OurHealth Lynchburg & Southside Dec 2016/Jan 2017 Edition

EXPANDING BELLIES MEAN GROWING CONCERN | [PART 6] THE BRIDGE TO BETTER HEALTH STARTS WITH PRIMARY CARE

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TABLE OF CONTENTS DECEMBER 2016 • JANUARY 2017

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

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2016 BEST BEDSIDE MANNER AWARDS

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HEALTHY RECIPE SWAP

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FIT BITS | Fitness Fusion

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HELLO, HEALTH

JUST ASK Healthcare questions answered by local professionals

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

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HEALTH POINTS

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THE ANATOMY CHALLENGE

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Interesting facts and tidbits about health

Test your knowledge when it comes to GESTATIONAL DIABETES

GROWING BELLIES MEANS GROWING CONCERN The abundant information provided by the internet and social media might make having a healthy pregnancy and preparing a mother’s body for the rigorous road ahead seem easier. However, a lingering concern for some women is whether or not they will develop gestational diabetes.

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5 HEALTH TIPS FOR THE HOLIDAYS Check out these simple tips that will help you ring in the New Year happy and healthy!

OurHealth's Best Bedside Manner Awards 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.

Tricia Foley RD, MS, OurHealth's resident nutritionist, shares holiday recipes with healthy ingredient swaps.

Deidre Wilkes, OurHealth's resident fitness specialist, shares the many training benefits of fitness fusion classes.

Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

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THE BRIDGE TO BETTER HEALTH STARTS WITH PRIMARY CARE SERIES PART 6 | CELEBRATE YOUR CARE The final article in our yearlong series about primary care focuses on how you can Celebrate Your Care. We’ll delve into your part of the patient-physician partnership.

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

www.OurHealthlbss.com

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december 2016 • january 2017 PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION PROJECT COORDINATOR ACCOUNTING MANAGER CHIEF GRAPHIC DESIGNER GRAPHIC DESIGNER DIGITAL CONTENT MANAGER | EVENT SPECIALIST COPY EDITOR DIGITAL MEDIA STRATEGY WEBSITE

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Deidre Wilkes Laura Bower Karrie Pridemore Tori Meador Heidi McClintic Bobbi Hoffman Dalton Holody Heidi McClintic

CONTRIBUTING MEDICAL EXPERTS Karen Burnham, MD Saju Eapen, MD David Harman, MD Joseph Hutchison, MD Emily Jenkins, MD Kappa Meadows, MD

CONTRIBUTING PROFESSIONAL Geri Aston EXPERTS & WRITERS Tricia Foley, RD Tina Joyce Steve McClintic, Jr. Deidre Wilkes

ADVERTISING AND MARKETING Cynthia Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth Lynchburg and Southside via U.S. Mail, please contact Deidre Wilkes at deidre@ourhealthvirginia.com or at 540.387.6482

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

Copyright © 2016 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

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

“

Until recently, sufferers of chronic or recurrent sinusitis were limited to two treatment options: medication therapy or aggressive sinus surgery. Fortunately, advances in medical science have opened new doors for treatment.

”

– Joseph Hutchison, MD

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What is balloon sinuplasty?

What is patient-controlled analgesia?

If you suffer from poor sinus drainage, you already know that antibiotics, decongestants, and steroids can only do so much.

Balloon sinus dilation is a simple office procedure that gently expands the natural sinus openings to fix underlying drainage problems.

Patient-controlled analgesia (PCA) is any form of pain-relieving medicine administered at a patient’s immediate demand. The most common form of use is intravenous delivery of opioid medications, but other medications and routes of delivery can be used as well.

Until recently, sufferers of chronic or recurrent sinusitis were limited to two treatment options: medication therapy or aggressive sinus surgery.

Fortunately, advances in medical science have opened new doors for treatment. Now there’s a treatment option that can be performed in a doctor’s office without the need for cutting or tissue removal.

PCA is a safe and accepted method of pain management due to sophisticated infuser technology that allows the patient to push a button that immediately delivers the pain medication. One PCA safety feature is the programming of the pump to limit the amount of medicine based on dosage and time, as directed by the treating physician.

Another safety feature is allowing only the patient to push the button that delivers the medication. This prevents an overdose and allows for good pain control with less medication.

Balloon sinus dilation is a minimally invasive office procedure performed under local anesthesia that delivers immediate and long-lasting relief. A doctor reshapes the sinus pathways by inflating small balloons in key places in the nose and sinuses, restoring drainage.

Joseph Hutchison, MD Blue Ridge Ear, Nose, Throat & Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Karen Burnham, MD

Anesthesia Services of Lynchburg Lynchburg | 434.845.5493 www.asol.md

What is mesothelioma?

Mesothelioma is a rare cancer that can grow from any organ’s lining, but usually starts in the pleura, or lining of the lungs. Mesothelioma is associated with asbestos and other occupational exposures. Symptoms are typically slow in onset and nonspecific, such as chest pain, dyspnea (shortness of breath), cough, hoarseness, or trouble swallowing. Chest imaging will show thickening of the lung’s lining and fluid around the lung, called a pleural effusion. The diagnosis is made by removing some of the fluid and determining if cancer cells are present, although sometimes a biopsy by a surgeon is necessary.

Mesothelioma is rarely curable, and treatment often includes chemotherapy.

Emily Jenkins, MD

Lynchburg Hematology Oncology Lynchburg | 434.200.5925 www.lynchburgoncology.com

H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

A number of eye conditions can result in seeing halos while driving at night. In fact, millions of Americans have difficulty seeing at night. Your first step is to see your eye care professional. If the problem is a refractive error, your eye physician can prescribe eyeglasses with anti-reflective coatings.

Ask about lenses with wavefront diagnostic technology, which may reduce halos, glare, and other aberrations that can be distracting, especially while driving at night.

...millions of Americans have difficulty seeing at night. Your first step is to see your eye care professional.

”

– David Harman, MD

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I see “halos” around lights while driving at night.

What can I do to improve my night vision while driving?

Night vision can also be negatively affected by cataracts, which occur when the natural lens in your eye becomes cloudy. During surgery, the cataract is removed and replaced with an intraocular lens implant. Cataract surgery is a safe and effective procedure, and new advancements such as laser cataract surgery and premium intraocular lenses may offer even better visual outcomes to help improve your quality of life.

David Harman, MD Harman Eye Center Forest | 434.385.5600 www.harmaneye.com

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

What causes hives?

Hives, or welts, especially of the chronic variety, are quite common.

Acute hives can often be caused by either airborne or food allergies, or by triggers such as drug or bee sting allergies. In some people, hives can result from other physical triggers such as heat or cold, pressure, sweating, or sunlight. Sometimes viral infections can also lead to acute hives.

Chronic hives, generally defined as hives occurring over a period of more than six weeks, affects about 5 percent of the population. This is now known to be an autoimmune problem in the majority of cases, meaning the immune system produces an abnormal antibody, which then signals the allergy cells to cause hives.

While hives is a common condition that causes much frustration and distress, it is not life-threatening and can generally be easily controlled with appropriate medications.

Saju Eapen, MD

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

What are some treatment options for age or sun spots?

Today, there are several treatment options for minimizing the appearance of sun spots: Medications: Hydroquinone or prescription bleaching creams, used alone or with retinoids (tretinoin) and a mild steroid, may gradually fade sun spots over a period of several months.

Freezing (cryotherapy): This procedure involves applying liquid nitrogen or a freezing agent to destroy the extra pigment. Freezing is characteristically used on a single age spot or a small group of age spots.

Laser and intense pulsed light therapy: Laser and intense pulsed light therapies demolish melaninproducing cells (melanocytes) without harming the skin’s surface. Treatments with a laser or intense pulsed light typically require several sessions.

Chemical peel: A chemical peel involves applying an acid that burns the outer layer of the skin, where new skin then forms, replacing the outer layer. Numerous treatments may be necessary before there are noticeable results.

Dermabrasion: This procedure entails sanding down the superficial layer of the skin with a rapidly rotating brush. Temporary redness and scabbing may form as a result of this procedure.

Kappa Meadows, MD

Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com

NEW

NOTEWORTHY

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

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Centra Openings and Relocations in Danville

Centra’s latest medical center, Centra Danville Medical Center, is now open. The new medical center houses primary care, urgent care walk-ins, laboratory services and specialties such as, cardiology, plastic surgery, sports medicine, urology, physical therapy and state-of-the-art imaging services including mammography.

The 48,000-square-foot building now serves as the consolidated headquarters for many of Centra’s Danville practices and services. Centra Medical Group’s PrimeCare (Main Clinic) on Enterprise Drive, Dominion on Exchange Street, Medical and Surgical Specialists on Executive Drive, and Rehabilitation and Sports Medicine on Airport Road have relocated to the new building and patients are now being seen at the new location.

Centra Medical Group PrimeCare (East Clinic), located on Airport Road, will remain in its current location to continue providing care in the eastern section of Danville city and Ringgold.

The new Danville Medical Center is located at 414 Park Avenue, Danville.

Hours: • Primary Care | 8 am – 5 pm | Monday – Friday • Urgent Care | 8 am – 8 pm | Seven days a week • Physical Therapy 8 am – 5pm, Monday – Thursday | 8 am – 12:30 pm, Friday For more information, call 434.857.3600.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Chatham Health and Wellness Now Open

Danville Regional Medical Center announces the opening of Chatham Health and Wellness. The newly renovated health and wellness center is open Monday – Friday from 8 am to 5 pm. Services offered at the new center include primary care, dental care, and out-patient imaging including x-ray, ultrasound and mammography. The wellness center will also offer rotating specialty care services including cardiovascular care. More information about the specialty care services will be available in early 2017.

For more information and to schedule an appointment, call 434.799.3800.

Liberty University College of Osteopathic Medicine Hosts Local Free Health Clinic Liberty University College of Osteopathic Medicine (LUCOM), recently hosted a free health clinic in Martinsville. The event was coordinated by the Office of Medical Outreach and International Medicine.

Throughout the health clinic LUCOM student-doctors conducted general health screenings for diabetes, pregnancy, cardiac exams, hypertension, Osteopathic Manipulative Medicine (OMM) evaluations, eye and skin evaluations, and other examinations under the supervision of LUCOM faculty and practicing physicians.

For this particular event, LUCOM partnered with many local businesses including First United Methodist Church in Martinsville, City of Martinsville, Emergency Medical Services (Martinsville), Boy Scouts of Martinsville, Martinsville Henry County Coalition for Health & Wellness, Bassett Family Practice, P.A.T.H.S., Grace Network, Pregnancy Care Center, Lynchburg College PA School, Averett School of Nursing, and Liberty University School of Nursing.

For more information and to find out when the next health clinic will be scheduled, visit www.liberty.edu/ lucom. www.OurHealthlbss.com

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

“Health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.”

Portion Control in the PALM OF YOUR HAND

– World Health Organization

Palm = 3-4 ounces beef, pork, poultry, fish

Two Cupped Hands = 1 ounce chips, crackers, pretzels Fist = 1 cup beverages, cereal, casseroles, soups, fresh fruit, raw veggies and salads

How about a new pair of shoes?

Walking or running shoes should be replaced every six months. The cushioning starts to break down with repeated use, and can cause overuse injuries to the joints of the foot, leg and hip.

Cupped Hand = 1/2 cup pasta, rice, beans, potatoes, cooked veggies and ice cream Thumb = 1-2 tablespoons salad dressing, sour cream, cream cheese, peanut butter and hard cheese Thumb Tip = 1 teaspoon butter, margarine, mayonnaise and oil

Source: Prevention

Every Bit Counts!

“A good day is a GOOD DAY. A bad day is a GOOD STORY. At the end of the day, IT'S ALL GOOD!” – Glennon Doyle Melton, author, blogger, activist and philanthropist (and originally from Burke, Virginia)

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MAKING YOUR HOLIDAY WISH LIST?

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Did you know that for every one hour of regular, vigorous physical activity, some people may increase their life expectancy by two hours!

Source: American Heart Association

Breakfast [brek-fuh st] noun - a meal eaten in the morning, the first of the day.

ORIGIN: late Middle English [break] + [fast] - Meaning “breaking the fast”. Any meal that breaks the overnight fast that occurs while we sleep, is considered “breakfast”.

Make "Breaking the Fast" a Morning Must!

More Reasons to LOSE THE WEIGHT! According to the American Cancer Society, being overweight or obese likely raises a person’s risk of getting at least 13 types of cancer.

Benefits for children that don't skip this morning meal: •

Better memory

•

Healthier body weight

•

Better attention span

•

Improved overall nutrition

•

Decreased irritability

Try these quick and easy breakfast ideas for your morning meal.

Hard boiled eggs

Obesity negatively affects: »»

The body’s immune system and inflammation

»»

The body’s levels of certain hormones and proteins

»»

Other facts that regulate cell growth

Eliminating just 500 calories per day from your diet will equal a weight loss of 1 pound per week!

Whole grain toast with low-fat cream cheese Greek yogurt with fruit and nuts Fresh sliced fruit Whole grain, high fiber cereal with low-fat milk Source: www.encyclopedia.com and American Academy of Pediatrics (www.aap.org)

ER

MB DECE

The best way to prevent the flu is by getting a flu vaccine each year!

Check out this list of local stops and schedule your shot today!

Keep those hands CLEAN! Washing hands with soap and water is the best defense against bacteria and germs. If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60 percent alcohol.

1.

1 Check with your employer, some businesses offer free flu shots to employees and family members.

2.

2 Covered by the Affordable Care Act – your health insurance will cover your flu shot when given by an in-network provider.

3.

3 Your local Health Department 4 Local businesses including CVS Pharmacy, Kroger Pharmacy, 4.

Walgreens, and your local primary care provider, just to name a few!

5 Visit www.OurHealthLBSS.com for the Flu Vaccine Finder 5. to find a flu clinic near you!

www.OurHealthlbss.com

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Anatomy

the

CHALLENGE

How much do you know about Gestational Diabetes?

1. On average, of pregnant women are diagnosed with gestational diabetes each year.

percent

B:

9.2

C:

percent

3

3. Women with gestational diabetes need A:

20.5%

B:

three times

9.2%

1.8

D:

percent

ten times

4. Which of the following risk(s) are associated with gestational diabetes?

A: Increased likelihood of preterm birth B: Babies born with higher than average birth weight

percent

more insulin.

C:

D:

five times

seven times

6. On average,

5. Which of the following is NOT a risk factor for gestational diabetes?

of pregnant women with gestational diabetes will suffer from diabetes after pregnancy.

C: The baby has increased likelihood of Type 2 diabetes later in life D: Increased likelihood of C section

1.8%

A: Race

E: All of the above

50

A:

7. Which of the following methods are used to treat gestational diabetes?

percent

B: Weight

10

B:

A: Daily blood sugar monitoring

B: Healthy diet and exercise

C: Sex of baby

4. E

5. C

6. B

7. D

Sources: www.diabetes.org and www.mayoclinic.org

D: Family history

percent

1

percent

3. A

D: All of the above

5

C:

D: C: Medication

percent

2. True

20.5

Gestational diabetes is most common in pregnant women twenty-five or older.

1. B

A:

2. True or False:

www.OurHealthlbss.com

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Mean Growing Concern words | TINA JOYCE

The road to motherhood begins long before the birth of the child. Women of different ages and backgrounds sacrifice their bodies, time, and rest to ensure the health of their unborn babies.

There is no shortage of unsolicited advice given by family members and complete strangers to women who are trying to become pregnant or expecting their first children. However, there are many proactive women who are trying to alleviate worry and risk by seeking wise counsel on pregnancy concerns early in the process.

Technology, social media and the abundant available information make having a healthy pregnancy and preparing a mother’s body for the rigorous road ahead seem easier. However, a lingering concern for some women is whether or not they will develop gestational diabetes.

Diabetes is a condition in which the body does not properly process food for use as energy. Most of the food we eat is turned into glucose, or sugar, for our bodies to use as energy. The insulin-producing pancreas makes the hormone to help glucose penetrate the cells of the body; it also helps manage blood sugar levels. When a person has diabetes, the body either doesn’t produce enough insulin or cannot use its own effectively, causing a sugar buildup in the blood.1 There are two types of diabetes, type 1 and type 2. Type 1 diabetes is caused by genetics and other unknown factors; type 2 is caused by genetics and lifestyle.

Pregnant women who have never had diabetes before, but who have high blood glucose (sugar) levels during pregnancy due to not producing enough insulin, are said to have gestational diabetes mellitus, also known as GDM.2

www.OurHealthlbss.com

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SYMPTOMS OF

GESTATIONAL DIABETES MELLITUS (GDM) The symptoms of GDM might be difficult to notice at first, but may include:

Unusual thirst

According to the American Pregnancy Association: Approximately 2-5 percent of pregnant women develop gestational diabetes; this number may increase to 7-9 percent of mothers who are more likely to have risk factors. The screening for this disease usually takes place between the 24th and 28th week of pregnancy. Doctors test for gestational diabetes during this time because the placenta is producing large amounts of hormones that may cause insulin resistance. If the results indicate elevated levels, further testing would be done to confirm a gestational diabetes diagnosis.

During pregnancy, a woman’s body not only makes more hormones – her existing hormone levels change. These changes, in addition to other changes such as weight gain, cause her body to use insulin less effectively, thus increasing the need for more insulin.

William A. Cook III, MD, FACOG of Johnson Health Center in Lynchburg explains, “Most patients are asymptomatic, but some experience excessive thirst, frequent urination, and food cravings (especially sweets).”

Sugar in urine (revealed in a doctor’s check-up)

Dr. Cook continues, “All patients are screened with an initial serum glucose at the onset of pregnancy care and then a one-hour glucose screen at about 28 weeks of pregnancy. If the one-hour glucose screen is abnormal, then a three-hour GTT is done to obtain the diagnosis.”

Although the American Diabetes Association confirms that professionals do not know the exact cause of gestational diabetes, they do offer suggestions to lower the risks for mothers of developing the condition during pregnancy.

Fatigue or nausea (common with many pregnancies)

Women can greatly reduce their risk of developing GDM by improving their daily habits prior to becoming pregnant. Being more active and quitting smoking are two low-cost initiatives that not only improve a woman’s own health, but also the health of her unborn baby.

Simply shedding a few pounds (if a woman is over 20 percent her ideal body weight) prior to becoming pregnant can increase her self-esteem, lower her blood pressure and stress, and decrease her likelihood of developing GDM.

Frequent bladder or vaginal infections

In terms of developing gestational diabetes, “The biggest risks are large babies (fetal macrosomia) and hypoglycemia in the baby after birth. If GDM is severe or poorly controlled, then risk of small babies and an association with stillbirths exists. We monitor our patients very closely with antenatal testing and try to deliver them early (39 weeks) if possible,” explains Dr. Cook.

Larger birth weights may also lead to delivery risks, such as injures to the infant’s shoulders and arms. Additionally, women who develop gestational diabetes have an increased risk of developing type 2 diabetes later in life, as do their children.3 The treatment for patients with gestational diabetes is a collaborative effort between the patient, the obstetrician, possibly a nurse practitioner or midwife, and a dietician. An effective treatment plan always includes a strategic meal plan and routine physical activity.

Blurred vision

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“Most patients return to normal after they deliver, but some may have been diabetic prior to their pregnancy, so all should be checked at their postpartum visit to make sure the concern is resolved. There is definitely a higher risk of developing GDM later

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Women who are at risk of developing

“We treat patients with gestational diabetes first through education and diet modification. Patients are given a glucometer to check their blood sugars. If after diet changes the blood sugars are still elevated, then oral hypoglycemic agents and/or insulin are used to gain blood sugar control.

There is no real way other than trying to be weight conscious to prevent GDM.”

GESTATIONAL DIABETES are those who:

WILLIAM A. COOK III, MD, FACOG is an OB-GYN with Johnson Health Center in

Lynchburg. Dr. Cook is certified by the American Board of Obstetrics & Gynecology.

Are overweight

in life, which may not be preventable. However, good exercise, maintaining a healthy weight, and proper diet can all help keep it from occurring,” reminds Dr. Cook.

A well-balanced diet that includes plenty of fruits and vegetables and lean proteins (such a chicken or fish) combined with moderate exercise will help improve the overall health of any individual. A woman who is looking to improve her own health as well as that of her unborn child should consult her doctor for the steps to implement a safe plan that achieves long-term results. Women going into pregnancy with a healthy lifestyle are more likely to return to a healthy weight after delivery in addition to reducing their risk of developing gestational diabetes.

A pregnant woman’s growing belly is a beautiful gift, but it can also lead to increased worries and concern. By working together with her healthcare team before, during, and after pregnancy, a woman can successfully manage complications that occur during pregnancy, resulting in the birth of a healthy baby.

Have high blood pressure

Have unhealthy cholesterol levels

Expert Contributor: William A. Cook III, MD, FACOG with Johnson Health Center in Lynchburg

Sources: 1

Center for Disease Control and Prevention, www.cdc.gov

2

American Diabetes Association, www.diabetes.org

3

American Pregnancy Association, americanpregnancy.org

According to the American Diabetic Association, a healthy meal plan for people with diabetes (or gestational diabetes) is generally the same as a healthy diet for anyone – one that is low in saturated and trans-fat, moderate in salt and sugar, and includes meals based on lean protein, non-starchy vegetables, whole grains, healthy fats and fruit.

Are related to anyone with diabetes

Smoke

Are physically inactive or have unhealthy eating habits

Diabetic and "dietetic" foods generally offer no special benefit. Most of them still raise blood glucose levels, are usually more expensive, and can also have a laxative effect if they contain sugar alcohols.

Are of Hispanic/Latina, African American, American Indian, Alaskan Native, Asian American or Pacific Islander descent.

ON THE WEB

More at ourhealthlbss.com www.OurHealthlbss.com

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

5

HEALTH TIPS FOR THE

Holidays

words | DEIDRE WILKES

It’s natural to indulge a bit during the holiday season – the trick is not to let it ‘snowball’ out of control and into the New Year. Just a few simple tips can have you ringing in 2017 happy and healthy!

1. Ditch the Scale Weight can fluctuate from day to day – especially when eating certain foods that are common during the holiday season.

Make a pact to put your scale away until well AFTER the holidays have passed and your routine is back to normal.

3. Don’t Sweat the Small Stuff

2. Never Leave the House Hungry During the holidays, there is food, food, everywhere! Whether you’re running errands, shopping for gifts, or out on the town at a party, make sure to eat a healthy snack before you leave. This will keep you from grabbing fast food on the go or overindulging at restaurants or parties. Some great ideas for snacks are carrot or celery sticks, fruit and nuts.

Stress can have a major impact on weight and even trigger emotional eating, so don’t let it get to you! Carve out a few minutes each day for ‘me’ time. Doing anything from meditating to taking a power nap or a bubble bath to listening to soothing music may help you relax during this stressful season.

4. Instant Leftovers Most restaurant portions are much more than a single serving. When your meal arrives, immediately separate the food in half and ask the server for a box.

As soon as the box arrives, place half of your meal in it. You instantly saved both calories and money, as you now have lunch or dinner for the next day!

5. Do the ‘Mall Crawl’ Holiday shopping is often a necessary evil, but you can work it into your fitness routine. After going from store to store, take some time to walk from one end of the mall to the other without stopping. If you shop at a multi-level mall, take the stairs and walk from end to end on each level.

If you’re carrying shopping bags, use them to do some arm curls to help tone your upper body. www.OurHealthlbss.com

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words | STEVE McCLINTIC, JR

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 2016 Best Bedside Manner Awards, presented by OurHealth Lynchburg & 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.

Please join us in congratulating this year’s 9th Annual Best Bedside Manner Award winners.

The Voting Process: During the month of May 2016, the Best Bedside Manner Awards Voting Form was available on OurHealth’s website, www.ourhealthlbss.com. The form consisted of over 40 medical specialties (with definitions of each specialty) in which the public could submit the first and last names of local medical providers by the applicable specialty. If you have any questions, please contact Stephen McClintic Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482.

www.OurHealthlbss.com

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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.

Allergy & Immunology encompasses

FIRST PLACE CHARLES LANE, MD Allergy Partners of Lynchburg Lynchburg | 434.385.8190 www.allergypartners.com

SECOND PLACE SAJU EAPEN, MD Asthma & Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net

THIRD PLACE Patients have a choice in their medical care, so we try to treat the patient as a person and not just someone with a certain condition or disease.

— Charles Lane, MD

ARVIND MADAAN, MD Charlottesville Allergy and Respiratory Enterprises (CARE) Charlottesville | 434.295.ASAP (2727) www.cvilleallergy.com

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.

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

Anesthesiology is the practice of medicine

SECOND PLACE

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FIRST PLACE D. ROBINSON VAUGHN, MD Anesthesia Services of Lynchburg Lynchburg | 434.845.5493 www.asol.md

Thanks so much to my patients for recognizing me with this honor. All members of our group look forward to helping with acute and chronic pain. We hope that by listening and caring as well as diagnosing and treating - we can best provide care for our patients in troubling pain.

— D. Robinson Vaughn, MD

MICHAEL RICHMOND, MD Centra Lynchburg General Hospital Lynchburg | 434.200.3015 www.centrahealth.com

THIRD PLACE KAREN BURNHAM, MD. DABPM, FIPP Anesthesia Services of Lynchburg Lynchburg | 434.845.5493 www.asol.md

HONORABLE MENTION RICK LEE, MD Anesthesia Services of Lynchburg Lynchburg | 434.845.5493 www.asol.md

SECOND PLACE FIRST PLACE KARA MARTIN, AUD Audiology Hearing Aid Associates Lynchburg | 434.528.4245 www.digitalhearing4u.com

From my mom’s example as a home healthcare nurse, I gleaned that there’s always time to get to know a patient on a personal level. Listening and finding out what is important in an individual’s life is the keystone to working through the emotional and complex process of dealing with hearing loss and balance disorders.

— Kara Martin, AuD

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

CAROLE STEPHENS READ, MED, CCC-A, FAA Blue Ridge Ear, Nose and Throat & Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com

THIRD PLACE DANNY W. GNEWIKOW, PHD, FAAA, CCC Audiology Hearing Aid Associates Lynchburg | 434.528.4245 www.digitalhearing4u.com

2016

Best

Cardiology is the branch

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

Bedside Manner

STAMPS OF APPROVAL FIRST PLACE RICHARD KUK, MD Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com

Bedside manner is the heart and soul that compliments the hard science in the medicine that we physicians provide.

Everyone is someone’s parent, child, sibling or partner. And when we treat our patients as such only then are we providing the best medical care possible.

—Richard Kuk, MD

SECOND PLACE MARK TOWNSEND, MD Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com

THIRD PLACE MATTHEW SACKETT Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com

HONORABLE MENTION DONALD HEGLAND, MD Danville Heart and Vascular Clinic Danville | 434.791.3009 | www.dhv.co CHAD HOYT, MD Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.stroobantscardiovascular.com C. MICHAEL VALENTINE Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.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.

FIRST PLACE JAMES WHITE, DC Commonwealth Pain Relief Center Lynchburg | 434.385.4000

The opportunity to make a difference in the life of someone suffering is a very special privilege. Each and every person wants his or her physical concerns and goals addressed skillfully and professionally.

Often knowing someone really cares is a critical part in achieving a successful outcome. Most patients want their health care encounter to be managed by individuals with sympathy and genuine concern, especially regarding how their condition is affecting their happiness, jobs, family and recreation. I am blessed to have a kind and compassionate staff. Every member of my team cares for the heart of each person. They come along side each individual sharing knowledge as well as understanding, love, laughter, hope and encouragement. ­— James White, DC

SECOND PLACE ADAM PALMER, DC, CCIC Palmer Chiropractic Center Inc. Lynchburg | 434.237.2299 www.palmerchiropracticcenter.com

THIRD PLACE LINDA BROWN, DC Brown Chiropractic & Wellness Lynchburg | 434.528.4030 www.lindabrowndc.com

HONORABLE MENTION WILL LIKINS, DC, FASA Chiropractic Care Center Forest | 434.525.4588 www.drlikins.com LARRY MCGLOTHLIN, DC Lynchburg Chiropractic Center Lynchburg | 434.384.1663 www.lynchburgchiropractic.com

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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.

Dentistry | Cosmetic improves

FIRST PLACE

SECOND PLACE

CARRINGTON CRAWFORD, DDS Lynchburg Dental Center Lynchburg | 434.384.7611 www.lynchburgdentist.com

RICHARD OLDHAM, DDS Oldham Aesthetic & General Dentistry Lynchburg | 434.385.6100 www.lynchburgsmiles.com

THIRD PLACE 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

JOHN HOWARD, DDS Central Virginia Family Dentistry Lynchburg | 434.237.0004 www.centralvafamilydentistry.net

Dentistry | General

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

SECOND PLACE FIRST PLACE SHANE CLAIBORNE, DDS Forest | 434.473.7449 www.forestsmiles.com

JEFF RILEY, DDS Riley Dental Associates of Central Virginia Lynchburg | 434.473.6059 www.rileydentalassociates.com

THIRD PLACE GREGORY TOONE, DDS Lynchburg | 434.239.8222 www.toonedental.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

HONORABLE MENTION DAVID RILEY, DDS Patrick M. Todd, DDS & Associates Rustburg | 434.332.5919 www.rustburgdentists.net

treating children from birth through adolescence.

dentistry | Pediatric specializes in

SECOND PLACE

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FIRST PLACE SHANNON SAWYER, DMD Children’s Dental Health of Lynchburg Lynchburg | 434.239.6948 www.cdhlynchburg.com

I feel that good bedside manners are important because people are important and people deserve respect. Patients and their families are entrusting us to provide quality care.

Therefore, we as providers can spend the time to listen and empathize with them.

— Shannon Sawyer, DDS

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

SHEPHERD SITTASON, DDS Children’s Dentistry and Orthodontics of Lynchburg Lynchburg | 434.237.0125 www.smilelynchburg.com

Dermatology is a

specialty focusing on diagnosis and treatment of diseases of the skin.

FIRST PLACE JASON GIVAN, MD, FAAD, FACMS RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com

The most rewarding thing about my work is being able to provide incredibly appreciative patients the option of specialized surgical treatment with a greater than 98 to 99 percent cure rate for the most common types of skin cancer. For the past six years, I have been honored to serve the wonderful patients of Lynchburg and the surrounding communities by providing Mohs skin cancer surgery. — Jason Givan, MD, FAAD, FACMS

SECOND PLACE KAPPA MEADOWS, MD, FAAD Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com

THIRD PLACE SONI CARLTON, MD, FAAD Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com

HONORABLE MENTION CARRIE COBB, MD, FAAD RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com KEITH ROBINSON, DO, MBA Complexions Dermatology Danville | 434.792.0423 www.complexionsdermatology.com

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specialty of providing care for patients requiring prompt medical attention and urgent medical evaluation and treatment.

Emergency Medicine is the

FIRST PLACE

SECOND PLACE

LAURA J. POTTER, MD Centra Emergency Services Group Lynchburg | 434.200.3027 emergency.centrahealth.com

CHRIS THOMSON, MD Centra Emergency Services Group Lynchburg | 434.200.3027 emergency.centrahealth.com

THIRD PLACE Bedside manners mean 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

WILLIAM MOORE, MD Centra Emergency Services Group Lynchburg | 434.200.3027 emergency.centrahealth.com

HONORABLE MENTION ANGELO P. GUANZON, MD Centra Emergency Services Group Lynchburg | 434.200.3027 emergency.centrahealth.com

glands and hormones of the body and their related disorders.

Endocrinology is the study of the

SECOND PLACE FIRST PLACE ALAN KAUPPI, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

JOHN CLORE, MD Centra Medical Group Lynchburg | www.centrahealth.com

THIRD PLACE LISA WISNIEWSKI, 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 Kauppi, MD

Family Practice is the medical specialty

that includes diagnosis and treatment of disease, injury, and illness for patients of any age.

SECOND PLACE

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FIRST PLACE JOHN CARMACK, MD CVFP-New London Forest | 434.534.6868 www.cvfp.net

I try not to take myself too seriously and treat all patients with the same respect regardless of their age, ethnic background, social status or type of insurance they have. I also don’t forget to hug patients on occasion… Because people don’t care how much you know until they know how much you care.

— John Carmack, MD

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

CRAIG PETRY, MD Wyndhurst Family Medicine Lynchburg | 434.237.3664 www.wyndhurstmed.com

THIRD PLACE KIMBERLY COMBS, MD CVFP-Piedmont Lynchburg | 434.846.7374 | www.cvfp.net

HONORABLE MENTION DAVID SMITH, MD Access HealthCare | Forest | 434.316.7199 www.access-healthcare.net LEAH HINKLE, MD CVFP-Forest Forest | 434.525.6964 | www.cvfp.net PETER GIBBS, DO Centra Medical Group – Nationwide Lynchburg | 434.200.3908 www.centrahealth.com

1

Fertility Care or

reproductive endocrinology and infertility (REI) is a subspecialty of obstetrics and gynecology that trains physicians in reproductive medicine addressing hormonal functioning as it pertains to reproduction as well as the issue of infertility.

FIRST PLACE BRUCE BATEMAN, MD Reproductive Medicine and Surgery Center of Virginia, PLC Charlottesville | 434.654.8520 www.rmscva.com

Everyone needs to feel heard and cared for in the conduct of providing effective medical treatment--- whatever the level of care may be. That is the theme of our practice.

— Bruce Bateman, MD

SECOND PLACE DAVID PHEMISTER, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

THIRD PLACE AJITH CHERIAN, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

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

Gastroenterology is the

SECOND PLACE

ROBERT RICHARDS, JR., MD Gastroenterology Associates of Central Virginia Lynchburg | 434.333.0902 www.gastrocentralva.com

CHARLES CATALANO, MD Gastroenterology Associates of Central Virginia Lynchburg | 434.333.0902 www.gastrocentralva.com

It is so much fun to be allowed to interact with patients. That truly is where the real excitement and joy of medicine comes into play.

—Robert Richards, Jr., MD

THIRD PLACE KENNETH MUSANA, MD Gastroenterology Associates of Central Virginia Lynchburg | 434.333.0902 www.gastrocentralva.com

the complex needs of older patients and emphasizes maintaining functional independence even in the presence of chronic diseases.

Geriatrics is a medical specialty that addresses

SECOND PLACE

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

Hematology/Oncology is the diagnosis, 38

FIRST PLACE

FIRST PLACE CHRISTOPHER WEBB, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

I find that taking the time to listen to my patients allows me to give them the best medical care.

— Christopher Webb, MD

VERNA SELLERS, MD Centra Lynchburg General Hospital Lynchburg | 434.200.2674 www.centrahealth.com

THIRD PLACE LOUIS B. GRAHAM, MD CVFP-Timberlake Lynchburg | 434.237.6471 www.cvfp.net

HONORABLE MENTION PATRICIA A. PLETKE, MD Centra Hospice Lynchburg | 434.200.3000 www.centrahealth.com

SECOND PLACE FIRST PLACE EMILY JENKINS, MD Centra Lynchburg Hematology Oncology Lynchburg | 434.200.5925 www.centrahealth.com

DWIGHT OLDHAM, MD Lynchburg Hematology Oncology Lynchburg | 434.200.5925 www.lynchburgoncology.com

THIRD PLACE KEVIN PATEL, MD Lynchburg Hematology Oncology Lynchburg | 434.200.5925 www.lynchburgoncology.com

It’s important for us to be a reassuring and comforting voice for our patients during a very vulnerable time in their lives. It’s not enough to just provide expert cancer care, we also want to provide compassionate care.

— Emily Jenkins, MD

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

1

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

Infectious Disease is the medical

FIRST PLACE

SECOND PLACE

ROBERT BRENNAN, MD, FACS Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

SCOTT WADE, MD, FACS Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

THIRD PLACE Someone once said that “Patients will never care how much you know until they know how much you care.” I try to remind myself of that reflection every day.

— Robert Brennan, MD

“ Patients will never care how much you know until they know how much you care.”

2016

SARAH WEST, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

Best

Bedside Manner

STAMPS OF APPROVAL

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Nephrology is the study of function

and diseases of the kidney and related organs.

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

Internal Medicine is the branch

FIRST PLACE

SECOND PLACE

GEETA RAKHERAM, MD Centra Medical Group - Nationwide Lynchburg | 434.200.3908 www.centrahealth.com

JUAN APONTE, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

I am honored to receive this award. Thank you to all my patients for their confidence, trust and patience with me. Good bedside manners facilitate a trusting relationship which is essential for the delivery of care.

— Geeta Rakheram, MD

THIRD PLACE MICHAEL J. KALAFIAN, MD Centra Medical Group - Nationwide Lynchburg | 434.200.3908 www.centrahealth.com

HONORABLE MENTION SHAWN HAYES, MD Centra Medical Group - Nationwide Lynchburg | 434.200.3908 www.centrahealth.com

SECOND PLACE FIRST PLACE MOHAMMED ASHRAF, MD, FACP, FASN Lynchburg Nephrology Lynchburg | 434.947.3954 www.lynchburgnephrology.com

ASAD EHTESHAM, MD, FACP, FASN Lynchburg Nephrology Lynchburg | 434.947.3954 www.lynchburgnephrology.com

THIRD PLACE FLORENCIO GARCIA JR., MD Southside Urology & Nephrology Danville | 434.792.1433 www.southsidedocs.com

During my first month in clinical rotation at medical school, our professor told us, “Listen to your patients, they are telling you the diagnosis.

There is an ever-growing body of evidence that better physicianpatient communication leads to improved outcomes. Among the interrelated benefits: easier comprehension of medical information, a better sense by the physician of the patient’s needs and expectations, more accurate diagnosis, enhanced patient disclosure, greater compliance with treatment and an increased sense of control on the part of the patient. Even in this era of highly complex technological advancement and Electronic Health Records, good bedside manners remain critical for excellent patient care.

— Mohammed Ashraf, MD, FACP, FASN

The importance of compassion and communication is key in patient care and it starts at the “bedside”.

40

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focuses on the diagnosis and treatment of disorders of the nervous system.

Neurology is the specialty of medicine which

FIRST PLACE

SECOND PLACE

CARL HOEGERL, DO Centra Medical Group Neurology Center Lynchburg | 434.200.3600 www.centrahealth.com

PETER KONIECZNY, MD Centra Medical Group Neurology Center Lynchburg | 434.947.3928 www.centrahealth.com

THIRD PLACE When patients come to me with a complex neurological concern, they are looking for a confident and caring partner to walk with them through their healthcare experience. My job is to help them understand their diagnosis and to reassure them that we will do all we can to get them better.

— Carl Hoegerl, DO

CLAUDIA CORRALES, MD Centra Medical Group Neurology Center Lynchburg | 434.200.3600 www.centrahealth.com

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.

Obstetrics & Gynecology (OB/GYN)

Nurse Practitioner 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.

SECOND PLACE

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FIRST PLACE CARRIE MCKINNEY, FNP Wyndhurst Family Medicine Lynchburg | 434.237.3664 www.wyndhurstmed.com

I am very blessed to be able to work with people in different stages of their life to meet their healthcare needs. Connecting and building relationships with people is the essence of making healthcare a rewarding career. I am honored to have won the bedside award, and hope that I always make a difference for each of my patients.

— Carrie McKinney, FNP

TIFFANY KIDD, PNP Richeson Drive Pediatrics Lynchburg | 434.385.7776 www.richesondrivepediatrics.com

THIRD PLACE VICKIE MOORE, DNP, FNP-C Lynchburg Gynecology Lynchburg | 434.385.7818 www.lynchburggynecology.com

HONORABLE MENTION LARISSA NORMAN, FNP Asthma & Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net MANDY WILKES-HOFFMEISTER, FNP-C RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com

SECOND PLACE FIRST PLACE DAVID PHEMISTER, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

A good bedside manner is just a part of liking what I do and the patients that I meet.

— David Phemister, MD

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

MATTHEW TOMPKINS, MD Lynchburg Gynecology Lynchburg | 434.385.7818 www.centrahealth.com

THIRD PLACE WADE NEIMAN, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

HONORABLE MENTION WILLIAM BROACH, MD OB-GYN Associates Danville | 434.792.7765 www.obgyndanville.com CATHERINE SCHUELLER, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

Ophthalmology is

the medical specialty that treats eye disorders, including injuries, infections, tumors and cataracts.

2016

Best

Bedside Manner

STAMPS OF APPROVAL FIRST PLACE SAXTON MOSS, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

Thank you for this honor. Patient care is the heart of our focus at Piedmont Eye Center. I feel so blessed to be able to serve so many wonderful patients in this community.

— Saxton Moss, MD

SECOND PLACE DAVID HARMAN, MD Harman Eye Center Forest | 434.385.5600 www.harmaneye.com

THIRD PLACE ROBERT VOGEL, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

HONORABLE MENTION DARIN BOWERS, MD Piedmont Eye Center Inc. Lynchburg | 434.947.3984 www.piedmonteye.com ELIZENDA CEBALLOS, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com GOLNAZ JAVEY, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

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Optometry is the specialty where the practitioner is trained and skilled in examining and testing the eyes for defects in order to prescribe corrective lenses or treatment.

Oral Surgery is the dental specialty that is limited to the diagnosis, surgery and treatment of diseases, injuries, deformities and defects of the mouth. concerned with the study and treatment of malocclusions (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships or both.

Orthodontics is the specialty of dentistry that is 44

FIRST PLACE

SECOND PLACE

GARY ST. CLAIR, OD St. Clair Eye Care Lynchburg | 434.239.2800 www.stclair-eye.com

FRANK VILLA, OD Lynchburg | 434.385.8800 www.drfrankvilla.com

I would like to thank all of my patients for showing their confidence and support in selecting me for “Best Bedside Manner” for the category of Optometrists. I feel it is extremely important to establish a relationship with each patient. The more comfortable a patient is with a doctor, the more likely they will abide by the doctor’s treatment plan and recommendations. It also gives the patient a reason to come back which is important for continuity of care. A patient may not remember everything you say or do, but they will always remember how you made them feel.

— Gary St. Clair, OD

THIRD PLACE R. LUKE WAGONER, OD Wagoner Family Eye Care, PLLC Lynchburg | 434.385.0213 www.wagonereye.com

HONORABLE MENTION KRISTY ROBINSON, OD Madison Heights Eye Care Madison Heights | 434.846.7822 www.madisonheightseyecare.com

SECOND PLACE FIRST PLACE WILLIAM CARVAJAL, DDS, MD, FACS Central Virginia Oral and Facial Surgery Lynchburg | 434.832.8040 www.cvofs.net

“I am honored to again be chosen for the best bedside manner award. In today’s busy healthcare world the doctor patient relationship can’t be overlooked. It is the life line of our practice.

— William Carvajal, MD, DDS

RAJ GURAYA, MD, DDS Blue Ridge Oral & Facial Surgery Lynchburg | 434.845.1121

THIRD PLACE MITCHELL MAGID, DMD Mountainview Oral Surgery & Implant Center Lynchburg | 434.316.7111 www.lynchburgoralsurgery.com

HONORABLE MENTION EVAN CHALK, DMD Central Virginia Oral and Facial Surgery Lynchburg | 434.832.8040 www.cvofs.net

SECOND PLACE (TIE) FIRST PLACE JENNIFER CLAIBORNE, DDS Central Virginia Orthodontics Lynchburg | 434.385.GRIN (4746) www.bracesbycvo.com

Bedside manner means treating the patient and not just his or her teeth. I like to try to get to know my patients while they are in braces. We talk about school, sports, work, vacations, etc. I think it helps them feel comfortable and makes my job even more enjoyable. Ultimately it is about treating others how I would want to be treated or how I’d want my children treated. It is about being kind and compassionate while providing a beautiful smile.

— Jennifer Claiborne, DDS

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

MARK BLANCHETTE, DDS, MS Blanchette Orthodontics Lynchburg | 434.846.4014 www.blanchetteortho.com ELENA BLACK, DDS Appalachian Orthodontics of Lynchburg Lynchburg | 434.515.0370 www.lynchburgorthodontics.com

THIRD PLACE ERIC BAUGHER, DDS Central Virginia Orthodontics Lynchburg | 434.385.GRIN (4746) www.bracesbycvo.com

HONORABLE MENTION 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 related to the body's muscles and skeleton, as well as the joints, ligaments, tendons and nerves.

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

FIRST PLACE PETER CAPRISE JR., MD OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

SECOND PLACE MICHAEL DIMINICK, MD OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

THIRD PLACE It is an honor to be recognized by my patients. I am thankful that I get to work in such a wonderful community.

— Peter Caprise Jr., MD

DREW KIERNAN, MD OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

HONORABLE MENTION JOHN PRAHINSKI, MD

OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

SECOND PLACE FIRST PLACE TIMOTHY COURVILLE, MD Blue Ridge Ear, Nose, Throat & Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com

ANDREA KITTRELL, MD Head & Neck Surgery Central Virginia, PC Lynchburg | 434.455.7999 www.hnscv.com

THIRD PLACE SAM MESHKINFAM, DO Blue Ridge Ear, Nose, Throat & Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com

I am honored to be recognized for bedside manner, particularly since all of my peers are both excellent physicians and compassionate people. It is a privilege to provide care for patients.

— Timothy Courville, MD

Pain Management encompasses

pharmacological, non-pharmacological and other approaches to prevent, reduce or stop pain sensations.

SECOND PLACE

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FIRST PLACE ANDREA STUTESMAN, MD Centra Medical Group Physical Medicine & Pain Management Lynchburg | 434.200.4175 www.centrahealth.com

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

— Andrea Stutesman, MD

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

KAREN BURNHAM, MD, DABPM, FIPP Anesthesia Services of Lynchburg Lynchburg | 434.845.5493 www.asol.md

THIRD PLACE ISLAM SALEH, MD Centra Medical Group Physical Medicine & Pain Management Lynchburg | 434.200.4175 www.centrahealth.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.periodontalhealthassociates.com

SECOND PLACE SHERMAN SMOCK, DDS Periodontal Health Associates Lynchburg | 434.455.2444 www.periodontalhealthassociates.com

THIRD PLACE 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

GAVIN AARON, DDS Aaron Periodontics & Dental Implants Lynchburg | 434.316.0080 www.periohub.com

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

SECOND PLACE FIRST PLACE SKYLER MCCURLEY, MD F. Read Hopkins Pediatric Associates, Inc. Lynchburg | 434.237.8886 www.hopkinspediatrics.com

The encounters that I have with families are meant to create long term relationships; I try to treat everyone like a neighbor, or a friend. I am honored to be recognized for building this kind of trust and openness.

— Skyler McCurley, MD

MELODY AILSWORTH, DO Richeson Drive Pediatrics Lynchburg | 434.385.7776 www.richesondrivepediatrics.com

THIRD PLACE JUSTIN MUTCH, MD F. Read Hopkins Pediatric Associates, Inc. Lynchburg | 434.237.8886 www.hopkinspediatrics.com

HONORABLE MENTION RACHEL GAGEN, MD, IBCLC F. Read Hopkins Pediatric Associates, Inc. Lynchburg | 434.237.8886 www.hopkinspediatrics.com ELIZABETH MUMPER, MD, FAAP The Rimland Center for Integrative Medicine Lynchburg | 434.528.9075 www.rimlandcenter.com

experts in the use of medicines.

Pharmacy is the health profession of

SECOND PLACE

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FIRST PLACE H. CHAPMAN BROWN, III, RPH Gretna Drug Gretna | 434.656.1251 www.gretnadrug.com

It is always important to be a patient listener. Many times, by spending time with people and patiently listening we are able to offer to them our best care.

— H. Chapman Brown, III, RPh

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

JODI ETTARE, PHARMD Timberlake Family Pharmacy Lynchburg | 434.237.6338 www.timberlakefamilypharmacy.com

THIRD PLACE ABBY CHANEY, PHARMD Hill City Pharmacy Lynchburg | 434.237.2221 www.hillcitypharmacy.com

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Physical Therapy or physiotherapy, often

abbreviated PT, is the art and science of physical care and rehabilitation.

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

FIRST PLACE SARA ASHLEY MCCOWEN-BOTTERILL, MD OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

SECOND PLACE ANDREA STUTESMAN, MD Centra Medical Group Physical Medicine & Pain Management Center Lynchburg | 434.200.4175 www.centrahealth.com

THIRD PLACE What is routine for us as physicians is not routine for our patients and can be scary. It is important to me to try to ensure that my patients feel that they are well informed about treatment options, comfortable with the plan of care, and cared for as individuals.

I enjoy learning more about my patients other than just meeting their medical needs and helping them feel that we are working towards the same goals.

— Sara Ashley McCowen-Botterill, MD

ISLAM SALEH, MD Centra Medical Group Physical Medicine & Pain Management Center Lynchburg | 434.200.4175 www.centrahealth.com

1 SECOND PLACE

FIRST PLACE ROBIN GLOVER, PT, DPT, ATC Rehab Associates of Central Virginia Appomattox | 434.352.5799 www.racva.com

I believe that excellent bedside manners are the key ingredient in my interactions with patients. It allows me to create an environment that ultimately results in successful outcomes for my patients.

— Robin Glover, PT, DPT, ATC

L A C I S Y H P Y THERAP

VALERIE GRIMES, PT, DPT Centra Rehabilitation – Gretna Medical Center Gretna | 434.656.4607 www.centrahealth.com

THIRD PLACE JOHN WALLMAN, PT, CGFI, CWCHCP Rehab Associates of Central Virginia Lynchburg | 434.528.1848 www.racva.com

HONORABLE MENTION RYAN WEBB, PT, DPT Rehab Associates of Central Virginia Amherst | 434.381.6090 www.racva.com KEVIN COPE, PT, CGFI Rehab Associates of Central Virginia Lynchburg | 434.845.5641 www.racva.com

Physician Assistant is licensed to

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

SECOND PLACE

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FIRST PLACE MARK MACGREGOR, PA-C, MPAS Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com

I think about the cost, hassle, risk, and expected benefit of every treatment plan I prescribe and more importantly; I treat the patient as if they were a family member of mine. It doesn’t make for perfect medicine, but it makes for the best I can offer.

— Mark MacGregor, PA-C

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

ALEXIS CHANTAL, PA-C RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com

THIRD PLACE CLAY SHORTER, PA-C OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

HONORABLE MENTION COLLEEN NAKAMURA, PA Physicians Treatment Center Lynchburg | 434.239.3949 JENNIFER MCCURLEY, PA-C Centra Health Lynchburg | 434.200.6307 www.centrahealth.com

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concerned with reducing scarring or disfigurement that may occur as a result of accidents, birth defects, or treatment for diseases, such as melanoma. the diagnosis, treatment and prevention of diseases of the human foot.

Plastic Surgery is the field of surgery

Podiatry is the branch of medicine that deals with 52

FIRST PLACE HENRY WILSON, MD Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 www.centramedicalgroup.com

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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.

— Henry Wilson, MD

SECOND PLACE TIMOTHY SILVESTER, MD Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 www.centramedicalgroup.com

THIRD PLACE SIMON HATIN, MD Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 www.centramedicalgroup.com

HONORABLE MENTION KEITH PITZER, MD Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 www.centramedicalgroup.com

SECOND PLACE FIRST PLACE MICHAEL OVERFELT, DPM Advance Foot Center Lynchburg | 434.384.0481 www.advancefootcenter.com

SCOT ZINDEL, DPM Associated Podiatry of Central Virginia Lynchburg | 434.385.0707 www.lynchburgpodiatry.com

THIRD PLACE DAVID DETWILER, DPM Forest | 434.525.3045

HONORABLE MENTION 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

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

DAVID G. COX, DPM OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com

SECOND PLACE

MICHAEL JUDD, MD Centra Medical Group Piedmont Psychiatric Center Farmville | 434.200.5999 www.centrahealth.com

EDWARD KUHNLEY, MD Centra Medical Group Piedmont Psychiatric Center Lynchburg | 434.200.5999 www.centrahealth.com

THIRD PLACE 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

MARIA ALMOND, MD Centra Medical Group Piedmont Psychiatric Center Farmville | 434.200.5999 www.centrahealth.com

HONORABLE MENTION PETER BETZ, MD Centra Medical Group Piedmont Psychiatric Center Lynchburg | 434.200.5999

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

FIRST PLACE

www.centrahealth.com

FIRST PLACE BONNIE CURRAN, LPC Thriveworks Lynchburg Lynchburg | 434.528.3263 www.thriveworks.com

I’m very invested in making sure my clients feel comfortable and welcomed. When they leave my office, my hope is that they do not feel alone in their struggles or circumstances. There’s nothing more comforting than feeling truly heard and understood.

— Bonnie Curran, LPC

AARON RUEHLE, EDS, LPC, LMFT Bridges Treatment Center Lynchburg | 434.200.5700 www.centrahealth.com

THIRD PLACE CHUCK RODGERS, MA, LPC, LMFT Wyndhurst Counseling Center Lynchburg | 434.237.2655 www.wyndhurstcounselingcenter.com

HONORABLE MENTION GARY SIBCY, PHD Piedmont Psychiatric Center Lynchburg | 434.200.5999 | www.centrahealth.com FRANK SELDEN, PHD Centra Mental Health Services Lynchburg | 434.200.5999 | www.centrahealth.com

FIRST PLACE ALBERT BAKER, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com

Doctors and patients must work together to develop the best plan of care. While the doctor knows a lot about the science of medicine and is experienced in using it, only the patient knows what’s important to them. Each has to trust the other to be truthful and share that information to develop the best plans. High quality care can only be delivered within a great relationship; a good bedside manner is the important first step.

— Albert Baker, MD

JOHN PLANKEEL, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com

THIRD PLACE JEREMY L. HARDISON, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com

Pulmonary Medicine is a specialty that deals with diseases of the respiratory tract and respiratory disease.

SECOND PLACE

Psychology/Counseling is the branch of medicine that deals wit the diagnosis, treatment and prevention of mental and emotional disorders.

SECOND PLACE

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Radiation Oncology is the specialty for the treatment of cancer patients, using radiation therapy as the main modality of treatment.

FIRST PLACE

SECOND PLACE

ANITA JOY HILLIARD, MD Alan B. Pearson Regional Cancer Center Lynchburg | 434.200.4522 www.centrahealth.com

ANGELA BRADY, MD Alan B. Pearson Regional Cancer Center Lynchburg | 434.200.4522 www.centrahealth.com

I am privileged to care for our cancer patients and know how difficult and overwhelming the diagnosis of cancer can be. I try to explain things in a way that the patient and family can understand all their options for treatment.

— Anita Joy Hilliard, MD

THIRD PLACE MICHAEL O’NEILL, MD Alan B. Pearson Regional Cancer Center Lynchburg | 434.200.4522 www.centrahealth.com

Radiology is a medical specialty that

employs the use of images to both diagnose and treat disease visualized within the human body.

SECOND PLACE FIRST PLACE SEAN HIGGINSON, MD Radiology Consultants of Lynchburg Lynchburg | 434.237.4091 www.lynchburgradiology.com

RICHARD NEWTON, MD Radiology Consultants of Lynchburg Lynchburg | 434.237.4091 www.lynchburgradiology.com

THIRD PLACE TIM HELLEWELL, MD Centra Health Breast Imaging Lynchburg | 434.947.4072 www.centrahealth.com

All of the board certified physicians at Radiology Consultants of Virginia take great pride in providing the most accurate and cutting edge medical image interpretations and interventional procedures for our patients in the central Virginia region.

— Sean Higginson, MD

Sleep Medicine is a medical specialty or

subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders.

SECOND PLACE

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FIRST PLACE JOSEPH KHOURY, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com

Having a good bedside manner is very important on many levels. It lays a foundation for trust between a patient and the physician that can be then built upon over time. This is crucial when difficult problems arise and helps patients feel that their doctor is there for them and will help them make hard choices. A good bedside manner also helps patients feel they can be honest and forthcoming when talking about uncomfortable problems. I appreciate that my patients have recognized me in this way.

— Joseph Khoury, MD

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

CLAUDIA CORRALES, MD Centra Medical Group Neurology Lynchburg | 434.200.3000 www.centrahealth.com

THIRD PLACE MICHAEL MILAM, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.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.

2016

Best

Bedside Manner

STAMPS OF APPROVAL FIRST PLACE OMAR ELKHAMRA, MD OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

Even though the world of healthcare is ever changing, the patients have to remain at the center of it. Every patient that I see, I strive to treat with utmost respect. I do the best that I can to be as friendly and supportive in their moment of need. It’s important to remember that we are here to serve and I just hope to never lose sight of this mission.

— Omar Elkhamra, MD

SECOND PLACE BRADLEY HAUPRICHT, MD CVFP-Liberty Mountain Lynchburg | 434.582.CARE (2273) www.cvfp.net

THIRD PLACE JONATHAN KROME, MD Spectrum Medical Danville | 434.793.4711 www.spectrummed.com

HONORABLE MENTION ANDREW W. PIELECK, DO Centra Medical Group Bedford Bedford | 540.586.7273 www.centrahealth.com

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

Surgery | General is the treatment of

injury, deformity and disease using operative procedures.

Surgery | Cardiac is surgery on the

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

Surgery | Neurosurgery is a surgical 56

FIRST PLACE KENNETH SAUM, MD Centra Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.stroobantscardiovascular.com

Bedside Manner is intrinsic to quality care for patients and goes beyond the clinical. Our patients come to us with heightened anxiety that naturally occurs when facing cardiac surgery.

It is essential to recognize the importance of compassion and communication.

— Kenneth Saum, MD

SECOND PLACE DAVID FRANTZ, MD Centra Cardiothoracic Surgery Lynchburg | 434.200.2212 www.centrahealth.com

THIRD PLACE HOUMAN TAVAF-MOTAMEN, MD Centra Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.stroobantscardiovascular.com

SECOND PLACE FIRST PLACE PETER PLOCH, MD Centra Medical Group Surgical Specialists Lynchburg | 434.200.3901 www.centramedicalgroup.com

“I believe that it is important to have a good relationship with your surgeon. Spending extra time to address concerns and provide education always helps to foster a positive experience.

— Peter Ploch, MD

CLINTON BEVERLY, MD Centra Medical Group Surgical Specialists Lynchburg | 434.200.3933 www.centramedicalgroup.com

THIRD PLACE LUCIUS D. CLAY III, MD Centra Medical Group Surgical Specialists Lynchburg | 434.200.3901 www.centramedicalgroup.com

HONORABLE MENTION ROBERT C. BASS, MD Centra Medical Group Surgical Specialists Lynchburg | 434.200.3901 www.centramedicalgroup.com

GENERAL SURGERY SECOND PLACE

FIRST PLACE MORRIS MCCRARY, MD Centra Medical Group Neurosurgery Center Lynchburg | 434.947.3920 www.cvneuro.com

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

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

GEORGE A. HURT, MD Centra Medical Group Neurosurgery Center Lynchburg | 434.947.3920 www.cvneuro.com

THIRD PLACE THEO MACHINIS, MD The Centra Neuroscience Institute Lynchburg | 434.200.2900 www.centrahealth.com

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JEFFREY WIDMEYER, MD Widmeyer Vein Center Lynchburg | 434.847.LEGS (5347) www.veinhealing.com

SECOND PLACE LAWRENCE POLETTI, MD Centra Medical Group Surgical Specialists Lynchburg | 434.200.3901 www.centramedicalgroup.com

THIRD PLACE For me, good bedside manner comes from truly caring about my patients and enjoying being able to provide excellent care to them.

— Jeff Widmeyer, MD

DAVID CASSADA, MD Centra Medical Group Surgical Specialists Lynchburg | 434.200.3901 www.centramedicalgroup.com

AR VASCUELR SURG Y

FIRST PLACE RONALD FISHER, MD Centra Medical Group Urology Center Lynchburg | 434.200.5297 www.centrahealth.com

Patient care starts with careful listening. This creates, not only a bond with my patients, but ensures that they leave with the right diagnosis and treatment plan.

— Ronald Fisher, MD

ROBERT D. COOK, MD Centra Medical Group Urology Center Lynchburg | 434.200.5297 www.centrahealth.com

THIRD PLACE COREY PASSMAN, MD Centra Medical Group Urology Center Lynchburg | 434.200.5297 www.centrahealth.com

HONORABLE MENTION JOSEPH CARBONE, MD

Southside Urology & Nephrology Danville | 434.792.1433 www.southsidedocs.com

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

SECOND PLACE

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

FIRST PLACE

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ANESTHESIA SERVICES OF LYNCHBURG, INC. SERVICE LOCATIONS: Anesthesia Services of Lynchburg, Inc. 1922 Thomason Drive, Suite D | 434.845.5493 Surgery Center of Lynchburg 2401 Atherholt Road Lynchburg, VA | 434.947.7700 Virginia Baptist Hospital 3300 Rivermont Avenue | 434.200.4631 www.asol.md

SERVICES INTERVENTIONAL PAIN SERVICES Our procedures are image-guided by x-ray or ultrasound.

We offer state-of-the-art sedation and full monitoring for all procedures. We also offer a wide variety of interventional pain procedures, including: »» epidural steroid injections—cervical, thoracic, and lumbar spine »» selective nerve root blocks—cervical, thoracic, and lumbar spine »» medial branch blocks and facet joint injections—cervical, thoracic, and lumbar spine »» radiofrequency ablation for facet joint pain—cervical, thoracic, and lumbar spine

WHAT SETS US APART All Anesthesia Services of Lynchburg physicians who provide interventional pain services are board-certified anesthesiologists with extensive training in image guidance for the accurate placement of medications. We are experts in the pharmacology of the medications used, in selecting the appropriate techniques, and in conducting safe monitoring practices for all types of patients. The physicians of Anesthesia Services of Lynchburg have more than 70 cumulative years of clinical experience to draw on. We safely provide thousands of these procedures every year with excellent results.

»» lumbar sympathetic blocks »» hip joint and bursa injections with fluoroscopic guidance »» genicular nerve block and ablation for chronic knee pain due to arthritis

ANESTHESIA SERVICES The anesthesia services at The Surgery Center of Lynchburg cover outpatient procedures for urology, orthopedics, ENT, gynecology, and general surgery.

Anesthesia Services of Lynchburg is a trusted care provider at Virginia Baptist Hospital. We offer anesthesia services for 24hour in-house coverage for labor and delivery, minimally invasive and laser surgeries, and a host of other more complex surgeries.

ANESTHESIA SERVICES OF LYNCHBURG IS A GROUP OF ANESTHESIOLOGISTS WHO ARE DEDICATED TO PROVIDING EXCELLENT SERVICE AND QUALITY CARE IN PAIN MANAGEMENT AND ANESTHESIA. 58

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CVFP MEDICAL GROUP SERVICE LOCATIONS: APPOMATTOX | 434.352.8235 FOREST | 434.525.6964 LIBERTY MOUNTAIN | 434.582.2273 MONELISON | 434.846.8421

WHAT DOES THE FUTURE HOLD?

NEW LONDON | 434.534.6868 PIEDMONT | 434.846.7374

CVFP Medical Group has selected to partner with Privia Medical Group, one of the largest clinically integrated, high-performance networks in the nation, to enhance their mission to both provide and support quality-driven, cost effective healthcare that is reliable and patient-centered.

This partnership will allow CVFP to combine their primary care expertise with Privia’s extensive skills and resources in technology, care coordination, and performance management to improve care for patients. Together, CVFP and Privia will work to develop a more effective healthcare delivery system in the Lynchburg, market, one that supports physicians and enables higher quality and more comprehensive care to the patients they serve.

RUSTBURG | 434.332.7367 STAUNTON RIVER | 434.324.9150 TIMBERLAKE | 434.237.6471

IMMEDIATE CARE LOCATIONS AIRPORT PLAZA | 434.239.0132 LAKESIDE DRIVE | 434.845.4175 MADISON HEIGHTS | 434.338.7780 www.cvfp.net f @CVFPmedicalgroup

SERVICES AND PROCEDURES We offer wellness and prevention services, immunizations, routine physical exams, disease management, pregnancy services, pediatric services, wellness counseling, family planning, no-scalpel vasectomies, and diagnostic services.

OUR MISSION Our mission is to serve our patients and community by practicing the highest-quality medical care with the greatest degree of unity and offering the best value to the patient while also creating an engaged team environment that is dedicated to enhancing the patient experience.

NEED CARE NOW? You don’t have to wait for an appointment. You can visit CVFP Immediate Care 7-days-a-week without an appointment for illnesses, injuries, and most of your other medical needs. You do not need to be a CVFP Medical Group patient to be seen at our Immediate Care offices. We will coordinate your care with your primary provider so that they are aware of your visit.

IMMEDIATE CARE LOCATIONS AIRPORT PLAZA | 434.239.0132

MADISON HEIGHTS | 434.338.7780

LAKESIDE DRIVE | 434.845.4175

CVFP MEDICAL GROUP OFFERS CARE FOR INFANTS TO ELDERS AT NINE PRIMARY CARE LOCATIONS THROUGHOUT CENTRAL VIRGINIA! WE ARE ACCEPTING NEW PATIENTS AT MANY OF OUR LOCATIONS. PLEASE CONTACT A PRACTICE NEAR YOU FOR INFORMATION ON BECOMING A PATIENT.

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John Pinch, DDS William Carvajal, DDS, MD, FACS and Evan C. Chalk, DMD

CENTRAL VIRGINIA ORAL & FACIAL SURGERY OFFERS A COMPREHENSIVE RANGE OF SURGICAL AND ANESTHESIA SERVICES THAT ARE DESIGNED TO REDUCE PAIN, IMPROVE QUALITY OF LIFE, EASE FEARS, RESTORE CONFIDENCE AND HELP YOU SMILE AGAIN.

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CENTRAL VIRGINIA ORAL & FACIAL SURGERY

GETTING TO KNOW US LYNCHBURG 101 Archway Ct. Lynchburg, VA 24502 T: 434.832.8040

F: 434.832.8041

FARMVILLE 1509 W. Third Street Suite 203 Farmville, VA 23901 T: 434.394.2329 F: 434.394.2330

www.CVOFS.net | find us on f facebook Central Virginia Oral & Facial Surgery offers state-of-theart technology that allows us to provide the best possible care to our patients. Our electronic records facilitate easy communication between providers and offices, and our digital x-rays allow us to perform better diagnoses with less radiation exposure. We also offer an on-site CT scanner that allows 3-D imaging, planning and CT guided procedures.

SERVICES AND PROCEDURES We offer a wide range of anesthesia services that are designed to make your surgery as pleasant as possible. Our doctors, nurses and staff are highly trained in anesthesia; from light sedation to general anesthesia, your comfort and safety are our top priorities.

WHAT OUR PATIENTS ARE SAYING “The staff at Central Virginia Oral & Facial Surgery are accommodating, efficient and understanding. There is a high level of professionalism, but never in a cold, clinical way. Everyone is warm and welcoming, and they performed my wisdom tooth extraction swiftly and seamlessly. Thank you so much for taking care of me!” — Lynchburg Patient

ABOUT DR. CARVAJAL William Carvajal, DDS, MD, FACS, a Louisiana native, attended Louisiana State University for undergraduate studies and received a doctorate in Dental Surgery in 1995 from the Louisiana State University School of Dentistry. He then attended the Medical College of Virginia in Richmond, where he completed his specialty training in oral and maxillofacial surgery and earned his Doctorate of Medicine in 2001. Dr. Carvajal completed a one-year general surgery internship in the Carilion Clinic in 2002. He founded Central Virginia Oral & Facial Surgery in 2003.

ABOUT DR. PINCH John D. Pinch, DDS, MS, a Richmond native, attended undergraduate and graduate school at the University of Richmond. He received his doctorate in Dental Surgery from the Medical College of Virginia. He then completed a general practice residency at the University of Virginia and obtained his oral and maxillofacial surgery training at the Medical University of South Carolina. He is a board-certified diplomate of the American Association of Oral and Maxillofacial Surgeons. Dr. Pinch sees patients for oral and maxillofacial surgery, implants, and dentoalveolar surgery.

ABOUT DR. CHALK Evan C. Chalk, DMD, a native of Doylestown, Pennsylvania, attended the University of Richmond for his undergraduate studies and received his doctorate of dental medicine in 2008 from the Temple University School of Dentistry. He graduated summa cum laude from Temple and was inducted into the Omicron Kappa Upsilon Dental Honor Society. He completed his specialty training in oral and maxillofacial surgery at the University of North Carolina at Chapel Hill in 2012. He joined Central Virginia Oral & Facial Surgery in 2014.

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CENTRAL VIRGINIA ORTHODONTICS

7802 Timberlake Road | Lynchburg VA, 24502 434.385.GRIN (4746) | www.bracesbycvo.com

SERVICES 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. Dr. Eric Baugher and Dr. Jennifer Claiborne lead our dedicated team.

WHY ORTHODONTICS? 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 for a lifetime.

KIDS AND ADULTS At Central Virginia Orthodontics, not only do we provide families with the highest caliber of service, our state-of-the-art practice offers treatments ranging from traditional metal braces to the newest technologies such as Invisalign, clear braces and selfligating braces. We excel in creating beautiful, healthy smiles for patients of all ages. In fact, approximately 20 percent of our patients are adults.

WHY IS AGE 7 CONSIDERED THE OPTIMAL TIME FOR SCREENING? By the age of 7, the first adult molars erupt, establishing the back bite. During this time, an orthodontist can evaluate frontto-back and side-to-side tooth relationships. For example, the presence of erupting incisors can indicate possible overbite, open bite, crowding or gummy smiles. Timely screening increases the chances for an incredible smile.

FREE CONSULTATION! 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!

*Phytography by Liz Cook Phytography

WHETHER YOU’RE AN ADULT, TEEN OR CHILD, OUR KNOWLEDGEABLE TEAM IS COMMITTED TO HELPING YOU ACHIEVE THE SMILE YOU DESERVE - A HEALTHY, BEAUTIFUL ONE! 62

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FOREST SMILES Shane R. Claiborne, DDS 16862 Forest Road | Forest | 434.473.7449 www.ForestSmiles.com | f @ForestSmiles

SERVICES AND PROCEDURES »» General cleaning and preventative care »» Cosmetic dentistry, including implants, crowns, bridges, veneers, and whitening »» Periodontal (gum) disease treatment and management »» Restorations »» Root canal treatment »» Dental emergencies

BE PROACTIVE! Oral health is very important. Ignoring preventative dental care can have a negative impact on 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 develop a treatment plan that offers the best options for each individual patient.

SEDATION DENTISTRY: It is not unusual for people to feel fear when they need to visit a dentist. However, there are some people who experience panic attacks and intense anxiety during these visits. These are the situations where sedation dentistry can help. This specific type of dentistry relies on the use of anesthesia or special pharmaceutical drugs during the dental treatment in order to calm and relax the patient. Forest Smiles offers three types of sedation, from the lightest form (nitrous oxide) to the moderate form (IV sedation).

SHARED TIP Please continue to floss! Flossing is a low-risk, potentially high-reward act that can decrease cavities and gum disease.

You simply can’t remove plaque between your teeth using a toothbrush.

TESTIMONY “My dental implant experiences exceeded my expectations. Dr. Claiborne provided a thorough examination, then took the time to explain what needed to be done, how he would proceed with the process, and the length of time involved for the implants. He gives his patients the opportunity to ask questions.” – Irene C.

BEFORE & AFTER

Before and after photos showing full mouth rehabilitation of severely worn and broken teeth. With the help of great lab work, Dr. Claiborne was able to restore function and aesthetics.

FOREST SMILES IS COMMITTED TO USING THE LATEST TREATMENTS AND EDUCATING PATIENTS SO THAT THEY CAN PROUDLY DISPLAY THEIR SMILES.

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GRETNA DRUG SERVICE LOCATION: 108 Vaden Drive | Gretna, VA 434.656.1251 | 800.462.5958 www.gretnadrug.com | find us on f facebook

SERVICES AND PROCEDURES Gretna Drug is a traditional retail pharmacy that has offered 50 years of service as a local, family-owned pharmacy. Gretna Drug, a service-oriented pharmacy, offers home delivery and difficult-to-find items along with home health supplies.

WHAT IS MOST REWARDING ABOUT YOUR WORK? The most rewarding part of being associated with Gretna Drug is seeing positive outcomes throughout your pharmacy care.

We enjoy seeing our patients satisfied and able to live more comfortable and healthy lives.

WHAT DOES THE FUTURE HOLD? We envision the ability to offer medicine synchronization and medication therapy management as ways to deliver efficiency to our patients’ drug regimens.

WHAT IS UNIQUE ABOUT YOUR SERVICES? Unique to Gretna Drug is its ability to offer a vast line of prescription products and yet also give our patients the individual attention they deserve.

SHARED TIP As a pharmacist, the best advice we can offer is to always ask questions if you’re unsure about your medications or treatments. At Gretna Drug, our pharmacists and staff will listen to your concerns. Being a good listener is an important facet of being a great provider. If your provider will not listen to you, perhaps it’s time to seek another.

WHY US? H. Chapman Brown, III BS Pharm, RPh, is a second-generation pharmacist in the family pharmacy business. We take our patients’ welfare seriously and want to do our part to help our patients maintain healthy lives.

CAREER MILESTONES Our company president has been licensed for 60 years and still takes part in the family pharmacy operation. Also, each pharmacist at Gretna Drug is a licensed immunizer with additional advanced training.

WE ARE OPEN 7 DAYS A WEEK AND ANYTIME OUR SERVICES ARE NEEDED! 64

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INSIGHT IMAGING 2923 Franklin Road | Roanoke | 540.581.0882 www.mycdi.com/Roanoke HOURS: Mon-Fri | 8am – 5:30pm, MRI: 8am – 8pm Sat | 8am – 1pm, MRI: 8am – 4pm SERVICES PROVIDED: high-field MRI, high-field open MRI, CT, injections for pain, ultrasound, X-ray

Q&A I’M CLAUSTROPHOBIC, WHAT ARE MY OPTIONS? Ask for the high-field open MRI. At Insight Imaging, our high-field open MRI provides comfort and high-quality images, even for those who are claustrophobic, anxious or larger in size. With 270 degrees of unobstructed views, the open MRI provides you with a spacious MRI and your doctor with the high-quality images they need to guide your care. With two way communication throughout your entire scan, our experienced technologists are here for you every step of the way.

I WAS SEEN AT A HOSPITAL, CAN I COME TO INSIGHT IMAGING? Yes, all patients have a choice when it comes to their healthcare and where they go. In fact, even if you are seen by a doctor at the hospital, you do not need to have your imaging done at that hospital. It is your choice as a patient where you go, even if your doctor recommends a facility. Not all imaging facilities are the same. At Insight Imaging in Roanoke, we cost 30-50 percent less than hospital-affiliated imaging providers. To learn more about Insight Imaging, visit myCDI.com/Roanoke.

WHY CHOOSE INSIGHT IMAGING? At Insight Imaging in Roanoke, we understand that when your health is in question, you want answers. That is why we offer evening and weekend hours, including same-day appointments when needed. Our associates are here to answer any insurance questions and are also able to give you a personalized price quote before your appointment. When you need answers, look to the experts at Insight Imaging.

Robert F. O’Brien, MD and James D. Matthews, MD.

WHAT OUR PATIENTS ARE SAYING “I was very pleased with the complete procedural explanation as well as the prompt service. What a great team you have.”

– Roanoke patient

SHARED TIP It can be a challenge to add another appointment to your calendar, which is why Insight Imaging in Roanoke provides walk-in services for CT. Walk-in at your convenience and receive the care you need.

AT INSIGHT IMAGING IN ROANOKE OUR FOCUS ON MEDICAL IMAGING DRIVES ADVANCEMENTS IN QUALITY AND PATIENT CARE. f @CenterforDiagnosticImaging | t @myCDI | l Center for Diagnostic Imaging g Center for Diagnostic Imaging | y Center for Diagnostic Imaging

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LYNCHBURG DENTAL

CELEBRATING 41 YEARS and Consecutive Best Bedside Manner Awards!

3719 Old Forest Road Lynchburg | 434.384.7611 www.lynchburgdentist.com

f @LynchburgDentalCenter

SERVICES AND PROCEDURES 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.

WHAT SETS THEM APART As dental technology improves and evolves, so have the services offered at Lynchburg Dental Center. Their growing team offers comprehensive dental care in a comfortable, technologically advanced environment.

Lynchburg Dental Center is experienced in sophisticated, cosmetic and restorative procedures. Specifically, they perform same-day crown procedures with the use of state-ofthe art CAD/CAM technology, offering patients the ultimate convenience. Also, advanced restorative procedures such as implants give Lynchburg Dental Center patients another opportunity to greatly improve their smiles.

WHAT ARE DENTAL IMPLANTS? Dental implants provide permanent tooth replacement solutions. A patient may have one tooth replaced or several, depending on their individual needs. The implants look and feel like real teeth. Since they are designed to fuse with bone, implants are an option to permanently improve a patient’s appearance, speech, comfort and overall oral health.

OFF THE CLOCK Lynchburg Dental Center has been a consistent supporter of the greater Lynchburg community for many years by providing services at the Free Clinic of Central Virginia and sponsorship of various community events and activities. Also, LDC is the official sponsor of the Hillcats Kids Club, sponsoring toothbrush give-aways to educate families on the importance of routine dental care.

WHAT OUR PATIENTS ARE SAYING “Dr. Crawford is excellent! My hygienist also did an outstanding job and never hurt my gums once! And while she was cleaning my teeth, the chair massaged me! How relaxing and cool is that?!”

— Lynchburg patient “I was so grateful that I could be seen the same day that I called. I had been in so much pain and was glad to have my tooth extracted that day! Dr. Lentz is the greatest!”

— Stephen M., patient

“OUR TEAM IS VERY HIGHLY TRAINED AND EXPERIENCED. WE CONTINUOUSLY FURTHER OUR EDUCATION TO BRING OUR PATIENTS THE LATEST ADVANCEMENTS AND TO PROVIDE MAXIMUM COMFORT.” — CARRINGTON CRAWFORD, DDS

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RIDGEVIEW DERMATOLOGY Jason D. Givan, MD, FAAD, FACMS

WHAT IS UNIQUE ABOUT YOUR PRACTICE?

Proudly Serving Central and Southwest Virginia

SERVICE LOCATIONS: 101 Candlewood Court | Lynchburg | 434.363.4190 278 Westlake Road | Smith Mtn. Lake | 540.759.7500 300 Enterprise Drive, Suite E | Forest | 434.333.7370 www.RidgeViewDermatology.com

SERVICES AND PROCEDURES »» Mohs Skin Cancer Surgery »» Comprehensive General Dermatology, including complete skin exams and cancer screenings and treatment of complex skin conditions and rashes »» Pediatric and Adolescent Dermatology, provided by Lynchburg’s only board-certified Pediatric Dermatologist »» Full-spectrum Aesthetic Dermatology, including CoolSculpting, miraDry, injectables such as Botox and dermal fillers, chemical peels, and much more!

WHAT IS MOST REWARDING ABOUT YOUR WORK? The most rewarding aspect of my work is meeting a patient with a new diagnosis of skin cancer, speaking with them about their diagnosis and treatment options, and being able to provide specialized treatment with a greater than 98-99 percent cure rate for the most common types of skin cancer.

A major factor that sets RidgeView Dermatology apart is the comprehensive care that we are able to offer, since our providers are board-certified and fellowship-trained in General Dermatology, Mohs Skin Cancer Surgery, and Pediatric and Adolescent Dermatology.

SHARED TIP To every patient I see, I recommend the daily use of a broadspectrum sunscreen with coverage for UVA/UVB rays of SPF 30 or higher. It is a common misconception that sunscreen only needs to be worn when a patient will be spending time outside on a hot, sunny day. In fact, many of the sun’s most harmful rays reach the earth consistently year-round, coming through clouds and windows. Daily sunscreen use protects against cumulative UV radiation exposure and monumentally decreases the risk of developing skin cancers and the aging effects of the sun.

CAREER MILESTONES Following his dermatology residency training, Dr. Jason Givan completed a specialty fellowship in Mohs Skin Cancer Surgery & Cutaneous Oncology at the University of Massachusetts. In 2011, he brought this specialized surgical procedure to Lynchburg. After his arrival, patients no longer needed to travel long distances to have access to this highly effective skin cancer treatment. Most recently, Dr. Givan has begun providing this advanced surgical care at RidgeView Dermatology’s Smith Mountain Lake office, so he now serves patients in an even greater geographical area.

WHAT DOES THE FUTURE HOLD? Our goal for the future of RidgeView Dermatology is to continue to provide exceptional care while expanding to meet the needs of Lynchburg and other communities in the region

OUR MISSION AT RIDGEVIEW DERMATOLOGY IS TO PROVIDE TIMELY ACCESS TO EXCELLENT, FULL-SPECTRUM DERMATOLOGIC CARE.

www.OurHealthlbss.com

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ST. CLAIR EYE CARE

SERVICE LOCATIONS: 20838A TIMBERLAKE ROAD | 434.239.2800 2514 LANGHORNE ROAD | 434.845.6086 SHOPPES OF APPOMATTOX, RICHMOND HWY 434.352.5908 www.stclair-eye.com | f

SERVICES AND PROCEDURES St. Clair Eye Care is a full service, privately owned, professionally operated optometric eye care facility.

The examinations performed here 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 also offer treatment for diseases that include glaucoma, pink eye, iritis, foreign body removal, ocular trauma, dry eyes, etc.

Each of the St. Clair Eye Care locations house optical galleries that provide new high-definition lenses, no-line progressive bifocals, no-glare lenses, transitions, and ultra-thin design. We have a wide selection of frames to fit every budget, and our designer eyewear offerings include: Calloway, COACH, Dolce & Gabbana, Gucci, Guess, Kate Spade, Michael Kors, Oakley, PRADA, Ray Ban, Ted Baker, and many more.

The providers at St. Clair Eye Care fit all types of contact lenses for daily wear, extended wear, astigmatism, multifocal designs, gas permeables for keratoconus, and any others to meet your needs.

WE RESPECTFULLY MEET AND EXCEED OUR PATIENTS’ VISION AND EYE HEALTH NEEDS THROUGH HONESTY, INTEGRITY, QUALITY, DEDICATION, COMMUNICATION, AND EDUCATION.

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WHAT SETS US APART? St. Clair Eye Care has been in this area for more than 36 years.

We have grown to three (3) convenient locations with five (5) doctors of optometry. We pride ourselves on giving each patient the time and attention needed to solve their individual ocular problems. Our high patient retention has allowed us to grow to this level. Our motto is that our patients may forget what we say or what we do, but they will never forget the way we make them feel.

TIMBERLAKE FAMILY PHARMACY

SERVICE LOCATIONS: Timberlake Family Pharmacy 20276 Timberlake Road, Suite A | Lynchburg 434.237.MEDS (6337)

ASK U

BIO-IDESNABOUT HOR TICAL REPLACMEONE ENT THERAM PY (BH RT)!

Rustburg Family Pharmacy 925 Village Hwy, Suite 2 | Rustburg 434.332.1730 www.TimberlakePharmacy.net | find us on f facebook

SERVICES Lynchburg’s only accredited compounding pharmacy

FROM THE BEGINNING For the Ettare’s, a big-box, chain pharmacy would not allow them sufficient time to connect the dots between the patient’s needs, the prescriber, and the cost of medications. That’s the mantra that inspired Drs. Vince and Jodi Ettare to open their first family pharmacy in 2007, followed by Rustburg Family Pharmacy in 2009, and the recently opened, Timberlake Family Pharmacy in 2016. Together with fellow pharmacist, co-owner, Ed Breslow, the Ettares hope to serve the community with trusted compounding pharmacy services and the hometown comforts of a family run business.

WHAT IS A COMPOUNDING PHARMACY? Pharmacy compounding is the art and science of combining, mixing, or altering the ingredients of a drug to create a medication that is tailored specifically to the needs of an individual patient. Compounded medications are made based on a provider’s prescription with individual ingredients being mixed together in the exact strength and dosage required by the patient.

WHAT IS PATIENT COMPLIANCE PACKAGING? Timberlake Family Pharmacy offers patients compliance packaging to help eliminate prescription confusion. The pharmacists at Timberlake study the patient’s daily medication regimen and place pills in bubble packs, clearly labeled with when each medication is supposed to be taken.

MORE THAN A PHARMACY! Not only is Timberlake Pharmacy the place to fill your prescription, you can also watch the process in action through the windows to the lab. Additionally, the pharmacy offers a convenient drive-thru and delivery service to the Lynchburg area. Finally, Timberlake Pharmacy also offers a full-service vintage soda fountain and hosts a broad line of natural and organic supplements, skin care, and makeup including BareMinerals.

PHARMACIST OWNED AND OPERATED | FREE SHIPPING AND DELIVERY VINTAGE 1940’S SODA FOUNTAIN www.OurHealthlbss.com

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Tricia Foley’s

TRADITIONAL CORNBREAD DRESSING

REGULAR INGREDIENTS: (serves 10) ½ ½ ½ 6 1 ½ 4

2 2 2-4

cup butter cup celery, chopped cup onion, chopped cups cornbread, crumbled teaspoon sage teaspoon black pepper cans (14 ounce) chicken broth (not the condensed variety) eggs, beaten eggs, boiled and then chopped cups herb stuffing mix

SWAP INGREDIENTS: (serves 10) SWAP FOR

SWAP FOR

SWAP FOR SWAP FOR SWAP FOR SWAP FOR

DIRECTIONS

Heat oven to 450 degrees. Lightly grease a 13 x 9 x 2 inch baking dish. Add butter to skillet and allow to melt; sauté celery and onion until tender, approximately 3 minutes. In large mixing bowl, mix cornbread, bread, celery, onions, sage and black pepper. Whisk broth and beaten eggs into cornbread mixture; blend well. Stir in chopped boiled eggs.

Pour mixture into prepared baking dish and bake for 30 minutes or until golden brown.

¼ ½ ½ 3 1 ½ 4

2 2 2 3 1/3 1 1 1 2

cup clarified butter cup celery, chopped cup onion, chopped cups cornbread, crumbled teaspoon sage teaspoon black pepper cans (14-ounce) low-sodium chicken broth (not the condensed variety) farm-fresh eggs, beaten farm-fresh eggs, boiled and then chopped slices 100% whole wheat bread, crumbled slices toasted 100% whole wheat bread, pulverized cup finely chopped fresh flat-leaf parsley teaspoon finely chopped fresh sage teaspoon finely chopped fresh thyme teaspoon marjoram tablespoons olive oil

DIRECTIONS

(per serving): 405 calories, 19 grams fat, 8.3 grams saturated fat, 45.2 grams carbohydrates, 4 grams fiber, 4 grams sugar, 1029 milligrams sodium, 11.1 grams protein.

Heat oven to 450 degrees. Lightly grease a 13 x 9 x 2 inch baking dish. Add olive oil to skillet; sauté celery and onion until tender (approximately 3 minutes), then pour melted butter over vegetables.

In large mixing bowl, mix in cornbread, bread, pulverized toast, celery, onions, herbs and black pepper. Whisk broth and beaten eggs into the mixture; blend well. Stir in the chopped boiled eggs. Pour mixture into prepared baking dish and bake for 30 minutes or until golden brown.

Sources: www.food.com & www.cleaneatingmag.com

NUTRITION (per serving): 236 calories, 12.9 grams fat, 4.6 grams

NUTRITION

70

saturated fat, 19.3 grams carbohydrates, 2 grams fiber, 2 grams sugar, 260 mg sodium, 9.5 grams protein.

Tricia Foley’s

SPICY SPAGHETTI SQUASH LATKES REGULAR INGREDIENTS: (serves 8) ½ ¼ 1 ¼ ¼

pound potatoes cup finely chopped onion small egg, lightly beaten teaspoon salt cup vegetable oil

SWAP INGREDIENTS: (serves 8) SWAP FOR

SWAP FOR SWAP FOR

DIRECTIONS

Heat oven to 250 degrees. Peel potatoes and coarsely grate, then place in a large bowl of cold water. Soak potatoes for 1 to 2 minutes after you finish the grating, then drain them well in a colander. Spread potatoes and onion on a kitchen towel and roll them it up, twisting towel tightly to remove as much liquid as possible. Transfer mixture to a bowl and stir in egg and salt. Heat ¼ cup oil in a 12-inch nonstick skillet over medium high heat. Working in batches of four latkes, spoon 2 tablespoons potato mixture per latke into skillet, spreading into 3-inch rounds with a fork. Reduce heat to medium and cook until undersides are browned, about 5 minutes. Flip latkes over and cook until both sides are browned, about 5 minutes more. Transfer to paper towels to drain and season with salt. Add more oil to skillet as needed. Keep latkes warm on a wire rack set in a shallow baking pan in the oven.

NUTRITION

(per serving): 94 calories, 3.45 grams fat, 1.45 grams saturated fat, 42 mg sodium, 10 grams carbohydrates, 3 grams fiber, 6 grams natural sugar, 2.25 grams protein.

Source: www.epicurious.com

1 1 1

1 ½ 2 2

medium spaghetti squash small yellow onion, diced egg salt and pepper to taste olive oil spray small jalapeño with the seeds removed, diced tablespoon coconut oil tablespoons almond flour tablespoons fresh parsley, chopped

DIRECTIONS Heat oven to 400 degrees. Cut the spaghetti squash in half lengthwise and remove seeds. Season with salt and pepper. Roast in the oven, cut-side up for 40 minutes or until tender. Set aside. In a medium skillet, sauté the onion and jalapeño over medium heat in ½ tablespoon coconut oil until softened. Meanwhile, scrape out the cooked spaghetti squash from its skin and combine the squash, egg, almond flour and parsley in a large bowl. Once onion and jalapeno are tender, add them to the squash mixture. Using a spoon, scoop a generous amount of the squash mixture into your hands and form into patties (will make about 16 patties). Lightly flatten. Make sure you shape all of your patties before heating the pan. Using the same skillet as before, generously apply olive oil spray to the entire pan, then place four to five patties on the skillet and allow to brown on both sides (about 2 minutes on each side). Carefully transfer latke onto a paper towel-lined cooling rack and repeat until all patties are cooked. Top with parsley as desired.

NUTRITION (per serving): 94 calories, 3.45 grams fat, 1.45 grams saturated fat, 42 mg sodium, 10 grams carbohydrates, 3 grams fiber, 6 grams natural sugar, 2.25 grams protein. www.OurHealthlbss.com

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Tricia Foley’s

WHOLE WHEAT TURKEY POTSTICKERS REGULAR INGREDIENTS: (serves 8) 3 ½ ¼ 2 1 2 1 2 ½ ¼ 1 1/3 1 40

tablespoons vegetable oil, for frying pound ground pork cup finely chopped scallions tablespoons finely chopped red bell pepper egg, lightly beaten teaspoons ketchup teaspoon yellow mustard teaspoons Worcestershire sauce teaspoon kosher salt teaspoon cayenne pepper cups chicken stock, divided teaspoon light brown sugar small wonton wrappers Water, for sealing wontons

SWAP INGREDIENTS: (serves 8) POTSTICKER FILLING

SWAP FOR

½ ¼ 2 1 2 1 2 ½ ¼ 1 1/3

SWAP FOR

WONTONS

SWAP FOR

Sources: www.foodnetwork.com & www.cleaneatingmagazine.com

DIRECTIONS

Heat oven to 200 degrees. Combine the first 11 ingredients in a medium-size mixing bowl. Set aside. To form the dumplings, remove one wonton wrapper from the package, covering the others with a damp cloth. Brush two of the wrapper’s edges lightly with water. Place a half teaspoon of the pork mixture in the center of the wrapper. Fold over, sealing the edges. Set on a sheet pan and cover with a damp cloth. Repeat until all of the filling is gone. Heat a 12-inch sauté pan over medium heat.

Brush with vegetable oil once hot. Add 8 to 10 pot stickers at a time to the pan and cook for 2 minutes. Remove wontons to a heatproof platter and place in the warm oven. Clean the pan between batches by pouring in water and allowing the pan to deglaze. Repeat until all wontons are cooked.

Serve immediately.

NUTRITION (per serving): 239.6 calories, 12.3 grams fat, 2.1 grams saturated fat, 24.3 grams carbohydrates, 0 grams sugar, 0 grams fiber, 10.4 grams protein, 401.75 mg sodium.

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3 3 6

pound lean ground turkey cup finely chopped scallions tablespoon finely chopped red bell pepper egg, lightly beaten teaspoons ketchup teaspoon yellow mustard teaspoons Worcestershire sauce teaspoon kosher salt teaspoon cayenne pepper cups low-sodium chicken stock, divided

cups whole-wheat flour small eggs (or 1 1/2 large eggs) tablespoons water (more as needed) dash sea salt

SWAP DIRECTIONS WONTONS: Place flour in a medium mixing bowl. In a small

bowl, whisk together egg, salt and water; stir into flour, adding more water as needed to form a stiff dough. Knead for 1 minute.

Roll out onto a lightly floured surface until very thin and cut into 3 1/2-inch squares.

POTSTICKERS: Line a baking sheet with parchment paper.

Heat the oven to 375 degrees. Arrange the potstickers in a single layer on the baking sheet, allowing approximately ½ inch of space between each dumpling. Bake the potstickers for 12 to 15 minutes at 400 degrees. Rotate the baking sheet halfway through the cooking process to make sure they are evenly cooked. The dumplings’ edges should be golden brown when done.

SWAP NUTRITION

(per serving): 246.3 calories, 4.11 grams fat, 0.3 grams saturated fat, 32 grams carbohydrate, 5.4 grams fiber, 0 grams sugar, 22.19 grams protein, 116 mg sodium.

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FITBITS H EALT H AND FIT NE S S O N T HE GO

FITNESS FUSION words | DEIDRE WILKES

Love to cycle, love to strength train, do pilates or circuits? Only have room in your day to take one group fitness class? Are you suffering from burnout or boredom with your current workout schedule? If so, fusion training may be what you need to break out of the rut, and possibly burn some extra calories!

Fitness fusion are classes or workouts that combine at least two different disciplines such as boxing and pilates, yoga and cardio, cycle and strength training – just to name a few.

FIND A CLASS: Ready to reshape your workout? Check out these local facilities that offer fusion classes:

Peakland Pilates

Lynchburg | 434.384.5354 www.peaklandpilates.com

YMCA of Central Virginia

“

Fitness fusion classes can vary in intensity, duration and style.

It is a fun way to mix up your workout and an opportunity to try something new!

“

These hybrid workouts that combine different exercises or class formats is a great way to cross train your body, avoid burnout as well as overuse injuries that can occur by repetitive similar movement over time. With fusion, the exercises, formats and muscles used are varied throughout the class or workout.

Midlothian | 804.379.5668 www.ymcacva.org

Deidre Wilkes, AFAA, ACSM

Certified Personal Trainer

Deidre is the resident fitness specialist for OurHealth Lynchburg & Southside. www.OurHealthlbss.com

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Photos courtesy of Alzheimer's Association Central and Western Chapter

It was a perfect morning for a walk outside! More than 400 people joined the Alzheimer’s Association’s Walk to End Alzheimer’s® and united in a movement to reclaim the future for millions at Wyndhurst in Lynchburg.

Before the walk began, participants had already raised 93 percent of goal to fund Alzheimer’s care, support and research programs. With donations being accepted through the end of 2016, it is anticipated that the event will surpass its fundraising goal!

In addition to completing the two mile walk, Walk to End Alzheimer’s participants learned about Alzheimer’s disease and how to get involved with this critical cause, from advocacy opportunities, clinical studies and support programs and services. The event also included an emotional tribute to those who have experienced or are currently living Alzheimer’s.

For more photos, visit our website at www.ourhealthcville.com. For more information or to make a donation, visit alz.org/walk.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

ON THE WEB

More at ourhealthlbss.com

www.OurHealthlbss.com

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PART

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

6

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

+++ february

| march

KNOW YOUR CARE: understanding your health and how to maintain it

+++ april

| may

DO YOUR CARE: taking action with your health

+++ words | GERI ASTON

CELEBRATE YOUR

care

As you travel along life’s journey, it can be fun to step back and take a look at how far you’ve come. That holds true in the journey toward better health as well.

Rejoicing the Rewards Realized from Taking Good Care of Yourself

Working with your primary care doctor to make healthy lifestyle adjustments pays off in both the short and the long term. The path to health lasts a lifetime, but it’s important to pause for a moment now and then to reflect on and celebrate your accomplishments along the way.

This article, the final in a year-long OurHealth series about primary care, will examine ways that your lifestyle changes can benefit your health so that you can give yourself a muchdeserved pat on the back and keep the momentum going.

june

| july

SHARE YOUR CARE: setting good examples for others to learn and live by

+++ august

| september

INSPIRE YOUR CARE:

keeping creative with fresh care ideas

+++ october

| november

MEASURE YOUR CARE:

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

+++ december

| january

CELEBRATE YOUR CARE:

rejoicing the rewards realized from taking good care of yourself

+++

www.OurHealthlbss.com

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Give Yourself “Props” for Losing Weight

20 Minutes After Quitting •

Your heart rate drops to a normal level.

12 Hours After Quitting •

The carbon monoxide level in your blood drops to normal.

48 Hours After Quitting •

Your sense of smell and taste begin to return to normal.

2 Weeks to 3 Months After Quitting • •

Your risk of having a heart attack begins to drop.

Your lung function begins to improve.

1 to 9 Months After Quitting •

Your coughing and shortness of breath decrease.

1 Year After Quitting •

Your added risk of coronary heart disease is half that of a smoker's.

5 to 15 Years After Quitting • •

Your risk of having a stroke is reduced to the same as a nonsmoker’s.

Your risk of getting cancer of the mouth, throat, or esophagus is half that of a smoker's.

10 Years After Quitting • • •

Your risk of dying from lung cancer is about half that of a smoker’s.

Your risk of getting bladder cancer is half that of a smoker’s.

Your risk of getting cancer of the cervix, larynx, kidney or pancreas decreases.

15 Years After Quitting •

Your risk of developing coronary heart disease is the same as that of a nonsmoker.

Sources: American Lung Association and QuitDay

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Eating right and shedding extra weight are often part of the plan to improve one’s health. That’s because being overweight or obese plays a major role in many chronic conditions, including heart disease, diabetes, arthritis, and sleep disorders. Even if you haven’t reached your weight-loss goal, every pound that you drop improves your health. That’s an accomplishment well-worth celebrating.

Losing as little as 5 to 10 percent of your weight can reduce your cholesterol levels, decrease your risk of developing type 2 diabetes, and lower your blood pressure.

Cholesterol is a big deal because high levels of “bad” cholesterol, known as low-density lipoprotein (LDL), can build up in the walls of your arteries, forming a plaque that makes the arteries hard and narrow. If the plaque tears or ruptures, a blood clot could form, blocking blood flow or breaking loose and plugging an artery. If the blood flow to part of your heart stops, that’s a heart attack. If a clot blocks blood flow to part of your brain, it’s a stroke.

Decreasing your risk of developing type 2 diabetes is also a major accomplishment because the disease can cause so many health problems.

In type 2 diabetes, the pancreas loses its ability to produce enough insulin to properly control the blood sugar, called glucose, which powers the body’s cells. Over time, high blood sugar will damage your nerves and blood vessels, which can lead to heart disease, stroke, kidney disease, blindness, dental disease, and even amputations.

High blood pressure also hurts your blood vessels. It can make your artery walls stiff and create the plaque that can lead to heart attacks or strokes. The narrowing of arteries caused by plaque, furthermore, can also cause kidney failure, dementia, eye damage, and even problems having sex, according to the Mayo Clinic.

The strain on your heart from high blood pressure, moreover, can cause your heart to weaken and work less efficiently. Eventually, your heart will begin to wear out — a condition known as heart failure.

High blood pressure also can cause aneurysms, says the Mayo Clinic. This happens when the constant pressure of blood moving through a weakened artery causes part of its wall to bulge out. If that bulge ruptures, it causes internal bleeding, which can be deadly.

That’s not all, though — in fact, losing weight offers many other reasons to celebrate as well. It reduces the chances that you’ll get osteoarthritis arthritis, which is caused by wear and tear on the joints, and it can ease the condition if you already have it. Additionally, extra pounds put extra stress on weight-bearing joints like the knees and hips. When you walk across level ground, the force on your knees equals one-anda-half times your body weight, says Harvard Medical School’s HEALTHbeat. That means that a 200-pound man will put 300 pounds of pressure on his knees with each step.

As if that wasn’t enough, the force on each knee increases to two to three times your body weight when you go up and down stairs and four to five times your body weight when you squat to tie a shoelace or to pick up something from the floor — so shedding a few pounds can go a long way toward reducing the pressure on your joints and protecting them.

How does reaching an ideal weight reduce the negative impact on joints?

We are all wonderfully made. Our bones glide back and forth easily in our joints due to the amazing gliding and shockabsorbing characteristics of cartilage. But our cartilage is made up of living cells that are highly susceptible to trauma. Trauma can be abrupt, like what happens when you fall and land on a hard surface. Trauma can also come from slow, repetitive injury, as happens with excessive pressure during daily activities. The knee is especially susceptible. When we climb a set of stairs, the front part of our knee experiences pressures in excess of seven times (7x) our body weight. If a person’s ideal body weight is 160-lbs and they carry just 10-lbs of extra body fat, then his or her knee experiences 70-lbs of extra stress with stair climbing.

It’s hard not to over-consume and under-exercise in our busy, modern lives; but, as you can see, every little bit of weight loss counts!

IAN R. SMITHSON, MD Orthopaedic Surgeon | OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com

It also can help you get a good night’s sleep. The risk of developing sleep apnea is four times higher for people who are obese than for people of normal weight, says the Mayo Clinic.

Sleep apnea is a potentially serious disorder in which your breathing repeatedly stops and starts while sleeping. Signs of sleep apnea include snoring loudly and feeling tired even after a full night's sleep.

The good news is that weight loss helps reduce the severity of obstructive sleep apnea, the most common type of the disorder.

Collecting the Rewards of Exercise Physical activity is part of healthy living. If you’ve worked it into your daily or weekly routine, you’re helping your body in ways that you might not even realize. You should give yourself credit for that.

We all know that exercise helps us to lose weight, but did you know that it can also benefit your brain? Exercise can improve memory and thinking, reduce the risk of depression and dementia, and improve your mood.

When a person reduces his/her “bad” cholesterol, how does this positively impact his/her health?

When a person with high LDL (bad cholesterol) adopts a healthy lifestyle including regular exercise (>150 minutes of moderate exertion weekly) and good dietary choices, there can be up to a 30 percent reduction in LDL cholesterol. Those who do this are 40 percent less likely to suffer from a heart attack or stroke.

JASON HIGEY, MD CMG Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com

Additionally, according to the National Cancer Institute, exercise lowers the risk of developing heart disease, high blood pressure, stroke and type 2 diabetes. Studies have also found that physical activity can reduce the chances of developing colon, breast and endometrial cancers. www.OurHealthlbss.com

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How does maintaining a healthy sleep regimen improve overall long-term wellness?

Having a healthy sleep regimen is one of the foundations for overall health. Sleep deprivation has been shown to be detrimental on many levels. Poor sleep leads to an increased risk of medical problems such as hypertension, mental health issues such as anxiety and depression, and causes memory problems. REM sleep is necessary to form new memories. We recommend patients develop a regular sleep schedule that they follow seven days per week that includes a routinely set bedtime and waketime. We recommend at least seven hours of sleep nightly. Having a dark quiet room free of light and distraction is also important.

JOE KHOURY, MD Lynchburg Pulmonary Associates, Sleep Services Lynchburg | 434.947.3963 www.lynchburgpulmonary.com

Regular exercise helps to keep bones, muscles and joints healthy. Even though exercising might seem like the last thing that people with arthritis should do, it actually helps them by increasing their strength and flexibility and reducing their joint pain, notes the Mayo Clinic. If you have arthritis, you should work with your doctor to figure out what types of exercises are best for you.

For seniors, exercise and physical activity improve endurance, strength, balance and flexibility, according to the National Institutes of Health (NIH). These benefits can help you stay strong and fit enough to perform your daily activities and maintain your independence.

As people age, they run the risk of developing osteoporosis, a condition that could weaken their bones to the point where they easily break.

Doing weight-bearing exercises three to four times per week helps to prevent osteoporosis.

Want to sleep better? Exercise plays a role there, too. Regular physical activity can help you fall asleep faster and deepen your sleep.

Not unexpectedly, finally, people who exercise have more energy in general. That’s because exercise and physical activity deliver oxygen and nutrients to your tissues and help your heart work more efficiently, says the Mayo Clinic. When your heart and lungs work better, you have more energy to go about your daily life.

Health Buzz from Kicking the Habit

How does quitting smoking improve a person’s lung capacity, e.g., when you quit smoking, how soon does the body begin to realize the short-term and long-term improvement to the lungs?

Giving up smoking is among the best things you can do for yourself. Inflammation in the breathing passages starts to get better within a few days and continues to improve over a period of 10-12 weeks.

That means less coughing and mucus. Reduced inflammation of the upper breathing passages improves your sense of smell and taste, which means things will taste better. Over the long-term, your risk of stroke, heart attack, lung cancer, and emphysema are much lower as well.

ALBERT BAKER, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Smoking is a hard habit to break, thanks to nicotine’s addictive properties. If you’ve quit the habit or never taken up smoking, your body is reaping enormous benefits.

It’s common knowledge that smoking causes lung cancer, but it also increases the chances of getting many more types of cancer — like cancers of the blood, bladder, cervix, colon, esophagus, kidneys, larynx, liver, mouth, nose, rectum, throat and uterus, says the NIH. Over time, your decision to quit will help reduce your risk of developing all of these.

After you stop smoking, furthermore, you begin to breathe more easily and your smoker’s cough starts to go away. But why? The answer is that our lungs are made of tubes that branch out into small sacs. Smoking causes these sacs to lose their elasticity, which prevents them from taking in as much oxygen. That’s why smokers feel short of breath, a condition called emphysema.

Normally, the lungs protect themselves with a thin layer of mucus and by moving toxic particles out with small hairs, called cilia. According to the Quit Smoking Community, smoking makes the cilia move slower and struggle to remove harmful particles. The lungs become irritated from the toxins and collect more mucous, and this triggers smoker’s cough. Over time, smoker’s cough can lead to chronic bronchitis, in which the lining of the tubes in your lungs swells and restricts breathing.

The combination of emphysema and chronic bronchitis is called chronic obstructive pulmonary disease (COPD). About 20-30 percent of chronic smokers may develop COPD, says the Mayo Clinic. When you quit smoking, your lungs’ sacs and cilia begin to heal, which is why you will start to breathe easier and cough less.

Additionally, according to the Mayo Clinic, smoking causes harm all over the body that you might not be able to see. It increases the risk of developing heart disease, strokes, type 2 diabetes and vision problems as well as fertility problems in women and impotence in men. Smoking is also associated with an increased risk of developing inflammation of the gums and serious gum infections that could destroy the support system for teeth. Finally, women who smoke during pregnancy have a higher risk of miscarriage, early delivery, babies with lower birth weights, and sudden infant death syndrome in their newborns.

HOW MUCH ALCOHOL IS TOO MUCH?

Reasonable zone Moderate drinking: Up to one drink per day for women of all ages and men older than age 65; up to two drinks per day for men age 65 and younger. One drink means:

By quitting smoking, you’re lowering your risk of developing all of these serious problems. You’re also improving your looks. The chemicals in tobacco smoke can change the structure of your skin, causing premature aging and wrinkles. Smoking also yellows your teeth, fingers and fingernails. Quitting smoking begins to reverse these effects, letting you start to look much healthier.

Beer: 12 fluid ounces (355 milliliters) Wine: 5 fluid ounces (148 milliliters) Hard liquor (80 proof): 1.5 fluid ounces (44 milliliters)

Drinking Less and Living Better The saying “everything in moderation” applies to alcohol. A little alcohol isn’t likely to cause harm, but a lot of alcohol consumed in one sitting or over time can cause life-altering or life-ending damage.

The dangers of driving drunk are obvious — you could injure or kill yourself or others due to your weakened thinking skills and muscle control. Getting drunk, however, also increases your chances of drowning, being a victim of or committing a crime, accidental injury, and having unprotected sex or becoming the victim of sexual abuse or date rape, says the Mayo Clinic.

When we think of the long-term harm caused by alcohol abuse, we usually think of liver damage. The liver breaks down alcohol so that it can be removed from the body. Drinking more alcohol than the liver can process damages it over time. This damage comes in the form of three types of liver disease.

Danger zone Heavy drinking: More than three drinks on any day or more than seven drinks per week for all women and men older than age 65; more than four drinks on any day or more than 14 drinks per week for men age 65 and younger.

Binge drinking: Four or more drinks within two hours for women and five or more drinks within two hours for men.

Source: Mayo Clinic

Alcoholic fatty liver disease, first of all, means that you have too much fat in your liver. It’s the earliest stage of alcohol-related liver disease, says the American Liver Foundation. The damage can be reversed at this point if the person stops drinking alcohol.

Alcoholic hepatitis, secondly, means that there are fat deposits in the liver, plus inflammation and mild scarring. Up to 35 percent of heavy drinkers develop alcoholic hepatitis, the foundation says. Mild alcoholic hepatitis can be reversed by giving up alcohol. Severe alcoholic hepatitis can occur suddenly and lead to liver failure and death. www.OurHealthlbss.com

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Alcoholic cirrhosis is the most advanced type of alcohol-caused liver injury. It means that the liver has severe scarring. Between 10 and 20 percent of heavy drinkers develop cirrhosis, the foundation says. Cirrhosis can’t be reversed by giving up alcohol, but doing so could improve the symptoms and prevent more damage from occurring.

Additionally, heavy drinking can increase the risk of developing some cancers, including cancers of the breast, mouth, throat and esophagus. It can cause stomach, heart, pancreas and eye problems, says the Mayo Clinic. Drinking while pregnant can cause a miscarriage or permanent brain damage and other problems in an unborn child.

If you don’t drink or only drink in moderation, you’re protecting yourself and those around you from these dangers. That’s one more accomplishment worth celebrating!

Expert Contributers Joe Khoury, MD with Lynchburg Pulmonary Associates, Sleep Services in Lynchburg Ian R. Smithson, MD, with OrthoVirginia in Lynchburg Jason Higey, MD with CMG Stroobants Cardiovascular Center in Lynchburg Albert Baker, MD with Lynchburg Pulmonary Associates in Lynchburg

Sources • American Lung Association www.lung.org • Mayo Clinic www.mayoclinic.org • Quit Smoking Community www.quitsmokingcommunity.org

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