OurHealth Lynchburg & Southside Feb/Mar 2017 Edition

Making a Difference in Heart Health Locally | Lynchburg & Southside's Nutrition, Wellness, and Fitness Resource Guide february march 2017 www.ourhealthlbss.com

Heart & Lungs

MEMORY

Eye Care

Skin Care

FOOT CARE

MENTAL EXERCISE

Immunizations

NUTRITION

&

SCALP

DIGESTION BONE & JOINT Sleep

HEARING

SPORTS PHYSICALS

HAIR

Stomach &

HEALTH

DIET &

Dental Care

CARE

DIABETES

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

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TABLE OF CONTENTS FEBRUARY • MARCH 2017

10

Q&A ON HEALTH

14

PULSE

23

44

HELLO, HEALTH

Keeping the pulse on local healthcare news and information including tips for healthy living, as well as a listing of new physicians, providers, locations and upcoming events in the Lynchburg & Southside communities.

46

COULD WEIGHT LOSS SURGERY BE FOR YOU?

THE ANATOMY CHALLENGE

57

HEALTHY RECIPE SWAP

Healthcare questions answered by local professionals.

Test your knowledge when it comes to HEART DISEASE.

24

MAKING A DIFFERENCE IN HEART HEALTH LOCALLY OurHealth shares the substantial impact the Lynchburg Chapter of the American Heart Association has on the Lynchburg & Southside communities.

31

FIT BITS | Fitness Anytime, Anywhere

17 TIPS TO THINK ABOUT FOR 2017 Every new year is a new beginning, a chance to make positive changes in your health. In this article, OurHealth provides 17 quick tips to help you step into the new year on the right foot.

For some of us, weight loss is completely out of reach. No amount of dieting or exercise is going to lead to a significant or lasting change.

OurHealth explores the different types of weight loss surgeries available locally.

Tricia Foley RD, MS, OurHealth's resident nutritionist, shares heart healthy recipes with healthy ingredient swap tips.

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LYNCHBURG & SOUTHSIDE'S NUTRITION, WELLNESS, AND FITNESS RESOURCE GUIDE Your resource guide for nutrition, wellness and fitness in the Lynchburg & Southside area.

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Deidre Wilkes, OurHealth’s resident fitness specialist, shares the convenience and training benefits of ‘on-demand’ workouts and classes.

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

IF THE SHOE FITS...

Whether you are an avid runner or a recreational jogger, if running is part of your fitness plan, then choosing the right shoes will help you avoid injury, improve your performance and increase your comfort.

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

www.OurHealthlbss.com

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

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

CONTRIBUTING MEDICAL EXPERTS Shane R. Claiborne, DDS Carrie Cobb, MD, FAAD Stephen Davis, MD Bradley Haupricht, MD

CONTRIBUTING PROFESSIONAL Penny Abbott EXPERTS & WRITERS Rich Ellis Tricia Foley, RD Mike Grisetti Tina Joyce Rick Piester 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 Heidi McClintic at heidi@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 © 2017 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

Little Leaguer’s Shoulder requires a few weeks of rest and wearing a splint to assist with healing. The good news is that these injuries typically resolve without long-term problems.

If the pain persists for more than three to four weeks, it is best to follow up with your physician or a physician who specializes in sports medicine.

”

Am I a candidate for dental implants?

•

Would you like to replace one or more missing teeth with something fixed in place?

•

Are you having problems eating, chewing, or speaking properly due to missing teeth?

•

Do you have a bridge that is loose?

•

Do your dentures move around when you chew?

•

Do you get frequent sore spots from your dentures or need “paste” to hold them in?

•

Do you have a partial denture, but never wear it?

If you answered “yes” to any of the above questions, then you are a candidate for dental implants. With a 98 percent success rate, dental implants are the best long-term solution for missing tooth or teeth replacement. Certain conditions such as smoking, uncontrolled diabetes, or autoimmune disorders will put patients in a higher risk category. Speak with your dentist to see if dental implants may help you.

Shane R. Claiborne, DDS Forest Smiles Lynchburg | 434.473.7449 www.forestsmiles.com

– Bradley Haupricht, MD

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

How can I tell if my symptoms are caused by a heart attack or something less serious?

Distinguishing cardiac symptoms from non-cardiac symptoms can be challenging, even for experienced physicians. Physicians have blood tests, ECGs and other diagnostic tools to help them decide, but at home you have only your symptoms, and self-diagnosis is always a risky business. Unfortunately, there are no absolutes when it comes to distinguishing serious cardiac conditions from non-serious conditions based on the symptoms alone. Cardiac symptoms are extremely varied, and acute cardiac conditions can occur at almost any age in men and women with few or no risk factors and sometimes even without chest pain. Also, even when chest pain is present, other serious but non-cardiac conditions can be responsible, such as a leaking aneurysm or a blood clot to the lungs (to name a few). No physician would attempt to diagnose or exclude a serious medical condition based on the symptoms alone, and you shouldn’t either.

If your symptoms are significant enough for you to be persistently uncomfortable, and especially if the symptoms are progressive, you should seek medical attention immediately.

Stephen Davis, MD

Centra Medical Group Stroobants Cardiovascular Center Danville | 434.857.3600 www.centrahealth.com

My son who plays baseball was diagnosed with an “overuse injury” to his shoulder. What does that mean?

An “overuse injury” is a common diagnosis given by a physician that covers a variety of injuries. The specific injury can be as simple as straining a particular muscle, such as the bicep, deltoid (shoulder), or the rotator cuff muscles. Conversely, the injury could be as serious as a stress fracture to the growth plate of a growing bone, which is called “Little Leaguer’s Shoulder.” The age of the athlete is a major factor in making an accurate diagnosis. Your physician may order an x-ray to evaluate the injury further. Little Leaguer’s Shoulder requires a few weeks of rest and wearing a splint to assist with healing. The good news is that these injuries typically resolve without long-term problems. If the pain persists for more than three to four weeks, it is best to follow up with your physician or a physician who specializes in sports medicine.

Bradley Haupricht, MD

CVFP – Liberty Mountain Lynchburg | 434.582.CARE (2273) www.cvfp.net

www.OurHealthlbss.com

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

The benefits to consumers who choose to purchase dairy products that are hormone and antibiotic free include knowing that they will not be ingesting any artificial hormones or antibiotics.

”

What does it mean when dairy products are listed as “hormone and antibiotic” free?

What are some ways to help prevent getting dry, itchy skin during cold weather?

I may need skilled nursing care services.

What does that mean for me financially?

Dairy products such as milk, cheese and ice cream that are sold as hormone and antibiotic free come from cows that are not given artificial hormones through food or injection or treated with unnecessary antibiotics. If a cow requires an antibiotic, she will not be returned to the herd for a period of time until the antibiotic treatment is over and the drug has passed through her system.

Milk from cows treated with an antibiotic will not be used until tests confirm that they are free from any antibiotic residue.

1.

Moisturize your skin frequently with a thick, bland moisturizer such as a cream or an ointment. Avoid products with fragrances or dyes, as these may irritate your skin.

2.

Using hot water, especially in the shower or with handwashing, will further dry your skin. Reduce your water temperature from hot to warm and limit your showers to approximately 5-10 minutes.

3.

Cleansers are much less drying than soaps and can be used to wash the face, hands and body. Soaps are detergents that remove the natural oils from the skin’s surface, leading to increased dryness.

When you require skilled nursing services, your Medicare, Medicare Advantage, or commercial policies are designed to cover the majority of your stay within a facility for up to 100 days per cycle. Each insurance has a coinsurance that is assigned after a set number of days. For Medicare and Medicare Advantage Plans, the coinsurance starts on day 21. Commercial plans charge the insured a percentage until their out-of-pocket maximum has been reached. Here at Heartland Lynchburg, I meet with each new resident to discuss their benefits and the coverage that they will have toward their stay. If a resident needs extra assistance with their insurance coverage, I help them to secure any assistance available.

Heartland Lynchburg strives to take the financial worries out of your recovery. As our commitment statement says, “The best way home is through our doors.”

The benefits to consumers who choose to purchase dairy products that are hormone and antibiotic free include knowing that they will not be ingesting any artificial hormones or antibiotics.

Mike Grisetti

Homestead Creamery Wirtz | 540.719.1020 www.facebook.com/ HomesteadCreameryInc

– Mike Grisetti

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

These are just a few of the ways to find relief for dry, itchy skin.

If you think you are experiencing something more, please reach out to us at RidgeView Dermatology.

Carrie Cobb, MD, FAAD

RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com

Penny Abbott

Heartland Lynchburg Lynchburg | 434.846.4626 www.heartlandnursing.com/Lynchburg

KEEPING THE PULSE ON HEALTH CENTRA LYNCHBURG GENERAL HOSPITAL RECEIVES ATRIAL FIBRILLATION ACCREDITATION >> In January 2017, Centra Lynchburg General Hospital once again received full Atrial Fibrillation Accreditation status from the Society of Cardiovascular Patient Care (SCPC) making it the only hospital in Virginia to currently attain this distinction.

SOCIALBUZZ The December/January edition of OurHealth Lynchburg & Southside featured the 2016 Best Bedside Manner Award winners. Here’s some of the love our readers shared about their award-winning providers.

+++

“Congratulations , he is certainly my favorite!”

- KAREN CARTER NIPPER In response to F. Read Hopkins Pediatric Associates’ Skyler McCurley, MD and his Best Bedside Manner Award in the Pediatrics category.

The Centra Stroobants Cardiovascular Center has demonstrated its expertise and commitment to quality patient care by meeting or exceeding a wide set of stringent criteria and undergoing a comprehensive review by an accreditation review specialist from the SCPC. Centra’s guideline-driven and systematic approach to patient evaluation and management allows physicians to reduce time to treatment and to identify high-risk patients in an effort to decrease their length of stay in the emergency department and the hospital.

Nearly 3 million people in the United States have atrial fibrillation and as the population ages, the numbers continue to increase rapidly. Afib is the most common cardiac arrhythmia, and can lead to strokes and death. SCPC’s goal is to help facilities evaluate and manage the atrial fibrillation patient more effectively, improve patient outcomes, and educate patients and healthcare providers to more efficiently care for this disease.

For additional information regarding Centra Stroobants Heart Center, or similar certifications, visit www.stroobantscardiovascular.com.

+++

“Well deserved

!”

- TRACEY JAMERSON In response to CVFP – New London’s John Carmack, MD and his Best Bedside Manner Award in the Family Practice category.

+++

JOIN THE OURHEALTH COMMUNITY >> We would love to hear from you. Write us, tweet us, or tag us today!

For more comments or if you are interested in leaving a congratulatory message for your provider, visit @OurHealthLBSS on Facebook.

Kamal Chantal, PA-C

RidgeView Dermatology Lynchburg | 434.363.4190 RidgeViewDermatology.com

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Joseph Faust, MD

facebook.com/ OurHealthLBSS

Manuel Peralta, MD

Harman Eye Center CVFP – Piedmont Danville | 434.857.0020 Lynchburg | 434.846.7374 Martinsville | 276.226.4643 www.cvfp.net South Boston | 434.572.9733 www.harmaneye.com

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

@OurHealthLBSS on twitter

@OurHealth on pinterest

Lauren Simpkins, LPN Alice Waller, LPN Resident Care Director Commonwealth Senior Living Hillsville | 276.664.4252 www.commonwealthsl.com

Clinical Care Director Heritage Green Lynchburg | 434.333.0503 www.heritagegreenlynchburg.com

&A Q HEART HEALTH MONTH CELEBRATING

>> In honor of February being Heart Health Month, Centra Stroobants Cardiovascular Center shares ways to keep your heart health in check.

Heart disease is the leading cause of death for both men and women in the United States.

There is some good news, however: it is also one of the most preventable. Making heart-healthy choices, knowing your family’s health history and the risk factors for heart disease, having regular check-ups and working with your physician to manage your health are all essential aspects of saving lives from this often-silent killer. Locally, Centra Stroobants Cardiovascular Center is making it easier than ever to keep your health in check. OurHealth caught up with Lauren Martin, BSN, RN, clinical coordinator of the Stroobants Cardiovascular Wellness and Prevention program for more information on what Centra offers the community.

Centra Stroobants Cardiovascular Center offers free cholesterol assessments. What is involved in these assessments?

How do I schedule an appointment for the assessment, or are these assessments available on a walk-in basis?

In the free cholesterol assessment, a registered nurse will perform a finger stick for a small amount of blood. The blood is tested for a cholesterol assessment, which includes the total cholesterol, the HDL (good cholesterol), the LDL (bad cholesterol), triglycerides and blood glucose. Once the results are received (usually in about 5 minutes), they are reviewed and discussed with the patient. We discuss what each test means and what the patient’s individual goals should be, moving forward. This could mean a referral to see a cardiologist or the need for a calcium-scoring CT scan. The CT scan and cardiologist appointments do have a fee.

We also recommend the Healthy Living Steps program that Cardiac Rehab offers at the local YMCAs, along with the NEW (a nutrition class) or even our Smoking Cessation classes.

Anyone who is interested in an assessment can call 434.200.2273 or email an appointment request to lauren.martin@centrahealth.com You can also visit the Centra Health webpage and use the HeartAware free online risk assessment tool (www.centrahealth.com/community-health/ wellness-assessments). The tool identifies anyone who is at risk for cardiovascular disease. I will reach out to anyone who the tool determines is at risk.

How long does the assessment take?

The assessment takes approximately 45 minutes to an hour to complete.

What should I bring to the assessment?

Does a person need to fast for a certain period of time prior to his/her assessment?

Fasting is best just prior to the appointment, but it is not absolutely necessary. Fasting can be discussed at the time that the appointment is scheduled.

We encourage participants to bring a list of any medications that they are currently taking.

For more information about the events and programs offered through Centra, visit www.centrahealth.com. www.OurHealthlbss.com

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RECOGNITION CALENDAR

February Feb

American Heart Month

During American Heart Month, the American Heart Association’s Go Red for Women movement works to save women’s lives and beat heart disease. * Check out the previous page where, in honor of Heart Health Month, Centra Stroobants Cardiovascular Center shares ways to keep your heart health in check.

Feb

National Wear Red Day/ Go Red for Women

The American Heart Association’s National Wear Red Day movement works to save women’s lives and beat heart disease - the number-one killer of women. Show your support by wearing red.

Feb 5-11

National Burn Awareness Week

Established by the American Burn Association, National Burn Awareness Week is observed the first full week in February. It is designed to provide an opportunity for burn, fire and life safety educators to unite in sharing a common burn awareness and prevention message in our communities.

Feb 5-11

PeriAnesthesia Nurses Awareness Week

The American Society of PeriAnesthesia Nurses acknowledges the tremendous work that the nation’s more than 55,000 perianesthesia nurses do throughout the year.

16

Cardiovascular Professionals Week

12-18

This week celebrates the contribution cardiovascular professionals (including cardiovascular and radiological technicians and nurses in all cardiac specialties) make to healthcare and to patients with heart disease.

Feb

National Cardiac Rehabilitation Week

12-18

National Cardiac Rehabilitation Week focuses attention on cardiac rehabilitation’s contribution to improving the health and physical performance of people at risk for heart disease, as well as those who have been diagnosed with heart dysfunction.

National Wise Health Care Consumer Month

The American Institute for Preventive Medicine established Wise Health Care Consumer Month to help employers empower their employees to understand their options, communicate with their care providers and make educated decisions about their own health.

Feb 3

Feb

March Mar

Brain Injury Awareness Month

Brain Injury Awareness Month is led by the Brain Injury Association each year in March. The theme for the 2017 campaign is “Not Alone.”

The campaign provides a platform for educating the public about the incidence of brain injury and the needs of people with brain injuries and their families.

Mar

Child Life Month

Child Life Month is designed to honor child life specialists as they work to ensure quality, family-centered and developmentally appropriate care for children.

Mar

National Athletic Training Month

Designed to raise awareness of athletic trainers (not personal trainers) and recognize their work as healthcare professionals who specialize in the prevention, diagnosis, treatment and rehabilitation of injuries or illnesses.

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Mar

National Nutrition Month

National Nutrition Month is a nutrition education and information campaign held annually in March by the Academy of Nutrition and Dietetics. It encourages the adoption of smart eating and physical activity habits. The 2017 theme, “Put Your Best Fork Forward,” encourages making small changes over time to help improve health now and into the future.

Mar

National Professional Social Work Month

National Professional Social Work Month was established by the National Association of Social Workers to honor and celebrate the social work profession. This month recognize the social workers in your life who strive to improve social conditions and quality of life opportunities for everyone.

Mar 5-11

National Dental Assistants Recognition Week

Jointly recognized by the American Dental Assistants Association, American Dental Association and other professional organizations, this week is a tribute to the commitment and dedication that dental assistants contribute to the dental profession and the dental health care of the public.

Mar 5-12

National Sleep Awareness Week

National Sleep Awareness Week is an annual public education and awareness campaign to promote the importance of sleep. The week begins with the announcement of the National Sleep Foundation’s Sleep in America poll results and ends with the clock change to Daylight Saving Time, when Americans move clocks forward one hour.

Mar 8

Registered Dietitian Day

Registered Dietitian Day commemorates the dedication of registered dietitians as invaluable providers of food and nutrition services. It recognizes dietitians for their commitment to helping to advance the nutritional status of people around the world.

Mar 12-18

Health Care HR Week

Health Care HR Week recognizes Human Resources professionals in all healthcare settings for the daily issues they face relating to the workforce, compensation, benefits, employee relations, healthcare reform and wellness.

Mar 12-18

VISIT OUR WEBSITE FOR A FULL CALENDAR OF

Local Health Events! www.ourhealthlbss.com

National Patient Safety Awareness Week

National Patient Safety Awareness Week is an annual education and awarenessbuilding campaign for healthcare safety.

The theme for 2017 is “United in Safety,” showing that everyone in the health care process plays a role in delivering safe care.

Mar 12-18

National Pulmonary Rehabilitation Week

National Pulmonary Rehabilitation Week is a chance to educate the community about the role of pulmonary rehabilitation in enhancing the quality of life of individuals with lung disease. It’s also an opportunity to thank professionals for their contributions!

Mar 30

National Doctors’ Day

National Doctors’ Day is held every year on March 30. The day encourages members to promote the observance through community projects and pay tribute to physicians. It reminds the public of doctors’ dedication to the health and welfare of patients and increases awareness of the positive role of physicians in the community.

Mar 31

National Anesthesia Technicians Day

Every March 31st , the American Society of Anesthesia Technologists and Technicians honors technologists and technicians and their valuable contribution to the nation’s health.

www.OurHealthlbss.com

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HEALTHY LIVING

WINTER PET HEALTH >> Tips for your pets during the cold months

The cold weather can be as difficult on pets as it is on their ‘human’ families. Remember, if it’s too cold for you, it’s probably too cold for your pet. Domestic animals should be kept inside during severe cold.

Other tips pet owners should be aware of include: •

PAMPER THE PAWS. Salt and other chemicals used to melt snow and ice can irritate a pet’s paws. Wipe their paws with a damp towel before your pet licks them and irritates their mouth.

•

EXTRA KIBBLE TO NIBBLE. Pets burn extra energy by trying to stay warm in the winter. Feeding your pet a little bit more during the cold winter months can provide much needed calories.

•

LET THEM ROCK THE SHAGGY LOOK. Never shave your dog down to the skin in winter, as a longer coat will provide more warmth.

•

NO MORE BATHS, OR AT LEAST LESS. Bathe your pets as little as possible during cold spells.

Washing too often can remove essential oils and increase the chance of developing dry skin. In addition, repeatedly coming out of the cold into the dry heat of your home can cause itchy, flaking skin. Keep your home humidified and towel dry your pet as soon as he or she comes inside, paying special attention to the feet and in between the toes. Remove any snow balls from between the foot pads.

Winter Gardening

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>> The benefits of indoor herb gardening Gardeners take heart! Indoor winter herb gardening is rewarding and provides fresh herbs year round! The following selection of herbs do well in containers, and offer a nice pantry mix to spice up soups, chilis and casseroles for the cold winter ahead! Here are five herbs that you can safely grow indoors this winter:

Mint

Parsley

Chives

Rosemary

Basil

Mint grows heartily throughout the year for indoor container herb gardens. Mint plants require a good deal of moisture and partial shade to thrive.

Parsley requires well-drained soil and can tolerate some shade during the winter months but tends to grow at slower rates than other months of the year without full sun.

Chives make a delicious herb to grow in the winter.

Gardeners should use organically-rich and well-drained soil in potting containers for growing chives.

Rosemary is a vigorous herb that does well outdoors or indoors during the winter.

Basil grows well indoors for the winter in well-drained containers.

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

DID YOU KNOW: Gardening is a proven stress reliever?

Surviving the Drive Through Winter >> Tips for getting your car through the

harsh winter weather When it comes to safe driving and your vehicle, winter weather presents a unique set of challenges. While regular, preventive vehicle maintenance is important no matter the season, it becomes even more so when the temperature dips below freezing and the snow flies. Several vehicle systems are critical to driver and passenger safety, vehicle reliability and vehicle performance in winter weather, and should be checked before it snows to ensure they’re functioning properly.

•

TIRES

•

WIPERS – Road salt, snow and ice are constant threats to clear visibility in winter driving. To help

– Examine the tires for both tread depth and inflation pressure. Tires lose air pressure in cold weather and should be inflated to the pressure indicated on the driver’s side door, door frame or owner’s manual, not to the maximum pressure listed on the tire sidewall. After checking your tire inflation pressure, it is crucial to also check your tire tread depth. Tires that have shallow tread depth won’t deliver the traction or steering needed to drive in snow- or slush-covered roads. Purchase an inexpensive tread depth gauge or have the tires evaluated by a professional tire installer. ensure maximum wiping performance and visibility, windshield wipers that are more than six months old should be replaced.

•

BATTERY – The heat of summer weakens batteries, and the cold of winter kills them. Have your battery and charging system tested for free at one of the many auto parts stores offering the service.

•

LIGHTS – Fewer hours of daylight and bad weather mean more time spent driving with the lights on during winter months. Consider replacing headlights with new bulbs that utilize lighting technology to increase down-road visibility.

•

VEHICLE Emergency Kits ARE A MUST! An emergency kit stored in the trunk or cargo area can improve your chances of surviving plummeting temperatures, or even help get the vehicle unstuck. The kit should include water, food, blankets, emergency flares, a flashlight, extra batteries, jumper cables, a small shovel, sand or cat litter for traction, a first aid kit, foam tire sealant, and a fire extinguisher.

ANTIFREEZE – It prevents the engine from freezing in winter and from overheating in summer. Make sure to take the time to check the antifreeze levels in your car. Not all antifreeze or coolant is the same; many vehicles require a specific type. Refer to the owner’s manual for recommendations.

www.OurHealthlbss.com

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BOOK REVIEW words | RICK PIESTER

>> Showcasing some of the most authoritative books on how to get and stay healthy Americans have become very health-conscious in recent years. Thanks to that, there’s no end to the articles, books, websites, and folklore on how to stay healthy. Sifting through all of these sources of information can get confusing, so OurHealth Lynchburg & Southside is beginning a regular feature to highlight some of the most-respected and readable books on how to be healthy.

We’ll start with two respected books that deal with Alzheimer’s, a disease that has touched one out of every two families in America. One of these is among the first and most respected books on the disease, and the second is a relative newcomer.

Additionally, February is American Heart Month, a perfect time to bone up on all of the lifestyle changes — both large and small — that can lead to good heart health. There’s no lack of books on the subject, but here’s one that seems to rise above the rest.

The 36-hour Day

A Family Guide to Caring for People who have Alzheimer Disease, Related Dementias, and Memory Loss (5th Edition)

By Nancy L. Mace and Peter V. Rabins, MD, PhD Johns Hopkins Press | 384 pages Published originally in 1981 (the newest edition is from 2011), this is the book that experts call the “go-to” information source for caregivers, family members, and anybody else who loves someone who is affected by this progressive disease. The information is clear, compassionate, and complete, making this the best guide of its kind. It is also available in Spanish as “Cuando el Dia Tiene 36 Horas.”

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Before I Forget

Heart 411

By B. Smith and Dan Gasby with Michael Shnayerson

By Marc Gillinov, MD and StevenNissen, MD

Harmony Books | 319 pages

Three Rivers Press | 550 pages

Lifestyle maven B. Smith never expected to become an Alzheimer’s patient, but at 66, she and her husband Dan Gasby found themselves dealing with the dayto-day challenges of this disease that one person around the world develops every 67 seconds. Their story, which is as much a love story as an informational guide, is told in alternating chapters that weave valuable, practical tips and advice throughout their narrative. This book is a gem.

Don’t be misled by the subtitle, which was probably dreamt up by the publisher’s marketing department with an eye on sweetening sales. In truth, the constant research tends to change the way that medicine deals with heart disease on a regular basis. That aside, this book is an accessible, wide-spectrum work by two respected cardiac specialists at Cleveland Clinic. They provide a down-to-earth discussion of the many questions about heart health that their own patients have raised over the years.

Love, Hope, Help and Acceptance in Our Fight Against Alzheimer’s

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

The Only Guide to Heart Health You’ll Ever Need

www.OurHealthlbss.com

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How much do you know about

Heart Disease?

2. Every ___________ someone dies from heart disease or stroke.

1. True or False: Heart disease is the leading cause of death in the United States.

A:

B:

17 seconds

D:

C:

39 seconds

4. True or False:

3. On average, ___________ deaths in the United States is caused by heart disease and stroke.

A:

B: 1 of 6

1 of 7

1 of 3

1 of 5

5. On average, ___________ of Americans need to improve their heart health.

A:

99

percent

B:

75

percent

C:

7. True or False: Lowering your blood pressure can decrease your risk of heart disease by about 50 percent.

9. Common heart attack warning signs include all of the following EXCEPT:

A: Chest discomfort

B: Shortness of breath

50

percent

More men than women die from heart disease each year.

D:

C:

D:

60 seconds

52 seconds

6. Which of the following methods improve heart health?

25

percent

8. Which of the following is NOT a risk factor of heart disease?

A: Understand your heart risk

A: High cholesterol

B: Healthy diet and exercise

B: High blood pressure

C: Minimize stress and get enough sleep

C: Diabetes D: All of the above are risk factors

D: All of the above 2. B

3. D

4. False

5. A

6. D

7. True

8. D

9. C

Source: www.heart.org

D: Nausea

1. True

C: Metallic taste in mouth

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Making a

DIFFERENCE

in

Heart Health LOCALLY

Lynchburg chapter of the American Heart Association prepares for the city’s first Heart Walk words | RICH ELLIS

The prevalence of heart disease isn’t limited to just Lynchburg or Virginia.

It’s the leading cause of death in the United States, killing more than 370,000 people annually, according to the American Heart Association.

When statistics for stroke and other cardiovascular diseases are combined with those for heart disease, the number of deaths attributable to one of those three causes rises to approximately one in three deaths in the U.S. — more than 800,000 people — in 2013, the most recent year for which data is currently available. Local efforts backed by national support are focused on lowering those deadly statistics.

First-ever local Heart Walk aims to combat cardiovascular disease, improve health.

The Lynchburg chapter of the American Heart Association (AHA) is working to raise funds for and awareness about heart disease and heart-healthy living with the debut of AHA’s Heart Walk April 22 at Peaks View Park in Lynchburg.

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“The hope with Heart Walk is that people will actually start ‘heart walking’ and walking more to become healthier.”

Photos above from the 2016 Lynchburg Heart Chase held on the campus of Liberty University.

“This is a brand-new program being introduced nationally. The goal is to be a movement that inspires people to create lasting change in their health, one step at a time. Our approach is eat smart, add color, move more and be well.”

ASHLEY EGE Development director for the Virginia chapter of the American Health Association

A longstanding annual event in other cities across the country, Heart Walk features teams walking 1-, 3- or 4-mile courses at this family-friendly gathering, explains Ashley Ege, development director for the American Heart Association’s Lynchburg chapter. Immediately following the walk, which begins at 10 a.m., there are additional activities, including a kid zone, face painting, balloon animals, hands-on CPR instruction, activities around nutrition and fitness, and a heart-healthy lunch. More than 500 walkers are expected to participate, and additional information is available online at www.lynchburgheartwalk.org.

Ege explained that AHA is introducing Heart Walk to Lynchburg because the organization saw it as a great opportunity, because the community had asked for it, and because obesity and tobacco use in Lynchburg is higher than the state’s overall average. AHA is trying to make an impact in the community through events such as Heart Walk.

“The hope with Heart Walk is that people will actually start ‘heart walking’ and walking more to become healthier,” Ege explains. “Teams participating in Heart Walk raise money, and we have a lot of great sponsors who have rallied around the event to get the community healthier.”

To date, more than $40,000 has been raised toward a goal of $50,000 — a target that Ege predicts AHA will easily beat.

(Continued on page 28...)

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“Teams participating in Heart Walk raise money, and we have a lot of great sponsors who have rallied around the event to get the community healthier.�

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(...continued from page 26)

“The money that’s raised comes back to the community in forms of lifesaving,” Ege explains, “such as police officers carrying AEDs or the requirement that was passed for children to receive CPR training before graduating high school.”

In addition to the Heart Walk, AHA’s Lynchburg chapter is also introducing a new, free wellness program called “Healthy for Good.” Organized in conjunction with the Heart Walk, the program enables people to link their wearable fitness monitors, such as Fitbits, to the Healthy for Good website. After linking to the site at www.heart.org/healthyforgood, participants can participate in fitness challenges with other members, access heart-healthy recipes, and read hearthealth-related articles.

Call to learn more about the American Heart Association’s Lynchburg chapter today!

Individuals or organizations interested in volunteering with or donating to the American Heart Association’s Lynchburg chapter or receiving information about sponsorship opportunities should contact Ashley Ege at

540.309.1302.

“This is a brand-new program being introduced nationally,” Ege says. “The goal is to be a movement that inspires people to create lasting change in their health, one step at a time. Our approach is eat smart, add color, move more and be well.”

Despite sobering statistics that show the prevalence of heart disease nationwide, there is good news locally.

Deaths in Virginia attributable to heart disease and stroke have declined for more than a decade, and some of the credit for the decline undoubtedly lies with efforts put forth throughout the Commonwealth by the American Heart Association’s local chapters, including the one in Lynchburg.

Ege outlined the organization’s goals that help guide efforts at both the local and national levels, including building healthier lives free of cardiovascular disease and stroke, and by 2020, improving all Americans’ cardiovascular health by 20 percent while reducing deaths from cardiovascular disease and stroke by 20 percent.

Backing from the parent organization means Ege has a powerful ally in the local fight against heart disease. The American Heart Association is the nation’s oldest and largest volunteer organization dedicated to fighting heart disease and stroke. Founded by six cardiologists in 1924, the AHA today includes more than 22.5 million volunteers and supporters, 156 local offices and 3,000-plus employees funding innovative research, fighting for stronger public health policies, and providing critical tools and information to save and improve lives.

One of the first steps toward improving heart health is ending obesity. According to the AHA, approximately 35 percent of Virginia adults are overweight and another 28 percent are obese. Additionally, 30 percent of Virginia’s 10- to 17-year-olds are overweight or obese, with Virginia ranking first in the United States for childhood obesity rates among 2- to 5-year-olds.

To help lower those rates, the American Heart Association is supporting a state advocacy priority this year that ensures healthy food and beverage

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options are available in public places, such as parks, recreation centers, libraries and other buildings. AHA is also advocating for the creation of the Virginia Grocery Investment Fund, which could increase healthy food retail options in Lynchburg and other communities.

AHA’s staff and volunteers also focus on helping people control and reduce high blood pressure. It’s estimated that 80 million Americans have high blood pressure, and in about half of them, it’s uncontrolled, increasing the risk of heart disease, stroke and other major health problems. In Virginia, approximately 28 percent of residents have been informed by their physicians that they have high blood pressure. It can be controlled, however, and throughout Virginia AHA is working with medical partners through a nationwide initiative called Target: BP to help patients reduce their blood pressure to healthy levels.

AHA also advocates for local, state and national laws that improve the health of all people. In 2013, for example, AHA advocates were instrumental in passing Gwyneth’s Law, requiring all Virginia high school students to be CPR-trained before graduating. And in 2014, AHA helped pass legislation requiring that all Virginia newborns receive pulse oximetry screening to detect congenital heart defects — the most common birth defect in infants worldwide.

EXPERT CONTRIBUTERS Ashley Ege is the development director for the Virginia chapter of the American Health Association.

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

FITNESS

ANYTIME, ANYWHERE words | DEIDRE WILKES

It’s cold. It’s dark. The weather’s bad. It’s WINTER. These obstacles can make getting to the gym difficult. Now, with today’s technology, there is an alternative. Virtual or ‘on-demand’ workouts and classes can be done anytime and anywhere. Virtual classes are ‘live’ and streamed into your home or studio, which gives the same look and feel as being in a group class, rather than a traditional DVD workout. You can participate in real-time classes at some of the best studios in cities like Chicago, Los Angeles and New York without ever leaving the comfort of your home gym or living room!

DAILY BURN At only $12.95 per month, the website offers diverse workouts from in-house instructors, including pilates, yoga, weightlifting, and cardio. Easy-to-follow meal plans are also included. www.dailyburn.com

LES MILLS ON DEMAND This popular franchise now offers virtual workouts for six of their signature programs – Body Pump, Body Combat, Body Balance, CXWorx, Sh’bam, and RPM. Subscriptions start as low as $12.99 per month. www.lesmills.com

WORKOUTS ON DEMAND This subscription offers access to a library of over 210 fitness workouts to chose from, with new workouts constantly being added. There are several membership options that range from $5 to $12 per month.

Deidre Wilkes, AFAA, ACSM Certified Personal Trainer

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

www.workoutsondemand.com www.OurHealthlbss.com

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BONE & JOINT CARE

MENTAL HEALTH

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172017 for

to think about

Setting off on a year of better health words | RICK PIESTER

Every new year is a new beginning, a chance to make positive changes in our behavior, lifestyle, choices and health. Making significant changes, though, is a big undertaking. It’s best to start small, and we all need help. So in that spirit, we’ve assembled 17 quick tips that we hope will make the job a little easier. These tips are not meant to be all-inclusive, obviously, but think of them as a tasting menu on your trip to good health.

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1

STOMACH AND DIGESTION: Chew, chew, chew.

Chewing your food is the first step in proper digestion, so do it thoroughly. Chewing breaks your food down into smaller pieces, allowing saliva and enzymes in your mouth to act on the surface of food to chemically break it down. More chewing creates more surface areas, better enzyme action and better digestion.

HEALTH TIP

“Hearing loss is often very gradual; many times friends and family will notice it first!

EXERCISE:

30 minutes a day keeps the doctor away.

Before it causes communication or other health issues, schedule a comprehensive hearing evaluation. Many hearing care providers will do these for free! ” TRACY EUBANK, HIS Miracle-Ear of Lynchburg Lynchburg | 434.237.2600 www.miracle-ear.com

Experts say that it’s important to get at least 30 minutes of exercise each day, but what if you’re too busy to find a half-hour?

You can break it up into two or three shorter periods of exercise. For example, do ten minutes of strength training in the morning. At lunchtime, take a brisk ten-minute walk. And then after work in the evening, take the dog for a walk, or do another brisk stroll. The combination can help a lot in keeping up your health.

3

DIABETES: Superfoods to the rescue.

The American Diabetes Association maintains a handy list of ten “superfoods” that are less likely to affect your blood sugar than other foods. The list includes beans, leafy dark green vegetables, citrus, sweet potatoes, berries, tomatoes, fish high in omega-3 fatty acids, whole grains, nuts and fat-free milk and yogurt. Post a copy of this list on your refrigerator and refer to it when you plan your meals or reach for a snack.

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MENTAL HEALTH: Hugs, good for the soul.

Get a hug and give a hug. It’s fun, and science has learned that hugging releases oxytocin, the hormone that makes us feel good, as well as reducing levels of the stress hormone cortisol.

MEMORY: Make note of it.

5

To be sure you remember something important, break the routine around it. For example, if you constantly forget to turn the heat down at night, make a small sign to remind you (write “HEAT” on it) and post it where you are bound to see it — on the steps going upstairs, or on the bathroom counter. Or if you normally keep your car keys in your right-hand pocket, put them in your left-hand pocket to trigger a reminder of something that must be done during the day.

PAIN: Heat vs. cold.

HEALTH TIP “Tech neck is a term that refers to neck pain resulting from constantly looking down at a hand-held device or screen. This “head forward” posture puts you at risk for muscle strain, disc injury, nerve impingement, chronic neck and shoulder pain, headaches, as well as pain that radiates down the arm.

Set a timer every 15 to 20 minutes and take at 2-3 minute break during which you walk around, change your posture, and stretch.”

DILAN ELLEGALA, MD

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SonoSpine Forest | 855.982.1591 www.sonospinesurgery.com

Applied correctly, both heat and cold can help reduce pain. But there’s a great deal of confusion about what to use when. As a general rule, heat is best used to take the edge off of muscle spasms and chronic pain such as back or neck pain. Ice is a mild, drug-free way of dulling the pain of damaged tissue that is red, inflamed or swollen. Keep in mind that heat can make inflammation worse, and cold can make muscle tension and spasms worse, so be careful.

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HEALTH TIP “The best way to remove plaque from teeth is brushing and flossing. Brush at least twice daily and floss everyday to keep your teeth clean and healthy.�

SHANE CLAIBORNE, DDS Forest Smiles Forest | 434.473.7449 www.forestsmiles.com

Filling Your Plate Rule

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7

DIET AND NUTRITION: Filling your plate.

A good general rule to follow when plating food is to fill half of a dinner plate with vegetables (non-starchy veggies such as carrots, Brussels sprouts or asparagus). About a quarter of your plate should be reserved for starchy foods (potatoes, corn, rice or peas), and the remaining quarter should be filled with protein (preferably chicken, fish or beans). Use caution with baked goods and pasta, especially if you have high blood sugar.

50% Vegetables 25% Starchy Foods 25% Protein

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DENTAL CARE: When to brush.

Since childhood, we’ve been told to brush our teeth after every meal, at least three times a day. But now dentists know that that’s not quite right. Don’t brush your teeth immediately after every meal, especially if your food or drink was acidic. High-acid foods such as citrus fruits and tomatoes, as well as sports drinks and soft drinks, soften tooth enamel. Brushing your teeth when the enamel is slightly softened can speed up the effects of acid, eroding both the enamel and the layer under it. Better to wait 30 to 60 minutes after eating to brush.

HEALTH TIP “It is important to have regular dental checkups to help maintain oral and overall health. Regular visits help to identify areas of concern and alert the patient of dental issues that can sometimes be treated before more invasive and aggressive treatment is required. Also, maintaining good oral health has been associated with improvement in the treatment of chronic health conditions such as cardiovascular disease and diabetes.”

BRAD LENTZ, DMD Lynchburg Dental Center Lynchburg | 434.384.7611 www.lynchburgdentist.com

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9

HEART AND LUNGS: Dangers of smoking.

10

You’ve probably heard it before, but it’s well worth repeating: If you are a smoker, stop. Smoking is the leading cause of preventable death in the United States. It causes heart disease, stroke, lung disease, osteoporosis, and cataracts, among other ailments. But don’t try to quit “cold turkey.” Smoking is an addiction, so take a little time to prepare.

Research methods, such as classes, counseling, medication or hypnosis, that will help you quit successfully. But determine that you are going to quit, and get to work on it.

IMMUNIZATIONS: Build up the antibodies.

For many years, it was almost standard practice to give babies a dose of acetaminophen (Tylenol, for example) when it was time for their first vaccinations. But now pediatricians are warning against it since research has shown that the medication causes babies’ bodies to produce fewer disease-fighting antibodies, which reduces the effectiveness of the vaccinations. It’s best to give fever-reducing medicine only if a child’s fever is dangerously high, or if doing so has been recommended by your physician.

HAIR AND SCALP:

Brushing your way to healthier hair.

You know that gently brushing your hair is a good thing, but giving your hair a light brushing just before you step into the shower can be a big help. It will remove dead skin cells so that they can’t clog hair follicles and interfere with the growth of new hair. Brushing the hair stimulates circulation of the scalp, and it spreads natural oils down the shaft of hairs to moisturize dry ends. But plastic bristle brushes can’t distribute those oils. Invest in a natural bristle brush for best results.

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SPORTS PHYSICALS: When is the best time to go?

Participating in school or community sports teams is a great way for children to stay in shape, but it’s important that they see a healthcare provider for a sports physical to make sure that their bodies are ready for the season ahead.

Most experts say that six to eight weeks ahead of the sports season is the best time to schedule a physical. That way, if the child has a condition that needs treatment, needs to see a specialist or needs any follow-up care, there will be enough time before play starts.

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HEALTH TIP

13

“In order to prevent skin cancer, I recommend

everyday use of a broad-spectrum sunscreen with coverage for UVA/UVB rays of SPF 30 or higher

on all exposed areas of the skin. It is a common

misconception that sunscreen only needs to be worn when 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 skin cancers and aging effects of the sun. ” JASON GIVAN, MD RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com

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SKIN CARE: Sun exposure, inside and out.

You’ve heard that it’s wise to avoid overexposure to the sun. But you should remember that when it’s sunny outside, it’s also sunny inside, and staying out of direct sunlight doesn’t fully protect you. Damaging UVA rays travel through the windows of your home, your workplace and your car. UVA rays weren’t considered a problem until recently, because UVB light causes the most damaging sunburns. But scientists have determined that UVA light is carcinogenic. UVA light is what causes the grayish-yellow cast on the skin of older people. The lesson: Unless you spend all your time deep in a cave, wear a broad-spectrum sunscreen all year, rain or shine.

EYE CARE: The 20-20-20 rule.

The hours we spend staring at computer screens can seriously strain our eyes, disturb sleep patterns, and wipe out concentration. Heavy computer use doesn’t damage long-range vision; the eye strain comes from constantly focusing on something that’s about 18 inches away, rather than switching your gaze between objects of varying distances from your eyes, say by looking around a room. So follow the 20-20-20 rule: Every 20 minutes, focus on something that is 20 feet away for 20 seconds.

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15

HEARING: Turning down the volume.

About 15 percent of Americans have hearing loss that is induced by loud work or leisure environments. Any place that is noisy enough to force you to shout so that the person next to you can hear you is an area with a dangerous level of sound.

To conserve your hearing, try using earplugs. They are easy to obtain, and you can have them custom made by a local hearing care provider. Otherwise, give yourself about 16 hours of quiet for your ears to recover from about six hours of loud noise.

HEALTH TIP

“Back pain is often caused by excess weight,

BONE AND JOINT CARE:

especially if those pounds reside around

Get up and move!

your waistline. The pelvis is pulled forward, proper posture suffers, and the lower back

Your joints may be painful, but don’t be inactive. Sitting at a desk all day or refusing to move around can either cause joint pain or make it worse. You need to vary your routine, giving your body and your joints rest as well as activity. If you have to sit for long periods of time, try to remember to get up and move around every couple of hours.

is strained. This can lead to painful disc damage, pinched nerves, and arthritis. Lose those excess pounds while strengthening your core to lend support to your spine. Your

17 back with thank you for it.”

STEVE MORGAN, MD

Virginia Neurospine Forest | 434.200.9009 www.virginianeurospine.com

SLEEP: The he is hot while she is cold dilemma.

A constant demolisher of good sleep is losing all of your covers to your bed partner. If that happens to you a lot, or if one of you shivers while the other one sweats, try this: Make the bed with separate sets of sheets. Use one fitted sheet to start. Then top it off with twin-size flat sheets and blankets to match each person’s comfort needs. Don’t worry that it might look weird. You can top the whole thing off with a single comforter when making the bed each morning.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

The Resource for Healthy Living in Lynchburg and Southside

Local health. Anywhere you go.

OurHealth magazine is Lynchburg & Southside’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics.

Pick up our print edition at more than 900 locations throughout the area or get the digital edition by visiting

ourhealthlbss.com .

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Original photography by Angie Hefner.

The Boys & Girls Clubs of Greater Lynchburg hosted its 7th Annual Resolution Run in late January of this year. The unique two-mile event attracts participants of all ages and abilities and includes both club members and local residents alike. The Resolution Run is a great way to kick-off your healthy living goals for the year.

Funds raised from the race benefit the Boys & Girls Clubs of Greater Lynchburg and help support the local out-reach efforts to all youth in the Lynchburg area, primarily serving high-risk, low-income, minority youth. The Club is open each day after school, on school holidays, and over the summer. Programs offered include daily “homework help�, sports leagues, arts and crafts, STEM activities, leadership development programs, and a separate Teen Center.

The Club is often the one place where a child knows they will receive a warm smile, a healthy snack and the opportunity to play games and have fun in a positive atmosphere. Between the two locations (Jefferson Park in the Dearington neighborhood and Madison Street) up to 160 youth are discovering themselves at the Club.

For more information on how you can contribute to the Boys & Girls Clubs of Greater Lynchburg, visit www.bgclynchburg.org.

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Could

WEIGHT LOSS SURGERY be right for you?

It’s not a cure-all, but it can be a dramatic help. words | RICK PIESTER

This is the time of year when many of us are trying to make good on our New Year’s weight-loss resolutions. We’re furiously dieting and steadfastly working out, trying to get our bodies down to that elusive “ideal weight” goal.

For some of us, however, the goal isn’t merely elusive: It’s out of reach.

No amount of dieting or exercise is going to lead to significant and lasting weight loss. We are — in medical terms — obese. And the more obese we are, the less likely we are to lose weight and keep that weight off through diet and exercise.

Some people who have made repeated serious-but-failed attempts at traditional weight loss programs are turning to weight loss surgery, which is called “bariatric” surgery. This type of surgery alters the digestive system to help people lose weight by limiting how much they can eat. Bariatric surgeries have become so popular that about 200,000 of them are performed each year

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in the U.S., a tenfold increase since the early 1990s. Although they were considered to be rather exotic, high-risk procedures not long ago, they have now become a safe, relatively standard, and effective surgical approach to a lifestyle problem.

In fact, these surgeries have become so effective that many healthcare insurers in Virginia and at least 47 other states as well as Medicare and Medicaid cover them, as long as the somewhat stringent eligibility requirements and patient education requirements are met.

In the Lynchburg area, Joshua B. Alley, MD, is the medical director of bariatric surgery for Centra Health. He says that his center’s criteria for people who are seeking bariatric surgery is fairly straightforward and is determined largely by healthcare insurers.

“The key is that the patient’s eating and fitness habits have to change, lifelong, to keep the weight off. The surgery can serve like a ‘reset button’ to get the weight off so that a person can finally exercise without pain and be satisfied with a small healthy meal, but keeping the weight off long-term depends on making these habits permanent.”

JOSHUA B. ALLEY, MD, FACS The medical director for bariatric surgery with Centra Medical group in Lynchburg. Dr. Alley is certified by the American Board of Surgery.

Candidates for surgery at Centra should first speak with their primary care physician or specialist (especially if the patients are being followed by a cardiologist or by a diabetes specialist). If that physician believes that the individual is a good candidate for bariatric surgery, Centra Health holds free monthly seminars to provide detailed information on the surgery. Candidates complete an evaluation by hospital dietitians, pre-surgery educational programs that are run by dietitians and bariatric surgery nurses, an assessment of any related health problems such as diabetes or heart disease, and a psychological assessment.

One key criterion for surgery is having a body mass index (BMI) of 40 and above, if there are no accompanying medical problems. If a person has diabetes, blood pressure issues, sleep apnea, reflux, or any other weight-related ailments, the BMI requirement drops to 35, Dr. Alley notes.

BODY MASS INDEX BMI is a measurement of body fat based on each person’s weight and height. It’s a numerical score that applies to both women and men, and it is used to indicate whether a person is underweight, of normal weight, overweight, obese, or severely obese. If you score a BMI of between 18.5 and 25, you are considered to be a normal weight for your height. If your BMI is between 25 and 30, you are considered overweight. Medical professionals consider you to be obese if your BMI is 30 or higher and severely obese if you have a BMI of 40 or higher.

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HOW TO CALCULATE YOUR

BODY MASS INDEX STEP 1

(weight in pounds) x

STEP 2

(height in inches) x

.45

.025

STEP 3

(answer from step 2) 2

STEP 4

(answer from step 1) (answer from step 3)

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(...continued from page 48)

About two out of every three American adults are overweight, and one out of three can be said to be obese. In 1990, hardly any states had obesity rates of more than 15 percent; today, all 50 states have obesity rates of at least 20 percent.

A 2012 study in the Journal of Health Economics estimated the medical-care costs of obesity in the U.S. in 2005 to have been as high as 190 billion dollars, a figure that is steadily increasing each year.

IS YOUR WEIGHT NORMAL, UNDER, OVER? SCAN HERE for a quick look at your Body Mass Index (BMI) or go to www.bmi-calculator.net.

This is a serious problem because weight gain gives rise to looming health risks. The physical ailments that are associated with obesity include higher rates of heart disease, stroke, diabetes, sleep difficulties, and joint problems as well as an increased risk of certain types of cancers. Obesity, in fact, has become second only to tobacco as a major killer in the United States. This is part of the reason that healthcare insurers cover bariatric surgery. The surgery helps prevent the costs of serious weightrelated diseases.

Bariatric surgeries do not remove fat tissue. Instead, surgeons rework the stomach and intestine to help a patient feel full more quickly, ingest fewer calories, or both.

TYPES OF SURGERY At Centra Health, surgeons perform three types of bariatric operations, all of them laparoscopic surgeries.

These are types of surgeries in which small “keyhole� incisions rather than one large open incision www.OurHealthlbss.com

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“Gastric banding, is falling out of favor with surgeons and patients alike, because of the intensive level of follow-up that it requires.”

JOSHUA B. ALLEY, MD, FACS The medical director for bariatric surgery with Centra Medical group in Lynchburg.

Dr. Alley is certified by the American Board of Surgery.

allow surgeons to introduce a video camera and surgical instruments.

GASTRIC BYPASS SURGERY Gastric bypass surgery is the “old faithful” of the bariatric operations.

It has been in use for the longest time and often offers the best and longest-lasting results. In this surgery, the stomach is made smaller by creating a small pouch at its top using surgical staples. The smaller stomach is then connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine.

SLEEVE GASTRECTOMY SURGERY In a sleeve gastroectomy, the stomach is surgically narrowed to resemble a sleeve. The smaller stomach pouch is about 15 percent the size of the “original,” and the capacity of the stomach is reduced from about 1½ quarts to between 4 and 6 ounces.

GASTRIC BANDING SURGERY The third approach, gastric banding, is falling out of favor with surgeons and patients alike, Dr. Alley says, because of the intensive level of follow-up that it requires.

In this type of surgery, a device is wrapped around the upper part of the stomach to form a ring. A thin tube is attached to the ring, and an access port in the body allows surgeons to tighten or loosen the band by injecting saline solution.

(Continued on page 54...)

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FOUR TYPES OF

BARIATRIC SURGERY

GASTRIC BYPASS In this surgery, the stomach is made smaller by creating a small pouch at the top using surgical staples.

The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine.

SLEEVE GASTRECTOMY

GASTRIC BANDING

In this surgery, the stomach is surgically narrowed to resemble a sleeve. The smaller pouch, about 15 percent the size of the “original,� has a capacity that is reduced from about 11/2 quarts to between 4 and 6 ounces.

In this surgery, a device is wrapped around the upper part of the stomach to form a ring. A thin tube is attached to the ring, and an access port in the body allows surgeons to tighten or loosen the band by injecting saline solution.

INTRAGASTRIC BALLOON In this surgery, a saline-filled silicone balloon is placed in the stomach to limit how much a person is able to eat.

The balloon stays in place for roughly 6 months and is especially suited for short-term weight loss.

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(...continued from page 52)

The recovery time with all of these approaches is relatively rapid, with most patients going home a day or two after their surgeries and getting back to work about a month later, depending on the kind of work they do.

“About two out of every three American adults are overweight, and one out of every three can be said to be obese.”

Health professionals do say, however, that bariatric surgery does not signal the end to a person’s fight against obesity.

For those who turn to surgery after diet and exercise have failed, the surgery can create new and different nutritional, medical, and physical challenges along with changes in their emotional behavior.

“The key is that the patient’s eating and fitness habits have to change, lifelong, to keep the weight off,” Dr. Alley stresses. “The surgery can serve like a ‘reset button’ to get the weight off so that a person can finally exercise without pain and be satisfied with a small healthy meal, but keeping the weight off long-term depends on making these habits permanent.”

“In 1990, hardly any states had obesity rates of more than 15 percent; today, all 50 states have obesity rates of at least

For more information, you can reach Centra Health bariatric surgery at www.CentraWeightLoss.com or call 434.200.3908.

20 percent.”

EXPERT CONTRIBUTERS Joshua B. Alley, MD, FACS is the medical director for bariatric surgery with Centra Medical Group in Lynchburg. Dr. Alley is certified by the American Board of Surgery.

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1st 2nd

3rd

“Obesity has become second only to

read this edition of

tobacco as a major killer in the United States. This is part of the reason that healthcare insurers cover bariatric surgery. The surgery helps avoid the costs of serious weight-related diseases.”

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on your tablet or smartphone

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Healthy Tricia Foley’s

ARTICHOKE DIP Ingredients 2 1 4 1 2

cups artichoke hearts tablespoon black pepper cups chopped spinach teaspoon minced thyme cloves garlic, minced

1 tablespoon minced parsley 1 cup low-sodium white beans, prepared 2 tablespoons parmesan cheese ½ cup fat-free sour cream

Directions

Heat oven to 350 degrees. Meanwhile, in a medium bowl, mash the white beans and fat-free sour cream together until a paste is formed. In an 8 x 8 inch-baking dish, combine all of the ingredients and blend them together, spreading evenly. Bake the mixture in the oven for 30 minutes, then serve warm with whole-grain pitas or vegetables for dipping.

Ideas

LOW SODIUM WHITE BEANS Using low-sodium white beans instead of Alfredo sauce (typically found in many artichoke dips) will reduce sodium while improving the overall nutrition.

Nutrition

(Nutrition per serving, 1/2 cup) 120 calories, 14 grams carbohydrates, 6 grams fiber, 71 milligrams sodium, 2 grams fat, 0 grams saturated fat and 4 grams protein.

Source: www.mayoclinic.org

FAT FREE SOUR CREAM Using fat free sour cream instead of full-fat sour cream, will save six grams of saturated fat .

SPICE IT UP Thyme and parsley enhance the flavor that otherwise would have been lost when removing the Alfredo sauce, which is usually seasoned.

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OLIVE OIL Searing the chicken in olive oil instead of butter reduces saturated fat and gives the dish a healthy dose of monounsaturated heart healthy fats.

Tricia Foley’s

CHICKEN WITH MUSHROOMS AND RICE Ingredients (serves 6) 1 6 1 2 1½ 1 1/4 1/4

tablespoon olive oil (4-ounce) chicken breasts pound white mushrooms, thinly sliced cups low-sodium chicken broth or vegetable broth cup water cup uncooked Brown rice teaspoon salt cup fresh cilantro or parsley, chopped Salt and pepper

Directions

Heat a large skillet on medium-high heat until hot. Add olive oil. Season the chicken breasts with salt and pepper. Sear the chicken for five minutes. Flip the breasts to the other side and sear for two more minutes on medium heat. Remove from the skillet (they will not be cooked through). In the same skillet, add the thinly sliced mushrooms and cook on medium heat for about one to two minutes, until the mushrooms soften.

Add the chicken broth, water, uncooked rice, and ¼ teaspoon salt and bring to a boil.

Mix everything well. Put the chicken breasts on top, making wells for them in the rice. Reduce the heat to a low boil simmer. Cover the skillet and simmer for 15 to 20 minutes until the rice is soft and the chicken is completely cooked. Sprinkle with chopped fresh cilantro before serving.

Nutrition (Nutrition per serving): 337 calories, 6.7 grams fat, 0.5 grams saturated fat, 468 milligrams sodium, 26 grams carbohydrates, 3 grams fiber and 38 grams protein.

Source: www.Juliasalbum.com

SKINLESS CHICKEN BREASTS Using skinless chicken breasts instead of chicken thighs saves nearly 14 grams of fat, about 5 grams of saturated fat, and 116 calories per serving.

BROWN RICE Substituting brown rice instead of white rice adds more than 2 grams of fiber per serving.

FRESH MUSHROOMS Using fresh mushrooms instead of condensed soup reduces sodium and adds a healthy dose of vitamins and antioxidants to the meal. www.OurHealthlbss.com

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Healthy Tricia Foley’s

BAKED APPLES

Ideas

Ingredients (serves 6) 6 2 1/2 ¼ 1 1

honey crisp apples tablespoons butter cup unsweetened applesauce cup honey tablespoon apple pie spice (blend of cinnamon, nutmeg and allspice). ounce chopped pecans

Directions

Heat oven to 375 degrees. Wash and core apples, leaving enough of the core at the base of the apple to contain the filling. Combine the butter, honey, applesauce, apple pie spice, and chopped pecans in a small bowl. Spoon the contents evenly into each apple to fill the core. Fill a baking dish with ¾ cup water. Place the apples upright and bake them for about one hour until the apples are soft and the filling is browned.

SUBSTITUTE BROWN SUGAR By substituting honey and applesauce for brown sugar, we are able to maintain the flavors and sweetness of the dessert while cutting back on the calories.

Nutrition

(Nutrition per serving): 161 calories, 7.4 grams fat, 2.4 grams saturated fat, 2 milligrams sodium, 26 grams carbohydrates, 23.9 grams sugar, 4.5 grams fiber and 0.5 grams protein.

Source: www.foodnetwork.com

GLAZED PECANS Substituting regular chopped pecans for glazed pecans also reduces the sugar while still maintaining the crunch of the original dish.

SPICE IT UP By decreasing the butter and adding more spices, we are able to maintain the flavor while cutting back on the saturated fat. www.OurHealthlbss.com

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LY N C H B U R G & SOUTHSIDE

NUTRITION WELLNESS FITNESS

RESOURCE GUIDE

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LYNCHBURG & SOUTHSIDE'S

NUTRITION + WELLNESS + FITNESS RESOURCE GUIDE

FITNESS CENTERS Cornerstone Fitness Lynchburg | 434.534.3054 www.fitnesscornerstone.com

Crosswhite Fitness Lynchburg | 336.902.7150 www.crosswhitefitness.com

YMCA of Central Virginia Danville | 434.792.0621 Downtown | 434.847.5597 Jamerson | 434.582.1900 Y Express | 434.455.5996 www.ymcacva.org

Curves

Hot Asana Yoga Studio Danville | 434.483.2888 www.hotasanastudio.com

Hot Yoga Downtown Lynchburg | 434.846.2028 www.hotyogadowntown.com

Iron and Grace Lynchburg | 434.944.8633 www.ironandgraceva.com

James River Yoga

Danville | 434.799.7887 Lynchburg/Timberlake 434.237.7907 South Boston | 434.572.8626 www.curves.com

Lynchburg | 434.444.5395 www.jamesriveryoga.com

IKA Lynchburg | 434.384.0513 www.ika-karate.com

Mind Body Studio Lynchburg | 434.528.1100

MIND + BODY Elite Fitness Appomattox | 434.664.2021

Danville Yoga and Fitness Danville | 434.429.4672 www.danvilleyoga.wordpress.com

Kinetix Health Club Forest | 434.525.0015 Lynchburg | 434.239.0015 www.kinetixlynchburg.com

East West Acupuncture Tai Chi

Lifestyle Fitness

FEKS Martial Arts

Forest | 434.385.4900 www.lifestyleforest.com

Planet Fitness Danville | 434.792.1723 Lynchburg | 434.237.0287 www.planetfitness.com

Snap Fitness Lynchburg | 434.384.6600 www.snapfitness.com

Lynchburg | 434.851.8533 www.eastwestacupuncture.net

Forest | 434.219.4207 www.lynchburgkarate.com

Grand Slam Martial Arts Rustburg | 434.332.3300 www.grandslammartialarts.com

Harmonic Waves Wellness Center Lynchburg | 434.528.4242 www.harmonicwaveslynchburg.com

Peakland Pilates Lynchburg | 434.384.5354 www.peaklandpilates.com

Renaissance Academy of Martial Arts Lynchburg | 434.846.5425 www.ramarts.com

The Edge Martial Arts Lynchburg | 434.237.8277 www.theedgeforlife.com

Yoga Goodness Studio Lynchburg | 434.855.0562 www.yogagoodnessstudio.com

NUTRITION

GNC Danville | 434.791.4326 Forest Plaza West 434.316.0035 River Ridge Mall 434.239.7262 Wards Crossing West 434.239.3653 www.gnc.com

Health Nut Nutrition Lynchburg | 434.239.5170 www.healthnutnutrition.com

Pro Nutrition LLC Lynchburg | 434.832.0777

Vitamin Shoppe Lynchburg | 434.239.5417 www.vitaminshoppe.com

Your Nutrition Condition Lynchburg | 434.525.6796 www.yournutritioncondition.com

SPORTS PERFORMANCE AND TRAINING Athletic Republic – Central Virginia Forest | 434.395.4900 www.athleticrepublic.com

The Academy of Sports and Fitness Lynchburg | 434.534.8868 www.theacademysf.com

Complete Nutrition Lynchburg | 434.237.1424 www.completenutrition.com

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If the

SHOE fits... words | TINA JOYCE

The urge to keep your New Year’s resolutions may have you rushing out

GAIT

/gāt/ (noun):

A person's manner of walking

Whether you’re a marathon runner or a one mile walker, happy feet can make all the difference.

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to hit the pavement for a few miles. After all, you don’t want to lose your momentum. However, it’s important to put your health and long-term goals first and make avoiding injuries your top priority.

Whether you are an avid runner or a recreational jogger, if running is part of your fitness plan, then choosing the right shoes will help you avoid injury, improve your performance and increase your comfort.

SEEK EXPERTS Contact your physician or local running club and ask for retailers in the area with knowledgeable staff to assist you. Ask to be measured each time you purchase shoes. Choosing a size that is ultimately too tight on one or both feet may cause you discomfort and/or injury.

To enhance your natural gait, ask for help seeking lightweight shoes with minimal heel-to-toe drop and adequate support. By getting in a properly fitted shoe, according to gait analysis, you may be able to help limit the risk of running-

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

and walking-induced injuries. A properly fitted pair of running/walking shoes will reduce the stress on your body by improving your form.

The American College of Sports Medicine offers clear and thorough information on “Selecting Running Shoes” that can be an excellent guide for information seekers.

Additionally, do your research and verify your sources; don’t simply trust the first thing that you read or hear.

INVEST Avoid trendy shoes or those that are not designed for forward-motion mechanics (a.k.a., running). There is no one particular brand that works for every individual.

In fact, many familiar brand names make shoes that are ideal for running, but they also manufacture shoes that are not designed for this purpose. Therefore, choosing by brand is not the best decision.

Although a good pair of running shoes may seem expensive, once you consider the miles you will log and the ramifications of a possible lingering injury, you will realize that your health is well worth the investment.

LISTEN TO YOUR BODY There is no single shoe that fits best for every individual and every activity. If the retailer will allow it, you can try running on a treadmill in the store. If something doesn’t feel right, try another shoe.

A FEW GUIDELINES •

There should be a half inch between your toes and the end of the shoe.

•

Make certain that the heel doesn’t slip.

•

The shoes should not be too tight or pinch your toes, so they should have a wide toe box.

•

Be careful with “stability components” that may interfere with your natural foot motion.

•

The arch support should match your arch needs.

WHAT IS VIDEO GAIT ANALYSIS? Video analysis software can assess your running style by analyzing your biomechanical patterns with angles, measurements and shapes.

This analysis can assist you in selecting a comfortable and well-fitting shoe.

Selecting well-fitting shoes will help motivate you to stay on track with your fitness goals. Remember, happy feet equal a happy you!

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