OurHealth Roanoke & New River Valleys Jun/Jul 2014 Edition by OurHealth Media LLC

table of contents | june • july 2014

Men and Health: Coaches who

Practice what They Teach MEDI•CABU•LARY.....................12 Local experts define health related terms

Study the opponent. Recognize your weaknesses. Practice to become better. For VT’s Frank Beamer, LU’s Dale Layer, and VCU’s Shaka Smart, this philosophy is not only one each applies on the court or field, but also in their lives.

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

THE ANATOMY CHALLENGE................................. 23 How much do you about our anatomy? In this issue, test your knowledge when it comes to the respiratory system!

ANATOMY: .................................... 24 Summer Allergies: Recognize the symptoms and ease your suffering

MEN’S CHART FOR HEALTHY AGING........................ 44 hello, HEALTH!.............................. 46 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

FIT BITS!........................................ 50 Health and Fitness On-the-Go: ABSolutely AWESOME Abs

Blue Ridge Best of:

Retirement Living Awards

Results Announced in the August/September 2014 Issue

OurHealth | The Resource for Healthy Living in Greater Southwest Richmond Virginia

The Resource for Healthy Living in Southwest Virginia

100 Happy Days Change Roanoke Woman’s Life Perspective

Peek Inside a Family Living with ADHD

GIVING TO THE COMMUNITY................................57 What Makes You Happy? 10 activities to jump-start your happy journey

NUTRITION...................................61 FEATURING HEALTHY, FRESH, LOCAL INGREDIENTS: Healthy on the Grill—Bison Burger with Fresh Lettuce and Tomato, Grilled Sweet Corn and Watermelon Sorbet

MEN, WOMEN, AND THE TOTAL BODY................................. 82 Magnificence and Miracle: Olympic Gymnast Shannon Miller springs back from ovarian cancer

LOOKING BACK........................... 90 Images reflecting the history of healthcare in Southwest Virginia * PLUS * a chance to win prizes!

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The Resource for Healthy Living in Southwest Virginia

june • july 2014

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PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION PROJECT COORDINATOR CHIEF DESIGNER WEBMASTER

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Susan Sheppard Deidre Wilkes Karrie Pridemore Next Generation Design

CONTRIBUTING MEDICAL EXPERTS

Chelsea Arner, NASM Mark Currie, MD William Z. H’Doubler, MD, FACS Kenneth Luckay, DO Thomas R. Milam, MD, MDiv, FAPA Michele D. Mills, DMD

CONTRIBUTING PROFESSIONAL WRITERS

C. Ruth Ebrahim Rich Ellis Tricia Foley, RD Tina Joyce Lynette Mutter Laura Neff-Henderson, APR Deidre Wilkes

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

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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 305 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Information in all print editions of Our Health and on all Our Health’s websites (www.ourhealthvirginia.com and www.ourhealthrichmond.com) social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2014 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. The OurHealth Southwest Virginia edition is published seven times annually by McClintic Media, Inc. 305 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. www.ourhealthvirginia.com | www.ourhealthrichmond.com | Advertising rates upon request.

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

What is agoraphobia? “Agoraphobia is a symptom of anxiety in which a person fears being in a particular place or situation where he or she might not be able to leave or escape without significant difficulty or embarrassment or without having an anxiety or panic attack. Common situations in which people experience agoraphobia include being in crowds, traveling in a car, bus or airplane, or leaving a safe place such as one’s home. Agoraphobia is frequently associated with panic attacks and can manifest physical symptoms such as flushing, racing heartbeat, sweating and shortness of breath, as well as mental symptoms such as feeling detached from reality, fear of going crazy or fear of dying. Agoraphobia can be a very frightening experience, but it is also generally very treatable. People who experience agoraphobia or similar symptoms of anxiety should talk to their healthcare provider about treatment options including relaxation techniques, psychotherapy and/or medications.” Thomas R. Milam, MD, MDiv, FAPA

Associate Program Director, Psychiatry, Carilion Clinic Assistant Professor, Department of Psychiatry and Behavioral Medicine, VTC School of Medicine and Research Institute

OurHealth | The Resource for Healthy Living in Southwest Virginia

What is the difference between acute kidney injury and chronic kidney injury? Acute kidney injury involves a discrete insult which results in sudden and often reversible kidney dysfunction. Acute injury can occur as a result of decreased blood flow to the kidney. A major illness such as a heart attack or a severe infection can cause low blood pressure which decreases kidney blood flow and subsequently kidney function. Ingestion of a drug or other agent that is toxic to the kidney can lead to acute injury. This type of injury can occur after administration of intravenous dye given for certain radiologic studies. Chronic kidney injury is a condition where a long standing medical problem such as poorly controlled diabetes or hypertension leads to irreversible damage to the kidney. This usually occurs over a period of years. The condition is not typically reversible and often requires treatment via permanent dialysis or kidney transplantation. William Z. H’Doubler, MD, FACS Jefferson Surgical Clinic Roanoke | 540.345.2112 www.jeffersonsurgical.com

What does TIBC mean? TIBC (total iron binding capacity) is an indirect measurement of transferrin, the main protein transporting iron in the blood. In combination with the “serum iron” one can calculate the “%saturation” of transferrin with iron. In healthy people who are iron deficient, the TIBC is high and the %saturation is low (typically <10%). The %saturation may also be low in people who are sick, but then the TIBC is usually reduced as well. When the %saturation is fairly high, it may indicate a condition where a person is absorbing too much iron, which may be harmful in the long run. Such a finding may lead to further tests, including genetic testing for such a condition. In people who are not sick the serum ferritin is correlated with iron stores as well, being low in folks who are iron-deficient, and elevated in those with too much iron. These tests are thus best interpreted by physicians familiar with the patient’s current health, including any of the conditions that may affect the values. Mark Currie, MD

Hematology/Oncology LewisGale Physicians Salem | 540.772.3411 www.lgphysicians.com

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

What are fillings and crowns made of ? The two most common types of filling material are “silver” amalgam and “tooth colored” composite resin. Amalgam is an alloy of silver, copper, tin and mercury. This has been safely used since the 1800’s to restore teeth of more than 100 million Americans. Composite fillings are composed of primarily of resin and silica. Composites are chosen to restore teeth more often than amalgam for esthetics and bond strength. Composites bond to the tooth to protect it and increase its overall strength. Amalgams are primarily chosen to reduce cost. Crowns can be made of metals, porcelain, gold, resins, porcelain fused to metal and all-ceramic. Crowns are used to restore broken teeth, replace missing teeth with a bridge or in preparation for other restorative needs such as a partial denture. Your dentist will give you options to restore you teeth and help you decide which material is the best choice for your needs. Michele D. Mills, DMD

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

What can be done to prevent exercise-related muscle cramps? You’re enjoying your workout and then BAM! You get a muscle cramp! Typically, you will experience an exercise-related cramp during/after a vigorous exercise routine or when you move in a way that shortens a muscle. When excessive stress is put on a muscle, your nervous system can lose control over it in turn causing a muscle cramp. Fortunately, muscle cramps can be prevented. How? In short, stay well hydrated, take a multivitamin, warm-up, and always stretch. Your body can easily become dehydrated through sweating. So drink things such as water and Gatorade before, during, and after your workout. Having a deficiency in vitamins B-1, B-5, and B-6 can increase your chances of muscle cramps. It’s best to get these vitamins from food, but if you can also add a multivitamin to your daily routine. Warm-up your muscles for 5-10 minutes before you engage in a high-intensity workout. Also, be sure to stretch after your workout as it reduces muscle fatigue. Chelsea Arner, NASM

Wellness Supervisor Green Ridge Recreation Center 7415 Wood Haven Road Roanoke | 540.777.6310 www.roanokecountyparks.com

OurHealth | The Resource for Healthy Living in Southwest Virginia

What is Testosterone Replacement Therapy? Androgen replacement therapy (ART), most commonly referred to as testosterone replacement therapy (TRT), is a hormone treatment often prescribed to counter the effects of male andropause. The proper scientific term is PADAM, an acronym for Progressive Androgen Deficiency of the Aging Male. Both men and women experience effects of lowered hormones as they age such as fatigue, weight gain, sleep and mood problems as well as lower sex drive. Androgen replacement is administered by patch, tablet, pill, cream or gel; or depot injections given into fat or muscle. Testosterone levels can be measured by a laboratory blood test ordered by a health care provider. Most men seek treatment when they are not happy with the lower quality of life they are experiencing. With treatment, most find a return to their former strength, energy and stamina as well as renewed interest in life. Muscle mass often increases while body fat decreases with replacement therapy. Only your health care provider can advise you if this is an appropriate treatment if you have other health issues or concerns. Kenneth Luckay, DO

CMWL Roanoke www.centerformedicalweightloss.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

Joseph Moskal, MD, receives lifetime achievement award from the Virginia Orthopaedic Society At its annual meeting in Roanoke, the Virginia Orthopaedic Society (VOS) presented Dr. Joseph Moskal, Chief of Orthopaedic Surgery at Carilion Clinic, with the Virginia Orthopaedic Society Lifetime Career Award. The award is granted to an individual who has made a major impact on the practice of orthopaedic surgery in Virginia. The award also recognizes Dr. Moskal’s career of service to his patients, and support of orthopaedic surgeons throughout the Commonwealth. Dr. Moskal joined the Medical Staff of Carilion Memorial Roanoke Hospital in 1988. Since becoming Chief of Orthopaedics in 2010, Dr. Moskal has been instrumental in expanding Orthopaedic Services. He will become Chair of the newly created Department of Orthopaedics at Carilion Clinic on June 1. 2014. Dr. Moskal is Professor of Surgery at the Virginia Tech Carilion School of Medicine and Associate Professor at UVA and VCOM. He has 75 publications referenced in journals and 25 published abstracts. In addition, he has contributed 18 scientific exhibits at national meetings. He is a highly respected teacher having been an instructor in national courses or a guest speaker on more than 1,000 occasions. He currently serves as Chairman of the American Academy of Orthopaedic Surgeons’ Exhibits Committee.

Governor Appoints Salem Native to the Virginia Board of Health Governor Terry McAuliffe appointed Salem-native Tommy East to the Virginia Board of Health last month. East is the president and chief executive officer for American HealthCare, LLC in Roanoke. American HealthCare is the management company for 17 Heritage Hall Healthcare and Rehabilitation Centers throughout Virginia. East is a 30-year veteran of eldercare, having managed nursing facilities and assisted living facilities, and worked in home health and hospice. He has also served on the board of directors and the executive board for the Virginia Health Care Association. The Virginia Board of Health is a state agency that works to improve the health and well being of all Virginians. Its main functions include reviewing regulations and making them publicly known, identifying health related issues and formulating policy, and advising the governor on public health policy issues.

Carilion Clinic Now Offering Specialty Services in Wytheville Carilion Clinic is pleased to announce that specialists in cardiology, vascular care, gastroenterology, and orthopaedics are now available to care for patients in two locations in the Wytheville area. At the Holston Road Medical Park location, specialists in cardiology (Sandeep Ravi, M.D.), vascular surgery (Ashish Raju, M.D.), and gastroenterology (Anne Elizabeth Bush, M.D.) are accepting new patients and will see current patients there, if it is more convenient. Joining Charles Harris, M.D., general surgeon, at the family medicine location on West Ridge, is orthopaedist Robert Stephenson, M.D. “Our highly trained and experienced team of providers is committed to delivering advanced care to our patients in western Virginia,” said Owen Perkins, regional director. “Carilion Clinic is excited to have expanded our specialty care to the Wytheville community and we appreciate the partnership we have with Dr. Richard Happel to improve the quality and availability of healthcare services in this area.” Dr. Happel, a longtime cardiologist in Wytheville, is happy to have Carilion Clinic specialists in the area to bring their clinical expertise to the community, “The real winner here will be the patients who will be able to access these services close to where they live.” Location information: Family Medicine 1375 West Ridge Road Wytheville, VA 24382 Holston Road Medical Park 1150 Holston Road Wytheville, VA 24382 To make appointments for general surgery, vascular surgery and cardiology, call 844.252.2268. For gastroenterology, call 877.495.9405. For orthopaedics, call 540.731.2436.

OurHealth | The Resource for Healthy Living in Southwest Virginia

Commonwealth Dental Clinic Now Open Commonwealth Dental Clinic, a new dental office designed to fill a surprisingly large void in dental care, is now open in Roanoke. Over 33,000 adults in Roanoke City alone do not have access to dental care because of financial reasons, and rely on charity or Medicaid for their dental care. (US Census Bureau 20082010, Roanoke Valley Community Health Needs Assessment 2012). Oftentimes, patients must travel out of town or wait long periods of time in pain and poor dental health before they can find someone to help them. Charity clinics and hospital systems are heavily relied upon, but cannot come close to keeping pace. The number of private practices serving this community need is very limited. Conceived by Dr. Greg Harvey and Josh Nelson of Blue Ridge Dental, Commonwealth Dental Clinic will seek to fill this void in care. “Our offices frequently field calls from patients asking if we provide Medicaid services, and we’ve always had to apologize and say no. We didn’t even know who or where to refer them to” says Josh Nelson, VP/

GM of Blue Ridge Dental Group. Dr. Harvey and Mr. Nelson determined that a financially sustainable clinic (requiring no government grants or volunteer work) was a viable option. Mr. Gary Helton, formerly of Carilion’s Dental Clinic, has since joined the leadership team to manage the clinic. Commonwealth Dental Clinic will open in a newly renovated and technologically up-to-date facility conveniently located between Downtown Roanoke and Carilion’s Roanoke Memorial Hospital at 1121 S. Jefferson Street. Dr. Greg Harvey and Dr. Tom Gallaher (of Blue Ridge Dental Group’s Salem office) will be providing Dental Medicaid services such as comprehensive and emergency exams, digital x-rays, extractions, and infection control. Low cost dentures will also be available, but is not a covered service by Medicaid. These services are also available to non-Medicaid patients, at significantly reduced fees. The clinic is also in talks with a couple local Orthodontists, and is working towards offering Orthodontics for Medicaid patients. DentaQuest (managers of Virginia’s Dental Medicaid) and the Commonwealth Dental

Clinic look to build a strong relationship to ensure the clinic can continue to serve the Roanoke Community. By streamlining treatment authorizations, building awareness for care, and working to reduce costs, DentaQuest and Commonwealth Dental Clinic share a goal to see more patients and offer quality care quickly. The clinic plans to be open Monday thru Saturday, 8-5. Appointments can be made by calling 540.685.0028. For more information about Commonwealth Dental Clinic, please visit www.CommonwealthDentalClinic.com.

Correction In the cover story of the April/May 2014 Southwest Virginia edition of OurHealth, Carilion Clinic’s Life-Guard helicopter patient transport was mistakenly called LifeFlight. Currently, Carilion’s Life-Guard helicopters are based in the Roanoke Valley region, the New River Valley region, and in Lexington.

www.OurHealthVirginia.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

LewisGale Regional Health System Appoints New Leaders LewisGale Regional Health System is pleased to announce the appointment of three hospital leaders to its senior leadership team – each with more than 25 years of healthcare experience. Loressa Cole, DNP, MBA, RN, NEA-BC, FACHE, began her new role as Chief Nursing Officer for LewisGale Medical Center and Chief Nurse Executive (CNE) for LewisGale Regional Health System in early April. Richard Embrey, MD, MBA, has been appointed to Chief Medical Officer (CMO) for the market and assumed his position as of May 1. Michael Abbott, Pharm.D., MBA, BCPS, will serve as the new Chief Operating Officer (COO) for LewisGale Medical Center also effective as of May 1. The new CNE Loressa Cole has nearly 30 years of experience with HCA, LewisGale’s parent company. For eight of those years she served as the Chief Nursing Officer (CNO) for LewisGale Hospital Montgomery and most recently as the Interim CNO for LewisGale Medical Center. She spent most of her career at Retreat Doctors’ Hospital in Richmond where she held various leadership roles. Loressa currently serves as the President of Virginia Nurses Association. She is also founding member of the Virginia Partnership for Nursing. Loressa has a bachelor’s degree in nursing, a master’s degree in business administration, and a doctorate in nursing practice (DNP) from Case Western Reserve University. She also holds Fellow status with American College of Healthcare Executives and is certified through American Nurses Credentialing Center as a Certified Nursing Executive, Advanced. Loressa replaces Charlotte Tyson who was promoted to Chief Executive Officer for LewisGale Hospital Alleghany. The new CMO Dr. Richard Embrey has a wealth of healthcare experience both in management and as a physician. He most recently served as the Chief Medical Officer of Princeton Baptist Medical Center in Birmingham, a 499-bed teaching hospital that serves as a referral center for Baptist Health System. Prior to this position, he practiced academic cardiothoracic surgery for more than twenty years and served as a faculty member at several universities. Dr. Embrey is board certified in general and thoracic surgery and is a Fellow of the American College of Surgeons. He earned both his undergraduate and medical degrees from The Johns Hopkins

Lisa Teegarden-Cabay, PhD, LCP

Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

OurHealth | The Resource for Healthy Living in Southwest Virginia

Left to Right: Michael Abbott, Pharm.D., MBA, BCPS—Chief Operating Officer; Richard Embrey, MD, MBA—Chief Medical Officer; Loressa Cole, DNP, MBA, RN, NEA-BC, FACHE—Chief Nursing Officer

University and his masters of business administration from the Fuqua School of Business at Duke University. Dr. Embrey replaces Dr. Gary Winfield who was promoted to a new position within HCA. The new COO Michael Abbott has been part of the LewisGale family for 23 years, serving in various leadership roles including Director of Pharmacy and both Assistant Vice President and Vice President of Surgical Services, and most recently as the Vice President of Oncology Services. Michael is also active in several professional and community organizations including the Board of Trustees for the Science Museum of Western Virginia, the SWVA planning council for the American College of Healthcare Executives and the Bradley Free Clinic where he serves on the Board of Directors and as a volunteer pharmacist. Michael has both a bachelor’s degree and doctorate in Pharmacy, and a Master of Business Administration from Averett University. Mike replaces Bill Caldwell.

Wesley Brusseau, LCSW

Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

M. Disa Allen, DDS

Tejal Raju MD

Cave Spring Dental Arts Virginia Interventional Pain Roanoke | 540.774.0061 and Spine Centers www.CaveSpringDentalArts.com Christiansburg | 540.251.3472 www.vapainsc.com

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

Fun Facts ABOUT SOME

FAVORITE

Healthy Activities: Walking: On average, every minute you walk extends your life by one and a half to two minutes.

Swimming: According to the Centers for Disease Control and Prevention, swimming is the second most popular sports activity in the United States.

Cycling: According to Bikes Belong, a bicycleindustry group, the health benefits of cycling are 20 times greater than the safety risks.

Zumba: Zumba was created in the mid1990s when fitness instructor Alberto “Beto” Perez went to teach a group aerobics class and forgot his music. He improvised, using the salsa and merengue tapes he had in his backpack, and a craze was born.

Jumping Rope: Jumping rope involves almost every muscle in your body.

be performed by people of

all age groups, and is helpful in offering an excellent workout, targeting all of the muscle groups of the body. It is a great

choice for those who suffer from arthritis or multiple sclerosis (MS). The buoyancy of the water assists in supporting body weight, and reducing impact on joints. Water aerobics provides additional health benefits: • Strengthens muscles

Yoga: Yoga is thought to have started in India approximately 5,000 to 6,000 years ago.

• Aids in weight loss

Weight Training: Free weights

• Reduces impact on joints by up to 90%

build muscle mass faster than weight machines. That’s because your muscles must balance free weights on their own, without assistance from the machine. Source: An excerpt from an article on www.everydayhealth.com by Beth W. Orenstein Medically reviewed by Farrokh Sohrabi, MD

Water Aerobics can

OurHealth | The Resource for Healthy Living in Southwest Virginia

• Improves range of motion • Reduces risk of injury

• Improves flexibility • Improves cardiovascular endurance

ON THE WEB

More at ourhealthvirginia.com

Stressed Out

‘Laughter is the best medicine’ as the old saying

at Work? L O L

goes. One of the reasons that it is so good for you is because it is a very effective way of reducing stress. It has been reported that the average person laughs out loud 17 times a day, but people under stress probably laugh a lot less - so you need to change that.

h (Laug

out L

Make a joke of the stressful

situation and laugh about it with oud)!

your colleagues if you can. That will help to build your working relationships as well as relieving everybody’s stress. Or if that is not appropriate, view one of the top 10 funny videos on YouTube, or keep a book that you find hilarious in your desk. If you feel that there is no way that you could laugh right now, then smile. Fake a smile if you need to. It will make you feel better and reduce the tension for everybody.

Eat Local. Live Better. Make it

Happen Downtown.

Summer Hydration

Tips for Workouts

Know the signs. How can you tell if your body is well-hydrated? If your urine is pale, and you require a restroom break at least six times a day, you are probably doing a good job.

Stay hydrated with water during moderate exercise. For a

Wondering what you’ll have for dinner tonight? Try something that tastes fresh, is healthier for you and supports the region’s economy. The Historic Roanoke City Market brings an enticing array of fresh fruits, vegetables, flowers, and plants during growing season. The market even boasts a variety of fresh meat, cheeses, and baked goods.

For More Information, contact the Market Manager at 540.342.2028 ext.15. Where to find the City Market Location: In the heart of Downtown Roanoke at the intersection of Campbell Avenue and Market Street. Hours: Market hours are 8:00am–5:00pm Monday–Saturday and 10:00am–4:00pm on Sunday, although many vendors use Sunday, Monday and Tuesday for planting, picking, and preparing items for sale.

moderate hour-long workout, you should consume 4 to 6 ounces of water for every 15 minutes of exercise. If your taste buds need a change of pace every so often, seek out a low-calorie sports drink or sugar-free flavored water option—or add a slice or two of lemon or lime to your water bottle.

Get a head start on hydration. If you are an early morning exerciser, keep in mind that your body is already in a somewhat dehydrated state when you wake up. Be sure to drink at least 8 ounces of water before you begin your workout.

Consider drinking a sports drink. If you exercise for longer than 60 minutes at a high intensity, or you work out in extreme conditions, consider using a sports drink during and after your workout to replenish your body with the fluid, nutrients and electrolytes it requires. There is a true science behind fluid replacement during exercise, and sports drinks are formulated to meet the needs of athletes.

Beware of energy drinks.

Popular energy drinks are very different from sports drinks. They are full of caffeine and sugar, and can be dehydrating instead of thirst-quenching.

The Anatomy Challenge is proudly sponsored by

the

Anatomy CHALLENGE Hereâ&#x20AC;&#x2122;s your chance to see how much you know about the respiratory

system!

First, find all the hidden words in the

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

[ the respiratory system ]

WORD SEARCH

______________ ______________ ______________ ______________

nasal cavity

oral cavity

nostril

pharynx

larynnx

left main bronchus

trachea

bronchi

right main bronchus

alveoli

left lung

right lung

ribs

diaphragm

______________

______________ ______________

______________

Jefferson Surgical Clinicâ&#x20AC;&#x201D;Ear Nose & Throat 1234 Franklin Road, S.W. | Roanoke, VA 24016 | 540.283.6000 www.OurHealthVirginia.com

Summer

ALLERGIES

Recognize the Symptoms and Ease Your Suffering

words | RICH ELLIS

Some people experience allergies only in the summer, others only in the spring or fall, and still others suffer from spring through fall. But why are some people fortunate to never exhibit any allergy symptoms, while others are forced to sniffle and sneeze their way through the seasons or seek medical treatment? Misery. Absolute misery. Red, itchy, watery eyes. Sneezing. A continually stuffed and runny nose. These symptoms associated with the common cold can turn oneâ&#x20AC;&#x2122;s life upside down for the week or so that many people suffer through one once or twice a year. Imagine, however, those same symptoms, but instead of disappearing after seven to 10 days, they stick around for the entire summer, and they return annually, with a reliability matched only by the change in seasons.

Welcome to an allergy suffererâ&#x20AC;&#x2122;s life. 24

OurHealth | The Resource for Healthy Living in Southwest Virginia

What are some common signs of infection? Fever, sore throat, swollen glands, muscle aches and colored mucus do not occur with allergies and generally indicate an infection.

What are allergies?

Why me?

The body’s immune system is designed to respond to attacks or things encountered from the outside with protective antibodies, explains Dane McBride, MD, an allergist at the Allergy & Asthma Center in Roanoke, Va. The immune system reacts to some foreign substances it encounters – such as pollen, dust mites or pet dander – by producing sensitizing antibodies antibodies instead of protective ones in people who are sensitive or allergic to those substances. When the foreign substance is encountered, the sensitizing antibody causes a mast cell to release histamine, which in turn brings on allergy symptoms. For example, if the allergy affects the skin, symptoms can present as itching and hives. If it affects the nose, it results in congestion and discharge. If it’s the eyes, there are tears and redness. Allergies affecting the lungs can result in bronchial conditions and asthma, and if it is gastrointestinal-related, it can result in cramping.

Dr. Lenkowski estimates that approximately 25 percent of the U.S. population suffers from inhalant-type allergies, such as those caused by pollen, dust mites, pet dander, or mold. Some people interact with their environment and don’t have an immune response, or they have a response that doesn’t result in an allergy. “Other people – the less fortunate ones – their immune systems reacts in a very specific way that causes them to have allergies,” Dr. Lenkowski explains. “And allergies often go along with other diseases, such as sinus problems and asthma.”

To illustrate the reaction another way, think of it as simply an immune system response, says Paul Lenkowski, MD, PhD, a physician specializing in Otolaryngology, including the treatment of allergies, at Jefferson Surgical Clinic in Roanoke. “It’s a normal immune response some people have to things in the environment,” he explains. “And the outcome of that response is symptoms you have with allergies – itchy, watery eyes, sneezing, and congestion.”

Genetics also play an important role in whether or not someone suffers from allergies. If either parent has allergies, then there is a pretty good chance their child will too, Dr. McBride says. Some people suffer from allergies all their lives, some develop allergies later in life, and some children outgrow their allergies.

‘Tis the season For many allergy sufferers, the seasons dictate when their allergy symptoms are going to be at their worst. Spring, summer and fall can all bring on symptoms depending on what type of pollen allergy you have. Generally speaking, pollen allergies are the most common type of allergy, as compared to food or insect allergies. In this area the culprits are tree pollen in spring, grass pollen in summer, and weed pollen in fall, Dr. Lenkowski explains.

What is the pollen count? The pollen count tells us how many grains of plant pollen are in a certain amount of air (often one cubic meter) during a set period of time (usually 24 hours). Pollen is a very fine powder released by trees, weeds and grasses. Weather affects how much pollen is carried in the air each year. Much pollen is released early in the morning, shortly after dawn. This results in high counts near the source plants. Pollen travels best on warm, dry, breezy days and peaks in urban areas midday. Pollen counts are lowest during chilly, wet periods.

Trees pollinate in late winter and spring. Ash, beech, birch, cedar, cottonwood, box, elder, elm, hickory, maple and oak pollen can trigger allergies. Grasses pollinate in late spring and summer. Those that cause allergic reactions include Kentucky bluegrass, timothy, Johnson, Bermuda, redtop, orchard, rye and sweet vernal grasses. www.OurHealthVirginia.com

What are Antihistamines? Antihistamines are drugs used to treat the symptoms of allergies and allergic rhinitis (allergic inflammation of the nasal airways) by blocking the action of histamine, a chemical released by the immune system in allergic reactions. That seven-month cycle of tree, grass and weed pollen – essentially from March through October – means there is also a lot of time during which someone can be experiencing a cold, and mistakenly blame it on allergies. “People sometimes confuse summer allergies with a summer cold,” Dr. McBride agrees. “The nose has a limited vocabulary – running, sneezing, stopped up – and the symptoms mimic one another very closely. “ Helping physicians distinguish allergies from a cold can occur by examining a patient’s history, examining mucus for white blood cells that are more prevalent with colds than they are with allergies, and by patients realizing that a cold doesn’t last all summer long. The presence of a fever can also indicate that the symptoms are the result of a cold and not allergies.

What to do If you suffer from inhalant-type allergies, and you have pretty good idea of what triggers them, alleviating symptoms should begin with avoidance, which can be easier said than done. “The most important thing to convey is that you can avoid having allergies by trying to avoid what you’re allergic to,” Dr. Lenkowski advises. “Look at the pollen counts. Avoid insects or avoid pet dander if that’s what you’re allergic to.” During pollen season, keep the windows shut and run the air conditioner, Dr. McBride advises. If you’re allergic to dust mites, wash www.OurHealthVirginia.com

Is it a cold or allergies? • Colds and allergies exhibit many of the same symptoms and can be challenging even for experienced physicians to differentiate. Here are some signs to help you determine if it’s a cold or allergies. • Colds don’t last for months on end. Allergies do. • Allergies often occur with a particular season or after exposure to a specific allergen, such as pets. Colds strike anytime and without warning. • Allergies aren’t accompanied by a fever, despite the popular “hay fever” term. Colds can include a fever as the body’s immune system fights the infection.

bedding in hot water to kill the mites and choose bedding that is dust-mite proof. If avoidance isn’t possible or just isn’t working, allergy sufferers should try one of the widely available over-the-counter allergy medicines, such as Allegra, Claritin, Zyrtec, as well as eye drops that are available without a prescription to relieve itchy, red eyes. “There are a lot of medications available over the counter,” Dr. McBride says. “So patients should try that first. They need to be used over several days as they’re not fast-acting. You can also ask your primary care physician for additional suggestions, including whether you should see an allergist.” Dr. Lenkowski says that we often think of allergies as mild, moderate or severe when evaluating them and their impact. “Mild allergies usually aren’t that big of a deal,” he says. “If you can take an over-the-counter medication to relieve the symptoms, then you probably don’t need an allergist. If you can’t function or are missing work because of your allergy symptoms, we want you to see somebody. When the allergies start affecting your quality of life, even moderately, then it’s worth being evaluated.” Physicians, Dr. Lenkowski says, oftentimes can diagnose allergies

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based on what they learn from a patient’s history. For example, a patient may report allergy symptoms only after encountering a cat or they say that symptoms only appear when they’re in bed, which could indicate a dust mite allergy. Or the symptoms appear without fail every summer, indicating a possible grass allergy. A physical examination can also reveal allergy symptoms, including red, watery eyes, chafing of the nose’s surface from being rubbed, as well as swelling inside the nose. Specific allergy tests also exist. One test involves placing an allergen on the skin to determine whether a reaction occurs, while another procedure utilizes a blood test.

Paul Lenkowski, MD, PhD, is a board-certified otolaryngologist and head, neck and sinus surgeon. Dr. Lenkowski joined the Jefferson Surgical Clinic’s team of surgeons and specialists in 2010 as the medical director for the allergy department, and works with new and cutting-edge technology to help both adults and children with a variety of ear, nose and throat issues.

Allergen immunotherapy – what many people know more commonly as allergy shots – can be a solution for some allergy sufferers. The shots, which consist of a mild dose of the known allergen, are administered over a long period of time and gradually decrease the body’s sensitivity to the known allergen, providing long-term relief. Deciding if allergy shots are the right option for you is a discussion you should have with your physician or allergist.

Dane McBride, MD is boardcertified in both Pediatrics and in Allergy and Clinical Immunology. He is the senior and managing physician member of the Asthma and Allergy Centers of Roanoke and Lynchburg, a practice that has been serving the community for over 65 years.

While colds are miserable, summer allergies are worse simply because of their duration and that there is no end in sight for many sufferers until the season changes. While the two share similar symptoms and the degrees of misery they inflict, allergy sufferers should know that solutions exist and seek out these treatment options, just as they would when fighting a common cold.

Relief for allergy sufferers • Most allergy sufferers would agree they’d do just about anything to alleviate their suffering. Here are some steps physicians recommend taking first, before calling the doctor. • Try to avoid whatever causes your allergies – pollen, pet dander, dust mites, insect bites or stings. • Pay attention to pollen counts and avoid outdoor activities on days with high pollen counts. Keep your windows closed and run the air conditioning instead. • Try over-the-counter medications that contain an antihistamine and/or decongestant. • If allergies affect your quality of life moderately, ask you physician or allergist for help. • Discuss with your allergist whether allergen immunotherapy—allergy shots—might be right for you.

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men and health

words | TINA JOYCE

Coaches Who Practice what they Teach Study the opponent. Recognize your weaknesses. Practice to become better. For Virginia Tech’s Frank Beamer, Liberty University’s Dale Layer, and Virginia Commonwealth University’s Shaka Smart, this philosophy is not only one each applies on the court or field, but also in their lives. There are many seasons of a man’s life, but few are as clearly defined— or judged—as sports seasons. Games are played, scores are tallied and seasons are completed. In the end, both fans and critics are left to determine whether the particular game or the entire season is considered a success. Many people are evaluated, in some way, in their respective jobs. However, very few professions are so highly publicized that the general public can assess the outcome of an appearance based on the ticker, the message bar that is continuously scrolling at the bottom of the television screen providing scores and athletic-related updates.

Reprints To order reprints of the original artwork featured on this issue’s cover, contact Jenny Hungate at 540.387.6482 or via email at jenny@ourhealthvirginia.com. To view additional work by our artist, Joe Palotas, visit www.salemartcenter.com

In the collegiate coaching profession, there are many factors that can adversely affect coaches’ health. What the ticker fails to reveal is these coaches are often husbands, fathers, brothers—and always sons. The ticker displays the score, but their health reflects their lives. Due to the stress of the profession and the demanding schedule, coaches’ proactive attention to their health is vital. They owe it to their families to recognize the importance and need to balance their own emotional, physical and spiritual health throughout the athletic season and through the seasons of their lives. OurHealth was granted a glimpse inside the lives of three of the area’s top collegiate coaches: Frank Beamer, Virginia Tech’s head football coach, Dale Layer, Liberty University’s (LU) head basketball coach, and Shaka Smart, Virginia Commonwealth University’s (VCU) head basketball coach. Each coach graciously answered questions about life in and outside of sports.

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Virginia Tech Football

Frank Beamer Head Coach OH: Was there a particular season in your life you found it difficult to stay physically healthy? Why? Coach Beamer: The 2012 season. Beginning in February 2011, I made an effort to lose weight, and I successfully reached 183 pounds. When we started our 2012 season with a record of 4-6, I found myself not eating and sleeping. As a result, my weight dropped to 168 pounds, which was my college weight. I didn’t mean to lose that extra 15 pounds. OH: What is the most stressful aspect of the collegiate coaching profession? Coach Beamer: I think the most stressful aspect is that so many people are counting on you. What we do affects so many people. When we win, life is good. When we lose, not so much. OH: What is the most rewarding aspect of your profession? Coach Beamer: Seeing a young person come in as a freshman. [We] try to influence him in a positive way. The end results, which are so different from the beginning, are very rewarding. OH: Have you ever had a “gut check” scare – a time when you thought you might be facing a serious health decision and you felt you had to make a health-related change in your lifestyle? Coach Beamer: My biggest scare has been with my heart. Having some blockages and knowing the seriousness of that made me realize I need to change my way of eating and living.

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Coach Beamer ready to lead his team onto the field OH: Was there a particular season in your life where you have felt a healthy balance emotionally, physically and spiritually? What contributed to that balance? Coach Beamer: I think the time when my son, Shane, came to coach on my staff made my life different. His two young daughters come by the office often and they always stop in to see me (I don’t know if the M & M’s I have in my office are the reason they come to see me or not) but seeing their faces makes me realize there is certainly more to life than winning football games. I think it “hit home”. OH: What is the one thing you hope your players, leaving your program, remember you taught them? Coach Beamer: Respect everyone and treat them accordingly. I think if they do that their life will be good and the people they are dealing with will be good as well. OH: What advice would you give other men that might help them jumpstart a healthier lifestyle despite the rigors of a very demanding profession? Coach Beamer: Take time to take care of yourself. It all starts with sleeping and eating, but taking time to [exercise] during the day is important, as well. I’ve found that I make better decisions when I am in a healthy state of mind.

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Liberty University Basketball

Dale Layer

Head Coach

OH: Coach Layer, in your profession, moving to a new location can happen throughout your career. What advice would you offer men to help balance both their physical health and emotional health when transitioning their family? Coach Layer: Finding security for my wife and kids was an important factor, and I needed sufficient time and energy in the midst of new job responsibilities. In every move, it was my obligation to find a home, a church, good schools, etc. My family had to know I had completed research and done sufficient work to get them settled, or at least narrow the options and had a thoughtful plan in place. It was difficult to put in quality work when my family wasnâ&#x20AC;&#x2122;t secure and pointed in the right direction. Once the big things were in place, it took a lot of stress off my family and me. OH: What was the primary deciding factor in your choosing to accept the Liberty University (LU) Head Menâ&#x20AC;&#x2122;s Basketball Coaching position? Coach Layer: It was the right place at the right time. I fit within the mission of the university, and I was working for and with great people. The career move was the right fit for my family. www.OurHealthVirginia.com

Coach Layer celebrates a win

OH: What is the most stressful aspect of the collegiate coaching profession? Coach Layer: There is significant stress in meeting the demands of winning, while treating the people around you in a way that would represent Christ. OH: What is the most rewarding aspect of your profession? Coach Layer: I find great reward in seeing young men mature, improve, graduate and become successful workers, husbands and fathers. OH: What is the most misunderstood aspect of the coaching profession? Coach Layer: There is a misconception that there is an â&#x20AC;&#x153;off-seasonâ&#x20AC;?. Recruiting, scheduling, camps, out-of-season training, etc., may require more time and energy than what we face during the regular season.

OH: Was there a particular season in your life where you have felt a healthy balance emotionally, physically and spiritually? What contributed to that balance? Coach Layer: There are times during the stresses of a season that I feel in balance and times when I do not. Eating and exercising definitely help. Spending time reading inspirational books, including the Bible, help. Seeking counsel from those who can give you fresh ideas and perspectives also helps. OH: What was your first paid coaching position? What did you learn in that first job that still impacts what you do today? Coach Layer: My first paid job was a part-time morning janitor/gym manager in an athletic department. In the afternoons I was free to coach. All jobs within a basketball program are important. I was trained to do anything and everything, literally from the ground up. OH: What is the one thing you hope your players, leaving your program, remember you taught them? Coach Layer: I want them to know that a relationship with Christ matters. It should influence every aspect of any profession, under any amount of stress. OH: How many days were you on the road traveling for games and recruitment in the past year? Regarding diet and exercise, what do you do, at home and on the road, to stay healthy with such a busy travel schedule? Coach Layer: I spent 108 nights in a hotel room last year. Prayer walks and walks with my wife, Brenda. I do some weight training and eat a lot of fruit and vegetables. I always have an inspirational book to read on the road, trying to maintain some balance away from home.

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Head Coach

Virginia Commonwealth University Basketball

Shaka Smart OH: Was there a particular season in your life you found it difficult to stay physically healthy? Why? Coach Smart: Anytime you change jobs, it can be difficult to stay healthy because your daily routine is broken. In those situations, you’re usually running around trying to do so many things at once that you’re probably not eating healthy and you’re probably not able to work out much. OH: In your profession, moving to a new location can happen throughout your career. What advice would you offer men to help balance both their physical health and emotional health when transitioning their family? Coach Smart: You just have to make sure you make it a priority to work out and eat right. If you don’t make it a priority then it’s easier for other things to supersede those things. If you wake up in the morning and say, “I’m going to work out today, I’m going to eat right”, then you’re more likely to stay on track. The bottom line is, you have to plan. If you don’t plan, then other things will take over.

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OH: What was the primary deciding factor in your choosing to accept the VCU Head Men’s Basketball Coaching position? Coach Smart: It was a no-brainer really. It was an unbelievable opportunity for my wife and I. It’s a great university, in a great community, with a great tradition and overwhelming support from the fan base and community. OH: What is the most stressful aspect of the collegiate coaching profession? Coach Smart: Probably, the demands on your time. Trying to balance that demand with time with your family, all when you are running on a lack of sleep. OH: What is the most rewarding aspect of your profession? Coach Smart: Being able to develop our players in all aspects of life. OH: What is the most misunderstood aspect of the coaching profession? Coach Smart: Obviously, we’re judged by our wins and losses, but for most of us, that’s really not why we are coaching. We want to see our players develop as people, and be successful in all aspects of their lives. OH: Have you ever had a “gut check” scare – a time when you thought you might be facing a serious health decision and you felt you had to make a health-related change in your lifestyle? Coach Smart: Fortunately, I have not. OH: Was there a particular season in your life where you have felt a healthy balance emotionally, physically and spiritually? What contributed to that balance? Coach Smart: I’m still working toward being able to balance all those elements. It’s all about being able to plan and prioritize. OH: What was your first paid coaching position? What did you learn in that first job that still impacts what you do today? Coach Smart: It was at a small Division II school in Pennsylvania, California University of PA. I took an assistant coaching position under my former coach, Bill Brown, who coached at Kenyon during my freshman year. He left after my first year and told me he would save me a spot on his bench if I wanted to get into coaching after I graduated. The biggest thing I learned was how it important it was to have strong relationships with your players. 42

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OH: What is the one thing you hope your players, leaving your program, remember you taught them? Coach Smart: We have several core values in our program, but the biggest thing we want our players to learn is appreciation. We have an appreciation-to-entitlement ratio that we talk about in our program where we want our appreciation to be high and our entitlement to be low. OH: You were on the road traveling for games and recruitment many days this past year. Regarding diet and exercise, what do you do, at home and on the road, to stay healthy with such a busy travel schedule? Coach Smart: I really just try to make a conscious decision to eat as healthy as possible and make sure I take time to workout. I have to make it a priority to keep those things in my daily routine. OH: What advice would you give other men that might help them jumpstart a healthier lifestyle despite the rigors of a very demanding profession? Coach Smart: Plan and set your priorities. Decide how youâ&#x20AC;&#x2122;re going to eat. Decide how and when youâ&#x20AC;&#x2122;re going to work out and make sure you follow that plan.

Coach Smart directs a member of his team on the court

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SPORTS MEDICINE

David B. Alligood, MD Express Family Care | Kroger Square at Bonsack 3960 Valley Gateway Blvd., Suite 1A | Roanoke, VA 24012 540.400.6676

At Express Family Care we believe that preventative care is vital as we age. Aging can be more enjoyable if we take time to exercise regularly. Being aware of our BMI is fundamental to controlling blood pressure, diabetes, and cholesterol. Annual wellness physicals with blood work can serve as mileposts to help us stay on a healthy road. When necessary, our physicians can also recommend thyroid panels, hemoglobin checks and X-ray’s. We offer low cash prices and walk-in hours from MonSat from 8am-8pm.

FAMILY PRACTICE

Joshua L. DeMichele, DDS Cave Spring Dental Arts | Roanoke, VA 24018 540.774.0061 | www.cavespringdentalarts.com

The oral-systemic health link is one of the most important advancements in health care in the last century. It now appears that every inflammatory disease is heavily affected by oral inflammation - the highest source of inflammation in humans. There is a direct connection between oral pathogens (associated with gum disease, tooth abscesses, and dental cavities) and systemic health – specifically risk of heart attacks, strokes, diabetes, and other inflammatory diseases such as rheumatoid arthritis. With the combination of routine professional dental care and enhanced home dental care, life can be improved by reducing risk of these systemic conditions, or by improving control of these conditions where they already exist.

DENTISTRY

John Dovie, OD, FAAO Blacksburg Eye Associates 1440 South Main Street | Blacksburg, VA 540.953.2020 | www.BlacksburgEye.com

Yearly examinations from your optometrist are important to start tracking not only eye health, but to help screen for systemic disease. As early as the forties, signs of UV damage can start to show and increase risk for conditions like cataracts and macular degeneration. In addition, during the eye examination, the doctor is examining the small retinal blood vessels and optic nerve. Subtle signs of vascular disease such as diabetes and hypertension can be detected in the eye, many times before the condition is even diagnosed. Yearly eye exams can also help uncover cancers including leukemia, melanoma, brain tumors, and metastases from the lung and other areas.

OPTOMETRY

CHART FOR HEALTHY AGING

MEN’S

OPTOMETRY

FAMILY PRACTICE

DENTISTRY

AUDIOLOGY

Ethan Colliver, DO Valley Sports & Spine Clinic 3706 S. Main Street, Suite D | Blacksburg. VA 24060 540.443.9362 | www.valleysportsandspine.com

Age-related decline of testosterone, estrogen, and insulin-like growth factor-1 (IGF-1) leads to loss of muscle, aerobic capacity, strength and power. Bones will also have a slow decline in size, decreased stimulation from exercise, and increased bone resorption. You can counteract this decline with strength and endurance training. Regular strenuous exercise (20-60min, 3-5days/week) increases muscle strength and power, aerobic capacity, and bone density. You should have your testosterone level checked if you experience erectile dysfunction, decreased libido, fatigue, increased body fat, decreased muscle mass and strength, osteoporosis, anemia, or frailty. Testosterone replacement is available, speak with your physician.

SPORTS MEDICINE

Richard Harrell, PhD The Hearing Clinic | Blacksburg | 540.307.4258 Salem | 540.904.4719 • Radford | 540.633.3799 www.SWVAHearing.com

Hearing screenings and early detection are important for hearing and general health. Recent evidence from the Alzheimer’s Association (AA), in conjunction with the Better Hearing Institute (BHI), shows strong evidence to suggest that hearing impairment contributes to the progression of mental impairment in older adults. The BHI’s research found that hearing impaired people with Alzheimer’s who regularly wear hearing devices are able to diminish the wide range of Alzheimer’s symptoms. In addition, The National Council on the Aging conducted a survey of 2,300 hearing impaired adults age 50 and older. The results found that those with untreated hearing loss were more likely to report depression, anxiety, and paranoia and were less likely to participate in organized social activities, compared to those who wear hearing aids.

AUDIOLOGY

OurHealthâ&#x20AC;&#x2122;s activities photographer, Shawn Sprouse, captures Central and Southwest Virginia residents participating in the

Appalachian Power Festival Run in downtown Roanoke.

Appalachian Power Festival Run in downtown Roanoke. For the last 15 years, Appalachian Power has sponsored an annual run that coincides with Festival in the Park. This year was no different. On Saturday, May 24th, John Smolak, Director of Economic & Business Development for Appalachian Power, set the runners off in the Appalachian Power Festival Run. The event, along with many others, is one way Appalachian Power gives back to our communities. The Appalachian Power Festival Run is the premiere running event in this part of Virginia. Both hard-core competitors, as well as those participating in their first running event, enjoyed the 5K and 10K courses alongside the Roanoke River and through downtown Roanoke, highlighting some of the best views in the region.

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OurHealth’s, Deidre Wilkes, captured Southwest Virginia’s

Superheroes-in-Training as they participated in the

YMCA of the Roanoke Valley’s 5th Annual Kids Marathon.

YMCA of Roanoke Valley’s 5th Annual Kids Marathon. On Saturday, April 26th, children in grades K-5 came together to participate in the YMCA of Roanoke Valley’s 5th Annual Kids Marathon. This nontimed, non-competitive event, starting at the Finish Line of the Blue Ridge Marathon, and ending at the Kirk Family YMCA, provided an opportunity for young runners and walkers to participate in a marathon modified just for kids! This year, the marathon took on a super hero identity and kids and adults were encouraged to wear superhero costumes. Participants completed 25.2 miles on their own prior to race day. They didn’t just have to run, walking, hopping, skipping, rollerblading or swimming their way there—anything that kept them moving. PE class, afterschool activities and any kind of physical exercise lasting at least 15 minutes counted as a mile.

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FITBITS

H EA LT H A ND F I T NES S O N T H E G O

ABSolutely Awesome Abs!

The summer season is upon us! Now is the time to work on ‘summer-ready’ abs. These three exercises are great for shaping and strengthening the abdominal area. These exercises require no equipment, and, can be done anywhere — even on vacation!

#2. Bicycle Crunch How to properly perform a bicycle crunch:

1. Lie on your back, bend your knees, placing your hands gently behind your head for support This is the same setup as for the basic crunch 2. Lift your shoulder blades about six inches off of the ground, resting your weight on your lower and mid-back.

#1. Basic Crunch

3. Extend one leg straight out from your body, six inches off of the ground.

4. Extend the other leg upward, bending at the knee with your thigh extended up from the mid section.

How to properly perform a basic crunch: 1. Lie on your back, bend your knees, placing your hands gently behind your head for support.

5. Begin the exercise by bringing the knee towards the chest and extending the opposite leg straight out. At the same time, bring the shoulder opposite the bent knee across your body towards your knee. Both should meet at your chest, right knee and left elbow or left elbow and right knee.

2. Contract your abs and flatten your lower back against the floor. 3. Slowly lift your shoulder blades one or two inches off the floor. 4. Exhale as you lift, keep your neck straight and chin up. 5. Hold for a few seconds (don’t hold your breath).

6. Reverse the process by straightening the bent knee and bringing the opposite knee up, meeting it with the reverse shoulder.

6. Slowly lower while keeping your abs contracted.

7. Repeat up to 20 reps (right/left equaling one rep), keeping good form.

7. Repeat up to 20 reps, keeping good form. Tip: Be sure not to pull on head or neck. Focus on lifting shoulders each time, while keeping abdominal muscles contracted.

Tip: Be sure not to pull on head or neck. Focus on lifting shoulders off the ground each time, and think about bringing opposite knee toward shoulder, keeping elbows wide and abdominal muscles contracted.

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#3. Forearm Plank

How to properly perform a forearm plank: 1. Lie on your stomach on the floor. 2. Place legs about hip-width apart, flex your feet and tuck toes under so the balls of your feet press into the floor. 3. Bend elbows and place forearms on the floor, facing palms toward each other and make your hands into fists. 4. Tighten your abdominals, look down at the floor and keep your back straight -- imagine pulling your navel to your spine. 5. Contract your glutes and legs and lift your hips and thighs off the floor. Avoid pushing your hips up too high or letting them sag to the floor -- your body should form a straight line from your head to your feet. 6. Breathe normally and hold this position for up to 30 seconds. If you feel pain or can’t maintain perfect form, lower yourself to your knees and relax your muscles. Tip: Attempt to keep back as straight as possible, us a mirror if available. Keep shoulders relaxed, and, drop to knees for a modified version, keeping toes on ground.

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More at ourhealthvirginia.com Deidre Wilkes, AFAA, ACSM, Certified Personal Trainer Deidre is a certified personal trainer with over 15 years experience in the health and fitness industry. She is the resident fitness specialist for OurHealth. You can also catch one of her classes at the Salem Family YMCA or Green Ridge Recreation Center

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100 Happy Days Changes Roanoke Womanâ&#x20AC;&#x2122;s Life Perspective words | C. RUTH EBRAHIM

When Emily Witt walked out on her 15-year career in corporate America, she embarked on a mission to live a purpose-filled life. Soon after making the hardest decision ever, to quit her job with no plan for what to do next, she signed up for the 100 Happy Days challenge. Nearly halfway through, she faced an extremely difficult day. At the funeral of her namesake, a woman who was like a second mom to her father, Emily realized the depth of her new-found sense of peace and happiness. That evening, she sat down to make her daily Facebook post: Day 49: Going to a funeral of someone you love can be sad and heartbreaking. After 48 days of the happiness project, I naturally find a positive...a peace and calm...regardless of the situation. Today I said Laughter goodbye to an incredible lady, my namesake. Death reminds us how FACT! precious life is and not to take it for granted. After the funeral, I spent time with my dad and hugged him a bit tighter today. Life is short... the donâ&#x20AC;&#x2122;t waste it being sad, angry, or disappointed. Find the good in sound of every moment life gives you. #100happydays #happinessproject

LAUGHTER isn't associated with any one language

She posted a photo collage of her father, his long-time friend Emily, and a quote from the funeral service program. With the post, she completed her 49th consecutive day of sharing a picture and a dose of positivity.

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Clicking on the hashtag “100happydays” links to people the world over, who have challenged themselves to do the just that. Consistently focus on what makes them happy, every day, for 100 days. Emily says when she first heard of the challenge, she learned over 70 percent of people who start it fail to finish. She set herself an additional parameter—her happiness would not be based on anything money could buy. “The 100 Happy Days helps me, when I do have a bad day, to slow down and think about all the things I’m blessed with,” she says. “I will not allow monetary things to be my happy. I want it to be the moments, the differences, the time spent with loved ones.” A self-identified “naïve optimist,” Emily says she’s always been a positive person, but she’d lost a piece of herself while climbing the corporate ladder. “I allowed work to control my life. I missed time with my family,” she says. “I lost a sense of the emotional connection you need to have with others.” There were people in her life who said she couldn’t do it. They said she would get bored and need to go back to work. They told her they hoped she would come back to her management position. “The first three weeks when I went from going non-stop to not knowing what I was going to do when I woke up, that was hard,” she says. “But, I got used to it, and I feel that once I go back to work, I will feel more balanced.” She’s not in a hurry to jump back into the workforce. When companies offer job opportunities, she turns them down. Her time is spent appreciating the quiet moments, volunteering and giving back, spending time with people she loves, and finding things every day to share with them for her 100 Happy Days. Emily feels fulfilled even if every minute of every day isn’t planned and coordinated. No two days are the same, which is completely different than when she was working. Anxiety and stress used to be a way of life, but now she feels calm and at ease. “I was the last person I would take care of when I was working,” she says. “Now, I’ve stayed disciplined to waking up early. I have my meditation time, journal time, and reflection time. I am working out, which is something I never liked to do. I am more focused on eating healthy and paying attention to what I need.” 54

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The best result of deciding to take time away from work and enlist in the 100 Days of Happy challenge is having time to volunteer and involve her friends in giving back. Emily learned early in her life she couldnâ&#x20AC;&#x2122;t have children of her own and through volunteering, sheâ&#x20AC;&#x2122;s found a way to impact young people across the community. Sheâ&#x20AC;&#x2122;s volunteered for Family Services of Roanoke Valley in various capacities, Outreach packing food for families in need, and Wasena Elementary School reading to kindergarteners. This summer, she plans to take part in a summer enrichment program. In May, she orchestrated the Miles from the Star City team to walk and raise funds for the Melonoma Research Foundation, an especially important cause after the loss of a friend to melanoma and a recent close call she had when melanoma was removed from her ankle.

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Emily says her inspiration to be positive and help others originates from her family. Born and raised in Martinsville to parents who still live there, she’s witnessed determination and positivity all her life. Her father had his first heart attack when she was 15, and she’s always been told he has a limited time to live. But her father has continued to fight on and live a life of service. Emily financially prepared to take five to six months off work. She and her fiancé Chris Walters live in South Roanoke, and he is supportive of her decision to reevaluate her life and take time to figure out her next move. She’s been unemployed for five months, and she’s never felt more fulfilled. “I used to think if I wasn’t busy, then I wasn’t successful,” she says. “I’ve realized success is realizing your talents and using those talents to benefit others.”

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Laughter FACT!

In Groups, Women en Laugh More Than M

What Makes You Happy? 10 activities to jump-start your journey

words | DEIDRE WILKES

Laughter FACT!

Most People can't laugh on command

Get outdoors! Take advantage of great

weather and fresh air. Go for a walk or hike. Visit the Roanoke County’s Explore Park, just off the Blue Ridge Parkway at milepost 115. Whether you prefer a stroll in the park, a lengthy trail run or a mountain biking work-out, there are ExP trails to suit you. Follow Explore Park at www.facebook.com/explorepark for updates on events and happenings.

Eat healthy.

Southwest Virginia offers some of the best opportunities to stock up on great seasonal fresh fruits and vegetables. Visit the historic Roanoke City Farmers Market, Blacksburg Farmers Market, Salem Farmers Market, and Botetourt Farmers Market at the Daleville Town Center (just to name a VERY few), and experience the local flair while stocking up on fresh fruit and veggies!

Laughter FACT!

Healthy People laugh

100 to 400 times a day! That's about 2,800 times a week or 146,000 times a year.

Enjoy time with friends. Southwest Virginia is

brimming with seasonal events and festivals. Grab some friends and ample BBQ at the 9th annual Blue Ridge Blues and BBQ Festival, release your inner child at the always fun Salem Fair, enjoy worldclass music and arts at downtown Blacksburg’s annual Steppin’ Out event in August, relax with some fun in the sun at Smith Mountain Lake. No matter what time of year, there’s always a festival to be found in Southwest Virginia!

Read a book.

The Roanoke Valley Libraries and the New River Public Libraries are home to 25 library locations throughout Southwest Virginia. Combined they offer hundreds of events all year long. Events are geared not only to the love of the word, but also to good health, fun crafting, family movie time, technology, music, and anything you can imagine.

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Laughter FACT

e study of Gelotology is th r humor & laughte Laughter FACT!

Be decadent (with dessert). Looking to satisfy

your sweet tooth? Viva la Cupcake in the the Grandin Village is one of Roanoke’s finest cupcakeries. Enjoy a sweet evening and chose from their selection of large and small cupcake treasures. Treat the whole family, and bring something home from the daily selections of their delicious and delicate finest. Follow them on Facebook for their hot from the oven daily menu.

to LAUGHTER is said S, improve ALERTNES CREATIVITY and MEMORY

Go for a run. Southwest Virginia is host to a variety

of 5K’s, 10K’s, half and full marathons. Star City Striders, Fleet Feet Sports, and Roanoke Outside promote and sponsor all sorts of training programs and races to encourage walking and running all over the region. From 1-mile fun-runs to a 26.2 mile marathon, there is something for everyone in the family!

4-legged friends.

There are several off-leash dog parks in Southwest Virginia. Take your ‘best friend’ out for an afternoon of exercise and fun! Visit www.bringfido.com and search for dog parks in your area.

Attend a sporting event. Attend a Salem Red Sox baseball game or check a

collegiate level game at one of the many universities in Southwest Virginia. Game information,

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ticket prices and special events for the Red Sox can be found on their page www. facebook.com/salemredsox. Visit websites for any of the surrounding colleges and universities for sports schedules and ticket info.

Get your workout on. Fitness trails are a great way to get a workout

in, while enjoying the outdoors. Southwest Virginia is home hundreds of miles of greenway and trail systems that offer fun fitness for everyone while getting outdoors. These greenways and trails offer several fitness trails that incorporate trail walking/ running with various exercise stations. Each station includes exercise instructions. Fitness trails are located on the Roanoke River Greenway (near Black Dog Salvage), Longwood Park in Salem, and the new Countryside Park in Roanoke.

Create a masterpiece! Art can be a great stress reliever and source of

happiness. Unleash your inner artist through a class offered at the Taubman Museum of Art. The museum offers classes for both adults and children, as well as hosts special events throughout the year. Visit their website at www.taubmanmuseum.org for details on their classes, programs and events.

Laughter FACT!

one good BELLY LAUGH burns about 3.5 calories!

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Healthy Eats Directions:

Healthy on the Grill Entrée: Burger with Fresh Lettuce & Tomato Makes 8 Servings

Ingredients: 2 pounds ground bison (buffalo) 2 Tbsp finely chopped fresh sage 1 1/2 teaspoons sea salt 2 teaspoons black pepper 1/2 onion, finely chopped 2 tbsp coconut oil

1. Sauté the onions in the coconut oil over medium-high heat until translucent. 2. Turn off the heat and let it cool. Once cool, add the onions to the raw bison burger meat. 3. Add all remaining ingredients, and mix gently with clean hands. 4. Form patties with the meat, using about 1/4 pound of meat per patty.

Local Buffalo from: Brush Creek Buffalo Farm

5629 Brush Creek Rd | Riner, VA 24149 Contact: Jim Politis | 540.381.2778 Located in Riner Virginia, Brush Creek offers antibiotic free, mostly grass-fed buffalo. You can purchase their buffalo on the farm or at Annie Kay’s Main Street Market or Harvest Moon. It can also be ordered off the menu at several local restaurants including Sharkey’s, Bogens, Big Al’s and Rivermill.

5. Grill the burgers on medium heat, about six to seven minutes per side, or until the internal temperature is 140°F for medium rare or 160°F for well done. 6. Allow the burgers to rest about five minutes before serving. Serve the burger with lettuce and tomato.

Tricia Foley says

SOURCE LOCAL BUFFALO Tricia Foley is OurHealth Magazine’s resident nutritionist.

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HealthyEats Side: Sweet Grilled Corn (Makes 8 servings)

Ingredients: 8 ears corn, husk and silk removed 1/4 cup organic butter (ghee) 2

tbsp minced garlic

tsp crushed rosemary

1 tsp dried basil 1 tsp dried thyme

Salt and pepper to taste

Â˝ C grated parmesan cheese

Directions: 1. Allow the corn to soak in cool water for 1 to 3 hours. 2. Melt butter in a bowl. Season with garlic, rosemary, basil, thyme, salt, and pepper; stir in Parmesan cheese. 3. Remove the corn from water and pat dry. 4. Brush the butter mixture evenly over each ear of corn, and place each piece on a square of aluminum foil. 5. Wrap each ear of corn in foil, and punch holes to allow excess steam to escape while grilling. 6. Preheat an outdoor grill for medium heat. 7. Grill the corn cobs about twenty to thirty minutes, turning frequently. 8. Remove from the grill and place on a dish.

Tricia Foley uses

LOCAL GROWN VEGGIES Tricia Foley is OurHealth Magazineâ&#x20AC;&#x2122;s resident nutritionist.

HealthyEats Dessert: Watermelon Sorbet

3. Once strained, stir in lemon juice and salt to taste.

Ingredients:

5. Pour the watermelon mixture into a shallow metal pan and freeze until ice crystals form around the edges, about thirty minutes.

21/4 pounds chopped watermelon (about 6 cups) 5 cups Stevia

Juice from about 1 lemon

kosher salt to taste

¼ cup roasted cocoa nibs (optional)

Directions: 1. In batches, combine watermelon and Stevia in a food processor and process until smooth (about one minute). 2. Pour contents into a strainer.

4. Finally, add the cocoa nibs.

6. Stir the ice crystals into the center of the pan and return to the freezer; repeat every twenty minutes until all the liquid is frozen.

7. Serve immediately, or transfer to a storage container and let harden in the freezer for an hour to an hour and a half. 8. Serve in chilled dishes.

Local asparagus, lettuce, tomato & watermelon from: Five Penny Farm

1198 Thomas Farm Road | Floyd, VA 24091 Contact: Brett & Johanna Nichols 540.745.7334 www.localharvest.org/five-penny-farm-M8028 Five Penny Farm is located in Floyd, VA. They offer certified organic seasonal vegetables, fruits, herbs, cut flowers and plants. The farm sits on 43 acres and is located on the edge of Blue Ridge Highlands, adjacent to the Blue Ridge Parkway, near milepost 156. It is about six miles from Downtown Floyd. Produce can be found at the Salem and Blacksburg Farmers’ Markets every Saturday from May through November, as well as each Wednesday, starting in June, at the Blacksburg Farmers’ Market. You can also visit their farm by appointment.

Botetourt Farmers Market Open Saturdays 8am-12pm Daleville Town Center

Fresh veggies, goat cheese, local meats, herbs, flowers, crafts and so much more! Check out the Botetourt Farmers Market every Saturday morning !

Tricia Foley’s

WATERMELON SORBET Tricia Foley is OurHealth Magazine’s resident nutritionist.

Peek Inside a Family Living with

ADHD words | LAURA NEFF-HENDERSON, APR

Blacksburg resident and OurHealth contributor Laura NeffHenderson shares her family’s story of raising a child with ADHD and why it’s a condition that should be taken very seriously.

Being a parent is hard work. We all know that. Raising a child with Attention Deficit Hyperactivity Disorder (ADHD) is darn near impossible. At least that’s how it can feel sometimes. Our son Hayden is nine-years-old. He was diagnosed with anxiety and ADHD at just four-years-old. For my husband, Mark, and me, it wasn’t so much that Hayden couldn’t focus that had us looking for answers. It was his chronic aggression, frequent outbursts and tendency to argue and ignore us when we tried to correct his misbehavior that had us worried. But we didn’t know then what I know now – that these defiant and aggressive behaviors are very common in children with ADHD, specifically boys.

An active child Hayden was a hard child, almost from the time he was conceived. My pregnancy was a normal one, until high blood pressure set in during my third trimester. I was induced on my due date, and the little girl that I’d been told I was carrying was born a little boy, weighing 8 pounds, 12 ounces, and 21 inches long, at 5:53 p.m. on March 23, 2005, at Inova Fair Oaks Hospital, in Fairfax, VA. First he was jaundice. Then he was colicky. He had a series of ear infections from infancy through preschool. When he was about nine months old, he attempted to climb a small bookcase in his bedroom and got his first major scar – a line through his right eyebrow that has since faded away. At two years old, he took his first trip to the emergency room. One evening while running through the house, he slipped on the hardwood floors and split the skin under his chin open. At three years old, he jumped into the shallow end of a friend’s swimming pool and nearly drowned. Luckily I was close enough to jump in and pull him to safety, but I’m not sure I’ve ever really gotten over that experience. At four years old, while we were out of town visiting friends, he climbed onto a four-wheeler, hit the gas, and turned the wheel too hard, flipping it over, and breaking his right arm. That was our second trip to the emergency room. In the eight weeks he had a cast, it was replaced multiple times. We struggled with his behavior on a daily basis. He was impulsive, rarely ever stopping to think about the effect of what he was doing. From a very early age, he was able to climb out of his car seat and he took pleasure in lodging things, anything he could get his hands on, at the back of my head while I was driving us to and from the babysitter’s house. We were terrified to take him anywhere because he was quick to wiggle his way out of our grip and run through a busy parking lot, sometimes darting into traffic.

The diagnosis and treatment By the time Hayden was four we knew we needed help. Our pediatrician, Luthur Beazley, MD, with LewisGale Physicians, referred us to a colleague of his who is board certified in pediatrics, psychiatry, and child psychiatry, Brett Sharp, MD.

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ADHD is one of the most common childhood disorders with an estimated 5.4 million diagnosed children in the U.S., according to the U.S. Centers for Disease Control and Prevention. That equates to approximately 9.5 percent of American children between four and 17-years-old. Dr. Sharp was with Carilion Clinic Psychiatry and Behavioral Medicine in Roanoke, VA, but has since relocated to Portsmouth, VA. It took a few months to get an appointment with Dr. Sharp, but once we met with him and he reviewed the diagnostic forms filled in by Hayden’s babysitter and preschool teachers, it all became pretty clear. It wouldn’t do much good to do the formal testing until Hayden was about five-years-old, according to Dr. Sharp, but it was clear to him that Hayden had anxiety and ADHD. We received the diagnosis, and then had to begin the very personal decision about whether we thought medication was the best option for Hayden. I spent countless nights doing research about ADHD and the various treatment options. I spent just as many nights lying in bed, staring at the ceiling, and praying that we would make the right decision. I looked into behavioral therapy and we sought second, third, and fourth opinions about medication for a child this young. Things became clearer for me when a friend, who was also a psychologist, very articulately told me that I needed to do what would enable Hayden to be the best he could be and that not giving Hayden what he needed to be successful was unfair to him. Giving him medication, she said, wasn’t any different than buying him glasses if he needed them to see. Her advice confirmed what we were already beginning to accept – that medication was the best way to enable Hayden to be his true self. I knew I www.OurHealthVirginia.com

wanted Hayden’s teachers and classmates, and our extended family, to get to know the sweet little boy who had stolen my heart and taught me a love unlike anything I’d ever known on the day he was born. If medication could help do that, and make him a happier child, by finally going a day without being in trouble, then that’s what we would do. The underlying problem for patients with ADHD lies in not having enough of the brain chemicals (neurotransmitters) that allow the brain to regulate executive functions.

• While still commonly used in conversation, ADD is the antiquated term for ADHD. In medical literature, the term ADD has been dropped, as the condition, briefly classified as two separate disorders, includes three different kinds of ADHD: hyperactive-impulsive, inattentive, and combined. • People tend to think of ADHD in terms of the most well-known symptoms of hyperactivity and impulsivity—symptoms more often exhibited in boys. • Boys with ADHD are typically more hyperactive and impulsive. Girls with ADHD are more likely to be inattentive than hyperactive or impulsive. • Because they are quieter and often keep to themselves, they don’t catch the attention of the teacher as frequently as the boy in the classroom with ADHD who can’t sit seem to sit still and often disrupts the class. Unfortunately, that means boys are more often diagnosed and girls are under diagnosed. • The exact causes of ADHD are not known with certainty, but experts do know that ADHD has a strong genetic component. • Even in families where no one has been diagnosed with ADHD, it’s likely that one of the parents has ADHD – even if it’s very mild. Often, people who are undiagnosed learn to adapt and mature. 70

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Medication In my quest to learn everything possible about this disorder and our treatment options, I learned a great deal that surprised me. Despite the stereotypes: »» Research shows that ADHD medications have almost no long term side effects and are among the safest long term medications in use. Long term studies have significantly decreased or eliminated concerns about heart issues, chemical dependence, addiction, and growth problems. »» Kids don’t grow out of ADHD and medication doesn’t cure it. It provides relief of symptoms. When the medication is stopped, the symptoms return. So, the idea of a medication free weekend, or summer, won’t help your child if they have an accurate ADHD diagnosis. »» Finding the right medication can be incredibly difficult because there’s no blood test to determine which of the more than 50 medications currently on the market for the treatment of ADHD, including stimulants, and nonstimulant drugs is the right medicine. »» As children grow physically and especially during puberty, medications often stop working and the family has to find another medication that will work. All of my research told me that it often takes years to find the right medication, so imagine my surprise when the very first medications we tried worked wonderfully, with no side effects. The combination of Concerta and Intuniv made a huge difference for Hayden. The Concerta managed his ADHD symptoms, while the Intuniv helped with his anxiety. About 50 percent of people with ADHD also have an anxiety disorder, according to the Anxiety Disorders Association of America. www.OurHealthVirginia.com

Things continued to get better in kindergarten when he got glasses. Not only could he see the work, he could focus on it now. By the middle of the school year though, Hayden was struggling again. During the past few years, we’ve come across some medications that work for a while, and then seem to just quit working. Recently, we switched from Dextroamphetamine to Focalin XR. The medication doesn’t solve everything, but it helps tremendously. When things are going well, he’s a completely different child. He’s happy and affectionate, sweet, charming, and respectful. He helps around the house, cleans up after himself, and takes a shower without starting a fight with everyone in the house. He doesn’t stomp his feet, slam doors, or yell at his younger brother and sister.

Stereotypes These days, ADHD is said to be over diagnosed, and kids are believed to be over medicated. The stereotypes abound and it seems everyone has something to say about kids with the behavioral and academic problems associated with the diagnosis. “ADHD is the most extensively studied pediatric mental health disorder, yet controversy and public debate over the diagnosis and medication treatment of the disorder continue to exist,” according to Psychiatric Times. The decision about what to say about Hayden’s diagnosis, and to whom, has been a challenge. While I’m not an incredibly private person, the need to protect my son, and keep people from labeling him, brings out the momma grizzly bear in me.

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I hate that ADHD is considered a mental disorder and that the psychiatrists who treat these patients are thought to be for “crazy people.” It feeds the stereotype and makes me want to yell from the rooftops that there is nothing wrong with the way my son thinks. In fact, as is the case with many kids with ADHD, Hayden is smarter than most of his peers. In January 2014, we got the results of several months of testing and observation from a team of special education professionals with Montgomery County Public Schools. Not only does Hayden not have a learning disability, he’s well above average in many areas, including vocabulary and reading comprehension as well as math. His only real weakness was in spelling, which isn’t a big deal in the world of spell check and is probably something he’ll grow out of with age, according to the school psychologist we met with. One of the things that make the stereotypes so bad about this disorder is that fact that the medications used to treat it are so highly regulated by the government.

Did you know that ADHD prescriptions can’t be called in, or electronically transmitted, to a pharmacy? Or, that prescriptions can’t be filled more than a few days in advance? That means you need to have a prescription with a real signature every month, which means a visit to the doctor to pick up the prescription once a month. That wreaks havoc for times when we’re going out of town and have to transfer prescriptions to new pharmacies just to get them filled. And, it complicates life when your child has more than one prescription and none of them are on the same cycle because the doctor has changed the medication from time to time. Most medications used to treat ADHD are considered Schedule II controlled substances, which is why they are so heavily regulated by the government. Among other criteria, a substance is classified as Schedule II if the “(ab)use of the drug or other substance may lead to moderate or low physical dependence or high psychological dependence.” There are times when I visit our pharmacy several times a month, to pick up Hayden’s medication. With our recent switch to Focalin XR, I visited four different pharmacies, and called four others, before I found one that actually carried the dosage we needed. Even then, they didn’t have the generic so we paid the $40 brand name copay instead of the $15 generic copay. How about the fact that you have to provide a photo ID to pick up an ADHD prescription and, in many cases, pharmacies don’t have enough stock on hand to fill even a 30 day prescription? That means you’re there once to drop off the prescription and back again a few days later to pick it up, praying the whole time that you don’t run out of medication at home before the pharmacy gets their delivery and you can pick up the prescription. We do have the option to just take what the 74

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pharmacy has on hand, and sometimes the copay will be discounted proportionally. But, in order to get the remaining pills you need for that month, you have to get a new prescription written for the remaining amount, and usually have to pay another copay.

The costs In addition to the growing cost of medication and appointment co-pays (at one point, we were spending $120 a month on Hayden’s medication), the need for smaller class sizes and individualized attention meant private school tuition and tutoring for us. Watching his teachers compare him to his peers in preschool and kindergarten, and seeing their frustration with him and his growing hatred of school at such an early age was painful. We decided then that he needed to be in a different setting. We began searching for a school with significantly smaller class sizes and teachers who would have the skills to work with him; to see the blessings of ADHD and embrace them. We found our answer in a small unassuming private school just 10 minutes from home in Blacksburg, VA. Dayspring Christian Academy, and the teachers and administrators there, have been a blessing in our lives. The first time I visited and met with the principal of the elementary school she said something to me that I’ve never forgotten. She told me very clearly and emphatically that God doesn’t make mistakes, and that Hayden is exactly who he was meant to be. I left the school in tears that day, relieved that I had found a place that would accept my son, and praying that the financial piece would fall into place. The small class sizes mean his teachers have the luxury of working with Hayden in a way his previous teachers couldn’t with 25 kids in their class. He’s also learned acceptance and forgiveness and sees that despite his sometimes inappropriate behavior, the group of 11 students he’s been with in first, second, and third grade love him. He’s seen that with most of the teachers at the school as well, many of whom have never had him in class, but see him in the hallways and on the playground every day. Having a reading tutor for the last few years has allowed him to catch up, and surpass, grade level reading that he got behind on in preschool and kindergarten. Hayden benefits from structured schedules and generally requires extra time to get assignments and tests completed. Having teachers who can allow him to get up and move around during independent work, and are willing to take extra time to decipher his sometimes illegible handwriting, has created an environment in which Hayden can be successful. His classmates step in to help him copy things off the board when he can’t keep up, and his teachers stay in touch with us. A gentle pat on his back from his teacher when he’s daydreaming can pull him back into the assignment without embarrassing him in front of his classmates. www.OurHealthVirginia.com

There’s a grace and compassion at Dayspring that has helped Hayden thrive. His self-esteem and confidence are getting better, and his teachers are patient and loving. The emotional toll his diagnosis has had on our family continues to mount. Tensions rise high in our house in the mornings during when we’re all walking on ice to make sure Hayden doesn’t spiral into an ADHD fit before his medication has time to start working. The evenings can be just as bad when we are trying to get homework, dinner, and baths done for a family of five. While he really enjoys playing recreational soccer, it’s something we gave up in the fall because we were just not able to juggle weekly practices and games with homework and our evening routine. I spend a great deal of time explaining to our daughter, Addison, who’s five, that Hayden’s brain works differently than hers does and that some things are harder for him. I imagine that’s a conversation we’ll have with Grayson, who is two-years-old now, when he gets older as well.

The bright side of ADHD Hayden’s incredibly smart. By the time he was five he could take apart his toys and put them back together. At seven years old, he was fascinated by the wonderful world of science and longed to walk in the woods with his dad so they could identify the various animal tracks. Now, at nine years old, he has incredible reasoning and logic skills and can talk his way into, or out of, just about anything! He’s also incredibly mature and responsible for a little boy his age.

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ADHD is associated with positive attributes, such as creativity, a drive to achieve, a tendency toward entrepreneurship, and “out-of-the-box” thinking.

Some of the most successful individuals with ADHD include: »» Walt Disney, founder of Disneyland »» Michael Phelps, most decorated Olympian of all time »» Justin Timberlake, singer/actor/producer/businessman »» Jim Carrey, actor/comedian/producer »» David Neeleman, JetBlue Airways founder »» Will Smith, actor/producer/rapper »» John F. Kennedy, 35th president of the United States »» Albert Einstein, theoretical physicist The very same hyperactivity that can be problematic in certain situations can be very valuable in other situations, especially when it comes to getting things done. Individuals with ADHD typically excel in career fields that require fast talking or movement, such as working as a real estate agent, physical therapist or retail manager.

And, individuals who learn how to harness the impulsivity that’s characteristic of the disorder are more apt to pursue the things they want in life—often with great success. Additionally, some people with ADHD feel things very deeply. Being a sensitive person can make you a good friend, a caring partner, and a sympathetic human being. And sensitive people bring lots of great qualities to their relationships, like compassion, caring, introspection, and conscientiousness. Hayden is the most compassionate child I know. He cries at the thought of children and animals being hurt and he wakes up at night terrified that something will happen to me and Mark. He “mother hens” his brother and sister to the point of annoyance, to keep them from getting hurt. On the relationship front, adults with ADHD may take in more details in their environment, grasp more in certain situations, and perceive more about the people they encounter. Having a broader view or the ability to capture www.OurHealthVirginia.com

lots of clues can help people with ADHD hone their intuitive skills. And that’s a very helpful skill in life — especially when it comes to forging close, interpersonal relationships.

Attention deficit hyperactivity disorder (ADHD) is one of the most common childhood disorders, and can continue through adolescence and adulthood. Symptoms include difficulty staying focused and paying attention, difficulty controlling behavior, and hyperactivity (over-activity).

ADHD has three subtypes: Predominantly hyperactive-impulsive • Most symptoms (six or more) are in the hyperactivity-impulsivity categories. • Fewer than six symptoms of inattention are present, although inattention may still be present to some degree.

Predominantly inattentive • The majority of symptoms (six or more) are in the inattention category and fewer than six symptoms of hyperactivity-impulsivity are present, although hyperactivity-impulsivity may still be present to some degree. • Children with this subtype are less likely to act out or have difficulties getting along with other children. They may sit quietly, but they are not paying attention to what they are doing. Therefore, the child may be overlooked, and parents and teachers may not notice that he or she has ADHD.

Combined hyperactive-impulsive and inattentive • Six or more symptoms of inattention and six or more symptoms of hyperactivity-impulsivity are present. • Most children have the combined type of ADHD Source: National Institutes of Mental Health

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The Future There’s no doubt that things will get harder for Hayden in a few years when he moves into middle school. There’s much research out there that shows for many students with ADHD, their unraveling begins in middle school when the demands for productivity, independence, and organization increase dramatically. This is a time when there is a sharply increased demand on the “executive functions” of the brain. In middle school students are suddenly expected to adapt to a complex schedule, multiple teachers, and greatly increased organizational demands. This is a big change from elementary school when parents traditionally help children keep their schedule, plan, organize, and prioritize. We still have not found the right mix of medication, though we thought we had at least once or twice during the last five years. What works to regulate Hayden’s behavior and focus has changed as he’s gotten older. It’s a constant struggle, and one I’m afraid we are never going to win. I will say though, that things have gotten slightly better. It could be because Hayden has matured some. It could also be because just recently, for the first time, we began talking with Hayden about ADHD and what it means for him. It could also be because we’ve learned to become better advocates, and spend a great deal of time scouting our resources in our community and doing research.

Either way, whether we get this under control or not, he’s perfect to me and I thank God every day that he has entrusted me to be Hayden’s “momma.”

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T H E

S E V E N T H

A N N U A L

Vote for your favorite physicians and/or providers in more than 50 medical specialties by visiting

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VOTING IS OPEN June

1s t ~ J u l y 1 0 t h 2 0 1 4

Winners announced in the December 2014 edition of

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words | LYNETTE MUTTER

magnificence and

Olympic Gymnast Shannon Miller Springs Back from Ovarian Cancer It is widely agreed that Shannon Miller dominated the sport of gymnastics for most of the 90s. In fact, in 1992 through 1996, she is regarded for executing routines with some of the highest difficulty in the world. For someone who describes herself as “neither the most talented nor the strongest athlete,” the fact that Shannon Miller remains America’s most decorated gymnast is astounding. Highlights of Shannon’s illustrious athletic career include: • Being a seven-time Olympic medalist, with two gold, two silver and three bronze. • Being the only American to rank among the Top 10 gymnasts, and the only female athlete to be inducted into the US Olympic Hall of Fame – twice! • Having won gold in half of her 108 international and national competition medals. • Winning five medals, the most by a U.S. athlete of any sport, at the 1992 Olympics. • Leading the “Magnificent Seven” to the US Women’s first ever team gold in gymnastics at the 1996 Olympics, and for the first time ever for an American, winning gold on the balance beam.

Shannon with her son. (Photo Credit: Liliane Hakim)

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At right: Shannon with her family (Photo Credit: Renee Parenteau) Below: Shannon sports her Olympic medals

Fast forward 20 years and Shannon was still vaulting to success and enjoying a rich, fulfilling life. She had earned undergraduate and law degrees, became a wife and mom, launched a company (www.shannonmillerlifestyles.com) to help women make their health a priority and started a foundation to fight childhood obesity. Shannon began hosting a weekly radio show, had written a series of fitness books and cookbooks, produced fitness DVDs, and was traveling the country as a highly sought after motivational speaker and advocate for the health and wellness of women and children. And that’s not all.

Facing a Ruthless Rival While still seemingly scoring a perfect 10.0 in all facets of life, Shannon was diagnosed with a rare form of ovarian cancer and began a rigorous routine that rivals her Olympic experience. As she puts it, she “competed with cancer,” which is also the title of her free e-book, written to share her story in hopes that it might help others.

Now Shannon adds “cancer awareness advocate” to her list

of roles, all of which she

relishes and approaches with a passion intimately known by those who have dealt with a cancer diagnosis.

Shannon believes that her background as a competitive gymnast, as well as her roles as wife/mother and health advocate, is ultimately what saved her life. She won her match with cancer and even naturally conceived and gave birth to a daughter last year, referred to as her “miracle baby.” So how did this happen to a former Olympian and health and fitness advocate in her peak years of wellness? Well, the same way it happens to anyone. While there are other factors that affect ovarian cancer risk, the single greatest risk factor is a family history. But, that wasn’t the case with Shannon. “Cancer doesn’t care... who you are, if you have time, whether you are launching a new business and have people depending on you, including a one-year old little boy,” she says. However, early diagnosis matters greatly with cancer. For Shannon, although it was caught quite early, it was not before a 7-centimeter tumor had grown inside of her. It might be called a stroke of luck that it was found early, maybe “an angel looking over my shoulder helping me do the right thing”, Shannon says. It was clear that the same determination and work ethic that propelled her to Olympic fame was also at work here.

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While waiting on hold to reschedule an annual exam appointment due to a business travel conflict, Shannon toyed with the idea to just skip it for now. But she had a nagging feeling and reasoned that as an advocate for women’s health and fitness, she had do as she did in gymnastics and “walk the talk!” So she took the earliest available appointment, which was the one at which the stage IA mixed germ cell tumor would be discovered. A flurry of tests culminated in surgery within a month after diagnosis. The tumor and an ovary were removed, and Shannon then endured nine brutal weeks of chemotherapy. In her book, Shannon describes chemotherapy as a game changer. “Unlike surgery, where I had no control, with chemotherapy, there were things I could do to affect the outcome,” she says. Things such as: • Developing a Game Plan • Keeping a journal • Exercising • Reaching out for and accepting support • Laughing Shannon says she “spent and her entire gymnastics career learning how to come back from defeat. When you fail, minimize the mistake, pick yourself up and keep going.” The mindset of a champion got her through the nausea, fatigue and hair loss. Just as the longest run in a floor exercise is two to three steps, Shannon told herself that she only had two tasks every day – prepare and do her best. A healthy dose of denial helped “block out the noise” and keep her focused. Ultimately, the Olympic gymnast landed on her feet.

A New Purpose Emerges Now Shannon adds “cancer awareness advocate” to her list of roles, all of which she relishes and approaches with a passion intimately known by those who have dealt with a cancer diagnosis. Today, Shannon’s message is “One of hope – and also of taking care of ourselves and making our health a priority.” When she was diagnosed and the doctors asked if she had symptoms, at first she said “no.” Afterward, when talking with her husband, he reminded her that she had been complaining about having a stomach ache for months. She also recalled, “I had lost six pounds in a month, which I attributed to post-baby body and a lot going on at work.” “Here I was an advocate for women’s health, and I didn’t even know the symptoms of ovarian cancer. I realized that I needed

to use whatever voice I had to reach out to others about the importance of taking care of ourselves and of knowing the symptoms of medical conditions that affect us.” Shannon encourages women to pay attention to their bodies and when something doesn’t feel right, to not be embarrassed or afraid to go to the doctor. “What is the worst case, or maybe the best case, scenario?” she asks, “That the doctor says you have a stomach ache or it’s nothing? It’s worth finding out for sure.”

Dorothy McAuliffe, First Lady of Virginia; Shannon Miller; Dr. Gordon Ginder, Director of VCU Massey Cancer Center

Recognizing that it can be difficult for women to find time to go to the doctor, Shannon recalls “all of the hours, days and months” she spent in bed during treatment and recovery. “Thanks to the helping hand of God, I was diagnosed early. We can’t prevent everything, but we can buy time to have more options.” After chemotherapy, Shannon was dealt a blow when she realized that for the rest her life, she would be “observed” – tests, scans, going to the doctor every few months. “I didn’t want that! I never wanted to think about cancer again!,” says Shannon. “I was depressed for a while, then I realized that I must do it, so I can know at the earliest moment if anything is wrong. Either there will be nothing to worry about or I will have more options.” “I learned that making health a priority is not about spending two hours in the gym and it’s not selfish,” says Shannon. “What it truly means is that we are being selfless and taking into consideration the people who depend on us. We simply just can’t put ourselves last, and we need to give ourselves the benefit of options for the best possible outcome.” “My message to women is not groundbreaking, but I hope that coming from a different source, it will resonate. I want women to accept that they don’t need permission to make their health a priority and that it’s okay to take the time they need to do so,” says Shannon.

A Journey of Discovery When diagnosed, Shannon was somewhat surprised by the outpouring of support she received. “While logically, we know there are many other people dealing with the same thing, when it’s you, it really hits home and the world disappears. You feel alone and begin to focus inwardly. I had the opportunity to focus outwardly.” When Shannon found out she had cancer, she and her husband decided they would be very open about it, hoping to help someone else by showing that cancer doesn’t care who you are. 86

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Shannon encourages women to pay attention to their bodies and

when something doesn’t feel right, to not be embarrassed or afraid to go to the doctor.

“I wanted to use this excruciating stumbling block in my life and hoped it would help others,” she says. Always believing her husband, John Falconetti, was the “person you would turn to if the wheels fell off,” Shannon developed a new appreciation for his strength. As it turns out, John’s father had been diagnosed with stage four colon cancer and went into surgery the day before Shannon. The doctors were telling John that his father might never leave the hospital. And the very next day, his wife would be operated on. Thankfully, John’s father lived another two years, but throughout 2011, he needed to be there for his father, mother, wife and son – and he had a business to run, says Shannon. “During it all, I didn’t completely realize how hard it must have been for him until the following New Years’ Eve when he raised his glass and said, “Here’s to a better 2012.” His tone of voice and the look on his face revealed the enormous pressure he had been under and how well he handled it,” she says. After overcoming the initial trauma of losing her hair and shaving her head, Shannon also discovered that she liked wearing wigs. “It was so easy and it always looked perfect!” she says.

“When I felt up to taking a little walk, I would go to the Starbucks in my neighborhood. Some days I would go in sweats, bald and with no make-up. On better days, I might wear a cap and a little make-up. And when I went back to shooting videos or film, I would be wearing a business suit, a wig and have my eyelashes on. The baristas didn’t know what to think! And not caring about that was liberating,” she says. Through cancer, Shannon says she gained a confidence she didn’t have before, except when she was wearing a leotard and on the competition floor. Otherwise, she was a bit shy growing up and through her 20s. “It wasn’t until cancer that I truly found my voice, and I learned that you don’t have to look or sound a certain way. What really matters is your faith and your family, and doing your best every day. Nothing else really matters,” she says.

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“Beyond the Medicine” “Faith has played an enormous role in my life,” Shannon says. “God has been with me during some very difficult times, and also brought me through this battle with cancer. I know that He is with me at all times, and that there is a reason for everything.” At this point in her life, Shannon believes that she is meant to use this experience as a reminder to take care of her own health, and to reach out and help others take care of their own. She stresses “the importance of hope and positive attitude, which comes from your faith and family support. Even doctors will tell you that there is something ‘beyond the medicine’ and having the right mental approach could make all the difference.” Shannon has been quoted as saying that “Everyone has obstacles, and you’re not going to have the right answer or do the right thing every time.” However, it appears that a positive attitude and an athletic background of intense training, injuries, setbacks and sacrifices has prepared Shannon well for Olympic-scope challenges and even greater victories.

While there are other factors that affect ovarian cancer risk, the single greatest risk factor is a family history.

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