December 2019 | January 2020 OurHealthLynchburg.com
12th 2019
2019
2019
2019
HEALTH TRENDS: WHAT WERE THEY THEN AND WHAT ARE THEY NOW?
DISCUSSING POLITICS AND RELIGION DURING HOLIDAY DINNERS: CAN IT ACTUALLY BE DONE DIPLOMATICALLY?
A GOOD BEDSIDE MANNER GOES MUCH DEEPER THAN A REASSURING SMILE
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Lynchburg & Southside
2019
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FEATURES
DECEMBER 2019 • JANUARY 2020 FIRST EXPRESSIONS: A GOOD BEDSIDE MANNER GOES MUCH
20 DEEPER THAN A REASSURING SMILE
Doctors and medical providers are forced to do more with less, including time – with every minute considered precious and invaluable by themselves and their patients. Altogether, it makes having a relationship built on trust, and understanding of mutual expectations and effective two-way communication more important than ever.
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LYNCHBURG AND SOUTHSIDE’S 12TH ANNUAL BEST BEDSIDE MANNER AWARDS Join us in congratulating 254 of Lynchburg and Southside’s most esteemed doctors and providers in 60 specialties for being recognized in the 2019 Best Bedside Manner Awards.
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DEPARTMENTS DECEMBER 2019 • JANUARY 2020
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The Pulse | People. Places. News to Know.
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Health Scene | Happenings. Who’s Who. Trending. Hundreds of girls, spectators, volunteers and community members laced up and swarmed the campus of Sweet Briar College on November 23, 2019 for one of several Girls on the Run of Central Virginia 5K events.
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Q&A on Health | Questions. Answers. Knowledge.
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Healing Words | Listen. Learn. Communicate. Discussing Politics and Religion During Holiday Dinners: Can It Actually Be Done Diplomatically? Politics and religion have long believed to be two topics we should avoid sharing opinions on – especially at family gatherings. But an expert at James Madison University weighs in with a different perspective, suggesting doing so correctly may spark more conversations that can turn out to be more productive than divisive.
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Health Trends | What Were They Then, and What are They Now? It’s inevitable that trends come and go. What’s popular today will be a memory tomorrow. And while it’s true that some practices do prove to have staying power, they still evolve with the changing times.
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Healthy Observations | Educate. Eradicate. Victory. DECEMBER 1-7, 2019 | National Influenza Vaccination Week Better Late than Never: National Influenza Vaccination Week Reminds Us to Get Our Shots. Flu season is already underway, but it’s not too late for people to get vaccinated — especially if they’re going to be spending a lot of time around others over the course of the holidays.
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Food and Fitness | Nutrition. Exercise. Prevention. Adopting Smaller Habits Every Day Will Make Your New Year’s Resolution Much More Manageable. Here are 21 healthy eating habits for you to adopt throughout the first few weeks of the new year.
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Funny Bone | Spot the Seven Differences
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DECEMBER 2019 • JANUARY 2020
PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION ACCOUNTING MANAGER GRAPHIC DESIGNER GUEST PHOTOGRAPHER
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Laura Bower Tori Meador Cris Pacho Jay Proffitt Karen Smith Shawn Sprouse – www.sdsimages.com Andrew Wilds
CONTRIBUTING MEDICAL EXPERTS
John Kelly, MD Luis Matos, MD Cheryl Rakes, PT Laura Smith, MD Kimberly Wesley, Psy.D
CONTRIBUTING PROFESSIONAL Ron Feinman, Esq. EXPERTS & WRITERS Dylan Roche
ADVERTISING AND MARKETING Cindy Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com
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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2020 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 | ourhealthroanokenrv.com | ourhealthlynchburg.com | ourhealthrichmond.com | ourhealthcharlottesville.com | Advertising rates upon request.
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The Pulse
INFORMATION • EVENTS • AWARENESS
New Leadership Announcements Centra Names New Leaders to Executive Team Centra’s president and CEO, Andy Mueller, MD announces the recent appointment of three executive leaders to the organization. Since arriving in May 2019, Dr. Mueller has been focusing on building a strong and steadfast executive leadership team. “I am excited to welcome these gifted leaders to Centra,” says Dr. Mueller. “The diverse set of experiences, expertise and backgrounds each of these individuals bring to the Centra leadership team will be a remarkable advancement for the future of this organization.”
Eileen Clark
Eileen Clark will be joining Centra on January 13, 2020 as the new Vice President and Chief Information Officer (CIO). This position was previously held by an interim CIO, who will resume her normal duties with Centra once Clark arrives. Clark joins Centra from a health system in Charleston, WV. Prior to that, she was the CIO at the University of Tennessee Medical Center in Knoxville and the Associate CIO at VCU in Richmond. Originally from Michigan, Clark brings tremendous leadership and years of experience in multi-hospital health system IT organizations similar to Centra. She has handled mergers and acquisitions, IT governance, team and leadership development and has considerable experience with many different IT platforms. She received her Bachelor of Business Administration from Walsh College in Troy, MI and her Master of Science in Administration from Central Michigan University. Richard “Rick” Grooms will also be joining Centra on January 13, 2020 as the new Senior Vice President and Chief People Officer. This is a newly created position that focuses on organizational strategy and improving Centra’s future, including a well-defined culture, values and employees. Grooms has extensive history as a Human Resources executive and joins Centra from AnMed Health in Anderson, SC where he has served as the Chief Human Resources Officer. He received his Bachelor of Science from The Citadel in Charleston, SC and his Master of Arts in Public Administration and Management from Midwestern State University in Wichita Falls, TX.
Richard “Rick” Grooms
Doug Davenport will be joining Centra on February 10, 2020 as the new Senior Vice President and Chief Financial Officer (CFO). This position was previously held by an interim CFO, who will depart the organization with the arrival of Davenport. Davenport joins Centra from MercyOne Health, a multi-hospital system in Iowa. His distinguished career includes a track record of success in strategic financial direction and the health of multientity healthcare systems, while serving as the CFO at large systems across the country. He possesses extensive expertise and knowledge in debt financing, managed care contracting, financial performance improvement, revenue cycle optimization and physician enterprise growth. Davenport holds a BBA in Business Administration from Columbia Pacific University in San Rafael, CA and an MBA from City University in Bellevue, WA. “With the new talent we are recruiting to this region and the experienced leaders we already have, we have the right team in place to advance Centra’s goal, which is to create long-term, sustainable healthcare that enhances our community and those we serve,” says Dr. Mueller.
Doug Davenport
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More Information: www.CentraHealth.com
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
The Pulse
• NEWS TO KNOW
Luis Calvo, MD
Meaghan Crook, DO
Sidney Earley, NP
Kyle Eriks-Cline, FNP
Firas Kaddaha, MD
Ronald Pawlak, MD
Sara Valente, MD
Kimberly Wesley, PsyD
CVFP Medical Group – Internal Medicine Lynchburg | 434.947.3944 www.cvfp.net
CMG Stroobants Cardiovascular Center Centra Health Lynchburg | 434.200.5299 www.centrahealth.com/ cardiology
Centra Medical Group – Amherst Centra Health Amherst | 434.946.9565 www.centrahealth.com/ cmgamherst
Centra Medical Group – Brookneal Centra Health Brookneal | 434.376.2325 www.centrahealth.com/ cmgbrookneal
CMG Neurology Center – Lynchburg Centra Health Lynchburg | 434.200.3600 www.centrahealth.com/ neurology
CMG Urology Center – Langhorne Road Centra Health Lynchburg | 434.200.2994 www.centrahealth.com/ services/urology
CMG Stroobants Cardiovascular Center Centra Health Farmville | 434.392.4370 www.centrahealth.com/ cardiology
Diana Harris, NP
Alan B. Pearson Regional Cancer Center Centra Health Lynchburg | 434.200.6086 Cancer.Centrahealth.com
CMG Piedmont Psychiatric Center Centra Health Lynchburg | 434.200.5999 www.centrahealth.com/ CMGPiedmontPsychiatricCenter
Parichart Junpaparp, MD CMG Stroobants Cardiovascular Center Centra Health Lynchburg | 434.200.5252 Cardiology.Centrahealth.com
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Do you have health-related news to share for The Pulse? Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com.
Local health. Anywhere you go. OurHealth Lynchburg & Southside magazine our community’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 400 locations throughout the area or get the digital edition by visiting ourhealthlynchburg.com.
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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | OURHEALTH STAFF WRITER photos | ANDREW WILDS, CRIS PACHO, JAY PROFFITT AND KAREN SMITH
GIRLS ON THE RUN OF CENTRAL VIRGINIA HOSTS CELEBRATORY 5K Hundreds of girls, spectators, volunteers and community members laced up and swarmed the campus of Sweet Briar College on November 23, 2019 for one of several Girls on the Run of Central Virginia 5K events. It was a day filled with goal-achieving and confidence building as the girls crossed the finish line. The 5K event is the celebratory running event that marks the completion of the Girls on the Run running program. Girls on the Run is a nationally known physical activity-based, positive youth development program that uses fun running games and dynamic discussions to teach life skills to girls in 3rd – 8th grades. During the 10-week program, girls participate in lessons that foster confidence, build peer connections and encourage community service while they prepare for the end-of-season celebratory 5K event. “These 5K events are true celebrations of the hard work and training our participants have completed as they journeyed through the life-changing curricula of the Girls on the Run and Heart & Sole Programs,” says Mary Hansen, Council Director. In the Greater Lynchburg area, nearly 100 trained volunteer coaches facilitated the curriculum to dozens of teams of girls this season, helping equip them with the physical and emotional skills necessary to carry them over the 5K finish line. Girls on the Run of Central Virginia was established in 2006 to serve the Greater Lynchburg area, and has since expanded to include the Charlottesville area. The Central Virginia council now serves over 1000 participants annually. For more information about Girls on the Run, including how to register a girl or get involved, visit www.girlsontheruncenva.org.
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Questions. Answers. Knowledge.
PHYSICAL SYMPTOMS OF
ANXIETY
CAN INCLUDE: • Rapid Heart Rate • Fast Breathing • Dizziness or Light-headedness • Sweat • Feel Shaky • Muscle Tension • Restlessness • Dry Mouth • Stomach Ache or Nausea • Diarrhea or Constipation
What are the physical symptoms of anxiety? The physical symptoms of anxiety vary depending on the individual. Some will experience a rapid heart rate and fast breathing, as the body attempts to move oxygenated blood more quickly to organs and muscles. This sometimes will cause an individual to experience dizziness or light-headedness. Some will begin to sweat, feel shaky, or experience muscle tension. When facing a stressor, the body’s stress hormones release a burst of blood sugar, which may lead to a rush of energy or restlessness. The body may produce less saliva, resulting in dry mouth or difficulty swallowing. Many people will experience digestive complaints when experiencing anxiety, such as stomach aches, nausea and vomiting. Some may develop diarrhea or constipation. Every person’s body experiences anxiety differently, and evaluation by a medical professional may be warranted to rule out other causes of these physical symptoms. Kimberly Wesley, PsyD
CMG Piedmont Psychiatric Center Centra Health Lynchburg | 434.200.5999 Centrahealth.com/ CMGPiedmontPsychiatricCenter
How do I know when it’s time to see a fertility specialist? You can see a fertility specialist at any time. Some women will start their evaluation and treatment with their Ob/Gyn or family practice doctor. If fertility testing identifies low egg supply, a fallopian tube blockage, or if sperm testing is abnormal, then a fertility specialist can offer a full range of treatment options. If initial testing results are normal, then sometimes patients will start simple treatment with their Ob/Gyn or family doctor. If that treatment is not successful in a reasonable amount of time, scheduling an appointment with a fertility specialist may be beneficial. Fertility specialists are able to offer more involved treatments such as intrauterine insemination, stronger medications which require closer monitoring and in vitro fertilization (IVF). Laura Smith, MD
Reproductive Medicine and Surgery Center of Virginia, PLC Charlottesville | 434.654.8520 www.rmscva.com
How far in advance should mom and dad start planning and preparing for long term care options? Most likely the mere fact that you are asking the question means it is probably time to start the planning process. It is never too early to consult with an experienced Elder Law Attorney to explore the planning options that are available for your family. Many begin the process in their 60s and 70s. Many families may not be able to afford the extremely high cost of a nursing home stay, especially if both a husband and wife need such care. According to the 2019 Genworth Life Insurance Company Cost of Care Survey, a room in a nursing home in the Lynchburg area is approximately $8,425 and added expenses can go up from there. There are a number of strategies that can be used to protect a family’s assets so that parents won’t have to call on their children to pay for their care. The earlier you start the process the more options your family will have. Ron Feinman, Esq.
Virginia Elder Law, PLC Lynchburg | 434.528.0696 virginia-elderlaw.com
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Questions. Answers. Knowledge.
Did you know?
There is a lack of high-quality evidence suggesting that antibacterial soaps are more effective than plain soaps at preventing the spread of infection. Additionally, it is thought that certain
INGREDIENTS IN ANTIBACTERIAL
SOAPS
can contribute to antibiotic resistance, which makes bacterial infections more difficult to treat over time.
Should we use anti-bacterial hand washing soap at home?
How can mom recover from knee replacement surgery at home?
I recommend not using soaps labeled or promoted as “antibacterial” for routine hand washing at home. Various scientific and medical organizations, including the CDC and FDA, make this same recommendation. While good hand hygiene is important for preventing the spread of infection, it can be accomplished effectively with plain soap and water. There is a lack of high-quality evidence suggesting that antibacterial soaps are more effective than plain soaps at preventing the spread of infection. Additionally, it is thought that certain ingredients in antibacterial soaps can contribute to antibiotic resistance, which makes bacterial infections more difficult to treat over time. There is also uncertainty about other potential longer-term risks of various ingredients in many of the antibacterial soaps. For these reasons, I recommend sticking with plain soap and water for routine hand washing.
After a knee replacement surgery, most patients have the option of returning to their home to recover in their own living environment as opposed to an inpatient stay in a skilled nursing facility. Home health services typically begin with an assessment of the patient to determine what the home care needs will be. The day after the patient arrives home, an assessment of range of motion, walking, strength, transfers, bed mobility and general safety is completed. A physical therapist will also complete a treatment of basic exercises and range of motion movements that the patient can continue to practice independently. The home health provider will also educate the patient and family on proper techniques of transferring to and from a chair and bed. A treatment plan is developed with goals for the patient to meet, while the surgeon is updated on the patient’s progress as needed.
John Kelly, MD
CVFP – New London Forest | 434.534.6868 www.cvfp.net
The role of home health after this surgery is to facilitate safety in the home and increased independence with mobility and function. Overall, physical and occupational therapy at home helps the patient re-enter the community when he/she is ready, which typically ranges from two to four weeks, depending on the patient’s needs. Cheryl Rakes, PT
Interim Healthcare Danville | 434.836.7686 www.interimhealthcare.com
Could I be allergic to my Christmas tree? This is a great question. It all depends on what other environmental allergies you have. Most Christmas trees are too young to put out any pollen. Although the scent can sometimes be irritating, the main problem is what you bring into the house with the tree. The live or cut trees have been living outdoors and on their surfaces there are many molds. As you bring the tree indoors into a warm environment and keep it watered, you are bringing those molds into a more proper environment for them to grow and put out mold spores. If you are already allergic to mold spores, you will have allergic symptoms around indoor, fresh-cut Christmas trees. Luis Matos, MD
Allergy and Asthma of Virginia Lynchburg | 434.515.0419 Danville | 434.251.0026 www.va-allergy.com
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Expressions A GOOD BEDSIDE MANNER GOES MUCH DEEPER THAN A REASSURING SMILE words | DYLAN ROCHE
Not even medicine is exempt from being impacted by the fast pace of the world we now live in. Schedules are tight. Support services come at a premium. Regulations are complicated. And paperwork has become seemingly unlimited. Today, doctors and medical providers are expected to do more, which unfortunately can leave less time available to spend with each patient. Attempting to build a relationship with those receiving care based on trust, compassion, empathy and effective twoway communication – characteristics that largely define a doctor’s or medical provider’s good bedside manner – helps make patients more receptive to guidance, more honest about their lifestyle, more apt to embrace new technology and more likely to keep their appointments. But not everything a doctor or medical provider says is going to be warm and fuzzy, and sometimes patients will receive information the wrong way.
KEITH A. MCCURDY, EDS, LPC, LMFT, a mental health professional in western Virginia who has 30 years of experience specializing in relationship counseling, says a good bedside manner is based on a model of empathy, truthfulness and kindness. Those three qualities will help ensure smooth communication between the caregiver and patient. “It’s about being able to acknowledge the patient’s emotions,” he says. “A good bedside manner is about seeing the value in everyone.”
“A good bedside manner is about seeing the value in everyone.” – Keith A. McCurdy, EDS, LPC, LMFT
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Breakdowns in Communication One of the major problems in communication is that many people suffer from what is known as a negative confirmation bias, according to McCurdy. “We much more easily hear what confirms our frustrations than what confirms our blessings,” he says. This isn’t merely in the case of doctor/provider-patient relationships — it’s in all relationships. As an example, McCurdy tells how he will often help couples on marriage retreats by giving them 30 seconds to write down everything that frustrates them about their spouse, followed by 30 seconds to write down everything they appreciate about the other. When it comes to their frustrations, each spouse scribbles away for the full 30 seconds, filling up entire sheets of paper; as soon as it’s time to write down their appreciations, both of them will have to stop and think for a moment. Then there’s the problem of people having distorted emotions. For example: a person’s fear felt during a bad dream or scary movie is every bit as real as the fear felt during a real-life threatening situation. “Our feelings can’t tell the difference between fantasy and reality,” McCurdy says. When it comes to doctor/provider-patient relationships, the combination of negative confirmation bias and distorted emotions can force a bad perception on the situation. Caregivers must be aware of this if they’re going to get through to people who are struggling to accept a difficult diagnosis or change poor habits. “If we’re going to operate from a platform of instilling hope and offering assistance, we’ve got to correct those things in ourselves,” McCurdy says.
Projecting a Good Bedside Manner So if patients can come to the exam room with a distorted perception, how can a doctor overcome that and still connect with them? The way to do this is by recognizing the patient’s humanity and inherent value, McCurdy explains. This is what makes a doctor successful. Even if a doctor has a strong understanding of medicine, that will accomplish only so much if the doctor doesn’t have good people skills. Instead, a doctor needs to connect with the human being behind the disease.
“When a patient feels valuable where they are, they are able to open up to accepting assistance and taking direction.” – Keith A. McCurdy, EDS, LPC, LMFT
A doctor or medical provider with good bedside manner is one who greets a patient warmly, makes eye contact when speaking, and uses language the patient will understand rather than medical jargon. A doctor or medical provider also must practice body language that is honest and express emotions that will put the patient at ease. But most importantly, caregivers with good bedside manner must be aware of a patient’s emotions and know how to react to them properly. CONTINUED ON PAGE 25
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Best Bedside Manner Awards 2019 LYNCHBURG & SOUTHSIDE
Lynchburg & Southside
Acupuncture 2019
2019
THIRD PLACE Saju Eapen, MD Asthma and Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net
HONORABLE MENTION Dane McBride, MD Asthma and Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net
FIRST PLACE Matthew Miller, LAc, MB East West Acupuncture Lynchburg | 434.851.8533 www.eastwestacupuncture.net
Anesthesiology 2019
SECOND PLACE
The OurHealth Lynchburg and Southside Magazine Best Bedside Manner Awards are widely considered by doctors and providers as the most meaningful and cherished recognition they receive because it comes from patients and peers in our community. Throughout the month of June this year, the public was invited to visit www.OurHealthLynchburg.com to cast their votes for their favorite medical providers in 60 medical specialties who they feel exemplify excellence in bedside manner – a medical provider’s total approach to patient care that encompasses the attributes of professionalism blended with compassion and attentiveness and the ability to communicate with concern and empathy.
For 2019, more than 33,000 votes were cast, which were tabulated by a third party firm to determine the first, second, third and honorable mention winners in each specialty. Please join us in congratulating the 254 doctors and providers in Lynchburg and Southside who are the 2019 Best Bedside Manner Award winners.
Diana Harbour, LAc, M. Ed. BlueCrane Acupuncture Clinic Forest | 434.316.9101 www.bluecraneacupuncture.net
THIRD PLACE Deborah Farley, LAc Acupuncture Works, LLC Lynchburg | 434.237.0302 www.acupunctureworksllclynchburg.com
Allergy and Immunology 2019
Ann Marie Harman, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
SECOND PLACE Adam Kline, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
THIRD PLACE Edward Metzger, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
FIRST PLACE Luis Matos, MD, MBA, FAAAAI, FACAAI
Allergy and Asthma of Virginia Lynchburg | 434.515.0419 www.va-allergy.com
SECOND PLACE Charles “Joey” Lane, MD Allergy Partners of Lynchburg Lynchburg | 434.385.8190 www.allergypartners.com
If you have any questions, please submit via email to info@ourhealthvirginia.com.
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FIRST PLACE
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Audiology 2019
FIRST PLACE Monique Hall, AUD, FAAA, CCC Audiology Hearing Aid Associates Lynchburg | 434.528.4245 www.digitalhearing4u.com
SECOND PLACE Peggy Warner, AUD, CCC-A Blue Ridge Ear, Nose, Throat and Plastic Surgery Lynchburg | 434.200.8753 www.blueridgeentps.com
THIRD PLACE Danny Gnewikow, PhD, FAAA, CCC Audiology Hearing Aid Associates Lynchburg | 434.528.4245 www.digitalhearing4u.com
HONORABLE MENTION Alyson Butler Lake, AUD, CCC-A Blue Ridge Ear, Nose, Throat and Plastic Surgery Lynchburg | 434.200.8753 www.blueridgeentps.com Kara Martin, AUD, FAAA, CCC Audiology Hearing Aid Associates Lynchburg | 434.528.4245 www.digitalhearing4u.com
Bariatric Medicine 2019
FIRST PLACE Joshua Alley, MD Centra Lynchburg | 434.200.2500 www.centrahealth.com
CONTINUED FROM PAGE 22
Good Bedside Manner Doesn’t Mean Coddling Many patients will come into the exam room with a range of negative emotions. They might be upset about their diagnosis — fearful of what’s to come or frustrated by the thought that they have to change their lifestyle.
“Nobody goes to a doctor or medical provider without being in need. When they’re coming in, they’re already stimulated with emotion.” – Keith A. McCurdy, EDS, LPC, LMFT
McCurdy explains that doctors and medical providers should acknowledge their patient’s emotion — even in situations where the emotion seems overblown — so they can then lay the groundwork for moving onto a solution. “Don’t fight the emotion of where they are,” McCurdy says. “When we can acknowledge the way they feel, it’s like letting air out of an overinflated tire.” In other situations, patients might be disappointed that there isn’t a miracle cure they were hoping for, such as pills and other pharmaceuticals that are perceived to be the sole solution. Doctors and medical providers should be prepared for this. “How many people feel they failed if they don’t leave the doctor with a prescription for an antibiotic?” McCurdy poses rhetorically. He says this is especially true in the field of pediatrics, when parents can get frustrated that not enough is being done to help their sick child. “That’s the mindset we have today, that everything should be solved, everything should have a quick fix, rather than accepting that sometimes, life is messy,” McCurdy continues. “We need to learn to be OK and have hope in the midst of life being messy. That’s a tough thing.” In these situations, McCurdy says it’s important that doctors and providers empower their patients to overcome hardships related to their health. The challenge, however, is that contemporary society doesn’t view struggle as a normal part of life the way people viewed struggle, say, 50 years ago. “We’ve changed our perception so that when we’re facing normal rigors of life, we view those as really negative,” he says. “When we suffer something traumatic, we feel completely helpless and hopeless.” CONTINUED ON PAGE 29 www.OurHealthLynchburg.com
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2019
2019
2019
Best Bedside Manner Awards
2019
2019 LYNCHBURG & SOUTHSIDE
BARIATRIC MEDICINE SECOND PLACE
Chiropractic Care
Michael Jones, DO Centra Lynchburg | 434.200.2500 www.centrahealth.com
2019
Kevin Midkiff, DDS Kevin S. Midkiff, DDS Family and Cosmetic Dentistry Lynchburg | 434.239.8133 www.kevinmidkiffdds.com
FIRST PLACE Jennifer Tinoosh, DC, MUAC Chiro-Med Health Center, Inc. Lynchburg | 434.316.0100 www.chiro-medhc.com
SECOND PLACE FIRST PLACE Justin Anderson, MD Centra Lynchburg | 434.200.5252 www.centrahealth.com
SECOND PLACE Richard Kuk, MD Centra Lynchburg | 434.200.5252 www.centrahealth.com
THIRD PLACE David Truitte, MD Centra Lynchburg | 434.200.5252 www.centrahealth.com
HONORABLE MENTION Chad Hoyt, MD Centra Lynchburg | 434.200.5252 www.centrahealth.com
Will Likins, DC, FASA Chiropractic Care Center Forest | 434.525.4588 www.drlikins.com
Todd MacDowall, DC Light Chiropractic Forest | 434.455.2484 www.light-chiropractic.com
Brent Riley, DDS Riley Dental Associates of Central Virginia Lynchburg | 434.385.7707 www.rileydentalassociates.com
Dentistry: Dental Hygienist 2019
Edward Bauchou, Jr., DC Edward A. Bauchou, Jr., DC Lynchburg | 434.237.4831 www.chirolynchburg.com Linda Brown, DC Brown Chiropractic and Wellness Lynchburg | 434.528.4030 f Brown Chiropractic and Wellness Center
Dentistry: Cosmetic 2019
FIRST PLACE Cathy Maggi, RDH Riley Dental Associates of Central Virginia Lynchburg | 434.385.7707 www.rileydentalassociates.com
SECOND PLACE Karen Sanderson, RDH Lynchburg Dental Center Lynchburg | 434.384.7611 www.lynchburgdentist.com
THIRD PLACE FIRST PLACE
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Garland Gentry, DDS Forest Family Dentistry Forest | 434.316.6050 www.forestfamilydentistry.com
HONORABLE MENTION
Boshra Zakhary, MD Sovah Health Danville | 434.799.2100 www.sovahhealth.com
BEST BEDSIDE MANNER AWARD WINNERS
HONORABLE MENTION
THIRD PLACE
Mark Townsend, MD Centra Lynchburg | 434.200.5252 www.centrahealth.com
Congratulations
Gregory Toone, DDS Gregory J. Toone DDS Lynchburg | 434.239.8222 www.toonedental.com
THIRD PLACE
Cardiology 2019
SECOND PLACE
Carrington Crawford, DDS Lynchburg Dental Center Lynchburg | 434.384.7611 www.lynchburgdentist.com
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Rebecca O’Roark, RDH Brady and Crist Dentists Lynchburg | 434.239.2651 www.bradycristdentists.com
www.OurHealthLynchburg.com
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2019
2019
2019
Best Bedside Manner Awards
2019
2019 LYNCHBURG & SOUTHSIDE
DENTISTRY: DENTAL HYGIENIST HONORABLE MENTION
Dentistry: General
Vanessa Kapule, RDH James Barton, DMD Lynchburg | 434.385.6000 www.jamesburtondmd.com
Kyle Wheeler, DDS Dr. Kyle Wheeler Dentistry Forest | 434.385.6398 www.drwheelerdentistry.com
2019
Dentistry: Oral Surgery
Jodie Olson, RDH Lynchburg Dental Center Lynchburg | 434.384.7611 www.lynchburgdentist.com
FIRST PLACE
Dentistry: Endodontics
Shane Claiborne, DDS Forest Smiles Forest | 434.944.9763 www.forestsmiles.com
SECOND PLACE 2019
FIRST PLACE James Stanley, DDS James Stanley, DDS, PC Lynchburg | 434.385.0273 www.lynchburgendodontics.com
SECOND PLACE Dustin Reynolds, DDS, MS Forest Hill Endodontics Lynchburg | 434.439.4942 www.foresthillendo.com
THIRD PLACE
Brent Riley, DDS Riley Dental Associates of Central Virginia Lynchburg | 434.385.7707 www.rileydentalassociates.com
FIRST PLACE William Carvajal, DDS, MD, FACS Central Virginia Oral and Facial Surgery Lynchburg | 434.832.8040 www.cvofs.net
THIRD PLACE Annie Libbey, DDS Libbey Family Dentistry Forest | 434.316.9090 www.libbeydentistry.com
HONORABLE MENTION R. Kelly Golden, DDS R. Kelly Golden, DDS, PC Madison Heights | 434.846.1981 www.rkellygoldendds.com Carole Roberts, DDS Crossroads Family Dentistry Forest | 434.841.1704 www.crossroadsfamilydentistryva.com
Samual Black, Jr., DMD, PHD, PC Gentle Endodontics of Lynchburg Lynchburg | 434.333.0382 f GentleEndodontics
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SECOND PLACE Raj Guraya, DDS Blue Ridge Oral and Facial Surgery Lynchburg | 434.845.1121
THIRD PLACE Mitchell Magid, DMD Mountainview Oral Surgery and Implant Center Lynchburg | 434.316.7111 www.lynchburgoralsurgery.com
Congratulations
AWARD WINNERS
CONTINUED FROM PAGE 25
Patients can be difficult because most people don’t have a healthy outlook on hardship — or they act that way, at least. When McCurdy speaks at conferences, he recalls to the crowd a bit of advice his grandmother used to give: “It’s not a big deal unless your head’s on fire and you’re bleeding out of your ear.” In that context, McCurdy will ask his audience how many of them have suffered a big deal that day, or that week, or even that month. It’s usually not until they reflect on the past year that most people concede they’ve been up against something that could be classified as a big deal. But then McCurdy asks his audience how many of them have acted as if they’ve faced a big deal already that day. Most people will raise their hand and acknowledge they have.
“The point made is you’re operating on a distorted perception and that’s affecting your ability to see the world accurately, to have hope in the middle of these things because you’re convincing yourself this is worse than it really is.” – Keith A. McCurdy, EDS, LPC, LMFT
“When we can separate that, then when someone really is in trauma, we can more effectively deal with it.”
Expressing Emotion Part of a doctor’s or medical provider’s communication is nonverbal, often in the form of facial expressions. As noted by pioneering psychologist Paul Ekman in the 1960s, certain facial expressions are universally recognized across cultures even if people aren’t speaking the same language. The expressions Ekman noted as such include: HAPPINESS, DISGUST,
ANGER, SADNESS, SURPRISE AND FEAR. CONTINUED ON PAGE 33
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Dentistry: Orthodontics
Dentistry: Pediatric
Dermatology
2019
2019
2019
FIRST PLACE Eric Baugher, DMD Central Virginia Orthodontics Lynchburg | 434.385.4746 www.bracesbycvo.com
SECOND PLACE Elena Black, MD Appalachian Orthodontics of Lynchburg Lynchburg | 434.515.0370 www.lynchburgorthodontics.com
THIRD PLACE Jennifer Claiborne, DDS Central Virginia Orthodontics Lynchburg | 434.385.4746 www.bracesbycvo.com
FIRST PLACE
FIRST PLACE
Shepherd Sittason, DDS Children’s Dentistry and Orthodontics of Lynchburg Lynchburg | 434.237.0125 www.smilelynchburg.com
Carrie Cobb, MD, FAAD RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com
SECOND PLACE
SECOND PLACE Shannon Sawyer, DMD Children’s Dental Health of Lynchburg Lynchburg | 434.239.6948 www.cdhlynchburg.com
Dentistry: Periodontics
HONORABLE MENTION
2019
Mark Blanchette, DDS Orthodontics by Mark E. Blanchette, DDS, MS Lynchburg | 434.846.4014 www.blanchetteortho.com Norman Prillaman, Orthodontic Arts Forest | 434.385.4499 www.orthodonticarts.net
FIRST PLACE Ryan Anderson, DDS Periodontal Health Associates Lynchburg | 434.455.2444 www.periodontalhealthassociates.com
Soni Carlton, MD Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com
THIRD PLACE Jason Givan, MD, FAAD,FACMS RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com
HONORABLE MENTION Ry Bohrnstedt, DO Seven Hills Dermatology Lynchburg | 434.237.3376 www.sevenhillsdermatology.com Samantha Hill, MD, FAAD Ridgeview Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com Kappa Peddy, MD, FAAD Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com
SECOND PLACE Sherman Smock, DDS Periodontal Health Associates Lynchburg | 434.455.2444 www.periodontalhealthassociates.com
THIRD PLACE Gavin Aaron, DDS Aaron Periodontics and Dental Implants Lynchburg | 434.316.0080 www.periohub.com
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Ear, Nose and Throat (Otolaryngology)
Endocrinology, Diabetes and Metabolism
Emergency Medicine
FIRST PLACE
FIRST PLACE
FIRST PLACE
Timothy Courville, MD Blue Ridge Ear, Nose, Throat and Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com
Angelo Guanzon, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
SECOND PLACE Jay Michael Cline, MD Blue Ridge Ear, Nose, Throat and Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com
THIRD PLACE Andrea Kittrell, MD Head and Neck Surgery of Central Virginia Lynchburg | 434.455.7999 www.hnscv.com
HONORABLE MENTION Joseph Hutchison, MD Blue Ridge Ear, Nose, Throat and Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com Samuel Meadema, MD Sovah Physicians Practices Danville | 434.792.0830 www.sovahphysicians.com
Kayla Long, DO Centra Lynchburg | 434.200.3000 www.centrahealth.com
Patricia Powers, MD Dr. Patty Powers Whole Health Catalysts, PC Forest | 434.382.1825 www.drpattypowers.com
THIRD PLACE David Kumar, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
Family Practice
HONORABLE MENTION
2019
William Moore, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com Adam Stevens, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
FIRST PLACE John Carmack, MD CVFP New London Forest | 434.534.6868 www.cvfp.net
Michael Weigner, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
SECOND PLACE Kimberly Combs, MD CVFP Piedmont Lynchburg | 434.846.7374 www.cvfp.net
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Alan Kauppi, MD Centra Lynchburg | 434.200.4422 www.centrahealth.com
SECOND PLACE
SECOND PLACE
Sam Meshkinfam, DO Blue Ridge Ear, Nose, Throat and Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com
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THIRD PLACE Laura Robert, MD CVFP New London Forest | 434.534.6868 www.cvfp.net
CONTINUED FROM PAGE 29
Professor Robert Plutchik of the University of South Florida would later conduct follow-up research and add JOY and TRUST to Ekman’s list. Doctors/medical providers and patients can bring any of these expressions on their face when they enter the exam room, and in many cases, the emotion might not have anything to do with the appointment, diagnosis or recommended treatment. A patient might be sad because he broke a sentimental family heirloom before heading to the doctor’s office. The doctor or medical provider might be angry because he got a speeding ticket on his or her way to work. In either of these scenarios, each person’s expression might affect the communication between them and the overall experience of the visit.
Ang er
• E ye • B brows p u • D lging ey ulled do il e wn • P at e d n o s s u rs e d lip trils s
Consider a doctor’s or medical provider’s anger. ANGER is an emotion that can range from mild irritation to extreme rage. Anger is expressed via lowered eyebrows, pursed lips, bulging eyes and dilated nostrils. Inside the body, heart rate and blood pressure increase, and levels of adrenaline and noradrenaline rise abnormally. Anger can often be met with a defensive reaction. Similarly, the patient’s SADNESS, an emotion associated with loss or helplessness, can range from mild disappointment to extreme despair. It’s expressed by lowering the corners of the mouth, raising the inner part of the eyebrow and pouting the lips.
If the doctor or patient are aware of how they are feeling, they can better understand how the other might respond to their emotion, and they can strive to change their expression so they are not bringing problems like broken heirlooms or speeding tickets into the exam room. CONTINUED ON PAGE 37
Disgust
Sadn ess
down pulled brows • Eye d le e wrink p • Nos ulled u er lip p p p U • e s loo • Lips
• In ner rais corners of e • L ed yeb owe row s mou ring cor n e rs th w ith p of th outin e g of www.OurHealthLynchburg.com lips
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FAMILY PRACTICE HONORABLE MENTION Teodora Brose, MD CVFP Appomattox Appomattox | 434.352.8235 www.cvfp.net Peter Gibbs, DO Centra Lynchburg | 434.200.3908 www.centrahealth.com Leah Hinkle, MD CVFP Forest Forest | 434.525.6964 www.cvfp.net
HONORABLE MENTION Bikram Bal, MD Centra Farmville | 434.315.2860 www.centrahealth.com
Hematology/ Oncology
Robert Richards, Jr., MD Gastroenterology Associates of Central Virginia Lynchburg | 434.333.0902 www.gastrocentralva.com
Geriatric Medicine
David Paulus, MD CVFP New London Forest | 434.534.6868 www.cvfp.net
2019
FIRST PLACE Cecilia MacCallum, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
2019
SECOND PLACE
David Smith, MD Access Healthcare Forest | 434.316.7199 www.access-healthcare.net
FIRST PLACE
Gastroenterology 2019
Verna Guanzon, MD CVFP Monelison Madison Heights | 434.846.8421 www.cvfp.net
SECOND PLACE Christopher Webb, MD CVFP Internal Medicine Lynchburg | 434.947.3944 www.cvfp.net
FIRST PLACE Patrick Kenny, DO Gastroenterology Associates of Central Virginia Lynchburg | 434.333.0902 www.gastrocentralva.com
John MacNeil, Jr., MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
THIRD PLACE Stefan Gorsch, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
HONORABLE MENTION Kevin Patel, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
THIRD PLACE Verna Sellars, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
Hospitalist 2019
SECOND PLACE Wei Hou, MD Gastroenterology Associates of Central Virginia Lynchburg | 434.333.0902 www.gastrocentralva.com
THIRD PLACE Ken Musana, MD Gastroenterology Associates of Central Virginia Lynchburg | 434.333.0902 www.gastrocentralva.com
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FIRST PLACE James Wesley Robertson, MD Hospitalist Associates of Virginia Lynchburg | 434.200.5895 www.havmd.com
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HOSPITALIST SECOND PLACE Murat Gezen, MD Hospitalist Associates of Virginia Lynchburg | 434.200.5895 www.havmd.com
THIRD PLACE
Integrative Medicine
THIRD PLACE
Geeta Rakheram, MD Centra Lynchburg | 434.200.3908 www.centrahealth.com 2019
HONORABLE MENTION Paul Bennett, MD Hospitalist Associates of Virginia Lynchburg | 434.200.5895 www.havmd.com Robert Feuerstein, DO Hospitalist Associates of Virginia Lynchburg | 434.200.5895 www.havmd.com John Olmstead, MD Hospitalist Associates of Virginia Lynchburg | 434.200.5895 www.havmd.com
HONORABLE MENTION David Cannon, MD CVFP Internal Medicine Lynchburg | 434.947.3944 www.cvfp.net
William Cheatwood III, MD Hospitalist Associates of Virginia Lynchburg | 434.200.5895 www.havmd.com
FIRST PLACE Rick Lee, MD Blue Ridge Chronic Pain Center Forest | 434.515.2775 www.blueridgechronicpaincenter.com
SECOND PLACE Patricia Powers, MD Dr. Patty Powers Whole Health Catalysts, PC Forest | 434.382.1825 www.drpattypowers.com
Shawn Hayes, MD Centra Medical Group Lynchburg | 434.200.3908 www.centrahealth.com Daniel Horton, MD CVFP Internal Medicine Lynchburg | 434.947.3944 www.cvfp.net Laura Howard, MD CVFP Internal Medicine Lynchburg | 434.947.3944 www.cvfp.net
THIRD PLACE
Infectious Disease
Elizabeth Mumper, MD, FAAP The Rimland Center for Integrative Medicine Lynchburg | 434.528.9075 www.rimlandcenter.com
Nephrology 2019
2019
Internal Medicine FIRST PLACE FIRST PLACE
2019
Robert Brennan, MD Infectious Disease Associates of Central Virginia Lynchburg | 434.947.3944
SECOND PLACE Johanna Brown, MD Infectious Disease Associates of Central Virginia Lynchburg | 434.947.3944
THIRD PLACE Kensley Nichols, MD Infectious Disease Associates of Central Virginia Lynchburg | 434.947.3944
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FIRST PLACE Archibald Lord, MD CVFP Internal medicine Lynchburg | 434.947.3944 www.cvfp.net
SECOND PLACE Moira Rafferty, MD CVFP Internal Medicine Lynchburg | 434.947.3944 www.cvfp.net
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Mohammed Ashraf, MD Lynchburg Nephrology Lynchburg | 434.947.3954 www.lynchburgnephrology.com
SECOND PLACE Florencio Garcia, MD Southside Urology and Nephrology Danville | 434.792.1433 www.southsidedocs.com
THIRD PLACE Asad Ehtesham, MD Lynchburg Nephrology Lynchburg | 434.947.3954 www.lynchburgnephrology.com
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But not all shows of emotion are bad. Because doctors and medical providers must be personable to form a relationship, emotion is important. In many cases, an expression of happiness can put patients at ease or make them feel optimistic. HAPPINESS is an emotion often associated with contentment or satisfaction, and it’s expressed with a smile, sometimes with the mouth parted to expose the teeth. Cheeks are raised and wrinkles form on the outside of the eye (known as crow’s feet) and from the outer nose to the upper lip. A person who is happy has a lower heart rate and reduced blood pressure. People who fake an expression of happiness might not necessarily be deceitful, but rather showing friendliness toward others.
Hap piness
To achieve a productive bedside manner, doctors and medical providers must find a way of separating the emotions of the outside world with what they must accomplish in their practice.
• M usc tigh le aroun d th • C tened e ey hee es k corn s raise d wit e rs raise h lip d dia gon a l ly
Part of that is achieving perspective — realizing that not everything is the end of the world, such as in the hypothetical case of the speeding ticket.
“If I’m going to instill hope and offer assistance to folks who are struggling, I can’t act like everything in my life is a big deal.”
Surprise
up pulled brows up d • Eye e ll u lids p • Eye n th ope • Mou
– Keith A. McCurdy, EDS, LPC, LMFT
“If I get a speeding ticket on my way to work and I let it affect my whole day, I’m acting as if it’s this horrible thing, then I’m not able to effectively deal with patients. How can I speak into their perception of life if I’m distorted by something that in the long run is not really a big deal?” CONTINUED ON PAGE 41
Fear
• E ye • U brows pull ppe ed u eyes r eyelid pa s light s pulle nd tog • M et d up ly b u outh lg with her stre tche ingwww.OurHealthLynchburg.com d
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NEPHROLOGY HONORABLE MENTION Amar Parikh, MD Southside Urology and Nephrology Danville | 434.792.1433 www.southsidedocs.com
SECOND PLACE
THIRD PLACE
Mandy Wilkes-Hoffmeister, FNP-C RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com
Tracy Allen Wheelock, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com
THIRD PLACE Tiffany Kidd, DNP Richeson Drive Pediatrics Lynchburg | 434.385.7776 www.richesondrivepediatrics.com
Neurology
HONORABLE MENTION 2019
FIRST PLACE Peter Konieczny, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
SECOND PLACE
Marlee Bryant, FNP Access Healthcare Forest | 434.316.7199 www.access-healthcare.net
THIRD PLACE
Virginia Kelli Rosas, NP, MSN, FNP-C Walk-In-Care Wards Road Lynchburg | 434.239.0132 www.cvfp.net
2019
Nurse Practitioner (NP) 2019
FIRST PLACE Carrie McKinney, FNP Walk-In-Care Forest Forest | 434.382.1125 www.cvfp.net
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Catherine Schuller, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com
Occupational Medicine 2019
Obstetrics and Gynecology
Sanam Anwer, MD Centra Farmville | 434.315.2914 www.centrahealth.com
William Cook, III, MD Johnson Health Center Lynchburg | 434.929.1400 www.jhcvirginia.org
Sarah Woods, MD Lynchburg Gynecology Lynchburg | 434.385.7818 www.lynchburggynecology.com
Shauntell Kline, FNP CVFP – Piedmont Lynchburg | 434.846.7374 www.cvfp.net
Dianne White, NP Wyndhurst Family Medicine Lynchburg | 434.237.3664 www.wyndhurstmed.com
Carl Hoegerl, DO Centra Gretna | 434.200.3000 www.centrahealth.com
HONORABLE MENTION
FIRST PLACE Jerry Price, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
SECOND PLACE FIRST PLACE David Phemister, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com
SECOND PLACE John Pierce, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com
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Matthew Tatom, DO Physicians Treatment Center Lynchburg | 434.239.3949 www.ptclynchburg.com
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Ophthalmology
Optometry
2019
FIRST PLACE James Paauw, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com
SECOND PLACE
Orthopedics 2019
2019
FIRST PLACE
FIRST PLACE
Jessie Pierce, OD Harman Eye Center Forest | 434.385.5600 www.harmaneye.com
Michael Diminick, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
SECOND PLACE
SECOND PLACE
Kevin Ader, OD Forest Family Eye Care Lynchburg | 434.385.7898 www.forestfamilyeye.com
John Barnard Jr., MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
THIRD PLACE
THIRD PLACE
Ashley Veloso, OD St Clair Eye Care Lynchburg | 434.845.6086 www.stclair-eye.com
Peter Caprise Jr., MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
HONORABLE MENTION
HONORABLE MENTION
HONORABLE MENTION
Darin Bowers, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com
B. Douglas Haley, OD Harman Eye Center Forest | 434.385.5600 www.harmaneye.com
Drew Kiernan, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
Elizenda Ceballos, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com
Kristy Robinson, OD Madison Heights Eye Care PC Madison Heights | 434.846.7822 www.madisonheightseyecare.com
Ian Smithson, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
Landon Colling, MD Harman Eye Center Forest | 434.385.5600 www.harmaneye.com
R. Luke Wagoner, OD Wagoner Family Eye Care Lynchburg | 434.385.0213 www.wagonereye.com
David Harman, MD Harman Eye Center Forest | 434.385.5600 www.harmaneye.com
THIRD PLACE Saxton Moss, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com
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Pain Management 2019
THIRD PLACE
Pediatrics
Joyce Huerta, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
2019
HONORABLE MENTION
FIRST PLACE
Islam Saleh, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
Rick Lee, MD Blue Ridge Chronic Pain Center Forest | 434.515.2775 www.blueridgechronicpaincenter.com
SECOND PLACE Karen Burnham, MD, DABPM, FIPP OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
FIRST PLACE Melody Ailsworth, DO Richeson Drive Pediatrics Lynchburg | 434.385.7776 www.richesondrivepediatrics.com
SECOND PLACE Loan Trinh Kline, MD Richeson Drive Pediatrics Lynchburg | 434.385.7776 www.richesondrivepediatrics.com
THIRD PLACE R. Skyler McCurley, 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 Justin Mutch, MD F. Read Hopkins Pediatric Associates, Inc. Lynchburg | 434.237.8886 www.hopkinspediatrics.com Stephanie Sullivan, MD F. Read Hopkins Pediatric Associates, Inc. Lynchburg | 434.237.8886 www.hopkinspediatrics.com
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Doctors and medical providers also must provide support to patients during hard times in their life. If a caregiver must deliver unfortunate news, such as a bad diagnosis, he or she should communicate with compassion rather than personal sadness. As McCurdy explains it, the doctor or medical provider should focus on the patient’s emotions rather than their own. “At the most basic level, even if the news is horrible, we’re still in this with you,” McCurdy says. “When we share bad news, it’s a lot less about my emotional state.”
He emphasizes that the doctor or medical provider should, instead of reinforcing the patient’s emotional state, remind them of their own strength. The key to that is showing empathy — not to be confused with sympathy, which is often misapplied in society, according to McCurdy. If a patient comes in with a situation that it not traumatic but simply difficult, the doctor or medical provider shouldn’t be overly sympathetic and say, “I’m so sorry you’re going through that.” This show of sympathy encourages a false perception. “What we need to get better at is offering empathy, and empathy is about acknowledging what they’re expressing,” McCurdy explains. “A patient who comes in for care, but is having a hard time doing their part to take better care of their health gets frustrated. In turn, the doctor or medical provider can get frustrated with what may be perceived as the patient’s disregarding or not following his or her medical advice, thus seeing him or her as quote ‘noncompliant’. Instead, we can show empathy and demonstrate we can relate to and identify with the patient, such as saying: ‘I can tell how frustrating this is for you.’ When we show empathy, we disarm someone from the emotion that’s driving them.” The other part of consoling a patient is having a sense of immediacy. It’s easy to reflect on the past or anticipate the future. What life choices brought the patient to this state of health? What steps are needed for him or her to get healthy again? Instead, when doctors and medical providers are immediate — that is, focused on the moment at hand — they can help the patient move past the moment. “We need to stop and address what we see right then. When we do that, the patient connects to what I’m doing,” McCurdy says. “Empathy and immediacy go hand-in-hand.” CONTINUED ON PAGE 45
Joy
d htene s es tig e y y e e e d h und t les aroun o r a wrink uscle • M ws F e e t ” ro d nally e is a • “C r diago e e ks ised h a r C s r • co r n e • Lip
Trust
• R elax ey e e d ey e b ro • S s, and c h e ws , ome e ks t im e a so ft sm s prese ntin ile g
Empathy Sympathy: vs.
Instead of reinforcing a patient’s emotional state, a doctor should remind them of their own strength. The key to this is showing empathy — not to be confused with sympathy. If a patient comes in with a situation that is not traumatic by simply difficult, The use of SYMPATHY encourages a false perception. Where as, the use of EMPATHY disarms the patient from the emotion that’s driving them. EXAMPLE OF SYMPATHY: “I’m so sorry you’re going through this.” EXAPMLE OF EMPATHY: “I can tell how frustrating this is for you.”
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Pharmacy 2019
THIRD PLACE
SECOND PLACE (TIE)
Katie Morris, PT, DPT, GCS Rehab Associates of Central Virginia – Brookneal Brookneal | 434.376.2008 www.racva.com
Alexis Chantal, PA-C RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com
HONORABLE MENTION
FIRST PLACE H Chapman Brown III, RPh Gretna Drug Company Gretna | 434.656.1251 www.gretnadrug.com
SECOND PLACE Jodi Ettare, PharmD Timberlake Health and Wellness Lynchburg | 434.237.6337 www.timberlakehealth.com
THIRD PLACE Nikki Kaur, PharmD Hill City Pharmacy Lynchburg | 434.237.2221 www.hillcitypharmacy.com
Physical Therapy
Brice Bhalla, PT, DPT Rehab Associates of Central Virginia – Rustburg Rustburg | 434.332.3904 www.racva.com
Indre Lithyouvong, DMSC, MPAM, PA-C Blue Ridge Ear, Nose, Throat and Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com
THIRD PLACE
Kevin Cope, PT, CGFI Rehab Associates of Central Virginia – Monelison Madison Heights | 434.845.5641 www.racva.com
Mark MacGregor, PA-C Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com
HONORABLE MENTION
Ben Hodges, PT Rehab Associates of Central Virginia – Moneta Moneta | 540.296.3203 www.racva.com
Daniel Acevedo, PA-C Ortho Virginia Lynchburg | 434.485.8500 www.orthovirginia.com Neal Cabaniss, PA Walk-In-Care Wards Road Lynchburg | 434.382.1125 www.cvfp.net
Harrison Hunt, PT, DPT Rehab Associates of Central Virginia – Bedford Bedford | 540.586.1138 www.racva.com
Anna Morris, PA-C Asthma and Allergy Center Lynchburg | 434.846.2244 www.asthmaandallergycenter.net
Physician Assistant (PA) Plastic Surgery
2019 2019
2019
FIRST PLACE Joshua Bailey, PT, DPT, OCS, CSCS, Cped Rehab Associates of Central Virginia – Timberlake Lynchburg | 434.237.6812 www.racva.com
SECOND PLACE Jacqui Gooden, PT, DPT Rehab Associates of Central Virginia – Timberlake Lynchburg | 434.237.6812 www.racva.com
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FIRST PLACE Colleen Nakamura, PA Physicians Treatment Center Lynchburg | 434.239.3949 www.ptclynchburg.com
Congratulations
WINNERS OF THE
BEST BEDSIDE MANNER AWARDS
OurHealth | The Resource for Healthy Living in Lynchburg and Southside
FIRST PLACE Henry Wilson, MD, FACS Centra Lynchburg | 434.200.3000 www.centrahealth.com
SECOND PLACE Simon Hatin, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
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2019 LYNCHBURG & SOUTHSIDE
PLASTIC SURGERY THIRD PLACE
Psychiatry
Keith Pitzer, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
Psychology and Counseling 2019 2019
Podiatry
FIRST PLACE 2019
Peter Betz, MD Centra Lynchburg | 434.200.5999 www.centrahealth.com
FIRST PLACE Lynnette Shadoan, LPC Light Counseling Lynchburg | 434.384.1594 www.lightcounseling.net
SECOND PLACE FIRST PLACE Michael Overfelt, DPM Advance Foot Center Lynchburg | 434.384.0481 www.advancefootcenter.com
SECOND PLACE Scot Zindel, DPM Associated Podiatry of Central VA Lynchburg | 434.385.0707 www.lynchburgpodiatry.com
THIRD PLACE
Kenneth Fore II, MD Central Virginia Psychiatry Lynchburg | 434.582.1600
THIRD PLACE Jitendra Annapareddy, MD Centra Lynchburg | 434.200.5750 www.centrahealth.com
HONORABLE MENTION George Luedke, MD Central Virginia Psychiatry Lynchburg | 434.582.1600
David Cox, DPM OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
HONORABLE MENTION Jacquelyn Jacobs, DPM Hill City Foot Care Lynchburg | 434.528.1909
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SECOND PLACE Karen Dudley, LPC Wyndhurst Counseling Center Lynchburg | 434.237.2655 www.wyndhurstcounselingcenter.com
THIRD PLACE Bruce James, LMFT Jefferson and Associates Psychological Services Lynchburg | 434.385.0744 www.yoderjeffersonandassociates.com
HONORABLE MENTION Elizabeth Jenkins, LCSW James River Counseling Center Lynchburg | 434.237.4652 www.jamesrivercounseling.com Janice Stinson, LPC Patrick Henry Family Services Lynchburg | 434.376.2006 www.patrickhenry.org
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Focusing on the Content, Not the Delivery Productive communication is a two-way street. Doctors and medical providers must speak well and listen well, as do patients. In situations where a doctor’s or medical provider’s tone isn’t exactly what the patient wants to hear — because it sometimes will not be — the patient should understand that the caregiver still has his or her best interest at heart. For example, a doctor or medical provider might be happy and jovial when they first come in to greet the patient, thus putting the patient at ease. But later in the appointment, the caregiver has to be very firm and forward with his or her advice as to what the patient should be doing at home. Recognizing this firmness is not necessarily poor bedside manner is very important. “The doctor or medical provider has to be aware of his or her delivery; at the same time, the patient needs to realize it’s the content not the manner,” McCurdy says. “We’ve got to work on both. I’m not necessarily warm and fuzzy, but I like to think I’m hopeful. I’m hopeful, but very direct.”
Good communication is about taking what is said at face value. Those who overthink or overanalyze nonverbal communication — or those who are passive aggressive in their delivery — run the risk of drawing or delivering false information. “Ignore what you see and pay attention to what you hear,” McCurdy says. “Learn to ignore the white noise.” This can be difficult when one or both parties is bad at communication, and not just in a doctor/providerpatient relationship. McCurdy compares it to a man who asks his wife whether he can play golf one Saturday. His wife scoffs and says yes in an exasperated voice. If the man listens to tone, he won’t go play golf; on the other hand, if he listens to the content, he will take his wife at her word and feel at liberty to play golf that day. This is about trusting and operating on the words that a person says, and about having transparent communication. CONTINUED ON PAGE 49
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Best Bedside Manner Awards
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2019 LYNCHBURG & SOUTHSIDE
Pulmonary
Radiation Oncology 2019
Brian Quaranta, MD Sovah Health Danville | 434.799.2100 www.sovahhealth.com
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Radiology FIRST PLACE
FIRST PLACE
Albert Baker, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com
Anita Joy Hilliard, MD Centra Lynchburg | 434.200.4010 www.centrahealth.com
SECOND PLACE
SECOND PLACE
John Plankeel, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com
Angela Brady, MD Centra Lynchburg | 434.200.4010 www.centrahealth.com
THIRD PLACE
THIRD PLACE
Prema Pamireddy, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com
James Larner, MD UVA Health Charlottesville | 434.924.5191 www.uvahealth.com
HONORABLE MENTION
HONORABLE MENTION
Stephen Johnson, MD Centra Lynchburg | 434.200.3000 www.centrahealth.com
Michael O’Neill, MD Centra Lynchburg | 434.200.4010 www.centrahealth.com
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FIRST PLACE Richard Newton, MD Radiology Consultants of Lynchburg Lynchburg | 434.237.4004 www.lynchburgradiology.com
SECOND PLACE Eric Kline, MD Radiology Consultants of Lynchburg Lynchburg | 434.237.4004 www.lynchburgradiology.com
THIRD PLACE John Alfieri, MD Radiology Consultants of Lynchburg Lynchburg | 434.237.4004 www.lynchburgradiology.com
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Best Bedside Manner Awards
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2019
2019
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2019 LYNCHBURG & SOUTHSIDE
Rheumatology
Sports Medicine
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2019
SECOND PLACE David Frantz, MD Centra Lynchburg | 434.200.1800 www.centrahealth.com
THIRD PLACE Houman Tavaf-Motamen, MD Centra Lynchburg | 434.200.2212 www.centrahealth.com
FIRST PLACE
FIRST PLACE
Eric Kenny, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
Bradley Haupricht, MD CVFP Medical Group Forest | 434.382.1125 www.cvfp.net
SECOND PLACE
SECOND PLACE
Sharukh Shroff, MD Spectrum Medical Danville | 434.793.4711 www.spectrummed.com
Andrew Pieleck, MD Access HealthCare Multi-Specialty Group Forest | 434.316.7199 www.access-healthcare.net
Sleep Medicine 2019
FIRST PLACE
Omar Elkhamra, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
Amanda McClung, MD Centra Lynchburg | 434.200.3933 www.centrahealth.com
HONORABLE MENTION
SECOND PLACE Robert Bass, MD Centra Lynchburg | 434.200.3901 www.centrahealth.com
FIRST PLACE
THIRD PLACE
Surgery: Cardiac 2019
SECOND PLACE Rafael Hurtado, MD Neurology and Sleep Clinic of Southern Virginia Danville | 434.792.3232 www.neurosleepva.com
2019
THIRD PLACE
John Prahinski, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
Michael Milam, MD Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com
Surgery: General
Clinton Beverly, MD Centra Lynchburg | 434.200.3933 www.centrahealth.com
HONORABLE MENTION Robert Honea, MD Sovah Health Danville | 434.792.5964 www.sovahhealth.com
FIRST PLACE Kenneth Saum, MD Centra Lynchburg | 434.200.2212 www.centrahealth.com
Peter Ploch, MD Centra Lynchburg | 434.200.3901 www.centrahealth.com
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Best Bedside Manner Awards
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2019 LYNCHBURG & SOUTHSIDE
Surgery: Hand
Surgery: Orthopaedic
Surgery: Spine
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2019 2019
FIRST PLACE
FIRST PLACE
Drew Kiernan, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
FIRST PLACE Ian Smithson, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
SECOND PLACE
Joseph Orchowski, MD, FAOA OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
SECOND PLACE
Ian Smithson, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
Surgery: Neurosurgery 2019
SECOND PLACE Gautham Gondi, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
THIRD PLACE Thomas Brown, MD UVA Health Charlottesville | 434.243.1673 www.uvahealth.com
Justin Smith, MD UVA Health Charlottesville | 434.243.6339 www.uvahealth.com
Surgery: Vascular 2019
HONORABLE MENTION Kristopher Collins, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
FIRST PLACE Waltus Gill III, MD Centra Neurosurgery Lynchburg | 434.200.3920 www.centrahealth.com
H.C. Eschenroeder Jr., MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com
FIRST PLACE David Cassada, MD Centra Lynchburg | 434.200.5299 www.centrahealth.com
SECOND PLACE SECOND PLACE Min Park, MD UVA Health Charlottesville | 434.924.2735 www.uvahealth.com
THIRD PLACE Morris McCrary III, MD Centra Lynchburg | 434.200.3920 www.centrahealth.com
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Lawrence Poletti, MD Centra Lynchburg | 434.200.5299 www.centrahealth.com
THIRD PLACE Jeffrey Widmeyer, MD Widmeyer Vein Center Lynchburg | 434.847.5347 www.veinhealing.com
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“If you get both sides working at once, it works well. In a patient/provider-doctor relationship, that’s pretty tough because we can only control one side of that.” – Keith A. McCurdy, EDS, LPC, LMFT
Ultimately, however, a doctor’s or medical provider’s number one priority is communicating what a patient needs to hear, even if that means tough love. Patients should recognize this as such. “My job is not to make you feel good,” McCurdy says. “My job is to tell you the truth and give you the information you need because you are valuable.” From the patient’s perspective, it helps to acknowledge his or her doctor or medical provider is just another human being with complex emotions who is trying to do the best he or she can with the knowledge possessed. “Don’t put doctors or medical providers on a pedestal,” McCurdy says. “It’s the same with doctors/medical providers, lawyers, preachers and folks in government. We need to recognize they are individuals just like we are. As patients, we need to go in and realize this is a person as well.” And, it helps when patients demonstrate kindness toward their providers.
In the Lynchburg and Southside community, there are thousands upon thousands of exceptional doctors and providers who are just as committed to providing exceptional bedside manner to their patients as the winners on this list. If you feel your doctor or provider is deserving of recognition for his or her excellent bedside manner and would like to receive reminders of when voting will open for the 2019 Best Bedside Manner Awards so you can nominate him or her, please visit
www.OurHealthLynchburg.com and subscribe to our e-newsletter.
Working off the model of empathy, truthfulness and kindness, doctors and medical providers will be able to help their patients feel seen and heard — this will go a long way in demonstrating to patients that they are valued and their doctor or medical provider has their best interests at heart.
“When we can demonstrate that value to them, all of sudden their issues are important, then they’re willing to trust more and willing to take more direction.” – Keith A. McCurdy, EDS, LPC, LMFT
This is what makes up good bedside manner, and it can make all the difference.
ON THE WEB
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Best Bedside Manner Awards 2019 LYNCHBURG & SOUTHSIDE
2019
Urogynecology/Female Pelvic Medicine
HONORABLE MENTION Hortense Russell, DO Centra Forest | 434.200.7210 www.centrahealth.com
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Urology FIRST PLACE
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Matthew Tompkins, MD Lynchburg Gynecology Lynchburg | 434.385.7818 www.lynchburggynecology.com
FIRST PLACE
SECOND PLACE Kathie Hullfish, MD UVA Pelvic Medicine and Reconstructive Surgery Charlottesville | 434.924.2103 www.uvahealth.com
Corey Passman, MD Centra Lynchburg | 434.200.5297 www.centrahealth.com
SECOND PLACE
As of summer 2019, all doctors receiving recognition for their bedside manner held current certification from the American Board of Medical Specialties (ABMS), as applicable. The American Board of Medical Specialties is the recognized leader in developing and setting the gold standard for physician specialty certification in the United States. The 24 ABMS Member Boards that offer Board Certification in 40 specialties and 87 subspecialties adhere to rigorous training and assessment standards. It is for this reason, that all physicians recognized in OurHealth Lynchburg and Southside Best Bedside Manner Awards are certified by one or more of the American Board of Medical Specialties Member Boards in their applicable specialty or subspecialty as verified through our partnership with ABMS Solutions™ The Primary Source for Verification.
Urgent Care Medicine 2019
THIRD PLACE Joseph Carbone, MD Southside Urology and Nephrology Danville | 434.792.1433 www.southsidedocs.com
HONORABLE MENTION FIRST PLACE Matthew Tatom, DO Physicians Treatment Center Lynchburg | 434.239.3949 www.ptclynchburg.com
SECOND PLACE Virginia Kelli Rosas, FNP-C, RN, MSN Walk-In-Care Wards Road Lynchburg | 434.239.0132 www.cvfp.net
THIRD PLACE Daniel Breland, MD Centra Bedford | 540.586.7273 www.centrahealth.com
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Paul Kogan, MD Centra Lynchburg | 434.200.5297 www.centrahealth.com
Robert Cook, MD Centra Lynchburg | 434.200.5297 www.centrahealth.com
ON THE WEB
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MEDICAL PROFILES
CVFP MEDICAL GROUP w www.cvfp.net
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| f CVFPmedicalgroup
Who is CVFP Medical Group?
How to Skip the Wait!
Central Virginia Family Physicians is an established independent practice with seven regional family practice offices and three immediate care facilities. We’re committed to providing excellence in family medicine to our patients and excellence in professional growth to our providers. We offer wellness and preventive services, immunizations, routine physical exams, disease management, pregnancy services, pediatrics services, wellness counseling, family planning, noscalpel vasectomies, and diagnostic services.
CVFP Medical Group’s Walk-In Cares now feature a convenient appointment scheduling process and virtual waiting room experience at their immediate care centers located at Wards Road, Forest and in Madison Heights.
Where is the Closest CVFP Medical Group Office? CVFP – APPOMATTOX 131 Jones Street | Appomattox | 434.352.8235
CVFP – DIAGNOSTIC CENTER
Each immediate care location offers ClockwiseMD, a solution that allows patients to reserve a spot in line and receive real-time information about wait times. Automated communications with patients via text, email or voice allows patients to know how long their wait is. The service will send a text message when it is time for you to arrive. Just one more way CVFP is bringing convenient, quality primary care to the Lynchburg area.
2215 Landover Place | Lynchburg | 434.473.7680
Immediate Care Locations
CVFP – FOREST
1175 Corporate Park Drive | Forest | 434.473.7700
1175 Corporate Park Drive | Forest | 434.525.6964
CVFP – INTERNAL MEDICINE 2215 Landover Place | Lynchburg | 434.947.3944
CVFP – MONELISON 118 Oakwood Drive | Madison Heights | 434.846.8421
CVFP – NEW LONDON 1088 London Links Road | Forest | 434.534.6868
CVFP – PIEDMONT 2019 Tate Springs Road | Lynchburg | 434.846.7374
CVFP – STAUNTON RIVER 527 Pocket Road | Hurt | 434.324.9150
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
WALK-IN-CARE – FOREST WALK-IN-CARE – MADISON HEIGHTS 118 Oakwood Drive | Madison Heights | 434.473.7700
WALK-IN-CARE – WARDS ROAD 14005 S. Wards Road, Ste. A | Lynchburg | 434.473.7700
CONGRATULATIONS TO OUR PROVIDERS FOR BEING RECOGNIZED IN THE BEST BEDSIDE MANNER AWARDS! Pictured above from left to right: John Williams, MD | Trudy Shahady, MD | Mark Kleiner, MD Manuel Peralta, MD | Kimberly Combs, MD | Thomas Eppes, MD | Shauntell Kline, FNP | Leah Hinkle, MD
www.OurHealthLynchburg.com
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MEDICAL PROFILES
CENTRAL VIRGINIA ORTHODONTICS
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2019
ERIC BAUGHER, DMD AND JENNIFER CLAIBORNE, DDS 7802 Timberlake Road | Lynchburg |
c 434.385.GRIN (4746) | w www.bracesbycvo.com Why Should You See An Orthodontist? 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.
Are You A Candidate For Orthodontic Treatment? Braces aren’t just for kids anymore. Tooth alignment can be changed at any age if your gums and bone structure are healthy. We offer a variety of treatments that are designed for different age groups – including adults. Orthodontic treatment at later stages in life can dramatically improve your personal appearance and self-esteem. Improving the health of your teeth and gums is equally important. Crooked teeth and a bad bite can contribute to gum and bone loss, tooth decay, abnormal wear of the tooth enamel and surfaces, headaches and jaw joint (TMJ/TMD) pain. 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 self-ligating braces. We excel in creating beautiful, healthy smiles for patients of all ages. In fact, approximately 20 percent of our patients are adults.
Why Is Age 7 Considered The Optimal Time For Screening? Though an orthodontist can enhance a smile at any age, there is an optimal time period to begin treatment. Beginning treatment at this time ensures the greatest result and the least amount of time and expense. The American Association of Orthodontists recommends that the initial orthodontic evaluation should occur at the first sign of orthodontic problems or no later than age 7. By the age of 7, the first adult molars erupt, establishing the back bite. During this time, an orthodontist can evaluate front-to-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 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!
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Best Bedside Manner Award winner in Oral Surgery, SIX years in a row!
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MEDICAL PROFILES
CENTRAL VIRGINIA ORAL & FACIAL SURGERY WILLIAM CARVAJAL, DDS, MD, FACS | EVAN CHALK, DMD | JOHN PINCH, DDS, MS 101 Archway Court | Lynchburg | c 434.832.8040 1509 West Third Street, Suite 203 | Farmville | c 434.394.2329
w www.cvofs.net
| f Find us on Facebook
Why Choose Central Virginia Oral and Facial Surgery? At Central Virginia Oral and Facial Surgery, you’ll find state-ofthe-art technology that allows us to provide the best possible care to our patients. Our on-site 3D imaging services provide precise, digital images allowing for more accurate assessment/ diagnosis in your treatment plan. For your comfort and safety, we offer a wide range of anesthesia options through our on-site anesthesia providers that are designed to make your surgery as pleasant as possible. Our electronic records facilitate easy communication between providers and offices. At CVOFS you’ll find expertise, compassion and care in our oral and maxillofacial surgeons. Drs. Carvajal, Chalk, and Pinch manage a wide variety of oral and maxillofacial conditions ranging from wisdom tooth removal to dental implants, grafting and facial cosmetic surgeries. Our doctors can also diagnose and treat traumatic facial injuries, sleep apnea, tumors, oral pathology, and TMJ disorder.
William Carvajal, DDS, MD, FACS
NOW OPEN Don’t miss Lynchburg’s newest home for exclusive aesthetic services, Lynchburg Aesthetics and Wellness, featuring expert care by William Carvajal, MD, FACS. www.OurHealthLynchburg.com
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FOREST SMILES SHANE CLAIBORNE, DDS | EMMA SCHMIDT, DMD 16862 Forest Road | Forest | c 434.944.9763 |
w www.forestsmiles.com
SERVICES PROVIDED AT FOREST SMILES: Family Dental Care | Cleanings and Preventative Care | Cosmetic Dentistry Sedation Dentistry | Implant Placement and Restoration | Complex Full Mouth Reconstruction
What Are The Benefits Of Preventive Dental Care? Preventive dental care, including six-month checkups, cleanings and annual x-rays, along with good home care can lower your risk for developing tooth decay, gum disease, and more serious dental problems. Good oral hygiene habits include brushing your teeth at least twice a day and flossing which has been linked to better overall health.
What Type of Sedation Is Offered At Forest Smiles? 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 while the dental treatment lasts in order to calm and relax the patients. Forest Smiles offers three types of sedation: the lightest form (nitrous oxide); light to moderate (oral sedation), typically taken in pill form; and moderate form (IV sedation), typically reserved for surgical procedures, but can also be used for highly anxious patients. Dr. Claiborne has extensive training in IV sedation and has completed all requirements for the administration of conscious sedation as established by the Virginia Board of Dentistry.
How Can A Dental Implant Improve My Smile? Dental implants can be used to replace a single tooth or multiple teeth. Using state-of-the-art dental technology and the ability to perform all aspects of the implant procedure in house, Dr. Claiborne provides the best possible dental implant treatment and keeps cost considerably lower than having to go to multiple dental practices. This combined with Dr. Claiborne’s extensive training and skill with dental implants is the next level difference you will experience at Forest Smiles.
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We believe in preventive dental care and teaching all of our patients the importance of daily care. To help educate our youngest patients, we started the “Cavity Free Club” which allows children to win prizes for being cavity free!
MEDICAL PROFILES
INSIGHT IMAGING
ROBERT O’BRIEN, MD | JAMES MATTHEWS, MD 2923 Franklin Road SW | Roanoke | c 540.581.0882 | w www.myInsightImaging.com | f f f f Hours: Monday – Friday, 6 am – 10 pm; Saturday – Sunday, 8 am – 4:30 pm
Why Choose Insight Imaging For My Imaging Needs? 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. We understand how critical our role is in getting you the care you need so you have peace of mind. That’s why our team of specialists works with you and your doctor to deliver accurate results the first time, timely and efficiently. With the latest equipment, technology and expertise, we have the power to make the unknown, known. To give you the right answers that lead to important decisions.
Do I Really Have A Choice Of Imaging Facilities? You have the power of choice. While your doctor or insurance provider may offer referrals, ultimately, you are in control of your own care. 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. Not all imaging facilities are the same. At Insight Imaging in Roanoke, we cost 30-50% less than hospital-affiliated imaging providers.
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What Are Some Of The Services Offered At Insight Imaging? HIGH-FIELD MRI: captures high-quality, clear images. Also, Insight Imaging now offers Prostate MRI. HIGH-FIELD OPEN MRI: high-quality images in an open scanner, ideal for claustrophobic, anxious or larger patients. CT: detailed images of your organs and vascular system, as well as your abdomen and bones. INJECTIONS FOR PAIN: cost-effective options to better analyze and treat joint pain. REGENERATIVE MEDICINE: non-surgical treatments used to treat various orthopedic injuries, including tendon, joint, osteoarthritic conditions and soft tissue injuries. ULTRASOUND: imaging with no radiation exposure or injections. X-RAY: quick and convenient, walk-ins accepted.
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Congratulations Robert O’Brien, MD and James Matthews, MD on your award winning services! www.OurHealthLynchburg.com
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MEDICAL PROFILES
LYNCHBURG DENTAL CENTER BRAD LENTZ, DMD | CARRINGTON CRAWFORD, DDS | KAREN KENNY, DDS 3719 Old Forest Road | Lynchburg | c 434.384.7611 | w www.LynchburgDentist.com | f Hours: Monday – Friday 8 AM to 5 PM
When Trust Matters Studies reveal trust is a primary component people consider when choosing products and services for their families. From schools to cars, your family’s health and safety is a number one priority. Research and ratings play a part in finding a quality healthcare provider. However, when it comes to routine care, having a trusted provider who knows and understands you and your family brings the highest level of comfort.
“When asked to describe a high-quality provider, most Americans focus on the doctor-patient relationship.” When trust matters most, choosing a dental practice with a skilled, caring staff ranks high on the decision list. Proactive care begins with creating healthy habits at home, combined with scheduling consistent hygiene appointments for the entire family. Choosing a trusted dental partner enables you to identify potential concerns during routine appointments, making treatment typically less complicated and more comfortable. Lynchburg Dental Center’s Dr. Karen Kenny shares, “We embrace creating trusted relationships with our patients. We understand the importance of building confidence in our young patients so they, and their families, feel comfortable asking questions, sharing concerns, and trusting in the skills of our staff.”
The patients at Lynchburg Dental say it best. Take time to read their reviews, provided by a third party, on the practice’s website.
Award Winning Care For over 45 years, Lynchburg Dental Center has been providing comprehensive family dental care to patients throughout the greater Lynchburg area. Setting them apart is their advanced equipment and commitment to continuing education. Lynchburg Dental Center offers services in the areas of family dentistry, cosmetic dentistry, teeth whitening, implants and restoration, and dental hygiene—ensuring confident, healthy smiles.
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“Always an excellent experience at Lynchburg Dental. Dr. Crawford and staff treat you like you are part of their family. I have the utmost confidence in the technical skills and gentle manner consistently experienced! ” – Monica B.
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MEDICAL PROFILES
RIDGEVIEW DERMATOLOGY 101 Candlewood Court | Lynchburg | c 434.363.4190 300 Enterprise Drive | Forest | c 434.333.7370 278 Westlake Road | Smith Mountain Lake | c 540.759.7500 1509 West 3rd Street | Farmville | c 434.607.4599 w www.RidgeViewDermatology.com
Why Should You Choose RidgeView Dermatology? When searching for dermatological treatment, you need a dermatologist who is experienced, understanding and supportive. Our dermatologists are board-certified and fellowship-trained in General Dermatology, Mohs Skin Cancer Surgery, and Pediatric and Adolescent Dermatology. In addition to our medical dermatology services, RidgeView Dermatology also offers services in aesthetic dermatology.
Meeting the Needs of Our Patients in Our Communities! One of our goals at RidgeView Dermatology is to continue to grow in communities and provide access to care closest to where our patients live and work. Our Lynchburg, Farmville, Forest and Smith Mountain Lake staff vow to provide timely access to excellent, full-spectrum dermatologic care that our patients deserve, closer to home.
Services and Procedures Our team of compassionate and educated experts offer you the most qualified medical, surgical and aesthetic services in central Virginia. •
MOHS SKIN CANCER SURGERY
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COMPREHENSIVE GENERAL DERMATOLOGY, including complete skin exams and cancer screenings and treatment of complex skin conditions and rashes
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PEDIATRIC AND ADOLESCENT DERMATOLOGY, provided by Lynchburg’s exclusive board-certified Pediatric Dermatologist
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FULL-SPECTRUM AESTHETIC DERMATOLOGY, including CoolSculpting, miraDry, injectables such as Botox and dermal fillers, chemical peels, PRP therapy and much more!
Pictured above from left to right: Megan Allison, PA-C | Kristen Kuk, MD | Alexis Chantal, PA-C | Kamal Chantal, PA-C | Jason Givan, MD Samantha Hill, MD | Mandy Wilkes-Hoffmeister, FNP-C | Jamie Martin, PA-C | Carrie Cobb, MD
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RICHESON DRIVE PEDIATRICS
105 Richeson Drive | Lynchburg | c 434.385.7776 | w www.richesondrivepediatrics.com
Pediatric Care at its Best! Richeson Drive Pediatrics is honored to be recognized in this year’s Best Bedside Manner Awards for their specialty care to pediatric patients. Our fun-loving providers along with a caring staff bring personalized pediatric care to patients in the greater Lynchburg area.
We’re here when you need us. That’s why our award-winning care is available seven days a week! Call 434.385.7776 to schedule an appointment or visit www.richesondrivepediatrics.com to learn more about personalized care.
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Congratulations Richeson Drive Pediatrics Team! Loan Trinh Kline, MD | Kendra Simpson, MD | Tiffany Kidd, DNP, PNT, BC | Melody Ailsworth, DO | Michael Padilla, MD
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Politics and religion have long been considered topics of conversation to steer clear of, especially when among families and friends. But a James Madison University communication studies professor is challenging this notion. Her research suggests that weighing in on these tough topics instead of avoiding them may spark conversations that can turn out to be more productive than divisive.
words | STEVE MCCLINTIC, JR.
While there are lots of good times to look forward to as the holidays approach, the season can also bring much unwanted stress. Whether it be diet concerns, the pressure of planning events or even anxiety over family gatherings, there’s no question that emotions can run high. But when it comes to a line commonly, almost universally, considered one never to be crossed – discussing heavy topics that traditionally have a track record of wrecking havoc on the most merry of occasions – James Madison University professors Lori Britt, PhD and Jaime Kurtz, PhD suggest what many would believe unthinkable: invite politics and religion to the table this holiday season. Dr. Britt, professor of communication studies at James Madison, says it actually may prove beneficial to dive into heavier topics over a meal with loved ones. As the focal point of her research – facilitating healing conversations – Britt’s aim is to shape dialogue that positively impacts individuals and communities. “Well designed and facilitated talk can keep people at the table even when the issues are difficult. This offers more opportunity to collaboratively find solutions,” says Dr. Britt.
Well designed and facilitated talk can keep people at the table even when the issues are difficult. This offers more opportunity to collaboratively find solutions. – LORI BRITT, PhD –
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BE HAPPY DURING THE HOLIDAYS
Leave the Stress Behind
Happiness is among Dr. Kurtz’s research interests, including looking at how people in other countries view happiness compared to Americans. She has authored more than 30 books and papers on the subject, including “The Happy Traveler: Unpacking the Secrets of Better Vacations.”
A few suggestions Dr. Kurtz can pass along to ease holiday stress include:
» Don’t procrastinate. Spread out your
shopping and other holiday prep so you’re not overwhelmed and battling crowds at the last minute.
» Anticipate likely challenges. Is there a
particular relative you always butt heads with? A person who is especially hard to shop for? Travel headaches that leave you exhausted? You can strategize on how to manage these challenges ahead of time.
» Consider what research says about gift giving. Give gifts that connect you with your
loved ones (such as a spa day together), gifts that save time for busy people (a meal delivery service), an experiential gift (movie tickets or a hot air balloon ride) or gifts that somehow really say, “I understand you.”
» Most of all, just take the pressure off of yourself. The more you try to craft a perfect holiday, the more stressed, less present, less connected, and less happy you will be.
Lori Britt, PhD Associate Professor in the School of Communication and Director of the Institute for Constructive Advocacy and Dialogue (ICAD) at James Madison University.
Jaime Kurtz, PhD Associate Professor in the Department of Psychology at James Madison University.
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Dr. Britt’s teachings with the Institute for Constructive Advocacy and Dialogue at James Madison, where she serves as the director, is what the University describes as being infused with a passion for training students to design and facilitate conversations where people can tackle challenging issues and impede productive and healing conversations. Here are some tips she shares:
How to Have a Healing Conversation About Hot Button Topics Introduce a Topic in a Non-Confrontational Way Instead of beginning the conversation offering your viewpoint on a topic, first try to understand what others are concerned or hopeful for regarding pressing public issues. We have an easier time when we learn what people care about; the “why” rather than the “what” of their position. The National Institute for Civil Discourse (NICD) offers these starter questions as part of its Revive Civility Project:
» What are you most thankful for about America? » What are your thoughts and feelings about the deep divisions and incivility we see now in the country?
A good practice is attempting to engage others through the spirit of curiosity. Dialogue shouldn’t be considered a competition where there’s a winner and loser; it’s about understanding each other. Try to shape the space into one where you can uncover the nuance. Think about asking questions that get beneath the surface of what another person believes so you can have a better understanding of why. This helps us humanize each other. For instance, I may not agree with my father’s commitment to free markets as the solution to many of our pressing concerns, but understanding his upbringing, his commitment to hard work, his career in banking, and his experience going through several recessions makes me understand why certain things are important to him. This allows us to learn about each other in deeper ways.
Establish Ground Rules for the Conversation If you are having a conversation with a large group, chances are there is going to be some strong opinions on both sides. Setting some ground rules before you begin can help keep everyone on point and reduce the chances of the conversation veering to far off the path. Examples can include:
» Assume Best Intent » Listen to Understand, Not to Counter » Don’t Interrupt » Share the Air (don’t monopolize the conversation)
If you get a group to agree to the guidelines, it’s easier to then gently remind or redirect a person or persons should the conversation seem to be getting off point. It may feel awkward to do at first, but in order to shape new habits for communication, we need to learn how to talk to each other in productive ways.
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Health Trends words | DYLAN ROCHE
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It’s inevitable that trends come and go. What’s popular today will be a memory tomorrow. And while it’s true that some practices do prove to have staying power, they still evolve with the changing times.
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When it comes to health, modern science continually changes our concept of what’s best for the human body, whether it’s the food we eat, the exercises we do, the medicine we take or some other healthy habit we adopt. But what the masses latch onto isn’t always what’s necessarily the best option, and the necessary information isn’t always available when the trend is at its peak. So, what health trends captured America’s attention over the past decade, and what do we think of those trends now in 2019? How has science shaped our understanding of these practices, and in what ways is their influence still a part of our culture? Let’s take a look.
We’re giving each trend a rank on a scale of 1 to 10. Those that proved to have staying power and scientific support get higher scores, while those that flopped when put under scrutiny get lower scores.
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1
Elimination of Trans fats 2 3 4
10 ELIMINATION OF TRANS FAT
HEALTH RATING: The conversation around trans fats 10 years ago paved the way for partially hydrogenated oils to be removed from the market today, making the food industry safer for all consumers.
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The fight to eliminate trans fats from the American diet has been going on for decades, but it wasn’t until the last 10 or 15 years that it really entered mainstream conversation. And it wasn’t until 2019 that these dangerous oils finally left the market. Found in processed fats like partially hydrogenated oils, trans fats pose a threat to health by lowering HDL cholesterol (commonly known as the good cholesterol) and raising LDL cholesterol (commonly known as the bad kind), thus contributing to heart disease.
Back in the early ‘90s, the Center for Science in the Public Interest began to urge 10 the Food and Drug Administration to include information about trans fats on food labels. But it wasn’t until 2006 that laws went into effect stating that trans fats had to be included on Nutrition Facts labels. That was also the year New York City became the first city to ban partially hydrogenated oils from all restaurants.
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The year 2009 was a turning point, as studies showed then that more manufacturers were responding to the growing awareness by replacing trans fats in their products with healthier types of oil. In 2012, a study by the Centers for Disease Control and Prevention showed a decline in consumption of trans fat.
But the biggest progress took place in 2013, when the Food and Drug Administration announced a preliminary determination that partially hydrogenated oils were no longer generally recognized as safe. Two years later, the FDA went one step further and declared that the industry had three years to eliminate partially hydrogenated oils from all its recipes. As of 2019, no new products can be made with partially hydrogenated oils, and the war on an especially dangerous ingredient has been won.
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Low-Carb Diets 2
3 Low-carb diets work for fast weight loss, but doctors still maintain that carbohydrates are an important source of energy. More importantly, those who consume too much saturated fat and avoid fruits and vegetables run the risk of hurting their long-term health.
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The aversion to carbohydrates has stuck around in one form or another, and the biggest diet craze today is ketogenic diets, known to most people simply as keto. In this form, 7 going low carb means being much more restrictive. 8 Doctors with the Mayo Clinic cite the scientific reasoning behind keto is that when you decrease carbohydrate intake, the body turns to fat for energy. With keto, people must eat fewer than 50 grams of carbohydrates a day.
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LOW-CARB DIET
HEALTH RATING:
Even though the low-carbohydrate diet advocated by physician and cardiologist Dr. Robert Atkins has been around since the 1970s, it saw a resurgence in 3 the 2000s. Other popular eating plans based on reduced carbohydrate 4 consumption, such as the South Beach Diet, also evolved toward the end of the decade. The idea behind these diets was that cutting refined carbohydrates 5 and sugar could aid in weight loss.
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For many people, it works for weight loss. The catch? It calls for cutting out lots of healthy food, including many fruits and vegetables. There’s not enough research on the longterm effects of a ketogenic lifestyle, but doctors fear that the high levels of fat, particularly saturated fat, along with the limits on nutrientrich fruits, vegetables and grains, don’t bode well for a person’s health.
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Cannabis 2 3 4
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CANNABIS
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HEALTH RATING: 10
Far from being considered a dangerous psychoactive substance the way it once was, cannabis is now regarded for its health benefits. Times have definitely changed with this one!
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It’s amazing what a difference 10 years can make in the public’s perception of a drug. Cannabis, more commonly known as marijuana, has gone from being an illegal substance to an acceptable medicinal alternative to pharmaceuticals. Although many progressive thinkers had been pushing to destigmatize cannabis for years prior, it still carried criminal penalties at the end of the last decade. Early in 2009, Olympic swimmer Michael Phelps suffered a scandal after a photo was released showing him smoking recreational cannabis. USA Swimming suspended him from competing for three months, and a heroic figure of athleticism lost the respect of many.
Fast-forward to today, and medicinal cannabis is legal in 29 states and Washington, D.C. Harvard Medical School estimates that 85 percent of Americans support the legalization of cannabis and at least several million Americans currently use it. Does this make what Phelps did acceptable by modern standards? Maybe, maybe not. Cannabis use among athletes is still a subject of debate. The World Anti-Doping Agency lists cannabis as prohibited in competition; however, a 2018 review published in the Clinical Journal of Sports Medicine notes that there is no evidence of performanceenhancing effects from cannabis and that it is useful for pain and concussion management. And some athletes are open about their use, such as ultramarathoner Avery Collins, who advocates cannabis for athletes, claiming it helps him focus when he is running for hours at a time.
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Superfoods 2 3 4
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SUPERFOODS
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HEALTH RATING: The superfood trend has introduced many lesser known fruits and vegetables into the mainstream, but people should not let themselves believe that any one food is a cure-all miracle that will provide them all the nutrients they need.
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If you feel as if every year brings a new food trend…well, you’d be right. It all started in 2009 with a segment by Dr. Mehmet Oz (better known simply as Dr. Oz) on The Oprah Winfrey Show when he introduced America to a little-known fruit called the acai berry, touting it as having twice the antioxidant content of a blueberry. Suddenly, everyone wanted to start eating acai berries for their enormous health benefits. And in the years that followed, specific foods would emerge from relative obscurity into the mainstream and be hailed for their cure-all properties: quinoa, kale, coconut, avocado and so forth. Each one of them was loosely referred to as a superfood.
Today, the trend continues, and although doctors and dietitians encourage people to try new foods, they want them to look past the hype around these so-called superfoods. Why? Well, as the experts at Harvard Medical School emphasize, no single food can offer all nutritional and health benefits the human body needs.
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Instead, people should start thinking of superfoods as important additions to the diet. It’s great that more people are eating healthy foods, but variety and balance is still key. Consider this: A 2018 review published in the journal Food & Function looked at the effects of 17 superfoods sourced from an internet search and found only limited evidence for their effect on things like BMI, blood pressure and cholesterol levels. So in the era of avocado toast, experts such as those at Harvard emphasize that people should not focus all their attention on one specific food to improve their health. Instead, they should focus on other equally nutritious options that might not get as much media attention.
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Swine Flu and Vaccinations 2 3 4
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SWINE FLU AND VACCINATIONS
HEALTH RATING:
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Reaction to the swine flu helped raise awareness about the importance of vaccinations, but there’s still progress to be made in eradicating all viruses.
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Swine flu was one of the biggest health stories of 2009 and 2010. The strain of influenza formally known as H1N1 broke out across the world. In the United States, the first reported cases supposedly resulted from trips to Mexico. By March 2010, an estimated 59 million Americans had been affected, according to the Centers for Disease Control and Prevention. By August 2010, the World Health Organization had declared that the outbreak had moved into post-pandemic mode. But during the time that swine flu was rampant, the U.S. government launched a massive vaccination campaign to fight its spread.
Through advertising and press conferences, the Centers for Disease Control and Prevention ran an aggressive campaign to spread awareness of and encourage vaccination, which played a major role in reining in H1N1, although it continues to circulate today as a strain of seasonal flu.
Many people responded to the campaign and started making flu shots a regular part of their fall health routine. The CDC estimates that vaccinations were able to prevent an estimated 5.3 million flu illnesses in the United States during the 2018 flu season.
But despite the CDC’s efforts, and despite the growing number of people who vaccinate every year, a vocal group of dissenters in 2019 continue to distrust vaccines — flu or otherwise. Case in point? Measles, which were eliminated in the United States in 2000, are making a comeback. So far in 2019, about 670 people from 22 states have been affected. Doctors emphasize that the best way to avoid the measles is to get the vaccine, but skeptics continue to fear negative side effects. Lack of insurance or access to health care is also an obstacle in the push for vaccination.
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Minimalist Running Shoes 2 3 4
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It’s not the worst trend to enter the mainstream, but science doesn’t seem to support the claims that these trendy shoes were any better for runners than other (i.e. less-expensive) versions. In 2019, most people are back to using traditional cushioned running shoes.
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Between 2010 and 2012, sales in minimalist shoes tripled. More and more people were subscribing to the idea that if they trained in these types of shoes, they could strengthen their feet back to how nature intended them to be.
But the American Academy of Sports Medicine and the American Podiatric Medical Association maintained 8 that there was not enough research to support either the benefits or the risks, and encouraged anyone interested in the trend to consult a podiatrist beforehand.
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MINIMALIST RUNNING SHOES
HEALTH RATING:
Interest in barefoot running and minimalist running shoes rose after the release of Christopher McDougall’s Born to Run. The idea behind the practice is that running shoes with thinner, minimalized soles encourage a natural gait, strengthen the foot and reduce risk of injury.
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Then the lawsuits started. Vibram, one of the leading manufacturers, settled in a class-action lawsuit stating its marketing made unsubstantiated claims that minimalist shoes were better for preventing injuries. The trend very quickly fizzled out, although some runners continue to swear by minimalist shoes. As for the science behind it, a 2019 study published in the Journal of Applied Physiology explains that it’s less about the shoe itself and more about how athletes adjust their gait to compensate for the lack of cushioning. Runners in cushioned shoes tend to land on their heels whereas barefoot runners land on the balls of their feet to absorb the impact.
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Interval and Circuit Fitness Training
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HEALTH RATING: These workouts are scientifically supported and continue to grow in popularity.
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By the late 2000s, countless fitness junkies were embracing new workout routines like bootcamp-style fitness programs, functional fitness, circuit training and HIIT (high-intensity interval training). These types of fitness classes were popular because, as the Mayo Clinic observes, they require little or no equipment and they create a sense of camaraderie among the participants.
Over the past 10 years, these workouts continued to be popular, particularly circuit training and HIIT. The American 9 Council on Exercise (ACE) explains that most people give up a 10 fitness routine because they’re either bored or pressed for time. Both these styles of exercise avoid those problems — they’re varied, so you don’t get bored, and they’re so intense that you get the benefits of a full workout in a shorter period of time.
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And that short amount of time still counts, according to the experts. Per the recommendation of the Department of Health and Human Services, you should get 150 minutes a week of moderate aerobic activity or 75 minutes a week of vigorous aerobic activity. So it’s still effective to work out less as long as you’re working out harder.
You should get
75 MINUTES
of vigorous aerobic activity a week.
These fitness trends have stuck around with good reason, but that’s not to say they’re not better in 2019 than they were in the past. With the surging popularity of fitness apps like Esquared, which lets you find and drop in on classes close to where you are, it’s easier than ever for people to seek out opportunities for these types of classes, even if they’re traveling or moving to a new area.
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Healthcare Reform 2 3 4
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HEALTHCARE REFORM
HEALTH RATING: Strides have been made in reforming the American healthcare system, but it remains a controversial topic. How legislators will handle it going forward remains to be seen.
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The new decade was a milestone for healthcare changes in the United States. In 2010, a little more than a year after his inauguration, President Barack Obama signed into law the Patient Protection and Affordable Care Act, which required everyone to have health insurance by 2014. The legislation strove to make affordable health insurance available to more people by providing subsidies for lowincome households, expanding Medicaid, and restricting health plans from denying coverage to anyone for any reason.
Throughout the years that have followed, healthcare has continued to be a huge part of political discourse, and it is now a major talking point for presidential candidates running for office in 2020.
To put it simply, there are lots of opinions. Joe Biden, who was vice president under Obama, wants to expand the Affordable Care Act and give Americans the choice of either enrolling in a public health insurance option or keeping their employer-based plan. Senators Bernie Sanders and Elizabeth Warren want to get rid of private insurance and establish Medicare for All. And Donald Trump wants to do away with the Affordable Care Act and reduce funding for Medicaid and Medicare. A decade after it first started trending, healthcare reform continues to be a controversial topic, and there doesn’t seem to be an easy solution in sight. In summer 2019, the American Medical Association stated it “strongly believes that every American should have access to meaningful, affordable coverage” and that America must “build on our current system of coverage provided by employers, government, and individually selected plans so that patients can benefit from choice and competition.” www.OurHealthLynchburg.com
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E-Cigarettes 2
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E-CIGARETTES
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HEALTH RATING: E-cigarettes might have once been seen as a safe alternative to cigarettes by some people, but experts emphasize that’s not the case. They still pose certain health hazards. More research is being done to help doctors and legislators fully understand the risks that vaping devices might pose.
Electronic cigarettes, e-cigarettes, e-cigs, vapes — whatever you want to call them, they were originally embraced by people as a safer alternative to smoking tobacco 3 products. That’s because electronic cigarettes produced vapor instead of smoke. 4 When a person puffs on an electronic cigarette (or vapes, per the proper terminology), they inhale a vaporized nicotine solution that mimics that flavor 5 and feeling of tobacco smoke.
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Action in the United States started in 2009 with the Family Smoking Prevention and Tobacco Control Act, which gave the Food and Drug Administration the authority to regulate tobacco products, including e-cigarettes. However, despite the controversy, proponents of vaping continued to build a culture around it. The first VapeFest was held in Richmond, Virginia, in March 2010. A decade later, more information continues to be available on e-cigarettes. The National Institute on Drug Abuse notes that research so far shows they are less harmful than cigarettes when people who regularly smoke switch to them, but they are still dangerous to a person’s health. There are other concerns as well. It’s now understood that e-cigarettes can lead to a nicotine addiction just as cigarettes can, and it’s still to be determined whether they are an effective smoking cessation aid. More research is needed. Meanwhile, as of fall 2019, the FDA and CDC are investigating incidents of respiratory illness associated with vaping products.
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Gluten-Free Eating 2
Back toward the end of the 2000s, eating a gluten-free diet was still an emerging lifestyle. People were doing it, but it wasn’t as commonplace as it is today. But there’s been a lot of misconception that’s floated around in the years in between.
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GLUTEN-FREE EATING
HEALTH RATING: While it’s great that growing awareness of gluten has made life easier for those with Celiac disease, it has also led to a lot of false information that has duped people into putting unnecessary dietary restrictions on themselves.
From the get-go, experts weren’t onboard with this alternative. In 2008, after e-cigarettes had been in the U.S. market for about two years, the World Health Organization stated it did not consider e-cigarettes to be a legitimate smoking cessation aid.
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Gluten-free diets are beneficial for people with Celiac disease, an autoimmune disorder in which gluten — a type of protein found in wheat, barley and rye — triggers an immune reaction in the small intestines that prevents the absorption of nutrients.
Scientific circles have studied gluten allergies since the 1970s, but between 2005 and 2010, awareness of gluten entered mainstream culture. Celebrities and other prominent figures started claiming avoiding gluten helped them lose weight. Sales of gluten-free products exploded, and countless people started turning to wheat alternatives like rice flour.
However, doctors have responded to the gluten-free diet’s popularity by emphasizing the reality: Less than one percent of Americans actually have Celiac disease, and there’s no evidence to support claims of weight loss or overall improved health in people who don’t have an allergy. On the contrary, as Mayo Clinic points out, striking whole-grain products made from wheat, rye and barley can affect your intake of fiber, vitamins and minerals.
Restaurants and food manufacturers continue to cater to gluten-free living by providing more options and designating those options with gluten-free labels. For those who have Celiac disease, this is a huge step forward in helping them manage a normal life with their dietary restriction. For those who don’t have an allergy — well, it’s just another marketing ploy.
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Better Late than Never:
National Influenza Vaccination Week Reminds Us to Get Our Shots words | DYLAN ROCHE
Flu season is already underway, but it’s not too late for people to get vaccinated — especially if they’re going to be spending a lot of time around others over the course of the holidays. Hence the importance of National Influenza Vaccination Week, which the Centers for Disease Control and Prevention (CDC) established in 2005 to emphasize the importance of everyone (yes, everyone) getting a flu shot.
“We’re already well into flu season. If you haven't received your flu shot yet, it's still a good idea to do so. But, you may be exposed to the flu before your flu shot is fully active.” Elizabeth Goff, MD A family practice physician with CVFP Medical Group.
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Generally observed the first week of December, National Influenza Vaccination Week reminds us that while the demand for vaccines may have started to decline this time of the year, the need remains ever high. As Elizabeth Goff, MD of CVFP Medical Group explains, a flu shot midway through the season is better than no flu shot at all. Dr. Goff is a family practice physician with special interests in preventative health, women’s health and pediatric care. She practices at the Forest location of CVFP Medical Group. “The CDC recommends getting your flu shot in October because it takes two weeks for you to realize the full immunity,” says Dr. Goff. “We’re already well into flu season. If you haven't received your flu shot yet, it's still a good idea to do so. But, you may be exposed to the flu before your flu shot is fully active.” Contrary to popular belief, there’s more than one type of vaccination. Depending on a person’s specific situation, they may be best suited for the standard four-strain vaccine, the high-dose vaccine, the preservative-free vaccine or the double-dose vaccine.
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AT-A-GLANCE
CVFP Medical Group Administrative Office 1111 Corporate Park Drive Forest, VA 24551 c 434.382.1125
Which Flu Vaccine is Best For You and Your Family?
www.cvfp.net
A Standard Four-Strain Vaccine: Dr. Goff explains that the Standard Four-Strain Vaccine is
Founded in 1993, Central Virginia Family Physicians (CVFP) is an established independent practice with seven regional family practice offices, three immediate care facilities, a main lab, diagnostic center, sports medicine clinic, and student health center, all conveniently located in and around the Lynchburg area.
considered the most appropriate for the majority of the population. Those older than age two but younger than age 65 who don’t have compromised immune systems and who don’t have a history of negative reaction to flu vaccinations will be fine with this shot.
B High-Dose Vaccine: this version is considered best for people older than 65 or who might have a compromised immune system due to conditions like diabetes, COPD, asthma or cystic fibrosis.
C Preservative-Free Vaccine: A newer introduction, this version is one that Dr. Goff describes as better for people who have had what’s known as vaccine injury, or a negative reaction to the flu vaccine. She also notes that it’s the preferred option for patients who might be concerned about some of the chemicals that come in a traditional vaccine.
D Double-Dose Vaccine: this version is specifically geared toward children under the age of two and requires, as its name suggests, two doses to be effective. “The first time children two years-old and younger receive the flu shot, they will get two doses, with the second shot being given four weeks after the initial one,” Dr. Goff explains. “Their immune system is still trying to learn how to react to different factors, so the double dose helps them realize the full effect of the shot.”
In most cases, each of the four types of vaccines is available at your local pharmacy, doctor’s office or health department, and they are available throughout the entire flu season, which usually lasts October through March. “All of the vaccines are considered safe and recommended,” Dr. Goff notes, adding that cost should be the same under most insurance plans, though standard fourstrain vaccine will be less expensive for those who are getting vaccinated without insurance. The importance of getting a flu shot shouldn’t be underestimated. “What I talk to my patients about is that the flu is a rather dangerous illness,” Dr. Goff explains. “Sadly, we’ve already had four children die of the flu at this point of the season. Older patients are often hospitalized or often end up in the ICU. Getting your flu vaccine helps protects you from those risks.” Even for those who are not considered high-risk patients, getting a flu shot can help deter the virus from spreading throughout their community. And if you do come down with the flu, the vaccination can help reduce the chances of experiencing the most severe symptoms, as well as reduce the duration you have it. Should you develop the flu, Dr. Goff encourages people to have as little interaction with others as possible to prevent contaminating others. For more information about influenza and other vaccinations, please visit the Centers for Disease Control and Prevention website at www.cdc.gov. To schedule an appointment with Dr. Goff, call CVFP-Forest at 434.525.6964 or visit www.cvfp.net for a list of all CVFP locations and care providers.
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Food Fitness NUTRITION • EXERCISE • PREVENTION
Adopting Smaller Habits Every Day Will Make Your
Much More Manageable words | DYLAN ROCHE
By the time most people have been through the indulgent weeks between Thanksgiving and Christmas, they’re ready to make a resolution in the new year to eat healthier. The problem? Well, most people don’t stick to those New Year’s resolutions and go right back to their old habits after a few weeks. This year, resolve to do things differently — instead of giving your diet a sudden overhaul that you then abandon three weeks later, aim to adopt a new small habit every day for three weeks. They don’t have to be big changes, but as you adopt more and more of them, they will start to make a major difference.
Here are
21 healthy eating habits for you
to adopt throughout the first few weeks of the new year.
If you find that they’re manageable, try a new one every day; if you find that you’re having a little bit of trouble, try making a change every other day or every three days.
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Start a food journal or download a nutrition app. Logging a food journal will ensure that you’re keeping an eye on what you’re eating and being conscious of how you’re fueling your body. It is also helpful to go back at the end of the day and evaluate what you might have eaten too much of or what your diet is lacking. Most nutrition apps can calculate your calorie and nutrient intake automatically if you simply enter the food and the portion size, thus taking care of the math work for you.
Focus on nutrient balance with every meal. Counting calories can get overwhelming, but it’s much easier for you to focus on having a source of protein, complex carbohydrates and healthy fats (ideally plant-based fat) at every meal. Meals that lack one of these nutrients — for example, a bowl of pasta with olive oil has carbohydrates and fat but no protein — won’t leave you feeling as satisfied and energized.
Distracted driving is one of the main risk factors for younger drivers. These apps can help your young driver establish good habits and be safer on the road:
Replace• LifeSaver at least one refined-grain product with a whole-grain one.
• TrueMotion Family The U.S. Department of Agriculture recommends • Mojo that at least half the grains you eat should be whole grains, are aDriveMode better source of fiber, • whichAT&T vitamins and minerals. Start slowly by phasing • SafeDrive out one refined grain with a whole one at each • Focus by TeenDrive meal. Have whole-wheat bread or brown rice instead of their white counterparts. As you get used to the taste and texture of whole grains, you can start to include more and more while phasing out refined carbohydrates.
Make half your plate vegetables or fruit. When you sit down to a meal, is your plate primarily meat and starch with a side of vegetables? Swap your proportions. Loading up half your plate with fruits and vegetables will still satisfy you because it’s volume that makes you feel full, not calorie content. You’ll also be taking in lots of extra vitamins and minerals with all those fruits and veggies.
Start leaving the skin on your produce. Many people peel their fruits and vegetables, but the skin is a great source of vitamins, minerals and fiber. Fiber is especially important for people who are trying to achieve a healthy weight because it helps you feel full faster and keeps you full longer.
Take up a non-food-related hobby. After you finish dinner, focus on something that requires active engagement like a crossword puzzle, knitting or painting instead of simply watching television. Reducing boredom and diverting your attention elsewhere will help you break the habit of mindless eating and instead learn to eat at mealtimes or designated snack times.
Add more color to your diet. Fruits and vegetables come in a variety of colors. Some are red, some are orange or yellow, others are green, while others are blue or purple. Eating a variety of colors means you’ll be getting a variety of nutrients. Try a new color every day, and aim to start including at least three or four colors every meal.
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Drink a glass of water if you’re feeling hungry. Sometimes you think you’re hungry but what you’re really feeling is dehydrated, and drinking a glass of water can remedy your craving. Even if it doesn’t, the water will fill you up so that you’re inclined to consume less when you do sit down to eat.
Use half your usual sugar or cream in your coffee.
Use herbs in place of table salt.
If you’re the type of coffee drinker who likes to load up your cup of joe with lots of sugar and cream, you might be taking in more calories than you realize. You don’t have to switch to drinking it black right away, but using half your usual amount of sugar and cream in your coffee will still give you the taste that you like with far fewer calories. As you cut back on sugary foods and drinks, you’ll also start to notice that your cravings for something sweet decrease.
It’s not just that excess sodium leads to high blood pressure. Salty foods are addictive, so you’re inclined to eat more of them. Start adding flavor to your food using fresh herbs and spices instead of salt.
Use olive oil in place of butter. A tablespoon of butter and a tablespoon of oil have approximately the same number of calories, but olive oil is full of monounsaturated fats (that’s the good kind, which help your body fight plaque buildup in your arteries) and antioxidants. The rich flavor also means you can get away with using less of it.
Try a new plant-based source of protein. Meat and dairy are great sources of protein, B vitamins and other nutrients, but they also tend to be high in saturated fat and cholesterol. On the other hand, plantbased sources of protein like nuts, beans and quinoa have lots of fiber and tend to be lower in calories. Try a plant-based source at a meal every day. If you’re feeling extra adventurous, go vegetarian just one day a week. You’ll find that you consume more vegetables and fewer calories without feeling deprived.
Pack your lunch. Packing your lunch saves you from poor take-out choices midway through your workday. Don’t think that packing lunch requires a lot of time or effort. You can take leftovers from last night’s dinner, or you can pack healthy ingredients to make something at work. If you have the option, see whether you can keep bread, lean deli meat, lettuce, tomato and mustard in your office’s kitchen so you can easily assemble a healthy sandwich.
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Eat your fruit instead of drinking it. If you frequently drink fruit juice, you probably think of it as a great source of nutrients like vitamin C. But fruit juice retains all of a fruit’s natural sugar without any of its fiber, so it’s going to spike your insulin levels, leaving you feeling hungry only a little while later. Instead of drinking juice, grab an apple or orange and enjoy the real thing. You’ll feel more full and have more energy.
Have smoothies for your go-to snack. Smoothies are an easy option for getting extra fruits and vegetables into your diet, and their high water content helps fill you up. Just be sure to make them at home so you have control over the ingredients — a smoothie from your local smoothie bar is likely full of added sugar. Spinach and avocados have mild tastes that are easily masked by flavorful fruit. Try mixing spinach, avocado, banana, strawberries, blueberries, almond butter and a little bit of honey up in your blender at home for a low-calorie, nutrient-rich pick-me-up to replace a Frappuccino or milkshake.
Research the ingredient list on a packaged food. You only need to do this once or twice to gain some perspective. The next time you’re eating food out of a package, read the ingredient list and look up anything that you don’t recognize. You might find that even foods marketed as healthy are full of added sugars, sodium, preservatives and artificial ingredients. Enjoy these in moderation, but aim to make more meals and snacks from scratch in your kitchen at home.
Ditch soda and opt for seltzer instead.
Make your own salad dressing.
Your soda habit is easier to give up than you might think. Try swapping your regular sugary beverage for seltzer, which has the same fizzy sensation but with none of the empty calories. If you want a little flavor, add a bit of fresh lemon or lime.
Salad dressing is a great way to liven up your fresh vegetables, but packaged products can be full of added sugar, sodium and preservatives. Start making your own salad dressing with a blend of olive oil and an acid of some sort (vinegar, wine or lemon juice). To give it some extra flavor, try adding herbs and mustard, or even a little bit of a natural sweetener like honey or maple syrup.
Stick to only one drink. Nobody is saying you can’t have alcohol if you’re trying to eat healthy, but moderation is key. Enjoy one drink and make it last throughout the evening. Alcohol is not only an empty source of calories (that is, calories without any nutritional benefit) but it lowers your inhibitions and makes you more inclined to make poor food choices.
Shop the perimeter at the grocery store. Do a workout that you enjoy. One of the most important lessons you have to teach yourself when learning to eat healthy is to stop thinking of food as a crime you need to atone for with exercise. Find a workout you enjoy and look forward to. Not only will enjoying your physical activity make you more likely to stick with it, but you’ll also start thinking of food as a way of fueling your workout so that you feel your best before, during and after.
ON THE WEB
For your next grocery shopping trip, make your way around the perimeter of the grocery store first. You can get fruit, vegetables, lean meats, dairy and fresh bread without venturing down any of the aisles where you’ll mostly find processed, packaged food. Once you’ve done this, look through your cart and ask yourself whether you actually need to go through the center section of the grocery story. In many cases, you might find that you already have everything you need.
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3 Harman Eye Center 75 Heartland Health Care Center 17 Heritage Green Assisted Living 59 Insight Imaging 7 Interim Healthcare 68 Lynchburg Aesthetics 60 Lynchburg Dental Center 83 Medical Facilities of America 5 Merry Maids 67 Peace Haven Home Care Services
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Elayne Philips of Lynchburg was the first person to email the correct seven differences in last issue’s Funny Bone. For the full list of answers, visit our 82 facebook page @OurHealthLynchburg.
19 The Williams Home, Inc 75 Valley View Retirement Community 17 Virginia Elder Law – The Law Offices of Ron Feinman 19 Virginia Prosthetics & Orthotics 68 Whitten Funeral Home 51 Wyndhurst Aesthetics 51 YMCA