OurHealth Roanoke & New River Valleys Aug/Sep 2015 Edition

August • Septe:mber 2015 ourhealthswva.co:m

The Resource for Healthy Living

in Southwest Virginia

Raise Your Hand for Health! also:

2015 Senior Living Awards· Could Your Snoring be Killing You?

table of contents | august • september 2015

26

Prostate Cancer Screening SAVES LIVES

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 communities

HEALTH POINTS........................ 22 Interesting facts and tidbits about health

THE ANATOMY CHALLENGE................................. 25

34

Raise Your Hand for Health!

10 questions asked by parents & answered by doctors.

Are you up for the challenge? In this issue, test your knowledge when it comes to the PROSTATE.

8

OurHealth | The Resource for Healthy Living in Southwest Virginia

The Resource for Healthy Living in Southwest Virginia

49

The results are in!

Senior Living Awards

Sen

Sen

Sen

ds ar

Living Aw ior

Living Aw ior

ds ar

ds ar

Living Aw ior

hello, HEALTH!.............................. 44 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

FIT BITS!........................................46 FITNESS FIGHT NIGHT

80

Could Your Snoring be Killing You?

An at home sleep study may be the key to better health.

is a NEW high energy, mixed martial arts and kickboxing class offered exclusively by the Green Ridge Recreation Center!

NUTRITION.................................. 73 HEALTHY EATS: Check out the OurHealth staff favorite recipes including Beet Summer Salad, Green Bean Salad, Sweet Corn Salad, and Almond Butter Cookies!

YOUNG AT HEART......................90 Featuring the artwork of young upcoming artists from Salem Art Center’s Zenith program * PLUS * a chance to win prizes!

www.OurHealthVirginia.com

9

The Resource for Healthy Living in Southwest Virginia

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OurHealth Southwest Virginia

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august • september 2015

PUBLISHER

PRESIDENT/EDITOR-IN-CHIEF

VICE PRESIDENT OF PRODUCTION

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SOCIAL MEDIA INTERN

ACCOUNTING MANAGER

ORIGINAL PHOTOGRAPHY

CONTRIBUTING MEDICAL EXPERTS Richard Anthony, DDS David A. Buck, MD Scott J. Crosby, MD Joseph Dill, DDS, MBA Joann F. Dillon, MS, CCC-A, FAAA Laura Dziadzio, MD Raschid Ghoorahoo, FNP

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Kim Wood Deidre Wilkes Tori Long Dalton Holody Joe Palotas Next Generation Design Jourdan Markey Laura Bower Shawn Sprouse/SDS Photography

Barbara A. Hutchinson, PsyD Micah W. I. Jones, DO Moriah Krason, MD, FAAP Tara Mitchell, PhD, LCP Cheryl Rakes, PT Philip Wakefield, MD

CONTRIBUTING PROFESSIONAL

EXPERTS & WRITERS Brooke Crouch Edwin Schwartz David W. Ellis, CFP®, AIF® Daniel Smith Rich Ellis Deidre Wilkes Suzanne Ramsey Diane York

ADVERTISING AND MARKETING Kim Wood | P: 540.798.2504 kimwood@ourhealthvirginia.com

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

Copyright © 2015 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

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

What is prostate brachytherapy?

What is a ‘bear market retirement’?

What is ankylosing spondylitis?

Originally from the Latin root “brachy” meaning “short,” prostate brachytherapy is a method of treating prostate cancer using radiation. Instead of using a linear accelerator to give external x-ray radiation, brachytherapy uses radioactive sources (seeds) that are placed directly in the prostate, giving treatment over a short distance.

Low dose rate (LDR) brachytherapy is the most commonly performed technique. With LDR brachytherapy, radioactive seeds are permanently placed in the prostate gland and slowly give off radiation over several months. Newer forms of brachytherapy include high dose rate (HDR) treatments that temporarily place a computer-controlled radiation seed inside needles which have been placed throughout the prostate gland. Brachytherapy is most often given alone in lowrisk cancer, but can be given to higher risk patients in conjunction with external beam radiation and hormonal therapy when there is a chance the cancer may have spread outside the gland.

A “bear market retirement” refers to the unfortunate scenario in which a person retires and begins drawing income from assets during a period of sustained negative stock market returns. While bear markets occur much less frequently and have much shorter durations than bull markets, that is of little consolation if a bear hits just as you are handed the gold watch.

Many retirement calculators use an average return assumption, i.e. 6 percent. Two retirees—both averaging 6 percent throughout retirement—can have very different financial outcomes depending on the type of market in existence when they retire. If one of those retirees has negative returns during the first few years of retirement, she is dramatically more likely to run out of money than a retiree who has several years of positive returns at the onset. Whether or not you work with an advisor, it is imperative that you “stress test” your portfolio’s sequence of returns. Many professional advisors use something called Monte Carlo analysis to do just that.

Ankylosing spondylitis (AS) comes from the Greek words ankyloxs (crooked), spondylos (vertebra) and itis inflammation. The spine essentially fuses together and becomes less flexible. This causes what is commonly referred to as “hump back”. Complications can occur with inflammation from AS involving the eyes, heart and vertebral fractures, but the most common complications are the change in your center of gravity (COG). Your COG is affected from the vertebral changes in your spine and can increase your risk of falls. The disease onset usually starts between 20 to 30 years old with low back pain and stiffness, limitations in movement of the spine, weight loss, fever and fatigue that continue to progress. Your family doctor will typically refer you to a rheumatologist for diagnosis and treatment. X-rays and/or MRIs are the best diagnostic tool.

Treatment includes nonsteroidal anti-inflammatory drugs (NSAIDS) for pain and physical therapy. A physical therapist can give you stretching and core exercises to help improve and maintain flexibility in your joints, improve posture and general strength.

David A. Buck, MD

Medical Director Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

David W. Ellis, CFP®, AIF® Ellis Financial Group Salem | 540.765.2585 www.ellisfg.com

Cheryl Rakes, PT

Interim Healthcare Roanoke | 540.774.8686 www.interimhealthcare.com

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OurHealth | The Resource for Healthy Living in Southwest Virginia

H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

What are some benefits of aquatic exercise for people suffering from arthritis?

Swimming is not the only form of exercise you can do in the water. With aquatic arthritis exercise programs, you can still get the benefits of exercising without having to know how to swim.

Proper exercise is important for those who have arthritis, but sometimes traditional land exercises can be painful. Water-based arthritis programs are great ways to get necessary exercise while reducing pain and stiffness. They can help restore or maintain good range of motion for joints and significantly help improve balance and coordination. With consistent attendance, participants can maintain or increase muscle strength.

Water-based arthritis classes can decrease fatigue and increase endurance to continue day-to-day responsibilities independently.

These types of classes also help with participants’ emotional health.

Our classes create a positive social networking opportunity for people going through similar life experiences and foster good feelings in a healthy and safe environment. Taking an aquatics arthritis class is a great way to keep the spirit, body and mind healthy.

Daniel Smith

Aquatics Director Salem Family YMCA Salem | 540.387.9622 www.ymcaroanoke.org

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OurHealth | The Resource for Healthy Living in Southwest Virginia

What are the symptoms of a concussion?

How can I tell if my child has asthma?

A concussion affects memory and orientation that may result in a loss of consciousness as a result of head trauma. Concussions are common among young athletes who participate in contact sports such as football, soccer, hockey, basketball, baseball, and softball, as well as accidents causing head trauma.

Some of the signs and symptoms of a concussion may last for several days to weeks after the initial injury. These symptoms include physical, emotional, and cognitive complaints from patients with the most common physical symptoms being headache, fatigue, blurred vision, light sensitivity, nausea and vomiting, dizziness and clear fluid leaking from the ears. These usually occur directly after the injury and resolve over time. Up to several weeks after the physical symptoms have resolved, the patient may continue to experience emotional symptoms such as irritability and frustration or problems concentrating. If you have any of these symptoms seek medical help.

The diagnosis of asthma isn’t always easy, but there are some symptoms and other conditions that make it more likely. Coughing and wheezing can certainly occur in asthma. These may be worse with colds, exercise and with cold air exposure. Waking in the middle of the night with coughing, wheezing and shortness of breath can also be seen in asthma.

In addition, people with asthma often suffer from other allergic diseases such as eczema, allergic rhinitis and food allergy. Having an allergic (atopic) disease increases the risk of asthma, as does having parents and siblings with asthma.

If you suffer from symptoms that we often see in people with asthma, have other allergic diseases, and a strong family history of asthma, the diagnosis of asthma should be explored. Speak with your primary care provider about your concerns, as further testing including pulmonary function testing and allergy skin testing may be helpful to further establish your diagnosis.

Raschid Ghoorahoo, FNP

Carilion Clinic Roanoke | 540.985.9835 www.carilionclinic.org

LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com

Laura Dziadzio, MD

NEW

NOTEWORTHY

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

Brandon Oaks Assisted Living Receives Second National Healthcare Quality Award Brandon Oaks LifeCare Community’s Assisted Living division has been selected as a 2015 recipient of the Silver Achievement in Quality Award for its outstanding performance in the healthcare field. The award is one of three distinct awards possible through the National Quality Award Program, presented by the American Health Care Association (AHCA) and the National Center for Assisted Living (NCAL). The competitive award program highlights select centers across the nation that serve as models of excellence in providing high-quality long term and post-acute care.

Brandon Oaks is one of only six facilities in the Commonwealth of Virginia to receive the Silver level award, and the only Assisted Living facility.

As a recipient of the Silver Achievement in Quality Award, Brandon Oaks Assisted Living has demonstrated systematic advancements in quality, plans for continual improvement, and sustainable organizational goals. “Brandon Oaks is honored to have received the Bronze, and now the Silver Award from AHCA/NCAL,” states Susan O’Malley, RN, Administrator of Brandon Oaks Assisted Living. Now that Brandon Oaks Assisted Living has received both the Bronze Commitment to Quality Award and Silver Achievement in Quality Awards from AHCA/NCAL, they may move forward in developing approaches and achieve performance levels that meet the criteria for the Gold Excellence in Quality Award, the highest award available.

For more information on Brandon Oaks, visit www.brandonoaks.net.

PCA Health Care joins Carilion Clinic Carilion Clinic is pleased to announce that PCA has joined its team of primary care providers. The newly named Carilion Clinic PCA will continue to provide high quality primary and urgent care services to Salem, Roanoke, Botetourt and Floyd communities. In addition, the Salem office will offer specialty services, including dermatology, allergy, occupational medicine, sports medicine, physical therapy, and a retail pharmacy.

Weekly allergy services are available in Lexington.

The Apperson-Lee Highway location will relocate to 1818 Electric Road (across from Allstate) and the Daleville office is moving across the street to the Carilion Clinic Family Medicine practice at Market Ridge Lane.

For more information or to schedule your next appointment, please visit www.carlionclinic.org.

Programs at Jefferson College of Health Sciences recognized as some of the best in the country Jefferson College of Health Sciences has been recognized for its Master of Healthcare Administration and Bachelor of Science in Healthcare Management degree programs with a second-place ranking on the Healthcare Administration Degree’s list of the 35 Best Healthcare Administration Universities in the USA. The rankings were based on several factors including tuition, location, acceptance rate, retention and graduation possibilities.

To get a closer look at Jefferson College of Health Sciences, visit www.jchs.edu

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OurHealth | The Resource for Healthy Living in Southwest Virginia

The Resource for Healthy Living in Southwest Virginia

Local health. Anywhere you go.

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

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

ourhealthswva.com .

www.OurHealthVirginia.com

17

NEW

NOTEWORTHY

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

Good Samaritan Hospice Announces the Area’s First-Ever Hike for Hospice Sunday, September 13, 2015, 12:30-3:30 p.m.

Good Samaritan Hospice presents the Roanoke and New River Valley’s first-ever “Hike for Hospice” this coming fall. On Sunday, September 13 from 12:30-3:30 p.m., area residents will gather at Virginia’s Explore Park to hike, enjoy fellowship and raise money for a worthy cause – Good Sam’s community bereavement program.

“This is the perfect event for our area,” comments Sue Ranson, President of Good Sam. “It highlights the natural beauty that surrounds us here in the valley, provides something a little different for families to enjoy together and raises awareness of the grief and loss programs we offer our community.”

The afternoon will include two different hikes led by experienced hikers from Walkabout Outfitters, lunch from Fork in the Road food truck, live music, games, face-painting, ice-cream and celebrating the memory of loved ones.

Hike for Hospice is sponsored by Oakey’s Funeral Service & Crematory, John M. Oakey & Son Funeral Home & Crematory, Jewells Fine Jewelry, Neathawk Dubuque & Packett, Walkabout Outfitter and Kroger.

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OurHealth | The Resource for Healthy Living in Southwest Virginia

For more information on the Hike for Hospice, please visit www. goodsamhospice.org and click on the Events/Hike for Hospice tab or call 540.776.0198 (Roanoke) or 540.381.3171 (NRV).

Lyme disease on the rise among people, dogs in Virginia’s New River Valley One third of deer ticks collected from sites in Giles and Pulaski counties carry the organism responsible for Lyme disease, a study at the VirginiaMaryland College of Veterinary Medicine at Virginia Tech has found.

This follows reports from veterinarians and physicians showing higher rates of the tick-borne disease in Southwest Virginia’s New River Valley.

Anne Zajac, DVM, PhD, professor of parasitology in the department of biomedical sciences and pathobiology, co-authored a paper in Vector-Borne and Zoonotic Diseases last fall that reveals the startling number of deer ticks carrying Borrelia burgdorferi, the bacterium that causes joint pain and flu-like symptoms in both people and dogs with Lyme disease.

Even though the American dog tick, which does not carry the disease, was previously thought to be the region’s predominant tick species, the deer tick population has expanded in recent years.

“Deer tick does well in cold weather, so even in the winter, people have to be vigilant,” Dr. Zajac says. “Pet owners also need to be concerned about ticks and seek tick protection for dogs and cats year-round.”

The Virginia Department of Health has reported high rates of confirmed Lyme disease cases among Southwest Virginia residents. Some people who are infected with the disease develop a bull’s eye mark around the bite mark before developing a fever and joint pain, but not all do. Similarly, veterinarians in the area have seen an increasing number of dogs with these symptoms in their clinics.

“Based on what we’ve seen clinically, more and more dogs in our area are testing positive for exposure to the agent that causes Lyme disease every year,” says Mark Freeman, DVM, assistant professor of community practice in the department of small animal clinical sciences.

Dr. Freeman works in the Veterinary Teaching Hospital’s Small Animal Community Practice, which provides primary and preventive health care to patients within a 35-mile radius of Blacksburg. Although Lyme disease presents a number of challenges to diagnose and treat, canine patients typically respond well to a three- to four-week round of antibiotics.

“There is a Lyme disease vaccine for dogs, but it is optional based on risk of exposure,” he says. “For a small dog that stays mostly indoors, we might just recommend a good tick repellent instead, but for dogs that go hiking or spend a significant amount of time outdoors, we would recommend the vaccine and follow-up boosters.”

Virginia-Maryland Regional College of

Veterinary Medicine

Dr. Freeman encourages dog owners to use products that repel or kill ticks regardless of their dog’s vaccination status because ticks can spread a number of ailments, not just Lyme disease.

For more information visit www.vetmed.vt.edu.

www.OurHealthVirginia.com

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NEW

NOTEWORTHY

NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS Clarke Andrews, MD Family Medicine Daleville | 540.992.4100 www.carilionclinic.org

Kevin Dye, MD

Gastroenterology Roanoke | 540.985.0244 www.carilionclinic.org

Ido Heletz ,MD

Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

Appollo Leong, MD

Family Medicine Roanoke | 540.772.2950 www.carilionclinic.org

Ruth Rhodes, PA.C LewisGale Physicians Family Medicine Christiansburg 540.382.6148 www.lgphysicians.com

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Bart Eastwood, DO

Orthopedic Surgeon LewisGale Physicians Dublin | 540.440.3170 Blacksburg | 540.951.6000 www.lgphysicians.com

Gates Hoover, MD

Allergy and Immunology Daleville | 540.591.9447 Salem | 540.387.0441 www.carilionclinic.org

Keith Madsen, MD

Family Medicine Blacksburg | 540.951.8380 www.carilionclinic.org

Amy Rockhill, DDS

Dentistry Roanoke | 540.981.7128 www.carilionclinic.org

Kelly Finnegan, PA-C

Sheila Garnica, MD

Lucian Grove, MD

Kelsey Hayden, PA

Mark Kasmer, MD

Adrienne Kinsey, DO

Garry Kuiken, MD

Paul Lenkowski Jr., MD

Internal Medicine Christiansburg 540.639.9071 www.carilionclinic.org

Sports Medicine Salem | 540.387.0441 www.carilionclinic.org

OB/GYN Rocky Mount 540.484.4836 www.carilionclinic.org

Family and Internal Medicine Salem | 540.387.0441 www.carilionclinic.org

Internal Medicine Salem | 540.387.0441 www.carilionclinic.org

Family Medicine Floyd | 540.745.5700 www.carilionclinic.org

Family and Internal Medicine Roanoke | 540.772.8950 www.carilionclinic.org

LewisGale Physicians Otolaryngologist (ENT) Salem | 540.444.8100 www.lgphysicians.com

Angel Medina-Bravo, MD

Gary O’Hagan, MD

Edwin Polverino, DO

John Priddy, MD

Mohammad H. Shakhatreh, MD, MPH

Lauren Smith, PA

Jessica Whiting, DO

Kyoko Leann Yoda, DMD

Physical Medicine and Rehabilitation Roanoke | 540.224.5170 www.carilionclinic.org

Gastroenterology Roanoke | 540.224.5170 www.carilionclinic.org

OurHealth | The Resource for Healthy Living in Southwest Virginia

Family Medicine Roanoke | 540.772.8950 www.carilionclinic.org

Family and Internal Medicine Salem | 540.387.0441 www.carilionclinic.org

Family and Internal Medicine Salem | 540.387.0441 www.carilionclinic.org

Family and Internal Medicine Salem | 540.387.0441 www.carilionclinic.org

Family and Internal Medicine Salem | 540.387.0441 www.carilionclinic.org

Pediatric Dentistry Roanoke | 540.224.4380 www.carilionclinic.org

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

August marks Back-to-School & NATIONAL IMMUNIZATION

AWARENESS MONTH

Did you know that in 2006, the Virginia General Assembly passed a law which requires ALL 6th grade students to have a Tdap booster prior to entry into school, unless there is documentation of receipt of a dose of Tdap booster after age 7?

3rd Annual

Fort Lewis Baptist Church th

5 Quarter 5K

Known as the “Toughest 5K in Glenvar�, this road course has approximately 300 feet of climb in the first half of the race, setting up an exciting descent for the second half of the race to the finish line!

This event raises money for the Fort Lewis Baptist Church 5th Quarter.

This outreach ministry provides a safe place for hundreds of youth to gather after Glenvar High School home football games, with a postgame party filled with fun and fellowship. Your race fee will help offset costs for these events.

MARINE 5k

MUD RUN The Marine Mud Run will be entering its 20th year and has become an historical community event. Over the past 19 years, more than 27,500 runners have participated, generating over $268,000 to benefit Roanoke Toys for Tots Foundation and Camp Roanoke. Both of these organizations benefit underprivileged children in the Roanoke Valley.

Date: Saturday, September 19

Time: 9:15 a.m.

Location: Green Hill Park

2501 Parkside Road Salem, VA

Date: Saturday, August 22 Time:

8:30 a.m.

Location: 4215 West Main Street

For complete details and to register, visit www.mudrun.com.

Salem, VA

Find details and register for this event at www.raceit.com.

DON'T FORGET TO

DRINK UP!

The human body can only survive for two days without fluids. Not sure how much water you should drink each day? To determine your water requirement, divide your weight (in pounds) by two. This gives a customized daily ounce recommendation.

your weight (in pounds)

2

ounces of water needed daily

Fascinating

FACT: The circulatory system of arteries, veins, and capillaries is about

60,000 MILES LONG. OurHealth | The Resource for Healthy Living in Southwest Virginia

SNACK TIME Snacks are an important part of child’s diet as children may not get sufficient nutrients from breakfast, lunch and dinner.

It’s important to ensure that kids have nutritious healthy snacks available in their lunchbox to get them through the school day and provide the extra energy and nutrients they need.

Avoid the trap of filling your child’s lunchbox with items such as chips, cookies, chocolate bars and soft drinks that are high in saturated fat, salt and sugar and offer little nutritional value. These foods are known as ‘extra’ or ‘occasional’ foods and while they can be included in a healthy diet they should not be eaten on a daily basis.

A FEW TIPS FOR HEALTHY LUNCHBOX SNACKS: Keep it small – there should be just enough to get kids through until their next meal, not a meal themselves.

Make it nutrient rich – use this opportunity to get extra nutrients into your child’s diet, such as calcium, vitamins, minerals and fiber.

NEED SOME IDEAS?

HERE ARE JUST A FEW HEALTHY, SIMPLE AND FUN-TO-EAT-SNACKS: • Fruit and cheese ‘kabobs’ (on a skewer, alternate cheese cubes or shapes with various varieties of fruit) • Pretzel rods and cream cheese • Carrots and ranch dressing • Avocado spread on whole wheat toast • Watermelon cubes mixed with feta cheese (or any cheese) • Plain yogurt with frozen berries • Ants on a log (celery, peanut butter*, and raisins)

Think like a kid – choose snacks that kids can eat easily without too much fuss, that way they are more likely to eat them!

* for school lunch boxes, substitute cream cheese or cottage cheese for peanut butter

PROSTATE CANCER – BY THE NUMBERS: Other than skin cancer, prostate cancer is the most common cancer in American men. About one in seven men will be diagnosed with prostate cancer during his lifetime.

Prostate cancer is the second leading cause of cancer death in American men, behind only lung cancer.

Approximately 1 in 38 men will die of prostate cancer.

Prostate cancer can be a serious disease, but most men diagnosed with prostate cancer do not die from it. In fact, more than 2.9 million men in the U.S. who have been diagnosed with prostate cancer at some point are still alive today.

The American Cancer Society’s estimates for prostate cancer in the United States for 2015 are: •

About 220,800 new cases of prostate cancer

•

About 27,540 deaths from prostate cancer

www.OurHealthVirginia.com

23

the

Anatomy

CHALLENGE How much do you know about the

Prostate? First, complete the

word search below. Next, match up the correct word with the part of the body in the illustration.

[ the Prostate ]

WORD SEARCH adrenal gland

seminal veside

bladder

testis

epididymus

ureter

kidney

urogenital orifice

prostate gland

vas deferens

scrotal sac

____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________

For answers, visit OurHealth

Southwest Virginia’s Facebook page at

____________________ www.OurHealthVirginia.com

25

“You can treat it if you get it early.”

- Rev. William Lee

Prostate Cancer Screening

SAVE LIVES words | SUZANNE RAMSEY

original photography| SHAWN SPROUSE

Asked what he misses most about his dad, who died of prostate cancer in 1996, the Rev. Dr. William Lee talks of simple things.

“Saturday morning talks and cleaning fish under the tree and all the stories,” says Lee, pastor of Loudon Avenue Christian Church in Roanoke.

“Picking a few crabs, hearing him spin some yarns. All of his brothers gathering, the Lee men under a tree. I miss that. I miss the conversations.”

Lee’s dad, Leon Lee, lived in Nuttsville in Virginia’s Northern Neck. He worked in the seafood industry, fishing the Chesapeake Bay for menhaden in the warm months and shucking oysters in the winter. On Sundays, he sang in the choir at Beulah Baptist Church in Lively — no particular part, just “somewhere between baritone and bass,” Lee says.

“He was probably one of the most fun-loving people on the planet. He enjoyed life and he enjoyed living. He worked hard all his life and enjoyed family and having a lot of people around. His favorite beverage was Schlitz beer. He was a jokester, life of the party. If you came to the house, he held court.”

With the exception of a little gout, Lee’s dad was in good health until he was diagnosed with prostate cancer at age 63. Lee says he had gone home to Nuttsville for a funeral, and when he arrived saw his dad using a walker.

Fearing this was more than a gout attack, Lee made an appointment for him to see his doctor.

At the doctor’s office, Lee’s dad had a prostate specific antigen test and a digital rectal exam, both of which are used to screen for prostate cancer. It was the first time he’d ever been screened.

“He had no health insurance. He never worked a job that had health insurance,” Lee says, adding that his father was too young for Medicare and “too poor for insurance.”

www.OurHealthVirginia.com

27

What is prostate cancer?

Prostate cancer is a cancer that occurs in a man’s prostate — a small, walnut-shaped gland that produces the seminal fluid that nourishes and transports sperm.

Source: WebMD

What is prostate-specific antigen testing?

A prostate specific antigen test measures the amount of PSA in the blood. PSA is released into a man’s blood by his prostate gland.

Healthy men have low levels of PSA in the blood; the level normally increases as a man’s prostate enlarges with age.

Source: WebMD

Finding his PSA level high, a possible indicator of prostate cancer, the doctor ordered an MRI. The news was not good: Lee’s dad had prostate cancer and it had metastasized, meaning it had spread to other parts of his body.

“When he was diagnosed, the doctor’s statement was, ‘It’s a shame for a man to be in perfect health and so far gone with prostate cancer,’” Lee says. “He was a very strong man. It took a while for him to realize how sick he was.”

Lee says his father was devastated by the diagnosis and also by the prognosis, which was given in terms of months. “When I took him home, I remember him going into his room, closing the door and covering his head with the blanket.”

Lee says his mother urged him to go talk to his father, but Lee says he told her, “No, he needs to work things out on his own.” A few hours later, though, he talked with his dad about what he wanted to do about the cancer.

“I said, ‘Tell me what you want. Give up or fight?’” Lee recalls.

In the end, Lee’s dad agreed to undergo hormone therapy, a monthly injection that they hoped would slow the growth of the prostate cancer or kill the cancer cells. He lived for another three and a half years and even returned to work until the cancer returned.

“It came on more aggressive the second time, and he died in March of 1996.”

Lee says.

Lee conducted his dad’s funeral service, an occasion he describes as “quite a celebration.” The title of his sermon was “Sanctified Sorrow,” which he explains is “a different kind of sorrow, a holy sorrow,” that is more focused on celebrating a person’s life than mourning their death.

“The sorrow is not one of no hope,” Lee says.

In this celebratory spirit, Lee seriously considered lining his father’s casket with the

Leon Lee with his wife at church.

A young photo of Leon Lee.

Leon Lee at home.

What he saw in the neighborhood was a dearth of access to medical care — particularly preventative care — and he wanted to do something about it. After his father’s death, he was even more determined.

Rev. William Lee, pictured in front of the New Horizon Healthcare building in Roanoke.

www.OurHealthVirginia.com

29

“The best thing we can do for our children, our wives, our mothers, anybody, is be tested so we can be around to be fathers to our children and brothers to our sisters — to be family. We can live beyond prostate cancer detection, but we’ve got to get it early.”

- Rev. William Lee Rev. William Lee, pictured in front of the Education Center, located inside the New Horizon Healthcare building in Roanoke.

Schlitz emblem in honor of his favorite libation, something his mom would have no part of.

What is Hormone Therapy?

Hormone therapy for prostate cancer is treatment to stop the male hormone testosterone from reaching prostate cancer cells.

Hormone therapy for prostate cancer is also called androgen deprivation therapy.

Most prostate cancer cells rely on testosterone to help them grow.

Hormone therapy for prostate cancer cuts off the supply of testosterone or stops testosterone from reaching the cancer cells, causing cancer cells to die or to grow more slowly.

Source: Mayo Clinic

“It was a huge gathering,” says Lee. “My father knew everyone, and everyone knew him. It was a tremendous day. It was not a sorrowful day at all.”

At around the same time, Lee had been thinking about his congregation in northwest Roanoke and the people who lived in the surrounding community and how they needed better access to health care. What he saw in the neighborhood was a dearth of access to medical care — particularly preventive care — and he wanted to do something about it. After his father’s death, he was even more determined.

“It’s what fueled me,” Lee says.

Lee met with representatives from the local hospitals and the city of Roanoke and others in the community to see what could be done. At the time, he says, opening a medical clinic wasn’t on his radar, but that’s what he ended up doing. In 1999, he founded New Horizons Healthcare, a nonprofit, community-based, family health center that serves insured, under-insured and uninsured patients.

“It’s not a free clinic,” Lee says. “Everyone pays according to their ability to pay.”

Another thing New Horizons does, in cooperation with LewisGale Regional Health System, is to host an annual men’s health fair, where men can get free screenings for prostate cancer, among other health issues. Each year as the event approaches, Lee uses his pulpit to spread the word about the importance of being screened for prostate cancer. Notices are put in the church bulletin, email blasts are sent, and the issue is addressed at men’s meetings. And there are men from the community who are willing to talk about their experiences with prostate cancer.

“When those guys stand up and say, ‘Look at me,’ it really takes that issue away,” Lee says, referring to any reluctance the men may have to be screened.

So far, it seems to be working. Lee says that over the past dozen or so years he’s seen a number of men who have been diagnosed with early stage prostate cancer who are “very much alive and productive now.”

Lee says, “This is my passion. The best thing we can do for our children, our wives, our mothers, anybody, is to be tested so we can be around to be fathers to our children and brothers to our sisters — to be family. We can live beyond prostate cancer detection, but we’ve got to get it early — the sooner the better. It’s not a death sentence. It’s a matter of a wakeup call. You can treat it if we get it early.”

Who’s at Risk?

At what age should you start getting screened for prostate cancer?

“In general, I would consider screening beginning at age 50 in men with an average risk for developing disease — non-African American and no family history. I do not recommend screening for men over the age of 80 or for those who have other diseases that may limit their life span. Among African Americans or those with a strong family history, some experts recommend that screening begin at 40.

However, it’s unclear if this approach leads to better survival from the disease.”

— Jennifer Vaughn, MD

According to the American Cancer Society, “other than skin cancer, prostate cancer is the most common cancer in American men.” The organization estimates that in 2015, approximately 220,800 U.S. men will be diagnosed with prostate cancer and about 27,540 men will die from the disease. The ACS says 1 in 7 men will be diagnosed with prostate cancer at some point in his life.

According to the Prostate Cancer Foundation and others, AfricanAmerican men are even more at risk than their white counterparts.

The foundation reports that “African-American men are more likely to develop prostate cancer compared with Caucasian men and are nearly 2.4 times as likely to die from the disease. Although scientists do not yet understand why prostate cancer incidence and death rates are higher among African-American men, it is widely believed that ... a combination of genetic differences, lifestyle, nutritional habits and medical care may all play a role in the statistics.”

Jennifer Vaughn, MD is certified by the American Board of Internal Medicine. She sees patients in the downtown Roanoke location of Blue Ridge Cancer Care.

For this reason, Jennifer Vaughn, MD, with Blue Ridge Cancer Care in Roanoke, says some physicians, herself included, “have a lower threshold to encourage PSA screening in their African-American patients.

However, we do not have enough objective data to state whether more-intensive screening in the African-American population would improve survival. Therefore, this is always a risk-versusbenefit discussion.”

As an African-American man, Lee knew he was at greater risk for prostate cancer. He also has a family history of prostate cancer, www.OurHealthVirginia.com

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What is the BRCA gene?

BRCA1 and BRCA2 are human genes that produce tumor suppressor proteins. These proteins help repair damaged DNA and, therefore, play a role in ensuring the stability of the cell’s genetic material. When either of these genes is mutated, or altered, such that its protein product either is not made or does not function correctly, DNA damage may not be repaired properly. As a result, cells are more likely to develop additional genetic alterations that can lead to cancer.

Source: National Cancer Institute

with both his grandfather and his father dying of the disease.

“My health history suggested I might be at high risk, especially being an AfricanAmerican male,” Lee says. “I had a biopsy when I was in my 40s and had elevated PSA. It came back negative, but from that day on I have been very cognizant of that.

That’s why I was concerned about my dad.”

Research has shown that men with “first-degree” relatives — brothers or fathers — with prostate cancer are at increased risk of getting prostate cancer themselves.

“If you have a first-degree relative with prostate cancer, your own risk of developing prostate cancer may be doubled,” Dr. Vaughn explains. “If you have multiple family members with prostate cancer, your risk may be even greater.”

Research is also beginning to show there are genetic risk factors when it comes to prostate cancer.

“Men who have close family members who carry a BRCA mutation — the mutation most famous for increasing breast cancer risk — should consider being tested for this mutation,” Dr. Vaughn advises. “Men who carry the mutation are not only at increased risk for male breast cancer but also prostate cancer.”

When asked about the symptoms of prostate cancer, Mark Currie, MD, of LewisGale Physicians, says there often aren’t any, at least in the early stages. Also, when symptoms do appear, they might be attributed to things like benign prostatic hyperplasia, or prostate gland enlargement, a common condition in older men that causes urinary problems.

“Men tend to get some prostate symptoms as they get older, but these are not necessarily or usually indicative of cancer,” Dr. Currie says. “They usually reflect benign growth of the prostate gland. There are not really early symptoms of the cancer itself. That’s why we still think screening is useful, even if the powers that be seem to think it’s not that useful. I think it’s better to have information than not.”

Symptoms of Prostate Cancer According to the American Cancer Society Mark Currie, MD is a physician with LewisGale Physicians. Dr. Currie is certified by the American Board of Internal Medicine with a sub-specialty in both Hematology and Medical Oncology.

Early prostate cancer usually causes no symptoms, but more advanced prostate cancer can sometimes cause symptoms such as: • Problems urinating, including a slow or weak urinary stream or the need to urinate more often, especially at night.

• Blood in the urine.

What is benign prostatic hyperplasia?

Benign prostatic hyperplasia, also called prostate gland enlargement, is common as men age. BPH can cause bothersome urinary symptoms. Untreated, it can block the flow of urine out of the bladder and cause bladder, urinary tract or kidney problems.

Source: Mayo Clinic

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• Trouble getting an erection (erectile dysfunction).

• Pain in the hips, back (spine), chest (ribs) or other areas from cancer spread to bones.

• Weakness or numbness in the legs or feet, or even loss of bladder or bowel control from cancer pressing on the spinal cord.

Dr. Currie’s reference to “the powers that be” concerns the current controversy over whether prostate cancer screening causes more overall harm than good.

OurHealth | The Resource for Healthy Living in Southwest Virginia

In 2012, for example, the U.S. Preventative Services Task Force, which describes itself as “an independent volunteer panel of national experts in prevention and evidence-based medicine,” concluded that “there is moderate certainty that the benefits of PSA-based screening for prostate cancer do not outweigh the harms.”

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Dr. Vaughn explains the controversy this way: “What we learned after PSA screening was implemented into practice is that many men were diagnosed with low-grade or slow-growing prostate cancer that may never have caused them any real harm,” she says.

“These men, however, received treatments that had many side effects, and often experienced a reduction in their quality of life. Prostate cancer screening with PSA testing has therefore become highly controversial, so much so that the USPSTF has recommended against it for men of average risk.”

When Dr. Vaughn’s patients don’t want to be screened for prostate cancer, she tells men of average risk that this is a reasonable choice.

However, when discussing prostate cancer screening with patients, “I try to make it clear that we cannot predict with certainty which men will develop the more aggressive form of the disease, in other words, who will benefit from screening.”

Expert contributors: Jennifer Vaughn, MD with Blue Ridge Cancer Care Mark Currie, MD with LewisGale Physicians

Sources: Mayo Clinic – www.mayoclinic.org American Cancer Society – www.cancer.org WebMD – www.webmd.com

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words | DIANE YORK

Reprints To order reprints of the original artwork featured on this issue’s cover, contact Deidre Wilkes at 540.387.6482 or via email at deidre@ourhealthvirginia.com.

To view additional work by our artist, Joe Palotas, visit

Back to school means meeting new teachers, new classmates, school supplies, clothes, choosing sports and so much more!

This time of year can generate a lot of anxiety in parents and kids. While all of these things are important, perhaps the most important element is your child’s health. Parents have so many questions about their children’s health and the return to school. Will my child need shots? What’s the difference between a physical exam and a sports exam? How do I tell if he is too sick to go to school? Might she have a vision or hearing problem? There’s just so much to deal with.

To help you and your children start the school year with less stress and the right information, Our Health asked parents what they most want to know before sending their children back to school. Then they asked the experts for feedback.

Local doctors, counselors, nurses, and other professionals have provided answers to some of the most important questions you may have at this time of year.

www.salemartcenter.com

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During the summer, my kids don’t follow any type of bedtime schedule or routine and often stay up late.

What’s the best way to get back to a bedtime schedule that will prepare them for the start of the school year and ensure they are getting enough sleep?

Barbara A. Hutchinson, PsyD

Licensed Clinical Psychologist Carilion Clinic Department of Pulmonary and Sleep Medicine Roanoke | 540.981.7653 www.carilionclinic.org/pulmonary

Recommended Sleep Guidelines: Preschoolers (ages 3 to 5): Allow for 10 to 13 hours of sleep School age children (ages 6 to 13): Allow for 8 to 11 hours of sleep Teenagers (ages 14 to 17): Allow for 8 to 10 hours of sleep

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Sleep is a necessary part of maintaining good physical and emotional health.

Children who get proper amounts of sleep perform better at school and have improved mood and attention. Sufficient sleep followed by a healthy breakfast has even been shown to help prevent obesity. A good night’s sleep can help your child start off the school year on a positive note. Below are some simple tips to help your child transition from summer to school year schedules.

1. Begin transitioning to school year routines two to four weeks prior to school start dates. You can help prepare your child to go back to school by starting school night bedtime routines early.

2. Maintain a consistent sleep schedule and routine even on the weekends.

3. Create a good sleep environment and habits.

OurHealth | The Resource for Healthy Living in Southwest Virginia

How often should I replace my child’s toothbrush?

Brooke Crouch

Registered Dental Hygienist Mills & Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com

Children’s toothbrushes should be changed every three-six months, preferably every three months. Studies show that after three months of normal wear and tear, your toothbrush is less effective at removing bacteria. Toothbrush bristles are breeding grounds for bacteria and germs, which over time can build to significant levels. This is why changing your toothbrush regularly is so important. You also want to make sure to change your toothbrush after any illness such as a cold, virus or sore throat.

Germs can hide in the bristles of your toothbrush and cause a re-infection. It’s important to keep your toothbrush from touching other toothbrushes to prevent spreading those lovely germs and viruses. One other indicator that it’s time for a new toothbrush is flattened or frayed bristles on the toothbrush. This may also indicate that your child is brushing too hard, very light pressure is needed for adequate plaque removal. You always want to choose an age-appropriate toothbrush for your child. Choosing a toothbrush that is either too big or too small for your child will affect plaque and bacteria removal. Always feel free to express any concerns or questions to your dental team at your six month cleaning appointments.

My son was diagnosed with a ‘growth-plate fracture’ after a football injury – what is that?

Micah W. I. Jones, DO Orthopedic Surgeon LewisGale Physicians Salem | 540.772.3530 www.lgphysicians.com

A growth plate injury is an injury to the area of cartilage where the bone grows from. Occasionally this can lead to a premature or abrupt stoppage of growth of the cartilage, either partial or complete. It is also possible that it could resolve and not cause any long term problems. The location or area of injury is one of the main factors in helping a physician understand the likelihood of potential premature stoppage of growth. If the fracture has to undergo manipulation more than one or two times, this can also lead to higher incidence of growth arrest. Something like this needs to be followed with an x-ray at minimum every three to six months while the patient is still growing, to verify the health of the growth plate. If not, the ability to fix the problem becomes much more difficult. Treatment can include anything from simple casting to surgery depending on the finding. Also – the patient may require CT and/or MRI to verify the growth plate and cartilage. A growth plate injury can be a very benign thing, or can cause potential long term problems and should not be ignored. www.OurHealthVirginia.com

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What are some good food ideas to include in my child’s lunchbox that won’t spoil and are not heavy in sodium and preservatives?

Moriah Krason, MD, FAAP Pediatrician LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com

Packing your child’s lunch for school or daycare can be a challenge, but by keeping a few tips in mind, your child will have tasty foods that are full of nutrition.

Start with a sandwich or salad, or perhaps a thermos of rice and beans. Vary the type of bread, but bagel slices are less bulky and fit in a lunch box well. Protein can come in the form of meat, eggs, beans, cheese, tuna, or nuts.

Next, add some fruit. While it can be easy to throw in a whole orange or apple, often kids will be more likely to eat fruit that is already “prepared” in serving size bites. Peel oranges and cut apples, pears or other fruits in chunks.

Berries are delicious ripe, but frozen berries work as a fruit for lunch as well.

Now, add a vegetable, unless your main course is a veggie filled salad. Add different dips for dipping veggies in to keep things interesting.

Then add a snack such as almonds, toasted pumpkin seeds or baked tortilla crisps. Avoid pre-packaged snacks with artificial coloring and sweeteners.

Finally, add a drink. Water or skim milk is the best option. Avoid juice and other sugar sweetened drinks.

The best way to provide your child with healthy and tasty lunch options are to plan ahead, make sure you have the appropriate containers to keep food fresh, crispy and at the correct temperature. Often, leftovers from a healthy dinner can form the basis for a nutritious lunch the following day.

My husband and I are going through a divorce.

How can we help ensure this stress doesn’t impact our child’s performance in school?

Tara Mitchell, PhD, LCP

Licensed Clinical Psychologist Carilion Clinic Children’s Hospital Roanoke | 540.266.6345 www.carilionclinic.org

When parents divorce they still have to co-parent, and often this means putting their own feelings or needs aside for the benefit of the child. Consistency and follow through are key. Determine a schedule between the two homes, have school supplies in each home and establish a “homework spot.” Both parents should stay involved with homework, school projects and be aware of academic expectations. If possible, set up the same schedule in each home such as dinner, homework and bed time. The right amount of sleep is essential so having a consistent bedtime regardless of which parent has the child will help in school and emotionally. A tired child is not only a cranky one but also one that can’t focus. It is also important not to use your child as a “messenger”; as this can be stressful to him or her. An essential part of co-parenting is communicating with the other parent.

Finally, be there to listen to your child. It is helpful to set aside one-on-one time, away from electronics and everyday busy life, on a daily basis.

Should I let my young child drink caffeinated coffee or energy drinks?

Scott J. Crosby, MD

Express Family Care Roanoke | 540.400.6676 www.expressfamilycare.com

Many of us remember when we were children being told that drinking coffee would “stunt our growth.” Truthfully though, there is insufficient evidence to support or discourage the use of caffeinated beverages. Coffee and tea contain several chemical components thought to confer beneficial health effects, including caffeine and antioxidants. Most are familiar with the short-term benefits of caffeine consumption, including improved mental alertness, reaction time, cognitive performance, and athletic performance. What many do not know is that long-term caffeine use is associated with a reduced risk of Parkinson’s, Alzheimer’s, diabetes, and gout. Adults can safely consume up to 400mg of caffeine per day on average without any apparent adverse effects. Safe levels of consumption have not been established for children; however, those levels are thought to be considerably lower. Parents should exercise caution when considering whether their children should consume caffeine, as higher levels of caffeine consumption (a single energy drink may contain over 200mg) can lead to abuse and dependence, and is associated with headaches, anxiety, substance abuse, insomnia, tremors, palpitations, and cardiac arrhythmias.

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OurHealth | The Resource for Healthy Living in Southwest Virginia

My teen is listening to music with earbuds for long periods of time should I be concerned?

Noise induced hearing loss (NIHL) occurs from too much sound exposure. Too much sound can permanently damage ears. A troubling trend is appearing in the US, where it is reported that approximately 16 percent of teens ages 12 to 19 have NIHL. A surge in NIHL is occurring directly from the use of MP3 players. NIHL occurs after 85 decibels; yet, MP3 players maximum output exceeds this at 100 to 115 decibels of volume. Damage occurs from the combination of volume level and length of listening time. Symptoms can include a muffled sound quality, difficulty hearing conversation in noise, and ringing in the ears. Music has a common thread for most people. Its use is widespread in our population, but even more so in our adolescents. They tend to use it louder, longer, and more often simply because they have more opportunities to listen.

Joann F. Dillon, MS, CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 Floyd | 540.745.8327 www.nrvhearing.com

Helpful hints: •

Limit volume levels.

•

Limit amount of time exposed.

•

Allow time between exposures.

•

Apply a 60/60 rule – 60 minutes at 60 percent of maximum output of device.

www.OurHealthVirginia.com

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Joseph Dill, DDS, MBA

Vice President Professional Services Delta Dental of Virginia Roanoke | 540.989.8000 www.deltadentalva.com

How often should my child have a dental ‘well visit’?

The answer to this question has changed a bit over time. We used to say every child should visit the dentist twice a year. The current thought is more specific to your child’s history of tooth decay or other dental problems, such as teeth crowding. If your child has a history of cavities, your dentist may recommend more than twice a year; however, if your child has no history of tooth decay, once a year may be fine. There are other factors that can influence your dentist’s recommendations, so be sure to bring your child in as soon as their first tooth appears and have the discussion with your dentist.

My son often has bad breath, sometimes brushing does not seem to help, what could be the problem?

Richard L. Anthony, DDS Blacksburg | 540.552.8870 www.richardlanthonydds.com

Whether you call it bad breath or halitosis, it can be an unpleasant and embarrassing problem.

Unfortunately, there are many causes and it may take some patience to figure it out. Some of the more common culprits are foods you eat, poor oral hygiene, dry mouth, post nasal drip, allergies, sinusitis, gastric reflux, diabetes, using tobacco products, and bronchitis. I would start with making sure he brushes (including the tongue) and flosses twice daily. Visiting the dentist every six months will help insure his hygiene is on track. Make sure he is staying well hydrated and leave off the onions and garlic for a while. If you’re confident in your son’s oral hygiene (and he does not use tobacco products), go ahead and schedule a visit to your pediatrician or family physician to rule out any medical causes.

Philip Wakefield, MD

Dermatology Associates of Roanoke, PC Roanoke | 540.981.1439 www.dermatologyassociatesofroanoke.com

My teen is struggling with acne. Do we have options other than oral medications?

Yes. With mild forms of acne, there are a variety of topical medicines available. If the first choice of topical medicines are not helping or if there are side effects, make sure to follow up to allow your doctor to tailor your prescription to your situation. Also, we urge patients to be ready to consider oral medicines for more severe forms of acne in order to decrease the risk of scarring.

While this information may have answered many of your questions, you may want to schedule a back to school physical to give you (and your child) the opportunity to get more answers from your pediatrician or other medical professional. The American Academy of Pediatrics recommends that every child have a yearly physical exam and suggests that just prior to return to school is a good time for that exam. Many studies show that your child’s health will affect his ability to learn.

A back to school physical can help identify and treat problems such as: hyperactivity, sleep disorders, vision or hearing problems, swings in blood sugar from prediabetes, diabetes or hypoglycemia (low blood sugar) and other disorders. For teens especially, adolescence is a time when important changes are taking place physically and mentally. Back to school physicals can help identify and treat physical or mental health problems and can be the most important part of your plan to help your child ensure academic success. Knowing that you have done the best you can to improve your child’s health will help both of you relax and enjoy the new school year!

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Botetourt Farmers Market The threat of rain didn’t dampen spirits! There were plenty on

hand this June Saturday morning shopping and enjoying the scenery. Now in its’ third year at Daleville Town Center, the Botetourt Farmers Market is open every Saturday through October, from 8:00 a.m. to 12:00 p.m.

The farmers market includes Botetourt-area farmers and producers, offering fresh local vegetables, fruits and farm-raised meats, dairy, eggs, local wines, baked bread, hand-spun yarn and artisan foods and crafts.

Bring the kids to see pottery being made at the market!

Live music will be part of the market each week throughout the season, which ends October 24.

New vendors are always welcome! Anyone interested in becoming a vendor should contact Jeff Lunsford, market manager, at 540.556.3014 or email manager@botetourtfarmersmarket.org.

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OurHealth | The Resource for Healthy Living in Southwest Virginia

Photos courtesy of Botetourt Farmers Market.

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FIT BITS

FITNESS FIGHT CLUB class offered at

Green Ridge Recreation Center 7415 Wodd Haven Rd | 540.777.6300 | www.greenridgerecreationcenter.com

Fitness Fight Club is a brand new class offered exclusively at Green Ridge Recreation Center. Developed by Green Ridge instructors Cecelia McKee and Lori Fadorick, this is a high energy, mixed martial arts and kickboxing class that will make you stronger and leaner all over. The class has three different parts to “hit” all the major muscle groups and give you a full-body, challenging workout. The first half of the class is a high intensity cardio endurance workout, which features combinations of different punches, kicks and strikes while keeping your heart rate ramped up. The second phase of the workout involves working with a partner and using gloves to jab, punch and strike pads to simulate striking a real target and bring out that inner warrior to maximize power and endurance. The class finishes with intense core work. This class is open to all fitness levels and anyone who wants to have fun, work hard and get stronger. Just remember, the rules of Fitness Fight Club….

1. Tell Everyone About FFC! 2. Show No Mercy!

3. Have Fun! 4. Punch, Kick, Punch, REPEAT! 5. Push Your Limits!

WORKOUT STATS

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OurHealth | The Resource for Healthy Living in Southwest Virginia

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Classes run for four weeks.

Registration is required. Call 540.777.6300 or visit the GREEN RIDGE RECREATION CENTER to sign-up.

F W ULL OR B KW OD OU Y T

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CAIGH INTE RD NSITY IO

AGE: 18 or older FEE: $25.00 TIME: 5:30-6:25 pm NEXT SERIES BEGINS: August 14 - September 4

INTENSITY LEVEL ALL FITNESS LEVELS WELCOME! Though the class is classified as high intensity, all fitness levels are welcome.

HIGH INTENSITY

Senior Living AWARDS Sen

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The Resource for Healthy Living in Southwest Virginia

GOLD

Oakey’s Funeral Service and Crematory

“One of the many things that sets Oakey’s apart is our attention to Aftercare Service with our families. At Oakey’s funeral service we want to help relieve families of some of the burden during this time and provide the tools to help survive one of life’s most painful times. Our Aftercare Services include in home follow-up with our aftercare coordinator, use of our resource library, and annual memorial services, just to name a few.”

After Life

Samuel G. Oakey, III President Roanoke | 540.989.3131 | www.oakeys.com

SILVER

BRONZE

Lotz Funeral Home

Simpson Funeral Home and Crematory

Roanoke | 540.982.1001 www.lotzfuneralhome.com

Roanoke | 540.366.0707 www.simpsonfuneral.com

HONORABLE MENTION McCoy Furneral Home Blacksburg | 540.552.3211 www.mccoyfuneralhome.com

Mullins Funeral Home & Crematory Radford | 540.639.2456 www.mullinsfuneralhome.com

GOLD

Brandon Oak’s Retirement Community

“At Brandon Oaks Assisted Living we strive to offer person centered care and constantly improve quality in all of our services and throughout the Brandon Oaks community. We have a resident that likes to say ‘if you can’t be in your own home Brandon Oaks is the best place to be.’”

Susan O’Malley, RN, AFLA, FNGNA, CDP Brandon Oaks Assisted Living Administrator Roanoke | 540.776.2600 | www.brandonoaks.net

Assisted Living

HONORABLE MENTION

SILVER

BRONZE

Friendship Retirement Community

Hermitage in Roanoke

Roanoke | 540. 265.2100 www.friendship.us

Roanoke | 540.767.6800 www.hermitageinroanoke.com

Salem | 540.444.0343 www.salemterrace.com

Warm Hearth Village

Commonwealth Assisted Living

The Village on Pheasant Ridge

Blacksburg | 540.552.9176 www.retire.org

Christiansburg | 540.585.4384 www.commonwealthal.com

Salem Terrace at Harrogate

Roanoke | 540.400.6482 www.villageonpheasantridge.com

Our Lady of the Valley Roanoke | 540.345.5111 www.ourladyofthevalley.com

GOLD Anne Green with Anderson, Desimone and Green, P.C. “I take my role as “Counselor-at-law” seriously and help my clients plan for all aspects of their future, considering their goals for their assets as well as for the provision for everyone that they love.”

Ann Green Anderson, Desimone and Green, PC

Elder Law Attorney

Roanoke | 540.776.6434 | www.andersondesimone.com

SILVER

BRONZE

HONORABLE MENTION

Robin Smith Ellis

James R. Montgomery

Anne Edenfield

Salem | 540.389.6060 www.robynsmithellis.com

Blacksburg | 540.552.1663 www.jrmattorney.com

Roanoke | 540.342.1527

GOLD

Ellis Financial Group

“We are a firm dedicated to providing extraordinary levels of service and support to our clients. We achieve this by focusing on those people we understand best—physicians and other professionals—and by being committed to staying small.”

David W. Ellis, CFP®, AIF® Ellis Financial Group

Financial Advising

Salem | 540.765.2585 | www.ellissfg.com

HONORABLE MENTION

SILVER

BRONZE

Chris Worrell – Heritage Financial Service, Inc.

Mike Pendleton, Edward Jones

Roanoke | 540.343.9985

Roanoke | 540.366.5539 www.edwardjones.com

Ben Shrader – BWS Advisors, LLC Roanoke | 540.904.7969

James Harlow, Ameriprise Financials Roanoke | 540.769.0052

GOLD

Pulaski Health and Rehabilitation Center

“We believe that providing the best care begins with getting to know you first—that’s the cornerstone of our personalized approach to rehabilitation services and skilled nursing care.”

Rehab - Inpatient

Terrie Turner Pulaski Health and Rehab Administrator Pulaski | 540.980.3111 | www.pulaskihealthrehab.com

SILVER

BRONZE

Friendship Health and Rehab

Carrington Place

Roanoke | 540.265.2100 www.friendship.us

Daleville | 540.966.0056 carringtonplaces.com

The Rehab Center at Richfield

HONORABLE MENTION

Salem | 540.380.6511 www.richfieldliving.com

Brandon Oaks

Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com

Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

Roanoke | 540.776.2600 www.brandonoaks.net www.OurHealthVirginia.com

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GOLD

Carilion Outpatient Rehabilitation

“Our therapists work one-on-one with each of our patients to customize rehabilitation according to their needs and abilities. We also maintain a high level of communication between the referring physician and our therapists, which enhances the continuity of care during the rehabilitation process and beyond.”

Rehab - Outpatient

Kathy Chalflinch, CNP, RN, NE-BC Senior Director of Rehabilitation Roanoke | 540.224.4753 | www.carilionclinic.org

HONORABLE MENTION

SILVER

BRONZE

Friendship Retirement Community

Brandon Oaks

Roanoke | 540. 265.2100 www.friendship.us

Roanoke | 540.776.2600 www.brandonoaks.net

University Physical Therapy Roanoke | 540.685.0917

Highland Ridge Rehab Center Dublin | 540.674.4193 www.thelandmarkgroupllc.com

GOLD

Interim Healthcare

Interim Healthcare is locally owned and operated by Mitch and Cindy Davis of Salem.

Interim is one of the only agencies in town that provides all service lines (personal care, private duty, private pay, skilled nursing, physical, occupational, and speech therapy services). Interim is here to help you keep your loved ones at home.

Interim Healthcare

Home Health

Salem | 540.774.8686 | www.interimhealthcare.com

HONORABLE MENTION

SILVER

BRONZE

Generation Solutions

Carilion Home Care Service

Roanoke | 540.776.3622 www.generationsolutions.net

Roanoke | 540.224.4800 www.carilionclinic.org

Kissito PACE Roanoke | 540.904.2817 www.kissitopace.org

Kindred at Home (Gentiva Home Health) Roanoke | 540.362.7578 roanoke.gentivahomehealth.com

GOLD

Good Samaritan Hospice

“Good Sam is the only community-based, not-for-profit hospice serving the Roanoke and New River Valleys. Our mission is to affirm life in the midst of illness and grief and we exist for one reason – to make a difference in the lives of people with life-limiting illnesses and their families.”

Hospice Care

Sue Ranson Chief Executive Officer Roanoke | 540.776.0198 | www.goodsamhospice.com

SILVER

BRONZE

Carilion Clinic Hospice

Gentle Shepherd Hospice

Roanoke | 540.224.4753 www.carilionclinic.org

Roanoke | 540.989.6265 www.gentleshepherdhospice.com

HONORABLE MENTION Medi Home Health & Hospice Pulaski | 540.980.0478

Amedisys Hospice of Salem Salem | 540.378.5281

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GOLD

Friendship Retirement Community

“Friendship is the community where seniors’ needs are met within a caring environment offering a full breadth and depth of services while promoting an active and healthy lifestyle. The many amenities include an indoor pool, virtual golf, billiards, dining options, transportation services, and the many activities on and off Friendship’s campus.”

Independent Living Community

Hollie Young Director of Campus Admissions Roanoke | 540.265.2100 | www.friendship.us

HONORABLE MENTION

SILVER

BRONZE

Brandon Oaks

The Glebe

Roanoke | 540.776.2600 www.brandonoaks.net

Daleville | 540.591.2100 www.theglebe.org

Roanoke | 540.400.6482 www.villageonpheasantridge.com

Elm Park Estates

Salem Terrace at Harrogate

The Village on Pheasant Ridge

Roanoke | 540.989.2010 www.holidaytouch.com

GOLD

Salem | 540.444.0343 www.salemterrace.com

Advanced Home Care

“Advanced Home Care strives to provide greatness every day for our patients, communities and each other. Through this commitment, we have been proud to serve the Southwest Virginia community since 2007 and look forward to serving the area for many years to come.”

Joel Mills Chief Executive Officer

Medical Equipment Provider

Salem | 540.389.8121 | www.advhomecare.org

HONORABLE MENTION

SILVER

BRONZE

HB Rehab Supplies

Sun Medical

Roanoke | 540.206.2062 www.hbrehab.com

Roanoke | 540.389.3800 www.sunmedical.com

Medi-Home Care Roanoke | 540.342.3459 www.medicalservicesofamerica.com

Lincare Roanoke | 540.344.8677 www.lincare.com

GOLD

Brookdale Roanoke

“As the only stand-alone memory care community in the Roanoke region, we are pleased to offer compassionate memory care in a beautiful home-like setting. We believe no matter where an individual is in their journey, each has the right to live in a dignified manner and truly enjoy their life experiences. We help make that happen.”

Memory Care SILVER Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

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Hollie Bailey Executive Director Roanoke | 540.465.1550 | www.brookdale.com

BRONZE The Dogwood Memory Care Center at Salem Terrace Salem | 540.444.0343 www.salemterrace.com

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HONORABLE MENTION The Joseph C. Thomas Center at Richfield Salem | 540.380.6511 www.richfieldliving.com

GOLD

Berkshire Health and Rehabilitation Center

“We believe that giving the best care requires more than just treating patients…it requires knowing them as people. It’s more than just caring for people–it’s caring about them. It’s a difference you’ll feel as soon as you walk through the door.”

Ashley Pressman Berkshire Health and Rehabilitation Administrator

Nursing Home

Vinton | 540.982.6691 | www.berkshirehealthrehab.com

GOLD

Nursing Home

Blacksburg | 540.552.9176 | www.retire.org

SILVER

BRONZE

Our Lady of the Valley

Raleigh Court Health and Rehabilitation Center

Roanoke | 540.345.5111 www.ourladyofthevalley. com

Warm Hearth Village

“So much more than a “nursing home”, long-term care at Warm Hearth Village is 5-star certified and recognized as a leader in the New River Valley when it comes to quality and staffing. Kroontje Health Care Center fosters a small, homelike environment for long-term, memory care and skilled care, where residents are regarded as family and lasting bonds are formed.” * Warm Hearth is a non-profit senior Kristi Blake, LNHA living community governed by a Warm Hearth Village Administrator volunteer board of directors.

Roanoke | 540.342.9525 www.raleighcthealthrehab. com

HONORABLE MENTION Friendship Retirement Community Roanoke | 540. 265.2100 www.friendship.us

Springtree Health and Rehabilitation Center Roanoke | 540.981.2790 www. springtreehealthrehab.com

Virginia Veterans Care Center Roanoke | 540.982.2860 www.dvs.virginia.gov/ veterans-care-centers/ vvcc

www.OurHealthVirginia.com

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GOLD

Carilion Clinic

“We aim to partner with each patient and their loved ones dealing with a serious illness. We help guide them through the labyrinth that is modern medicine and aid them in making choices that will help honor what is most important to them.”

Palliative Care

Tommy Morel, MD Palliative Care Medical Director Roanoke | 540.224.4753 | www.carilionclinic.org

HONORABLE MENTION

SILVER

BRONZE

LewisGale Medical Center

Friendship Retirement Community

Salem | 540.776.4000 www.lewisgale.com

Roanoke | 540. 265.2100 www.friendship.us

GOLD

Richfield Salem | 540.380.6511 www.richfieldliving.com

Pulaski Health and Rehabilitation Center

“We believe that providing the best care begins with getting to know you first—that’s the cornerstone of our personalized approach to rehabilitation services and skilled nursing care.”

Terrie Turner Pulaski Health and Rehabilitation Administrator

Post-Acute Rehab Services

Pulaski | 540.980.3111 | www.pulaskihealthrehab.com

Warm Hearth Village

SILVER

BRONZE

Carilion Clinic Rehabilitation Services

Brandon Oaks Nursing and Rehab Center

Roanoke | 540.224.4753 www.carilionclinic.org

Friendship Health and Rehab Roanoke | 540.265.2100 www.friendship.us

Blacksburg | 540.552.9176 www.retire.org

Roanoke | 540.776.2616 www.brandonaoksnursingandrehab.net

Springtree Health and Rehabilitation Center

HONORABLE MENTION

Roanoke | 540.981.2790 www.springtreehealthrehab.com

Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com

GOLD

Richfield Wellness Center Salem | 540.380.6511 www.richfieldliving.com

Warm Hearth Village Center

“As the hub of activity, the Village Center unites residents from throughout the campus to enhance both physical and social wellness through three main areas: the welcome center, the fitness center and community gathering spaces. Some of the features include: a warm, indoor saltwater pool, a treatment room for massage, chiropractic and acupuncture therapies, the Huckleberry Cafe, serving farm fresh cuisine for breakfast and lunch and a beautiful timber framed gathering space with full catering by the Village Gourmet.”

Senior Community Center SILVER Friendship Retirement Community Roanoke | 540. 265.2100 www.friendship.us

Ferne Moschella President and Chief Executive Officer

* Warm Hearth is a non-profit senior living community governed by a volunteer board of directors.

Blacksburg | 540.552.9176 | www.retire.org

BRONZE Kissito PACE Center Roanoke | 540.904.2817 www.kissitopace.org

HONORABLE MENTION Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net

Salem Senior Center Salem | 540.375.3057 www.salemva.gov

Friendship Health and Rehab

GOLD

Skilled Nursing

“Friendship’s 373-bed Health and Rehab Center is the largest in the commonwealth that offers awardwinning services in skilled and immediate nursing care, sub-acute care, inpatient physical, speech and occupational rehabilitation, memory care, and palliative care. What helps Friendship deliver superb care is the staff, who take a team approach by providing support and reassurance when caring for every resident and their family.”

Jessica Walters, MHA, LNHA Friendship Health and Rehab Administrator Roanoke | 540.265.2100 | www.friendship.us

SILVER

BRONZE

Pulaski Community Hospital

Brandon Oaks

Pulaski | 540.825.9079

Roanoke | 540.776.2600 www.brandonoaks.net

Carrington Place

Highland Ridge Rehab Center Dublin | 540.674.4193 www.thelandmarkgroupllc.com

Salem Health and Rehabilitation Center

Daleville | 540.966.0056 carringtonplaces.com

GOLD

HONORABLE MENTION

Salem | 540.345.3894 www.salemhealthrehab.com

Carilion Clinic

“In addition to speech, swallowing and voice rehabilitation, Carilion Outpatient Rehabilitation Speech Therapy offers a wide variety of services addressing the needs of many communities with programs for Parkinson’s Disease patients, a laryngectomy rehab and cognitive training. These services are provided by caring, compassionate staff with over 35 years of combined experience.”

Deborah Joyce Manager, Outpatient Rehabilitation Roanoke | 540.224.4753 | www.carilionclinic.org

Speech Therapy

SILVER

BRONZE

HONORABLE MENTION

Brandon Oaks

Friendship Health and Rehab

Roanoke | 540.776.2600 www.brandonoaks.net

Roanoke | 540.265.2100 www.friendship.us

Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com

Hollins Communications Research Institute (HCRI) Roanoke | 540.265.5650 www.stuttering.org

GOLD

Stroke Care

Carilion Clinic Stroke Services

“As a primary stroke center, we work to improve the quality of stroke care and optimize outcomes for our patients in a compassionate manner. Thanks to our interdisciplinary approach and innovative stroke alert systems, we provide top-quality care that begins before a stroke patient is even admitted, and continues long after the initial visit.”

Sidney Mallenbaum, MD Stroke Unit Medical Director Roanoke | 540.224.5170 | www.carilionclinic.org

SILVER

BRONZE

Brandon Oaks

Friendship Health and Rehab

Roanoke | 540.776.2600 www.brandonoaks.net

Roanoke | 540.265.2100 www.friendship.us

Springtree Health and Rehabilitation Center Roanoke | 540.981.2790 www.springtreehealthrehab.com

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OurHealth | The Resource for Healthy Living in Southwest Virginia

HONORABLE MENTION Raleigh Court Health and Rehabilitation Center Roanoke | 540.342.9525 www.raleighcthealthrehab.com

OPEN HERE

to learn more about our award winning services!

BEST THE NINTH ANNUAL

BED S I D E M A N N E R

AWARDS IN

SOUTHWEST VIRGINIA

COMING SOON!

The Resource for Healthy Living in Southwest Virginia

Winners announced in the December /January edition of OurHealth

www.ourhealthswva.com

The Glebe

The Glebe, a Life Care Retirement Community, with spectacular views of the Allegheny and Blue Ridge Mountains, is the newest Virginia Baptist Homes Community to open in Virginia!

Today, this faith-based non-profit community is home to more than 240 residents. The Glebe’s commitment to excellent care and resident satisfaction are well known. Residents move here for an engaging, fulfilling, and active lifestyle, and that is what they experience.

Life in Abundance

All that we do at The Glebe, all of our services and amenities, seek to expand the sense of community, joy, vitality, security and growth, and to foster Life in Abundance. The focus at The Glebe is not merely on physical health but on maximizing quality of life at every age and stage. Arts and education programming, along with games and classes, seek to stimulate the mind and promote learning.

Opportunities for worship are diverse and nurture the spirit. Social events and trips, as well as support groups, seek to deepen friendships and to provide comfort. And when it comes to physical health, you’ll find ample opportunities for maintaining or improving your health and living a healthy, active lifestyle at The Glebe.

What is Life Care?

Life Care allows residents to enjoy life to its fullest knowing a safety net of care and services is in place. When healthcare needs change, the cost of meeting these needs can be staggering. With Life Care, you get priority access to our full range of on-site care facilities, and you’ll never have to worry about a substantial increase in monthly fees.

Life at The Glebe is lived in community, surrounded by friends and family and a network of strength and support. Come to The Glebe and experience the fullness of life.

To learn more, call 540.591.2200.

200 The Glebe Boulevard | Daleville, VA 24083 | 540.591.2200 | www.theglebe.org

Kissito PACE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY

Kissito PACE is For the Aging Population That Wants to Remain At Home

Staying independent and remaining at home is important for the community’s seniors. Safety and proper care are serious concerns. Kissito PACE understands this and helps seniors to stay healthy and living at home for as long as possible. Seniors in the Kissito PACE program benefit from a wide range of coordinated healthcare services provided in the PACE Centers, at home, and in other appropriate settings; 24 hours a day, 7 days a week, 365 days a year.

Services

Participants receive all their healthcare services from Kissito PACE and its healthcare provider network.

Kissito PACE services include: • • • • • • • •

• • • •

Kissito PACE Center access up to 5 days a week Primary medical and specialty care, including physicians specializing in geriatrics Nursing care Social activities Social services Recreational services Drug coverage Wheel chair accessible transportation to and from the PACE Center and other medical appointments Medical equipment and supplies Dietary services Occupational and physical therapy Speech therapy

• • • • • • • • • • • •

Support for caregivers and family members Chronic disease self-management education Home and personal care Dental care, including dentures Vision care, including glasses Hearing care, including hearing aides Podiatry Mental health services End-of-life care Hospital and nursing facility stays Services such as lab work, x-rays, and surgery 24-hour, 7-days a week, 365 days a year access to an interdisciplinary team

The Interdisciplinary Team Approach

All care and services are coordinated through the Kissito PACE Interdisciplinary Team which consists of a primary care physician, social services director, program manager, registered nurse, physical and occupational therapist, registered dietitian, activity coordinator, personal care attendant, transportation coordinator, and a home care coordinator.

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5251 Concourse Drive | Roanoke, VA 24019 | 540.904.2817 | www.KissitoPACE.org

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www.OurHealthVirginia.com

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Salem Terrace at Harrogate Salem Terrace at Harrogate – A New Look for Senior Living!

Salem Terrace features stunning mountain views, delicious cuisine, award-winning care, and a wealth of exciting events and amenities. Residents live in luxury and style while enjoying the full retirement experience.

Salem Terrace offers specialized care tailored to residents through its assisted living and memory care centers. The specialized Alzheimer’s and dementia care center, Dogwood Memory Care Center, offers peace of mind for residents, family and friends.

When it comes to retirement, it’s all about the lifestyle. Spacious apartments, first-class dining, and fun activities are just a few of the many lifestyle opportunities that make Salem Terrace stand out from any other community in Southwest Virginia

Assisted Living Options

Salem Terrace offers four levels of assisted living care for residents in need of extra help with activities of daily living.

A wide variety of assisted living care services, ranging from help with medications to mobility assistance, is offered to suit each individual’s unique care needs. Care levels are based on a personalized assessment to determine the appropriate amount of support required. As always, licensed nurses and certified nursing assistants are on duty 24 hours a day, seven days a week.

Memory Care Options

Managing the 24-hour a day responsibility of caring for a loved one with Alzheimer’s or dementia can overwhelm even the most dedicated caregiver.

The Dogwood Memory Care Center at Salem Terrace at Harrogate offers a comforting option.

More than just a place to reside, the Dogwood Center provides an individualized plan of care to help each resident get more out of life. The memory care program promotes health, nutrition, hygiene, activity and socialization. A secured walking garden provides a sense of independence and an opportunity for physical exercise, and appropriate activities are integrated into daily life.

1851 Harrogate Drive | Salem, Virginia 24153 | 540.444.0343| www.salemterrace.com

Highland Ridge

REHAB CENTER

Highland Ridge Rehab Center, a progressive skilled nursing facility, has 132-beds with semi-private and private rooms. The Center provides short-term skilled nursing and a specialized rehabilitation program. A professional team works with physicians to design and implement a care plan to meet each person’s specific needs.

Each resident’s team may include a physical therapist, occupational therapist, speech pathologist, dietician, discharge planner, and an activity director. The new rehab addition includes dedicated rehabilitation areas, as well as an activity room for arts, crafts, games, movies, and more.

With an emphasis on increasing independence, both in mobility and in the ability to provide self care, individuals will have the choice to decide which plan of care best suits their goals. Each person’s mobility will be advanced at a pace tailored to his or her individual needs. Skilled nursing and health services include 24-hour RNs and LPNs with support from certified nursing assistants, continuity of care services, physical therapy, interdisciplinary healthcare teams, pain management, IV therapy, restorative nursing services and occupational therapy.

In addition to skilled nursing services, Highland Ridge Rehab Center offers aqua therapy programs. Aquatic therapy incorporates physical and occupational Therapy performed in water. By using the resistance of water instead of weights it becomes very effective after an injury. It balances the amount of weight placed on the joints by exercise outside of water, and its benefits are continuous. Aquatic therapy focuses on circulation, endurance, flexibility, range of motion, balance, and coordination.

Aqua therapy programs are therapeutic and have shown to benefit those with conditions such as arthritis, athletic injury, balance and coordination difficulties, chronic pain, fibromyalgia, joint replacement, orthopedic and/or neurologic impairment, and osteoporosis.

5872 Hanks Avenue | Dublin, VA 24084 | 540.674.5193 | www.thelandmarkgroupllc.com

Brandon Oaks Active Independence Today - A Solid Platform and Future

At Brandon Oaks, the people and the lifestyle draw residents in from all over the state and country. As the only true LifeCare community in Roanoke, Brandon Oaks serves as an industry leader in the field of luxury independent living, while offering a full continuum of health care a including assisted living, skilled nursing and state of the art therapy and rehabilitation center. Brandon Oaks is a not-for-profit community sponsored by Virginia Lutheran Homes. However, our residents represent a diverse community and all are welcome.

Brandon Oaks offers a wide range of lifestyle options. A variety of apartment types and cottages are available including the brand new Pines and Pines II. Residents take comfort in knowing that awardwinning care is readily available should the need arise. In 2015, publications such as The Roanoker, OurHealth, SwoCo, Virginia Living and the national publication US News and World Report awarded Brandon Oaks and its various services for excellence in senior living. In addition, the American Health Care Association and National Center for Assisted Living awarded Brandon Oaks’ Assisted Living the Bronze and Silver Quality Award for excellence in quality and improvement measures.

Great Variety for Active Adult Living

Of course, the beautiful backdrop of the Blue Ridge Mountains and convenient location within the Roanoke Valley (close to cultural and shopping destinations) are a few additional perks. The vibrant community of residents enjoy the freedom and opportunity to pursue things in life that are important to them - whether it be education, culture, fitness or travel. With a calendar full of activities including overnight trips to exciting destinations on the East Coast, numerous educational opportunities and exercise classes right at their fingertips, residents find themselves busier now than before they came to Brandon Oaks.

At the center of all the activity around campus is the Health and Vitality Center at Brandon Oaks. Amenities include a fully equipped fitness center, aerobics room, hair and nail salon, heated pool, massage therapy, chapel, casual bistro, formal dining room, library, full service bank and much more. Residents are able to maximize their independence while enjoying the benefit of security and peace of mind for the future. Brandon Oaks is the premier retirement community in the Roanoke Valley.

Call 540.776.2600 to schedule your personal tour of Brandon Oaks.

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3804 Brandon Avenue S.W. | Roanoke, VA 24018 | 540.776.2600 | www.brandonoaks.net

OurHealth | The Resource for Healthy Living in Southwest Virginia

The Hermitage From the moment you pass through the grand gates of Hermitage in Roanoke, a lifestyle of peaceful luxury comes to mind.

Since 1964, Hermitage in Roanoke has been a community offering Independent Living, Assisted Living, and Nursing Care lifestyles for seniors 62 years of age and over. A part of Virginia United Methodist Homes, Inc., a not-for-profit corporation, Hermitage in Roanoke is committed to providing an independent lifestyle as well as security throughout the continuum of care.

On its “Bed and Breakfast� like grounds, Hermitage in Roanoke offers a choice of accommodations. Both independent living apartments and assisted living apartments are available. Should the need arise, nursing care, rehab therapy, and respite care services are just down the corridor. Residents enter the continuum of care based on the need for services. If and when changes occur, residents will continue to receive the care they need. This is especially important for couples when one requires more services than the other. Keeping husbands and wives together, regardless of where they are on the aging spectrum, is a priority of the customized care offered at Hermitage in Roanoke.

Besides the quality living accommodations, the community at Hermitage in Roanoke also offers an abundance of social activities to enhance residents’ well-being and allow them to continue their active lifestyle. Community features include a large library, walking paths, exercise room, billiards room, chapel, and wood working shop, just to name a few. From weekly outings, to on-site seasonal celebrations, there is always something to do at Hermitage in Roanoke.

www.OurHealthVirginia.com 1009 Old Country Club Rd NW | Roanoke, VA 24017 | 540.344.7945 | www.hermitageinroanoke.org

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Warm Hearth Village The New River Valley’s Only Comprehensive Retirement Community Located within view of Virginia Tech, Warm Hearth Village is just minutes away from shopping, cultural events, recreational activities, restaurants, professional services, sporting events, and LewisGale Hospital at Montgomery.

Warm Hearth is a nonprofit community with a mission to serve seniors from all socioeconomic backgrounds. The 220 acre woodland campus offers a full continuum of living options, from active adult independent living to long-term nursing care.

Rehabilitative and skilled care and comprehensive home care, round out the list of offerings.

The Village Center

At the heart of Warm Hearth is the Village Center. As the hub of activity, the Village Center brings together residents from across the campus and enhances both physical and social wellness. Here, residents and the community can utilize the welcome center, fitness center, café, and community gathering spaces.

The fitness center promotes healthy aging and is staffed by trained professionals who assist in developing personal exercise and nutrition plans. Featuring an indoor, saltwater pool and a cardio and strength training room, the fitness center provides a range of personalized assistance and group exercise classes. In addition, the fitness center includes treatment rooms for massage, chiropractic care, and acupuncture therapy.

The new Huckleberry Café features a unique variety of fresh, locally sourced food and drink options for residents.

The New Face of Assisted Living

Showalter Center recently underwent a $1 million renovation. Known for its dedicated staff and outstanding care, Showalter Center’s appearance has been enhanced and the building now includes more spaces for resident social interaction, education and learning as well as a newly remodeled salon. The rich wood finishes and colors found throughout mirror the beautiful woodland setting of this building that has been serving seniors for more than thirty years.

Care and Service

Residents of Warm Hearth receive priority admission to the next level of care should the need arise. This list of services and amenities available to residents is abundant and includes home and grounds maintenance; transportation, on-site dining ; 24-hour emergency response; evening security; physical, occupational, and speech therapies; and home care to name a few.

Warm Hearth Village’s wide range of choices for housing, services, and care provide each resident with the options and freedom he or she needs to live the life he or she desires.

www.OurHealthVirginia.com 2603 Warm Hearth Drive | Blacksburg, VA 24060 | 540.552.9176 | www.retire.org

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Richfield Living Helping people rediscover their quality of life, regardless of where they are in life’s journey.

Richfield is a non-profit community located in Roanoke County near the City of Salem.

Located on 50 beautifully landscaped acres with two lakes and breathtaking views of the surrounding mountains, we offer a full continuum of services and settings, each reflecting our on-going commitment to individual wellbeing and quality of life. Our ability to offer a full continuum of health care services, without leaving the Richfield campus, is one thing that sets us apart from many of our competitors.

Our beautiful surroundings, combined with a broad range of services and accommodations, provide a setting where individuals become members of a secure, supportive and active community. At Richfield our goal is to provide a community setting that fosters independence, wellness and security so residents may enjoy life to the fullest.

The Rehab Center at Richfield

The Rehab Center at Richfield provides short-term skilled nursing and rehabilitation services to patients who are still recovering from surgery, injury or illness and serves as a bridge between an acute-care hospital stay and the patient’s return home.

Amenities that set us apart include: all private accommodations with full bathrooms, flat screen TV’s, WiFi internet access, personal laundry facilities and delicious meals made to order.

Residential Independent Living Options • • •

Knollwood Apartments: Offering studio, one and two bedroom floor plans Richfield Lake Estates: Beautiful lakeside cottages Ridgecrest Apartments: Subsidized housing offering studio, one and two bedroom floor plans Residents living in our apartments and cottages have a place to achieve their wellness goals in our new Wellness Center. Offering a gym equipped with award-winning exercise equipment; yoga and exercise classes; individual wellness programs; outpatient therapy and a salt water therapy pool, residents are able to rediscover their wellness potential.

Assisted Living and Memory Care Options

At Richfield, we offer two distinct assisted living residences on our campus, The Oaks and Joseph C. Thomas Center. Our residences offer 24-hour supervision, activity and wellness programs, health monitoring, medication management, meals and assistance with personal care. We strive to provide environments that are nurturing, comfortable and secure, where each resident’s individual qualities are recognized and respected.

The Joseph C. Thomas Center offers two households that are dedicated to memory care.

Within these households, we incorporate resident-directed approaches and life enrichment programming with the goal of increasing quality of life for our residents and improving their level of satisfaction and well-being.

Richfield Recovery & Care Center

Offering comprehensive nursing care ranging from a short rehabilitative stay to long-term nursing care.

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3615 W Main St. | Salem, VA 24153 | 540.380.4500 | www.RichfieldLiving.com

OurHealth | The Resource for Healthy Living in Southwest Virginia

Our Lady of the Valley

Retirement Community

A Legacy of Caring – Serving Generations for Over 25 Years Our Lady of the Valley is nestled in the heart of downtown Roanoke. This convenient location offers mountain views and easy access to many cultural events as well as the city market place. A visit inside will show a community of seniors who enjoy a renewed retirement lifestyle fostered by a team of caring professionals. Focused on personal wellbeing, the residents at Our Lady of the Valley are the centerpiece of life in this special place. The life enrichment programs, delicious cuisine, and friendly neighbors all combine to create a community that inspires the individual spirit.

Assisted living services are customized for each resident to preserve independence and to allow everyone to live life to their fullest potential. Engaging programs and activities, caring personalized attention, and an un-wavering dedication to excellence enhance the lives of our residents each and every day. We offer spacious apartment plans that feature several large closets, kitchenettes, individual heating and air conditioning, and convenient access to a bustling community center. Our large front porch, garden patio and rose garden give access to nature in a peaceful neighborhood setting.

In addition to our personalized, quality assisted living care, on-site services also include long-term nursing care and skilled rehabilitation services in the Sullivan Center. Opened in January 2013, the new addition to the Health & Wellness Therapy Center expands the environment where residents receive physical, occupational, and speech therapy. Furthermore, our full-community generator provides an extra level of safety, security, and peace of mind for residents and their families. They can rest assured knowing that in the event of a power outage residents’ lives will not be interrupted.

Our Lady of the Valley is a nonprofit, nondenominational senior living community sponsored by the Catholic Diocese of Richmond. Since 1989, we have provided comfortable and affordable assisted living, rehabilitation and nursing care. At Our Lady of the Valley, residents come first. It is as simple as that. It is no wonder that we continue a legacy of caring by serving generations of seniors and their family members here in the Roanoke Valley.

650 North Jefferson Street | Roanoke, VA 24016 | 540.345.5111 | www.ourladyofthevalley.com

www.OurHealthVirginia.com

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Commonwealth Assisted Living At Commonwealth Assisted Living, the dedicated and specially trained staff get to know the needs and preferences of each resident and are committed to making life easier for both the resident and his/her family.

Memory Care

Commonwealth Assisted Living in Christiansburg and Radford are two of nine assisted living communities in Virginia currently offering a specialized Alzheimer’s and Dementia program, Sweet Memories. This program is staffed with compassionate, 24-hour caregivers, specially trained to offer those experiencing memory loss, Alzheimer’s or Dementia the attention they need, as well as the safety and security they require. Sweet Memories provides healthy dining options, personal care services and activities that stimulate mind and body.

Commonwealth Assisted Living at Christiansburg

201 Wheatland Court / Christiansburg, Virginia 24073 / 540.382.5200 / www.commonwealthal.com

Commonwealth Assisted Living at Christiansburg is a unique assisted living community that offers living choices for seniors with a wide range of needs and lifestyle preferences.

Residents can choose a spacious room in a modern two-story facility, complete with an indoor pool and exercise area. For those interested in a higher level of independent living, Commonwealth Assisted Living at Christiansburg also features a number of cottages that are available for purchase by residents.

Commonwealth Assisted Living at Christiansburg is known for its well-appointed rooms, welcoming common areas and abundance of activity choices for all residents. Meals at Christiansburg are carefully prepared by an experienced staff, carefully designed to meet nutritional needs, while delighting the taste buds. Residents gather together for meals in an elegant dining room.

Commonwealth Assisted Living at Radford

7486 Lee Highway / Radford, Virginia 24141 / 540.639.2411 / www.commonwealthal.com

Situated in a bustling commercial neighborhood just across the New River from Radford University, Commonwealth Assisted Living at Radford offers seniors the additional care they need to maintain a quality lifestyle. Conveniently located close to Carilion New River Valley Community Hospital and many specialty medical offices, make this property an excellent choice. For residents who want an additional level of independence, with the added support of daily lifestyle services, Commonwealth Assisted Living at Radford also offers senior apartments in an adjacent building.

Residents throughout Commonwealth Assisted Living at Radford get the caring and respectful assistance they need to carry out the activities of daily living. The well-trained and sensitive staff can help with bathing, dressing, meals and exercise. Therapy programs and outside home care are also available. Meals and snacks are carefully and nutritionally prepared by a veteran staff, and served in an elegant dining room where residents can mingle and share.

Whether it’s in the assisted living community, or the Sweet Memories community, services are provided for all residents that help them keep up with the activities of daily living. Those can include help with bathing, dressing, meals and exercise or any other daily need. Therapy programs and outside home care are also available on request.

www.commonwealthal.com

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HealthyEats Beet Summer Salad Ingredients: 1 pound cubed beets ½ yellow pepper sliced ½ small red onion sliced ¼ cup crumbled feta ¼ cup toasted almonds 1

12 ounce bag of spring mix

Directions: 1. Roast cubed beets at 375 degrees until tender. Let cool.

2. Lay all ingredients on bed of spring mix.

3. Serve and enjoy!

OurHealth Staff Favorite

BEET SUMMER SALAD

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

HealthyEats Green Bean Summer Salad

Directions:

Ingredients:

2. Roast corn in oven for 10 minutes at 350 degrees with ½ cup of red onion and 1 teaspoon of fresh garlic

1. Blanch green beans till tender in salted water

1 pound of green beans till tender

in salted water 2 cups of fresh or frozen corn

3. Toss all together. When cool, you may not need all the vinaigrette so slowly add until vegetables are glistening.

½ cup of red onion 1 teaspoon of fresh garlic 1 cup of cubed fresh mozzarella 2 cups of grape tomatoes 1/3 cup of balsamic vinegar 2/3 cup of olive oil

fresh basil 6 leaves sliced thin

salt and pepper

OurHealth Staff Favorite

GREEN BEAN SALAD

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

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HealthyEats Sweet Corn Salad Ingredients: 1 pound frozen corn ½ cup minced red onion 1 teaspoon minced fresh garlic 1½ tablespoon fresh basil minced ¼ cup balsamic ¼ cup olive oil 1 cup halved cherry tomatoes 8 ounce cubed fresh mozzarella ½ teaspoon salt ½ teaspoon pepper

Directions: 1. Combine top three ingredients then roast at 375 degrees until slightly brown.

2. Mix remaining ingredients together and let marinate while corn cooks. Once corn is cooled mix all ingredients together.

3. Serve and enjoy!

OurHealth Staff Favorite

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

HealthyEats Vegan Gluten-Free Almond Butter Cookies Ingredients: 1 cup almond flour 1 cup Bob’s Gluten Free flour ½ teaspoon salt 1 teaspoon baking soda 1 cup almond butter ½ cup maple syrup

Directions: 1. In a food processor, combine both flours, salt, and baking soda.

Process into a fine flour.

2. Add almond butter and continue to process. Scrape down sides.

3. Stream in maple syrup. Scrape down sides. Process one more time.

4. Dump dough into a bowl, finish mixing by hand to combine.

5. Scoop and press dough onto greased cookie sheets.

6. Bake at 325 degrees for 10-15 minutes, depending on size.

OurHealth Staff Favorite

ALMOND BUTTER COOKIES for more recipes follow us on Pinterest or visit our website at ourhealthswva.com

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Could your

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SNORING

be killing you ?

An at-home sleep study may be the key to better health words | RICH ELLIS original photography | SHAWN SPROUSE

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2 It usually starts with a whimper or “grrrr” from my sleeping wife, an elbow to the ribs, a kick to the leg or an admonishment to “turn over.”

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My wife is a light sleeper. I am a snorer. Together, it’s a bad combination.

I love my wife — and sleep — and I am proactive when it comes to my health, so several years ago I consulted a physician for help determining how much I snored, and more importantly, whether it was impacting my health. He referred me to the Sleep EZ Diagnostic Center Inc. in Salem, which is owned by Raquel Rothe, a respiratory therapist.

As some readers may recall from a previous OurHealth article in which I chronicled my sleep study experience there, that evening didn’t go quite the way I had planned. Sleep EZ has a fantastic staff and surroundings that are as quiet and comfortable as my own bedroom, but I couldn’t fall asleep and wound up sleeping only about an hour or two the entire night. A combination of factors keep me awake: being a little freaked out trying to sleep in a strange place with someone watching; having numerous restrictive patches and wires hooked to my head and chest; and feeling under pressure to fall asleep, knowing that if I didn’t, there would be no sleep study results.

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sleep

FACT:

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There are more than

35 MILLION people in the U.S. with

sleep disorders.

In the end, I slept just long enough for the polysomnographer (that’s the official name for a sleep study technician) to analyze my sleep pattern and determine that I had mild obstructive sleep apnea that didn’t require any further treatment (try telling that to my wife).

The rise of at-home sleep studies Recently I’ve been reading and hearing more about sleep tests that could be conducted at home instead of in a medical facility, and because my snoring is still causing intermittent problems, I thought I should try one.

On my physician’s advice, I turned again to Sleep EZ. As it turns out, I wasn’t the only one who has been reading and hearing more about at-home sleep tests.

“In March of 2013 we started seeing a transition to home sleep studies among the larger insurance carriers,” Rothe says. “One reason behind that increase is insurers trying to cut costs. Because there’s an increase overall in the number of sleep studies being conducted nationwide due to more awareness about sleep disorders, insurers’ reimbursements to providers for those studies are rising as well.”

Home sleep studies have lower overhead costs and are less expensive than studies conducted in a test facility. Home studies evaluate for obstructive sleep apnea but not other sleep disorders, making them less complex in terms of what’s measured. At the same time, patients are also driving demand for in-home testing. They feel more relaxed in their home environment, they can maintain their normal evening routine and

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sleep schedule, and they like the convenience of staying home instead of traveling to a hospital or sleep center and spending the night.

At-home versus medical facility sleep studies At-home sleep studies aren’t replacing those conducted in a medical facility; they don’t measure as many parameters, and they’re not right for every patient. For example, at-home sleep studies would not be offered as an option to patients who have cardiac or pulmonary co-morbidities (the presence of two or more diseases at the same time) because those patients are at higher risk.

To make that determination, patients first have to be evaluated and assessed for symptoms associated with sleep-related factors, as well as cardiac or pulmonary issues. If the symptoms are present and there is a history of cardiac or pulmonary issues, these patients are not candidates for an in-home study. Instead, they would require a sleep study conducted at Sleep EZ or another medical facility where more-complex sleep evaluations can be performed.

“A home sleep study checks for classic obstructive sleep apnea,” Rothe explains. “It doesn’t measure for the more than 80 other sleep parasomnias or sleep disorders that exist. Those evaluations require an in-facility sleep study. ”

“A home sleep study checks for classic obstructive sleep apnea,” Rothe explains. “It doesn’t measure for the more than 80 other sleep parasomnias or sleep disorders that exist. Those evaluations require an in-facility sleep study.”

The rise in home sleep studies is a trend that Rothe says she fully embraced early on because it benefits the patients who qualify.

“There are more than 35 million people in the U.S. with sleep disorders,” Rothe says. “Using the in-home sleep study, we can screen more people, faster and at less expense to them and to insurers.”

In my case, I noticed a big difference between my in-facility sleep study as compared to my at-home study, and I liked the change.

To get started, I stopped by Sleep EZ’s facility where the helpful staff presented me with a compact pouch containing the monitor I’d be using. The monitor was smaller than my smartphone and had only three connections attached to it. One was for a small clip that attached to my finger and measured oxygen saturation levels and heart rate. Another was to a tube placed under my nose to monitor airflow. The third connection was a strap that went around my midsection to monitor breathing effort and breath frequency. Sleeping with this monitor attached was a nonissue.

With its small size and unobtrusive attachments, I quickly forgot it was even there.

Using the unit is easy thanks to the hands-on demonstration Sleep EZ’s staff provides and the unit’s foolproof operating system. Green lights at each connection mean it has been attached to the unit properly, while a red light indicates the connection needs further attention.

In the morning, green lights again indicate that a successful sleep study has been conducted and the data saved. Then I simply mailed the unit back to Sleep EZ for analysis and waited for the results.

Sleep disorders – not just an inconvenience Snoring and other sleep issues can be more than just an annoyance. An undiagnosed and untreated sleep disorder is a serious medical condition because of the dangerous, cumulative impact it can have on a patient’s health.

“An undiagnosed and untreated sleep disorder is a serious medical condition, Rothe explains, because of the dangerous, cumulative impact it can wreak on a patient’s health.” www.OurHealthVirginia.com

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For humans, sleep is a vital indicator of our overall health and wellbeing, Rothe says. We need sleep, water, food and oxygen to survive.

If we’re not sleeping optimally, nothing else is working right either.

Rothe likens sleeping to turning off a light switch at night — everything resets, including hormones, metabolism, blood pressure, blood sugar and memory. If you’re not allowing your sleep to transition the way it should, those crucial body functions don’t reset and you’re running on sleep deprivation.

Using snoring as an example, Rothe says this causes the airway to close and oxygen levels to drop.

To compensate, the heart beats faster. Depending on the snoring’s severity and frequency, this situation occurs many times per night, eventually causing high blood pressure that in turn leads to other serious health issues.

How much sleep do you really need?

There are five stages of sleep — stages 1 through 4 and REM, or rapid eye movement, sleep. Those who don’t devote sufficient hours to sleeping are not allowing their body to transition through all these necessary stages of sleep.

Rothe calls this poor sleep hygiene.

Stage 1 is characterized as a very light sleep during 88

OurHealth | The Resource for Healthy Living in Southwest Virginia

Stage

1

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5 Stages of Sleep

Light Sleep: during which you can be awakened easily.

Stage

2

Adults spend only about 20 percent of their sleep hours in the REM stage, 50 percent in stage two, and 30 percent in stages three and four.

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Transition Stage: Eye movement stops and brain waves become slower.

Stage

3&4

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20%

Deep Sleep: during which you cannot be awakened easily.

Stage

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Stage 5

30%

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REM Sleep: features vivid dreams and brain waves that

50% Stage 2

Stages 3&4

are on a level similar to those exhibited while awake.

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Amount of sleep needed according to age: Recommended by Rothe and the NSF

The amount of sleep needed varies by age and can be impacted by lifestyle and health.

New sleep guidelines were issued this year by the National Sleep Foundation and reflect those differences.

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• Older adults (ages 65-plus) – 7 to 8 hours • Adults (ages 26-64) – 7 to 9 hours • Younger adults (ages 18-25) – 7 to 9 hours • Teens (ages 14-17) – 8 to 10 hours • School-age children (ages 6-13) – 9 to 11 hours • Preschoolers (ages 3-5) – 10 to 13 hours • Toddlers (ages 1-2) – 11 to 14 hours • Infants (4 to 11 months) – 12 to 15 hours • Newborns (0 to 3 months) – 14 to 17 hours daily www.OurHealthVirginia.com

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which one can be awakened easily.

In stage 2, eye movement stops and brain waves become slower. Stages 3 and 4 are grouped together by sleep experts and referred to as deep sleep, while REM sleep features vivid dreams and brain waves that are on a level similar to those exhibited while awake. Adults spend only about 20 percent of their sleep hours in the REM stage, 50 percent in stage 2, and 30 percent in stages 3 and 4.

“When it comes to sleep, your body tells you what you need, but we just don’t listen to it. Instead, we cover that need up with caffeine because we’re trying to have more hours in the day. You should go to sleep when you’re tired and wake up without an alarm, like you do when you’re on vacation,” says Rothe.

Treating sleep disorders Depending on the specific sleep condition and its severity, there are several treatment options to help deliver a better night’s sleep.

Obstructive sleep apnea is measured according to the apnea-hypopnea index. The AHI indicates how many times per hour a patient experiences apneas (a cessation of breathing for at least 10 seconds). An AHI of less than 5 is considered normal (without sleep apnea). In my case, my mild obstructive sleep apnea resulted in an AHI of 6.41.

Patients with a mild degree of obstructive sleep apnea are good candidates for treatment with an oral appliance similar to a sports mouth guard or orthodontic retainer.

The appliance is worn at night and helps prevent the tongue and soft tissues at the back of the throat from collapsing and obstructing the airway. These appliances are custom-fit and molded by a dentist.

It’s important for patients to remember that after they’ve received the appliance and become acclimated to it, they should follow up with an at-home sleep test with the appliance 90

OurHealth | The Resource for Healthy Living in Southwest Virginia

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1 in place to verify its effectiveness.

Moderate to severe obstructive sleep apnea is usually treated with a CPAP (continuous positive airway pressure) machine. This device features a mask that users attach to their face and sleep with. Technology in today’s CPAP machines has improved significantly when compared to machines from just five years ago. The device uses a mild suction to maintain the mask’s seal to the face, making today’s masks and machines much more pleasant to use. Patients for whom a CPAP has been recommended need to use the device regularly for it to improve their life and their health.

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Another treatment option is surgery to remove soft tissues that are interfering with the airway during sleep.

Despite the various treatment options, patients experiencing sleep issues might want to explore the easiest and optimal therapy first — making lifestyle changes that impact sleep quality.

Rothe recommends developing a sleep routine and following it daily. Whether it involves taking a shower, meditating or reading, the goal should be to relax and avoid external stimulation before bedtime. Particularly important is the avoidance of artificial light from electronic devices — including cellphones and e-readers — because of that light’s disruptive impact on melatonin and serotonin levels, which regulate the body’s natural sleep cycle.

Melatonin is a hormone that plays an important role in controlling circadian rhythms, which in turn control sleep patterns; serotonin is released when it’s time for the body to awaken. The eye controls the release of both melatonin and serotonin, Rothe explains, and it’s affected by light exposure. That’s why she recommends monitoring light use and eliminating exposure www.OurHealthVirginia.com

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to artificial light (a bedside lamp is OK) 45 minutes to an hour before bedtime.

Additional lifestyle changes that can help improve sleep include not eating or exercising several hours before bed, as well as avoiding caffeine and alcohol in that same time frame.

When patients participate in the in-home sleep study, however, they should not alter their routines.

“We don’t want them to change their habits so they don’t skew the study,” says Rothe. “I don’t tell them to change anything. If they regularly take an over-the-counter medication, such as Tylenol PM, to help them sleep, I have them continue taking it the night of the study, but then I’ll also ask them to repeat the study a second night, without the medication, so we can compare results if that is necessary.”

Once the unit is back at Sleep EZ, Rothe and her team download the data. A sleep physician reads the results and recommends treatment options. That information in then provided to the patient’s physician.

By consulting a physician and working with a sleep expert to identify a sleep disorder and recommended treatment — and then following through on those recommendations — tired patients should soon find themselves on the way to sweet dreams and better health.

Expert contributors: Raquel Rothe, CRT-NPS, owner of Sleep EZ Diagnostic Center, Inc.

Sources: Sleep EZ Diagnostic Center, Inc. www.sleepezcenter.com

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YOUNG AT HEART Brought to you by the Salem Art Center

The inaugural class of Salem Art Center’s Zenith program. Back Row (Left to Right): Selene Geier, Kara Palmer, Joseph Palotas (Instructor), Saylor Bane, Jess Palotas (Program Director), Lauren Overfelt, Cody McGlothlin. Front Row (Left to Right): Breanna Davis, Summer English, Emma Stamper. Missing from Photo: Stephanie Henegar

Welcome to Young at HeART! OurHealth magazine has partnered with the Salem Art Center’s Zenith program for the 2015-2016 school year. Young at HeART will spotlight outstanding artwork from Salem area 7th-9th grade students. Each issue will feature a selection of art for you to enjoy, and an opportunity for readers to vote for their favorites. By voting, your name will be entered into a drawing with a chance to win a tasty prize pack for 4 from our partner, Chick-fil-A! Visit OurHeath’s Facebook page to see new art monthly!

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WORK OF ART!