OurHealth Roanoke & New River Valleys Aug/Sep 2017 Edition

august • September 2017 ourhealthswva.com

the NEW

Senior

Movement: AGE REALLY IS JUST A NUMBER

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AWARDSAWARDS AWARDS

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2 1 7 B R O N Z0E1 7 S I LV E2R0 1 7 G O L D

2017 Senior Living Award WINNERS!

Plus:

GROWING HEALTHY

GRADE BY GRADE

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

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

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60 AWARDS 201

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TABLE OF CONTENTS AUGUST • SEPTEMBER 2017

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THE PULSE

| KEEPING THE PULSE ON HEALTHCARE

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18 – NEW PEOPLE & PLACES

CHECKUP

62 – HEALTHY EATS | Local restaurant reviews

| LOCAL HEALTH & MEDICINE

64 – COOK'S NOOK | Filling and Fresh

22 – IS EYE SURGERY RIGHT FOR ME? 25 – OURHEALTH BOOKSHELF

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SENIOR CARE

50 – SENIOR EXERCISE & FITNESS TIPS | No matter your age, it’s never too late to get started.

52 – SIX MYTHS ABOUT ACTIVITIES & AGING 54 – MYTH: HOME CARE WILL TAKE AWAY MY INDEPENDENCE

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GROWING HEALTHY GRADE BY GRADE Top 13 safety and wellness tips to keep in mind as the kids head back-to-school.

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FAMILY CARE

| HEALTH FOR THE WHOLE FAMILY

80 – BIGGER ISN'T ALWAYS BETTER | Pampering your prostate in youth could make for a healthier life later on.

82 – FAMILY LOVE LETTER SERIES | Part Three

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FITSTYLES

| LOCAL FITNESS & ATHLETICS

88 – ENHANCED FITNESS

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HEALTHCARE OBSERVANCES

| AUG – SEPT OurHealth partners with local healthcare organizations and medical professionals to raise awareness about monthly healthcare observations on a local level.

A JOURNEY OF PHYSICAL AND SPIRITUAL HEALING Jared suffered an injury that almost ended his life and rendered him nearly blind. Yet, through the process of recovery and healing, Jared discovered true vision.

| HEALTHY SENIOR LIVING

31 – 2017 SENIOR LIVING AWARDS | Celebrating the 9th annual Senior Living awards in the Roanoke & New River Valleys area.

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BEYOND THE BOARD GAMES The image of a retiree lounging in a recliner all day, or needing a walker to get around, is an outdated stereotype. There are many options available to area seniors to keep them engaged and healthy – both physically and mentally.

| LOCAL FOODS & RECIPES

60 – FANTASTIC FARMER’S MARKETS | Nutritious finds for the whole family.

14 – Q&A ON HEALTH

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NUTRITION

PHYSICAL THERAPY

| LOCAL PHYSICAL THERAPISTS

92 – PATIENT'S BEST FRIEND 96 – 3 MYTHS DEBUNKED

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CLOSER LOOK

| LOCAL HEALTHCARE Images reflecting the local landscape of healthcare. www.OurHealthswva.com

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august • september 2017

PUBLISHER

PRESIDENT/EDITOR-IN-CHIEF

VICE PRESIDENT OF PRODUCTION

VICE PRESIDENT OF BUSINESS DEVELOPMENT

CHIEF DESIGNER

GRAPHIC DESIGNER WEBMASTER

ACCOUNTING MANAGER DIGITAL CONTENT MANAGER | EVENT SPECIALIST

DIGITAL MEDIA STRATEGY

ORIGINAL PHOTOGRAPHY

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Kim Wood Karrie Pridemore Tori Meador Heidi McClintic Laura Bower Heidi McClintic Dalton Holody Shawn Sprouse / www.sdsimages.com

CONTRIBUTING MEDICAL EXPERTS

CONTRIBUTING PROFESSIONAL

EXPERTS & WRITERS

Jonathan J. Carmouche, MD Jess Cawley, SLP Heather Farmer, RN, BSN, CHPN Jerome Goldschmidt, MD Claudia Martin, MD Gregory O’Shanick, MD Brandy Centolanza Susan Dubuque Rich Ellis Tina Joyce Rick Piester Christy Ripple Christine Stoddard

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

SUBSCRIPTIONS To receive OurHealth via U.S. Mail, please contact Heidi McClintic at heidi@ourhealthvirginia.com or at 540.387.6482

@ourhealthSWVA

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 © 2017 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.

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

BY LOCAL PROFESSIONALS

“

The Buffalo Concussion Treadmill Test is a new method of measuring the concussed athlete’s physical response to exercise. The Test helps determine the likely speed of recovery from a concussion and how best to use a progressive exercise program to assist with that recovery.

”

– Gregory O’Shanick, MD

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My mother was just diagnosed with cancer.

What should we know about clinical trials and where do we begin?

First, we want to ascertain your mother's stage based on an interview, laboratory and exam.

This could also entail obtaining imaging like CT scans or MRI. Next, we discuss standard therapy options tailored to your mother's illness. Lastly, we determine if she is a candidate for one of our clinical trials. Clinical trials are very specific to tumor type, stage of cancer and overall health of the patient under consideration.

A patient may be randomly chosen to a standard drug regimen, rather than the experimental drug in most phase 3 studies. Patients in phase 2 trials typically receive the experimental drug. These trials are generally reserved for patients who have had various standard options already. Phase 1 trials usually involve finding the best and safest dose in patients who have had multiple types of treatment already. All patients are monitored closely while on a study to ensure patient safety and compliance. The data gathered from each patient encounter is accurately documented to provide scientists with useful information so safe and effective therapies can be brought to patients in the future.

Jerome Goldschmidt, MD Blue Ridge Cancer Care Marion and Wytheville 276.228.7665 www.blueridgecancercare.com

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

My wife will be coming home soon after several weeks of physical rehabilitation at a local rehab facility. How will I know what to do to help her at home?

In order to provide your loved one with a smooth transition home, we provide both caregiver training as well as home visits to our patient's discharge destination. Completing home visits reduces the risk of falls at home upon discharge from 28 percent to eight percent.

Home visits allow a therapist to provide an accurate recommendation for equipment required in the home. Additionally, home visits allow an opportunity for on-site caregiver training. Activities such as transfers and maneuvering around the home can be discussed and reviewed at this time.

In addition to completing a home visit, caregiver training is offered at Berkshire Health and Rehabilitation.

This training reviews processes for safely moving the patient between beds, chairs, and toilets with physical therapy. Occupational therapy training provides education to aid in completing activities such as dressing and showering. And, a speech-language pathologist can provide information for managing diet modifications.

Jess Cawley, SLP,

Director of Rehab Berkshire Health & Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com

What is the Buffalo Concussion Treadmill Test?

The Buffalo Concussion Treadmill Test (BCTT) is a new method of measuring the concussed athlete’s physical response to exercise. The Test helps determine the likely speed of recovery from a concussion and how best to use a progressive exercise program to assist with that recovery.

Developed by a team of researchers at the University of Buffalo, the BCTT is now available at the Center for Neurorehabilitation Services as one component of its comprehensive evaluation of concussion and its management.

When used in conjunction with a thorough diagnostic evaluation, the BCTT provides an additional measure of progress and recovery of concussions.

Gregory O’Shanick, MD

Center for Neurorehabilitation Services, PC Richmond | 804.272.0114 www.centerforneurorehabilitation.org

C HEC K UP | Q & A on Health

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www.OurHealthswva.com

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

BY LOCAL PROFESSIONALS

“

Language is an extremely complex function and includes, along with functioning language centers in the brain, the ability to hear and to use the lips, tongue and vocal cords to speak.

”

– Claudia Martin, MD

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What is aphasia?

Aphasia is a term used to describe an inability to comprehend, process and express language in someone who previously could. A speech deficit is called an aphasia when secondary to damage to the brain language centers, but not if someone is deaf or has had an injury to their tongue.

Broadly speaking, the language centers, which are on the left side of the brain in the majority of people, can be categorized as the receptive area (also called Wernicke’s area) just above the ear in the temporal lobe, the expressive area (also called Broca’s area) in the lower frontal lobe, and the conductive area which are the neurons connecting the first two areas.

Damage to the language centers can occur for many reasons including stroke, trauma, tumor, hemorrhage, an infectious or demyelinating process.

The extent and severity of an aphasia is variable and, depending on the underlying disease, can improve with time and speech therapy which aids recovery of damaged neurons or promotes alternate neuronal connections. As language is so crucial for our human experience, any degree of an aphasia creates a debilitating and tragic state.

Claudia Martin, MD

LewisGale Physicians Salem Neurosurgery Salem | 540.772.3830 www.lgneurosurgery.com

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

What are signs of Spondylolisthesis?

Spondylolisthesis is a condition which affects adults and, less commonly, adolescents and children.

Spondylolisthesis means that one of the lumbar spine vertebra slips forward with respect to the one below it. Symptoms include back and/or leg pain with standing, walking, bending and twisting.

Spondylolisthesis may also be asymptomatic.

Leg pain symptoms are typically the result of spinal stenosis (pressure on the nerves) which often coexists. The leg pain (sciatica) typically radiates from the low back or buttock into the leg and foot and may include tight hamstrings, numbness, tingling and weakness. Severe cases may result in “foot drop.”

Spondylolisthesis is not a dangerous condition and rarely requires urgent surgery. Surgery involves decompressing the nerves and stabilizing the bones. Severe symptoms such as loss of bowel or bladder control are rare but require urgent surgical evaluation.

Spondylolisthesis is typically managed with time, over the counter medications, physical therapy, and occasional injections.

Jonathan J. Carmouche, MD Section Chief, Orthopaedic Spine Carilion Clinic Roanoke | 540.526.1404 www.carilionclinic.org

Do I need a DNR (do not resuscitate) or a living will to qualify for hospice care?

Neither a living will (Advance Directive) or a DNR is a requirement for admission to Gentle Shepherd Hospice. Living wills and other advance directives are written, legal instructions regarding your preferences for medical care if you are unable to make your desires known. By planning ahead, you can get the medical care you want, avoid unnecessary suffering and relieve caregivers of decision-making burdens. You also help reduce confusion or disagreement about the choices you would want people to make on your behalf.

For persons who reside in a private residence, a Durable Do Not Resuscitate Order is signed by a physician and instructs emergency medical service personnel not to resuscitate you. Our hospice staff does not resuscitate patients as this is contrary to the nature of hospice.

Our compassionate staff provides ongoing support and education to our patients and loved ones about this and many other end of life topics.

Heather Farmer, RN, BSN, CHPN Director of Quality Assurance Gentle Shepherd Hospice Lynchburg | 434.846.6270 www.gentleshepherdhospice.com

www.OurHealthswva.com

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THE PULSE

KEEPING THE PULSE ON HEALTH

AT THE FOREFRONT

>> Noteworthy News from Local Healthcare Providers

Welcome

James Gardner, MD

Samy Lamouille, Rob Gourdie, Harald Sontheimer, and Zhi Sheng [from left] have well-established research programs into the type of cancer recently diagnosed in U.S. Sen John McCain.

A SEARCH FOR A MORE EFFECTIVE GLIOBLASTOMA TREATMENT You might not have even heard of glioblastoma until the recent diagnosis of Sen. John McCain, but this serious form of cancer is an aggressive tumor that often takes a patient's life in just two years. Carilion Clinic is working to change that.

Carilion’s neurosurgery team along with researchers at the Virginia Tech Carilion Research Institute and students at Virginia Tech Carilion School of Medicine have joined together find better ways to treat this devastating disease.

“Overall, Virginia Tech Carilion Research Institute is positioned to have important impact in developing innovative therapies for treating glioblastoma,” said Michael J. Friedlander, founding executive director of the research institute and vice president for health sciences and technology at Virginia Tech. “With complementary research approaches in several laboratories here, we are committed to bringing cutting-edge science to bear on this devastating disorder that has evaded substantial progress for too long.”

Visit CarilionClinic.org for more information.

FUNNY BONE

Services Provided: •

Complete Adult Medical Care

•

In-office Routine Physicals & Disease Management

•

In-hospital Care at LewisGale Medical Center

•

Select Nursing Home Care

•

In-Office Bone Density & Laboratory

“We exist to serve patients” Physician Associates of Virginia, PC Roanoke Office 4461 Starkey Road, Suite 201 Roanoke Salem Office 431 Apperson Drive | Salem

540.345.4946 Business Hours: 8:30 - 4:30 Roanoke location open until 7 pm on Wednesday

www.pavclinics.com Scan here for more information about our services and providers.

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

THE P ULSE |

HEALTH HAPPENINGS

>> News on Healthcare in the Roanoke & New River

Health Happenings

Valley area

SUSAN G. KOMEN – LAUGH FOR THE CURE® WHEN: Friday, September 8th at 6:30 PM WHERE: Academy Center of the Arts in Lynchburg WHAT: Join Komen Virginia Blue Ridge for the 4th annual Laugh for the Cure. Featuring comedian Brent Blakeney and Will Jacobs.

HOW: Purchase tickets ($125) by visiting www.komenvablueridge.org

Breast cancer is no laughing matter, but for one night, it will be!

ROANOKE HIKE FOR HOSPICE WHEN: Sunday September 10th at 1:30 PM WHERE: Explore Park – 56 Roanoke River Parkway WHAT: Hiking fundraiser with proceeds benefiting Good Samaritan Hospice’s extensive Bereavement Program. Participants choose from two hiking routes with varying degrees of difficulty.

HOW: Registration fee is $25. Visit www.hikeforhospiceva.com to register. A VIP Farm-to-Table Dinner is offered after. $50 per plate.

SENIOR EXTRAVAGANZA WHEN: Wednesday, September 20th at 8:30 AM WHERE: Salem Civic Center WHAT: An event for all Roanoke Valley adults over the age of fiftyfive (55), but everyone is welcome. Lunch will be guaranteed for the first 400 participants, so while pre-registration is not necessary, it is encouraged. Cost: FREE HOW: Please call Mental Health America of Roanoke Valley at 540.344.0931 or email at info@mharv.com for more information.

VIRGINIA UNITED METHODIST HOMES, INC. IS NOW PINNACLE LIVING The name change will “better reflect who we are today,” explains Christopher Henderson, president and CEO. The organization has grown from a single community in 1948 to seven communities and more than 1,240 residents across the state. Affected locally is Hermitage Roanoke.

For more information, visit www.pinnacleliving.org.

JUNE/JULY CONTACT INFORMATION CORRECTION:

KURTIS MOYER, MD Carilion Clinic Cosmetic Center 2107 Rosalind Avenue | Roanoke, VA 24014 Request a consultation by calling 540.853.0510 or online at CarilionCosmetic.com.

www.OurHealthswva.com

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THE PULSE

KEEPING THE PUL SE ON HEALTH

NOW OPEN

>> Ground breakings and openings in Roanoke & New River Valleys

Bret Adams, MD

Suzi Bryant

Briana Gascho, CPO

Daniel Hallisy, CO, MPO Felicia Harrell, NP

Radiation Oncologist Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

Master Aesthetician Carilion Clinic Cosmetic Center www.carilioncosmetic.com

Dominique Dempah, MD LewisGale Physicians Salem | 540.772.3620 www.lgphysicians.com

LEWISGALE MEDICAL CENTER CELEBRATES A MILESTONE IN CONSTRUCTION LewisGale Medical Center held a Sign-the-Beam ceremony recently to celebrate a milestone in construction of its new standalone emergency room, at the corner of Route 419 / Ogden Road and the first of its kind in Southwest Virginia. The new, nearly 10,000 square-foot standalone ER will be staffed with board-certified emergency room physicians and nurses 24 hours a day, 365 days a year and provide the same services provided in an emergency room that is housed within the walls of a hospital.

The new ER is scheduled to open in late 2017.

LEWISGALE HOSPITAL UNVEILS NEWLY RENOVATED EMERGENCY ROOM LewisGale Hospital Montgomery recently unveiled a newly renovated Emergency Room and formally introduced its new da Vinci Surgical System, marking the completion of more than $6 million in hospital infrastructure improvements. More than $1 million in renovations to the Hospital’s 9,000 square foot Emergency Room expanded the triage area where patients are assessed upon arrival and added a new Super Track area where patients with lower acuity conditions are seen, leading to even faster patient care. The addition of the da Vinci Surgical System offers patients an alternative to traditional surgical services, and one that provides for a faster recovery, less pain, and shorter period of physical restrictions, as compared to open or traditional laparoscopic surgery.

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

Virginia Prosthetics, Inc. Roanoke | 540.366.8287 www.virginiaprosthetics.com

David Jinich, MD

Virginia Prosthetics, Inc. Carilion Clinic Roanoke | 540.366.8287 Institute – Orthopaedics www.virginiaprosthetics.com & Neurosciences Roanoke | 540.224.5170 www.CarilionClinic.org

Sawaya Lekoshere, DO Claudia Martin, MD

Carilion Clinic Cardiology LewisGale Physicians Christiansburg | 540.731.2328 Radford | 540.731.1600 www.CarilionClinic.org www.Lgphysicians.com

LewisGale Physicians – Salem Neurosurgery Salem | 540.772.3830 www.lgneurosurgery.com

Join the OurHealth Community facebook.com/OurHealthSWVA

Kimberly Martin, NP LewisGale Physicians Salem | 540.772.3400 www.lgphysicians.com

@OurHealthSWVA on twitter @OurHealth on pinterest

THE P ULSE |

LewisGale Physicians Salem Neurosurgery Salem | 540.772.3830 www.lgneurosurgery.com

Kenneth Pendergrast, MD, FACP LewisGale Physicians Internal Medicine Salem | 540.444.2010 www.lginternalmed.com

Jonathan M. Pullen, MSPO

Sulaiman Rathore, MD

Carilion Clinic Cardiology Roanoke | 540.982.8204 Virginia Prosthetics, Inc. www.CarilionClinic.org Roanoke | 540.366.8287 www.virginiaprosthetics.com

Aaron S. D. Smith, CO

Virginia Prosthetics, Inc. LewisGale Physicians Roanoke | 540.366.8287 Salem | 540.772.3400 www.virginiaprosthetics.com www.lgphysicians.com

Shannon Snyder, PA-C Meredith Spencer, FNP Jack T. Sproul, MD SWVA Orthopedics LewisGale Physicians Christiansburg | 540.381.1882 and Spine Dublin | 540.440.3170 www.lgphysicians.com www.lgphysicians.com

Eric Steen, DO

Amanda Tiffany, DO

Sandra Toensing, PA-C Joel Walker, CP

LewisGale Physicians Salem | 540.772.3620 www.lgphysicians.com

Carilion Clinic Pediatric Medicine Botetourt | 540.992.1251 www.CarilionClinic.org

Welcome to the Community

Jennifer Murphy, NP

Carilion Clinic Otolaryngology Roanoke | 540.224.5170 www.CarilionClinic.org

Virginia Prosthetics, Inc. Roanoke | 540.366.8287 www.virginiaprosthetics.com

Welcomes our New Healthcare Providers to the Community! www.OurHealthswva.com

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CHECKUP

LOCAL HEALTH & MEDICINE

LASIK

IS

Eye Surgery

[ lā'zĭk ] : Noun A surgical procedure that uses a laser to correct nearsightedness, farsightedness, and/or astigmatism.

In LASIK, a thin flap in the cornea is created using either a microkeratome blade or a femtosecond laser.

RIGHT FOR ME? words | CHRISTINE STODDARD

LASIK is the most common and well-known type of refractive eye surgeries. If you wear glasses or contacts, you may have been tempted by it, but hesitant or even frightened of the procedure. OurHealth Roanoke & New River Valleys magazine spoke with Will Griffeth, MD an ophthalmologist with Vistar Eye Center in Roanoke who says the first question to ask is how well are you doing in your glasses or your contacts.

“Some people just despise their glasses,” says Dr. Griffeth. “They get tired of having to reach for them first thing in the morning. They would give anything to just wake up in the morning and see.” Then there are those who wear contacts – and still can’t stand them. “Some people need contact lens to have a good quality of vision, but their eyes don't agree,” he continues. “They really don't want to go back to glasses, but they are kind of out of options. That’s when they may consider LASIK.”

FOR PEOPLE ON THE GO LASIK especially makes sense for athletic people and other folks who are constantly on the go. “The more active your lifestyle, the more appealing refractive surgery is,” explains Dr. Griffeth. “These are procedures that have excellent durability. You can count on them to be very stable, regardless of your activity level.” That is a huge contrast to the inconvenience of glasses and contacts. “Glasses are an obvious impediment for a lot of activities,” he says. “Contacts aren't great, either, especially if you're a swimmer.”

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

C HEC K UP |

GET THE FACTS FROM YOUR DOCTORS FIRST

Is Eye Surgery Right for Me?

But just because you want something doesn’t mean you’re sure of it. Dr. Griffeth explains that there is little cause for concern – though surgery, no matter how safe, is still surgery. “No procedure is risk-free,” he says. “You need to have a careful discussion with people. We're dealing with people's eyes and they are understandably very cautious, but LASIK has drastically improved in the past 10 years. The technology has become incredibly precise.”

LEARNING IF YOU ARE A CANDIDATE FOR LASIK In order to minimize risk, doctors are careful in screening patients. Some people simply are not good candidates for LASIK because of the shape of their cornea and other factors.

One such factor is consistency of vision. Most doctors prefer LASIK candidates to have a stable prescription. “We want those numbers in glasses or contacts to be relatively the same over a period of time, ideally,” states Dr. Griffeth. “We want our patients to still have good results at least 10 to 15 years out.”

Another factor is age. “I usually have a lower-end cutoff of 21 before I would offer you refractive surgery. Before that, higher risk of cornea changing shape,” he explains. “The upper-limit is truly the age where people get cataracts. The aging eye almost always has an option.”

CHECK OUT THE

OURHEALTH ROANOKE & NEW RIVER VALLEYS WEBSITE AT www.ourhealthswva.com

www.OurHealthswva.com

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CHECKUP

LOCAL HEALTH & MEDICINE

HOW LONG DOES LASIK LAST? As you age, your body changes. This includes your eyes. If you do get LASIK, it is likely that years down the line, you will need an enhancement. Once you hit middle age, you might have to go into reading glasses, too. The truth is, “Everyone's prescription changes,” says Dr. Griffeth. But rest assured that getting a LASIK correction years after your first procedure won’t be like starting from scratch, either.

“Sometimes when people think of needing correction in the future, they remember how things were like before their surgery,” says Dr. Griffeth. “Even if your vision changes over time, those changes are slow. For the large majority of LASIK patients, it's many years before they feel they need a correction. Sometimes patients who are in their 40s and 50s who had LASIK done in their 20s do go back to glasses, but their vision will still not be like it was before the surgery.” He adds, “I haven't met anyone who says they regret that they got LASIK now that they're back in glasses. To them, getting LASIK was a valuable life improvement. It makes people very happy.”

Sometimes patients who are in their 40s and 50s who had LASIK done in their 20s do go back to glasses, but their vision will still not be like it was before the surgery.”

CHOOSE A DOCTOR WITH EXPERIENCE IN LASIK SURGERY “You don't want to compromise on the quality of your care. You need to understand that it is a surgery, and no surgery is perfect. Choosing a doctor who is experienced in performing LASIK surgery and is someone you feel you trust in a setting that's going to provide quality care is most important.

WILL GRIFFETH, MD An ophthalmologist with Vistar Eye Center in Roanoke.

EXPERT CONTRIBUTOR Will Griffeth, MD with Vistar Eye Center in Roanoke.

ON THE WEB

More at ourhealthswva.com

VISION QUIZ

ARE YOU AT LEAST 18 YEARS OLD?

YES

NO

Are you a good candidate for LASIK? Here’s a quick quiz!

ARE YOU TIRED OF WEARING GLASSES?

YES

NO

DO YOU FIND CONTACTS DISAGREEABLE?

YES

NO

HAVE YOU HAD ANY PREVIOUS EYE SURGERIES?

YES

NO

ARE YOU CATARACT-FREE?

YES

NO

HAS YOUR VISION BEEN STABLE FOR THE LAST FEW YEARS?

YES RESULTS

NO

If you answered YES to every question, you may be a good candidate for LASIK, but only a doctor can give you a professional, medically sound opinion. If you answered NO to every question, you are probably not a good candidate for LASIK, but only a doctor can give you a professional, medically sound opinion.forSchedule a consultation today toValleys find out.

24 OurHealth | The Resource Healthy Living in Roanoke and New River

C HEC K UP |

OurHealth BOOKSHELF words | RICK PIESTER

OurHealth Bookshelf

The Fault in Our Stars

By John Green Dutton Books | 318 Pages Although written and published for young adult readers (subjectively defined as people between the ages of 15 and the early 20s), this is a book that has held great appeal for adult readers, so much so that it earned a place at the top of many bestseller lists, including #1 in the New York Times, Wall Street Journal, and USA Today. The book is also the inspiration for a 2014 motion picture. Novels about teenagers with cancer is not normally everyone’s first choice, but this one is different. This novel avoids garment-rending sentimentality to instead draw its characters with strength, humor, and courage. This is a read you won’t forget. Ever.

Cutting for Stone

By Abraham Verghese Knopf Publishers | 541 Pages On its surface, this is a novel about the life stories of twin brothers who share a fascination with medicine during a time of personal and political upheaval. Its roots, however, are about the peculiar splendor that surrounds the work of healing others. A physician himself, author Verghese has given us an epic, fact-filled, near-magical portrayal of compassion, the struggle for identity, and the ways in which lives can intertwine.

Alice & Oliver

By Charles Bock Penguin Random House | 416 Pages Author Bock could have written this novel as a partial autobiography. His elegant, harrowing novel is informed by his own 2 ½-year saga that began with his young wife’s diagnosis with leukemia and ended with her death, leaving him and their 3-year-old daughter. Drawn upon his wife’s journals from that period, the fictional Oliver gives us an unflinchingly powerful narrative of a family’s struggle for survival. www.OurHealthswva.com

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Beyond the

Board Games Seniors Embracing More Ways to Get Physically and Mentally Fit words | TINA JOYCE

Maybe you don’t quite consider yourself a senior. After all, having a mailbox that delivers retirement publications, joint supplement offers and estate-planning advice is certainly not the only indicator of age. But perhaps — quite possibly — you are a baby boomer reaching senior status. This is great news!

Today’s seniors are more active than ever before and expanding their social activities to include physically challenging hobbies. Bridge, bingo and crosswords are not the only pastimes being enjoyed by today’s seniors. In fact, many seasoned adults are continuing to enjoy biking, gardening and yoga well into their golden years. Even more impressive is the fact some of you are exploring more rigorous and demanding activities such as rock climbing, hiking, Zumba and even competing in running races such as a 5Ks or marathons. Age is truly only a number.

“There are two primary reasons seniors are more active, the first being a health scare. A heart attack, a diabetes diagnosis, or a surgery may motivate a person to make healthier changes. The other reason is that many boomers started a fitness activity in their younger years. Therefore, being active has become a lifestyle they want to continue or get back,” shares Christopher Wood, DO, a geriatrics physician with the Carilion Center for Healthy Aging.

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

www.OurHealthswva.com

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SENIOR HEALTH

HEALTHY SENIOR LIVING

“It is amazing to see how their [seniors’] range of movement, balance and mobility can be improved by just a half an hour of exercise on a regular basis.

The comradery one finds in a group of peers is heartwarming and beneficial to one's sense

Embracing more aggressive styles of fitness can have tremendous benefits.

Since many physical activities also tend to be social, they stimulate the brain in different areas. The well-known cliché “If you don’t use, you lose it” holds true for mental sharpness, muscular strength and joint range of motion. “When you don’t have adequate circulation, you also cognitively slow down,” explains Dr. Wood. “If muscles atrophy [from lack of use], the risk of falling increases.

The more physically active the individual is, the less sick they become and recovery times are quicker.”

Challenges will come with age. However, those challenges can be faced proactively with a desire to improve the quality of life or to prolong life itself.

A healthy lifestyle that includes both a balanced diet and active habits will help combat many physical and mental ailments if followed consistently. After making some minor changes, many seniors will get positive results in just a few weeks.

of well-being.”

WHERE TO START

ANNE LAVERY

There are numerous activities that work well for people of all ages, including those with more life experience. The key is finding activities that you enjoy and can modify to your needs or lifestyle.

The Wellness Coordinator in Green Ridge Recreation Center.

If you are transitioning from a sedentary lifestyle to incorporating more activity, walking can be the best form of exercise. “Walking elevates your heart rate, increases blood flow and begins toning muscles,” Dr. Wood reminds us.

“Walking also improves joint mobility, which in turn helps alleviate joint pain.”

“There are two primary reasons seniors are more active, the first being a health scare. A heart attack, a diabetes diagnosis, or a surgery may motivate a person to make healthier changes. The other reason is many boomers started a fitness activity in their younger years. Therefore, being active has become a lifestyle they want to continue or get back.”

CHRISTOPHER WOOD, MD Specializes in geriatrics at Carilion Center for Healthy Aging in Roanoke. Dr. Wood is certified by the American Board of Internal Medicine with a subspecialty in Geriatric Medicine.

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Begin by walking to the end of your sidewalk, driveway or mailbox. As that task becomes easier, gradually increase your distance and/or speed to increase your heart rate to the desired level. According to Anne Lavery, the wellness coordinator at Green Ridge Recreation Center, “Calculating a person’s target heart rate varies by age. For example, a 55-year-old would like a target heart rate between 50-85 percent of 83-140 beats per minute. A 65-year-old would like a target heart rate between 50-80 percent of 78-132 beats per minute.”

Doing something active (even if it seems small) is better than sitting and doing nothing at all.

Fitness-minded seniors who are looking to add variety to their already active lifestyles may find that local fitness clubs, gyms and senior centers offer an array of classes and contests to meet the needs of a diverse population.

Differentiation is key. Being involved in various activities will help you avoid boredom and the overuse of certain muscles, tendons and ligaments, which could possibly cause injuries.

Seniors should look for activities that increase heart rates, but also include strength-building and flexibility components. Lavery shares, “the following are some of our more popular classes for seniors.”

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

•

Fit for Life – Improves endurance, strength, balance and flexibility with low impact

•

Back in Shape – Improve strength, balance, flexibility and posture

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Dancercise – Completed while sitting in chairs to increase mobility and confidence

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Balance Ball – A low-impact way to strengthen and stabilize the core to help prevent falls and create overall body toning

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T'ai Chi – Meditation involving movement and strengthening of mental focus to gain muscle tone, increase endurance and improve circulation

“Hydrotherapy is also a great form of exercise,” adds Dr. Wood. Activities held in the water have a low impact on the joints while building endurance fairly quickly. Some fitness centers offer underwater treadmills for rehabilitation from injuries or surgeries, making walking or jogging more feasible for some.

Regardless of age or previous exercise experience, professionals advise consulting your primary care physician prior to beginning any new physical activity. The goal is to provide the best possible results while keeping the risk of injury to a minimum. Advise your class instructor of any health concerns or past injuries when beginning a new class or program. Also, hydration is important. “Be sure to drink water and eat a protein-rich snack before exercising, and make certain to have water available during and after exercise regimens,” reminds Lavery.

Simply having experienced another birthday (or two) doesn’t mean that you should give up setting fitness goals or lose the benefits of a healthy lifestyle.

There are numerous activities just waiting for you to experience them.

EXPERT CONTRIBUTORS Anne Lavery, Wellness Coordinator, Green Ridge Recreation Center.

Christopher Wood, MD, a geriatrics physician with the Carilion Center for Healthy Aging.

Beyond the Board Games

TITH “Twinges in the Hinges” Aqua Class – Improves joint flexibility and reduces pain and stiffness

S ENI O R HEALTH |

•

Attention, Active Senior Citizens!

Start here to get out, get involved and learn something new:

Anchor of Hope Community Center Roanoke | 540.563.1444 www.anchorofhopecommunitycenter.com

Blacksburg Community Center Blacksburg | 540.443.1140 www.blacksburg.gov

Brambleton Center Roanoke | 540.772.7529 www.roanokecountyparks.com

Christiansburg Senior Center Christiansburg | 540.382.2349 (x2003) www.christiansburg.org

Local Office on Aging Roanoke | 540.345.0451 Alleghany Highlands | 540.962.0465

ON THE WEB

More at ourhealthswva.com

Botetourt Co. | 540.966.1094 Craig County | 540.864.6031 www.loaa.org

Salem Senior Center READ THIS EDITION OF

OurHealth Roanoke & New River Valleys

Salem | 540.375.3054 www.cintyofsalem.net/residents/senior

ON YOUR TABLET OR SMARTPHONE

www.OurHealthswva.com

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

AWARDS 201

7 GOLD

SENIOR LIVING www.OurHealthswva.com

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

ROANOKE & NEW RIVER VALLEYS

Senior Living Awards

SECOND PLACE

THIRD PLACE Virginia Tech Adult Day Services Blacksburg | 540.231.3161 www.humandevelopment.vt.edu

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Adult Care Center of Roanoke Valley Roanoke | 540.981.2350 www.accrv.org

AWARDS 201

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Pulaski Adult Day Service & Fall Prevention Center Pulaski | 540.307.5487 www.pulaskiadultdayservice.org

AWARDS 201

FIRST PLACE Friendship Roanoke | 540.265.2100 www.friendship.us

7 GOLD

SECOND PLACE (tie)

FIRST PLACE Oakey’s Funeral Service and Crematory Roanoke | 540.982.2100 www.oakeys.com

SECOND PLACE Lotz Funeral Home Roanoke | 540.982.1001 www.lotzfuneralhome.com

Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

HONORABLE MENTION Richfield Living Salem | 540.380.4500 www.richfieldliving.com

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

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Companion Care

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FIRST PLACE Warm Hearth at Home Blacksburg | 540.443.3428 www.whvathome.org

Beauty Salon FIRST PLACE Marston’s Salon, Inc. Roanoke | 540.342.6116

Onyx Salem | 540.387.5895 www.onyxhairstudio.com Shear Perfection Salon Roanoke | 540.776.0785 www.shearperfectionsaloninc.com

THIRD PLACE Salon Eleven Dublin | 540.674.0730 HONORABLE MENTION Bella Voi Salem | 540.389.4247

Salon 3505 Roanoke | 540.772.1132 Tea Tree Salon Blacksburg | 540.443.381

THIRD PLACE Hermitage Roanoke

Roanoke | 540.767.6800 www.hermitageinroanoke.com

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SENIOR LIVING

SECOND PLACE

Generations Solutions Roanoke | 540.776.3622 www.generationsolutions.net

THIRD PLACE

Care Advantage, Inc. Salem | 540.343.2273 Christiansburg | 540.808.1190 www.careadvantageinc.com HONORABLE MENTION Brandon Oaks Home Health Roanoke | 540.776.2600 www.brandonoaks.net Home Instead Senior Care Greater Roanoke Valley 540.302.4425 www.homeinstead.com Visiting Angels Roanoke | 877.618.4748 www.visitingangels.com

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Assisted Living Community

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AWARDS

7 GOLD

HONORABLE MENTION

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7 GOLD

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Rader Funeral Home Daleville | 540.992.1212 www.rader-funeralhome.com Simpson Funeral Home & Crematory Roanoke | 540.366.0707 www.simpsonfuneral.com

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InnovAge Virginia PACE Roanoke | 540.904.2817 www.myinnovage.org

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AWARDS

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FIRST PLACE

McCoy Funeral Home Blacksburg | 540.552.3211 www.mccoyfuneralhome.com

7 GOLD

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Adult Day Centers

John M. Oakey & Son Funeral Home & Crematory Salem | 540.389.5441 www.johnmoakey.com

Pheasant Ridge Senior Living Roanoke | 540.904.4571 www.milestoneretirement.com

The Park – Oak Grove Roanoke | 866.450.4522 www.capitalsenior.com/ theparkoakgrove

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Bowers Funeral Homes Pulaski | 540.980.6160 www.bowerfuneralhome.com

HONORABLE MENTION

OurHeal th &

AWARDS

THIRD PLACE

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AWARDS AWARDS AWARDS

AWARDS 201

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Elder Law Attorney FIRST PLACE Ann Green Anderson, Desimone & Green, PC. Roanoke | 540.776.6434 www.andersondesimone.com

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Elder Law Attorney Continued...

SECOND PLACE Mark Dellinger Rhodes, Butler & Dellinger, PC Roanoke | 540.342.0888 www.rhodesbutler.com

THIRD PLACE

Plott & French Financial Advisors Radford | 540.639.2139 www.plottandfrench.com

HONORABLE MENTION Ellis Financial Group Salem | 540.765.2585 www.ellisfg.com

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Robyn Smith-Ellis Salem | 540.389.6060 www.robynsmithellis.com

THIRD PLACE

AWARDS 201

7 GOLD

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Fitness Center

FIRST PLACE Lee F. Brooks Brooks Financial Group Roanoke | 540981.0657 www.ameripriseadvisors.com/ lee.f.brooks

SECOND PLACE Andrew D. Owens Jr. Edward Jones Pulaski | 540.980.5302 www.edwardjones.com

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SECOND PLACE

Green Ridge Recreation Center Roanoke | 540.777.6300 www.roanokecountyparks.com

Heartland Home Health Care Roanoke | 540.725.7600 www.heartlandhomehealth.com

HONORABLE MENTION

THIRD PLACE

Anytime Fitness Blacksburg | 540.951.1340 Radford | 540.633.3004 Roanoke | 540.977.0830 Salem | 540.375.2900 www.anytimefitness.com

Generations Solutions Roanoke | 540.776.3622 www.generationsolutions.net

HONORABLE MENTION

Planet Fitness Roanoke (Orange) | 540.904.7400 Roanoke (Towers) | 540.904.6288 www.planetfitness.com

The Village Center at Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

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Financial Advising

THIRD PLACE

OurHeal th & C

AWARDS AWARDS AWARDS

Amedisys Home Health Care Roanoke | 540.265.5980 www.amedisys.com

Carilion Clinic Home Care Hardy | 540.719.3140 New River Valley | 540.633.9330 Roanoke | 540.224.4800 Rocky Mount | 540.489.6383 Tazwell | 276.988.8714 www.carilionclinic.org Warm Hearth at Home Blacksburg | 540.443.3428 www.whvathome.org

AWARDS

FIRST PLACE YMCA of Virginia’s Blue Ridge Gainsboro | 540.344.9622 Roanoke | 540.342.9622 Rockbridge | 540.464.9622 Salem | 540.387.9622 www.ymcavbr.org

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7 GOLD

Home Health Care

SECOND PLACE Carilion Wellness Blacksburg | 540.961.8923 Botetourt | 540.992.2993 Downtown | 540.581.1111 Roanoke | 540.989.5758 www.carilionwellness.com

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

FIRST PLACE Interim Healthcare Salem | 540.774.8686 www.interimhealthcare.com

CONGRATULATIONS

SENIOR LIVING ROANOKE & NEW RIVER VALLEYS AWARD WINNERS!

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7 GOLD

S ENI O R HEALTH |

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SECOND PLACE Richfield Living Salem | 540.380.4500 www.richfieldliving.com

FIRST PLACE Good Samaritan Hospice Roanoke | 540.776.0198 www.goodsamhospice.com

SECOND PLACE Gentle Shepherd Hospice Roanoke | 540.989.6265 www.gentleshepherdhospice.com

THIRD PLACE Carilion Clinic Hospice Roanoke | 540.224.4753 www.carilionclinic.org

Amedisys Hospice Care Roanoke | 540.276.5980 www.amedisys.com Medi Home Health & Hospice Roanoke | 540.278.1322 www.msa-corp.com New Century Hospice Roanoke | 540.366.0927 www.newcentury.curohs.com

HONORABLE MENTION Commonwealth Senior Living at Radford Radford | 540.922.1230 www.commonwealthal.com

Elm Park Estates Roanoke | 540.705.1732 www.holidaytouch.com Friendship Roanoke | 540.265.2100 www.friendship.us The Village on Pheasant Ridge Roanoke | 540.400.6482 www.villageonpheasantridge.com

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HONORABLE MENTION

The Glebe Daleville | 540.795.2224 www.theglebe.org

OurHeal th & C

Hospice Care

2017 Senior Living Awards

THIRD PLACE

AWARDS 201

7 GOLD

Inpatient Rehabilitation

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Independent Living Community

Richfield Living Salem | 540.380.4500 www.richfieldliving.com

SECOND PLACE Friendship Roanoke | 540.265.2100 www.friendship.us

THIRD PLACE (tie)

FIRST PLACE (tie)

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

Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net

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

Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

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

www.OurHealthswva.com

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Inpatient Rehabilitation Honorable Mention Continued...

Salem Health & Rehabilitation Center Salem | 540.345.3894 www.salemhealthrehab.com

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

WEBSITE FOR EVEN MORE HEALTH RESOURCES!

SCAN HERE OR VISIT US AT www.ourhealthswva.com

OurHeal th & C

OurHealth Roanoke & New River Valleys

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CHECK OUT THE

AWARDS 201

7 GOLD

Local Pharmacy FIRST PLACE Kroger Roanoke and New River Valleys www.kroger.com/pharmacy

SECOND PLACE Main Street Pharmacy Blacksburg | 540.605.7721 www.msblacksburg.com

THIRD PLACE CVS Pharmacy Roanoke and New River Valleys www.cvs.com/pharmacy HONORABLE MENTION Brooks Byrd Pharmacy Salem | 540.389.8111 Martin’s Pharmacy Pulaski | 540.980.4060 www.martinsrx.com Walgreens Roanoke and New River Valleys www.walgreens.com/pharmacy

SENIOR LIVING

AWARDS 36

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

ROANOKE & NEW RIVER VALLEYS

Medical Equipment Provider

Brookdale Roanoke Roanoke | 540.218.1079 www.brookdale.com

Advanced Home Care, Inc. Salem | 540.389.8122 www.advhomecare.org

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7 GOLD

THIRD PLACE Commonwealth Home Healthcare Salem | 540.380.3383 www.commonwealthcare.com HONORABLE MENTION

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Nursing Home Care FIRST PLACE Our Lady of the Valley Roanoke | 540.345.5111 www.ourladyofthevalley.com

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Medi Home Health & Hospice Roanoke | 540.278.1322 www.msa-corp.com

AWARDS 201

7 GOLD

Memory Care

SECOND PLACE (tie) Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net

THIRD PLACE FIRST PLACE

Richfield Living Salem | 540.380.4500 www.richfieldliving.com

Salem Health & Rehabilitation Center Salem | 540.345.3894 www.salemhealthrehab.com

SECOND PLACE

HONORABLE MENTION

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

201

7 GOLD

Carrington Place at Botetourt Daleville | 540.966.0056 www.carringtonplaces.com

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

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AWARDS 201

7 GOLD

FIRST PLACE

Outpatient Rehabilitation

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

SECOND PLACE Richfield Living Salem | 540.380.4500 www.richfieldliving.com

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Lincare Christiansburg | 540.381.9270 Dublin | 540.674.6888 Roanoke | 540.344.8677 www.lincare.com

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AWARDS

Kroontje Health Care Center at Warm Hearth Village Blacksburg | 540.443.3415 www.retire.org

SECOND PLACE

7 GOLD

Post -Acute Rehab Services

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FIRST PLACE

Friendship Roanoke | 540.265.2100 www.friendship.us

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

Virginia Veterans Care Center Roanoke | 540.982.2860 www.dvs.virginia.gov

Commonwealth Senior Living at Christiansburg Christiansburg | 540.283.9667 www.commonwealthal.com

AWARDS 201

THIRD PLACE

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FIRST PLACE Carilion Clinic Outpatient Therapies Roanoke and New River Valleys 540.981.8050 www.carilionclinic.org

SECOND PLACE LewisGale Outpatient Rehabilitation Salem | 540.776.4000 www.lewisgale.com

THIRD PLACE (tie) Friendship Roanoke | 540.265.2100 www.friendship.us Springtree Health & Rehabilitation Center Roanoke | 540.981.2790 www.springtreehealthrehab.com HONORABLE MENTION

THIRD PLACE Professional Therapies, Inc. Blacksburg | 540961.1230 Daleville | 540.992.4801 Daleville (pediatric) 540.343.5004 Roanoke | 540.982.2208 Rocky Mount | 540.484.1456 Vinton | 540.343.0466 Westlake | 540.721.4199 www.professionaltherapies.com

Highland Ridge Rehab Center Dublin | 540.674.4193 www.thelandmarkgroupllc.com Radford Health and Rehab Center Radford | 540.633.6533 www.radford-rehab.com

AWARDS

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

Friendship Roanoke | 540.265.2100 www.friendship.us Richfield Living Salem | 540.380.4500 www.richfieldliving.com

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7 GOLD

Restaurant FIRST PLACE Mama Maria’s Salem | 540.39.2848 www.mammamariasva.com

AWARDS 201

7 GOLD

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AWARDS

20

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ROANOKE & NEW RIVER VALLEYS AWARDS AWARDS AWARDS 201

7 GOLD

20

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Senior Living Awards

Restaurants Continued...

SECOND PLACE The Roanoker Restaurant Roanoke | 540.344.7746 www.theroanokerrestaurant.com

THIRD PLACE Al’s On First Pulaski | 540.509.5133 www.alsonfirst.com HONORABLE MENTION Blue Apron Salem | 540.375.0055 www.blueapronredrooster.com FATZ Cafe Dublin | 540.674.8046 www.fatz.com Outback Steakhouse Christiansburg | 540.382.9596 Roanoke | 540.776.3238 www.outback.com

SECOND PLACE

THIRD PLACE

Brambleton Center Roanoke | 540.772.7529 www.roanokecountyparks.com

Caring Transitions Roanoke | 540.977.2801 www.caringtransitions.com

THIRD PLACE Salem Senior Center Salem | 540.375.3054 www.cintyofsalem.net/ residents/senior

HONORABLE MENTION Friendship Roanoke | 540.265.2100 www.friendship.us InnovAge Virginia PACE Roanoke | 540.904.2817 www.myinnovage.org

AWARDS 201

7 GOLD

AWARDS 201

7 GOLD

Senior Relocation Services

AWARDS 201

7 GOLD

Skilled Nursing Care

Senior Community Center

SECOND PLACE FIRST PLACE The Village Center at Warm Hearth Village Blacksburg | 540.552.9176 www.retire.org

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Virginia Varsity Transfer Roanoke | 540.982.2202 www.virginiavarsity.com

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

Kroontje Health Care Center at Warm Hearth Village Blacksburg | 540.443.3415 www.retire.org Our Lady of the Valley Roanoke | 540.345.5111 www.ourladyofthevalley.com

AWARDS 201

7 GOLD

FIRST PLACE (tie) Berkshire Health and Rehabilitation Center Vinton | 540.982.6691 www.berkshirehealthrehab.com Friendship Roanoke | 540.265.2100 www.friendship.us

SECOND PLACE Virginia Veterans Care Center Roanoke | 540.982.2860 www.dvs.virginia.gov

FIRST PLACE Crowning Touch Roanoke | 540.982.5800 www.crowningtouchusa.com

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

THIRD PLACE Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com HONORABLE MENTION Brandon Oaks Roanoke | 540.776.2600 www.brandonoaks.net

Speech Therapy FIRST PLACE Carilion Clinic Outpatient Therapies Roanoke and New River Valleys 540.981.8050 www.carilionclinic.org

SECOND PLACE Richfield Living Salem | 540.380.4500 www.richfieldliving.com

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

S ENI O R HEALTH |

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

JOIN THE OURHEALTH COMMUNITY >> We would love to hear from you. Write us, tweet us, or tag us today! @OurHealthSWVA on twitter

2017 Senior Living Awards

facebook.com/ OurHealthSWVA

@OurHealth on pinterest

AWARDS 201

7 GOLD

Stroke Care FIRST PLACE LewisGale Regional Health System Salem | 540.776.4000 www.lewisgale.com

SECOND PLACE Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org

THIRD PLACE Springtree Health & Rehabilitation Center Roanoke | 540.981.2790 www.springtreehealthrehab.com HONORABLE MENTION Friendship Roanoke | 540.265.2100 www.friendship.us Highland Ridge Rehab Center Dublin | 540.674.4193 www.thelandmarkgroupllc.com Richfield Living Salem | 540.380.4500 www.richfieldliving.com

CONGRATULATIONS SENIOR LIVING WINNERS!

ON THE WEB

More at ourhealthswva.com

www.OurHealthswva.com

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HERMITAGE ROANOKE AWARDS

1009 Old Country Club Road NW | Roanoke, VA 24017 | 540.767.6800 | www.hermitageroanoke.org

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SERVICES PROVIDED: Independent and Assisted Living, Nursing Care, Outpatient Rehab Services, Respite Care.

ABOUT US

SERVICES

Since 1964, Hermitage 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 Pinnacle Living, a not-for-profit corporation, Hermitage Roanoke is committed to providing an independent lifestyle as well as security throughout the continuum of care.

On its “Bed and Breakfast” like grounds, Hermitage 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.

THE COMMUNITY Besides the quality living accommodations, the community at Hermitage 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 Roanoke.

FROM THE MOMENT YOU PASS THROUGH THE GRAND GATES OF HERMITAGE ROANOKE, A LIFESTYLE OF PEACEFUL LUXURY COMES TO MIND.

CONTINUUM OF CARE 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 Roanoke.

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

Heartland

2800 Electric Road, Suite 105C | Roanoke | 540.725.7600 www.heartlandhomehealth.com | www.heartlandhospice.com | www.heartlandiv.com SERVICES PROVIDED: Home health care, hospice care, and IV care.

AWARDS 20

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Hospice Care

Home Health Care

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Comforting care, provided by an interdisciplinary team

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Skilled Nursing

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Pain and symptom management

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I.V. Care

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Psychosocial and spiritual support

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Physical Therapy

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Medications

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Speech Therapy

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Equipment and supplies

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Occupational Therapy

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Patient and family education

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Home Health Aides

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Comforting treatments

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Medical Social Worker

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Music, pet, art, and massage therapies

•

Bereavement services

You don’t have to give up hope to get hospice. Many patients and the loved ones who care for them say they wish hospice care had started sooner. We proudly provide hospice care wherever you call home: the house you’ve lived in for decades, a skilled nursing center, an assisted living facility or anywhere else you find the greatest comfort. Our services include:

Every patient is different. So our care is different for every patient. We respect the choices you’ve made, and we work hard to provide home health care with those choices in mind. We offer:

WE’RE ALWAYS HERE FOR YOU. CONTACT US AT ANY TIME – 24 HOURS A DAY, SEVEN DAYS A WEEK. THE KEY WORD IS “HOME”.

IV Care

The healing power of being at home cannot be underestimated, and receiving IV care at home can contribute significantly to the overall healing process. Our pharmacists and nurses work with your physician to provide you with the IV medications you need to help fight infection, manage pain and symptoms, or provide valuable nutrition—all in the comfort of home.

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Warm Hearth Village 2387 Warm Hearth Drive | Blacksburg | 540.552.9176 | www.retire.org SERVICES PROVIDED: Active adult, independent living, assisted living, memory care, skilled nursing care, long-term nursing care, home health.

About Us

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.

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.

AWARDS AWARDS 201

7 GOLD

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Amenities

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.

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.

Why Now?

Why Not? 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. Don’t wait! Call us today to learn about what’s new at Warm Hearth Village.

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Virginia Veterans Care Center 4550 Shenandoah Avenue | Roanoke | 540.982.2860 or 800.220.VETS SERVICES PROVIDED: Assisted living, memory care, post-hospital physical rehabilitation, and long-term care.

About Us

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.

While many of the area’s retirement living centers offered similar services, the Virginia Veterans Care Center is dedicated specifically to caring for our honorably discharged armed forces veterans who lived or who had enlisted in Virginia. Much time and effort has gone into building VVCC, including considerations for top-level healthcare, and oncampus services and activities such as nature trails, library, chapel, barber shop and billiard room.

Amenities and Services

VVCC is 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 60bed 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. Plus, nearly all residents of VVCC receive some level of financial assistance that subsidizes their living expenses, making it a much more affordable retirement option.

Memory Care

VVCC 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. 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.

Our Residents

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. “They have so much to share and so much in common, it’s not just about the bond they share from being in the armed forces, they’re like brothers and sisters – an unconditional friendship among everyone.”

THEY WERE THERE FOR US WHEN WE NEEDED THEM, AND NOW WE WILL BE THERE FOR THEM.

Community Care

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,” says Patti Smith, director of admissions and marketing. “Everything we do here is our way of saying “thank you” to our veterans.” They were there for us when we needed them, and now we will be there for them. *Do not have to be injured or have a service connected disability during military term to be a resident.

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Commonwealth Senior Living SERVICES PROVIDED: Independent living, assisted living, and memory care.

About Us

At Commonwealth Senior Living, our dedicated and specially trained staff know the needs and preferences of each resident and are committed to making life easier and more vibrant. Through our specialty programming, including Travel the World, care by specially trained Virtual Dementia Tour®certified staff and our award-winning Farm-to-Table dining program, we are able to offer residents life beyond the campus of our community.

Memory Care

AWARDS

20

17 B R O N Z E

Commonwealth Senior Living in Christiansburg and Radford are two of 22 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.

RESIDENTS THROUGHOUT COMMONWEALTH SENIOR LIVING GET THE CARING AND RESPECTFUL ASSISTANCE THEY NEED TO CARRY OUT THE ACTIVITIES OF DAILY LIVING.

Commonwealth Senior Living at Christiansburg 201 Wheatland Court | Christiansburg | 540.585.1196 | www.commonwealthal.com Located between the city of Christiansburg and Virginia Tech, Commonwealth Senior Living at Christiansburg is a unique assisted living community that offers living choices for seniors with a wide range of needs and lifestyle preferences. The community offers independent living, assisted living and memory care, where residents can choose a spacious room in a modern two-story facility, complete with an indoor pool and exercise area.

Commonwealth Senior Living at Christiansburg is known for its well-appointed rooms, welcoming common areas and abundance of activity choices for all residents.

Commonwealth Senior Living at Radford 7486 Lee Highway | Radford | 540.509.1102 | www.commonwealthal.com Situated in a bustling Radford University neighborhood and close to New River Valley Medical Center, Commonwealth Senior Living at Radford offers apartments for independent living, located next to the community, as well as assisted living and memory care services for those in need of an additional level of care in their daily lifestyle.

Residents throughout Commonwealth Senior 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.

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At Richfield our goal is to make a difference every day and help individuals experience life to the fullest through every phase

Richfield Living 3615 W Main Street | Salem | 540.380.4500 | www.RichfieldLiving.com

of their journey.

About Us

Richfield is a non-profit senior living and healthcare community located in Roanoke County near the City of Salem. Our 50 beautifully landscaped acres with two lakes and breathtaking views of the mountains, combined with a full continuum of services and accommodations, provide a setting where individuals become members of a secure, supportive and active community.

Independent Living •

KNOLLWOOD APARTMENTS: 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 awardwinning 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.

The Rehab Center 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 a 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, WiFi internet access, personal laundry facilities and exceptional Physical, Occupational and Speech Therapy services.

Assisted Living & 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 Richfield offers 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, our goal is to nurture the needs and spirit of each resident we serve.

AWARDS 201

7 GOLD

AWARDS 20

1 7 S I LV E R

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Radford Health & Rehab Center

AWARDS

700 Randolph Street | Radford | 540.633.6533 | www.radford-rehab.com

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SERVICES PROVIDED: Rehabilitation, long-term-care, and respite care.

About Us

Radford Health & Rehab’s goal is simple: to use our Safe Transition program to develop a customized rehab plan for you in our post-acute setting where we will use innovative techniques and creative thinking to provide efficient, effective treatments. While its lush New River Valley setting may change with every season, Radford Health & Rehab Center provides the same great care year-round. Opened in 2002 the 90-bed center offers short-term rehabilitation services with a state-of-theare rehabilitation gym as well as long term care.

Innovative Care

The rehabilitation and clinical care you will receive in our center will give you the foundation and the life skills you need to be successful at your next destination.

We are doing more than the status quo, we are changing lives. We offer physical, occupational, and speech therapy provided by a team of talented therapist who will use outside of the box thinking and home visits to ensure you reach your maximum potential. Our clinical team can also meet your clinical needs and can accommodate a wide range of complex medical conditions such as tracheostomy care, LifeVest monitoring, and Wound Vac’s. We also have innovative technology such as Smart Glasses that allow us to provide tele-medicine in a HIPPA complaint manner.

17 B R O N Z E

Amenities

In addition to these programs, each long-term resident can look forward to a wealth of amenities such as fine dining programs; small and large group activities, and daily housekeeping services. The monthly social calendar offers something for everyone, from group exercise to book clubs, to pet visits and tea parties, to church services and movie nights. The beautiful grounds and joyful, social community areas at the center make each resident feel right at home and families and friends are given peace of mind knowing the center offers the highest quality of care to all those we serve in the New River Valley.

TO ENSURE THE HIGHEST LEVEL OF CARE, WE PARTNER WITH RADFORD UNIVERSITY’S DEPARTMENT OF EXERCISE, SPORT, & HEALTH, DEVELOPING THE NEXT GENERATION OF THERAPISTS AND THERAPY TECHNIQUES.

What Sets Us Apart

In addition to utilizing the latest technology, we provide a team based approach in designing our individual plan of care to assist you in achieving your goals. Our team will work with you prior to entering our facility and in every step of your rehabilitation journey. We offer a comprehensive, interdisciplinary evaluation beginning upon admission to address your individualized needs. Upon completion of our evaluations we give you an estimated length of stay, a customized discharge plan, and work with our partners in your care to ensure your success and safety at your next destination.

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

Our Lady of the Valley 650 North Jefferson Street | Roanoke | 540.345.5111 | www.ourladyofthevalley.com

AWARDS 201

SERVICES PROVIDED: Assisted living, skilled rehabilitation, nursing care.

Our Care

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!

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.

7 GOLD

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!

A LEGACY OF CARING - SERVING GENERATIONS FOR OVER 25 YEARS.

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 fullcommunity 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 something new they’ve discovered or come to love about life here.”

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

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Salem Terrace

AWARDS 20

1851 Harrogate Drive | Salem | 540.444.0343 | www.salemterrace.com

1 7 S I LV E R

Memory Care

SERVICES PROVIDED: Independent living, assisted living, memory care, therapy and rehabilitation services.

A New Look for Senior Living!

Salem Terrace features stunning mountain views, delicious cuisine, award-winning care, and a wealth of exciting events and amenities.

Residents live in luxury and style while enjoying the full retirement experience.

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

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

Assisted Living

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.

WE ARE COMMITTED TO TAILORING COMPASSIONATE, INDIVIDUALIZED HEALTHCARE AND SUPPORT FOR EACH RESIDENT, ALLOWING THE HIGHEST LEVEL OF INDEPENDENCE.

Memory Care

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.

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

Highland Ridge

AWARDS

20

5872 Hanks Avenue | Pulaski County | Dublin | 540.674.4193 | www.highlandridgerehab.com

17 B R O N Z E

SERVICES PROVIDED: 24-Hour RNs and LPNs with support from Certified Nursing Assistants, Continuity of Care services, Physical Therapy, Occupational Therapy, Speech Language pathology, Restorative Nursing Services, Pain Management, IV Therapy, and Interdisciplinary Healthcare Teams

About Us

Right in the Heart of the New River Valley, in Dublin Virginia, Highland Ridge Rehab Center offers specialized rehabilitation services after a hospital stay, illness, or planned surgery. We have partnered with community professionals to provide personalized programs to meet an individual’s specific needs.

Your team may include a Physical Therapist, Occupational Therapist, Speech Pathologist, Dietician, Discharge Planner, and Activities Director.

Amenities

Highland Ridge Rehab Center offers all the comforts of home in a therapeutic setting.

Our Amenities Include: •

Private & Semi Private Suites

•

Cable & Telephone Services

•

In Room Temperature Control

What Sets Us Apart

•

Private Master Baths

•

Walk In Closets

Many people do not realize how beneficial a short rehab stay is to their recovery. People who choose a comprehensive rehabilitative program find that they have improved outcomes. Along with short-term rehabilitation, we also offer Skilled Nursing, Aquatic Therapy, Continuing Care Services, and Outpatient Therapy.

•

Wireless Internet

•

Scenic Views

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Specialty Rehab Programs through Accelerated Care Plus

Come by today to see all of the programs we have to offer.

•

Personalized Dining Choices

OUR HEART IS IN YOUR HEALTHCARE, OUR HEART IS IN YOU!

CALL TODAY FOR YOUR TOUR

540.674.4193

www.OurHealthswva.com

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SENIOR HEALTH

HEALTHY SENIOR LIVING

No Matter Your Age, It’s Never Too Late to Get Started There are many reasons why we tend to slow down and become more sedentary with age. It may be due to health problems, weight or pain issues, or worries about falling. Or perhaps you think that exercising simply isn’t for you. But as you grow older, an active lifestyle becomes more important than ever to your health. Getting moving can help boost your energy, maintain your independence, protect your heart, and manage symptoms of illness or pain as well as your weight. And regular exercise is also good for your mind, mood, and memory. No matter your age or your current physical condition, these tips can show you simple, enjoyable ways to become more active and improve your health and outlook.

WHAT ARE THE BENEFITS OF EXERCISE FOR OLDER ADULTS? A recent Swedish study found that physical activity was the number one contributor to longevity, adding extra years to your life—even if you don’t start exercising until your senior years. But getting active is not just about adding years to your life, it’s about adding life to your years. You’ll not only look better when you exercise, you’ll feel sharper, more energetic, and experience a greater sense of well-being.

PHYSICAL HEALTH BENEFITS HELPS YOU MAINTAIN OR LOSE WEIGHT. As metabolism naturally slows with age, maintaining a healthy weight is a challenge. Exercise helps increase metabolism and builds muscle mass, helping to burn more calories.

REDUCES THE IMPACT OF ILLNESS AND CHRONIC DISEASE. People who exercise tend to have improved immune and digestive functioning, better blood pressure and bone density, and a lower risk of Alzheimer’s disease, diabetes, obesity, heart disease, osteoporosis, and certain cancers.

ENHANCES MOBILITY, FLEXIBILITY, AND BALANCE. Exercise improves your strength, flexibility and posture, which in turn will help with balance, coordination, and reducing the risk of falls. Strength training also helps alleviate the symptoms of chronic conditions such as arthritis.

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

S ENI O R HEALTH |

MENTAL HEALTH BENEFITS

BOOSTS MOOD AND SELF-CONFIDENCE. Exercise is a huge stress reliever and the endorphins produced can actually help reduce feelings of sadness, depression, or anxiety. Being active and feeling strong naturally helps you feel more self-confident.

DOES AMAZING THINGS FOR THE BRAIN. Activities like Sudoku or crossword puzzles can help keep your brain active, but little comes close to the beneficial effects of exercise on the brain. It can help brain functions as diverse as multitasking and creativity and can help prevent memory loss, cognitive decline, and dementia. Getting active may even help slow the progression of brain disorders such as Alzheimer’s disease.

Senior Exercise & Fitness Tips

IMPROVES SLEEP. Quality sleep is vital for your overall health. Regular activity can help you fall asleep more quickly, sleep more deeply, and wake feeling more energetic and refreshed.

The Center for Disease Control and Prevention recommends older adults who are generally fit and have no limiting health condition have AT LEAST 20 MINUTES OF MODERATE AEROBIC ACTIVITY, such as

OVERCOMING OBSTACLES TO GETTING ACTIVE AS YOU AGE Starting or maintaining a regular exercise routine can be a challenge at any age—and it doesn’t get any easier as you get older. You may feel discouraged by health problems, aches and pains, or concerns about injuries or falls. If you’ve never exercised before, you may not know where to begin, or perhaps you think you’re too old or frail, can never live up to the standards you set when you were younger. Or maybe you just think that exercise is boring.

brisk walking, every day (roughly 150 minutes each week).

While these may seem like good reasons to slow down and take it easy as you age, they’re even better reasons to get moving.

Becoming more active can energize your mood, relieve stress, help you

It’s also encouraged to do MUSCLE

manage symptoms of illness and pain, and improve your overall sense

STRENGTHENING

of well-being. And reaping the rewards of exercise doesn’t have to involve

EXERCISES TWO DAYS A

strenuous workouts or trips to the gym.

WEEK to work all muscle groups.

It’s about adding more movement and activity to your life, even in small ways. No matter your age or physical condition, it’s never too late to get your body moving, boost your health and outlook, and improve how you age.

Before starting any workout regimen, consult your doctor.

SOURCE www.helpguide.org

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SENIOR HEALTH

HEALTHY SENIOR LIVING

1

ABOUT

ACTIVITIES AGING

MYTH: THERE’S NO POINT TO EXERCISING. I’M GOING TO GET OLD ANYWAY.

MYTH: EXERCISE PUTS ME AT RISK OF FALLING DOWN.

FACT: Regular physical activity helps you look and feel younger and stay independent longer. It also lowers your risk for a variety of conditions, including Alzheimer’s and dementia, heart disease, diabetes, certain cancers, high blood pressure, and obesity. And the mood benefits of exercise can be just as great at 70 or 80 as they were at 20 or 30.

FACT: Regular exercise, by building

strength and stamina, prevents loss of bone mass and improves balance, actually reducing your risk of falling.

3 4 MYTH: I’M TOO WEAK OR HAVE

MYTH: I’M TOO OLD TO START EXERCISING.

TOO MANY ACHES AND PAINS.

FACT: You’re never too old to get moving and improve your health! In

FACT: Getting moving can help

fact, adults who become active later in life often show greater physical and mental improvements than their younger counterparts. If you’ve never exercised before, or it’s been a while, you won’t be encumbered by the same sports injuries that many regular exercisers experience in later life. In other words, there aren’t as many miles on your clock so you’ll quickly start reaping the rewards. Just begin with gentle activities and build up from there.

you manage pain and improve your strength and self-confidence. Many older people find that regular activity not only helps stem the decline in strength and vitality that comes with age, but actually improves it. The key is to start off gently.

5 6 MYTH: I CAN’T EXERCISE BECAUSE I’M DISABLED.

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2

source | HEALTH.ORG

MYTH: IT’S TOO FRUSTRATING: I’LL NEVER BE THE ATHLETE I ONCE WAS.

FACT: Chair-bound people face special challenges

FACT: Changes in hormones, metabolism, bone density,

but can lift light weights, stretch, and do chair aerobics, chair yoga, and chair Tai Chi to increase range of motion, improve muscle tone and flexibility, and promote cardiovascular health. Many swimming pools offer access to wheelchair users and there are adaptive exercise programs for wheelchair sports such as basketball.

and muscle mass mean that strength and performance levels inevitably decline with age, but that doesn’t mean you can no longer derive a sense of achievement from physical activity or improve your health. The key is to set lifestyle goals that are appropriate to your age. And remember: a sedentary lifestyle takes a much greater toll on athletic ability than biological aging.

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SENIOR HEALTH

HEALTHY SENIOR LIVING

“Home care seeks to reinstate and preserve independence–it provides solutions to grant the wishes of a senior citizen to continue living a full life in the place they already call home.”

HOME CARE WILL TAKE AWAY MY INDEPENDENCE. FACT: HOME CARE SERVICES OFFER AN ALTERNATIVE TO ASSISTED LIVING OR NURSING HOME CARE AND HELP SENIORS LIVE INDEPENDENTLY AT HOME. words | TINA BELL

What is home care or home health care? The answer is different for different people, and can be adapted to an individual person’s needs. For OurHealth spoke with Tina Bell of Care Advantage, a local home health and skilled nursing provider in Salem about setting the record straight on keeping seniors independent at home.

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example, some seniors may only need weekly drives to the grocery store and light housekeeping help. Other seniors may need physical therapy or skilled nursing in addition to household help. Whatever assistance is needed, the goal is the same—to help seniors maintain independent living and the ability to stay in their home for as long as possible.

It’s a reality of aging—freedom is compromised by declines in physical or mental health. Sometimes, a senior temporarily loses the ability to care for himself following an illness or surgery. Whatever the cause, as seniors lose the ability to self-care, they become reliant on friends and family members. If they don’t have family members or capable friends nearby, they risk having to relocate to a facility that can provide the necessary care.

Home care is an alternative to relocation, and is often a cost-effective bridge to independence. It is well known that being in one’s own environment, among possessions and memories, is the best place to promote health and healing. Having to downsize and squeeze a lifetime into a new, smaller residence is not ideal. With a little support in the home in the form of therapy to promote strength, skilled nursing

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

S ENI O R HEALTH |

to help monitor medications, and personal care to assist with those tasks that have become more difficult, health can be regained and independence can be kept.

Myth About Home Care

How exactly is independence promoted? In some cases, a person is told they can no longer safely drive. A home care service can drive for them, making sure they still get haircuts, groceries, and to doctor’s appointments—even a picnic in the park if they wish. For those with compromised mobility, home health care trained providers will assist them in getting around to help minimize the risk of falling. For those who lose the ability to read because of poor eyesight or other limitations, a home health care worker reads to them so they don’t lose touch with the outside world. Home health care workers are compassionate caregivers who can provide both practical and emotional support in many ways.

TINA BELL Care Advantage Salem | 540.343.2273 Christiansburg | 540.808.1190 www.careadvantageinc.com

Home care seeks to reinstate and preserve independence–it provides solutions to grant the wishes of a senior citizen to continue living a full life in the place they already call home.

EXPERT CONTRIBUTOR Tina Bell with Care Advantage in Salem.

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HEALTHCARE OBSERVATIONS

FALL PREVENTION DAY | SEPTEMBER 22, 2017

words | OURHEALTH STAFF WRITER

PULASKI ADULT DAY SERVICE & FALL PREVENTION CENTER FALL AWARENESS DAY | SEPTEMBER 22, 2017

ACCORDING TO THE

NATIONAL COUNCIL ON AGING

SENIOR ADULTS FALL EACH YEAR!

The image below was taken at a fall prevention workshop hosted by the Pulaski Adult Day Service & Fall Prevention Center.

Held on September 22nd (also the first day of Fall), the Fall Prevention Awareness Day is an annual observance dedicated to raising awareness about how to prevent fall-related injuries among older adults.

According to the National Council on Aging, one in three senior citizens falls each year. In adults aged 65 and up, these falls are the leading cause of head injuries and broken hips. Not only do these falls cause serious injury, they can often be fatal. According to the US Centers for Disease Control and Prevention, an older adult is treated in the emergency room for a fall every 11 seconds; every 19 minutes, an older adult dies from a fall.

Seniors who experience a fall often limit their activities due to fear of falling again. Limiting activity, however, places a person at risk for future falls due to deconditioning, loss of confidence in mobility, and loss of muscle strength.

This creates a vicious cycle of repeated falls.

Inspired by her family’s struggle to find the best support for her mother, Linda Davis, a behavioral health nurse and graduate of Radford University’s doctor of nursing practice program, founded The Pulaski Adult Day Service & Fall Prevention Center to assist other families in her community that were struggling with similar conditions.

“Many falls can be prevented. Through our fall prevention programs and activities at Pulaski Adult Day Service & Fall Prevention Center, we hope to keep our community residents with their families for a longer period of time and with optimal quality of life,” says Davis. “Our program will assess your fall risk, teach you ways to prevent falls, and help you develop a personal plan, including how to overcome barriers to your success.”

FALL PREVENTION SERVICES OFFERED AT PULASKI ADULT DAY SERVICE & FALL PREVENTION CENTER

PULASKI ADULT DAY SERVICE & FALL PREVENTION CENTER 211 Fifth Street | Dublin | 540.739.3623 www.pulaskiadultdayservice.org @pulaskiadultdayservice

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Fall risk assessments, including balance and gait assessment, medications assessment, vision and hearing assessment, home hazard assessment, and bone densitometer scans

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Intervention plans to increase physical mobility, reduce the impact of medications as a risk factor of falling, and improve home and environmental safety with scheduled follow-ups

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Fall awareness activities and programs as well as muscle-strengthening classes, including Tai-Chi

HOURS: Monday – Friday 7 AM to 5 PM

TOOLS TO HELP PEOPLE WHO ARE AT RISK OF FALLING

ELIGIBILITY: Medicaid, Medicare, Veterans, and private pay participants age 18 and older.

The Fall Prevention Center is designed to help people who are at risk for falling or who have experienced recurrent falls to improve their quality of life.

The Center provides tools and recommendations to enhance balance and reduce the likelihood of future falls. The qualified fall prevention team will perform and review a series of assessments as well as a thorough review of the participant’s medical history. Upon completing the evaluation, the team will develop a fall prevention recommendation report for both the participant and their primary care provider.

Scan the QR code provided to download a Fall Risk Checklist to share with someone at risk.

Help spread the word locally this year on Friday September 22nd by sharing the downloadable Fall Risk Checklist with someone who is at risk. Scan the QR code at left to download the checklist.

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

www.OurHealthswva.com

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HEALTHCARE OBSERVATIONS

words | RICK PIESTER

NATIONAL IMMUNIZATION MONTH | AUGUST 2017

NEW BEGINNINGS PEDIATRICS N AT ION AL IMMUN IZAT ION MON T H August is National Immunization Awareness Month, the yearly opportunity to highlight the importance of vaccinations to people of all ages.

At New Beginnings, we’re pediatricians. But first, we’re parents.

We understand the uncertainty and fears that can accompany the subject of vaccines.

Some of the things we all see on the news and social media regarding vaccines can be disturbing. However, we see evidence of the value of vaccines on a daily basis and we know of the nearly endless research that is done before a vaccine is ever introduced for public use. It’s important to know that vaccines can even protect people who have not been vaccinated which is known as “herd immunity”. For it to be effective, a large percentage of the people in a community do need to be vaccinated.

HIDDEN VALUE

ANCY ABRAHAM, MD A pediatrician with New Beginnings Pediatrics in Blacksburg. Dr. Abraham is certified by the American Board of Pediatrics.

NEW BEGINNINGS PEDIATRICS 3708 S. Main Street | Suite B | Blacksburg

540.739.3623 HOURS: Monday – Friday 8 AM to 5 PM

We may not appreciate the real value of vaccinations because since the era of vaccines many deadly infectious diseases have disappeared.

As a society, we don’t have to worry about these harmful diseases thanks to the protective role of vaccines. In fact, some of history’s most dreaded, deadly diseases — polio, yellow fever, smallpox, measles, mumps, hepatitis A, and hepatitis B among them — have been almost eliminated in our country. Unfortunately, there have been isolated outbreaks which have occurred mostly due to refusal to vaccinate as was seen in the recent measles outbreak in California.

Time and time again, research has proven that the risk of disease is far greater than any risk posed by vaccines.

INFORMED PATIENTS ARE GOOD PATIENTS Our practice and others routinely provide informational documents — Vaccine Information Statement produced by the Centers for Disease Control — that detail both the benefits and the risks of any vaccine.

They are provided as part of all well child visits and immunization visits. All vaccines we dispense are logged in the Virginia Immunization Information System (VIIS), Virginia’s statewide immunization registry that contains individual immunization data of persons of all ages.

Parents of our patients receive printed immunization records and digital immunization records are available online though our patient portal. We handle scheduling and reminders of upcoming visits to our office and vaccinations that are due. Soon, we’ll be offering educational seminars to share the importance of timely immunizations.

And, most importantly, we are always happy to address concerns and answer questions about any aspect of your childrens’ health. That’s why we’re here.

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NUTRITION

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Fantastic Farmer's Markets NUTRITIOUS FINDS FOR THE WHOLE FAMILY words | CHRISTINE STODDARD

No matter what you love to eat, consider buying your groceries from the local farmer’s market for healthy options grown close to home. You’ll give your diet and the local economy a boost. Here are some of the fantastic markets in the Roanoke & New River Valleys area and what you will find there.

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HISTORIC ROANOKE CITY MARKET Market Square SE | Roanoke

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Open Tuesdays and Saturdays, 3 pm to 6 pm/8 am to 1 pm

Open 7 days a week, 8 am to 5 pm

Hydroponic lettuce and tomatoes from Pops Veggie Basket; turkey, duck, and goose eggs from Banks Family Free Reign Farm; Macedonian specialties from Balkan Bakery.

USEFUL TRIVIA: Goods at this market are skewed heavily toward fresh eats. 70% of the vendors sell farm products, 15% sell prepared foods, and

WHAT TO GET BEFORE IT RUNS OUT: Pork, beef, and poultry from Sandy River Pork; seasonal produce from Four Oaks Farm; baked goods from Joe Light Designs.

WHAT TO LOOK FOR IN THE FALL: Seasonal cooking demos, family crafts and activities, how-to workshops, and even live music through Sept. 30.

15% sell arts and crafts.

BLACKSBURG FARMER'S MARKET BIG STONE GAP FARMER'S MARKET

Market Square Park | Blacksburg (Corner of Roanoke Street & Draper Road)

410 Shawnee Ave. East | Big Stone Gap

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Open Wednesdays & Saturdays, 12 pm to 6 pm/8 am to 2 pm

Open Saturdays, 8 am to Noon

WHAT TO GET BEFORE IT RUNS OUT: Zucchini from Roger Young; berries from Bloomberry Farms; strawberry vinaigrette from Hale’s Haven.

WHAT’S GOING ON? Always something! You’ll regularly find raffles, giveaways, face painting, and more. The market manager usually updates the Facebook page a couple of days before the market so you can see what specials to expect. Check it out here: www.facebook.com/ bsgfarmersmarket/.

NORTON FRIENDS AND FARMER'S MARKET 815 Park Avenue SW | Norton Photos marked by 3 Open Tuesdays, 4 pm to 6 pm

WHAT TO GET BEFORE IT RUNS OUT: Garden veggies from Addington Produce; homemade apple butter from Meade Century Farm; heirloom varieties from Mullins Orchard and Produce.

SPECIAL PROGRAMS: A grant from Wholesome Wave means that the market will match the first $25 in SNAP benefits you spend on fruits and veggies.

There are also special programs for kids ages 4-12 and seniors who qualify for Mountain Empire Older Citizens assistance.

WHAT TO GET BEFORE IT RUNS OUT: Cavalier Farm’s sweet corn; Birdsong’s organic spices; berries galore from Bee Berry Farm.

FAST(ISH) FOOD: Farmer’s markets are definitely part of the “slow food” movement, but that doesn’t mean it’s free of convenience. Some farmers and small businesses, like Blacksburg Bagels (home to authentic handmade bagels), take orders to have your food ready to pick up from the market.

CHRISTIANSBURG FARMER'S MARKET Hickok Street and W. Main Street | Christiansburg Photos marked by 6 Open Thursdays, 3 pm to 7 pm

WHAT TO GET BEFORE IT RUNS OUT: Brugh Coffee’s fresh roasted specialty coffee; Wade’s peaches; brats, ribs, and pork chops from Stump Ridge Farm; berries from Den Hill Permaculture.

GOOD TO KNOW: If you use SNAP benefits, stop by the manager’s booth to learn how you can double your dollars.

ON THE WEB

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Fantastic Farmer's Markets

Corner of Remsburg Dr. and Cummings Street | Abingdon

WHAT TO GET BEFORE IT RUNS OUT:

NUTR I TI O N |

ABINGDON FARMER'S MARKET

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LOCAL FOODS & RECIPES

HealthyEats

words | RICK PIESTER

>> First Impressions of Three Healthy Restaurants in the Roanoke and New River Valleys

Our Daily Bread Bakery & Bistro

Gillie’s Vegetarian Cuisine

Heritage Family Market

3334 Brambleton Avenue | Roanoke 540.772.2200 | www.odbb.com

153 College Avenue | Blacksburg 540.961.2703

36 Botetourt Road (US 220) | Fincastle 540.473.2917

(Also with locations in Salem and Blacksburg)

www.gilliesrestaurant.net

f | Heritage Family Market

Hours Breakfast Monday – Friday 7 AM to 11 AM Lunch Monday – Saturday 8 AM to 2 PM Dinner Monday – Thursday 5 PM to 9 PM Dinner Friday – Saturday 5 PM to 9:30 PM Brunch Saturday and Sunday 8 AM to 2 PM

Hours Monday – Friday 9 AM to 5:30 PM Saturday 9 AM to 4:30 PM Closed Sunday

Hours Tuesday – Saturday 7:30 AM to 8:30 PM and Sunday 7AM to 3PM (Kitchen closes at 2) Launched in 1980 in Blacksburg, Our Daily Bread expanded to Roanoke in 2014, bringing its gourmet coffees and fresh-ingredient foods to the Star City. Beyond serving fresh, made-toorder foods, Our Daily Bread does not advertise itself as a vegetarian or vegan destination, but the healthful eaters in the group will always be able to find something appealing. A recent lunch menu featured a Ratatouille of onions, peppers, zucchini, celery tomatoes and eggplant simmered together and served over jasmine rice. On the dinner menu was a gluten-free grilled chicken salad — marinated a grilled chicken on fresh mixed greens along with tomato, cucumber and red onions with a choice of dressings. And the pastries, you need to see for yourself!

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Now a Blacksburg institution, Gillie’s opened in 1974 as an ice cream shop, and within a year was equally well known as the place to go for soup and bread. Today, undoubtedly aided by the restaurant’s location close to the entrance to Virginia Tech, Gillie’s enjoys a sterling reputation for its vegan, vegetarian, gluten-free, offerings that include seafood but no meat. An important acid test for a vegetarian restaurant is how its food is viewed among carnivores, and this is where Gillie’s seems to be a particular stand-out. People don’t miss the meat.

For lunch, try the Tempeh BLT. It’s built of bacon-substitute tempeh, grilled and added to mixed greens, tomato and dressed with pesto aioli on a chickpea bun.

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

Not a restaurant in the traditional sense, but a handy place to stop for fresh, healthful sandwiches and deli goods, bakery items, and a market inventory that is a delight to browse. Many of the food items are from Mennonite suppliers in Ohio and Pennsylvania. Local producers, however, are well represented. Fresh freerange eggs are from within Botetourt County. Virginia-produced cornmeal is from Big Spring Mill in Elliston, and even the maple syrup comes from the Staunton area.

ON THE WEB

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NUTR I TI O N | HealthyEats

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NUTRITION

LOCAL FOODS & RECIPES

– Chef

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Karen Nauss of Hermitage Roanoke –

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

recipes | KAREN NAUSS

Chicken Gyros with Tzatiki Sauce Serves 4-6

Watermelon Cucumber Salad with Feta and Mint Serves 12 INGREDIENTS:

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1/3 cup olive oil 3 tablespoons lime juice 1 teaspoon kosher salt ½ teaspoon black pepper 1 8-pound seedless watermelon diced small 2 cups feta cheese 1 small red onion sliced 1 cup fresh coarsely chopped mint Balsamic glaze to taste

Dice watermelon and let strain for 10 minutes while preparing other ingredients. Wisk together the first four ingredients (olive oil through black pepper). In large bowl combine strained, diced watermelon, fresh mint, red onion, and oil mixture. Add feta cheese just before serving to prevent sogginess. Finish with a drizzle of balsamic glaze.

Chicken Spinach Artichoke Flatbread Serves 4-6 INGREDIENTS:

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1 cup thawed and drained spinach (squeeze out excess water) 1 ½ cups artichoke hearts 6 ounces cream cheese ¼ cup mayonnaise ¼ cup sour cream 1/3 cup grated parmesan ¼ teaspoon salt ¼ teaspoon garlic powder ½ cup diced baked/grilled chicken 1 cup mozzarella arugula balsamic glaze

INGREDIENTS:

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2 pounds of chicken, baked or roasted 4-6 pita breads or naan

TZATIKI SAUCE INGREDIENTS:

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½ a large cucumber, peeled 1 ½ cups plain full-fat Greek yogurt 2 large garlic cloves, finely minced 2 tablespoons extra virgin olive oil ½ teaspoon salt and pepper 1 tablespoon minced fresh dill (or mint) 1 teaspoon lemon juice

GREEK SALAD INGREDIENTS:

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2 tomatoes, diced 2 cucumbers, diced ½ red onion ,peeled and finely chopped ¼ cup fresh parsley leaves Salt and pepper

Grate the cucumber for the Tzatiki and drain through a cheesecloth. Squeeze out excess juice and dry on paper towels. Sprinkle with salt. While cucumber dries stir together all other Tzatziki sauce ingredients. Add the dried and salted cucumber. Warm pita or naan in oven. In a separate bowl, combine Greek salad ingredients. Serve warmed pita bread filled with chicken, tzatziki, and salad.

ON THE WEB

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Feel free to stop by!

If you’d rather stay out of the kitchen, visit Hermitage Roanoke and stay for a meal on us! Call to reserve your space, 540.767.6800. www.OurHealthswva.com

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Filling and Fresh

Chef Karen Nauss of Hermitage Roanoke keeps our taste buds satisfied this summer using fresh, farmers market finds!

These delicious recipes use a few yummy ingredients that you can find at your local farmers market right now. Better yet, they are packed with protein to support muscle and bone health and antioxidants that help prevent diseases.

Preheat oven to 350 degrees. Combine first eight ingredients (spinach through garlic powder). Prebake flatbread for approximately 5 minutes, then top with mixture, diced chicken, mozzarella, and return to oven. Bake for an additional 10 minutes or until melted and lightly golden brown. Plate on a bed of arugula and drizzle with balsamic glaze.

NUTR I TI O N |

Filling and Fresh!

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

A JOURNEY OF PHYSICAL AND

SPIRITUAL HEALING - JARED'S STORY words | SUSAN E. DUBUQUE

A brilliant child. A gifted athlete and talented musician. A life destined for great achievements. That’s how one might aptly have described Jared Johnson. But, at the age of 22, Jared suffered an injury that almost ended his life and rendered him nearly blind. Yet, through the process of recovery and healing, Jared discovered true vision.

From the moment he could utter his first words, Jared was a precocious child.

Educated in a private Christian school from kindergarten through second grade, Jared was then homeschooled by his mother until he was ready for high school.

“We had to constantly challenge him,” says Christy Johnson, Jared’s mother, “or he would become bored and restless.” By the time he was 12 years old, Jared was taking classes at Virginia Western Community College.

Jared excelled during high school, attending the Roanoke Valley Governor’s School and Northside High School, where he thrived academically. In ninth grade, Jared was conducting research on Fusarium keratitis, a fungal infection of the eye most commonly occurring among contact lens users that can lead to blindness. At this point in time, he aspired to follow in the footsteps of his father, Richard Johnson, and become an ophthalmologist.

But Jared was anything but a “nerdy bookworm.” He played a variety of sports, from recreational baseball and soccer to high school golf and tennis, and he was an accomplished pianist, having performed in the prestigious National Piano Guild Auditions.

“During high school, I lived in two worlds,” recalls Jared. “Part of the day, I was the geeky kid at the Governor’s School — the one who loved to learn. The other half of the day, I hung around with the ‘cool kids.’ It was a double life, but I loved it.”

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FAMILY CARE

HEALTH FOR THE WHOLE FAMILY In 2010, Jared graduated from high school as class valedictorian. The strength of his personality, character and faith shone through when Jared took on the school administration to be able to lead his graduating class in prayer at the commencement exercise.

THE HARD TRANSITION TO COLLEGE “I was accepted to a number of great colleges,” says Jared.

“But I was drawn to UVA [University of Virginia] for several reasons. First was family legacy — my dad went to UVA. This is a great school for sciences, and I planned to go to medical school. The fact that they offered me a full scholarship didn’t hurt either.”

The shift from high school to college was difficult for Jared. He found that he couldn’t concentrate, and he wasn’t sleeping well. He sought relief at the student health center, where his physician wrongly prescribed benzodiazepines, an anxiolytic to help Jared cope with anxiety.

Instead, the drug made things worse.

Things continued to spiral downward.

“For the first time in my life, I wasn’t focused on my goals. I couldn’t study, and I started missing classes,” says Jared. “By spring semester of my second year, I was in freefall. I would show up for my first class, then skip the rest of the semester.

I would cram for the midterm and final exams, and I managed to barely squeak by.” By his third year at UVA, Jared added alcohol to the equation.

“I was miserable and realized that my life was a mess. I tried to fill the void by self-medicating.”

There was one positive revelation that emerged from all this fog. While driving from Charlottesville to Roanoke to visit his family, Jared was stopped by a police officer for a driving infraction. “The officer ticketed me for something I didn’t do,” insists Jared. “I gathered evidence, took photos and developed a case, clearly showing that I was cited for the wrong thing.” Jared went to court to defend himself.

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“For the first time in years, I felt alive,” says Jared. It was that incident that convinced Jared to change his major from chemistry to psychology and shift his career goal from medical school to law school.

This renewed spark was not sufficient to pull Jared up from the depths of his despair. “My grades were so low that I realized I was going to have to repeat a statistical psych course. I was depressed and just couldn’t see what my future would hold.”

During winter break of his fourth year, Jared went home for the holidays. “I was living a lie. I would spend time at church activities with my Christian friends, then go out with my drinking friends. I was exhausted maintaining this ruse,” says Jared. “But the hardest part was the self-deception. I kept telling myself that I could stop anytime I wanted. But the truth was my life was a runaway train.” On December 20, 2013, Jared’s train derailed.

Jared has very few memories of the events leading up to and following his injury, but piecing the story together reveals that, while he and a friend were out drinking, they were involved in an incident with a gun that accidentally discharged.

A fragment of the bullet struck Jared’s head and lodged in his brain.

A policeman who was in the vicinity responded quickly, and Jared was rushed to the trauma center at Carilion Roanoke Memorial Hospital.

At 3:30 am, Christy and Richard Johnson were awakened by a knock on their door. Two policemen informed them that their son was in critical condition in the emergency department.

They did not know what happened or if he was still alive. “We hurried to the hospital,” says Richard.

“All we knew was that Jared was seriously injured.

We ran into the ED and had just a minute to tell

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him how much we loved him before Jared was rushed into surgery in an attempt to save his life.”

Jared's Story

LIFE IN THE BALANCE Jared’s dad contacted his pastor and some other Christian friends. “We started praying to God to spare Jared’s life and heal him,” says Richard.

“Miraculously, the bullet missed every major vein and artery in the brain.”

But Jared’s condition was critical, and for days the Johnsons remained in the hospital as Jared’s life hung in the balance. “Prayer updates were sent out multiple times a day. The sun never set on prayers for our son as people all over Asia, Africa, Europe, Israel, Mexico, Brazil and the United States of America continued a prayer chain.”

Jared was given pentobarbital to put him in a medically induced a coma in an effort to prevent his brain from swelling. Complications continued to bombard Jared in his already fragile state.

On Christmas day, he was treated for blood clots in his lungs. This was followed by pneumonia in his lungs. Five days later, Jared’s parents learned that he would need a craniectomy — the removal of a piece of

“We started praying to God to spare Jared’s life and heal him.

Miraculously, the bullet missed every major vein and artery in the brain.”

– RICHARD JOHNSON – Jared Johnson's Father

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HEALTH FOR THE WHOLE FAMILY

his skull to relieve the pressure in the brain. And, if that wasn’t enough, a wound leak was cultured and revealed that he had a Methicillin-resistant Staphylococcus aureus (MRSA) infection — a potentially lethal bacterial infection that is resistant to most commonly used antibiotics.

“Every step of the way our family and the prayer chain would pray for wisdom for the doctors and healing from God,” says Richard. “Every step of the way God provided.”

While in the Neuro ICU stepdown unit, Jared was evaluated for acceptance to the Shepherds Center, a world-renowned rehabilitation facility in Atlanta, Georgia.

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Throughout Jared’s hospitalization, the Johnsons never left their son’s side. “We would stay until they kicked us out,” says Christy. “Josh, our younger son, stayed with friends and members of our church family when not in the hospital. Everyone was incredibly kind. On Christmas day, Jared’s best friend’s parents came to the hospital and laid out a huge meal for everyone who had a loved one in the critical care unit. It was a beautiful blessing for all of us and another example of our Christian family taking care of us as well as others.”

While in the Neuro ICU stepdown unit, Jared was evaluated for acceptance to the Shepherds Center, a world-renowned rehabilitation facility in Atlanta, Georgia. “This is a specialized facility for certain patients that they believe have the best opportunity for rehabilitation,”

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

The next day Jared was formally admitted to Shepherd for intensive rehabilitation. “Jared had not moved much since he was injured, but, from the start, he had physical, occupational and speech therapy twice each day,” says Christy. “It was grueling just to watch.” Jared was starting from ground zero. He couldn’t sit, stand or even hold his head up independently. His wrists had to be restrained so that he wouldn’t pull the intravenous tubes out of his arms. He was gradually coming out of the drug-induced coma — with no memory of the past month. He was disoriented and blind. Imagine the state of terror that he experienced upon regaining consciousness.

Around the 10th day at Shepherd, as his cognitive abilities began to reemerge, Jared realized that he couldn’t see. “I didn’t want to live if I was blind,” said Jared. “Everything I enjoyed doing involves sight — driving, shooting, playing the piano and scuba diving.” His depression was understandable but thankfully short lived with the help of an antidepressant.

Jared’s rehab progressed rapidly. “It was like watching my child grow up at warp speed before

“One of the physical therapists, Erin, really pushed Jared to try climbing stairs. We knew his humor was returning when he teasingly referred to her as ‘the Terrorist.’”

The trajectory of Jared’s recovery, while dramatic, happened in steps. Regaining verbal skills was more difficult than physical improvements. “Jared suffered from aphasia — similar to the ‘word salad’ that people experience when they have had a stroke,” explains Christy.

“His speech therapist would ask him to name three fruits. His brain knew the names of dozens of fruits, but he could only express one or two verbally.”

As Jared’s memory began to return, the discrepancies between his past capabilities and his present limitations came crashing down. “I only have flashes from Shepherd,” says Jared. “But I remember one day vividly. In music therapy, the therapist placed my hands on the keys and told me to move my fingers up and down. I was incensed. I used to play Beethoven and Bach, and now here he was treating me like an idiot.

That was the first time I realized the degree of my injuries and how far I had to go to fight my way back.”

Jared spent three months at Shepherd — six weeks in the inpatient unit and six weeks in outpatient treatment.

Christy stayed with him for the duration in a one-bedroom unit, and Richard made the trip to Atlanta each weekend.

“Mom was my rock,” says Jared. “I really didn’t want to see anyone but family. Mom would sit with me and watch the same episodes of MASH over and over again. I needed a www.OurHealthswva.com

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Jared's Story

“After we arrived, Jared had to be evaluated by Shepherd to determine the best course of rehabilitation,” says Christy. “The neurologist who examined him exclaimed, ‘He shouldn’t be here.’ I realized that he didn’t mean Jared shouldn’t be at Shepherd; he meant Jared shouldn’t be alive.” A fragment of a .40 hollow point that entered one side of Jared’s cranium now rested, and still remains, on the opposite side after passing through a significant amount of brain tissue.

Christy didn’t hesitate in responding to the neurologist, “I know, but God has a different plan.”

my very eyes,” says Christy. “For the first three or four weeks, he had to have a feeding tube. Being able to eat and enjoy food again was a major milestone. Jared gradually regained physical strength — progressing from a wheelchair to standing to walking.

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explains Richard. “Through God’s provision, on January 23, Jared, accompanied by his mother, flew by medevac from Roanoke to Atlanta.”

FAMILY CARE

HEALTH FOR THE WHOLE FAMILY calm and predictable environment to allow my brain to rest and heal. But there are moments of fun and laughter that I remember too. Like my mom singing Sade’s song ‘Smooth Operator’ and dad talking like Elmer Fudd. They made the best of the worst moments of my life.”

On April 19, 2014, the Johnson family returned to Roanoke, where Jared continued his journey toward recovery. “When I first came home, I was still using a wheelchair,” says Jared.

“I was weak and frail from the weeks of being in a coma and months of limited mobility. My dad helped me regain muscle tone by encouraging me to do cardio and weight training.”

“One of the most distressing aspects of Jared’s injury is his visual impairment,” says Richard. “I’ve spent my entire career helping to preserve and restore my patients’ vision — yet there was little I could do to help my son regain his sight.” Due to the traumatic brain injury that he suffered, Jared has a significantly reduced field of vision.

He can see out of the upper-right quadrant in each eye.

The Johnsons have never given up trying to help Jared regain his eyesight. While at Shepherd, Jared had a consultation with a visiting neuro-optometrist who prescribed a form of vision therapy and eyeglasses with prism lenses to help open Jared’s field of vision. Richard took Jared to a number of medical clinics seeking any possible treatments that could potentially help. While still classified as legally blind, Jared’s vision has improved slightly, and the family remains hopeful and optimistic that future developments will one day restore his sight. “At this point, I am thankful for the vision I have,” remarks Jared.

“There are many people who do not see at all.”

THE LONG ROAD BACK In the fall of 2015, after being discharged from physical and speech therapy, Jared enrolled in classes at Virginia Western Community College (VWCC).

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“I was determined to go back to UVA and complete my degree,” says Jared, “but I knew I had to take it one step at a time. To be honest, I was scared to death the first semester.”

“How was I going to manage taking classes without vision and with a brain that was still a little fuzzy? But my parents assured me, ‘You’re going to get this.’” Jared also drew strength from his faith. “When I felt discouraged and disheartened, I would pray through it.”

The faculty at VWCC was incredibly accommodating, allowing Jared extra time to absorb class materials and permitting him to take his exams orally. In two semesters, Jared completed four college courses, earning an A in every course. “It was a real boost to my self-confidence,” admits Jared, “when I knew I had the highest grade in the class.”

In the fall of 2016, after more than two years of fighting his way back to a state of physical, cognitive and emotional health, Jared was finally ready to pursue his goal of finishing his degree at UVA. UVA is an academically challenging school, setting the bar high for all students, including those with physical disabilities. “Initially, I didn’t want to use a white cane and make it apparent that I was blind.

But, after my second semester at VWCC, I realized I could benefit from help from the Virginia Department for the Blind and Vision Impaired.”

Upon returning to UVA in the fall of 2016, Jared plunged right in with a full course load his first semester. Despite the rigors of his academic program and the difficulties traversing the hilly UVA grounds without eyesight, Jared persisted. “I practically lived at my teaching assistants’ and professors’ offices,” says Jared. “I worked with readers and scribes, taped books and recorded lectures. I would often eat

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once a day and sleep four hours a night just to get through my classes.”

Jared's Story

Jared did far more than just “get through his classes.” On May 20, 2017, having completed the remaining credits needed for graduation and a few additional prelaw courses, with an impressive grade point average of 4.0 in the fall semester and 3.75 in the spring semester, Jared Johnson walked the lawn at UVA to receive his BA in psychology.

LOOKING TO THE FUTURE Jared takes the concept of commencement to heart. While the graduation ceremony marks the end of college, it literally means “beginning” — the beginning of a whole new way of life. For Jared, that new life has many facets.

“From a career standpoint, my next step will be applying to law school,” says Jared. “I know it won’t be easy though.

My overall grade point average is lower than it should be due to the first few years of school when I was so troubled. But I hope that I have demonstrated what I am made of, and what I am capable of doing, this last year at UVA.” Without question, Jared has demonstrated yet another trait — the ability to overcome pretty much anything.

Jared is considering disability law or civil rights defense law as possible options.

“Both are areas I am passionate about and feel I could make a real difference,” he says. One way or another, there is little doubt that Jared will achieve his goal.1 Looking beyond his career, Jared now perceives his personal life unfolding in a whole new way. “Before my accident, I professed to be a Christian but didn’t live true Christian values,” confesses Jared.

“I had it all. My dad was a doctor so I www.OurHealthswva.com

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wanted for nothing. School, sports, social life, everything just came easily to me. I was arrogant and self-centered — lacking in empathy and also a real understanding of what other people may be enduring. Then, wham.

It was all taken away. I guess God saw that I was broken and needed to be fixed. I wouldn’t recommend this path of what happened to me to anyone, but three years of hard labor have changed me for the better.

I feel stronger yet humbled by the experience. I now get it.

I get addiction and how it controls your entire being. I get disability and how it can define your life — but only if you let it. I choose not to let it.”

Jared takes the concept of commencement to heart. While the graduation ceremony marks the end of college, it literally means “beginning” — the beginning of a whole new way of life. For Jared, that new

Every moment of every day of Jared’s recovery was a struggle — to breathe, to walk, to speak, to think. And, while he may have diminished eyesight, Jared has emerged with a fresh, new vision of the world around him and a depth of insight to carry him forward to a bright future.

At the time of publication, Jared was accepted to law school at Liberty University. He begins classes fall 2017.

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life has many facets.

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GROWING HEALTHY - Grade by Grade words | BRANDY CENTOLANZA

All parents want their children to start off the new school year fresh and healthy!

Here are some safety and wellness tips to keep in mind to reduce the risk of illness or injury depending on what grade your son or daughter is entering this year.

KINDERGARTEN Starting the school year off right begins with getting the proper amount of sleep, regardless of what grade your child is going into. Children ages six to twelve need nine to twelve hours of sleep and middle and high schoolers need eight to ten hours, but “most kids are not getting enough rest,� says Meredith M. Arthur, DO, a pediatrician with Physicians to Children, Inc. Dr. Arthur suggests returning to a regular bedtime routine at least three weeks before the first day of school, and shutting down all electronic devices at least two hours before bed each night.

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Practice good proper dental hygiene to protect your child’s teeth. “Children in elementary school have lots of baby teeth that are designed to keep space for their adult teeth,” says Richard Anthony, DDS, in Blacksburg. “Flossing is very important because the most cavities we see are in between teeth. It's also very important to get routine fluoride at your dental office.”

As children start heading off to the school bus stop on their own, remind them of school bus safety: look both ways before crossing a street, wait until the bus comes to a complete stop before stepping off the curb, and remain seated while the bus is in motion. Parents may also wish to reiterate “stranger dangers” rules.

Growing Healthy Grade by Grade

2ND GRADE

FAMI LY CAR E |

1ST GRADE

3RD GRADE 4TH GRADE Asthma and allergies may hinder a child’s ability to learn. “A child with significant nasal congestion, sinus pressure, runny nose, and itchy watery eyes is not going to be able to optimally concentrate on their school work and athletic performance may also be affected,” says Saju Eapen, MD with Asthma & Allergy Center. “It is important to determine what you are allergic to specifically so that these can be avoided and relief of symptoms can be achieved through targeted avoidance measures and appropriate medications.”

SAJU EAPEN, MD An allergist with Asthma & Allergy Center in Roanoke and Salem.

Take steps to avoid the spread of germs and illnesses. Practice good hand-washing hygiene, and don’t forget to take your child for a flu shot every year. Do not send your child to school if they are vomiting or have diarrhea, if they have a fever, or if they are not feeling well enough to learn while in school. Children should be feverfree for 24 hours before they return to the classroom.

5TH GRADE Students should not carry a bookbag that weighs more than ten to 15 percent of their body weight. Ensure your child wears his or her backpack correctly, with the weight of the bag evenly distributed across the body in order to avoid shoulder, neck, or back injuries.

6TH GRADE

7TH GRADE

Students become more involved in sports activities in middle school. For maximum performance, ensure your student athlete is up-to-date on any physical examinations; chooses the right team for his or her size, weight, and skill; uses safe equipment; and knows when his or her body has had enough and needs time to rest.

Set limits with your children with regards to social media usage to avoid potential issues with cyberbullying. “Have an open conversation with your kids about social media and their screen time,” recommends Dr. Arthur. “Talk to them about when they will use social media, what they will chat about, or what they plan to post about online. Most of what they are posting should be seen by a parent before they post it.” If you suspect your child is a victim of cyberbullying, consider talking to your pediatrician or a counselor.

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8TH GRADE

10TH GRADE

Assist children with the development of good homework and study habits, including organization. To alleviate eye fatigue, neck fatigue or brain fatigue during study sessions, students should take frequent breaks, getting up to stretch or have a snack.

By now, your child should have all their adult teeth and should have developed good dental habits. “Once you've hit high school, your adult teeth are here to stay,” states Dr. Anthony. “Continue to brush and floss, and speak to your dentist about a wisdom tooth evaluation. Remember that there's lots of sugar in the sports drinks that you may be drinking. This sugar will coat your teeth and cause cavities.

Keep in mind that mouthwashes do work but they do not substitute for brushing and flossing.”

9TH GRADE Make sure your child is eating healthy throughout the day and is not skipping meals, especially breakfast. “Have them grab something small before they rush out the door, whether it is a piece of string cheese or yogurt, something with protein and nutrition,” says Dr. Arthur.

MEREDITH M. ARTHUR, DO A pediatrician with Physicians to Children, Inc. in Hardy at Westlake.

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RICHARD L. ANTHONY, DDS. A dentist with Richard L. Anthony, DDS in Blacksburg.

FAMI LY CAR E |

11TH GRADE

Growing Healthy Grade by Grade

Remind your teen driver about the seriousness of avoiding cell phone usage while they are behind the wheel. Texting while driving “is a big deal,” says Dr. Arthur. “I recommend they keep their cell phone in the glove compartment or the trunk so they aren’t distracted.”

12TH GRADE Kids this age still need plenty of physical activity. Encourage your child to find time during the day for exercise, whether it’s walking or biking to school, or trying an exercise video.

Developing proper fitness habits now will set them up for life.

EXPERT CONTRIBUTOR Richard Anthony, DDS practices general and cosmetic dentistry in Blacksburg.

Meredith M. Arthur, DO, is a pediatrician with Physicians to Children, Inc. in Hardy.

Saju Eapen, MD is an allergist with Asthma & Allergy Center in Roanoke and Salem.

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BIGGER ISN'T ALWAYS BETTER

PROSTATE [ pro-stat-ik ] : Noun A kidney-bean-shaped gland sits at the base of the male bladder and encircles the urethra, the tube that carries urine and semen out of the body.

Pampering Your Prostate in Youth Could Make for a Healthier Life Later On words | RICK PIESTER

For such a small thing (about the size of a walnut,) the prostate sure gets a lot of press. The vaguely kidney-bean-shaped gland sits at the base of the male bladder and encircles the urethra, the tube that carries urine and semen out of the body. Its job is to produce some of the fluid that nourishes and protects sperm cells in semen.

Every male should be mindful of the prostate, because every male has one. And after age 50 or so, it can be the source of trouble that no man would want. The prostate tends to enlarge as a man ages, with conditions ranging from an overly enlarged prostate (benign prostatic hyperplasia in medical terms) to inflammation of the gland (prostatitis) to prostate cancer, which can affect as many as 230,000 men each year.

So, it makes good sense for every man to do what he can in youth to avoid problems with the prostate later on in life. There’s no guarantee, but there are steps that men can take in their 20s, 30s and 40s to up the chances for a healthier 50s and beyond.

According to urologist Rodney J. Poffenberger, MD, of Jefferson Surgical Clinic in Roanoke, the main step to take in prostate care is to take care of the packaging 80

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around it. Good general health practices, Dr. Poffenberger says, can pay dividends in prostate health.

Those factors aside, here are some things you can do to keep yourself, and your prostate, healthy: •

PROPER NUTRITION. Cultivate a diet low in saturated fats and high in fruits and vegetables. Limit your intake of animal fats, including dairy products; eat lots of fish, fruits (especially watermelon) and vegetables (especially cooked tomatoes, onions, garlic, broccoli, cauliflower, leafy green vegetables and others). Green tea also helps

RODNEY J. POFFENBERGER, MD A urologist with Jefferson Surgical Clinic in Roanoke.

The prostate tends to

•

EXERCISE. Thirty minutes of exercise four to five times a week is a baseline.

enlarge as a man ages,

•

HERBAL SUPPLEMENTS. Although there are no studies that suggest clear benefit to the prostate of herbal supplements, Dr. Poffenberger cautions that if you take them, see them as medications and treat them accordingly.

with conditions ranging

•

REGULAR PROSTATE SCREENING. The American Urological Association recommends screening for prostate cancer between the ages of 40 and 70. The screening is quick, simple and painless, involving a rectal exam and a blood test called the PSA.

EXPERT CONTRIBUTOR Rodney J. Poffenberger, MD, of Jefferson Surgical Clinic in Roanoke.

Bigger Isn't Always Better

Certain risk factors. Those include your age, your family history, your race, and even where you live. Research suggests that men living above the 40th degree of latitude have a higher chance of a diagnosis of prostate cancer. Virginia is below 40 degrees latitude.

from an overly enlarged prostate (benign prostatic hyperplasia in medical terms) to inflammation of the gland (prostatitis) to prostate cancer, which can affect as many as 230,000 men each year.

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The Legacy of a

Family Love Letter Part Three of a Six-Article Series

More than anything, drafting this one document can help ease your loved ones’ pain and stress during an undeniably tumultuous time. words | RICH ELLIS

Part one of The Family Love Letter series examined this informational document’s importance in serving as a roadmap to financial and personal details, and how having a completed Letter helps ease heirs’ and caregivers’ pain and stress in the event of a loved one’s death or incapacitation.

Part two took a closer look at The Family Love Letter’s first section – Advisors and Assets – and why those topics are the foundation on which all other sections of the Letter are built.

The latest installment of this six-article series examines an individual’s liabilities as part of The Family Love Letter’s next section – Financial Information.

What are the liabilities, who is the contact person for each, and where are the related documents located?

Stewart Barnes, a private wealth advisor with The Myrias Group, a private wealth advisory practice of Ameriprise Financial Services, Inc. in Roanoke, likes to help clients understand the importance of this section by describing it as, “Turning over rocks you don’t think about.” And when one stops for a moment to think about the number of liabilities they may be responsible for, there’s a quick realization that there are indeed a lot of rocks to look under.

“Imagine you’re gone or that you can’t talk,” Barnes says. “What liabilities exist? What do you owe? Have you made any personal guarantees? Are there credit cards? Have you leased something?

Are there website and magazine subscriptions? Who is listed as an authorized user on each account? Someone has to change or eliminate those accounts, and if they have to wait for bills to come

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in or for an automatic debit to occur once a year before they can discover a liability’s existence, it’s going to take a lot of time and frustration.”

To illustrate the point, Barnes shares the story of a widower who went to a cell phone provider’s retail location to cancel his wife’s phone service following her death. Because he wasn’t listed on the account, the cell phone provider wouldn’t initially allow him to close the account, and a lot of red tape ensued.

“When it comes to completing the liabilities section, there are a lot of little things, as well as some big considerations, and they’re all important. Digging through and documenting all those little things now is important because it helps whomever comes behind you understand your financial picture, instead of them being frustrated at the lack of information.”

STEWART BARNES A private wealth advisor with The Myrias Group, a private wealth advisory practice of Ameriprise Financial Services, Inc.

“Here he is, trying to do the right thing,” Barnes explains. “No one wants to have this frustration on top of just losing their spouse. When it comes to completing the liabilities section, there are a lot of little things, as well as some big considerations, and they’re all important. Digging through and documenting all those little things now is important because it helps whomever comes behind you understand your financial picture, instead of them being frustrated at the lack of information.”

While this section of The Family Love Letter is brief, Barnes says, it is particularly important because of the growing trend for people to manage their various accounts online and opt out of receiving paper statements – eliminating an important paper trail that previously would have helped a family member discover the liability.

Completing Section II – Financial Information Credit card debt. List all credit card accounts, the issuing bank or company, update any outstanding balance regularly, and provide a copy of each card’s terms and conditions. Barnes explains that some credit cards have a “death provision” whereby any outstanding balance is automatically canceled in the event of the cardholder’s death. “That might be a feature they would have paid extra for,” Barnes says, “and most of the time the issuing company would probably tell you of the feature’s existence, but I wouldn’t take for granted that the cardholder would have the documentation or remember that feature’s existence. That’s why it’s important to have a copy of the card’s terms and conditions.”

GUARANTIES. A guarantee could be as simple as having co-signed for a child’s lease agreement on their first apartment after college. Whatever the case, Barnes explains, it is a personal guarantee and one that needs to be included in the plan so someone knows of its existence.

RESPONSIBILITIES. While not legally binding, responsibilities are moral

SHERYL CRAWFORD A financial advisor with The Myrias Group, a private wealth advisory practice of Ameriprise Financial Services, Inc.

obligations and commitments that the individual wishes to see continue, even in the event of their death or incapacitation. “It may be $500 that you contribute annually to your grandson’s college fund,” Barnes explains. “If it’s important to you, then it needs to be formally conveyed to someone.”

LEASES. Whether it’s for a vehicle, apartment, office, or equipment, even if the leaseholder dies the contract is still in force for the balance of the lease, Barnes cautions. “Provide specific information about any leases held.

A good example is a storage locker,” Barnes says. “I can’t help but believe that some of the scenes in the reality show Storage Wars, in which the contents of storage lockers are auctioned off to the highest bidder after the

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lease isn’t paid, are the result of someone passing away and heirs simply not knowing of the locker’s existence and lease.”

Family Love Letter – Part III

SUBSCRIPTIONS. Satellite radio, newspaper, magazines, or a subscriptionbased website – someone will eventually discover the subscription accounts’ existence as renewal notices are received. The process will be easier and faster, however, if the subscriptions and their expirations are listed.

MONTHLY BUDGET. Providing a monthly budget that details cash flow coming in and going out is important for several reasons, Barnes says. “We want to know how much money is coming in every month and where it comes from,” he explains. “Is the individual receiving benefits? Are there dividends being swept into a bank account monthly and used to cover living expenses? Is money deposited automatically or is a physical check received?

The same questions should be asked for expenses. Are any expenses being paid automatically or online? After the expenses are paid, is there money left, or are we running a deficit monthly? Doing this work and providing insight will save a lot of time.”

Barnes shared a cautionary example of a client with a life insurance policy earmarked to help pay for someone’s college education in the event of the policyholder’s death. The policy was automatically paid for quarterly from the insured’s bank account. The insured became incapacitated, caregivers

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You can get information about upcoming

Family Love Letter

events and workshops by contacting The Myrias Group at 540.769.0052 or emailing sheryl.e.crawford@ampf.com.

closed the bank account, and the policy was allowed to lapse because no one knew of its existence or that it was being paid for from the bank account. The insured died a short time later and because the policy had lapsed, the funds designated for college expenses – funds that were planned for and should have been there – were now non-existent.

Completing a Family Love Letter Information about upcoming Family Love Letter events and workshops that can help readers complete their own document is available by contacting The Myrias Group at 800.332.9053 or Sheryl.e.crawford@ampf.com.

Part four of The Family Love Letter series in the October/ November issue of OurHealth explores the Love Letter’s third section, Insurance and Benefits, and discusses what types of insurance policies exist, details related to each, and where they’re located.

EXPERT CONTRIBUTORS Stewart Barnes is a private wealth advisor with The Myrias Group, a private wealth advisory practice of Ameriprise Financial Services, Inc. Sheryl Crawford is a financial advisor with The Myrias Group, a private wealth advisory practice of Ameriprise Financial Services, Inc.

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FITSTYLES

LOCAL FITNESS & ATHLETICS en Br da

a ltzl Ho nd e r

ENHANCED

FITNESS

Motivation + commitment + resources = results. One local resident has made a commitment to enhancing her healthy lifestyle, one class at a time. words | TINA JOYCE photography | SHAWN SPROUSE

YMCA member, Brenda Holtzlander, knows that a class can make a difference, a big difference. She enrolled in a program two years ago called Enhance®Fitness at the Salem Family YMCA and has rarely missed a class since.

Enhance®Fitness is an evidence-based, 16-week program endorsed by the United States Health and Human Services Administration on Aging and the Centers for Disease Control and Prevention Arthritis Program.

“This is a low-impact exercise program designed to help older adults, and those with chronic diseases, become more active, energized, and empowered for independent living,” explains Tricia Reynolds, Branch Executive for YMCA of Virginia’s Blue Ridge in Salem. “Those who suffer from arthritis, obesity, heart disease, and diabetes can greatly benefit.”

“I am lucky. I have healthy genes,” acknowledges Brenda.

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and be part of a results-driven program. Enhance®Fitness supports many seniors with chronic conditions, but has also proven to enhance the health of already active individuals.

Brenda, at a spry 72 years old, represents a growing population of individuals who recognize the benefits moving purposefully, building strength, and increasing flexibility is to the body—especially with age. “It really helps with my knees. I haven’t had as much problems with stairs since starting the program,” explains Brenda. “I find it easier to move around on a daily basis too.”

“It really helps with my knees. I haven’t had as much problems with stairs since starting the program,” explains Brenda.

The classes are designed to offer seniors, at all levels of fitness, an environment that promotes an active lifestyle during retirement. “We exercise our whole body and we go at

FI TSTY LES |

Every class is lead by a certified instructor who has completed Enhance®Fitness training. The instructor leads the participants through a series of dynamic (moving) cardiovascular exercises in a relaxed and fun environment. The class is offered for 60 minutes, three times per week. The hour is divided into three main sections: 20 minutes of cardio, 20 minutes strength building, and 20 minutes of stretching.

“Our instructors either understand having a chronic condition or have always worked with people battling chronic conditions so they have a real passion for helping those individuals,” explains Stephanie Gillenwater, Chronic Disease Coordinator for YMCA of Virginia’s Blue Ridge.

The true benefits come from an endurance-boosting warm up, followed by strength training to improve tone and balance, and an adequate cool down to increase flexibility and reduce soreness. The class is set to upbeat music and participants use soft ankle and wrist weights if they choose. “These weights are easier than holding traditional light-weight dumbbells,” explains Stephanie.

Patients with arthritis, fibromyalgia, and residual effects from a stroke gain mobility and relief from pain with the class format. “The fact that anyone who has a chronic condition can do the program is very rewarding,” Stephanie shares. “The classes also meet a very social need for some, as well. Many gain a great community of friends by participating.”

The program is open to both members and non-members of the YMCA, making it ideal for those seeking both physical and social benefits. “If I didn’t have the class to go to, I would probably just stay home and piddle around the house,” admits Brenda. “It motivates me to get out and be active!”

Participants must obtain a signed release from their doctor before beginning the program and a senior fitness test is completed in the beginning of the 16 weeks and at the end of the 16 weeks to show progress and results.

SENIOR FITNESS TESTS: •

BICEP CURLS – Bicep curls one minute (counted)

•

UP AND GO – Go from a seated position to walk eight feet out around a cone and back to seated (timed)

•

SIT AND STAND – Sit to stand one minute (counted)

There are many added benefits of participating in a group fitness environment.

There is natural accountability and social comradery when you meet weekly.

“You build friendships with people you exercise with,” comments Brenda.

Enhanced Fitness

our own pace,” says Brenda. The cost is low and participants are diverse in their needs. “We have some that can barely walk and others who are more active. We get to choose if we complete the exercises standing or sitting.”

A PROGRAM IS CONSIDERED EVIDENCE-BASED IF IT MEETS THE FOLLOWING CRITERIA: •

Evaluation research shows that the program produces the expected positive results

•

The results can be attributed to the program itself, rather that to other extraneous factors or events

•

The evaluation is peer-reviewed by experts in the field

•

The program is endorsed by a federal agency or respected research organization and included in their list of effective programs

PILOT PROGRAM RESULTS According to the Journal of American Geriatrics Society, who published the pilot program results, the group improved significantly in almost every dimension tested, from physical and social functioning to levels of pain and depression. The program significantly improved overall fitness and health.

The original independent study demonstrated that participants realized:

• 13% Improvement in social function

• 52% improvement in depression • 35% improvement in physical functioning

Additionally, Brenda adds she feels good as soon as the class is completed and the rewards are abundant. “It helps clear my mind and improves coordination and memory. I am lucky; I am not on any medications.” www.OurHealthswva.com

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The success stories are parallel to the perks—both plentiful. Other program participants and research have reported reduced joint inflammation and pain, less depression, increased energy, and substantially better sleep patterns.

Subsequently, these benefits result in fewer visits to doctor’s offices and lower dependence on medications, both contributing to lower overall healthcare costs.

“This is a low-impact exercise program designed to help older adults, and those with chronic diseases, become more active, energized, and empowered for independent living. Those who suffer from arthritis, obesity, heart disease, and diabetes can greatly benefit.”

TRICIA REYNOLDS Branch Executive for YMCA of Virginia’s Blue Ridge in Salem

Brenda and her class participants sometimes celebrate the end of a 16-week session by going out to eat. Each of them knows it’s not the end of a class, but merely the beginning of another.

The class currently meets Monday, Wednesday, and Friday from 11:15-12:15.

To learn more about the program, prerequisites and costs, contact Stephanie Gillenwater at the YMCA of Virginia’s Blue Ridge in Salem at 540.387.9622. For more information about the Enhance®Fitness program and published research, visit: www.projectenhance.org.

EXPERT CONTRIBUTORS Stephaine Gillenwater, Chronic Disease Coordinator with YMCA of Virginia's Blue Ridge in Salem.

Tricia Reynolds, Branch Executive with YMCA of Virginia's Blue Ridge in Salem.

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PHYSICAL THERAPY

LOCAL PHYSICAL THERAPISTS

Au

nS s ti

b car u gh oro

oyd. o f Fl

PATIENT'S

BEST FRIEND words | BRANDY CENTOLANZA photography | SHAWN SPROUSE

Meet Sawyer, a certified pet therapy dog who is bringing comfort to patients undergoing physical therapy with Interim Healthcare.

Dog owners know the positive effects of having their animals around as companions. Turns out, dogs can impact sick or injured individuals in much the same way. Pet therapy has grown in popularity over the past three decades. Interim Healthcare, an organization that provides home healthcare in the Southwest and Central Virginia area, recently added pet therapy to its services with successful results.

Floyd resident Austin Scarborough, 16, was born with Cerebral Palsy (CP), a disorder that affects muscle tone, movement, and motor skills. As a result, Scarborough has been undergoing physical therapy treatment to help with his condition for the past four years with Interim. He’s struggled with his treatments until Interim brought in Sawyer, an 11-month-old female English white lab certified as a pet therapy dog. Now, therapy has become easier and more tolerable for Scarborough, who looks forward to seeing the dog each visit.

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P HYSI CAL THER APY |

“I am able to play fetch with Sawyer, and I enjoy playing with her,” Scarborough says. “I get to throw the ball and she brings it back and it helps me stretch during therapy. Sawyer is so good to me, and is very loving. Sawyer lies on my back when I am stretching and it really helps me relax. I hope to someday have a dog just like her.”

“Sawyer makes a big difference in how Austin responds to therapy,” says Anders.

“He’s more engaged and cooperative. When Sawyer is here, Austin goes to a happier place. Having her here is something he looks forward to and enjoys. If they could bring Sawyer every day, Austin would be on cloud nine.”

Research shows that pet therapy has several benefits for patients, both physically and mentally. According to PAWS for People, an organization focused on the healing power of pet therapy since 2005, being surrounded by animals can lower blood pressure, improve cardiovascular health, reduce physical pain, lessen depression and anxiety, assist with speech and communication issues, and motivate people to recover faster. While it is mostly dogs that interact with patients, other animals can also be used as part of treatment, including cats, rabbits, guinea pigs, llamas, donkeys, and miniature horses, according to Pet Partners, another national organization that trains animals for therapy purposes.

Sawyer became certified a few months ago through Man’s Best Friend, a dog training organization in Madison, Ohio that trains dogs for protection, obedience, and pet therapy.

Patient's Best Friend

Scarborough’s aunt and guardian, Ruth Anders, has also noticed a difference in her nephew’s demeanor since he began interacting with Sawyer.

“I am able to play fetch with Sawyer, and I enjoy playing with her.

I get to throw the ball and she brings it back and it helps me stretch during therapy. Sawyer is so good to me, and is very loving. Sawyer lies on my back when I am stretching and it really helps me relax. I hope to someday have a dog just like her.

AUSTIN SCARBOROUGH A resident of Floyd

“Therapy was intense,” says Cheryl Rakes, a physical therapist and Director of Rehab at Interim Healthcare who also is Sawyer’s handler.

During her schooling, Sawyer was taught how to listen to commands and know what to do when surrounded by patients with varying degrees of physical limitations. She learned how to sit, stay, and heal during a patient’s physical therapy treatment as well as when to pull a wheelchair when necessary. Sawyer has been a part of Interim Healthcare for the past two months. Rakes took in Sawyer as her owner about the same time, and also underwent training with Man’s Best Friend on what to do with Sawyer when she accompanies her on therapy sessions.

“I am a huge dog lover and animal lover in general, and we noticed what pet therapy could do for people, so we decided to add pet therapy to our services,” says Rakes. There is no extra charge for allowing Sawyer to join Rakes on the therapy treatment visits.

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In addition to Scarborough, Sawyer has also visited with an elderly patient who needs physical therapy to assist with issues with balance. www.OurHealthswva.com

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“He played fetch with Sawyer and was able to stand for ten minutes,” Rakes says.

“Sawyer made him really happy. He had a blast.”

“Sawyer just makes people light up and takes them away from what they are dealing with for a little while.”

CHERYL RAKES A physical therapist and Director of Rehab at Interim Healthcare

Patients seem calmer and more relaxed when Sawyer is by their side, points out Rakes. She aids patients who may have issues with balance or standing, their gait or with walking as well as wheel-chair mobility. Sawyer is usually beside them during their treatments, and patients do a lot of petting and doting on the dog, forgetting for a bit about the real reason they are there.

“Patient’s attitudes toward therapy changes,” notes Rakes. “Sawyer is a nice distraction and motivates them. Therapy is more fun and the outcome is better when she is around.”

Sawyer visits with 30 to 40 percent of Interim Healthcare’s patients in their homes. She helps pediatric patients with stretching and other exercises and is utilized in physical therapy treatment for those older adults with problems with balance or similar conditions.

“Sawyer just makes people light up and takes them away from what they are dealing with for a little while,” Rakes says.

Since Sawyer is still just a puppy, Rakes attends every therapy session as well to ensure that Sawyer follows commands and everything is going smoothly.

INTERIM HEALTHCARE

540.774.8686 www.interimhealthcare.com

“So far, it’s been great,” Rakes says. “I enjoy it. Adding pet therapy to our services and having Sawyer with us has been a real positive experience.”

Particularly in Scarborough’s case. Rakes visits with Scarborough on a monthly basis for hourly physical therapy sessions, and has recently started bringing Sawyer along. During his treatment, Scarborough will allow Sawyer to lay on top of his back and pet the dog while Rakes helps him stretch his legs and hips.

“Austin’s become more focused and in-tune,” Rakes says. “He’s excited when Sawyer comes and always asks me to bring her back. He just has a brighter look on things when Sawyer is there.”

EXPERT CONTRIBUTOR

READ THIS EDITION OF

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Roanoke & New River Valleys

Cheryl Rakes is a physical therapist and Director of Rehab at Interim Healthcare.

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ON YOUR TABLET OR SMARTPHONE

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LOCAL PHYSICAL THERAPISTS

MYTH: Any healthcare provider can provide physical therapy.

FACT: Only a licensed physical

therapist can administer physical therapy. words | OURHEALTH STAFF WRITER

Physical therapists help people of all ages and abilities reduce pain, improve or restore mobility, and stay active and fit throughout life. But there are some common misconceptions that can often discourage those who need treatment from accessing physical therapists who specialize in the care people need.

OurHealth Roanoke & New River Valleys spoke with local physical therapists along with experts from the American Physical Therapy Association to debunk five common myths about the medical specialty.

MYTH: Physical therapy is only used to help patients rehabilitate from surgery

FACT: There are many conditions and injuries that can be effectively treated using physical therapy intervention and exercises instead of surgery.

In fact, statistics show that if pain and injury associated with a condition are addressed upon onset with a medical exam, followed by an evaluation for physical therapy, the necessity for surgical procedures is often reduced if not mitigated.

Physical therapy intervention and exercise programs developed by a skilled therapist are created to address the individual needs of the patient for improved quality of health and physical outcomes. These programs target specific muscle groups to improve strength, endurance and conditioning. Targeting the area of injury with tailored exercises promotes increased blood flow, which facilitates healing and recovery.

Physical therapy is only provided by a licensed PT or a licensed physical therapist assistant (LPTA) under the supervision of a PT. At Blacksburg Physical Therapy, our licensed PTs perform a thorough evaluation of every patient’s condition and apply the most effective therapeutic interventions to help them seamlessly return to their daily activities.

We also use a functional rehabilitation approach that is a unique and innovative treatment philosophy. Utilizing their expertise, our PTs determine areas that need improvement, such as range of motion, strength, flexibility, coordination of movement, balance, and/or biomechanics of walking or running. Then, with specialized techniques, backed by scientific evidence-based medicine, our PTs help normalize deficiencies to decrease pain and improve function. We take great pride and satisfaction in helping our patients realize exceptional results in their path to recovery.

Once recovery has been realized, it is beneficial to continue with the specific exercises or a home exercise program developed by a skilled therapist to reduce the chance of re-injury.

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Christi Nicely, OTR/L, MHA Director of Therapy

Cindy Henderson PT, DPT, ATC, FAFS

Brandon Oaks Nursing and Rehabilitation Center Roanoke | 540.776.2616 www.brandonoaksnursingandrehab.net

Blacksburg Physical Therapy Associates Blacksburg | 540.951.2703 www.blacksburgptonline.com

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

P HYSI CAL THER APY |

MYTH: Inpatient physical rehabilitation is just the first step toward a long-term care facility.

FACT: The goal of inpatient physical rehabilitation is to maximize patients’ This is a common misconception for newcomers to any inpatient rehabilitation within a Skilled Nursing Facility (SNF). Most SNFs have different levels of care. For instance, at Friendship Health – Rehab North’s campus, we offer three levels of care: inpatient rehabilitation, long-term care, and specialized memory care.

Most patients are admitted to inpatient physical rehabilitation for the first time after a traumatic event, such as a hip fracture or stroke. Friendship Health’s inpatient rehab includes specialized orthopedics, cardiac, and neuro-muscular care for those recovering from a knee or hip replacement, heart attack, or stroke. Understanding

Myths & Misconceptions

physical function and return them to their home and daily routine.

these key differences in levels of care ahead of time can make an unfortunate situation a lot less stressful.

At Friendship Health, we pride ourselves on our ability to provide intensive and evidence-based rehabilitation services required to transition our short-term skilled rehab patients back home quickly.

Diane Bell, COTA/L Director of Rehab Services Friendship Health Roanoke | 540.265.2100 www.friendship.us

www.OurHealthswva.com

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