OurHealth Roanoke & New River Valleys Dec 2014/Jan 2015 Edition

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table of contents | december 2014 • january 2015

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8th Annual Best Bedside Manner Awards MEDI•CABU•LARY.....................12 Local experts define health related terms

JUST ASK!.......................................14

The 2014 Best Bedside Manner Awards, presented by OurHealth magazine, recognize medical providers who were voted for by the local community for their kindness, empathy and attentiveness—attributes that go a long way in gaining a patient’s confidence.

Healthcare questions answered by local professionals

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

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

THE ANATOMY CHALLENGE................................. 25 How much do you know about our anatomy? In this issue, test your knowledge when it comes to the fabulous FOOT!

ANATOMY: Plantar Faciitis....... 26 Painful. Debilitating. And one of the most common reasons patients visit a podiatrist.

FITBITS.......................................... 90 Rather than a ‘resolution’, why not make a ‘commitment’ to be fit as you ring in the new year?

NUTRITION.................................. 93 FEATURING HEALTHY, FRESH, LOCAL INGREDIENTS: Gluten Free Dessert Recipe— Pumpkin Rolls

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OurHealth | The Resource for Healthy Living in Southwest Virginia


The Resource for Healthy Living in Southwest Virginia

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Is Everything I Like Bad for Me? The line between healthy and unhealthy gets fuzzier every day. With the line so blurry between seemingly healthy lifestyle choices and the reports of things that are quietly leading to human demise, how does one push forward and make good choices?

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[series]

Breaking the Silence: Living with HIV

This series explores diseases that can be devastating to the individuals and families they affect—yet no one is talking about them—until now.

hello, HEALTH!.............................112 Capturing the spirit of Southwest Virginian’s working in healthcare and of people leading healthy lives through photos

LOOKING BACK..........................114 Images reflecting the history of healthcare in Southwest Virginia * PLUS * a chance to win prizes!

www.OurHealthVirginia.com

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The Resource for Healthy Living in Southwest Virginia

december 2014 • january 2015

read this edition of

OurHealth Southwest Virginia

on your tablet or smartphone

PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION VICE PRESIDENT OF BUSINESS DEVELOPMENT PROJECT COORDINATOR CHIEF DESIGNER ORIGINAL PHOTOGRAPHY ORIGINAL COVER ART WEBMASTER

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Kim Wood Deidre Wilkes Karrie Pridemore Shawn Sprouse/SDS Photography Joe Palotas Next Generation Design

CONTRIBUTING MEDICAL EXPERTS

Brian Dickens, DO Susan Dorsey, MD Richard Harrell, PhD Hank Hinshaw, CPO Michael Johnson, OD Michele Mills, DDS

CONTRIBUTING PROFESSIONAL WRITERS

Rich Ellis Tricia Foley, RD Steve McClintic, Jr. Aine Norris Deidre Wilkes Suzanne Ramsey

ADVERTISING AND MARKETING Kim Wood | P: 540.798.2504 kimwood@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth via U.S. Mail, please contact Jennifer Hungate at jenny@ourhealthvirginia.com or at 540.387.6482

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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2014/2015 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. The OurHealth Southwest Virginia (SWVA) edition is published six times annually by McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.



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

What is Mohs Micrographic Surgery? Frederick Mohs, MD was the early pioneer who developed this unique approach to skin cancer removal. It is a very precise technique, which involves removal of the skin cancer immediately followed by microscopic examination of the tissue. If the margins of the tissue removed are clear at that point, then the procedure is complete. If there are any positive margins identified by the Mohs’ surgeon, then that area is mapped and further removal is carried out, but only in the area known to have remaining skin cancer. Therefore, preservation of tissue is accomplished while not compromising the goal of complete cure. The procedure is repeated until the area is cancer free. With so many Americans reaching an age at which skin cancer development is becoming a reality, there is an increased need for identification and removal of carcinomas of the skin. The cure rate for the most common skin cancers (basal cell and squamous cell carcinomas) is 99% when the Mohs’ surgery technique is employed. This high cure rate, coupled with the lowered risk of facial disfigurement, makes this a very useful approach to skin cancer removal. Susan Dorsey, MD

Dermatology Associates Roanoke Roanoke | 540.981.1439

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OurHealth | The Resource for Healthy Living in Southwest Virginia

What is presbyopia? Presbyopia or “arms-not-longenough-itis” is an age related decrease in the ability of the eye to autofocus, especially for reading. As we age, the lens inside the eye loses its flexibility and can’t change shape as easily to focus up close. This causes symptoms near or just after the age of 40. At that time, prescription glasses or contact lenses can be of help. We recommend all those over the age of 40, who are having any issues seeing up close, either with or without correction, have a comprehensive eye examination to be evaluated for presbyopia. Michael Johnson, OD

Drs. Newman-Blackstock and Associates Roanoke | 540.366.2457 www.newmanblackstock.com

What is a somatic dysfunction? Common lingo in osteopathic medicine, but technical jargon to a non-clinician, the term “somatic dysfunction” refers to a problem in the body’s structure causing a subsequent problem with its function. One of the tenets of osteopathy states that structure and function are related. Take the case of a patient who just raked leaves for two hours, then develops back pain. He presents to his doctor with a noticeable, abnormal rotation in his spine. This rotation impairs his ability to move correctly and causes pain. As a means of simplicity and conformity, we name the disorder based on how the patient presents. If, for example, thoracic segments six to nine are stuck side bending to the left and rotating to the right, that’s what we call it. That’s his somatic dysfunction. A number of osteopathic manipulative medicine techniques may then be used to correct the structure and restore proper function. Brian Dickens, DO

Chair, Department of Family Medicine Edward Via College of Osteopathic Medicine Blacksburg | 540.231.4951 www.vcom.edu



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

My 8-year old seems to have difficulty hearing certain things during conversations –could he have experienced a sudden hearing loss? A permanent sudden hearing loss is rare but possible. There are several other causes of missing things in conversation. Ear infections that cause middle ear fluid can affect hearing. Auditory processing deficits can also cause difficulty. These deficits occur when a child’s brain and nervous system do not respond well in difficult listening environments. A third possibility, sensorineural hearing loss, typically affects some pitches more than others. This can lead to a loss of crucial speech sounds during conversation. The best step is to have an audiologist evaluate your child’s hearing to determine what is causing the deficit and to what degree. Richard Harrell, PhD

The Hearing Clinic Blacksburg | 540.307.4258 www.swvahearing.com

Do whitening toothpastes really work? Yes and no. Whitening toothpastes can remove surface stains. They contain abrasive particles that polish off stains such as those from coffee and smoking. They cannot change the natural color of your teeth or rid stubborn deep staining. These toothpastes are also very useful after professionally whitening your teeth to maintain your new bright smile and keep the stains away! A few whitening toothpastes contain Blue Covarine that binds to the teeth, and creates an optical illusion that makes yellow teeth appear whiter. To lighten the color of your teeth, professional whitening with carbamide or hydrogen peroxide is needed. Yellow and brown teeth whiten the best. Gray teeth tend be a little more stubborn. Professional whitening can be done in the dental office in about an hour with a product called Zoom. Results from 5-14 shades lighter can be seen after one visit. Take home whitening is also available from your dentist. Michele Mills, DDS

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

How can spinal bracing help in the treatment of juvenile scoliosis? Having scoliosis can compromise normal musculoskeletal development in young patients and can adversely affect normal organ function. Scoliosis can occur at any age, but the most common treatable type is adolescent idiopathic scoliosis. This affects more female children than male, and typically occurs at or just before age ten. The general idea is to diagnose the scoliosis early in the child’s development and brace the curves if they are progressing rapidly or are greater than an acceptable degree. Treating a scoliosis curve with a spinal brace greatly decreases the child’s chances of having pain or deformity later in life. Bracing is possible with flexible curves by creating forces generated on the asymmetries of the torso; and bracing allows the child to participate in the treatment of their scoliosis. When the child is shown the X-ray or observes physically how the spine is being corrected, their compliance and outcomes typically improve. Hank Hinshaw, CPO

Excel Prosthetics and Orthotics Roanoke | 540.982.0205 www.excel-prosthetics.com

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OurHealth | The Resource for Healthy Living in Southwest Virginia



NEW

NOTEWORTHY

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

Carilion Clinic Names New Chief Medical Officer Carilion Clinic named Patrice M. Weiss, MD to serve as Chief Medical Officer. Dr. Weiss currently serves as Chair of the Department of Obstetrics and Gynecology at Carilion Clinic and Professor of OB/ GYN at Virginia Tech Carilion School of Medicine. Her appointment became effective Nov. 1, 2014. To learn more about Dr. Weiss and her new appointment, visit the Carilion Clinic Newsroom: https://www. carilionclinic.org/blogs/news-team/carilion-clinicnames-chief-medical-officer

Carilion announces

donation of building to CHIP of Roanoke Valley Carilion has announced the donation of the building they had previously leased to Child Health Investment Partnership (CHIP) for the last 12 years. CHIP’s non-profit headquarters, located at 1201 Third Street in Roanoke is now owned by CHIP, and will provide stability to an organization that provides medically-focused home visiting services to over 1000 low-income children annually in the Greater Roanoke Valley.

through Carilion Pediatric Dental Clinic, access to medical services through Carilion pediatricians and specialists, case management that includes transportation to appointments with Carilion pediatricians through CHIP nurses, and providing reciprocal trainings for CPR, Safe Sleep and Shaken Baby Syndrome. CHIP also provides a community rotation for Carilion Family Practice and Peds Residents.

“We are so pleased to donate this building to an organization that provides such extraordinary services to our community,” said Carilion Clinic President and CEO Nancy Howell Agee. “Their work is supportive of our mission, which is to improve the health of the communities we serve. This relationship will continue as we simultaneously, and in coordination, work to make a difference in the lives of those that we care for.”

This community partnership is yielding healthcare savings by avoiding costly ER visits for things like asthma and major dental work which are addressed at an early age in the homes of CHIP children. “Our partnership with Carilion Clinic is invaluable to CHIP and the families we serve. By working so closely together, we are improving the quality and accessibility of healthcare and lowering costs for thousands of children from low-income families in our community.” said CHIP’s CEO Robin Haldiman.

Carilion and CHIP partner in numerous ways from access to dental services

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www.OurHealthVirginia.com

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NEW

NOTEWORTHY

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

Carilion Clinic Makes Managing Healthcare Online

Easier for People with Disabilities Carilion Clinic, Southwest Virginia’s leading healthcare provider, is proud to announce its partnership with eSSENTIAL Accessibility. Through the partnership, Carilion now offers a desktop app that empowers people with physical disabilities to access carilionclinic.org. People who are unable to browse the web using conventional methods due to conditions such as arthritis, paralysis or MS, can use this app to navigate completely hands free using tools like motion technology and voice-activated navigation. The app will allow people with physical limitations to take advantage of many of Carilion’s convenient online services – from locating a doctor to accessing healthy living tips to paying bills, and more. The eSSENTIAL Accessibility app™ provides a suite of keyboard and mouse replacement solutions, among other tools, designed to help people with physical, reading and age-related disabilities get online. The app is free to the end-user and can be accessed by clicking the blue wheelchair and keyboard symbol located on carilionclinic.org. Visitors who click on the icon are directed to a special Carilion landing page. Here, they can download the app, peruse Carilion Clinic Living for healthy living resources and tips, view job opportunities within the company, and learn about special programs like Care Connection for Children. “Our mission at Carilion Clinic is to improve the health of the communities we serve,” says Carilion Clinic Senior Vice President Steve Arner. “By making our vital online services and resources more inclusive to people with disabilities, we know that we will be able to take our mission to the next level by equally serving each and every one of our patients in Virginia.” “We are excited to welcome Carilion Clinic on board and applaud them for being true leaders in Virginia by providing an equal healthcare experience for everyone through their programs and services and by offering an inclusive digital space,” says Simon Dermer, Managing Director at eSSENTIAL Accessibility. “We are proud to have them join the coalition and we look forward to working together to help take their mission to the next level.”

Kissito PACE… a year of success keeping the elderly in the community

Kissito PACE held it’s Year Anniversary and invitation-only “homecoming” event for participants and family members, Thursday, Nov. 20 in Roanoke, VA. The participants shared stories of how Kissito PACE has enriched their lives. The Kissito PACE program in Roanoke provides all-inclusive care for the elderly and is part of the PACE program of the Commonwealth of Virginia. It is a home- and community-based alternative to a nursing facility. Participants get to remain in their own homes while commuting two to three times during the week to the 10,000-square-foot Kissito PACE center for socialization, exercise, dining, and medical care. Participants in Roanoke agreed to allow select members of the press to attend their exclusive celebration because they wanted their stories to be told in upcoming news features.

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OurHealth | The Resource for Healthy Living in Southwest Virginia



NEW

NOTEWORTHY

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

Farrell C. Adkins, MD

Carol A. Bernier, DO

Jill Bloom, PA-C

Sean Burke, MD

Judy Chun, MD

Kevin Combs, DO

Aimee Conlee, MD

David Davis, MD

Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org

Carilion Clinic Emergency Medicine Roanoke | 540.981.7337 www.carilionclinic.org

Carilion Clinic Urology Christiansburg 540.382.3440 www.carilionclinic.org

Carilion Clinic Neurology Roanoke | 540.224.5170 www.carilionclinic.org

Kimberly Caldwell, PA-C

Erin Carter, DO

Jill Devlin, DO

Violet Fernandes, MD Kathy Finney, NP Carilion Clinic Pediatric Hematology and Oncology Roanoke | 540.981.7376 www.carilionclinic.org

Carilion Clinic Hospice Radford | 540.633.9370 www.carilionclinic.org

Kevin Griffin, MD

Ryan Harris, DO

Carl S. Henderson, DO

Alison Hester, DO

Holly Hieb, MD

Mark Joseph, MD

Donni Kincaid, GNP

William King, MD

Sanjiva M. Lutchmedial, MD

Carilion Clinic Urology Christiansburg 540.382.3440 www.carilionclinic.org

Carilion Clinic Obstetrics and Gynecology Christiansburg 540.731.4578 wWww.carilionclinic.org

Carilion Clinic Emergency Medicine Christiansburg 540.731.2866 www.carilionclinic.org

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Carilion Clinic Hospitalist Christiansburg 540.731.2000 www.carilionclinic.org

Carilion Clinic Hospitalist Roanoke | 540.981.7268 www.carilionclinic.org

Carilion Clinic Urology Christiansburg 540.382.3440 www.carilionclinic.org

Carilion Clinic Cardiothoracic Surgery Roanoke | 540.853.0100 www.carilionclinic.org

OurHealth | The Resource for Healthy Living in Southwest Virginia

Carilion Clinic Family Medicine/Hospitalist Tazewell | 276.988.8850 www.carilionclinic.org

Carilion Clinic Urology Christiansburg 540.382.3440 www.carilionclinic.org

Carilion Clinic VelocityCare Roanoke | 540.772.8670 www.carilionclinic.org

Carilion Clinic Emergency Medicine Roanoke | 540.981.7337 www.carilionclinic.org

Carilion Clinic Orthopaedic Surgery Christiansburg 540.731.2436 www.carilionclinic.org

Carilion Clinic Urology Christiansburg 540.382.3440 www.carilionclinic.org

Carilion Clinic VelocityCare Hardy | 540.719.1815 www.carilionclinic.org

Carilion Clinic Internal Medicine Roanoke | 540.224.5170 www.carilionclinic.org

Carilion Clinic Pulmonology Medicine Christiansburg | 540.731.7450 www.carilionclinic.org


David Luyimbazi, MD

James Allen Maxey, DO Rebekah McKelvey, NP Kelley Morel, MD Carilion Clinic Family Medicine Rocky Mount 540.483.5168 www.carilionclinic.org

Carilion Clinic Hospitalist Roanoke | 540.981.7268 www.carilionclinic.org

Carilion Clinic OB/GYN Roanoke | 540.985.9715 www.carilionclinic.org

Thomas Morel, MD

Tina Muse, NP

Scott Otallah, MD

Biraj Patel, MD

Lauren PenwellWaines, PhD

Christopher Pile, MD

Natalie Powell, DMD

Annie Pugh, MD

Sarah Shepherd, NP

Isaac Spence, DO

Shen-Li Tan, MD

Christine Ullman, DO

Wei Wei,, MD

Leigh Wingo, NP

Carilion Clinic General Surgery Surgical/Oncology Roanoke | 540.224.5170 www.carilionclinic.org

Carilion Clinic Pediatric Neurology Roanoke | 540.985.8454 www.carilionclinic.org

Shawn Safford, MD

Carilion Clinic Pediatric Surgery Roanoke | 540.985.9812 www.carilionclinic.org

Carilion Clinic Interventional Neuroradiology Roanoke | 540.981.8353 www.carilionclinic.org

Carilion Clinic Clinical Psychologist Roanoke | 540.562.5700 www.carilionclinic.org

Sorin Scarlatescu, MD Joni Sessor, WHNP Carilion Clinic Hospitalist Roanoke | 540.981.7268 www.carilionclinic.org

Carilion Clinic Women’s Health Roanoke | 540.985.9862 www.carilionclinic.org

Carilion Clinic Palliative Medicine Roanoke | 540.981.7515 www.carilionclinic.org

Carilion Clinic Pediatrics Roanoke | 540.224.4520 www.carilionclinic.org

Carilion Clinic Center for Healthy Aging Roanoke | 540.981.7653 www.carilionclinic.org

Carilion Clinic Dentistry Roanoke | 540.981.7128 www.carilionclinic.org

Carilion Clinic Family Medicine Blacksburg | 540.951.0352 www.carilionclinic.org

Carilion Clinic Trauma/ Surgical Critical Care Roanoke | 540.981.7268 www.carilionclinic.org

Carilion Clinic Hospitalist Roanoke | 540.981.72678 www.carilionclinic.org

Carilion Clinic Interventional Cardiology Christiansburg 540.731.7600 www.carilionclinic.org

photo not available

Brandi Tomlin, NP

Carilion Clinic VelocityCare Roanoke | 540.722.8670 www.carilionclinic.org

Priscilla Tu, DO

Carilion Clinic Family Medicine Roanoke | 540.562.5700 www.carilionclinic.org

Emily Turner, NP Carilion Clinic Family Medicine Floyd | 540.745.2031 www.carilionclinic.org

Carilion Clinic Family Medicine Dublin | 540.674.8805 www.carilionclinic.org

Carilion Clinic General Surgery Christiansburg 540.731.7600 www.carilionclinic.org

Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org

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

Holiday Awareness AidsMonth Eating SURVIVING

International

December is International AIDS Awareness Month. Established in 1988 by the World Health Organization to focus attention on the continuing impact of the epidemic and encourages each of us to take action to expand our collective response to the epidemic of HIV/ AIDS.

AIDS/HIV Facts

• Every 9 ½ minutes, someone in the United States is infected with HIV.

• The Centers for Disease Control and Prevention estimates that more than one million people in the United States are living with HIV. • One in five people living with HIV are unaware of their infection. • There are currently 33.4 million people living with HIV/AIDS worldwide. • Every year another 56,000 Americans become infected with the virus.

find out more • For more information about Confidential HIV testing throughout Virginia, please contact the VDH Division of Disease Prevention Hotline at (800) 533-4148

JANUARY

It’s not about a number…

IS HEALTHY

»» Dieting has led many people astray by making their struggles with weight worse, negatively affecting their health, and keeping them from living the lives they want.

WEEK!

»» Healthy Weight Week encourages people to improve health habits in lasting ways by eating well without dieting, living actively and feeling good about themselves and others

19-23 WEIGHT 22

»» Public perception is that weight determines health and that dieting is a viable health solution.

OurHealth | The Resource for Healthy Living in Southwest Virginia

The holidays can pose a great risk to even the healthiest eating plans.

On average, Americans gain about a pound at holiday time, which may not seem like a lot, but we usually don't lose this pound. Long term, after 10 years, you've put on a lot

all the sugar, calories, sodium and fat that you've consumed during the holidays may make for an extra wrinkle and dull skin for the New Year. You can survive holiday of extra weight. Short term,

parties and avoid overeating with a few simple tactics. • Go for the passed hors d'Oeuvres, and skip the buffet • Choose low-calorie and healthy festive foods • Bring the healthy fare to parties and potlucks • Use a napkin to control portion size • Drink plenty of water • Watch ‘liquid calories’ • Bring gum or mints to parties • Hit the veggie tray


Popular

New Year’s Resolutions

Happy New Year! These New Year's resolutions are popular every year. Remember, pick something attainable, and, set short-term goals for your best chances of making permanent lifestyle changes in 2015! • Lose Weight

• Get a Better Job

• Eat Healthy Food

• Quit Smoking

• Save Money

• Manage Stress

• Get a Better Education • Get Fit

• Manage Debt

WINTER Run ALLERGIES: 2015 Resolution

To help

Dry, Red Eyes:

• Run a humidifier at night.

Omega 3s

• Eat more (fish and flax) • Use preservative-free

Artificial Tears

5K benefitting Bethany Hall for a New Beginning

You have “dashed your drumsticks” and “jingled your bells”, how about a RESOLUTION? Come out and start the New Year with a resolution to yourself and to helping others by participating in this benefit 5K.

Race Day:

Start Time:

Thursday, January 1st (New Years Day) 10:00 a.m.

Location:

Wiley Drive, Roanoke River Greenway (Gazebo side)

Register:

For more information and to register, go to www.resolutionrunroanoke.com

Bethany Hall is a private, non-profit agency providing long-term residential substance abuse treatment for women and women with children. For more information on Bethany Hall, visit their website at www.bethanyhall.org.

ON THE WEB

More at ourhealthvirginia.com www.OurHealthVirginia.com

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OurHealth | The Resource for Healthy Living in Southwest Virginia


The Anatomy Challenge is proudly

the

Anatomy

sponsored by

CHALLENGE

Here’s your chance to see how much you know about your Fabulous

FOOT!

First, find all the hidden words in the word search below. Next, match up the correct word with the part of the body in the illustration.

[ the Fabulous FOOT ]

WORD SEARCH

calcaneus

talus bone

phalanges

fibula

navicular bone

cubold bone

tibia

cuneiform bone

plantar fascia

lateral malleolus

metatarsal bones

spur

_________________

_________________ _________________ _________________ _________________ _________________ For answers, visit OurHealth Southwest Virginia’s

Facebook page at

_________________

_________________ _________________

_________________ _________________

Virginia Prosthetics & Orthotics With Multiple Locations Across Southwest Virginia to Serve You: Roanoke, Martinsville, Lynchburg, Christiansburg, Charlottesville, Harrisonburg, Fishersville, Tazewell, South Boston, Low Moor, Rocky Mount, Richlands, Stuart & Farmville www.VirginiaProsthetics.com | 888.366.8287 www.OurHealthVirginia.com

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Plantar Fasciitis

words | RICH ELLIS photography | SHAWN SPROUSE

Painful. Debilitating. And one of the most common reasons

patients visit a podiatrist.

Custom-made foot orthotics help most find relief and prevent its reoccurrence. Kim Wood was just 39 years old, yet she felt like a 90-year-old woman. The excruciating pain was at its worst in the morning, when she got out of bed and every stride felt as though she were stepping on a nail. In a futile attempt to avoid the pain, she tried changing the way she walked. This only made the pain spread to her ankle and the side of her foot, causing her to make even more pronounced changes to her gait, spreading the pain to her hips and back. “My whole body became so stiff, and as a result, it made me feel as though I had aged tremendously,” Wood explains. “When the pain’s really bad, it makes you feel so old. Even just sitting for an hour car ride would result in me becoming stiff.” The pain wasn’t always there. Wood was once an active runner. She loved the sport, having discovered at age 38 the health benefits that came with it. She’d run three miles at least four times a week and was in great shape. “Before I began running, I had already lost 15 pounds so I felt like I was in a good place to start exercising,” Wood says. “And after I started running, I noticed I could still enjoy eating all the foods I love and maintain my weight.” Her new-found hobby and healthier lifestyle wouldn’t last long, however, because plantar fasciitis was lurking in the background.

What is plantar fasciitis? “Painful inflammation of the plantar fascia—the ligament that connects the heel to the arch—is frequently characterized by significant heel pain,” explains Charles M. Zelen, DPM, with Foot and Ankle Associates of Southwest Virginia. “It usually occurs where the ligament attaches to the heel bone, and results in severe pain that can be very disabling, preventing exercise or even daily activities.” Charles M. Zelen, DPM, with Foot and Ankle Associates of Southwest Virginia

This very prevalent condition is one of the most common reasons that patients seek the advice of a podiatrist, Dr. Zelen says. It’s also known as “heel-spur syndrome” because as the ligament pulls on the heel bone, it causes a spur to form. This spur is actually a piece of bone being pulled off the heel, and Wood was experiencing it in both feet. “Over-activity and weight gain are two of the most frequent causes of plantar fasciitis,” Dr. Zelen says. “We diagnose it with a combination of a clinical examination and X-ray evaluation, with the most important feature being the presence of pain or discomfort on the heel bottom.”

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The custom-molded foot orthotics are measured before trimming so they’ll fit comfortably into Kim’s running shoes.

A dorsal night splint is fit to Kim’s foot. Worn only while sleeping, it keeps the foot perpendicular to the leg, stretching the Achilles tendon and foot muscles to help alleviate her Plantar Fasciitis.

Treating plantar fasciitis Ben Sigmon, a certified prosthetist orthotist with Virginia Prosthetics & Orthotics, Inc., evaluates Kim’s foot for pressure points—indicated by callouses—and any swelling that the orthotics will help correct.

Pain wasn’t the only health problem Wood experienced with plantar fasciitis. Because she could barely even walk without significant pain, let alone run or participate in other forms of exercise, both her weight and blood pressure rose. She needed to find a solution, and fast. “I tried everything,” Wood recalls, “over-the-counter foot orthotics, different shoes, cortisone injections, a foot stretching device – all with little or no success. Looking back, I wish I had educated myself more about the condition.” While each patient is unique, Dr. Zelen said most patients with plantar fasciitis will see the condition improve through the use of several available treatment options, including physical therapy and stretching exercises, cortisone injections, and orthotics. If those options fail, then surgery and several newer treatments are available. As mentioned earlier, Wood tried orthotics to alleviate her foot pain, but they didn’t solve the problem, mainly because they were off-the-shelf orthotics and not customdesigned for her unique foot and specific condition.

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OurHealth | The Resource for Healthy Living in Southwest Virginia


After examining her, Dr. Zelen recommended custom-made foot orthotics. Inserted into the shoe, orthotics provide the cushion and support the foot needs to prevent injury and enable healing from injuries that have already occurred. “Using custom foot orthotics as a functional therapy is probably the number one most important treatment option,” Dr. Zelen says. “They provide physical support to the foot, take the pressure off the ligament on the bottom of the foot, and prevent the ligament from being stretched. Orthotics also help control pronation – when the foot hits the ground, the arch stretches and flattens, allowing the foot to turn inward abnormally.” Even people without plantar fasciitis can benefit from wearing foot orthotics because they help prevent abnormalities and injuries from occurring when walking or running, he adds. Wood took her prescription to Virginia Prosthetics & Orthotics, Inc. in Roanoke where Ben Sigmon, CPO, evaluated her. Sigmon is a Certified Prosthetist Orthotist, educated and trained specifically to evaluate patients and then design, make and fit patients’ prostheses – artificial limbs – or orthoses, which cover a wide variety of bracing devices for various parts of the body, including the feet.

The foot’s impression is captured in foam so that an exact replica can be made in plaster. The orthotics are then handcrafted from the plaster mold, ensuring a comfortable fit and correcting her condition.

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After being trimmed, the orthotics’ edges are sanded smooth for fit and comfort as the final step before delivery.

Ben Sigmon is a Certified Prosthetist Orthotist at Virginia Prosthetics and Orthotics in Roanoke

After checking Wood’s alignment by watching her walk down the hallway and examining her bare feet, Sigmon said he noticed slight swelling in the foot and tenderness to the touch – both attributable to the plantar fasciitis. “She has a moderately aggressive arch, and as a result, the heel and ball of her foot are bearing most of the pressure as she walks. This can worsen the pain associated with plantar fasciitis,” Sigmon explained. “What I want to do is use the custom inserts to cushion the feet and provide better support for her arch.” Sigmon also noted that Wood’s arch collapses slightly when she walks and an off-theshelf orthotic would not be aggressive enough to provide the necessary results. “Everyone’s feet are so different and even the tiniest change can yield big results,” he explains. “Custom-made orthotics are functional and designed specifically to correct

New Treatments for Plantar Fasciitis For patients who don’t find relief from their plantar fasciitis through the traditional treatment options, Dr. Zelen says that surgery is an option, as are newer, advanced treatment options.

Traditional treatments include: • stretching • foot orthotics • cortisone injections • anti-inflammatories

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Emerging treatments include: • shock wave therapy • platelet injection • injection of amniotic membrane filled with growth factors. Dr. Zelen recently authored a study that was published in Foot & Ankle International – the journal for the American Orthopedic Foot and Ankle Society. The study looked at using dehydrated human amnion/ chorion membrane (dHACM) injection to treat the inflammation associated with Plantar Fasciitis. The full study is available at http://fai.sagepub.com/content/ early/2014/09/22/1071100714552824.abstract



the individual patient’s problems. No off-the-shelf or mail-order orthotic can match or provide the level of fit and correction as compared to one that is custom measured, fabricated, fit and modified specifically to match a patient’s unique foot and the condition they are experiencing and trying to correct.” Sigmon began the design process for Wood’s foot orthotics by placing her bare foot into a small rectangular box filled with a solid, impressionable foam and rolling her foot gently from outside to inside, as she would when walking or running. The foam provides a very detailed picture of her foot which is then used to make a plaster cast that’s an exact replica of the foot. The orthotics are then handcrafted from the plaster mold, ensuring a comfortable fit and helping correct the condition. “Plantar fasciitis is very common in runners as a result of stress and overuse,” Sigmon explains. “One of my goals in fitting the orthotics is to help the patient avoid surgery and achieve success through the use of orthotics, which is a much less invasive alternative.” In addition to the custom-made orthotics, Sigmon also treated Wood with a dorsal night splint. This orthotic device is worn only when she sleeps and keeps her foot at a 90-degree angle, perpendicular to her leg, allowing the Achilles tendon and calf muscles to stretch throughout the night. “Most people sleep with their toes pointed down, allowing the muscles and tendons to contract and tighten throughout the night,” Sigmon says. “Then when they take that first step in the morning, everything is forced to suddenly stretch, causing pain and possible injury. Wearing the splint at night prevents this from occurring and promotes healing.”

The prognosis for a full recovery. According to Dr. Zelen, Wood should make a full recovery. “The majority of patients – better than 90 percent – don’t have a recurrence of plantar fasciitis, if they continue to do their stretching exercises and wear good shoes with their orthotic inserts. “ Because the injury is so debilitating, it’s uncommon for a patient not to seek treatment for their plantar fasciitis, and Dr. Zelen cautions patients about ignoring their condition and trying to live with the pain. Left untreated, prospects for a full recovery aren’t as positive because permanent ligament and nerve damage may occur, leaving patients with chronic pain. And even with foot orthotics, recovery isn’t overnight, Sigmon cautions. “It’s not an immediate cure, but in a couple of weeks she should see an improvement,” he says. “Patients have to transition to the orthotics by wearing them for an hour the first day, then two hours the second day, and 32

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so on, allowing their body to gradually adapt to the changes that the orthotics are causing.” Wood said it took her only about two or three days to get used to having the orthotics in her shoes. “I noticed right away that my stride is different,” Wood explains. “I felt like before I was putting more pressure on my heels. Now with the orthotics, I have a more balanced stride.” Even after returning to a full exercise schedule, which Sigmon recommends only after she’s worn the orthotics for a month, Wood’s orthotics will last anywhere from a year and a half to more than three years. “They are made from plastazote foam, cork, and other materials that help them retain their shape and resist compaction,” Sigmon explains. “Over time, they will begin to wear because of a number of factors, including the user’s weight and activity level, and need to be replaced. Our feet also change periodically, which is another reason to have the orthotics evaluated by an orthotist on a regular basis.” As for predicting who might be at greater risk for contracting plantar fasciitis, Sigmon said that’s difficult to do just by examining someone’s foot since the patients he sees with the condition are split almost evenly between having flat feet (pes planus) and having a normal or high arch (pes cavus.) He does feel that shoe selection can help prevent the condition and recommends people choose an athletic shoe that offers more support. One method he employs in evaluating a shoe is to grasp it at the heel and toe and see how easily it twists from side to side. The easier it twists, the less support it provides to the feet. Wood hasn’t put away her running shoes just yet. She wears them daily, along with her foot orthotics, looking forward to the day when she can start running again, get back in great shape, and maybe even eat a few of those foods that she loves.

The running shoes’ original inserts were replaced with the custom-made foot orthotics to correct Kim’s foot position and alleviate her Planar Fasciitis.

Virginia Prosthetics & Orthotics, Inc.

www.VirginiaProsthetics.com 4338 Williamson Road Roanoke, VA 24012 888.366.8287 14 locations throughout Virginia

Foot and Ankle Associates of Southwest Virginia, P.C. www.DrZelen.com

1802 Braeburn Drive Suite M120 Salem, VA 24153 540.344.3668 222 Walnut Avenue Roanoke, VA 24016 540.344.3668

ON THE WEB

1 Dudley Street Martinsville, VA 24112 540.344.3668

More at ourhealthvirginia.com www.OurHealthVirginia.com

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Best Bedside Manner Awards Medical expertise and compassionate care should always go hand-in-hand when it comes to treating patients. Going to the doctor or health provider can be an unnerving experience for many people. Professionals who incorporate The Golden Rule into their practice philosophy are ones that stand out in people’s minds for the better. The 2014 Best Bedside Manner Awards, presented by OurHealth Southwest Virginia magazine, honor medical providers who were voted by the local community for their kindness, empathy and attentiveness—attributes that go a long way in gaining a patient’s confidence.

The

Voting Process

During May and June 2014, commercials announcing voting for the 2014 Best Bedside Manner Awards and how to submit votes for medical providers were promoted through direct mail, enewsletters and print ads promoting the awards Votes were submitted by the public through an online submission form that was available on www.ourhealthvirginia.com from June 1st - July 15th 2014. Please join us in congratulating this year’s Eighth Annual Best Bedside

Reprints To order reprints of the original artwork featured on this issue’s

Manner Award winners. If you have any questions, please contact Stephen McClintic, Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482.

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

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ALLERGY & IMMUNOLOGY

FIRST PLACENEW RIVER VALLEY

encompasses a broad array of diagnoses, ranging from nasal and sinus problems and severe food or bee sting allergy to recurrent infections due to sinus disease, immune deficiency and asthma conditions.

FIRST PLACE-ROANOKE Dane McBride, MD

Asthma and Allergy Center | Roanoke 540.343.7331 | www.asthmaandallergycenter.net

“All of us appreciate it when kindness and respect are shown to us in our own times of inadequacy, be it physical, emotional or financial. A pleasing B edside Manner is simply the application of “The Golden Rule”-”Do unto others as you would have others do unto you”. Some come by it naturally. Some learn it from exceptional mentors. Regrettably, sometimes we only learn it through illnesses of our own, or those of our loved ones. But as physicians, learn it we must if we are to be healers.” — Dane McBride, MD SECOND PLACE

THIRD PLACE (TIE)

Thomas Fame, MD

Saju Eapen, MD

Asthma and Allergy Center Salem | 540.343.7331 www.asthmaandallergycenter.net

Asthma and Allergy Center Roanoke | 540.343.7331 www.asthmaandallergycenter.net

Gates Hoover, MD

PCA | Salem | 540.776.5656 www.salemallergy.com

ANESTHESIOLOGY is the practice of

medicine dedicated to the relief of pain and total care of the surgical patient before, during and after surgery.

FIRST PLACE-ROANOKE Robert Dallas, MD

Anesthesiology Consultants of Virginia Roanoke | 540.345.0289 | www.acv-virginia.com

SECOND PLACE (TIE) Lynn Carter, MD

Valley Anesthesia, PC | Salem | 540.776.4000 www.valleyanesthesiapc.com

Joe Clark, MD

Valley Anesthesia, PC | Salem | 540.776.4000 www.valleyanesthesiapc.com

THIRD PLACE Maxine Lee, MD

Anesthesiology Consultants of Virginia | Roanoke 540.345.0289 | www.acv-virginia.com

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Donald Zedalis, MD

Allergy Associates and Sleep Disorders Network | Christiansburg | 540.382.1165

“Treating patients from all walks of life with dignity and respect is taught in medical school as the ideal. I never seek for less and I expect that I will maintain this standard as long as I am given the privilege to practice medicine.” — Donald Zedalis, MD SECOND PLACE

THIRD PLACE

Kristina Kwak, MD

Parasmani Acharya, MD

Allergy Associates and Sleep Disorders Network Christiansburg | 540.382.1165

Parasmani Acharya, MD Pulaski | 540.980.1802

HONORABLE MENTION Christina Abraham, MD Allergy and Asthma Associates Roanoke | 540.343.1235 www.allergyandasthmaroanoke.com

Mark Hanabury, MD LewisGale Physicians | Salem 540.444.8100 | www.lgphysicians.com

Paul Lenkowski, Jr., MD, PhD

Luis Matos, MD Asthma and Allergy Center Roanoke | 540.343.7331 www.asthmaandallergycenter.net

Aneysa Sane, MD Carilion Clinic Allergy and Immunology Daleville | 540.591.9447 www.carilionclinic.org

Jefferson Surgical Clinic | Roanoke 540.283.6024 | www.jeffersonsurgical.com

HONORABLE MENTION Charles Clark, IV, MD Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

C. Eric Cordero, MD Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

Robert Duggar, Jr., MD Anesthesiology Consultants of Virginia Roanoke | 540.345.0289

Jeffrey Forbes, MD Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

Gennard T. Lanzara, MD Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

Neil Macdonald, MD Anesthesiology Consultants of Virginia Roanoke | 540.345.0289 www.acv-virginia.com

James Niederlehner, MD Anesthesiology Consultants of Virginia Roanoke | 540.345.0289 www.acv-virginia.com

Jessica Scarfe, DO Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

Christine Sherman, MD Anesthesiology Consultants of Virginia Roanoke | 540.345.0289 www.acv-virginia.com

Charles Sturm, MD Anesthesiology Consultants of Virginia Roanoke | 540.345.0289 www.acv-virginia.com

Glenn Torre, MD Anesthesiology Consultants of Virginia Roanoke | 540.345.0289

www.acv-virginia.com William York, MD Anesthesiology Consultants of Virginia Roanoke | 540.345.0289 www.acv-virginia.com



AUDIOLOGY

is the branch of science that studies hearing, balance, and related disorders. Its practitioners treat those with hearing loss and proactively prevent related damage.

FIRST PLACENEW RIVER VALLEY Janice Anderson, AuD

FIRST PLACE-ROANOKE

Anderson Audiology Hearing Aid Sales and Services, Inc. | Christiansburg 540.381.6967 | www.hearindublin.com

Kim Lower, AuD

Jefferson Surgical Clinic | Roanoke | 540.283.6085 www.jeffersonsurgical.com

“Patients are often apprehensive in reaching out for help with hearing problems. My desire is that my patients feel comfortable and secure knowing they will be well taken care of during the process of improving their communication with friends and loves ones.” — Janice Anderson, AuD

“I’m honored when families choose me for their hearing health care. I hope to earn a greater degree of their trust with each visit.’ — Kim Lower, AuD SECOND PLACE (TIE)

THIRD PLACE (TIE)

Michelle Ickes, PhD, CCC-A

Lillian Beasley-Beahm, AuD

Roanoke Valley Speech and Hearing Center | Roanoke 540.343.0165 | www.rvshc.org

Jeffrey Akers, MS

Carilion Clinic Otolaryngology Roanoke | 540.224.5170 www.carilionclinic.org

Rhonda Harrell, AuD, CCC-A

The Hearing Clinic Salem | 540.772.3729 www.swvahearing.com

Carilion Clinic Otolaryngology Roanoke | 540.224.5170 www.carilionclinic.org

SECOND PLACE

THIRD PLACE

Richard Harrell, PhD

Joanne Dillion, MS, CCC-A, FAAA

The Hearing Clinic Blacksburg | 540.552.1904 www.swvahearing.com

New River Valley Hearing Radford | 540.731.4327 www.nrvhearing.com

HONORABLE MENTION Douglas Cameron, AuD

Kristi Abraham, AuD Roanoke Valley Speech and Hearing Center | Roanoke 540.343.0165 | www.rvshc.org

Tammy Garber, AuD

Hearing Health Associates Roanoke | 540.774.4441 www.hharoanoke.com

Ashley Merrifield, AuD

Hearing Health Associates Roanoke | 540.774.4441 www.hharoanoke.com

The Hearing Clinic Blacksburg | 540.552.1904 www.swvahearing.com

BARIATRIC MEDICINE is the branch of medicine

Charles Bissell, MD

FIRST PLACE-ROANOKE

Carilion Clinic Surgery | Christiansburg 540.731.7600 | www.carilionclinic.org

Kenneth Luckay, DO

“B edside manner is essential to the practice of medicine. The science of medicine is important but refusing to balance the two makes a poor clinician.” — Kenneth Luckay, DO SECOND PLACE

THIRD PLACE (TIE)

Kinga Powers, MD, PhD

Bruce Long, MD

Carilion Clinic Surgery Roanoke | 540.224.5170 www.carilionclinic.org

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Carilion Clinic Surgery Roanoke | 540.224.5170 www.carilionclinic.org

T. A Lucktong, MD

Carilion Clinic Surgery Roanoke | 540.224.5170 www.carilionclinic.org

OurHealth | The Resource for Healthy Living in Southwest Virginia

Gary Pillow Audiologist and Co. Covington | 540.965.4327

FIRST PLACENEW RIVER VALLEY

that deals with the causes, prevention, and treatment of obesity.

The Center for Medical Weight Loss Roanoke | 540.777.6807 | www.cmdl.com

Gary Pillow, AuD

“Many members of our community are challenged by being overweight. Losing weight and maintaining this can be very hard. Not losing the extra weight, however, carries health risks. I am sensitive to these challenges and try to provide patients with realistic options to help them.” — Charles Bissell, MD SECOND PLACE Charles Shaffer, MD

The Weigh Station | Christiansburg 540.381.2670 | www.weighstation.net


read this edition of

OurHealth Southwest Virginia

on your tablet or smartphone

www.OurHealthVirginia.com

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CARDIOLOGY is the branch of medicine focusing on the

FIRST PLACENEW RIVER VALLEY (TIE)

structures, functions and disorders of the heart.

FIRST PLACE-ROANOKE

Sandeep Ravi, MD

Jacek Slowikowski, MD

Carilion Clinic Cardiology Christiansburg | 540.731.7600 www.carionclinic.org

Carilion Clinic Cardiology Roanoke | 540.266.6505 www.carilionclinic.org

“B edside manner is important because it reflects compassion and caring.” — Jacek Slowikowski, MD SECOND PLACE (TIE)

THIRD PLACE (TIE)

Steven Goldstein, DO

Richard Prokopchak, MD

LewisGale Physicians Salem | 540.772.3430 www.lgphysicians.com

Molly Rutherford, MD

Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonclinic.com

Southwest Virginia Cardiology Salem | 540.375.9375 www.lewisgale.com

Carl Musser, MD

Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

FIRST PLACENEW RIVER VALLEY(TIE) Daniel Osimani, MD

LewisGale Physicians | Blacksburg 540.961.0218 | www.lgphysicians.com

“Everyday healthcare seems to get more confusing and complicated for everyone. Good communication between patients and their physicians is essential to ensure good outcome and promote the best patient care. We strive to alleviate some of the current uncertainty.” — Daniel Osimani, MD

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OurHealth | The Resource for Healthy Living in Southwest Virginia

SECOND PLACE

THIRD PLACE

Jose Rivero, MD

Michael Cantor, DO

Carilion Clinic Cardiology Christiansburg | 540.382.6711 www.carilionclinic.org

LewisGale Physicians Blacksburg | 540.961.0218 www.lgphysicians.com

HONORABLE MENTION Ajaykumar Acharya, MD Ajaykumar Acharya, MD Pulaski | 540.980.1802 www.lewisgale.com

Brent Chapman, MD LewisGale Physicians Moneta | 540.719.0424 www.lgphysicians.com

Jason Foerst, MD Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

Richard Konstance, MD Heart of Virginia Cardiology Roanoke | 540.283.2710 www.heartofvirginiacardiology.com

John Lystash, MD Carilion Clinic Cardiology Roanoke | 540.266.6505 www.carilionclinic.org

Andrew Maiolo, MD LewisGale Physicians Salem | 540.772.3430 www.lgphysicians.com

Terrance May, MD Heart of Virginia Cardiology Roanoke 540.283.2710 www.heartofvirginiacardiology.com

Alan McLuckie, MD Heart of Virginia Cardiology Roanoke | 540.283.2710 www.heartofvirginiacardiology.com

Stephen Phillips, MD Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

John Schmedtje, MD Roanoke Heart Institute Roanoke | 540.981.2105 www.roanokeheart.net


CHIROPRACTIC

FIRST PLACENEW RIVER VALLEY

is a health profession concerned with the diagnosis, treatment (without drugs or medication) and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health.

FIRST PLACE-ROANOKE Jennifer Walker, DC

Balance Wellspace | Roanoke | 540.343.0055 www.balanceroanoke.com

“I am incredibly honored to receive this award! As a chiropractor, my primary goal is for my patients to feel safe in expressing any of their health concerns and for me to be able to provide honest and compassionate communication. I have surrounded myself with an incredible team that genuinely loves our patients and helps to create a nurturing environment of health and healing.” — Jennifer Walker, DC SECOND PLACE (TIE)

THIRD PLACE (TIE)

Michael Burgoon, DC

Matt Burkhart, DC

Lee Matthis, DC

Garrett Thompson, DC

Towers Family Chiropractic Roanoke | 540.343.6636 www.roanokechiropractor.com Tuck Chiropractic Christiansburg | 540.382.3000 www.tuckclinic.com

Balance Wellspace Roanoke | 540.343.0055 www.balanceroanoke.com

Benjamin Bowman, DC

Tuck Chiropractic | Radford | 540.731.4357 www.tuckclinic.com

“One of the things I enjoy the most about being a chiropractor is the opportunity to develop a caring and authentic relationship with my patients. I feel that having an exceptional bedside manner means taking time to really listen, so that I can be an advocate for my patients’ health and complete well-being.” — B enjamin Bowman, DC SECOND PLACE

THIRD PLACE (TIE)

Jennifer Rathmann, DC

Jacquie Keats, DC

Tuck Chiropractic Blacksburg | 540.951.4357 www.tuckclinic.com

South Main Chiropractic Clinic Blacksburg | 540.552.5202 www.southmainchiro.com

Greg Tilley, DC

Tilly Chiropractic & Sport Injury Clinic Blacksburg | 540.951.1183 www.thehokiechiropractor.com

Thompson Family Chiropractic Roanoke | 540.776.8200 www.chiropractorsroanoke.com

HONORABLE MENTION Kerri Bennett, DC Tuck Chiropractic Galax | 276.236.6171 www.tuckclinic.com

Logan Brooke, DC Tuck Chiropractic Blacksburg | 540.951.4357 www.tuckclinic.com

Craig Camidge, DC Tuck Chiropractic Roanoke | 540.774.4443 www.tuckclinic.com

Paul Cronk, DC Stoke Chiropractic Clinic Roanoke | 540.344.6738

Tiffany Grace Huffman, DC Tuck Chiropractic Rocky Mount | 540.483.4444 www.tuckclinic.com

Joshua Rhodes, DC Peak Performance Chiropractic and Wellness Roanoke | 540.526.7479 www.peakperformanceroanoke.com

Sean Skinner, DC Tuck Chiropractic Roanoke | 540.563.0334 www.tuckclinic.com

Brian Slakman, DC Slakman Chiropractic Center Roanoke | 540.562.3100 www.chiropractor-va.com

Danielle Vann, DC Tuck Chiropractic Pulaski | 540.980.8353 www.tuckclinic.com

Gregory Walter, DC Walter Chiropractic Roanoke | 540.362.0811 www.walterchiropracticclinic.com

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DENTISTRY: COSMETIC improves the appearance

and function of a person’s teeth. Dentistry is the art and science of improving the appearance (aesthetics), function and health of the teeth and associated structures.

SECOND PLACE

THIRD PLACE (TIE)

Richard Smith, II, DDS

David Black, DDS

Hunting Hills Family Dentistry Roanoke | 540.627.5095 www.huntinghillsdentistry.com

Blue Ridge Dental Group Vinton | 540.342.7865 www.blueridgedentalgroup.com

Kyle Fitzgerald, DDS

FIRST PLACE-ROANOKE

D. Kyle Fitzgerald, DDS | Roanoke 540.366.3999

Michele Mills, DDS

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

“I am very honored to receive this award. Thank you for voting! I enjoy getting to know my patients and I firmly believe that you should treat people as you would like to be treated. I am fortunate to have an incredible team that shares my vision and passion for dentistry. It takes a whole team to make a great experience for our patients.” — Michele Mills, DDS

FIRST PLACENEW RIVER VALLEY Richard Anthony, DDS

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

“My staff and I try to make going to the dentist as enjoyable as possible. When our patients are at ease it makes our job easier and the patient’s day better! Thank you for voting and for continuing to put your trust in us.” — Richard Anthony, DDS SECOND PLACE Matthew Glasgow, DDS

Cosmetic Smile Center | Blacksburg 540.552.3111 | www.cosmeticsmilecenter.com

THIRD PLACE Damon Thompson, DDS

Real Life Dental Care | Blacksburg 540.808.4500 | www.reallifedentalcare.com

HONORABLE MENTION Kimberlyn Atherton, DDS NRV Dental | Blacksburg | 540.951.2260 www.nrvdental.com

Stephen Alouf, DDS Alouf Aesthetics | Salem | 540.375.0095 www.aloufaesthetics.com

Michael Ankrum, DDS Michael Ankrum, DDS | Blacksburg 540.552.0050

Griffin Cross, DDS Coots, Ward, Cross, Lavinder & Quinn Family Dentistry | Roanoke | 540.989.1170 www.cwcfd.com

Paul Henny, DDS SWVA TMJ Clinic | Roanoke | 540.774.1577 www.swvatmjclinic.com

Andrew Levine, DDS Hunting Hills Family Dentistry | Roanoke 540.627.5095 | www.huntinghillsdentistry.com

James Reynolds, DDS James D. Reynolds, DDS, Ltd. | Roanoke 540.769.6370 | www.jamesreynoldsdds.com

Caroline Wallace, DDS Complete Dental Care | Salem | 540.387.3844 www.carolinewallacedds.com

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DENTISTRY: GENERAL

FIRST PLACE-NEW RIVER VALLEY

is the evaluation, diagnosis, prevention and/or treatment (non-surgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity.

Kimberlyn Atherton, DDS

NRV Dental | Blacksburg | 540.951.2260 www.nrvdental.com

FIRST PLACE-ROANOKE (TIE) Griffin Cross, DDS

“We strive to make each patient’s appointment as stress-free as possible. All that we do is done with that goal in mind.”

Coots, Ward, Cross, Lavinder & Quinn Family Dentistry | Roanoke | 540.989.1170 www.cwcfd.com

“I am humbled and honored to represent my colleagues and staff at Coots, Ward, Cross, Lavinder and Quinn Family Dentistry. With approximately 20% of the U.S. population not going to the dentist due to fear and anxiety, we take pride in making our patients feel comfortable throughout their dental experience. Our staff does a wonderful job of treating everyone as if they are an extension of their own family.” — Griffin Cross, DDS

— Kimberlyn Atherton, DDS SECOND PLACE

THIRD PLACE

Breanna Velander, DDS

Daniel Thompson, DDS

Blue Ridge Dental Group of NRV Dublin | 540.674.8891 www.blueridgedentalgroup.com

HONORABLE MENTION Michael Ankrum, DDS

FIRST PLACE (TIE)

Michael Ankrum, DDS Blacksburg | 540.552.0050

Caroline Wallace, DDS

Jay Bass, DDS

Complete Dental Care | Salem | 540.387.3844 www.carolinewallacedds.com

“We strive to practice the golden rule. We aim to treat our patients with the same kindness and respect we would like to have.” — Caroline Wallace, DDS

Jay M. Bass, DDS Blacksburg | 540.552.2551 www.nrvfamilydentistry.com

Michael Hall, DDS Dental Associates Salem | 540.389.0225

Christopher Huff, DDS Wallace Huff, Inc. Blacksburg | 540.552.4781

Paul Henny, DDS SWVA TMJ Clinic Roanoke | 540.774.1577 www.swvatmjclinic.com

SECOND PLACE (TIE)

THIRD PLACE

Fred Coots, Jr., DDS

Nathan Stephens, DDS

Coots, Ward, Cross, Lavinder & Quinn Family Dentistry | Roanoke 540.989.1170 | www.cwcfd.com

Daniel Thompson, DDS Blacksburg | 540.953.2980 www.smileblacksburg.com

Amy Hunter, DDS Dr. Amy S. Hunter, DDS Christiansburg | 540.382.4441

Dental Associates Salem | 540.389.0225

A. Wharton Ramsey, DDS, FAGD A. Wharton Ramsey, DDS, FAGD Roanoke | 540.342.6800 www.myroanokedentist.com

Travis Shannon, DDS Mills & Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com

Cindy Southern, DDS Cindy Southern, DDS Pulaski | 540.980.5129 www.cynthiamsouthern.com

Paul Stubbs, DDS Dr. Paul C. Stubbs, DDS Pearisburg | 540.921.3323

Justin Tebbenkamp, DDS Justin Tebbenkamp, DDS Blacksburg | 540.961.3279 www.blacksburg-dentist.com

Tom Gallaher, DDS

Blue Ridge Dental Group Salem | 540.387.0720 www.blueridgedentalgroup.com

Discover interesting facts about

Healthy Weight Week and more. Check out

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healthpoints on page 22.



DENTISTRY: PEDIATRIC specializes in treating

FIRST PLACENEW RIVER VALLEY

children from birth through adolescence.

Darcy Amacher, DDS

Christiansburg | 540.394.3300

FIRST PLACE-ROANOKE A. Scott Anderson, III, DDS

Bittel, Anderson, Sheppard Pediatric Dentists Roanoke | 540.989.3639 www.pediatricdentistryroanoke.com

SECOND PLACE

THIRD PLACE

John Davis, DDS

CORY J. Sheppard, DDS

Roanoke | 540.563.1660

Bittel, Anderson, Sheppard Pediatric Dentists Roanoke | 540.989.3639 www.pediatricdentistryroanoke.com

“My greatest joy is helping a patient become happy and excited to come see the dentist, providing a positive experience for patients and their family while educating them about the importance of preventative care and oral hygiene. We strive to provide the most comfortable environment for both patients and parents and we are delighted to receive such an honor.” — Darcy Amacher, DDS SECOND PLACE

THIRD PLACE

Joe A Paget, Jr., DDS

Fawzia Bhavnagri, DDS

Pediatric Dentist Blacksburg | 540.951.9100 www.pagetrockhilldentist.com

Christiansburg | 540.382.5446 www.nrvdentist.com

DERMATOLOGY is a specialty focusing on the

FIRST PLACENEW RIVER VALLEY

diagnosis and treatment of diseases of the skin.

Chad Johnston, DO

FIRST PLACE-ROANOKE

River Ridge Dermatology | Blacksburg 540.951.3376 | www.riverridgederm.com/

Susan Dorsey, MD

Dermatology Associates | Roanoke | 540.981.1439 www.susandorsey1.md.com

“After 20 years in Roanoke and many changes in medicine, I’m still very happy coming to work and seeing my patients.” — Susan Dorsey, MD SECOND PLACE

THIRD PLACE (TIE)

Melanie Walter, MD

Gary Gross, MD

Dermatology Practice of Roanoke, PC Roanoke | 540.562.8873 www.dermatologypracticeofroanoke.com

LewisGale Dermatology | Roanoke 540.772.3421 | www.lewisgale.com

Mariana Phillips, MD

Carilion Clinic Dermatology & MOHS Surgery | Roanoke 540.581.0170 | www.carilionclinic.org

“At River Ridge Dermatology, we believe compassion is an essential component to patient care. We want the best outcomes for our patients, and that means listening, discussing options, and working together toward results.” — Chad Johnston, DO SECOND PLACE

THIRD PLACE

Daniel Hurd, DO

Sandra Brown, DO

New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.com

River Ridge Dermatology Blacksburg | 540.951.3376 www.riverridgederm.com/

HONORABLE MENTION Stephen Couture, MD LewisGale Internal Medicine | Roanoke | 540.725.3060 www.lgphysicians.com

Allison Divers, MD

John Kaufman, MD John Kaufman, MD | Roanoke | 540.981.9367

Elizabeth McNamara, MD Dermatology Associates | Roanoke | 540.981.1439

The Art and Science of Dermatology | Roanoke | 540.725.7546 | www.theartandscianceofdermatology.com

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Larry Patton, MD LewisGale Dermatology | Roanoke | 540.865.1604 www.lgphysicians.com

Paul Timmerman, MD Dermatology Associates | Roanoke | 540.981.1439



EMERGENCY MEDICINE is the specialty of providing

FIRST PLACENEW RIVER VALLEY

care for patients requiring prompt medical attention and urgent medical evaluation and treatment.

Joseph Joyce, DO

Emergency Physician Medical Group Blacksburg | 540.951.1111 www.epmgpc.com

FIRST PLACE-ROANOKE Jeffrey Preuss, MD

Emergency Physicians Medical Group Salem | 540.776.4000 www.epmgpc.com

SECOND PLACE (TIE)

THIRD PLACE

Michelle Clinton, MD

Kimberly Abel, MD

Carilion Clinic Roanoke | 540.581.7337 www.carilionclinic.org

Carilion Clinic Roanoke | 540.581.7337 www.carilionclinic.org

Robert Dowling, MD

Emergency Physicians Medical Group Salem | 540.776.4000 www.epmgpc.com

SECOND PLACE

THIRD PLACE

D. Scott Hayes, MD

Kevin Broyles, DO

Carilion Clinic Pearisburg | 540.922.4201 www.carilionclinic.org

Carilion Clinic Pearisburg | 540.921.6921 www.carilionclinic.org

HONORABLE MENTION Gary Abel, MD Carilion Clinic Tazewell | 276.988.8700 www.carilionclinic.org

Stephen Ausband, MD Carilion Clinic Roanoke | 540.981.7337 www.carilionclinic.org

Scott Crosby, MD Carilion Tazewell Community Hospital Tazewell | 540.988.8740 www.carilionclinic.org

Khalief Hamden, MD Carilion New River Valley Medical Center Christiansburg | 540.731.2866 www.carilionclinic.org

Carl Hanks, Jr., MD Emergency Physician Medical Group Pulaski | 540.994.8100 www.epmgpc.com

Allison LePera, DO Carilion Clinic Christiansburg | 540.731.2866 www.carilionclinic.org

Paul Offermann, MD Emergency Physicians Medical Group Salem | 540.776.4000 www.epmgpc.com

Thomas Parrish, MD Emergency Physicians Medical Group Salem | 540.776.4000 www.epmgpc.com

Steven Pasternak, MD Emergency Physicians Medical Group Salem | 540.776.4000 www.epmgpc.com

Kerry Powell, MD Carilion Clinic Roanoke | 540.981.7337 www.carilionclinic.org

Michael Rorrer, MD Carilion Clinic Tazewell | 276.988.8700 www.carilionclinic.org

Dixon Williams, MD Emergency Physicians Medical Group Pulaski | 540.994.8100 www.epmgpc.com

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ENDOCRINOLOGY is the study of the glands and

HONORABLE MENTION Carl Bivens, MD

hormones of the body and their related disorders.

FIRST PLACE-ROANOKE Michael Koch, MD

Endocrinology Associates | Roanoke 540.344.3276 | www.carilionclinic.org

SECOND PLACE

Endocrinology Associates Roanoke | 540.344.3276

James Mulinda, MD

Robert Mountcastle, MD

Endocrinology Associates | Roanoke 540.344.3276 | www.carilionclinic.org

THIRD PLACE James Bailey, III, MD

Kamran Rasul, MD

Endocrinology Associates | Roanoke 540.344.3276 | www.carilionclinic.org

FAMILY PRACTICE is the medical specialty that

Amy Doolan, DO

Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

FIRST PLACE-ROANOKE Clement Binnings, Jr, MD

“B edside manner comes from the heart. It reflects who your patients are to you, and who you are to them. It either adds to or subtracts from the level of trust, concern and commitment within the doctor-patient relationship, thereby creating a foundation upon which the partnership for optimal health will either thrive or disintegrate.” — Clement Binnings, Jr, MD SECOND PLACE

THIRD PLACE (TIE)

Joseph Baum, MD

David Keilman, MD

Carilion Clinic | Floyd 540.745.2031 www.carilionclinic.org

LewisGale Physicians Roanoke 540.265.1607 www.lgphysicians.com

HONORABLE MENTION Christy Arthur, MD Carilion Clinic | Roanoke | 540.725.7800 www.carilionclinic.org

John Boone, MD Carilion Clinic Family–Boones Mill | Boones Mill 540.334.5511 | www.carilionclinic.org

Jack Bumgardner, Jr., MD Carilion Clinic | Rocky Mount 540.483.5168 | www.carilionclinic.org

Lisa Deyerle, MD Cave Spring Family Practice | Roanoke 540.777.4000

Linda Frasca, MD Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

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Nina Sweeney, MD

Roanoke Partners in Health | Roanoke 540.904.7912 www.roanokepih.com

Jeremy Freeman, MD Carilion Clinic | Blacksburg | 540.951.8380 www.carilionclinic.org

David Harden, DO Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

Russell Hendershot, DO Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

Daniel Jones, MD Carilion Clinic | Daleville | 540.966.0400 www.carilionclinic.org

Kevin Kelleher, MD Cave Spring Family Practice Roanoke | 540.777.4000

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LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com

FIRST PLACENEW RIVER VALLEY

includes diagnosis and treatment of disease, injury, and illness for patients of any age.

PCA | Roanoke | 540.776.5656 | www.pcahealth.com

Physician Associates of Virginia Roanoke | 540.345.4946 www.pavclinics.com

“B edside Manner is important to me because I feel it is the key in building a good rapport with my patients. Though difficult at times, I try to find ways to relate to all of my patients. The patient/doctor relationship is built on trust, and in my mind, this starts with a good bedside manner.” — Amy Doolan, DO SECOND PLACE (TIE)

THIRD PLACE

Maggie Belton, DO

Sarah Turner, DO

Medical Associates of SW Virginia Blacksburg | 540.951.3311 www.medicalassociatesofswva.com

Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

Christopher Mertes, MD

Carilion Clinic Family Medicine Blacksburg | 540.951.0352 www.carilionclinic.org

Matthew Kaatz, MD New River Medical Group | Pulaski 540.980.0550 | www.lewisgale.com

Thaddeus Lee, MD LewisGale Physicians | Radford 540.633.3980 | www.lgphysicians.com

David Mortlock, MD LewisGale Physicians | Roanoke 540.265.1607 | www.lgphysicians.com

Nancy Misicko, MD Carilion Clinic | Roanoke | 540.427.9200 www.carilionclinic.org

John Priddy, MD PCA | Salem | 540.387.0441 www.pcahealth.com

Gary O’Hagan, MD PCA | Salem | 540.776.5656 www.pcahealth.com

Kimberly Orr, DO Carilion Clinic | Daleville | 540.966.0400 www.carilionclinic.org

Lindsay Sherrard, MD Carilion Clinic | Rocky Mount | 540.484.4800 www.carilionclinic.org

Gregory Still, MD Carilion Clinic | Dublin | 540.674.8805 www.carilionclinic.org

Mark Taylor, MD Salem Family Medicine | Salem 540.389.5093 | www.carilionclinic.org

Camilla Tsui, MD Carilion Clinic | Blacksburg | 540.951.0352 www.carilionclinic.org

Ella Youngblood, MD Roanoke Family Medicine Roanoke | 540.772.1006


FERTILITY SPECIALIST

or reproductive endocrinology and infertility (REI) is a subspecialty of obstetrics/gynecology that trains physicians in reproductive medicine addressing hormonal functioning as it pertains to reproduction as well as the issue of infertility.

FIRST PLACE-ROANOKE Robert Slackman, MD

Carilion Clinic Infertility | Roanoke | 540.985.8078 www.carilionclinic.org

“Good patient care takes teamwork and humility.” — Robert Slackman, MD SECOND PLACE Marwan Shaykh, MD

Assisted Fertility Program | Salem 540.772.3220 | www.assistedfertility.com

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GASTROENTEROLOGY is the specialty dealing with the

FIRST PLACENEW RIVER VALLEY

treatment of disorders of the digestive gastroenterology or GI system.

Mark Ringold, MD

FIRST PLACE-ROANOKE (TIE)

Carilion Clinic Gastroenterology – Akers Farm Christiansburg | 540.382.9405 www.carilionclinic.org

Vikas Chitnavis, MD

Carilion Clinic Gastroenterology Roanoke | 540.224.5170 | www.carilionclinic.org

“I consider it a great privilege and an honor to care for patients. P hysicians and other health care workers are fortunate and privileged to be able to care for humanity. This is universal and is very relevant in the world we live in today!” — Vikas Chitnavis, MD FIRST PLACE-ROANOKE (TIE) Kevin Dye, MD

“In today’s digital world the physician or nurse often spends more time inputting information into the computer than paying attention to the patient. The patient, not the mechanical device, needs to be the focus of your full and undivided attention.” — Kevin Dye, MD THIRD PLACE (TIE)

Douglas Kirtley, MD

Jonathan Bern, MD

LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com

52

Carilion Clinic Gastroenterology Roanoke | 540.224.5170 www.carilionclinic.org

SECOND PLACE

THIRD PLACE

David Stoeckle, MD

Jennifer Sinclair, MD

LewisGale Physicians Blacksburg | 540.552.0005 www.lgphysicians.com

Roanoke | 540.985.0244

SECOND PLACE

“I was taught by my mother, ‘P eople don’t care how much you know until they know how much you care.’ Good bedside manner assures the patient that the physician cares and wants to help.” — Mark Ringold, MD

HONORABLE MENTION Anand Kishore, MD Carilion Clinic Christiansburg | 540.382.9405 www.carilionclinic.org

Kevin Mercure, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Robert Moylan, MD, PhD

Joseph Nelson, III, MD

LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com

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LewisGale Physicians Blacksburg | 540.961.1590 www.lgphysicians.com

Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Marie Sharkey, MD LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com

Dennis Weiserbs, MD Gastroenterology Consultants of SWVA Roanoke | 540.345.4900 www.gastroswva.com

Paul Yeaton, MD Carilion Clinic Roanoke | 540.224.5170

www.carilionclinic.org


GERIATRIC CARE

FIRST PLACENEW RIVER VALLEY

is a medical specialty that addresses the complex needs of older patients and emphasizes maintaining functional independence even in the presence of chronic disease.

Scott Boerth, MD, PhD

LewisGale Internal Medicine | Blacksburg 540.552.1246 | www.lgphysicians.com

FIRST PLACE-ROANOKE Sohier Boshra, MD

Carilion Center for Healthy Aging | Roanoke 540.981.7653 | www.carilionclinic.org

“I am most fulfilled and happiest when I’m caring for my patients. They’ve become an integral part of my life as I connect with them on a medical, emotional, and personal level. I devote myself to my patients because with each encounter, I learn valuable lessons.” — Sohier Boshra, MD SECOND PLACE

THIRD PLACE

Aubrey Knight, MD

John Zimmerman, MD

Carilion Center for Healthy Aging Roanoke | 540.981.7653 www.carilionclinic.org

HONORABLE MENTION Michael Berry, MD Carilion Clinic | Roanoke | 549.981.7653 www.carilionclinic.org

Michael Camardi, MD Carilion Clinic | Roanoke | 549.981.7653 www.carilionclinic.org

“Good bedside manner establishes an open relationship with my patients, which helps me gain their trust. This in turn makes it easier for me to obtain accurate information from my patients and come to a better mutual plan towards their treatment and care.” — Scott Boerth, MD, P hD SECOND PLACE

THIRD PLACE

Christine Jordan, MD

Aubrey Knight, MD

LewisGale Physicians Blacksburg | 540.552.1246 www.lgphysicians.com

Carilion Clinic Geriatrics Christiansburg | 540.731.3222 www.carilionclinic.org

Physician Associates of Virginia Roanoke | 540.345.4946 www.lewisgale.com Julia Marie D’Amora, DO Carilion Clinic | Roanoke | 540.981.7653 www.carilionclinic.org

Mazen Madhoun, MD Carilion Clinic | Roanoke | 549.981.7653 www.carilionclinic.org

Brian Unwin, MD Carilion Clinic | Roanoke | 549.981.7653 www.carilionclinic.org

Richard Williams, MD Pulaski Health and Rehab | Pulaski | 540.980.3111 www.pulaskihealthrehab.com

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HEMATOLOGY/ONCOLOGY

FIRST PLACENEW RIVER VALLEY

is the diagnosis, treatment and prevention of blood diseases (hematology) and cancer (oncology) and research into them.

Robert Rotche, MD

FIRST PLACE-ROANOKE

Blue Ridge Cancer Care | Christiansburg 540.381.5291 | www.blueridgecancercare.com

William Fintel, MD

Blue Ridge Cancer Care | Salem | 540.774.8660 www.blueridgecancercare.com

“This honor is a bucket of sunshine, and many days that is just what the doctor ordered. Thank you for this gift.” — William Fintel, MD SECOND PLACE

THIRD PLACE

Mark Currie, MD

Robert Heath, MD

LewisGale Hematology/Oncology Care Salem | 540.772.3411 www.lewisgale.com

Blue Ridge Cancer Care Roanoke | 540.981.7377 www.blueridgecancercare.com

“Sometimes we can cure the cancer and sometimes we can’t, but we can always treat our patients with respect and dignity, and take the time to help them understand what they are going through. I feel that is a core principle of being a physician and something that every person who walks through our doors can expect.” — Robert Rotche, MD SECOND PLACE

THIRD PLACE

Harry McCoy, III, MD

Jerome Goldschmidt, MD

Blue Ridge Cancer Care Christiansburg | 540.381.5291 www.blueridgecancercare.com

Blue Ridge Cancer Care Christiansburg | 540.381.5291 www.blueridgecancercare.com

HONORABLE MENTION Lowell Inhorn, MD Blue Ridge Cancer Care Low Moor | 540.862.2400 www.blueridgecancercare.com

Vandana Karri, MD LewisGale Physicians Salem | 540.772.3411 www.lgphysicians.com

Padmaja Mallidi, MD Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

INFECTIOUS DISEASE is the medical specialty focusing on the diagnosis, cause and treatment of contagious disease.

FIRST PLACE-ROANOKE

Suzan Merten, MD Blue Ridge Cancer Care

Paul Richards, MD

Roanoke | 540.982.0237 www.blueridgecancercare.com

Blue Ridge Cancer Care Salem | 540.776.8660 www.blueridgecancercare.com

Matthew Skelton, MD Blue Ridge Cancer Care Low Moor | 540.862.2400 www.blueridgecancercare.com

SECOND PLACE

THIRD PLACE

Thomas Kerkering, MD

Deborah Demicco, MD

Carilion Clinic Roanoke | 540.981.7715 www.carilionclinic.org

Carilion Clinic Infectious Disease Roanoke | 540.981.7715 www.carilionclinic.org

Muddasar Chaudry, MD LewisGale Physicians Salem | 540.772.3407 www.lgphysicians.com

“Medicine is all about connecting with the patient rather than treating the illness.” — Muddasar Chaudry, MD

HONORABLE MENTION Anthony Baffoe-Bonnie, MD Carilion Clinic Roanoke | 540.981.7715 www.carilionclinic.org

Jason Faulhaber, MD Carilion Clinic Roanoke | 540.981.7715 www.carilionclinic.org

Dorothy Garner, MD Carilion Clinic Infectious Disease Roanoke | 540.981.7715 www.carilionclinic.org

Jean Smith, MD Carilion Clinic Roanoke | 540.981.7715 www.carilionclinic.org

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of medicine that deals with the diagnosis and nonsurgical treatment of diseases affecting adults.

FIRST PLACE-ROANOKE Vashist Nobbee, MD

LewisGale Physicians | Salem | 540.283.3760 www.lgphysicians.com

“As medical providers, an effective bedside manner involves genuine care for our patients. As important and maybe more so is that these same patients feel and believe we do. We must hear, heal, educate, empathize and provide solace when needed.” — Vashist Nobbee, MD SECOND PLACE

THIRD PLACE (TIE)

Paul Dallas, MD

W. Craig Mitchell, MD

Carilion Clinic Roanoke 540.224.5170 www.carilionclinic.com

Scott Boerth, MD LewisGale Internal Medicine Blacksburg | 540.552.1246 www.lewisgale.com

Kenneth Clark, MD Carilion Clinic | Galax 276.236.6136 www.carilionclinic.org

Internal Medicine of Roanoke | Roanoke 540.344.3020

LewisGale Physicians Salem | 540.772.3490 www.lewisgale.com

Carilion Clinic Internal Medicine Roanoke | 540.224.5170 www.carilionclinic.org

T. Scott Jamison, MD

LewisGale Physicians | Blacksburg 540.381.1882 | www.lgphysicians.com

“Good bedside manner really represents compassion in caring for the persons we know and love as patients.” — T. Scott Jamison, MD SECOND PLACE

THIRD PLACE

Gregory Beato, DO

John Bush, MD

Medical Associates of SW Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com

Carilion Clinic | Radford 540.639.9071 www.carilionclinic.org

Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Renee Ann Beirne, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Online

Fountain Square Internal Medicine Roanoke | 540.344.5550

Mary-Ellen Mick, DO LewisGale Physicians Salem | 540.772.340 www.lgphysicians.com

Lawrence Monahan, MD Jefferson Internal Medicine Associates Roanoke | 540.342.1007 www.jeffersoninternalmedicine.com Carilion Clinic | Roanoke 540.224.5170 www.carilionclinic.org

J. Michael Payne, MD Medical Associates of SW Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com Valley Internal Medicine Roanoke | 540.380.3722 www.lewisgale.com

Quasir Raza, MD LewisGale Physicians Roanoke | 540.283.3660 www.lgphysicians.com

Vishal Patel, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Adel Salama, MD Jefferson Internal Medicine Associates Roanoke | 540.342.1007 www.jeffersoninternalmedicine.com

William Sayre, MD Carilion Clinic Lexington | 540.463.2181 www.carilionclinic.org

Mark Schleupner, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

John Sweet, MD

HONORABLE MENTION Ann Austin, DO

Mobile

Michael Malpass, MD

Syed Raza, MD

FIRST PLACENEW RIVER VALLEY

Tablet

Suzanna Jamison, MD

Ross Murchison, MD

Chetna Jha, MD

Enewsletters

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INTERNAL MEDICINE is the branch

Maggie Belton, DO Medical Associates of SW Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com

Brian Bolinger, MD Internal Medicine of Roanoke, PC Roanoke | 540.344.3020

Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Albert J. Tuono, DO Medical Associates of SW Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com

Donald Yoder, MD New River Internal Medicine Pulaski | 540.980.8804 www.nriminc.com

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NEONATOLOGY

is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant. It is a hospital-based specialty, and is usually practiced in neonatal intensive care units (NICUs).

FIRST PLACE-ROANOKE Ann Heerens, MD

Pediatrix Medical Group | Roanoke | 540.266.6013 www.pediatrix.com

“Having a critically ill infant is one of the most stressful times in a person’s life. My role is not only to care for the infant but to support the family through this difficult time.” — Ann Heerens, MD

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NEPHROLOGY is the study of the function and diseases of the kidney and related organs.

SECOND PLACE Hirenkumar Patel, MD

Pediatrix Medical Group | Roanoke 540.266.6013 | www.pediatrix.com

THIRD PLACE Ashleigh McClendon, DO

Pediatrix Medical Group | Roanoke 540.266.6013 | www.pediatrix.com

HONORABLE MENTION Lisa Andruscavage, DO Pediatrix Medical Group | Roanoke 540.266.6013 | www.pediatrix.com

Karen Binns-Loveman, MD Pediatrix Medical Group | Roanoke 540.266.6013 | www.pediatrix.com

SECOND PLACE Allan Sklar, MD

New River Nephrology Associates Christiansburg | 540.633.2340 www.lewisgale.com

FIRST PLACE-ROANOKE Jackson Ballenger, MD

Valley Nephrology Associates | Roanoke 540.344.1400 | www.carilionclinic.org

THIRD PLACE Paul Laflam, MD

Blue Ridge Nephrology Associates Christiansburg | 540.633.5650 www.carilionclinic.org

HONORABLE MENTION William Baker, MD

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SECOND PLACE

THIRD PLACE

James Cain, MD

Matt Mathew, MD

Valley Nephrology Associates Roanoke | 540.344.1400 www.carilionclinic.org

Valley Nephrology Associates Roanoke | 540.344.1400 www.carilionclinic.org

click on the magazine cover

Edgar Escasinas, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.carilionclinic.org

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to view the digital edition!

FIRST PLACENEW RIVER VALLEY Bhairvi Trivedi, MD

Blue Ridge Nephrology Associates Christiansburg | 540.633.5650 www.carilionclinic.org

“Respect, compassion, and care for a patient are of utmost importance at the bedside. This partnered with a will to listen to their problems enhances the patient physician relationship.” — Bhairvi Trivedi, MD 56

Blue Ridge Nephrology Associates Christiansburg | 540.633.5650 www.carilionclinic.org

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Valley Nephrology Associates Roanoke | 540.344.1400 www.carilionclinic.org

Ryan Evans, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.carilionclinic.org

Susan Guelich, MD (pediatric nephrologist) Valley Nephrology Associates Roanoke | 540.344.1400 www.carilionclinic.org


NEUROLOGY is the specialty of medicine which focuses on the diagnosis and treatment of disorders of the nervous system.

FIRST PLACENEW RIVER VALLEY

FIRST PLACE-ROANOKE

Steven Nack, DO

Neurology Services of SWVA | Blacksburg 540.961.0410 | www.lewsigale.com

Timothy Hormel, MD

Valley Neurology Associates, PC | Salem 540.725.3500 | www.lewisgale.com

“In some circumstances, merely sitting on the bedside and touching a hand enables patients to ask questions or elaborate fears that they would otherwise not.” — Timothy Hormel, MD SECOND PLACE

THIRD PLACE (TIE)

Clement Elechi, MD

Della Williams, MD

LewisGale Neurology | Salem 540.772.3450 | www.lewisgale.com

Carilion Clinic | Roanoke 540.981.7000 | www.carilionclinic.org

Joseph Ferrara, MD

Carilion Clinic Neurology Roanoke | 540.224.5170 www.carilionclinic.org

SECOND PLACE

THIRD PLACE

Jill Cramer, MD

Manuel Marrufo-Salazar, MD

Blue Ridge Associates in Neurology Christiansburg | 540.381.9480 www.carilionclinic.org

Neurological Care Clinic, PC Blacksburg | 540.951.5090 www.neurologicalcareclinic.com

HONORABLE MENTION Chinekwu Anyanwu, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Sidney Mallenbaum, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Howard Sherman, MD Valley Neurology Associates, PC Salem | 540.725.3500 www.carilionclinic.org

Ivaylo Staykov, MD LewisGale Physicians Salem | 540.772.3450 www.lgphysicians.com

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57


NURSE PRACTITIONER (NP)

FIRST PLACENEW RIVER VALLEY

is a registered nurse with advanced academic and clinical experience, which enables him or her to diagnose and manage most common and many chronic illnesses, either independently or as part of a healthcare team.

Carol Ballard, FNP

Medical Associates of SW Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com

FIRST PLACE-ROANOKE Patricia Carlton, NP

The Art and Science of Dermatology Roanoke | 540.725.7546 www.theartandscianceofdermatology.com

“Caring for patients is my Job. This is also my Joy. A Job done with Joy is a true blessing.” — Patricia Carlton, NP SECOND PLACE

THIRD PLACE

Janet Theimer, NP

Linda Handy, PNP, MSN

Carilion Clinic Obstetrics & Gynecology Roanoke | 540.343.1224 www.carilionclinic.org

LewisGale Pediatric Care | Salem 540.772.3580 | www.lewisgale.com

HONORABLE MENTION Glenda Ball, NP LewisGale Physicians | Blacksburg | 540.552.1246 www.lgphysicians.com

Katherine Barnhill, NP Physician Associates of VA | Roanoke | 540.345.4946 www.pavclinics.com

DeEtta Compton, NP Carilion Clinic | Christiansburg | 540.731.7600 www.carilionclinic.org

“It is a privilege to be able to care for my patients. Many have been with me for years and have become my friends as well. I look forward to many more years with them.” — Carol Ballard, FNP SECOND PLACE

THIRD PLACE

Susan Gaither, FNP, MSN

Kerry McGrath, NP

River Ridge Dermatology Blacksburg | 540.951.3376 www.riverridgederm.com

Nancy Harvey, FNP Carilion Clinic | Roanoke | 540.265.5500 www.carilionclinic.org

Barbara Miller, FNP New River Dermatology | Blacksburg | 540.953.2210 www.newriverdermatology.com

Andrea Nelson, NP Carilion Clinic | Rocky Mount | 540.484.436 www.carilionclinic.org

Carilion New River Valley Medical Center Christiansburg | 540.731.2614 www.cariionclinic.org

Ressie Shupe, NP Valley Nephrology | Roanoke | 540.344.1400 www.carilionclinic.org

Stephanie Quinn, NP Physicians to Women | Roanoke | 540.982.8881 www.ptow.com

Bridgette Vest, NP Salem VA Medical Center | Salem | 540.982.2463 www.salem.va.gov

Vickie Shelley, NP-C Carilion Clinic | Roanoke | 540.265.5500 www.carilionclinic.org

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OBSTETRICS & GYNECOLOGY

is the specialty of medicine that includes care for women before, during, and after pregnancy and child birth and the diagnosis and treatment of disorders affecting the female reproductive system.

SECOND PLACE

THIRD PLACE

Patrice Weiss, MD

George Maxymiv, MD

Carilion Clinic Roanoke | 540.985.9715 www.carilionclinic.org

LewisGale Gynecology Salem | 540.772.3520 www.lewisgale.com

FIRST PLACE-ROANOKE Deborah Clapp, MD

LewisGale Physicians | Salem | 540.725.7326 www.lgphysicians.com

“B edside manner is important because the patient’s perception of the doctor influences the entire interaction between them. Fulfilling the patient’s goals, encouraging healthy lifestyles, providing preventive care, and treating illnesses all depend upon the physician earning the trust of the patient. Good bedside manner cannot be measured, but it will influence the success of any patient doctor interaction.” — Deborah Clapp, MD HONORABLE MENTION Melanie Altizer, MD Montgomery OB/GYN Blacksburg | 540.951.1550

Elizabeth Barwick, DO LewisGale Physicians Salem | 540.772.3680 www.lgphysicians.com

Jill Gaines, MD Physicians to Women Roanoke | 540.982.8881 www.ptow.com

Jorge Garcia, MD Carilion Clinic Roanoke | 540.985.9910 www.carilionclinic.org

Mark Gustafson, MD LewisGale Physicians Salem | 540.772.3520 www.lgphysicians.com

Greg Hardee, MD Carilion Clinic Roanoke | 540.985.9910 www.carilionclinic.org

Laurie Hudgins, MD Montgomery OB/GYN Blacksburg | 540.951.1550 www.mymontgomergyobgyn.com

Christopher Keeley, MD LewisGale Physicians Salem | 540.772.3680 www.lgphysicians.com

FIRST PLACENEW RIVER VALLEY Margarita Abrams, MD

Montgomery OB/GYN Blacksburg | 540.951.1550 www.mymontgomergyobgyn.com

SECOND PLACE

David Roberts, MD Carilion Clinic Obstetrics and Gynecology | Blacksburg 540.961.1058 | www.carilionclinic.org

Lynn M. Keene, MD Physicians to Women Roanoke | 540.982.8881 www.ptow.com

Elizabeth Martin, MD Physicians to Women Roanoke | 540.982.8881 www.ptow.com

THIRD PLACE Kami Palmer, MD

Montgomery OB & GYN Blacksburg | 540.951.1550 www.mymontgomeryobgyn.com

Kurt Stockstill, MD Physicians to Women Roanoke | 540.982.8881 www.ptow.com

George Zolovick, MD Montgomery OB/GYN Blacksburg | 540.951.1550 www.mymontgomergyobgyn.com

Lee McLennan, MD Carilion Clinic Roanoke | 540.343.1224 www.carilionclinic.org

Mona Sadek, MD Western Virginia OB/GYN Roanoke | 540.774.6000 www.westernvaobgyn.com

OCCUPATIONAL MEDICINE is the branch of medicine dealing with the prevention and treatment of job-related injuries and illnesses.

FIRST PLACE-ROANOKE Darrell Powledge, MD

Valley Occupational Medicine | Roanoke 540.362.9620 | www.drp.yourmd.com

One of the greatest desires of the human soul is to be understood. It has been my experience that if I do my best to understand my patient’s concerns, not just make the correct diagnosis and offer the proper treatment, but really make sure I address their concerns, that I am more likely to have a satisfied patient who responds well to treatment. — Darrell Powledge, MD

SECOND PLACE Hetzal Hartley, MD

Carilion Clinic Roanoke | 540.985.8521 www.carilionclinic.org

THIRD PLACE Gerard deGuzman, MD

Valley Occupational Medicine Roanoke | 540.362.9620

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OPHTHALMOLOGY is the medical specialty that treats

FIRST PLACE-ROANOKE (TIE)

eye disorders, including injuries, infections, tumors, and cataracts.

FIRST PLACE-ROANOKE (TIE) Jon Brisley, MD

Vistar Eye Center | Roanoke | 540.855.5100 www.vistareye.com

“I consider it a privilege and a great responsibility when a patient chooses me as their doctor. I treat each patient as if they are a member of my family. I ask the question ‘What treatment plan would I suggest if my mother were sitting in that exam chair?’ ” — Jon Brisley, MD

Richard Johnson, MD, FAAO

LewisGale Vision Care | Salem 540.772.3780 | www.lgphysicians.com

“It is humbling to win this award again. I am blessed to have the opportunity to serve and care for many wonderful people. My staff and I try to get to know our patients and treat them as we would want to be treated. I am thankful for many blessings and this is certainly one of them.” — Richard Johnson, M.D., FAAO SECOND PLACE

THIRD PLACE

Carey Robinson, MD

Kurt Guelzow, MD Vistar Eye Center | Roanoke 540.855.5100 | www.vistareye.com

Eye Care and Surgery | Roanoke 540.772.7171 | www.eyecaresurgery.com

FIRST PLACENEW RIVER VALLEY Parisa Farhi, MD Farhi Vision & Glaucoma Specialists Blacksburg 540.552.1120 www.farhivision.com

SECOND PLACE Daniel Drysdale, MD Drysdale Eye Center | Blacksburg 540.951.0525 | www.drysdaleyecenter.com

THIRD PLACE Tedd Puckett, MD

New River Valley Eye Center | Christiansburg 540.381.2013 | www.nrveye.com

HONORABLE MENTION Chad Albright, MD Vistar Eye Center | Bedford 540.855.5100 | www.vistareye.com

Eugene Eng, MD Eye Care and Surgery | Roanoke 540.772.7171 | www.eyecaresurgery.com

John Facciani, MD Vistar Eye Center | Salem 540.855.5100 | www.vistareye.com

John Hines, MD Vistar Eye Center | Roanoke 540.855.5100 | www.vistareye.com

John Stephen Hudgins, MD John Stephen Hudgins, MD Christiansburg | 540.382.8316

David Kinsler, MD Vistar Eye Center | Roanoke 540.855.5100 | www.vistareye.com

Donna Maxfield, MD LewisGale Physicians | Roanoke 540.265.1624 | www.lgphysicians.com

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Ann Sowers, MD Vistar Eye Center | Botetourt 540.855.5100 | www.vistareye.com

Scott Strelow, MD Vistar Eye Center | Roanoke 540.855.5100 | www.vistareye.com

Jonathan Till, MD Southwest Virginia Eye Center | Roanoke 540.772.3978 | www.swvaeye.com

William Thompson, MD Eye Care and Surgery | Roanoke 540.772.7171 | www.eyecaresurgery.com

Kenneth Tuck, MD Vistar Eye Center | Roanoke 540.855.5100 | www.vistareye.com

Joseph Weisman, MD Blue Ridge Eye Center | Roanoke 540.345.2020 | www.blueridgeeye.com

John Wood, MD Vistar Eye Center | Roanoke 540.855.5100 | www.vistareye.com


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OPTOMETRY

is the specialty where the practitioner is trained and skilled in examining and testing the eyes for defects in order to prescribe corrective lenses or treatments.

THIRD PLACE David Armstrong, OD

Dr. David L. Armstrong | Roanoke | 540.982.2020 | www.doctorarmstrong.com

FIRST PLACE-ROANOKE Miles Newman, OD

FIRST PLACENEW RIVER VALLEY

Drs. Newman, Blackstock & Associates | Roanoke 540.563.0441 | www.newmanblackstock.com

Thank you to all of our patients for giving me this wonderful honor once again. I can think of nothing more important in a doctor/patient relationship than making our patients feel comfortable enough to ask any questions and to feel like they are a part of our family. Solving patient’s problems and making them feel at ease brings great joy to our staff and me. — Miles Newman, OD SECOND PLACE (TIE) Kevin Coolbaugh, OD

Eye Care and Surgery Roanoke | 540.772.7171 www.eyecaresurgery.com

Donald Scothorn, OD

Vistar Eye Center Roanoke | 540.855.5100 www.vistareye.com

John Dovie, OD, FAAO

Blacksburg Eye Associates | Blacksburg 540.953.2020 | www.blacksburgeye.com

“As a doctor, it is humbling to be honored by those that you serve. At our office, we strive to treat our patients as part of our family, and a good bedside manner is one way of showing our patients that we care about them as individuals. I am very fortunate to be surrounded by such wonderful doctors and staff, and by patients that appreciate what we do.” — John Dovie, OD, FAAO SECOND PLACE

THIRD PLACE

Steve Jacobs, OD

Henry Bellamy, OD

Steve Jacobs, OD Blacksburg | 540.953.0136 www.stevejacobsod.com

Henry Bellamy, OD Christiansburg | 540.381.9086 www.henrybellamyod.com

HONORABLE MENTION Emma-Catherine Ali, OD Vistar Eye Center | Hardy 540.855.5100 | www.vistareye.com

Joseph Blackstock, OD Drs. Newman, Blackstock & Associates Roanoke | 540.563.0441 www.newmanblackstock.com

Kari H. Boothe, OD Eye Care and Surgery | Roanoke 540.772.7171 | www.eyecaresurgery.com

Shari Coolbaugh, OD Eye Care and Surgery | Roanoke 540.772.7171 | www.eyecaresurgery.com

Patrick Curran, OD Drs. Newman, Blackstock & Associates Christiansburg | 540.382.1731 www.newmanblackstock.com

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Michael Johnson, OD Drs. Newman, Blackstock & Associates Roanoke | 540.366.2457 www.newmanblackstock.com

Charles Pegram, OD Vistar Eye Center Salem | 540.855.5100 www.vistareye.com

Scott Mann, OD Invision Christiansburg | 540.381.2020 www.invision2020.com

Donald Scothorn, OD Vistar Eye Center Botetourt | 540.855.5100 www.vistareye.com


ORAL SURGERY

FIRST PLACENEW RIVER VALLEY

is the dental specialty that is limited to the diagnosis, surgery and treatment of diseases, injuries, deformities, and defects of the mouth.

James VanGilder, DDS

FIRST PLACE-ROANOKE

NRV Oral and Maxillofacial Surgery | Blacksburg 540.951.8777 | www.nrvoralsurgery.com

Albert Parulis, DDS

Roanoke Oral Surgery | Roanoke | 540.362.5900 www.roanokeoralsurgery.com

“B edside manner in any surgery is critical because everyone fears surgery. A large percentage of our patients are also children and teenagers, and they are even more anxious as often they have never had any procedures done prior. Developing a relationship at the first visit is crucial to not only their physical but psychological well-being as well.” — Albert Parulis, DDS SECOND PLACE

THIRD PLACE

Larry Meador, DDS

George Kevorkian, DDS

Valley Oral Surgery Roanoke | 540.774.5900 www.larrymeadordds.com

George Kevorkian, DDS Vinton | 540.344.7252 www.georgekevorkiandds.com

“No one really wants to be in your office, especially the kids. We treat a lot of children for a variety of reasons. I find that if you just sit down and talk to people, it puts them at ease. I am a people person and I love kids.” — James VanGilder, DDS SECOND PLACE

HONORABLE MENTION

Richard Boyle, DDS

Matthew Ankrum, DDS, MS

NRV Oral and Maxillofacial Surgery Blacksburg | 540.951.8777 www.nrvoralsurgery.com

THIRD PLACE

Dr. Matthew Ankrum, DDS, MS, PC Blacksburg | 540.552.1100

Jason Margolis, DMD Roanoke Oral Surgery | Roanoke 540.362.5900 | www.roanokeoralsurgery.com

Clinton Howard, DDS

NRV Oral and Maxillofacial Surgery Blacksburg | 540.951.8777 www.nrvoralsurgery.com

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ORTHODONTICS

is the specialty of dentistry that is concerned with the study and treatment of malocclusions (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships, or both.

FIRST PLACE-ROANOKE Richard Tate, DDS (image not available)

Tate and Tate Orthodontics | Salem | 540.389.0491

SECOND PLACE

THIRD PLACE

Franklin Wheelock, MD, DDS, MS

M.R. McCorkle, Jr., DDS

Wheelock & Johnson Orthodontics Roanoke | 540.989.5621 www.wjortho.com

Dr. Maston McCorkle, Jr. Roanoke | 540.563.1640 www.mccorkleortho.com

FIRST PLACE-NEW RIVER VALLEY Randolph Turner, DDS (image not available)

RL Turner, DDS, LTD | Blacksburg | 540.552.2334

SECOND PLACE

THIRD PLACE

Damon Thompson, DDS

Dennis Vaughan, DDS

Real Life Dental Care Blacksburg | 540.552.5433 www.reallifedentalcare.com

Dr. Dennis L. Vaughan, DDS Radford | 540.639.3002


ORTHOPAEDICS is focused on diseases, injuries, and

conditions of the musculoskeletal system relating to the body’s muscles and skeleton, as well as the joints, ligaments, tendons, and nerves.

FIRST PLACE-ROANOKE (TIE) Preston Waldrop, MD

Virginia Orthopaedic | Salem 540.444.4020 | www.vaortho.com

“Patients need to know that you care! Good bedside manner promotes that feeling and trust.” — Preston Waldrop, MD FIRST PLACE-ROANOKE (TIE) Michael Wolfe, MD

Carilion Clinic Orthopaedics | Roanoke 540.224.5170 | www.carilionclinic.org

“After 15 years in the Roanoke Valley, I am as passionate as ever about what I do. I am inspired by the fine people of our region, and humbled by the opportunity to help them be healthier.” — Michael Wolfe, MD SECOND PLACE

THIRD PLACE

Alfred Durham, MD

Mark Hagy, MD

LewisGale Physicians | Salem 540.772.3530 | www.lgphysicians.com

Virginia Orthopaedic | Salem 540.444.4020 | www.vaortho.com

THIRD PLACE Stephen Grubb, MD

Carilion Clinic Spine Center Christiansburg | 540.633.0523 www.carilionclinic.org

HONORABLE MENTION James Chandler, MD Carilion Clinic | Roanoke 540.725.1226 | www.carilionclinic.org

Jeffrey Chain, MD Carilion Clinic | Blacksburg 540.731.2436 | www.carilionclinic.org

Kerry Donnelly, MD Radford Orthopedic Center Radford | 540.639.9315 www.radfordortho.com

James Farmer, MD LewisGale Physicians | Salem 540.772.3530 | www.lgphysicians.com

Hugh Hagan, III, MD Carilion Clinic | Roanoke 540.725.1226 | www.carilionclinic.org

Mark Hagy, MD Virginia Orthopaedics Salem | 540.444.4020 www.vaortho.com

Ryan Harris, DO Carilion Clinic Christiansburg | 540.731.2346 www.carilionclinic.org

Michael Helvey, DO Carilion Clinic | Giles 540.922.4350 | www.carilionclinic.org

George Henning, MD

Enewsletters

Tablet

Carilion Clinic | Roanoke 540.725.1226 | www.carilionclinic.org

Mobile

Shelby Jarrell, III, MD LewisGale Physicians | Salem 540.772.3530 | www.lewisgale.com

Online

Christopher John, MD

Marc Siegel, MD

LewisGale Physicians | Blacksburg | 540.772.3530 www.lgphysicians.com

“I believe it is important to take my time with every person I see during their appointment. I encourage patients to ask questions and even bring a list of their symptoms to discuss. My goal is that by the end of the exam, patients have a clear understanding of the information they have received so they can take an active role in their medical care.” — Marc Siegel, MD SECOND PLACE Stuart Gardner, MD

LewisGale Physicians | Christiansburg | 540.951.6000 | www.lgphyscians.com

Carilion Clinic | Roanoke 540.725.1226 | www.carilionclinic.org

Brent Johnson, MD Carilion Clinic | Roanoke 540.725.1226 | www.carilionclinic.org

Anthony McPherron, DO LewisGale Physicians | Pulaski 540.994.9443 | www.lewisgale.com

Joseph Moskal, MD Carilion Clinic | Roanoke 540.725.1226 | www.carilionclinic.org

Brian Torre, MD LewisGale Physicians | Salem 540.772.3530 | www.lgphysicians.com

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FIRST PLACE- NEW RIVER VALLEY

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OSTEOPATHIC MEDICINE

SECOND PLACE

is an approach to healthcare that emphasizes the role of the musculoskeletal system in health and disease.

Kenneth Luckay, DO

Center for Medical Weight Loss Roanoke | 800.794.5620 www.centerformedicalweightloss.com

FIRST PLACE

THIRD PLACE

Mark Roger, DO

Academic Primary Care Associates | Blacksburg 540.443.7180 | www.academicprimarycare.com

“I feel that good bedside manner is important as it helps me connect to the patient and earn their trust, which will help us partner to better understand what’s going on with them and how we can treat whatever ailment they have. It helps to allow me to comfort them in times of discomfort.” — Mark Rogers, DO

OTOLARYNGOLOGY (ENT)

Aaron Prussin, MD

LewisGale Physicians | Christiansburg 540.381.0344 | www.lgphysicians.com

FIRST PLACE-ROANOKE Jefferson Surgical Clinic | Roanoke 540.283.6023 | www.jeffersonsurgical.com

“You are in charge of your own health. I can only guide you in the right direction. ” — Gregory Zachman, MD SECOND PLACE

THIRD PLACE

Kurt Chen, MD

Tu Tran, MD

Carilion Clinic Otolaryngology | Roanoke 540.581.0180 | www.carilionclinic.org

LewisGale Ear Nose & Throat | Salem 540.772.3433 | www.lewisgale.com

Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

FIRST PLACENEW RIVER VALLEY

is a surgical specialty focusing on the diagnosis, management, and treatment of diseases and disorders of the ear, nose, throat (ENT) and related structures of the head and neck.

Gregory Zachman, MD

David Harden, DO

“I always try to treat my patients as I would want myself or one of my family members to be treated. My goal is to make patients as comfortable as possible with the care they are receiving.“ — Aaron Prussin, MD SECOND PLACE

THIRD PLACE

Larry Cowley, MD

Seth Palmer, DO

Larry Cowley, MD | Blacksburg 540.552.7050 | www.lewisgale.com

LewisGale Physicians Radford | 540.639.9023 www.lgphysicians.com

HONORABLE MENTION Mark Hanabury, MD LewisGale Physicians | Salem | 540.772.3433 | www.lgphysicians.com

William Magdycz, MD Carilion Clinic | Roanoke 540.224.5170 | www.carilionclinic.org

Vivian Mao, MD Carilion Clinic | Roanoke 540.224.5170 | www.carilionclinic.org

Jennifer Nelson, MD LewisGale Physicians | Blacksburg 540.443.7400 | www.lgphysicians.com

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PAIN MANAGEMENT

encompasses pharmacological, non-pharmacological, and other approaches to prevent, reduce, or stop pain sensations.

PALLIATIVE MEDICINE is a multidisciplinary approach to specialised medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, physical stress, and mental stress of a serious illness—whatever the diagnosis.

FIRST PLACE-ROANOKE

FIRST PLACE

Murray Joiner, MD

Murray E. Joiner, Jr., MD, PC & Associates Roanoke | 540.772.4448 www.murrayjoiner.md.com

“Medicine for me is not my job or vocation. I’m fortunate that what I wake up and do every morning is my avocation. It is a ministry of service to others with the primary goal being making my God and parents proud of what I do for each and every one of the patients I care for each day.” — Murray Joiner, MD SECOND PLACE

THIRD PLACE

Chheany Ung, MD

Marc Swanson, MD

Virginia Interventional Pain and Spine Center | Roanoke | 540.777.0090 www.vapainsc.com

Blue Ridge Pain Management Associates | Salem | 540.444.5670 www.blueridgepm.com

Christopher W. Pile, MD

Carilion Clinic Palliative Medicine | Roanoke 540.981.7515 | www.carilionclinic.org

“I am always humbled and honored that patients and their families allow me into their lives when they are in need of help. I am thankful I work with wonderful teams both inside and outside the hospital to help patients achieve what’s most important to them.” — Christopher W. P ile, MD SECOND PLACE

THIRD PLACE

Mazen, I. Madhoun, MD

Syed A. Raza, MD

Clinic Palliative Medicine - NRV Radford | 540.633.9370 www.carilionclinic.org

Roanoke | 540.380.3725 www.lewisgale.com

FIRST PLACENEW RIVER VALLEY Tejal Raju, MD

Virginia Interventional Pain and Spine Center Christiansburg | 540.251.3472 www.vapains.com

SECOND PLACE Donald Bivins, MD

Blacksburg Center for Pain Management and Physical Therapy | Blacksburg | 540.605.9773 | www.docbivins.com

THIRD PLACE Michael D. Goodrich, MD

Anesthesiology Associates, Radford | Christiansburg | 540.731.1898

HONORABLE MENTION Cyrus Bakhit, MD Physical Medicine Associates, LTD Roanoke | 345.4230

George Baylor, MD

Anthony L. Dragovich, MD Blue Ridge Pain Management Associates Salem | 540.444.5670 www.blueridgepm.com

Blue Ridge Pain Management Associates Salem | 540.444.5670 www.blueridgepm.com

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PEDIATRICS

focuses on the detection, diagnosis, treatment and prevention of diseases in children, ages infant to 18-years of age.

FIRST PLACENEW RIVER VALLEY Hope Tobey, DO

Academic Primary Care Associates | Blacksburg 540.443.7180 | www.academicprimarycare.com

FIRST PLACE-ROANOKE Luthur Beazley, III, MD

“I treat every child and their family the way I would want my family to be treated. It only takes an extra second to be nice.” — Hope Tobey, DO

LewisGale Physicians | Salem | 540.772.3580 www.lgphysicians.com

“B eing polite, personable and interested goes a long way to providing better patient care.” ­­­­— Luthur B eazley, MD SECOND PLACE

THIRD PLACE (TIE)

Russell Delaney, MD

Hugh Craft, MD

LewisGale Pediatic Care | Salem 540.772.3580 | www.lewisgale.com

Carilion Clinic Pediatric Medicine Roanoke | 540.772.4453 www.carilionclinic.org

Cameron Johnson, DO

SECOND PLACE (TIE)

THIRD PLACE (TIE)

David Berry, DO, PhD

Amanda Preedom, MD

LewisGale Physicians | Blacksburg 540.443.3940 | www.lgphysicians.com

Timothy Walker, MD

NRV Pediatrics | Blacksburg 540.552.7272 | www.nrvpediatrics.com

Physicians to Children Roanoke | 540.344.9213 www.physicianstochildren.com

HONORABLE MENTION Sofia Abraham-Hardee, DO Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

Kathy Amoroso, MD Carilion Clinic Roanoke | 540.772.4453 www.carilionclinic.org

John W. Bouldin, MD LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com

Ann Collins, DO Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

Joyce Cummings, MD LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com

Richard Gehrz, MD Children’s Choice of the NRV Dublin | 540.674.9359 www.lewisgale.com

Kelly Henchel, MD Pediatric Medicine –Jefferson Plaza | Roanoke | 540.985.8230 www.carilionclinic.org

Mark McBride, MD Physicians to Children Roanoke | 540.344.9213 www.physicianstochildren.com

Paul McElroy, MD New River Valley Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

Florence Mogen, MD New River Valley Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

NRV Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

Christopher Stapleton, MD NRV Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

Robert Stickley, MD New River Valley Pediatrics Radford | 540.639.5188 www.nrvpediatrics.com

Paul Vaccaro, MD NRV Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

John Moore, MD Carilion Clinic Pediatric Medicine - Daleville Daleville | 540.992.1251 www.carilionclinic.org

Lee Anne Steffe, MD LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com

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PERIODONTICS is the specialty of dentistry that

FIRST PLACENEW RIVER VALLEY

studies supporting structures of teeth, diseases, and conditions that affect them.

John Buyer, DDS

New River Periodontics and Dental Implant Center | Blacksburg | 540.951.4848 www.nrvperio.com

FIRST PLACE-ROANOKE Gavin Aaron, DDS

Aaron Periodontic & Dental Implants Roanoke | 540.562.3166 www.periohub.com

“In my experience, I’ve realized that patients desire two things: personalized care and affordable treatment. I simply try my best to provide those things. I appreciate all of the patients and all of the dentists who have allowed me the privilege of working with them. Thanks.” — Gavin Aaron, DDS SECOND PLACE

THIRD PLACE

Linda Till, DDS

Barry Wolfe, DDS

Linda Till, DDS | Roanoke 540.772.3940

Wolfe & Penn, LTD | Roanoke 540.772.2913

“Service and quality are wise choices of numerous alternatives. It is doing what is right when people are looking and not looking. It is an intentional way of life. Patients see this as good service. It results in a patient’s confident investment in our perio team as we meet their dental implant and periodontal needs.” — John Buyer, DDS SECOND PLACE Walter Shields, DDS

Walter Shields, DDS | Blacksburg | 540.953.3396 www.waltershieldsdds.com

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PHARMACY is the health profession of experts in the use of medicines.

THIRD PLACE (TIE) Anne Kidd, PharmD, BCPP

FIRST PLACE-ROANOKE (TIE) Tia Daniels, PharmD (image not available)

LewisGale Center for Behavioral Health Salem | 540.776.1100 www.lewisgale.com

Charlie Tarasidis, PharmD Carilion Clinic Pharmacy Roanoke | 540.266.6480 www.carilionclinic.org

Kroger - Brambleton | Roanoke | 540725.3808

FIRST PLACE-ROANOKE (TIE) Lisa Houck, RPh

Valley Apothecary | Salem | 540.776.9800 www.valleyapothecary.com

”It is important for a small business owner to have great customer service and that is one of the top priorities for the staff here at Valley Apothecary. We give each patient the personal service they deserve and hopefully this translates into customer loyalty. It’s been shown that having a good relationship with a home town pharmacist improves a patient’s overall health and satisfaction.” — Lisa Houck, RP h SECOND PLACE

FIRST PLACE-NEW RIVER VALLEY Dave Tosi, RPh (image not available)

Kroger - Main Street | Balcksburg 540.953.0600 | www.kroger.com

SECOND PLACE

THIRD PLACE

David Davidson, RPh

Pati Roane, RPh

Davidson’s Pharmacy Christiansburg | 540.381.9345 www.davidsonpharmacy.weebly.com

Carilion Clinic Pharmacy - NRV Christiansburg | 540.639.1647 www.carilioinclinic.org

HONORABLE MENTION Stacy Fisher, RPh Market Street Pharmacy New Castle | 540.864.8800 www.marketstpharmacy.com

Tim Lucas, RPh DownHome Pharmacy Roanoke | 540.966.4858 www.downhomepharmacy.net

James Perkinson, RPh Radford Drug | Radford | 540.639.3996

Harvey Turner, III, RPh CVS Pharmacy | Salem 540.387.1696 | www.cvs.com

Mitch West, RPh West Pharmacy | Roanoke | 540.777.3403

Steve Nuckols, RPh

Jessica Pettrey, PharmD

CVS Pharmacy | Salem | 540.387.4567 | www.cvs.com

PHLEBOLOGY

a branch of medicine concerned with the veins.

FIRST PLACE-ROANOKE Frank Purpera, MD

Virginia Vein Institute Blacksburg | 540.552.VEIN (8346) www.virginiaveininstitute.com

“Since early in my residency, I have believed that my patients should be treated the way I would want my mother treated. Despite the worry of a trip to the doctor’s office, the family atmosphere here is joyful and welcoming to help our patients relax. B eing recognized for this award 2 years in a row shows that our patients feel how much we value each and every one of them.” — Frank Purpera, MD, RP hs,

Medicap Pharmacy | Roanoke 540.772.0605 | www.medicap.com

SECOND PLACE (TIE) Martin Smith, DO

The Vein Specialists Roanoke | 540.491.0700 www.roanokeveindoctor.com

James Callis, MD

Jefferson Surgical Clinic Roanoke | 540.283.6050 www.jeffersonsurgical.com

THIRD PLACE Robert Ripley, MD

Salem Surgical Vein & Laser Center Roanoke | 540.772.3008 www.salemsurgicalveinandlasercenter.com

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PHYSICAL MEDICINE

FIRST PLACENEW RIVER VALLEY

and rehabilitation, also referred to as physiatry, is a medical specialty concerned with diagnosis, evaluation, and management of persons of all ages with physical and/or cognitive impairment and disability.

Ralph Brown, Jr., MD

Carilion Clinic | Christiansburg | 540.731.2992 www.carilionclinic.org

FIRST PLACE-ROANOKE Deborah Mowery, MD

Valley Rehabilitation | Roanoke | 540.772.2390 www.lewisgale.com

SECOND PLACE Murray Joiner, Jr., MD

Murray E. Joiner, Jr., MD, PC & Associates Roanoke | 540.772.4448 www.murrayjoiner.md.com

THIRD PLACE Rebecca W. Tanner, MD, FAAPMR

Blue Ridge Physical Medicine | Roanoke | 540.772.8052 www.blueridgephysical medicine.com

“We all know that patient adherence is the single most important factor in patient symptom or disease improvement. We also know if a patient likes their doctor they will be more likely to adhere. I am honored by this recognition; truth is I really like people and caring for their needs.” Ralph Brown, Jr., MD SECOND PLACE

THIRD PLACE

Bradley M. McCrady, DO

Ethan B. Colliver, DO

Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com

Valley Sports and Spine Clinic Blacksburg | 540.443.9362 www.valleysportsandspine.com

HONORABLE MENTION Monty Baylor, MD Blue Ridge Pain Management Associates Salem | 540.444.5670 | www.blueridgepm.com

Trevar Chapmon, MD Carilion Clinic Physical Medicine | Roanoke 540.224.5170 | www.carilionclinic.org

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Gabriel Gorin, MD Carilion Clinic | Roanoke | 540.224.517 www.carilionclinic.org

Lennox McNeary-Keyes, MD Carilion Clinic | Roanoke | 540.224.5170 www.carilionclinic.org

OurHealth | The Resource for Healthy Living in Southwest Virginia

Marc Swanson, MD Blue Ridge Pain Management Associates | Salem 540.444.5670 | www.blueridgepm.com

Richard Weiss, MD Carilion Clinic Physical Medicine | Roanoke 540.224.5170 | www.carilionclinic.org


PHYSICAL THERAPY (or physiotherapy), often abbreviated PT, is the art and science of physical care and rehabilitation.

FIRST PLACENEW RIVER VALLEY

FIRST PLACE-ROANOKE

Ron Masri, PT, DPT

Tyler Bowersock, PT, DPT, CSCS

Total Motion Physical Therapy | Christiansburg 540.585.4841 | www.totalmotionpt.net

University Physical Therapy | Roanoke 540.774.0729 | www.universityptonline.com

”Too often in medicine today we have lost what it means to treat a patient. Some think you just treat the physical impairment and move on. But others, like us at University PT, have a different approach. If you create a welcoming and fun atmosphere and show patients you genuinely care, you’re going to create a deeper bond between clinician and patient that will ultimately lead to better outcomes.” — Tyler Bowersock, PT, DPT, CSCS SECOND PLACE Wendy Lucas, PT

Lucas Therapies | Roanoke | 540.772.8022 | www.lucastherapies.com

Advance Physical Therapy of Virginia Salem | 540.444.0291 www.aptova.com

SECOND PLACE

THIRD PLACE

Cindy Henderson, PT, ATC, FAFS

Mike Goforth, MS, ATC

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

THIRD PLACE (TIE) Remco Schreuders, PT

”Growing up with parents that ran a successful restaurant business for over 30 yrs, I learned the true value of customer service—‘customers are family.’ That is the culture that I have instilled here at Total Motion P hysical Therapy. We provide the best care for our patients as we would our family. A patient may enter our clinic as a stranger, but they leave us being our friend. I am honored to have been chosen for this award by my patients.” — Ron Masri, PT, DPT

Eric C. Reichardt, MPT

University Physical Therapy Blacksburg | 540.552.5100 www.universityptonline.com

Spine and Orthopedic Rehab of Virginia, Inc. | Roanoke | 540.985.6500 www.physicaltherapyroanokeva.com

HONORABLE MENTION Ron Greer, MS, PT, OTR

Glen Davis, PT Blacksburg Physical Therapy Associates Blacksburg | 540.951.2703 www.blacksburgptonline.com

Debbie K. Echternach, PT, DPT, PCS, NDT, ATP Professional Therapies, Inc. Roanoke | 540.982.2208 www.professionaltherapies.org

Tom Ellexson, MPT Advance Physical Therapy of Virginia Salem | 540.444.0291 www.aptofva.com

Cherrine Reed, PT

Professional Therapies West Lake | 540.721.4199 www.professionaltherapies.org

LewisGale Rehabilitation Services Salem | 540.772.3770 www.lewisgale.com

William Mercer, PT

Angie Reichardt, MPT

Professional Therapies Roanoke | 540.982.2208 www.professionaltherapies.org

Spine and Orthopedic Rehab of Virginia, Inc. Roanoke | 540.985.6500 www.sor-va.com

Francine Noel-Ford, PT, DPT, OCS, MBA, MTC

Nolan Stewart, PT, DPT, OCS Professional Rehab Associates Christiansburg | 540.639.5786 www.professionalrehabassociates.com

Kelly Wilson, PT University Physical Therapy Blacksburg | 540.552.5100 www.universityptonline.com

Richard F. Sidor, PT, DC, Ac, CGFF

Back to Basics | Roanoke | 540.985.0500 www.backtobasicspt.com

Spine and Orthopedic Rehab | Roanoke 540.725.5300 | www.sor-va.com

You could win a

PRIZE PACK FOR 4 from Chick-fil-A.

see page 114 for details

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

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PHYSICIAN ASSISTANT (PA) is licensed to practice medicine under the supervision of a licensed physician, and who thereby extends the physician’s capacity to provide medical care.

HONORABLE MENTION Joseph F. Artusio, III, PA-C LewisGale Physicians | Salem 540.776.2020 | www.lgphysicians.com

FIRST PLACE-ROANOKE (TIE) James Porter, PA-C

Foot and Ankle Associates of Southwest Virginia, PC Roanoke | 540.344.3668 | www.drzelen.com

“It is a priveledge to provide care for our patients. My philosophy is simple: Treat your patients the same as you would wish for your family and self, remembering, one day we too shall be the patient.” — James Porter, PA-C FIRST PLACE-ROANOKE (TIE) Matthew Bowles, PA-C

LewisGale Cardiology | Salem | 540.772.3430 www.lewisgale.com

Anne Campbell, PA-C Carilion Clinic | Pearisburg 540.921.3636 | www.carilionclinic.org

Dawn N. Fouse, PA-C LewisGale Physicians | Christiansburg 540.381.1882 | www.lgphysicians.com

Christopher L. Guth, PA-C LewisGale Physicians | Salem 540.772.3530 | www.lgphysicians.com

Elizabeth Hall, PA-C Heart of Virginia Cardiology, PC Roanoke | 540.283.2710 www.heartofvirginiacardiology.com

Melanie Hinkle, PA_C Southwest Virginia Cardiology Salem | 540.375.9375 www.southwestvirginiacardiology.com

Angie Hurd, PA-C New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.com

Madeline Jewell, PA-C

SECOND PLACE Jason Bailey, PA-C

The Vein Specialists - Virginia Skin and Vein Roanoke | 540.777.1711 www.roanokeveindoctor.com

THIRD PLACE Carilion Clinic Surgery - Christiansburg | Christiansburg 540.731.7600 | www.carilionclinic.org

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Timothy Miller, PA-C Carilion Clinic Family Medicine Brambleton | Roanoke | 540.725.7800 www.carilionclinic.org

Garth A. Mills, PA-C

Jeffrey G. Thompson, PA-C

Find and Follow

LewisGale Physicians – Valley View Roanoke | 540.265.1607 www.lgphysicians.com

LewisGale Physicians | Roanoke 540.725.3060 | www.lgphysicians.com

Jason Peery, PA-C Carilion Clinic Spine Center – Roanoke Roanoke | 540.224.5170 www.carilionclinic.org

FIRST PLACENEW RIVER VALLEY Sandra Toensing, PA-C

LewisGale Physicians | Blacksburg 540.443.7400 | www.lgphysicians.com

Lynn Anne Piechoski, PA-C LewisGale Physicians | Blacksburg 540.951.1111 | www.lgphysicians.com

Steven Shane Williams, PA-C LewisGale Physicians | Salem 540.772.3530 www.lgphysicians.com

Talena Williams, PA

SECOND PLACE Michelle O’Neil, PA-C

LewisGale Physicians | Blacksburg 540.951.6000 | www.lgphysicians.com

THIRD PLACE Matthew Shortt, PA-C

LewisGale Orthopaedics | Christiansburg 540.951.6000 | www.lewisgale.com

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Carilion Clinic Orthopaedics - Postal Roanoke | 540.725.1226 www.carilionclinic.org

R. Michael Wilson, PA-C Virginia Orthopaedic | Salem 540.444.4020 | www.vaortho.com



PLASTIC SURGERY: COSMETIC

is the field of surgery that is performed to reshape structures of the body in order to improve appearance and self-esteem.

PLASTIC SURGERY: RECONSTRUCTIVE is the field of surgery concerned with reducing scarring or disfigurement that may occur as a result of accidents, birth defects, or treatment for diseases, such as melanoma.

FIRST PLACE

FIRST PLACE

Phillip Grubbs, MD

Steven Harris, MD

Plastic Surgery Center of Virginia Blacksburg | 540.951.8885 www.plasticsurgerycenterofvirginia.com

Jefferson Surgical Clinic | Salem 540.283.4962 | www.jeffersonsurgical.com

“The keys to a good bedside manner are simply treating the patient as you would want a family member treated, and to never lose sight of the physician’s additional responsibilities of advocate and educator.“ — Steven Harris, MD

“I have wonderful patients and consider it a pleasure and a privilege to be involved in their care. I genuinely want the best for them.” — P hillip Grubbs, MD SECOND PLACE

THIRD PLACE

Carol Wray, MD

Michael Breiner, MD

Center for Plastic Surgery Salem | 540.444.4343 www.plasticsurgeryinvirginia.com

Southwest Virginia Center Roanoke | 540.989.6361 www.swvacenter.com

HONORABLE MENTION Enrique Silberblatt, MD Aesthetic Surgery of Virginia | Roanoke | 540.776.1600 | www.silberblatt.com

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SECOND PLACE

THIRD PLACE

Norman Harris, MD

Barton Thomas, MD

Roanoke | 540.776.6979 www.doctor-harris.com

Roanoke Plastic Surgery Roanoke | 540.581.1400 www.roanokeplasticsurgery.com

HONORABLE MENTION Robert B. Williams, MD Salem Surgical | Salem | 540.0772.3008 | www.drbobw.com


PODIATRY is the branch of medicine that deals with the diagnosis, treatment, and prevention of diseases of the human foot.

FIRST PLACENEW RIVER VALLEY

FIRST PLACE-ROANOKE (TIE)

Mark Wilt, DPM

Charles Zelen, DPM

Foot and Ankle Clinic of the Virginias Blacksburg | 800.456.TOES (8637) www.drfootpain.com

Foot and Ankle Associates of Southwest Virginia, PC | Roanoke | 540.344.3668 www.drzelen.com

“I strive to always provide the best possible foot and ankle care to all my patients, with a gentle and personal touch, just as I would with a member of my own family.” — Charles Zelen, DPM SECOND PLACE

THIRD PLACE

Craig Alan Wilhelms, DPM

J. Randolph Clements, DPM

Roanoke | 540.772.0091 www.lewisgale.com

“I am honored to receive this award for the second year in a row. My staff and I are very thankful for the continued opportunity to serve our patients and the community.” ­— Mark Wilt, DPM SECOND PLACE

THIRD PLACE

Jason Naldo, DPM

Heather Pearman, DPM

Carilion Clinic Orthopaedics Roanoke | 540.224.5170 www.carilionclinic.org

Carilion Clinic | Christiansburg 540.731.2436 | www.carilionclinic.org

David Nielson, DPM

Steve Steffan, DPM

Southwest Podiatry | Dublin 540.674.2444

HONORABLE MENTION Conrad Claytor, DPM Valley Podiatry | Roanoke | 540.982.0253 www.podiatryroanokeva.com

Jennifer Feeny Keller, DPM Shenandoah Podiatry Blacksburg | 540.808.4343 www.shenandoahpodiatry.com

Foot and Ankle Associates of Southwest Virginia, PC | Roanoke | 540.344.3668 www.drzelen.com

Marc Platt, DPM Carilion Clinic Orthopaedics | Roanoke 540.776.0200 | www.carilionclinic.org

PROSTHETICS AND ORTHOTICS is the evaluation, fabrication, and custom fitting of artificial limbs and orthopedic braces.

FIRST PLACE

Community Foot Care Center Vinton | 540.985.0597

Donald Stefl, DPM

Nathan Young, DPM Foot and Ankle Associates of Southwest Virginia, PC | Roanoke | 540.344.3668 www.drzelen.com

Brambleton Podiatry Roanoke | 540.774.5585

SECOND PLACE

THIRD PLACE

Douglas Walters, CPO, FAAOP

Bradley Conner, CO Practitioner

Excel Prosthetics & Orthotics Roanoke | 540.982.0205 www.excel-prosthetics.com

Virginia Prosthetics and Orthotics Roanoke | 540.366.8287 www.virginiaprosthetics.com

Trevor Johnson, CPO

Virginia Prosthetics and Orthotics | Christiansburg 540.381.1502 | www.virginiaprosthetics.com

“No one gets into this business unless they want to help people and I think that by approaching patients in a relaxed, friendly, and honest manner helps put them at ease and makes for a more positive experience and outcome. Medical offices can be intimidating, particularly for children. I try to reduce the stress for patients, maybe get a laugh or two, and help them understand we are building a long-term relationship because most of our patients are partners for life.” — Trevor Johnson, CPO

HONORABLE MENTION Bill Earles, CO, Practitioner Virginia Prosthetics and Orthotics Christiansburg | 540.381.1502 www.virginiaprosthetics.com

Todd Gerl, CO, Practitioner Virginia Prosthetics and Orthotics Roanoke | 540.366.8287 www.virginiaprosthetics.com

Russell Rich, CPO, Practitioner Virginia Prosthetics and Orthotics Roanoke | 540.366.8287 www.virginiaprosthetics.com

Richard Ruble, CPO Excel Prosthetics & Orthotics Roanoke | 540.982.0205 www.excel-prosthetics.com

Doug Smiley, CPO, Practitioner Virginia Prosthetics and Orthotics Roanoke | 540.366.8287 www.virginiaprosthetics.com

Ben Sigmon, CPO Virginia Prosthetics and Orthotics Roanoke | 540.366.8287 www.virginiaprosthetics.com

Joel Smith, CPO Excel Prosthetics & Orthotics Roanoke | 540.982.0205 www.excel-prosthetics.com

Damon Tarrantino, CO, Practitioner Virginia Prosthetics and Orthotics Roanoke | 540.366.8287 www.virginiaprosthetics.com

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PSYCHIATRY is the branch of medicine that deals

PSYCHOLOGY & COUNSELING

FIRST PLACE-ROANOKE

FIRST PLACE-ROANOKE

with the diagnosis, treatment, and prevention of mental and emotional disorders.

is the branch of medicine that deals with the diagnosis, treatment, and prevention of mental and emotional disorders.

Richard Leggett, MD

Alice Jackie Wilkerson, PhD, LPC

Richard P Leggett, MD | Salem 540.776.1018 | www.lewisgale.com

SECOND PLACE David W. Hartman, MD

Carilion Clinic Psychiatry & Behavioral Medicine | Roanoke | 540.981.8025 www.carilionclinic.org

THIRD PLACE Nicholas Zeltvay, DO

The Center for Emotional Wellness | Roanoke | 540.776.0175 www.thecenterforemotionalwellness.com

Psychological Health Roanoke | Roanoke 540.772.5140 | www.psychhealthroanoke.com

“One of the most important things I’ve learned and tried to teach is that we all should create a culture of caring and kindness no matter where we areschool, family, workplace and social events- even football games.” — Alice Jackie Wilkerson, P hD, LPC SECOND PLACE Steve Strosnider, LPC

FIRST PLACENEW RIVER VALLEY Fahim Fahim, MD

Blacksburg | 540.981.1102 www.fahimfahim.md.com

SECOND PLACE Robert Dean, MD, PhD

Carilion Clinic Psychiatry & Behavioral Medicine – Radford | Chrsitiansburg | 540.731.7311 | www.carilionclinic.org

Psychological Health Roanoke | Roanoke | 540.772.5140 www.psychhealthroanoke.com

THIRD PLACE (TIE) David L. Mortellaro, LPC, LMFT Associates in Brief Therapy Roanoke | 540.772.8043 www.abtcounseling.com

Emily DeFrance, PhD

Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

FIRST PLACE-NEW RIVER VALLEY John McVoy, PhD, LPC (image not available)

The Cascade Group | Blacksburg | 540.951.4800 www.thecascadegroupblacksburg.com

THIRD PLACE Michelle Frieben, MD

New River Valley Community Services | Blacksburg | 540.961.8300 www.nrvcs.org

HONORABLE MENTION Felicity Adams-Vanke, MD Carilion Clinic | Roanoke | 540.853.0900 www.carilionclinic.org

Tracey W. Criss, MD Carilion Clinic Psychiatry & Behavioral Medicine | Roanoke | 540.981.8025 www.carilionclinic.org

Michael P. Greenage, DO VA Medical Center | Salem 540.982.2463 | www.salem.va.gov

Jason Grove, DO Mountain Psychiatric, LLC Roanoke | 540.728.1570 www.mountainpsychiatric.com

Pradip Koirala, MD LewisGale Physicians | Low Moor 540.862.2021 | www.lgphysicians.com

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J. Bobby Miglani, MD, FAPA Associates in Brief Therapy | Salem 540.772.8043 | www.abtcounseling.com

Thomas R. Milam, MD Carilion Clinic Psychiatry & Behavioral Medicine | Roanoke | 540.981.8025 www.carilionclinic.org

Himanshu S. Patel, MD Center for Emotional Care | Salem 540.387.3105

Gary Rooker, DO Rooker Psychiatric Services, PC Christiansburg | 540.381.5832

Hilda Templeton, MD Carilion Family Planning Clinic | Roanoke 540.985.9862 | www.carilionclinic.org

Brian Wood, DO VA Medical Center | Salem 540.982.2463 | www.salem.va.gov

OurHealth | The Resource for Healthy Living in Southwest Virginia

SECOND PLACE

THIRD PLACE

Keith Fender, PhD, MSW, LCSW, CSOTP

Mark Prosser, LPC

HONORABLE MENTION

Martha M. Furman, MA, LPC, LMFT

Radford Counseling Group Radford | 540.731.9040 www.radfordcounseling.com

Michael Chiglinsky, PhD

ACA Counseling Services Roanoke | 540.772.0690 www.acacounselingroanoke.com

Jeffrey C. Allman, LCSW

Psychological Health Roanoke
 Roanoke | 540.772.5140 www.psychhealthroanoke.com

B. Allison Allsbrook, LCSW

Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

Lola Byrd, PsyD, LCP

Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

Family & Psychological Services, PC Blacksburg | 540.961.2380 www.familyandpsychological.com

Total Like Counseling, Inc. Roanoke | 540.989.1383 www.totallifecounselinginc.com

Laura Gardner, LCSW

Associates in Brief Therapy Blacksburg | 877.895.8674 www.abtcounseling.com

John Heil, DA, LCP

Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

Michael McGee, LPC

Alternatives Center, Inc. Radford | 540.641.1304 www.alternativecenterinc.com

Beth Wilson, PhD, LCP

Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com


PULMONARY (aka pulmonology) is the specialty that deals with

FIRST PLACENEW RIVER VALLEY

diseases of the respiratory tract and respiratory disease.

John Leslie, MD

FIRST PLACE-ROANOKE

Carilion Clinic Pulmonary Medicine – NRV Christiansburg | 540.731.7450 www.carilionclinic.org

James Witten, Jr., MD, FCCP

LewisGale Physicians | Salem | 540.772.3540 www.lgphysicians.com

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“I have always felt greatly privileged to have been blessed with the opportunity to help care for my fellow man. The honor of this award is misplaced but certainly an encouragement to carry on.” — James Witten, MD

SECOND PLACE

THIRD PLACE

Nelson Greene, MD

Robert Keeley, MD

LewisGale Pulmonary Medicine Salem | 540.772.3540 www.lgphysicians.com

Pulmonary Medicine Associates Roanoke | 540.342.6701 www.carilionclinic.org

“Growing up I received exceptional medical care from a general practitioner that impacted how I practice medicine. I always respected this physician’s knowledge, but most of all respected and appreciated how he truly cared about my family and me as people, not just medical cases. He made us all feel like intelligent and valued human beings, in my opinion the very best part of the practice of medicine.” — John Leslie, MD SECOND PLACE

THIRD PLACE

Umar Sofi, MD

Sanjiva M. Lutchmedial, MD

Carilion Clinic Plumonary Medicine – NRV Christiansburg | 540.731.7450 www.carilionclinic.org

Carilion Clinic Pulmonary Medicina – NRV Christiansburg | 540.731.7450 www.carilionclinic.org

HONORABLE MENTION Douglas Dorsey, MD

John White, MD

David Killeen, DO

LewisGale Physicians | Salem 540.772.3540 | www.lgphysicians.com

LewisGale Pulmonary Medicine | Salem 540.772.3540 | www.lewisgale.com

Jose Goyos, DO

Michele Ballou, MD Jackson River Internists, Inc. | Low Moor 540.862.6710 | www.lewisgale.com

LewisGale Physicians | Salem 540.772.3540 | www.lgphysicians.com

Joseph R. Tamez, MD

Carilion Clinic | Roanoke 540.985.8505 | www.carilionclinic.org

RADIATION ONCOLOGY

is the specialty for the treatment of cancer patients, using radiation therapy as the main modality of treatment.

FIRST PLACE-ROANOKE David Buck, MD

Blue Ridge Cancer Care Roanoke 540.981.7377 www.blueridgecancercare.com

“A diagnosis of cancer can be such a life changing event. Helping the patients and their families during this traumatic time in their lives is one of the most rewarding parts of being a radiation oncologist.” — David Buck, MD

Pediatric Pulmonology and Allergy | Roanoke 540.985.9835 | www.carilionclinic.org

SECOND PLACE John Rogers, MD

Blue Ridge Cancer Care Salem | 540.776.4160 www.blueridgecancercare.com

THIRD PLACE Karanita Mary Ojomo, MD

Blue Ridge Cancer Care Pulaski | 540.994.8545 www.blueridgecancercare.com

HONORABLE MENTION Randal Hess, MD

Blue Ridge Cancer Care Salem | 540.776.4160 www.blueridgecancercare.com

Harry McCoy, III, MD

Blue Ridge Cancer Care Blacksburg | 540.381.5291

www.OurHealthVirginia.com

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RADIOLOGY is a medical specialty that employs the use of imaging to both

FIRST PLACENEW RIVER VALLEY

diagnose and treat disease visualized within the human body.

Donna Aubrey, MD

FIRST PLACE-ROANOKE

Carilion Clinic Radiology | Christiansburg 540.731.2810 | www.carilionclinic.org

Robert O’Brien, MD

Insight Imaging | Roanoke | 540.581.0882 www.insighthealth.com

“My philosophy of medicine is shared by my partners and is incorporated into the functioning of Insight Imaging. We believe that patient care, service to the patients and to our referring physicians are paramount. We are committed to treating them as they should be treated, in a kind caring way, with the dignity they deserve.” — Robert O’Brien, MD SECOND PLACE

THIRD PLACE (TIE)

Jackson Kiser, MD

Ronald A. Broadwell, MD

Radiology Associates of Roanoke Roanoke | 540.981.7553 www.roanokeradiology.com

Radiology Associates of Roanoke Roanoke | 540.981.7553 www.roanokeradiology.com

Naiyer Imam, MD

Insight Imaging
 Roanoke | 540.581.0882 www.insighthealth.com

“I am flattered and most appreciative. This recognition is really special since radiologists are commonly “behind the scenes.” Fortunately, I am surrounded by superior technologists and staff.” — Donna Aubrey, MD SECOND PLACE

THIRD PLACE

Brandon Langlinais, MD

Michael Aronson, MD

LewisGale Hospital Montgomery Blacksburg | 540.951.1111 www.lewisgale.com

HONORABLE MENTION James Blackwell, MD Radiology Associates of Roanoke Roanoke | 540.9891.7553 www.roanokeradiology.com

Charles Grant, MD Radiology Associates of Roanoke Radford | 540.981.7553 www.roanokeradiology.com

Phillip Hanline, MD Montgomery Radiology Associates Blacksburg | 540.951.1111 www.lewisgale.com

RHEUMATOLOGY is the specialty in the non-surgical treatment of rheumatic illnesses, especially arthritis.

FIRST PLACE-ROANOKE Garry Bayliss, MD

LewisGale Physicians | Salem 540.444.5600 | www.lgphysicians.com

“It is a privilege to be involved in important aspects of patients’ lives. Every patient deserves to receive genuine concern and attention to their medical needs without feeling rushed.” — Garry Bayliss, MD

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Montgomery Radiology Associates Blacksburg | 540.951.1111 www.montgomeryradiology.com

Michael Hollander, MD Radiology Associates of Roanoke, PC Roanoke | 540.776.4000 www.roanokeradiology.com

Khursheed Imam, MD Carilion Clinic Radiology Roanoke | 540.981.7122 www.carilionclinic.org

Alan Knull, MD LewisGale Hospital – Pulaski Pulaski | 540.994.8100 www.lewisgale.com

SECOND PLACE

THIRD PLACE

Joseph Lemmer, MD

John Pendleton, MD

LewisGale Physicians | Salem 540.772.3707 | www.lgphysicians.com

Carilion Clinic | Roanoke 540.224.5170 | www.carilionclinic.org

HONORABLE MENTION Adegbenga Bankole, MD Carilion Clinic Rheumatology Roanoke | 540.224.5170 www.carilionclinic.org

William Blaylock, MD LewisGale Physicians Salem | 540.772.3707 www.lgphysicians.com

Catherine Daniel, MD Virginia Orthopaedic Salem | 540.444.4020 www.vaortho.com

Edward Tackey, MD, FACR LewisGale Arthritis & Rheumatology Salem | 540.772.3707 www.lewisgale.com



SLEEP MEDICINE is a medical specialty or subspecialty devoted

FIRST PLACENEW RIVER VALLEY

to the diagnosis and therapy of sleep disturbances and disorders.

Donald Zedalis, MD

Allergy Associates & Sleep Disorders Network Christiansburg | 540.382.1165 www.lewisgale.com

FIRST PLACE-ROANOKE Bruce Stewart, MD

LewisGale Pulmonary Medicine Salem | 540.772.5951 | www.lgphyscians.com

“The patient needs to feel that they are valued. A good bedside manner helps them develop a sense of trust.” — Bruce Stewart, MD SECOND PLACE

THIRD PLACE

Jeffrey Werchowski, MD

Edmundo Rubio, MD

LewisGale Pulmonary Medicine Salem | 540.772.5951 www.lewisgale.com

Carilion Clinic Roanoke | 540.985.8505 www.carilionclinic.org

“Treating patients from all walks of life with dignity and respect is taught in medical school as the ideal. I never seek for less and I expect that I will maintain this standard as long as I am given the privilege to practice medicine.” — Donald Zedalis, MD SECOND PLACE

THIRD PLACE

Mahtab Foroozesh, MD

John Leslie, MD

Carilion Clinic Sleep Center – Radford Radford | 540.731.7460 www.carilionclinic.org

Carilion Clinic Pulmonary Medicine – NRV | Christiansburg 540.731.7450 | www.carilionclinic.org

HONORABLE MENTION Frank Biscardi, MD Carilion Clinic Pulmonary & Sleep Medicine Roanoke | 540.985.8505 | www.carilionclinic.org

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Clement Elechi, MD LewisGale Physicians | Salem 540.772.3450 | www.lgphysicians.com

OurHealth | The Resource for Healthy Living in Southwest Virginia

Jose Goyos, DO Carilion Clinic Pulmonary & Sleep Medicine Roanoke | 540.985.8505 | www.carilionclinic.org

Susanti R. le, MD Carilion Clinic Pulmonary & Sleep Medicine Roanoke | 540.985.8505 | www.carilionclinic.org


SPORTS MEDICINE

is an area of health and special services that apply medical and scientific knowledge to prevent, recognize, manage, and rehabilitate injuries related to sport, exercise, or recreational activity.

SURGERY: CARDIAC

is surgery on the heart to correct congenital heart disease or the complications of heart disease or valve problems created by various causes.

FIRST PLACE-ROANOKE

FIRST PLACE

Delmas Bolin, MD, PhD

Joseph Baker, MD

Performance Medicine of Southwestern Virginia Roanoke | 540.772.1890 | www.pmswva.com

“I am humbled to receive this award again from patients. It has been my goal to care for people with the same acumen and compassion that was modeled for me by my teachers at each step of my education. My mentor once told me, “If the patient leaves your office and doesn’t feel you took care of them, then you didn’t.” It is my hope that each day and with each patient, I honor those who taught me and set that same example for my own students.” — Delmas Bolin, MD, P hD SECOND PLACE

THIRD PLACE

Brent Johnson, MD

Mark E. Kasmer, MD

Carilion Clinic Orthopaedics | Roanoke 540.725.1226 | www.carilionclinic.org

PCA Health | Salem 540.387.0441 | www.pcahealth.com

FIRST PLACE-NEW RIVER VALLEY Mark Rogers, DO

Academic Primary Care Associates | Blacksburg 540.443.7180 | www.academicprimarycare.com

“I feel that good bedside manner is important as it helps me connect to the patient and earn their trust, which will help us partner to better understand what’s going on with them and how we can treat whatever ailment they have. It helps to allow me to comfort them in times of discomfort.” — Mark Rogers, DO SECOND PLACE

THIRD PLACE

James Farmer, MD

Ethan B. Colliver, DO

LewisGale Orthopaedics | Christiansburg 540.951.6000 | www.lewisgale.com

HONORABLE MENTION Gregory Beato, DO Medical Associates of SWVA | Blacksburg 540.951.3311 | www.medicalassociatesswva.com

Stuart A. Gardner, MD LewisGale Physicians | Blacksburg 540.951.6000 | www.lgphysicians.com

Bradley McCrady, DO Academic Primary Care Associates | Blacksburg 540.443.7180 | www.academicprimarycare.com

Valley Sports and Spine Clinic Blacksburg | 540.443.9362 www.valleysportsandspine.com

Carilion Clinic Cardiothoracic Surgery | Roanoke 540.853.0100 www.carilionclinic.org

“I am honored to receive this recognition. In today’s era of electronic medicine, nothing should take the place of spending time listening to and talking to patients.”≠≠≠ — Joseph Baker, MD SECOND PLACE Bryan McDonnell, MD

LewisGale Physicians | Salem | 540.776.2020 | www. lgphysicians.com

THIRD PLACE Ben Barton, MD

LewisGale Physicians | Salem 540.776.2020 | www.lgphysicians.com

HONORABLE MENTION W. Scott Arnold, MD Carilion Clinic Cardiothoracic Surgery | Roanoke 540.853.0100 | www.carilionclinic.org

Michael Cantor, DO LewisGale Physicians | Blacksburg 540.961.0218 | www.lgphysicians.com

Jacek Slowikowski, MD Carilion Clinic Cardiology – Martinsville Martinsville | 276.634.4400 www.carilionclinic.org

Stephan J. Vivian, MD LewisGale Physicians | Salem 540.772.3430 | www.lgphysicians.com

Marc Siegal, MD LewisGale Orthopaedics | Christiansburg 540.552.3601 | www.lewisgale.com

Christofer Catterson, MD Carilion Clinic | Christiansburg 540.731.2436 | www.carilionclinic.org

Anthony A. McPherron, DO LewisGale Physicians | Pulaski 540.994.9443 | www.lgphysicians.com

Christopher John, MD Carilion Clinic Orthopaedics | Roanoke 540.224.5170 | www.carilionclinic.org

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SURGERY: GENERAL is the treatment of injury, deformity, and disease using operative procedures.

FIRST PLACE-ROANOKE (TIE) Nadeem E. Khuri, MD

Salem Surgical Associates | Salem | 540.772.3008 www.salemsurgicalveinandlasercenter.com

“Everyone wants to be heard. It gives me great joy to provide guidance and comfort to patients in the perioperative period when they need it most.” — Nadeem E. Khuri, MD FIRST PLACE-ROANOKE (TIE) Jesse Davidson, III, MD

Jefferson Surgical Clinic | Roanoke | 540.283.6051 www.jeffersonsurgical.com

“Compassion is the foundation of the practice of medicine. The opportunity to care for the sick is truly a privilege. The close association with my patients and their families is gratifying and enduring.” — Jesse Davidson, III, MD SECOND PLACE (TIE)

THIRD PLACE

Dan R. Tershak, MD

Madge Ellis, MD

Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Salem Surgical Associates Salem | 540.772.3008 www.salemsurgicalveinandlasercenter.com

Robert B. Williams, MD

HONORABLE MENTION Charles Bissell, MD Carilion Clinic | Christiansburg 540.731.7600 | www.carilionclinic.org

James Callis, MD Jefferson Surgical Clinic | Roanoke 540.283.6050 | www.jeffersonsurgical.com

Sanjoy Saha, MD LewisGale Physicians | Salem 540.772.3620 | www.lgphysicians.com

Yung Chan, MD New River Medical Group | Pulaski 540.980.0550 | www.yungchan.md.com

Carol Gilbert, MD Carilion Clinic | Roanoke 540.224.5170 | www.carilionclinic.org

Stuart Goldstein, DO LewisGale Physicians | Pulaski 540.980.9660 | www.lgphysicians.com

J. Albert Hagy, Jr., MD Carilion Clinic | Roanoke 540.224.5170 | www.carilionclinic.org

William H’Doubler, MD Jefferson Surgical Clinic | Roanoke 540.283.6051 | www.jeffersonsurgical.com

Jolene Henshaw, MD LewisGale Surgical Care | Blacksburg 540.951.0780 | www.lewisgale.com

Bruce Long, MD Carilion Clinic | Roanoke 540.224.5170 | www.carilionclinic.org

T.A. Lucktong, MD Carilion Clinic | Roanoke 540.224.5170 | www.carilionclinic.org

Keith D. Munson, MD Jefferson Surgical Clinic | Roanoke 540.283.6051 | www.jeffersonsurgical.com

Mark O. Smith, MD

Salem Surgical Associates Salem | 540.772.3008 www.salemsurgicalveinandlasercenter.com

Carilion Clinic | Roanoke 540.224.5170 | www.carilionclinic.org

Keith R. Stephenson, MD Carilion Clinic | Christiansburg 540.731.7600 | www.carilionclinic.org

FIRST PLACENEW RIVER VALLEY Jason Fowlkes, MD

LewisGale Physicians | Blacksburg 540.961.1590 | www.lgphysicians.com

“I am honored to receive this award. However, the ability to sit down with patients, to listen, and to help guide them through a difficult time is the true reward.”

Jason Fowlkes, MD

SECOND PLACE

THIRD PLACE

Ashish Raju, MD

David B. Stoeckle, MD

Carilion Clinic | Christiansburg 540.731.7600 | www.carilionclinic.org

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LewisGale Physicians | Blacksburg 540.552.0005 | www.lgphysicians.com

David Violette, MD LewisGale Physicians | Salem 540.772.3620 | www.lgphysicians.com


SURGERY: NEUROSURGERY is a surgical specialty for

the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.

FIRST PLACE-ROANOKE Raymond Harron, DO Jefferson Surgical Clinic | Salem 540.283.1535 | www.jeffersonsurgical.com

“Listening to the patient and helping them understand their condition and therapies is the key!” — Raymond Harron, DO SECOND PLACE

THIRD PLACE

Gary Simonds, MD Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org

Zev Elias, MD Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org

Your

dedicated source for healthcare in Southwest Virginia

HONORABLE MENTION John Fraser, MD

Lisa Apfel, MD Carilion Clinic Neurosurgery | Roanoke 540.224.5170 | www.carilionclinic.org

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

ourhealthvirginia.com

SURGERY: SPINE is the medical specialty concerned with

FIRST PLACE-ROANOKE (TIE)

the prevention, diagnosis, treatment, and rehabilitation of disorders which affect the spinal cord.

Raymond Harron, DO

Jefferson Surgical Clinic | Salem 540.283.6000 | www.jeffersonsurgical.com

FIRST PLACE-ROANOKE (TIE)

“Listening to the patient and helping them understand their condition and therapies is the key!” — Raymond Harron, DO

James Leipzig, MD,FACS

LewisGale Physicians | Salem 540.725.9771 | www.lgphysicians.com

“It is an honor to once again receive this award. I enjoy interacting with patients, and helping them to understand their specific medical condition and treatment options. Spine problems and spine surgery can be quite stressful. It is an honor to be able to treat these patients and guide them toward recovery.” — James Leipzig, MD

SECOND PLACE

THIRD PLACE

Jonathan Carmouche, MD

Gregory Riebel, MD

Carilion Clinic Spine Center Roanoke | 540.224.5170 www.carilionclinic.org

Virginia Orthopaedics Salem | 540.444.4020 www.vaortho.com

HONORABLE MENTION Stephen Grubb, MD Carilion Clinic Spine Center Christiansburg | 540.633.0523 www.carilionclinic.org

James Vascik, MD Atlantic Coast Neurosurgery Roanoke | 540.344.3433 www.atlanticcoastneurosurgery.com

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SURGERY: VASCULAR

FIRST PLACE-NEW RIVER VALLEY

is the treatment of surgery on diagnosed patients with diseases of the arterial, venous, and lymphatic system.

FIRST PLACE-ROANOKE James Callis, MD

Jefferson Surgical Clinic | Roanoke 540.283.6050 | www.jeffersonsurgical.com

Frank Purpera, MD

Virginia Vein Institute | Blacksburg 540.552.VEIN (8346) | www.virginiaveininstitute.com

“Since early in my residency, I have believed that my patients should be treated the way I would want my mother treated. Despite the worry of a trip to the doctor’s office, the family atmosphere here is joyful and welcoming to help our patients relax. B eing recognized for this award 2 years in a row shows that our patients feel how much we value each and every one of them.” — Frank Purpera, MD

“P hysicians need to remember to treat the individual patient, and not just the disease. Patients want to understand and be comfortable with treatment plans and options. Trust, compassion, and respect for personal dignity are elements of care that patients deserve.” SECOND PLACE — James Callis, MD Ashish Raju, MD SECOND PLACE

THIRD PLACE

Hans Brings, MD

William H’Doubler, MD

LewisGale Vascular Surgery | Roanoke 540.776.2010 | www.lewisgale.com

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Jefferson Surgical Clinic Roanoke | 540.283.6050 www.jeffersonsurgical.com

OurHealth | The Resource for Healthy Living in Southwest Virginia

Carilion Clinic Vascular Surgery Christiansburg | 540.731.7600 www.carilionclinic.org

THIRD PLACE L. Joseph Downing, MD

Carilion Clinic Vascular Surgery Christiansburg | 540.731.7600 www.carilionclinic.org

HONORABLE MENTION Jesse Davidson, III, MD Jefferson Surgical Clinic | Roanoke | 540.283.6050 www.jeffersonsurgical.com

James Drougas, MD Jefferson Surgical Clinic Roanoke | 540.283.6050 www.jeffersonsurgical.com

William S. Tung, MD LewisGale Physicians | Salem 540.776.2010 | www.lgphysicians.com


FIRST PLACE-ROANOKE (TIE) Dennis Garvin, MD

Urologic Surgery, PC | Salem | 540.444.4670

“ ‘Ethics, too, are nothing but reverence for life. That is what gives me the fundamental principle of morality, namely, that good consists in maintaining, promoting, and enhancing life; and that destroying, injuring and limiting life are evil. — Albert Schweitzer’ ” — Dennis Garvin, MD FIRST PLACE-ROANOKE (TIE) Mark Schmidt, MD

SECOND PLACE

Carilion Clinic - Urology Associates of New River Valley

Kevin Griffin, MD

Urology Associates of New River Valley Christiansburg | 540.382.3440 www.uanrv.com

THIRD PLACE

Carilion Clinic - Urology Associates of New River Valley

William King, MD

Urology Associates of New River Valley Christiansburg | 540.382.3440 www.uanrv.com

HONORABLE MENTION Charles Daniel, MD Jefferson Surgical Clinic Roanoke | 540.283.6026 www.jeffersonsurgical.com

Kevin Griffin, MD Urology Associates of New River Valley Christiansburg | 540.382.3440 www.uanrv.com

Jefferson Surgical Clinic | Roanoke 540.283.6050 | www.jeffersonsurgical.com

Joseph Hayes, MD

“I try to remember to treat my patient as if he or she was my family member.” — Mark Schmidt, MD

David Kagey, MD

Jefferson Surgical Clinic Roanoke | 540.283.6026 www.jeffersonsurgical.com Urology Associates, LTD Roanoke | 540.343.8066 www.lewisgale.com

Christopher Rippel, MD

SECOND PLACE

THIRD PLACE

Rodney Poffenberger, MD

Christopher Hicks, MD

Jefferson Surgical Clinic Salem | 540.283.4982 www.jeffersonsurgical.com

Urologic Surgery, PC | Salem 540.444.4670 | www.lewisgale.com

FIRST PLACENEW RIVER VALLEY Judy Chun, MD

Carilion Clinic - Urology Associates of New River Valley | Christiansburg 540.382.3440 | www.uanrv.com

“I am truly honored to receive this award. I hope to treat people in the same manner as I would want in times of need, with compassion and respect. Good bedside manner is a reflection of listening and caring for others.” — Judy Chun, MD

Urology Associates, LTD Roanoke | 540.343.8066 www.uanrv.com

Robert Whisnant, MD Urology Associates, LTD Roanoke | 540.343.8066 www.uanrv.com

daily updates • web exclusive articles • calendar of events • doctor/provider directory

of the urinary (male and female) and reproductive (male) organs.

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UROLOGY is a medical specialty that deals with disturbances

www.OurHealthVirginia.com

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Our Health Highlight

VITAL STATISTICS Service Locations: »» Excel Prosthetics and Orthotics »» Roanoke: 540.982.0205 »» Lynchburg/Danville: 434.528.3695 »» www.excel-prosthetics.com »»

Excel Prosthetics and Orthotics

At Excel, we have extensive experience with all levels of lower and upper extremity prosthetics and orthotics. We understand that each patient has different circumstances, needs, goals, fears, and hopes. It’s our job to guide patients on this journey that they may have never expected. Our team of certified practitioners and technicians takes this responsibility very seriously. Patients can expect our team to take great care in analyzing specific needs and designing the appropriate prosthetic or orthotic. Excel Prosthetics & Orthotics is always working to bring the latest and most advanced technology to our patients. Best Bedside Manner Technology is always changing and improving, and Award Winner—Gold in we owe it to our patients to seek out the knowledge Lynchburg and Silver of all options available. in Roanoke

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FITBITS

H EA LT H A ND F I T NES S O N THE GO

Rather than a ‘resolution’, why not make a ‘commitment’ to be fit as you ring in the new year? Here are some great tips to get started from the legs up! Did you know you burn the most calories when you exercise your legs? That’s because they’re home to your body’s biggest muscle groups, so it takes more energy to move them. For maximum results in getting the legs you want, the secret lies in workouts that use slow movements that purposefully fatigue the muscles. The first phase of an exercise is done to a slow count of 10 seconds. When you reach the most difficult part of the exercise – where gravity and the nature of the

If you want sculpted, lean legs, check out these simple exercises, which can be done with minimum space and equipment : For optimum results, perform 3 sets of 8-12 repetitions of the following exercises 3-5 times per week:

#2. Lunge:

1. Place feet a little wider than shoulder-width apart, hips stacked over the knees, and knees over ankles.

1. Step forward with right leg and keep left leg back. Step should be comfortable and allow you to keep balance. You should be able to feel the stretch in your gluteus and hamstring muscles.

3. Extend the arms out straight so they are parallel with the ground, palms facing down 4. Initiate movement by inhaling into the belly, and unlocking the hips, slightly bringing them back. Keep sending hips backward as the knees begin to bend. 5. While the butt starts to stick out, make sure the chest and shoulders stay upright, and the back stays straight. Keep the head facing forward with eyes straight ahead for a neutral spine. 6. Engage the core, and exhale while driving through the heels to return to standing. With bodyweight in the heels, explode back up to a standing position, driving through the heels.

2. Lower body by bending legs. Right leg should create a 90-degree angle at the knee. Left knee should dip down toward the floor until it almost touches. Remember to stretch only as far as you can without being uncomfortable and feeling unsteady. 3. Maintain posture by keeping back straight. Right knee should be directly above foot without moving too far forward. Keep feet completely on the ground, relying on both feet for balance. 4. Raise body back up without standing up completely. 5. Repeat these steps with left leg forward.

#3. Side Leg Lift on Exercise Ball 1. Kneel on a yoga mat with exercise ball on one side. 2. Rest one side of body against exercise ball and push up, so bottom leg is underneath you on the mat. 3. Extend the leg on the opposite side of the exercise ball straight out to the side. Rest your body against the side of the exercise ball, and support with one hand. 4. Opposite hand is on the floor. Back should be straight and shoulders square.

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

exercise require peak effort (maximum tension point or MTP) – hold the contraction for two seconds. Then return to the starting point through another count of 10 seconds. Moving this slowly is so important because it creates an intense resistance workout.

#1. Bodyweight Squat:

2. Roll the shoulders back and down away from the ears. It’s important to maintain a neutral spine throughout the movement.

Deidre Wilkes, AFAA, ACSM, Certified Personal Trainer



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Healthy Eats Dessert: Pumpkin Rolls: Makes 8 servings

Ingredients: 3 eggs ¼ C local honey 2/3 cup unsweetened pumpkin puree 1 teaspoon lemon juice 1/3 cup coconut flour 1 teaspoon baking powder 1 tbsp cinnamon 1 teaspoon ground ginger 2 teaspoon ground nutmeg 1/2 teaspoon salt *add water as needed

Filling Ingredients: 2 tbsp honey 8 ounces reduced fat cream cheese, softened 4 tablespoons butter

6. Bake in a preheated 375° oven for 15 minutes, or until cake bounces back when touched lightly with finger. 7. Turn cake out onto a clean dish towel. Starting at narrow end, roll towel and cake up together; cool. Unroll.

3/4 teaspoon vanilla

8. Combine the honey, cream cheese, butter, and vanilla; beat until smooth.

Directions:

9. Spread over the cooled cake and roll up. Chill.

1. In a mixing bowl beat eggs on high speed of electric mixer; gradually beat in honey, beating until light and lemon colored.

10. Makes 15-20 servings, depending on thickness of slices. This pumpkin cake roll freezes well.

2. Stir in the pumpkin and lemon juice. 3. In a separate bowl, sift together the coconut flour, baking powder, spices, and salt. 4. Fold flour mixture into the pumpkin batter. 5. Spread in a generously greased and floured 10x15-inch jelly roll pan.

Tricia Foley’s

HEY PUMPKIN! ROLLS Tricia Foley is OurHealth Magazine’s resident nutritionist.



is

EVERYthing I LIKE

BAD for me words | AINE NORRIS

The line between healthy and unhealthy gets fuzzier every day with blogs, articles, tweets, pins, and broadcasts continually reporting that everything, from food to diet and exercise, is slowly killing us. With the line so blurry between seemingly healthy lifestyle choices and the reports of things that are quietly leading to human demise, how does one push forward and make good choices? To begin with, do a little research on health topics to try to get an idea of what the media has sensationalized and what may actually be factual, and build your healthy lifestyle around it. Diet and nutrition seem to be the top choice for exaggerated fact and information, such as perpetuating reports that all sugars are deadly, meat and dairy are assassins, and carbohydrates slowly dig your grave. But what about the misleading “healthy” substitutes, such as “light” salad dressings filled with sugar and sodium or diet meals packed with preservatives and high levels of the chemical diacetyl?


In the end, there’s no one-size-fits-all recipe for a perfect diet. Nutritionists and dieticians are still dusting off the color-coded food pyramid and advising consumers to plan meals and diet based on Body Mass Index (BMI), health and weight goals, and FDA-suggested daily intake levels. Tricia Foley, RD, MS, OurHealth’s resident registered dietician, says moderation and balance are important when considering nutrition. “According to the current dietary guidelines, it is important to have variety in our diet, however consuming processed and or refined foods on a regular basis could have negative implications on our health.” That’s why the federal government has developed standards and guidelines for acceptable ranges for macronutrients (carbohydrates, protein, and fat) and dietary references and upper limits for micronutrients (vitamins and minerals). You can log onto the website myplate.gov to find individualized information on how many calories per day you should consume and what percentage of your diet should come from each macronutrient. “Eating a variety of nutrients in the right balance is required for a healthy body” says Tricia. “Eliminating or eating certain nutrients in excess could lead to vitamin or mineral imbalances and/or chronic disease.” While it isn’t a perfect science, with moderation and a customized diet, nutrition is easily sustainable day-to-day. What about diet and nutrition’s partner in crime—exercise? The mantra used to be that all exercise is good and healthy, helping build muscle and eliminate fat, essentially adding years to a person’s life. But now, conflicting reports claim that certain exercises are detrimental to the human body or even that exercise itself contributes to injury and long-term health complications. Here again, as with many things in life, there is fine print associated with each study, as well as exercising in general. It can be summed up like this: all exercise has risk associated with it when it’s pushed to extreme levels. When choosing a fitness regimen, it’s always best to alternate strength training (weights, machines) with cardio (running, cycling). This is an approach used by fitness professionals because 96

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it gives the body time to heal, keeps exercise fresh and nonroutine, and allows muscles and ligaments to move differently each time. Trainers and physical therapists also note that people with heart disease and other potentially harmful conditions should consult with a doctor and fitness professional before creating a workout regimen. Much like nutrition, each body needs a custom plan to ensure physical success and the results you want. While nutrition and exercise are outward-facing issues to tackle, mental health and stress also affect us and our day-to-day lives. With so many stress studies on the market leading to therapy and medication, what can truly be trusted as sound advice to combat the issue proactively, and are the media and research studies correct in labeling all stress as harmful and negative? When it comes to stress, not all of it is considered harmful to our health. There are varying types of stress, including eustress, distress, and neustress. For example, eustress is positive for the most part. Some may think of marriage or the arrival of a newborn baby as stressful, but it’s not necessarily a stressful situation that is negative. Most individuals, though, normally think of distress as negative. The human organism needs a degree of stress to make us better, more productive, and more successful at our endeavors. An important factor when dealing with stress is something most humans take for granted and do not factor into a healthy living plan—sleep. Stress levels affect nutrition and a human’s inclination to exercise or be active, and stress levels go up considerably with inconsistent sleep patterns. Erratic sleep also makes us feel hungrier, which in turn leads to weight gain. So at the end of the day, the old adage “everything in moderation” rings surprisingly true in the face of studies and reports claiming that everything in life is deadly. Moderating the intake of high-calorie or sodium rich food can improve overall nutrition. Incorporating a purposeful, active exercise regimen can improve cardiovascular health while assisting in weight-loss, and maintaining a consistent sleep schedule and a low level of harmful stress improve day-to-day interactions and health. Don’t let the supposed studies and media worry you into an early grave. Moderation and educated lifestyle choices are the keys to a healthy life.

Tricia Foley, RD, MS, OurHealth’s resident registered dietician,

ON THE WEB

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Breaking the Silence

Living with HIV

words | SUZANNE RAMSEY photography | SHAWN SPROUSE

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

In the spring of 1988, Frank House was sick. He had a litany of symptoms— fever, nausea, swollen glands, rash, dizziness, chills—and none of it was going away. He saw several physicians and, after having some tests, was told his symptoms pointed at cancer or maybe severe allergies. It wasn’t either. Frank wasn’t surprised he had contracted HIV, the human immunodeficiency virus that causes acquired immunodeficiency syndrome or AIDS, because at the time he was living a double life. “Imagine having a high-paying job, being married with several small children, and unfortunately also leading a double life,” he says. “That was me for a number of years in the 1980s. I was closeted, gay and undeniably attracted to men. The day I found out I was [HIV] positive was about as traumatic as one can imagine, especially considering my profoundly dishonest and deceitful circumstances.”

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What’s the difference between being HIV positive and having AIDS?

“It was only because of one doctor who suggested I have an HIV test that it was diagnosed,” Frank, now 61 and living in Roanoke, says. “I had to repeatedly call the doctor’s office for the test results, as none of the nurses wished to convey the bad news, that I was HIV positive, to me.”

“We measure the amount of HIV in the blood and that’s called the viral load. The main thing that HIV attacks in the body is one of our immune cells called the CD4 cells. When our CD4 cells get below a level of 200, that’s when we get all the opportunistic infections. When you start getting opportunistic infections, that’s called AIDS. It’s AIDS when your CD4 count is 200 or below.” (Thomas Kerkering, MD, veteran HIV/AIDS physician, Carilion Clinic Infectious Disease)

“I was quite aware beforehand that I was probably infected, from the very onset of the symptoms. I was much more concerned about how I could possibly face my wife and my family [about] being gay than I was with facing the prospect of having AIDS. The inner anguish, guilt and suicidal thoughts were overwhelming. I didn’t care if the virus killed me, for I felt I deserved that fate.” Frank told his wife and fortunately, after being tested and retested, she was found to be HIV negative. He wasn’t, however, ready to come clean on everything. “I told my family right after receiving the diagnosis,” Frank says. “I lied to them. I told them I thought I might have received the virus from a female prostitute, versus random male sexual partners. Regardless of that attempt to deflect the gay inference, it did not go well. “Deceit and dishonesty were deceit and dishonesty. There was no sympathy from anyone, no consoling from family and friends. There was disgust toward me and [a] sense that even they thought I was fully deserving of my illness and terrible fate: to die a horrible death.”

Thomas Kerkering, MD, an HIV/ AIDS specialist and chief of Carilion Clinic Infectious Disease in Roanoke,

Frank is not alone in his struggles. In September, the Virginia Department of Health reported there are 2,232 individuals in Southwest Virginia living with HIV or AIDS. For its purposes, the region includes not only Roanoke and what one would usually think of as Southwest Virginia, but also Lynchburg, Danville, Martinsville and the counties surrounding each. In the city of Roanoke alone, 518 people are living with HIV or AIDS.

102OurHealth | The Resource for Healthy Living in Southwest Virginia

Nationwide, AIDS.gov reports that “more than 1.1 million people ... are living with HIV infection.” The demographic most seriously affected is described as “gay, bisexual, and other men who have sex with men.” African Americans are said to “face the most severe burden of HIV,” particularly young, black men. Thomas Kerkering, MD, an HIV/AIDS specialist and chief of Carilion Clinic Infectious Disease in Roanoke, has been treating HIV/AIDS patients since 1981, the very beginning of the epidemic. His clinic currently follows about 750 HIV/AIDS patients living throughout Southwest Virginia. Dr. Kerkering says most of the men he treats are those who have sex with men and most of the women are heterosexual, although they might have been intravenous drug users. He was quick to point, however, that HIV/AIDS “could be in all the demographics” and gives as an example married, bisexual men from higherincome groups or those “who are shooting up on the side” and “their wives have no idea that they were doing either of these things.” After attempting suicide and spending several months in a psychiatric ward, Frank eventually admitted he was gay. Over the years, he’s also had to come to terms with the emotional trauma of being HIV positive and, a few years after his initial diagnosis, being told he has AIDS. “I believe any chronic illness has a way of affecting the individual emotionally,” he says. “It can lead to deep discouragement and depression, a feeling of hopelessness and isolation. HIV/AIDS has perhaps a unique level



of stigma associated with it that affects a person’s self-esteem, his or her ambition and their outlook on life. A perception of being unworthy and of having deserved the illness.”

“When I came and saw AIDS patients, it was just strange. They were treated worse than animals. Left alone. People were scared. They were afraid it was airborne and the government wasn’t telling them. That’s how I got interested in those patients, because I really felt bad for them.”

“Socially, I had difficulty in wanting to meet and possibly date others, for fear they would reject me once I told them I was HIV positive. For a number of years, I would only pursue friendships and beyond with others who were also HIV positive.” Muddasar Chaudry, MD, an infectious disease physician with LewisGale Physicians in Salem, was shocked at how HIV/AIDS patients were being treated in the U.S. when he immigrated to this country from his native Pakistan in the late-1980s. “I did my training in Newark, N.J.,” Dr. Chaudry says, adding that there was no AIDS epidemic in Pakistan. “That was in the late 80s, early 90s, and that was the time when the HIV epidemic was at its peak. Newark and New York City and the west coast were the epicenters.” Before he was diagnosed, Frank says he didn’t know much about HIV or AIDS, but he did have some ideas about the disease. “I had the preconceived notion that there was a direct inference by the general public that those who got HIV/AIDS were mostly gay or [intravenous] drug users,” he says. “I also had the notion that there were no medications available to treat the virus, and that life spans were short.” “I knew from the media that the illness caused horrible suffering and death. I also felt there was outright discrimination toward people who had HIV/AIDS, including from doctors, employers, family and friends. All of these ‘notions’ were found to be correct.” Frank eventually found emotional help through HIV/AIDS support groups in Las Vegas and Phoenix, places he lived prior to moving to Roanoke eight years ago. Once in Roanoke, he discovered the Drop-In Center, a program of the Council of Community Services in Roanoke, which provides free HIV testing and support. “The local Roanoke Drop-In Center has and continues to provide needed support and activities for myself and many others dealing with HIV/AIDS,” he says. “Apart from what this valuable local organization does—testing, support, prevention, etc.—they have been a catalyst for me to share my story with many others in groups, at schools, and through the media.” “It is through the telling of my story that I seek to encourage everyone to live their lives authentically, honestly and without shame. I believe strongly that the ‘closets’ and leading double lives are profound risk factors for developing significant mental and physical health problems, including HIV/AIDS, not to mention to ultimate turmoil and devastation it brings to the surrounding family members and friends.”

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How is HIV

NOT SPREAD?

• HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce.

It is not spread by: • Air or water. • Insects, including mosquitoes or ticks. • Saliva, tears, or sweat. There is no documented case of HIV being transmitted by spitting. • Casual contact like shaking hands or sharing dishes. • Closed mouth or “social” kissing. • Toilet seats. (CDC.gov)

been re-wetted while cleaning up a crime scene or a bloody article of clothing, for example. “Drying conditions generally kill the virus,” Dr. Kerkering says. “Once it’s dead, it’s dead.” Treatment options for those with HIV/AIDS have vastly improved since the 1980s. When Dr. Kerkering first started seeing HIV/AIDS patients, he says he attended about a halfdozen funerals each month. There were no medications available until the early 1990s, he says, and then there were only one or two. Muddasar Chaudry, MD, an infectious disease physician with LewisGale Physicians in Salem

“It wasn’t until 1996 that we had a number of what we call different antiretroviral medications,” he says. “Even with those, sometimes it would be up to 42 pills a day.” As a long-time survivor of HIV/AIDS, Frank has dealt with many challenges relating to

medication. Early on, because of the lack of approved medications in the U.S., he says he “went underground to obtain drugs from overseas which were not FDA approved.” Since drugs have been available domestically, Frank says he’s had to “keep switching to the newest drugs available to even stay marginally ahead of the virus. Thus, my virus is highly resistant but is controlled because of sensitive drug resistance testing and a multitude of new drugs and combinations available. The newest antiviral pills are actually combinations of two or three antiviral drugs for ease of compliance, etc.” Dr. Kerkering says most of his patients take just one pill a day and that HIV isn’t considered the death sentence it used to be. In fact, he says, he and other physicians “have to make sure we’re treating everything else— heart disease, diabetes, etc.—because that’s what’s going to do them in before HIV does.” While treatments may be effective, they’re not cheap. National Public Radio reported in January 2012 that HIV treatment costs an estimated to $2,000 to $5,000 monthly, in excess of half a million dollars over a lifetime. Frank estimates the “street cost” of his medications at $5,000 per month, but says that with the exception of when he had to get medications from overseas, he’s always been able to get them at low cost. Frank says he initially got medication through private insurance, and later through Social Security Disability and Medicare supplemental insurance, with assistance from the Virginia AIDS Drug Assistance Program. Virginia ADAP is primarily funded through the Ryan White CARE Act, a federal program named for an Indiana teenager diagnosed with AIDS in the mid-1980s.

What is antiretroviral therapy? Standard antiretroviral therapy (ART) consists of the combination of at least three antiretroviral (ARV) drugs to maximally suppress the HIV virus and stop the progression of HIV disease. Huge reductions have been seen in rates of death and suffering when use is made of a potent ARV regimen, particularly in the early stages of the disease. (World Health Organization) 106OurHealth | The Resource for Healthy Living in Southwest Virginia


He adds, “A lot has changed in these 26 years since I was infected. There is a much better awareness of how the virus is transmitted and how that can be prevented, along with many more effective drugs to combat the virus, and less discrimination and stigma against people living with HIV/AIDS.” Still, despite three decades of HIV and AIDS being part of the vernacular, misconceptions persist, particularly about how the virus is transmitted. The Centers for Disease Control and Prevention reports that in the U.S. “HIV is spread mainly by having sex or sharing injection drug equipment such as needles with someone who has HIV. Only certain fluids—blood, semen, pre-seminal fluid, rectal fluids, vaginal fluids, and breast milk—from an HIVinfected person can transmit HIV.” “These fluids must come in contact with a mucous membrane or damaged tissue or be directly injected into the blood stream (from a needle or syringe) for transmission to possibly occur. Mucous membranes can be found inside the rectum, the vagina, the opening of the penis, and the mouth.” When asked how easy or difficult it is to contract HIV, Dr. Kerkering used what the World Health Organization and others call the “Rule of Threes.” “Let’s just say, of the three blood-borne pathogens—Hepatitis B, Hepatitis C and HIV—if you get exposed to Hepatitis B, and you haven’t gotten your vaccines or anything, you have a 30-percent probability of coming down with Hepatitis B. With Hepatitis C, three percent, [and] HIV 0.3 percent,” he says. Dr. Kerkering emphasizes that infected blood or bodily fluids need to “actually get into your system. It could be a teensy amount of blood, but it still needs to be liquid and needs to get into not-intact skin. Getting it on your skin isn’t going to hurt you. [It has to be] a cut or some other excoriation. Just by getting droplets of blood on intact skin, that’s not enough.” There also is little to no risk associated with dried blood, even blood that has www.OurHealthVirginia.com

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“Everyone should be tested, unless they’ve never had any sexual activity,” Dr. Kerkering says. “The reason is that it’s so easy to treat now and you don’t have to die from it.” With all of the treatments and financial assistance available to patients, however, the website AIDS.gov reports that one in six HIV-infected people, almost 16 percent, are “unaware of their infection.” Both Dr. Chaudry and Dr. Kerkering say more people need to be tested for HIV. That HIV/AIDS is now a treatable condition with good outcomes, however, has created a problem: some people aren’t taking the virus seriously. “We had that initial group of gay men or men who had sex with men — the Rock Hudson era — who got totally afraid of it and had all their friends die from AIDS,” Dr. Kerkering says, adding that today’s young adults “never had that experience, and since it’s just one pill, once a day, they don’t worry about it anymore and are practicing reckless sex. We have a lot of 18-, 19- and 20-year-olds coming in with HIV.” Dr. Chaudry says the gay community did a good job at increasing awareness about HIV/AIDS in the early years of the epidemic. “They stirred up the politicians [and] got money to support the education programs,” he says. “That brought in a lot of attention from the media and government, because they were organized and educated. If it had started out in the heterosexual community I’m not sure we could have been as pumped to jumping on and working on it. The response probably would have been somewhat blunted.” Educational efforts should be increased, Dr. Chaudry says, starting in schools, and even with door-to-door campaigns. And not only in the lower-income neighborhoods, where posters and other HIV/AIDS awareness materials are already commonplace. People in higher-income brackets, “might not like the idea that you have put up signs in their neighborhoods,” he says, “even though it’s for their own good, even though their kids might be getting help for future generations.” Dr. Kerkering agrees. “We should have [posters] everywhere,” he says. “They should be in every blue blood country club.” www.OurHealthVirginia.com

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Frank, who now describes himself as “living happily with my partner Richard and our dog Ozzie,” is helping educate people in the Roanoke area, as founder of the Roanoke Diversity Center, a lesbian-gay-bisexualtransgender (LGBT) community center located at 806 Jamison Ave. SE in Roanoke. The Center regularly partners with the DropIn Center on everything from HIV testing and educational programs to “Drag Bingo.”

yourself from becoming infected,” he says. “Although HIV/AIDS is now considered a chronic, manageable disease with long life expectancies and not the death sentence it once was, it is still serious and can profoundly change your life. “Know that many people, not just gays, get HIV/AIDS. The virus can infect anyone, given the opportunity. Know the facts, get tested and be safe.”

“If you are HIV negative, please do educate yourself about HIV and how you can prevent

Drop-In Center Makes Getting Tested Quick, Easy When it comes to getting people tested for HIV and Hepatitis C, the people at the Drop-In will do almost anything. “The test that we use was developed to be a field test,” Pam Meador, the Drop-In Center’s director, says. “We’ll pitch a tent at a festival. We’ll go to a community center, a club, just anywhere where we can have some kind of confidential space and a flat service.” “We do that so we can reach the folks who would not normally come through our front door. We want to make sure everyone has an opportunity to get an HIV or Hep C test if they’ve ever been at risk for either one. Before the Drop-In Center was formed, we did testing out of cars, [in] people’s homes, literally any place that we could do a test safely.” Pam Meador, Director of the Drop-In Center in Roanoke, VA

The Drop-In Center, located at 356 Campbell Avenue SW in Roanoke, has been offering free HIV testing since 2004, and started offering free Hepatitis C testing in 2013. It also partners with area health departments, corrections facilities, drug treatment centers, churches and other organizations to provide testing, education and other services. “We do education at a lot of places, group-level interventions,” Meador says. “We do those at schools, at drug treatment centers, at shelters — just anywhere [where] someone may call us and say, ‘I’ve got a group and they need the basics about HIV, sexually transmitted diseases and Hepatitis.’ “We provide individual-level interventions [and] prevention counseling. It could be that we’re going to focus on life goals [or] that we’re going to work with them to get to their next medical appointment. Everything is centered about prevention and linkage to care.” As its name indicates, those seeking testing can literally drop in anytime the office is open: from 9 a.m. to 1 p.m. and 2 p.m. to 4:30 p.m., Monday, Tuesday, Thursday and Friday. The DropIn Center also has satellite offices at Virginia Tech and Radford University. Testing is free and involves a quick finger prick, and results are back in 20 minutes.

For more information, call 540.982.2437. ON THE WEB

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OurHealth’s staff photographer, Deidre Wilkes, captures a variety of healthy activities at Green

Ridge Recreation Center.

Jefferson College of Health Sciences Hosts 3rd Annual 5K Riverside Run & Wellness Walk On Saturday, November 8, 2014, Jefferson College of Health Sciences hosted the 3rd Annual “Jefferson College 5K Riverside Run & Wellness Walk” presented by Medical Facilities of America, an exclusive provider of LifeWorks Rehab. This year’s run benefits the Jefferson College of Health Sciences Education Foundation Extra Mile Fund. This fund is designed to assist students with the costs of co-curricular activities to build upon their experiences in the classroom and clinical settings.

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ON THE WEB

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where is this? Post the correct answer on our Facebook page by January 7, 2014. You could win a prize pack for 4 from Chick-fil-A. Cool, right? The winner will be announced on our Facebook page January 14, 2014.

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

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