table of contents | april • may 2016
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Pollen Allergy Sufferers
Seek Treatment Instead of Suffering
While many welcome spring’s sunny return with open arms and outdoor activities, pollen-allergy sufferers are left to simply try and survive the pollen onslaught that occurs every year for months beginning in March.
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
HEALTH POINTS........................ 22 Interesting facts and tidbits about health
THE ANATOMY CHALLENGE................................. 25 Are you up for the challenge? In this issue, test your knowledge when it comes to the PATHWAY OF AN ALLERGEN.
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With this four-part series, OurHealth aims to provide information that parents need to guide their children on the journey to a healthcare career, if that's the path they choose to pursue.
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New Kitchen, New Nutrition, New You! Part two of the OurHealth series that highlights small changes you can make in your food prep and shopping habits that can add up to a major positive impact on your nutrition and health.
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hello, HEALTH!.............................. 44 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos
FIT BITS!........................................ 65 Sit down and DANCE! This innovative
class offered by Green Ridge Recreation Center is perfect for any individual with limited mobility or impaired balance including those who use a cane or walker.
Living a Kendall Life................ 67 This article, the second in a yearlong OurHealth series about primary care, will focus on just that — doing your care. We’ll delve into your part of the patient-physician partnership.
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The story of 15-year-old Maverick Helmer who started, created and manages a nonprofit organization that honors the life and memory of Kendall Bayne.
NUTRITION.................................. 85 HEALTHY EATS: Oliveto Artisan Olive Oils and Vinegar in Roanoke presents delicious recipes including Raspberry Spinach Salad with Raspberry Vinigerette, Honey Ginger Persian Lime Salmon and Lemon Pound Cake.
CLOSER LOOK..............................90 Images reflecting the landscape of healthcare in Southwest Virginia * PLUS * a chance to win a prize pack for FOUR from Chick-fil-a!
To help you keep track of the various healthcare and healthcare-related recognition days throughout the year, OurHealth has organized a handy calendar of all 2016 observances.
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april • may 2016 PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION VICE PRESIDENT OF BUSINESS DEVELOPMENT PROJECT COORDINATOR CHIEF DESIGNER GRAPHIC DESIGNER WEBMASTER ACCOUNTING MANAGER PROJECT MANAGER | HR METRICS COPY EDITOR DIGITAL MEDIA STRATEGY ORIGINAL PHOTOGRAPHY
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Kim Wood Deidre Wilkes Karri Pridemore Tori Meador Next Generation Design Laura Bower Heidi McClintic Bobbi Hoffman Dalton Holody Shawn Sprouse / www.sdsimages.com
CONTRIBUTING MEDICAL EXPERTS Amy W. Doolan, DO Hetzal Hartley, MD, MPH, FACOEM Moriah Krason, MD, FAAP Michele Mills, DMD Robert O’Brien, MD CONTRIBUTING PROFESSIONAL Geri Aston EXPERTS & WRITERS Cynthia BeMent Rich Ellis Tricia Foley, RD Tina Joyce Sue Ranson, CEO Deidre Wilkes ADVERTISING AND MARKETING Kim Wood | P: 540.798.2504 kimwood@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth via U.S. Mail, please contact Deidre Wilkes at deidre@ourhealthvirginia.com or at 540.387.6482
@ourhealthmag
COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2016 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.
LOCAL EXPERTS D E F I N E H E A LT H R E L AT E D T E R M S
“
Occupational asthma is very common in workers in certain industries, especially those who work with irritants, produce certain chemicals, or are exposed to smoke or fumes. The treatment of occupational asthma is no different from typical asthma. It is most important to avoid whatever agent is causing the symptoms.
What is benign acute myositis?
What is occupational asthma?
What is apophysitis?
In benign acute myositis, a young child suddenly develops severe leg pain and cannot walk normally due to inflammation of muscle fibers [often in the calf]. Benign acute myositis usually occurs in children recovering from the flu or some other respiratory infection caused by a virus. Pain, tenderness and muscle weakness resolve in three to 10 days. Key management is good hydration throughout the illness.
Occupational asthma is a pulmonary disease where exposure to some agent in the workplace causes asthma symptoms.
of an outgrowth, projection, or swelling, especially a bony outgrowth that is still attached to the rest of the bone.
Fundamentally this does not differ from other types of asthma except that the trigger agent is unique to the workplace. This type of asthma is very common in workers in certain industries, especially those who work with irritants, produce certain chemicals, or are exposed to smoke or fumes.
Apophysitis occurs due to excessive traction or stress on the tendon. Continuous stress from overuse leads to swelling and pain. This condition is most common in elementary to high school age children when they start playing sports. During times of rapid growth, bone growth can exceed the ability of the muscle-tendon unit to stretch sufficiently to maintain its previous level of flexibility, causing increased tension and resulting in pain. The knee is the most common site of apophysitis in kids and is otherwise known as OsgoodSchlatter’s disease.
Evaluation for muscle weakness and refusal or inability to walk should be evaluated by your child’s medical provider.
Moriah Krason, MD, FAAP LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com
”
- Hetzal Hartley, MD, MPH, FACOEM
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OurHealth | The Resource for Healthy Living in Southwest Virginia
The treatment of occupational asthma is also no different from typical asthma. It is most important to avoid whatever agent is causing the symptoms. Bronchodilators (inhalers), inhaled steroid compounds and anti-inflammatory medications can all be used to help control symptoms. In addition to medications, the workplace may provide special ventilation or respirators to minimize the worker’s exposure. It is important to speak to your physician if you feel that your workplace may be causing an increase in your asthma symptoms.
Hetzal Hartley, MD, MPH, FACOEM Carilion Occupational Medicine Roanoke | 540.985.8521 www.carilionclinic.org
Apophysitis is an inflammation
Amy W. Doolan, DO
LewisGale Hospital Montgomery Blacksburg | 540.443.7180 www.lewisgale.com
H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
“
Hospice doulas do not perform medical care. Instead, they are helpful by being present and providing a variety of services such as companionship, a listening ear, and a calming presence.
”
- Sue Ranson, CEO
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What is the difference between a filling and a crown?
Am I exposed to any radiation during an MRI scan?
What role does an ‘end of life doula’ play in the hospice setting?
A filling is a restoration that is used to replace missing or defective tooth structure. A filling can be a white composite resin or a silver amalgam material. If a tooth has a cavity or crack, the diseased part of the tooth is removed and restored. The filling will stop the progression of the disease.
We are exposed to radiation every day. There are many different types of radiation including sunlight, radio waves, x-rays and gamma rays, which means we are exposed to radiation in our homes, outside and at the beach. However, only a few types of radiation are considered dangerous to humans if the dose is high enough (x-rays and gamma rays). The electromagnetic radiation produced in MRI scans is not harmful to humans.
The word “doula” comes from an ancient Greek word meaning “a woman who serves”. Doulas traditionally are associated with childbirth and provide support to the mother through labor, birth, and even beyond.
A crown is typically needed if more than half of the tooth’s surface is involved. A filling may be needed under the crown also. The tooth is reduced in size on all sides and then the crown fits over top of the tooth. It is the best way to protect a weak tooth from breaking. A crown is sometimes referred to as a “cap”. Cracked teeth can be restored with either bonded fillings or crowns depending on the extent of the crack. Fillings and crowns can be used for cosmetic reasons also.
Michele Mills, DMD
Mills & Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com
OurHealth | The Resource for Healthy Living in Southwest Virginia
Robert O’Brien, MD
Insight Imaging Roanoke | 540.581.0881 www.mycdi.com
End of life doulas are specially trained hospice volunteers (men and women) who sit with patients as they are dying when the family requests this special type of supportive presence. Hospice doulas do not perform medical care. Instead, they are helpful by being present and providing a variety of services such as companionship, a listening ear, and a calming presence. If the family desires, the doula may also encourage reminiscing and family rituals, such as prayer, singing, and reading. Doulas affirm to the patient and family that their lives still matter and we are there to share this sacred time together.
Sue Ranson, CEO
Good Samaritan Hospice Roanoke | 540.776.0198 www.goodsamhospice.org
NEW
NOTEWORTHY Don't Miss
NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS
Warm Hearth Village Receives Grant To Develop Foster Grandparent Program The Foster Grandparent program at Warm Hearth Village has been awarded a grant in the amount of $33,333 to bring together children from New River Community Action’s Head Start Program and seniors on the campus of Warm Hearth Village. Funding for Foster Grandparents: A New Outlook on Wellness, was provided by the LeadingAge Innovations Fund. LeadingAge is an association of 6,000 nonprofit organizations dedicated to making America a place to age gracefully. Foster Grandparents: A New Outlook on Wellness, will focus on wellness for seniors and pre-school aged children. The goal is to create meaningful connections between low income children and seniors, which might not otherwise be possible in a rural community setting. This interaction will help address sedentary lifestyles and the need for social engagement leading to positive outcomes for both groups in terms of wellness and nutrition. The fitness component of the program will utilize a variety of equipment, including a labyrinth which will be constructed adjacent to the Karr Activity Center, on the Warm Hearth Village campus. Labyrinth activities provide low key opportunities for seniors and children by stimulating right brain activity (creativity, intuition, imagination) and invites relaxation. Dieticians from Head Start and Warm Hearth Village will offer programs to participants on how to make smart choices in their daily diets as well as healthy eating for a lifetime For additional information, visit www.retire.org.
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Trying to Eat Healthier?
LewisGale Daleville Medical Pavilion to Offer New Services and Specialties LewisGale Daleville Medical Pavilion, located next to the Daleville Town Center, is now offering family practice and cardiology services – the first of several new specialties coming to this location. Over the coming months, obstetrics and gynecology care will also become available, as well as pediatrics, to meet the growing need for healthcare services in the Daleville community. For nearly five years, the LewisGale Imaging Center Daleville has offered local residents access to advanced technology including digital mammography, X-ray, CT and ultrasound. The imaging center will now serve as an important resource for the adjoining physician practices. Family Medicine provider, Henry Burgess, MD, and Interventional Cardiologist Shmuel Shapira, MD, are now seeing patients in this new location. They will soon be followed by Elizabeth Barwick, DO, and Abby Smith, MD, both offering comprehensive obstetric and gynecological care. By late summer, LewisGale Pediatric services will become available in the new Daleville Medical Pavilion. For more information, visit www.lewisgale.com. Patients can reach Dr. Burgess, family medicine, at 540.966.6430. Patients can reach Dr. Shapira, interventional cardiology, at 540.772.3430. Patients can reach Dr. Barwick or Dr. Smith, OB-GYN, at 540.772.5900.
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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
Anderson, Desimone & Green, PC Earns Top Ranking and Announces New Office Location U.S. News & World Report recently announced to us rankings for best law firms in America. Anderson, Desimone & Green, PC, has earned a first tier ranking from U.S. News & World Report as one of the best law firms in America. Anderson, Desimone & Green is the only elder law firm in the region to win this award every year since its inception. With established offices in Roanoke, New River Valley, and Smith Mountain Lake, the law firm announces the opening of its newest location in Botetourt County. The new law office, located at 40 British Woods Drive, is across the street from Carilion Wellness in Botetourt. For more information visit www.andersondesimone.com or call 540.776.6434.
Carilion Clinic opens its newest Carilion Wellness facility in Blacksburg Carilion Clinic announces the opening of its next Carilion Wellness facility at the Virginia Tech Corporate Research Center (CRC) in Blacksburg in April. The 4,800 square-foot facility offers new equipment, fitness-on-demand group exercise classes, Carilion's FIT Rx program, free annual flu shots for members and more. New memberships are being accepted. Hokie Passport will also be accepted. For more information, call 540.853.0000 or visit carilionwellness.com.
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Fawzia Bhavnagri, DDS Blue Ridge Dental Group Roanoke | 540.904.0300
www.blueridgedentalgroup.com
Bethany Boring, PA-C VelocityCare by Carilion Roanoke | 540.772.8900 www.carilionclinic.org
Casey Bowles, PA-C LewisGale Physicians GYN Oncology Salem | 540.776.4704 www.lgphysicians.com
Ferrum Students want to ‘Bee Better’ by Donating Socks to the Roanoke Rescue Mission Courtney Brooks, PA Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.224.5170 www.carilionclinic.org
Molly Camper, ACNPC-AG LewisGale Physicians Neurology Salem | Inpatient Only www.lgphysicians.com
Benjamin Davidson, MD ApolloMD LewisGale Emergency Care Pulaski | Impatient Only www.lewisgale.com
* Correction from Previous Issue
Socks are the most requested clothing item at homeless shelters around the country. A group of Ferrum College students is working to fill that need for guests at the Roanoke Rescue Mission. They’re called Bombassadors, college student ambassadors for the sock company Bombas, which has a mission to ‘Bee Better’ by donating one pair of socks to homeless shelters for every pair purchased. So far, the company has donated more than 800,000 pairs. Sam Belcher, a junior at Ferrum College, bought some socks from the company last year and liked knowing that his purchase went towards helping someone in need.
Puja Ganjwala, NP
VeloctiyCare by Carilion Roanoke | 540.772.8670 www.carilionclinic.org
Tammy Knick, NP
VelocityCare by Carilion Daleville | 540.591.9440 www.carilionclinic.org
Kaitlin Seelig, PA-C
Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.224.5170 www.carilionclinic.org
As the Bombassadors at Ferrum, Sam Belcher and classmates Rachel Wells, Jessa King, and Jesse Delph will be promoting the project in an effort to spur sales through the end of May. Their goal is to collect at least 400 pairs for the Rescue Mission by the end of May. “We are excited to participate in this program,” says Rescue Mission Director of Industry Leslie Littlefield. “It’s always encouraging to see young people enthusiastic about serving their community, and new socks are always in demand here at the Mission.” One pair of socks purchased online on www.bombas.com, using the coupon code FCXSB20, will equal one pair donated to the Roanoke Rescue Mission, PLUS give you 20 percent off your first order! The code is effective through May 2016.
Heather Staley, NP
Carilion Clinic Occupational Medicine Roanoke | 540.985.9813 www.carilionclinic.org
James Thompson, II, MD Carilion Clinic Cosmetic Center Roanoke | 540.853.0510 www.carilionclinic.org
Scan this QR code to get directly to the site to purchase a pair now. Don’t forget to use FCXSB20 as your discount code!
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 Children’s Opens Pediatrics Practice in Rocky Mount Carilion Children’s Pediatric Medicine clinic is now open in Rocky Mount. The new location fills a community need since the closing of Rocky Mount’s only pediatric clinic more than a year ago. Karthryn C. Self, MD will be serving patients in the new pediatric office located at 490 South Main Street in Rocky Mount. The new office offers comprehensive outpatient treatment, routine checkups and regular immunizations from birth through age 17.
Welcome Albert Kozar, DO SPORTS MEDICINE & OMM
“The health of our children is a fundamental building block of our community,” says Kathryn Self, MD. “I’m grateful to be living and working in such a wonderful place.” To schedule an appointment, call 540.484.0350. For more information visit CarilionClinic.org/kids.
www.OsteopathicSports.com Services Provided: • Hydrodissection: Nerve release under ultrasound • Osteopathic Medicine / OMT • Prolotherapy / PRP / Stem Cells • Ultrasound: Diagnostic & guided injection
"I'm excited to build a new sports medicine practice here in the New River Valley and provide care this community." Academic Primary Care Associates 3700 S Main Street | Suite A Blacksburg, VA 24060 540.443.7180 Academic Sports and Osteopathic Medicine 825 Davis Street | Suite C Blacksburg, VA 24060 540.443.7180, extension 7179 Scan Here to Visit the Osteopathic Sports Website 20
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TI P S , T I D B I T S A ND MO R E TO I NF O R M A ND ENT ERTA I N YO U
April is Stress Awareness Month
What is stress?
Stress is a physical, mental, or emotional response to events that cause bodily or mental tension.
Looking for a unique way to combat stress?
Try COLORING!
Here are just a few reasons why you should pick up those colored pencils:
• Focusing your energy on a single task temporarily takes your mind off worries or concerns.
• Release creative energy
without having to create something from scratch. Coloring books provide guidance while also allowing for creativity to flow.
• Coloring is a quiet, calming activity
that can be done alone in
a relaxed environment.
• Coloring is FUN! It may bring back nostalgic childhood memories and a simpler, less hectic life.
Scan the QR code for a FREE downloadable coloring sheet!
Feeling blue? Get active! You usually feel happier after playing or exercising because of special chemicals called endorphins that your brain releases while you’re moving. Endorphins (pronounced en-DOOR-fins) are a natural mood-booster! Another great reason to incorporate exercise into your daily routine!
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Dive in! During your lifetime, you will produce enough saliva to fill TWO swimming pools!
2016
Blue Ridge Marathon Something for EVERY runner! The uphill portions will test your strength and endurance while the equally challenging downhill sections are sure to weed out those who are unprepared. Are you up for the challenge of Americas Toughest Road Marathon, Half Marathon, and 10K? Stick around for awards, live music provided as part of the Down by Downtown Music Festival, food vendors and more!
NAP TIME It isn't just for kids!
Date:
Saturday, April 16th
Time:
7:30 am
Location:
Elmwood Park Roanoke, VA
To register, scan the QR or visit www.active.com.
According to the National Sleep Foundation,
people who don’t get enough sleep are more likely to eat more because sleep loss affects the hormones associated with hunger. However, a mid-afternoon nap can reverse the negative metabolic effects of sleep loss.
It’s Tee Time! 21st Annual Star Valley Golf Tournament
Spring is here, and that means golf season is in ‘full swing’! This year’s tournament benefits Children’s Miracle Network Hospitals in Southwest Virginia with funds used for the purchase of lifesaving medical equipment and services at Carilion Children’s located in Roanoke. Each year, the hospital treats more than 40,000 children from 40 counties in Virginia and neighboring states.
Did you know? Your brain depends on your stomach
to signal that it’s full, but that message takes
20 minutes to be delivered.
Date:
Thursday, May 12
Time:
8:00 AM and 1:00 PM tee times
Location:
550 Mount Olivet Road Martinsville | 276.638.2484 www.chatmosscc.org
For more information on the ValleyStar Golf Tournament contact Lori Cauley at
So slow down during meals, and you’ll
800.475.6328 x3120 or loric@valleystar.org.
be less likely to eat too much.
Hospital, scan the QR or visit www.carilionclinic.org/cmn.
For more information on Carilion Childrens and Children’s Miracle Network
www.OurHealthswva.com
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Anatomy CHALLENGE
the
How much do you know about the
pathway of an airborne
allergen into your body? Complete the word search below. Next, match the correct word with the part of the body in the illustration.
[ the pathway of an allergen ]
WORD SEARCH nose
bronchi
nasal cavity
alveoli
epiglottis
left main bronchus
larynx
right main bronchus
trachea right lung left lung
____________________
____________________
____________________
____________________
____________________
____________________
____________________
For answers, visit OurHealth Southwest Virginia’s Facebook page at
____________________
____________________ ____________________ ____________________ www.OurHealthswva.com
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POLLEN
ALLERGY
SUFFERERS 26
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TREATMENT words | RICH ELLIS
SEEK INSTEAD OF SUFFERING Even after a long winter and the promise of brighter days and warmer temperatures, a small segment of the population quietly dreads spring’s return. They’re not crazy or snow-loving, winter-sports fanatics. They’re allergy sufferers. While many welcome spring’s sunny debut with open arms and outdoor activities, pollen-allergy sufferers are left to simply try and survive the annual pollen onslaught that occurs every year for months beginning in spring. They live in misery or in a heavily medicated state or both, with allergic rhinitis — swollen, itchy eyes; stuffy and running noses; and in some cases, wheezing and difficulty breathing. Forced indoors to seek relief — however minor it might be — they wait until the tree pollen’s spring bloom has subsided, and along with it, their allergy symptoms. Their relief is short-lived, however, as spring inevitably returns each year. Some don’t even have to wait for the following spring because their misery reappears every fall too, when ragweed pollinates and pollen proliferates once again. Pollen allergy sufferers can often tell the changing of the seasons based on their allergy flare-ups because tree pollen generally peaks during spring, grass pollen in the summer and weed pollen in the fall. www.OurHealthswva.com
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The life of an allergy sufferer doesn’t have to be one of misery, however. Luis Matos, MD, is the director of research for the Asthma and Allergy Centers of Roanoke, Lynchburg and Salem. He says that there is hope for allergy sufferers — beyond just over-the-counter or prescription medications — through two forms of allergy immunotherapy. A new method using oral pollen tablets, recently approved by the FDA, and traditional allergy immunotherapy referred to by many as “allergy shots.” These proven methods help the body become desensitized to and tolerant of pollen’s effects on allergic patients.
What pollen is, how it invades, and the body’s reaction Luis Matos, MD is certified by the American Board of Allergy and Immunology and by the American Board of Pediatrics. Dr. Matos treats patients at Asthma and Allergy Center in Roanoke and Salem.
Pollen is supposed to go to flowers and trees to fertilize them, Dr. Matos says, but when it falls on moist surfaces — such as the eyes and nose — people who are susceptible to developing allergies will experience an allergic reaction. This reaction and its subsequent symptoms represent the body’s defense mechanisms attempting to keep the pollen from entering the body because the immune system is mistakenly identifying the pollen as an infectious agent, when it isn’t.
"If you’re allergic to the pollen, as soon as it touches your body it binds to the allergy antibody, and that signals the body to sweep it away and then drainage begins in an attempt to flush it out. The reaction is a defense mechanism to keep it from invading. Some people have more severe reactions, such as the closing of the bronchial tubes, which can lead to allergic asthma, but usually the first steps in the reaction are itchy, watery eyes and sneezing fits."
“Pollen has different proteins that the body identifies in some people as a worthy opponent and that triggers an allergic immune reaction, becoming an allergen. If you’re allergic to the pollen, as soon as it touches your body it binds to the allergy antibody, and that signals the body to sweep it away and then drainage begins in an attempt to flush it out,” Dr. Matos explains. “The reaction is a defense mechanism to keep it from invading. Some people have more severe reactions, such as the closing of the bronchial tubes, which can lead to allergic asthma, but usually the first steps in the reaction are itchy, watery eyes and sneezing fits. The pollen isn’t like an infection; it’s just triggering the symptoms.”
- Luis Matos, MD
Specifically, histamine triggers the reactions, Dr. Matos says. The body releases histamine as part of the immune system’s response to the threat it perceives. When the histamine reaches nerve cells, it causes itching. When it reaches the mucous glands, it causes mucous development, and when it encounters the blood vessels, it causes them to dilate and swelling results. Histamine isn’t the only chemical that causes the reactions either, according to Dr. Matos. Leucotrienes also are responsible for some delayed symptoms associated with allergic reactions. As for why some people develop an allergic reaction to pollen while others do not, Dr. Matos says that genetically, some people just have the ability to become allergic. “Let’s say you move to an area with a tree pollen you’ve never been exposed to before,” Dr. Matos says. “It’ll bother your nose and your eyes — just like breathing in pepper. It’s an irritant. If you have the ability to become allergic, you can start to see the buildup of the allergy process. Then next season, the pollen comes back around and the body says, ‘Oh. This is important,’ and generates a response and reaction. Then, by the third season of exposure, you’re having allergy symptoms when you encounter this pollen.”
Seeking relief from the havoc pollen wreaks Patients can find temporary relief with over-the-counter antihistamine medications that are designed to block histamine, Dr. Matos says. There are also nasal steroid sprays that block the swelling and inflammation, as well as antileucotriene medications that help block the leucotrienes causing the allergic reaction. These 28
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medications essentially are trying to stop and then “clean up” the reaction and symptoms caused by the cells’ release of histamine and leucotrienes. Unfortunately, the body usually doesn’t develop immunity to pollen’s effects without treatment, Dr. Matos adds. Once an allergy is turned on, each pollen season will boost the allergic effects. For patients suffering from chronic allergies, allergy immunotherapy is the only longterm solution.
"In order to work, allergy immunotherapy has to deliver the allergen to the internal immune system and help the body develop immunity or an alternate defense, ultimately reducing the allergic reaction." - Luis Matos, MD
Allergy immunotherapy can be delivered via an injection or new oral pollen tablets placed under the tongue daily to treat grass and ragweed pollen allergy. In order to work, allergy immunotherapy has to deliver the allergen to the internal immune system and help the body develop immunity or an alternate defense, ultimately reducing the allergic reaction, Dr. Matos explains. An allergist can develop the best form of allergy immunotherapy for a patient only after identifying exactly which allergens are causing the patient’s symptoms. Based on those findings, a weakened dose of the allergen will be formulated specifically for that patient as part of the injected allergy immunotherapy. Because the dose contains such a small amount of the allergen, the chances of a patient experiencing an allergic reaction are reduced. Through a series of injections, the dosage strength is slowly increased until an “immunizing dose” is reached, indicating the body has developed an immunity to the allergen and now tolerates exposure to it with no reaction. It takes approximately six months of receiving shots weekly or twice a week to reach the immunizing dose level, at which point the shots are spaced out to occur every other week or every three to four weeks, with the success rate approaching 90 percent. www.OurHealthswva.com
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"An immediate coping strategy is try and avoid whatever is causing the allergic reaction. If you know you’re going out and the wind is blowing, wear goggles or a mask to help reduce pollen exposure.” - Luis Matos, MD
An immediate coping strategy, Dr. Matos says, “is try and avoid whatever is causing the allergic reaction. If you know you’re going out and the wind is blowing, wear goggles or a mask to help reduce pollen exposure.” Other suggestions include remaining indoors with the windows closed and the air conditioning on to filter out the pollen and taking a shower to help remove pollen after being outdoors. With the help of a skilled team of allergists, allergy sufferers can improve both their quality of life and their health by first reducing exposure to pollen and using medications that alleviate the immune system’s reaction and accompanying symptoms following pollen exposure, while pursuing the permanent solution that only allergy immunotherapy provides.
Sources American Academy of Allergy Asthma and Immunology – www.aaaai.org
Expert Contributors Luis Matos, MD with Asthma and Allergy Centers of Roanoke, Lynchburg and Salem
ON THE WEB
More at ourhealthswva.com
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on your tablet or smartphone
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the
2016
OurHealth Southwest Virginia
HOW TO IN HEALTHCARE SERIES: words | CYNTHIA BEMENT
an issue-by-issue overview
PART ONE
Preparing for a career in healthcare as early as high school.
April | May
OurHealth’s four-part series entitled:
HOW TO IN HEALTHCARE, is a step-by-step guide for those interested in pursuing a CAREER IN MEDICINE.
Compassion for others. Grace under pressure. A thirst for knowledge and a commitment to excellence in the classroom and beyond. You recognize these qualities in your child, and as he or she grows and develops throughout high school and your conversations turn to possible career paths, one or both of you might wonder if a career in healthcare would be a good fit. The ability to save someone's life or to make a difference in the well-being of others — preventing disease, fighting illness and improving their everyday lives — by helping them see, walk, breathe, move and speak better (just to name a few) can be the rewards of a healthcare career. But getting into that “life and death” career space requires a deep commitment on many levels. A diligent approach to studying, the potential for many years in school, dedication to accuracy on the job and, most of all, an unwavering desire to help others is what it takes to achieve and sustain a successful career in this exacting field. What if your child is not a good fit for the rigors of med school or doesn't want to spend that much time in school but still shows passion for impacting the lives of others? Take heart: Healthcare is a booming field, and the commonly imagined paths of doctor or nurse are but two points of entry into the 21st century world of healthcare, one whose enormity now offers a wide variety of steady jobs that don't require a medical license (which means less time spent in school and less financial investment).
PART TWO
Choosing the right undergraduate school for your healthcare specialty.
June | July
PART THREE
Entering graduate school and residency/fellowship/ clinical training.
August | September
PART FOUR
Insight on how to find the right job in your field of specialty.
October | November
HOW TO BUILD A FOUNDATION FOR
SUCCESS
1
Help your child develop SOLID STUDY SKILLS
2
Teach your child SELF-SUFFICIENCY
3
Exercise CRITICAL THINKING
4
Encourage your child to ASK QUESTIONS
In December 2015, the Bureau of Labor and Statistics reported that healthcare will be the fastest growing industry in the U.S. and will add more jobs than any other field to the employment sector from 2014 to 2024. Together with the social assistance sector, healthcare is poised to add another 3.8 million jobs to our economy during this period. How do you figure out if healthcare is right for your child? And if they are already interested, what needs to be done in high school to get on the path toward a healthcare career? With this four-part series, OurHealth aims to guide you so that you can guide your child on the journey to a career in healthcare. In our first four installments, we will cover high school, undergraduate, graduate curricula/clinical studies and finding a job in your chosen healthcare career, respectively (see our sidebar at the beginning of the article). Following the fourth installment, we will begin a series that focuses on one position in healthcare and describes the specific steps that students interested in the field must take from the beginning of their education through their first day on the job.
BUILD A FOUNDATION
FOR SUCCESS “Developing a good work ethic, focusing on attention to detail and being able to follow directions are very important skills for a high school student to develop early on.” - Judith McKeon
While a career in healthcare is more accessible than ever before, it still requires planning along with a strong high school transcript, participation in extracurricular activities, high SAT and/or ACT scores and a spotless personal conduct record to gain entry onto its path. After all, the reason for all the demanding preparation and practice for healthcare careers is their focus on the health and lives of people — an area with no room for error. Starting in ninth grade when most students enter high school, their transcripts become the official record of their school success — one that’s scrutinized for acceptance to colleges and universities. So it’s important to start strong out of the gate, both to produce a competitive high school record and to build the skills needed to prepare for and perform in a healthcare career.
Judith McKeon is the director of admissions at Jefferson College of Health Sciences in Roanoke.
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First, set your child up for success. That means creating solid study skills that will serve them well in high school and college. “Developing a good work ethic, focusing on attention to detail and being able to follow directions are very important skills for a high school student to develop early on,” says Judith McKeon, director of admissions at Jefferson College of Health Sciences in Roanoke. At the foundational level of learning, it could prove beneficial for students to discover and work with their natural learning style before focusing on study skills. Visit www.vark-learn.com and www.educationplanner.org for learning style self-assessment questionnaires students can
use to determine if they are visual (learning by seeing), aural (learning by hearing), read/write (learning by reading and taking notes) or kinesthetic (learning by simulation/ demonstration) learners. Strategies to help students learn better using their preferred learning style are provided. Test taking, of course, is a big part of the study skillset and one to actively develop, even if your child already gets good grades. Though school and good grades might come easily for your child, it’s not necessarily an indicator that his or her study habits and test-taking skills are well-developed. Investing time now in building studying and test-taking skills will help your child perform at a high level through what could potentially be more than four years of college plus any board certifications or licenses associated with specific careers. One way to become a better test taker, according to researchers at Washington University in St. Louis, Missouri, is to incorporate what they call “retrieval practice” into a student’s study habit skillset. Retrieval practice is as it sounds – the practice of calling up information from memory. Once a student is asked to recall or produce a piece of information (who was the fourth president of the United States? for example), he or she is much more likely to remember it in the future. While retrieval is often used as a method for assessing how much a student has learned (test taking), being tested multiple times on facts a student needs to know for a test is more effective than simply reviewing those facts, according to Washington University researchers. The takeaway is that practice tests help students retrieve information. Encourage your child to ask teachers for any available practice tests on course material rather than simply reviewing books and notes, and offer to test him or her periodically prior to exam time. (For more on retrieval practice, visit Washington University’s www.retrievalpractice.org.)
DO YOUR HOMEWORK ON HEALTHCARE CAREERS
With the foundation in place, do some exploring. Research the many career options in the healthcare industry, says Carole Graham, dean of health professions at Virginia Western Community College in Roanoke, because it offers a wide variety of positions that extend beyond that of doctor or nurse. “At a young age, children tend to see healthcare with a narrow view of becoming only a doctor or nurse. The truth is, there are so many more fields that are open to them,” she says. “It would be to their benefit to explore some of these options on their own or with their parents' help.”
HEALTHCARE ACADEMIC PROGRAMS
Health and Medical Sciences Program at Roanoke Technical Education Center (ROTEC) The Health and Medical courses are two to three year programs that prepare students for e ntry-level employment in the health and medical profession, or continued training through post-secondary education programs at the associates, baccalaureate, masters, or doctorial level. Students will learn the basic skills and terminology for slated health careers as they relate to each of these classes. After completing the Introduction to Health Careers course (where students develop basic skills common to all health and medical sciences), they study body structure and function, the health and patient care system, and participate in clinical work experiences in the Health Assistant class. Medical Terminology exposes students to words and phrases as they relates to the different body systems, and pharmacology, and the Sports Medicine courses provides students with the basic concepts and skill sets required for entrylevel positions as sports medicine assistants. As a component of these programs, students may have the opportunity to earn the National Health Science Certification, National Career Readiness, and/or CPR/AED/First Aid (depending upon the class). Workplace Readiness Certification is offered in all Health and Medical courses. ELIGIBILITY
This program is available to high school students enrolled in a Roanoke City Public School. CONTACT
For more information, you may contact Kathleen Duncan, Principal of ROTEC at 540.853.1062 | kduncan@rcps.info.
Healthcare career options don’t always require an advanced degree and licensure — some administrative and support staff positions can require a four-year degree or a two-year associate degree along with additional training and certification in some www.OurHealthswva.com
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VIRGINIA
SCHOLARSHIP OPPORTUNITIES
SCAN HERE
FOR A FULL LIST
cases. Medical health services managers, for instance, are responsible for the day-to-day administrative management of physician’s offices, hospitals and clinics; the position typically requires a bachelor’s degree in health administration. An occupational therapy assistant works with an occupational therapist to help patients who’ve lost or have difficulty with some of their independent living skills — such as brushing their teeth and getting dressed — due to injuries or illnesses like strokes and heart attacks or lifelong conditions such as cerebral palsy. Becoming an occupational therapy assistant requires a two-year associate degree (Virginia Western’s occupational therapy assistant program is the oldest in the state; it began in 1992), along with additional fieldwork in a healthcare setting such as a hospital or doctor’s office and a certification exam administered by the National Board for Certification in Occupational Therapy. U.S. News and World Report ranked occupational therapy assistant No.1 on its best healthcare support jobs list and No. 25 on its Top 100 Jobs list for 2016. Consult online resources for healthcare career information with your child as well. Websites such as www.explorehealthcareers.org, www.alliedhealthschools.com and www.healthcarepathway.com offer specific information on a vast number of healthcare careers, including individual career educational requirements, schools that offer those required degrees, cost of education and job market predictions for specific positions.
“At a young age, children tend to see
healthcare with a narrow view of becoming only a doctor or nurse. The truth is, there are so many more fields that are open to them. It would be to their benefit to explore some of these options on their own or with their parents' help.” - Carole Graham
Carole Graham is the dean of health professions at Virginia Western Community College in Roanoke.
Research colleges online and ask questions of admissions representatives to find out what their graduate placement rates are in your child's healthcare area of interest. Consider making appointments with colleges as early as ninth or 10th grade. In addition to taking a campus tour, make appointments with admissions representatives to ask about specific degree options and find out what their corresponding course maps are to get an idea of what the actual classwork might look like at that institution. Also ask about opportunities for your child to sit in on classes in his or her interest areas. “Our program heads love having students come in and talk about what they need to do for their futures,” says Graham. ”That's what we're here for, that's what we should be doing in promoting young students into these fields.” While researching careers, it’s smart to also check out scholarship and financial aid options. Together with AP and dual-enrollment classes offered by high schools, considerable savings on tuition await. In fact, according the National Center for Education Statistics, the percentage of firsttime, full-time, four-year, degree-seeking students receiving some kind of financial aid increased from 80 percent in the 2007-08 academic year to 85 percent in 2012-13. Research a wide variety of scholarships online via the College Board’s Big Future (www.bigfuture.collegeboard.org) and the (Continue on page 38...)
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HEALTHCARE CAMPS
Camp Carilion Camp Carilion is for students who are interested in a future career in healthcare. The four-day adventure visits Carilion Roanoke Memorial Hospital, Jefferson College of Health Sciences, and the Carilion Pharmacy. At each of these locations, students have the opportunity for career exploration through hands-on exercises and interactive demonstrations. The goal is to ensure students who attend camp are more interested in healthcare careers at the end of the week. Promoting healthcare careers at the middle school level allows students to prepare by taking necessary high school classes and planning for college. DATES
July 12-15, 2016
COST
$30 registration fee
CRITERIA
Rising eighth and ninth-graders who have a strong desire to learn about healthcare careers. REGISTRATION DEADLINE
camp also provides students with the opportunity to work with computerized mannequins in various simulated scenarios at Radford University’s Nursing Simulation Lab. DATES
2016 dates to be determined
CRITERIA
CONTACT
COST
For more information about the camp or to apply, contact Diane Gully at 540.443.3932.
LewisGale Medical Center Camp Healthcare Camp Healthcare is offered by LewisGale Medical Center to students who have an interest in a career in healthcare. This year marks the 11th year for Camp Healthcare. During the week, campers will get hands on experiences, interaction with a variety of healthcare providers, opportunities to further explore areas of interest and have fun while learning about a career in healthcare. Some of the areas that are experienced are the laboratory, pharmacy, emergency department, radiology, surgical services, therapy services, personal first aid training and more.
Application must include one school recommendation and essay on why student is interested in attending Camp Carilion.
COST
July 18-22, 2016 August 1-5, 2016 Free
CRITERIA
Rising eighth graders REQUIREMENTS
Interested campers complete an application along with a one page essay on why they want to attend Camp Healthcare. CONTACT
LewisGale Hospital Montgomery Nursing Career Camp The Nursing Career Camp at LewisGale Hospital Montgomery is for students who are interested in learning about the nursing field. Students explore the different disciplines of nursing such as the registered nurses’ role in obstetrics and gynecology, the role of an advanced practice registered nurse (APRN) in the emergency department, and the role of a certified registered nurse anesthetist (CRNA) in the operating room. The
June 27-29, 2016
CRITERIA
DATES
Karri Proctor/Lynn Freeman Carilion Clinic student service advisors 540.581.0303 visitingstudentaffairs@carilionclinic.org
DATES
Rising junior and senior high school students
April 22, 2016
CONTACT
training, and services. Some of the fun activities will include learning about CPR or first aid, emergency care, simulations, and exercise. Tours of labs with brief demonstrations of specialized equipment will round out the Health Professions Camp.
To obtain an application or more information on Camp Healthcare contact Jean Moreland at jean.moreland@hcahealthcare.com or Dawn Beauprez at dawn.beauprez@hcahealthcare.com
Rising sixth through eighth graders $135 (before 5/30/16)
CONTACT
Paulette Parkhill at 540.857.6514 or pparkhill@virginiawestern.edu
The Edward Via College of Osteopathic Medicine (VCOM) Summer Enrichment Experience (SEE) The VCOM SEE program has been designed to introduce high school students in medically underserved areas of Appalachia to human anatomy and its relevance to healthy lifestyles and medicine. This program seeks candidates from underserved regions, who are under-represented in healthcare fields, to participate in a 5-day human anatomy program. Educational activities will include: interactive lectures, lab activities in a state-of-the-art anatomy lab, cadaver prosections, computer programs, and on-line research and tutorials – all under the direction of VCOM anatomy faculty and medical students. There is no cost for this program. Students should be nominated by a teacher, guidance counselor or member of the clergy. DATES
Males: Females: COST
July 11–15, 2016 July 18–22, 2016 Free
CRITERIA
High School students, average GPA of 2.75 REGISTRATION DEADLINE
May 1, 2016 CONTACT
540.231.8183 or ww.vcom.edu
Virginia Western Kids College Health Professions Summer Camp In this four day camp students will learn about different healthcare specialists,
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HEALTH
FAIRS & SEMINARS The Anatomy Outreach Project at VCOM Designed to introduce young people from underserved areas to the anatomical sciences and educate the community about the role of anatomical science in osteopathic medical education. The goal is to stimulate interest in science for local youth from rural areas. The hands-on experience in the gross anatomy lab is a way to introduce youth, from target areas, to the true science of anatomy and careers in and related to medicine. Students spend time in the anatomy lab learning about the human body. Medical student volunteers facilitate the experience and answer questions related to anatomy and their experience learning the specifics of osteopathic medicine. DATES
Vary – this is a school-sponsored field trip CRITERIA
Students from high schools in rural areas INFORMATION
www.vcom.edu
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U.S. Department of Education’s federal student aid site (www.studentaid.ed.gov). Students can also explore career options through their schools. Many high schools offer an introduction to health occupations course or an EMT (emergency medical technician) course, which can give students a taste of what it’s like to work in healthcare on a daily basis. Colleges also might offer exploration opportunities for high schoolers. For example, the Edward Via College of Osteopathic Medicine in Blacksburg, in a collaboration with Virginia Tech, offers a Summer Enrichment Experience designed to expose high school students in medically underserved areas of Appalachia to healthcare careers in a weeklong summer camp that focuses on human anatomy as it relates to healthy lifestyles and the practice of medicine.
MAKE HIGH SCHOOL
CURRICULUM COUNT Strength of schedule should be a top high school priority in addition to making good grades. “Cover the academic basics. That includes good grades, the particular courses they take and testing,” says McKeon. “Our high school applicants must bring with them transcripts that show prerequisites that we require — English, higher level mathematics at or above algebra 2, completion of biology and chemistry. We also require an SAT or ACT score.” In short: make friends with math. And science. Most high schools require three years of math for a standard diploma and four for an advanced diploma, and many college health career education programs, including Jefferson
College of Health Sciences, require four years of both math and science, which includes biology, chemistry and algebra 1 and 2, for acceptance. Science and math classes encourage critical thinking, and because they are covered on the SAT and ACT, taking these classes all four years of high school keeps skills sharp come exam time. The great news regarding these subjects is that dual-credit and AP options are plentiful and can not only give students a leg up by strengthening their transcripts, they can also provide valuable experience in college course work. And students earn college credit for these courses, which saves money for tuition later on. Virginia Western, for example, offers dual-credit courses in anatomy and physiology, among others, through its Regional Academy (high school sophomores and juniors can apply); many of a student’s earned credits will then transfer to four-year institutions.
WIDEN YOUR SCOPE TO STAND OUT
Becoming an attractive prospect to colleges, especially those on a career path to a healthcare career, is about more than a 4.0 GPA. Colleges seek applicants who can distinguish themselves from the pack by demonstrating their ability to get good grades while also contributing to the world around them — both from a social consciousness and a time management perspective. Extracurricular activities through school and in the community help to show colleges that a student is thinking about and contributing to more than his or her grade point average. The idea is to be well-rounded. For example, community-minded activities are an important part of student’s application to Virginia College of Osteopathic Medicine (VCOM), says Bill King, vice president of student services. “We have a community-oriented atmosphere here at VCOM, and part of our mission
OTHER HEALTH TRAINING
American Red Cross Opportunities for training through the American Red Cross are available for teens. They offer a wide range of health and safety classes, such as CPR/AED and First Aid Training. The Basic Life Support for Healthcare Providers (BLS) is designed to train healthcare professionals, public safety personnel and other professional-level rescuers to respond to breathing and cardiac emergencies in adults, children and infants. This program has a particular focus on healthcare emergency response. Successful completion of the BLS training course includes a two-year certificate, and can be used for those interested in joining their local volunteer rescue squad. Check with your local rescue squad for age requirements, and visit www.redcross.org for information about BLS and other training courses in your area. Age requirements vary by course, but most are suitable for teens 15 and older.
Red Cross Youth Join the Red Cross Youth – join or start a Red Cross Club in your high school. There are many volunteer opportunities for teens within the Red Cross, from blood drive services to health & safety preparedness and disaster recovery. Speak to your guidance counselor to find out if your high school has a Red Cross Club, or visit www.redcrossyouth.org for more information on starting a club in your school.
“We have a community-oriented atmosphere here at VCOM, and part of our mission is to look for individuals who, as physicians, want to be an integral part of their community.” - Bill King
is to look for individuals who, as physicians, want to be an integral part of their community,” he says. “Those types of activities use qualities that are transferrable into the type of caring physician that we want in osteopathic medicine.” By broadening his or her scope, your child can become better-rounded while getting some real-world exposure to caregiving situations to help him or her decide if the environment might be a good fit in a future career. Community service, extracurricular activities and school leadership roles show that a student can take on more than just an accelerated course load. The volunteer activities your child performs can serve a dual purpose as an opportunity for discovery and experience in real-world healthcare settings during the exploration phase.
REPUTATION
MANAGEMENT MATTERS Bill King is the vice president of student services at Virginia College of Osteopathic Medicine (VCOM) in Blacksburg.
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Finally, on the social side of the equation, students seeking a healthcare career need to be cognizant of their conduct and (Continue on page 42...)
HEALTHCARE
VOLUNTEER & MENTORING PROGRAMS Carilion Roanoke Memorial Hospital Summer Volunteer Program The Carilion Roanoke Memorial Hospital summer volunteer program runs eight weeks each summer, beginning in June. Most volunteers work three hours, one day a week. The volunteer assignments are active, usually entailing quite a bit of standing and walking. Assignments include the main guest services desk, flower delivery, gift shop and patient units. Because this is a customer service program, outgoing personalities are a strong plus, and youth should feel comfortable interacting with strangers. Please note that due to the popularity of this program, slots for summer 2016 are already filled. To be considered for summer slots, volunteers should apply no later than February each year. Interested students, 14 years and older can apply online at www.carilionclinic.org/volunteers.
LewisGale Medical Center Volunteer Program LewisGale Medical Center offers volunteer opportunities for teenagers. The program offers an array of opportunities, ranging from positions at the information desk, dietary, emergency department, patient care as well as many other areas. Everyone who volunteers is an integral part of LewisGale Medical Center and its team of committed, caring people, delivering the highest level of quality patient care. Volunteering is a wonderful way to learn new skills and establish lifetime friendships, build a resume, and complete required service hours. DATES
Year- round
CRITERIA
Ages 14 and older
REQUIREMENTS
No experience is needed and hours are flexible. CONTACT
For more information, contact Jill Bridges, Volunteer Services Coordinator, at 540.444.2371.
LewisGale Hospital Alleghany Volunteer Opportunities
LewisGale Hospital Pulaski Junior Volunteer Program
LewisGale Hospital Alleghany offers volunteer opportunities for high school students. Volunteers help expand the capacity of the staff, provide high-quality and cost effective healthcare services, enhance patient care and satisfaction and extend the reach of services into the community. Volunteers help in many areas including managing the information desk, escorting patients, assisting in patient discharge, and serving in both clinical and non-clinical departments.
To be a part of the Junior Volunteer Program at LewisGale Hospital Pulaski students must agree to a set schedule. Responsibilities can include managing the information desk, escorting patients, assisting in patient discharge, and serving as clerical support in non-patient departments.
DATES
**Students desiring education credits or shadowing hours for their high school or college programs are processed through the hospital’s Education Department. For information on this program, please call 540.994.8359 or 540.994.8525.**
DATES Year-round
Year- round
CRITERIA
CRITERIA
Ages 16 and older
Junior Volunteers must commit to a minimum of 50 hours annually. They are required to submit an application and parental consent form.
No experience is needed and hours are flexible. CONTACT
For more information, contact Carla Dobbs, Volunteer Services Director, at 540.862.6367, or email at Carla.dobbs@hcahealthcare.com.
LewisGale Hospital Montgomery Volunteer Opportunities LewisGale Hospital Montgomery welcomes youth volunteers. At an early age these young volunteers learn responsibility, dependability, compassion and a work ethic that will help them choose a career path. Responsibilities can include managing the information desk, escorting patients, assisting in patient discharge, and serving as clerical support in non-patient departments. DATES
Year-round
CRITERIA
Ages 14 and older
APPLICATION
Applicants can apply by downloading and completing the Junior Volunteer application found at www.lewisgale.com, under the volunteer section for LewisGale Hospital Montgomery. A letter of recommendation from a teacher, guidance counselor or an adult who is not a family member must be submitted with the application. New volunteers are required to participate in an orientation session and receive on-the-job training with one of the hospital’s veteran volunteers. Additional requirements can be found on the application form. CONTACT
For more information, email Rhonda Whaling at Rhonda.whaling@hcahealthcre.com.
16 years and older
REQUIREMENTS
REQUIREMENTS
CONTACT
For more information, contact Jana Beckner, Coordinator of Volunteer and Chaplain Services, at Jana.Beckner@ hcahelathcare.com or call 540.994.8414.
Virginia Tech Carilion School of Medicine Mentors in Medicine Program The Mentors in Medicine program is designed to motivate, empower, and encourage youth in the Roanoke community to achieve their academic and career aspirations in medicine and health by matching middle school, high school, and undergraduate students with Virginia Tech Carilion (VTC) School of Medicine students. •
The VCT School of Medicine works directly through the Roanoke City Public Schools and local colleges and universities to make these connections.
•
After being matched, VTC School of Medicine students are encouraged to build supportive experiences through one-on-one tutoring, group presentations, and general goal-setting and advisory activities.
•
Additionally, these interactions are developed to increase the ability to communicate with and understand those coming from different backgrounds (cultural, racial, socioeconomic, etc.), for mentors and mentees alike.
For more information, contact Dr. David Trinkle, associate dean for community and culture at the VTC School of Medicine at dbtrinkle@carilionclinic.org.
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HEALTHCARE INDUSTRY STATISTICS
Healthcare occupations and industries are expected to have the fastest employment growth and to add the most jobs between 2014 and 2024, according to a report issued in December, 2015 by the U.S. Bureau of Labor Statistics. According to the study, healthcare support occupations and healthcare practitioners and technical occupations are projected to be the two fastest growing occupational groups during this period. These groups are projected to contribute the most new jobs, with a combined increase of 2.3 million in employment representing about one in four new jobs.
U.S. NEWS AND WORLD REPORT TOP 10 HEALTHCARE JOBS FOR 2016 These rankings are based on greatest hiring demand, or, in other words, those with the highest projected number of openings from 2014 to 2024, as categorized by the U.S. Bureau of Labor Statistics.
1
ORTHODONTIST
2
DENTIST
3
NURSE ANESTHETIST
4
PHYSICIAN ASSISTANT
5
NURSE PRACTITIONER
6
PSYCHIATRIST
7
PEDIATRICIAN
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reputations outside of the classroom. In today’s lightning-fast information age, it’s more important than ever to be aware of what’s circulating on social media and the Internet and how their personal conduct could affect them for years to come. Because healthcare careers revolve around the handling of people's private health information and the prescription of medications to people in vulnerable states, there are few that don’t require some type of background check and/or drug screening. Therefore, what might seem like a minor or onetime "learning experience" from a developmental point of view (DUI, alcohol or drug-related charges, poor driving record, academic cheating, for example) will come back to haunt them when it comes time to apply to colleges. Though the process of discovering and navigating an educational career path into a healthcare field can seem overwhelming at first, if parents focus on creating a partnership with their children that fosters exploration, research and a drive to do their best right from the start, young people's passions will begin to emerge and click into place along the road to the to a career in healthcare.
WHAT’S NEXT? We hope the information and resources available in this article will help you start your journey to your career in healthcare. Throughout this series, we will provide additional information on each series’ section on our website, www.ourhealthswva.com. Look for Part II of the How to in Healthcare series where we will focus on your students plan for undergraduate school. If you have additional questions that you would like to see highlighted in our series, please reach out to us anytime by email at steve@ourhealthvirginia.com. We are proud to be a resource in your plan for an education in healthcare.
SOURCES American Association of Colleges of Nursing – www.aacn.nche.eud
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ANESTHESIOLOGIST
National Center for Education Statistics – www.nces.ed.gov
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OBSTETRICIAN AND GYNECOLOGIST
EXPERT CONTRIBUTORS
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ORAL AND MAXILLOFACIAL SURGEON
U.S. Bureau of Labor Statistics – www.bls.gov
Judith McKeon, director of admissions at Jefferson College of Health Sciences Carole Graham, dean of health professions at Virginia Western Community College Bill King, vice president of student services at Virginia College of Osteopathic Medicine (VCOM)
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Photos courtesy of David Hungate.
It’s the ‘Docs’ for the WIN! For the first time since the benefit began, the doctors beat the students! Students from Virginia Tech Carilion School of Medicine and Jefferson College of Health Sciences faced doctors and educators at the two schools in the 4th annual "Docs for Morgan" benefit basketball game. This benefit event raises money for the Morgan Harrington Memorial Scholarship Fund at the medical school. Morgan Harrington is the late daughter of Dan and Gil Harrington. Morgan was an intern at the school and was attending Virginia Tech before she was tragically murdered in 2009. The scholarship fund was established in her honor and, to date, has generated over $250,000 benefiting students at the School of Medicine.
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More at ourhealthswva.com
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New Kitchen New Kitchen New Nutrition
New Nutrition New You!
words | CYNTHIA BEMENT and TRICIA FOLEY, MS, RD
Part II
of our year long series!
In 2016, our New Kitchen, New Nutrition, New You series puts the focus on helping you get healthier in the kitchen — one ingredient at a time. Each edition of OurHealth will highlight small changes you can make in your food prep and shopping habits that can add up to a major positive impact on your nutrition and health. Our goal is to present you with suggestions you can use and build on that will help you create a healthier kitchen — and life — by year’s end. Spring. It’s that wonderful time of year when blooms burst, the landscape turns green and life seems to offer a fresh, new start. This sense of renewal carries over to our tables — salads and fresh produce are the stuff of al fresco dining dreams. But alas, not all salads have your best nutritional interest at heart. Here, we show you how to take your spring fling with salads to the healthiest level possible by building them right, from the plate up, with healthy swaps from our resident nutritionist that will please your taste buds without foiling your nutrition goals. www.OurHealthswva.com
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Keep it green A truly healthy green salad starts with lots of — you guessed it — greens. Start by searching out a better salad base by deepening the color of your greens, as we’ve done in our Cobb salad.
Darker Greens: A truly healthy salad starts with lots of greens. Try deepening the color of your greens such as romaine or arugula. The deeper the green, the more nutritional value.
Veggie Love: Look at your vegetable content. Colorful, nonstartchy veggies like peppers and tomatoes add crunch, flavor, and juiciness to your salad. They are also both rich in vitamins C and A.
Watch Toppings: Avoid downgrading the nutritional value of your salad with fatty toppings. Avoid dried fruits, which can add high concentrations of sugar and calories, and pay attention to the quantity of seeds, nuts and croutons.
“Swapping out the iceberg lettuce for a blend of arugula and romaine lettuce increases the nutrient value of the salad without adding a lot of calories,” says Tricia Foley, OurHealth’s resident nutritionist and a member of the Southwest Academy of Nutrition and Dietetics.
“Arugula contains about eight times the calcium; five times the vitamin A, vitamin C and vitamin K; and four times the iron as the same amount of iceberg lettuce,” Foley says. And substituting romaine for iceberg lettuce brings 10 times more vitamin A to the salad and contains vitamin K that supports bone health and blood clotting.
Capitalize on the crunch After upgrading your base, look to the vegetable content in your salad and add some smart extras for crunch, flavor, texture and juiciness. Colorful, nonstarchy veggies like peppers and tomatoes are great options; according to Foley, both are rich in vitamins C and A and potassium. For many, the crispy allure of croutons is tough to avoid, but they can load on calories without providing any nutritional value. In our Cobb salad, we’ve swapped these nutritional saboteurs for almonds. “Almonds have polyunsaturated fat that can help raise good cholesterol while lowering bad cholesterol levels,” says Foley. “Using a small amount will provide a nice crunch without bombarding the salad with calories."
Skip salad sabotage Let’s face it: salad toppings are fun. Along with the aforementioned croutons, most salad bars offer nuts, seeds, dried fruits and cheeses that can spice up a potentially boring salad. Choose these additions wisely, however, to avoid downgrading the nutritional value of your salad. Skip dried fruits, which can add high concentrations of sugar and calories, and pay careful attention to the quantity of seeds and nuts you’re adding so as not to drive up the calorie and fat content, as in our unhealthy version of the Cobb. You don’t have to skip these entirely though.
“Using a garnish is a great way to incorporate color, taste and interest into a salad without overdoing the calorie content. Using a light coating of cheese, for example, does the trick,” says Foley. One salad garnish that should be managed carefully, says Foley, is avocado. Though they are nutritional all-stars (they’re high in folate, as well as B, C and E vitamins and potassium), avocados are high in monounsaturated fat, which — while great for lowering LDL or bad cholesterol — still comes with a high calorie and fat price tag. “Although avocados are very heart healthy, a small amount can go a long way,” says Foley, noting that one-fifth of an avocado is considered a serving, so use them sparingly in your salad.
WATCH FOR IT IN OUR NEXT ISSUE
Balance it out with (the right) protein While protein is always an important nutrient, when it comes to your salad, the inclusion of protein can often introduce unwelcome fat and calories. Getting the protein right in your salad, both in type and quantity, requires some scrutiny. In our Cobb salad recipe, we substituted grilled chicken for fried chicken. “By simply switching out the fried chicken for grilled, we save on calories from unhealthy fats and refined carbohydrates used to coat the chicken,” says Foley.
Healthy Summer Barbeque Tips
When creating your salad, consider all the protein sources you’re using in addition to meat — eggs, seeds, nuts and cheeses all contain protein and will contribute to the total amount you’re getting.
How much is enough protein? “On average, women should aim for about three to four ounces of protein per portion (21-28 grams) and men four to five ounces (28-35 grams),” Foley says. One egg, one-quarter cup of cheese and 20 almonds each equal one ounce of protein.
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49
Dress it up right
Protein Punch: It is important to pick the right proteins for your salads. While protein is a very important nutrient, the inclusion of protein can introduce unwelcome fat and calories. Make sure you consider all your protein sources including meat, eggs, seeds, nuts and cheeses.
Dress it Right: Too much fatty dressing can potentially negate the nutritional benefit of a salad. Try to pour one serving of bottled dressing (as defined on the nutrition label) into a small bowl and use only that much. In doing this you will become adept at eyeballing a serving size so that when eating out you can use the same amount.
The dressing might be the icing on the cake, but it’s another salad saboteur if you choose the wrong one. Most people know that full-fat and -calorie salad dressings poured on in pool-like quantities will essentially negate the nutritional benefit of a salad, but the kind of dressing you choose (or make) can also play a significant role in the salad’s healthfulness. “This healthy dressing swap has a Greek yogurt base, which is low in fat and rich in protein,” says Foley. “This allows the creamy texture to be enjoyed without all the saturated fat and calories that mayonnaise and sour cream tend to add in traditional cream-based dressings.” An oil-based dressing is also a wise choice, and Foley’s personal choice is to make her own (use our simple recipe and try it yourself). If you’d like to add spices to your dressing, Foley suggests experimenting with your own blend of dried or fresh herbs instead of buying packet dressing mixes, which can contain hidden sugars and maltodextrin — a common food additive made by partial hydrolysis of starch. Check the labels of low-fat and nonfat versions of your favorite bottled dressings as well because they are often high in sugar. Choose versions that contain no more than four grams of sugar per serving, Foley advises. Lastly, some vinaigrettes can also lead your salad into the danger zone.
“Vinaigrettes should be used with caution because many of the fruited vinaigrettes are high in sugar and use high fructose corn syrup as an additive,” says Foley. “Look for Greek or Italian vinaigrettes instead.” The amount of dressing you use, of course, is also a factor. One way to ensure a light hand while still maximizing flavor is to pour some dressing into a small bowl and dip your fork into it before the salad. Another is to pour one serving of bottled dressing (as defined on the nutrition label) into a small bowl and use only that much. You will become adept at eyeballing a serving size so that when eating out — after ordering the dressing on the side — you can use the same amount.
Get restaurant-ready Are salads a sure bet when you eat out? There are no guarantees, and in fact some restaurant salads, by nature of their large portion sizes and ingredients, can equal or surpass the fat and calorie content of a burger and fries meal — and that’s before the dressing is factored in. The key: Plan ahead when possible by checking out the restaurant’s menu and the nutrition information for its salads. At fast food chains, check to see if ingredients like dried cranberries, croutons, seeds and cheeses come in their own packages instead of being premixed into the salad. Foley notes that cheeses like feta, cheddar and blue can add 80-100 calories and 10-plus grams of fat per serving. And while dried fruits hardly seem like salad disaster, they can be. “After reviewing a popular fast food salad, we found that omitting the Craisins saved about 100 calories and 18 grams of sugar,” says Foley. Armed with our healthy swaps, nutrition-savvy tips and a little planning, you can uphold salad’s good name as a fresh and healthy mealtime option in your new kitchen, new nutrition arsenal — one that you can serve to your family with confidence this spring and year-round.
Check out the Healthy SWAP recipe on the page 53!
Tricia Foley’s
COBB SALAD Tricia Foley is OurHealth Magazine’s resident nutritionist.
Looking for more? For more healthy recipes with similar ingredients, scan here or visit our website at www.OurHealthswva.com! 52
OurHealth | The Resource for Healthy Living in Southwest Virginia
Healthy Regular Ingredients serves 4
12
ounces fried chicken
16
cups iceberg lettuce
SWAP
Healthier Ingredients serves 4
8
ounces grilled chicken
60 croutons
8
cups romaine lettuce or 8 cups arugula lettuce
20
black olives
¼
cup of slivered almonds
4
boiled eggs, diced
4 boiled farm fresh eggs, diced
½
yellow onion, chopped
16
black olives
1
cup cheddar cheese, shredded
1
red bell pepper, sliced
½
cup bacon bits
1
green bell pepper, sliced
½
cup sunflower seeds
½
yellow onion, chopped
12
cherry tomatoes
¼
cup bacon bits
¼
cup cheddar cheese, grated
¼
avocado-for garnish
Dressing Ingredients 1 avocado 1
tablespoon chives
½
garlic clove
2
tablespoon parsley
Dressing Ingredients
¼
lime, juiced
⅔
cup plain Greek yogurt
2
tablespoon mayonnaise
1
tablespoon olive oil
¼
teaspoon pepper
2
garlic cloves, crushed
1
teaspoon salt
1
tablespoons capers, finely chopped
2
tablespoons white wine vinegar
3
tablespoons freshly grated
½
cup butter milk
Parmesan cheese
1½
tablespoons sour cream
½
lemon, juiced
salt and pepper for seasoning
Instructions: Instructions:
Rinse lettuce and chop, then add to a large bowl, add cooked chicken, olives, diced eggs, onion, cheese, bacon bits, seeds and croutons to bowl, toss and set aside.
Rinse lettuce, chop, then add to a large bowl. Add cooked chicken, all vegetables, cheese, bacon bits and almonds, toss
To make the salad dressing first peel avocado and remove seed.
and divide into 4 portions. Garnish each portion with sliver of
Then combine all ingredients into a blender or food processor.
avocado and cheddar cheese, set aside.
Blend until smooth and add to salad. Makes 4 servings.
To make the salad dressing first combine yogurt, oil, garlic,
Nutrients in salad without dressing (per serving):
capers, lemon juice and Parmesan. Then whisk until well
634.5 calories, 39.75 grams fat, 33.75 grams protein
combined; add salt and pepper to your tastes, and whisk again. Nutrients without dressing (per serving): 313.7 calories, 25.75 grams protein, 12 grams fat
Total nutrients with dressing (per serving):
783.5 calories, 50.15 grams fat and 33.75 grams protein
Total nutrients with dressing (per serving):
VS
388.45 calories, 16.7 grams fat and 32 grams protein www.OurHealthswva.com
53
the 2016 OurHealth Southwest Virginia Primary Care Series: an issue-by-issue overview
+++ february
| march
KNOW YOUR CARE: understanding your health and how to maintain it
+++ april
| may
DO YOUR CARE: taking action with your health
PART II
DO YOUR
care words | GERI ASTON
Your health is as unique as you are.
Taking action with your health
It’s shaped by a combination of many factors — age, weight, gender, genetics, environment and lifestyle choices. In your first visit with your primary care provider, the doctor assesses each of these components and develops a care plan specific to you. Then it’s your turn. You are the person who has to act on that plan. You have to “do your care.”
This article, the second in a yearlong OurHealth series about primary care, will focus on your part of the patient-physician partnership.
Eating healthy Although you can’t change your age, gender or genetics, you can change the lifestyle choices that affect your health. Diet has an important role in the treatment of many chronic conditions, such as diabetes, obesity, kidney failure, hypertension and heart disease, says Roy Habib, MD, a primary care physician at LewisGale Physicians in Salem.
+++ june
| july
SHARE YOUR CARE: setting good examples for others to learn and live by
+++ august
| september
INSPIRE YOUR CARE: keeping creative with fresh care ideas
+++ october
| november
MEASURE YOUR CARE:
tracking your efforts to ensure you’re on the right path
+++ december
| january
CELEBRATE YOUR CARE:
rejoicing the rewards realized from taking good care of yourself
www.OurHealthswva.com
Dr. Habib makes an effort to discuss diet with his patients at office visits. He makes simple recommendations that patients can understand and try to follow. In general, he recommends eating foods low in salt, fat and carbohydrates. A Mediterranean diet high in vegetables, whole grains, fruits and nuts, and that replaces butter with olive oil and adds herbs for flavor, is becoming a proven healthy choice.
Preventing portion distortion The type of food on your plate is important, but so is the amount. Did you know that portion sizes in America have increased over time? Many restaurants serve oversized portions, sometimes big enough for two people, and food makers package food and drinks in large sizes to sell more of their product. For example, 20 years ago, the typical bagel was 3 inches in diameter and 140 calories. Today’s bagels are often 6 inches and 350 calories.
For patients with diabetes, it is important to stick to a low-carbohydrate diet, eat regularly and avoid skipping meals, Dr. Habib says. For heart failure, liver cirrhosis and kidney disease, it is crucial to avoid excessive fluids and restrict salt intake.
As portions have grown, so have Americans’ waistlines. If you’re trying not to overeat when you’re at a restaurant, how can you tell how much is the right amount when you don’t carry measuring spoons or cups?
Eating healthy starts before going to the grocery store. It means planning
healthy meals in advance, shopping often enough to have nutritious options on hand and reprioritizing your grocery budget. Dr. Habib avoids complicated diet regiments because the more difficult a meal plan is, the more likely patients are to be overwhelmed and ignore their doctor’s instructions.
It turns out you have a portable measuring tool at hand, literally. People can use their hands to estimate serving sizes to avoid overeating at home and at restaurants.
The recommended serving size of meat is roughly the size of your palm.
Limit the butter on toast to a teaspoon, or the size of your fingertip.
A clenched fist is roughly one cup, or a double-serving of ice cream. Using your hands to estimate serving sizes helps avoid overeating at home and at restaurants.
Henry Burgess, MD, a family medicine doctor at LewisGale Physicians’ Daleville office, takes the same approach. “The best way to make changes that will last is to make small changes in diet and exercise gradually over time so that each feels easier to stick to and make a habit of,” he says.
Get up and go Diet alone isn’t enough to achieve a he Diet alone isn’t enough to achieve a healthy weight. The other half of the equation is exercise. Many people think of going to the gym when they think exercise. For people who can afford it and are motivated, joining a gym and working with a personal trainer can be a good option. But for others, a membership is nothing more than a donation to the gym. Going to a health club isn’t for everyone. If that’s the case with you, the most important thing is to find an activity you like to do because you’re more likely to stick with it. It’s okay to start out small and add time when it gets too easy. In fact sometimes starting out small is the healthiest approach. Taking up running or an organized sport you haven’t
(Continued on page 58...)
HEALTHY OILS
WATER
Use healthy oils such as olive or canola oil. Limit butter and try to avoid trans fat.
Drink water, tea, or coffee with little to no sugar. Avoid sugary drinks.
VEGETABLES
FRUITS
Pile on the veggies, but remember to try to mix it up. The more variety, the better.
Eat plenty of fruit of all different colors.
HEALTHY PROTEIN
WHOLE GRAINS Eat a variety of whole grains such as whole wheat bread and pasta. Limit refined grains such as white bread and rice.
Choose more fish, poultry, beans and nuts. Try to limit red meat and cheese. Avoid processed meat such as bacon and lunch meat.
WHAT A HEALTHY MEAL LOOKS LIKE The Healthy Eating Plate, developed by Harvard University, shows people what a healthy meal looks like (illustrated above). The U.S. Department of Agriculture has a similar tool, called MyPlate. To learn more, visit their website at www.choosemyplate.gov. The American Diabetes Association offers Create Your Plate to help people control their blood sugar. To learn more visit their website at www.diabetes.org. You can ask your primary care provider whether one of these meal plans or a different one is right for you.
SCAN HERE to view the American Diabetes Association's Create Your Plate.
HONESTY AND ACTION An individualized eating and exercise plan can keep chronic conditions like diabetes, high blood pressure and high cholesterol in check without medication or with a lower dose.
Roy Habib, MD, FACP specializes in internal medicine with LewisGale Physicians in Salem. Dr. Habib is certified by the American Board of Internal Medicine.
Your plan will only be successful if you’re honest with your physician at the outset and as you work toward your goals. Be frank about how much exercise you get, what you eat and what your weaknesses are. If your only exercise is to walk to the mailbox and back, that’s what you should tell your doctor. Truthful information will help your physician determine what your first activity goals should be. Some patients are very motivated to change their habits, while others find it a struggle. Some patients falter, don’t let their doctor know and give up. If you have a hard time meeting your goals, your primary care provider would much rather you reach out to them for help than give up. They can offer tips to keep up your momentum when you hit a roadblock. If you really are unable to change your behavior, you have to be honest about that too. If you have high cholesterol but keep eating at McDonald's, a cholesterollowering statin drug might be your best choice. When you’re exercising and changing your eating habits because of a chronic illness, your doctor will make plans for follow-up visits. It’s important to keep those appointments so your physician can make sure your plan is working and make needed changes if it’s not.
Henry Burgess, MD is a family practice physician with LewisGale Physicians in Daleville. Dr. Burgess is certified by the American Board of Family Medicine.
58
If it’s possible, make your next appointment before you leave your primary care provider's office. That way, your follow-up visit won't slip through the cracks. Jefferson Internal Medicine Associates in Roanoke keeps a “bump list.” Any patient who cancels or misses an appointment is placed on this list so the office can call them to reschedule their missed appointment. “We explain to our patients that their health and well-being is very important to us,” says Anne Jaeger, MD.
OurHealth | The Resource for Healthy Living in Southwest Virginia
(Continued from page 56...)
played for years could result in an injury because your muscles aren’t conditioned for it. Walking is a great alternative. It doesn’t stress the joints and it’s free. A commonly heard goal is 10,000 steps a day, but that’s not an official government health recommendation. The Centers for Disease Control and Prevention says typical adults should get two hours and 30 minutes of moderate intensity aerobic activity — such as brisk walking — every week, and they should perform musclestrengthening activities two or more days a week.
read this edition of
on your tablet or smartphone
A fitness tool — be it a FitBit, a smart phone app or a pedometer — can help you measure how much you’re walking and to gauge your progress as you work toward reaching your goal over time. Obese people have to take special care when starting their physicianrecommended exercise routine because the extra weight puts pressure on their joints. Exercising in a pool is often the best option because it’s easier on the joints. People who don’t like water or are shy about putting on a bathing suit can still safely add to their activities. Even getting up and moving about during TV breaks helps. You can gradually add more activity as time goes on.
Mental health Almost everyone experiences times in their life when they’re anxious or depressed. It’s important to let your primary care provider know when it happens to you. Your physician can help you determine whether your feelings are normal or a sign of a mental health problem. If you are having a mental health problem, your doctor will likely refer you to a counselor who can help you work through it. Counselors also teach coping skills that you can use through your life. www.OurHealthswva.com
59
Vaccines aren’t just for kids Most people remember getting vaccine shots when they were kids. You might even have your old vaccine booklet from when you were a child. But the need for immunization doesn’t end with childhood. The Centers for Disease Control and Prevention recommends that adults get an annual flu vaccine, periodic booster shots for some diseases and a pneumonia vaccination at age 65. Most adults who are 49 and younger can get the flu vaccine in a nasal mist instead of a shot.
Overweight patients who are unable to change their eating habits can often benefit from counseling that helps them figure out what is blocking them from healthy eating. It’s important to find a counselor who is right for you. Ask your doctor for a referral list and then call a few counselors on the list, explain the basics of your issue and decide whether that person will be a good fit for you based on your conversation. In many communities there aren’t enough counselors to meet demand, so you might experience a wait for an appointment. That’s why it’s important to call counselors without delay. Exercise also helps to relieve mental health problems. Sunshine and exercise boost the level of serotonin — a chemical produced by your body that is important for brain function. Yoga can be a particularly good exercise option. The typical yoga studio has lessons for beginners, and staff members can help you decide what type of yoga is best for you. For adolescents who are struggling with anxiety, meditative yoga can give them a tool besides medication that they can use to cope with stress. Sometimes counseling and exercise aren’t enough, and medication is needed. Primary care doctors handle prescribing for common mental health problems. For serious mental health disorders, the doctor will usually refer the patient to a psychiatrist.
Anne Jaeger, MD specializes in internal medicine. Dr. Jaeger sees patients at Jefferson Internal Medicine Associates in Roanoke.
Most mental health medications take up to six weeks to take full effect. The doctor will typically schedule a follow-up appointment a month or two after prescribing the medication to make sure it’s working.
Take your meds By some estimates, more than half of all prescription drugs either aren’t taken at all or aren’t taken according to the doctor’s instructions. The result is that a lot of people are in poorer health than they should be, and some even die.
Anthony Stavola, MD is the Vice Chair of Carilion Clinic’s Department of Family and Community Medicine in Roanoke. Dr. Stavola is certified by the American Board of Family Medicine.
There are lots of reasons why people don’t take medicine. “Sometimes a patient is concerned about possible side effects, skeptical of a medication’s importance or simply unsure of why they were prescribed the medicine in the first place,” says Anthony Stavola, MD, vice chair of Carilion Clinic’s Department of Family and Community Medicine in Roanoke. “I find that taking the time to educate and inform is the best way to remedy any confusion or concern.” Sometimes people can’t afford their prescription medication. A less expensive generic option is often available, Stavola notes, (Continued on page 62...)
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OurHealth | The Resource for Healthy Living in Southwest Virginia
MENTAL HEALTH: KNOW THE WARNING SIGNS Trying to tell the difference between normal feelings, especially in times of stress or loss, and what might be signs of a mental illness can be hard. Tell your doctor if you are experiencing any of these common signs of mental illness in adults and adolescents. •
Excessive worrying or fear.
•
Feeling excessively sad or low.
•
onfused thinking or problems concentrating C and learning.
•
xtreme mood changes, including E uncontrollable “highs” or feelings of euphoria.
•
rolonged or strong feelings of irritability P or anger.
•
Avoiding friends and social activities.
•
ifficulties understanding or relating to D other people.
•
hanges in sleep habits or feeling tired and C low energy.
•
hanges in eating habits, such as increased C hunger or lack of appetite.
•
Changes in sex drive.
•
ifficulty perceiving reality (delusions or D hallucinations, in which a person experiences and senses things that don't exist in objective reality).
•
I nability to perceive changes in one’s own feelings, behavior or personality.
•
Abuse of substances like alcohol or drugs.
•
ultiple physical ailments without obvious M causes (such as headaches, stomach aches, vague and ongoing aches and pains).
•
Thinking about suicide.
•
I nability to carry out daily activities or handle daily problems and stress.
•
n intense fear of weight gain or concern with A appearance (mostly in adolescents).
Credit: National Alliance on Mental Illness
Preventative Care Well/Sick Visits Minor Injuries Disease Management Including Patient Education Plans Serving VA Premier Members of All Ages
(Continued from page 60...)
so it’s important to let the doctor know if medication cost is a problem for you. Many Carilion Clinic primary care locations are certified patient-centered medical homes with care coordinators and a consulting pharmacist who can help patients find affordable options, he adds.
How to be "Medicine Smart" Patient who understand their medications are more likely to take them. Here are 10 questions you can ask your doctor or nurse to get the information you need to use medicines appropriately. 1. What is the name of the medicine and what is it for? Is this the brand name or the generic name?
Medical Home: a patient centered approach to primary care in which you find an entire care team dedicated to you, and focused on prevention and wellness. Led by your physician, your care team works with you to achieve your healthcare goals.
2. Is a generic version of this medicine available? 3. How and when do I take it — and for how long? 4. What foods, drinks, other medicines, dietary supplements or activities should I avoid while taking this medicine?
Regardless of the reason, your primary care doctor wants to know if you’re not taking your medication, why you're not taking it and if you’re confused about how to take it. Tell him right away. Your doctor doesn’t want you to wait until your condition gets worse to find out there is a problem with your medication.
5. When should I expect the medicine to begin to work, and how will I know if it is working? Are there any laboratory tests required with this medicine?
If your medication isn’t working, your can adjust your dose or change the medication all together if it’s causing side effects, Dr. Jaeger says.
6. Are there any side effects, what are they, and what do I do if they occur?
If you hear a troubling rumor about the medication, your doctor or nurse can talk it over with you.
7. Will this medicine work safely with the other prescription and nonprescription medicines I am taking? Will it work safely with any dietary or herbal supplements I am taking? 8. Do I need to get a refill? When?
Sources Centers for Disease Control and Prevention – www.cdc.gov National Alliance on Mental Health – www.nami.org National Council on Patient Information and Education – www.talkaboutrx.org National Heart, Lung, and Blood Institute – www.nhlbi.nih.gov
9. How should I store this medicine? 10. Is there any written information available about the medicine?
Expert Contributors Henry Burgess, MD, with LewisGale Physicians in Daleville Roy Habib, MD, with LewisGale Physicians in Salem Anne Jaeger, MD, with Jefferson Internal Medicine Associates in Roanoke Anthony Stavola, MD, with the Carilion Clinic Department of Family and Community Medicine, Roanoke
ON THE WEB
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OurHealth | The Resource for Healthy Living in Southwest Virginia
If you’ve ever felt like dancing – or moving to the music – but are limited by mobility restrictions, Dancercise might be the answer for you! Now offered at Green Ridge Recreation Center, this unique, 30-minute seated class is great for those who want a fun and easy way to exercise!
This class is
perfect for any
individual with limited
impaired balance
mobility or
including those
who use a cane or walker. All moves are done to music. Participants are seated in a sturdy chair, which allows for movement of legs and arms to perform strength, balance and stretching exercises while being fully supported. Participants will increase mobility and confidence, and leave class ready to move and groove throughout the rest of the day!
GREEN RIDGE RECREATION CENTER 7 41 5 WO O D HAV E N ROA D ROA N O KE , VA 24 01 9 | 5 40 .7 7 7 .6 3 0 0 WWW. G R E E N R I D G E R E C R EATI ONC ENTER.C OM
SCAN HERE
E
L BA
C AN
N TO
G IN
TO F I N D A C L ASS
TH G N
TY
I IL
E
R ST
OB
M
LOW INTENSITY
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OurHealth | The Resource for Healthy Living in Southwest Virginia
The Kendall Bayne Foundation is a nonprofit organization that honors the life and memory of Kendall Bayne. Revenue generated through the foundation’s activities will be used to support three of Kendall’s passions:
words | TINA JOYCE
Like the final pages of a book left unwritten, Kendall Bayne’s story is not yet complete. The beautiful teenager with a promising future left the final chapters for others to write on her behalf. As with many teenage girls, Kendall Bayne was busy studying, cheerleading, dancing and hanging out with friends. She also happened to be inspiring others while fighting for her life. Kendall Bayne, a 2014 graduate of Cave Spring High School, learned five years ago she had adrenal cortical carcinoma, a rare form of cancer forming in the outer layer of the adrenal glands. Although symptoms vary, chronic abdominal pain is common. At first, her parents, Jere and Andrea Bayne, were concerned about a gluten allergy or intestinal issues. She had both upper and lower gastrointestinal scopes before other tests were completed that confirmed her diagnosis. At age 14, she began a new journey. Her treatments began immediately following her diagnosis on Valentine’s Day in 2011. “She grew up really quick,” says her father.
TGen Research A nonprofit organization developing earlier diagnostics and smarter treatments for diseases.
First Decents Program First Descents gives young cancer fighters and survivors a chance to climb, paddle and surf beyond their diagnosis.
Kendall had some of the most knowledgeable experts in the field working to provide her care. “She had surgery at Carilion Clinic to remove her right adrenal gland with a 11-centimeter tumor. Six months later it was determined the cancer had spread to her lungs, and she had two lung surgeries and an ablation at Duke University Hospital to remove the tumors. She went through many rounds of different chemotherapy and radiation and was enrolled in two different phase 1 studies in Scottsdale, Arizona, at the
Scholarship A scholarship will be established bearing Kendall's name. www.OurHealthswva.com
67
Translational Genomics Research Institute, and at the National Institutes of Health in Bethesda, Maryland. We also travelled to St. Jude Children’s Research Hospital, University of Michigan Cancer Center, Dana-Farber Cancer Institute, and Johns Hopkins for consults and genetic testing,” says Jere Bayne. Over the course of five years, Kendall continued to battle for her life. Her smile was contagious and her grace through treatments was moving. Her father remembers, “Ninety-nine percent of the time she had a smile on her face as she pushed through treatments with a bright, cheerful outlook.” She crossed paths with many people and made it her mission to bring awareness to the need for cancer research without losing her delightful spirit. Kendall also spent a lot of time with two of her good friends, sisters India and Paxton Helmer. Maverick Helmer, a younger brother, had the privilege of getting to know Kendall through the close relationship she had with his sisters. “Our house became a safe haven. We never talked to Kendall as though she had cancer,” says Maverick. “She really inspired me. What she stood for was amazing. She had a great smile that could completely change any person’s day.” Maverick Helmer, a competitive equestrian and Olympic hopeful at age 15, was searching for a cause to support to make a difference. “I was so intrigued that even the smallest things could make the biggest difference,” Maverick explains. He was looking for a community service project and considered supporting other foundations and causes, but Kendall’s life and outlook made him look closer to home. “I decided I want to help promote living courageously, not battling cancer.”
“What she stood for was amazing. She had a great smile that could change any person’s day.” - Maverick Helmer Kendall Bayne lost her fight with cancer in October 2015 at age 19. However, her courageous attitude continues to make an impact in the community and beyond. A preschool in Rwanda has just opened bearing her name, spearheaded by the Church of the Holy Spirit. Jere Bayne made the trip for the unveiling, and hearing Bishop Quigg Lawrence say, “Live a Kendall life,” made the trip even more special. “I want to continue to make a difference — for her. Her attitude is what drives me,” he says.
Maverick, also committed to making a difference within his busy East Coast competition schedule, spoke to the Bayne family and asked permission to create a foundation in Kendall’s name to help continue to support the things close to her heart. “I am so thankful for Maverick’s initiative. He is such a mature young man for his age. I wanted to do this [create a foundation in her memory], but I just didn’t have it in me at the time,” Jere says. “The great thing about this is Maverick is running with it.”
Photo Above: School dedication for Kendall in Rutunga, Rwanda with Bishop Quigg Lawrence, Church of the Holy Spirit.
Maverick, with the support of others, created and manages a 501(c)(3) nonprofit organization that honors the life and memory of Kendall Bayne.
Revenues generated through the foundation’s activities will be used to support three of Kendall’s passions:
• Research
– The Translational Genomics Research Institute is a nonprofit 501(c)(3) organization focused on developing earlier diagnostics and smarter treatments for cancer, neurological disorders, diabetes and other complex diseases.
• Young adult cancer fighters and survivors – First Descents
offers a free outdoor adventure experience designed to empower them to climb, paddle and surf beyond their diagnosis, defy their cancer, reclaim their lives and connect with others doing the same.
• Academics – An honors student, Kendall made academics a priority. A Kendall Bayne Scholarship will be established.
Maverick Helmer Family friend and founder of the Kendall Bayne Foundation.
Kendall’s Kilometers is a 5K race and 1-mile walk organized to honor the life of Kendall Bayne and raise funds for her foundation. The event will be held May 7 at River’s Edge Sports Complex in Roanoke. Included in the day’s activities is also a Sprint With Spot event. For a $5 entry fee, canine lovers with well-behaved dogs are invited to join the fun in Kendall’s memory.
For more information about the Kendall Bayne Foundation, visit www.kendallbaynefoundation.org or scan the QR code below.
Date: Time: Location:
Saturday, May 7 9 AM to 12 PM Rivers Edge Sports Complex Roanoke, Virginia
For more information, visit www.kendallbaynefoundation.org
A beautiful smile, a courageous spirit, and a positive outlook are characteristics Kendall passed on to those who knew her. Now others are committing to "leading a Kendall life" by supporting her foundation and carrying on her spirit. To learn more about the Kendall Bayne Foundation or upcoming events supporting the cause, visit www.kendallbaynefoundation.org.
Sources www.cancer.gov www.kendallbayne.com www.kendallbaynefoundation.org
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RECOGNIZING ALL
HEALTHCARE WORKERS THIS MONTH AND ALL YEAR LONG words | RICH ELLIS
Caring for people is a never-ending commitment. Illness and accidents never take a day off, they don’t recognize national holidays or weekends, they occur around the clock, and they affect everyone at some time or another. And even as these individual healthcare crises unfold and are managed, attention and work elsewhere is focused simultaneously on promoting and protecting patients’ good health through education and prevention, and on medical research. Simply put – healthcare never stops, because it can’t. Delivering it is a heavy responsibility, and one that falls squarely on the shoulders of a select group of people – healthcare professionals. These committed individuals – knowing full well the challenges, risks, hours, sacrifices, highs and lows inherent in caring for others – still choose to perform this work so that others have a chance to live a better life through improved health. To try and begin to thank and recognize these professionals for their dedication, sacrifices and commitment, many national recognition days have been established over the years to honor specific healthcare professions – from National IV Nurse Day to National Dental Assistants Recognition Week to National Doctors’ Day. While one day isn’t enough to say “thank you,” it’s a start. So to help you keep track of all the various healthcare-related recognition days and weeks that occur throughout the year so you can recognize the professionals in your life, we put together this healthcare appreciation calendar listing all the various observances.
USE IT WELL, AND THANK A HEALTHCARE PROFESSIONAL EVERY DAY.
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APRIL Month of
APRIL
Humor Month
Throughout the month of April, we honor those who make us laugh. Therapeutic humor promotes health and wellness by stimulating a playful discovery, expression or appreciation of the absurdity or incongruity of life’s situations. For more information, visit Association for Applied and Therapeutic Humor at www.aath.org or National Humor Month at www.humormonth.com.
APR 10-16
Volunteer Week
Established by President Richard Nixon, National Volunteer Week recognizes and celebrates the efforts of volunteers. Every April, charities, hospitals, and communities recognize volunteers and foster a culture of service.
APR
20
The International Transplant Nurses Society (ITNS) is committed to creating opportunities to celebrate the thoughtful and compassionate care of transplant nurses and the ways they impact patients’ lives. For more information, visit ITNS at www.itns.org.
APR 24-30
11–15
For more information, visit the American Society for Clinical Laboratory Science at www.ascls.org.
MAY
APR
12
Radiologic and Imaging Nurses Day
This day recognizes the work of those working in the specialty practice of radiologic and imaging nursing. For more information, visit the Association for Radiologic & Imaging Nursing at www.arinursing.org.
APR 17-23
MAY
Cancer Registrars Week
For more information, visit the National Cancer Registrars Association at www.ncra-usa.org.
Neurodiagnostic Week
Neurodiagnostic Week, honors and celebrates the contributions of neurodiagnostic professionals throughout the country.
Critical Care Awareness and Recognition Month
The Society of Critical Care Medicine (SCCM), along with the American Association of Critical-Care Nurses (AACN), American College of Chest Physicians (CHEST), American Thoracic Society (ATS), and the American Association for Respiratory Care (AARC), honors critical care professionals this month for their speedy and dedicated work. For more information, visit the Society of Critical Care Medicine at www.sccm.org.
Month of
MAY
Oncology Nursing Month
Oncology nurses throughout the country are honored this month for not only their clinical and technical expertise, but for helping people through some of the most trying times of their lives. For more information, visit the Oncology Nursing Society at www.ons.org.
For more information, visit ASET – The Neurodiagnostic Society at www.aset.org.
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MAY 6-12
OurHealth | The Resource for Healthy Living in Southwest Virginia
Nurses Week
Held annually since 1820, National Nurses Week celebrates the role nurses play in delivering high quality care to patients around the world. For more information, visit the American Nurses Association at www.nursingworld.org/nationalnursesweek.
MAY 8-14
Hospital Week
National Hospital Week, the nation’s largest healthcare event, celebrates hospitals and health systems and the men and women who support the health of their communities. For more information, visit the American Hospital Association at www.aha.org/hospitalweek.
MAY 8-14
Month of
National Cancer Registrars Week was established as an annual celebration to promote the work of cancer registry professionals. Founded by the (NCRA), it is celebrated the second week in April.
Medical Laboratory Professionals Week
National Medical Laboratory Professionals Week celebrates medical laboratory professionals and pathologists working behind the scenes. This week we honor these medical laboratory professionals around the country who perform and interpret more than 10 billion laboratory tests in the United States each year.
For more information, visit the Association for Healthcare Volunteer Resources Professionals at www.ahvrp.org.
APR
Transplant Nurses Day
Nursing Home Week
Skilled nursing, post-acute, and other care settings use National Nursing Home Week as a time to recognize staff for their dedication to caring for seniors and persons with disabilities. For more information, visit the American Health Care Association at www.nnhw.org.
MAY
11
School Nurse Day
On National School Nurse Day we celebrate our local school nurses! The National Association of School Nurses (NASN) applauds the contributions school nurses make every day to improve the safety, health, and academic success of our students. For more information, visit NASN at www.nasn.org.
MAY 15-21
Medical Transcriptionist Week
National Medical Transcriptionist Week is a week-long event to recognize the contributions healthcare documentation specialists make in helping to ensure complete and accurate patient health records. For more information, visit the Association for Healthcare Documentation Integrity at www.ahdionline.org.
MAY 15-21
Neuroscience Nurses Week
Neuroscience Nurses Week celebrates the work of neuroscience nurses everywhere. For more information, visit the American Association of Neuroscience Nurses (AANN) at www.aann.org.
JUNE JUN
7
Healthcare Recruiter Recognition Day
National Healthcare Recruiter Recognition Day, which always falls on the first Tuesday in June celebrates the contribution healthcare recruiters make to their organizations every day. For more information visit the National Associations for Health Care Recruitment at www.nahcr.com.
JUN 9-16
Nursing Assistants Week
Nursing Assistants Week begins on Career Nursing Assistants Day, June 9, to recognize nursing assistants and other direct-care workers who provide daily care in nursing homes, home care, and other long-term care settings. For more information visit the Career Nursing Assistants website at www.cna-network.org
JULY Month of
JULY
UV Safety Awareness Month
In support of UV Safety Month this July, the American Academy of Ophthalmology reminds the public of the importance of shielding eyes from the sun's harmful rays with 100 percent UV-blocking sunglasses and broad-brimmed hats. Make a point to recognize your eye care provider this month. For more information, visit the American Academy of Ophthalmology at www.aao.org.
AUGUST AUG 14-20
Health Center Week
This week in August, we recognize the service and contributions of community, migrant, homeless, and public housing health centers in providing access to affordable, high-quality, cost effective healthcare to medically vulnerable and underserved people. For more information, visit the National Association of Community Health Centers at www.healthcenterweek.org.
APR
23
Health Unit Coordinator Day
August 23 we celebrate health unit coordinators who serve as the hub of activity in critical care units, emergency departments, inpatient units and outpatient services. For more information, visit the National Association of Health Unit Coordinators (NAHUC) at www.nahuc.org.
SEPTEMBER SEP 11-17
Healthcare Environmental Services and Housekeeping Week
This week is designed to recognize and elevate healthcare environmental services staff for the critical and often unrecognized role of environmental services in quality outcomes. For more information, visit the Association for the Healthcare Environment (AHE) at www.ahe.org.
SEP 11-17
Nephrology Nurses Week
Nephrology Nurses Week honors the dedicated nephrology nurses who care for patients with kidney disease. For more information, visit the American Nephrology Nurses’ Association at www.annanurse.org.
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SEP 11-17
Vascular Nurses Week
Vascular Nursing Week celebrates vascular nurses who focus on the care of persons living with vascular disease. For more information, visit the Society for Vascular Nursing at www.svnnet.org.
SEP
15
Neonatal Nurses Day
National Neonatal Nurses Day is celebrated every September 15 by honoring the members of the neonatal community and their care for the littlest of patients. For more information, visit the National Association of Neonatal Nurses at www.nann.org.
SEP 18-24
Nursing Professional Development Week
Nursing Professional Development Week celebrates nursing professional development specialists and their profession of engaging nurses in the lifelong learning and development of their healthcare career goals. For more information, the Association for Nursing Professional Development at www.anpd.org.
SEP 18-24
Surgical Technologist Week
The Association of Surgical Technologists (AST) offers national recognition through National Surgical Technologist Week, a week that has been designated to celebrate and honor the professions. For more information, visit AST at www.ast.org.
OCTOBER Month of
OCTOBER
Medical Librarians Month
The Medical Library Association (MLA) created the National Medical Librarians Month observance to raise awareness of the important role of the health sciences information professional. For more information, visit the MLA at www.mlanet.org. www.OurHealthswva.com
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Month of
OCTOBER
Pharmacists Month
OCT 2-8
Midwifery Week
American Pharmacists Month is a time to recognize pharmacists for the vital contributions they make as medication experts and as an integral part of the healthcare team.
National Midwifery Week is a time to celebrate midwives’ contributions to women’s healthcare, including pregnancy, childbirth, and gynecologic and reproductive health.
For more information, visit the American Pharmacists Association at www.pharmacist.com.
For more information, visit the American College of Nurse-Midwives at www.midwife.com.
Month of
OCTOBER
Physical Therapy Month
National Physical Therapy Month is hosted by the American Physical Therapy Association (APTA) each October to recognize how physical therapists and physical therapist assistants can transform people’s lives by restoring and improving motion. For more information, visit APTA at www.moveforwardpt.com.
OCT 2-8
Gerontological Nursing Week
This week honors the specialty practice of gerontological nursing dedicated to the clinical care of older adults across diverse care settings. For more information, visit the National Gerontological Nursing Association at www.ngna.org.
OCT 2-8
Healthcare Foodservice Workers Week
This week, we recognize the integral role of foodservice staff in helping employees and patients of healthcare facilities stay well-nourished and healthy. This week is an excellent opportunity to recognize and thank the dedicated individuals who provide food and nutrition services in healthcare. For more information, visit the Association for Healthcare Foodservice at www.healthcarefoodservice.org.
OCT 2-8
Nuclear Medicine and Molecular Imaging Week
For more information, visit the Society of Nuclear Medicine and Molecular Imaging at www.snmmi.org.
6-12
Physician Assistants Week
National Physician Assistants Week is intended to celebrate and recognize over 100,000 certified physician assistants in the United States. For more information, visit the American Academy of Physician Assistants at www.aapa.org.
OCT 9-15
Case Management Week
National Case Management Week, held annually during the second full week of October, is an opportunity to recognize the contributions and value of case management within the healthcare delivery system. For more information, visit the American Case Management Association at www.acmaweb.org.
OCT 9-15
9-15
Central Service Week
With the dedication of central service professionals, healthcare customers can count on clean and sterile instruments being delivered consistently and on time. For more information, visit the International Association of Healthcare Central Service Material Management at www.iahcsmm.org.
Emergency Nurses Week
Emergency Nurses Week is a national celebration of the dedicated nursing professionals who stand ready to care for those people most in need. For more information, visit the Emergency Nurses Association at www.ena.org.
OCT
Celebrated during the first full week of October, Nuclear Medicine and Molecular Imaging Week encourages recognition of those members of the nuclear medicine specialty for their hard work.
OCT
OCT
9-15
Healthcare Security and Safety Week
In conjunction with Healthcare Security and Safety Officer Appreciation Day on October 12, this week celebrate the role of security and safety professionals that provide healthcare facilities, personnel, patients, and visitors a secure environment. For more information, visit the International Association for Healthcare Security and Safety at www.iahss.org.
OCT 10-15
Dialysis Technician Recognition Week
This week-long event is celebrated to increase awareness of nephrology professionals involved in patient care, dialyzer reuse, equipment maintenance, kidney transplantation, and administrative areas. The celebration recognizes the contributions dialysis professionals make to the healthcare field and to their patients’ quality of life. For more information, visit the National Association of Nephrology Technicians/Technologists at www.dialysistech.net.
OCT 17-21
Medical Assistants Recognition Week
Medical Assistants Recognition Day falls on October 19, but celebrate these professionals and their vital role, contributions, and efforts in healthcare all week long. For more information, visit the American Association of Medical Assistants at www.aama-ntl.org.
OCT
23-29
Healthcare Facility and Engineering Week
This week recognize the important role that the healthcare facility team plays in ensuring safe and functional environments for patients, visitors, and staff. For more information, visit the American Society for Healthcare Engineering at www.ashe.org.
OCT
23-29
Pastoral Care Week
Pastoral Care Week gives us the opportunity to recognize the pastoral and spiritual care given through professional chaplaincy and pastoral counseling. Regardless of spiritual, religious, or cultural background, Pastoral Care Week celebrates those who provide spiritual support to others. For more information, visit Pastoral Care Week at www.pastoralcareweek.org.
NOVEMBER Month of
NOVEMBER
Family Caregivers Month
Caregiver Action Network (CAN) formerly known as National Family Caregivers Association, set aside a week of the year to promote appreciation for family caregivers. Because of the massive interest in family caregivers, National Family Caregivers Week turned into a month-long event celebrated every November. For more information, visit the Caregiver Action Network at www.caregiveraction.org.
Month of
NOVEMBER
Home Care and Hospice Month
During November the home care and hospice community honor the millions of nurses, home care aides, therapists, and social workers who make a difference for the patients and families they serve. For more information, visit the National Association for Home Care &Hospice at www.nahc.org.
NOV 1-7
Medical-Surgical Nurses Week
This week honors the medical-surgical nurses who make a difference in the lives of patients every day. Take time during this week to recognize the amazing nurses who practice in this specialty. For more information, visit the Academy of Medical Surgical Nurses at www.amsn.org.
NOV 1-7
Patient Transportation Week
The National Association of Healthcare Transportation Management (NAHTM) members recognize that the key to timely and caring patient transportation is the staff that provides patient transportation. For more information, visit NAHTM at www.nahtm.org.
NOV 1-7
Urology Nurses and Associates Week
Urology Nurses and Associates Week celebrates urologic healthcare professionals and their care for patients through guidance and treatment for a variety of urologic diseases and concerns. For more information, visit the Society of Urologic Nurses and Associates at www.suna.org.
NOV 6-12
Allied Health Professions Week
Allied Health Professions Week honors the three million healthcare providers working in more than 80 allied health professions. Allied health practitioners greatly influence healthcare delivery by supporting, facilitating, and complementing the roles of physicians and other healthcare specialists. For more information, visit the Association of Schools of Allied Health Professions at www.asahp.org.
NOV 6-12
Medical Staff Services Awareness Week
The National Association of Medical Staff Services (NAMSS) has partnered with hospitals, managed care organizations, doctors’ offices, university health systems, and government agencies to honor medical services professionals. For more information, visit the NAMSS at www.namss.org.
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NOV 6-12
Radiologic Technology Week
National Radiologic Technology Week is celebrated annually to recognize the vital work of medical imaging and radiation therapy professionals across the nation. The celebration takes place each November to commemorate the anniversary of Wilhelm Conrad Roentgen’s discovery of the x-ray on November 8, 1895. For more information, visit the American Society of Radiologic Technologists at www.asrt.org.
DECEMBER DEC 4-10
Flu Vaccination Week
This week we recognize all of our flu vaccination partners and highlight the importance of continuing flu vaccination through the holiday season and beyond. For more information, visit the Center for Disease Control and Prevention at www.cdc.gov.
2017
JANUARY JAN
25
$50 OFF your first visit. Ask about our Buddy Program!
IV Nurse Day
Every year since 1981, National IV Nurse Day has honored the commitment shown and the outstanding patient care practiced by infusion nurse professionals. For more information, visit the Infusion Nurses Society at www.ins1.org.
2017
FEBRUARY FEB 6-12
PeriAnesthesia Nurse Awareness Week
This week recognizes and celebrates our nation’s 60,000+ perianesthesia nurses who work in preanesthesia and postanesthesia care, outpatient surgery, and pain management settings, and care for patients before and after surgery. For more information, visit the American Society for PeriAnesthesia Nurses at www.aspan.org.
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FEB 12-18
Cardiovascular Professionals Week
This week celebrates the work of cardiovascular professionals and the support they provide to improve patient care. For more information, visit the Alliance of Cardiovascular Professionals at www.acp-online.org.
2017
MARCH Month of
MARCH
Athletic Training Month
Recognizing all athletic trainers— healthcare professionals specializing in the prevention, diagnosis, treatment, and rehabilitation of injuries and sport-related illnesses. For more information, visit the National Athletic Trainers’ Association at www.nata.org.
Month of
MARCH
Professional Social Work Month
This month celebrates medical and public health social workers who provide psychosocial support.They also advise caregivers and help plan for patients’ needs after discharge from hospitals. Social workers may work for hospitals, nursing and personal care facilities, individual and family services agencies, or local governments. For more information, visit the National Association of Social Workers at www.socialworkers.org.
MAR 5-11
MAR 11-18
Health Care HR Week
Health Care HR Week recognizes human resources professionals in hospitals and other organizations across the nation for their efforts in workforce compensation and benefits, employee relations, healthcare reform, and wellness. For more information, visit the American Society for Healthcare Human Resources Administration at www.ashhra.org.
MAR
19
Certified Nurses Day
Certified Nurses Day honors nurses who contribute to better patient outcomes through national board certification. Today we recognize nurses who earn and maintain the highest credentials in their specialty. For more information, visit the American Nurses Credentialing Center at www.certifiednursesday.org.
MAR
30
Doctors' Day
On this national day of celebration, we recognize the essential role that physicians serve in all of our daily lives and thank them for their contribution to our public health. For more information, visit the American Board of Physician Specialties at www.abpsus.org.
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Dental Assistants Recognition Week
Dental Assistants Recognition Week recognizes this versatile, multitalented member of the dental team, who contributes to quality dental care. For more information, visit the American Dental Assistants Association at www.adaausa.org.
MAR
8
Registered Dietitian Nutritionist Day
Registered Dietitian Nutritionist Day recognizes registered dietitian nutritionists as the indispensable providers of food and nutrition services and their commitment to helping people enjoy healthy lives. For more information, visit the Academy of Nutrition and Dietetics at www.eatright.org.
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HealthyEats
RASPBERRY SPINACH SALAD WITH RASPBERRY VINAIGRETTE
INGREDIENTS
DIRECTIONS
1
bag of mixed greens
4
ounces baby spinach
Whisk together the balsamic vinegar and two olive oils. Set aside.
½
cup fresh raspberries
¼
cup Oliveto Raspberry Balsamic Vinegar
¼
cup Oliveto Extra Virgin Olive Oil
1 ½ ounces Pecorino Romano cheese Drizzle of Oliveto Garlic Olive Oil Salts of the Earth Appalachian Ancient Sea Salt (available at Oliveto)
Combine mixed greens with baby spinach. Drizzle balsamic vinaigrette over greens and gently toss. Sprinkle fresh raspberries on top of the greens. Shave or grate the Pecorino Romano cheese on top of the salad. Sprinkle with sea salt and pepper and serve!
Fresh ground pepper, to taste
Oliveto
| 540.725.1010 | www.olivetooliveoil.com The Shoppes at West Village | Open Monday - Saturday from 10 am – 6 pm
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HealthyEats
HONEY GINGER
PERSIAN LIME SALMON INGREDIENTS
DIRECTIONS
2
salmon fillets
2/3
cup soy sauce
4
gloves garlic, minced
Place salmon fillets in a Ziploc bag with the soy sauce and garlic and allow to marinate for about 2 hours, flipping the bag occasionally.
4
tablespoons brown sugar
3
tablespoons Cloister Honey (available at Oliveto)
2
tablespoons Oliveto Persian Lime Olive Oil
2
tablespoons Oliveto Honey Ginger Balsamic Vinegar
1
lime
Just before grilling the fillets: in a saucepan combine the remaining ingredients (except for the lime) over medium heat, and stir to a boil. Allow to boil for 1 minute then remove from heat. Pour warm glaze over salmon while grilling. Serve with fresh lime wedges.
Oliveto
| 540.725.1010 | www.olivetooliveoil.com The Shoppes at West Village | Open Monday - Saturday from 10 am – 6 pm
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HealthyEats
LEMON POUND CAKE INGREDIENTS
DIRECTIONS
3
eggs (room temperature)
¾
cup Oliveto Eureka Lemon Olive Oil
Preheat oven to 350 degrees. Grease a medium sized pan with lemon olive oil.
¾
cup Greek Non-fat yogurt
1½
cups sugar or Splenda (for lighter options)
In a separate bowl combine eggs, Oliveto Eureka Lemon Olive Oil, Greek yogurt, sugar (or Splenda) and lemon zest.
2½
cups all purpose flour
¼
teaspoon salt
2½
teaspoons baking powder
Beat the wet mixture on a medium setting for approximately 3-4 minutes then add the dry ingredients to the mixture at low speed for another 2 minutes.
1
tablespoon lemon zest
In a bowl, combine dry ingredients,
Pour batter into pan and place in the oven. Bake for 40-50 minutes. Remove cake from oven and let sit for about 10 minutes. Once cool, cut and enjoy! Great with powdered sugar on top too!
Oliveto
| 540.725.1010 | www.olivetooliveoil.com The Shoppes at West Village | Open Monday - Saturday from 10 am – 6 pm
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closer LOOK
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