OurHealth Roanoke & New River Valleys Aug/Sep 2016 Edition by OurHealth Media LLC

table of contents | august • september 2016

24 PROSTATE’S BIG To help observe September as Prostate Cancer Awareness Month, we talked with some local experts about prostate cancer, its detection, and its treatment.

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 Roanoke and New River Valleys

HEALTH POINTS........................ 20 Interesting facts and tidbits about health

THE ANATOMY CHALLENGE................................. 23 Are you up for the challenge? In this issue, test your knowledge when it comes to the PROSTATE CANCER.

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69 Part III of OurHealthâ&#x20AC;&#x2122;s four-part series explores healthcare careers requiring postgraduate studies, including graduate school, professional school, residency programs and fellowships.

NUTRITION..................................43 Oliveto presents recipes perfect for tailgating such as Parmesan and garlic chicken wings, prosciutto potato salad, and ramen coleslaw salad.

FIT BITS!........................................ 67 Get to the 'Core' of Your Workout

T PAR

John Russell, BS, ACSM, a Personal Trainer at Green Ridge Recreation Center shares the many training benefits of working your 'Core'.

IV This article, the fourth in a yearlong OurHealth series about primary care, will focus on inspiring your care, and how to work healthy practices into your daily life and motivate others to do the same.

hello, HEALTH!.............................. 82 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

CLOSER LOOK..............................98 Images reflecting the landscape of healthcare in Roanoke and New River Valleys * PLUS * a chance to win a prize pack for FOUR from Chick-fil-a!

After nearly a yearâ&#x20AC;&#x2122;s worth of developments, LewisGale Regional Cancer Center, which belongs to the LewisGale Regional Health System, is ready to serve patients it previously had to refer elsewhere.

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august • september 2016

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CONTRIBUTING MEDICAL EXPERTS Michael Bowman, MD Joanne Dillon, MS, CCC-A, FAAA Kenneth Luckay, DO Rene Matusevich, PT Frank Purpera, MD, RPhS Paul Skolnik, MD CONTRIBUTING PROFESSIONAL Geri Aston EXPERTS & WRITERS Tricia Foley, RD Jennifer Hellier Tina Joyce Rick Piester Suzanne Ramsey Christine Stoddard Deidre Wilkes

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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 © 2016 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Roanoke and New River Valleys is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

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

What is vestibular therapy?

“

”

- Michael Bowman, MD

Vestibular therapy is a treatment that can improve symptoms of vertigo, dizziness, visual disturbance and imbalance. Those suffering from these conditions avoid being active in an attempt to lessen their symptoms. However, inactivity actually makes the dizziness and imbalance worse; resulting in muscle weakness, decreased flexibility, increased joint stiffness and reduced stamina. Vestibular therapy is an essential approach in rehabilitation programming to reduce the risk of falls. Falls are the leading lifestyle altering event that may precipitate a move from being independent in one’s own home to the need for a higher level of care. There are three areas involved in treatment: habituation, gaze stabilization and benign paroxysmal positional vertigo (BPPV). Habituation treatment decreases the emotional response to visual stimuli that causes dizziness. Gaze stabilization exercises are designed to improve vision while the head is moving and BPPV treatment focuses on improving conditions of the inner ear.

What is myringotomy?

What is sepsis?

As most parents know, ear infections can prove to be a big problem for younger children and infants. Sometimes, fluid on the ears or ear infections can persist into adulthood. When these problems aren’t resolved by medications or other therapies, ear, nose and throat (ENT) doctors can offer surgery to help. Myringotomy tubes, also called ear tubes, can help clear up fluid and infection, and usually keep the fluid from returning while the tubes are in place.

Sepsis is a term used to describe a condition that is often life threatening. The classic cause of sepsis is an infection that leads to high fever, low blood pressure, and depending on the initial site of infection, other associated symptoms. The unifying feature of most infections that lead to sepsis is that bacteria or other micro-organisms get into the bloodstream—this causes the release of chemicals produced by the body resulting in high fever and low blood pressure. For instance, bacteria that cause a urinary tract infection may get into the blood and cause sepsis. Infections of the lung, brain, stomach, and other sites can also lead to sepsis. Typical treatment includes the infusion of fluids, antibiotics, and anti-fever medications. Doctors are focused on identifying better ways to rapidly diagnose and treat sepsis because quick initiation of proper therapy is the key to helping people survive this serious condition.

Ear tubes are placed for one of two main reasons. The first is for patients who continue to experience recurring infections despite antibiotic treatments. This is the most common reason for placing tubes in young children and infants. The second reason is for fluid that persists and won’t clear in the middle ear space, even in the absence of infection. The procedure can be done in the office for an adult or under a brief anesthetic for children. The fluid is removed with a microscopic ear suction, and the myringotomy tube is placed into the opening in the ear drum. Recovery time is minimal, and the standard tubes fall out of the ear after 8-12 months.

Rene Matusevich, PT

Warm Hearth Village Blacksburg | 540.552.9176 www.warmhearth.org

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Michael Bowman, MD LewisGale Physicians Blacksburg | 540.443.7400 www.lgphysicians.com

Paul Skolnik, MD

Chair of Medicine Carilion Clinic Infectious Disease Roanoke | 981.7115 www.carilionclinic.org

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

“

The maximum noise level recommended by audiologists is 85 dB, and to prevent hearing loss, it is recommended that a child’s set of headphones not go any louder than that. Adult headphones usually peak at 115 dB (equivalent to a loud train), and experts warn that you could experience severe hearing loss after just 15 minutes of listening every day.

”

- Joanne Dillon, MS, CCC-A, FAAA

Will my varicose veins worsen if left untreated? Varicose veins will not go away but will actually progress over time. Varicose veins have broken valves and no structural integrity and are no longer able to effectively carry blood back to the heart. Failure of the valves allows blood to flow backwards and results in higher pressure, widening of the veins, and further valve and vein damage. This causes varicose veins, spider veins, higher risk of blood clots, and the symptoms discussed below due to pooling of blood (and its iron-containing hemoglobin) in the lower extremity. This entire process is called chronic venous insufficiency (CVI). The most common symptoms of CVI are aching, swelling, heaviness of the legs, phlebitis (vein inflammation), cramps, and restless legs. Iron in the pooled blood causes damage to the surrounding structures, skin breakdown and discoloration and eventually ulcer formation. If you are suffering from any of these symptoms, your primary care physician can refer you to a boardcertified specialist who can perform a diagnostic ultrasound and plan a course of non-invasive treatment, as needed.

Frank Purpera, MD, RPhS Medical Director Virginia Vein Institute Blacksburg | 540.552.8346 www.virginiaveininstitute.com

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

My child has his earphones on constantly. Should I be worried about him losing his hearing? Experts believe that there is a 30 percent increase in adolescent hearing loss. It is estimated that one in five teens has some form of hearing loss which many experts believe is due, in part, to the increased use of headphones. Wearing headphones without monitoring their output may be detrimental to your child’s health. Most headphones can reach 105 decibels (dB) and many have a maximum output of 120 dB. Like all things, moderation is the key. Too much exposure to high volume levels for too long can cause hearing loss. The maximum noise level recommended by audiologists is 85 dB, and to prevent hearing loss, it is recommended that a child’s set of headphones not go any louder than that. Adult headphones usually peak at 115 dB (equivalent to a loud train), and experts warn that you could experience severe hearing loss after just 15 minutes of listening every day. Experts also advise limiting the time period of headphone usage to two hours maximum at 85 dB for children and adults alike.

Joanne Dillon, MS, CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 www.nrvhearing.com

Can a hormonal imbalance cause weight gain? Hormones such as insulin, thyroid, estrogen, progesterone, and testosterone can definitely influence weight. If one or more of these are imbalanced, it will affect the body’s mechanisms for energy storage and consumption. If you are eating well by avoiding processed foods, sugar, and alcohol, and consuming proper amounts of fruits, vegetables, lean proteins and whole grains, staying active and sleeping well yet your weight is still a problem, then a hormone imbalance is a likely avenue to investigate. See your healthcare provider who will take a health history and preform exam including laboratory testing to determine if a hormonal imbalance is present. If it is determined that a hormonal imbalance is the culprit to your struggle, you provider can discuss available treatment options.

Kenneth Luckay, DO LuckayDoc Roanoke | 540.777.6807 www.luckaydoc.com

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Carilion Clinic President and CEO Named Chair-Elect Designate by the American Hospital Association

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Carilion Clinic President and CEO, Nancy Howell Agee was recently selected by the American Hospital Association’s (AHA) Board of Trustees as its chair-elect designate. Agee will assume the chairmanship in 2018, becoming the top elected official of the national organization that represents America’s hospitals and health systems and works to advance health in America. “America’s hospitals are leading a transformation in health care and, as chair, I look forward to helping my colleagues as they work to improve the health of their communities,” says Agee. Currently a member of the association’s executive committee and operations committee, Agee is a past member of the AHA’s Health Care Systems Governing Council and previously served on Regional Policy Board 3. She has been a leader in professional and community activities, serving as an AHA commissioner on The Joint Commission board, and on the boards of the Virginia Hospital and Healthcare Association, the Coalition to Protect America’s Healthcare, the Virginia Tech Carilion School of Medicine, the Virginia Business Council and Healthcare Realty. For more information on the American Hospital Association, visit www.aha.org. For more information on Carilion Clinic, visit www.carilionclinic.org.

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Virginia Tech's Fralin Summer Undergraduate Research Fellow Aims to Help Moms with Autism Stress in moms with children who have autism spectrum disorder is a common problem, but there are few organized resources available to help. Zoe Waddell, a rising sophomore majoring in psychology in the Virginia Tech College of Science, is trying to change that. This summer she's analyzing the heart rate and self-reported stress levels of local moms as they interact with their children (with and without autism spectrum disorder) in a controlled environment at the Virginia Tech Autism Clinic. Waddell, who is supported by Fralin Life Science Institute’s Summer Undergraduate Research Fellowship Program, hypothesizes that mothers of children with the disorder will demonstrate significantly higher levels of self-reported stress as measured by the Parenting Stress Index, in which parents can report their own levels of stress related to several aspects of being a parent. She also expects to find that moms of children with autism spectrum disorder experience a faster heart rate with little variability, meaning that they sustain high and stable levels of stress for long periods. “Once there is scientific evidence that there’s a big concern, it can set the foundation for programs and support for these parents,” Waddell says. “This work is especially important for families affected by autism spectrum disorder,” says Angela Scarpa, Waddell’s mentor. Scarpa is an associate professor of psychology in the College of Science and founder of Virginia Tech’s Center for Autism Research. “Understanding factors that contribute to parental stress will have implications for how to best support the family through their journey”, adds Scarpa. Local parents interested in becoming involved with this or other studies at the Virginia Tech Center for Autism Research, can call 540.231.8747.

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Virginia Tech Carilion Research Institute Scientist Selected for Prestigious American Heart Association Grant Rengasayee Veeraraghavan, a scientist in the Virginia Tech Carilion Research Institute’s Center for Heart and Regenerative Medicine, was recently awarded a $231,000 grant by the American Heart Association to develop novel therapies to treat abnormal heart rhythms. Called the Scientist Development Grant, the award provides funds for a junior faculty member, usually a research assistant professor, who is on the path to independence as a scientist. The research the recipient conducts with the grant funds should provide experimental data to eventually win a major independent federal research grant. Only about 13 percent of proposals in the United States are funded. Atrial fibrillation – rapid irregular heart rhythm – is the most common type of irregular heartbeat, and it affects 2.2 million Americans by increasing their risk of heart failure and stroke. The condition also costs Americans an estimated $26 billion to treat every year. “It’s an honor to receive this grant,” says Veeraraghavan, who is currently a postdoctoral associate. “It is very encouraging that the American Heart Association is willing to back my research plans with funding. This is a major step towards a career in independent research.” For more information, visit research.vtc.vt.edu.

Kenneth Luckay, DO LuckayDoc Roanoke | 540.777.6807 www.luckaydoc.com

*This is a correction for the June/July edition of OurHealth Roanoke and New River Valleys where Dr. Luckay was featured in the 2016 OurHealth Mens Health Chart.

Carilion Clinic Personnel Announcements Carilion Clinic announces the following individuals who have recently received recognition:

Jon M. Sweet, MD, received the Laureate Award from the Virginia

American College of Physicians, which is reserved for physicians who have dedicated themselves to the practice and teaching of medicine over a broad, effective and productive career.

Chad DeMott, MD, received the Academic Teaching Award from theVirginia Chapter of the American College of Physicians.

Thomas C. Mogen, MD,

received the Gold Star Award from the Virginia Department of Health’s Virginia Vaccines for Children Program for achieving an exceptional immunization rate.

Keith Perry, Carilion Clinic Chief Information Officer, was named President-Elect of the Virginia Chapter of the Healthcare Information and Management Systems Society (HIMSS). For more information, visit www.carilionclinic.org.

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Virginia Tech Researchers Itching to Learn More About Poison Ivy on the Appalachian Trail Don't Miss

While scientists know about poison ivy’s ability to cause an all-consuming itch and even spawn terrible rashes, little is known about the plant itself or how it grows. John Jelesko, associate professor of plant pathology, physiology, and weed science in the College of Agriculture and Life Sciences, and his team are out to change that. Jelesko, along with David Haak, an assistant professor in the same department, and Lynn Resler, an associate professor in the College of Natural Resources and Environment, are mapping and surveying the growth patterns of poison ivy where it lives in order to glean more information about how it grows and its genetic makeup. The trio recently set out on the Appalachian Trail to perform some preliminary research about the geolocation of the plant as well as collect DNA samples starting near McAfee’s Knob in Southwest Virginia. “In many ways this plant is the familiar stranger,” says Jelesko. “We’re all told ‘leaves of three, let it be,’ and that’s all very sensible, but beyond that there is remarkably little specific scientific knowledge about poison ivy.” In order to collect geolocational data of the plant the team uses a smartphone app that enables users to tag where they find poison ivy. The team stopped at every “white blaze” marker along a 60-mile segment of the Appalachian Trail to catalogue and tag samples. The project was funded by a College of Agriculture and Life Sciences Proposal Development grant. “Poison ivy has an ability to cohabitate with humans and we think that those plants will show different signatures of adaptions than those found in a natural forest, its native habitat,” says Haak.

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One aspect of the plant’s behavior that has been proven is poison ivy’s affinity for greenhouse gases. A 2006 study shows that as the planet warms, poison ivy is predicted to grow faster, bigger, and more allergenic, causing much more serious reactions to urushiol – the rash-causing chemical found in the plant’s oils. Urushiol is extremely potent. Only one nanogram is needed to cause a rash, and the oil can remain active on dead plants up to five years. Jelesko hopes to eventually hike the entire Appalachian Trail and extensively catalogue the poison ivy samples he finds along the way, as well as enlist the help of citizen scientists in geotagging poison ivy populations. For more information, visit www.vt.edu.

YMCA of the Roanoke Valley to offer Diabetes Prevention Program this Fall

Carilion Clinic Pharmacy in Salem has a New Location

Change is hard – we can help! Lose weight, gain tools for healthy living, and reduce your risk for type 2 diabetes.

Carilion Clinic Pharmacy, previously located at 1935 West Main Street, Salem, has moved to a new location on the campus of Richfield Living. The new address is 3737 West Main Street, Suite 106, Salem, 540.444.7320.

The YMCA Diabetes Prevention Program (DPP) is a 12-month program that includes a lifestyle coach providing instruction in a small classroom environment while working with others to learn how to adopt healthy habits. The program teaches strategies for eating healthier and increasing physical activity. Classes are forming now, and will start in the fall. For more information on the YMCA Diabetes Prevention Program, contact Stephanie Gillenwater, chronic disease coordinator, YMCA of the Roanoke Valley at 540.387.9622 or sgillenwater@ymcaroanoke.org.

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

This new location provides additional conveniences, including better parking and a drive-thru to drop off and pick up prescriptions. For additional information about Carilion Clinic pharmacies, visit www.carilionclinic.org/pharmacy.

Angela Algire, PA

Beth Crotty, NP

Ryan Fulton, DO

James Gills, PA

Jonathan Gleason, MD Denny Goss, MD, MS

Gary Harpold, MD

Steven Herold, MD

Denise Jones, NP

Kristen Karas, NP

Martin Misicko, MS, PhD Tristen Pack, PA

Adam Park, DDS Coots, Cross, Lavinder & Quinn Family and Cosmetic Dentistry Roanoke/Daleville 540.989.1170 www.cwcfd.com

David L. Shrock, PA

Paul Skolnik, MD

Jessica Top, MD

William Wasserman, MS Julie Zielinski, MD

Carilion Clinic Sleep Medicine Christiansburg 540.731.7460 www.carilionclinic.org

Carilion Clinic Neurology Roanoke | 540.224.5170 www.carilionclinic.org

Carilion Clinic Plastic & Reconstructive Surgery Roanoke | 540.224.5170 www.carilionclinic.org

Carilion Children’s Pediatric Cardiology Roanoke | 540.224.4545 www.carilionclinic.org

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

Carilion Children’s Pediatric Medicine Daleville | 540.992.1251 www.carilionclinic.org

Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

Carilion Clinic Infectious Disease Roanoke | 540.981.7115 www.carilionclinic.org

Carilion Institute of Orthopaedics & Neurosciences Roanoke | 540.725.1226 www.carilionclinic.org

Carilion Clinic Psychiatry & Behavioral Medicine Christiansburg 540.731.7311 www.carilionclinic.org

Carilion Children’s Roanoke | 540.266.5437 www.carilionclinic.org

Medical Director of Risk Management Carilion Clinic Roanoke | 540.985.4099 www.carilionclinic.org

Carilion Clinic Family & Community Medicine Tazewell | 276.988.8850 www.carilionclinic.org

Vice President of Facilities Carilion Clinic Roanoke | 800.422.8482 www.carilionclinic.org

Carilion Giles Community Hospital Pearisburg | 540.961.6000 www.carilionclinic.org

Vice President of Psychiatry Carilion Clinic Roanoke | 540.981.8025 www.carilionclinic.org

Carilion Clinic Institute of Orthopaedics & Neurosciences Roanoke | 540.725.7226 www.carilionclinic.org

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

MAN OF STEEL? September is National Childhood Obesity Month Not only is September back-to-school time, it is also NATIONAL

CHILDHOOD OBESITY MONTH.

1 IN 3 CHILDREN IS

obese or overweight

Ounce for ounce, human bones are

FIVE TIMES STRONGER than steel!

Obese children are 80 PERCENT MORE LIKELY to become obese adults, which puts them at risk for associated adult health problems such as heart disease, type 2 diabetes, sleep apnea, stroke, several types of cancer and osteoarthritis. Source: American College of Sports Medicine

HERE ARE SOME

SIMPLE LUNCHBOX MEALS THAT WILL BE FUN TO EAT, AND HEALTHY TOO!

BRUNCHBOX – pancakes, strawberries, vanilla yogurt tube, hard-boiled egg

ABCD LUNCHBOX – Applesauce, Berries, Chicken strips with Dipping sauce

ORANGE CRUSH LUNCHBOX – macaroni and cheese, roasted sweet potatoes, clementine orange, cheddar bunnies.

SANDWICH ON A STICK – layer a kabob stick with small pieces of bread, deli meat, cheeses and black olives with apple slices and low-fat vanilla yogurt for dipping.

IT’S A ‘WRAP’ – tortilla wrap rolled with low fat cream cheese and strawberry jelly with popcorn, sliced cucumbers and grapes. Source: American College of Sports Medicine

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Lunch

Packing Tip:

Encourage kids to come up with their own unique themes and ideas using healthy choices. Allowing kids to choose and prepare their own lunch piques interest in the meal and makes it more likely they will eat their own creations.

Why sa y OM?

42nd Health Focus of Southwest Virginia

Salem Distance Run and 3 Mile Walk The annual Health Focus of Southwest Virginia Salem Distance Run in its’ 42nd year, is the longest-running annual distance run in the Roanoke Valley! With 10K, 5K run and 3 mile walk options, there is something for everyone! All proceeds from this event support Health Focus of Southwest Virginia, a non-profit organization providing health-related community services and education to the Roanoke Valley.

Ever Wonder?

What does OM – the mantra that is traditionally chanted at the beginning and end of yoga sessions - mean? It is said to be the sound of the universe. Everything that exists pulsates and creates a rhythmic vibration that the ancient yogis acknowledged with the sound of OM. As a result of its calming effect, practicing yoga can help lower blood pressure and reduce insomnia.

Date:

Saturday, August 13, 2016

Time:

8:00 am

AUGU

Location:

Longwood Park Main Street Salem, VA 24153 For more information and to register, go to www.healthfocusswva.org.

SEND THEM TO THE

BUS STOP!

School buses are the safest form of ground transportation – approximately

40 TIMES SAFER than the family car!

Source: American Osteopathic Association

Source: National Safety Council

21st Marine Mud Run The Marine Mud Run at Greenhill Park is a 5K run that welcomes

FASCINATING FACT

Your eyeballs stay the same size your whole life, but your nose and ears

NEVER

STOP GROWING!

veteran and rookie participants alike. Run solo or relay with a group of friends! The event also offers a race for kids called the Pollywog Jog.

Date: Time: Location:

Saturday, September 17, 2016 9:00 am

SEPT

EMB

Greenhill Park 2501 Parkside Drive Salem, VA 24153 For more information and to register, go to www.mudrun.com.

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Anatomy CHALLENGE

the

How much do you know about the Stages

of Prostate

Cancer? Complete the word search below. Next, match the correct word with the part of the body in the illustration.

[ Stages of Prostate Cancer ]

WORD SEARCH bladder

stage II

lymph nodes

stage III

prostate gland

stage IV

seminal vesicle

tumor

stage I

urethra

_____________ _____________

_____________ _____________ _____________ _____________ _____________ _____________

_____________ _____________ For answers, visit OurHealth Roanoke and New River Valleysâ&#x20AC;&#x2122; Facebook page at

www.OurHealthswva.com

words | RICK PIESTER

PROSTATEâ&#x20AC;&#x2122;S

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

September is Prostate Cancer Awareness Month, a time set aside each year to focus on the disease that is the second largest cancer killer of men in the United States. The good news, however, is that if prostate cancer is caught early, the five-year survival rate is almost 100 percent. To help observe this special month, we talked with some local experts about prostate cancer, its detection, and its treatment. Here's what they say to help you keep ahead of the game, and possibly avoid prostate cancer.

At what age should I start getting a prostate exam? There are two main ways that men are usually checked for prostate cancer. These are the PSA (prostate specific antigen) test and the DRE (digital rectal exam). The PSA is a blood test. For the DRE, a provider inserts a gloved, lubricated finger into the rectum to feel the prostate. The tests may be done at the same time or at different office visits. Men who are at average risk for developing prostate cancer should begin screening at age 50. Men who have a higher risk for developing prostate cancer should begin screening no later than age 45. Those who have a higher than average risk for developing prostate cancer include African American men, and men who have a first degree relative (father, brother, or son) who was diagnosed with prostate cancer at less than 65 years old.

Wallisa Vaughn, MD

Wallisa Vaughn, MD is a family medicine physician with VA Premier Health Plan in Roanoke. Dr. Vaughn is certified by the American Board of Family Medicine.

VA Premier Health Plan Roanoke | 800.727.7536 www.vapremier.com

Prostate cancer is most common in men age 65 and older, although younger men can be diagnosed with it as well. Source: National Cancer Institute

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Am I at a higher risk for developing prostate cancer based on my race? Yes, race has been shown to be a factor contributing to one's risk. African-Americans, for instance, have a much higher probability of developing prostate cancer than other races. Caucasian, Hispanic, American Indian/Alaska Indian and Asian individuals also present an increased risk, in that order.

In 2016, about

181,000

new cases of prostate cancer will be diagnosed. Source: Cancer Treatment Centers of America

Douglas S. Reeve, PA-C Carilion Clinic Urology Christiansburg | 540.382.3440 www.carilionclinic.org

Whatâ&#x20AC;&#x2122;s involved in testing for prostate cancer? Initially, I will perform a rectal exam to check for enlargement, firmness, or nodularity presence in the prostate. Then I will conduct a blood test to identify an elevated PSA. (Prostatic specific antigen) The PSA blood test is a higher acuity screening tool for enlarged prostate or prostate cancer. If this test comes back abnormal, we also have an option to conduct a 4K Score test. The 4K Score test combines four prostate-specific biomarkers with clinical information to provide patients with an accurate measure of their risk for prostate cancer. If both the rectal exam and PSA blood tests come back atypical, a prostate biopsy is highly recommended and is the only way to confirm a prostate cancer diagnosis. I will perform the prostate biopsy which will determine the presence and grade of cancer and the biopsy results will guide the course of treatment that I recommend the patient proceed with. Additionally, depending on the higher grade, I will order a full body scan and CT of the abdomen, pelvis, and chest to rule out metastasis. The types of treatment can range all the way from bi-annual monitoring to a prostatectomy with chemotherapy and radiation. At that point, I will refer the patient to oncology.

Christopher Hicks, MD LewisGale Physicians Blacksburg | 540.552.1353 www.lgphysicians.com 26

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Heather Brooks, MD is a medical oncologist with Blue Ridge Cancer Care in Blacksburg. Dr. Brooks is certified by the American Board of Internal Medicine with a subspecialty in medical oncology.

What are treatment options for prostate cancer? Prostate cancer and treatment options are as numerous and diverse as the patients who are affected. Every treatment plan should be individualized based on disease stage, risk of recurrence, and overall health of the patient. Prostate cancer treatment planning often requires the input of multiple specialists, including a surgeon (urologist), radiation oncologist, and medical oncologist. It is also important for patients to take an active role in the decision making process from the beginning.

â&#x20AC;?

Because of modern screening techniques, most prostate cancers are diagnosed early. Sometimes observation (or active surveillance) is all that is recommended. If cancer is confined to the prostate gland, surgery to remove the prostate or radiation therapy may be recommended. For high risk disease, hormone therapy may be added. Once disease has spread outside of the prostate gland, systemic therapy is often recommended. Options include hormone therapy, chemotherapy, immune therapy, and combinations of these. Finally, letâ&#x20AC;&#x2122;s not forget the role of nutrition and exercise in the treatment of patients with prostate cancer at all stages. Both have been shown to improve overall outcome.

Heather Brooks, MD Medical Oncologist Blue Ridge Cancer Care Blacksburg | 540.381.5291 www.blueridgecancercare.com

Preventative Care Well/Sick Visits Minor Injuries Disease Management Including Patient Education Plans Serving VA Premier Members of All Ages

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If I have a family history of prostate cancer, should I get checked more often? The American Urological Association recommends early screening for those at a higher risk, and especially for those with a family history of prostate cancer. Current guidelines indicate that routine screenings for non-high risk males should begin at age 55, whereas those at high risk or with a family history should begin screenings at 40 years old.

Douglas S. Reeve, PA-C Carilion Clinic Urology Christiansburg | 540.382.3440 www.carilionclinic.org

What are symptoms of prostate cancer? Often, early prostate cancer is silent. There are no symptoms. Signs of more advanced disease may include:

The American Cancer Society estimates about 1 in 7 American men will receive a diagnosis of prostate cancer in their lifetime.

•

Problems urinating - This may include urinary frequency (needing to go often), weak urinary stream, pain or burning while urinating, difficulty emptying the bladder completely, or difficulty starting a urinary stream.

•

Blood in the urine or semen

•

Trouble getting or maintaining an erection

•

Painful ejaculation

•

Pain or stiffness in the back, chest, hips, or thighs

Wallisa Vaughn, MD VA Premier Health Plan Roanoke | 800.727.7536 www.vapremier.com

Are there self-tests I can perform to check for prostate cancer? (Similar to self-breast exams women can perform for breast cancer.)

Unfortunately, there are no self-tests to check for prostate cancer. If you feel that you are experiencing symptoms such as enlarged prostate, urinary difficulty or hesitation, or lower abdominal pain. Schedule an appointment to check with your urologist.

Christopher Hicks, MD LewisGale Physicians Blacksburg | 540.552.1353 www.lgphysicians.com 28

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Douglas Reeve, PA-C, is a physician assistant with Carilion Clinic Urology New River Valley in Christiansburg.

Christopher Hicks, MD is a urologist with LewisGale Physicians in Blacksburg. Dr. Hicks is certified by the American Board of Urology.

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Can prostate cancer be prevented? Unfortunately, according to the American Cancer Society, prostate cancer cannot be prevented because these risk factors (age, race, and family history) cannot be controlled. But there are some things you can do that may lower your risk of prostate cancer. Keeping healthy servings of fruits and vegetables in your diet, staying physically active, and maintaining a healthy weight can help lower your risk of prostate cancer. Schedule a visit with your local provider to make sure you are on the right track. Sources

Prostate cancer is the 2nd most common cancer in men right behind skin cancer. Source: American Cancer Society

www.cancer.gov www.cancer.org www.cancercenter.com

Expert Contributers Heather Brooks, MD with Blue Ridge Cancer Care in Blacksburg. Christopher Hicks, MD with LewisGale Physicians in Blacksburg. Douglas Reeve, PA-C with Carilion Clinic Urology New River Valley in Christiansburg. Wallisa Vaughn, MD with VA Premier Health Plan in Roanoke.

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Health Tools words | SUZANNE RAMSEY

Even though summer is still in full swing, school will be back in session before we know it. Getting a head start on preparing kids for the new school year is always a smart idea, especially when it comes to their health. Some things on the back-to-school checklist can wait until the last minute. Three-ring binders. Pens, pencils and paper. Computers and calculators.

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

But other things, like a young one’s annual physical, vision test or allergy assessment, require some advanced planning. The following list is a good starting point for parents to use when it comes to checking off back-to-school health needs.

Make sure shots are up to date. Before the first day of preschool or kindergarten, kids need the following vaccines: •

Diphtheria, tetanus and whooping cough/pertussis, also called “DTaP”

deidre@ourhealthvirginia.com.

•

Polio

To view additional work by our

•

Measles, mumps and rubella, also known as “MMR”

•

Chickenpox

•

Flu (the Centers for Disease Control and Prevention (CDC) recommends a flu shot every year, from preschool through adulthood.)

540.387.6482 or via email at

artist, Joe Palotas, visit www.salemartcenter.com

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What’s the difference between DTaP and Tdap?

Health Ti

r child’s Have you ecked (iron) ch in b lo g o hem e not ure they’r to make s g iron ient. Bein iron defic called ometimes s — t n ie c defi fatigue, can cause — ” ic m e “an of breath, shortness and insomnia blems. other pro

Both vaccines contain inactivated forms of the toxin produced by the bacteria that cause the three diseases [diphtheria, tetanus, pertussis]. Inactivated means the substance no longer produces disease, but does trigger the body to create antibodies that give it immunity against the toxins. DTaP is approved for children under age 7. Tdap, which has a reduced dose of the diphtheria and pertussis vaccines, is approved for adolescents starting at age 11 and adults ages 19 to 64. It is often called a booster dose because it boosts the immunity that wanes from vaccines given at ages 4 to 6. Source: WebMD.

Between ages 7 and 10, the CDC recommends children be vaccinated against Hepatitis A and pneumonia. For middle-school-age boys and girls, physicians recommend the human papillomavirus (HPV) vaccine. At that age, children also need a Tdap booster and a vaccine to protect them from meningococcal disease, more commonly known as meningitis.

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What is HPV? HPV is the most common sexually transmitted infection (STI). HPV is a different virus than HIV and HSV (herpes). HPV is so common that nearly all sexually active men and women get it at some point in their lives. There are many different types of HPV. Some types can cause health problems including genital warts and cancers. But there are vaccines that can stop these health problems from happening. Source: CDC.

At 16, kids need a meningitis booster. The meningitis vaccine is required by colleges, where dorm and dating life puts students at increased risk for the life-threatening disease. Between 16 and 18, the CDC also recommends the serogroup B meningococcal vaccine, which protects students from another type of meningitis.

Vaccines Ne e

Before the fi

ded:

rst day of pre school or kindergart en, kids need the following vac cines: • DTaP

• Polio • MMR • Chickenp ox • Flu

Screen for depression. At about age 13, many pediatricians start screening their patients for depression. It’s something to think about. Middle school is tough enough.

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Schedule an eye checkup. “Make sure your child gets a yearly dilated eye exam. It is estimated that 80 percent of a child's learning is through their eyes. Vision screenings can miss more than they find, and while eye disorders are common in children, Colleen Mitchell, OD

they often go unnoticed because

Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

some have no symptoms early on.”

Get a sports physical. Is your kid playing sports this school year? They’ll need a sports physical. Schools require athletes have one before tryouts or the first practice.

Check iron level. Backpack T

Scoliosis scre

ip:

ening isn’t the only thing you need to worry abou t when it comes to your studen t’s back health. H ow heavy is yo ur kid’s backpack ? Doctors say a child’s backpa ck, full of book s, should weigh no more than 10 percent of th eir body weight.

Have your child’s hemoglobin (iron) checked to make sure they’re not iron deficient. Being iron deficient — sometimes called “anemic” — can cause fatigue, shortness of breath, insomnia and other problems.

Schedule speech therapy, if needed. If your child is having trouble speaking or being understood by others, they might benefit from speech therapy. Not being able to communicate or be understood can lead to frustration and even bullying at school.

Provide a list of medications. “Parents need to make schools aware if their children have food allergies or asthma. Ensure that a plan of action is in place and that appropriate medications are available at the school.” Saju Eapen, MD Asthma and Allergy Center Roanoke | 540.343.7331 www.asthmaandallergycenter.net

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Schedule medical checkups. Get medical checkups out of the way before school starts. That way, kids won’t have to miss school for appointments. Try to schedule the year’s second dental cleaning during the winter break, if possible.

Think about back health. Scoliosis screening isn’t the only thing you need to worry about when it comes to your student’s back health. How heavy is your kid’s backpack? Doctors say a child’s backpack, full of books, should weigh no more than 10 percent of their body weight. To help prevent back problems, consider a rolling backpack.

Schedule a hearing test. “Monitoring your child’s hearing is a vital part of your child’s healthcare. An audiologist can accurately monitor your child’s hearing status at any age. Hearing loss doesn’t discriminate. It can come from your family, too much sound, diseases, ear infections, wax and many more reasons.” Joanne Dillon, MS, CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 www.nrvhearing.com

Set a sleep schedule. School starts early and kids are known to stay up too late, with or without parental permission. At least a week before school starts, start enforcing those bedtimes, so the first days of school aren’t spent sleepy. For younger children, doctors recommend the three Bs: Brush, Book, Bed — as in brush teeth, read a book, go to bed.

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Develop independence. Before preschool or kindergarten, work on developing your child’s independence, so being separated from you at school isn’t such a big deal. One way to do that is by taking them to your local library’s story time session. There, kids learn to be in a group setting with other kids and aren’t constantly with Mom or Dad. Story time also re-enforces reading every day and gets kids ready for school. And it’s free. Can’t beat that.

Have “The Talk.” Before leaving for college, there needs to be a discussion about sex, drugs, alcohol and issues like date rape and depression. If you’re not comfortable talking about these things, your child’s pediatrician can have this conversation. Because Mom and Dad aren’t involved, it might even result in a more open conversation and better results.

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Make a dermatology appointment. “Don't forget the teenage acne struggles! There are many effective over the counter treatments. If they do not seem to be working, your physician will have additional ideas!” Susan Dorsey, MD

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

Make sure kids know how to find help. Teach young children how to dial 9-1-1 in case of an emergency. And Mommy’s name is not Mommy. Kids need to know their parents’ names and their address.

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Schedule a dental exam. â&#x20AC;&#x153;Regular dental examinations are needed to diagnose, treat and prevent dental problems. Not all cavities cause pain, so check ups are very important. Your dentist may suggest treatments that will save your child pain, infections and lost school time. Also remember that a properly fitted athletic mouthguard is important for many Sources

fall sports! healthy mouth = healthy kidsâ&#x20AC;?

www.CDC.gov

Michele Mills, DMD

www.WebMD.com

ters

Expert Contribu

th Asthma and Saju Eapen, MD wi anoke. Ro in r nte Allerg y Ce with Mills and Michele Mills, DMD Salem. in y str nti De Shannon with Dermatolog y Susan Dorsey, MD . oke an Ro of es Associat th Blacksburg wi OD , Colleen Mitchell Eye Associates. CCC-A , FA AA with Joanne Dillon, MS, aring. New River Valley He

Mills and Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com

Play with your kids. Little brains need to be stimulated over the summer, too. Put down the smartphone. Play board games, read books and create things together.

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HealthyEats or G f t fec TIN r e P GA

I TA

PARMESAN & GARLIC

CHICKEN WINGS

INGREDIENTS 3

quarts cold water

1/3

cup Oliveto Traditional Balsamic Vinegar

cup salt

bay leaf

teaspoon dried thyme

teaspoon dried oregano

teaspoon dried rosemary

cloves garlic, minced

Pinch of salt

DIRECTIONS 3

tablespoons Oliveto Garlic Olive Oil (plus as needed to coat foil)

tablespoon freshly ground black pepper

teaspoons red pepper flakes

pounds chicken wings (separated at joints, tips discarded)

tablespoons bread crumbs

cup grated parmesan- reggiano cheese, divided

Preheat oven to 450 degrees. Line a baking sheet with foil and coat foil with Oliveto Garlic Oil. Combine water, balsamic vinegar, ¼ cup salt, bay leaf, thyme, oregano and rosemary in large stockpot and bring to a boil. Add chicken wings, return to a boil and cook 15 minutes. Remove chicken wings with a slotted spoon to a cooling rack and allow to dry for 15 minutes. Mash garlic and pinch of salt until smooth. Combine mashed garlic, olive oil, black pepper and red pepper flakes in a large bowl. Add chicken wings, bread crumbs and ½ cup cheese, toss to coat. Transfer to the prepared baking sheet and sprinkle with remaining cheese. Bake until browned, 20-25 minutes. Enjoy hot or cold!

Oliveto

| 540.725.1010 | www.olivetooliveoil.com The Shoppes at West Village | Open Monday - Saturday from 10 am – 6 pm

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HealthyEats or G f t fec TIN r e P GA

I A T

PROSCIUTTO POTATO SALAD AIOLI INGREDIENTS

AIOLI INGREDIENTS

DIRECTIONS

egg yolk

pounds small potatoes

tablespoons Oliveto Sicilian Lemon White Balsamic Vinegar

slices prosciutto

tablespoon Dijon mustard

To make aioli: Place egg yolk, mustard, chives and garlic in food processor or blender and process until finely chopped. Gradually add the oil in a thin, steady stream until the mixture is thick. Season with salt and pepper to taste.

teaspoons chopped fresh chives

garlic clove, crushed

Â˝ cup Oliveto Herbes de Provence Olive Oil Salt and pepper

Oliveto

To make salad: Cook potatoes in a pot of salted boiling water for 15 minutes or until tender. Drain and set aside for 10 minutes to cool. Cut potatoes in half. Preheat oven to broil. Place prosciutto on baking pan and broil for 2 minutes or until golden and crispy. Set aside to cool. Break into small pieces. Combine potatoes and aioli in a bowl and top with the prosciutto to serve.

| 540.725.1010 | www.olivetooliveoil.com The Shoppes at West Village | Open Monday - Saturday from 10 am â&#x20AC;&#x201C; 6 pm

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

HealthyEats or G f t fec TIN r e P GA

I A T

RAMEN COLESLAW SALAD INGREDIENTS 1/3 3 1

DIRECTIONS

cup Oliveto Thai Lemongrass Mint White Balsamic Vinegar tablespoons Oliveto Toasted Sesame Oil

pound shredded cabbage (or coleslaw mix)

½ pound baby carrots, cut lengthwise into matchsticks

package Ramen noodles, broken into pieces

tablespoon sesame seeds

tablespoon sunflower seeds

tablespoons slivered almonds

tablespoon Oliveto Harissa Olive Oil

½ cup green onion, sliced

Place shredded cabbage and carrots in large bowl. Combine balsamic vinegar with Toasted Sesame Oil to emulsify, then pour over the cabbage and carrot mixture. Mix well. Sauté the green onion in Harissa Olive Oil, add the Ramen noodles, sesame seeds, sunflower seeds and almonds, stirring just until they brown. Combine the noodles with the cabbage mixture, then serve.

Oliveto

| 540.725.1010 | www.olivetooliveoil.com The Shoppes at West Village | Open Monday - Saturday from 10 am – 6 pm

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g n i v i L r o i Sen ARDS AW The 8th Annual Senior Living Awards

AWARDS 201

6 GOLD

OurHealth Roanoke and New River Valleys magazine presents the second annual Senior Living Awards which recognizes senior health communities and services who are voted on by the local community for their exceptional service and care to seniors. Please join us in congratulating this yearâ&#x20AC;&#x2122;s eighth annual Senior Living Award winners. The Voting Process During April 2016, the Senior Living Awards Voting Form was available on OurHealthâ&#x20AC;&#x2122;s website, www.ourhealthswva.com. The form consisted of 16 categories which the public could submit the business or community name by the applicable category. If you have any questions, please contact Stephen McClintic Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482.

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

201

6 GOLD

Roanoke | 540.777.7599 www.friendship.us

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16 BRONZE

– J. Dustin Morris, LNHA, MBA, MPH, Friendship Assisted Living Administrator

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Blacksburg | 540.552.9176 www.retire.org

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McCoy Funeral Home Blacksburg | 540.552.3211 www.mccoyfuneralhome.com

AWARDS

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Third Place

16 BRONZE

Lotz Funeral Home Roanoke | 540.982.1001 www.lotzfuneralhome.com

Honorable Mention Bower Funeral Homes Pulaski | 540.980.6160 www.bowerfuneralhome.com

Horne Funeral Service and Crematory, Inc. Christiansburg | 540.382.2612 www.hornefuneralservice.com

Second Place

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Warm Hearth Village

Second Place

16 BRON

Third Place

Hermitage in Roanoke Roanoke | 540.767.6800 www.hermitageinroanoke.com

Honorable Mention

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“Our residents’ lives follow their own path, and with the support of our skilled staff of therapists and nurses, we want to keep them on that path. We work with each of our residents and their caregivers to create a specialized care program to help them remain self-reliant while accommodating their limitations.”

AWARDS 20

”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.”

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Roanoke | 540.982.2100 www.oakeys.com

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First Place

6 GOLD

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Oakey’s Funeral Service and Crematory

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CLICK HERE TO LEARN MORE ABOUT THE

NOW OPEN

Salem Terrace at Harrogate Salem | 540.444.0343 www.salemterrace.com

Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net

King’s Grant Retirement Community Martinsville | 1.800.462.4649 www.sunnyside.cc www.OurHealthswva.com

AWARDS 201

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6 GOLD

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First Place Ann Green

AWARDS 201

6 GOLD

Roanoke | 540.776.6434 www.andersondesimone.com

”Ann takes her role as “Counselor-at-law” seriously and helps her 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.”

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– Anderson, Desimone & Green, P.C.

AWARDS 20

Second Place

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Robyn Smith-Ellis

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Salem | 540.389.6060 www.robynsmithellis.com

AWARDS

Third Place

16 BRONZE

Mark W. Dellinger Roanoke | 540.342.0888 rhodesbutler.com

Honorable Mention Christopher A. Desimone Roanoke | 540.776.6434 www.andersondesimone.com

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n i s i v d ial A

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First Place Ellis Financial Group

AWARDS 201

6 GOLD

Salem | 540.765.2585 www.ellisfg.com

“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.”

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– David W. Ellis, CFP®, AIF®

AWARDS 20

Second Place

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Lee Brooks Roanoke | 540.981.0657 www.ameripriseadvisors.com/lee.f.brooks

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16 BRONZE

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Andy Owens Pulaski | 540.980.5302 www.edwardjones.com

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AWARDS

Ben Shrader

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Roanoke | 540.855.3349

Roanoke | 540.904.7969 www.shraderinvestmentco.com

Mike Kemp

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16 BRONZE

www.OurHealthswva.com

Second Place

AWARDS 20

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16 BRONZE

Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net

Honorable Mention Highland Ridge Rehab Center

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Third Place

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Third Place

16 BRONZE

Richfield Salem | 540.380.4500 www.richfieldliving.com

Honorable Mention Warm Hearth at Home

Dublin | 540.674.4193 www.thelandmarkgroupllc.com

Blacksburg | 540.443.3428 www.whvathome.org

Blue Ridge Therapy Connection

Stuart | 276.694.7161 www.thelandmarkgroupllc.com

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1 6 S I LV E R

Roanoke | 540.224.4753 www.carilionclinic.org

Daleville | 540.966.0056 www.carringtonplaces.com

Second Place

1 6 S I LV E R

Roanoke | 540.725.7600 www.heartlandhomehealth.com

Second Place

Carilion Outpatient Rehabilitation Services

Carrington Place at Botetourt

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Salem | 540.380.4500 www.richfieldliving.com

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Heartland Home Health Care g

The Rehab Center at Richfield

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– Interim Healthcare

AWARDS

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First Place

“Interim Healthcare is locally owned and operated by Mitch and Cindy Davis of Salem, VA. Interim is one of the only agencies in town that provides all service lines (personal care, private duty, private pay, skilled nursing, physical, occupational, & speech therapy services). Interim is here to help you keep your loved ones at home.”

6 GOLD

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“At LewisGale Medical Center Outpatient Rehabilitation, every patient is guaranteed quality one-on-one care from licensed therapists who hold advanced degrees, yet continue to expand their knowledge and skills through continuing education to remain at the forefront of their practice. With advanced clinical knowledge and a combined total of 150 years of rehab experience, our track record for helping individuals adapt to and overcome injuries or illness is unsurpassed in our region.”

Interim Healthcare

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Salem | 540.776.4000 www.lewisgale.com

– LewisGale Hospital So

alt

– Jessica Walters, MHA, LNHA, Friendship Health – Rehab South Administrator

LewisGale Regional Health System

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“Staffed by our award-winning therapists and nurses, Friendship Health is devoted to creating an environment of enhancing quality of life, promoting independence, inspiring hope, and helping make faster recoveries. The goal is to make your rehabilitation as comfortable and seamless as possible.”

First Place

AWARDS 201

H a

6 GOLD

Roanoke | 540.777.7599 www.friendship.us

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Third Place

16 BRONZE

Amedisys Home Healthcare Roanoke | 540.276.5980 www.amedisys.com

Honorable Mention Warm Hearth at Home Blacksburg | 540.443.3428 www.whvathome.org

Carilion Home Care Service Roanoke | 540.224.4800 www.carilionclinic.org

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e r a C e Hospic First Place Good Samaritan Hospice AWARDS 201

6 GOLD

Roanoke | 540.776.0198 www.goodsamhospice.com

“Good Sam is the only community-based, not-for-profit hospice serving the Roanoke and New River Valleys. We are privileged to serve this region with high quality, compassionate care for those coping with terminal illness, grief and loss. We are passionate about affirming life and focusing on what matters most to our patients and families.”

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– Good Samaritan Hospice

AWARDS 20

Second Place

1 6 S I LV E R

Gentle Shepherd Hospice

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Roanoke | 540.989.6265 www.gentleshepherdhospice.com

AWARDS

Third Place

16 BRONZE

Carilion Clinic Hospice Roanoke | 540.224.4753 www.carilionclinic.org

Honorable Mention Amedisys Hospice Care Roanoke | 540.276.5980 www.amedisys.com

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

alt 6 GOLD

“Moving to Brandon Oaks can greatly enhance one’s social ties. Once you reach a certain point in your life, we’ve really found that the sense of camaraderie of just being with others instead of being alone is so reassuring to people. It’s a sense of security that’s so important- it’s knowing we’re all right here to help! There is such a sense of family here. We really take care of one another as residents and employees.”

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– Carter Hanna, Director of Sales and Marketing AWARDS 20

Medi-Home Care Roanoke | 540.342.3459 www.medicalservicesofamerica.com u t h we s t Vi r

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The Glebe Daleville | 540.795.2224 www.theglebe.org

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1 6 S I LV E R

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Salem | 540.389.8121 www.advhomecare.org

6 GOLD

– Joel Mills, Chief Executive Officer

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First Place

“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.”

– Warm Hearth Village

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Advanced Home Care

Roanoke | 540.776.2600 www.brandonoaks.net

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“Warm Hearth Village is proud to offer options in independent living for seniors from the New River Valley and far beyond. These options allow us to meet the needs of seniors across a broad socioeconomic spectrum which is key to our mission. Many don’t know that we offer subsidized apartments for seniors on low, fixed incomes as well as moderately priced townhomes and the upscale active adult community of singlefamily homes called WoodsEdge. All residents are afforded ample services and amenities which include membership to the Village Center, transportation, a robust events program and priority access to health care services on our campus. Additional independent living options are currently in the planning stages and will be unveiled in 2017.”

First Place Brandon Oaks

Blacksburg | 540.552.9176 www.retire.org

6 GOLD

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Third Place

16 BRONZE

Rotech Home Medical Care Roanoke | 540.344.2184 www.rotech.com

Friendship Roanoke | 540.777.7599 www.friendship.us

Honorable Mention Commonwealth Home Health Care

Honorable Mention Richfield Salem | 540.380.4500 www.richfieldliving.com

Salem Terrace at Harrogate Salem | 540.444.0343 www.salemterrace.com

The Village on Pheasant Ridge Roanoke | 540.400.6482 www.villageonpheasantridge.com

Salem | 540.380.3383 www.commonwealthcare.com

Sun Medical Roanoke | 540.389.3800 www.sunmedical.com

Lincare Roanoke | 540.344.8677 www.lincare.com www.OurHealthswva.com

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Third Place

16 BRONZE

The Crossings at Blacksburg Blacksburg | 540.317.3464 www.thecrossingsatblacksburg.com

Honorable Mention Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

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LewisGale Hospital Montgomery Montgomery | 540.951.1111 www.lewisgale.com

Third Place (tie)

16 BRONZE

Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

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

Honorable Mention Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net

Commonwealth Assisted Living

Raleigh Court Health and Rehabilitation Center

Christiansburg | 540.585.4384 www.commonwealthal.com

Roanoke | 540.342.9525 www.raleighcthealthrehab.com

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Second Place

1 6 S I LV E R

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Salem | 540.380.4500 www.richfieldliving.com

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Vinton | 540.982.6691 www.berkshirehealthrehab.com

Friendship

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“We aim to partner with each patient and those closest to them in dealing with a serious illness. Our interdisciplinary teams 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.”

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Roanoke | 540.224.4753 www.carilionclinic.org

6 GOLD

1 6 S I LV E R

Berkshire Health and Rehabilitation Center

Second Place (tie)

First Place Carilion Clinic

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– Tommy D. Morel, MD Medical Director of Palliative Care Services, Carilion Roanoke Memorial Hospital Medical Director of Carilion Hospice, Roanoke

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Roanoke | 540.345.5111 www.ourladyofthevalley.com

“On behalf of the residents and staff at Our Lady of the Valley, we are honored to be selected as the Gold recipient. For over twenty-five years we have strived to provide the highest quality of care to seniors in Roanoke and the surrounding areas.”

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– Mardi Belfiore, Administrator

6 GOLD

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Salem | 540.444.0343 www.salemterrace.com

“More than just a place to reside, our Dogwood Memory Care Center provides an individualized plan of care to help each resident get more out of life. Our focus is to enhance quality of life by promoting health, nutrition, hygiene, activity, socialization and independence. We encourage participation in outdoor activities in our secured wander garden, pet visits, music, art, exercise and interactive programs with family and friends to encourage well-being and a sense of belonging.”

First Place Our Lady of the Valley

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201

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The Dogwood Memory Care Center at Salem Terrace at Harrogate

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16 BRONZE

Friendship Roanoke | 540.777.7599 www.friendship.us

Honorable Mention Richfield Salem | 540.380.4500 www.richfieldliving.com

www.OurHealthswva.com

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Second Place

Roanoke | 540.777.7599 www.friendship.us

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First Place Springtree Health and Rehabilitation Center

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Third Place (tie)

16 BRONZE

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

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

Roanoke | 540.981.2790 www.springtreehealthrehab.com

“Lifeworks Rehab is an exclusive program designed to get patients home quicker, stronger, and healthier than ever.” – Springtree Health and Rehabilitation Center

Friendship

Salem | 540.380.4500 www.richfieldliving.com in i

Richfield

Honorable Mention

1 6 S I LV E R

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Blacksburg | 540.552.9176 www.retire.org

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

Radford Health & Rehab Center Radford | 540.633.6533 www.radford-rehab.com

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Second Place

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Salem Senior Center

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Salem | 540.375.3057 www.salemva.gov

Blacksburg | 540.552.9176 www.retire.org

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“The Village Center at Warm Hearth has truly elevated the standard for wellness and fitness throughout the entire senior community and has been abuzz with activity morning noon and night. From a popular healthy backs class to joint ventures with New River Community Stage to waffle Wednesdays at the Huckleberry Café and a beautiful venue for catered affairs large and small, the building brings out not only residents but young and old from the community that surrounds us. We are completely thrilled to see this building full of life and used by so many. It would have made our founder, Wybe Kroontje, very proud!”

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Roanoke | 540.904.2817 www.kissitopace.org

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Christiansburg | 540.382.2349 www.christiansburg.org

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16 BRONZE

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16 BRONZE

– The Village Center at Warm Hearth

www.OurHealthswva.com

201

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“Friendship Health’s therapy teams are devoted to creating an environment of enhancing quality of life, promoting independence, and inspiring hope which leads to a faster recovery. Our award-winning speech therapists offer a wide variety of services to patients such as improving swallowing functions after surgery, relearning verbal and nonverbal communication skills when rehabbing from a stroke, and even providing hearing screenings.”

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Roanoke | 540.777.7599 www.friendship.us

AWARDS 20

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

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

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

AWARDS

Third Place

16 BRONZE

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

Honorable Mention Richfield Salem | 540.380.4500 www.richfieldliving.com

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

King’s Grant Retirement Community Martinsville | 1.800.462.4649 www.sunnyside.cc

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Richfield

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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Second Place

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Roanoke | 540.776.2600 www.brandonoaks.net

Roanoke | 540.776.2600 www.brandonoaks.net u t h we s t Vi r

Second Place

Brandon Oaks

1 6 S I LV E R

Friendship

– Sidney Mallenbaum, MD Medical Director, Primary Stroke Center Carilion Roanoke Memorial Hospital

Second Place

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

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First Place Roanoke | 540.224.5170 www.carilionclinic.org

6 GOLD

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201

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– Diane Bell, Manager In-Patient Rehab, Friendship Health So

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– Richfield

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Carilion Clinic

Roanoke | 540.777.7599 www.friendship.us

AWARDS

“Richfield Living nurses are above all else, passionate about what they do each and every day. Our skilled nursing care is centered around a strong inter-disciplinary team approach that serves with the common goal of providing exceptional, high-quality care. Whether here for a short-term rehabilitation stay, or long-term care, our care teams put our residents and their loved ones at the center of everything that we do.”

First Place Friendship

Salem | 540.380.4500 www.richfieldliving.com

6 GOLD

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201

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Third Place

16 BRONZE

Friendship Roanoke | 540.777.7599 www.friendship.us

Honorable Mention Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net

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

OurHe

AWARDS 201

The Benefits of Assisted Living at Our Lady of the Valley To many seniors and their families, a retirement community may sound like a nice idea, but in reality they may wonder, “what makes it better than staying in my own house?” In reality, trying to list all the benefits of moving to a senior community can be difficult—there are so many! At Our Lady of the Valley, an assisted living community located near downtown Roanoke, their team has found that families are most excited to discover the following “perks” of assisted living.

Socialization: Opportunities for companionship, support from peers, and a sense of community can be found at Our Lady of the Valley through in-house activities, spiritual enrichment, and musical entertainment, plus local outings. While living at home may be isolating, living in a community among new friends has the potential to boost mood and even health!

Transportation: Complimentary van transportation to medical appointments,

surrounding shops, and area attractions just makes life easier. When driving is no longer an option, Our Lady of the Valley’s van can help residents stay connected to all that Roanoke has to offer.

Meals: An Executive Chef prepares three nutritious meals a day plus snacks

for residents at Valley, and a registered dietitian assists with meal planning and nutritional tips. This can help residents stay healthy and looking forward to the next delicious meal!

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6 GOLD

“Families at Our Lady of the Valley rest-assured knowing that 24-hour licensed nursing care is always available. Seniors are provided extra protection with a full-community generator, security cameras, and indoor mailboxes. Since utilities are included in the monthly rent, residents are better able to manage a budget without worrying about unexpected expenses.”

Stress-Free Housekeeping & Maintenance: One of the greatest benefits

of living in a retirement community is that you no longer have to bother with household chores or yardwork. Seasonal obligations like raking leaves and shoveling snow become a thing of the past.

Peace of Mind: Families at Our Lady of the Valley rest-assured knowing that

24-hour licensed nursing care is always available. Seniors are provided extra protection with a full-community generator, security cameras, and indoor mailboxes. Since utilities are included in the monthly rent, residents are better able to manage a budget without worrying about unexpected expenses. Mary Lynn Yengst, Administrator at Our Lady of the Valley, says that to truly realize the benefits they offer, you have to experience it in person. “When families come to our community, sample our food, and see all the smiling faces, that’s when they start to get a real taste of the lifestyle we offer,” she states. “Even residents who have called Valley home for years will let us know something new they’ve discovered or come to love about life here.” From the sounds of it, real friendships, great food, and peace of mind may only be scratching the service of all the assisted living “perks” one will receive at Our Lady of the Valley.

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

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“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.”

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The Hermitage

AWARDS

16 BRONZE

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

The Hermitage - Serving the Community since 1964 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.

Amenities and Services 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.

60 OurHealth The ResourceClub for Healthy New River Valleys 1009 Old |Country RdLiving NWin Roanoke | and Roanoke, VA 24017

540.344.7945

www.hermitageinroanoke.org

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.

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

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Salem Terrace

AWARDS 201

6 GOLD

“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”

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.

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

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“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 well-being 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.”

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Richfield Living

AWARDS 201

6 GOLD

At Richfield our goal is to make a difference every day and help individuals experience life to the fullest through every phase of their journey. Richfield is a non-profit senior living and healthcare community located in Roanoke County near the City of Salem. 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.

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, meals made to order, flat screen TV’s, Wi Fi internet access, personal laundry facilities and exceptional Physical, Occupational and Speech Therapy services.

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 state-of-the-art 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 twenty-four 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 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 enhancing the quality of life for our residents.

Richfield Recovery & Care Center Offering short-term skilled nursing and rehabilitation services to patients recovering from surgery, injury or illness, as well as long-term nursing care. Licensed to participate in both the Medicare and Medicaid programs. Working as a team, our goal is to nurture the needs and spirit of each resident we serve.

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

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Why Blacksburg? Blacksburg has been recognized as one of the top retirement towns in the nation because of the quality of life it affords its residents. The small college town has a metropolitan feel with eclectic restaurants, ample cultural venues including the Moss Center for the Arts, and of course, Hokie sports year-round. A short drive from the center of town, you will find trout filled streams, the Appalachian Trail and endless recreational opportunities. Two regional health systems, HCA and Carilion serve this community with a wealth of expertise and choice in healthcare services. With low cost of living and crime and high environmental quality compared to larger cities, Blacksburg is a preferred destination.

Why Warm Hearth Village? While Blacksburg is recognized as a top retirement town, Warm Hearth Village has consistently been recognized as its top retirement community. We are located adjacent to Virginia Tech on a lush, 220- acre woodland campus. We are deeply rooted in our community and our mission to serve seniors from all walks of life. As a nonprofit community, we raise funds through the Warm Hearth Foundation to provide charitable care to seniors in need of housing and healthcare services. We are now home to more than 550 residents in living options that include active adult, independent living, assisted living, memory care, long-term nursing care, skilled rehab care and home healthcare.

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Warm Hearth Village is the New River Valley’s only comprehensive retirement community. Established in 1974 with a mission to serve seniors of all socioeconomic backgrounds with a wide range of choices in housing, services and care, the nonprofit community has grown to be an asset to residents of the New River Valley and beyond.

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AWARDS 201

6 GOLD

“As a nonprofit community, we raise funds through the Warm Hearth Foundation to provide charitable care to seniors in need of housing and healthcare services. We are now home to more than 550 residents in living options that include active adult, independent living, assisted living, memory care, long-term nursing care, skilled rehab care and home healthcare.”

Complementing the full continuum of living options are ample services and amenities. Transportation, six dining venues, a robust events program and an innovative fitness center further enhance the lifestyle of our residents. We partner with Blacksburg Transit to provide door-to-door bus service to our residents while also operating our own transportation program. The Fireside Grill and Huckleberry Café add variety to the regular dining venues and welcome the public for breakfast and lunch. The Village Center hosts the Life Long Learning Institute at Virginia Tech, New River Stage and many local community performers each year. The fitness center provides something for everyone with scheduled classes, free swim, cardio and weight equipment, and certified personal trainers.

Why Now? Why Not? The housing market is rebounding and selling your home is easier than ever. Rid yourself of the burdens of home maintenance and yard work when you move to Warm Hearth Village. Enjoy this beautifully landscaped community without the hassles of chores or yard work. Many of our residents tell us they wish they had moved sooner so that they could enjoy the connections with new neighbors, walking trails and the fitness center before their health needs changed. Don’t wait! Call us today to learn about what’s new at Warm Hearth Village.

2387 Warm Hearth Drive

Blacksburg, VA 24060

540.552.9176

www.OurHealthswva.com www.retire.org

Commonwealth Assisted Living “Residents throughout Commonwealth Assisted Living 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.”

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, and more vibrant, for both the resident and their family through engaging Travel the World programming, care by specially trained Virtual Dementia Tour®-certified staff and the delicious, award-winning Farm-to-Table dining program.

Memory Care Commonwealth Assisted Living in Christiansburg and Radford are two of 20 assisted living communities in Virginia currently offering the award-winning Sweet Memories™ Alzheimer’s and dementia care program. This program is staffed with compassionate, 24-hour caregivers, specially trained to offer those experiencing memory loss, Alzheimer’s disease 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, VA 24073 | 540-585-1196 | 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, VA 24141 / 540-509-1102 / 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. Its convenient location, close to Carilion New River Valley Medical Center and many specialty medical offices, makes 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 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 veteran staff, and served in an elegant dining room where residents can mingle and share.

www.CommonwealthAL.com

OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Virginia Veterans Care Center Virginia Veterans Care Center The Virginia Veterans Care Center (VVCC) in Roanoke is deeply committed to serving the veterans of our armed forces who so bravely spent a part of their lives serving us. On Veterans’ Day in 1992, then-Governor Doug Wilder made a trip west from Richmond to participate in the opening ceremonies for a brand-new assisted living and nursing home facility. Much time and effort had gone into building this facility, including considerations for top-level healthcare, as well as on-campus services and activities such as nature trails, library, chapel, barber shop and billiard room. While many of the area’s retirement living centers offered similar services, there was still something unique about the Center Governor Wilder was visiting. What’s the difference? This Center was opening specifically for our honorably discharged armed forces veterans who lived or who had enlisted in Virginia.

Amenities and Services Today, the VVCC still remains a unique example for long-term healthcare and one of only two state homes for veterans in the Commonwealth of Virginia. Housing 240 beds, which includes a 60-bed assisted living area and a 60-bed Alzheimer’s Care unit, VVCC continues to provide comprehensive, high quality care with on-site, x-rays, physical therapy, and many other ancillary healthcare services. As well, nearly all residents of VVCC receive some level of financial assistance that subsidizes their living expenses, making it a much more affordable retirement option. These services and resources certainly play a role in the quality of life veterans’ living at VVCC have, but according to residents and staff alike, it’s the people that make the biggest difference. “I have been here for more than 18 years, and I can say it’s been the most rewarding job in my

career,” explains Patti Smith, VVCC’s Director of Admissions and Marketing. “The people who work here do so with the purpose to give thanks to our veterans, to show appreciation for their efforts and to make their lives as enjoyable and fulfilling as possible.” Smith says the camaraderie between residents at VVCC is what’s so special. “They have so much to share and so much in common, but believe it not, it’s not just about the bond they share from being in the armed forces,” maintains Smith. “They’re like brothers and sisters – it’s such an unconditional friendship among everyone.” Smith says that VVCC also houses the area’s only “Wander Garden” for Alzheimer’s patients. The “Wander Garden” is an enclosed, outside area where Alzheimer’s patients can visit unsupervised without the threat of getting hurt or unknowingly leaving the campus. Plus, the entire area of the “Wander Garden” has been safety-checked to prevent accidental injuries. Even the plants in the area are safe and non-toxic. “It’s a wonderful place for our residents because it allows them freedom in a safe environment - something many Alzheimer’s and dementia patients rarely enjoy,” says Smith. The VVCC is heavily supported by the American Legion, the Veterans of Foreign Wars (VFW), AMVETS, Disabled American Veterans (DAV) and community groups. Each of the organizations lend a hand whenever called upon to help out the veterans at VVCC.

“I believe the VVCC stands for many great things, but above all else, the VVCC is a way to show our veterans we care and appreciate them and all they have done. Everything we do here is our way of saying “thank you” to our veterans. It’s a great feeling.”

- Patti Smith VVCC’s Director of Admissions and Marketing

“I believe the VVCC stands for many great things, but above all else, the VVCC is a way to show our veterans we care and appreciate them and all they have done,” concludes Smith.“Everything we do here is our way of saying “thank you” to our veterans. It’s a great feeling.” They were there for us when we needed them, and now we will be there for them.

www.OurHealthswva.com 4550 Shenandoah Avenue | Roanoke, VA 24107 | 540.982.2860 | 800.220.VETS

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John Russell, BS, ACSM

S T I B FIT

John holds a BS degree in Exercise and Sports Science and is an ACSM certified personal trainer at Green Ridge Recreation Center.

AND H E A LT H ON F IT N E S S THE GO

GET TO THE 'CORE' O

F YOUR WORKOUT!

It’s the new buzzword – work your ‘core’. Everybody is talking about

it, there are classes devoted to it, people talk about it in the gym – ” I want to work my core.” But, where is that mysterious body part, and how exactly am I supposed to work it?

Your ‘core’ is the midsection of the body and it involves all the muscles in that area including the front, back and sides. These muscles work as stabilizers for the entire body. Core training is simply doing specific exercises to develop and strengthen these stabilizer muscles. So, why is this type of exercise getting so much attention these days? Simple— Americans are getting more and more sedentary. Prolonged sitting and no exercise weakens the muscles in your midsection. This can lead to problems like low back pain and protruding waistlines.

Okay, so that explains it, now how do I accomplish it? The good news is that core training is for EVERYONE! And, better yet, Green Ridge Recreation Center offers a class that takes the guesswork out of selecting exercises and is FUN! CoreWorx is a 30-minute class honing in on the torso and muscles that connect the upper and lower body. This class is ideal for tightening and strengthening the core, while also helping to improve functional strength and assisting in injury prevention of the lower back.

Green Ridge Recreation Center 7415 WOOD HAVEN ROAD ROANOKE, VA 24019 | 540.777.6300 WWW.GREENRIDGERECREATIONCENTER.COM

“The core is the bridge between your upper and lower body. With the proper workout, you can increase your overall stability and eliminate back pain while improving balance and enhancing total body power.” John Russell, BS, ACSM Personal Trainer Green Ridge Recreation Center

WORKOUT STATS: MODERATE INTENSITY

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the

2016

OurHealth Roanoke and New River Valleys

HOW TO IN HEALTHCARE SERIES:

RT PA

an issue-by-issue overview

III

words | TINA JOYCE

GRADUATING TO

GRADUATE SCHOOL OurHealth’s four-part series: How to in Healthcare, is a step-by-step guide for those interested in pursuing a career in healthcare. Imagine a career that has the potential to save lives each and every day. From emergency medical technicians and anesthesiologists to physical therapists and trauma surgeons, those who work in the healthcare field come together to save lives or improve the quality of life for their patients.

OurHealth is exploring numerous healthcare employment opportunities and sharing expert advice on ways to reach career goals in healthcare. In Part I, the April/May issue, we shared tips for families of students interested in exploring collegiate opportunities with a medical focus in mind.

PART THREE

Entering graduate school and residency/fellowship/ clinical training.

August | September

In Part II, the June/July issue, OurHealth asked college and university representatives to share insights on certificate and degree programs that transition students directly into the healthcare workforce as well as tips to help students successfully pursue a four-year degree. In this issue, we explore healthcare careers requiring postgraduate studies, including graduate school, professional school, residency programs and fellowships. We also offer planning considerations to assist students who are currently pursuing a bachelor’s degree but looking to further their education. Previous OurHealth issues have revealed that career opportunities in healthcare are numerous, and each program of study has different requirements. Understanding the complex world of graduate school includes comprehending undergraduate requirements, entrance exams and waiting lists — a potentially overwhelming process if it is conducted without guidance.

PART FOUR

Insight on how to find the right job in your field of specialty.

October | November

ENTRANCE EXAM REQUIREMENTS FOR

POST-GRADUATE SCHOOLS

Applying to a graduate or professional school often requires taking a standard entrance exam. Standardized exams are designed to measure an applicant's potential to succeed in graduate or professional school. While a high grade point average (GPA) indicates success at an undergraduate college or university, standardized tests permit fair comparisons of students from a variety of universities and colleges with potentially differing grading standards. Below is an overview of the different types of graduate and professional schools entrance exams.

GRADUATE RECORD EXAMINATION (GRE)

The GRE is the general test that is used for admission into most graduate school programs. Administered by the Educational Testing Service (ETS), the GRE tests verbal reasoning, quantitative reasoning (math), and analytical writing (essay section). This computer-based test is available yearround at locations across the United States. Scores are available at the test center and you have the option of sending the scores to whichever schools you choose. There is a fee to take the GRE, and registration can be completed online.

GRADUATE MANAGEMENT ADMISSIONS TEST (GMAT)

The GMAT exam is primarily used for admissions decisions by business school graduate programs. If you’re considering a Master’s in Healthcare Administration degree, you may also be required to take the GMAT. It consists of a 30 minute analytical writing assignment, 12 integrated reasoning questions (30 minutes), 37 quantitative questions (75 minutes) and 41 verbal questions (75 minutes). These questions are designed to measure the skills needed to succeed in business school. The GMAT is given year-round and there is an average of fee of $250 to take the exam. While unofficial scores are available at the test center, your official scores will be sent to you within 20 days of completing the exam. Registration can be completed online.

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The best plan of action is to conduct thorough research — as early as possible — about programs and colleges with specific career interests in mind. Undergraduate students who are considering an advanced degree in healthcare must begin preparing well in advance of receiving their bachelor's degree. This includes maintaining a high GPA and taking required and advanced courses. For example, a student who wants to attend medical school is likely to be enrolled in a pre-med undergraduate program, taking a course load with a heavy concentration in math and science. When it comes to graduate programs in the healthcare field, students can either attend a graduate school or a professional school. Graduate schools offer master's and doctoral degrees. Medical schools fall into a category called professional schools, which also includes dental schools, pharmacy schools, chiropractic schools, etc.

THERE ARE SEVERAL QUESTIONS

STUDENTS SHOULD CONSIDER WHEN MAKING DECISIONS ABOUT ADVANCED EDUCATION: 1. What career am I seeking? 2. What graduate degree do I need for that career? 3. Does location matter? 4. Which colleges/universities offer the program or degree I want? 5. What are my financing needs and options? 6. Is the school accredited? 7. What is the reputation of the school or program I am considering? 8. What is the school’s placement rate for graduates? 9. Do I have the needed undergraduate requirements to apply to the program? 10. Are entrance exams required for admission? 11. Is work experience required for admission? 12. When is the application deadline? The best resource for a student beginning to look into graduate schools would typically be the institution’s website. Most, if not all, programs have extensive descriptions of the application process, entrance requirements and deadlines on their websites. Once an online search has narrowed down which colleges and universities offer the chosen graduate program of study, students

can begin to dissect the steps needed to apply to their school(s) of choice. Graduate programs are usually quite competitive; therefore, it is recommended that students apply to more than one. Each school has its own requirements, and every program within the school has yet another set of criteria for admission. “My advice [to students looking to apply for graduate school], is to start the process as soon as possible. Do your research, do your homework. You have to find an area you are passionate about. If you can work in the field in some capacity, it helps. You don’t have to go directly into graduate school. Experience in the field can be very helpful. Look for internships and assist faculty when possible…and of course, keep your grades up,” advises Dr. F. Douglas Boudinot, Dean of Graduate School at Virginia Commonwealth University. Additionally, undergraduate schools generally have pre-graduate and pre-professional advising programs that students can access, either online or in person. If there are specific questions an applicant has about a program, an email or phone call will likely prompt a helpful response from someone in the department. “I would not suggest calling professional programs with general career advising questions — they have neither the expertise nor time to answer those types of questions. But if there is a specific question to which an answer cannot be found on the website, then contact is appropriate,” explains R.J. Canterbury, MD, senior associate dean for education at the University of Virginia School of Medicine.

EXPLORING POSSIBILITIES It is important to realize there are numerous, highly sought after and lucrative healthcare opportunities besides becoming a physician. Students can explore many different facets of healthcare — both clinical and administrative — that require graduate work. For example, Virginia Tech offers a professional Master of Public Health degree. “We also offer graduate programs in biochemistry; biomedical engineering; consumer health; human nutrition, foods, and exercise; psychology; genetics; bioinformatics; and computational biology — all health sciences fields,” says Cathy Grimes, communications manager for Virginia Tech Graduate School. Virginia Commonwealth University offers a Master of Health Administration degree and a graduate concentration in healthcare management as part of a Master of Business Administration degree. Liberty University also offers a Master of Public Health and a Master of Science in biomedical sciences. Exploring the success rates of students in particular programs should be a consideration in the program selection process. “We regularly have over 60% of our students who complete that program [premed] are accepted into medical school. Those students who meet the benchmarks after the first semester are guaranteed a seat in the DO program at one of three campuses for the following August. Other similar programs only guarantee an interview for a medical program,” shares Dr. Brain Hill, Vice Dean for Graduate Biomedical Sciences with Edward Via College of Osteopathic Medicine (VCOM).

ACRONYMS RELATED TO

ADVANCED DEGREE PROGRAMS

As a reminder and to help alleviate confusion, acronyms related to advanced degrees and some licensure programs are listed below:

MSN – Master of Science in Nursing MNA – Master of Nurse Anesthesia CRNA – Certified Registered Nurse Anesthetist

NP – Nurse Practitioner DNP – Doctor of Nursing Practice PhD – in nursing, psychology and other healthcare areas

PharmD – Doctor of Pharmacy PA – Physician’s Assistant MD – Doctor of Medicine DO – Doctor of Osteopathic Medicine DPM – Doctor of Podiatric Medicine DPT – Doctor of Physical Therapy LCMHC – Licensed Clinical Mental Health Counselor

LCP – Licensed Clinical Psychologist LCPC – Licensed Clinical Professional Counselor

LCSW – Licensed Clinical Social Worker PsyD – Doctor of Psychology DC – Doctor of Chiropractic DPM – Doctor of Podiatric Medicine DrPH – Doctor of Public Health DDS – Doctor of Dental Surgery DMD – Doctor of Dental Medicine AuD – Doctor of Audiology OD – Doctor of Optometry DVM – Doctor of Veterinary Medicine www.OurHealthswva.com

DOCTOR OF PHILOSOPHY (PhD) A PhD is an advanced, post-graduate academic degree awarded by universities to a candidate who has submitted a thesis or dissertation that is based on extensive and original research in his/her chosen field. In general, the PhD is the highest level of degree a student can achieve, and usually follows a master’s degree. In most cases, a PhD involves three to four years of full-time study.

REQUIREMENTS FOR PhD PROGRAMS: In order to be accepted into a PhD program, a student must have a master’s degree from an accredited college or university. In addition, most universities will require several letters of recommendation, a research proposal for the thesis or dissertation, letter of motivation from the application specifying his or her objections and determination to work hard on a project, and a face-to-face interview. Some universities also require a PhD entrance exam.

DOCTOR OF HEALTH SCIENCE (DHS OR DHSc) A Doctor of Health Science (DHS or DHSc) is a post-professional academic degree for those with a master’s degree who intend to pursue or advance a professional practice career in health arts and sciences and healthcare delivery systems, to include clinical practice, education, administration and research. Individuals who complete the DHS/DHSc face the particular challenge of understanding and adapting scientific knowledge in order to achieve health gain and results. This degree leads to a career in high-level administration, teaching, applied research, or practice, where advanced analytical and conceptual capabilities are required. The Doctor of Health Science is a degree that prepares scholarly professionals in healthcare.

ENTRANCE EXAM REQUIREMENTS FOR DOCTOR OF HEALTH SCIENCE: DHS and DHSc programs require a master’s degree from an accredited college or university, as well as related work experience in a clinical or healthcare-related educational setting. An interview may also be required as part of the admission process. There are no specific entrance exams required for this program.

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UNDERSTANDING THE DIFFERENCE The healthcare field is immense. Exploring careers can be overwhelming to even the most astute students. Unless students have personal experiences with a particular health profession, they might misunderstand the differences between common medical careers. For example, the differences between psychologists and psychiatrists; optometrists and ophthalmologists; and dentists, orthodontists and periodontists. Confusion often exists between Doctor of Medicine (MD) and Doctor of Osteopathic Medicine (DO) degrees. Both degrees mean the doctor is a licensed physician, but their training and approach to healthcare differs slightly. Medical doctors generally focus on one condition or area of the body, whereas osteopathic physicians are dedicated to treating and healing the patient as a whole. Another point of clarification has to do with a specialization. An orthodontist has completed dental school and gone on to receive further training to specialize in the prevention and correction of misaligned teeth and jaw. A psychiatrist is a medical doctor who specializes in mental health. In contrast, a psychologist has earned a master’s or doctorate degree but focuses on studying and evaluating mental processes. Some career paths are similar, but do have distinctions. “One of the biggest differences between a PT and an OT is that a physical therapist treats the patient’s actual impairment, while an occupational therapist treats that impairment in action,” explains Sarah Boswell, Assistant Director of Admissions at Jefferson College of Health Sciences. It is important for students to research and learn as much as possible about the careers they are considering prior to investing time, money, and energy in academic pursuit. During undergraduate studies, summer internships or part-time jobs allow students to explore careers and interview people working in the field of interest. Refer to the March/April issue of OurHealth for other recommendations.

APPLICATION AND ENTRANCE EXAMS The application process varies from school to school and program to program. Sometimes there is a common application form. For example, students applying to medical school complete a national application through the American Medical College Application Service® (AMCAS®). Information about the application and medical careers can be found on the website of the Association of American Medical Colleges. The organization provides valuable information for all students seeking admission to medical schools across the country. Most clinical postgraduate programs require some type of entrance exam. For example, most graduate programs in clinical psychology require the Graduate Record Exam for application. The GRE is widely regarded as an entrance exam for many postgraduate programs, not

just for medical fields. Some healthcare graduate programs require both an entrance exam and work experience.

APPLYING TO GRADUATE SCHOOL?

When planning, itâ&#x20AC;&#x2122;s helpful to work backward from the application deadline and follow these steps: 1. Research schools with your program of study. 2. Consider visiting the schools you are applying to and make contact with staff/professors. 3. Take a practice GRE or other entrance exam if required or recommended for admission. 4. Sign up for a GRE prep course. 5. Register for the GRE general test if necessary. 6. Begin drafting your statement of purpose for your application. 7. Complete and submit applications by deadlines. 8. Request that undergraduate transcripts be sent.

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For example, if a student receives a Bachelor of Science in nursing and wants to pursue a Master of Science in nursing, the tests required to get into a school that offers an MSN vary.

Sarah Boswell, assistant director of admissions, Jefferson College of Health Sciences.

Christine Kueter, communications coordinator at the University of Virginia School of Nursing explains, “A year's worth of clinical experience is required for the Clinical Nurse Specialists (CNS) master's and Nurse Practitioner (NP) master's tracks, but the Clinical Nurse Leader (CNL) master's program — that's the one degree for non-nurses pivoting into the profession who have at least a bachelor's degree in another field — has no such requirement. Students who already have a bachelor of science in nursing (BSN) and are applying to an Master of Science in Nursing (MSN) program must have passed the National Council Licensure Examination (NCLEX) and have at least a year of clinical experience, but GREs are not required for entry. All students applying to a master's program must have completed a statistics course within the last five years.” Similarly, students seeking admission to a medical school might be required to take the Medical College Admissions Test (MCAT). However, not all programs require the MCAT for admission, and some require the test but do not have a minimum score to be considered for admission, according to College Admissions Partners, a college admissions counseling service provider.

Cathy Grimes is the communications manager for Virginia Tech Graduate School.

“Obtaining the benchmark MCAT is essential to admission to the VCOM medical program. However, our benchmark MCAT is lower than most other similar programs as we have found that the GPA within the Post-Baccalaureate program is more indicative than MCAT for student future performance within the DO program.” — Brian Hill, PhD, vice dean for graduate biomedical sciences at Edward Via College of Osteopathic Medicine (VCOM). For admission to Liberty University College of Osteopathic Medicine, the MCAT is a factor, as are grades, but it is not an overriding factor in the selection process. “We establish a high enough level for test scores and grades that it demonstrates with 95 percent probability they can do the work of medical school, but it is not a determining factor,” says Ronnie Martin, DO and professor of family medicine. “The MCAT predicts how the students will do on national boards like the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) or United States Medical Licensing Examination (USMLE) but not the type of doctor they will be or how they will perform in medical school.”

Brian Hill, PhD is the vice dean for graduate biomedical sciences with Edward Via College of Osteopathic Medicine.

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Similar to deciding on an undergraduate college or university, choosing the “best fit” graduate school is extremely important for success. Expending energy to apply to schools that a student has no interest in attending or has a low probability of being admitted can be unwise. Conduct the research first and then apply to schools that

are a good fit academically, socially and professionally. According to Stephen M. Workman, PhD, associate dean for admissions at Virginia Tech Carilion School of Medicine, “Generally, students should pick their home state to apply to public graduate and professional schools because a larger number of in-state students are accepted each year. Student have a better chance of being accepted outside of their state of residence if they apply to a private school.”

“We establish a high enough level for test scores and grades that it demonstrates with 95 percent probability they can do the work of medical school, but it is not a determining factor. The MCAT predicts how the students will do on national boards like the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) or United States Medical Licensing Examination (USMLE) but not the type of doctor they will be or how they will perform in medical school.” — Ronnie Martin, DO and professor of family medicine

Students shouldn’t overlook schools close to home. Virginians are fortunate to have outstanding colleges and universities within a few hours drive. Graduate schools are plentiful and diverse, while medical schools are competitive and well-respected in the state.

RESIDENCY PROGRAMS Once students have completed four years of medical school, they enter the next stage of training called “residency.” During residency, students practice medicine under the direct or indirect supervision of an attending physician in a hospital or clinic setting. Third-year medical students complete electronic applications to apply for a residency match. The residency placements are typically coordinated by the medical school's student affairs office. According to the American Academy of Family Physicians, all students seeking a residency position should enroll in “The Match.” Once enrolled, students are bound to abide by the terms of the National Resident Matching Program. During the fourth year of medical school, students participate in residency interviews. Based on the Continued on page 77...

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ENTRANCE EXAM REQUIREMENTS FOR PROFESSIONAL SCHOOL PROGRAMS: PROFESSIONAL DEGREE PROGRAMS A professional degree is a graduate level degree that is offered upon completion of necessary undergraduate components, followed by additional study in a specialized field. In this model, the undergraduate portion generally lasts five or more years, followed by four years at the graduate level.

CHIROPRACTIC SCHOOL The educational requirements for chiropractors specify a minimum of two years of pre-chiropractic study and four years of chiropractic school, after which the Doctor of Chiropractic degree is awarded. However, the majority of successful applicants have completed three or four years of college work before entering chiropractic school. There is no entrance exam required for admission into chiropractic school.

DENTAL SCHOOL The Dental Admissions Test (DAT) is a timed multiplechoice exam conducted by the American Dental Association (ADA) that is used as part of the admissions process for dental school. The DAT measures the general academic ability, comprehension of scientific information, and perceptual ability of the prospective dental student.

MEDICAL SCHOOL The Medical College of Admission Test (MCAT) is a computer-based standardized exam required for prospective medical students. It is designed to assess problem solving, critical thinking, written analysis and knowledge of scientific concepts and principles.

NURSING SCHOOL For graduate students entering nursing school, the required exams include the Graduate Record Exam (GRE), The Test of Essential Academic Skills (TEAS) and the National Council Licensure Examination (NCLEX). Exams can vary by institution, and some may require only one test.

OPTOMETRY SCHOOL All schools of optometry require the Optometry Admission Test. The OAT is a standardized examination, sponsored by the Association of Schools and Colleges of Optometry (ASCO), designed to measure general academic ability comprehension of scientific information.

PHARMACY SCHOOL The Pharmacy College Admission Test (PCAT) is a specialized test that helps identify qualified applicants to

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pharmacy colleges. It measures general academic ability and scientific knowledge necessary for the commencement of pharmaceutical education. The PCAT is constructed specifically for colleges of pharmacy. The PCAT consists of 232 multiple-choice items and one writing topic. Candidates are given approximately four hours to complete the test (including administrative time for instructions and time for a short rest break about halfway through the test).

PHYSICIAN ASSISTANT SCHOOL Physician assistant schools may vary when it comes to which exam they require. For example, some schools require the Graduate Record Examination (GRE), which is also often required for various types of master's degree programs. Other schools will accept the Medical School Admissions Exam (MCAT) instead of the GRE.

PHYSICAL THERAPY SCHOOL Most physical therapy (PT) programs require applicants to complete the Graduate Record Examination (GRE). Programs may have minimum acceptable scores and last acceptable test dates. Policies regarding the consideration of multiple sets of GRE scores vary by institution.

PODIATRIC MEDICAL SCHOOL Almost all podiatric medical schools require applicants to take the Medical College Admissions Test (MCAT).

SPEECH-LANGUAGE PATHOLOGY SCHOOL Applicants are required to submit scores earned within the last five years from the general test portion of the Graduate Record Examination (GRE). The general test of the GRE measures verbal reasoning, quantitative reasoning, and writing skills. The test is available year round in a computer-based format.

VETERINARY SCHOOL The Graduate Record Examination (GRE) is required by most veterinary schools, and some also require the Biology GRE. The Medical College Admission Test (MCAT) is also accepted by some schools in place of the GRE.

Continued from page 75...

interviews and applications, the National Resident Matching Program places applicants for postgraduate medical training positions into residency programs at teaching hospitals throughout the U.S. Match results are made public in March.

A day in March is known as National Match Day — the day medical students find out where they will complete their residency. “The state where you practice residency very often becomes where you are likely to end up residing,” Dr. Workman says. “National Match Day is a very anticipated day for medical students.” Graduation from medical school happens in May, and students begin their residencies in the summer. A residency is a minimum of three years. Not all students will receive a match for placement. Student who graduate at the bottom of their class or are not competitive might not receive a residency match.

FELLOWSHIP TRAINING A fellowship is post-residency education that provides training in an area of specialization, ultimately allowing students to also teach or

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ROANOKE AND NEW RIVER VALLEYS GRADUATE AND PROFESSIONAL SCHOOLS OFFERING HEALTHCARE RELATED PROGRAMS Edward Via College of Osteopathic Medicine The Edward Via College of Osteopathic Medicine offers the doctor of osteopathic medicine (DO) degree. For more information visit www.vcom.edu. Jefferson College of Health Sciences Jefferson College of Health Sciences offers the master of healthcare administration degree as well as the master of science (MS) degree in family nurse practitioner (FNP), nursing administration, occupational therapy (OT), and physician assistant (PA). They also offer the doctor of health sciences and doctor of nursing practice (DNP) degrees. For more information visit www.jchs.edu.

Radford University Radford University offers master’s of science (MS) degrees in communication sciences and disorders (speech and language pathology), counseling and human development, and psychology. They also offer the master of social work (MSW) and master of occupational therapy (MOT) degree programs. Doctorate degree programs include doctor of psychology (PsyD), doctor of nursing practice (DNP), and doctor of physical therapy (DPT). For more information visit www.radford.edu.

Virginia Tech Carilion School of Medicine and Research Institute The Virginia Tech Carilion School of Medicine and Research Institute is a unique partnership between a public research university (Virginia Tech) and a private healthcare organization (Carilion Clinic). It is a fully accredited, private four-year medical school. The VTC School of Medicine and Research Institute offers the doctor of medicine (MD) degree program after which, graduates are matched with a residency program. For more information visit www.medicine.vtc.vt.edu.

Virginia Tech Virginia Tech offers the master’s of science (MS) degree in biological sciences, biomedical engineering, human development, human nutrition, foods and exercise, psychology, and sociology. They also offer the master of public health (MPH) degree, and the doctor of philosophy degree (PhD) in biological sciences, genetics, bioinformatics and computational biology, human development, human nutrition, foods and exercise, psychology, sociology, and translational biology, medicine and health. For more information visit www.vt.edu. 78

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work in a large hospital. Students gain additional knowledge and expertise in a particular area, which might or might not include a certificate of added qualification. According to the website of the American Academy of Orthopaedic Manual Physical Therapists, “A fellowship is designed for the graduate of a residency or a boardcertified therapist to focus on a subspecialty area of clinical practice, education or research.”

CHANGING DIRECTION A question looming in the minds of some graduate students may be, “I feel like I might be heading in the wrong direction. What do I do now?” Some students question their program path often throughout undergraduate studies, causing a change of majors, while others have known their career choice from high school or earlier. Several factors can contribute to a change in academic direction heading into graduate school or after a couple of semesters. Test scores, work and personal experiences, finances and advisor recommendations continue to shape a student’s career direction. For example, a student might not get accepted into the graduate or professional school of choice. “They may apply a second time or choose to go into a more research-based program,” Dr. Workman says. Dr. Canterbury recommends, “a medical student who is unhappy with his or her choice generally should not continue. Medicine is a great career and many would say a 'calling,' but it’s very hard work with many challenges. If a student does not find it gratifying, it will be difficult to be a good physician. There are many other wonderful careers that might make the person happier.”

To continue down a path of rigorous academic challenge, students must be completely committed to the profession they are pursuing. Doubts and fatigue may seep into their minds, but relying on strong relationships with advisors, professors and supportive family members will provide the support necessary to finish strong. Because there are so many options in healthcare, it is possible for a student to change directions but still remain in pursuit of health-related profession. However, changes cost time and money.

SEEKING BALANCE In addition to supportive relationships, diet and exercise play an important role in the mental, physical and social health of students. Inadequate sleep is common and often leads to chronic fatigue for students completing residencies and other intense work experiences.

Randolph Canterbury, MD is senior associate dean for education at the University of Virginia School of Medicine.

Fatigue in turn leads to illness and can have an adverse affect on course work and personal relationships. Competitive programs have very little room for error, and grades falling below a B can result in dismissal from the program. Therefore, it is vitally important for students to stay physically active, eat a healthy diet with limited use of stimulants such as energy drinks and excess caffeine and get as much rest as possible. U.S. News & World Report has reported that many medical schools are initiating wellness and social programs to help students achieve work-life balance. Last year, Psych Central recommended 12 tips for surviving graduate school, commenting that unlike college, grad school is a full-time job.

THE TOP SIX TIPS

FOR SURVIVING GRADUATE SCHOOL INCLUDE:

Stephen Workman, PhD is the associate dean for admissions at Virginia Tech Carilion School of Medicine.

1. Know your work 2. Read smarter, not harder 3. Focus less on grades and more on learning 4. Pick opportunities wisely 5. Consult others 6. Manage your time well

Also, taking study breaks every few hours optimizes the retention of information. This is a good time to take a walk, have dinner with a friend or take a nap. If these breaks are not built into their schedule, students soon find themselves working or studying 24/7 and ultimately experiencing burnout. Also, looking for blended programs or alternative course offerings maybe the best fit for some students. â&#x20AC;&#x153;Jefferson College of Health Sciences facilitates student success in the Doctor of Health Science and Doctor of Nursing Practice programs by providing an online learning

Ronnie Martin, DO is dean and professor of family medicine at Liberty University College of Osteopathic Medicine.

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environment, allowing students to study and complete coursework whenever and wherever it is most convenient. Students have access to library resources such as journals, databases, and eBooks using an online portal,â&#x20AC;? Sarah Boswell, Assistant Director of Admissions offers students. Professional healthcare careers require planning and discipline to complete. Those with a heart to serve and a desire to continually learn will likely have the mindset for this type of career. Researching, planning, studying and finding balance will help make the studentâ&#x20AC;&#x2122;s transition to graduate school a success.

Expert Contributers Sarah Boswell with Jefferson College of Health Sciences. R.J. Canterbury, MD with University of Virginia School of Medicine. Cathy Grimes with Virginia Tech Graduate School. Brian Hill, PhD with Edward Via College of Osteopathic Medicine. Christine Kueter with University of Virginia School of Nursing. Ronnie Martin, DO with Liberty University College of Osteopathic Medicine. Stephen M. Workman, PhD with Virginia Tech Carilion School of Medicine.

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Photos courtesy of Shawn Sprouse.

Carilion Clinic Employees Bring Stroke Awareness to the Roanoke City Market A team of 16 Carilion Clinic volunteers take on the Roanoke City Market in an effort to raise stroke awareness, one of the leading causes of death in the U.S. The team, all dressed in orange stroke awareness shirts, include subject matter experts from stroke services as well as other employee volunteers. OurHealth staff photographer, Shawn Sprouse, was on hand to witness their educational 'flash mob,' asking members of the public stroke trivia and passing out 500 reusable shopping totes with information about the signs of stroke and other educational materials. The main message of the morning: ‘Know the Five’ – symptoms of stroke: 1. Walk - loss of balance 2. Talk - slurred speech or droopy face 3. Reach - numbness or weakness of the face, arm or leg 4. See - impaired vision 5. Feel - severe headache To learn more about stroke awareness and to take the stroke risk assessment, visit www.carilionclinic.org/knowthefive.

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the 2016 OurHealth Roanoke and New River Valleys Primary Care Series: an issue-by-issue overview

+++ february

| march

KNOW YOUR CARE:

T IV PAR

understanding your health and how to maintain it

+++

| may

april

DO YOUR CARE: taking action with your health

+++ june

| july

SHARE YOUR CARE:

INSPIRE YOUR

care words | GERI ASTON

Keeping creative with fresh care ideas!

Primary care physicians are our partners on the road to good health. They urge us to get our vaccinations and preventive health screenings. They’re the ones reminding us to eat healthy and exercise. Getting on the road to good health is often easier than staying on it. Today, many people have — or are at risk of developing — common chronic conditions such as diabetes, high blood pressure or heart disease. Oftentimes, those health concerns prompt them to visit a primary care physician. That’s a great first step. Primary care doctors work with their patients to develop a plan of action specific to each patient's health needs and goals.

setting good examples for others to learn and live by

+++ august

| september

INSPIRE YOUR CARE: keeping creative with fresh care ideas

+++ october

| november

MEASURE YOUR CARE:

tracking your efforts to ensure you’re on the right path

+++ december

| january

CELEBRATE YOUR CARE:

rejoicing the rewards realized from taking good care of yourself

Those patients often start out eager to make the lifestyle changes — like losing weight or exercising — that are necessary to prevent or combat most chronic conditions. But as the months go by, many formerly motivated individuals begin to lose steam. Sometimes they fall back into old, unhealthy habits. And sometimes people don’t see the results they expected, so they throw up their hands and quit trying. Regardless of why people falter, their primary care physician can help get them back on track. William Thomas, DO with LewisGale Physicians in Christiansburg, specializes in pediatrics, internal medicine, and sports medicine.

Carolyn Clark, MD with Physicians Associates of Virginia in Roanoke is certified by the American Board of Internal Medicine.

This article, the fourth in a yearlong OurHealth series about primary care, will focus on “inspiring your care.” In it, primary care physicians offer ideas on how to overcome the obstacles that might sidetrack people on their path to better health.

Reach for a Helping Hand If it’s been months since your last appointment with your primary care physician and you’ve lost the momentum to stick with your health behavior goals, it’s worth it to schedule a follow-up appointment. “Start by talking to your doctor,” says William D. Thomas, DO, a family physician with LewisGale Physicians in Christiansburg. “Then you two, together, can decide the best plan forward based on your expectations and goals, with the confidence of knowing you are making sound medical decisions.” Dr. Thomas helps struggling patients prioritize their health care goals by medical importance so they can address their most important issues first. He also educates patients about their health conditions. “I find a lot of patients are interested but not informed about their health conditions,” Dr. Thomas says. Having good information helps to get patients interested in their health and invested in their care. “As long as I can educate them enough to make informed decisions, I work hard to allow them the autonomy to be the drivers of their healthcare,” Dr. Thomas says. In addition to reaching out to your primary care physician, support from family and friends can help you stay motivated. Regularly connecting with one or more friends who are also working to improve their health can increase the likelihood of you reaching your health 86

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Continued on page 89...

KEEP TABS ON YOURSELF Life can be chaotic, so tracking results —

that multiple home measurements more

positive and negative — is an essential part

accurately reflect overall blood pressure

of your care plan, says Mark Greenawald, MD,

control than a single measurement at your

a family physician at Carilion Clinic Family

physician's office, he notes.

Medicine in Roanoke. This is particularly the

There are many effective ways to monitor

case when a patient has a chronic condition, such as diabetes or high blood pressure.

your health and track your progress. It can be as simple as a paper tracking system or

Not only does tracking your results allow you

computer flow chart to something more

to better understand your health and become

sophisticated, such as a fitness app or an

more actively involved with your care, but

activity-tracking device.

it also helps inform your physician of your

“Daily attention can provide motivation,

progress between appointments.

increase your awareness and help provide

Tracking blood pressure levels often helps

the nudge that is often needed when

patients

trying

better

manage

their

condition,

Dr. Greenawald says. Research has shown

change

health

behavior,”

Dr. Greenawald says.

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THE MENTAL AND PHYSICAL HEALTH CONNECTION Many people consider their mental health to be separate from their physical health, but that’s not the case, doctors say. Taking care of your mental health is part of a healthy lifestyle. It is important for patients to let their primary care physician know when anxiety or depression is interfering with their ability to work, enjoy relationships or enjoy life. Chronic illnesses can cause mental health issues, such as anxiety or depression, or worsen them. For example, people with diabetes are at higher risk for depression because the difficulty of managing diabetes can be stressful and lead to depression. On the flip side, a mental health problem can make a person less motivated to exercise, eat right or take their medicine, which can lead to or worsen a chronic illness. Physical and mental health problems can feed off each other. A person depressed about a diabetes diagnosis might lose the motivation to manage the disease, which would make both the disease and the depression worse. As with all other attempts to adopt a healthier lifestyle, people shouldn’t become discouraged and give up if their efforts to improve their mental health don’t work as quickly as expected, doctors say. Many mental health prescription medications don’t take full effect for several weeks or months. Additional treatments that usually involve some mix of individual psychotherapy, group psychotherapy, exercise and diet or lifestyle changes are often necessary for a person to notice improvement. These interventions can provide enough support during the treatment process to help prevent those making health behavior changes from becoming discouraged.

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Continued from page 86...

goals, notes Mark Greenawald, MD, a family physician at Carilion Clinic Family Medicine in Roanoke.

Creating a “safe zone” Obesity already carries an emotional weight. “Many obese people feel ostracized by society and judged by those who don’t even know them as someone who has no self-control or who takes more than their share,” says Brian Dickens, DO, a family physician at Academic Primary Care Associates in Blacksburg. “When weight trends upward, patients often come in feeling frustrated, ashamed and in despair. Successful weight management takes organization, establishment of habit changes and resilience.

Mark Greenawald, MD with the Carilion Clinic Department of Family and Community Medicine in Roanoke is certified by the American Board of Family Medicine.

“We can live without tobacco, alcohol or drugs, but we all must eat,” Dr. Dickens says. People are known to bite off more than they can chew, so to speak, by overestimating what they can accomplish when they first set their health behavior goals. Many get discouraged when they don’t see the change they wanted or it doesn't happen fast enough. When patients are struggling, Dr. Dickens analyzes their habits with them, looks for trends and plans small changes to right the ship. Then doctor and patient schedule a follow-up appointment to gauge progress and troubleshoot as needed. One important thing Dr. Dickens does at the outset is to create a “safe zone” for his patients. “Yes, I hold my patients accountable for their health, but they’re not going through it alone,” Dr. Dickens says. “I try to make sure they understand I’m their advocate.”

Calorie and Exercise Combo Sometimes even when a person improves their eating and exercise habits, they still have trouble losing weight. “As with most complex problems, finding the solution is no less challenging,” Dr. Clark says. According to Dr. Clark, strategies that decrease energy intake (fewer calories eaten) have a greater potential for causing weight loss than those strategies that increase energy out (exercise). “This is not to be interpreted that exercise is not important but to highlight the fact that diet trumps exercise,” she says. Increasing physical activity is particularly helpful for long-term maintenance of weight loss. “The diet will get you there, and the

Brian Dickens, DO a family practice physician with Academic Primary Care Associates in Blacksburg. Dr. Dickens is certified by the American Board of Osteopathic Family Physicians.

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exercise will keep you there,” Dr. Clark says. To successfully keep weight off in the long run, people have to embrace a complete, long-term lifestyle change that encompasses a calorie-controlled eating style, exercise and behavior modification, Dr. Clark explains. “It takes a great deal of introspection and selfcontrol to accomplish and maintain these goals.” Characteristics of people who are most likely to succeed include weight loss of more than 4.4 pounds in four weeks, frequent and regular attendance at a weight loss program and the person’s belief that his or her weight can be controlled, Dr. Clark says.

Next in Our Series Part VI of OurHealth magazine's six-part series, “The Bridge to Better Health Starts With Primary Care,” examines ways you can track your efforts to ensure you're on the right path. The ability to measure your care will make it easier to see your success. Be on the lookout for Part VI in the October/November issue!

Expert sources Carolyn Clark, MD, a primary care physician with Physicians Associates of Virginia, P.C. in Roanoke. Brian Dickens, DO, a family physician at Academic Primary Care Associates in Blacksburg. William D Thomas, DO, a family physician with LewisGale Physicians in Christiansburg.

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LewisGale

CANCER CENTER

BRINGS NEW ONCOLOGY SERVICES TO THE REGION words | CHRISTINE STODDARD

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After nearly a year’s worth of developments, the center, which belongs to the LewisGale Regional Health System, is ready to serve patients it previously had to refer elsewhere. As of June, LewisGale can treat a range of cancer patients right in Salem, says John Rogers, a radiation oncologist at the center.

his summer, LewisGale Regional Cancer Center Salem has completed its $15.5 million multiphase capital development project. After nearly a year of construction and renovation, the cancer center, which is part of the LewisGale Regional Health System, can now treat even more patients in our region with the most advanced technology and equipment available for the first time in Southwest Virginia. “Now we can offer state-of-the-art therapy right here in the community so patients won’t have to travel to places like UVA and Wake Forest,” says John Rogers, a radiation oncologist. The expanded services are possible due to new equipment acquisitions, renovations and the addition of a two-story medical office building. The changes are immediately apparent to anyone who has seen the before and after. “Things were a little tired and needed to be updated,” says Rogers. “The new facility is a huge improvement because the hospital saw the need to improve and upgrade the equipment. It was last renovated in the ’90s.”

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“We have made our lobby area more inviting, with TVs, game tables and coffee service. Valet service is available at the front door at no charge. This has been shown to greatly reduce the stress associated with searching for parking.”

“We have more capacity to take care of our patients and offer state-of-the-art care. The cancer center is brighter, more spacious and more comfortable than before.”

In an email, Scott Myers, director of outpatient oncology services, writes, “The cancer center has been completely renovated. The entire area is more spacious and easier to navigate. We have also added additional space for our physician partners. The current square footage is approximately 12,000 square feet.” Myers continues: “We have more capacity to take care of our patients and offer state-of-the-art care. The cancer center is brighter, more spacious and more comfortable than before.” We have made our lobby area more inviting, with TVs, game tables and coffee service. Valet service is available at the front door at no charge. This has been shown to greatly reduce the stress associated with searching for parking.” But the biggest change is the new technology available at LewisGale. “We have acquired a Varian TrueBeam Linear Accelerator that is capable of performing complex radiotherapy treatments in a very efficient manner,” Myers says. “It better targets what it needs to target and it does it quicker so patients aren’t on the table for so long.” Also new are the latest versions of robotic surgery devices. One such device is the da Vinci Xi Surgical System, which was developed with cancer-specific surgeries in mind. “It can be used across a wide spectrum of minimally invasive surgical procedures and has been optimized for complex, multi-quadrant surgeries, as are often required in cancer patients,” states Brenda May, DO, LewisGale gynecological oncologist. 94

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“The da Vinci Xi robot can be used across a wide spectrum of minimally invasive surgical procedures and has been optimized for complex, multiquadrant surgeries, as are often required in cancer patients,” states the press release.”

At this time, LewisGale Cancer Center is the only facility that offers the Varian TrueBeam and the da Vinci Xi technologies in this area. Another notable addition to LewisGale Cancer Center is Genius 3D Mammography. This technology detects 41 percent more invasive breast cancers than traditional 2D mammography. It is considered a low-dose technology that cuts the need for extra digital images, and it best serves women with dense breast tissue. The upgrades do not end there. LewisGale has implemented a new treatment planning system that includes improved quality assurance tools that will allow the center to enhance its patient monitoring and quality checks. Physicians and technologists at the LewisGale Cancer centers in Salem and Pulaski can access the system. This will streamline treatment options for cancer patients throughout the region. LewisGale Regional Cancer Center in Salem was able to achieve these upgrades through a $15.5 million, multi-phase capital project. The radiation therapy technology and renovations alone cost $6.5 million. Meanwhile, the da Vinci Xi Surgical System cost $2 million, the 3D Mammography unit cost $1 million and the new medical office building cost $6 million. The LewisGale Regional Health System encompasses 44 HCA-owned patient care facilities, including four hospitals, two regional cancer centers, six outpatient centers, and affiliations with employed and self-employed physicians. In 2015 LewisGale provided more than $43.1 million in

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uncompensated care, at hospital cost to patients in need. HCA Virginia, which includes LewisGale, is the fifth-largest private employer in the Commonwealth with more than 15,000 employees. “We understand the need for excellent care in our community and we want to provide the best care possible,” wrote Myers. “We feel our newly renovated/constructed oncology center stands as our commitment to the citizens in our region.” EXPERT CONTRIBUTERS John Rogers, MD with LewisGale Cancer Center in Roanoke, Virginia.

ON THE WEB John Rogers, MD is a

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radiation oncologist at the LewisGale Cancer Center. Dr. Rogers is certified by the American Board of Radiology.

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