OurHealth Roanoke & New River Valleys Apr/May 2015 Edition by OurHealth Media LLC

table of contents | april • may 2015

30 MEDI•CABU•LARY.....................12 Local experts define health related terms

JUST ASK!.......................................14 Healthcare questions answered by local professionals

NEW & NOTEWORTHY.............16 A listing of new physicians, providers, locations and upcoming events in Southwest Virginia

The Importance of Recognizing Common Allergies As spring approaches, allergies become a popular topic of conversation. People who think they may be experiencing them raise many issues. For some insight, OurHealth turned to The Asthma & Allergy Center in Roanoke and Allergy and Asthma Associates of Southwest Virginia in Christiansburg.

HEALTH POINTS........................ 26 Interesting facts and tidbits about health

THE ANATOMY CHALLENGE................................. 29 How much do you know about Our Anatomy? In this issue, test your knowledge when it comes to the SINUS CAVITY!

NUTRITION........................................................................39 HEALTHY EATS: OurHealth staff favorite recipes that are sure to please your palate! Roasted Asparagus, Black Bean Salad, and Fudge Brownies use great local ingredients!

FIT BITS!..............................................................................44 Spring Into Action. This workout is based on a 7-day plan, including at least one rest day. Repeat for 4-6 weeks, and be ready to sport your warm weather wear just in time for summer!

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APRIL 1ST - MAY 1ST 2015 8

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The Resource for Healthy Living in Southwest Virginia

What if we didn’t... Making a Breaking the Silence: Aneurysm little sense of a mind-boggling topic This series explores diseases that can be devastating to the

May is Healthcare Workers Recognition Month at OurHealth magazine. Each year, we choose a unique angle to highlight the efforts of those who work in the healthcare industry. This year’s theme is, “What if we didn’t have _____?”

individuals and families they affect—yet no one is talking about them—until now.

Giving Back to the Community............... 61 Local businesses and organizations demonstrate a commitment to making a difference in our communities outside of normal day-to-day operations.

hello, HEALTH!.................................................................80 Capturing the spirit of Southwest Virginians working in healthcare and of people leading healthy lives through photos

LOOKING BACK..............................................................82 Images reflecting the history of healthcare in Southwest Virginia * PLUS * a chance to win prizes!

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V O TE MAY 1ST – JUNE 1ST 2015

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april • may 2015

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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 © 2015 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

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

What is ‘aquatic therapy’, and what are some conditions and injuries that can benefit from this type of therapy program? Aquatic Therapy refers to waterbased treatment or exercises of therapeutic intent, in particular for relaxation, fitness, and physical rehabilitation. Therapy is usually provided by physical and occupational therapists in a specialized temperature-controlled pool. Pool therapy commonly focuses on improving the physical function associated with illness, injury or disability and for earlier treatment of people who are unable to tolerate a land- based exercise program. A variety of patients can benefit from aquatic therapy because it addresses multiple orthopedic and neurological problems such as arthritis, fibromyalgia, postoperative conditions, sports and work-related injuries, obesity, and chronic pain. In water, patients can work on decreased weight bearing and reduced stress on joints, flexibility, endurance, posture, mobility, decreased swelling and improved circulation, balance, and cardiovascular training. Melissa Callahan, CTRS

The Landmark Group Dublin | 540.674.4193 Stuart | 540.276.694.3050 www.thelandmarkgroupllc.com

OurHealth | The Resource for Healthy Living in Southwest Virginia

What is Tinnitus?

What is Facet Syndrome?

Most people refer to tinnitus as “ringing in the ear” but you may also hear roaring, buzzing, whistling, or hissing all without an external sound source. It can range from being slightly annoying to extremely frustrating and can often interfere with hearing speech.

The facet joints are paired joints (two at each spinal level), which connect the back part of each vertebral level. Arthritis of these joints may explain the reason for back pain in a small number of patients.

Tinnitus can cause depression as well as anxiety and stress. Causes include exposure to noise, reaction to medication, hearing loss, Meniere’s disease, head and neck injuries, blood pressure, ear wax as well as abnormal blood vessels. Your physician will guide you with any medication for depression and anxiety once ruling out any treatable causes. Simply masking the sound with external noise such as television or radio may help in mild cases. Hearing aids will often mask out the annoying tinnitus, and maskers are available if a hearing loss is not present. Tinnitus is real, so seek help if you are unfortunate to have this annoying symptom. Your audiologist can counsel you on how to best live with tinnitus. Janice Anderson, AuD

Anderson Audiology Dublin | 540.674.4889 www.anderson-audiology.com

There are a number of reasons that a person may have back pain. Degeneration of the lumbar disc, the shock-absorbing structure between the vertebrae, is responsible in the majority of cases. Disc degeneration can lead to abnormal motion and arthritis of the facet joints. Arthritis of the joints without disc degeneration, however, is quite unusual. If the diagnosis of facet syndrome is suspected, and if initial measures are ineffective, then the facet joints and their surrounding nerves can be injected “blocked” with local anesthetics to confirm the diagnosis. Once facet syndrome is confirmed, “burning” the nerves surrounding the joints with radio frequency probes can be effective. Remember, facet joint arthritis is usually just one aspect of a degenerative spine. It is important to evaluate the entire spine. James Leipzig, MD, FACS Reconstructive Spinal Surgery Virginia Spine Care Salem | 540.725.9771 www.virginiaspinecare.com

H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

Generally speaking, how long after experiencing a traumatic circumstance do symptoms of posttraumatic stress disorder (PTSD) appear? A great deal of research is underway exploring why some people develop post-traumatic stress disorder (PTSD) after a traumatic event while others do not. Some people seem to possess greater resilience that protects them against developing PTSD. Some researchers believe that such resilience may be largely genetically determined, meaning some people’s brains may be ‘hard-wired’ to protect them from developing PTSD symptoms such as flashbacks, nightmares, hypervigilance, hyperarousal, or feeling ‘unreal’ or ‘numb.’ Symptoms like these that come on within one month of a traumatic event and last less than 30 days are called Acute Stress Disorder (ASD). A diagnosis of PTSD may be made if such symptoms persist for more than one month, particularly when these symptoms are debilitating and significantly interfere with day-to-day living. Sometimes the symptoms of ASD or PTSD may gradually resolve on their own, but anyone who believes he or she is experiencing one of the above trauma-related disorders is encouraged to see a mental health professional. Thomas Milam, MD

Carilion Clinic – Psychiatry Roanoke | 540.981.8025 www.carilionclinic.org

OurHealth | The Resource for Healthy Living in Southwest Virginia

What are the advantages of a living trust? A living trust provides for management of assets during your lifetime, and for distribution of assets upon your death (or for the continued management of assets for the benefit of your named beneficiaries). Typically, you are your own trustee and you name a successor trustee. If you transfer your assets to your living trust or add your trust as a beneficiary of your assets, then you avoid probate. Probate is a court supervised process where an executor or administrator pays your final expenses and debts, and distributes what remains to your beneficiaries after your death. Probate involves the payment of probate fees and taxes as well as the preparation of written accountings which are reviewed by the local commissioner of accounts. Probate avoidance is a primary benefit of establishing a living trust, and is especially desirable if you own real estate outside of the state of your domicile. Another benefit is providing for the privacy of information because, unlike a will, a living trust is not recorded in the courthouse. Robyn Smith Ellis Attorney Ellis Law Office Salem | 540.389.7060 www.ellisoffice.com

Why is it necessary to dilate the pupils during a comprehensive eye examination? A comprehensive eye exam is much more than a check for visual function and whether or not you need glasses. Think of the eye exam as taking your car in for an oil change – even if it’s running well, you want to look under the hood and make sure if there’s a problem coming, you catch it early. Dilating drops open the pupil wider, much like lifting the hood of the car, to see the inner workings. Without the drops, we can’t see much of the retina – the interior lining of the eye that acts like the film in a camera. There are many things that can be found by looking at the retina such as melanoma, retinal tears, and signs of systemic disease like diabetes and multiple sclerosis. Many of these problems don’t affect vision in early stages, so you can still see 20/20 and potentially have a problem. Examining the retina is essential to rule out many common eye diseases - remember, great vision doesn’t necessarily mean great ocular health. John Dovie, OD, FAAO Blacksburg Eye Blacksburg | 540.953.2020 www.blacksburgeye.com

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NEW

NOTEWORTHY

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

Carilion Clinic Renames Patient Transport Center

The George B. Cartledge, Jr. Center for Transportation

In a recent ceremony, Carilion Clinic renamed its patient transport center after George B. Cartledge, Jr., in honor of his nearly 40 years of service as a member of the Carilion Clinic Board of Directors. The Carilion building located at 431 McClanahan Avenue in Roanoke will now be known as The George B. Cartledge, Jr. Center for Transportation. “George has been vital to Carilion’s efforts to expand patient care services throughout our region,” says James Hartley, chairman of Carilion Clinic’s board of directors. “One important way he has done that is through his strong support of Carilion’s helicopter transport services.” The George B. Cartledge, Jr. Center for Transportation houses the administrative offices for Carilion Clinic Patient Transportation, and is the home base in Roanoke for Carilion ambulances and helicopters. George B. Cartledge Jr., during the recent renaming ceremony.

Carilion Clinic Cosmetic Center

PCA Healthcare Announces that it intends to Join Carilion Clinic in June

Carilion’s new cosmetic center, located at 2107 Rosalind Avenue, features the services of three American Board of Plastic Surgery-certified plastic surgeons: Kurtis Moyer, MD, (chief), Mark Feldmann, MD, and Mark Schoeman, MD. They offer a full array of cosmetic procedures in a comfortable, spa-like environment. Gina Hunt, master aesthetician, provides skin care treatments such as laser hair removal, chemical peels and facials and offers two skin care lines: Obagi and SkinMedica.

Incorporating PCA into Carilion’s group of family practices will offer several benefits to PCA patients, including greater access to Carilion’s network of health care providers. In addition, patients will be able to take advantage of Carilion’s MyChart online patient portal, which allows them to access their medical records at any time and exchange secure messages with their primary care doctor and others on their health care team. MyChart is also the basis of the patient-centered medical home model of primary care, which Carilion has practiced since 2011.

Opens in Roanoke

For more information or to schedule a consultation, call 540.853.0510.

PCA Healthcare operates four clinic locations in Salem, Floyd and Daleville and employs 21 health care providers. Details of the transaction, which is expected to be completed in late June, are still being finalized. For PCA patients, the transition should be seamless. They will receive additional communications from PCA and Carilion as details are solidified.

Find and Follow 16

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OurHealth Southwest Virginia

NEW

NOTEWORTHY

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

Friendship Retirement Community Announces

Promotions and Certifications

Russ Barksdale, MPA, FACHE, president and CEO of Friendship Retirement Community, has been named as a Fellow of the American College of Healthcare Executives.

Jessica Walters, MHA, LNHA has been named administrator of Friendship Health and Rehab Center.

photo by Jim Stroup

Daniel Harrington MD, named Vice Dean of the

Virginia Tech Carilion School of Medicine Dr. Daniel Harrington, senior dean for academic affairs at the Virginia Tech Carilion School of Medicine, has been named the school’s new vice dean. “After receiving full accreditation last year, we felt confident it was time to plan for the next era in the school’s development,” says Cynda Johnson, MD, MBA, founding dean of the school. “Dr. Harrington has been an essential part of the school’s success to date, and I wanted to involve him further in strengthening the school’s curriculum and leadership.”

Corey Meador, MS, CCC-SLP, CDP, CADDCT, of Friendship Health and Rehab Center, has achieved certification as a Certified Alzheimer’s Disease and Dementia Care Trainer through the National and International Councils of Certified Dementia Practitioners.

Free Clinic of Franklin County Announces

Appointment of New Executive Director

In his newly named position, Dr. Harrington will work closely with Dr. Johnson, as well as the school’s associate and assistant deans, to oversee the school’s daily operations. In addition, the offices of Faculty Affairs, Admissions, Enrollment Management and Registrar, and Financial Aid will report directly to him.

Donna Minnix Proctor has been appointed by the Board of Directors as the new executive director of the Free Clinic of Franklin County. Ms. Proctor joins the clinic after having served most recently as the executive director of the Grace Network of Martinsville and Henry County, and prior to that as the executive director of the Bedford Community Health Foundation. Ms. Proctor’s primary responsibilities as executive director include marketing and fundraising, strategic vision, business planning, and managing the clinic’s operations and staff.

Find and Follow

OurHealth Southwest Virginia 18

Megan Broce, OTR/L, CDP (left) and Carissa Broughman, LPTA, CDP, (right) of Friendship Health and Rehab Center, have achieved certification as Certified Dementia Practitioners through the National and International Councils of Certified Dementia Practitioners.

The Free Clinic provides services through more than 2,400 primary care visits annually and dispenses more than 14,000 prescriptions each year. The Clinic, which relies on donations and grants as it doesn’t receive any federal funding, delivers $7.45 of care for every dollar received. Additional information about the Free Clinic of Franklin County and patient qualification guidelines are available at www.bernardhealthcare.com.

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www.OurHealthVirginia.com

NEW

NOTEWORTHY

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

Hospital Corporation of America named a

World’s Most Ethical Company for Sixth Consecutive Year New River Valley Hearing is excited to announce the opening of their

second office.

This office will be located at 201 East Main Street, Suites 8 and 9, Village Green Complex, Floyd VA 24091. The New River Valley’s comprehensive audiology service provider will offer hearing evaluations for all ages. It will also offer complete hearing aid services and hearing aid accessories. Follow New River Valley Hearing for up-to-date information on the opening.

WELCOMING NEW PATIENTS

for Office Gynecology Care

providing health care to women of all ages

Dr. Kurt Stockstill, BOARD CERTIFIED OBGYN

Dr. Barbara Moore, BOARD CERTIFIED OBGYN

Hospital Corporation of America (NYSE: HCA), a leading healthcare provider with 166 hospitals and 113 ambulatory surgery centers in 20 states and the United Kingdom, has been named a World’s Most Ethical Company® by the Ethisphere Institute for the sixth consecutive year. HCA is the parent company of LewisGale Regional Health System, a leading healthcare provider in Southwest Virginia. The health systems includes four hospitals (LewisGale Medical Center, LewisGale Hospital Alleghany, LewisGale Hospital Pulaski, and LewisGale Hospital Montgomery), two regional cancer centers, six outpatients centers and affiliations with both employed and independent providers throughout the region. Ethisphere is the global leader in defining and advancing the standards of ethical business practices. The World’s Most Ethical Companies designation recognizes those organizations that have had a material impact on the way business is conducted by fostering a culture of ethics and transparency at every level of the company. There are 132 organizations on Ethisphere’s 2015 World’s Most Ethical Companies. HCA is one of only three healthcare services organizations honored this year.

New Veterinary Hospital Opens This May in Vinton Sonia Bolen, DVM has begun accepting appointments at Parkway Veterinary Hospital. Dr. Bolen has served Vinton and surrounding communities for over 15 years. Parkway Veterinary Hospital offers comprehensive small animal healthcare.

540.904.7710 • 5104 Bernard Drive • Roanoke, VA 24018 Conveniently located near Tanglewood Mall. For directions visit www.mooreandstockstill.com

OurHealth | The Resource for Healthy Living in Southwest Virginia

The office is located at 2445 East Washington Avenue, Suite 106, Vinton. Contact by phone at 540.890.9000 or visit the website at www.parkwayvets.com

www.OurHealthVirginia.com

NEW

NOTEWORTHY

Dane McBride, MD Asthma and Allergy Center Roanoke and Lynchburg

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

CORRECTION

In the Best Bedside Manner Awards section of the December 2014/January 2015 edition of OurHealth Lynchburg and Southside Virginia, Joseph Hutchison, MD and Timothy Courville, MD were inadvertently listed as the first place and second places winners, respectively, in the Allergy and Immunology category.

In the Best Bedside Manner Awards section of the December 2014/January 2015 edition of OurHealth Southwest Virginia, Frank Purpera, MD was inadvertently listed as the first place winner in the New River Valley Surgery Vascular category.

The first place winner was Dane McBride, MD, an allergist with Asthma and Allergy Center.

Ashish Raju, MD, FACS, RPVI Carilion Clinic | Christiansburg

The first place winner was Ashish Raju, MD, FACS, RPVI, a general and vascular surgeon at Carilion Clinic. Dr. Raju’s testament regarding the importance of good bedside manner is: “Excellent patient care requires making the complex disease understandable and the unknown surgery familiar. Patients need to be treated with respect and patience in their time of illness.” — Ashish Raju, MD, FACS, RPVI

OurHealth | The Resource for Healthy Living in Southwest Virginia

NEW

NOTEWORTHY

Rachael Bryant, NP

Diane Eugenio, MD

Carilion Clinic Home Care Carilion Roanoke Rocky Mount | 540.489.6503 Memorial Hospital www.carilionclinic.org Roanoke | 540.985.8000 www.carilionclinic.org

Jenifer Hoffert, PA-C Gastroenterology LewisGale Physicians 540.772.5970 www.lgphysicians.com

Ernest Moore, DDS

Carilion Clinic Dentistry Roanoke | 540.981.7128 www.carilionclinic.org

Carilion Clinic Orthopaedics Roanoke | 540.981.7000 www.carilionclinic.org

Ashley Houk, NP

Carilion Clinic Family Medicine Galax | 276.236.5181 www.carilionclinic.org

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

Rajeev Gulati, MD Cardiothoracic Surgery LewisGale Physicians 540.776.2020 www.lgphysicians.com

Micah Jones, DO

Orthopedic Surgery LewisGale Physicians 540.772.3530 www.lgphysicians.com

Carla Hart-Tyner, NP Carilion Clinic Pain Management Roanoke | 540.224.5170 www.carilionclinic.org

Jennifer Kim, NP

Carilion Roanoke Memorial Hospital Roanoke | 540.985.8000 www.carilionclinic.org

Parrisa Rupe, PA

Grayson Tolmie, PA

Sherry Tompkins, NP

Barryton Waanbah, MD Tara Wickline, FNP

Carilion Roanoke Memorial Hospital Roanoke | 540.985.8000 www.carilionclinic.org

Carilion Clinic Christiansburg 540.731.1898 www.carilionclinic.org

OurHealth | The Resource for Healthy Living in Southwest Virginia

Carilion Clinic Family Medicine Wytheville | 276.228.8686 www.carilionclinic.org

Carilion Roanoke Memorial Hospital Roanoke | 540.981.7000 www.carilionclinic.org

Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

Carilion Roanoke Memorial Hospital Roanoke | 540.985.8000 www.carilionclinic.org

Chantelle Rowe, NP

Carilion Clinic Family Medicine Hardy | 540.721.2689 www.carilionclinic.org

Ido Heletz, MD

Rachel Meagher, PA

Michael Priest, MD

Carilion Roanoke Memorial Hospital Roanoke | 540.985.8000 www.carilionclinic.org

Beth Gray, NP

NEW PHYSICIANS,

Sergey Shvygin, MD Carilion Roanoke Memorial Hospital Roanoke | 540.985.8000 www.carilionclinic.org

Internal Medicine LewisGale Physicians 540.283.3660 www.lgphysicians.com

Sheri Smith, NP

Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

[ www.ourhealthswva.com ]

Stay Tuned! www.OurHealthVirginia.com

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

What

Causes

Allergies? The substances that cause allergic disease in people are known as allergens. “Antigens,” or protein particles like pollen, food or dander enter our bodies through a variety of ways. If the antigen causes an allergic reaction, that particle is considered an “allergen” – an antigen that triggers an allergic reaction. These allergens can get into our body in several ways: Inhaled into the nose and the lungs. Airborne pollens of certain trees, grasses and weeds; house dust that include dust mite particles, mold spores, cat and dog dander and latex dust. Ingested by mouth. Frequent culprits include shrimp, peanuts and other nuts. Injected. Such as medications delivered by needle like penicillin or other injectable drugs, and venom from insect stings and bites. Absorbed through the skin. Plants such as poison ivy, sumac and oak and latex are examples. For more information on allergies, visit the Asthma and Allergy Foundation of America at www.aafa.org

Celebrate

NATIONAL STRESS AWARENESS DAY

April 16, 2015

Taking a breath every once in a while is the best thing you can do for your overall health, and April 16, is a special day set aside for Americans to be aware of just how stressed they may have become! Here are some tips:

• Exercise. Chemicals called endorphins are released during exercise that lend a feeling of relaxation and wellbeing.

• Meditate • Get enough rest • Pet your dog—or any other pet.

Unconditional love pets exhibit help to naturally lower blood pressure Be aware of the people or events that habitually cause stress in your daily life. Just knowing the usual triggers may go a long way in helping to avoid them.

*****

FASCINATING

FACT

When you exercise hard, your body BURNS UP ENERGY

TIMES AS FAST as normal!

OurHealth | The Resource for Healthy Living in Southwest Virginia

May is...

STROKE

NATIONAL AWARENESS MONTH

Local runners continue to craft one of

the most challenging and best marathons on the east coast.

National Stroke Awareness Month is an annual event held within the United States. The aim of National Stroke Awareness Month is to make Americans aware that they may be able to ‘Save A Life’ of a person experiencing a stroke.

What began in 2010 with 6,140 feet of elevation change has grown each year with this year’s total being 7,430 feet of total elevation change, thus allowing you the claim to fame of completing America’s Toughest Road Marathon.

According to the National Stroke Association, a person experiencing a stroke can be treated if people have acted FAST - 80 percent of strokes can also be prevented.

For those not quite up to the challenge, there are also half-marathon and Anthem Star 10K route options!

FAST is an acronym for things to check in a suspected stroke victim:

Full & Half Marathon and Star 10K Date: Saturday, April 18, 2015 Time: 7:35 AM Location: Elmwood Park/ Jefferson Street (Downtown Roanoke)

F-Face: Does the face droop on one side when the person smiles? A-Arm: After raising both arms, does one of the arms drift downwards? S-Speech: After repeating a simple phrase, does the persons speech sound slurred or strange? T-Time: If any or all of the above are observed call 9-1-1 immediately, and ask for medical assistance.

For more information, visit the National Stroke Association website at www.stroke.org.

DID YOU KNOW?

Race beneficiaries include the following: Friends of the Blue Ridge Parkway, Roanoke Outside, and Rotary Club

Walk in March for Babies and give hope to nearly half a million babies born too soon each year. The money raised supports programs in the community that help moms have healthy, fullterm pregnancies. And it funds research to find answers to the problems that threaten babies.

March for Babies Blue Ridge Area 2015 A baby’s brain is one of the fastest growing parts of its body!

Date: Saturday, May 9, 2015 Time: 9:00am Location: Salem Civic Center, 1001 Boulevard, Salem, Va 24153 For more information, call 540.989.8030 or email VA474@marchofdimes.org www.OurHealthVirginia.com

The Anatomy Challenge is proudly sponsored by

the

Anatomy

CHALLENGE

Hereâ&#x20AC;&#x2122;s your chance to see how much you know about your Sinuses! First, fill in the word search puzzle below. Next, match up the correct word with the part of the body in the illustration.

[ the Sinus Cavity ]

WORD SEARCH frontal sinus

adenoid

superior turbinate

nasal vestibule

middle turbinate

nasal cavity

inferior turbinate

eustachian tube orifice

sphenoid sinus

fossa of rosenmuller

nosopharynx

_______________________ _______________________

_______________________

_______________________ _______________________

_______________________

_______________________ _______________________ For answers, visit OurHealth Southwest Virginiaâ&#x20AC;&#x2122;s

Facebook page at

Proudly Serving Southwest Virginia Asthma and Allergy Center of Roanoke: 1505 Franklin Road, SW ~ 540.343.7331 Asthma and Allergy Center of Salem: 3529 Keagy Road ~ 540.343.7331 www.OurHealthVirginia.com

the importance of recognizing

common words | EDWIN SCHWARTZ original artwork |JOE PALATOS

As spring approaches, allergies become a popular topic of conversation. People who think they may be experiencing them raise many issues. These often include: the effects of common allergens, prevalent allergy myths and the importance of allergy diagnosis. For some insight, Our Health turned to the experts at The Asthma & Allergy Center in Roanoke and Allergy and Asthma Associates of Southwest Virginia in Christiansburg. •••••

The effects of common allergens Many people may be affected by allergens and not realize it. “House dust mites, so small you can fit 50 of them on the period at the end of this sentence, live by the tens of millions in mattresses and pillows,” explains Dane McBride, MD, a pediatric and adult allergy and asthma specialist with The Asthma & Allergy Center. These mites do not bite but can cause children to have constant colds and frequent ear infections. These infections can lead to fluid development behind the eardrum that can reduce hearing by 15 percent. This kind of impairment may cause young children to suffer in language and social development.

Reprints To order reprints of the original artwork featured on this issue’s cover, contact Deidre Wilkes at

“Adults may just feel constantly tired or sniffling all the time, and have gotten used to sneezing often,” says Dr. McBride. “When all along, it was due to an allergy caused by millions of bed companions, the house dust mites.” Mold can also be considered an invisible allergen in homes. It can be found in damp basements, under sinks, in crawlspaces and in the backs of closets with water damage.

540.387.6482 or via email at deidre@ourhealthvirginia.com. To view additional work by our artist, Joe Palotas, visit www.salemartcenter.com www.OurHealthVirginia.com

Why allergies should not be taken lightly The importance of proper allergy treatment is really a quality of life issue. Allergy sufferers may find they are less productive when their allergies are not controlled. “Untreated allergies can lead to unnecessary suffering,” says Dr. Kwak. “And in some cases, can lead to more serious health conditions such as asthma and recurrent respiratory infections.” “Neglected asthma can deteriorate to COPD, not to mention asthma fatalities which continue to occur needlessly,” says Dr. McBride. “Allergies untreated in early childhood greatly increase the likelihood of developing asthma in later childhood or early adulthood.” According to Kristina Kwak, MD, who is board certified in allergy, asthma and immunology with Allergy and Asthma Associates of Southwest Virginia, mold can cause nasal symptoms of congestion and runny nose as well as sneezing and respiratory tract symptoms like coughing, wheezing and shortness of breath.

Can everyday allergens be life-threatening? Most people know some allergens can be dangerous, especially for those allergic to bee stings or specific foods such as peanuts. But everyday allergens such as pollen and dust, despite their daily annoyance, are rarely life-threatening. “The common inhalant allergies mostly just make you feel bad, like having a cold and feeling exhausted,” says Dr. McBride. “But for those who are severely allergic to plant pollen, they can be debilitated in the height of the spring or fall pollen seasons. May is the worst month in this part of the country.” It is important to note if you have allergic asthma, intense exposure to everyday inhalant allergies can cause a severe, or life-threatening, asthma attack and should be treated promptly and aggressively.

How untreated allergies can change your body According to Dr. Kwak, uncontrolled allergic asthma may alter airways that result in irreversible lung damage. Also, untreated nasal allergies may lead 32

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to nasal swelling with loss of sense of smell and taste that is not always recoverable. Allergic reactions in the respiratory membranes cause inflammation and excess mucous production. If left untreated, chronic inflammation can result which can produce an irreversible thickening of these lining membranes. “This is particularly problematic in the sinuses and in the bronchial tubes of the lungs,” says Dr. McBride. “Even in a non-smoker, chronic bronchitis and chronic obstructive pulmonary disease (COPD) can develop.”

Antibiotics and the importance of allergy testing A less direct way allergies may cause bodily change pertains to the use of antibiotics to treat allergy-like symptoms. In these cases it is important for patients to be tested for allergies for two reasons: to get proper treatment and to avoid developing immunity to antibiotics.

Dane McBride, MD of Asthma and Allergy Center in Roanoke is certified by the American Board of Allergy and Immunology, and by the American Board of Pediatrics.

Proper treatment includes strategies to avoid or control exposure to the allergen, and a specific plan to treat a patient’s symptoms while limiting the amount of medication. In cases where allergies contribute to ear or sinus infections, antibiotics may be required. But the use of antibiotics could be decreased or avoided if the underlying allergies are properly controlled. Overuse of these medicines can result in the development of bacteria that are no longer responsive to antibiotics. “Treating the root cause of recurrent infections is clearly preferable to simply treating repeatedly with antibiotics,” says Dr. McBride.

Transitioning from OTC medications to allergy treatment Due to high deductible health plans, there is a growing temptation to relieve allergy symptoms with over-the-counter (OTC) medications. This raises the question of when patients should shift from addressing their symptoms to actual disease management.

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Dr. McBride outlines the ways of treating allergies in three parts: allergen avoidance measures, taking medications that blunt their effects and allergy immunotherapy (usually shots, but some tablets or drops under the tongue are available for particular allergens). All three treatments are useful, but only immunotherapy makes the patient less allergic. There are some very good medications such as non-sedating antihistamines and intranasal steroids. These were prescription drugs but are now available OTC. “It is reasonable to try these first,” says Dr. McBride. “But when they are not satisfactorily controlling the symptoms, additional help should be sought from an allergy specialist.” Specialized testing can identify specific allergens to be largely avoided. And it can also eliminate continuing medication for long-term symptoms. Allergy specialists can identify a person’s specific sensitivities and advise a customized combination of the three approaches.

Common myths about allergies There are many popular misnomers about allergies. A popular one is that eating honey can reduce pollen allergies. “This has been studied very carefully and proven to be false,” explains Dr. McBride. This also means swallowing pollen capsules collected from honeybees will not cure pollen allergies. The explanation is simple. People develop allergies to wind-borne allergies. This is not the pollen bees collect. Bees collect their pollen from flowers, because this type of pollen does not fly through the air. A second myth is that children will generally outgrow their allergies. Although some will lose their sensitivity over time, most do not. At The Asthma & Allergy Center, 70 percent of the patients are adults who have had allergies most of their lives and did not outgrow them. 34

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Another myth is if you are allergic to something, you can build up immunity by deliberately exposing yourself to massive amounts of it. Even though this is the concept behind immunotherapy, or allergy shots, it is dangerous to do this on your own. “A related example of this is deliberately eating poison oak as a strategy for losing one’s sensitivity to it,” says Dr. McBride. “This has almost universally dreadful results.” Then there is the myth about hypoallergenic dogs, those that cause fewer allergic reactions. There is no such thing as a truly hypoallergenic dog. The allergy protein that triggers the response is found in all breeds. Despite some breeds shedding less and producing less dander, the allergen still exists in amounts enough to cause symptoms. “Breeds that are advertised as hypoallergenic may be better tolerated by those with minor dog allergies,” says Dr. Kwak. “But individuals who are highly sensitive to dog dander can have severe allergy and asthma symptoms with exposure to supposedly hypoallergenic dogs.” Many people think moving to Arizona will improve their allergies. This is not necessarily true. Even though different areas have varying pollen concentrations and season lengths, Dr. Kwak believes you cannot move away from your allergies. Pollens like ragweed exist in all states during the fall. Some indoor allergens like dust mites, animal dander and mold can be found anywhere. Also, the longer you live in a new area, the more likely you may develop allergies to regional pollens. Lastly, there is the myth about being allergic to cigarette smoke, perfume or strong odors. Allergy tests do not exist for these things, as they are non-allergic triggers. This means they can irritate nasal passages and cause symptoms similar to allergens like pollen, dust and animal dander.

Kristina Kwak, MD of Allergy and Asthma Associates of Southwest Virginia in Christiansburg is certified by the American Board of Allergy and Immunology and by the American Board of Pediatrics.

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Why allergies should not be taken lightly The importance of proper allergy treatment is really a quality of life issue. “Neglected asthma can deteriorate to chronic obstructive pulmonary disease (COPD), not to mention asthma fatalities which continue to occur needlessly,” says Dr. McBride. “Allergies untreated in early childhood greatly increase the likelihood of developing asthma in later childhood or early adulthood.”

Getting results in everyday lives Dr. McBride sees a dramatic difference in patients’ quality of life almost every day. Such rewards of the specialty include: seeing a young person formerly sidelined for severe asthma now able to participate fully in sports; helping an American Electric Power (AEP) lineman keep his job and feel comfortable working outside; and fully controlling a great-grandmother’s terrible itching condition that caused scaling of the skin from head to toe. Likewise, Dr. Kwak believes modifying patients’ allergic response and reducing their symptoms and medications is the most gratifying part of her job. Dr. Kwak concludes, “For some patients, controlling their allergies has led to: improvement in asthma (especially in children), less frequent sinus infections, fewer days of school or work missed, being able to do things they enjoy like golfing and camping or simply going to a picnic without feeling miserable.”

ON THE WEB

More at ourhealthswva.com (new website debuts mid-2015)

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Healthy Eats Fruits and vegetables have a prime time when they are at their seasonal best. Some are great for over half of the year; others only hit their peak for a month. Either way, peak season means extra flavor, extra crunch, extra juiciness—all super-fresh and great value. Shopping seasonally not only helps your budget, but offers a great way to add variety to your diet.

Local farmers markets and CSAs bring you farm ripened, fresh picked produce. (CSA: Community Supported Agriculture. CSA allows city residents to have direct access to high quality, fresh produce grown locally by regional farmers. When you become a member of a CSA, you're purchasing a “share” of vegetables from a regional farmer.)

Easy Roasted Asparagus Serves 4

Ingredients:

4. Mix olive oil and garlic together and drizzle over the spears.

2 pounds asparagus

5. Roll the asparagus back and forth until they are all covered.

1 tablespoon olive oil 1 teaspoon garlic 1 teaspoon grated lemon peel 1 teaspoon parsley

3. Lay the asparagus spears out in a single layer in a baking dish or a foilcovered roasting pan.

6. Place in oven for 8-10 minutes until lightly brown and tender. 7. Sprinkle evenly with lemon zest, parsley and salt and pepper.

Salt and pepper to taste

Directions: 1. Preheat oven to 400°F. 2. Rinse clean the asparagus and break off the ends.

OurHealth Staff Favorite

ROASTED ASPARAGUS for more recipes follow us on Pinterest or visit our website at ourhealthswva.com

Healthy Eats Black Bean Salad Serves 6

Ingredients: 6 cups canned black beans, drained and rinsed ½ cup minced red pepper ½ cup minced red onion 4 tablespoons minced cilantro 2 cups roasted corn 2 tablespoons scallion 2 tablespoons cilantro

Ingredients for Dressing: 1 tablespoon cumin 1 teaspoon coriander 1 teaspoon garlic 1 tablespoon lime zest ½ cup olive oil 3 tablespoons lime juice

Salt and pepper to taste

Directions: 1. Mix salad ingredients in a medium bowl and toss. 2. In a separate bowl, combine dressing ingredients and pour over salad. 3. Toss again. 4. Chill for 1 hour before serving. Salad can also be served at room temperature.

OurHealth Staff Favorite

BLACK BEAN SALAD for more recipes follow us on Pinterest or visit our website at ourhealthswva.com

The Resource for Healthy Living in Southwest Virginia

Local health. Anywhere you go. OurHealth magazine is Southwest Virginiaâ&#x20AC;&#x2122;s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 500 locations throughout Southwest Virginia or get the digital edition by visiting www.ourhealthswva.com.

Healthy Eats Gluten Free Fudge Brownies

Directions

Ingredients

3. Melt butter & chocolate over double boiler, blending gently. Allow to cool slightly.

2. Spray 9 x 9 pan with nonstick spray.

½ cup chocolate chips, unsweetened 6 ounces butter

4. Combine eggs, sugar & vanilla in a mixing bowl.

3 whole eggs 1 cup + 2 tablespoons turbinado sugar 1 teaspoon vanilla extract 1

tablespoon baking soda

¼ cup gluten free flour ½ cup walnuts (optional)

6. Blend 1/3 of the egg mixture into the chocolate-butter mixture.

1. Preheat oven to 375ºF.

5. Beat using wire whisk until thick and light in color. Scrape down sides of bowl as needed.

7. Blend chocolate mixture into egg mixture, scraping down sides of bowl as needed. 8. Add flour, baking soda, and nuts blending gently. 9. Batter will be wet. 10. Pour into prepared pan. 11. Bake for about 45 – 50 minutes, or until crust forms but product is still moist in center. 12. Allow to cool completely before cutting and unmolding.

OurHealth Staff Favorite

FUDGE BROWNIES for more recipes follow us on Pinterest or visit our website at ourhealthswva.com

FITBITS

H EA LT H A ND F I T NES S O N Deidre Wilkes, AFAA, ACSM, Certified Personal Trainer

THE GO

Spring into Action!

Deidre is a certified personal trainer with more than 15 years experience in the health and fitness industry. She is the resident fitness specialist for OurHealth Southwest Virginia and a trainer and instructor at the Salem YMCA

This workout is based on a 7-day plan, including at least one rest day. Repeat for 4-6 weeks, and be ready to sport your warm weather wear just in time for summer! *Consult with your physician/provider before beginning any new fitness program.

Make sure you are properly warmed up before you begin this workout! Your warm-up should consist of 5-7 minutes of low-impact movement, such as marching in place or walking.

Day 1:

Strength Training Program Perform each exercise per diagram at right for one min with a 15-second transition between each step. (Completing steps 1-10 is one set). Rest two minutes between each set. Complete 2-3 sets.

Day 2:

Take a cycle class or spend 45 minutes on an elliptical machine

Day 3:

Upright Row with Tubing

15 second rest

Hamstring Curl on Ball 15 second rest

Squats

15 second rest

Overhead Press with Weights

REST DAY!

Day 4:

Strength Training Program (repeat day 1)

Day 5:

Take a mind/body class, such as yoga, pilates or barre.

Day 6:

Engage in 45-minutes of outdoor cardio, such as walking/jogging/ biking (weather-permitting). Take advantage of nice weather days! (In case of inclement weather, take it ‘indoors’ using the treadmill, bike or elliptical machine.)

Day 7:

Take a group fitness class, do an ‘at-home’ workout such as the one featured in the February/ March 2015 issue of OurHealth Southwest Virginia (scan this QR code to view the February/ March digital version of Fit Bits located on page 48) or, if needed Day 7 can be used as another ‘rest’ day!

10.

15 second rest

DAY 1 Strength Training

Plank

15 second rest

Reverse Fly with Weights 15 second rest

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Alternating Lunges

6. 8.

Triceps Kickbacks with Weights

Bicep Curls with Weights 15 second rest

Push-Ups 15 second rest

15 second rest

Hand weights and resistance bands courtesy of Sun Medical in Salem. Sun Medical now carries residential and commercial fitness equipment, visit www.sunmedical.com for details.

Breaking the Silence

Aneurysm words | SUSAN DUBUQUE

This series explores diseases that can be devastating to the individuals and families they affect—yet no one is talking about them. That is, until now. In each edition of OurHealth, we bring these medical issues into the light—and dedicate these stories to the courageous patients and families living with them and the providers and researchers who commit their lives to treating and seeking cures for these enigmatic conditions.

January 14. It was a typical Wednesday—with the sun creeping up over the mountain on a cold, crisp morning in Davy, West Virginia. The alarm went off at 7:15 and James McNew rolled out of bed to greet the day. He put the coffee on and jumped in the shower. And in a matter of minutes, his life was turned upside down and he was changed forever. “I heard a crash coming from the bathroom and ran to see what happened,” recalls James’ wife, Tammy McNew. James had collapsed in the tub. “One look and I knew what was wrong—he had an aneurysm or a stroke.” Fortunately, Tammy had been exposed to first aid treatment through her work in a doctor’s office. She checked for a pulse, cleared his airway and called 9-1-1. “The operator stayed on the phone with me until the first responders arrived about 10 minutes later. She kept me calm and sane.”

James was taken to Welch Community Hospital in Charleston, WV, where Tammy’s suspicion of an aneurysm was confirmed. The medical team stabilized James and transferred him to Carilion Clinic in Roanoke, VA. “It all happened so quickly,” says James. “I came to for a minute in the tub and the next thing I remember is waking up in Roanoke and the doctor telling me that I had an aneurysm that was leaking.” Emergency surgery was needed to save James’ life and prevent severe disability. “Dr. Patel repaired my aneurysm with a coil that same day.” Within two weeks, James made a remarkable recovery. “The physical therapist did an evaluation and told me that PT was the last thing I needed,” says James. “And before my aneurysm, I had a stutter—now my speech is clear.”

Fortunately, Tammy knew the signs and didn’t hesitate to seek medical help. (Pictured above, James and Tammy McNew.)

Perhaps the most interesting aspect of James’ story began more than 20 years ago. “In 1994, my father died of an aneurysm. He was 42. I’m now 45 and have already outlived my dad by three years,” remarks James. “The funny thing is, about two weeks before my attack, I started thinking about aneurysms. I wanted to know what the symptoms were—to see if I was at risk. I Googled it. I didn’t have any headaches or vision problem so I figured I was fine. And I just put it out of my mind.” Who could have imagined that James’ premonition would come to fruition? Today, James is well on his way to a full recovery. As a construction worker, he is physically active, which no doubt aided in his speedy return to health. And in one way, he is likely to be healthier than before. “I have been a smoker since I was 16,” admits James, “but now I am a non-smoker. I have too much to live for. Tammy and I have been together for 25 years and of course there’s my daughter, Gabriella. Now I will get to see her graduate from high school, go to her prom and one day, get married.”

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James and Tammy are immensely grateful to the EMS squad and all the medical professionals who cared for James. “Everyone was wonderful to us,” says Tammy. “Especially Dr. Patel—he explained everything and it was clear that he really cared.” But most of all, they credit James’ miraculous recovery to the grace of God. “There were so many people praying for me,” reflects James. “Not only family and friends, but even people we don’t know. I truly do feel like it was a miracle.”

It’s time to learn more about brain aneurysms—the nature of the condition, various causes, risk factors, treatment options and what the future holds.

Understanding Aneurysms

Barij Patel, MD specializes in interventional radiology at Carilion Clinic Interventional Radiology Clinic in Roanoke.

A brain aneurysm—also called a cerebral aneurysm or intracranial aneurysm (IA)—is a weak, bulging spot on the wall of an artery that supplies blood to the brain. “Envision, if you will, a balloon with a thin spot,” describes Jessica Danison, DO, neurologist for LewisGale Regional Health System. “Over time, blood flowing through the artery can cause the weakened wall to bulge and swell outward. Occasionally, pressure may cause the aneurysm to rupture and release blood into the skull around the brain.” This is referred to as a subarachnoid hemorrhage or more commonly a hemorrhagic stroke.

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Most brain aneurysms are small—from one-eighth inch to less than one inch. Aneurysms larger than one inch are called “giant” aneurysms and can pose a particularly high risk. “Brain aneurysms are most prevalent in adults age 35 to 65,” observes Dr. Danison, “although they can occur at any age.” Aneurysms may be caused by high blood pressure, congenital (present at birth) abnormalities in the artery, infection, trauma or injury to the brain, a tumor or plaque buildup on the artery walls. A number of factors increase your chance of developing a brain aneurysm, including: »» Age over 40 »» Gender; women are more likely to have an aneurysm than men »» Family history of brain aneurysm »» Smoking »» High blood pressure »» Drug use, particularly cocaine and amphetamines »» Certain medical conditions like Marfan syndrome, polycystic kidney disease and fibromuscular dysplasia Brain aneurysms are not as rare as you may think. In fact, six million people in the United States have unruptured brain aneurysms—that’s one in 50 people. “Many aneurysms are silent and do not cause symptoms,” says Dr. Danison. “They are often discovered when a patient has a test to evaluate an unrelated condition such as a head injury.” There are instances, however, when an unruptured aneurysm is pressing on an area of the brain that does cause problems, such as headaches, pain above and behind the eye, blurred vision, numbness and changes in speech. Every year about 30,000 people in this country suffer a brain aneurysm rupture. The symptoms of a ruptured aneurysm may come on suddenly and include: »» Severe headache, often described as the worst headache of your life »» Stiff neck »» Nausea and vomiting »» Sensitivity to light, fainting or loss of consciousness »» Blurred or double vision »» Pain above or behind the eye »» Seizures »» Weakness or numbness »» Trouble walking or dizziness »» Change in mental status or awareness

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A ruptured aneurysm is a life-threatening condition. If you experience some or all of these symptoms, or you observe them in someone else, don’t wait. Call 9-1-1 immediately. When an aneurysm leaks or ruptures it can result in a number of serious complications. Blood can enter the space around the brain called the subarachnoid space. As the blood clots it can irritate, damage or destroy nearby brain cells. A ruptured aneurysm can also cause a buildup of pressure on the brain, called hydrocephalus. A “shunt” may be placed in the ventricles to drain off the blood and reduce the pressure. A third complication of a ruptured aneurysm is called vasospasm. Here, the blood vessels constrict and narrow, reducing the blood flow to the brain. Certain medications and the use of balloons to open the vessels may be used to treat vasospasm. Ruptured aneurysms are fatal in about 40 percent of cases, and patients who survive are likely to have serious neurological disabilities.

“I have too much to live for. Tammy and I have been together for 25 years and of course there’s my daughter, Gabriella. Now I will get to see her graduate from high school, go to her prom and one day, get married.” — James McNew

How is an Aneurysm Diagnosed and Treated? Aneurysms are diagnosed using a variety of imaging techniques—CT scan (computed tomography), MRI (magnetic resonance imaging) or angiogram. In some cases a contrast dye is injected into a vein to enhance the image. Millions of people are walking around with brain aneurysms and don’t even know it. “We suspect that the number of brain aneurysms has not increased,” says Dr. Danison, “but they are being diagnosed with greater frequency due to the increased use of these imaging studies.” If an unruptured aneurysm is detected, a number of things will determine whether it should be treated or if watchful waiting is the best course of action. “We consider the size, shape and location of the aneurysm and the patient’s age, general health and family history,” says Biraj M. Patel, MD, neurointerventional radiologist at Carilion Clinic. “Then we will weigh the risk of the aneurysm’s rupturing against the risk of treatment. Of course, the patient and family are actively involved in the decision-making process.” Dr. Patel explains that there are two general types of

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“The most important things you can do to reduce your risk,” says Dr. Danison, “are don’t smoke, manage your blood pressure, ask your doctor about being screened if you have two or more family members with a brain aneurysm and know the warning signs and symptoms of aneurysm.”

Jessica Danison, DO, with LewisGale Physicians in Salem, specializes in neurology.

treatment that are used to treat aneurysms—clipping and coiling. These same procedures are used to treat both ruptured and unruptured aneurysms. Clipping is an effective and well-researched surgical treatment for aneurysm that has been used since the 1930s. The patient is put under general anesthesia and the neurosurgeon makes an incision in the scalp and a small opening in the skull. Working under a microscope, the surgeon approaches the aneurysm in the space between the brain and the skull, not through brain tissue. The neck of the aneurysm is then sealed off with a tiny titanium clip that prevents blood from entering the aneurysm. As a result, the aneurysm cannot grow and future bleeding or rupture is avoided. The skull bone is replaced and held in place with a tiny metal plate and screws and the incision is closed. “Coiling—or endovascular embolization—is a newer procedure that became available in the 1990s,” adds Dr. Patel. Endovascular means “within the blood vessel”—and that is just how the brain is accessed—through an artery. A neurointerventionalist performs this procedure by accessing the artery—most commonly the femoral artery located in the upper thigh. A catheter (hollow plastic tube) is placed in the artery and carefully guided through the blood system to the brain. The physician uses continual x-ray visualization throughout the process. Once the aneurysm is located and evaluated, tiny platinum coils are placed inside the aneurysm, reducing or blocking the flow of blood. The blood then clots around the coils, essentially sealing off the aneurysm and preventing it from progressing or bleeding. In some instances the opening of the aneurysm may be wide. Here, a balloon or stent (small mesh tube) may be used to assist in the coiling procedure. If the balloon is used, it is deflated and removed once the coils are in place. If a stent is used, it is permanently placed inside the artery where it serves as scaffolding to hold the coils in place in the neck of the aneurysm. “There are advantages and disadvantages of both coiling and clipping,” remarks Dr. Patel. When a patient presents with an aneurysm at Carilion Clinic, a multidisciplinary team—including both neurosurgery and neurointerventional radiology—decides which approach is best for the individual. In the outpatient setting, the patient is evaluated by Dr. Patel and Gary Simonds, MD, neurosurgeon in Carilion’s multidisciplinary cerebrovascular clinic. “While coiling is a less invasive procedure, clipping may be more durable. That’s why it

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is important to consider the whole medical picture when helping a patient to make an informed decision about the best option to treat his or her aneurysm.” “For some patients with unruptured aneurysms—particularly those who are elderly, medically fragile or whose aneurysms are small (less than three millimeters or about an eighth of an inch)—a very conservative ‘wait and watch’ approach may be recommended,” comments Dr. Patel. In these cases, the patient is advised to keep his or her blood pressure under excellent control and avoid smoking and heavy alcohol intake to reduce the risk of the aneurysm’s progressing and rupturing. Repeated brain imaging will be used to monitor the situation and determine if more aggressive treatment is warranted. In addition to the physical assault of a brain aneurysm, the emotional impact can be just as devastating. “Individuals can be immobilized by the fear of living with an unruptured aneurysm,” notes Dr. Danison, “and patients who have had an aneurysm rupture may experience depression and various neuro-cognitive symptoms. Family members and caregivers also need support in coping with the lifestyle changes and emotional turmoil that can result from an aneurysm.”

What does the future hold? The newest innovation for treating aneurysms is called flow diversion. “The Food and Drug Administration (FDA) has approved one such device— called Pipeline®—with two more presently in clinical trials,” reports Dr. Patel. A flow-diverting device is placed inside the artery across the opening of the aneurysm. It “diverts” the blood flow away from the aneurysm and in a short period of time the aneurysm clots off. “Flow diverters have revolutionized treatment of most large or giant aneurysms which otherwise previously required complex open surgical procedures to treat.” Yet another device that has shown promise in Europe utilizes a mesh cage—a flow diverter—that is placed 56

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inside the aneurysm sac. “Research and innovations in technology continue to pursue new, safer ways to treat aneurysms. Aneurysms are a major health issue in the United States—and pose a serious threat to millions of people. While we can’t control our genetic makeup and any possible predisposition to aneurysms, there are steps we can take to protect ourselves. “The most important things you can do to reduce your risk,” says Dr. Danison, “are don’t smoke, manage your blood pressure, ask your doctor about being screened if you have two or more family members with a brain aneurysm and know the warning signs and symptoms of aneurysm.” Fortunately, Tammy knew the signs and didn’t hesitate to seek medical help. And with expert intervention and unwavering faith, James now can look forward to many years of vibrant health, enjoying his family and watching his daughter grow.

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Medical Experts: »» Jessica Danison, DO, neurologist, LewisGale Regional Health System »» Biraj M. Patel, MD, neurointerventional radiologist, Carilion Clinic

Source for Article: »» Brain Aneurysm Foundation – www.bafound.org

Find and Follow

OurHealth Southwest Virginia

Resource for Patients and Families: »» Brain Injury Services of Southwest Virginia 540.344.1200 | 1.866.720.1008 www.bisswva.org »» Main office in Roanoke »» Satellite locations in Abingdon, Blacksburg, Wytheville and Clintwood »» Offers case management and coordination of community services for individuals who have suffered a brain injury (trauma, stroke, aneurysm, etc.) and their families. »» The goal of BISSWVA is to: Make a positive, measurable difference in survivors’ abilities to fulfill their service potential and optimize their reintegration into their families and communities.

ON THE WEB

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GIVINGBACK

Virginia Prosthetics & Orthotics

TO THE COMMUNITY Presented by OurHealth Magazine

Partnering With a Passion

Virginia Prosthetics & Orthotics Inc. is a long-time supporter of and partner with Solid Rock International. This non-profit organization works to improve the lives of the Dominican Republic’s poorest residents, in part through their medical clinic in San Juan de la Maguana, Dominican Republic. Virginia Prosthetics’ President J. Douglas Call and another company practitioner travel to the clinic annually as part of the company’s international medical mission. While there, they measure, fit and provide amputees with free prostheses, enabling them to regain their mobility and livelihood. They also provide clinic patients with free orthotic devices.

Shared Support

Angel Mission Haiti is a non-profit organization that coordinates medical care for children in Haiti who have life-threatening conditions that can’t be treated there. Working closely with the organization, Virginia Prosthetics & Orthotics Inc. has helped treat numerous children over the years at no charge, providing them with orthotic and prosthetic devices and follow-up care that they otherwise wouldn’t have access to, all as part of their medical treatment while they are in the U.S. For more information on the differences Virginia Prosthetics is making in our community, visit www.virginiaprosthetics.com.

Member One Federal Credit Union

GIVINGBACK TO THE COMMUNITY Presented by OurHealth Magazine

Shared Support

Member One FCU invests in our community by supporting nonprofit organizations that align with these main areas of focus: youth, arts and culture, education and sustainability efforts. The recipient organizations are vital in developing and strengthening our community, therefore, it’s important for Member One to give back to those that help make it a better place to live. In September 2014, Member One received the Perry F. Kendig Award in the category of Business Arts Supporter. The award recognizes individuals and businesses that showcase an outstanding commitment to the support of excellence in the arts. It marks just the third time a financial institution has been selected since the award began in 1985. Recipients of the award are judged based on three core dimensions: leadership contributions, patronage or financial support, and the overall body of work and involvement in the local arts community. Member One was honored to win an award, showcasing its commitment to the development of our community. “We are extremely honored and humbled to win this award. We strongly believe in supporting our local arts and cultural programs. These organizations add significant value to our community and add to the overall quality of life in the valley,” says Frank Carter, President and CEO of Member One FCU.

Partnering With A Passion

Each year, Member One FCU gives back to our community through volunteer work and sponsorship funding to charities and non-profit organizations within the region. An organization Member One is especially passionate about is the Children’s Miracle Network (CMN). The local CMN affiliate raises funds for the Neonatal Intensive Care Unit (NICU) and Pediatric Units at Carilion Clinic Children’s Hospital located in Roanoke, and serves western Virginia.

“We are all so grateful to Member One for making the renovation of the teen room possible. It will serve as a place for teens who are in the hospital to have a place to get away, enjoy some privacy and peace, and return a little bit of fun and normalcy to their lives,” says Paige Kauffman, Events Coordinator at Children’s Miracle Network.

Reaching Out

At Member One, giving back is one of its main priorities; especially giving back to the communities in which it operates. Member One employees take pride in volunteering in their community and the credit union offers all employees eight paid volunteer hours per year. Kim Braswell, Member One’s chief administration officer, says, “Our employees share a passion for community service. We feel that giving them time to do something good in the community without having to ‘dip’ into their personal time is a win for the community, a win for the employee, and a win for Member One. It shows our employees that we, too, appreciate what they do for not only us, but also the communities we serve.” Justin Davison, member service representative, believes “Paid volunteer hours are a positive aspect that instills a sense of caring and interest. Volunteer hours show that my company supports me and has an interest in organizations I hold close to my heart.” Paid volunteer hours are just one of the ways Member One employees are volunteering and bettering Southwest Virginia.

“We are deeply committed to our community, especially our youth,” says Daniel Bliley, director of marketing at Member One FCU. “CMN is committed to the health and wellbeing of its patients in our community, and Member One is willing to helping in any way possible”. Member One’s most recent support included a generous donation to CMN to renovate the teen room at Carilion Clinic Children’s Hospital. The project began in 2014, with an expected completion in 2015.

For more information on the differences Member One is making in our community, visit www.memberonefcu.com.

OurHealth | The Resource for Healthy Living in Southwest Virginia

GIVINGBACK

Wells Fargo

TO THE COMMUNITY Presented by OurHealth Magazine

Owning Change

Wells Fargo is proud to support organizations working to strengthen our communities. Through the efforts of our enthusiastic team member-volunteers and contributions, we share our success within our communities by giving back to non-profits and educational institutions that address vital community needs and issues. One such organization is the Boys Home of Virginia in Covington. Wells Fargo team members recently had the opportunity to fill wish list items, including sports equipment for recreation. In another effort, Wells Fargo furnished a local daycare with stuffed animals for its children.

Shared Support

Wells Fargo also looks for projects that keep our communities strong, diverse, and vibrant. We direct our giving to areas that we believe are important to the future of our nationâ&#x20AC;&#x2122;s vitality and success: community development, education, and human

services. A recent beneficiary of Wells Fargo grant funds was Community Housing Partners in Christiansburg. CHP provides housing and related services and programs to low-income individuals, families, seniors and people with special needs. Wells Fargo has a proud history of supporting communities. That spirit has been part of our culture since we opened our doors more than 163 years ago, and we will continue to be responsible and active members of our communities because itâ&#x20AC;&#x2122;s part of our vision and values.

For more information on the differences Wells Fargo is making in our community, visit www.wellsfargo.com.

GIVINGBACK

Insight Imaging

TO THE COMMUNITY Presented by OurHealth Magazine

Partnering With a Passion

Just as Insight Imaging focuses on providing excellent patient-centered care, their employees are encouraged to take time to focus on their community. Employees of Insight Imaging in Roanoke took time over the winter volunteering with the local chapter of Habitat for Humanity. Over the course of several weeks, employees enjoyed wall painting, tile floor installation and staining and sealing a back deck. All of this was done in the name of creating a home for a mother and her three children. “It’s a great project, and we were thrilled to be involved with it this year and hope to do it again next year. We’re just really excited to see the family in their home for Christmas,” says Luci MacCormack, account executive at Insight Imaging in Roanoke. Caring for their neighbors and actively participating in community development is just one of the many ways Insight Imaging gets a chance to give back to the community.

For more information on services provided by Insight Imaging, call 540.581.0882 or visit www.mycdi.com/roanoke.

OurHealth | The Resource for Healthy Living in Southwest Virginia

what if we didn’t... words | SUZANNE RAMSEY

Making (a little) sense of a mind-boggling topic May is Healthcare Workers Recognition Month at OurHealth magazine. Each year, we choose a unique angle to highlight the efforts of those who work in the healthcare industry. This year’s theme is, “What if we didn’t have _____ ?” That blank includes not only the obvious, clinical staffers—people with “hands-on” jobs, like physicians, nurses and emergency medical technicians—but also those employees who work more “behind-the-scenes,” people like pharmacists, patient service representatives, medical educators, maintenance staff, housekeepers and others. At OurHealth, we recognize—in May and throughout the calendar year that it takes a team of dedicated, skilled professionals to keep our community healthy, and that each and every member of this team plays an important role in creating healthy outcomes and positive patient experiences. To use a baseball analogy, you’d never say, “We’ll just play without the shortstop.” A team needs its shortstop, its pitcher, its fielders, its catcher, just like a medical facility or hospital needs all of the folks on its roster. Because winning, in baseball and healthcare, is about more than just covering the bases.

To you—all of you—we say, “Thanks.”

Students discuss treatment possibilities during a clinical lab at Jefferson College of Health Sciences.

What if we didn’t have medical education teachers and professors? Paul Lenkowski, MD examines a patient at Jefferson Surgical Clinic.

What if we didn’t have doctors?

Within a care team, we look to the doctor to understand the why of the disease process and to develop the care plan. The physician’s thorough knowledge and understanding of the human body—how it works and how it doesn’t—are at the heart of the entire patient experience. Without doctors, the care of patients would be based more on conjecture than on fact.

Karen Tuttle Administrator Jefferson Surgical Clinic

Those who educate the next generation of healthcare professionals are an essential part of keeping our families, friends and neighbors healthy. When many people think about healthcare, they think about physicians, nurses, therapists and other front line practitioners. The skills these professionals use to heal the sick and keep the healthy well, however, don’t appear out of thin air. They are cultivated by dedicated faculty who help prepare students for their chosen professions. Without the input of these educators passing on their knowledge and their unique experiences and skills, healthcare would simply not exist. They are the gardeners that nurture students as they grow into tomorrow’s healthcare professionals and inspire better health.

Dr. Nathaniel Bishop President Jefferson College of Health Sciences

“Without doctors, the care of patients would be based more on conjecture than on fact.” — Karen Tuttle, Administrator, Jefferson Surgical Clinic

OurHealth | The Resource for Healthy Living in Southwest Virginia

Healthcare providers at Hermitage in Roanoke go out of their way to make residents feel at home

What if we didn’t have elderly healthcare professionals?

It is the elderly healthcare professional who is able to provide the unique support and security that enhance the quality of life for seniors. Without family nearby, or able to provide the daily services their loved ones need, many elderly would live in a lonely isolated world. These professionals choose to do what they do with compassion by inspiring, comforting, and supporting the elderly with the respect they deserve. To quote Maya Angelou, “I long… to be at home wherever I find myself.” It is these elderly care professionals who try every day to make that happen in the lives of the elderly they serve.

Elaine Lavinder Executive Director Hermitage in Roanoke

www.OurHealthVirginia.com

BEST THE NINTH ANNUAL

BE D S I D E M A N N E R

AWARDS IN

SOUTHWEST VIRGINIA

Vote for your favorite physicians and/or providers in more than 40 medical specialties by visiting

www.ourhealthswva.com

VOTE

M a y 1st ~ J u n e 1 s t 2 0 1 5

Winners announced in the December 2015 edition of OurHealth

“While it takes an interdisciplinary team to administer care to the sick, nursing stands at the center of that team due to the nature of the nurses’ role, which is 24/7.” Providers at Runk & Pratt at Smith Mountain Lake, make a point to make all clients feel warm and welcome.

— Loressa Cole, DNP, MBA, RN, NEA-BC, FACHE

What if we didn’t have elderly healthcare professionals?

The world that our seniors live in on a daily basis would be clouded without the ray of sunshine that our trained care professionals add to their daily routines, not to mention the connectable thread that they add to every element of this stage of our clients’ lives. We feel our care professionals add an element of inclusion to the life of our clients, which is so important and helps our clients feel warm and welcome. Our trained care professionals are encouraged to give of their whole hearts in the journey we take together. We love and appreciate the efforts they put forth. They are the heartbeat of all we do. Nurses review patient charts in a nurse’s station at LewisGale Medical Center.

Vickie Pratt Runk Co-Founder Runk & Pratt Senior Living Communities

“The world that our seniors live in on a daily basis would be clouded without the ray of sunshine that our trained care professionals add to their daily routines, not to mention the connectable thread that they add to every element of this stage of our clients’ lives. ”

What if we didn’t have nurses? If we did not have nurses, we would not have hospitals. The reason patients are hospitalized is to receive aroundthe-clock monitoring provided by a variety of caregivers, especially nurses. Nurses represent the majority of clinical healthcare professionals, and serve in a role of coordination, collaboration, and caregiving. While it takes an interdisciplinary team to administer care to the sick, nursing stands at the center of that team due to the nature of the nurses’ role, which is 24/7.

Loressa Cole, DNP, MBA, RN, NEA-BC, FACHE Chief Nurse Executive LewisGale Regional Health System

— Vickie Pratt Runk www.OurHealthVirginia.com

Nurses provide exceptional care to even the tiniest patients at Carilion Roanoke Memorial Hospital.

What if we didn’t have nurses?

Nurses impact healthcare in every area of medicine. Healthcare is a team sport. Physicians, advance practice providers, nurses, nursing assistants, paramedics, radiology technicians, and many other support personnel are on the team. Imagine playing or watching a soccer game and half the team disappears. It is impossible to continue. Nurses are charged with amazing responsibilities. A primary responsibility is to ensure patient safety. Another is to implement the plan of care from the physician or advanced care provider. Many plans of care include medications, treatments, therapies, psycho-social screening, and healthcare teaching, just to name a few. Without nurses, there might still be medicine, but it would exist without the other members of the team to deliver the care to our patients.

Paul Davenport, RN Vice President and Interim Chief Nursing Officer Carilion Clinic

Carilion Clinic Transfer and Communications Center, located at Carilion Roanoke Memorial Hospital.

What if we didn’t have patient services representatives?

For many patients, navigating the worlds of healthcare and insurance can be confusing. Patient services representatives help make these worlds easier to understand. They ask the questions patients might not think to ask, they ensure the details are taken care of, and they search for solutions when patients need help with referrals or insurance. If we didn’t have patient services representatives, patients would face more paperwork and possibly more worries during times when they should focus on healing.

Steve Arner Chief Operating Officer Carilion Clinic

“If we didn’t have patient services representatives, patients would face more paperwork and possibly more worries during times when they should focus on healing.” — Steve Arner, Chief Operating Officer, Carilion Clinic

OurHealth | The Resource for Healthy Living in Southwest Virginia

www.OurHealthVirginia.com

OurHealth | The Resource for Healthy Living in Southwest Virginia

Behind-the-scenes care providers in LewisGale Medical Center’s Transfer Center.

What if we didn’t have patient services representatives?

Patient service representatives may serve in a primary capacity in some organizations, but the reality is ALL caregivers must represent and advocate for the patient. The current patient care delivery system demands that patients’ needs and perceptions are considered in all care delivered. Consumers of healthcare are more informed, having access to quality outcomes for every healthcare organization. This necessitates every member of the healthcare team, at all levels of the organization, understanding the impact we all have on the patient’s experience.

Michael Abbott, PharmD, MBA, BCPS Chief Operating Officer LewisGale Medical Center

www.OurHealthVirginia.com

Brenda Burns, is part of a meticulous housekeeping team at one of Medical Facilities of America’s Rehabilitation Centers.

What if we didn’t have people who are committed to keeping our healthcare facilities in top shape?

One of the goals of our company is that our employees work to delight and surprise patients, residents, guests, and visitors. In fact, the greatest number of compliments on our monthly customer satisfaction surveys focuses on cleanliness and attractiveness of our healthcare centers. I once had one of our administrators, a former housekeeping director, tell me that the reason his team loved their job so much, is because they know patients feel more comfortable in a fresh and clean environment. When entering one of our centers, there is a purposeful attack on the senses: the smell of freshly brewed coffee, food cooking in the kitchen, and the friendly greeting of the receptionist. As you continue on, you also cannot help but notice the shiny, bright, clean floors, the neat and orderly patient rooms, and the telltale smell of “clean.” This hard work is all done by the bright and cheerful faces of a very important part of our team who understand the magnitude of that first impression. These committed, service-oriented individuals take great pride in making our healthcare centers have a world class look and feel. I am very proud of this staff’s contribution to making the total patient experience a “Legendary One!”

Keith Helmer Chief Operating Officer

First responders with the City of Roanoke Fire and EMS are saving lives daily.

What if we didn’t have emergency medical services professionals?

Imagine your loved one was having a heart attack or you were in a traumatic automobile crash. Imagine if you were giving birth to a baby and couldn’t get to the hospital. What if your child was having an allergic reaction and couldn’t breathe. Scary, right? Now imagine that there is no one there to come to your aid to administer lifesaving care and preserve your quality of life. That’s what it would be like if there were no Emergency Medical Services. Emergency Medical Services impact the quality of life of Virginia’s citizens on a daily basis. Through mitigation and correcting life threatening medical emergencies in the field while providing quick and rapid transport to the hospital, EMS is changing and saving lives every day. Our goal is to reduce death and disability to our citizens and to make sure they get the best care possible in a prehospital setting.

Medical Facilities of America *MFA is the parent company of over 30 locations of health and rehabilitation centers across the state.

ON THE WEB

More at ourhealthswva.com (new website debuts mid-2015)

OurHealth | The Resource for Healthy Living in Southwest Virginia

David Hoback Fire Chief City of Roanoke

www.OurHealthVirginia.com

Yay, RACE DAY!

Race 13.1 Roanoke, VA made its ‘snowy’ debut in 2015. As the pictures show, the weather didn’t stop the 300+ runners who took to the course starting in downtown Roanoke along the river at Rivers Edge North. The course featured snow-covered stretches of the Greenway along the picturesque Roanoke River! Carilion Clinic Hospice was the benefitting local charity of the event. Photos by Joseph Kilian of Competition Imaging, LLC

OurHealth | The Resource for Healthy Living in Southwest Virginia

ON THE WEB

More at ourhealthswva.com (new website debuts mid-2015)

www.OurHealthVirginia.com

What year is this graduating class from the Jefferson Hospital School of Nursing? Post the correct answer on our Facebook page by May 12, 2015. You could win a prize pack for 4 from

Chick-fil-A. Cool, right? The winner will be announced on our Facebook page May 21, 2015.

Redeemable at these Roanoke locations: Chick-fil-A Valley View and Chick-fil-A on 220 South next to the Home Depot

OurHealth | The Resource for Healthy Living in Southwest Virginia