OurHealth Lynchburg Nov/Dec 2017

December 2017 • January 2018 ourhealthLBSS.com

LEADING A

BETTER LIFESTYLE IS THE BEST WAY TO BEAT DIABETES PLUS: BREAKING THE SILENCE GUILLIAN-BARRE

SYNDROME

HELPFUL TIPS FOR

EATING HEALTHY

the 10 th Annual Best Bedside Manner Awards

Did your favorite

HEALTHCARE PROVIDER make the

CUT?

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TABLE OF CONTENTS DECEMBER 2017 • JANUARY 2018

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THE PULSE

| KEEPING THE PULSE ON HEALTHCARE

12 – Q&A ON HEALTH 16 – NEW PEOPLE & PLACES

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BREAKING THE SILENCE: GUILLIAN-BARRE SYNDROME This series explores medical conditions that can be devastating to the patients and families they affect — yet no one is talking about them. That is, until now.

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2017 BEST BEDSIDE MANNER AWARDS OurHealth’s Best Bedside Manner Awards honor medical providers who were voted by the local community for their kindness, empathy and attentiveness—attributes that go a long way in gaining a patient’s confidence.

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MEDICAL PROFILES

| LOCAL HEALTHCARE

50 – ANESTHESIA SERVICES OF LYNCHBURG, INC. 51 – CENTRAL VIRGINIA ORTHODONTICS 52 – CENTRAL VIRGINIA ORAL & FACIAL SURGERY 54 – CVFP MEDICAL GROUP 56 – GRETNA DRUG COMPANY 57 – INSIGHT IMAGING 58 – JAMES L. STANLEY, DDS, PC 59 – LYNCHBURG DENTAL CENTER 60 – LYNCHBURG WOMEN’S & PEDIATRIC HEALTH SERVICES 61 – PERIODONTAL HEALTH ASSOCIATES 62 – RIDGEVIEW DERMATOLOGY 63 – SOUTHSIDE UROLOGY & NEPHROLOGY 64 – ST. CLAIR EYE CARE

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TABLE OF CONTENTS DECEMBER 2017 • JANUARY 2018

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NUTRITION

| LOCAL FOODS & RECIPES

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LEADING A BETTER LIFESTYLE IS THE BEST WAY TO BEAT DIABETES Type II Diabetes, a disease in which there is a high level of sugar in the blood, is on the rise. A poor diet and lack of exercise are partially to blame.

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FAMILY CARE

| HEALTH FOR THE WHOLE FAMILY

76 – ARE LEG CRAMPS KEEPING YOU UP AT NIGHT?

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| HEALTHY BEAUTY TIPS

78 – JUST HOW PERMANENT IS PERMANENT MAKEUP?

66 – HELPFUL TIPS FOR EATING HEALTHY

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BEAUTY

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ORTHO ON CALL OFFERS A WINNING SOLUTION TO ORTHOPEDIC INJURIES OrthoVirginia’s orthopedic urgent care provides patients with a reliable, cost-effective option for orthopedic injuries.

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december 2017 • january 2018

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

CONTRIBUTING MEDICAL EXPERTS Tammy Anderson, LCSW, OSW-C, ACHP-SW, ACM-SW Catherine A. Beuerle Martin, PT, DPT, OCS Teodora Brose, MD Landon Colling, MD Richard Spice, C.Ped CONTRIBUTING PROFESSIONAL Catherine Brown EXPERTS & WRITERS Brandy Centolanza Tracy Corntazer Susan Dubuque Christine Stoddard

ADVERTISING AND MARKETING Cynthia Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com

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

Copyright © 2018 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

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

BY LOCAL PROFESSIONALS

“

The goal is to keep the foot as neutral as possible and prevent excessive motion that can lead to repetitive stress.

Once the foot is properly supported, then the body can heal and the patient can hopefully enjoy a more active lifestyle. All custom foot orthotics are adjustable and can be modified to correct discomfort.

”

– Richard Spice, C.Ped

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I’m so confused about my individual health insurance options right now. Where do I begin to learn more?

If you are not insured through your employer’s group health plan, one option is individual coverage. When the Affordable Care Act was signed into law in 2010, it was a game changer. When you could purchase coverage and the types of plans you could purchase changed. Unless you involuntary lose coverage during the year, the only time to purchase an individual health insurance policy is during Open Enrollment. This year’s Open Enrollment period is shorter than year’s past. It runs from 11/1/17 – 12/15/17 for a January 1, 2018 effective date. Your plan options will vary based on the county in which you live. To find the options available to you, you can either visit www.Healthcare.gov or contact a local health insurance agent. Either will be able to guide you through which plans are available and show you how to search for medical providers and prescription options. You can also learn if you qualify for either a premium subsidy or a costsharing subsidy. If you miss Open Enrollment, contact a local agent and ask about temporary policies.

Tracy Corntazer

Virginia Farm Bureau Experient Health Richmond | 804.290.1115 www.vafb.com

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

How can people with macular degeneration benefit from taking vitamin supplements?

Unfortunately, there is no known treatment that can prevent agerelated macular degeneration (AMD). However, researchers with the Age-Related Eye Disease Study (AREDS) reported that a nutritional supplement that followed the AREDS and AREDS2 formulation have been proven to benefit those with macular degeneration by slowing the progression of the disease.

It is important to note that these formulations do not prevent macular degeneration, but may delay progression of advanced AMD and help maintain vision longer for those with intermediate AMD, or advanced AMD. For smokers or former smokers, the AREDS2 formulation is recommended. In some of the original AREDS formulations there were high levels of beta-carotene which yielded slightly higher cancer rates in study participants who had a history of smoking. Please remember that these vitamins are not a substitute for your standard daily multivitamin. If you have AMD, ask your eye doctor about AREDS and AREDS2 supplements.

Landon Colling, MD

Harman Eye Center of Lynchburg Lynchburg | 434.845.2020 www.harmaneye.com

How do I know if custom orthotics are right for me?

Often many of us develop foot pain as we age, and for most of us, the pain goes away after therapy or use of “off the shelf” arch supports.

However, for the rest of the people that still experience chronic foot pain, they may need a custom orthotic. A custom foot orthotic is made from a mold taken from a cast of the foot. The goal is to keep the foot as neutral as possible and prevent excessive motion that can lead to repetitive stress. Once the foot is properly supported, then the body can heal and the patient can hopefully enjoy a more active lifestyle. All custom foot orthotics are adjustable and can be modified to correct discomfort. Custom foot orthotics can be used to treat a number of medical issues, and only a licensed medical professional can determine if they are right for you.

Richard Spice, C.Ped

Excel Prosthetics and Orthotics Lynchburg | 434.528.3695 www.excel-prosthetics.com

THE P ULSE | Q&A on Health

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

BY LOCAL PROFESSIONALS

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Skip the alcohol and soda. Choose the veggies-centered appetizers and fill your holiday plate with a variety whole food such as fruits, vegetables, whole grains, beans and legumes. Also of importance is not overeating to the point of fullness, pain and/ or discomfort as this overfilling of the stomach will most definitely worsen acid reflux symptoms.

”

– Teodora Brose, MD

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A family friend is receiving chemotherapy and I know the holidays will be hard. Any suggestion as to what I can do to help her?

There are many things you can do to help someone who is going through cancer treatment during the holidays. Start by asking him or her if they have anything that needs to be done. Often people do not want to ask for help so it may be important to name specific things that you can do. Some examples include: •

Can I prepare a meal or dish for you?

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Can I help you clean, vacuum, wash dishes, help with laundry, etc?

•

Can I help you with holiday shopping or decorating?

•

Can I stay with you so that your caregiver can go out for a while?

People who are receiving chemotherapy or other forms of cancer treatment want to feel as normal as possible. One way of maintaining normalcy is keeping holiday traditions. Ask what traditions are important to the survivor and how you can help them keep those traditions this year. If traditions need to change, ask how you can help him or her honor the holidays. Above all else, remember that being a listening ear sometimes is the greatest gift.

Tammy Anderson, LCSW, OSW-C, ACHP-SW, ACM-SW Centra Alan B. Pearson Regional Cancer Center Lynchburg | 434.200.4522 www.centrahealth.com

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

My acid reflux gets to be unbearable around the holidays. What should I steer clear of at holiday gatherings?

Acid reflux is a common problem which can often worsen during the holidays. Practicing healthy eating habits is particularly important during this time. Being mindful of the foods that you place on your plate and avoiding foods that trigger symptoms, will go a long way. Refined grains and sugars are known to cause discomfort. These are found in breads, pastas, cakes, pies, and other dishes made with concentrated sweeteners. Other trigger foods include dairy, cheese, oil, animal fat, alcohol, carbonated and caffeinated drinks, spicy and acidic foods. Aim to limit heavy meals loaded with sugar, fat, oil, butter and flour. Skip the alcohol and soda. Choose the veggiescentered appetizers and fill your holiday plate with a variety whole food such as fruits, vegetables, whole grains, beans and legumes.

Also of importance is not overeating to the point of fullness, pain and/or discomfort as this overfilling of the stomach will most definitely worsen acid reflux symptoms. I wish you a happy and healthy Holiday Season.

Teodora Brose, MD

CVFP Appomattox Appomattox | 434.352.8235 www.cvfp.net

How can physical therapy help with my arthritis?

Physical therapy can be effective in managing osteoarthritis for most joints in the body. Osteoarthritis is a degenerative condition that is caused by a wearing down of the protective tissue, or cartilage, at the ends of bones. Osteoarthritis can cause joints to feel stiff, painful, and can weaken muscles in the surrounding area. These symptoms can cause one to have difficulty performing simple activities of daily living, work duties, or recreational activities. When seeing a physical therapist, he or she will do a comprehensive evaluation to determine your deficient areas; he or she will then work with you to create an individualized treatment plan to help achieve your goals.

Physical therapy focuses on the body’s ability to engage in movement. Movement can be anything from getting in and out of chairs, climbing stairs, walking in your neighborhood, playing a sport or performing recreational activities.

Goals of physical therapy include restoring mobility of the arthritic joints, increasing strength of the surrounding muscles, and teaching someone modifications to improve his or her quality of life.

Catherine A. Beuerle Martin, PT, DPT, OCS

Rehabilitation Associates of Central Virginia Moneta | 540.296.3203 www.racva.com

THE P ULSE | Q&A on Health

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THE PULSE

NEW OPENINGS & RELOCATIONS >> News on Healthcare in the Lynchburg & Southside area

RIDGEVIEW DERMATOLOGY ADDS FOURTH LOCATION

Kim Altizer, NP

Teodora Brose, MD

Tabatha Davis, MD

John Haas, MD

Brinder Kanda, MD

Drew Pociluyko, PT, DPT, CSCS

Centra Medical Group – Brookneal Brookneal | 434.376.2325 www.centrahealth.com

CVFP Appomattox Appomattox | 434.352.8235 www.cvfp.net

Answering the need for convenient dermatologic care In addition to offering local communities comprehensive care in Lynchburg, Smith Mountain Lake and Forest, RidgeView Dermatology announces the January 2018 opening of their newest location in Farmville! In an effort to provide access and care closest to where patients live and work, RidgeView will offer full-spectrum dermatologic care to patients in Farmville at 935 South Main Street.

Mandy Wilkes-Hoffmeister, NP and Kamal Chantal, PA are now accepting general dermatology appointments at the new Farmville office. To schedule an appointment with either Mandy or Kamal, call 434.363.4190 today.

Centra Medical Group Lynchburg Family Medicine Residency Lynchburg | 434.200.5200 www.centrahealth.com

Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com

Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com

Rehabilitation Associates of Central Virginia Lynchburg | 855.722.8478 www.racva.com

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Health Happenings

NEW OPENINGS & RELOCATIONS CONTINUED...

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NEW PHYSICAL THERAPY LOCATION IN LYNCHBURG Expanding to meet local physical therapy needs Rehab Associates of Central Virginia announces the opening of their 15th location in Central Virginia! The new physical rehab practice, located at 3211 Forest Brook Road in Lynchburg, is near the Old Forest Road Walmart.

Services offered in this new location include orthopedic physical therapy, functional rehab, pediatric orthopedic physical therapy, performance and agility. To schedule an appointment with Drew Pociluyko, PT, DPT, CSCS, call 855.722.8478.

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

Breaking the Silence:

Guillain-Barre Syndrome words | SUSAN DUBUQUE

This series explores medical conditions that can be devastating to the patients and families they affect — yet no one is talking about them. That is, until now. We will talk openly about these disorders and dedicate these stories to the courageous individuals living with them and the healthcare providers and researchers committed to treating and seeking cures for these enigmatic diseases.

Imprisoned in a lifeless body. Unable to move or to communicate with even the merest flick of a finger or blink of an eye. Yet fully conscious and aware —hearing everything from the warm and reassuring croons of family and friends to the cool, clinical assessments of the doctors. For more than two weeks, Joel Elmore remained in this state of suspended animation. Until the mystery was solved and a diagnosis was confirmed: Guillain-Barré syndrome.

Spring 2016 | Joel Elmore was anxiously working to complete his senior thesis at Covenant College, a small Christian school in Lookout Mountain, Georgia, where he was majoring in psychology. Life was grand. He shared a log cabin with six roommates, all close friends and fellow students. He was at his peak of fitness, playing collegiate soccer and club team rugby. And best of all, he was about to ask for his girlfriend’s hand in marriage. In just a few months, Joel looked forward to graduation and pursuing his ultimate goal of attending seminary and becoming a pastoral counselor. What could possibly go wrong? A lot.

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BREAKING THE SILENCE

As spring break approached, Joel’s roommates packed up for a well-deserved respite from school — a week spent at a friend’s parent’s church camp. But Joel, dealing with a nagging respiratory infection, was too sick to go. But a quick trip to the doctor, a little rest and one “Z-Pak” later, Joel appeared to have recovered.

When my roommates got home, I tried to talk, but ALL THAT CAME OUT was a hoarse, croaking sound. And then, when I TRIED TO EAT a piece of pizza, I couldn’t swallow.

– Joel Elmore

March 13 | “I woke up Sunday morning too sick to go to church. Instead I stayed home in bed. Later that day, I felt dizzy and I stumbled when I got out of the shower,” says Joel. “When my roommates got home, I tried to talk, but all that came out was a hoarse, croaking sound. And then, when I tried to eat a piece of pizza, I couldn’t swallow.”

Joel drove himself to an urgent care clinic, where he tested positive for mononucleosis and was given a steroid injection. But his condition continued to deteriorate. Joel’s mother, Cindy Elmore, called and suggested that he might be dehydrated and in need of fluids. Too weak to drive himself, Joel called his girlfriend and asked her to take him to the emergency room of a local community hospital. There, a nurse practitioner admonished him for “listening to his mom” and reminded him that he had a simple case of mono. She sent him home without seeing a doctor.

Within a few hours, Joel’s breathing became labored and his motor functions became even more impaired. This time, all six of his roommates drove Joel back to the hospital, demanding that a doctor see him. Deeply concerned by the reports from Joel’s roommates, Cindy and Joel’s sister, Annamarie, began driving from their home in Roanoke, Virginia, arriving at the hospital around 9:00 pm.

The first time I tried to talk to Joel on the phone, I knew something was SERIOUSLY WRONG. – Cindy Elmore

SPREAD AWARENESS Help us spread awareness about Guillain-Barre syndrome by sharing Joel’s story on social media! Don’t forget to tag us.

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“After Cindy pleaded with the doctor, telling him that Joel could not breathe, the doctor gave Joel a breathing treatment. It was suffocating him.” The doctor sent him for a chest X-ray, but while on the imaging table, the unthinkable happened — Joel began to choke and stopped breathing. He had to be resuscitated and a breathing tube had to be inserted in his trachea in order to save his life.

March 14 | Joel was admitted to the hospital’s intensive care unit, where his condition plummeted. Within 12 hours, Joel went from thrashing movements to complete paralysis. He couldn’t open his eyelids, and his pupils would not even dilate.

It was like BEING FROZEN. I had NO WAY OF LETTING ANYONE KNOW I was still in there.

– Joel Elmore

“My roommates and my family would talk to me as if I could hear. But the doctors would sometimes talk about me like I was unconscious. It was apparent from their comments that they didn’t think I would make it.”

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B R EAK I NG THE SI LENC E |

as if I could hear. But

Guillain-Barre Syndrome

“My roommates and my

family would talk to me

the doctors would some times talk about me like I wa s unconscious. It was apparent from their co mments that they did n’t think I would make it.”

– Joel Elmore

For Joel, the whole experience was surreal. “Although my eyes were closed and I couldn’t see a thing, I was having a continuous stream of bizarre dreams. In one dream, I was hanging upside down like a bat.”

The mere act of breathing was the most stressful part of Joel’s ordeal. “I was on a respirator. And when the staff had to move me for a test or a procedure, they would ‘bag’ me — manually breathe for me — while we were going down the hall.

I would pray that they would keep me breathing until I could be hooked up to the respirator again.”

Despite being in this terrifying state, Joel was able to maintain some semblance of calm and control as he tried to establish a rhythm to his altered existence.

I knew the neurologist MADE ROUNDS in the morning, so with every visit, I would CHECK OFF – Joel Elmore ONE MORE DAY. Immediately, the family wagons quickly began to circle. Joel’s father, Joe Elmore; his brother, Josiah; aunts and grandmother came to offer comfort and support. His uncle and aunt, both physicians, also lent valuable medical insights.

Guillain-Barré Syndrome (gee-YAH-buh-RAY) An autoimmune disorder in which the body’s immune system begins to attack the peripheral nervous system.

The first signs are typically a tingling sensation and weakness that start in the feet and legs and may spread to the arms and upper body.

In the most severe cases, muscle weakness can evolve into paralysis, potentially interfering with breathing, blood pressure and heart rate.

March 16 | During these trying early days, Joel’s uncle, Dr. Jay Freeman, and aunt, Dr. Nikki Brannon, were searching frantically for an answer. They soon suspected that Joel might have a very rare form of Guillain-Barré syndrome called Bickerstaff www.OurHealthlbss.com

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BREAKING THE SILENCE

sions, I erapy ses th l a ic s y h of my p treadmill, “In some ess over a n r a h a nded in gs as if was suspe ved my le o m m te s otic sy in my and a rob as to retra w a e id e h ing. T I was walk walk.” ves how to r e n d n a muscles e – Joel Elmor

brainstem encephalitis, and discussed this finding with the hospital physicians. Joel was immediately started on intravenous immunoglobulin (IVIg) — antibodies that help to fight inflammation and infection. But after one week of treatment at the community hospital, it became clear that he needed more advanced care.

March 21 | Joel was transferred to a major teaching hospital in Tennessee where

I CONSTANTLY PRAYED, ‘Don’t leave me here,’ and I clung to a favorite passage from the Bible: ‘BY HIS WOUNDS YOU HAVE BEEN HEALED’ (Isaiah 53).

– Joel Elmore

he could receive plasmapheresis, a blood exchange treatment that removes harmful antibodies from the bloodstream, preventing the antibodies from attacking his own nervous system. After completing seven treatments, seven more were ordered.

Although Joel couldn’t move, he did have some sensation. During the plasmapheresis treatments, he experienced intense cold as the chilled plasma infused with calcium was reintroduced into his bloodstream.

March 23 | Joel opened his eyes for the first time in more than two weeks. He was able to respond to questions by moving his eyes — showing that his cognitive functions were still intact.

Extraordinary measures were taken to keep Joel alive and allow time for the plasmapheresis to work. A tracheotomy was performed to create an opening in Joel’s airway so he could breathe with the aid of the ventilator. He had a feeding tube inserted in his stomach. His heart, blood pressure and brain function were monitored.

March 27 | There was movement. “Over the next few days, I was gradually able to move my head and neck and even whisper my first word,” says Joel. With this slight improvement, in a few days he was moved to a step-down unit.

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B R EAK I NG THE SI LENC E | Guillain-Barre Syndrome

Joel may not be

hitting the socc er or rugby field an ytime soon, bu t he is now able to ru n a mile. And with his determination, there is no lim it to how far he can go.

April 7 | Joel was accepted at Shepherd Center, a rehabilitation hospital in Atlanta, and made the two-hour trip by ambulance. He was still paralyzed from head to toe, but now there was hope on the horizon. “The first positive thing that happened at Shepherd,” recalls Joel, “was receiving a special TV remote that I could operate by blowing through a straw. That was my first step toward regaining control over my body — and my life.”

The team at Shepherd wasted no time in helping Joel do just that, and he was thrust into a busy schedule of physical, occupational and speech therapy. As Joel’s sensation returned, it was in the form of pain — stabbing nerve pain with every movement.

But perhaps the most stressful part of Joel’s therapy was weaning him from the ventilator. “They had to get me breathing on my own,” reflects Joel.

We did it step by step. First, two hours at a time, then longer. Imagine HAVING TO CONCENTRATE on taking EVERY SINGLE BREATH you take.

– Joel Elmore

“While I was at Shepherd, I just focused on making it through one day at a time,” says Joel. “I constantly prayed, ‘Don’t leave me here,’ and I clung to a favorite passage from the Bible: ‘By His wounds you have been healed’ (Isaiah 53). There were little things that helped make it bearable, like when one of my roommates came to visit and rolled a lollipop on my tongue. It was blueberry flavored — the first thing I had tasted in weeks.” www.OurHealthlbss.com

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BREAKING THE SILENCE

Joel remained at Shepherd for a total of three months — the first six weeks as an inpatient and the second six weeks in outpatient therapy. Very gradually he regained feeling, strength and movement. “In some of my physical therapy sessions, I was suspended in a harness over a treadmill, and a robotic system moved my legs as if I was walking. The idea was to retrain my muscles and nerves how to walk.”

But now, I realize a lot of things that I worried about WEREN’T REALLY A BIG DEAL. It brought things into perspective.

IT’S BETTER TO LOOK FOR JOY and happiness than sweat the small stuff.

– Joel Elmore

August 1 | A happy day for the Elmore family — Joel’s homecoming. “By this time I was able to walk with a walker and I could dress myself,” says Joel. “Believe it or not, the first thing I did when I got home was mow the grass. I didn’t have strength yet to pull the cord and start the motor, but I could walk behind it and use it for balance.

It just felt like A WONDERFUL, ‘NORMAL’ THING – Joel Elmore to do.

After returning to his home in Roanoke, Joel resumed outpatient therapy at Carilion Clinic until November 2016. While at Shepherd, Joel was fitted for leg braces that allowed him to walk independently. But the nerve damage to his left hand and right foot was severe, and he continued to experience some mobility issues and challenges with fine motor skills, like writing, tying shoes and buttoning buttons. Joel’s primary care physician at the Carilion Clinic in Vinton, Russell Slayton, MD, diligently coordinated Joel’s follow-up care.

February 2017 | Always an athlete, Joel wasn’t satisfied with just walking.

He was determined to run again. David Lawrence, a physical therapist at Lawrence Rehabilitation’s Gait Center in Richmond, Virginia, was willing to take on the challenge. He fabricated special leg braces and began training Joel to run.

Spring 2017 | When he was struck down by GBS, Joel was only one semester shy of graduating from Covenant College, and it was time to start thinking about finishing his degree and moving on with his career. In order to ease back into the rigors of school, Joel started by taking some elective classes at Virginia Western Community College in hopes of completing all requirements, including his thesis, in time to graduate in December 2017.

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terror of being entombed in his own body, Joel Elmore has emerged a strong, resilient young man. “I used to feel anxious a lot of the time. I guess I was a bit of a perfectionist, like my mom,” reflects Joel. “But now, I realize a lot of things that I worried about weren’t really a big deal. It brought things into perspective. It’s better to look for joy and happiness than sweat the small stuff.”

Joel lives each new day with an incredible sense of gratitude. “My family and my friends never gave up on me. They stayed with me in the hospital and came to see me in Atlanta. The talked to me, read to me and, most of all, prayed for me — along with a huge faith community. I was lucky to have great medical care. Thanks to that — and God’s mercy — I’m here today.”

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B R EAK I NG THE SI LENC E |

“One other thing I learned is that change is inevitable. You won’t be the same person you are tomorrow as you are today. You just have to embrace your strengths and work with what you have.” Joel may not be hitting the soccer or rugby field anytime soon, but he is now able to run a mile. And with his determination, there is no limit to how far he can go.

Guillain-Barré syndrome or GBS — the nature of the disorder, how it is diagnosed and treated, and what the future holds.

What is Guillain-Barré Syndrome?

Guillain-Barré syndrome (gee-YAH-buh-RAY) is an autoimmune disorder in which the body’s immune system begins to attack the peripheral nervous system, which contains the nerves outside of the brain and spine. The syndrome was named after the French physicians Georges Guillain and Jean Alexandre Barré, who described it in 1916. The disorder often appears days or weeks after a respiratory or digestive tract infection. In rare instances, GBS may be triggered by recent surgery, trauma or immunizations.

“The first signs are typically a tingling or other strange sensation, numbness and weakness that start in the feet and legs may spread to the arms and upper body,” says F. Johanne Personna-Policard, MD, a neurologist at Centra Health. In the most severe cases, muscle weakness can evolve into paralysis, involving not only the limbs muscles but also the respiratory muscles and potentially interfering with breathing.

Guillain-Barré can also cause fluctuations of the vital signs like blood pressure and heart rate.

Anyone can get Guillain-Barré syndrome, but the condition is more common in adults than in children, and more men than women are diagnosed with GBS. Fortunately, this is a rare condition, and only one or two in 100,000 people develop the disorder each year in the United States.

There are several variations of Guillain-Barré syndrome along a spectrum. The most common form is called Acute Inflammatory Demyelinating Polyneuropathy (AIDP).

The disease can have some variants, such as Miller Fisher syndrome. It can also be very severe and overlap with Bickerstaff brainstem encephalitis.

Signs and Symptoms “In GBS, the immune system — which typically attacks foreign bodies and invading organisms — starts to destroy the protective coating (the myelin sheath) that surrounds the nerves,” says Dr. Personna-Policard. “This damage prevents nerves from transmitting signals to the brain.”

Guillain-Barre Syndrome

When it comes to healthcare, knowledge is power. So let’s learn more about

“The first signs are typically a tingling or other strange sensation, numbness and weakness that start in the feet and legs may spread to the arms and upper body.”

F. JOHANNE PERSONNA-POLICARD, MD A neurologist at Centra Health.

Dr. Personna-Policard is certified by the American Board of Psychiatry & Neurology with a subspecialty in Clinical Neurophysiology.

One other thing I learned is that CHANGE IS INEVITABLE. You won’t be the same person you are tomorrow AS YOU ARE TODAY. – Joel Elmore

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25

BREAKING THE SILENCE

After the first signs appear, symptoms of GBS can progress over the course of hours, days or weeks, typically peaking in two to three weeks.

The Signs and Symptoms of

Guillain-Barre Syndrome may include: •

tingling prickly or other weird sensations in your fingers and toes

•

loss of sensation

•

muscle weakness in your legs that travels to your upper body and gets worse over time

• •

unsteady walking and falls difficulty moving your eyes or face, talking, chewing or swallowing

•

rapid or slow heart rate

•

low or high blood pressure

•

problems with bladder or bowel control (difficulty urinating, constipation)

•

difficulty breathing

•

severe pain that may feel achy or cramplike and may be worse at night

Diagnosis and Treatment “Guillain-Barré syndrome can be difficult to diagnose, as the symptoms are similar to those of other neurological disorders or conditions that affect the nervous system, like early compression of the spinal cord, botulism, heavy metal poisoning and meningitis,” Dr. Personna-Policard explains. “Arriving at an accurate diagnosis involves a medical history (including any recent illnesses, vaccinations or surgeries), a complete physical exam, a thorough neurological assessment, and additional studies such as spinal tap, MRI, electromyography and nerve conduction studies as well as some blood tests.”

While there’s no cure for Guillain-Barré syndrome, there are treatments that can reduce the severity of the illness, manage complications and help speed recovery.

Most individuals with GBS require hospital treatment.

Two main types of GBS therapy are: 1. High-dose immunoglobulin therapy: Injections of high doses of special proteins that help reduce the immune system’s attack on the body’s nerve cells by blocking the action of the antibodies.

2. Plasma exchange (plasmapheresis): Blood purification procedure used to treat certain autoimmune diseases by pooling out the antibodies.

A critical aspect of treating GBS is keeping the patient’s body functioning by stabilizing their vital functions and some symptomatic treatment while the nervous system recovers, including: Breathing difficulties. The weakness or paralysis associated with GBS can affect the muscles that control breathing — a potentially fatal complication. Up to 30 percent of patients with GBS need to be temporarily placed on a respirator or ventilator to support breathing.

Heart and blood pressure issues. Blood pressure fluctuations with extreme low or high blood pressure as well fluctuation of heart rate with irregular heart rhythms (cardiac arrhythmias with low or rapid heart rate) are common side effects of GBS. Gastrointestinal problems.

Pain. Up to half of people with Guillain-Barré syndrome experience severe nerve pain, which may be eased with medication.

Blood clots and pressure sores. Patients who are immobile due to GBS are at risk of developing blood clots and bedsores.

Most individuals have a good recovery from Guillain-Barré syndrome, although the recovery period may vary — from as little as a few weeks to as long as a few

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OurHealth | The Resource for Healthy Living in Lynchburg and Southside

What does the future hold?

EXPERT CONTRIBUTORS F. Johanne Personna-Policard, MD, a neurologist with Centra Health.

SOURCES Centers for Disease Control and Prevention (CDC) GBS/CIDP Foundation International

Guillain-Barre Syndrome

Neurologists, immunologists, virologists, pharmacologists and other specialists are working collaboratively to learn how to prevent Guillain-Barré syndrome and how to treat it more effectively when it strikes.

B R EAK I NG THE SI LENC E |

years. Some people may experience lingering effects, such as weakness, numbness or fatigue, and a small number may suffer a relapse years after the initial attack.

“Unfortunately, some cases can evolve to a chronic form,” adds Dr. Personna-Policard.

Patients may need physical therapy as well as emotional support following the initial acute treatment.

National Institutes of Health — National Institute of Neurological Disorders and Stroke

Researchers are investigating the workings of the immune system to find which cells are responsible for initiating and carrying out GBS’s attack on the nervous system.

The fact that so many cases of Guillain-Barré syndrome begin after a viral or bacterial infection suggests that certain characteristics of some viruses and bacteria may activate the immune system inappropriately.

Until there is a proven cure, the best way to protect yourself and your family is to become familiar with the signs and symptoms of Guillain-Barré syndrome and have an open conversation with your healthcare provider.

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Celebrating Excellent

BEDSIDE MANNER

In room one, a single mother waits. Her headaches have been getting more intense and frequent lately. Is it the stress of raising three energetic boys on her own, or does she have a brain tumor? She isn’t normally so pessimistic, but her fears have taken hold.

In room two, a retired grandfather sits and worries.

Although he has worked hard to manage his type 2 diabetes, he struggles with his wife’s developing dementia. He tries to have strong willpower, but finds himself eating too many candy bars to cope with the loneliness and stress.

In room three, an anxious mother tries to comfort her coughing child. He has never been this sick in his five years of life, and she worries. Is this just a normal cold that will lead to a quick recovery, or could it be something more serious? Could he be developing lifethreatening asthma like his dad has?

In room four, a middle-aged father tries to read a sports magazine in an uncomfortable chair. He has noticed his hand shaking lately, and he worries. Is it something perfectly explainable, or could he be developing a potentially debilitating disease that will rob him of the chance to play basketball with his sons?

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Across the country, patients sit in medical providers’ offices, waiting anxiously. They bring to their brief appointments their life stories, cultural contexts, anxieties, responsibilities and challenges. As they sit in small rooms sharing their experiences, patients want to know that their medical providers care, even if their medical conditions aren’t as serious as they fear they might be.

To be effective, medical providers need to understand and relate to every single patient they see, which is often nearly 20 patients per day. In other words, bedside manner matters. Providers with an excellent bedside manner treat their patients well; they listen and are kind, understanding, patient and empathetic.

According to a recent study, patients whose medical providers interacted positively with them had better outcomes in the areas of obesity, diabetes, asthma, heart health and osteoarthritis. Researchers have also found that patients are more likely to adhere to treatment plans when their medical providers are compassionate and patient-focused.

In addition, studies have found that, when physicians treat patients with empathy, it helps not only the patients, but also the medical providers themselves, who report decreased burnout and an increased sense of well-being. Incidents of malpractice also decrease, thus alleviating physician stress. That happens because a patient is more likely to share information that might impact the treatment plan when she feels comfortable and valued.

A medical provider with a good bedside manner will walk into a room and focus completely on the patient. He makes eye contact and engages the patient in conversation in a kind, friendly way. The medical provider also expresses to the patient that he feels empathy; the provider wants to hear the patient’s story and is willing to understand her perspective. These qualities distinguish an outstanding doctor from one who is merely competent.

For the 10th year in a row, OurHealth Lynchburg & Southside is pleased to present the awards for local medical providers with the best bedside manner. While other awards recognize medical providers for their knowledge and competence, the Best Bedside Manner Awards are unique because they ask members of the public—not other medical providers—to share their input about how doctors relate to patients.

Polling for the Best Bedside Manner Awards took place in May, and over 25,000 local people voted for medical providers in over 50 medical specialties.

Because of the value that patients place on medical providers’ compassion and care, the number of people voting for these awards has increased by double digit percentages each year.

For many people, meeting with a doctor can be stressful and overwhelming.

Thankfully, so many of our community’s medical professionals recognize that challenge and walk into the room with a warm smile and the willingness to hear their patients’ stories.

While the region lays claim to many medical providers who deliver excellent care, those who receive the Best Bedside Manner Awards have developed exceptional interpersonal skills and deserve to be recognized for this.

Please join us in congratulating this year’s 10th Annual Best Bedside Manner Award winners.

The Voting Process: During the month of May 2017, the Best Bedside Manner Awards Voting Form was available on OurHealth’s website, www.ourhealthlbss.com. The form consisted of over 40 medical specialties (with definitions of each specialty) in which the public could submit the first and last names of local medical providers by the applicable specialty. If you have any questions, please contact Stephen McClintic Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482.

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ALLERGY & IMMUNOLOGY

ANESTHESIOLOGY “I always try to treat patients and

families the way I would want to be treated if I was in their shoes.”

— Charles Lane, MD

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

FIRST PLACE RICK LEE, MD

Blue Ridge Chronic Pain Center Forest | 434.515.2775 www.blueridgechronic paincenter.com

THIRD PLACE

FIRST PLACE CHARLES LANE, MD

Allergy Partners of Lynchburg Lynchburg | 434.385.8190 www.allergypartners.com/lynchburg

LUIS MATOS, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

“Living in constant pain is a type of

suffering that few can tolerate, many will never understand and some of us choose to help others conquer. I believe a good bedside manner is the first step in letting our patients know that we care about them. Once our patients know we care, they can relax and know our goal is to provide them the best treatment medicine has to offer. I look forward to finding a solution for each individual I am trusted to care for.”

— Rick Lee, MD

FIRST PLACE KAREN BURNHAM, MD. DABPM, FIPP

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

“Everyone deserves to be treated with respect

and kindness. It helps put the patient at ease in what can be a stressful situation.”

— Karen Burnham, MD. DABPM, FIPP

SECOND PLACE EDWARD METZGER, MD Anesthesia Services of Lynchburg Lynchburg | 434.426.7682 www.asol.me

THIRD PLACE JOHN TALLMAN, MD Lynchburg Anesthesia Associates, Inc. Lynchburg | 434.947.3015

HONORABLE MENTION KENNETH SHERBAN, MD Lynchburg Anesthesia Associates, Inc. Lynchburg | 434.947.3015

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AUDIOLOGY CARDIOLOGY CHIROPRACTIC

— Rick Lee, MD

SECOND PLACE “The loss of hearing dramatically impacts both our social and emotional well-being. The opportunity to help change lives by improving hearing has been the most rewarding aspect of my career.”

— Danny W. Gnewikow, PhD, FAAA, CCC

FIRST PLACE

THIRD PLACE PAUL ASHBROOK, MS, CCC-A, FAAA Ashbrook Audiology Danville, Martinsville & Stuart | 276.226.2795 www.ashbrookaudiology.com

HONORABLE MENTION

DANNY W. GNEWIKOW, PHD, FAAA, CCC

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

Audiology Hearing Aid Associates Lynchburg | 434.528.4245 www.digitalhearing4u.com

“Patients seek our help at times when they are the most vulnerable physically and emotionally. We all want and deserve kindness, respect, patience and compassion regardless which side of the bed we are on, and this is always just as important as figuring out what is wrong and fixing it. ” — Richard Kuk, MD

FIRST PLACE

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

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

THIRD PLACE C. MICHAEL VALENTINE Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.stroobantscardiovascular.com

HONORABLE MENTION

RICHARD KUK, MD

PETER O’BRIEN Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.stroobantscardiovascular.com

Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.stroobantscardiovascular.com

“I think it is incredibly important for the patient to feel at ease when discussing their healthcare. Not only are important clues revealed that lead to a better diagnosis but when a patient feels safe, secure and heard their healing is enhanced. I want my patients to know I care!”

— Linda Brown, DC

FIRST PLACE

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

THIRD PLACE WILL LIKINS, DC, FASA Chiropractic Care Center Forest | 434.525.4588 www.drlikins.com

HONORABLE MENTION

LINDA BROWN, DC

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

Brown Chiropractic & Wellness Lynchburg | 434.528.4030 www.lindabrowndc.com

SECOND PLACE

DENTISTRY: COSMETIC

“I believe a good bedside manner is the first step in letting our patients know that we care about them. Once our patients know we care, they can relax and know our goal is to provide them the best treatment medicine has to offer. I look forward to finding a solution for each individual I am trusted to care for.”

“Our team is highly trained and experienced. We continuously further our education to bring our patients the latest advancements, providing maximum comfort and a positive experience.”

— Carrington Crawford, DDS

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

JEFF RILEY, DDS Riley Dental Associates of Central Virginia Lynchburg | 434.363.9059 www.rileydentalassociates.com

THIRD PLACE CHRIS LIBBEY, DDS Libbey Family Dentistry Forest | 434.316.9090 www.libbeydentistry.com

HONORABLE MENTION RON HENDRICKSEN, DDS Hendricksen Cosmetic & Family Dentistry Goode | 540.874.2015 www.hendricksendentistry.com

DENTISTRY: GENERAL DENTISTRY: PEDIATRIC

“Having a good bedside manner helps patients better comprehend a proposed treatment plan. I want to take as much time as possible explaining their treatment in a clear, friendly, and concise manner so patients feel at ease and fully understand their treatment.”

— Shane Claiborne, DDS

FIRST PLACE

HONORABLE MENTION

BRENT RILEY, DDS Riley Dental Associates of Central Virginia Lynchburg | 434.363.9059 www.rileydentalassociates.com

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

THIRD PLACE GREG TOONE, DDS Lynchburg | 434.239.8222 www.toonedental.com

SHANE CLAIBORNE, DDS Forest Family Dentistry Forest | 434.473.7449 www.forestsmiles.com

“Having a good bedside manner is very important to me; being a pediatric dentist, I not only need to gain the trust and confidence of the child, but also the parent. I want them to feel comfortable and safe from the moment they walk in the door to the moment they go home.”

— Shepherd Sittason, DDS

FIRST PLACE SHEPHERD SITTASON, DDS

SECOND PLACE

Children’s Dentistry and Orthodontics of Lynchburg Lynchburg | 434.237.0125 www.smilelynchburg.com

THOMAS WARWICK, DDS Holcomb, Savage and Warwick Lynchburg | 434.847.4581

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

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DERMATOLOGY EMERGENCY MEDICINE

“As a physician, many days are challenging as I take on the treatment of complex skin cancer and go head-tohead with insurance companies on behalf of patients.

I am incredibly humbled to receive the honor of this award from our Lynchburg community. It is wonderful gestures such as this that fuel my passion for caring for each patient with respect and compassion, as if he or she were my parent, my wife, or my friend.”

— Jason Givan, MD, FAAD, FACMS

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

“It is the ultimate privilege to care for children and their families, so I treat everyone as I would like my own family to be treated, with compassion and concern.”

— Laura J. Potter, MD

SECOND PLACE

HONORABLE MENTION

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

GARRETT BOHRNSTEDT, DDS Seven Hills Dermatology Lynchburg | 434.237.3376 www.sevenhillsdermatology.com

THIRD PLACE

CARRIE COBB, MD, FAAD RidgeView Dermatology Lynchburg | 434.363.4190 www.ridgeviewdermatology.com

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

SECOND PLACE THOMAS WIGBOLDY, DO Centra Emergency Services Group Lynchburg | 434.200.3027 emergency.centrahealth.com

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

FIRST PLACE LAURA J. POTTER, MD

Centra Emergency Services Group Lynchburg | 434.200.3027 emergency.centrahealth.com

DAVID WILSON, MD Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com

“Having a good bedside manner helps patients better comprehend a proposed treatment plan. I want to take as much time as possible explaining their treatment in a clear,

ENDODONTICS

ENDOCRINOLOGY

friendly, and concise “I really enjoy getting to know my patients and finding out more about them than just their illness.

Knowing my patients also helps me to better care for them and tailor my treatment to match their needs.”

— Alan Kauppi, MD

ALAN KAUPPI, MD

Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

“Our goal is to have each patient feel they have received value from their visit to our office. We feel the best way to accomplish this is to exceed their expectations from the time they enter the office until they leave. Compassion, understanding and a comfortable environment go a long way in our efforts to make the treatment visit positive.”

JAMES STANLEY, DDS, PC

Lynchburg | 434.385.0273 www.lynchburgendodontics.com

LISA WISNIEWSKI, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

THIRD PLACE PATRICIA POWERS, MD Whole Health Catalysis, PC Lynchburg | 434.947.5220 drpattypowers.wpengine.com

FIRST PLACE

FIRST PLACE

manner so patients feel SECOND PLACE

— James Stanley, DDS, PC

at ease and fully understand their treatment.”

— Shane Claiborne, DDS

SECOND PLACE DUSTIN REYNOLDS, DDS, MS Forest Hill Endodontics Lynchburg | 434.439.4942 www.foresthillendo.com

THIRD PLACE SAM BLACK, DMD Gentle Endodontics of Lynchburg Lynchburg | 434.333.0382 f | gentleendodontics

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FAMILY PRACTICE FIRST PLACE TOM EPPES, MD

CVFP – Forest Forest | 434.525.6964 www.cvfp.net

“Years ago my mentor reminded me that each

appointment was God's will for me in that moment in time to care for each patient as He would, with competence sprinkled with love, care, and humor. There is no greater reason to be a physician. I am grateful that I am honored because my patients prayerfully see this in my caring for them.”

— Tom Eppes, MD

SECOND PLACE DAVID SMITH, MD Access Healthcare Forest | 434.316.7199 www.access-healthcare.net

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

HONORABLE MENTION KIMBERLY COMBS, MD CVFP – Piedmont Lynchburg | 434.846.7374 www.cvfp.net PETER GIBBS, DO Centra Medical Group – Nationwide Lynchburg 434.200.3908 www.centrahealth.com WILLIAM JONES, MD Centra Medical Group – Brookneal Brookneal | 434.376.2325 www.centrahealth.com PATRICIA RICHARDSON, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

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GASTROENTEROLOGY

“Good bedside manner is important because if fosters the creation of the relationship which allows us to work together to understand problems and fix them.”

— Robert Richards, Jr., MD

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

THIRD PLACE WEI HOU, MD Gastroenterology Associates of Central Virginia Lynchburg | 434.384.1862 www.gastrocentralva.com

FIRST PLACE ROBERT RICHARDS, JR., MD

Gastroenterology Associates of Central Virginia Lynchburg | 434.333.0902 www.gastrocentralva.com

“I really enjoy getting to know my patients and finding out more about them than just their illness.

Knowing my

INFECTIOUS DISEASE

HEMATOLOGY/ONCOLOGY

GERIATRIC CARE

patients also helps “Good bedside manner is important because it makes the patient feel comfortable.”

— Verna Sellers, MD

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

THIRD PLACE VERNA GUANZON, MD CVFP – Monelison Madison Heights | 434.846.8421 www.cvfp.net

FIRST PLACE VERNA SELLERS, MD

Centra Lynchburg General Hospital Lynchburg | 434.200.2674 www.centrahealth.com

“A good bedside manner is so important to me because I believe establishing a good trusting rapport with your patient really allows you to take much better care of them. If they feel comfortable, listened to and cared for, they feel more free to tell you their worries and concerns and that allows me to better care for them.”

— Cecilia MacCallum, MD

FIRST PLACE CECILIA MACCALLUM, MD

Alan B. Pearson Regional Cancer Center Lynchburg | 434.200.5925 www.centrahealth.com

“It is an honor to be recognized for this award. I am thankful for all those patients who allowed me to provide them with infectious diseases services and for all those who have allowed me to a part of their lives during their illnesses.”

— Robert Brennan, MD, FACS

FIRST PLACE ROBERT BRENNAN, MD, FACS

Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

me to better care for them and tailor my treatment to match their needs.”

— Alan Kauppi, MD

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

THIRD PLACE KATHLEEN PAUL, MD Alan B. Pearson Regional Cancer Center Lynchburg | 434.200.5925 www.centrahealth.com

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

THIRD PLACE JOHANNA BROWN, MD Infectious Disease Associates of Central Virginia Lynchburg | 434.947.3944 www.idvirginia.com

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INTEGRATIVE MEDICINE

Did your favorite

HEALTHCARE PROVIDER

NEPHROLOGY

INTERNAL MEDICINE

make the

CUT?

FIRST PLACE

“Living in constant pain is a type of suffering that few can tolerate, many will never understand and some of us choose to help others conquer. I believe a good bedside manner is the first step in letting our patients know that we care about them. Once our patients know we care, they can relax and know our goal is to provide them the best treatment medicine has to offer. I look forward to finding a solution for each individual I am trusted to care for.”

— Shawn Hayes, MD

SECOND PLACE

HONORABLE MENTION

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

BRANDON COX, MD Centra Medical Group: Village Moneta | 540.297.7181 www.centrahealth.com

THIRD PLACE

MICHAEL WILL. MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

DANIEL HORTON, MD Medical Associates of Central Virginia Lynchburg | 434.947.3944 www.centralvamd.com

FIRST PLACE SHAWN HAYES, MD

Centra Medical Group – Nationwide Lynchburg | 434.200.3908 www.centrahealth.com

“Patients wait sometimes weeks to months for their doctor’s appointment. It is extremely important for their doctor to make sure that the patient’s concerns and all of their questions are answered in language that the patient will understand during the visit. A kind, smiling face and a warm handshake will never replace the best technology invented in healthcare.”

— Mohammed Ashraf, MD, FACP, FASN

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

SECOND PLACE SUBHASISH BOSE, MD, FACP, FASN Lynchburg Nephrology Lynchburg | 434.947.3954 www.lynchburgnephrology.com

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

A good bedside manner is so important to me because I believe establishing a good trusting rapport with your patient really allows you to take much better care of them.

If they feel comfortable, listened to and cared for, they feel more free to tell you their worries and concerns and that allows me to better care for them.

— Cecilia MacCallum, MD 38

ELIZABETH MUMPER, MD, FAAP The Rimland Center for Integrative Medicine Lynchburg | 434.528.9075 www.rimlandcenter.com

Forest Integrative Medicine Forest | 434.515.2775 www.forestintegrativemedicine.com

“Good bedside manner is important to me because it brings the result of the best medical care. When a patient feels cared for and listened to, they take the lead and make the care the best it can be by participation in the process.”

FIRST PLACE

— Rick Lee, MD

RICK LEE, MD

SECOND PLACE

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

NURSE PRACTITIONER (NP)

NEUROLOGY

“Coming to the doctor is stressful enough.

Good bedside manner allows for the patient to have a more comfortable experience in an otherwise stressful situation.”

— Carl Hoegerl, DO

FIRST PLACE

SECOND PLACE PETER KONIECZNY, MD Centra Medical Group – Neurology Center Lynchburg | 434.200.3600 www.centrahealth.com

CARL HOEGERL, DO

Centra Medical Group Neurology Center Lynchburg | 434.200.3600 www.centrahealth.com

“I enjoy getting to know my patients and meeting their skin care needs. I want them to feel like family at our office and feel confident in the care they receive.”

— Mandy Wilkes-Hoffmeister, FNP-C

FIRST PLACE MANDY WILKES-HOFFMEISTER, FNP-C RidgeView Dermatology Lynchburg | 434.329.7066 www.ridgeviewdermatology.com

Congratulations

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CUT?

SECOND PLACE

HONORABLE MENTION

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

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

THIRD PLACE

LISA SMITH, DNP, FNP-C Gastroenterology Associates of Central Virginia Lynchburg | 434.384.1862 www.gastrocentralva.com

TERESA WARNER, CNM Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

ANDREA YESALIS, NP OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

athelas

Best Bedside Award Winners!

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OBSTETRICS & GYNECOLOGY

OPHTHALMOLOGY OPTOMETRY ORAL SURGERY

“It is an honor to receive this award.

As a healthcare provider I truly enjoy getting to know my patients and interacting with them. Treating or fixing a problem and helping to make that process easier is something I really enjoy.”

— David Phemister, MD

FIRST PLACE DAVID PHEMISTER, MD

SECOND PLACE

HONORABLE MENTION

WILLIAM COOK, III, MD Johnson Health Center Lynchburg | 434.455.3270 www.jhcvirginia.org

TRACY WHEELOCK, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

THIRD PLACE

CHRISTINE MARRACCINI, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

LEWIS DABNEY, MD Lynchburg Gynecology Lynchburg | 434.385.7818 www.lynchburggynecology.com

LYNNETT SCHINDLER, MD Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

Women’s Health Services of Central Virginia Lynchburg | 434.239.7890 www.whscv.com

FIRST PLACE DARIN BOWERS, MD

“I am honored to have been chosen for this very special award. As part of a thriving and busy practice it can be challenging sometimes to develop and maintain that level of personal approach that is so important between physician and patient. My patients have made it easy and enjoyable.

I am blessed and thankful for the opportunity to help them with their vision and I look forward to the coming years.”

Piedmont Eye Center Inc. Lynchburg | 434.947.3984 www.piedmonteye.com

FIRST PLACE

— Darin Bowers, MD

SECOND PLACE

HONORABLE MENTION

HONORABLE MENTION CONTINUED

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

ELIZENDA CEBALLOS, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

GENE MOSS, JR., MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

THIRD PLACE (TIE)

JOSEPH FAUST, MD Harmen Eye Center Danville | 434.857.0020 www.harmaneye.com

JAMES PAAUW, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

GAIL GANSER, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

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

LANDON COLLING, MD Harman Eye Center Lynchburg | 434.845.2020 www.harmaneye.com SAXTON MOSS, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

“I would like to thank all of my patients for showing their confidence and support in selecting me for Best Bedside Manner in the category of Optometry. I feel it is extremely important to establish a relationship with each patient.

The more comfortable a patient is with a doctor, the more likely they will abide by the doctor's treatment plan and recommendations. It also gives the patient a reason to come back which is important for continuity of care. A patient may not remember everything you say or do, but they will always remember how you made them feel.”

— Gary St. Clair, OD

GARY ST. CLAIR, OD

GOLNAZ JAVEY, MD Piedmont Eye Center Lynchburg | 434.947.3984 www.piedmonteye.com

SECOND PLACE

HONORABLE MENTION CONTINUED

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

B. DOUGLAS HALEY, OD Harman Eye Center Forest | 434.385.5600 www.harmaneye.com

THIRD PLACE

CLIFFORD PHILLIPS, OD St. Clair Eye Center Lynchburg | 434.845.6086 www.stclair-eye.com

TABITHA COMBES, OD Harman Eye Center Amherst | 434.946.2020 www.harmaneye.com

HONORABLE MENTION MICHAEL CURL, OD Harman Eye Center Forest | 434.385.5600 www.harmaneye.com

St. Clair Eye Care Lynchburg | 434.239.2800 www.stclair-eye.com

“I am honored to again be chosen for the best bedside manner award.

In today’s busy healthcare world the doctor-patient relationship can’t be overlooked. It is the lifeline of our practice.”

— William Carvajal, DDS, MD, FACS

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

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

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

THIRD PLACE JOHN PINCH, DDS, MS Central Virginia Oral & Facial Surgery Lynchburg | 434.832.8040 www.cvofs.net

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HEALTHCARE PROVIDER make the

CUT?

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41

ORTHODONTICS ORTHOPAEDICS OTOLARYNGOLOGY (ENT) PAIN MANAGEMENT 42

“During a new patient appointment, I always ask my patients why they are seeking orthodontic treatment. I want to ensure I address their concerns throughout the orthodontic process. It is throughout this process that I also enjoy learning more about my patients. I want them to feel comfortable during their treatment, and I want to get to know them while providing a smile that will have a positive impact on their future.”

HONORABLE MENTION

RICHARD STERNE, DDS Orthodontic Arts Forest | 434.385.4499 www.orthodonticarts.net

MARK BLANCHETTE, DDS, MS Blanchette Orthodontics Lynchburg | 434.846.4014 www.blanchetteortho.com

THIRD PLACE (TIE)

NORMAN PRILLAMAN, DDS Orthodontic Arts Forest | 434.385.4499 www.orthodonticarts.net

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

— Jennifer Claiborne, DDS

FIRST PLACE

ELENA BLACK, DDS Appalachian Orthodontics of Lynchburg Lynchburg | 434.515.0370 www.lynchburgorthodontics.com

JENNIFER CLAIBORNE, DDS

Central Virginia Orthodontics Lynchburg | 434.385.GRIN (4746) www.bracesbycvo.com

“As a physician, I try to understand each patient as a person in addition to understanding that patient's problem. Patients don't care as much about how much you know; they want to know how much you care.”

— William Andrews, Jr, MD, FAOA

SECOND PLACE

HONORABLE MENTION

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

JOHN BARNARD, JR, MD OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

THIRD PLACE

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

JOHN PRAHINSKI, MD OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

FIRST PLACE WILLIAM ANDREWS, JR, MD, FAOA OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

“Having a small office lends itself to really getting to know our patients well. I strive to treat each patient, young or old, with the compassion and respect that I would want for myself or a member of my own family. It is an honor to be recognized in this way for doing what I love!”

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

— Timothy Courville, MD

FIRST PLACE

FIRST PLACE

TIMOTHY COURVILLE, MD

ANDREA KITTRELL, MD

— Andrea Kittrell, MD

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

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

“Everyone deserves to be treated with respect and kindness. It helps put the patient at ease in what can be a stressful situation.”

— Karen Burnham, MD, DABPM, FIPP

FIRST PLACE

FIRST PLACE

KAREN BURNHAM, MD, DABPM, FIPP

RICK LEE, MD

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

SECOND PLACE

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

THIRD PLACE JAY CLINE, MD Blue Ridge Ear, Nose, Throat & Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com

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

“Living in constant pain is a type of suffering that few can tolerate, many will never understand and some of us choose to help others conquer. I believe a good bedside manner is the first step in letting our patients know that we care about them.

Once our patients know we care, they can relax and know our goal is to provide them the best treatment medicine has to offer. I look forward to finding a solution for each individual I am trusted to care for.”

Blue Ridge Chronic Pain Center Forest | 434.515.2775 www.blueridgechronicpaincenter.com

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

SECOND PLACE

— Rick Lee, MD

SECOND PLACE JOYCE HUERTA, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com

PEDIATRICS FIRST PLACE RACHEL GAGEN, MD, IBCLC

F. Read Hopkins Pediatric Associates, Inc. Lynchburg | 434.237.8886 www.hopkinspediatrics.com

“Working with children and their caregivers to teach them about their growing needs and abilities is my privilege; to sit side-by-side through the ups and downs is a joy.”

— Rachel Gagen, MD, IBCLC

SECOND PLACE (TIE)

HONORABLE MENTION

STEPHANIE SULLIVAN, MD 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

LOAN TRINH KLINE, MD Richeson Drive Pediatrics Lynchburg | 434.385.7776 www.richesondrivepediatrics.com

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

THIRD PLACE

ELIZABETH MUMPER, MD, FAAP The Rimland Center for Integrative Medicine Lynchburg | 434.528.9075 www.rimlandcenter.com

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

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PERIODONTICS FIRST PLACE RYAN ANDERSON, DDS

Periodontal Health Associates Lynchburg | 434.455.2444 www.periodontalhealthassociates.com

“All too often healthcare professionals neglect interpersonal skills and forget that a good bedside manner is one of the main tools for diagnosis. Patients are more likely to open up and share with their doctor when they feel comfortable with them. Certain ailments are awkward to discuss with a stranger and by providing a positive demeanor in a relaxed atmosphere we are more likely to get the information needed to administer effective care.”

— Ryan Anderson, DDS

SECOND PLACE

THIRD PLACE

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

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

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43

PHARMACY FIRST PLACE JODI ETTARE, PHARMD

Timberlake Family Pharmacy Lynchburg | 434.237.6338 www.timberlakefamilypharmacy.com

“Bedside manner is about connecting with patients on an emotional level. Not just telling them you are on their side, but making them feel it. It’s easy to get bogged down with the day-today minutia. Keeping the patient as the top priority is what we fight for every day.”

— Jodi Ettare, PharmD

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

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

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

GLEN LANG Kroger (Boonsboro Road) Lynchburg | 434.384.3666 www.kroger.com

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

“What is routine for us as physicians is not routine for our patients and can be scary. It is important to me to try to ensure that my patients feel that they are well informed about treatment options, comfortable with the plan of care, and cared for as individuals. I enjoy learning more about my patients other than just meeting their medical needs and helping them feel that we are working towards the same goals.”

— Sara Ashley McCowen-Botterill, MD

SECOND PLACE

THIRD PLACE

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

ANGEL MEDINA-BRAVO, MD Centra Medical Group Lynchburg | 877.MDLINK1 www.centrahelath.com

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PHYSICAL THERAPY PHYSICIAN ASSISTANT (PA)

FIRST PLACE

“Bedside manner is a critically important facet in caring for patients. In my opinion, bedside manner is the culmination of empathy for our patients and truly listening to them (using medical knowledge and clinical experience to truly understand the patient’s perspective with regard to their injury and its effects).

Simply put, an effective bedside manner lets patients know that their opinions and needs matter! This, in turn, deepens the relationship between the patient and the therapist which lends to trust, understanding, compliance and ultimately a successful outcome. ”

JOSHUA BAILEY, PT, DPT

— Joshua Bailey, PT, DPT

Rehab Associates of Central Virginia Lynchburg | 434.237.6812 www.racva.com

“There is no greater affirmation of your efforts than being told that your bedside manner is appreciated. That accolade speaks more to the kindness and thoughtfulness of the patients I serve than anything about me.”

— Mark MacGregor, PA-C, MPAS

FIRST PLACE

SECOND PLACE

HONORABLE MENTION CONTINUED

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

JOE SPAGNOLO, PT, DPT, OCS, MTC Rehab Associates of Central Virginia Lynchburg | 434.237.6812 www.racva.com

THIRD PLACE

COURTNIE SPARKS, PT, DPT, AIV-VR, CCON OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com

SECOND PLACE (TIE)

HONORABLE MENTION

CHRISTI POWERS, PA-C Blue Ridge Ear, Nose, Throat & Plastic Surgery Lynchburg | 434.947.3993 www.blueridgeentps.com

ASHLEY CHIEPPA, PA-C CVFP Forest | 434.382.1125 www.cvfp.net

ALEXIS CHANTAL, PA-C RidgeView Dermatology Lynchburg | 434.329.7066 www.ridgeviewdermatology.com

DANIEL ACEVEDO, PA-C OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com

Dermatology Consultants Lynchburg | 434.847.6132 www.lynchburgdermatology.com

MELANIE MARKS, PT, DPT, SCS Centra Rehabilitation Nationwide Drive Lynchburg | 434.200.7860 www.centrahealth.com

HONORABLE MENTION

THIRD PLACE

MARK MACGREGOR, PA-C, MPAS

ANDREW TATOM, III, PT, DPT, OCS Rehab Associates of Central Virginia Lynchburg | 434.528.1848 www.racva.com

JESSICA HOLDER, PT, DPT, OCS Centra Rehabilitation – Jamerson Family YMCA Lynchburg | 434.237.8160 www.centrahealth.com

MEGAN ALLISON, PA-C RidgeView Dermatology Lynchburg | 434.329.7066 www.ridgeviewdermatology.com EMILY NEIL, PA-C Centra Medical Group Nationwide Lynchburg | 434.200.3908 www.centrahealth.com

PLASTIC SURGEON

SECOND PLACE “There is no better way to let someone know that you care than to give them your undivided attention. It’s what I would want for my family or myself, so I do my best to provide that to my patients.”

— Henry Wilson, MD

FIRST PLACE

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

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

HONORABLE MENTION

HENRY WILSON, MD

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

Centra Medical Group Plastic Surgery Center Lynchburg | 434.200.4350 www.centramedicalgroup.com

SECOND PLACE

PODIATRY

“Good bedside manner is important.

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

— Michael Overfelt, DPM

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

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

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

HONORABLE MENTION JACQUELYN JACOBS, DPM Hill City Foot Care Lynchburg | 434.528.1909 www.hillcityfootcare.com www.OurHealthlbss.com

45

PSYCHIATRY

SECOND PLACE

Did your favorite

HEALTHCARE PROVIDER

CUT?

HONORABLE MENTION

MICHAEL JUDD, MD

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

Centra Medical Group Piedmont Psychiatric Center Farmville | 434.200.5999 www.centrahealth.com

— Lynnette Shadoan, MA, LPC, LMFT

SECOND PLACE

HONORABLE MENTION

KAREN DUDLEY, LPC Wyndhurst Counseling Center Lynchburg | 434.237.2655 www.wyndhurstcounselingcenter.com

ELIZABETH FRANSWORTH, PHD Lynchburg | 434.582.4560

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

FIRST PLACE LYNNETTE SHADOAN, MA, LPC, LMFT Light Counseling Lynchburg | 434.384.1594 www.lightcounseling.net

someone know that you care than to give them your undivided attention. It’s what I would want for my family or myself, so I do my best to provide that to my patients.”

PETER BETZ, MD Centra Medical Group Piedmont Psychiatric Center Lynchburg | 434.200.5999 www.centrahealth.com

FIRST PLACE

“My prayer is that my clients see in me a person who cares about them and will do everything I can to help them through whatever issues that brought them through my door.”

“There is no better way to let

THIRD PLACE

— Michael Judd, MD

PULMONARY MEDICINE

PSYCHOLOGY & COUNSELING

make the

KENNETH FORE, MD Central Virginia Psychiatry Lynchburg | 434.582.1600 www.lynchburgpsych.com

“Good bedside manner is important because it helps patients feel comfortable and confident in the care they are receiving. I feel honored that individuals entrust me with their care.”

FRANK SELDEN, PHD Centra Mental Health Services Lynchburg | 434.200.5999 www.centrahealth.com

“I understand that having to see a lung doctor can be very anxiety provoking and hope that my interaction at the bedside makes this easier. I strive to gain the trust of my patients and their families by providing state of the art medical care, and to do so with compassion and empathy.”

FIRST PLACE

— John Plankeel, MD

JOHN PLANKEEL, MD

Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com

RADIATION ONCOLOGY

— Henry Wilson, MD

46

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

THIRD PLACE

FIRST PLACE ANGELA BRADY, MD

Alan B. Pearson Regional Cancer Center Lynchburg | 434.200.4522 www.centrahealth.com

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

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

RADIOLOGY

“Bedside manner is about connecting

“Allowing patients an opportunity to articulate their concerns and taking the time to thoughtfully answer their questions (a.k.a. having a “good bedside manner”) is equally profitable for the doctor and the patient. It indicates a mutual investment in the patient's care and consequently builds trust: the bedrock of any successful doctor-patient relationship.”

with patients on

SECOND PLACE HEIDI LIPP, DO Centra Health Breast Imaging Bedford | 540.586.2441 www.centrahealth.com

— Matthew Tomlin, MD

THIRD PLACE ROBERT GREEN, MD Radiology Consultants of Lynchburg Lynchburg | 434.237.4091 www.lynchburgradiology.com

FIRST PLACE MATTHEW TOMLIN, MD

Radiology Consultants of Lynchburg Lynchburg | 434.237.4091 www.lynchburgradiology.com

an emotional level.

Not just telling them you are on their side, but making them feel it. It’s easy to get bogged down with

SPORTS MEDICINE

SLEEP MEDICINE

RHEUMATOLOGY

the day-to-day athelas

SECOND PLACE

FIRST PLACE

SHARUKH SHROFF, MD, MPH, MBA, FACR, FACP Spectrum Medical Danville | 434.793.4711 www.spectrummed.com

we fight for every day.”

OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com

JOSEPH KHOURY, MD

the patient as the top priority is what

ERIC KENNY, MD

FIRST PLACE

minutia. Keeping

— Jodi Ettare, PharmD

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

SECOND PLACE

— Joseph Khoury, MD

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

Lynchburg Pulmonary Associates, Inc. Lynchburg | 434.947.3963 www.lynchburgpulmonary.com

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

— Omar Elkhamra, MD

FIRST PLACE OMAR ELKHAMRA, MD

OrthoVirginia Lynchburg | 434.485.8598 www.orthovirginia.com

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

THIRD PLACE PETER CAPRISE JR, MD OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com

HONORABLE MENTION JONATHAN KROME, MD Spectrum Medical Danville | 434.793.4711 www.spectrummed.com www.OurHealthlbss.com

47

manner is important because it helps patients feel comfortable and confident in

SURGERY: CARDIAC

“Good bedside

“Bedside Manner is intrinsic to quality care for patients and goes beyond the clinical. Our patients come to us with heightened anxiety that naturally occurs when facing cardiac surgery. It is essential to recognize the importance of compassion and communication.”

— Kenneth Saum, MD

FIRST PLACE

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

KENNETH SAUM, MD

Centra Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.stroobantscardiovascular.com

the care they are receiving. I feel

SECOND PLACE

their care.”

— Michael Judd, MD

SURGERY: NEUROSURGERY

entrust me with

SURGERY: SPINE

that individuals

SURGERY: GENERAL

honored

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

— Peter Ploch, MD

FIRST PLACE

JOHN GUGLIELMETTI JR., MD Centra Medical Group Surgical Specialists Lynchburg | 434.315.2998 www.centramedicalgroup.com

THIRD PLACE KRISTEN HUBER, MD Centra Medical Group Southside Surgical Center Farmville | 434.200.3933 www.centramedicalgroup.com

HONORABLE MENTION

PETER PLOCH, MD

Centra Medical Group Surgical Specialists Lynchburg | 434.200.3901 www.centramedicalgroup.com

“Surgery is such a small part of what we do. The patient relationship is most important.”

— Dilantha Ellegala, MD, FAANS

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

SECOND PLACE MORRIS MCCRARY III, MD Centra Medical Group Neurosurgery Center Lynchburg | 434.200.3920 www.cvneuro.com

THIRD PLACE

FIRST PLACE DILANTHA ELLEGALA, MD, FAANS SonoSpine Lynchburg | 855.982.1591 www.sonospinesurgery.com

“Surgery is such a small part of what we do. The patient relationship is most important.”

— Dilantha Ellegala, MD, FAANS

WALTUS GILL III, MD Centra Medical Group Neurosurgery Center Lynchburg | 434.200.3920 www.cvneuro.com

SECOND PLACE JOSEPH ORCHOWSKI, MD, FAOA OrthoVirginia Lynchburg | 434.485.8500 www.orthovirginia.com

THIRD PLACE

FIRST PLACE DILANTHA ELLEGALA, MD, FAANS SonoSpine Lynchburg | 855.982.1591 www.sonospinesurgery.com

WALTUS GILL III, MD Centra Medical Group Neurosurgery Center Lynchburg | 434.200.3920 www.cvneuro.com

SURGERY: VASCULAR URGENT CARE MEDICINE

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

— Jeffrey Widmeyer, MD

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

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

FIRST PLACE JEFFREY WIDMEYER, MD

Widmeyer Vein Center Lynchburg | 434.847.LEGS (5347) www.veinhealing.com

SECOND PLACE SUSAN ROBBINS, DO CVFP Immediate Care – Airport Lynchburg | 434.239.0132 www.cvfp.net

THIRD PLACE

FIRST PLACE GLENN MEADOWS, MD

Physician Treatment Center Lynchburg | 434.239.3949 www.ptclynchburg.com

TIMOTHY MYNES, DO MedExpress – Timberlake Urgent Care Center Lynchburg | 434.239.0627 www.medexpress.com

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

UROLOGY

— Ronald Fisher, MD

FIRST PLACE

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

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

HONORABLE MENTION

RONALD FISHER, MD

JOSEPH CARBONE, MD Southside Urology & Nephrology Danville | 434.792.1433 www.southsidedocs.com

Centra Medical Group Urology Center Lynchburg | 434.200.5297 www.centrahealth.com

Having a good bedside manner is very important on many levels. It lays a foundation for trust between a patient and the physician that can be then built upon over time. This is crucial when difficult problems arise and helps patients feel that their doctor is there for them and will help them make hard choices.

— Joseph Khoury, MD

athelas

ANESTHESIA SERVICES OF LYNCHBURG, INC. www.asol.md

Anesthesia Services of Lynchburg, Inc. Martha Donegan, MD | Daniel Elwell, MD | Karen Burnham, MD, DABPM, FIPP

A

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

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

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

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

Anesthesia Services of Lynchburg, Inc. 1922 Thomason Drive, Suite D 434.845.5493 50

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Surgery Center of Lynchburg 2401 Atherholt Road Lynchburg, VA 434.947.7700

Virginia Baptist Hospital 3300 Rivermont Avenue 434.200.4631

CENTRAL VIRGINIA ORTHODONTICS

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

Central Virginia Orthodontics Dr. Eric Baugher | Dr. Jennifer Claiborne

At

Central Virginia Orthodontics, we take pride in providing exceptional smiles for every member of your family. Our experienced team has one mission: to serve you by delivering the finest orthodontic treatment available in a caring and fun environment. Dr. Eric Baugher and Dr. Jennifer Claiborne lead our dedicated team.

WHY ORTHODONTICS? Braces are an investment that will benefit you for the rest of your life. An improved smile helps build self-esteem, establishes facial balance and ideal function for your teeth and jaws, and allows for better long-term oral health. Our goal is for every patient to achieve a beautiful, healthy smile that will last for a lifetime.

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

FREE CONSULTATION! If you would like to discuss what options are available to you for improving your smile, call Central Virginia Orthodontics for a complimentary consultation at your convenience. We look forward to helping you see the smile you’ve always wanted!

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

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CENTRAL VIRGINIA ORAL & FACIAL SURGERY www.CVOFS.net | f Find us on Facebook

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

CENTRAL VIRGINIA ORAL & FACIAL SURGERY OFFERS A COMPREHENSIVE RANGE OF SURGICAL AND ANESTHESIA SERVICES THAT ARE DESIGNED TO REDUCE PAIN, IMPROVE QUALITY OF LIFE, EASE FEARS, RESTORE CONFIDENCE AND HELP YOU SMILE AGAIN. 52

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Bedside Manner Award winner in Oral Surgery, FOUR YEARS IN A ROW!

CENTRAL VIRGINIA ORAL & FACIAL SURGERY William Carvajal, DDS, MD, FACS | Evan C. Chalk, DMD | John Pinch, DDS

At

Central Virginia Oral & Facial Surgery, we offer stateof-the art technology that allows us to provide the best possible care to our patients. Our electronic records facilitate easy communication between providers and offices, and our digital x-rays allow us to perform better diagnoses with less radiation exposure. We also offer an on-site CT scanner that allows 3-D imaging, planning and CT guided procedures. Plus, we offer a wide range of anesthesia services that are designed to make your surgery as pleasant as possible. Our oral and maxillofacial surgeons , Drs. Carvajal , Pinch and Chalk, practice a full scope of oral and maxillofacial surgery ranging from cosmetic facial surgery to wisdom tooth removal. Our providers can also diagnose and treat facial injuries , sleep apnea , tumors and oral pathology , TMJ disorders , and perform a full range of dental implant and bone grafting procedures.

SERVICES & PROCEDURES Central Virginia Oral & Facial Surgery offers the following facial cosmetic services: • Endoscopic browlift •

Forehead lift

•

Eyelid Surgery (Blepharoplasty)

•

Restylane/JuvedermTM

•

BOTOX® Cosmetic

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

— Lynchburg Patient

SERVICE LOCATIONS LYNCHBURG 101 Archway Court | Lynchburg, VA 24502

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

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

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

T: 434.832.8040 | F: 434.832.8041 FARMVILLE 1509 W. Third Street | Suite 203 | Farmville, VA 23901 T: 434.394.2329 | F: 434.394.2330

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CVFP MEDICAL GROUP www.cvfp.net | f CVFPmedicalgroup

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CVFP Medical Group Kimberly Combs, MD | Thomas Eppes, MD | Susan Robbins, DO | Ashley Chieppa, PA-C

C

entral Virginia Family Physicians is an established independent practice with eight 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, no-scalpel vasectomies, and diagnostic services.

SERVICE LOCATIONS CVFP – Appomattox 131 Jones Street | Appomattox | 434.352.8235

CVFP – Forest 1175 Corporate Park Drive | Forest | 434.525.6964

CVFP – Liberty Mountain 2321 Wards Road | Lynchburg | 434.582.2273

CVFP – Monelison 118 Oakwood Drive | Madison Heights | 434.846.8421

CVFP – New London 1088 London Links Road | Forest | 434.534.6868

CVFP – Staunton River 527 Pocket Road | Hurt | 434.324.9150

CVFP – Timberlake 20304 Timberlake Road | Lynchburg | 434.237.6471

CVFP Immediate Care – Airport Plaza 14005 S. Wards Road, Ste. A | Lynchburg | 434.239.0132

CVFP Immediate Care – Lakeside Drive 2137 Lakeside Drive, Ste. 100 | Lynchburg | 434.845.4175

CVFP Immediate Care – Madison Heights 118 Oakwood Drive | Madison Heights | 434.338.7780

CVFP – Piedmont 2019 Tate Springs Road | Lynchburg | 434.846.7374

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

PROUD TO BE PART OF:

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ath

GRETNA DRUG COMPANY

108 Vaden Drive | Gretna, VA | 434.656.1251 | 800.462.5958 | www.gretnadrug.com | f GretnaDrugCompany

Gretna Drug Company Lisa Adams, Pharmacy Technician | Tom Morris, Pharmacist | Chapman Brown, Pharmacist | Bryan Dalton, Pharmacist

A

Gretna Drug Company has been serving Gretna and Pittsylvania County for over 100 years. In July 1967, H. Chapman Brown, Jr. purchased the firm, and he and his wife and two sons moved to Gretna, VA from their native Lynchburg, VA. Since then, Gretna Drug Company has evolved from a small “corner drug store” with two major expansions in 1974 and 2002. In 1983, H. Chapman Brown III joined the firm after graduating from the University of North Carolina School of Pharmacy.

Over the years as the business has grown, additional pharmacists and staff members have been added to offer quality healthcare and personal service to all. We appreciate the opportunity to serve you.

Gretna Drug offers a full range of medication services, including: •

Flu shots and immunizations

•

Durable medical equipment

•

Adherence packaging

•

Medication synchronization

•

Medication therapy management services

•

E-prescriptions

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•

Private consultations with a pharmacist

•

Yearly prescription summaries

•

Medication flavoring

•

And much more!

OurHealth | The Resource for Healthy Living in Lynchburg and Southside

“As a pharmacist, the best advice we can offer is to always ask questions if you’re unsure about your medications or treatments. At Gretna Drug, our pharmacists and staff will listen to your concerns.

Being a good listener is an important facet of being a great provider. If your provider will not listen to you, perhaps it’s time to seek another.”

– H. Chapman Brown III, RPh

INSIGHT IMAGING

2923 Franklin Road | Roanoke | 540.581.0882 | www.mycdi.com f CenterforDiagnosticImaging | f myCDI | f f f Center for Diagnostic Imaging Hours: Mon-Fri: 8am – 5:30pm, MRI: 8am – 8pm, Sat: 8am – 1pm, MRI: 8am – 4pm

Insight Imaging Robert O’Brien, MD | James Matthews, MD

ACCURATE RESULTS THE FIRST TIME, TIMELY AND EFFECTIVELY 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.

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 hospitalaffiliated imaging providers.

SERVICES AND PROCEDURES •

Highfield MRI

•

Injections for pain

•

High-field open MRI

•

Ultrasound

•

CT

•

Xray

AT INSIGHT IMAGING – ROANOKE OUR FOCUS ON MEDICAL IMAGING DRIVES ADVANCEMENTS IN QUALITY AND PATIENT CARE. www.OurHealthlbss.com

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JAMES L. STANLEY, DDS, PC

3712 Old Forest Road, Building 100 | Lynchburg | 434.385.0273 | www.lynchburgendodontics.com

James L. Stanley, DDS, PC Welcomes Dr. Surbhi Puri!

James L. Stanley, DDS | Mike Walker, DDS | Surbhi Puri, DDS

D

r. James Stanley and Dr. Mike Walker take pleasure in announcing to our referring colleagues, the addition of Dr. Surbhi Puri to our Lynchburg practice.

Dr. Puri was born and raised in Punjab, India where she earned her dental degree. She brings over 15 years of dental experience to our practice. During those years, Dr. Puri worked as a general dentist and then later pursued a specialty degree in Endodontics at the Henry M. Goldman School of Dental Medicine at Boston University and has taught both graduate and pre-doctoral students at the University of Detroit Mercy School of Dentistry.

Dr. Puri is a board-eligible candidate for the American Board of Endodontics, is planning to become a Diplomate of the American Board of Endodontics, and is a member of the American Association of Endodontists. Dr. Puri has conducted numerous seminars and lectures on clinical management and dental medicine and has received several Certificates of Honor for her practical and clinical skills. She speaks fluently in English, Hindi and Punjabi.

Outside of her professional life, Dr. Puri is an avid reader, loves cooking and spending time with her husband and daughter. They enjoy traveling together as a family.

Join us in welcoming Dr. Puri and her family to Lynchburg. She is now accepting new patients.

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LYNCHBURG DENTAL CENTER

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

Lynchburg Dental Center Brad Lentz, DMD | Carrington Crawford, DDS | Karen Kenny, DDS

O

ffering comprehensive dental care since 1974, Lynchburg Dental Center is the area’s premier dental care provider.

Whether you need a regular cleaning and check-up, or if you have more complex dental concern, Drs. Crawford, Kenny, and Lentz have the experience and expertise to confidently provide the care and services you and your family deserve.

SERVICES AND PROCEDURES As dental technology improves and evolves, so have the services offered at Lynchburg Dental Center. Services and procedures currently offered include: •

Comprehensive dental exams

•

Oral surgery

•

Treatment of periodontal (gum) disease

•

Crown and bridge work

•

Oral cancer screening

•

Extractions and implants

•

Digital radiography

•

Fillings and whitening services

LASER DENTISTRY AND MORE Lynchburg Dental Center offers laser dentistry; a minimally invasive option for gum surgery, cavity treatment, and other oral conditions. Laser technology allows patients treatment without the vibrations and discomfort of traditional drill use and also reduces healing time. Dedicated to quality and convenience, Lynchburg Dental Center also performs same-day crown procedures using state-of-the-art CAD/CAM technology. For more information, visit www.lynchburgdentist.com or call 434.384.7611.

“OUR TEAM IS VERY HIGHLY TRAINED AND EXPERIENCED. WE CONTINUOUSLY FURTHER OUR EDUCATION TO BRING OUR PATIENTS THE LATEST ADVANCEMENTS AND TO PROVIDE MAXIMUM COMFORT.” — Carrington Crawford, DDS www.OurHealthlbss.com

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LYNCHBURG WOMEN’S & PEDIATRIC HEALTH SERVICES 2402 Atherholt Road | Lynchburg, VA 24502 | 434.929.1400 | www.jhcvirginia.org

From left, in white lab coats, Tana McCoull, CNM, Diane Thomas, CNM, Reginald Puckett, MD, William Cook, MD, Marcy Hoath, Lynchburg College PA Fellow, and OB/GYN nursing staff.

Lynchburg Women’s & Pediatric Health Services Tana McCoull, CNM | Diane Thomas, CNM | Reginald Puckett, MD | William Cook, MD | Marcy Hoath, Lynchburg College PA Fellow

2017

has been a year of transformation for Johnson Health Center’s OB/GYN department. The biggest of which included moving offices to a newly renovated facility on Atherholt Road. The office includes pediatric primary care, OB/GYN and dental services dedicated specifically to children and pregnant women. In addition to moving locations, two Certified Nurse Midwives were added to the practice. The additional providers allowed Johnson Health Center to expand OB/GYN services to their Bedford office; Bedford Community Health Center, 582 Blue Ridge Avenue, Bedford, VA 24523. The OB/GYN providers are available to see patients in the Lynchburg or Bedford offices as well

as perform procedures and deliver newborns at Virginia Baptist Hospital. You do not have to be a primary care patient of Johnson Health Center to see OB/GYN or dental providers.

SOME OF THE OB/GYN SERVICES OFFERED ARE: •

Routine prenatal care

•

Pregnancy testing

•

OB and GYN ultrasounds

•

Routine PAP screenings

•

Birth control – insertion/removal of IUD’s and Nexplanons

•

Polycystic Ovarian Syndrome (PCOS) management

Johnson Health Center is an independent, nonprofit, federally qualified health center with locations in Lynchburg, Amherst, Bedford and Rustburg. Their mission is to provide affordable and comprehensive healthcare with quality services and strong community partnerships. Services offered include adult and pediatric primary care, mental health, dental, pharmacy and OB/ GYN care. All insurances are accepted. A reduced fee is offered to those who are uninsured or who have high deductible plans.

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PERIODONTAL HEALTH ASSOCIATES

525 Leesville Road | Lynchburg | 434.455.2444 | www.periodontalhealthassociates.com | f f Hours: Tuesday – Friday 8 AM to 5 PM

Periodontal Health Associates Sherman Smock, DDS | Ryan Anderson, DDS YOUR TRUSTED RESOURCE FOR EXCEPTIONAL SPECIALTY CARE. When you visit Periodontal Health Associates, you’ll discover a team focused on supporting your overall wellness. We specialize in helping you preserve and restore the critical support system that surrounds your teeth. Our approach helps ensure a healthy foundation for your smile and a lifetime of benefits.

Drs. Smock and Anderson carefully select state-of-the-art technologies that are proven to deliver the finest experience to their patients. This means comfortable procedures and predictable results. Through this winning formula, they offer the following services and procedures: •

Education for Prevention of Periodontal Disease

•

Extractions and Oral Surgery

•

Periodontal Therapy

•

Bone Grafting

•

Oral Cancer Screening

•

Dental Implants

•

Devices for Sleep Apnea and Teeth Grinding

•

Gum Contouring

•

Crown Lengthening

•

Sedation/Comfort Options

•

Sinus Augmentation

As a trusted partner with the dental community, we’re here to keep your healthy lifestyle on track. Discover why so many loyal patients value our compassionate approach that honors their time, budget, and goals. www.OurHealthlbss.com

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RIDGEVIEW DERMATOLOGY

www.RidgeViewDermatology.com | f f f f f

Ridgeview Dermatology Jason D. Givan, MD, FAAD, FACMS

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

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

WE’RE GROWING TO MEET THE NEEDS OF OUR PATIENTS IN OUR COMMUNITIES!

Proudly Serving Central and Southwest Virginia

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

Announcing New Location Opening January of 2018 935 South Main St | Farmville | 434.363.4190 Call to schedule your appointment today!

In addition to offering the patients of central Virginia comprehensive dermatologic care at locations in Lynchburg, Smith Mountain Lake, and Forest, we are pleased to announce the opening of our newest location in Farmville. As the practice has grown over the past 3 years, one of the main goals at RidgeView Dermatology has been to expand our services to meet the needs of regional communities. Our caring and dedicated staff looks forward to serving our neighbors in the Farmville area by providing timely access to exceptional care.

WE’RE NOW SCHEDULING GENERAL DERMATOLOGY APPOINTMENTS AT OUR NEW FARMVILLE OFFICE We are now taking appointments at the Farmville location for January 2018. Call 434.363.4190 today to schedule your appointment!

www.RidgeViewDermatology.com

OUR MISSION AT RIDGEVIEW DERMATOLOGY IS TO PROVIDE TIMELY ACCESS TO EXCELLENT, FULL-SPECTRUM DERMATOLOGIC CARE. 62

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SOUTHSIDE UROLOGY & NEPHROLOGY

1040 Main Street | Danville | 434.792.1433 | www.southsidedocs.com

Southside Urology & Nephrology Established is 1949, the urology division of Southside Urology & Nephrology provides medical and surgical care for diseases of the urinary system. Joseph Carbone, MD and staff specialize in the treatment of: •

Urinary Incontinence/ Voiding problems

•

Erectile Dysfunction (impotence)

•

Male Infertility

•

Kidney Diseases and stone treatment (Lithotripsy)

•

Urinary Tract Infections

•

Bladder and Prostate Cancer

•

Treatment of Enlarged Prostate (BPH)

•

Renal/Kidney Cancer

In addition to office and hospital care, Dr. Carbone performs surgical procedures in their own ambulatory surgical center, Piedmont Day Surgery.

Joseph Carbone, MD, April Cassady, MSN, FNP-BC and Laurie Wilmoth, MSN, FNP-BC

At Southside Urology & Nephrology, you will receive excellent care in a prompt, courteous, and efficient manner.

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ST. CLAIR EYE CARE www.stclair-eye.com | f

St. Clair Eye Care Robin Ayers, OD | Clifford Phillips, OD | Gary St. Clair, OD | Ashley Veloso, OD (front center)

YOUR LOCAL EYE CARE PROVIDER

DEDICATED EYE CARE

At St. Clair Eye Care, our full-service eye care facility offers a full range of optometric services from testing for routine vision problems to examining and diagnosing conditions such as cataracts and macular degeneration.

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

St. Clair Eye Care has been in the greater Lynchburg area for more than 37 years. With three convenient locations, we pride ourselves on giving each patient the time and attention needed to solve their individual ocular problems. Our high patient retention has allowed us to grow to this level. Our motto is that our patients may forget what we say or what we do, but they will never forget the way we make them feel.

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

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

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

SERVICE LOCATIONS 20838A Timberlake Road

434.239.2800

Shoppes of Appomattox, Richmond Hwy

434.352.5908

www.stclair-eye.com 64

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2514 Langhorne Road

434.845.6086

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Helpful Tips F O R E AT I N G

HEART HEALTHY words | OURHEALTH STAFF WRITER

The holiday season is all about family, fun and food! Getting your family to eat heart-healthy, especially during the holidays, takes effort. In partnership with the American Heart Association, OurHealth Lynchburg & Southside magazine brings you these great tips and recipes to help you navigate the holiday season in a healthy way.

1

WATCH THE SODIUM Limit your sodium.

Did you know that many of your favorite holiday dishes may be packed with sodium? Breads and rolls, poultry, and canned soups are three common foods that can add sodium to your diet. When shopping for ingredients to prepare your holiday meal, compare the labels and choose options with the lowest amount of sodium.

Savor the flavor.

Use herbs and spices, like rosemary and cloves, to flavor dishes instead of salt or butter.

Rinse away.

When using canned beans or veggies, drain and rinse in a colander to remove excess sodium.

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2 TURKEY TALK Outsmart the bird.

Reach for the lighter pieces of meat; they have fewer calories and less fat than the darker ones. Another way to cut calories and fat is to take off the skin.

Keep portions in check.

A serving size of meat is 3 ounces, about the size of a deck of cards.

So, be conscious of how much you put on your plate, and pass on that second helping. If you’re also having another meat, like ham or lamb, take smaller portions of each.

Watch out for the gravy train.

Turkey usually comes with gravy, which can add excess fat, calories and sodium. Limit gravy to a tablespoon, and keep it off other items, like the dressing.

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HEART HEALTHY HOLIDAYS CHECKLIST

CASSEROLES

WHAT YOU SHOULD INCLUDE:

What’s in it?

Fruits and vegetables Whole grains Beans and legumes Nuts and seeds Fish, skinless poultry, and plant-based alternatives

Holiday casseroles can be filled with fat, sugar or sodium. Your best bet is to limit yourself to a small spoonful of casserole and fill the rest of your plate with a serving of lean protein along with roasted or sautéed veggies and tossed salad instead.

Fat-free and low-fat dairy products Healthier fats and nontropical oils WHAT YOU SHOULD LIMIT: Sodium and salt Saturated fat Sweets and added sugars, including sugar-sweetened beverages Red meats — if you choose to eat red meat, select the leanest cuts WHAT YOU SHOULD AVOID: Trans fat and partially hydrogenated oils

DRESSING Call it what it is.

Dressing is intended to be a complement to your meal, not an entree. To keep calories and excess fat in check, aim for 1/4 cup (or about half a scoop with a serving spoon).

Judge it by its cover.

If the dressing is filled with fatty meats like sausage and pork, looks greasy or buttery, or is made with white bread or sweet rolls, it may be best to pass. Better options would be dressings that have whole grain or cornbread, lean meat (or no meat), nuts (like almonds or walnuts), and lots of veggies and fruits.

Aim for 1/4 cup serving of dressing.

This is about half a scoop with serving spoon.

REMEMBER TO STAY PHYSICALLY ACTIVE! The holiday season is about family and food – and all too often, adding a few extra pounds to our waistlines. Being physically active throughout the entire year is important to maintaining a healthy weight. The American Heart Association recommends that children (up to age 18) get at least 60 minutes a day and adults get at least 150 minutes per week of moderately vigorous physical activity.

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DESSERTS Treat yourself right.

The best way to enjoy an occasional sweet without losing control is by sampling a selection or two, rather than having full servings. For example, have one bite of pie, half a cookie or one small square of fudge. Find a friend or family member who will stick to the sampling rule with you.

ORANGE-GLAZED TURKEY WITH POTATOES & CARROTS

6 servings

INGREDIENTS

DIRECTIONS

Cooking spray

1. Preheat oven to 375 degrees.

1 ½ to 1 ¾ pounds boneless turkey breast roast, skin and fat removed

2. Spray a 9x13-inch casserole dish with cooking spray and place the turkey in the dish.

2 teaspoons mixed dried herbs (mix a combination of any/all – rosemary, basil, parsley, tarragon, chives, thyme, sage)

3. In a small bowl, mix dry ingredients (herbs, salt, pepper, garlic powder). Rub half of mixture over the turkey.

¾ teaspoon salt ½ teaspoon black pepper ½ teaspoon garlic powder

4. Spread marmalade over turkey.

5. Stir potatoes, carrots and oil into remaining herb mixture. Place vegetables in dish around the turkey. Bake for 1 hour.

6. Remove from oven and let sit 5-10 minutes to allow juices to redistribute.

3 tablespoons no-sugar added orange marmalade 1 pound potatoes scrubbed and cut in to 1-inch cubes (can use any type of potatoes) 1 tablespoon extra virgin olive oil 4 medium carrots, peeled and cut in to 1-inch sections

NUTRITION FACTS: Per Serving Calories: 257. Total Fat: 3.5 g, Saturated Fat: .5 g, Trans Fat: 0.0 g, Polyunsaturated Fat: .5 g, Monounsaturated Fat: 2.0 g, Cholesterol: 76 mg, Sodium: 389 mg, Carbohydrate: 23 mg, Fiber: 3 g, Sugar: 7 g, Protein: 32 g, Dietary Exchanges: 1 starch, 1 vegetable, 4 lean meat

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MAPLE SYRUP-GLAZED

SWEET POTATO CASSEROLE

6 servings | 1 cup per serving

INGREDIENTS

DIRECTIONS

40 ounces canned, chopped sweet potatoes in light syrup, drained (or 1 1/2 pounds cooked sweet potatoes)

1.

1 ¼ teaspoons pumpkin pie spice, divided ¼ teaspoon salt 1 teaspoon vanilla extract 2 large egg whites ¼ cup unsalted pumpkin seeds (pepitas) 1 tablespoon olive oil 2 tablespoons maple syrup 2 tablespoons all-purpose flour

Preheat oven to 400 degrees.

2. Drain the sweet potatoes and add to large bowl. Using a potato masher or fork, mash well. Stir in 1 teaspoon pumpkin pie spice, salt, and extract.

3. Add egg whites into mixer bowl. Using a whisk attachment (or a hand mixer) whip the egg whites on high speed until firm peaks form, about 3 to 4 minutes. Use a spatula to gently fold egg whites into the sweet potato mixture.

4. Coat a 1.5-quart baking dish with cooking spray. Transfer the sweet potato mixture into the baking dish.

5. In a small bowl, stir together pumpkin seeds, oil, maple syrup, flour, and remaining ¼ teaspoon pumpkin pie spice. Sprinkle over the sweet potatoes.

6. Bake in preheated oven until sweet potatoes are fluffy and topping is golden-brown, about 20 to 25 minutes.

NUTRITION FACTS: Per Serving Calories: 249, Total Fat: 5.5 g, Saturated Fat: 0.9 g, Trans Fat: 0.0 g, Polyunsaturated Fat: 1.6 g, Monounsaturated Fat: 2.0 g, Cholesterol: 0 mg, Sodium: 176 mg, Carbohydrates: 46 g. Dietary Fiber: 5 g, Total Sugars: 13 g. Protein: 5 g, Dietary Exchanges: 3 starch, ó fat 70

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GREEN BEAN SALAD VINAIGRETTE 12 servings | 1/2 cup per serving

INGREDIENTS

DIRECTIONS

1 quart water for fresh green beans or ¼ cup for frozen

1.

1 pound fresh or frozen green beans

2. Meanwhile, fill a large bowl with cold water. When the beans are ready, drain them in a colander, then plunge them into the cold water to stop the cooking process and cool quickly. Once the beans are cold, drain well and pat dry with paper towels.

1 tablespoon raspberry vinegar or red or white wine vinegar ¾ to 1 teaspoon yellow mustard ½ teaspoon finely snipped fresh thyme or 1 ½ teaspoons dried, crumbled ½ teaspoon finely snipped fresh parsley or 1 ½ teaspoons dried, crumbled ½ teaspoon honey ½ medium garlic clove, minced

In a large saucepan, bring the water to a boil over high heat.

Add the beans. Boil for 5 minutes.

3. While the beans are cooling, in a separate large bowl, whisk together the vinegar, mustard, thyme, parsley, honey, and garlic. Slowly whisk in the oil, continuing to whisk until thoroughly combined. Whisk in the salt and pepper.

4. Add the green beans, bell pepper, and onion to the vinegar mixture. Toss to coat. Cover and refrigerate for at least 30 minutes. Just before serving, sprinkle with the lemon zest.

¼ cup canola or corn oil 1/8 teaspoon salt 1/8 teaspoon pepper, or to taste 1 medium red bell pepper, cut lengthwise into thin strips ½ to 1 small red onion, cut lengthwise into thin strips

NUTRITION FACTS: Per Serving Calories: 29, Total Fat: 1.0 g, Saturated Fat: 0 g, Trans Fat: 0 g, Polyunsaturated Fat: .5 g, Monounsaturated Fat: .5 g, Cholesterol: 0 mg, Sodium: 52 mg, Carbohydrate: 4 g, Fiber: 2 g, Sugar: 1 g, Protein: 1 g, Dietary Exchanges: 1 vegetable

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Local experts agree that diet, exercise, and medication are the three keys to controlling Diabetes words |BRANDY CENTOLANZA

Type II Diabetes, a disease in which there is a high level of sugar in the blood, is on the rise. As of 2015, roughly 100 million adults in America were considered pre-Diabetic or Diabetic. A poor diet and lack of exercise are partially to blame.

Type II Diabetes is Reversible There are 1.5 million new cases of Diabetes each year. The good news is that Type II Diabetes is reversible. (Type I Diabetes, meanwhile, is considered an autoimmune disease in which the body does not produce insulin. Only five percent of those diagnosed with Diabetes have Type I).

The reason for the increase in the number of Type II Diabetes is the reliance on the American diet: fast foods and processed foods with an exorbitant amount of calories and sugar. Think refined carbohydrates such as white bread and pasta and sweets such as soda and candy.

“A lifestyle change is the initial approach for people with Type II Diabetes, which includes diet modification and increasing or adding regular exercise,” says Sylvia M. Denton, a nurse practitioner and Diabetes Educator with Centra Lynchburg General Hospital.

“People can achieve better results by practicing a healthy lifestyle and lower the need for medications by following a healthy diet and exercising regularly to utilize calories consumed.”

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FAMILY CARE

STEP

Approach to

MANAGING DIABETES

Obese individuals who subsist on an unhealthy diet and do not exercise are most at risk for developing Type II Diabetes. Family history and genetics may also play a factor. Once diagnosed, patients typically work with physicians, providers and Diabetes educators to form a plan to help manage the disease before it leads to other health issues.

Three Steps to Managing Diabetes There is a three-step approach to managing Diabetes that includes maintaining a healthy diet, daily physical activity, and the intake of any possible prescribed medications. Patients who are considered pre-Diabetic (which means they are likely to develop the disease within five years) and those who are Diabetic should first begin by eliminating any sugary, processed foods from their diet.

1

Cut out Sugar

The less sugar you take in, the better it is for your body.

2

Drink Plenty of Water

Drink water instead of juice or soda.

The idea is to drink water instead of juice or soda, and choose foods that are lower in calories, saturated fat, trans fat, sugar, and salt. Instead, incorporate more foods with fiber, such as whole grain cereals, breads, rice or pasta as well as more fruits and vegetables, especially green, leafy vegetables.

In addition to altering their diet, Diabetes patients should exercise on a routine basis. Denton recommends “150 minutes each week of moderate-intensity aerobic physical activity such as brisk walking or tennis, 75 minutes each week of vigorousintensity aerobic physical activity such as jogging or swimming laps or an equivalent combination of moderate-and vigorous-intensity aerobic physical activity.” Aerobic exercise combined with resistance training such as weightlifting or yoga twice a week will help control blood sugar levels more effectively.

“Leading a healthy lifestyle improves overall health: better heart health, better mental health, higher self-esteem, better mobility/flexibility, increased independence, improved sleep quality, and decreased morbidity,” shares Denton.

It is also important to monitor the disease. Patients need to keep a glucose meter nearby, check their blood sugar level frequently and know what to do if the level is too low or too high (a normal reading is 100, range between 70-120). Blood sugar levels can change in response to food, exercise, alcohol, illness, or medications.

Watch for Symptoms

3

Increase Physical Activity, but Start Slowly Try to get at least 30 minutes of physical exercise daily at least five days a week.

Symptoms of Type II Diabetes include increased thirst and hunger, dry mouth, frequent urination, unexplained weight loss, fatigue, blurred vision, headaches, or numbness and tingling in the hands and feet. It can lead to more serious conditions that impact internal organs if it is not treated. Medications and insulin therapy may be necessary, which can be costly and come with a series of side effects.

One out of every four people have Type II Diabetes without realizing it.

The disease can lead to further complications including kidney disease, heart disease, and stroke.

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Leading a Better Lifestyle is the Best Way to Beat Diabetes

Diabetics are also more prone to gum infections and problems with their feet. Patients should check their teeth and feet daily, and consult their doctors if their gums bleed or look red or swollen, or if their feet have sores, redness, or swelling that doesn’t heal.

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Managing Diabetes may seem difficult at first, but it is up to the patient to decide to make the necessary changes for the sake of their overall health.

“Patients with Diabetes need to get informed about the disease, how it affects them if it is ignored and the decisions they need and can make to take control of it” SYLVIA M. DENTON, NP A nurse practitioner and Diabetes Educator with Centra Lynchburg General Hospital.

“Asking for referrals to get education, nutrition counseling and Diabetes self-management education is a first step, but it also includes taking responsibility for their decisions and being accountable for their choices.”

EXPERT CONTRIBUTOR Sylvia M. Denton, NP, a nurse practitioner and Diabetes Educator with Centra Lynchburg General Hospital.

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FAMILY CARE

words | CATHERINE BROWN

Many of us know the experience well. You are sleeping peacefully under your cozy comforter, perhaps dreaming of a romantic walk on the beach, when—OUCH—a severe cramp in your leg wrenches you from blissful slumber. You sit up in a state of confusion, trying desperately to loosen up the tightened muscles. The leg cramp or charley horse may last for only a few seconds or minutes, but going back to sleep seems impossible, particularly when your muscle continues to ache long after it has stopped contracting.

Nighttime leg cramps most often occur in the calf muscle, but they can also take place in the thigh or foot muscles. Leg cramps affect 50 to 60 percent of adults and fewer than 10 percent of children. After age 60, leg cramps become more common. Leg cramps are also more common during pregnancy, particularly during the third trimester.

Both men and women experience nocturnal leg cramps; however, women are more likely to experience them.

CAUSES Causes of leg cramps can be difficult to pinpoint. Possible contributing factors include structural issues in the legs and feet, such as flat-footedness; dehydration; electrolyte imbalance; poor circulation and nerve disorders.

David Gregory, MD, a family medicine practitioner for Centra Health in Lynchburg explains, “Women can get leg cramps from hydration or chemical imbalances at any age, though the 76

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other causes related with medications and hormonal changes can be more likely as women experience menopause.” Leg cramps can occur after long periods of sitting or, conversely, from overexertion.

Leg cramps can be associated with neuromuscular disorders, chronic kidney disease, anemia, thyroid disorders and diabetes. Certain medications, like statins, asthma inhalers and diuretics, can also contribute to leg cramps. “If taking a cholesterol medicine with “statin” in the generic drug name,” Dr. Gregory says, “a patient should consider holding the medication and speaking with their prescribing physician to advise on whether they should change the medication.”

RELIEF While in most cases leg cramps do not impact patients significantly, if they happen regularly, the resulting lack of sleep can lead to difficulties driving safely and working productively.

Thankfully, there are ways to alleviate suffering, including medications and supplements. Dr. Gregory advises consulting a health professional who can distinguish possible causes. “Most family physicians or internal medicine physicians are excellent people to diagnose these problems, though if you may be pregnant, speaking with your prenatal care provider is also a great initial step.”

PREVENTION

Are Leg Cramps Keeping You Up at Night?

For many people, nighttime leg cramps are a normal part of life and do not signify a serious medical condition. However, as Dr. Gregory explains, patients should consult a physician about leg cramps when they are associated with “unilateral swelling or tenderness, pregnancy, oral contraceptives or estrogen replacement therapy, a prior history of leg clots, or with chest pain, shortness of breath or leg exertion (such as walking fast or up hills).”

Patients should consult a physician about leg cramps when they are associated with “unilateral swelling or tenderness, pregnancy, oral contraceptives or estrogen replacement therapy, a prior history of leg clots, or with chest pain, shortness of breath or leg exertion (such as walking fast or up hills)."

DAVID GREGORY, MD A family medicine provider for Centra Health in Lynchburg and faculty program director for Lynchburg Family Medicine Residency.

There are also several non-medical ways to prevent leg cramps. Staying hydrated by drinking water throughout the day can help. Eating foods with potassium, magnesium and calcium might also help. Yogurt and bananas, for instance, provide a perfect bedtime snack.

In addition, stretching the legs before going to sleep and keeping blankets loose around the feet can help. Wearing supportive shoes during the day when exercising or standing for long periods of time can also prevent leg cramps.

If knotted, tightened muscles wake you in the middle of the night, you can alleviate the cramp by forcefully stretching and kneading the muscle. You can also help the muscles relax by walking around, flexing the foot, sitting in a warm bath, and applying ice.

As with most health conditions, exercise regularly and eat healthfully to sleep well and feel great.

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BEAUTY

Just How

Permanent Is

Permanent Makeup words | CHRISTINE STODDARD

Several years ago, permanent makeup was hardly a topic of conversation in a world where contouring and highlighting had yet to hit the mainstream. But, today, a simple Google search for a term like “microblading” brings up an astonishing number of results – most from the past year – signaling the changing landscape of cosmetic tattooing.

“Every procedure works exactly like how a regular tattoo would work.”

JENNIFER GRIFFIN Owner of Beyond the Surface Permanent Makeup in Lynchburg

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So, how does permanent makeup work and how permanent is it, actually?

“Every procedure works exactly as a regular tattoo would work,” says Jennifer Griffin, owner of Beyond the Surface Permanent Makeup in Lynchburg. Griffin is one of only nine people in the state of Virginia licensed as a ‘Master Permanent Cosmetic Tattooist,’ which means she’s certified to do everything from filling in eyebrows to areola restoration for patients who have had mastectomies.

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The only difference between traditional and cosmetic tattooing,

Just How Permanent is Permanent Makeup?

Griffin says, is for cosmetic tattooing “the patient normally has the area numbed before the procedure starts.” In addition to topical anesthetics, the pigments and tools Griffin uses are specifically made for the art of permanent makeup.

Each session starts with a 30-minute consultation to discuss the patient’s medical background before beginning the tattooing process.

BEFORE

“Knowing your medical background is essential to knowing if something like a skin condition would affect the area requested,” Griffin says. “Clients that are nursing or pregnant should not get a procedure done until after nursing or the pregnancy is over” and

AFTER

clients who are insulin-dependent or on certain medications may require more sessions and added caution, she notes.

The procedure itself can vary in time, depending on the type of cosmetic tattoo requested and the needs of the client. To ensure proper time and care for each patient, Griffin allocates a full two hours for every session. After the consultation, the cosmetic tattooist will draw and confirm the design with the client before choosing the pigments needed to create a custom blend for each specific procedure.

Before (top) and after (bottom) photos: Microbladed hairstrokes create the illusion of a full and natural brow.

“We like to match the skin tone rather than the hair color as the hair color on one’s head can be ever changing,” Griffin says. To do this, especially for areas with sparse hair growth, Griffin uses several colors “to create the 3D appearance of highlights and lowlights.”

Once a client has completed the procedure, Griffin says “the color should always be there” though it can fade over time. “Just like a regular tattoo, sun is the number one factor of tattoo fading,” so clients should not neglect to put sunscreen over any permanent makeup. Clients should also notify their dermatologists and any spa staff so they know to avoid the areas with permanent makeup when having any aggressive facial treatments done.

With proper care, clients will only have to touch up color every 5 to 10 years.

That’s much easier than hitting up the powder room every few hours!

EXPERT CONTRIBUTOR Jennifer Griffin, owner of Beyond the Surface Permanent Makeup in Lynchburg.

Photos above: Both photos show lower eyeliner immediately after her first visit.

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ORTHO ON CALL Offers

A WINNING SOLUTION to ORTHOPEDIC INJURIES words | CATHERINE BROWN

You’re enjoying watching your son make a basket at his weekend game when, suddenly, he falls to the ground clutching his ankle. You start to panic as you run through your options. It’s Saturday, so the pediatrician’s office is closed.

Do you take him to the emergency room? If so, how long will the wait be? Do you take him to the urgent care center? That might be quicker, but will they have a specialist for his type of injury?

Fortunately, you don’t even have to run through that list of possible options anymore, thanks to a better option: Ortho On Call, OrthoVirginia’s Urgent Care in Lynchburg.

OrthoVirginia’s orthopedic urgent care provides patients with a reliable, cost-effective option for orthopedic injuries. Ortho On Call is part of a growing trend nationwide for specialized orthopedic urgent care centers that can treat injuries and pain relatively quickly and affordably. OrthoVirginia’s Primary Care Sports Medicine Physician Omar Elkhamra, MD, explains, “as our population is getting more active, the need for extended and weekend hours arises.”

A recent study in the Journal of Orthopaedic Trauma found that orthopedic urgent care services benefit the US health care system and patients. They offer three major advantages: convenience, financial savings, and specialized care.

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CONVENIENCE OF ORTHOPAEDIC URGENT CARE

Dr. Elkhamra says that Ortho On Call providers keep wait times to a minimum.

“Rest assured,” he explains, “we are going as fast as we can without compromising quality, patient needs and time spent with patients.”

OMAR ELKHAMRA, MD OrthoVirginia’s Primary Care Sports Medicine physician

Ortho On Call is currently open at the OrthoVirginia office Monday through Friday from 5pm-7pm and Saturday from 10am-5pm. Beginning Sunday, January 7, 2018, Ortho On Call will be open for walk-in patients from Monday through Friday from 8am-7pm and Saturday and Sunday from 10am-5pm. If you are a weekend warrior who gets injured during a grueling workout, or if you need to be seen quickly during the workday, you have a convenient place to go.

The total visit time at an orthopaedic urgent care center averages 43 minutes compared to 156 minutes in the Emergency Department.

COST SAVINGS OF ORTHOPEDIC URGENT CARE You can also visit an Ortho On Call provider without worrying about outrageously expensive costs. The study in the Journal of Orthopaedic Trauma found that the average charge for a patient seen in an orthopedic urgent care center totaled $461, compared to $8150 for an average visit to the hospital Emergency Department for an orthopedic injury.

Ortho On Call Offers A Winning Solution to Orthopedic Injuries

If you injure yourself at work or your child breaks a bone on the playground, you no longer have to wait for an appointment to be seen by a provider with specialized orthopedic training. You can access immediate care at the orthopedic urgent care center.

OrthoVirginia’s Ortho On Call

providers treat the following injuries in people of all ages with no appointment needed: •

Sprains and strains

•

Sports-related injuries

•

Tendonitis/bursitis

•

Broken bones

•

Hand and wrist injuries

•

Knee injuries

•

Hip injuries

•

Shoulder injuries

•

Foot and ankle injuries

Part of the cost savings comes from the decreased likelihood that patients will undergo superfluous tests because of the providers’ specialized knowledge.

In addition, Dr. Elkhamra explains, “specialty care leads to better outcomes as far as early diagnoses, early treatment and early returns to work and activity.” Less time off from work also benefits your bottom line.

SPECIALIZED TRAINING OF ORTHOPAEDIC URGENT CARE PROVIDERS Emergency Departments successfully manage multiple cases, and many of those cases are life-or-death situations. Emergency care providers thus

EDWARD LEWIS, MD OrthoVirginia’s Family Medicine and Sport Medicine physician.

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need to have a wide range of knowledge about a variety of medical issues. If you have a life-threatening emergency, like an open fracture or gunshot wound, you will want to visit a hospital Emergency Room. And, of course, if you have other kinds of illnesses, like the flu or strep throat, a general urgent care center is a better solution.

When you have a non-life-threatening orthopedic emergency such as a broken bone or dislocation, back pain or tendonitis, you benefit from the specialized knowledge of providers at Ortho On Call. Every provider is experienced and knowledgeable about orthopedic injuries.

“Our physician assistants work very closely and under the supervision of our orthopedic surgeons and sports medicine physicians,” Dr. Elkhamra explains, “and many of them have spent 10, 20, and even 30 years just caring for musculoskeletal injuries.”

Because of this specialized knowledge, Dr. Elkhamra says, “we are capable of ordering the appropriate tests and initiating necessary treatment without any waste of resources or unnecessary testing or referrals.” Through Ortho On Call, OrthoVirginia provides quality orthopedic care in a time-saving, cost-effective manner, eliminating excessive delays and needless tests.

EXPERT CONTRIBUTORS Omar Elkhamra, MD with OrthoVirginia in Lynchburg.

Edward Lewis, MD with OrthoVirginia in Lynchburg.

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