table of contents | december 2015 • january 2016
28 THYROID HEALTH Examining
A functionally balanced thyroid gland is vital for the well-being of the entire body. To learn more about how the thyroid works and its most common ailments, OurHealth consulted experts at LewisGale Regional Health System and Carilion Clinic.
MEDI•CABU•LARY.....................12 Local experts define health-related terms
JUST ASK!.......................................14 Healthcare questions answered by local professionals
NEW & NOTEWORTHY.............16 A listing of new physicians, providers, locations and upcoming events in Southwest Virginia
HEALTH POINTS........................ 24 Interesting facts and tidbits about health
THE ANATOMY CHALLENGE................................. 27 Are you up for the challenge? In this issue, test your knowledge when it comes to the THYROID.
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The Resource for Healthy Living in Southwest Virginia
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LOCAL YMCA LAUNCHES
DIABETES PREVENTION PROGRAM
The YMCA of Roanoke Valley, which has branches in Roanoke and Salem, will soon launch the Diabetes Prevention Program. The program aims to help adults who have been diagnosed with prediabetes or are at risk for Type 2 diabetes make positive lifestyle changes.
hello, HEALTH!.............................. 84 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos
FIT BITS!........................................ 87 Brave the Barre! This one-of-a-kind
workout is a continual, fat-burning series of exercises that tone the entire body in an
effective yet safe way.
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Breaking the Silence:
Surviving a Stroke
It started with subtle symptoms — little bouts of dizziness and headaches that would only last a few minutes. At first it only happened about once a week. Then two or three times a week. Finally, the spells became a daily occurrence.
NUTRITION.................................. 97 HEALTHY EATS: Oliveto presents some of Michele Castellano Senac’s delicious recipes including Crunchy Kale Salad, Sizzling Shrimp, and Better than Candy Sweet Potato Bars.
YOUNG AT HEART.................... 114 Featuring the artwork of young upcoming artists from Salem Art Center’s Zenith program
* PLUS * a chance to win prizes!
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The Resource for Healthy Living in Southwest Virginia
december 2015 • january 2016
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CONTRIBUTING MEDICAL EXPERTS Joanne Dillon, MS, CCC-A, FAAA Susan Dorsey, MD Emily Evans-Hoeker, MD Adel Salama, MD Hilary Whonder-Genus, MD, FAAP
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to view the digital edition! COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2015 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.
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LOCAL EXPERTS D E F I N E H E A LT H R E L AT E D T E R M S
What are antiviral drugs?
What is hyperhidrosis?
Viruses are tiny living beings that cause infections in humans and other animals. Viruses are unable to reproduce on their own and require a living cell to multiply. The inability to replicate on their own is one of the ways that viruses are different from bacteria. Examples of viruses include human immunodeficiency virus (HIV), herpes virus (cold sores and sexually transmitted disease), hepatitis (A, B or C) and influenza (flu).
There are some individuals who sweat excessively and this is called hyperhidrosis. These people will sweat even when there is no reason to do so. This can be very debilitating and can cause people to become very self-conscious, as well as affect their ability to carry out certain activities. This is especially true when it affects the hands. Hyperhidrosis often affects social interactions. This can lead to social withdrawal and even depression.
Antiviral drugs are a class of medication used specifically for treating viral infections. Like antibiotics that treat bacterial infections, specific antivirals will treat specific viral infections.
Treatment for hyperhidrosis can involve topical or oral medications. These have been used for many years and are considered safe. There is a treatment which involves a device that can shut down the sweating by use of a low voltage current applied to the affected skin. The most recent form of treatment is the use of botox injections. Botox causes the nerve endings that trigger sweat gland activity to become less active.
Influenza is prevented by good hand hygiene and annual flu vaccines. Despite those precautions, the flu virus can still infect people. Folks with chronic illness are at higher risk. Antivirals are available to treat Influenza and save those at risk from a possible life threatening illness.
Hilary Whonder-Genus, MD, FAAP Medical Director Virginia Premier Medical Home Roanoke | 540.278.1051 www.vapremier.com
There are many people who are affected by hyperhidrosis and the outlook for improving the condition is much better in recent years. A dermatologist can help select the form of treatment best suited for each patient’s case.
Susan Dorsey, MD
Dermatology Associates Roanoke | 540.981.1439 www.dermatologyassociatesofroanoke.com
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What is Ménière’s Disease? Ménière’s disease is a disorder of the inner ear. An imbalance in endolymphatic fluid causes recurring episodes of vertigo - a spinning sensation that starts and stops spontaneously without warning, and can last anywhere from 20 minutes to several hours; fluctuating hearing loss, which eventually becomes permanent in most cases; tinnitus the perception of a buzzing, roaring, whistling, ringing, or hissing sound in the ear; and sometimes a feeling of fullness or pressure in the ear. While Ménière’s is considered a chronic disease, treatment can help relieve symptoms and minimize the long-term impact.
Joanne Dillon, MS, CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 www.nrvhearing.com
H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
How is Polycystic Ovarian Syndrome diagnosed and treated? Polycystic Ovarian Syndrome (PCOS) is a common hormonal disorder in women typically of reproductive age. Its symptoms include irregular periods, male pattern hair growth (frequently on the face) or signs such as elevated testosterone levels or ovaries with multiple small cysts. The treatment of PCOS includes birth control pills and/or weight loss to improve irregular periods and prevent further unwanted hair growth. Additional medications may be used if hair growth continues to worsen. For hair that is already present, waxing, laser hair removal or electrolysis are often required. If a patient is overweight and desiring pregnancy, weight loss of 5 to 10 percent of body weight may restore normal periods and improve the probability of pregnancy. Otherwise, medications may be required to induce ovulation. Patients with PCOS may also have an increased risk for developing high blood pressure, diabetes, high cholesterol, obesity and other disorders and may need further testing and/or treatments depending upon individual risk factors.
What are the benefits for seniors to stay in their homes versus moving to a nursing home? Many seniors lose their independence by moving to a nursing home. This may give them a lower self esteem which can lead to depression. Residing at home can give someone the freedom to keep their own routine and habits while living in a familiar environment with their personal possessions. There are also community-based programs that allow seniors the ability to stay in control of their lives and promote independence. In these programs, such as Kissito PACE, Programs of All-Inclusive Care for the Elderly, all of the services participants need to age well in their homes are provided. Some of the many services include an adult day center, personal care, transportation, medical services, prescription coverage, and medical equipment. The goal of this type of community-based program is to encourage participants to continue taking care of themselves whenever possible, leading to many more healthy years ahead.
Adel Salama, MD Emily Evans-Hoeker, MD
Carilion Clinic Reproductive Medicine and Fertility Roanoke | 540.985.8078 www.carilionclinic.org
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Kissito PACE Medical Director Roanoke | 540.682.5947 www.kissitopace.org
Many people are considering cremation as an option for final arrangements. What is cremation and what are my options? Cremation has become an accepted alternative to the traditional funeral. Practiced by many different civilizations, cremation is a process that oxidizes all the carbon and water in the remains leaving an ash-like residue composed mainly of minerals. A person who decides to be cremated has many options to choose from. Cremation can be combined with any funeral service including a funeral service or a memorial service. With cremation, families also have the choice of doing as they wish with the ashes, whether that is to take the ashes home, bury them in a cemetery or spread them at a loved one’s request.
David Williams Jr., CFSP
Managing Partner Lotz Funeral Home Roanoke | 540.982.1001 www.lotzfuneralhomeroanoke.com
NEW
NOTEWORTHY
NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS
Pictured from Left to Right: 1st row (kneeling): Jean Duetch, Marjorie Young, Joy Gilman, Evalin Trice, Melanie Davis; 2nd row: Ericka Jefferson, Dot Dalton, Kylie Tordoff, Jessica Martin, Brittany East, Teresa Compton, KhristSpencer; 3rd row: Heather Self, Cathy Orner, Lori Short, Lisa Wade, Jean Collins
LewisGale Hospital Montgomery Awarded Baby-Friendly Designation LewisGale Hospital Montgomery recently joined an elite group of U.S. hospitals who have received international recognition as a Baby-Friendly Designated facility, a global program sponsored by the Word Health Organization and United Nations Children’s Fund. Only 298 facilities nationwide have achieved this distinction. LewisGale is the first facility in Southwest Virginia, and only the seventh hospital in the state to achieve this distinction. The Baby-Friendly designation means LewisGale provides the optimal level of care for moms and babies by promoting, protecting and supporting breastfeeding. To achieve the award the hospital had to undergo a rigorous onsite survey and demonstrate it follows the programs’ 10 Steps to Successful Breastfeeding initiative. These steps have been proven to help mothers breastfeed more successfully. “We are delighted to receive this prestigious designation because it recognizes years of hard work by our staff and physicians,” says Joy Gilman, director of women’s services, LewisGale Hospital Montgomery. “At LewisGale Hospital Montgomery we strive every day to ensure all of our mothers and babies receive optimal breastfeeding support. At the birthing center this includes supporting extended skin-to-skin time following natural and cesarean births and providing 24 hour rooming to allow mom and baby time to bond and establish breastfeeding.” LewisGale Hospital Montgomery also has five lactation consultants available seven days a week to help moms during their hospital stay and on an outpatient basis.
For more information about the U.S. Baby-Friendly Hospital initiative, visit www.babyfriendlyusa.org. For more information about LewisGale Hospital, visit www.lewisgale.com.
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The Resource for Healthy Living in Southwest Virginia
Local health. Anywhere you go. OurHealth magazine is Southwest Virginia’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 900 locations throughout the area or get the digital edition by visiting
ourhealthswva.com .
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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
Two Carilion Clinic physicians recently recognized with outstanding distinctions: Joseph T. Moskal, MD
Dermatology Practice Opens Smith Mountain Lake Location RidgeView Dermatology is excited to announce the opening of an additional office location at Smith Mountain Lake. The office is located at 278 Westlake Road, Hardy, VA 24101 in the Westlake Towne Center Professional Park. Services include pediatric dermatology, general and adult dermatology, surgical dermatology and cosmetic dermatology. Call 540.759.7500 to make your appointment at the lake today! RidgeView Dermatology’s main office can be reached at 434.363.4190. For more information, visit www.ridgeviewdermatology.com.
Peter Apel, MD, PhD Carilion Clinic Orthopaedic Surgery Roanoke | 540.725.1226 www.carilionclinic.org
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Noelle Bissell, MD
LewisGale Physicians Internal Medicine Radford |540.731.1600 www.lgphysicians.com
OurHealth | The Resource for Healthy Living in Southwest Virginia
Dr. Moskal, Chair of the Department of Orthopaedic Surgery for Carilion Clinic, has been inducted into the prestigious Hip Society. The Hip Society advances knowledge of hip disorders, promotes evidence-based treatment, and refines surgery of the hip in order to improve the lives of patients. Being inducted into the society is the highest honor to be bestowed to a hip specialist. There are fewer than 100 active members of the Hip Society in the United States, and the application process is rigorous, requiring sponsors and verification of quality and research activities.
Paul Dallas, MD, FACP Dr. Dallas, an internal medicine physician, received the American College of Physicians Virginia Chapter’s Paul Florentino Volunteerism Award.
Heather Bragg, FNP LewisGale Physicians Christiansburg 540.382.6148 www.lgphysicians.com
Charles Bullins, NP
Carilion Clinic Cardiothoracic Surgery Roanoke | 540.853.0100 www.carilionclinic.org
Matthew Burton, MD Carilion Clinic Roanoke | 800.422.8482 www.carilionclinic.org
Lindsey Caley, MD
Carilion Clinic Pediatric Emergency Medicine Roanoke | 800.422.8482 www.carilionclinic.org
Anthony Capito, MD
Carilion Clinic Orthopaedic Surgery/Plastic Reconstructive Surgery Roanoke | 540.725.1226 www.carilionclinic.org
Benjamin R. Coobs, MD Andre Douglas, FNP Carilion Clinic Orthopaedic Surgery Roanoke | 540.725.1226 www.carilionclinic.org
LewisGale Physicians Salem |540.772.3690 www.lgphysicians.com
Benjamin Fakharzadeh, MD
Karen Fried, DO
Carilion Clinic Roanoke | 800.422.8482 www.carilionclinic.org
VelocityCare by Carilion Clinic Salem | 540.387.0441 www.carilionclinic.org
Chad Getyina, PA-C
Susan Guelich, MD
Keith Harrop, MD
Brook Helmer, M.D
Jane Hull-McIntire, MD
Jackson Kiser, MD
Chine Logan, DO
Kaylene Logan, MD
Daniel Lollar, MD
Ijeoma Okogbue, MD
Rahul Pandey, MD
Kenneth Rogotzke, DO
Michelle Shaub, DO
William Tanner, MD
Sarah Thomas, MD
Joyce Vivian, MSN, AGNP-C LewisGale Physicians Roanoke | 540.283.3660 www.lgphysicians.com
Austin Voigt, MD
Erik Womeldorf, MD
LewisGale Physicians Salem| 540.444.8100 www.lgphysicians.com
Carilion Clinic Neurosurgery Roanoke | 540.725.1226 www.carilionclinic.org
Carilion Clinic Roanoke | 800.422.8482 www.carilionclinic.org
Carilion Clinic Pediatric Nephrology Roanoke | 540.344.1400 www.carilionclinic.org
Carilion Clinic OB/GYN Roanoke | 540.343.1224 www.carilionclinic.org
Carilion Clinic Family and Community Medicine Vinton | 540.983.6700 www.carilionclinic.org
Carilion Clinic Roanoke | 800.422.8482 www.carilionclinic.org
Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org
Carilion Clinic Roanoke | 800.422.8482 www.carilionclinic.org
Carilion Clinic Family and Community Medicine Bedford | 540.586.4723 www.carilionclinic.org
Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org
Carilion Clinic Pediatrics Roanoke | 800.422.8482 www.carilionclinic.org
Carilion Clinic Pediatric Intensivist Roanoke | 540.266.5437 www.carilionclinic.org
Carilion Clinic Roanoke | 800.422.8482 www.carilionclinic.org
Carilion Clinic Roanoke | 800.422.8482 www.carilionclinic.org
Carilion Clinic Otolaryngology/ENT Christiansburg & Wytheville | 877.827.2836 www.carilionclinic.org
Carilion Clinic Family and Community Medicine Roanoke | 540.772.8950 www.carilionclinic.org
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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
Jefferson College of Health Sciences Announces Addition of Doctoral Degree Programs and Creation of School of Graduate and Professional Studies Jefferson College of Health Sciences, a part of Carilion Clinic, recetnly announced the addition of two new doctoratelevel programs to the institution’s 25 existing healthcare-focused degree and certificate programs. The new programs are the Doctorate of Nursing Practice: Advanced Systems Management and the Doctorate of Health Sciences. In addition, the new “Jefferson College of Health Sciences School of Graduate and Professional Studies,” will be home to the college’s graduate-level programs and the more than 250 students enrolled in those programs. The addition of the school provides an administrative framework to best meet the needs of these students. The implementation of the doctorate-level programs marks a significant milestone in the history of Jefferson College of Health Sciences, which offered only associate degrees and certificate programs to approximately 200 students in 1988. Beginning in fall 2016, over 1,000 Jefferson students will have the opportunity to earn doctorate, masters, bachelors and associate degrees, as well as participate in graduate and undergraduate certificate and recertification programs.
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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
Matthew McCarthy, DO opens direct primary care practice in Blacksburg Direct primary care is a growing national trend of physicians who enroll patients based on monthly member fees and circumvent the traditional third-party payer model of medicine. Direct primary care has been described as “concierge care for the little guy.” By removing the pressures of “corporate medicine”. Dr. McCarthy is able to spend time with his patients and develop relationships that dramatically improve the quality of healthcare provided. Membership includes access to your doctor by phone, same or next day office visits without copays, and wholesale medications and labs. Dr. McCarthy is capping his practice at about one quarter of the number of patients usually seen by family doctors and has priced his practice to be affordable to everyone. This model will save patients money, and there are no pre-existing conditions that exclude from membership. Dr. McCarthy sees patients of all ages. His office is located at 510 South Main Street in Blacksburg. Call 540.315.7389 or visit: www.drmatthewmccarthy.com for more details.
Virginia Tech Carilion Research Institute scientists find ALS affects sensory neurons involved in movement The same nerves that keep a person from crushing a flower or dropping a water glass are teaching scientists something new about amyotrophic lateral sclerosis. Commonly called ALS or Lou Gehrig’s Disease, this neurodegenerative disease destroys off motor nerves and brain cells and inhibits the muscles responsible for moving, eating, and breathing. ALS has no cure, in part because of the difficult nature of studying the affected cells. A discovery led by Gregorio Valdez, an assistant professor at the Virginia Tech Carilion Research Institute, might make researching the mechanisms of the disease easier. “We discovered that proprioceptive sensory neurons connected with muscles are affected early in ALS while those connected with tendons that sense changes in muscle tension are mostly spared,” says Valdez, who is also an assistant professor of biological sciences in Virginia Tech’s College of Science. “That was a big surprise, and it shows that ALS targets select neurons, particularly those with critical functions in muscles.” In the study, published in the Journal of Comparative Neurology, Valdez used a rodent model to examine proprioceptive sensory neurons. These neurons connect with muscles and motor neurons in the spinal cord to help animals – including humans – understand their physical sense of self. “Proprioceptive sensory neurons are much easier to study than motor neurons, the main cells affected in ALS,” Valdez says. “Sensory neurons can stay alive for weeks and even months in the laboratory. This relative longevity can give scientists a better tool to identify and test potential therapeutics for the disease.” The researchers found that neurons degenerated before neurological symptoms appeared. They also discovered that degeneration begins in the cells’ connections with muscles before spreading to the spinal cord.
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T I P S , T I D B I T S A ND MO R E TO INF O R M A ND ENT ERTA I N YO U
Don't be SAD!
Seasonal Affective Disorder (SAD), sometimes called winter or seasonal depression, is a type of depression that occurs during the same season each year. Most people with SAD start to have symptoms in September or October and feel better by April or May. If you think you may suffer from SAD, here are some healthy tips that may help beat the ‘winter blues’: Soak up the sunshine – open curtains as much as possible to get exposure to natural light. Maintain a routine – keep up everyday activities, and don’t neglect favorite hobbies just because it’s winter. Exercise – during exercise, the body releases endorphins, which will boost energy and moods. Get outside – breathing in some fresh air each day can help to relieve stress, and also exposes the body to natural light.
Safe Snow Shoveling tip:
Wet snow can be very heavy. One full shovel load can weigh as much as 25 pounds! Try pushing the snow; don’t lift it. Pushing puts far less strain on the spine than lifting.
Practice relaxation – activities such as yoga meditation can help to alleviate symptoms of depression and anxiety. Ditch the sugar – not only will too much sugar lead to weight gain, it can also worsen anxiety. Book a trip – people who suffer from SAD will benefit from additional sunshine, so booking a trip to a warmer climate may help. *If you struggle with serious and continuous depressive symptoms, be sure to reach out to a local healthcare provider to discuss your condition. For additional information on seasonal depression, visit the National Institute of Mental Health at www.nimh.nih.gov.
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Winter skin care: Wet socks and gloves can irritate your skin and cause itching, cracking, sores, or even a flare-up of eczema. Keep a dry pair handy when outdoors this winter!
How Much Exercise is Needed to
Burn Off that Holiday Dinner? The average holiday meal packs a whopping 3,000 calories. That’s way more than most people need for an entire day! Below are some exercise guidelines detailing how many hours needed to burn off 3,000 calories: Running (10min/mile)
4.5 hours
Cycling (12-14 mph)
5.5 hours
Circuit training
5.25 hours
Tennis
6.25 hours
Brisk Walking
6 hours
For customized calorie burning information, scan the code to access the OurHealth fitness and exercise calorie calculator.
*Calculated for a person weighing 150 pounds. Based on WebMD’s Fit-o-Meter Exercise Calorie Calculator.
Have you received your
F u Vaccine? It’s not too late! December 6-12 is National Influenza Vaccination Week (NIVW). Sponsored by the Centers for Disease Control and Prevention (CDC), NIVW is a national observance that was established to highlight the importance of continuing influenza vaccination. While vaccination is recommended for everyone six months and older, it is especially important for protecting those at high risk for serious flu complications, including: •
Young children
•
Pregnant women
•
Adults 65 and older
•
Anyone with chronic health conditions such as asthma, diabetes, and heart disease
To schedule your yearly flu shot, call your doctor office or visit your local pharmacy.
Christmas Eve
Fun Run!
This fun-family social event is in it’s 6th year and features a one mile kids/family run/walk or a three mile run/walk on the Roanoke Greenway. This is a FREE event, with no timing or awards. Santa might bring some candy canes, cookies and cider! DATE: TIME: LOCATION:
Thursday, December 24th 12:00 pm Black Dog Salvage 902 13th Street, SW Roanoke, VA 24016
No registration necessary, but if you would like more information, contact Mike Morris at striders@starcitystriders.com. www.OurHealthswva.com
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the
Anatomy
CHALLENGE How much do you know about the
Thyroid? First, complete the
word search below. Next, match up the correct word with the part of the body in the illustration.
[ the Thyroid ]
WORD SEARCH clavicle
external carotid internal jugular vein isthmus of thyroid left lobe of thyroid
right common carotid artery thyroid
thyroid cartilage trachea
____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________
For answers, visit OurHealth Southwest Virginia’s Facebook page at
/OurHealthswva www.OurHealthswva.com
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Examining THYROID HEALTH words | EDWIN SCHWARTZ
A functionally balanced thyroid gland is vital for the well-being of the entire body. To learn more about how the thyroid works and its most common ailments, OurHealth consulted experts at LewisGale Regional Health System and Carilion Clinic.
What is the thyroid? The thyroid is a butterfly-shaped endocrine gland located on the front of the neck below the Adam’s apple. It is controlled by the pituitary gland, a small organ at the base of the brain just above the nasal passages. Typically, the thyroid remains invisible but can be felt as a soft mass. It varies in size, ranging from 18 to 60 grams in adults.
What are endocrine glands? Endocrine glands produce and secrete hormones that regulate the activity of cells and multiple organs. Hormones control growth, metabolism and sexual function. As hormones are released into the bloodstream, they act like chemical messengers that communicate information from one group of cells to another.
What is the function of the thyroid? The primary role of the thyroid is to produce two types of hormones, commonly referred to as T4 (thyroxine) and T3 (triiodothyronine).
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Thyroid hormones regulate overall body growth, metabolism and development of the nervous system. They also play an important role in brain growth during fetal development. Approximately 80 to 90 percent of the hormones secreted from the thyroid gland are T4 hormones; the remaining 10 to 20 percent are T3. However, up to 80 percent of T4 hormones are converted to T3 after they are released into the blood stream.
How does the thyroid work? The pituitary gland controls the thyroid’s production of T4 and T3 in a thyroid-pituitary negative feedback loop. As thyroid production of T4 and T3 decreases, the pituitary gland secretes a hormone called thyroid-stimulating hormone, which causes the thyroid to produce more hormones. When thyroid production of T4 and T3 increases, the pituitary gland reduces TSH production. These hormones are in constant communication, but although TSH regulates the thyroid, it doesn’t tell the thyroid how much T4 and T3 to produce and secrete.
Common conditions of the thyroid Thyroid conditions are common and affect women more than men. The two most common thyroid diseases are hyperthyroidism and hypothyroidism. Others are thyroiditis, thyroid nodules and thyroid cancer.
Hyperthyroidism Hyperthyroidism, or overactive thyroid, is the excessive production of thyroid hormones by the thyroid gland. Common symptoms include increased heart rate, anxiety, poor sleep, fatigue, muscle weakness, poor heat tolerance, increased metabolism, diarrhea and weight loss despite increased eating. Patients may have a goiter (enlarged thyroid), bulging eyes and hand tremor.
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According to Demetrios Herodotou, MD, an endocrinologist with Carilion Clinic, an autoimmune disorder called Graves’ disease can cause hyperthyroidism. “Frequently, but not always, Graves’ disease is associated with protruding eyes due to swelling over the soft tissues and muscles around the eyes,” says Dr. Herodotou. Hyperthyroidism is typically diagnosed with a blood test that reveals high or normal T4 and T3 with a suppressed TSH level. The three treatment options are radioactive iodine, anti-thyroid medication to control thyroid function and, occasionally, surgery to remove the thyroid.
Hypothyroidism With hypothyroidism, or underactive thyroid, the thyroid gland does not produce enough thyroid hormones. Common symptoms include lowered metabolism, decreased heart rate, weight gain, lack of energy, poor tolerance of cold, dry skin and depression. Hypothyroidism affects women to men at a 2-to-1 ratio. It causes menstrual irregularity, impaired fertility and increased risk of miscarriage. Diagnosis is relatively simple and consists of a blood test that shows an elevated TSH with low thyroid hormones. The TSH is high because it functions like a thermostat that keeps trying to stimulate without effect.
Demetrios Herodotou, MD is an endocrinologist with Carilion Clinic. He is certified by the American Board of Internal Medicine with a subspecialty in endocrinology, diabetes and metabolism.
Hypothyroidism is typically treated with replacement hormones, and the dosage is adjusted according to the patient’s weight and thyroid hormone levels. Patients are advised to have blood work done every four to six weeks while the dosage is being adjusted.
Thyroiditis Thyroiditis, or inflammation of the thyroid, can be chronic or acute, depending on the cause. The common form is Hashimoto’s thyroiditis, which is a frequent cause of hypothyroidism. Patients with Hashimoto’s thyroiditis usually show no symptoms until they develop hypothyroidism. In cases of acute thyroiditis, patients can have neck pain with symptoms similar to either hyperthyroidism or hypothyroidism. Although there is no cure for Hashimoto’s, hormone replacement with medication can regulate hormone levels and restore normal metabolism.
Thyroid nodules Thyroid nodules are growths within the thyroid. They are very common in the elderly and can cause anxiety when discovered. Most are benign, cause no symptoms and are found when medical professionals are looking for something else. For benign nodules without symptoms, treatment is not required; regular ultrasound monitoring is usually adequate. Surgical removal of tissue could be in order for nodules causing symptoms or if malignancy is a concern.
Kamran Rasul, MD is an endocrinologist with LewisGale Medical Center. He is certified by the American Board of Internal Medicine with a subspecialty in endocrinology, diabetes and metabolism.
Thyroid cancer Thyroid cancer is three times more common in women than in men. Most thyroid cancers demonstrate slow growth with no symptoms. www.OurHealthswva.com
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The most effective management for thyroid cancer is surgical removal of the thyroid followed by radioactive iodine ablation — where radioactive iodine is administered to destroy residual healthy thyroid tissue remaining after the thyroidectomy — and TSH suppression therapy.
Common myths about the thyroid The most common misnomer about the thyroid is that it increases energy and helps people lose weight. Many people believe that being chronically tired or unable to lose weight indicates their thyroid function must be low and a thyroid supplement would help. “Hypothyroidism may hinder one’s efforts to maintain a healthy weight,” says Dr. Herodotou. “But it is unlikely to be the only explanation of a person’s extreme obesity.” “Because the symptoms of thyroid disorders are vague, people usually attribute everything to their thyroid,” says Kamran Rasul, MD, an endocrinologist with LewisGale Regional Health System. But many people with normal thyroid function experience these symptoms. Blood work is necessary to determine if a patient’s thyroid is underactive. “If your thyroid is normal, taking thyroid hormone can be toxic to the body,” says Dr. Rasul. Another misconception centers on the treatment of hypothyroidism. “The most common misperception is patients need a combination of T4 and T3,” says Dr. Rasul. “But they usually don’t need both because the body converts T4 to T3.”
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Thyroid health There is not much one can do to maintain or improve thyroid health. The thyroid requires iodine to make thyroid hormones. In the past, iodine deficiency was common in noncoastal areas where seafood was in short supply.
“Because the symptoms of thyroid disorders are vague, people usually attribute everything to their thyroid,� says Kamran Rasul, MD, an endocrinologist with LewisGale Regional Health System.
Today, however, iodine deficiency is less common because it is in most foods via salt. The recommended dietary allowance for iodine in adults is 150 micrograms per day, and one teaspoon of iodized salt contains approximately 400 micrograms of iodine. That makes severe iodine deficiency very rare in the U.S. While numerous thyroid supplement or remedy products are available in the marketplace, patients are advised to consult their physicians before taking any of them. Patients with normal thyroid function should work with their doctors to find the real causes of their symptoms.
MEDICAL EXPERTS Demetrios Herodotou, MD, an endocrinologist with Carilion Clinic Kamran Rasul, MD, an endocrinologist with LewisGale Regional Health
ON THE WEB
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The Ninth Annual Best Bedside Manner awards The Ninth Annual 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.
Reprints To order reprints of the original artwork featured on this issue’s cover, contact Deidre Wilkes at 540.387.6482 or via email at deidre@ourhealthvirginia.com. To view additional work by our artist, Joe Palotas, visit www.salemartcenter.com
The 2015 Best Bedside Manner Awards, presented by OurHealth Southwest Virginia, 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 From May 1st – June 15th 2015, the Best Bedside Manner Awards Voting Form was available on OurHealth’s website, www.ourhealthswva.com. The form consisted of over 40 medical specialties (with definitions of each specialty) in which the public could submit the first and last names of local medical providers by the applicable specialty. Please join us in congratulating this year’s 9th Annual Best Bedside Manner Award winners. If you have any questions, please contact Stephen McClintic Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482.
www.OurHealthswva.com
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Allergy and immunology 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.
ALLERGY & IMMUNOLOGY Roanoke > First Place
Second Place
Dane McBride, MD Asthma and Allergy Center “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 Bedside 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.”
Gates Hoover, MD
Honorable Mention
Carilion Clinic PCA West Salem Salem | 540.387.0441 www.carilionclinic.org
Saju Eapen, MD
Third Place Christina Abraham, MD Allergy and Asthma Associates Roanoke | 540.343.1235 www.allergyandasthmaroanoke.com
Roanoke | 540.343.7331 | www.asthmaandallergycenter.net
New River Valley > First Place Donald Zedalis, MD Allergy Associates and Sleep Disorders Network “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.”
Asthma and Allergy Center Roanoke | 540.343.7331 www.asthmaandallergycenter.net
Laura Dziadzio, MD Carilion Clinic Pediatric Pulmonology and Allergy Roanoke | 540.985.9835 www.carilionclinic.org
Mark Hanabury, MD LewisGale Physicians Salem | 540.444.8100 www.lgphysicians.com
Second Place Kristina Kwak, MD Allergy Associates and Sleep Disorders Network Christiansburg 540.382.1165
Christiansburg | 540.382.1165
ANESTHESIOLOGY
Anesthesiology is the practice of medicine dedicated to relief of pain and total care of the surgical patient before, during and after surgery.
Roanoke > First Place
Second Place
Honorable Mention
Charles Clark, IV, MD
Jeffrey Brooks, MD
Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com
Joe Clark, MD
Anesthesiology Associates, Radford Christiansburg | 540.731.1898
Third Place Michael Saccocci, DO Valley Anesthesia, PC Salem 540.776.4000 www.valleyanesthesiapc.com
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Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com
Jeffrey Forbes, MD Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com
J. Frederick Hyduke, MD LewisGale Hospital, Pulaski Pulaski | 540.994.8100 www.lewisgale.com
AUDIOLOGY
Audiology is the branch of science that studies hearing, balance, and related disorders. Its practitioners treat those with hearing loss and pro-actively prevent related damage.
Roanoke > First Place Jeffrey Akers, MS The Hearing Clinic “It’s very gratifying to win this award. A good bedside manner requires spending time with patients and getting to know them, listening to their concerns and then providing them with the information they need to make informed decisions regarding their hearing healthcare. This is the goal of our entire practice, not just myself. So I share this award with my office staff who do such an outstanding job.”
Second Place Douglas Cameron, AuD Hearing Health Associates Roanoke | 540.774.4441 www.hharoanoke.com
Third Place Kim Lower, AuD Jefferson Surgical Clinic Roanoke | 540.283.6085 www.jeffersonsurgical.com
Salem | 540.904.4719 | www.swvahearing.com
Honorable Mention Kristi Abraham, AuD, CCC-A Roanoke Valley Speech and Hearing Center, Inc. Roanoke | 540.343.0165 www.rvshc.org
Michelle Ickes, PhD, CCC-A
New River Valley > First Place Janice Anderson, AuD
Second Place
Anderson Audiology Hearing Aid Sales and Services, Inc.
Richard Harrell, PhD
“I really appreciate receiving 1st in the 2015 Bedside Manner Awards for Audiology. Luther Repass, the man that started the company told me long ago when I was making changes that I was running the risk of taking the personal service out of the equation. Each of us at Anderson Audiology work hard to be sure that has not happen. We are here to serve our patients in the best possible way we can and I am happy to say that this award means we are accomplishing that goal. Thank you.”
Roanoke Valley Speech and Hearing Center Roanoke | 540.343.0165 www.rvshc.org
The Hearing Clinic Blacksburg | 540.552.1904 www.swvahearing.com
Third Place Joanne Dillion, MS, CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 www.nrvhearing.com
Christiansburg | 540.381.6967 | www.anderson-audiology.com
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BARIATRIC MEDICINE Bariatric medicine is the branch of medicine that deals with the cause, prevention, and treatment of obesity.
Roanoke > First Place Kenneth Luckay, DO Luckay Doc “The practice of medicine is both art and science. Bedside manner is the art of medicine and without it, a practitioner is incomplete.” Roanoke | 540.777.6807 www.luckaydoc.com
Second Place T. A Lucktong, MD Carilion Clinic Surgery Roanoke | 540.224.5170 www.carilionclinic.org
New River Valley > First Place Charles Shaffer, MD The Weigh Station “In Bariatrics, losing weight is more than just learning how to eat right, it’s about nourishing the body, mind and spirit. Bedside manner is an imperative part of ensuring that the patient is improving their health from all the facets of life.” Christiansburg | 540.381.2670 www.weighstation.net
Second Place Charles Bissell, MD Carilion Clinic Surgery Christiansburg 540.731.7600 www.carilionclinic.org
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CARDIOLOGY
Cardiology is the branch of medicine focusing on the structures, functions and disorders of the heart.
Roanoke > First Place (tie)
New River Valley > First Place
Molly Rutherford, MD
Daniel Osimani, MD
Jefferson Surgical Clinic
LewisGale Physicians
“My philosophy on patient care is – meet the patient where they are. If they are struggling to accept their disease, work on that. If they can’t or won’t take medications, work to find an acceptable alternative. I think a team approach is always best.” Roanoke | 540.283.6000 | www.jeffersonclinic.com
Roanoke > First Place (tie)
“As a physician the patient experience is important to me. My patients could potentially be dealing with a frightening cardiology condition. It’s important for me to spend time with my patients, explain things well, and reassure them with the hope and positivity that comes with modern medicine. I’m dedicated to alleviating their concerns and letting them know they are important to me”. Blacksburg | 540.961.0218 | www.lgphysicians.com
Terrence May, MD Carilion Clinic Cardiology “It’s all about treating your patients as if they were friends or family.”
Roanoke | 540.982.8204 | www.carilionclinic.corg
Second Place
Third Place
Andrew Maiolo, MD
Richard Prokopchak, MD
LewisGale Physicians Salem | 540.772.3430 www.lgphysicians.com
Southwest Virginia Cardiology Salem | 540.375.9375 www.lewisgale.com
Second Place Sandeep Ravi, MD Carilion Clinic Cardiology Christiansburg | 540.731.7600 www.carilonclinic.org
Third Place Michael Cantor, DO LewisGale Physicians Blacksburg | 540.961.0218 www.lgphysicians.com
Honorable Mention Ajaykumar Acharya, MD
Steven Goldstein, DO
Jose Rivero, MD
Stephan Vivian, MD
Uzair Wyne, MD
Pulaski | 540.980.1802 www.lewisgale.com
LewisGale Physicians Salem | 540.772.3430 www.lgphysicians.com
Carilion Clinic Cardiology - NRV Christiansburg | 540.382.6711 www.carilionclinic.org
LewisGale Physicians Salem | 540.772.3815 www.lgphysicians.com
The Heart Clinic Christiansburg | 540.731.3191 www.wynemd.com
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CHIROPRACTIC
Chiropractic 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.
Roanoke > First Place
New River Valley > First Place
Michael Haas, DC
Steven Dowell, DC
Haas Chiropractic Center, LLC Salem | 540.389.7466 www.haaschiro.com
Dowell Chiropractic
Second Place
Third Place
Daryl Rich, DC
Dan Davidson, DC
Core Chiropractic Roanoke | 540.344.1055 www.coreroanoke.com
The Back Resort Salem 540.389.2225 www.backresort.com
“Building a friendly, personable relationship with every individual that walks through our door helps create the comfortable environment needed for healing. Once we establish that connection, we are better able to understand a patient’s goals and give them the personal attention they need.” Christiansburg | 540.381.0220 | www.dowellchiro.com
Second Place
Third Place
Greg Tilley, DC
Ray Tuck, DC
Tilly Spinal and Wellness Center Blacksburg | 540.951.1183 www.thehokiechiropractor.com
Tuck Chiropractic Christiansburg 540.382.3000 www.tuckclinic.com
Honorable Mention Logan Brooke, DC
David May, DC
Garrett Thompson, DC
Holly Welty-Miller, DC
Justin Whitlock, DC
Howard Wilson, DC
Tuck Chiropractic Blacksburg | 540.951.4357 www.tuckclinic.com
May Chiropractic Clinic Salem | 540.387.1680 www.maychiropractic.net
Thompson Family Chiropractic Roanoke | 540.776.8200
Foothills Chiropractic Clinic Pulaski | 540.980.1425
Tuck Chiropractic Radford | 540.980.8353 www.tuckclinic.com
Wilson Chiropractic Clinic Roanoke | 540.776.0101 www.fixbax.com
www.chiropractorsroanoke.com
DENTISTRY - COSMETIC
Cosmetic dentistry 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.
Roanoke > First Place
Second Place (tie)
Third Place
Tom Gallaher, DDS
Travis Shannon, DDS
Michele Mills, DDS
Blue Ridge Dental Group Salem | 540.389.0720 www.blueridgedentalgroup.com
Mills and Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com
Mills and Shannon Dentistry “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.” Salem | 540.989.5700 | www.millsandshannon.com
New River Valley > First Place Damon Thompson, DDS Real Life Dental Care “Professional services are assumed to be, at a minimum, ‘equal’ from one office to another. What sets businesses apart, especially in the medical field, is how well the patient/client is treated BEYOND the professional service. We at Real Life Dental Care strive to make each encounter--no matter what the service delivered-outshine any previous experience.”
Second Place (tie) Lisa Lavinder, DMD Coots, Cross, Lavinder & Quinn Family Dentistry Roanoke | 540.989.1170 www.cwcfd.com
Second Place Matthew Glasgow, DDS Cosmetic Smile Center Blacksburg | 540.552.3111 www.cosmeticsmilecenter.com
Third Place Peter McDonald, DDS Park Family Dentistry, PC Christiansburg | 540.382.6108 www.jaeparkdds.com
Honorable Mention D. Kyle Fitzgerald, DDS Roanoke | 540.366.3999
Richard Smith, DDS Hunting Hills Family Dentistry Roanoke | 540.769.5020 www.huntinghillsdentistry.com
Cindy Southern, DDS Pulaski | 540.980.5129 www.cynthiamsouthern.com
Blacksburg | 540.808.4500 | www.reallifedentalcare.com
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DENTISTRY - GENERAL
General dentistry is the evaluation, diagnosis prevention and/or treatment (non-surgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity.
New River Valley > First Place
Roanoke > First Place (tie)
Richard Anthony, DDS
Griffin Cross, DDS
Richard Anthony, DDS
Coots, Cross, Lavinder & Quinn Family Dentistry
“We appreciate our patients and try to show that every day! I have a fantastic staff that keeps things running smoothly so we can stay focused on making everyone’s visit as stress free as possible!”
Blacksburg | 540.552.8870 | www.richardlanthonydds.com
“I am humbled and honored to represent my colleagues and staff at Coots, Cross, Lavinder and Quinn Family Dentistry. With approximately 20 percent 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”. Roanoke | 540.989.1170 | www.cwcfd.com
Second Place Kimberlyn Atherton, DDS NRV Dental Blacksburg | 540.951.2260 www.nrvdental.com
Third Place
Roanoke > First Place (tie)
Daniel Thompson, DDS Daniel Thompson, DDS Blacksburg | 540.953.2980 www.smileblacksburg.com
Brice Roberts, DMD Blue Ridge Dental Group Salem | 540.389.0720 www.blueridgedentalgroup.com
Second Place
Third Place
D. Kyle Fitzgerald, DDS
Rebecca Cloudt, DDS
Roanoke | 540.366.3999
Dental Associates Salem | 540.389.0225
Honorable Mention Jay Bass, DDS
Peter McDonald, DDS
Jay M. Bass, DDS Blacksburg | 540.552.2551 www.nrvfamilydentistry.com
Park Family Dentistry, PC Christiansburg | 540.382.6108 www.jaeparkdds.com
Loren Cook, DMD
William Roller, DDS
Cook Family Dentistry Blacksburg | 540.951.8383 www.cookdentistry.com
Roller & Johnson Family Dentistry Roanoke | 540.772.9373 www.rollerjohnsondentistry.com
Amy Hunter, DDS
Grant Sprinkle, DDS
Dr. Amy S. Hunter, DDS Christiansburg | 540.382.4441
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G. Sprinkle III Family Dentistry Salem | 540.389.0330 www.salemdentists.com
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DENTISTRY - PEDIATRIC
Pediatric dentistry specializes in treating children from birth through adolescence.
Roanoke > First Place
Second Place
A. Scott Anderson, III, DDS
Roanoke | 540.563.1660
John Davis, DDS
Bittel, Anderson, Sheppard Pediatric Dentists “When a family is comfortable with their dentist’s chairside manner, an open dialog is more likely to occur, and their dentist will have a better opportunity to help that family receive the desired care with the highest level of satisfaction.”
Third Place Cory J. Sheppard, DDS Bittel, Anderson, Sheppard Pediatric Dentists Roanoke | 540.989.3639 www.pediatricdentistryroanoke.com
Roanoke | 540.989.3639 | www.pediatricdentistryroanoke.com
New River Valley > First Place Darcy Amacher, DDS
Second Place
“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.”
Fawzia Bhavnagri, DDS Christiansburg 540.382.5446 www.nrvdentist.com
Christiansburg | 540.394.3300 | www.darcyamacherdds.com
DERMATOLOGY
Dermatology is a specialty focusing on diagnosis and treatment of diseases of the skin.
Roanoke > First Place
Second Place
Susan Dorsey, MD
Gary Gross, MD
Dermatology Associates of Roanoke,PC “After 22 years, I still enjoy my work and my patients very much.”
LewisGale Dermatology Roanoke | 540.772.3421 www.lgphysicians.com
Third Place
Melanie Walter, MD
Larry Patton, MD
Dermatology Practice of Roanoke, PC Roanoke | 540.562.8873 www.dermatologypracticeofroanoke.com
LewisGale Dermatology Roanoke | 540.865.1604 www.lgphysicians.com
Garrett Bohrnstedt, DO
Roanoke | 540.981.1439 | www.dermatologyassociatesofroanoke.com
New River Valley > First Place Chad Johnston, DO River Ridge Dermatology “At River Ridge Dermatology, keeping our community healthy is central to our mission and we feel it is a privilege to provide the very best care. We are so honored to see that our patients recognize our dedication and compassion year after year.”
Blacksburg | 540.951.3376 | www.riverridgederm.com
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Honorable Mention
New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.com
Second Place Daniel Hurd, DO New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.com
Third Place Aleksandra Brown, DO River Ridge Dermatology Blacksburg | 540.951.3376 www.riverridgederm.com
Allison Divers, MD The Art and Science of Dermatology Roanoke | 540.725.7546 www.theartandscianceofdermatology.com
EMERGENCY MEDICINE
Emergency medicine is the specialty of providing care for patients requiring prompt medical attention and urgent medical evaluation and treatment.
Roanoke > First Place
Second Place
Ed Sciullo, DO
Apollo MD Salem | 540.776.4000 www.lewisgale.com
Carilion Clinic “Being kind, empathetic and compassionate are qualities that go a long way in gaining a patient’s confidence. Visiting the ER can be stressful, so I consider those qualities to be especially important in my daily interactions with patients.” Roanoke | 540.981.7337 | www.carilionclinic.org
New River Valley > First Place Matthew Borloz, MD Carilion Clinic “We often care for people on their worst days, delivering news that forever changes their lives. Patients and families never forget these moments, so treating them with compassion and empathy are among the most important aspects of our work.” Christiansburg | 540.731.2866 | www.carilionclinic.org
Steven Pasternak, MD
Third Place John Evett, MD Apollo MD Salem | 540.776.4000 www.lewisgale.com
Honorable Mention Gary Abel, MD Carilion Clinic Tazewell | 276.988.8700 www.carilionclinic.org
Peter Bruzzo, DO Carilion Clinic Christiansburg | 540.731.2866 www.carilionclinic.org
Bryan Collier, DO
Second Place Brian Ekey, DO LewisGale Hospital – Pulaski Pulaski | 540.994.8100 www.lewisgale.com
Third Place Joseph Joyce, MD Apollo, MD Blacksburg | 540.951.1111 www.lewisgale.com
Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org
Paul Ferraraccio, MD Apollo MD Pulaski | 540.994.8100 www.lewisgale.com
Paul Offermann, MD Apollo MD Salem | 540.776.4000 www.lewisgale.com
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ENDOCRINOLOGY
Endocrinology is the study of the glands and hormones of the body and their related disorders.
First Place
Second Place
Honorable Mention
D. James Bailey III, MD
Kamran Rasul, MD LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com
Michael Koch, MD
Endocrinology Associates “To me, “bedside manner” implies several things. First, being polite, respectful, and empathetic is very important. Second, taking the time to explain things in a way the patient understands and lastly, never appearing to be hurried or distracted. Patients want to feel they are the most important thing to you at that time”.
Endocrinology Associates Roanoke | 540.344.3276 www.carilionclinic.org
Third Place
Robert Mountcastle, MD
James Mulinda, MD
Physician Associates of Virginia Roanoke | 540.345.4946 www.pavclinics.com
Endocrinology Associates Roanoke | 540.344.3276 www.carilionclinic.org
Roanoke | 540.344.3276 | www.endocrinologymed.com
FAMILY PRACTICE
Family practice is the medical specialty that includes diagnosis and treatment of disease, injury, and illness for patients of any age.
Roanoke > First Place
New River Valley > First Place
Kevin Kelleher, MD
Amy Doolan, DO
Cave Spring Family Practice
Academic Primary Care Associates
“Good bedside manner simply requires that you give each patient all your attention: eyes, ears, and empathy.”
“Bedside 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.” Blacksburg | 540.443.7180 | www.academicprimarycare.com
Roanoke | 540.777.4000
Second Place
Second Place
Third Place
Clifford Nottingham, III, MD
John Daugherty, MD
Carilion Clinic Family Medicine Roanoke | 540.265.5500 www.carilionclinic.org
LewisGale Physicians Roanoke | 540.265.1607 www.lgphysicians.com
Jeremy Freeman, MD Carilion Clinic Blacksburg | 540.951.8380 www.carilionclinic.org
Third Place Matthew Kaatz, MD New River Medical Group Pulaski | 540.980.0550 www.lewisgale.com
Honorable Mention Joseph Baum, MD
Elliot Freed, DO
Reed Lambert, MD
Christopher Mertes, MD
John Priddy, MD
Carilion Clinic Family Medicine Floyd | 540.745.2031 www.carilionclinic.org
LewisGale Physicians Blacksburg | 540.552.1246 www.lgphysicians.com
Carilion Clinic Family & OB Medicine Roanoke | 540.381.6000 www.carilionclinic.org
Carilion Clinic Family Medicine Blacksburg | 540.951.0352 www.carilionclinic.org
Carilion Clinic PCA West Salem Salem | 540.387.0441 www.carilionclinic.org
Nina Sweeney, MD
Mark Taylor, MD
Chad Thompson, MD
Roanoke Partners in Health Roanoke | 540.904.7912 www.roanokepih.com
Salem Family Medicine Salem | 540.375.2686 www.salemfamilymed.com
Carilion Clinic Family Medicine Blacksburg | 540.951.0352 www.carilionclinic.org
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FERTILITY CARE
Fertility care 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
Second Place
Emily Evans-Hoeker, MD
James Weston, MD
Carilion Clinic Reproductive Endocrinology and Fertility “The struggle with infertility can be very personal and emotional. Patients never imagine needing a doctor to help them conceive and having a compassionate physician who will take the time to walk them through their journey can help make their struggle a little bit easier.”
Christiansburg 540.639.2037
Third Place Marwan Shaykh, MD Assisted Fertility Program Salem | 800.777.4831 www.assistedfertility.org
Honorable Mention Jamie Buck, MD Physicians to Women Roanoke | 540.982.8881 www.ptow.com
Roanoke | 540.985.8078 | www.carilionclinic.org
GASTROENTEROLOGY
Gastroenterology is the specialty dealing with the treatment of disorders of the digestive gastroenterology or GI system.
Roanoke > First Place
New River Valley > First Place
Joseph Nelson, III, MD
Anand Kishore, MD
LewisGale Physicians
Carilion Clinic Gastroenterology – Akers Farm
“Care is the source of all cure. Care is being with, crying out with, suffering with, feeling with. Care is compassion. When care is our first concern, cure can be received as a gift. Often we are not able to cure, but as a human we are always able to care.“
“I am deeply honored and thankful to my patients for this award. I think we should treat others as you want be treated. Always do more than what is required of you.”
Christiansburg | 540.382.9405 | www.carilionclinic.org
Salem | 540.772.5970 | www.lgphysicians.com
Second Place
Second Place
Third Place
Vikas Chitnavis, MD
Dennis Weiserbs, MD
Carilion Clinic Gastroenterology Roanoke | 540.224.5170 www.carilionclinic.org
Gastroenterology Consultants of SWVA Roanoke | 540.345.4900 www.gastroswva.com
Mark Ringold, MD Carilion Clinic Gastroenterology – Akers Farm Christiansburg | 540.382.9405 www.carilionclinic.org
Third Place Jennifer Sinclair, MD LewisGale Physicians Blacksburg | 540.961.1590 www.lgphysicians.com
Honorable Mention Jonathan Bern, MD
Harish Grover, MD
Marie Sharkey, MD
David Stoeckle, MD
Brian Van der Linden, MD
Carilion Clinic Gastroenterology Roanoke | 540.224.5170 www.carilionclinic.org
Carilion Clinic Gastroenterology - Akers Farm Christiansburg | 540.382.9405 www.carilionclinic.org
LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com
LewisGale Physicians Blacksburg | 540.552.0005 www.lgphysicians.com
LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com
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GERIATRICS CARE
Geriatrics is a medical specialty that addresses the complex needs of older patients and emphasizes maintaining functional independence even in the presence of chronic diseases.
Second Place
Roanoke > First Place
Michael Camardi, MD
Anne Jaeger, MD Jefferson Internal Medicine Associates “Patients are people too! I try to treat all of our patients the way I would want my parents to be treated.”
Carilion Center for Healthy Aging Roanoke | 549.981.7653 www.carilionclinic.org
Third Place Sohier Boshra, MD
Roanoke | 540.685.1046
New River Valley > First Place Aubrey Knight, MD
Adel Salama, MD Jefferson Internal Medicine Associates Roanoke | 540.685.1046
Second Place Richard Williams, MD
Carilion Clinic Geriatrics Christiansburg | 540.731.3222 www.carilionclinic.org
HEMATOLOGY/ONCOLOGY
Honorable Mention
Carilion Center for Healthy Aging Roanoke | 540.981.7653 www.carilionclinic.org
Pulaski Health and Rehab Pulaski | 540.980.3111 www.pulaskihealthrehab.com
Hematology/oncology is the diagnosis, treatment and prevention of blood diseases (hematology) and cancer (oncology) and research into them.
Roanoke > First Place
Second Place
William Fintel, MD
LewisGale Hematology/ Oncology Care Salem | 540.772.3411 www.lgphysicians.com
Blue Ridge Cancer Care “Good manners matter pretty much everywhere in life. Any person, and especially people who are sick, want respect and clarity and time.”
Mark Currie, MD
Third Place Vandana Karri, MD LewisGale Physicians Salem | 540.772.3411 www.lgphysicians.com
Salem | 540.774.8660 | www.blueridgecancercare.com
Second Place
Harry McCoy, III, MD
Blue Ridge Cancer Care Blacksburg | 540.381.5291 www.blueridgecancercare.com
“A good bedside manner is important because it leads to a patient’s comfort in her setting. It optimizes outcomes.”
Joanna Kolodney, MD LewisGale Regional Cancer Center – Pulaski Pulaski | 540.994.8545 www.lewisgale.com
Suzan Merten, MD
New River Valley > First Place Blue Ridge Cancer Care
Honorable Mention
Heather Brooks, MD
Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com
Paul Richards, MD Blue Ridge Cancer Care Salem | 540.776.8660 www.blueridgecancercare.com
Third Place Jerome Goldschmidt, MD
Blacksburg | 540.381.5291 | www.blueridgecancercare.com
Blue Ridge Cancer Care Blacksburg | 540.381.5291 www.blueridgecancercare.com
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INFECTIOUS DISEASE
Infectious disease is the medical specialty focusing on the diagnosis, cause and treatment of contagious disease.
First Place
Second Place
Muddasar Chaudry, MD
Carilion Clinic Infectious Disease Roanoke | 540.981.7715 www.carilionclinic.org
Honorable Mention
Third Place
Carilion Clinic Infectious Disease Roanoke | 540.981.7715 www.carilionclinic.org
Dorothy Garner, MD
LewisGale Physicians “I believe good bedside manner is important, because it is an integral part of healing.”
Thomas Kerkering, MD
Jean Smith, MD Carilion Clinic Infectious Disease Roanoke | 540.981.7715 www.carilionclinic.org
Salem | 540.772.3407 | www.lgphysicians.com
INTERNAL MEDICINE
Internal medicine is the branch of medicine that deals with diagnosis and nonsurgical treatment of diseases affecting adults.
Roanoke > First Place
New River Valley > First Place
Vashist Nobbee, MD
Gregory Beato, DO
LewisGale Physicians
Medical Associates of Southwest Virginia
“Patients must feel special, they need to know and believe that we have their best interests at heart always. They must feel that we give them our fullest attention in a caring and empathetic way. A good bedside manner is more than good medical care; it is remembering that we are taking care of the entire person who entrusts their health to us.”
Blacksburg | 540.951.3311 | www.medicalassociatesswva.com
Salem | 540.283.3760 | www.lgphysicians.com
Second Place (tie)
Second Place (tie)
Ann Austin, DO
W. Craig Mitchell, MD
Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org
Internal Medicine of Roanoke Roanoke | 540.344.3020
“I sincerely appreciate this honor. Caring for our patients is an honor and privilege that I do not take lightly and hope to continue for many years to come.”
Third Place Chetna Jha, MD LewisGale Physicians Salem | 540.772.3490 www.lewisgale.com
Second Place T. Scott Jamison, MD LewisGale Physicians Blacksburg | 540.381.1882 www.lgphysicians.com
Third Place Mary-Ellen Mick, DO Carilion Clinic Internal Medicine Christiansburg | 540.639.9071 www.carilionclinic.org
Honorable Mention Brian Bolinger, MD
Paul Dallas, MD
Christine Jordan, MD
Lawrence Monahan, MD
Quasir Raza, MD
Internal Medicine of Roanoke, PC Roanoke | 540.344.3020
Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.com
LewisGale Physicians Blacksburg | 540.951.6070 www.lgphysicians.com
Jefferson Internal Medicine Associates Roanoke | 540.685.1046
LewisGale Physicians Roanoke | 540.283.3660 www.lgphysicians.com
William Thomas, DO
Albert J. Tuono, DO
LewisGale Physicians Christiansburg 540.382.6148 www.lgphysicians.com
Medical Associates of Southwest Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com
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NEPHROLOGY Nephrology is the study of the function and diseases of the kidney and related organs.
Roanoke > First Place Clifford Culpepper, MD Valley Nephrology Associates “I think being honest and decisive are what patients and their loved ones want to see in their physician. Whenever possible, I present a treatment plan and specific goals going forward they can understand. People appreciate knowing that.” Roanoke | 540.344.1400 | www.valleynephrologyassociates.com
Third Place
Second Place Fletcher Matthews, MD SWVA Nephrology Medicine Roanoke | 540.904.5366 www.swvanephrology.com
Jackson Ballenger, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com
New River Valley > First Place Bhairvi Trivedi, MD Blue Ridge Nephrology Associates “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.” Christiansburg | 540.633.5650 | www.blueridgenephrologyassociates.com
Second Place
Third Place
Allan Sklar, MD
Bassel Moughrabi, MD
New River Nephrology Associates Christiansburg | 540.633.2340 www.lewisgale.com
Jackson River Internists Low Moor 540.862.6710 www.wvvahealthcare.com
Honorable Mention Edgar Escasinas, MD
Matt Mathew, MD
Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com
Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com
Paul Laflam, MD Blue Ridge Nephrology Associates Christiansburg | 540.633.5650 www.blueridgenephrologyassociates.com
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NEUROLOGY
Neurology is the specialty of medicine which focuses on the diagnosis and treatment of disorders of the nervous system.
Roanoke > First Place
Second Place
Timothy Hormel, MD
LewisGale Neurology Salem | 540.772.3450 www.lewisgale.com
Clement Elechi, MD
Valley Neurology Associates, PC “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.“
Honorable Mention
Third Place Gordon Burch, MD Roanoke Neurological, Inc. Roanoke | 540.342.0211 www.roanokeneuro.com
Salem | 540.725.3500 | www.lewisgale.com
Second Place
New River Valley > First Place
Jill Cramer, MD Blue Ridge Associates in Neurology Christiansburg | 540.381.9480 www.carilionclinic.org
Manuel Marrufo-Salazar, MD Neurological Care Clinic, PC “A good bedside manner shows that I am conscious about the value of the integrity and dignity of every single human being.”
Jessica Danison, DO LewisGale Physicians Salem | 540.772.3450 www.lgphysicians.com
Howard Sherman, MD Valley Neurology Associates, PC Salem | 540.725.3500 www.lewisgale.com
Belinda Zhang, MD New River Neurology and Epilepsy Blacksburg | 540.951.1340 www.neurologyepilepsy.com
Third Place Steven Nack, DO Neurology Services of SWVA Blacksburg | 540.961.0410 www.lewsigale.com
Blacksburg | 540.951.5090 | www.neurologicalcareclinic.com
NURSE PRACTITIONER
A nurse practitioner 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.
Roanoke > First Place
New River Valley > First Place
Janet Theimer, NP
Carol Ballard, FNP
Carilion Clinic Obstetrics and Gynecology
Medical Associates of SW Virginia
“When your job is doing something that you love, it is easy to project respect, kindness, attentiveness, and empathy. A good bedside manner opens the door to better dialogue and, in the end, better care. I consider it a privilege to be a healthcare provider and am pleased that it shows in my daily interactions with my patients.” Roanoke | 540.343.1224 | www.carilionclinic.org
“It is a pleasure and privilege to care for my patients. They make it easy to have a good bedside manner.”
Blacksburg | 540.951.3311 | www.medicalassociatesswva.com
Second Place
Second Place
Third Place
Barbara Hurst, OGNP, RN-C
Elizabeth Saum, RN, FNP-C
LewisGale Physicians Salem | 540.772.3520 www.lgphysicians.com
Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com
Cristina Whitaker-Trout, NP Carilion Clinic Family Medicine Blacksburg | 540.951.0352 www.carilionclinic.org
Third Place Susan Gaither, FNP, MSN River Ridge Dermatology Blacksburg | 540.951.3376 www.riverridgederm.com
Honorable Mention Judy Branscome, FNP New River Internal Medicine Pulaski | 540.980.8804 www.nriminc.com
Laurie Buchwald, RNC, WHNP, FNP, NCMP Summit Women’s Health Christiansburg | 540.639.9651 www.summitwomenshealth.com
DeEtta Compton, NP
Raschid Ghoorahoo, FNP
Glendora Raplee, FNP-C
Carilion Clinic Christiansburg 540.731.7600 www.carilionclinic.org
LewisGale Physicians Salem 540.772.3490 www.lgphysicians.com
LewisGale Physicians Roanoke 540.725.3060 www.lgphysicians.com
Ressie Shupe, NP
Tara Wickline, FNP
Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com
LewisGale Physicians – Valley View Roanoke | 540.265.1607 www.lgphysicians.com www.OurHealthswva.com
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OBSTETRICS & GYNECOLOGY
Obstetrics and 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.
Roanoke > First Place
New River Valley > First Place
Deborah Clapp, MD
David Roberts, MD
LewisGale Physicians
Carilion Clinic Obstetrics and Gynecology
“Bedside manner is important to me because I want to take care of patients. If I am warm and caring, patients will feel comfortable sharing their concerns with me. My best hope for providing good care depends upon that communication, the foundation on which medical care is built.”
“Good bedside manner is the patient experience of being heard and feeling loved and cared for. It’s the ideal my doctor and midwife partners and I have established as our true north. It’s important to us because it’s important to those we are privileged to serve.” Blacksburg | 540.961.1058 | www.carilionclinic.org
Salem | 540.725.7326 | www.lgphysicians.com
Second Place
Third Place (tie)
Third Place (tie)
George Maxymiv, MD
Kelley Morel, MD
Mona Sadek, MD
LewisGale Gynecology Salem | 540.772.3520 www.lewisgale.com
Carilion Clinic Obstetrics and Gynecology Roanoke | 540.985.9910 www.carilionclinic.org
LewisGale Physicians Roanoke | 540.725.7326 www.lgphysicians.com
Second Place George Zolovick, MD Montgomery OB/GYN Blacksburg | 540.951.1550 www.mymontgomeryobgyn.com
Third Place Carrie Champine, DO Montgomery OB/GYN Blacksburg | 540.951.1550 www.lewisgale.com
Honorable Mention Margarita Abrams, MD
Mark Gustafson, MD
Laurie Hudgins, MD
Montgomery OB/GYN Blacksburg | 540.951.1550 www.mymontgomeryobgyn.com
LewisGale Physicians Salem | 540.772.3520 www.lgphysicians.com
Montgomery OB/GYN Blacksburg | 540.951.1550 www.mymontgomeryobgyn.com
James Kelly, MD
Donna Musgrave, MD
LewisGale Physicians Roanoke | 540.774.6000 www.lgphysicians.com
Physicians to Women, Inc. Roanoke | 540.982.8881 www.carilionclinic.org
OCCUPATIONAL MEDICINE
LewisGale Physicians Salem | 540.772.3680 www.lgphysicians.com
Occupational medicine is the branch of medicine dealing with the prevention and treatment of job-related injuries and illnesses.
Roanoke > First Place
Second Place
Hetzal Hartley, MD
Valley Occupational Medicine Roanoke | 540.362.9620 www.drp.yourmd.com
Honorable Mention
Third Place
Montgomery Regional Hospital Blacksburg | 540.443.9309 www.lewisgale.com
Carilion Clinic “I try to get my patients to really understand my concerns about their health. As a Preventative Medicine specialist, I go into great depth concerning the risks my patients take with their health by smoking, overeating, and not exercising. I try to understand their daily habits, and to help them make a plan for improvement.” Roanoke | 540.985.8521 | www.carilionclinic.org
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Christopher Keeley, MD
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Darrell Powledge, MD
Kathleen Goldstein, DO LewisGale Physicians Blacksburg 540.552.1246 www.lgphysicians.com
Richard Moore, MD
OPHTHALMOLOGY
Ophthalmology is the medical specialty that treats eye disorders, including injuries, infections, tumors, and cataracts.
Roanoke > First Place (tie)
New River Valley > First Place
Jon Brisley, MD
Parisa Farhi, MD
Vistar Eye Center
Farhi Vision & Glaucoma Specialists
“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?”
“Interacting with patients with respect, kindness and understanding is an integral part of being a doctor and taking care of patients. Anything less than that is unacceptable.”
Roanoke | 540.342.3400 | www.vistareye.com
Roanoke > First Place (tie) Richard Johnson, MD, FAAO LewisGale Vision Care “I am honored and humbled to win the Best Bedside Manner Award again this year. I thank my patients and will do my best to not betray your trust in me. God has blessed me in many ways and you are all among those special blessings.”
Blacksburg | 540.552.1120 | www.farhivision.com
Second Place John Stephen Hudgins, MD John Stephen Hudgins, MD Christiansburg | 540.382.8316
Third Place Tedd Puckett, MD New River Valley Eye Center Christiansburg | 540.381.2013 www.nrveye.com
Salem | 540.772.3780 | www.lgphysicians.com
Second Place
Third Place
Carey Robinson, MD
John Facciani, MD
Eye Care and Surgery Roanoke | 540.772.7171 www.eyecaresurgery.com
Vistar Eye Center Salem | 540.855.5100 www.vistareye.com
Honorable Mention Daniel Drysdale, MD
Ann Sowers, MD
Drysdale Eye Center Blacksburg | 540.951.0525 www.drysdaleyecenter.com
Vistar Eye Center Botetourt 540.855.5100 www.vistareye.com
Eugene Eng, MD
Scott Strelow, MD
Eye Care and Surgery Roanoke | 540.772.7171 www.eyecaresurgery.com
Vistar Eye Center Roanoke 540.342.3400 www.vistareye.com
Craig Hartranft, MD
John Wood, MD
Vistar Eye Center Roanoke | 540.855.5100 www.vistareye.com
Vistar Eye Center Botetourt 540.855.5100 www.vistareye.com
Donna Maxfield, MD LewisGale Physicians Roanoke 540.265.1624 www.lgphysicians.com
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OPTOMETRY
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.
Roanoke > First Place
New River Valley > First Place
Jonathan Gudeman, OD
John Dovie, OD, FAAO Blacksburg Eye Associates
Invision “Having a good bedside manner is a direct result of our office culture treating others as we ourselves would like to be treated. As a healthcare provider I feel that a good bedside manner, taking the time to listen and to answer questions, is important in building trusting relationships with my patients. I believe this leads directly to better outcomes as people are more likely to follow a recommended treatment plan when they know they have been heard and they fully understand their own unique situation.”
“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.” Blacksburg | 540.953.2020 | www.blacksburgeye.com
Salem | 540.387.1183 | www.invision2020.com
Second Place (tie)
Second Place (tie)
Michael Johnson, OD
Donald Scothorn, OD
Drs. Newman, Blackstock & Associates Roanoke | 540.366.2457
Vistar Eye Center Roanoke | 540.855.5100 www.vistareye.com
www.newmanblackstock.com
Second Place
Third Place
Third Place
Becky Mann, OD
Miles Newman, OD
Invision Christiansburg 540.381.2020 www.invision2020.com
Drs. Newman, Blackstock & Associates Roanoke | 540.366.2457 www.newmanblackstock.com
Nickolas Clark, OD Pearisburg Eye Associates Pearisburg | 540.921.3921 www.pearisburgeyes.com
Honorable Mention Melissa Farley, OD
Timothy Jessee, OD
Colleen Mitchell, OD
Angela Stewart, OD
Infinity Eye Care Radford | 540.731.1010 www.infinity2020.com
Dr. Tim Jessee Salem | 540.375.3937 www.eyedoctorsalemva.com
Blacksburg Eye Associates Blacksburg 540.953.2020 www.blacksburgeye.com
Dr. Neal S. Jessup Optometrist Vinton | 540.343.2197 www.doctorjessup.com
ORAL SURGERY
Oral surgery is the dental specialty that is limited to the diagnosis, surgery and treatment of diseases, injuries, deformities and defects of the mouth.
Roanoke > First Place
Second Place
Albert Parulis, DDS
Oral Surgery Center Vinton | 540.344.7252 www.georgekevorkiandds.com
George Kevorkian, DDS
Roanoke Oral Surgery “Bedside 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.” Roanoke | 540.362.5900 | www.roanokeoralsurgery.com
New River Valley > First Place Richard Boyle, DDS NRV Oral and Maxillofacial Surgery Blacksburg | 540.951.8777 www.nrvoralsurgery.com
Roanoke Oral Surgery Roanoke 540.362.5900 www.roanokeoralsurgery.com
James VanGilder, DDS NRV Oral and Maxillofacial Surgery Blacksburg 540.951.8777 www.nrvoralsurgery.com
Third Place NRV Oral and Maxillofacial Surgery Blacksburg 540.951.8777 www.nrvoralsurgery.com
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Jason Margolis, DMD
Second Place
Clinton Howard, DDS
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Third Place
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ORTHODONTICS
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.
Roanoke > First Place
Second Place
Misty Lenk, DDS
Tate and Tate Orthodontics Salem | 540.389.0491
Richard Tate, DDS
Lenk Orthodontics “Interpersonal relations are valued at my office on the same level as clinical performance.12 years of higher education will undoubtedly result in clinical ability. Patients, however, also want to work with people with whom they can effectively communicate and more importantly with whom they can trust. I view my patients as extended family and thus care for each and every one of them as such. Winning this award means the world to me because it shows me that my patients value the energy and emotion I invest in their care!�
Third Place Franklin Wheelock, MD, DDS, MS Wheelock & Johnson Orthodontics Roanoke | 540.989.5621 www.wjortho.com
Daleville | 540.966.3990 | www.lenkbraces.com
New River Valley > First Place Dennis Vaughan, DDS Dr. Dennis L. Vaughan, DDS Surgery Radford | 540.639.3002
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Second Place Richard Tate, DDS Tate and Tate Orthodontist Blacksburg | 540.953.2141
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Third Place Randolph Turner, DDS RL Turner, DDS, LTD Blacksburg | 540.552.2334
ORTHOPAEDICS
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.
Roanoke > First Place
Second Place
Preston Waldrop, MD
Carilion Clinic Roanoke | 540.725.1226 www.carilionclinic.org
Joseph Moskal, MD
Virginia Orthopaedic “Patients need to know that you care! Good bedside manner promotes that feeling and trust.”
Salem | 540.444.4020 | www.vaortho.com
New River Valley > First Place Ryan Harris, DO Carilion Clinic Orthopaedics “Patients and their families want to understand the care they are receiving, and I respect that. I try and take as much time as possible so that patients feel involved in their care and planning and have every opportunity to ask questions when needed.”
Third Place Alfred Durham, MD LewisGale Physicians Salem | 540.772.3530 www.lgphysicians.com
Second Place (tie) Stuart Gardner, MD LewisGale Physicians Christiansburg | 540.951.6000 www.lgphyscians.com
Third Place Christofer Catterson, MD Carilion Clinic Orthopaedics Christiansburg | 540.731.2436 www.carilionclinic.org
Second Place (tie) Marc Siegel, MD LewisGale Physicians Blacksburg 540.772.3530 www.lgphysicians.com
Christiansburg | 540.731.2436 | www.carilionclinic.org
Honorable Mention Jeffrey Chain, MD
James Farmer, MD
Mark Hagy, MD
Anthony McPherron, DO
Carilion Clinic Blacksburg | 540.731.2436 www.carilionclinic.org
Virginia Orthopaedic Salem | 540.444.4020 www.vaortho.com
Virginia Orthopaedic Salem | 540.444.4020 www.vaortho.com
LewisGale Physicians Pulaski 540.994.9443 www.lgphysicians.com
OTOLARYNGOLOGY
Otolaryngology 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.
Roanoke > First Place
Second Place
Gregory Zachman, MD
Carilion Clinic Otolaryngology Roanoke | 540.581.0180 www.carilionclinic.org
Jefferson Surgical Clinic “You are in charge of your own health. I can only guide you in the right direction.”
Kurt Chen, MD
Third Place Brian Gross, MD
Roanoke | 540.283.6023 | www.jeffersonsurgical.com
New River Valley > First Place Aaron Prussin, MD LewisGale Physicians
LewisGale Physicians Salem | 540.444.8100 www.lgphysicians.com
Second Place Jennifer Nelson, MD LewisGale Physicians Blacksburg | 540.443.7400 www.lgphysicians.com
Honorable Mention Mark Hanabury, MD LewisGale Physicians Salem | 540.772.3433 www.lgphysicians.com
Paul Lenkowski, MD, PhD LewisGale Physicians Salem | 540.444.8100 www.lgphysicians.com
Seth Palmer, DO LewisGale Physicians Radford | 540.639.9023 www.lgphysicians.com
Third Place Larry Cowley, MD Larry Cowley, MD Blacksburg | 540.552.7050 www.lewisgale.com
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PAIN MANAGEMENT
Pain management encompasses pharmacological, non-pharmacological, and other approaches to prevent, reduce, or stop pain sensations.
Roanoke > First Place
Second Place George Baylor, MD
Murray Joiner, MD
Blue Ridge Pain Management Associates Salem | 540.444.5670 www.blueridgepm.com
Murray E. Joiner, Jr., MD, PC & Associates “Of all the awards and honors my staff and I could receive, I am most honored by this one. It speaks to the essence of the healing art. I’d like to thank all my patients and my staff who make everyday a joyful adventure. I realize it is a sacred honor and privilege to care for each precious life that crosses my path. I hope this means my patients realize all the love, happiness, and sense of “family” with which they are seen as we attempt to make their heavy load a little lighter and their crooked road a little straighter.” Roanoke | 540.772.4448
Third Place Chheany Ung, MD Virginia Interventional Pain and Spine Center Roanoke | 540.777.0090 www.vapainsc.com
New River Valley > First Place Tejal Raju, MD
Second Place
Third Place
Virginia Interventional Pain and Spine Center
Donald Bivins, MD
Michael D. Goodrich, MD
“I care for all my patients like family, with compassion and respect.”
Blacksburg Center for Pain Management Blacksburg | 540.605.9773 www.docbivins.com
Anesthesiology Associates, Radford Christiansburg 540.731.1898
Christiansburg | 540.251.3472 | www.vapains.com
Honorable Mention Marc Swanson, MD
Cyrus Bakhit, MD Physical Medicine Associates Roanoke | 540.345.4230
Blue Ridge Pain Management Associates Salem | 540.444.5670 www.blueridgepm.com
PALLIATIVE MEDICINE Palliative medicine is a multidisciplinary approach to specialized 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 Harry McCoy, MD Blue Ridge Cancer Care “A good bedside manner is important because it leads to a patient’s comfort in her setting. It optimizes outcomes.”
Blacksburg | 540.381.5291 | www.blueridgecancercare.com
Second Place Sayed Haider, MD Valley Internal Medicine Associates Roanoke | 540.380.3722
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Third Place Christopher W. Pile, MD Carilion Clinic Palliative Medicine Roanoke | 540.981.7515 www.carilionclinic.org
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PEDIATRICS
Pediatrics focuses on the detection, diagnosis, treatment and prevention of diseases in children, ages infant to 18-years of age.
Roanoke > First Place
New River Valley > First Place
Hugh Craft, MD
Hope Tobey, DO
Carilion Clinic Pediatric Medicine
Academic Primary Care Associates
“Establishing a good relationship with parents and patients is the key to providing effective care.”
“Taking an extra second to listen helps you get a better picture of the whole patient. I strive to care for the whole patient not just their disease.”
Roanoke | 540.772.4453 | www.carilionclinic.org
Blacksburg | 540.443.7180 | www.academicprimarycare.com
Second Place
Third Place
Second Place
Third Place
Luthur Beazley, III, MD
Russell Delaney, MD
LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com
LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com
NRV Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com
Sofia Abraham-Hardee, DO
Joyce Cummings, MD
Mark McBride, MD
Paul McElroy, MD
Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com
LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com
Physicians to Children Roanoke | 540.344.9213 www.physicianstochildren.com
New River Valley Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com
John Moore, MD
Christopher Stapleton, MD
Carilion Clinic Pediatric Medicine - Daleville Daleville | 540.992.1251 www.carilionclinic.org
NRV Pediatrics Blacksburg 540.552.7272 www.nrvpediatrics.com
Paul Vaccaro, MD
David Berry, DO, PhD LewisGale Physicians Blacksburg | 540.443.3940 www.lgphysicians.com
Honorable Mention
PERIODONTICS
Periodontics is the specialty of dentistry that studies supporting structures of teeth, diseases and conditions that affect them.
Roanoke > First Place Gavin Aaron, DDS Aaron Periodontic and Dental Implants “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.” Roanoke | 540.562.3166 | www.periohub.com
Second Place Linda Till, DDS Linda Till, DDS Roanoke | 540.772.3940
Third Place Barry Wolfe, DDS Wolfe & Penn, LTD Roanoke | 540.772.2913
New River Valley > First Place John Buyer, DDS New River Periodontics and Dental Implant Center “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.” Blacksburg | 540.951.4848 | www.newriverperio.com
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Second Place Walter Shields, DDS Walter Shields, DDS, MS Christiansburg | 540.382.7960 www.walterdshieldsdds.com
www.OurHealthswva.com
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PHARMACY
Pharmacy is the health profession of experts in the use of medicine.
Second Place
Roanoke > First Place
Jessica Kosmann, RPh CVS (Chestnut Street) Salem | 540.387.4567 www.cvs.com
Lisa Houck, RPh Valley Apothecary “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.” Salem | 540.776.9800 | www.valleyapothecary.com
New River Valley > First Place Blacksburg Pharmacy Staff Blacksburg Pharmacy Blacksburg | 540.552.3000 www.blacksburgpharmacy.com
PHLEBOLOGY
James Adams, PharmD LewisGale Medical Center Salem 540.776.4000 www.lewisgale.com
Second Place
Third Place
David Davidson, RPh
Amanda Terry, RPh
Davidson’s Pharmacy Christiansburg | 540.381.9345 www.davidsonpharmacy.weebly.com
CVS Christiansburg Christiansburg | 540.381.1153 www.cvs.com
Phlebology is a branch of medicine concerned with the veins.
First Place
Second Place
Frank Purpera, MD
The Vein Specialists Roanoke | 540.491.0700 www.roanokeveindoctor.com
Virginia Vein Institute “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. Being recognized for this award once again shows that our patients feel how much we value each and every one of them.” Blacksburg | 540.552.VEIN (8346) | www.virginiaveininstitute.com
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Third Place
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Martin Smith, DO
Third Place Robert Ripley, MD Salem Surgical Vein & Laser Center Roanoke | 540.772.3008
www.OurHealthswva.com
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PHYSICAL MEDICINE
Physical medicine 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.
Roanoke > First Place Deborah Mowery, MD LewisGale Physicians “Good bedside manner is important to me to help patients have confidence in their providers and feel comfortable in sharing their medical issues in a relaxed environment.”
Second Place
Third Place
Richard Weiss, MD
Rebecca W. Tanner, MD, FAAPMR
Carilion Clinic Physical Medicine Roanoke | 540.224.5170 www.carilionclinic.org
Blue Ridge Physical Medicine Roanoke | 540.772.8052 www.blueridgephysicalmedicine.com
Roanoke | 540.283.3660 | www.lgphysicians.com
New River Valley > First Place
Second Place
Ethan B. Colliver
Carilion Clinic Christiansburg | 540.731.2992 www.carilionclinic.org
Valley Sports and Spine Clinic “Bedside manner is an opportunity for patients to build trust and confidence in my abilities to care for them. It is important for me to begin a relationship with a mutual respect and compassion to establish a foundation for holistic care.” Blacksburg | 540.443.9362 | www.valleysportsandspine.com
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Ralph Brown, Jr., MD
Third Place Bradley M. McCrady, DO Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com
Honorable Mention Lennox McNeary-Keyes, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org
PHYSICAL THERAPY
Physical therapy, often abbreviated PT, is the art and science of physical care and rehabilitation.
Roanoke > First Place Tyler Bowersock, PT, DPT, CSCS University Physical Therapy “It’s important to have the right bedside manner patients appreciate. This cultivates relationships that lead to greater patient satisfaction.”
Roanoke | 540.774.0729 | www.universityptonline.com
Second Place Remco Schreuders, PT Advance Physical Therapy of Virginia Salem | 540.444.0291 www.aptova.com
Third Place Lindsay Carhart, PT LewisGale Regional Health System Salem | 540.776.4000 www.lewisgale.com
New River Valley > First Place
Second Place
Rony Masri, PT, DPT
Blacksburg Physical Therapy Associates Blacksburg | 540.951.2703 www.blacksburgptonline.com
Total Motion Physical Therapy “Being a PT for over 17 years, I value compassion, empathy and trust. Building a strong therapeutic alliance with my patients is a very important part of my care and that comes with having an outstanding bedside manner. As I have said earlier, patients come to TOTAL MOTION PHYSICAL THERAPY as a stranger, but they leave as our friends. I am honored to have this award bestowed upon me by my patients and will continue to strive for continued excellence in the field of physical therapy. I am honored to accept this award on behalf of my patients.”
Glen Davis, PT
Third Place
Honorable Mention Jordan Chang, PT, DPT University Physical Therapy Pearisburg | 540.921.5200 www.universityptonline.com
Mike Goforth, MS, ATC University Physical Therapy Blacksburg | 540.552.5100 www.universityptonline.com
Cindy Henderson, PT, ATC, FAFS Blacksburg Physical Therapy Associates Blacksburg | 540.951.2703 www.blacksburgptonline.com
Wendy Lucas, PT Lucas Therapies Roanoke | 540.772.8022 www.lucastherapies.com
Francine Noel-Ford, PT, DPT, OCS, MBA, MTC Back to Basics Roanoke | 540.985.0500 www.backtobasicspt.com
Mark Piechoski, PT, ATC, CSCS University Physical Therapy Blacksburg | 540.552.5100 www.universityptonline.com
Christiansburg | 540.585.4841 | www.totalmotionpt.net
www.OurHealthswva.com
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PHYSICIAN ASSISTANT
A physician assistant is licensed to practice medicine under the supervision of a licensed physician, and who thereby extends the physician’s capacity to provide medical care.
Roanoke > First Place
New River Valley > First Place
James Porter, PA-C
Angie Hurd, PA-C
Foot and Ankle Associates of Southwest Virginia, PC
New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.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.” Roanoke | 540.344.3668 | www.drzelen.com
Second Place
Third Place
Matthew Bowles, PA-C
Jason Bailey, PA-C
LewisGale Cardiology Salem | 540.772.3430 www.lewisgale.com
The Vein Specialists - Virginia Skin and Vein Roanoke | 540.777.1711 www.roanokeveindoctor.com
Second Place
Third Place
Jeffrey G. Thompson, PA-C
Holly Williams, PA-C
Carilion Clinic Surgery - Christiansburg Christiansburg | 540.731.7600 www.carilionclinic.org
Valley Sports & Spine Clinic Blacksburg | 540.443.3832 www.valleysportsandspine.com
Honorable Mention Denise Dillingham, PA
Steven Evans, PA-C
Dawn N. Fouse, PA-C
Christopher L. Guth, PA-C
Melanie Hinkle, PA-C
Internal Medicine of Roanoke PC Roanoke | 540.344.3020 www.carilionclinic.org
LewisGale Physicians Salem | 540.772.3421 www.lgphysicians.com
LewisGale Physicians Christiansburg 540.381.1882 www.lgphysicians.com
LewisGale Physicians Salem | 540.772.3530 www.lgphysicians.com
Southwest Virginia Cardiology Salem | 540.375.9375
Lynn Anne Piechoski, PA-C
Matthew Shortt, PA-C
LewisGale Physicians Blacksburg | 540.951.111 www.lgphysicians.com
LewisGale Physicians Blacksburg | 540.951.111 www.lgphysicians.com
PLASTIC SURGERY - COSMETIC First Place
Second Place
Honorable Mention
Phillip Grubbs, MD
Carol Wray, MD Center for Plastic Surgery Salem | 540.444.4343 www.plasticsurgeryinvirginia.com
Mark Feldmann, MD
Plastic Surgery Center of Virginia “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.”
Blacksburg | 540.951.8885 | www.philipgrubbs.com
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Cosmetic plastic surgery is the field of surgery that is preformed to reshape structures of the body in order to improve appearance and self-esteem.
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Third Place Kurtis Moyer, MD Carilion Clinic Plastic Surgery Roanoke | 540.224.5170 www.carilionclinic.org
Carilion Clinic Plastic Surgery Roanoke | 540.224.5170 www.carilionclinic.org
Enrique Silberblatt, MD, FACS Aesthetic Surgery of Virginina Roanoke | 540.994.7408 www.silberblatt.com
www.OurHealthswva.com
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PLASTIC SURGERY - RECONSTRUCTIVE
Reconstructive plastic surgery 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
Second Place
Steven Harris, MD
Roanoke Plastic Surgery Roanoke | 540.581.1400 www.roanokeplasticsurgery.com
Barton Thomas, MD
Jefferson Surgical Clinic “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.”
Third Place Norman Harris, MD Roanoke | 540.776.6979 www.doctor-harris.com
Salem | 540.283.4962 | www.jeffersonsurgical.com
PODIATRY
Podiatry is the branch of medicine that deals with the diagnosis, treatment and prevention of diseases of the human foot.
Roanoke > First Place
New River Valley > First Place
Charles Zelen, DPM
Jason Naldo, DPM
Foot and Ankle Associates of Southwest Virginia, PC
Carilion Clinic
“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.”
“Patients seek care usually because they are in pain. I try to do everything I can to explain, comfort, and most of all show that I care about them as a person and as a patient.” Christiansburg | 540.731.2436 | www.carilionclinic.org
Roanoke | 540.344.3668 | www.drzelen.com
Second Place
Third Place
Nathan Young, DPM
Craig Alan Wilhelms, DPM
Foot and Ankle Associates of Southwest Virginia, PC Roanoke | 540.344.3668 www.drzelen.com
Roanoke | 540.772.0091 www.lgphysicians.com
Second Place
Third Place
Mark Wilt, DPM
Heather Pearman, DPM
Foot and Ankle Clinic of the Virginias Blacksburg | 800.456.TOES (8637) www.drfootpain.com
Southwest Podiatry Dublin | 540.674.2444
Honorable Mention J. Randolph Clements, DPM
Marshall Gwynn, DPM
Marc Platt, DPM
Carilion Clinic Orthopaedics Roanoke | 540.224.5170 www.carilionclinic.org
Shenandoah Podiatry Roanoke | 540.904.1458 www.lewisgale.com
Carilion Clinic Orthopaedics Roanoke | 540.776.0200 www.carilionclinic.org
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www.OurHealthswva.com
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PSYCHIATRY
Psychiatry is the branch of medicine that deals with the diagnosis, treatment and prevention of mental and emotional disorders.
Roanoke > First Place Jitendra Desai, MB, BS “Working with a great team helps. I help my patients learn to help themselves.” Roanoke | 540.345.6468
Second Place Richard Leggett, MD Richard P Leggett, MD Salem | 540.776.1018 www.lewisgale.com
Third Place Gerald DeMasters, MD LewisGale Physicians Salem www.lgphysicians.com
New River Valley > First Place Fahim Fahim, MD “Good bedside manner improves the patient physician relationship and communication which leads to better compliance and treatment outcome.” Blacksburg | 540.951.4800
Second Place Yongyue Chen, MD Carilion New River Valley Medical Center Christiansburg | 540.731.2000 www.carilionclinic.org
Third Place Circe Cooke, MD New River Valley Community Services Blacksburg | 540.961.8300 www.nrvcs.org
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Honorable Mention Robert Dean, MD, PhD Carilion Clinic Psychiatry & Behavioral Medicine – Radford Chrsitiansburg 540.731.7311 www.carilionclinic.org
David W. Hartman, MD Carilion Clinic Psychiatry and Behavioral Medicine Roanoke | 540.981.8025 www.carilionclinic.org
Mukesh Patel, MD Mount Regis Center Salem | 877.959.9554 www.mtregis.com
PSYCHOLOGY AND COUNSELING
Psychology and counseling is the branch of medicine that deals with the diagnosis, treatment and prevention of mental and emotional disorders.
Roanoke > First Place
New River Valley > First Place
Steve Strosnider, LPC
Bozanna Young, PhD
Psychological Health Roanoke
Family & Psychological Services, PC Blacksburg | 540.961.2380 www.familyandpsychological.com
“I am very honored to receive this recognition and thank those who voted. I am privileged to be part of a vibrant and competent mental health community in the Roanoke Valley and to be a member of Psychological Health Roanoke.” Roanoke | 540.772.5140 | www.psychhealthroanoke.com
Second Place
Second Place
Third Place
Jody Anderson, LCSW
Alice Jackie Wilkerson, PhD, LPC
Anderson & Anderson Associates Roanoke | 540.400.7841 www.jordanaanderson.com
Psychological Health Roanoke Roanoke 540.772.5140 www.psychhealthroanoke.com
Laurie Shea, PhD Blacksburg 540.382.1494
Third Place Keith Fender, PhD, MSW, LCSW, CSOTP Radford Counseling Group Radford | 540.731.9040 www.radfordcounseling.com
Honorable Mention B. Allison Allsbrook, LCSW
Emily DeFrance, PhD
Stacy Lilley, PhD
Betty McCrary, PhD
Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com
Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com
Roanoke | 540.989.7175
The Manassas Group Roanoke | 540.774.4686 www.manassasgroup.com
David L. Mortellaro, LPC, LMFT
Mark Prosser, LPC
Stephen Price, MA, LPC, LMFT
Associates in Brief Therapy Roanoke | 540.772.8043 www.abtcounseling.com
Family & Psychological Services, PC Blacksburg | 540.961.2380 www.familyandpsychological.com
Total Life Counseling, Inc. Roanoke | 540.989.1383 www.totallifecounselinginc.com
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PULMONARY MEDICINE
Pulmonary medicine is the specialty that deals with diseases of the respiratory tract and respiratory disease.
Second Place
Roanoke > First Place
Frank H. Biscardi, MD
James Witten, Jr., MD LewisGale Physicians “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.”
Third Place Nelson Greene, MD
John White, MD LewisGale Pulmonary Medicine Salem | 540.772.3540 www.lewisgale.com
David Killeen, DO
Second Place
New River Valley > First Place
John Leslie, MD
Sanjiva M. Lutchmedial, MD Carilion Clinic Pulmonary Medicina – NRV “Good bedside manner is important because it allows me to maintain a professional rapport with patients, to treat patients with respect, and to make sure they understand and are comfortable with the care that they receive.”
Carilion Clinic Pulmonary Medicine – NRV Christiansburg | 540.731.7450 www.carilionclinic.org
LewisGale Physicians Salem | 540.772.3540 www.lgphysicians.com
Third Place Michele Ballou, MD Jackson River Internists, Inc. Low Moor | 540.862.6710 www.lewisgale.com
Christiansburg | 540.731.7450 | www.carilionclinic.org
Radiology is a medical specialty that employs the use of imaging to both diagnose and treat disease visualized within the human body.
Roanoke > First Place
New River Valley > First Place
Robert O’Brien, MD
Brandon Langlinais, MD LewisGale Hospital Montgomery
Insight Imaging
“I am truly honored. Having good bedside manner is easy when taking care of great people from such wonderful communities. Helping my patients and families feel comfortable before, during and after imaging procedures gives me great satisfaction. And having a last name like mine keeps me on a first name basis with everyone.”
“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.” Roanoke | 540.581.0882 | www.insighthealth.com
Second Place (tie)
Second Place (tie)
Ronald A. Broadwell, MD
Jackson Kiser, MD
Radiology Associates of Roanoke Roanoke | 540.776.4000
Radiology Associates of Roanoke Roanoke | 540.776.4000 www.roanokeradiology.com
www.roanokeradiology.com
Blacksburg | 540.951.1111 | www.lewisgale.com
Third Place Michael Hollander, MD
Second Place
Radiology Associates of Roanoke, PC Roanoke | 540.776.4000 www.roanokeradiology.com
Donna Aubrey, MD Carilion Clinic Radiology Christiansburg 540.731.2810 www.carilionclinic.org
Honorable Mention James Blackwell, MD
Phillip Hanline, MD
Thomas Stoecker, MD
Radiology Associates of Roanoke Roanoke | 540.776.4000 www.roanokeradiology.com
Montgomery Radiology Associates Blacksburg | 540.951.1111 www.lewisgale.com
Carilion Clinic Radiology Roanoke 540.981.7122 www.carilionclinic.org
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Honorable Mention
LewisGale Pulmonary Medicine Salem | 540.772.3540 www.lgphysicians.com
Salem | 540.772.3540 | www.lgphysicians.com
RADIOLOGY
Carilion Clinic Pulmonary/Sleep Roanoke | 540.985.8505 www.carilionclinic.org
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Third Place Alan Knull, MD LewisGale Hospital – Pulaski Pulaski | 540.994.8100 www.lewisgale.com
www.OurHealthswva.com
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RADIATION ONCOLOGY
Radiation oncology is the specialty for the treatment of cancer patients, using radiation therapy as the main modality of treatment.
First Place
Second Place
Karanita Mary Ojomo, MD
Blue Ridge Cancer Care Salem | 540.776.4160 www.blueridgecancercare.com
Blue Ridge Cancer Care “Good bedside manner is important to me because my patients and their family should feel as though they are the most important part of my medical team and listening to them can help improve their quality of life.”
John Rogers, MD
Honorable Mention Randal Hess, MD
Third Place David Buck, MD
Blue Ridge Cancer Care Salem | 540.776.4160 www.blueridgecancercare.com
Blue Ridge Cancer Care Roanoke | 540.981.7377 www.blueridgecancercare.com
Pulaski | 540.994.8545 | www.blueridgecancercare.com
RHEUMATOLOGY
Rheumatology is the specialty in the non-surgical treatment of rheumatic illness, especially arthritis.
First Place
Second Place
Honorable Mention
Edward Tackey, MD, FACR
Garry Bayliss, MD LewisGale Physicians Salem | 540.444.5600 www.lgphysicians.com
Sorina Dancea, MD
LewisGale Physicians “Good bedside manner is important to me because empathy, sensitivity and being compassionate and caring at the bedside are key elements to a successful interaction and long term patient outcome and satisfaction.”
Third Place Adegbenga Bankole, MD Carilion Clinic Rheumatology Roanoke | 540.224.5170 www.carilionclinic.org
Salem | 540.772.3707 | www.lgphysicians.com
SLEEP MEDICINE
Joseph Lemmer, MD LewisGale Physicians Salem | 540.772.3707 www.lgphysicians.com
John Pendleton, MD Carilion Clinic Rheumatology Roanoke 540.224.5170 www.carilionclinic.org
Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders.
Roanoke > First Place Bruce Stewart, MD LewisGale Pulmonary Medicine “I want to connect with my patients and make them feel comfortable with me. I want them to feel this is a safe place and that they can share their problems with me.”
Salem | 540.772.5951 | www.lgphyscians.com
New River Valley > First Place Donald Zedalis, MD Allergy Associates & Sleep Disorders Network “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.”
Christiansburg | 540.382.1165
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LewisGale Physicians Salem | 540.444.5600 www.lgphysicians.com
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Second Place Sameh Aziz, MD Carilion Clinic Pulmonary/Sleep Medicine Roanoke | 540.985.8505 www.carilionclinic.org
Third Place Clement Elechi, MD LewisGale Physicians Salem | 540.772.3450 www.lgphysicians.com
Honorable Mention Susanti R. le, MD Carilion Clinic Pulmonary & Sleep Medicine Roanoke | 540.985.8505 www.carilionclinic.org
Jeffrey Werchowski, MD
Second Place John Leslie, MD Carilion Clinic Pulmonary Medicine – NRV Christiansburg | 540.731.7450 www.carilionclinic.org
LewisGale Pulmonary Medicine Salem | 540.772.5951 www.lewisgale.com
SPORTS MEDICINE
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 sports, exercise, or recreational activity.
Second Place
Roanoke > First Place
Mark E. Kasmer, MD
Delmas Bolin, MD, PhD Performance Medicine of Southwestern Virginia “The highest honor for a physician is that which is given by his patients. Each day, it is my goal to use my eyes, my voice, my hands and especially my ears to help in whatever capacity I can. While I am pleased to be honored for a comforting bedside manner, it is God who truly provides the healing.” Roanoke | 540.772.1890 | www.pmswva.com
New River Valley > First Place Mark Rogers, DO Academic Primary Care Associates “Maya Angelou said, “I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” I strive to help make people feel healthy in mind-body and spirit.” Blacksburg | 540.443.7180 | www.academicprimarycare.com
Carilion Clinic PCA West Salem Salem | 540.387.0441 www.carilionclinic.org
Third Place
Honorable Mention
Mark Hagy, MD
Marc Siegal, MD
Virginia Orthopaedic Salem | 540.444.4020 www.vaortho.com
Second Place Bradley McCrady, DO Academic Primary Care Associates Blacksburg | 540.443.7180 www.academicprimarycare.com
LewisGale Physicians Christiansburg 540.552.3601 www.lgphysicians.com
Priscilla Tu, DO Carilion Clinic Family Medicine Roanoke | 540.562.5700 www.carilionclinic.org
Third Place Christofer Catterson, MD Carilion Clinic Christiansburg | 540.731.2436 www.carilionclinic.org
www.OurHealthswva.com
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SURGERY – CARDIAC Cardiac surgery 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
Second Place
Joseph Baker, MD
LewisGale Physicians Salem | 540.776.2020 www.lgphysicians.com
Bryan McDonnell, MD
Carilion Clinic Cardiothoracic Surgery “Cardiac surgery is a stressful experience. Being kind and spending a little extra time with patients and families goes a long way in easing our patients’ recovery.”
Third Place W. Scott Arnold, MD Carilion Clinic Cardiothoracic Surgery Roanoke | 540.853.0100 www.carilionclinic.org
Roanoke | 540.853.0100 | www.carilionclinic.org
SURGERY - GENERAL
General surgery is the treatment of injury, deformity and disease using operative procedures.
Roanoke > First Place
New River Valley > First Place
Madge Ellis, MD
Ashish Raju, MD
Salem Surgical Associates
Carilion Clinic
Salem | 540.772.3008
“Good bedside manner allows patients to understand complex diseases. Surgery becomes less frightening. Patients need to be treated with compassion, especially during times of illness.” Christiansburg | 540.731.7600 | www.carilionclinic.org
Second Place
Third Place
J. Albert Hagy, Jr., MD
Nadeem E. Khuri, MD
Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org
Salem Surgical Associates Salem | 540.772.3008
Second Place David B. Stoeckle, MD LewisGale Physicians Blacksburg | 540.552.0005 www.lgphysicians.com
Third Place Jason Fowlkes, MD LewisGale Physicians Blacksburg 540.961.1590 www.lgphysicians.com
Honorable Mention Charles Bissell, MD
Yung Chan, MD
Jolene Henshaw, MD
Carilion Clinic Christiansburg 540.731.7600 www.carilionclinic.org
New River Medical Group Pulaski | 540.980.0550 www.newrivermedicalgroup.com
LewisGale Surgical Care Blacksburg | 540.951.0780 www.lewisgale.com
Sanjoy Saha, MD
Robert B. Williams, MD
LewisGale Physicians Salem | 540.772.3620 www.lgphysicians.com
Salem Surgical Associates Salem | 540.772.3008 www.salemsurgicalveinandlasercenter.com
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Robert Ripley, MD Salem Surgical Associates Salem | 540.772.3008 www.salemsurgicalveinandlasercenter.com
SURGERY - NEUROSURGERY 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 Raymond Harron, DO Jefferson Surgical Clinic “Listening to the patient and helping them understand their condition and therapy is the key!”
Salem | 540.283.1535 | www.jeffersonsurgical.com
Second Place
Third Place
Zev Elias, MD
James Vascik, MD
Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org
Atlantic Coast Neurosurgery Roanoke | 540.344.3433 www.atlanticcoastneurosurgery.com
Honorable Mention Edgar Weaver, Jr., MD Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org
SURGERY - SPINE Spine surgery is the medical specialty concerned with the prevention diagnosis, treatment, and rehabilitation of disorders which affect the spinal cord.
First Place Jonathan Carmouche, MD Carilion Clinic Spine Center “Sir William Osler said, “The practice of medicine is an art based on science.” The true joy in medicine is the art – humbly focusing on the human side, while expertly treating disease.” Roanoke | 540.224.5170 | www.carilionclinic.org
Second Place
Third Place
James Leipzig, MD,FACS
Raymond Harron, DO
LewisGale Physicians Salem | 540.725.9771 www.lgphysicians.com
Jefferson Surgical Clinic Salem | 540.283.6000 www.jeffersonsurgical.com
Honorable Mention Stephen Grubb, MD
Gregory Riebel, MD
Carilion Clinic Spine Center Christiansburg | 540.633.0523 www.carilionclinic.org
Virginia Orthopaedics Salem | 540.444.4020 www.vaortho.com
www.OurHealthswva.com
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SURGERY - VASCULAR
Vascular surgery is the treatment of surgery on diagnosed patients with diseases of the arterial, venous and lymphatic system.
Roanoke > First Place (tie)
New River Valley > First Place
Hans Brings, MD
Ashish Raju, MD
LewisGale Vascular Surgery
Carilion Clinic Vascular Surgery
“People come to doctors with trust seeking help. We as physicians and surgeons have tremendous opportunities to offer healing, comfort and hope”.
“Good bedside manner allows patients to understand complex diseases. Surgery becomes less frightening. Patients need to be treated with compassion, especially during times of illness.”
Roanoke | 540.776.2010 | www.lewisgale.com
Roanoke > First Place (tie) James Drougas, MD Jefferson Surgical Clinic
Second Place
“My approach to patient care is straight forward. I try to listen to patients and see what their goals and desires are and see if we can formulate a way to achieve this. Often this requires some difficult discussions, but I try to do this in an open, nonjudgmental way.”
L. Joseph Downing, MD
Roanoke | 540.283.6000 | www.jeffersonsurgical.com
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Christiansburg | 540.731.7600 | www.carilionclinic.org
Second Place
Third Place
James Callis, MD
William H’Doubler, MD
Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com
Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com
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Carilion Clinic Vascular Surgery Christiansburg | 540.731.7600 www.carilionclinic.org
Honorable Mention Thomas Conlee, MD
William S. Tung, MD
Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com
LewisGale Physicians Salem | 540.776.2010 www.lgphysicians.com
UROLOGY
Urology is a medical specialty that deals with disturbances of the urinary (male and female) and reproductive (male) organs.
Roanoke > First Place Mark Schmidt, MD Jefferson Surgical Clinic “I try to remember to treat my patient as if he or she was my family member.”
Second Place Robert Whisnant, MD Urology Associates, LTD Roanoke | 540.343.8066
Third Place Rodney Poffenberger, MD Jefferson Surgical Clinic Salem | 540.283.6000 www.jeffersonsurgical.com
Honorable Mention
New River Valley > First Place
Second Place
Christopher Hicks, MD
Judy Chun, MD
Carilion Clinic Urology Christiansburg | 540.382.3440 www.carilionclinic.org
Roanoke | 540.283.6000 | www.jeffersonsurgical.com
Carilion Clinic Urology “Good bedside manner is a reflection of listening and caring for others. It is important because patients are already anxious and upset. They need to feel comfortable and understood to start the healing process.”
Christiansburg | 540.382.3440 | www.carilionclinic.org
Kevin Griffin, MD
Charles Daniel, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com LewisGale Physicians Blacksburg | 540.552.1353 www.lgphysicians.com
Third Place William King, MD Carilion Clinic Urology Christiansburg | 540.382.3440 www.carilionclinic.org
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Healthcare Careers Are Within Reach What a wonderful thing our community has when Roanoke Valley educators come together to enrich the lives of our local students. That’s just what happened late this year on the campus of Virginia Tech Carilion School of Medicine. In a collaborative effort, Jefferson College of Health Sciences, Virginia Western Community College, and Virginia Tech Carilion School of Medicine hosted an evening for high school and college students, early and mid-level professionals, and anyone wondering what it takes to bring a healthcare career within reach. Healthcare Careers Are Within Reach was a huge success! Look for more informational meetings just like this one on the horizon! Find upcoming events like this one by visiting www.jchs.edu.
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Original Photography: KG Thienemann
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FIT BITS BRAVE THE BARRE
Brambleton Recreation Center
Green Ridge Recreation Center
3738 Brambleton Avenue Roanoke | 540.772.7529 www.roanokecountyparks.com
7415 Wood Haven Road Roanoke | 540.777.6300 www.greenridgerecreationcenter.com
Pure Barre
Salem Family YMCA
NG RE ST
BO D & D M IN
NI TO
TH
Y
1126 Kime Lane Salem | 540.387.9622 www.ymcaroanoke.org
NG
5036 Keagy Road, Suite 202 Roanoke | 540.904.7446 www.purebarre.com/va-roanoke
IY
Utilizing the barre while contracting the abdominals provides the low back and spine with the stability needed to complete safe movements. It also allows smaller muscle groups to be isolated and sculpted while major muscle groups are simultaneously worked. This technique provides an intense, yet low-impact workout that garners quick, dramatic, and lasting results.
TRY A BARRE CLASS
IB ILT
Most barre-based classes use a combination of postures inspired by ballet and other disciplines like yoga and pilates, which also provide a mind-body connection. The barre is used as a prop to balance while doing exercises that focus on isometric strength training (holding the body still while contracting a specific set of muscles) combined with high reps of small range-of-motion movements.
Deidre is our resident fitness specialist for OurHealth Southwest Virginia.
EX
Barre training is designed to use the body’s own mass and very light weights as resistance. This one-of-a-kind workout is a continual, fat-burning series of exercises that tone the entire body in an effective yet safe way.
AFAA, ACSM
Certified Personal Trainer
FL
Have your friends been talking about going to ‘barre’, and you’re wondering what new hotspot you’re missing out on? When you finally realize they’re not drinking cocktails, but rather working their tails, you’re even more intrigued. So, what’s the barre craze all about?
Deidre Wilkes,
MODERATE INTENSITY
ASHLEY LYNN
Chronic disease coordinator for YMCA of Roanoke Valley
LOCAL
®
DIABETES
PREVENTION PROGRAM Yearlong program aimed at those with prediabetes words | SUZANNE RAMSEY photography | SHAWN SPROUSE
YMCA of Roanoke Valley, which has branches in Roanoke and Salem, will soon launch the Diabetes Prevention Program. The yearlong educational course aims to help area adults who have been diagnosed with prediabetes or are at risk for Type 2 diabetes make lifestyle changes. The program is an initiative of the Centers for Disease Control and Prevention, which reports that 1 in 3 American adults have prediabetes and most — about 90 percent — don’t even know it. Prediabetes, as explained by the CDC, is when the blood glucose (sugar) level is higher than normal, but not high enough to be diagnosed as diabetes.
You may be at risk for Type 2 diabetes if you: •
Are 45 years of age or older.
•
Are physically active fewer than three times per week.
•
Are overweight.
•
•
Have a family history of Type 2 diabetes.
•
Have high blood pressure.
Ever had diabetes while pregnant (gestational diabetes) or gave birth to a baby that weighed more than nine pounds.
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Having prediabetes puts people at higher risk for Type 2 diabetes, previously called adult-onset diabetes. The American Diabetes Association reports that 29 million Americans — more than 9 percent of the population — have diabetes, and that nearly all of them have Type 2 diabetes. Due to the well-documented childhood obesity epidemic, physicians are increasingly seeing Type 2 diabetes in children as well. To localize these numbers, consider that 9 percent of the population of the city of Roanoke is about 9,000 people. In the city of Salem, it’s about 2,250 people.
What is Type 2 diabetes? Diabetes is a problem that causes blood glucose (sugar) levels to rise higher than normal, called hyperglycemia. Type 2 diabetes is the most common form. With Type 2 diabetes, the body does not use insulin properly, which is known as insulin resistance. At first, the pancreas makes extra insulin, but over time it isn't able to keep up and can't make enough insulin to keep blood glucose at normal levels.
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Seeing that there was a problem in the area and wanting to do something about it, YMCA of Roanoke Valley has joined more than 625 organizations, including about 165 YMCAs nationwide, that are certified to offer the Diabetes Prevention Program. “A couple of years ago, we went through a process in our association to create our strategic plan,” says Tricia Reynolds, branch executive at the Salem Family YMCA. “Part of that was going into the community to talk to stakeholders about what the Y can do in the Roanoke Valley. One of the things that came out of that is diabetes prevention.” Roanoke Valley’s pilot program will begin in January 2016. It will be offered at the Salem Family YMCA. The primary goals of the Diabetes Prevention Program are for participants to lose weight and get more active, actions that have been shown to decrease the risk of developing Type 2 diabetes. According to the Y’s fact sheet, the specific goals are reducing body weight by 7 percent and increasing physical activity to 150 minutes per week. The one-hour, small-group classes will be held on weeknights and will be taught by a certified lifestyle coach. The emphasis will be on making healthy lifestyle changes. “They have different topics that they talk about every week,” says Ashley Lynn, chronic disease coordinator for YMCA of Roanoke Valley. “They talk about how to read
Rev. William Lee, pictured in front of the New Horizon Healthcare building in Roanoke.
Continued on page 93
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Continued from page 91
PREDIABETES:
food labels and how to manage stress, problem solve, prepare for success, deal with setbacks and increase their physical activity. “It’s kind of a classroom setting, but really a facilitated discussion too. There’s a lesson plan, but we want people to talk and discuss and help each other problem solve the problems that arise throughout the program. The life coach is there to provide education and support through the process.” Participants will meet weekly for the first four months, twice a month for the next two months, and then monthly for six months. Throughout the program, participants track their progress by recording their meals and physical activity using food and exercise logs and being weighed at each meeting. Data gathered from participants are passed on to the YMCA’s national headquarters and the CDC. While the program does not include workout sessions, Lynn anticipates many participants will form friendships and find workout buddies among their classmates. “A lot of other associations have found out that groups bond and start doing things together,” says Reynolds. The Diabetes Prevention Program is open to adults ages 18 and older, and YMCA membership is not a requirement. The current plan, at least for the pilot program, is for local physicians to refer their patients to the program. That way, Reynolds explains, physicians can be updated on their patient’s progress and provide additional support. The YMCA wants to partner with Carilion Clinic and other local organizations to offer the program in the greater community, particularly in low-income areas such as Northwest and Southeast Roanoke. Reynolds says the Y is working on grants so they can provide financial assistance for those who can’t afford the $429 program fee. Some insurance plans might cover the program or reimburse participants.
Diabetes causes more deaths per year than breast cancer and AIDS combined. YMCA of the USA reports that between 2010 — when it started offering the Diabetes Prevention Program — and December 2014, more than 27,000 people participated in the program. Classes have been held at 1,095 different
RESEARCH SHOWS THAT YOU CAN LOWER YOUR
RISK FOR TYPE 2 DIABETES BY HALF IF YOU
+
+ www.OurHealthswva.com
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sites in 42 states. Participants have averaged a 4.6 percent decrease in body weight in the first four months of the program and a 5.6 percent decrease within 12 months. By the end of the program, they averaged 117 minutes of physical activity per week. While YMCA of Roanoke Valley can’t yet provide statistics, Lynn seems confident that the program will have a positive impact locally. “It’s really designed to empower the person and not just give them a lot of information, to walk through the process with them and support them along the way, to encourage them to take the reins and learn how to do this on their own so they’re successful. We want to reduce the risk of Type 2 diabetes so they can live healthier and more active lives. There’s been a lot of success with this program nationally,” Lynn says. More information on the YMCA’s Diabetes Prevention Program can be found at www.ymcaroanoke.org/preventdiabetes.take the reins and learn how to do this on their own so they’re successful. We want to reduce the risk of Type 2 diabetes so they can live healthier and more active lives. There’s been a lot of success with this program nationally,” Lynn says. More information on the YMCA’s Diabetes Prevention Program can be found at www.ymcaroanoke.org/preventdiabetes.
EXPERT CONTRIBUTER Ashley Lynn, the Chronic disease coordinator for YMCA of Roanoke Valley
RESOURCES American Diabetes Association – www.diabetes.org Centers for Disease Control and Prevention – CDC.gov
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HealthyEats Oliveto The Shoppes at West Village Open Monday - Saturday 10 am – 6 pm
540.725.1010 www.olivetooliveoil.com
Michele Castellano Senac’s
CRUNCHY KALE SALAD From the recipe book, As Old as Time. Find this book and more at Oliveto, located at The Shoppes at West Village.
Ingredients: Crunchy Kale Salad
Ingredients: Kale Dressing
1
1
apple, diced
2
cloves garlic
bunch kale, wash, remove tough stems and chop. Or use one 10 ounce bag of prewashed and cut kale
¼ small head red cabbage, chopped 1
cup nuts, toasted and chopped, such as cashews, walnuts, sunflower seeds
2
medium carrots, peeled and grated
1
tablespoon Oliveto Extra Virgin Olive Oil
Salt to taste
Directions: Combine all ingredients in a large bowl. Massage kale and cabbage until they start to soften. Set aside and make dressing.
¼ cup Herbes de Provence Olive Oil 2
teaspoons honey
1 ½ tablespoons Pomegranate Balsamic Vinegar 1
teaspoon curry powder or turmeric powder
Directions: Place all dressing ingredients in a food processor. Blend until smooth. To serve, gently pour over salad and toss. Let marinate for 30 minutes before serving.
Variations: Try adding Eureka Lemon Olive Oil for a lighter taste.
Oliveto Artisan Oils & Vinegars offers a wide range of both flavored and unflavored olive oils, as well as a variety of white and dark balsamic vinegars! Located off of 419 near Colonial Ave, Oliveto offers a convenient stop for all of your gourmet cooking needs! www.OurHealthswva.com
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HealthyEats
photography | LORRIE CASTELLANO
Michele Castellano Senac’s
SIZZLING SHRIMP From the recipe book, Time After Time. Find this book and more at Oliveto, located at The Shoppes at West Village.
Ingredients: (serves 4)
Directions:
1
pound medium shrimp, peeled and deveined
5
tablespoons Harissa Olive Oil
2
tablespoons Coconut Balsamic Vinegar
In a large skillet, heat Harissa Olive Oil over medium heat. Add garlic and saute for about one minute. Increase heat to high and add shrimp, Coconut Balsamic Vinegar and lemon juice. Saute until shrimp turn pink – about two to three minutes. Add salt and pepper to taste.
3
gloves garlic, peeled and minced
To serve, place in serving dish and top with parsley. Garnish with parsley sprigs and lemon slices. Serve immediately.
2
tablespoons fresh lemon juice3, plus lemon slices for garnish
Variations:
3
tablespoons fresh flat leaf parsley, chopped, stems removed, plus extra for garnish
Try Eureka Lemon, Persian Lime or Dill Olive Oil with Coconut Balsamic Vinegar. Or try Chipotle, Baklouti Green Chile or Garlic Olive Oil with Sicilian Lemon Balsamic Vinegar. Try substituting fresh dill for the parsley.
Oliveto Artisan Oils & Vinegars offers a wide range of both flavored and unflavored olive oils, as well as a variety of white and dark balsamic vinegars! Located off of 419 near Colonial Ave, Oliveto offers a convenient stop for all of your gourmet cooking needs! www.OurHealthswva.com
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HealthyEats
Michele Castellano Senac’s
photography | LORRIE CASTELLANO
BETTER THAN CANDY
SWEET POTATO BARS
From the recipe book, Time After Time. Find this book and more at Oliveto, located at The Shoppes at West Village.
Ingredients: (makes 16)
Directions:
Crust
Preheat oven to 375. Coat an 8 inch square baking dish with Butter Olive Oil. In a small bowl, combine ground graham crackers, almonds, cinnamon, orange zest and salt and mix together. Add Butter Olive Oil and mix until the ingredients are combined and crumbly. Then, place the mixture in the baking dish and press it firmly to the bottom of the pan. Bake for about 10 minutes or until set. Remove and set aside.
1
cup graham crackers, finely ground – about 8 graham crackers
¼ cup plus 2 tablespoons Butter Olive Oil, plus a drizzle to coat pan ¾ cup almonds, finely ground ½ teaspoon cinnamon ½ teaspoon orange zest, plus extra for garnish ¼ teaspoon salt Filling 2
large or 3 medium sweet potatoes, baked until soft
3
tablespoons Maple Balsamic Vinegar
1/3 cup plain yogurt 2
eggs, beaten
1
teaspoon Pumpkin Pie Spice
To make filling, remove sweet potato skins. Place potatoes in a large bowl and mash. Add Maple Balsamic Vinegar, yogurt, eggs and Pumpkin Pie Spice and blend thoroughly. Then, pour the filling over the crust, smoothing the top with a spatula. Bake for 25 minutes or until the filling is begging to pull away from the sides of the pan. Cool on a wire rack. When completely cooled, cover and refrigerate for 2 hours. To serve, cut into squares and place on plate. Garnish with orange zest.
Variations: Blood Orange, Eureka Lemon or Persian Lime Olive Oil work well with this recipe. Try a flavored yogurt, such as peach, pineapple, blood orange, pomegranate or apple. Dark Chocolate or Espresso Balsamic Vinegar will add depth to the flavor. For special presentation, top with whipped cream. Try baked pumpkin pie filling instead of sweet potatoes for a new twist.
Oliveto Artisan Oils & Vinegars offers a wide range of both flavored and unflavored olive oils, as well as a variety of white and dark balsamic vinegars! Located off of 419 near Colonial Ave, Oliveto offers a convenient stop for all of your gourmet cooking needs! www.OurHealthswva.com
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102OurHealth | The Resource for Healthy Living in Southwest Virginia
Breaking the Silence Surviving a Stroke words | SUSAN DUBUQUE research by | ARTHUR OLIVAREZ
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 OurHealth, we bring these medical issues into the light and dedicate these stories to the courageous patients and families living with them and the providers and researchers who commit their lives to treating and seeking cures for these silent killers.
Scott’s Story It started with subtle symptoms — little bouts of dizziness and headaches that would only last a few minutes. At first it only happened about once a week. Then two or three times a week. Finally, the spells became a daily occurrence. Scott Garrett, a busy industrial equipment supplier, spent long days driving throughout his sales territory that spanned from Gloucester to Chesapeake, calling on as many as 10 clients a day. “When the dizziness would hit, I would pull off the highway and rest for two or three minutes until it passed,” says Garrett. “I knew I should see a doctor to find out what was going on, but life and work just kept getting in the way.” On July 10, 2014, the daily grind came to a sudden halt when his wife, Keeley Garrett, found him lying on the floor at the foot of the stairs. When Scott Garrett was roused, he tried to convince his wife that he was just tired and was “lying on the floor resting.”
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Fortunately, Keeley Garrett is a nurse, and she was not fooled by Scott Garrett’s story. She checked his blood pressure, and when she discovered it was elevated, she insisted on calling 911. He was taken to a hospital close to the Garrett’s home. “I was asked to stay in the waiting area while Scott was being examined,” says Keeley Garrett. “By the time I was taken back into the exam room, Scott was chatting and laughing with the medical staff. He assured them that his only problem was a ‘touch of vertigo’ — which he had self-diagnosed on the Internet.” The hospital conducted an EKG, CT scan and physical examination and took his medical history but could not pinpoint any reason for Scott Garrett’s dizziness, so he was discharged from the hospital. “A few hours later, I felt that something was just not right. I know my husband better than anyone,” says Keeley Garrett. She called 911 again, and Scott Garrett was taken back to the hospital where a second CT scan revealed a small area of blockage in an artery in his brain. “Scott’s speech was now slurred, one side of his mouth seemed slightly twisted and he had vision problems. The scariest part was when Scott told me he could only see about a quarter of my face,” recalls Keeley Garrett. It was apparent that more advanced care was needed, and Scott Garrett was transferred by ambulance to a larger medical center. Additional tests showed that he’d had an ischemic stroke. Since too much time had passed, he was not able to receive clotbusting drugs to treat his stroke. “We were fortunate to be at a major medical center,” says Keeley Garrett. “The neurologist recognized what was going on and called in a neurovascular surgeon who was able to remove the blood clot in Scott’s brain through a catheter inserted through his upper leg.” Scott Garrett was admitted to the Neuroscience Intensive Care Unit and after a few days, he was transferred to the progressive care neuroscience floor. “We were all pretty amazed at how quickly he recovered,” says Keeley Garrett. “I was in a hurry to go home,” says Scott Garrett, “and that motivated me. When I first woke up, I couldn’t move my left arm or leg. But by the next morning I had feeling on that side of my body. I was anxious for the physical therapist to come help me walk.” “Scott’s short-term memory was impaired. But that only lasts for about two days,” says Keeley Garrett. “The doctors told me I had ‘the ‘trifecta’ — three major problems related to my stroke,” says Scott Garrett. The first was a patent foramen ovale — a small hole between the upper chambers 104
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of the heart. Millions of people have PFOs, and they typically cause no problems. Medical issues can occur when the blood leaking from the right to the left chamber of the heart contains a blood clot. The PFO doesn’t cause a stroke, but it does provide a portal where the blood clot can enter the circulatory system and travel to the brain. Scott Garrett’s second problem was a narrowing of the vertebral arteries that carry blood to the brainstem. “That’s what caused my dizziness and vertigo,” he says. “So, my Internet research wasn’t totally off base.” In only six days, Scott Garrett had improved enough to be discharged from the hospital. Unfortunately, he suffered a setback. His third problem was a blood clot in his leg called a deep vein thrombosis. “A few days after going home, I had to go back to the hospital to be treated for the DVT,” he says. “But once that was taken care of, a physical therapist came to the house twice and gave me exercises that I could do on my own to regain my strength. I was on my way.” By early September — less than two months after suffering a stroke and having brain surgery — Scott Garrett was back at work. “I started slowly, working mostly in the office,” he says. “But by the end of September, I was back to 100 percent.”
Scott Garrett with his wife, Keeley, and their daughters, Ebonee and Sidney.
“For a while, I would have little flashes of anxiety,” he admits. “For instance, if I stumbled over something, I would think, ‘Did I trip or is it another stroke?’” Thankfully, those moments of unease have passed. When the Garretts look back over Scott Garrett’s illness, they do so with a genuine sense of gratitude. “We were blessed that Scott received such good care every step of the way,” reflects Keeley Garrett. “We feel fortunate that we know what caused my stroke,” says Scott Garrett. “And we know what it will take to prevent it from happening again. I’ve made some changes for the better in how I live. I take my medication (Warfarin and a baby aspirin) every day to prevent blood clots. I get plenty of exercise by walking. And I actually lost some weight.” When it comes to living a healthy lifestyle, he refers to himself as “a work in progress.” And he learned another lesson. “If I could give any advice to others, it would be not to wait. And don’t rely on what you read on the Internet. If you’re not feeling right or if you have any symptoms of a stroke, get medical help right away. I was lucky not to have any permanent damage. But I have too much to live for. With a wonderful wife and our daughters, Ebonee and Sidney, I won’t ever take that for granted.”
What is a stroke? According to the National Stroke Association, a stroke is a brain attack that occurs when a blood vessel that carries oxygen to the brain bursts or is blocked by a clot. When the brain is deprived of oxygen, brain cells begin to die. A stroke can affect movement, speech, perception, memory or other mental and bodily functions. www.OurHealthswva.com
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How a person is affected by a stroke will depend on the area of the brain where the stroke occurs and the extent of the brain damage. Some people have very minor problems, like temporary weakness in an arm or leg, while others suffer significant impairment, including permanent paralysis on one side of the body or loss of the ability to speak. Many people make a complete recovery from a stroke, but more than two-thirds of those who survive have some type of disability. Stroke is the fifth-leading cause of death and the No. 1 cause of adult disability in the United States. Each year 800,000 people experience a new or recurrent stroke. Virginia is located in the “stroke belt” — a region in the southeastern U.S. that is recognized by public health authorities for having an unusually high incidence of stroke and other forms of cardiovascular disease. “There are different types of stroke,” says Andrew Wong, MD a neurologist with LewisGale Regional Health System. They include
Sidney Mallenbaum, MD, FAHA, is a neurologist with Carilion Clinic Neurology and assistant professor of neurology, Department of Internal Medicine at Virginia Tech Carilion School of Medicine. He is certified by the American Board of Psychiatry and Neurology
•
Ischemic strokes account for about 85 percent of strokes. They occur when the artery that supplies oxygen-rich blood to the brain becomes blocked.
•
Hemorrhagic stroke occurs when an artery leaks blood or a brain aneurysm ruptures. The leaked blood puts pressure on brain cells, which damages them.
•
Transient ischemic attack is caused by a temporary clot. TIAs produce stroke-like symptoms but do not cause lasting damage. A TIA is a warning sign and should be treated as a medical emergency to prevent a stroke from occurring.
Risk factors for stroke Anyone can have a stroke, but there are a number of factors that increase the chance of having a stroke. “Some risk factors cannot be controlled,” says Dr. Wong, “but you can take action to prevent a stroke by understanding and managing those factors that you can control.”
Risk factors that cannot be controlled
Andrew Wong, MD, is a neurologist with LewisGale Regional Health System. He is certified by the American Board of Psychiatry and Neurology.
•
Age – Although individuals of any age can have a stroke, the risk increases with age. The chance of having a stroke doubles every 10 years after age 55.
•
Gender – Stroke is more common in men than in women for most age groups. But women of all ages are more likely to die from a stroke, which kills twice as many women as breast cancer every year. Women also suffer greater disability than men after having a stroke.
•
Ethnicity – African Americans, Hispanics, Native Americans and Alaska Natives have a greater chance of having a stroke than do non-Hispanic whites or Asians. African Americans have a greater chance of having a stroke, in part due to their higher prevalence of high blood pressure, diabetes and sickle cell disease.
•
Family history – Stroke risk increases if a family member (parent, grandparent or sibling) has had a stroke or a heart attack at an early age.
Medical risk factors that can be managed •
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Hypertension – Hypertension, or high blood pressure, can cause both ischemic and hemorrhagic strokes. Many people don’t know they have high blood pressure, so regular blood pressure checks are essential. Eat a balanced diet, maintain a healthy weight and exercise regularly to help reduce blood pressure, and talk with your healthcare provider about medication if needed. Maintaining
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blood pressure below 140/90 can reduce the risk of stroke by as much as 25 percent. •
Diabetes – Individuals with diabetes are up to four times more likely to have a stroke than those who don’t. In part, this is because people with diabetes often have other risk factors for stroke, such as high blood pressure and high cholesterol. “Diabetes can be controlled by losing weight, exercising, changing your eating habits and, if needed, taking oral medications or insulin shots,” says Dr. Wong.
•
Cholesterol – Cholesterol is the fatty substance in the blood. It is produced by the liver and found in certain foods. If we take in more cholesterol than the body can use, the extra cholesterol can build up in the arteries, including those of the brain, which can lead to narrowing of the arteries, stroke, heart disease and atherosclerosis. Cholesterol levels can be checked with a simple blood test. “Studies show that lowering your LDL (bad) cholesterol to below 70 is nearly as important as maintaining a low blood pressure level when it comes to reducing you risk of stroke,” says Dr. Wong. Healthy eating, exercise, fish oil supplements and medications can help lower cholesterol.
•
Heart disease – Certain heart disorders can increase the risk for stroke because plaque builds up in the arteries and blocks the flow of oxygen-rich blood to the brain. Other heart conditions, such as heart valve defects, irregular heartbeat — including atrial fibrillation — and enlarged heart chambers can cause blood clots that could break loose and cause a stroke.
•
Sleep apnea – Sleep apnea usually is a condition that disrupts sleep when an individual’s breathing www.OurHealthswva.com
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pauses or becomes shallow during sleep. People with sleep apnea might snore loudly and wake up gasping or choking. They might also feel sleepy and lack energy during the day. “These symptoms are more than just annoying,” says Dr. Wong. “Sleep apnea can increase your risk for stroke.” •
Preventative Care Well/Sick Visits Minor Injuries Disease Management Including Patient Education Plans Serving VA Premier Members of All Ages
Prior stroke or TIA – An individual who has had a stroke is at increased risk for having another one. Someone who has had one or more TIAs is almost 10 times more likely to have a stroke than someone of the same age and gender who has not. It is important to recognize and treat a TIA as a medical emergency in order to reduce the risk of a major stroke.
“About 80 percent of strokes are preventable,” says Dr. Wong. “You can reduce your risk of having a stroke through lifestyle changes. There are some basic guidelines that I recommend to my patients.” They include: •
Quit smoking. Smoking doubles the risk of stroke and is even higher among women who smoke and take oral contraceptives. It increases clot formation and plaque buildup in arteries, and it thickens the blood. If you smoke, try to quit. If you can’t quit on your own, ask your doctor about stop-smoking aids like nicotine patches, counseling and smoking cessation programs.
•
Use alcohol in moderation. Drinking too much alcohol can elevate blood pressure and increase your risk of stroke. “If you drink, do so in moderation,” recommends Dr. Wong. “No more than two drinks a day for men and one drink a day for women.”
•
Eat healthy. Eat a variety of nutritious foods from all the food groups. Vegetables and fruits are high in vitamins, minerals and fiber, and they’re low in calories. Unrefined whole-grain foods contain fiber that can help lower blood cholesterol and help you feel full, which may help you manage your weight. Recent research shows that eating oily fish containing omega-3 fatty acids — including salmon, trout and herring — may help lower your risk of death from heart disease or stroke.
•
Exercise. “Exercise is a huge factor in reducing your stroke risk,” says Dr. Wong. “You don’t have to run a marathon or complete an Ironman. Walk or do other physical activities for at least 30 minutes each day. You will lower your risk for heart disease, hypertension, diabetes and stroke.” But before you start, check with your doctor.
•
Maintain a healthy weight. To lose weight, use more calories than you eat every day. Before starting a diet, check with your doctor.
Signs and symptoms of a stroke According to the American Stroke Association, someone in the 108
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U.S. suffers a stroke every 40 seconds. The warning signs of stroke can be subtle and often going unnoticed by the individual experiencing symptoms and the people around them. “A stroke is a medical emergency,” says Dr. Wong. “Learn the signs, and if you or a loved one experiences these symptoms, seek help immediately. Often people wait, hoping the symptoms will pass.” Treating a stroke within three hours is vital to avoiding serious and permanent damage. An ischemic stroke, caused by a blocked artery, can be reversed 85 percent of the time if treatment is initiated in a timely manner.
Here is a simple, easy-to-recall acronym to help identify the signs of stroke: BE FAST
B
Balance
E
Eyes and Vision
F
Face Drooping
How is stroke diagnosed and treated? When a patient arrives in the emergency department with an apparent stroke, accurate diagnosis is the vital first step, says Sidney Mallenbaum, MD, medical director of the Stroke Center at Carilion Roanoke Memorial Hospital. “The type of stroke — ischemic caused by a clot or hemorrhagic resulting from a leaky or ruptured blood vessel — will dictate the appropriate treatments,” says Dr. Mallenbaum. “A CT scan typically will be done to show if a stroke has occurred and the location and type of the stroke. The CT scan may be normal in the first few hours after an ischemic stroke starts; therefore, blood work and a clinical evaluation are also important parts of the diagnosis.” The gold standard for treating ischemic strokes is tissue plasminogen activator, commonly referred to as “tPA.” This clot-busting drug, given through an IV, must be administered within three hours of the onset of symptoms — up to four and a half hours in certain circumstances. The tPA dissolves the blood clot and improves blood flow to the brain, which can improve the chances of recovering from a stroke. “This is why it is important to identify a stroke immediately and call 911,” advises Dr. Mallenbaum. “Every minute that a stroke goes untreated can result in up to 2 million brain cells dying. “Another treatment option is an endovascular — within the blood vessels — procedure called ‘mechanical thrombectomy,’” says Dr. Mallenbaum. A neurosurgeon, interventional radiologist or endovascular-trained neurologist will attempt to remove a large blood clot by sending a stent retriever that resembles a tiny wire cage to the site of the blocked blood vessel in the brain. The doctor threads a catheter through an artery in the groin up to the blocked artery in the brain. The stent opens and grabs the clot, and the physician removes the stent with the trapped clot. This procedure should be done within six hours of acute stroke symptoms. “Hemorrhagic strokes may be treated in several ways. If you’re taking blood thinners and have a hemorrhagic stroke, you’ll be taken off the medication,” says Dr. Mallenbaum. Medications
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The severe, sudden onset of balance problems and ataxia; a lack of voluntary muscle movement.
Unusual trouble with sight in one or both eyes.
Numbness or tingling of the face; a crooked or uneven smile.
Arm Weakness or Leg Numbness Weakness, numbness or tingling on one side of the body.
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Speech Difficulty Trouble speaking or understanding words; slurred or garbled speech.
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Time to Call 911 Even if symptoms appear temporarily, call 911 immediately. Survive, don’t drive. Make note of the time the symptoms first appeared. Remember, time is brain.
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“Once a patient is stabilized from the initial assault of a stroke, it is important that we understand the reason for the stroke,” explains Dr. Mallenbaum. “That way we can take steps to reduce the risk of a recurrence.”
to reverse the blood thinner’s effects and to lower blood pressure might be prescribed. A leaky or ruptured blood vessel (aneurysm) can be repaired with endovascular embolization, or “coiling.” Similar to the process used to remove a clot, a catheter is threaded through an artery in the groin or arm to the brain, and a tiny platinum coil is inserted to block or reduce the flow of blood. The blood then clots around the coils, essentially sealing the leak. “Once a patient is stabilized from the initial assault of a stroke, it is important that we understand the reason for the stroke,” explains Dr. Mallenbaum. “That way we can take steps to reduce the risk of a recurrence. For example, taking one baby aspirin a day may reduce the risk of a recurring stroke by as much as 25 percent.” (Note: Taking baby aspirin should only be done under the direction of a physician.)
Treatment continues Treatment for stokes can continue for many months following the initial event to help patients regain as much function as possible and learn skills to compensate for any lasting deficiencies. “Stokes can result in physical, sensory, communication, cognitive and emotional deficits,” says Dr. Mallenbaum. Stroke survivors can experience muscle weakness or paralysis, typically on one side of the body. Physical and occupational therapy could be prescribed to help patients regain mobility, dexterity and the skills of daily living, such as dressing, feeding, tying shoes and the like. Speech therapy can be useful for treating communication deficits, including the inability to understand or produce speech correctly (aphasia), slurred speech due to weak 110
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muscles (dysarthria), difficulty in programming oral muscles for speech production (apraxia) and problems swallowing (dysphagia). A speech therapist can also help patients with exercises to improve cognition, including memory, attention, problem-solving, reasoning, following directions, initiating activity and comprehension.
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“Thanks to the plasticity of the brain — particularly among younger stroke patients —individuals may be able to regenerate some capabilities,” says Dr. Mallenbaum. Plasticity refers to the brain’s ability to repair and reorganize cells; healthy brain cells take over jobs that were previously carried out by brain cells that were destroyed by creating new pathways to unaffected parts of the brain. Addressing the physical effects of stroke is only part of the journey back to health. Stroke patients might also need support and treatment for mental health problems that can include extreme mood fluctuations or inappropriate emotions, such as laughing when something isn’t funny or crying for no apparent reason. Stroke survivors might mourn the loss of capabilities and should be screened and, if needed, treated for depression. And the patient is not the only person affected by a stroke. “Caregivers must also cope with dramatic changes in their lives, such as the loss of a husband as they once knew him or an older mother now caring for her onceindependent middle-aged child,” says Dr. Mallenbaum.
What does the future hold? “Medical and surgical treatments for patients with stroke are rapidly developing,” says Dr. Mallenbaum. Following are a few of the advances that suggest new hope for stroke patients: www.OurHealthswva.com
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“No matter how far we go in developing new techniques for diagnosis and treatment of stroke, prevention is still the best medicine. That is where our focus should be,” says Dr. Mallenbaum. “We can make major strides in reducing the devastating effects of stroke by understanding and managing the controllable risk factors.”
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Research studies published in the New England Journal of Medicine in 2015 found that ischemic stroke patients who were treated within six hours of the start of symptoms with both tPA and a clot-removal device had significantly better outcomes than patients treated with tPA alone.
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Researchers at the University of Texas-Dallas are conducting early studies of a new treatment to aid in the recovery of limb function after a stroke. Vagus nerve stimulation is an FDA-approved method for treating various illnesses such as depression and epilepsy. It involves sending a mild electric pulse through the vagus nerve, which causes the release of chemicals in the brain (neurotransmitters) that enhance learning and memory. It is hoped that vagus nerve stimulation will support neuroplasticity — the brain’s ability to change its neural circuitry — leading to long-lasting improvement in function for stroke patients.
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When the brain is deprived of oxygen during a stroke, brain cells die. A second wave of brain injury can occur when excess amounts of toxic chemicals are released in the brain following a stroke. Researchers from the National Institute of Neurological Disorders and Stroke are studying the mechanisms underlying this secondary assault, which involves inflammation, toxicity and a breakdown of the blood vessels that provide blood to the brain. From this research, scientists hope to develop neuroprotective agents to prevent secondary damage.
“No matter how far we go in developing new techniques for diagnosis and treatment of stroke, prevention is still the best medicine. That is where our focus should be,” says Dr. Mallenbaum. “We can make major strides in reducing the devastating effects of stroke by understanding and managing the controllable risk factors.”
MEDICAL EXPERTS Sidney Mallenbaum, MD, FAHA, Medical Director, Primary Stroke Center, Carilion Roanoke Memorial Hospital, Associate Professor of Neurology, Department of Internal Medicine, Virginia Tech Carilion School of Medicine Andrew Wong, MD, Neurologist, LewisGale Regional Health System
RESOURCES
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American Stroke Association – www.strokeassociation.org Centers for Disease Control and Prevention – www.CDC.gov National Institute of Neurological Disorders and Stroke – www.NINDS.NIH.gov National Stroke Association – www.stroke.org RESEARCH ASSISTANT Arthur Olivarez, Virginia Commonwealth University
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