OurHealth Roanoke & New River Valleys Jun/Jul 2017 Edition

June • July 2017 ourhealthSWVA.com

BREATHE FREE!

6 Healthy Plants for Your Home

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BORN TO

MOVE

Tips to Follow for Your Arthritic Pet

2017

Roanoke & New River Valleys

DERMATOLOGY & COSMETIC SURGERY Resource Guide

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TABLE OF CONTENTS JUNE • JULY 2017

12 Q&A ON HEALTH

38 BETTER BOTANY | Breathe Free: 6 Indoor Plants that Produce

16 THE PULSE

40 AUTO HEALTH | 7 Simple Steps to Summer Travel Success

Healthcare questions answered by local professionals

Keeping the pulse on local healthcare news, new physicians, providers, locations and upcoming events in the Roanoke & New River Valley communities.

20 HEALTHY OBSERVATIONS | June-July OurHealth partners with healthcare organizations and medical professionals to raise awareness about monthly healthcare observations.

26 SPECIALTY SPEAKING | Beneath the Surface OurHealth partners with local plastic surgeons and aesthetic skin care professionals to discuss procedures and services provided locally.

the Most Oxygen in Your Home

42 PET HEALTH | 5 Tips to Follow for Arthritic Pets 44 THE OURHEALTH BOOKSHELF

Showcasing some of the most authoritative books on how to get and stay healthy.

47 THE ANATOMY CHALLENGE

Test your knowledge when it comes to YOUR SKIN.

48 GET SUN SMART

The pool, the beach, the backyard—these are all great places to be on a sunny day. But too much sun can cause premature wrinkling, sun spots, sunburn—and in the worst cases, skin cancer. www.OurHealthswva.com

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TABLE OF CONTENTS JUNE • JULY 2017

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THE 2017 ROANOKE & NEW RIVER VALLEY DERMATOLOGY & COSMETIC SURGERY RESOURCE GUIDE

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

Your resource guide for dermatology and cosmetic surgery in the Roanoke & New River Valleys.

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7 STEPS TO WATER SAFETY SUCCESS

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OurHealth partners with the Salem Family YMCA to bring helpful water safety tips.

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HELLO, HEALTH

CARILION WILDERNESS MEDICINE’S TO-DOS FOR SUMMER TRAIL SAFETY OurHealth partners with Carilion Clinic to learn more about trailside trauma and safety.

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

FITBITS | Summer Exercise for All Ages Kaitlyn Decker, the Youth Wellness Instructor at Green Ridge Recreation Center, shares summer exercise programs for kids.

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Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

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THE FAMILY LOVE LETTER

EIGHT GREAT SUPER VEGGIES Tricia Foley RD, MS, OurHealth's resident nutritionist, shares nutrient-rich vegetables perfect for spring time.

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

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www.OurHealthswva.com

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june • july 2017

PUBLISHER

PRESIDENT/EDITOR-IN-CHIEF

VICE PRESIDENT OF PRODUCTION

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CHIEF DESIGNER

GRAPHIC DESIGNER WEBMASTER

ACCOUNTING MANAGER DIGITAL CONTENT MANAGER | EVENT SPECIALIST

DIGITAL MEDIA STRATEGY

ORIGINAL PHOTOGRAPHY

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

CONTRIBUTING MEDICAL EXPERTS

CONTRIBUTING PROFESSIONAL

EXPERTS & WRITERS

Nancy Downey, MSN, GNP, CDP Thomas K. Miller, MD Colleen Mitchell, OD Matt Cox Rich Ellis Tricia Foley, RD Tina Joyce Rick Piester Sue Ranson Christy Ripple Daniel Smith Christine Stoddard

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

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

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

Copyright © 2017 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Roanoke and New River Valleys is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

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

BY LOCAL PROFESSIONALS

“

Many mattresses may initially feel similar, but support your body differently depending on the base. With technology like ZeeZ from Grand Home Furnishings, our sleep experts can remove the guesswork from this equation.

”

How do I know when it’s the right time to request hospice care?

How do I know what mattress will best support my sleeping position?

Families often tell us that they wished they had called hospice sooner, but knowing when to call is difficult. For some non-curable diseases such as cancer, when aggressive/curative treatments have been tried and the disease is still present, call hospice. For chronic diseases, such as heart disease or dementia, in which the decision can be even more difficult, look for specific clues. Here are a few triggers: weight loss; frequent infections; weakness; increased sleeping; needing assistance with things like bathing, feeding, or dressing; and frequent ER or doctor visits.

The right mattress is the first piece of the perfect sleep system.

Choosing the right foundation to sleep flat or in a muscle-relaxing zero gravity position is just as essential to a good night’s sleep.

Many mattresses may initially feel similar, but support your body differently depending on the base.

With technology like ZeeZ from Grand Home Furnishings, our sleep experts can remove the guesswork from this equation. Pressure mapping the body allows us to customize an in-stock sleep set for every person who enters our showroom.

Verbal cues might be when someone says they don’t want more treatments, or wants to stay home rather than go to the ER. We are always happy to talk with families about hospice appropriateness and will do an assessment to determine if someone meets eligibility requirements. If you or someone you know is asking, “Is it time for hospice?” the answer is probably yes.

– Matt Cox

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Sue Ranson, CEO

Good Samaritan Hospice Roanoke | 888.466.7809 Christiansburg | 877.381.3171 www.goodsamhospice.com

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

Finally, to complete the ideal sleep system, you need the perfect pillow. Everyone at some point has experienced neck or shoulder strain, headaches, and lost sleep from an improper pillow. Whether your sleep style is Armadillo, Cocoon, Cliffhanger, or Log, we have your complete sleep system available.

Matt Cox

Grand Home Furnishings Roanoke | 866.472.6343 www.grandhomefurnishings.com

Should I make my child wear sunglasses?

Yes, absolutely! Sunglasses are just as important as sunscreen to prevent ultraviolet light damage. If you are putting on sunblock, you should be putting on sunglasses! Many people don’t realize that it’s important to think about UV protection even on overcast days. When there is a thick cloud cover overhead or snow on the ground, more UV light gets scattered and reflected into your eyes.

Sunglasses are an easy way to prevent common eye conditions such as cataracts, macular degeneration, skin problems like melanoma, and ocular surface dryness. Help your child form good habits now, and remember that kids learn by example, so make sure you put your sunglasses on outside, too!

Colleen Mitchell, OD

Blacksburg Eye Blacksburg | 540.953.2020 www.blacksburgeye.com

Q & A O N H E A LT H

www.OurHealthswva.com

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

BY LOCAL PROFESSIONALS

“

Good hydration helps with muscle and joint functionality, keeping skin supple and moist, flushing toxins from your system, improving your ability to concentrate, and assisting in keeping your heart and other organs healthy.

”

– Raschid Ghoorahoo, FNP-BC, NP-C

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How do I know when pain after a workout is more serious than just sore muscles?

Muscle pain during exercise is due to muscle fatigue and buildup of lactic acid. This will resolve with a brief period of rest. Post-exercise muscle pain is not unusual and demonstrates that the muscle was worked enough to allow later improvement in strength. The pain, which is due to muscle damage, is usually worse in the first 24 to 48 hours after an increase in duration of activity or intensity. It can be painful during this period, but should improve with gentle return to activities and will not last more than 72-96 hours.

Pain at rest after two to three days, severe pain with activities that persists after three to four days, pain that is associated with severe cramping, pain at the muscle attachment to the bone, or prolonged pain with dark urine color may imply more severe muscle injury and needs medical attention.

Thomas K. Miller, MD Chief, Sports Medicine Carilion Clinic Roanoke | 540.725.1226 www.carilionclinic.org

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

What are the benefits of a Geriatric Care Manager?

A Geriatric Care Manager (GCM) will help you or your loved one maintain independence. The GCM attends doctor appointments to ensure that medical instructions are implemented and communicates with all doctors, specialists, and others involved in caring for the patient to ensure that care is coordinated. The GCM maintains medication lists and medical history and informs healthcare providers of changes in health status.

The GCM also: •

Assists with transitions back home after a hospital or nursing home stay

•

Arranges for and monitors inhome helpers

•

Monitors home maintenance and repair needs

•

Assists with bill paying

•

Provides strategies for coping with chronic conditions

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Acts as a liaison to families in or out of town by communicating changes and alerting them to concerns.

The GCM develops close relationships with clients, who look forward to her friendly visit and her assistance.

Nancy Downey, MSN, GNP, CDP Geriatric Care Manager Generation Solutions Roanoke | 540.776.3622 www.generationsolutions.net

I’m encouraging my family to drink more water. What are the health benefits of staying completely hydrated throughout the summer?

According to the EPA, between 1979 and 2014, over 9,000 Americans died from a heat-related illness. Hydration is one of the most important health care needs during the long, hot summer months. It is generally recommended that you drink six 8-ounce glasses of water a day, but that number can vary depending on your size, need, age, exercise regimen, and whether you have a chronic illness.

The primary benefit of staying hydrated is a healthy body. Good hydration helps with muscle and joint functionality, keeping skin supple and moist, flushing toxins from your system, improving your ability to concentrate, and assisting in keeping your heart and other organs healthy.

How do you know if you are dehydrated? You may be thirsty or experiencing fatigue or headaches.

Severe dehydration may lead to organ and heart damage. If you are experiencing any of the above symptoms or sweating out in the warm summer temperatures, remember to hydrate!

Raschid Ghoorahoo, FNP-BC, NP-C LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com

www.OurHealthswva.com

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KEEPING THE PULSE ON HEALTH NEW OPTIONS FOR ADULT MEDICAL DAY CARE SERVICES IN ROANOKE >> Friendship Living announces the recent opening of its newest facility on the North Roanoke campus.

The Feinour Center, a 7,000-square-foot adult medical day care facility, will offer daytime care Monday through Friday from 7:30 am – 5:30 pm for family members who can no longer stay home alone safely. The staff, which includes recreation therapists, registered nurses, LPNs and nursing assistants will ensure healthcare needs are met while assisting participants in activities that are tailored to their interests and meeting social, physical, and cognitive needs. Healthcare services offered include medication management, monthly health assessments, daily health monitoring, dementia care, post-hospitalization recovery, physical, occupational and speech therapy services and more.

For more information about the program, call 540.283.4433 or visit www.friendship.us.

SPECIALIZED FOSTER CARE IN ROANOKE >> Alliance Human Services opens third office in Virginia.

Alliance Human Services, Inc. is now offering services in the Roanoke Valley. The non-profit organization provides treatment foster care services to children and at-risk youth who have emotional or behavioral disorders, intellectual and developmental disabilities, are medically fragile, or are in the juvenile justice system.

Alliance Human Services serves children and teens in the greater Roanoke Valley through its newest office located at 3618 Brambleton Avenue, Suite E. Alliance offers foster parents a competitive stipend, free training and skill development, access to 24hour professional support, support groups for parents, and the opportunity to make a positive impact on the future of a child.

For more information, call 540.355.0966 or visit www.alliancehhs.org.

PEDIATRIC PHYSICAL THERAPY NOW AVAILABLE IN DALEVILLE >> Professional Therapies, Inc. announces the opening of its newest location at 65 Shenandoah Drive, Suite 201 in Daleville.

The Daleville office, located on the upper floor of the LewisGale building in Daleville Town Center, offers services specifically designed for pediatric patients including speech, physical, and occupational therapy.

Professional Therapies, Inc is a locally owned and operated professional therapy provider with seven locations throughout southwest Virginia.

For more information about pediatric therapy services, call 540.343.5004 or visit www.professionaltherapies.org.

NEW PEDIATRICS OFFICE IN BLACKSBURG >> Academic Primary Care Associates opens practice dedicated to pediatrics, New Beginnings Pediatrics.

The pediatric office at Academic Primary Care Associates, offices of Sofia Abraham-Hardee, DO and Christina Kozar, DO is relocating. As of June 6, 2017, Dr. Abraham-Hardee and Dr. Kozar will begin seeing patients in the new office dedicated to pediatrics, New Beginnings Pediatrics. New Beginnings Pediatrics is located at 3708 South Main Street, Suite B in Blacksburg. Office hours are Monday through Friday from 8 am – 5 pm.

Later this summer New Beginnings Pediatrics will welcome Ancy Abraham, MD. The addition will allow office hours for at least two physicians daily giving patients easier access to appointments.

For more information or to schedule an appointment at New Beginnings Pediatrics, call 540.739.3623.

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

INNOVAGE ACQUIRES KISSITO PACE OF ROANOKE >> Kissito PACE of Roanoke in Roanoke is now InnovAge Virginia PACE – Roanoke Valley.

The Program of All-inclusive Care for the Elderly (PACE) is as an alternative to nursing homes and is designed to keep seniors living in their own homes and communities for as long as safely possible. Participants in PACE are primarily dually eligible for both Medicare and Medicaid. The new InnovAge program will be known as InnovAge Virginia PACE – Roanoke Valley.

DAVITA, INC. ANNOUNCES NEW OPENING IN GLENVAR >> DaVita, Inc., a national kidney care provider, announces plans to open Davita Kidney Care Glenvar Dialysis Center in mid-June of this year.

The center, located in the Richfield Professional Center, will offer in-center hemodialysis, peritoneal dialysis, and services for home hemodialysis. The center will be open on Monday, Wednesday, and Friday form 6 am – 5 pm with future hours to include Tuesday, Thursday and Saturday.

For more information about DaVita, Inc., visit www.davita.com or call 540.380.3130. facebook.com/ OurHealthMagazine

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“Our passion and mission at InnovAge is to provide services to the most vulnerable seniors to help them age in their own homes with dignity,” said InnovAge President and Chief Executive Officer Maureen Hewitt.

“For more than 20 years, PACE has been the core of our business. We are pleased to be able to serve the Roanoke Valley’s frailest seniors, and we look forward to expanding the number of older adults currently benefiting from PACE.” For more information, visit www.MyInnovAge.com/RoanokePACE.

VISIT OUR WEBSITE FOR A FULL CALENDAR OF

LOCAL HEALTH EVENTS www.ourhealthswva.com

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Jourdan Benedict

Megan Carter, PA

Activities Director Carilion Clinic Kroontje Health Care Center Roanoke | 540.981.7000 at Warm Hearth Village www.carilionclinic.org Blacksburg | 540.552.9176 www.retire.org

Anne Jaeger, MD

Physician Associates of Virginia, PC Roanoke | 540.375.3790 www.pavclinics.com

Michael Nussbaum, MD, FACS Chair of Surgery Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org

Charles Lovelady, MD

Carilion Clinic General Surgery Rocky Mount | 540.224.5170 www.carilionclinic.org

Lisa Repasky, PA-C

Carilion Clinic Family Medicine Roanoke | 540.725.7800 www.carilionclinic.org

John Wilson Epling Jr., MD

Meredith Friend, PA-C

Lauren McGuire, DNP Mackenzie Carilion Clinic VelocityCare Meador, PA-C

Tammy Monk, FNP

Jerome Nichols, MD

Samuel Robbins, PA-C Owen Roberts, MD

Kathryn Sistare, PA-C

Meredith Spencer, FNP

Amanda Crouch, RN, BSN

Director of Nursing Warm Hearth at Home Blacksburg | 540.443.0401 www.retire.org

Christiansburg 540.382.6000 www.carilionclinic.org

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

Michelle Dowdy, NP Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

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

Hematology and Oncology Pulaski Oncology Pulaski | 540.980.8550 www.lgphysicians.com

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

Carilion Clinic Family and Internal Medicine Radford | 540.731.3200 www.carilionclinic.org

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

Carilion Clinic Gynecological Oncology Roanoke | 540.581.0160 www.carilionclinic.org

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

Internal Medicine Christiansburg Internal Medicine Christiansburg 540.381.1882 www.lgphysicians.com

ROANOKE & NEW RIVER VALLEYS Jesse Stem, MD

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

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Sherry Tompkins, NP Carilion Clinic Christiansburg 540.731.7311 www.carilionclinic.org

Robert L. Trestman MD, PhD

Chair of Psychiatry Carilion Clinic Psychiatry Roanoke | 540.981.8025 www.carilionclinic.org

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

T H E P U L S E O N H E A LT H

Welcome

Anne Jaeger, MD

Services Provided: • • • • • •

Complete Adult Medical Care In-office Routine Physicals & Disease Management In-hospital Care at LewisGale Medical Center Select Nursing Home Care In-Office Bone Density & Laboratory Added Geriatric Training

“Healthcare is all about the patient – balancing preventive care and disease management – with the goal of improving the quality and quantity of life.”

Physician Associates of Virginia, PC Roanoke Office 4461 Starkey Road, Suite 201 Roanoke Salem Office 431 Apperson Drive | Salem

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

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

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HEALTHY

OBSERVATIONS

LOCAL H E A LT H C A R E RECOGNITION

Raising

JUNE JULY

AWARENESS

LEARNING MORE ABOUT YOUR HEALTH FROM A LOCAL LEVEL Through its newest column Healthy Observations, OurHealth Roanoke & New River Valleys magazine partners with area physicians and health organizations to raise awareness about conditions and topics tied to specific national health recognition days, weeks and months during the year.

Most of us are familiar with national heath observance awareness campaigns like American Heart Month, National Stroke Awareness Month and Breast Cancer Awareness. But did you know the calendar is full of special days, weeks and months that raise awareness for a variety of important health issues and conditions?

In much the same way national health observances like these raise awareness about specific health conditions on a national level, our Healthy Observations column’s purpose is to bring a similar level of awareness to readers at the local level by increasing knowledge and awareness about specific health concerns, dispelling misconceptions, and sharing new technologies through expertise provided by local physicians and providers.

INTERIM HEALTHCARE HELPS REDUCE THE RISE IN FALLS AMONG SENIORS >> Falling is the third leading cause of unintentional-injury-related death over all age groups,

but it's the #1 cause of death for those 65 and older. But with the right type of safeguard and assistance, these rates can be reduced – and even eliminated. words | CHRISTY RIPPEL

Falls can cause injuries for a person of any age—but for seniors, they can be catastrophic. “Falls are one of the biggest things that send people back to the hospital,” says Cheryl Rakes, PT, a physical therapist and Director of Rehabilitation for Interim Healthcare in Roanoke. “It often sends them in the wrong direction, one from which they often don’t recover well.”

Other than the obvious fall injuries, which might include fractures or head trauma, lasting complications can result, says Rakes. “Complications that arise from a fall are often worse than the fall itself.” The lack of mobility from the injury starts a downward spiral—patients don’t eat and drink as well, become weaker and lose balance, and are susceptible to pneumonia and other illnesses.

While Rakes and her team of therapists at Interim have helped innumerable patients rehabilitate after a fall, the best course of action recommended is to take preventative measures. Simple steps such as 20

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

JUNE Fireworks Safety Month keeping pathways clear of clutter and making sure rooms have adequate lighting are just a few recommendations she offers our readers to help keep our seniors safe and stable at home.

SURVEY THE ENTRANCE TO THE HOME “On a home therapy visit, the first thing we look at is the entrance and how the patient gets from the car into the house,” says Rakes. “Sometimes the shortest distance to travel is not the safest distance.” Meaning, maybe the front door is closer, but requires walking over grass or a gravel driveway, while the path to the back door is concrete—more stable for walking.

In that case, Rakes works with the patient on his or her functional endurance so that the walk to the back door is possible without fatigue. She says a combination of weight training and walking (under the guidance of a therapist) can accomplish this goal.

To prevent a fall on the way into the house, look for a path on solid terrain, consider landscape lighting to illuminate any steps or tricky areas, and be sure that you or your loved one are strong and balanced enough to go it alone. If not, consider physical therapy to increase strength and balance.

FIND POTENTIAL TRIP HAZARDS INSIDE THE HOME That throw rug might be a home décor statement, but it’s a trip hazard. “Get the throw rugs off the floor,” advises Rakes, along with anything else that blocks pathways needed for travel. In home visits, Rakes says her company’s therapists will often make suggestions and/or move items themselves to lessen the risk of a fall. “Sometimes it’s something as easy as moving a lamp to a different place so the lighting is better,” Rakes says.

Clutter is the enemy—removing anything that doesn’t have to be on the floor or in the way allows better movement, especially for those trying to get around with a walker or cane. All areas should be well-lit, especially at night. Consider night lights for hallways, bedrooms, bathrooms, kitchens or any areas that might be visited in the middle of the night.

GUIDE SOMEONE THE RIGHT WAY UP THE STAIRS OR INTO A SEAT There is a right way to assist someone who is walking, sitting down or rising from a seat that will help prevent them from falling. “We teach family members and caregivers what we call ‘guarding techniques’, which is how to stand and where to stand,” says Rakes.

When helping, it’s natural to reach for the hand, but you should balance at the waist or belt area at the person’s back—you’ll have a better hold – and can sense when the person is starting to lose balance and fall. If you are only grasping the hand, you might injure him or her by yanking on the arm while they are already starting to fall down. “If you have your hand at the right place you can prevent them from coming too far off their base of support and you can correct them before they fall,” Rakes notes.

When navigating stairs, the helper should stand at the down side of the stairs, even if the person you are assisting is going up. Transfers – going from sitting to

Alzheimer’s & Brain Awareness Month Cataract Awareness Month Men’s Health Month Myasthenia Gravis Awareness Month National Aphasia Awareness Month National Congenital Cytomegalovirus Awareness Month National Migraine & Headache Awareness Month National Safety Month National Scleroderma Awareness Month JUNE 4 National Cancer Survivors Day® JUNE 12-18 Men’s Health Week JUNE 18-24 National Lightning Safety Awareness Week JUNE 19 World Sickle Cell Day JUNE 27 National HIV Testing Day JUNE 27 National PTSD Awareness Day

JULY Cord Blood Awareness Month International Group B Strep Awareness Month Juvenile Arthritis Awareness Month National Cleft & Craniofacial Awareness & Prevention Month UV Safety Month JULY 28 World Hepatitis Day www.OurHealthswva.com

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CONSIDER THE FOLLOWING CRITERIA TO REDUCE THE RISK OF FALLING IN SENIORS:

standing and vice versa – are the cause of a lot of falls, Rakes says, often because the person has forgotten their assistance device (cane or walker), or is still too far away from the seat when they try to sit down. Interim Healthcare physical therapists work on these transitions with patients, and provide caregivers with helpful verbal cues and reminders – particularly necessary for those with dementia.

HELPFUL TIPS TO REDUCE THE RISK OF FALLING IN SENIORS GENERAL SAFETY • •

GENERAL SAFETY

• • • • • • •

BATH/BEDROOM SAFETY

BATH/BEDROOM •

STAIRS

When moving from lying down to standing, sit up first and stay sitting a moment or two. Then stand up slowly and stand a few seconds before trying to walk.

When you first wake up, sit on the edge of the bed and make sure you are not dizzy before you get out of bed.

Use a cane or walker if you are unsteady. Promptly replace worn rubber tips of these devices.

Be careful around pets. They can get in front of your feet or jump on you.

Eat breakfast every morning. Skipping a meal could make you dizzy.

Wear clothes that fit properly. You can trip on a coat, pair of pants or bathrobe that is too long.

Close cabinet drawers so you won't stumble over them.

If you are not close to the telephone when it rings, don't rush to it. Fast, sudden movements could throw you off balance.

Make sure you have access to a telephone that you can reach to call for help if you fall. Consider carrying a portable phone.

•

Never grab a towel rack, shampoo holder or soap tray for support in the shower. These will not hold a person's weight.

Let the soap suds go down the drain before you move around in the shower. Do not turn suddenly.

• • • •

If you are prone to falling, use a shower chair and a handheld shower attachment.

Clean up puddles of water immediately.

Do not lock the bathroom door. That will delay help in reaching you.

Arrange clothes in your closet so they are easy to reach.

•

Replace satiny sheets and comforters with products made of nonslippery material, i.e., cotton, wool.

STAIRS •

Never carry any package that will obstruct your view of the next step.

•

Keep at least one hand on the handrail.

VISION/LIGHTING

VISON/LIGHTING

• • •

Wear glasses if you need them, but remove reading glasses before you walk.

Have your eyes checked regularly. Do not put off getting new glasses.

Use 100-watt bulbs, as light takes longer to reach the back of your eye where you sense color motion.

Note: Only use higher watt bulbs if they do not exceed the warning on your lamps or fixtures to avoid a fire hazard.

•

Keep flashlights handy in event of a power outage.

MEDICATION SIDE EFFECTS

MEDICATION SIDE EFFECTS

•

Feeling weak or dizzy can be a possible side effect of many medications and can increase the risk of falls. Talk to your doctor or pharmacist about side effects caused by your medications, and read the information about side effects that comes with each of your prescriptions.

SENSIBLE SHOES

SENSIBLE SHOES

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• • • • • • • •

Have your feet measured each time you buy shoes since your size can change.

Buy properly fitting, sturdy shoes with nonskid soles.

Avoid shoes with extra-thick soles.

Choose lace-up shoes instead of slip-ons, and keep the laces tied.

Select footwear with fabric fasteners if you have trouble tying laces.

Use a long-handled shoehorn if you have trouble putting on shoes.

Shop in the men's department if you're a woman who can't find wide enough shoes.

Always keep your toenails well trimmed.

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

H E A LT H Y O B S E R VAT I O N S

Falls aren’t a necessary part of aging and can be successfully prevented, starting with staying active. Staying active promotes balance, coordination and strength at any age and can be an insurance plan against falls. If a person remains active and ensures that the home environment is safe and free of hazards, the risk of a fall is drastically reduced. If balance and strength become compromised, a physical therapist can help recover strength, balance—and confidence.

For more information about fall prevention safety, visit www.interimhealthcare.com/ education-center/fall-prevention or scan the QR code.

LEWISGALE PHYSICIANS’ EYE DOCTOR BRINGS THE CAUSE OF CATARACTS AND TREATMENT OPTIONS INTO FOCUS >> One of the most common eye procedures performed in older adults, cataract surgery is done in just minutes allowing patients to realize improved vision with no downtime and possibly reducing or eliminating the need for additional corrective eye wear. words | RICH ELLIS

CATARACTS – WHAT ARE THEY? Richard Johnson, MD, is a board-certified ophthalmologist with LewisGale Physicians in Salem and explains the meaning behind this common medical condition that nearly everyone will experience later in life.

“On a home therapy visit, the first thing we look at is the entrance and how the patient gets from the car into the house. Sometimes the shortest distance to travel is not the safest distance” CHERYL RAKES, PT Interim Healthcare

“A cataract is a clouding of the natural, intraocular (IOL) crystalline lens that focuses the light entering the eye onto the retina,” Dr. Johnson explains. “This cloudiness can cause a decrease in vision and may lead to eventual blindness if left untreated. Cataracts often develop slowly and painlessly, so vision and lifestyle can be affected without a person realizing it. Worldwide,

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cataracts are the number one cause of preventable blindness, and while there is no medical treatment to prevent their development or progression, cataract surgery has an overall success rate of 97 percent or higher when performed in appropriate settings.”

Modern cataract surgery involves removing the cloudy lens and implanting a clear, intraocular lens, and is one of the most effective, most common procedures performed in medicine with three million Americans electing to have cataract surgery annually.

“As a cataract progresses, more of the lens becomes cloudy. When the entire lens is brown, the cataract is called ‘ripe’ or ‘mature’ and causes severe vision problems. Delaying surgery until cataracts are ripe or mature is neither recommended nor needed, as patients today can be diagnosed and treated well before a cataract reaches that stage.”

RICHARD JOHNSON, MD, FAAO LewisGale Vision Care

CATARACT SYMPTOMS AND WHEN THEY OCCUR According to Dr. Johnson, the following symptoms could indicate the presence of cataracts, and patients experiencing these symptoms should seek an evaluation and opinion from a medical professional.

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Blurred vision (distance vision or near vision may be affected, one more so than the other)

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Glare (halos or streaks around lights, difficulty seeing in the presence of bright lights)

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Difficulty seeing in low-light situations (including poor night vision)

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Loss of contrast sensitivity

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Loss of ability to discern colors

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Increasing nearsightedness or a change in refractive status

People tend to get cataracts in their 60s and 70s, Dr. Johnson adds, and most people in that age bracket, even if they’re not experiencing symptoms, probably have cataracts. Nearly everyone who lives long enough will develop them – some sooner than others as lifestyle factors, such as smoking, can cause cataracts to develop earlier.

ADVANCEMENTS IN CATARACT SURGERY AND HOW THE PROCEDURE IS PERFORMED True laser surgery is now available, in addition to the traditional ultrasound method, to remove cataracts. The main difference between the two is that laser uses light waves to soften the cataract so that its contents can be removed more easily. True laser surgery is more expensive and usually not covered by insurance, while traditional ultrasound treatment does yield similar long-term results, albeit with the potential for increased swelling after surgery.

During surgery to remove cataracts, other additional treatment options can also be performed, such as correcting the dominant eye for distance and the non-dominant eye for closer vision, potentially eliminating the need for the patient to wear glasses. Additionally, toric lenses can be used to correct astigmatism, multifocal lenses can correct distance and near vision in the right candidate, and accommodative lenses can correct distance and intermediate or computer distance vision.

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Cataract surgery takes about 10 to 15 minutes per eye, with patients arriving approximately one and a half hours before surgery to be prepped for the operation. After surgery, patients should have someone available to drive them home, and they can resume normal activities the following day. Cataract surgery is not usually performed on both eyes during the same visit, unless the patient has a medical condition that requires both eyes be treated simultaneously.

DEBUNKING MYTHS ABOUT CATARACT SURGERY Older adults may recall their parents or grandparents going through a much more involved surgical procedure to treat cataracts, leaving a stigma that resonates with many today. Back then, patients waited until their vision was nearly totally obscured by a cloudy lens, or ‘ripe’, 24

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as it was referred to, before having involved surgery. They were then hospitalized for 10 days or more with their heads immobile with sandbags while their eyes healed before being sent home with Coke-bottle spectacles that restored their sight but greatly enlarged and distorted visual images.

“As a cataract progresses, more of the lens becomes cloudy. When the entire lens is brown, the cataract is called ‘ripe’ or ‘mature’ and causes severe vision problems. Delaying surgery until cataracts are ripe or mature is neither recommended nor needed, as patients today can be diagnosed and treated well before a cataract reaches that stage.”

With so many advancements in medical technology, Dr. Johnson says it’s important for patients to speak with their doctors and share any concerns they have, especially if they aren’t certain about the latest diagnosis and treatment options.

“It’s disconcerting to know some people still may avoid having a procedure that can help improve their health simply because they are misinformed or unaware,” explains Dr. Johnson.

“Maintaining regular checkups with your doctor and asking questions is a good starting point for anyone who has concerns.”

For more information, scan the QR or visit www.lgphysicians.com.

EXPERT CONTRIBUTERS Richard Johnson, MD with LewisGale Physicians in Salem.

Cheryl Rakes, PT with Interim Healthcare in Roanoke.

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LOCAL PROCEDURES & SERVICES

Beneath SURFACE the

JUNE JULY

Plastic Surgery and Aesthetic Skin Care words | STEVE MCCLINTIC, JR.

Think you have to travel to New York City or across the country to L.A. to see a top-rated cosmetic surgeon? Don’t believe there’s an aesthetic treatment that can take away your skin blemishes? Still feel it’s too taboo to consider?

Cosmetic surgery and aesthetic skin services have changed a lot through the years.

Some of the nation’s top-rated cosmetic surgeons and aestheticians can be found here in the Roanoke and New River Valleys, and they offer an array of options that would have been unimaginable in previous generations, all of which are safer and more trusted. And popularity of cosmetic surgery doesn’t seem to be slowing pace: since 2000, there has been a 115 percent increase in overall procedures.

We have partnered with local cosmetic surgeons and aesthetic skin care professionals to give a first hand, in-depth look at a few of the popular procedures and services available and how they are performed to help you make more informed decisions.

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“Breast augmentation is most often of benefit to two types of patients: younger women whose breast tissue hardly developed and middle aged women whose breast size decreased after having children,” explains Enrique Silberblatt, MD, FACS with Aesthetic Surgery of Virginia in Roanoke. “Younger women will also often have asymmetry that can be improved by using slightly different implants. Extra skin, requiring a lift, is addressed elsewhere.”

Dr. Silberblatt says the typical, straightforward breast augmentation takes him one to two hours and is done as an outpatient under general anesthesia. The implant can be placed over or under the pectoralis muscle, depending on how much breast tissue and sub-cutaneous fat is present. Available implants include saline, round gel and shaped gel implants. The surface can be texturized (helping to maintain implant position) or smooth (allowing the implant to move around more). Incisions are most often made just under the breast but can sometimes be made under the arm or around the areola.

“The best implant, incision, and placement for an individual patient is best determined during the consultation with your plastic surgeon after a review of your goals and a thorough breast examination,” says Dr. Silberblatt. Implants placed under the muscle are more painful than those placed over the muscle. Expect to have limited arm motion for two weeks and not recover full motion for six weeks, he states.

Cost typically varies from $4500 to $7000 depending on the implant chosen, the length of the procedure, and the complexity of the operation. Insurance will not cover a cosmetic augmentation but may cover a congenital deformity in which no breast ever developed.

“Ask your surgeon what he/she does to prevent capsular contracture, a condition that can develop after augmentation where the tissues around the implant harden and deform it,” Dr. Silberblatt recommends. “The best surgeons will spend extra time to explain this potential problem to their patients and take numerous precautions during surgery to try and prevent it.”

BREAST AUGMENTATION

S P E C I A LT Y S P E A K I N G

BREAST AUGMENTATION

BREAST AUGMENTATION: A cosmetic surgery procedure to increase breast size and enhance breast shape, typically through the placement of silicone or saline breast implants.

Two types of patients benefit from breast augmentation: 1.

Younger women whose breast tissue hardly developed

2.

Middle aged women whose breast size decreased after having children About $4500 to $7000

BREAST AUGMENTATION WITH LIFT: A cosmetic surgery procedure to increase breast size while restoring a firmer, perkier, and more aesthetically pleasing shape of sagging breast, typically through the placement of silicone or saline breast implants.

Women who lose weight or return to their pre-delivery weight after nursing often suffer from smaller and/or sagging breast.

About $7000 to $10,000

BREAST AUGMENTATION WITH LIFT When a woman loses weight or returns to her pre-delivery weight after nursing, she may find that her breasts are not only smaller but they also sag and have extra skin.

When this occurs, it is impossible to correct by just placing an implant. Usually a lift must be done as well. This involves removing the extra skin. The resulting scars can range from a circular scar around the areola to an inverted T scar that resembles an anchor where the top of the curve portion of the anchor follows the curve of the fold under the breast.

“I have found the inverted T to provide a more reliable and pleasing result,” explains Dr. Silberblatt.

The procedure is done as an outpatient and takes anywhere from three to five hours, depending on how much breast tissue must be lifted and whether some needs to be removed. An implant almost always does a better job of providing fullness to the upper breast. A woman must be prepared to limit her arm motion for two weeks and will not return to unrestricted activity for six weeks. The scars may continue to be red for as long as two years.

Enrique Silberblatt, MD, FACS Aesthetic Surgery of Virginia 3505 Brambleton Avenue Roanoke, VA 24153

540.994.7408 www.silberblatt.com

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Costs vary from $7000 to $10,000, depending on the length of the procedure and which implants are selected.

Insurance does not typically cover breast augmentation with lift.

“There are some plastic surgeons that prefer to do the procedures separately,” says Dr. Silberblatt. “I have tried doing it that way but found no advantage. In fact, scarring after the lift (if done first) may interfere with skin stretch after the augmentation. Occasionally, a breast augmentation may provide enough lift to make a full lift (with its attendant scarring) unnecessary.”

LABIAPLASTY “Labiaplasty may be considered by women who have always had excessively large or irregular labia minora, or developed these changes after childbirth,” says Dr. Silberblatt. “They are usually bothered by discomfort while sitting, exercising or during sex. Many women are simply self conscious about their appearance, particularly now that genital hair is often shaved.”

Patients can choose to have a labiaplasty done under local, general or sedation anesthesia as an outpatient. During the procedure, excess tissue is removed as a straight line or as a wedge, depending on how much needs to be removed and other anatomic details unique to each individual. If there is excess tissue around the clitoral hood, this skin is often trimmed as well. The procedure takes from one to three hours, depending on how much tissue needs to be removed.

“Expect mild to moderate discomfort, easily controlled by oral analgesics, for the first three or four days,” explains Dr. Silberblatt. Patients will usually ice the area for the first 48 hours. Sex and activities such as bicycle riding and horseback riding are curtailed for six weeks.

“Privacy for my patients is paramount and the staff at my outpatient surgery center goes out of its way to limit the contact and exposure of my patients to other patients and employees while maintaining the strict safety standards required by the JCAH,” Dr. Silberblatt says.

Cost varies by length and complexity of surgery but is generally between $2000 and $5000. Some insurance plans may cover labiaplasty, particularly if it is done to repair a tear resulting from delivery.

“As with any surgical procedure, a patient should ask her surgeon how often he performs the operation, what the 28

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MINI-FACELIFT “I define a “mini” facelift as a facelift with a shorter scar that primarily lifts the jowl and corner-of-the-mouth region,” explains Dr. Silberblatt. “A small amount of improvement is sometimes seen in the neck.”

A mini-facelift can be done under local anesthesia but some patients prefer IV sedation for comfort and to lessen anxiety. “The procedure is done as an outpatient and I see all my patients the next day to remove the compressive head dressing that I use to prevent fluid or blood from building up under the skin,” says Dr. Silberblatt. It is not unusual to feel tightness but there is usually not a great deal of pain. Although some swelling and bruising may occur, many patients are able to return to jobs that are not physically demanding after one day.

S P E C I A LT Y S P E A K I N G

potential complications are, how often they occur, and if any previous patient might be willing to speak about her experience,” he recommends. “Labiaplasty has one of the highest satisfaction rates of any procedure I do.”

MINI FACELIFT FACELIFT: A cosmetic surgery procedure to improve visible signs of aging in the face and neck.

MINI FACELIFT: A facelift with a shorter scar that primarily lifts the jowl and cornerof-the-mouth region.

Results normally last about five years.

About $5000 to $6500

Costs vary from about $5000 to $6500, depending on whether or not the patient prefers sedation and how long the procedure takes. On average, mini-facelifts take about two and a half to three hours with results normally lasting about five years. Since this is a cosmetic procedure, insurance does not cover the cost. “Most commonly, women in their forties are the best candidates, but I have seen many older women that have had great results with this procedure, avoiding the increased downtime and scarring that is seen with a full facelift.”

When considering a mini-facelift, Dr. Silberblatt suggests patients to ask her/his plastic surgeon how they preform the procedure, how long results last, and to describe how it differs from a full facelift. If possible, it is often helpful to speak to a patient who has undergone the procedure.

SKIN FILLERS “Skin fillers are used to smoothen facial lines and to add or restore volume to areas of the face,” explains Dr. Silberblatt. “They are helpful to patients who have acquired these changes with age or younger patients who never had full lips or cheeks. Indented scars can often be improved. Fillers can even slightly change the shape of the nose or chin.”

Materials used as skin fillers include hyaluronic acid, calcium hydroxylapatite, polyalkylimide, polylactic acid, and polymethyl-methacrylate. Collagen was the first filler to be used but has been abandoned because of its short duration (three to six weeks). Silicone was used by some practitioners in the past but has a high rate of complications (scarring, deformation, extrusion) and should be avoided. “My preference is to use hyaluronic acid,” says Dr. Silberblatt. “It lasts from six months to two years and is immediately reversible (should the patient be unhappy with the result), unlike the other fillers. The formulations I use all have a local anesthetic included so the injections are much less painful.”

Injections are done in Dr. Silberblatt’s office after determining his patient’s objectives.

The face is thoroughly washed to remove all makeup and is prepared with alcohol. Ice compresses before and after reduce discomfort. The injections take two to ten minutes.

There is usually transient swelling that resolves within 48 hours. Bruising may occur but is not common. Patients on blood thinners may not be candidates for injection.

SKIN FILLERS SKIN FILLERS: Used to smoothen facial lines and to add or restore volume to areas of the face.

BEFORE & AFTER: Before skin fillers

After skin fillers

About $400+

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Cost varies from about $400 up, depending on which product is used and how many syringes are required. Insurance does not cover fillers.

“Patients should ask who does the injections,” he recommends. “I do all my own injections. If a problem should arise, a surgeon is better prepared to address it than someone who has little or no operating room experience.”

>> Continue our conversation with Dr. Silberblatt online at OurHealthSWVA.com!

Continue the

CONVERSATION For even more on our conversation with Dr. Silberblatt, visit OurHealthSWVA.com and look for "ContinueTheConvo" to download our custom Aesthetic Surgery of Virginia Reference Card and Check List.

NECK LIFT A cosmetic surgery procedure to restore a more youthful appearance to his or her neckline.

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NECK LIFT The best candidate for a neck lift is someone looking to restore a more youthful appearance to his or her neckline that is healthy enough to undergo elective surgery.

“Typically the areas of concern are excess skin and/or fat under the chin that can lead to a tired or aged appearance,” says Kurtis E. Moyer, MD of Carilion Clinic Cosmetic Center in Roanoke. “A neck lift removes the excess skin and fat through incisions under the chin, as well as in front and behind the ears.”

A neck lift typically takes between one to two hours to complete, depending on the amount of excess skin and fat to be removed. The procedure is typically preformed with the patient under sedation or a general anesthetic (going to sleep). Dr. Moyer performs neck lifts as an outpatient procedure, but that may vary from surgeon to surgeon. Only one surgery is needed for rejuvenation of the neck with a neck lift, but like all cosmetic procedures, Dr. Moyer explains, results are not permanent.

“You can expect your results to last between seven and 10 years before you notice signs of aging returning,” Dr. Moyer says. “It may be necessary to have additional skin or fat removed at that time to maintain the youthful appearance of your neckline.”

As for recovery, discomfort following a neck lift is minimal. Dr. Moyer says most patients have mild pain in the first 48 hours, and very little pain after the first two days.

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Dr. Moyer says anyone who has a neck lift will be required to wear a surgical garment to compress the area for two weeks. After that, it can be removed to go out in public but needs to be replaced once in the house and while sleeping for another two weeks.

Dr. Moyers asks patients to not lift anything over 20 pounds or strain for four weeks.

Most patients without a strenous job can return to work within two weeks.

S P E C I A LT Y S P E A K I N G

“Bruising can occur along the bottom of the neck but this typically resolves within the first week,” he notes.

RHINOPLASTY A cosmetic surgery procedure to reconstruct the form, restore the function, and/ or aesthetically enhance the nose.

“If the procedure is done correctly you should have a natural and more youthful appearance but look like you,” says Dr. Moyer. “No procedure can completely reverse the effects of time but under the care of a well-trained surgeon you can expect to have that rejuvenated look you are after.”

RHINOPLASTY The best candidate for a rhinoplasty is someone healthy enough to undergo elective surgery who is interested in changing the shape of his or her nose, such as refining the tip or reducing a hump.

“The biggest misconception about a rhinoplasty is that one size fits all and that you will look like a completely different person,” says Dr. Moyer. “Every patient is different and has different desires and expectations. Only through a careful consultation by an experienced surgeon can patients’ expectations be explained. Once a plan is created it

Kurtis E. Moyer, MD Carilion Clinic Cosmetic Center 2107 Rosalind Avenue Roanoke, VA 24014

540.853.0510 www.CarilionCosmetic.com

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is important to know that you will look like 'you' with refinements made to the nose to improve its appearance.”

Some patients also have a deviated septum, causing breathing issues, which can be fixed during a rhinoplasty. Dr. Moyer says the procedure is outpatient, so the patient can go home the same day. It is performed under sedation or a general anesthetic (going to sleep), and typically lasts between one to three hours. Results are accomplished with a single surgery and revisions are typically not necessary.

Continue the

CONVERSATION For even more on our conversation with Dr. Moyer, visit OurHealthSWVA.com and look for "ContinueTheConvo" to download our custom Carilion Clinic Cosmetic Center Reference Card and Check List.

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Following rhinoplasty, the patient has splints that need to be removed after one week.

“Pain and bruising can be moderate in the first few days (following the procedure) but after one week most patients are doing very well,” explains Dr. Moyer. He advises patients not to lift over 20 pounds or strain for four weeks, but those who have non-strenuous jobs can return to work within two weeks.

If you are considering rhinoplasty, Dr. Moyer advises patients to choose a surgeon carefully. “Board certification matters, and if you desire a plastic surgeon to preform your surgery they must be certified by the American Board of Plastic Surgery, which falls under the American Board of Medical Specialties,” says Dr. Moyer. “Do your homework and be sure your surgeon has the experience and training to ensure consistent and safe results.”

>> Continue our conversation with Dr. Moyer online at OurHealthSWVA.com!

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S P E C I A LT Y S P E A K I N G

BODY CONTOURING SURGERY Body contouring procedures reshape different parts of the body through techniques designed to remove, or tighten sagging skin and overstretched muscles, as well as get rid of localized fat deposits. To learn more about one of the most popular body contouring surgical procedures – tummy tucks – we spoke with Carol Wray, MD, a board certified plastic surgeon with The Center for Plastic Surgery at Ridgewood Hill in Salem.

TUMMY TUCKS As we age, lose a significant amount of weight or bear children, skin in our midsection stretches and loses tone. Sometimes we are left with so much excess skin sagging around our stomach area that we can grab it in our hands. If this is what you see when you stand in front of a mirror, then a tummy tuck, also known as abdominoplasty, may be right for you.

Two types of tummy tuck procedures are available: complete tummy tuck and mini tummy tuck. Depending on how much skin needs to be removed and whether or not abdominal muscles require tightening determines which procedure is best suited for the patient.

Carol Wray, MD The Center for Plastic Surgery at Ridgewood Hill 2880 Keagy Road Salem, VA 24153

540.444.4343 www.carolwraymd.com

TUMMY TUCK BEFORE & AFTER: Before tummy tuck

“A complete tummy tuck includes tightening the skin from the ribcage to the bikini line by removing the excess skin,” explains Dr. Wray. “Usually the underlying muscles are pulled together if they have been stretched from pregnancy or excessive weight.”

The incisions extend from hip to hip and around the belly button, the majority of which fall beneath the bikini line and are generally unnoticed in most types of two-piece swimwear. Complete tummy tuck surgery is performed in an outpatient surgery center under general anesthesia and lasts three to four hours.

Three months after tummy tuck

Dr. Wray sometimes performs mini tummy tuck surgery in her office under local anesthesia. Since muscles are not usually tightened and the upper abdomen is not tightened, this procedure can take less than an hour.

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“Usually no follow up procedures are required, but sometimes we add liposuction of the lateral (side) abdomen at the same time to help shape the waist,” explains Dr. Wray. “Once everything has healed and settled, the results are evaluated for asymmetries or irregularities that could possibly be improved with a minor office procedure.”

Patients are usually seen a few days after their procedure, then on a weekly basis for three to four weeks until drains are out and there is no fluid accumulation. After that, they are seen as often as needed and evaluated at three to four months to see if anything further needs to be done.

With a complete tummy tuck, there is a large incision from hip to hip, and muscles are usually pulled together, so it will be uncomfortable using the abdominal muscles. Numbing fluid is placed in the area prior to waking up, so the immediate time after surgery is relatively comfortable. This discomfort gets better with time, usually in six to eight weeks. Pain is addressed with prescription and non-prescription medications. Total recovery for a complete tummy tuck is six to eight weeks.

A mini tummy tuck does not involve the muscles, and is much less painful. However, pain is still addressed with prescription and non-prescription medications, and patients are frequently feeling good within a week. Total recovery time for a mini tummy tuck can be as little as two weeks.

One thing Dr. Wray stresses to patients is that a complete tummy tuck is fairly major surgery and will require significant down time. “Patients need to plan ahead for this, especially if they have small children since they will be unable to lift them,” she explains.

After complete or mini tummy tucks, patients can drive when they feel comfortable and are safe, and no longer need narcotic pain medications that interfere with driving times, which is usually in one to two weeks.

A mini tummy tuck starts at $1550 and a complete tummy tuck starts at $7255, which includes lab work, the operating room and anesthesia charges. Both mini and complete tummy tucks are considered elective procedures, which are not covered by insurance.

To determine if patients are ideal candidates for tummy tuck surgery, Dr. Wray points to three important factors. “Patients should be in good overall health, not smoke and are at or near their ideal body weight. Ideally patients would maintain a consistent, healthy weight for at least nine – 12 months before having surgery. Dr. Wray also emphasizes that a tummy tuck is not meant to help people lose weight and is not a substitute for a healthy diet and active lifestyle. “Making a commitment to a 34

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S P E C I A LT Y S P E A K I N G

new, healthy weight not only ensures patients will receive the best surgical results, but also is essential to maintaining the long-term results for years to come.”

FAT REDUCTION WITHOUT SURGERY: COOLSCULPTING® A relatively new non-surgical procedure called CoolSculpting® is delivering unprecedented results in the removal of stubborn fat in areas that have typically resisted efforts through diet and exercise. Dr. Wray shares more about this FDAapproved procedure she offers.

“CoolSculpting® is a non-surgical procedure that works through controlled cooling to target fat cells underneath the skin, treating stubborn fat that diet and exercise alone can’t seem to touch,” explains Dr. Wray. “It addresses superficial fat cells around the waist, stomach, thighs, back, arms, and underneath the chin without harming surrounding skin or tissue.”

The procedure is performed by placing the CoolSculpting® device on the targeted areas. Those areas are pulled between cooling panels by suction. The device then cools the fat cells to just above freezing causing destructive crystals to form on the fat cells.

The treated fat cells are metabolized naturally from the body, and leave the treated area sculpted and smooth. “Approximately 20% of the fat treated disappears,” says Dr. Wray.

CoolSculpting® is performed in the office while the patient is awake with each treatment cycle taking 35 to 75 minutes. With the newer, shorter treatment times, there is little, if any, discomfort and minimal swelling and no need for compression garments.

COOLSCULPTING COOLSCULPTING: A non-surgical procedure that works through controlled cooling to target fat cells underneath the skin, treating stubborn fat that diet and exercise alone can’t seem to touch.

The best candidates are at or near their ideal weight and have small areas of excess fat that are resistant to diet and exercise.

“There is no downtime,” explains Dr. Wray. “We have had patients treat one area, go workout at the gym, then return the same day for another treatment.

Dr. Wray says it can take two – four months to see the final results. “At this time, we compare before and after photos to measure the difference.”

Each treatment is between $725 - $995, depending on the area. Since the procedure is considered elective, it is not covered by insurance.

The best candidates are people at or near their ideal weight and have small areas of excess fat that are resistant to diet and exercise. Like all cosmetic procedures, surgical and non-surgical, Dr. Wray says it’s important to remember that CoolSculpting® is not a substitute for a maintaining a healthy diet or exercise.

>> Continue our conversation with Dr. Wray online at OurHealthSWVA.com!

BOTOX AND DYSPORT INJECTIONS Injections of neurotoxins such as Botox and Dysport are best at treating facial wrinkles created by movement, like frown lines (vertical lines between the eyebrows), forehead lines and crow's feet (outer corners of the eyes).

“The best candidates for Botox and Dysport are healthy, young to middle aged adults,” says Aleksandra Brown, DO, FAAD a dermatologist with River Ridge Dermatology in Blacksburg. “Men and women in their late twenties and early thirties are ideal

Continue the

CONVERSATION For even more on our conversation with Dr. Wray, visit OurHealthSWVA.com and look for "ContinueTheConvo" to download our custom The Center for Plastic Surgery at Ridgewood Hill Reference Card and Check List.

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candidates because they can do so much more to prevent lines from forming. Patients also seem to think that they need to wait until the lines get very deep to start doing the procedures. This is a misconception, as they are designed to prevent lines and work best if used as a preventative measure.”

Aleksandra Brown, DO, FAAD River Ridge Dermatology 3706 S. Main Street B Blacksburg, VA 24060

540.951.3376 www.riverridgederm.com

If patients present with deep lines, injectibles may not make the lines completely go away, but in this case, Dr. Brown still recommends Botox or Dysport to prevent lines from getting deeper. “However, it is important that the patient has realistic expectations and knows that the lines may not go away. Pictures over time show that facial lines at rest do improve a little,” she says.

Injections take just a couple of minutes, are done with a tiny needle and require no downtime following the procedure. To maximize results, Dr. Brown asks that patients stay upright and don't exercise for four hours following the injections. Both Botox and Dysport last approximately three months. “I always recommend that patients new to neurotoxins come in 2 weeks later for a quick re-check,” says Dr. Brown. “At their follow-up, we look at before and after photos and make sure they're satisfied with their results.”

>> Continue our conversation with Dr. Brown online at OurHealthSWVA.com!

Continue the

CONVERSATION For even more on our conversation with Dr. Brown, visit OurHealthSWVA.com and look for "ContinueTheConvo" to download our custom River Ridge Dermatology Reference Card and Check List.

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EXPERT CONTRIBUTERS Aleksandra Brown, DO, FAAD with River Ridge Dermatology in Blacksburg.

Kurtis E. Moyer, MD with Carilion Clinic Cosmetic Center in Roanoke.

Enrique Silberblatt, MD, FACS with Aesthetic Surgery of Virginia in Roanoke.

Carol Wray, MD with The Center for Plastic Surgery at Ridgewood Hill in Salem.

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on your tablet or smartphone

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H E A LT H Y GARDEN TIPS

Breathe Free

6 Indoor Plants that Produce the Most Oxygen in Your Home words | TINA JOYCE

As we seek ways to purify our homes, examining the air we breathe becomes a critical factor in improving our everyday health and wellness. Indoor air pollution, caused from synthetic building materials, mold, cleaning products, upholstery, and artificial scents can emit a variety of toxins in the air we breathe daily. Researchers are finding ways to reduce pollutants and improve air quality; some solutions are as simple as the everyday houseplant.

SNAKE PLANT

(Aloe barbadensis)

(Sansevieria trifasciata)

(Chlorophytum comosum)

The aloe plant has been known for years for its burn-healing gel within the leaves, a combination of anti-bacterial and antiinflammatory properties. Also, aloe is known to help rid our homes from benzene (found in some chemical cleaners and paint).

Snake plants are low maintenance and offer appealing vertical growth from 1-6 feet.

Also, it tends to convert carbon dioxide into oxygen at night, making it ideal bedroom greenery. The snake plant was recommended by a NASA study as one of the top oxygen producing plants and requires little water.

Spider plants are ideal for the novice plant owner because the plants are easy to take care of and remove small amounts of formaldehyde and xylene from our homes.

They prefer bright, indirect sunlight and weekly watering.

BAMBOO PALM

WEEPING FIG

PEACE LILY

Bamboo palm thrive in indoor spaces, this plant may grow to more than 10 feet and is pet friendly. It best filters trichloroethylene and benzene but doesn’t thrive if over watered.

Weeping figs reduce pollutants like benzene and formaldehyde, this fig loves indirect sunlight and requires infrequent watering, making it an easy keeper. Also, in warmer months this plant can easily be moved outside for decorative purposes.

Often a beautiful gift, the peace lily offers much more than condolences. By reducing levels of mold spores, this lily is likely to help keep mildew to a minimum. The lily makes it known when it needs watered but be careful not to over water. Peace lilies thrive in bright, indirect light. Be careful of allergies, blooms may contribute to pollen or scents in your home.

(Chamaedorea seifritzii)

(Fiscus benjamina)

One large, or two smaller plants every 100 square feet can significantly improve air quality in our workplaces or homes.

38

SPIDER PLANT

ALOE VERA

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

(Spathiphyllum)

www.OurHealthswva.com

39

AUTOMOBILE H E A LT H TIPS

SEVEN words | RICH ELLIS

SIMPLE STEPS TO

SUMMER

TRAVEL SUCCESS

BE PREPARED AND CHECK YOUR VEHICLE BEFORE YOU TRAVEL! While today’s vehicles are safer and more reliable than ever, that doesn’t mean that an accident or breakdown can’t happen. Being prepared and checking your vehicle before you travel can help you get back on the road faster when misfortune does strike.

40

Nothing ruins a summer vacation road trip or gets you even hotter during already sweltering temperatures like a vehicle breakdown that leaves you stranded on the side of the road. That’s why it’s important to ensure that both you and your vehicle are prepared for the unexpected before you hit the road this summer. Follow these seven steps to perform a vehicle safety check that will help stop a minor breakdown from becoming a major headache.

1

FIRST-AID KIT

2

EMERGENCY ROADSIDE/ACCIDENT KIT

3

SPARE TIRE

4

FOOD AND WATER

5

EXTERNAL CELL PHONE CHARGER AND CORD

6

EMERGENCY CONTACTS

7

TEST THE VEHICLE’S SECURITY SERVICES

Confirm that there’s one in the vehicle and that it’s stocked with the basic emergency supplies.

Useful in the event of an accident or breakdown, a good kit should include jumper cables, flares, reflective roadside triangles/markers, hand tools, tape, a tire inflator and a flashlight.

Know where your tire is, how to access and remove it, and how to check its air pressure. Also, know the location of the jack and how to use it. (Instructions can often be found in the vehicle owner’s manual.)

Always keep water and snacks available, particularly if you’re traveling with children.

If you vehicle experiences a battery failure or other electrical problem, you might not be able to charge your cell phone. Carry a small, external battery pack and charging cord that fit the phone.

Research and save important phone numbers in your cell phone before traveling, including those for AAA and the roadside assistance offered by many vehicle manufacturers.

If your vehicle is equipped with OnStar or a similar service, test it before traveling. These services can provide directions or let you call for help in the event of an emergency. Some services even offer the option of activating and paying for them for short periods, such as during a two-week vacation.

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41

H E A LT H Y PET TIPS

5

TIPS

TO FOLLOW FOR

Arthritic Pets words | TINA JOYCE

The cold nose, the loving eyes, and the faithful return all describe man’s best friend. It’s no wonder we seek to offer our canine friends the best care. Many pets, especially large-breed dogs, are prone to developing arthritis. The larger the breed, the more debilitating arthritis can be.

The climate in the Roanoke & New River Valleys can make getting outdoors in the summer months particularly challenging, due to heat and humidity. There are a few ways to help recognize your pet's arthritis and creatively help him or her move more comfortably.

The most obvious sign of arthritis (in both dogs and cats) is limping. Your pet may also begin to move more slowly up steps or down hills. Usually, pets rise tenderly from laying down.

1 2 THE MOST OBVIOUS SIGN OF ARTHRITIS IN PETS IS LIMPING! For the most accurate diagnosis of symptoms and solutions, contact your regular veterinarian who is familiar with your pet’s habits and tendencies.

42

3 4 5

PREVENTION

The best way to keep your pets from suffering from arthritis is to keep them at a healthy weight in the first place.

REDUCE THE POUNDS

Helping your pet lose weight reduces stress on his entire body. This may include utilizing a special type of food, removing a “free will” food options, skipping excess treats, and/or increasing exercise.

GO EASY

As with humans, exercise must be entered into gradually. Choose low-impact activity, with a 5-10 minute warm-up. Swimming is ideal for dogs, as are leisure walks. Avoid rough play or excessive jumping and running, which can lead to significant pain the next day, defeating the purpose.

PAY ATTENTION

Allow your pet to exercise in the cool of the morning or evening and keep a close watch signs of dehydration and unusual fatigue. An adequate cool down helps to reduce the heart rate and stiffness later. A good massage may also be beneficial for sore muscles, not to mention enjoyable for both you and your pooch.

AT LAST

If all natural attempts fail to alleviate your pet’s discomfort, ask your veterinarian about an antiinflammatory medication, such as LTCI (Lymphocyte T-Cell Immunomodulator) or other safe alternatives.

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words | RICK PIESTER

>> Showcasing some of the most authoritative books on how to get and stay healthy In 2015, medicine got a wake up call in the pages of the Journal of the American Medical Association: a 24-year study showed that nearly half of the adults living in the U.S. have diabetes or pre-diabetes, which is a condition in which a person’s blood sugar is elevated and the person is at risk of developing the disease. That’s a lot of people, and publishers have responded by releasing tons of books on the subject. In this issue, we take a look at two of the most approachable sources of general information on diabetes, along with a book examining the Danish approach to well-being.

The American Diabetes Association Complete Guide to Diabetes (5th Ed.) By the American Diabetes Association | 512 Pages

This association has served as America’s most trusted source of information on diabetes for more than 70 years. This book is an encyclopedic, one-volume sourcebook on how to live an active, healthy life with diabetes.

Diabetes for Dummies

By Alan L. Rubin, MD | John Wiley & Sons | 432 Pages

Perhaps a “friendlier” read than the ADA guide, this is an equally trustworthy look at up-to-date information about all aspects of diabetes. Significantly revised and updated, the book is an accessible, reliable guide to taking the guesswork out of living with diabetes. A nifty companion piece to this book would be The Diabetes Cookbook for Dummies, by author Rubin and Cait James.

The Little Book of Hygge: Danish Secrets to Happy Living

By Meik Wiking | William Morrow | 225 Pages

Lest you think we’ve gone too far afield with this book, consider that it’s been named one of People magazine’s Best Health and Wellness Books of 2017. Hygge (pronounced HOO-ga) loosely translates from the Danish as a sense of comfort and well-being, which after all is the prime benefit of good health. This entertaining little book shows us how to experience joy and contentment the Danish way.

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How much do you know about the Skin?

2. Your skin accounts for about _______________ of your body weight.

1. True or False Your skin is the largest organ in your body.

A: 3. The average person’s skin contains around _______________ of blood vessels.

A:

2 miles

B:

2%

15%

C:

D:

5%

20%

4. It is estimated that more than _______________ of the dust in your home is made up of dead skin.

A:

15

B:

percent

50

percent

C:

30

percent

20

D:

percent

B:

11 miles

C:

5 miles

5. The average person’s skin weighs around _______________.

D:

23 miles

A:

6. The average person’s skin covers an area of _______________ .

A:

2 lbs 7. The skin renews itself every _____________ .

21 ft

2

A: 2 months

D:

C:

B:

9 lbs

6 lbs

3 lbs

8. The vital role(s) your skin plays:

vs.

A: Detecting hot and cold

x12 B:

32 ft

2

B: A year

B: Regulating your body temperature

x6 C: Protecting your muscles, bones, and internal organs D: All of the above 6. A

7. D

8. D

Sources: www.forefrontdermatology.com

D: 28 days

5. B

2

4. B

12 ft

C: 6 months

3. B

2

2. C

D:

14 ft

1. True

C:

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

words | CHRISTY RIPPEL

The pool, the beach, the backyard — these are all great places to be on a sunny day. But too much sun can cause premature wrinkling, sun spots, sunburn — and, in the worst cases, skin cancer. While wearing sunscreen daily should be a part of your routine, it’s most important when the sun shines brightest in the summer months. Thankfully, the newest sunscreens, clothing and sunglasses can provide excellent protection so that you can safely enjoy your time outside.

Even if you think you’ve heard it all before, brush up on your sun IQ before the heat hits this summer, and your skin will thank you!

Just a Mark or Something More Serious?

Sun spots — also known as age or liver spots — have nothing to do with your liver, but result from repeated sun exposure on an area of the body. They range in color from white to brown, and, once they appear, they continue to darken or increase with every UV ray that hits your skin. They often appear on the hands, arms, chest, face and shoulders, though they can appear anywhere on the body if it has been exposed to UV rays.

(Continued on page 51...)

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Sun Care Cheat Sheet: Apply Sunscreen Early and Ofter

Apply sunscreen daily to all exposed skin, rain or shine. Choose a broad spectrum formula of SPF 30 or higher; generic brands can be just as effective and save you money. Slather on your choice of sunscreen 30 minutes before you head outside, and re-apply every 80 minutes to two hours. Remember, you need a full shot-glass worth to cover your body!

Sunglasses Aren’t Just a Fashion Statement

Look for a pair that offer 100% UV protection, and know that the color of the lens does not tell you how much protection your shades offer. Darker doesn’t mean better!

UPF Clothing is Always a Good Idea

UPF (ultraviolet protection factor) rated clothing adds another layer of protection between you and the sun’s harmful rays — so find a hat or swim shirt this summer.

50

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C O V E R A R T I C L E | Get Sun Smart

(...continued from page 49)

But how do you know if a spot on your skin is simply a sun spot or something more serious, like skin cancer? First, if a spot is new, you should run it by a dermatologist, as they have specialized training in skin conditions.

If you are over age 50, it’s a good idea to have a full-body check with a dermatologist or primary care physician to get a baseline for what your moles, freckles and spots look like.

Plus, some areas are hard to examine on your own, like your back. If you are under 50 but have had a lot of sun exposure, are fair-skinned or have a family history of skin cancer, it’s a good idea to get a fullbody check.

Another strategy for keeping track of changes in your sun spots, moles or freckles is to take a picture — a phone camera works fine — every six months to a year so that any changes will be more apparent. (Sometimes, you don’t notice a chance that happens gradually, but a picture will tell a clear story.)

If you’re determined that your sun spot is not cancerous, but you don’t like the way it looks, you have options. Some over-thecounter creams can gradually fade dark spots. A low strength of hydroquinone, which is a bleaching cream, is available over-thecounter at many drugstores. You can also look for creams that contain retinoids, which can also help spots fade. A doctor can provide stronger topical creams that may be more effective, and new laser technologies that are available through dermatologists can treat sun spots, causing them to disappear completely. However, they can reappear unless sunscreen is used religiously and you avoid too much sun exposure in the peak hours of the day when the sun’s rays are strongest.

How to Choose the Best Sunscreen for You Protecting your skin outdoors starts with sunscreen. While older formulas left a tell-tale white film that was messy and difficult to rub in, the newest sunscreens are easy to apply and can virtually disappear into the skin. Look for the words “broad spectrum” on your bottle or spray, as this means that it will protect against both UVA and UVB rays. www.OurHealthswva.com

51

UVA rays penetrate deep into the skin and are responsible for wrinkles and aging; UVB rays cause sunburn and play a big role in the development of skin cancer — so protection from both is important.

If you are swimming or playing sports, look for a formula that is waterresistant so it will stay with you through your tennis game or splash in the pool.

If you have sensitive or acne-prone skin, scan the sunscreen aisle for a formula made specifically for babies or sensitive skin for less chance of irritation. People of all ages, from babies 6 months old and up, need sunscreen protection when outdoors. (Younger babies should always be covered.)

Sunscreen is a weapon, but to protect you well, it has to be used wisely.

Ideally, apply it 30 minutes before sun exposure, using a full shot-glass worth of the product. Dermatologists advise you to use more than you think you need. Reapply at least every two hours or every 80 minutes if you are swimming or sweating. There are now sprays that can be (Continued on page 54...)

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

1

C O V E R A R T I C L E | Get Sun Smart

SUNSCREEN I0I APPLY REGULARLY – For best results, try applying your sunscreen 30 minutes before sun exposure. Make sure to reapply every two hours or every hour and a half if you are swimming or sweating.

2

BE GENEROUS – Use at least one ounce (about a palm-full) to cover your arms, legs, neck and face.

3

BROAD SPECTRUM – When buying sunscreen, look for the words “broad spectrum” on the bottle. This means it will protect against UVA and UVB rays.

4

SPF 30 MINIMUM – Make sure to use at least SPF 30, which blocks 97 percent of UV rays.

5

WATER-RESISTANT – If you are swimming or playing sports make sure your sunscreen is water-resistant.

6

DON'T FORGET – Make sure not to miss the ears, hands, feet and underarms.

7

SUNSCREEN EXPIRES! – Did you know that sunscreen can expire? Make sure to check your sunscreen's expiration date before use.

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Feeling the Burn

Four Steps to Soothing Sunburn words | CHRISTY RIPPEL

Nearly everyone has done it at least once—forgotten the sunscreen, or stayed outside too long without sun protection and felt the burn later. A sunburn can leave skin inflamed, red, hot and often painful to the touch. If you wind up with a sunburn this summer, read on for ways that you can recover more quickly. If you’ve had years of sun exposure, advanced treatments available from a dermatologist can help erase signs of damage. Get your skin back to healthy with these tips:

1

STAY OUT OF THE SUN UNTIL YOU ARE HEALED. This one seems obvious, but you should definitely avoid additional sun exposure until your sunburn has gone away completely. “The sunburn is more serious if there are skin blisters,” says Susan Dorsey, MD, a dermatologist with Dermatology Associates of Roanoke. “Let the blisters heal.” If you must be in the sun while you are recovering, make sure to use sunscreen with SPF 30 or higher on the burn area, and cover it completely with clothing if possible— clothing designed for sun protection with a UPF rating is best.

2

USE OVER-THE-COUNTER REMEDIES. Cool showers or soaks in a bathtub will comfort sizzling skin, and moisturizer should be applied liberally afterwards. Dr. Dorsey says to look for a moisturizer with soy or colloidal oatmeal, and reach for hydrocortisone cream to reduce inflammation. “Consider taking aspirin or a medication such as ibuprofen,” Dr. Dorsey adds. These over-the-counter medications can help with pain and inflammation.

3

SOOTHE YOUR SKIN FROM THE INSIDE OUT. What you eat and drink can help you recover, too. Drink plenty of water to hydrate skin from the inside—aim for at least eight glasses of water per day; more is better if you are exercising or it is hot and you are sweating. Foods with high water content can help, too—try cucumbers, watermelon, strawberries or melon.

4

CONSULT WITH A DERMATOLOGIST FOR ADVANCED TREATMENTS. If blistering is slow to heal, or if you have concerns about repeated sun damage, schedule an appointment with a dermatologist. These physicians have special training in skin health and access to the latest treatments. One newer treatment that Dr. Dorsey uses is called Levulan with Blulight therapy. A solution is applied to the skin (Levulan), and skin is then treated with a special blue light (Blulight)—which activates the drug. Dr. Dorsey explains that Levulan “binds to the skin that is sun damaged. When the Blulight is introduced to that treated skin, the abnormal skin cells will be damaged, causing them to peel away.

Normal skin will not react,” she says. Slight discomfort may be experienced by patients, but the treatment isn’t painful and one to two treatments are common to achieve results.

Sun-damaged skin may also be treated by laser, chemical peels or prescription topical creams, depending on severity and desired results.

SUSAN DORSEY, MD

is certified by the American Board of Dermatology. She sees patients at Dermatology Associates of Roanoke, PC.

(... continued from page 52)

applied to wet skin, so if you can only grab your kid on his way to the diving board for a quick spray, it can still be effective.

In addition to sunscreen, many bathing suits, swim cover-ups and fabric hats now come with sun protection built-in. Instead of an SPF rating, clothing has a UPF rating — giving you an idea of how effective it is at blocking harmful rays. UPF ratings range from 15 (good) to 50+ (excellent).

In addition to sunscreen and UPF clothing, sunglasses are an easy way to protect your eyes and the skin around them from exposure.

Look for shades that offer 100% UV protection — and know that darker lenses don’t offer better protection. Dark-tinted glasses without UV protection are more dangerous, as they dilate your pupils more than a lighter lens color, leaving them more exposed to damaging light.

When Avoiding the Sun is Your Best Move Some medications can make you photosensitive — a fancy word for more sensitive than usual to the sun. There are many medications that can do this, including many nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, many antibiotics and some diuretics. Most drugs will have a warning on the label.

Additionally, you can ask any pharmacist, and they’ll be able to advise you if a medication you (Continued on page 56...)

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C O V E R A R T I C L E | Get Sun Smart

55

www.OurHealthswva.com

(... continued from page 54)

The outdoors were meant to be enjoyed — and if you wear your sunscreen, don a hat and sunglasses, seek shade breaks and avoid the sun if taking photosensitive medications, you won’t be sidelined by sunburn.

are currently taking will cause sun sensitivity.

Photosensitivity can result in an inflammation of the skin created by the combination of sun exposure and the medication.

This can look similar to a sunburn, rash or eczema. Some topical creams like retinoids and hydroquinone also cause sun sensitivity. If you are taking any of these medications, you should heed the warning to avoid the sun, or you may wind up with painful, blistered or red skin.

The outdoors were meant to be enjoyed — and if you wear your sunscreen, don a hat and sunglasses, seek shade breaks and avoid the sun if taking photosensitive medications, you won’t be sidelined by sunburn.

Sources

American Cancer Society www.cancer.org The Skin Cancer Foundation www.skincancer.org

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

ROANOKE

&

NEW

RIVER

VA L L E Y S

DERMATOLOGY & COSMETIC SURGERY RESOURCE

GUIDE

www.OurHealthswva.com

59

2017

ROANOKE

&

NEW

RIVER

VA L L E Y S

DERMATOLOGY & COSMETIC SURGERY

RESOURCE

COSMETIC & PLASTIC SURGERY Aesthetic Surgery of Virginia 3505 Brambleton Avenue Roanoke | 540.776.1600 www.silberblatt.com See ad on page 31

Alouf Aesthetics

GUIDE

Vistar Eye Center’s Facial Cosmetics Center Roanoke, Salem, and Smith Mountain Lake 540.855.5100 www.vistareye.com

DERMATOLOGY The Art and Science of Dermatology

Roanoke | 540.853.0510 www.carilioncosmetic.com

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

Carilion Clinic Dermatology & MOHS Surgery Roanoke | 540.224.5170 Hardy | 540.581.0254 www.carilionclinic.org Derm One

Aesthetic Surgery of Virginia 3505 Brambleton Avenue Roanoke | 540.776.1600 www.silberblatt.com

Roanoke | 540.283.6015 Salem | 540.283.4960

Allura MD Laser Aesthetics Salem | 540.444.0448

Alouf Aesthetics

LewisGale Physicians

Azario Salon & Day Spa Roanoke | 540.772.1300

Dermatology Associates of Roanoke, PC

Roanoke | 540.853.0510 www.carilioncosmetic.com

Radford | 540.443.7400 www.lgphysicians.com

The Center for Plastic Surgery at Ridgewood Hill 2880 Keagy Road Salem | 540.444.4343 www.carolwraymd.com See ad on page 34

Norman R. Harris, II, MD

Elderderm, LLC Roanoke | 540.989.8980 Salem | 540.389.0110

LewisGale Physicians – Dermatology Clearbrook | 540.283.2570 Salem | 540.772.5970 Valley View | 540.265.1604 www.lgphysicians.com

Blacksburg | 540.953.2210 Christiansburg | 540.731.6892 Wytheville | 276.335.2112

Roanoke | 540.776.6979

Plastic Surgery Center of Virginia Blacksburg | 540.954.8885

Roanoke Plastic Surgery Roanoke | 540.581.1400

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Dermatology Associates of Roanoke, PC 1204 Franklin Road Roanoke | 540.981.1439 dermatologyassociatesof roanoke.com Services: • • • • • • •

New River Dermatology

New River Aesthetics Blacksburg | 540.953.2210

Blacksburg, Giles, and Roanoke 540.951.DERM (3376) www.riverridgederm.com

Salem | 540.375.9070

Carilion Clinic Cosmetic Center

Roanoke | 540.562.8873

Roanoke | 540.343.7211 Medical Grade Skin Care Roanoke| 540.774.3223

River Ridge Dermatology

Radford | 540.633.3015

Dermatology Practice of Roanoke, PC

Roanoke | 540.774.7478 Innovations Salon & Day Spa Blacksburg | 540.552.3777

See ad on page 31

Roanoke | 540.981.1439

Jefferson Surgical Clinic

Good Looks

Les Cheveux Salon & Day Spa

Roanoke | 540.725.7546

Salem | 540.375.9070

Carilion Clinic Cosmetic Center

MEDICAL SPA & SKIN CARE SERVICES

Permanent makeup Chemical Peels Microdermabrasions Dermaplane Facials Laser treatments for hair removal, sun damage, and face and leg veins Fractional non-ablative laser skin resurfacing to improve the appearance of: age spots, skin tones and textures, wrinkles, surgical and acne scars and stretch marks

Skin Care Consulting Roanoke | 540.312.8126

Skin Deep Medical Technologies Dublin | 540.674.5250

Starkey Medical Aesthetics Blacksburg | 540.961.3333 Roanoke | 540.776.7699 Salem | 540.389.0909

The Medi Spa at Ridgewood Hill 2880 Keagy Road Salem | 540.444.4343 www.carolwraymd.com See ad on page 34

read this edition of

River Ridge Dermatology Blacksburg, Giles, and Roanoke 540.951.DERM (3376) www.riverridgederm.com

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61

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photography | YMCA CA

words | DANIEL SMITH

Whether it’s bath time or taking a dip in a pool, lake or the river, make sure children are within arm’s reach of you at all times. Most drownings occur when parents or guardians least expect – in less than two – three feet of water. Children can easily slip under giving them little or no time to cry out for help.

3

DON’T ENGAGE IN

BREATH HOLDING ACTIVITIES

Children shouldn’t hold their breath for a prolonged amount of time while swimming, as this can cause drowning and has several other severe physical side-effects.

62

Fam il ale m

1

SUPERVISE YOUR CHILDREN WHENEVER THEY’RE IN ANY TYPE OF WATER

r, S

start with safety first. OurHealth is pleased to partner with the Salem Family YMCA to bring seven helpful tips and resources developed with your and your loved ones health in mind.

y YM

Swimming and other water sports are favorite summer past times no matter your age. But remember these types of fun-in-the-sun activities should always to rec Di s c i t q ua

2 Daniel Smith , A

NEVER SWIM ALONE

Always emphasize to children that they should only swim in locations where a lifeguard is on duty. In fact, this rule is a good one for adults to follow, as well.

WEAR A LIFE JACKET Inexperienced or non-swimmers should wear a Coast Guard-approved life jacket, or a personal flotation device (PFD). For more information about United States Coast Guard-approved PFDs, including choosing the right types to select based on the water environment, how to select the correct size, how to properly wear and care recommendations, scan the QR code provided.

5

LEAD BY EXAMPLE

Be the role model of water safety for your children.

Wear your own PFD while on any type of motorized or non-motorized watercraft. Also, do not engage in alcohol or drug use while operating any type of water craft or while swimming.

6

DON’T JUMP IN TO SAVE A FRIEND

STRUGGLING IN DEEP WATER If children find their friend in deep water unexpectedly, the natural reaction may be to jump in the water to try to save him or her. Even if a child is a great swimmer, a panicked person will overpower them, pulling them underwater with them. YMCA’s Safety Around Water program teaches the “reach, throw, don’t go” concept of using a long object to reach for them and pull them to safety. By using this technique, children can help their friend without compromising their own safety.

7

ENROLL YOUR CHILDREN IN

WATER SAFETY OR SWIM LESSONS

Just like teaching your children to look both ways before they cross the street, having them participate in formal water safety lessons teaches them an important life skill that may one day save their life.

LOOKING FOR MORE INFORMATION? For more information about the YMCA’s Safety Around Water and swim lessons programs, visit www.ymca.net/watersafety/.

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Original photography by Don Petersen.

Docs Rock Fashion scores a fashionable hit for Bradley Free Clinic.

The 2017 Docs Rock Fashion event, held at the Roanoke Country Club on April 1, featured local healthcare professionals going from white coats to black ties for a good cause.

The evening featured a silent and live auction, heavy hors d’oeuvres, and an entertaining fashion show emceed by Karen McNew and David Page. The runway featured prominent area physicians, dentists and other Bradley Free Clinic volunteers. The “models” were outfitted with the finest jewelry, unique accessories and newest formalwear, sportswear, loungewear, cocktail and leisurewear from local retailers.

The inaugural event, sponsored by Wheelock & Johnson Orthodontics and other supporters, generated proceeds of more than $65,000 to benefit the Clinic’s free medical, dental, pharmaceutical and preventative healthcare services for low income and uninsured in the Roanoke Valley who lack the resources necessary to maintain their health and productivity.

Fueled by the energy of its volunteers, the Bradley Free Clinic has provided free healthcare to those in need since 1974. The clinic delivers general medical and specialty care services to more than 2,100 patients annually. Planning for the 2018 Docs Rock event is underway.

For more information about Bradley Free Clinic, visit www.bradleyfreeclinic.com.

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3

Tips for

Trailside Trauma

Carilion Wilderness Medicine’s To-Dos for Summer Trail Safety words | CHRISTINE STODDARD

With warmer weather finally upon us, you’ll probably want to explore some of Virginia’s natural beauty this summer. But just because a place is beautiful doesn’t mean it’s safe. Trailside trauma is a serious reality. Whether you’re hiking in your backyard, along the New River, at Shenandoah National Park, or elsewhere, you will need to be prepared to handle trail-related injuries, ranging from snake bites to serious fractures.

Since late 2016, Carilion Clinic has held a series of lectures on trailside trauma and wilderness medicine as part of its Distributing Natural Selection Series. Lecturegoers learn the ins and outs of common trail-related injuries from physicians in the Carilion Clinic Wilderness Medicine department. These sorts of lectures are becoming more and more vital as the region grows.

“As the Roanoke Valley increases opportunities to experience the great outdoors, injuries in remote locations will increase,” says Sarah Beth Dinwiddie, trauma outreach coordinator for Carilion Clinic.

“With education from this program, participants are able to manage injuries and illness until aid is available.”

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If you missed the most recent lecture, don’t worry. Dinwiddie spoke to OurHealth about the main takeaways so you, too, can be safe on the trail this summer. Here are three things to know:

SARAH BETH DINWIDDIE Trauma outreach coordinator for Carilion Clinic.

Sign Up Today!

PADDLE SPORTS SAFETY CLASS THIS SUMMER!

Many people increase their outdoor activity during the summer, especially involvement with moving water. Learn about water hazards and how to enjoy the great outdoors while staying safe by participating in a free paddle sports safety class offered by Carilion Clinic.

During the paddle sports safety class, you will learn how to: •

Prepare for a river trip.

•

Manage personal safety and personal protective equipment.

•

Manage basic self-rescue techniques.

•

Identify and respond to moving water hazards such as strainers, sieves, and hydrolytics.

Who should attend?

•

Everyone who kayaks, canoes, or SUPs (stand-up paddleboards)

•

Everyone who is interested in spending time on rivers or creeks.

•

Everyone who enjoys going on commercial rafting trips.

Prerequisites: •

Closed toed shoes must be worn.

•

Wear clothes that can get wet in the river.

For more information about class dates and times and to register, visit www.carilionclinic. org/events or call Carilion Clinic direct at 540.266.6000 or Toll-Free at 800.422.8482.

Note: kayaks, canoes, and SUPs are not provided and attendees are encouraged NOT to bring their own. The paddle sports safety class focuses on personal safety after entering moving water without a watercraft.

Scan The QR Code to register for a class on Paddle Sports Safety!

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Never venture out without a plan You never know when an emergency will hit. That’s why lecture-goers were taught to be ready for likely threats and inconveniences. “Let someone know where you will be and when you will be back,” says Dinwiddie. “Be prepared to take care of yourself for an undetermined amount of time.” After all, you won’t always be able to call 9-1-1 when you’re out on the trail—and even when you can, “there can be significant delays in treatment.” Dinwiddie adds, “For every hour that a person walks into the woods on a trail, it can take 3-4 hours to carry that person back out to an ambulance.” Because of this, you should go slowly, carry food and water, and know what to do in case the weather changes.

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Non-life threatening injuries are common Think you’ll never get hurt on the trail? Think again. “Sprains, strains, abrasions, and lacerations are some of the most common injuries that are seen,” says Dinwiddie. “With wound care education and splinting education, many people are able to treat these injuries while on the trail and able to get back to help instead of having to wait for assistance.”

Fortunately, if you know what to do, you often can treat yourself and keep relishing your adventure. Not every injury requires a hospital visit.

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First aid kits are not one-size-fits all Your first aid kit needs to be personalized to you. “A first aid kit will be as unique as each individual who is carrying one,” says Dinwiddie.

“Carry what will keep you comfortable and make life easier for you if you are injured.” You might take a big, pre-packed first aid kit, but these tend to be heavy and somewhat burdensome if you don’t know how to use everything in it. “Instead, think through the injuries you may sustain while exploring the great outdoors and how you would treat those injuries,” she says. “Carry the things you would need to treat those injuries.”

Learn these and other skills at an Outdoor Safety Program. For more information, visit www.carilionwildmed.org/lectures or Roanoke Parks and Recreation at www.playroanoke.com.

Expert Contributers Sarah Beth Dinwiddie is the trauma outreach coordinator for Carilion Clinic.

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Family Love Letter - ONGOING SERIES -

PA RT T WO OF SERIES

The Legacy of a

Family Love Letter A Family Love Letter provides a lot of necessary information that doesn’t appear in any other estate planning documents and can help ease your loved ones’ pain and stress during an undeniably tumultuous time. words | RICH ELLIS

In part one of The Family Love Letter series (OurHealth Roanoke & New River Valley, April/May 2017), we examined this informational document’s importance in serving as a roadmap to financial and personal details, and how having a completed Letter helps ease heirs’ and caregivers’ pain and stress during a tumultuous time – a loved one’s death or incapacitation.

Stewart Barnes, a private wealth advisor with The Myrias Group, a private wealth advisory practice of Ameriprise Financial Services, Inc. in Roanoke County, explained in that article how The Family Love Letter provides family members important clues and information about financial needs, assets, liabilities and other issues that will confront them in the event of incapacitation or death, and how that Letter helps ensure items aren’t overlooked or mistakes made during this confusing, stressful period.

Part two in this ongoing series takes a closer look at The Family Love Letter’s first section – Advisors and Assets – and why those topics are the foundation on which all other sections of the Letter are built. Subsequent articles will examine the Letter’s other sections.

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What are the assets, where are they located, and who manages them.

A recent Family Love Letter Workshop. For information about how to sign up for the next workshop, call The Myrias Group at 800.332.9053.

“Does anyone know who your key advisors are and exactly what you own – those are the answers and facts we want to get down on paper as first steps,” Barnes explains. “People try to put the cart before the horse by worrying at this stage about individual assets and whom they’re leaving the assets to. They often are intimidated by this whole process and want to jump to step five instead of starting with step one. We first have to figure out what is owned and where it is by establishing the facts. Think of those facts as a bread crumb trail that someone can follow to help them understand your complete financial picture.”

That first step, Barnes counsels, includes listing all advisors engaged in an individual’s life and financial landscape. For example, advisors can include an accountant, attorneys, financial professional, retirement plan administrator, physician, banker, and employer or former employer. It’s also important to include contact information for each advisor.

“Oftentimes people will think, ‘I have a will so it doesn’t matter what my insurance policy says about beneficiaries.’ That’s incorrect,” Barnes explains. “An insurance policy is a contract, and whoever is identified on that contract as the beneficiary – regardless of how the will reads – is awarded the benefits.”

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

In today’s increasingly digital society, Barnes said website addresses, usernames and passwords used for accessing each account should also be listed.

“Can the people you trust find out exactly what accounts you have,” Barnes asks. “Can they properly support you during your incapacity? Can they access your computer to view your accounts? More and more people no longer receive paper statements, choosing instead to pay bills, view balances, and move money online. It’s important for whoever comes behind you to know where all the accounts and related passwords are.”

The next step is committing to paper a detailed inventory of assets owned and where they are, including retirement plans and accounts, stock options and purchase plans, deferred compensation, military benefits, mutual funds, stocks, brokerage accounts, and even frequent flyer miles.

“We’re trying to help people make a detailed inventory and leave no stone unturned,” Barnes explains. “A lot of people will forget about assets over time or fail to provide information about them – such as the lady who had a deferred compensation plan from a previous employer that no one else knew about, or the person who owned a valuable piece of primitive furniture that no one realized was valuable and subsequently was sold for pennies on the dollar following her death.”

Similarly, Barnes says it’s important to also list any items of value loaned to someone or items stored or hidden somewhere for safekeeping.

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

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“We’ve all heard stories or seen the TV show about the contents of storage sheds being auctioned off for non-payment of rent,” Barnes says. “Many of these auctions are undoubtedly the result

L O V E L E T T E R S E R I E S | Part Two

of people who died but no one knew they had a storage shed full of items with both monetary and sentimental value. You need to let people know what you have stored and where.”

Barnes also recommends obtaining written appraisals and documentation of high-value items to ensure that they’re sold for a fair price if heirs are faced with dispersing assets.

Once all of an individual’s various assets have been identified and information about each entered into The Family Love Letter document, Barnes says the next step is to examine how assets and accounts are titled.

Titles and beneficiaries may hold some surprises.

“If an account is only in one person’s name instead of being a joint account, or if a vehicle title has just one person’s name on the title, it becomes much more difficult to make any changes to that title or account if the individual listed dies or becomes incapacitated,” Barnes explains. “Don’t just go by what you think the title or account says or rely on what someone else tells you. Instead, actually look at it – get your eyes and hands on the physical title to determine who is listed or on the account statement to determine if it’s jointly owned or only in one person’s name.”

At the complimentary workshops the Myrias Group offers to attendees and clients to help them complete their Family Love Letter, Barnes says that an attorney and an accountant are both present to answer questions and offer their unique expertise and perspective. Each has shared numerous horror stories with Barnes about assets being titled incorrectly or contrary to how the asset owner thought they were titled, further complicating an already complex situation for caregivers or surviving heirs.

A similar concern relates to beneficiaries and whether the beneficiary arrangements accurately reflect the deceased’s wishes.

Just as with titles, Barnes recommends looking at the physical document to determine the beneficiaries listed and then reviewing that information to see how it compares with the will to ensure the two align.

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You can get information about upcoming

Family Love Letter

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

“The fact that the beneficiaries listed on a contract, such as an IRA or annuity, take precedence over what’s specified by the will is probably the one thing that surprises people the most,” Barnes says.

By examining assets with an objective view and listing exactly what those assets are, their location and who manages the financial accounts, an estate will be better organized in the event of incapacitation or death and items of monetary or sentimental value won’t be overlooked.

“Only after this step is completed can the work of specifying and interpreting asset distribution begin,” Barnes cautions.

Part three of The Family Love Letter series appearing the in August/September issue of OurHealth Roanoke & New River Valleys magazine explores the Love Letter’s second section – Financial Information – and discusses liabilities and budgets, providing a balanced look at the financial picture now that assets have been determined with completion of section one.

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

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SUMMER EXERCISE for ALL

AGES

The fun and excitement of trying out a new fitness activity isn’t only for adults! This summer is the perfect time to introduce your youngsters to a new activity, just for them! Whether it’s a dance class or an outdoor sport, there are tons of options to choose from here in the Roanoke Valley.

The US Department of Health and Human Services recommends children get at least one hour of exercise every day. That may seem like a lot, but here are a few ideas to make that hour easy to achieve!

Youth Wellness Classes

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Gymnastics, dance and yoga classes are all offered at the Green Ridge Recreation Center, for children from ages 1-12. And don't miss Kid Fit, a class for ages 4-14 which combines games, obstacle courses and aerobic exercise, for a challenging and fun fitness class!

Indoor Basketball Fun

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Whether it’s a pick-up game with friends or our strengthening, conditioning and shooting clinic on Saturday mornings, there’s always a basket to be made in the gym.

Swimming Galore

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Green Ridge has lots of options for your aquatic lover! Check out the swim lessons for children as young as 6 months. And don’t miss Splash Valley, Roanoke’s only outdoor water park!

Visit the Splash Valley web page to learn about special offers every day of the week.

“Making fitness a part of kids’ lives early is important.

As they grow, healthy choices become a part of their everyday life.”

KAITLYN INGVALDSEN Youth Wellness Instructor Green Ridge Recreation Center

Summer Fun and Athletic Camps

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With over 75 different camps to choose from, there is something (or several somethings) for everyone! A range of full day and half day camps are available for ages 3-16. Themed camps include creative play, arts and crafts, healthy eating, science, sports, and more.

GREEN RIDGE RECREATION CENTER

7415 Wood Haven Road | Roanoke, VA | 540.777.6300 | www.greenridgerecreationcenter.com www.OurHealthswva.com

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Great Super Check Out These Nutrient-Rich Vegetables That Taste and Make Us Feel Great words | TRICIA FOLEY, RD, MS

Summer is here! It means we’re not far away from enjoying garden-fresh, nutrientpacked veggies grown right here in the Roanoke & New River Valleys. Besides the great taste, keeping a steady stream of vegetables in our diet can reduce blood pressure, prevent certain types of cancer, lower the risk of heart disease and stroke, reduce eye and digestive problems and a lot more! By eating a variety of fruits and vegetables, we give our body the mixture of needed nutrients to stay healthy. Check out our eight favorite super veggies and the special health benefits that each offers.

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Cucumbers:

BIOTIN

This surprising super food contains molybdenum, a trace mineral that acts as a catalyst aiding in the metabolism of fats, carbohydrates and amino acids. They also pack a punch of pantothenic acid (vitamin B5), which assists in using carbohydrates, protein and fat for energy. As a bonus, cucumbers also provide a good source of copper, potassium, manganese, vitamin C, phosphorus, biotin, vitamin K and vitamin B1. For maximum impact, be sure to incorporate them into salads and as snacks several times per week!

COPPER

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MANGANESE PHOSPHORUS POTASSIUM VITAMINS B1, B5 + K

N U T R I T I O N | 8 Great Super Veggies

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Asparagus:

These mighty spears have an amazing amount of vitamin K per serving, providing more than one hundred percent of the recommended daily allowance. Known for promoting cardiovascular health, asparagus also supplies about half the daily need of folate. A serving size is approximately six spears and provides two grams of fiber with only 20 calories per serving. Those on blood thinners should monitor their intake of asparagus closely.

FIBER

FOLATE

VITAMIN K

FOLATE – body uses to create genetic material

Artichokes: Packed with fiber, calcium, iron, phosphorus and potassium, these leaves and hearts are known to promote overall health!

Enjoy them boiled to aid in the prevention of arteriosclerosis, gout, and ward off migraines. They also aid in digestion, promote liver health and help to regulate blood sugar levels. One medium artichoke contains only sixty calories and a whopping seven grams of fiber.

CALCIUM

PHOSPHORUS

FIBER

POTASSIUM

IRON

3

Summer Squash:

Also known as yellow squash, this summer favorite provides about twenty-five percent of your vitamin C per one cup serving!

The yellow pigment is also due to the beta-carotene, which has been shown to reduce the risk of certain cancers, heart disease and age-related vision impairment. Manganese is another important mineral you can find in summer squash. This mineral is required to maintain healthy bones and connective tissue and plays a role in brain and nerve function. Enjoy it several times a week raw or cooked.

MANGANESE

VITAMIN C

COPPER – helps with the growth and development of various organs PHOSPHORUS – helps with filtering waste and repairing tissue and cells POTASSIUM – helps maintain fluid and electrolyte balance in the body MANGANESE – creates essential enzymes used to create bones SOURCES:

www.choosemyplate.gov www.fruitsandveggiesmorematters.org www.medicalnewstoday.com

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Mushrooms:

Known for their health promoting benefits, mushrooms are more than just a typical vegetable; they are a fungus. Unlike most veggies, mushrooms are rich in selenium, which can decrease inflammation, improve immunity, promote heart health and decrease cancer risk.

In addition, mushrooms are rich in B vitamins, can boost Vitamin D levels and can assist in weight regulation thanks to their high fiber content. Enjoy one cup raw or one half cup cooked several times a week with other veggies to maximize your nutritional profile.

Onions:

Cry for joy next time you’re slicing onions! Rich in antioxidants, these veggies have amazing antiinflammatory power. They have been associated with a decreased risk of cancer, improved blood sugar management and better bone health. In addition, onions are rich in polyphenols, a type of phytonutrient that protect us from oxidative stress associated with aging.

ANTIOXIDANTS

POLYPHENOLS

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ANTIOXIDANTS – protect the cells in the body from damage

Bell Peppers: Bell peppers are a excellent source carotenoids, a form of antioxidants that protect against cellular damage.

They are also rich in vitamins C and E giving a boost to your immune system. Enjoy them several times per week choosing different colors to liven up your dishes.

One medium bell pepper provides only six grams of carbohydrate (two grams fiber) and thirty calories.

ANTIOXIDANTS

FIBER

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SELENIUM VITAMIN B VITAMIN D

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Sugar Snap Peas:

Craving a crunch? These delicious peas deliver every time! With only thirty-five calories per cup, these peas pack a nutritious punch providing two grams of fiber and a healthy dose of B vitamins and vitamin C. In addition, they offer about ten to twenty percent of your daily need for iron, magnesium, phosphorus and potassium making them a heart healthy choice!

FIBER + IRON MAGNESIUM PHOSPHORUS POTASSIUM

VITAMINS C + E

MAGNESIUM – aids blood pressure, bones strength, and heart rhythm 80

FIBER

VITAMINS B + C

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closer LOOK

Can you identify which local practice the image belongs to?

Enter to Win

a prize Pack For 4 from

Like OurHealth Roanoke & New River Valleys on Facebook and leave your answer in the comments section of the CloserLook post by JULY 7TH for a chance to WIN a FREE Chick-fil-A prize pack for four!

The winner will be announced on our Facebook page by JULY 20TH

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

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