to our patients. Technology is always changing and improving, and we owe it to our patients to seek out the knowledge of all options available.
Our Health Highlight
VITAL STATISTICS Established: 2013
Service Location: »» Forest Smiles »» 16862 Forest Road »» Forest, VA »» Phone: 434.944.9763 »» Fax: 434.616.2277
Forest Smiles
»» Web: www.forestsmiles.com »»
Our office is proud to be the winner of a best bedside manner award for 2014. We strive to provide a professional and friendly environment for our patients. Our new office opened in June 2013 offering a spacious location with state of the art dental equipment. We utilize digital x-rays and advanced equipment and technology to assist us in providing our patients with the best quality dental care. We offer comprehensive dental care for the entire family and offer three types of sedation for the anxious
dental patient. We can perform a wide array of dental procedures in our office from simple fillings to dental implants and wisdom teeth removal. Oral health is very important and if routine dental care is not obtained, it can have a negative impact on one’s overall health. The best way to avoid dental problems is to take a proactive approach to dental care. Dental hygiene appointments should be scheduled every six months and it is important to brush and floss daily. We offer an exceptional hygiene department and cutting edge dental technology that allows Dr. Claiborne to diagnose and treatment plan the best options for each individual patient. Dr. Claiborne attended the VCU School of Dentistry and received his DDS degree in 2003. He also completed a 2 year general practice residency at McGuire-Woods Veteran Affairs Medical Center in Richmond, VA and served as chief resident during his last year. He has been practicing here in Central Virginia since 2005. We are conveniently located on Forest Road, near Wyndhurst, with ample parking. We are always accepting new patients and participate with most insurance plans available in our area.
Our Health Highlight
Lynchburg Dental Center VITAL STATISTICS Established: 1974
Service Locations: »» Lynchburg Dental Center »» 3719 Old Forest Road »» Lynchburg VA, 24502 »» Phone: 434.384.7611 »» Fax: 434.384.5656 »» Web: www.lynchburgdentist.com »»
Lynchburg Dental Center Adds New Doctor Lynchburg Dental Center (LDC) is celebrating their 40th anniversary. The practice has been serving the needs of patients in the greater Lynchburg area since 1974 and as technology has improved and evolved, so have the services offered to patients. Their growing team offers comprehensive dental care in a comfortable, technologically advanced environment. Dr. Brad Lentz has recently joined the Lynchburg Dental Center team to assist with the growing patient base. He attended the University of Pittsburgh to obtain both a Bachelor’s of Science degree in Chemistry and his Doctorate of Dental Medicine. He completed a General Practice Residency at the Veteran Affairs Medical Center in Pittsburgh, Pennsylvania. Dr. Carrington Crawford, owner of Lynchburg Dental Center, graduated from the University of North Carolina at Chapel Hill and the Virginia Commonwealth University School of Dentistry. He completed an Advanced Education in General Dentistry residency at VCU School of Dentistry in Richmond, VA with training in implant placement, bone grafting, and full-mouth reconstruction. Dr. Karen Kenny has been practicing for over 25 years. She attended the University of North Carolina at Chapel Hill for undergraduate and the UNC School of Dentistry. She completed a two-year General Practice Residency and a two-year Geriatric Fellowship at McGuire VA Medical Center in Richmond, VA. Lynchburg Dental Center provides comprehensive exams, hygiene services, treatment of periodontal (gum) disease, extractions, implants, fillings, oral surgery, whitening, and crown and bridge work. In addition, they feature digital radiography and offer screenings for oral cancer. They are experienced in other sophisticated, cosmetic and restorative procedures. Specifically, they offer same-day crowns with the use of state-of-the art CAD/CAM technology; allowing their patients ultimate convenience. Also, advanced restorative procedures, such as implants, offer LDC patients an opportunity to greatly improve their smile.
Dental implants provide permanent tooth replacement solutions. A patient may have one tooth replaced or several, depending on their individual needs. Implants look and feel like real teeth and since they are designed to fuse with bone, implants become a permanent option to improve a patient’s appearance, speech, comfort and overall oral health. LDC’s use of technology, combined with continuous education in the areas of restoration, prevention and hygiene, allows their team to continue offering every patient quality care and services. The new building, at 3719 Old Forest Road, began serving patients in mid-December.
What Sets Them Apart The team at Lynchburg Dental Center has a mission to serve each of their patients with the most sophisticated technology to achieve optimal results. Dr. Crawford says, “Our team is very experienced. We continuously further our education to bring our patients the latest advancements and to provide maximum comfort.”
Services: »» »» »» »» »» »» »» »» »» »» »»
Family dentistry Dental hygiene Preventative care – exams, cleanings and sealants Digital x-rays Oral sedation and nitrous oxide administration Same-day crowns Root canals and extractions Dental implants – placement and restoration Cosmetic dentistry Teeth whitening Breath management
Our Health Highlight
VITAL STATISTICS Established: 1931
Service Locations: »» Oldham Aesthetic & General Dentistry »» 115 Wiggington Road »» Lynchburg, VA 24502 »» Phone: 434.385.6100 »» Fax: 434.385.0252
Oldham Aesthetic & General Dentistry Doctors Oldham, Martin and Kiger have combined dental experience of over 100 years. They have lived in and served the Lynchburg community their entire professional lives. Dr. Martin practiced with his father, Oscar, who was a dentist in Lynchburg for over 50 years. Dr. Kiger, a Lynchburg native, practiced here since 1971. And Dr. Richard Oldham’s mother, Bobbi, has been in practice for over 36 years. This is truly a generational practice with family ties and roots that run deep in the community. Our doctors attend extensive continuing education in excess of 200 hours per year to keep abreast of cutting edge developments regarding cosmetic & full-mouth restoration, in-office sedation, and the delicate but complex relationship between oral and whole-body health. Because of the broad range of age and training, we bring the best combination of experience and
mastery of complex dental strategies, technology, and materials. We provide the full range of dental services in a comfortable and personal environment.
What sets us apart: Oldham Aesthetic & General Dentistry specializes in relieving pain and helping our patients look their best. Whether you are concerned about TMJ, head or neck aches, ringing in the ears, tingling fingers, or just want to look and feel better, we can help.
»» Web: LynchburgSmiles.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. 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: Calloway, COACH, Dolce & Gabbana, Gucci, Guess, Kate Spade, Michael Kors, Oakley, PRADA, Ray Ban, Ted Baker and many more. We fit all types of contact lenses for daily wear, extended wear, astigmatism, multifocal designs, gas permeables for keraronconus and any others to meet your needs.
What Sets Us Apart St. Clair Eye Care has been in this area for more than 32 years. We have grown to three (3) convenient locations and five (5) doctors of optometry. We pride ourselves on 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.
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 »»
Our Health Highlight
VITAL STATISTICS
Director:
Virginia Vein Specialists
»» John L. Alfieri, MD »» Dr. Alfieri is a board certified Interventional Radiologist specializing in vein disease. He has been in practice since 1998 and is the director of Virginia Vein Specialists in Lynchburg treating both office and hospital patients.
Spider veins and varicose veins are not always a cosmetic issue. Varicose veins causing heavy or painful legs can be a medical issue and cause lifelong medical problems. A full evaluation, including an ultrasound, is required to determine the safest and most effective treatment. Most procedures are done in the office, generally painless with little or no recovery time, and covered by most insurance plans. The staff and physicians at Virginia Vein Specialists are skilled in many diagnostic techniques and treatment procedures to serve our patients. We are located just off the expressway in a large freestanding medical facility. We offer ample parking, convenient hours, and personalized service.
Service Location:
Procedures performed in our state-of-the-art facility are
»» 113 Nationwide Drive Lynchburg, Virginia 24501 Phone: 434.237.5893 Fax: 434.237.4450 virginiaveinspecialists.com
»» Venous ultrasound evaluation »» Sclerotherapy for spider veins »» Radiofrequency ablation for varicose veins If you have questions or concerns regarding spider veins or varicose veins and would like an assessment, please contact the Virginia Vein Specialists at 434.237.5893, or visit our website at www.virginiaveinspecialists.com.
FITBITS
H EA LT H A ND F I T NES S O N THE GO
Rather than a ‘resolution’, why not make a ‘commitment’ to be fit as you ring in the New Year? Here are some great tips to get started from the legs up! Did you know you burn the most calories when you exercise your legs? That’s because they’re home to your body’s biggest muscle groups, so it takes more energy to move them. For maximum results in getting the legs you want, the secret lies in workouts that use slow movements that purposefully fatigue the muscles. The first phase of an exercise is done to a slow count of ten seconds. When you reach the most difficult part of the exercise – where gravity and the nature of the
If you want sculpted, lean legs, check out these simple exercises, which can be done with minimum space and equipment : For optimum results, perform three sets of 8-12 repetitions of the following exercises three - five times per week.
#2. Lunge:
1. Place feet a little wider than shoulder-width apart, hips stacked over the knees, and knees over ankles.
1. Step forward with right leg and keep left leg back. Step should be comfortable and allow you to keep balance. You should be able to feel the stretch in your gluteus and hamstring muscles.
3. Extend the arms out straight so they are parallel with the ground, palms facing down 4. Initiate movement by inhaling into the belly, and unlocking the hips, slightly bringing them back. Keep sending hips backward as the knees begin to bend. 5. While the butt starts to stick out, make sure the chest and shoulders stay upright, and the back stays straight. Keep the head facing forward with eyes straight ahead for a neutral spine. 6. Engage the core, and exhale while driving through the heels to return to standing. With bodyweight in the heels, explode back up to a standing position, driving through the heels.
Deidre is a certified personal trainer with more than 15 years experience in the health and fitness industry. She is the resident fitness specialist for OurHealth Lynchburg & Southside
exercise require peak effort (maximum tension point or MTP) – hold the contraction for two seconds. Then return to the starting point through another count of ten seconds. Moving this slowly is so important because it creates an intense resistance workout.
#1. Bodyweight Squat:
2. Roll the shoulders back and down away from the ears. It’s important to maintain a neutral spine throughout the movement.
Deidre Wilkes, AFAA, ACSM, Certified Personal Trainer
2. Lower body by bending legs. Right leg should create a 90-degree angle at the knee. Left knee should dip down toward the floor until it almost touches. Remember to stretch only as far as you can without being uncomfortable and feeling unsteady. 3. Maintain posture by keeping back straight. Right knee should be directly above foot without moving too far forward. Keep feet completely on the ground, relying on both feet for balance. 4. Raise body back up without standing up completely. 5. Repeat these steps with left leg forward.
#3. Side Leg Lift on Exercise Ball 1. Kneel on a yoga mat with exercise ball on one side. 2. Rest one side of body against exercise ball and push up, so bottom leg is underneath you on the mat. 3. Extend the leg on the opposite side of the exercise ball straight out to the side. Rest your body against the side of the exercise ball, and support with one hand. 4. Opposite hand is on the floor. Back should be straight and shoulders square.
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is
EVERYthing I LIKE
BAD for me words | AINE NORRIS
The line between healthy and unhealthy gets fuzzier every day with blogs, articles, tweets, pins, and broadcasts continually reporting that everything, from food to diet and exercise, is slowly killing us. With the line so blurry between seemingly healthy lifestyle choices and the reports of things that are quietly leading to human demise, how does one push forward and make good choices? To begin with, do a little research on health topics to try to get an idea of what the media has sensationalized and what may actually be factual, and build your healthy lifestyle around it. Diet and nutrition seem to be the top choice for exaggerated fact and information, such as perpetuating reports that all sugars are deadly, meat and dairy are assassins, and carbohydrates slowly dig your grave. But what about the misleading “healthy” substitutes, such as “light” salad dressings filled with sugar and sodium or diet meals packed with preservatives and high levels of the chemical diacetyl?
In the end, there’s no one-size-fits-all recipe for a perfect diet. Nutritionists and dietitians are still dusting off the color-coded food pyramid and advising consumers to plan meals and diet based on Body Mass Index (BMI), health and weight goals, and FDA-suggested daily intake levels. Tricia Foley, RD, MS, OurHealth’s resident registered dietitian, says moderation and balance are important when considering nutrition. “According to the current dietary guidelines, it is important to have variety in our diet, however consuming processed and or refined foods on a regular basis could have negative implications on our health.” That’s why the federal government has developed standards and guidelines for acceptable ranges for macronutrients (carbohydrates, protein, and fat) and dietary references and upper limits for micronutrients (vitamins and minerals). You can log onto the website myplate.gov to find individualized information on how many calories per day you should consume and what percentage of your diet should come from each macronutrient. “Eating a variety of nutrients in the right balance is required for a healthy body” says Tricia. “Eliminating or eating certain nutrients in excess could lead to vitamin or mineral imbalances and/or chronic disease.” While it isn’t a perfect science, with moderation and a customized diet, nutrition is easily sustainable day-to-day. What about diet and nutrition’s partner in crime— exercise? The mantra used to be that all exercise is good and healthy, helping build muscle and eliminate fat, essentially adding years to a person’s life. But now, conflicting reports claim that certain exercises are detrimental to the human body or even that exercise itself contributes to injury and long-term health complications.
Tricia Foley, RD, MS, OurHealth’s resident registered dietitian, says moderation and balance are important when considering nutrition. 64
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Here again, as with many things in life, there is fine print associated with each study, as well as exercising in general. It can be summed up like this: all exercise has risk associated with it when it’s pushed to extreme levels. When choosing a fitness regimen, it’s always best to alternate strength training (weights, machines) with cardio (running, cycling). This is an approach used by fitness professionals because it gives the body time to heal, keeps exercise fresh and non-routine, and allows muscles and ligaments to move differently each time.
Trainers and physical therapists also note that people with heart disease and other potentially harmful conditions should consult with a doctor and fitness professional before creating a workout regimen. Much like nutrition, each body needs a custom plan to ensure physical success and the results you want. While nutrition and exercise are outward-facing issues to tackle, mental health and stress also affect us and our day-to-day lives. With so many stress studies on the market leading to therapy and medication, what can truly be trusted as sound advice to combat the issue proactively, and are the media and research studies correct in labeling all stress as harmful and negative? When it comes to stress, not all of it is considered harmful to our health. There are varying types of stress, including eustress, distress, and neustress. For example, eustress is positive for the most part. Some may think of marriage or the arrival of a newborn baby as stressful, but it’s not necessarily a stressful situation that is negative. Most individuals, though, normally think of distress as negative. The human organism needs a degree of stress to make us better, more productive, and more successful at our endeavors. An important factor when dealing with stress is something most humans take for granted and do not factor into a healthy living plan—sleep. Stress levels affect nutrition and a human’s inclination to exercise or be active, and stress levels go up considerably with inconsistent sleep patterns. Erratic sleep also makes us feel hungrier, which in turn leads to weight gain. So at the end of the day, the old adage “everything in moderation” rings surprisingly true in the face of studies and reports claiming that everything in life is deadly. Moderating the intake of high-calorie or sodium rich food can improve overall nutrition. Incorporating a purposeful, active exercise regimen can improve cardiovascular health while assisting in weight-loss, and maintaining a consistent sleep schedule and a low level of harmful stress improve day-to-day interactions and health. Don’t let the supposed studies and media worry you into an early grave. Moderation and educated lifestyle choices are the keys to a healthy life.
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Healthy Eats Gluten Free Entrée: Beef Tenderloin
Directions:
Serves: 12
2. Place roast in a shallow roasting pan with rack.
Ingredients: 1 beef tenderloin (5 lbs) 2
tbsp olive oil
4 garlic cloves, minced 2 tsp sea salt 1.5 tsp ground pepper
1. Preheat oven to 425º F.
3. In small bowl, mix the oil, garlic, salt and pepper and rub over roast. 4. Roast for 50-70 minutes. 5. Remove from oven and tent with foil; allow to rest for 15 minutes before serving.
Local beef from: Sassy Springs Farm Contact: Ken and Brenda Smith 4201 Thomas Jefferson Hwy | Cullen VA 23934 434.470.0810 | www.sassysprings.com Sassy Springs Farm is a working beef and dairy goat farm. They raise grass finished beef, pasture raised pork, naturally raised chickens and goats. Beef cuts can be picked up at the farm or delivered for a $50.00 fee. Pricing is available on their website. In addition, they offer a complete line of herbal bath products and goats milk products..
Tricia Foley’s
GRILLED BEEF TENDERLOIN Tricia Foley is OurHealth magazine’s resident nutritionist www.OurHealthVirginia.com
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Healthy Eats Gluten Free Side Dish: Quinoa Salad Serves: 8
Ingredients: 2 cups quinoa 2 medium shallots, peeled and diced 2 firm apples, cored and diced 1/4 cup pomegranate seeds 1/2 cup diced celery 1 cup sliced cherry tomatoes 1 1/4 cup sliced red grapes 1/4 cup chopped fresh parsley 2 tablespoons chopped basil 2 tablespoons lemon juice Extra virgin olive oil
Vinaigrette: 1/4 3 1/2 1 1/2
cup local honey tablespoons lemon juice cup extra virgin olive oil teaspoon kosher salt teaspoon freshly cracked pepper
Directions: 1. Rinse the quinoa under water for several minutes, rubbing the grains together to remove film.
3. Cook over medium heat until tender (about 20 minutes). 4. Drain any excess water and lightly drizzle with extra virgin olive oil. 5. Sauté the shallots and apples until lightly browned. 6. Toss together the quinoa along with the remaining ingredients and add the vinaigrette. 7. Add salt and pepper to taste.
2. Place the quinoa in a medium saucepan and add 4 cups of water.
Tricia Foley’s
DELICIOUS QUINOA SALAD Tricia Foley is OurHealth magazine’s resident nutritionist.
Healthy Eats Gluten Free Dessert: Pumpkin Rolls Serves: 8
Ingredients: 3 eggs ¼ C local honey 2/3 cup unsweetened pumpkin puree 1 teaspoon lemon juice 1/3 cup coconut flour 1 teaspoon baking powder 1 tbsp cinnamon 1 teaspoon ground ginger 2 teaspoon ground nutmeg 1/2 teaspoon salt * add water as needed
Filling: 2 tbsp honey 8 ounces reduced fat cream cheese, softened 4 tablespoons butter
Directions:
1. In a mixing bowl, beat eggs on high speed of electric mixer; gradually beat in honey, beating until light and lemon colored.
8. Starting at narrow end, roll towel and cake up together; cool. Unroll.
2. Stir in the pumpkin and lemon juice.
10. Spread over the cooled cake and roll up. Chill.
3. In a separate bowl, sift together the coconut flour, baking powder, spices, and salt. 4. Fold flour mixture into the pumpkin batter 5. Spread in a generously greased and floured 10x15-inch jelly roll pan. 6. Bake in a preheated 375° oven for 15 minutes, or until cake bounces back when touched lightly with finger. 7. Turn cake out onto a clean dish towel.
9. Combine the honey, cream cheese, butter, and vanilla; beat until smooth.
Local Honey, Eggs & Tomatoes from: White Flint Farm Contact: Bill and Cherie Guerrant 5960 Slatesville Road | Keeling VA 24566 434.791.3773 | www.whiteflintfarm.com Both herbicide and pesticide free, the farmers at White flint Farm enrich and fertilize their soil using cover crops and compost produced on the farm. They believe in using traditional, sustainable methods to control pests that could otherwise threaten their crops. This results in a healthier and better tasting product.
3/4 teaspoon vanilla
Tricia Foley’s
HEY PUMPKIN! ROLLS Tricia Foley is OurHealth magazine’s resident nutritionist
The Alzheimer's Association Walk to End Alzheimer’s® is the world’s largest event to raise awareness and funds for Alzheimer’s care, support and research. Held
annually in more than 600 communities nationwide, this inspiring event calls on participants of all ages and abilities to reclaim the future for millions. Together, we can end Alzheimer’s disease, the nation’s sixth-leading cause of death. Earlier this fall, over 500 residents from the Lynchburg area gathered at Wyndhurst for their local chapters Alzheimer’s Association Walk to End Alzheimer’s. Participants raised more than $74,000, exceeding their goal to fund the Alzheimer's Association care, support and research programs.
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Breaking the Silence
Living with HIV
words | SUZANNE RAMSEY
This series explores diseases that can be devastating to the individuals and families they affect—yet no one is talking about them. That is, until now. In each edition of Our Health, we bring these medical issues into the light—and dedicate these stories to the courageous patients and families living with them and the healthcare providers and researchers who commit their lives to treating and seeking cures for these enigmatic conditions. ✦✦✦ In the late 1980s, William’s life could best be described as out of control. In his 20s and living in Pittsburgh, William (his name has been changed for privacy) was married to one woman and living with another. He also was addicted to crack cocaine. To fund his drug habit, William says he began “prostituting” himself, having sexual relations with a gay male friend. Little did he know, things were about to get worse.
“He was already infected, but he was told at the time not to tell anyone, not even his partner,” William says, talking about his male friend and the human immunodeficiency virus, also known as HIV. “He never told me and we had unprotected sex, and I became [HIV] positive.” At the time, William says he didn’t know anything about HIV, the virus that causes acquired immunodeficiency syndrome, or AIDS. He didn’t have any symptoms, he hadn’t been sick, and he had no idea anything was wrong when he went in for a series of routine health screenings.
“I had just gotten out of [drug] treatment and ... it was suggested I go to my doctor and get tested for everything,” William, now in his 50s, says. “They did all the testing and everything else was fine. At first, they told me I had AIDS. They made a mistake about my [CD4] count. After that, they sent me to a hospital in Pittsburgh, Presbyterian Hospital, and that’s where they found out my real count and I’m only HIV positive.” One of the first people William told about his diagnosis was his boss at the fast food restaurant where he worked. After trying to call in sick and being told, “The only way you’re going to call off is if you’re dying,” William told his boss that he was in fact dying. “He was really shocked but he was very concerned,” William says, adding that he and his boss “drove around and we talked and stuff and he was very understanding.” There were two other people William had to inform: his girlfriend and his wife. Both were at risk of being HIV positive after having unprotected sex with him. He says his wife was “very understanding.” His girlfriend was not. “She worked at a hospital but she’s very germaphobic,” William says, adding that when she found out she could be HIV positive “she was attempting to jump off of a bridge. Her sisters got there in time to stop her.” Fortunately, neither woman tested positive for HIV. When asked how easy or difficult it is to contract HIV, Johanna Brown, MD, an infectious disease physician at Medical Associates of Central Virginia, used what the World Health Organization and others call the “Rule of Threes.” She compared the chances that someone who has an occupational exposure to infected blood — while working in a hospital, for example — might get Hepatitis B, Hepatitis C or HIV. “We know from the data ... that you have about a 30-percent chance of transmission for Hepatitis B, a three-percent [chance of] transmission of Hepatitis C and a 0.3 percent [chance] of transmission of HIV,” she says, adding that it’s unknown how many sexual exposures it takes to become HIV positive. “Not 100 percent of people that come in contact with infected blood will become infected with HIV.”
Johanna Brown, MD is an infectious disease physician at Medical Associates of Central Virginia
What is a CD4 count? CD4 cells are a type of white blood cell that fights infection. Another name for them is T-helper cells. CD4 cells are made in the spleen, lymph nodes, and thymus gland, which are part of the lymph or infection-fighting system. CD4 cells move throughout your body, helping to identify and destroy germs such as bacteria and viruses. The CD4 count measures the number of CD4 cells in a sample of your blood drawn by a needle from a vein in your arm. Along with other tests, the CD4 count helps tell how strong your immune system is, indicates the stage of your HIV disease, guides treatment, and predicts how your disease may progress. Keeping your CD4 count high can reduce complications of HIV disease and extend your life. (WebMD) www.OurHealthVirginia.com
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What’s the difference between HIV positive and having AIDS? “We measure the amount of HIV in the blood and that’s called the viral load, and then the main thing that HIV attacks in the body is one of our immune cells called the CD4 cells. When our CD4 cells get below a level of 200 that’s when we get all the opportunistic infections. When you start getting opportunistic infections, that’s called AIDS. It’s AIDS when your CD4 count is 200 or below.” (Thomas Kerkering, MD, veteran HIV/AIDS physician, Carilion Clinic Infectious Disease)
William, who now lives in the Lynchburg area and works at a local restaurant, had a tough time early on, dealing with the misconceptions and shame surrounding HIV. Oftentimes, people said and did things that upset him.
“I was going to pick up my son and he said, ‘I can’t hug you.’ I said, ‘Why?’ and he said, “Because you’re sick.’ I went through a lot of hurtful things,” William says. “I would be pointed out as the person with AIDS. ... People quit being my friend, stopped being friends with me. I would go to someone’s house and eat and they’d throw away the spoon. People didn’t know.” Even today, after 30 years of HIV/AIDS being part of the vernacular, the stigma persists. Dr. Brown says confidentiality is a great concern for her patients, particularly in a town the size of Lynchburg, “where neighbors know your business.” Efforts are made at the clinic to help patients safely and confidently
disclose their HIV status to partners, she says, and the fact that the clinic treats other types of infectious diseases helps, too.
“There are 400 people walking near you that have this disease and they all do everything in their power to keep their disease as confidential as possible because the stigma is still so high,” Dr. Brown says, referring to the number of HIV/AIDS patients treated by Medical Associates, the only clinic of its kind in Central Virginia. There are still many misconceptions about the disease, particularly about how it’s transmitted. According to the Centers for Disease Control and Prevention, “HIV is spread mainly by having sex or sharing injection drug equipment such as needles with someone who has HIV. Only certain fluids — blood, semen, pre-seminal fluid, rectal fluids, vaginal fluids, and breast milk — from an HIVinfected person can transmit HIV. “These fluids must come in contact with a mucous membrane or damaged tissue or be directly injected into the blood stream (from a needle or syringe) for transmission to possibly occur. Mucous membranes can be found inside the rectum, the vagina, the opening of the penis, and the mouth.” Dr. Brown adds that HIV can’t be transmitted by “saliva, urine or stool, as long as they’re not contaminated with blood” and it’s “not airborne.” She says a common misconception that the virus might spread by being kissed or spit upon could have been perpetuated by the use of an oral test that’s used to screen for HIV. “We have a rapid test of oral fluid,” she says. “We don’t like to call it saliva. It’s a little pad that you apply to the gum and rub it on the gum. It’s a very good way to do rapid testing for HIV. There’s no contact with blood at all, but somehow maybe some people have gotten confused [that] if you can do www.OurHealthVirginia.com
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rapid testing in the mouth you are somehow secreting virus in the saliva, but that’s not the case.” On that line, getting tested is easy and Dr. Brown believes everyone should be tested as part of “routine care.” “If only one could be tested at least once in a lifetime, that would be wonderful,” she says, adding that one reason the epidemic is still prevalent is many people don’t know they are HIV-positive. Nationwide, AIDS.gov reports that “more than 1.1 million people ... are living with HIV” and that about one in six, almost 16 percent, don’t know it yet. The most seriously affected are described as “gay, bisexual, and other men who have sex with men.” AfricanAmericans are said to “face the most severe burden of HIV,” particularly young, black men. In September, the Virginia Department of Health reported there are 2,232 individuals living with HIV or AIDS in Southwest Virginia. For its purposes, the region includes not only Roanoke and what one would usually think of as Southwest Virginia, but also Lynchburg, Danville and Martinsville and the counties surrounding each. In the city of Lynchburg alone, there are 203 people living with HIV or AIDS. Dr. Brown, who has practiced in Central Virginia for eight years, describes her clinic as “rural” and says that traditionally patients were split about 50/50, men/women, and most were heterosexual. Lately, however, she’s seen a change. It’s “almost like going back to the early beginnings” of the epidemic, she says, when the disease was called “gayrelated immunodeficient syndrome ... a horrific term for this.” While “men who have sex with men” has been the commonality in urban areas — New York, Baltimore and San Francisco, for example — she says the Southeastern epidemic has always looked a little different. Dr. Brown says public health workers aren’t yet sure what to make of this. 76
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How is HIV not spread? HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce. It is not spread by: • Air or water • Insects, including mosquitoes or ticks • Saliva, tears, or sweat. There is no documented case of HIV being transmitted by spitting. • Casual contact like shaking hands or sharing dishes
“The Southeastern
• Closed mouth or “social” kissing
U.S. has been majority
• Toilet seats (CDC.gov)
heterosexual with transmission affecting
“Are they finally coming out of the closet and being tested?” she says. “We don’t know yet. There’s no good explanation as to why this is happening.” Dr. Brown says “better prevention methods” are needed to address the spread of HIV. Over the past 30 years, she says, “we’ve seen this phenomenon called condom fatigue. There’s only so many ways you can preach safe sex and condom use. Many people get sick of hearing it over and over.” Another reason the message might not be getting through today is that HIV/AIDS doesn’t look like it did in the 1980s and 90s, when images portrayed in the media were shocking.
both men and women,” Dr. Brown says. “In the last two years, those who are coming in [with] new HIV
“Nowadays, we don’t have the Face of Death impending and looming over everyone’s shoulders,” Dr. Brown says. “Freddy Mercury [lead singer of the band Queen], if you saw him, you would be like, ‘Oh, my God.’
diagnosis, the majority
“To see him and his story alone is enough to scare you. ... Death is definitely something that catches people’s attention. What we call AIDS-associated emaciation, those pictures of those poor people and their bones and skin, very emaciated, malnourished. That scared people.”
having sex with other
have been men and their risk factor is men.”
Also, when the epidemic emerged, the gay community took action. “They were very verbal and voiced extremely loudly their concerns in the public media,” Dr. Brown says. “People marching, people with posters of all these poor www.OurHealthVirginia.com
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What is antiretroviral therapy? Standard antiretroviral therapy (ART) consists of the combination of at least three antiretroviral (ARV) drugs to maximally suppress the HIV virus and stop the progression
“I had to make a choice: take this medication and live 10 years or not take it and live a normal life of five years,” he says. “The side effects were terrible. ... I didn’t stay on that medicine for too long. Now, I take three pills a day and it’s great. During that time, I missed a lot of doses because I didn’t want to take it. A big part of it was I didn’t want to take it every day. It was a constant reminder that I was HIV positive. I didn’t want to take the medication. I wanted to forget.”
of HIV disease. Huge reductions have been seen in rates of death and suffering when use is made of a potent ARV regimen, particularly in the early stages of the disease. (World Health Organization)
patients dying, and they were demanding things be done because they were united. They sent powerful messages that no one could argue. ... But now, what happens is you don’t see anybody die like that of AIDS, unless they choose not to take the therapies.” With improvements in antiretroviral therapies, many people with HIV take just one pill per day, rather than what Dr. Brown describes as “buckets” early on. Side effects also have diminished. “”When I first found out [I was HIV positive], I was taking about six or seven pills a day, but the medication at the time was very toxic,” William says. “You pretty much knew who was on what medication. You’d have a big stomach and no butt. It would bloat [you].” At one point, William says, he took 12 medications, twice a day. The side effects were so bad — nausea, hallucinations and insomnia, to name a few — he considered quitting altogether. (continued on page 81)
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What does ‘viral load’ mean? When healthcare providers discuss your “viral load,” they are talking about the level of HIV in your blood. Knowing your viral load helps your provider to monitor your HIV disease, decide when to start treatment, and determine whether or not your HIV medications are working once you begin taking them. There is usually a relationship between the viral load and the number of CD4 cells you have. Typically, if your viral load is high, your CD4 count will be low — making you more vulnerable to opportunistic infections. the antiretroviral medications you take for your HIV disease work to keep HIV from reproducing in your body. It lowers your viral load and protects your immune system. (Aids.gov)
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Today, there are even ways to help HIV-affected couples get pregnant and deliver HIVfree babies.
“Nowadays, if you have discordant couples, one HIV-negative, one HIVpositive, there is a safer way to get pregnant,” Dr. Brown says. “There are methods to wash out the sperm. Sperm carries HIV. If the female partner is negative and the male is positive, they wash out the sperm and [use] the ‘turkey baster’ method. It has to be done at a university [medical] center.” If the woman is HIV positive and the man negative, Dr. Brown says, the woman needs to protect her partner at the time of conception and decrease the risk of HIV transmission to her unborn child by having “no detectable virus in your blood.” This is done through antiretroviral therapy. Without therapy, Dr. Brown says, there’s a 25-percent chance of transmitting HIV to the baby. With treatment, it’s about five percent. “There are ways that discordant couples can safely have a baby,” she says, adding that you should “never say 100 percent in medicine. That would be a lie.”
financial help available through a federal grant named for Ryan White, an Indiana teenager diagnosed with AIDS in the mid-1980s. “This varies state to state and some have waiting lists due to poor funding,” she says. “With this grant, we also try to help with co-pays for our insured patients and do everything we can with patient assistance programs, etc., to make sure cost does not get in the way of patients affording and taking their medication.” Treatments costs have never been an issue for William, who says he gets most of his medications through the local health department or Medical Associates. “There’s a lot of help out there for HIV-positive people,” he says. Today, area physicians say HIV/AIDS is no longer a death sentence and people with the virus can live as long as those without it. “If you take your medications the way you’re supposed to and treat your body well, [and] you remain in care, you can safely say you will live as long as anyone [else],” Dr. Brown says. “Now, an HIV diagnosis may not translate into a sooner death diagnosis. Certain diseases are more common in HIV patients, but the overall encouraging message to bring is ... you can live as long as anyone without it.” William says the physicians at Medical Associates have even suggested he get a primary care physician to deal with his other medical concerns. “I feel good,” he says. “I’m probably healthier than most people. My CD4 count is 900-something, which is good. My viral load is undetectable. I just got put on a medication for high cholesterol. I’m not going to die of AIDS or HIV. I’ll probably have a heart attack or something. I take my medication every day. I work a part-time job. I live pretty much a normal life now.”
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Photo courtesy of Virginia Baptist Hospital historical collection.
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