OurHealth Roanoke and New River Valleys Magazine: April/May 2020 by OurHealth Media LLC

trustworthy CARE CLOSE TO HOME

CONNECTING YOU TO

| OurHealthRoanokeNRV.com

April | May 2020

Delivering a Different Dose of

Medicine: THE DEBUT OF

OurHealth Roanoke & New River Valleys’

HOW SPECIALTYCARE IS

Changing for the Better Guide

Three D’s

to do during

Spring Cleaning

Defining

TIMES

Can You Pass the Test of Coronavirus Disease Terms?

More Than

MEETS THE EYE

What an Eye Exam Can Reveal About Your Health

April/May

contents

Regular

THREE D’S TO DO DURING SPRING CLEANING

There’s more to spring cleaning than opening windows. See what it takes to really deep clean your home — and why it means tossing out as much junk as possible.

DEPARTMENTS 12 14 20 22

The Pulse New People Health Scene Q&A on Health

ON THE COVER

Delivering a Different Dose of Medicine: The

Debut of OurHealth Roanoke & New River Valleys’ How Specialty Care Is Changing for the Better Guide

Gentle Shepherd Hospice share how hospice care has changed over the years and what they are doing to shape hospice care in our region.

SHAPING HOSPICE CARE IN OUR REGION

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APRIL • MAY

Contents

QUARANTINE BEAUTY QUEEN

DEFINING TIMES

It’s likely to be a little while before anyone sees the inside of a salon or spa. Here are a few do-it-yourself beauty practices to help you look and feel your best while you’re under lockdown.

You might be surprised to learn that the definitions for words like ‘social distancing’ and ‘quarantine’ have taken on different meanings from those you might have known.

PANDEMIC PRODUCES INNOVATIONS IN RETIREMENT COMMUNITY

MORE THAN MEETS THE EYE PART II | IMMUNE SYSTEM

Severe restrictions placed on retirement communities and nursing homes by the COVID-19 pandemic has spurred Warm Hearth Village to find alternative ways to keep their residents active.

What Can Our Eyesight Tell Us About Our Health? The ophthalmologists and optometrists at Blacksburg Eye Associates share what an eye exam can reveal about your immune system.

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MoreThana Magazine

APRIL • MAY 2020

PUBLISHER McClintic Media, Inc. PRESIDENT/EDITOR-IN-CHIEF Steve McClintic, Jr. | steve@ourhealthvirginia.com VICE PRESIDENT OF PRODUCTION Jennifer Hungate VICE PRESIDENT OF BUSINESS DEVELOPMENT Kim Wood GRAPHIC DESIGNER Tori Meador ACCOUNTING MANAGER Laura Bower

CONTRIBUTING MEDICAL EXPERTS Ashley Davis, LPN

Heather Draeger, MD Saju Eapen, MD Will Griffeth, MD Richard Konstance, MD, MBA

CONTRIBUTING PROFESSIONAL Lynn Atkinson EXPERTS & WRITERS Jennifer Lamont

Rick Piester Dylan Roche Meredith Shaw

ADVERTISING AND MARKETING Kim Wood | P: 540.798.2504

kimwood@ourhealthvirginia.com

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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 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 © 2020 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 | ourhealthroanokenrv.com | ourhealthlynchburg.com | ourhealthrichmond.com | ourhealthcharlottesville.com | Advertising rates upon request.

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The Pulse INFORMATION • EVENTS • AWARENESS

NewLeadershipAnnouncements

Richfield Living Announces New Leadership Richfield Living, a local senior living and rehabilitation provider, announces the selection of Cherie Grisso as new Chief Executive Officer. Grisso previously acted as interim CEO prior to the announcement and has proven to be a strong leader in the role. Grisso joined Richfield in September 2015 as its Chief Financial Officer until her recent promotion. She has successfully Cherie Grisso led Richfield Living through a financial transformation and was a key member of the project management team for Richfield’s Vision 2020: Project HOME. The operational and financial leadership for the second site in Roanoke City has also been led by Grisso. Her financial background Scotti Hartman and leadership experience will be invaluable as Richfield continues to progress as a leader in senior living and health services throughout the valley. Richfield Living also announces the selection of Scotti Hartman as Director of Community and Development. Hartman has been a member of the Richfield team for 25 years. She previously served as Director of Campus Admissions and Administrator of the T. Stuart Payne Center.

Photo: (from left) Administrator Brandon Evans, Activities Director Lauren Hale and Director of Healthcare Operations Ben Higgins accept the 2019 Virginia Health Care Association’s D. A. “Woody” Brown Community Involvement Special Event Program award (for 100+ beds).

NewPartnerships,VenturesandAcquisitions

Local Businesses Come Together to Expand Intergenerational Partnership Friendship, a local leader in senior living and rehabilitation, enters its second year partnering with the Taubman Museum of Art and Wasena Elementary School as part of an intergenerational program that encourages learning and friendship across generations through the medium of artwork. In 2020, the partnership has grown to include Friendship’s assisted living as well as Preston Park Elementary School. The elementary students and Friendship residents have created a “pen-pal” relationship in creating works of art for each other while participating in art history lessons through the Taubman Museum of Art. Both the senior living campuses and the schools are displaying each other’s artwork in their buildings. The intergenerational program was proposed by Ben Higgins, Vice President of Healthcare Operations at Friendship. “Often, younger generations are not comfortable interacting with the older generation. My hope was to create a pen-pal program, using art as the medium,” says Higgins. “There is significant value in intergenerational collaboration.” The program was an instant success and has since received statewide recognition from the Virginia Health Care Association (VHCA). This partnership earned first place for the D.A. “Woody” Brown Community Involvement Special Event Program (for 100+ beds) by VHCA.

“I am honored to serve Richfield Living in this new capacity,” says Hartman. “The opportunity to engage community partners and advance our organizational goals will benefit current and future residents.”

“Our award from the VHCA was humbling to receive. Many organizations were vying for the accolade, but our program was unique in that it is specific to building intergenerational bonds,” says Brandon Evans, Administrator of Friendship South.

Moreinformation: Visit www.richfieldliving.com.

“The residents look forward to seeing the staff members of Taubman and their visits with the students,” says Lauren Hale, Activities Director at Friendship. “We are always looking forward to our next time together.” Moreinformation: For more about the VHCA award, visit www.vhca.org/ awards. For more about Friendship visit www.friendship.us.

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NewFacilitiesandRelocations

New Family Medicine Practice in Galax Carilion Clinic announces the relocation of the Family and Internal Medicine practices in Galax to Roseâ&#x20AC;&#x2122;s Shopping Center at 544 E. Stuart Drive, Suite D. The newly renovated 18,000-square-foot facility replaces the former Galax Family Medicine location at 199 Hospital Drive. Sixteen physicians and more than 30 staff will care for the nearly 16,000 patients Carilion serves in Galax and the surrounding communities. The new facility includes 40 exam rooms and three specialty service areas, along with onsite X-rays and laboratory services. Services include internal medicine, family medicine, cardiology and orthopaedics. Patients can reach the family medicine practice at 276.236.5181 or the internal medicine practice at 276.236.6136. Moreinformation: Visit www.carilionclinic.org.

NEWPEOPLE

Holley Aderholt, NP

Carilion Roanoke Memorial Hospital Roanoke | 540.981.7000 www.CarilionClinic.org

Katelyn Baltes, PA

Carilion Clinic Urology New River Valley 540.382.3440 www.CarilionClinic.org

Crystal Barksdale, PA-C Derrick Barr, PA LewisGale Physicians â&#x20AC;&#x201C; ENT Salem | 540.444.8100 www.lgphysicians.com

Carilion Clinic Family Medicine Wytheville | 276.228.8686 www.CarilionClinic.org

OurHealth Roanoke & New River Valleys 14

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NEWPEOPLE

Justin Day, NP

Melissa Garganta, MD

Laura Gayton, CNM

Emily King, PA

Jared March, DO

Susan O’Malley, Administrator

Amelia Rode, PA

Heidi Rossow, PA-C

Friendship Assisted Living Roanoke | 540.265.2244 www.Friendship.us

Carilion Clinic Orthopaedic Surgery Roanoke | 540.510.6200 www.CarilionClinic.org

Hannah Smith, NP

Melissa Smith, DNP

Jamie Spradlin, NP

Steve Steffan, DPM

Sarah Stephens, Development Officer

Grace Valiulis, PA-C

Katherine Wood, NP

Stephanie Wright, NP

Carilion Roanoke Memorial Hospital Roanoke | 540.981.7000 www.CarilionClinic.org

LewisGale Physicians Primary Care Floyd | 540.745.5060 www.lgphysicians.com

Carilion Children’s Pediatric Medicine Daleville | 540.992.1251 Roanoke – Postal Drive 540.772.4453 Roanoke – Jefferson Plaza 540.985.8230 www.CarilionClinic.org

Friendship Roanoke | 540.265.2122 www.Friendship.us

Carilion Children’s Pediatric Endocrinology Roanoke and Christiansburg 540.224.4445 www.CarilionClinic.org

Carilion Clinic Family and Internal Medicine Martinsville | 276.670.3300 www.CarilionClinic.org

LewisGale Physicians General Surgery Salem | 540.772.3620 www.lgphysicians.com

LewisGale Physicians Midwifery Salem | 540.772.3650 www.lgphysicians.com

Carilion Roanoke Memorial Hospital Roanoke | 540.981.7000 www.CarilionClinic.org

Carilion Clinic Gastroenterology Roanoke | 540.224.5170 www.CarilionClinic.org

LewisGale Physicians Neurosurgery Salem | 540.444.1240 www.lgphysicians.com

Carilion Clinic Orthopaedic Surgery Roanoke | 540.510.6200 www.CarilionClinic.org

Carilion Roanoke Memorial Hospital Roanoke | 540.981.7000 www.CarilionClinic.org

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

The Pulse

â&#x20AC;˘ NEWS TO KNOW NewFacilitiesand Relocations

FOR EVEN

New LewisGale Physician Practices in Covington and Floyd

MAKE SURE TO CHECK OUT

LewisGale Physicians announces the opening of two new locations in Covington, for Primary Care and Otolaryngology (Ear, Nose and Throat) services. Both practices will be housed in the newly renovated building, located at 120 Main Street, in Covington.

More Health Resources www.OurHealthRoanokeNRV.com

Justin Douglas, MD, an Otolaryngologist who recently joined LewisGale Physicians and was previously practicing in Low Moor, has relocated his ENT practice to the new site in Covington. Donna Warner, FNP-C, a LewisGale Physician family medicine provider, has also relocated her practice from Low Moor to Covington. Both practices are now accepting patient appointments. LewisGale Physicians has also opened a new primary care practice in Floyd to support the more than 15,000 area residents. Jared March, DO, a resident of Floyd and an established physician in the New River Valley, has joined LewisGale Physicians and will be a key provider at the new Floyd location. Dr. March specializes in internal medicine, which focuses on the prevention, diagnosis, and treatment of adult diseases and health conditions. Additionally, he has extensive experience in managing chronic diseases, including working with and educating patients on lifestyle changes to improve overall health. Dr. March is now seeing patients in the newly opened office located at 249 Franklin Pike in Floyd. Moreinformation: For more information or to schedule an appointment in Floyd, call 540.745.5060. For appointments at both Covington locations, call 540.862.0007 or visit www.lgphysicians.com.

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The Pulse

• NEWS TO KNOW

Recognitions,AwardsandAccreditations

iTHRIV Announces Statewide Health Research Pilot Project Recipients The Clinical and Translational Science Award (CTSA) partnership between Carilion Clinic, Virginia Tech, the University of Virginia, and Inova Health System has awarded $200,000 in funding to four research projects through the Pilot Translational and Clinical Studies Program. Each awarded up to $50,000 in funding the multi-institutional teams of scientists, physicians, and engineers will explore new machine learning approaches to cancer cell recognition, shoulder surgery recovery recommendations, a potential new treatment for depression, and what triggers an inflammatory throat disease. Locally, the CTSA partners administer the grants through the Integrated Translational Health Research Institute of Virginia (iTHRIV). The awarded pilot projects include: Could focused ultrasound procedures help treat depression? Depression is among the most prevalent and debilitating psychiatric illnesses and a leading cause of disability in the U.S. Researchers led by Sarah Clinton, an associate professor and associate director for Virginia Tech’s School of Neuroscience, and Wynn Legon, an assistant professor in the Department of Neurosurgery at the University of Virginia School of Medicine, are studying if focused ultrasound techniques can be used to treat depression. When can patients safely drive after rotator cuff surgery? Despite more than 450,000 rotator cuff repairs performed in the U.S. every year, the recommended recovery window before a patient can safely operate a vehicle is still unclear. Peter Apel, an assistant professor of orthopaedic surgery at Virginia Tech Carilion School of Medicine and

A new approach to cancer cell recognition? Combining machine learning and electrophysiology, this new tumor cell recognition technique could one day help physicians pick the most effective chemotherapy regimen. The research team includes Nathan Swami, a professor of electrical and computer engineering at the University of Virginia, Todd Bauer, an assistant professor of surgery at the University of Virginia, and Eva Schmelz, an associate professor in Virginia Tech’s Department of Human Nutrition, Foods and Exercise. What causes painful esophagus inflammation? Led by Irving “Coy” Allen, an associate professor at the VirginiaMaryland College of Veterinary Medicine, and Emily McGowan, an assistant professor of medicine at UVA Health, this project will address an allergic disease known as eosinophilic esophagitis, which causes pain and difficulty swallowing. iTHRIV, who was awarded a $23 million CTSA grant from the National Institutes of Health earlier this year, is a cross-state translational research institute. Partner sites include Carilion Clinic, Virginia Tech, the University of Virginia, and Inova Health System. More information: iTHRIV is supported by the National Center for Advancing Translational Sciences, part of the National Institutes of Health, through award number UL1TR003015. Visit www.ithriv.org.

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McClintic Jr. via email at steve@ourhealthvirginia.com.

Carilion Clinic, and Miguel Perez, an associate professor of biomedical engineering and mechanics and director of the Center for Data Reduction and Analysis Support at the Virginia Tech Transportation Institute, are studying pre- and post-operation driving fitness to develop safer returnto-drive recommendations.

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words and photos courtesy of | CARILION CLINIC

A Community Comes Together In Time Of Need  The communities served by Carilion Clinic have been in overdrive supporting the heroes on the frontline of the COVID-19 pandemic. With countless thoughtful gestures from throughout the Carilion service region, the health system workers have been enveloped by a caring community. From church bells that have rung during shift changes through the “Bells of Hope” initiative to messages of encouragement that have appeared on sidewalks and on homemade signs, the love and support given has been evident. Donations of personal protective equipment came early from local businesses, churches, construction companies, partners including Virginia Tech and Radford University, and countless individuals. Childcare providers have helped Carilion staff continue to work knowing their children are safe. Local restaurants have delivered nourishing meals for Carilion employees during their around-the-clock work. Carilion’s neighbors, friends, and even strangers have done much to embrace the health system in its time of need. The outpouring of support and goodwill has been extraordinary. Through this demonstration of support, Carilion and its communities have displayed a united front, connecting in new and sometimes unexpected ways. Stronger together, the community is proving that it is greater than any challenge it may face.

1 2

For information about helping the vital work of Carilion Clinic, visit www.carilionfoundation.org/ give, email foundation@carilionclinic.org, or call Kay Strickland at 540.224.4544.

8 1) Encouraging words on colorful signs spontaneously appeared on Carilion Clinic’s social media channels, courtesy of the youngest people served in the health system’s communities. 2) The Carilion Clinic Foundation worked with countless restaurants interested in providing meals at no cost to the health system’s frontline hospital workers. 3) Neighborhood groups gathered along the route to Carilion Roanoke Memorial Hospital to offer a lift to frontline hospital employees arriving for and departing their shifts. 4) Donations of Personal Protective Equipment (PPE) began arriving in mid-March at community donation sites Carilion Clinic established throughout its service region. 5) Carilion Clinic collaborated with God’s Pit Crew of Danville, NASCAR Truck Series driver Jeb Burton, Roanoke City Schools, and Straight Street to package nutrition and COVID-19 information in 500 meal boxes and 500 backpacks for needy students and families. 6) Donations of Personal Protective Equipment (PPE) were delivered to Carilion Clinic hospitals in a partnership with Goodwill Industries of the Valleys, which offered its donation centers as PPE collection points. 7) Donations of Personal Protective Equipment (PPE) began arriving in midMarch at community donation sites Carilion Clinic established throughout its service region. 8) Personal Protective Equipment (PPE) arrived from Roanoke’s North Cross School international program in Shanghai, courtesy of student Tom Zhu, who asked fellow students and their families to donate funds to purchase the supplies for Carilion Clinic. 9) Teenage pilot TJ Kim recorded flight hours while on a personal mission to deliver PPE from his home in Loudoun County to Virginia’s critical access hospitals, including Carilion Stonewall Jackson Hospital in Lexington and Carilion Giles Community Hospital. 10) Spectrum Brands in Blacksburg converted its operations to produce Cutter hand sanitizer, making Carilion Clinic hospitals the first in the country to receive the product from the company. 11) Roanoke, Roanoke County, and Botetourt County fire and EMS joined law enforcement officials from the region and Carilion’s LifeGuard helicopter to show support during a shift change at Roanoke Memorial Hospital. 12) Blue Ridge Mountains Council Boy Scouts donated surplus popcorn, which became snacks for Carilion Clinic frontline employees. 13) Carilion Clinic collaborated with God’s Pit Crew of Danville, NASCAR Truck Series driver Jeb Burton, Roanoke City Schools, and Straight Street to package nutrition and COVID-19 information in 500 meal boxes and 500 backpacks for needy students and families. 14) The “Light it Blue” initiative included the Mill Mountain Star and Wells Fargo Tower, among locations in Roanoke sporting the hue to honor frontline and other essential health care workers.

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10 11 12

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Questions. Answers. Knowledge. What is a silent heart attack?

80% Did you know? One study followed nearly 2000 patients initially free of cardiovascular disease for 10 years and found that eight percent developed evidence of a heart attack;

80 PERCENT

OF THESE PATIENTS WERE UNAWARE OF THEIR CONDITION.*

A silent heart attack is one that occurs without traditional symptoms such as chest discomfort, shortness of breath, nausea, and sweating. They can often be mistaken for other conditions. One study followed nearly 2000 patients initially free of cardiovascular disease for 10 years and found that eight percent developed evidence of a heart attack; 80 percent of these patients were unaware of their condition.* Risk factors are the same as those for a traditional heart attack and include:

» Age and male gender

Medicare is the U.S. government’s largest health insurance program, serving more than 59 million people. Most people become eligible for Medicare at age 65, but you can be eligible at an earlier age due to disability, or defer your eligibility to a later age if you work and are covered by an employer sponsored health insurance. There are four distinct parts of Medicare: Part A: Hospital insurance, which

covers mostly inpatient services in a hospital or skilled nursing facility. Part B: Medical insurance, covers

» Family history of coronary

services from doctors and other healthcare providers, home health care, durable medical equipment like a wheelchair or oxygen equipment and preventive services such as wellness visits and flu shots.

» Sedentary lifestyle

Part D: Prescription drug coverage,

» Smoking » High cholesterol and blood pressure

» Diabetes and/or obesity artery disease

Silent heart attacks may be diagnosed with an electrocardiogram (ECG) or an echocardiogram, which is an ultrasound of the heart. They increase the chances of another heart attack leading to heart failure or death. Treatment includes quitting smoking, taking blood pressure and cholesterol medications, managing diabetes, eating healthy, and exercising regularly.  *Journal of the American Medical Associates, 11/10/15

Richard Konstance, MD, MBA LewisGale Physicians – Heart of Virginia Cardiology Roanoke | 540.283.2710  www.lgphysicians.com

What are the four parts of Medicare (A, B, C and D)?

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private insurance companies administer prescription drug plans approved by Medicare. Part C: Medicare Advantage. An

“all in one” alternative to Original Medicare. Also run by private insurance companies, like Humana, these plans include Parts A, B and usually D benefits. Part C plans have various out-of-pocket costs capped by yearly limit that protects you from catastrophic expenses. Lynn Atkinson

Humana  Roanoke | 540.685.3817  www.humana.com

What are night sweats a sign of? Night sweats (sleep hyperhidrosis) may vary from mild diffuse sweating to excessive sweating, requiring changing clothes and sheets. Sweating is the body’s mechanism to cool itself down. There are many potential causes of night sweats. These include illness, endocrine disorders such as thyroid disease, neurologic disorders, medications such as anti-depressants, and changes in a person’s estrogen levels. Women will often experience night sweats starting a few years before the onset of the menopausal transition. Menopause is defined as one year without a menstrual cycle. Women may continue to experience night sweats for 10 or more years after this is complete. It is often worse the year prior to her last period. Some women will be able to manage night sweats with fans and lighter clothing, while others will need medication to help. Women may have many options of therapy depending on their other medical problems. Heather Draeger, MD  Physicians to Women, Inc.  Roanoke | 540.982.8881  www.ptow.com

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Questions. Answers. Knowledge. Is there a link between stress and allergies?

Did you know? THE RELATIONSHIP BETWEEN STRESS AND ALLERGIC DISEASES IS LIKELY

BI-DIRECTIONAL. While there is evidence that stress may make asthma and allergic skin disorders worse, it is also likely that the symptoms of moderate to severe allergic diseases are likely

The relationship between stress and allergic diseases is likely bidirectional. While there is evidence that stress may make asthma and allergic skin disorders worse, it is also likely that the symptoms of moderate to severe allergic diseases are likely to create stress. For example, a patient with chronic sinus pressure, nasal congestion and drainage or chronic itching is likely to feel bad most of the time and will not be able to focus. Their sleep is also likely to be disturbed as a result. For these people it is like living with a cold all the time. This can in turn contribute to stress. Chronic stress can also affect the immune system and affect one’s ability to fight infections. Stress does not directly cause allergies but appears to make allergies worse by releasing histamine and inflammatory mediators. Essentially stress complicates the control of allergic disease and vice versa. Saju Eapen, MD

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

How do you treat early signs of dementia in a retirement home?  The health and well-being of residents living in senior housing is the first and foremost priority of healthcare providers in these communities. Should a resident begin to exhibit potential signs of dementia, such as increased confusion, reduced concentration, language difficulties (struggling to find the right words), personality changes, apathy or withdrawal, they should be evaluated by a medical director in the community, their family practice provider, or by a specialist in geriatrics and dementia. An important first step is ruling out causes of symptoms that mimic dementia like depression, vitamin deficiency, thyroid disease or unstable blood sugar in people with diabetes. Often, a speech therapy assessment can be helpful in determining the resident’s cognitive function.

What causes cataracts?  A cataract is a natural part of the aging process of the eye. Each of us is born with a clear lens inside the eye. It’s about the size and shape of an M&M, and it sits right behind the iris (the colored part of the eye). Every day, a person’s natural lens grows a little bit cloudier until eventually, their vision begins to suffer. Some things can make cataracts grow faster such as certain medications, eye trauma, or surgery. For most patients with cataracts, replacing the cloudy natural lens with a clear lens implant is a straightforward surgery that can make a big difference in a patients’ quality of life. Will Griffeth, MD

Vistar Eye Center  Roanoke | 540.855.5100  www.vistareye.com

If the resident is diagnosed with dementia, his or her care plan will be reevaluated to make sure they are getting the most appropriate level of care. Ashley Davis, LPN

TO CREATE STRESS.

Friendship Assisted Living Director of Nursing Roanoke | 540.385.8720  www.friendship.us

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Step #1

MAKING YOUR HOUSE A

HEALTHIER HOME

Find times to schedule each part of the home so it makes the most sense.

CLEAN • DECLUTTER • ORGANIZE

Three D’s

Herearejusta fewideastoget youstarted:

To do during

Spring Cleaning Spring is a perfect time to organize your home and

make it that much healthier and more inviting, and it begins with following the three D’s: Declutter, Disinfect and Deep Clean. But there’s more to it than opening windows when you feel a warm breeze in the air. See what it takes to really deep clean your home — and why it means tossing out as much junk as possible.

Pantry: The holidays are a great time to remove items from the shelves. Check expiration dates, donate fresh items that you’re unlikely to eat, toss unidentifiable foods, and rediscover usable items.

Medicine cabinet: If your local law enforcement agency has a Take Back Prescription Day, start clearing out this cabinet prior to the event.

words | MEREDITH SHAW

If you’re getting ready to air out your rooms in preparation for spring cleaning, you may want to try a different tactic this year. There’s more to this ritual than just clearing out the stale winter funk. Instead of treating the surface dust of the home, a real deep cleaning should combine decluttering with disinfecting and organizing. Learn more about how to break it down, which tools can help, and when to let go of your packrat tendencies.

Stop Referring to It As Spring

Garage: Most neighborhoods have trash days when residents can dispose of bulk trash, or schedule it right before a community yard sale.

Cleaning

This isn’t about bringing out your summer clothes and letting the sunlight be your natural disinfectant. You really can’t tackle everything in one season because when you’re going about it the right way, the sheer volume of work would seem too overwhelming. Instead, focus on deep cleaning each section of the home thoroughly and in the process, set the stage for maintenance in the long term. Much like tips for general health and fitness, keeping a status quo is far easier than starting from scratch every single time.

Home office: If your office is stuffed with old documents, make (and pre-pay for) an appointment with a professional shredding service so you have a reason to start sorting. www.OurHealthRoanokeNRV.com

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These apps can

HELP YOU

organize, digitize, and generally get rid of junk—and maybe make some money while you do so.

Sortly App: for the hyper-organized, this is a dream app. Sortly lets you create a visual inventory by taking photos of your items or scanning QR codes. After you input your items, you can sort them into category folders by location (like in the jewelry box or in the garage closet). You can also tag certain items for easy search and include purchase and warranty dates for even more detail.

COST: FREE Download from iTunes, iOS devices only.

Decluttr: Make selling DVDs, CDs, video games, and more the work of minutes— not a whole afternoon— with Decluttr’s barcode scanner, which makes short work of figuring out how much you can sell your items for. All shipping is free, so you can get those space hogs out ASAP, and any earnings can help fund some spacefriendly digital downloads.

COST: FREE, for iOS and Android

Step #2

Map Out Your Decluttering

Criteria

Most of us have a difficult time deciding whether we should keep something or not. Multiply that mental exhaustion over countless items in the home, and it’s easy to see why decluttering isn’t a common practice. One tip is to think everything through objectively before you even start cleaning.

First, determine the best ways to dispose of

everything, including hazardous materials such as old batteries and electronic waste.

Second, decide how you’ll justify keeping certain

items. Ask yourself who is likely to use each item in the home, and if you can’t come up with a concrete answer, then it really should go.

“

If you haven’t used your old cake-decorating kit in three years, chances are this year is not going to be a turning point for you.

”

Tody: Motivate yourself (and your family members) to clean more often with this smart app. You can create cleaning tasks and to-do lists by frequency and the app will tell you when a chore is due or overdue, and when something was last cleaned.

COST: $4 Download from iTunes, iOS devices only.

Handy: Sometimes you might need to ask for extra help. This is where Handy comes in. With this app you can schedule a date and time for a cleaning professional to come and tidy up. Plus, track the progress of your cleaning session—from when the cleaner is on the way to when he or she is just finishing up.

COST: FREE, for iOS and Android

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Step #4 Step #3 Bring Out

THE TOOLS Hang cookware on cabinet pot racks, store shoes in a tree, and arrange knick-knacks in a bookcase.

It’s Time for a Deep

Clean

The decluttering has to come before the deep clean, because it’s all too easy to let surface problems cloud the real dangers below. That soda spill behind the couch that’s been out of sight, out of mind? The sticky residue on the floor can attract anything from a build-up of bacteria to an army of ants. The same goes for the spills in the back of the fridge that are hidden by expired condiments.

Besides general household cleaners, you can use natural disinfectants like LEMON JUICE and VINEGAR

Shelving can be especially handy in a closet or garage because you’re not wasting all that precious wall space to put items front and center

to kill off a number of bacteria and pathogens.

Some people use TOOTHPASTE to get out silver tarnish, and Kool-Aid powder to remove the rings on their toilet.

(so you’re not constantly upending your closet every time you want to find your favorite scarf).

You can even wipe down metal fixtures with used DRYER SHEETS to give them a nice sheen. Deep cleaning brings items out in the open and improves the quality of the air you breathe. It’s no wonder that studies conducted at Princeton University have shown a strong link between mental health and the state of one’s environment. For example, clutter can make it more difficult to focus on a single task because it distracts and overwhelms the visual cortex. In addition, house cleanliness has been shown to be strongly correlated with physical health.

“

Frustration can be a common feeling even in the cleanest of homes, but it’s only exasperated if the place is a sty.

Step #5

”

Create an

OVERWHELMED withClutter

If you’ve ever wondered why you have four wine openers and nine old measuring cups, you’re not alone. A meticulous inventory is the best way to stop the endless cycle of replacing items you already have.

If decluttering sounds overwhelming, turn to a local home organizing professional.

Having a professional come into you home gives you the full-service experience and support you need to get the job done, once and for all! Check out Wow Organizing in Roanoke. They offer organizing and decluttering services in every area of your life. Plus,theynow offerVIRTUALpackages! All the help you need while social distancing! Check out the amazing before and after photos on their website!

This is where app suggestions can really come in handy: “Hey Alexa, we have seven pairs of pajamas that don’t fit Ricky!” From the basement to the attic and everything in between, you have a real opportunity to dig into your mess and root out the underlying problems that cause it. Once your home is organized and disinfected, you’ll feel like a weight has been lifted off you.

It all starts with taking the first step in one section of your home, and then working your way out from there.

WowOrganizingServices,LLC 540.420.8225 www.WowOrganizing.com

Inventory

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words | DYLAN ROCHE

OurHealth Roanoke & New River Valleys’ first annual How Specialty Care Is Changing for the Better Guide brings to light some of the more notable advancements that have changed how health conditions are diagnosed and/or treated across 13 different medical specialties. No matter how in-tune to current events you may be, there’s a good chance you’ll learn something from this Guide because it will likely make a difference in yours or a loved one’s health one day.

Most of us have heard the phrase ‘the only constant in life is change’. The lesson learned from this seven-word statement is a valuable one, and perhaps even more important to live by in today’s faster-than-ever-paced world than during any other time we’ve known. Still, the notion of change can be difficult for many to embrace, even when the change is for the better.

“

Fear that’s associated with change often comes down to having a lack of knowledge about something already considered intimidating because of the complicated and negative shape it has been molded into by those we believe we can trust.

”

How Specialty Care is Changing for the Better

Guide Breakdown: PAGE

Allergy & Immunology Cardiology PAGE

Dermatology Endodontics PAGE

Couple this with the sheer speed and volume of inconsistent information coming at us in so many formats – computers, phones, tablets, television, radio and print – it can not only feel like drinking from a fire hose, but also completely close the door on any chance of considering a different perspective.

Ear, Nose & Throat (Otolaryngology)

There’s perhaps no better example of the uncertainty that stems from misperception and fear of the unknown than when it comes to understanding healthcare. That’s where OurHealth Roanoke & New River Valleys’ How Specialty Care Is Changing for the Better Guide comes in. This Guide is built upon the format OurHealth Roanoke & New River Valleys’ is known for — language that’s easy to understand, technical terms that are defined and a friendly tone that encourages a desire to learn more about how positive change has transformed or is transforming 13 major medical specialties our readers want to know more about. Our hope is this Guide will serve as a way to start and keep the conversation going about the services offered by experts who recognize how emotional the topic of healthcare is, and why it’s vital for these professionals to continue reinforcing the message they are allies on the same team as their patients, committed to serving and helping them realize their best health potential.

Obstetrics/Gynecology (OB/GYN)

Gastroenterology PAGE

Neurology

PAGE

Ophthalmology Physical Therapy PAGE

Plastic Surgery Urogynecology PAGE

Urology

Allergy and Immunology The Role of an Allergist Allergist/Immunologist Immunologist

An allergist/immunologist diagnoses and manages medical conditions involving the immune system such as asthma, anaphylaxix (allergic reaction), rhinitis (inflammation of the mucous membrane of the nose) and eczema, as well as negative reactions to drugs, foods, and insect stings. Allergy/ immunology specialists also focus on immune deficiency diseases and problems related to autoimmune disease (a condition in which the immune system mistakenly attacks the body), organ transplantation, or malignancies of the immune system.

Cardiology The Role of a

Cardiologist

A cardiologist diagnoses and manages conditions of the heart, blood vessels and circulatory system. In many cases, this means helping patients understand the dangers of heart disease and preventing it through healthy lifestyle practices. In more extreme cases, this could entail treating heart attacks, heart failure and serious heart rhythm disturbances. Although a cardiologist will diagnose and treat cardiovascular disease, and they may undertake procedures such as the insertion of a pacemaker, a cardiologist is not the same as a cardiac surgeon, who performs heart surgery.

Recommended Recommended

Trustworthy Resources

To Use When Researching Cardiology

To Use When Researching Allergy/Immunology

American College of Cardiology www.acc.org

American Board of Allergy and Immunology www.abai.org

American Society of Echocardiography www.asecho.org

American Academy of Allergy, Asthma and Immunology www.aaaai.org

Heart Rhythm Society www.hrsonline.org

American College of Allergy, Asthma and Immunology www.acaai.org

American Heart Association www.heart.org

BreakthroughDiagnostic/Treatment for:

Early evidence provided by a Stanford-led pilot study has determined that an injection of an antibody treatment called etokimab allowed people with severe peanut allergies to eat a nut’s worth of peanut protein two weeks later.

Although transcatheter aortic valve replacement (TAVR), also known as transcatheter aortic valve implantation (TAVI), was being developed as far back as the 1980s, it was approved by the Food and Drug Administration less than a decade ago as a minimally invasive option for people with aortic stenosis, a condition that prevents their heart’s aortic valve from opening all the way, thus limiting blood flow from the heart to the rest of the body. A cardiologist can implant a TAVR via a catheter, which is inserted through tiny blood vessels in the leg or a tiny incision in the chest. The cardiologist then guides the catheter along the blood vessels until it reaches the aortic valve, where a small balloon on the tip of the catheter is inflated to set the new valve in place.

Peanut Allergies

“

Researchers are repeating the study with a larger group of participants to better learn who will

benefit from antibody treatment, and scientists also need to determine the appropriate timing and dosing amount of the antibody before it’s

” New Diagnostic/Treatment

made available to the public. How is this

Different/ImprovedOver Existing/PastOne(s)? Option

The only existing treatment for peanut allergy is oral immunotherapy, which requires patients to eat tiny, gradually escalating doses of the food-allergy triggers under medical supervision. Desensitizing someone to their allergens with oral immunotherapy takes six months to a year, and can cause allergic reactions along the way. In contrast, 73 percent of people who received the etokimab antibody treatment were able to eat a modest amount of protein 15 days after receiving a single injection. 34

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Faulty Heart Valves

How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before TAVR, a cardiology patient in need of a new aortic valve had only one other option: to undergo open-heart surgical aortic valve replacement (SAVR). Because open-heart surgery, as its name suggests, requires a sternotomy (a surgical incision along the sternum), it can be a risky procedure for older patients or for patients with medical conditions, such as kidney or lung disease, which increases risk of complications. TAVR, on the other hand, is an effective alternative that is available to patients in all risk categories.

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Dermatology The Role of a

Dermatologist

A dermatologist specializes in conditions related most notably to the skin but also to hair and fingernails or toenails. Some of these conditions are harmful or uncomfortable while others are simply cosmetic. Dermatologists can diagnose and treat eczema, psoriasis, acne or skin cancer, and can help identify why patients are suffering certain reactions of the skin, such as hives or rashes.

Recommended

Trustworthy Resources

Endodontics The Role of an

Endodontist

An endodontist is a dentist with specialized training in the interior of the tooth and protecting teeth from disease. In fact, they often refer to themselves as “specialists in saving teeth.” Those who experience serious tooth pain will often see an endodontist, who can diagnose what’s wrong and perform the necessary procedure, often what’s commonly known as a root canal.

Recommended

Trustworthy Resources

To Use When Researching Dermatology

To Use When Researching Endodontics

American Academy of Dermatology www.aad.org

American Association of Endodontists www.aae.org

American Board of Dermatology www.abderm.org

American Dental Association www.ada.org

Skin Cancer Foundation www.skincancer.org

BreakthroughDiagnostic/Treatment for:

Skin Cancer

It was back in the 1930s that Mohs surgery was originally developed by Dr. Frederic E. Mohs, and it was during the 1960s and 1970s that it gained prominence.

“

But this skin cancer treatment continues to be held in high regard today — in fact, it’s what the Skin Cancer Foundation calls the most effective technique for treating basal

Procedural Pain

Root canal treatment is much easier today than in the past thanks to the use of anesthetics — specifically, in the case of endodontic procedures, patients will receive what’s known as local anesthetic, which is injected into the area that needs to be numbed or administered in the form of a gel that’s rubbed onto the location. The most common type of local anesthetic used by dentists, lidocaine, blocks the nerve signals so the endodontist can work without the patient feeling anything. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

cell carcinomas (BCCs) and squamous cell carcinomas (SCCs).

In the past, endodontic therapy — that’s the formal name for a root canal procedure — was notoriously painful.

This surgical procedure involves removing layers of cancer tissue so a dermatologist can examine them under a microscope one layer at a time until the cancer is entirely removed.

During the procedure, which is done to preserve a tooth that is badly decayed or infected, an endodontist

”

How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

At the end of the 19th century and the beginning of the 20th century, radiation therapy was the go-to treatment for cancer, although it was discovered shortly thereafter that radiation could cause cancer as well as cure it, according to the American Cancer Society. Advances in radiation physics and computer technology over the past 100 years have made it possible to use radiation more effectively, but Mohs surgery continues to be the “gold standard,” in the words of the Skin Cancer Foundation, for BCCs and SCCs.

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“

removes the nerve and pulp from the inside of an infected tooth and does a deep-clean of the inside.

”

The American Academy of Endodontics acknowledges that root canal treatment was painful in past decades, but modern anesthetics have put an end to that strife.

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Ear, Nose and Throat (ENT)

Gastroenterology TheRoleofa

Otolaryngology

The Role of an Ear,NoseandThroat(ENT)

Specialist(Otolaryngologist)

An ear, nose and throat specialist, commonly known as an ENT, also called an otolaryngologist, specializes in conditions of the head and neck. As their title suggests, ENTs deal with ears, noses and throats, but they also work with the sinuses and the respiratory system. A person might go to an ENT for something as simple as a sinus headache or as complex as sleep apnea. Other reasons you might see an ENT are ear infection, tinnitus, allergies, nasal obstruction, gastroesophageal reflux disease and airway disorders.

Recommended

Trustworthy Resources

To Use When Researching ENT (Otolaryngology)

American Academy of Otolaryngology – Head and Neck Surgery www.entnet.org

BreakthroughDiagnostic/Treatment for:

Chronic Rhinitis

“

The 25 million people who suffer from chronic rhinitis —

an inflammation of the nasal tissue characterized by sneezing, congestion, runny nose and postnasal drip — saw a game changer in

”

The nasal device uses cryotherapy technology to freeze the irritated nasal tissue, thus providing fast and long-lasting relief of symptoms. How is this

Recommended

Trustworthy Resources

To Use When Researching Gastroenterology

American College of Gastroenterology www.gi.org American Gastroenterological Association www.gastro.org

BreakthroughDiagnostic/Treatment for:

ENT Health www.enthealth.org

2017 with the release of ClariFix.

Gastroenterologist

A gastroenterologist diagnoses and treats conditions of the digestive tract, which encompasses the esophagus, the stomach, the small intestine, the colon and the rectum, as well as related digestive organs such as the pancreas, gallbladder, bile ducts and liver. In short, this is a medical specialty concerned with the breakdown of food, the absorption of nutrients and the elimination of waste. A gastroenterologist can help patients who are fighting colon polyps and cancer, heartburn, irritable bowel syndrome (IBS), colitis, peptic ulcer disease, gallbladder and biliary tract disease, and nutrient malabsorption.

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before the release of ClariFix, people with chronic rhinitis had to rely on short-term solutions that treated their symptoms but did not bring any longstanding relief: common over-the-counter medications such as antihistamines or nasal decongestants, as well as neti pots and nasal sprays. These required continual administration or use, unlike ClariFix, which is a one-and-done treatment option for this chronic problem.

Colorectal Cancer Screening

In recent years, alternative screening options for colorectal cancer have gained prominence for their ease and noninvasiveness. A fecal immunochemical test (FIT), which uses antibodies to detect blood in a patient’s stool, is deemed the screening test of choice by European Union Guidelines. A similar screening option is the stool DNA tests, which looks for altered DNA in a patient’s fecal matter. These screenings can be done once a year, and if they come back positive for colorectal cancer, a gastroenterologist can schedule the patient to have a colonoscopy for a more definitive answer. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before these noninvasive procedures, a colonoscopy was the only way to screen for colorectal cancer. The procedure involves sending a thin tube up inside a patient’s colon to check for polyps or cancer; in addition to being expensive, it requires inconvenient pre-procedural preparation consisting of a bland diet for several days, followed by a liquid diet for a day, then drinking a solution that cleanses the colon by means of diarrhea. Simple screenings like FIT and stool DNA tests make it practical for more people to get screened annually, and the Centers for Disease Control and Prevention recommends a colonoscopy only once every 10 years for people who do not have increased risk of colorectal cancer.

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Neurology The Role of a

Neurologist

A neurologist studies and treats a patient’s nervous system, which encompasses the brain, spinal cord and nerves. Disorders of the nervous system include conditions as simple as a headache or something as serious as Parkinson’s disease. Neurologists treat epilepsy, neuritis, neuropathy, brain and spinal cord tumors, multiple sclerosis, stroke and muscular dystrophy, among other conditions. These specialists will also work with patients who have neurodevelopmental disorders, learning disabilities and similar chronic conditions.

Recommended

Obstetrics/Gynecology (OB/GYN) The Role of an

OB/GYN OB GYNSpecialist

An obstetrician-gynecologist, often known simply as an OB/ GYN, specializes in women’s reproductive health. Specifically, the practice of gynecology refers to care of a woman’s reproductive system and organs (her vagina, uterus and ovaries) while the practice of obstetrics refers to care throughout childbearing (pregnancy, birth and postpartum care). An OB/GYN handles fertility issues, family planning, hormone disorders, sexually transmitted diseases and menstruation problems. The American College of Obstetricians and Gynecologists recommends girls begin to visit a gynecologist between the ages of 13 and 15.

Trustworthy Resources

To Use When Researching Neurology

Recommended

Trustworthy Resources

To Use When Researching Ob/Gyn

American Academy of Neurology www.aan.org

American Board of Obstetrics and Gynecology www.abog.org

BreakthroughDiagnostic/Treatment for:

Association of Women’s Health, Obstetric and Neonatal Nurses www.awhonn.org

There’s still so much progress to be made in restoring mobility to paralyzed individuals, but a major breakthrough in 2018, the Mayo Clinic and UCLA collaborated on spinal cord stimulation to help Jered Chinnock, a man who had been paralyzed from the waist down in 2013, take several steps with a front-wheel walker.

American College of Obstetricians and Gynecologists www.acog.org

Paralysis

“

Dr. Kendall Lee with the Mayo Clinic noted that the study shows the neurons (cells that transmit nerve impulses) below a spinal cord

injury still function after paralysis; when the spinal cord is stimulated by electrodes, as Chinnock’s was, the neurons receive the signal that he wants to stand or walk.

”

Although this breakthrough was not able to treat Chinnock’s paralysis completely, it gives hope that individuals with paralysis can regain function. How is this

New Diagnostic/Treatment

Option Different/ImprovedOver

Existing/PastOne(s)? Prior to this, there was no cure or treatment for paralysis, although rehabilitation through physical therapy, occupational therapy, mobility aids and supportive devices helped paralyzed people live as independently as possible.

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BreakthroughDiagnostic/Treatment for:

Ultrasound

The progress of ultrasound technology has reached a point where 3-D images are more prevalent and widely available for gynecology and obstetric patients. Thanks to this technology, an OB/GYN can get a full view of the anatomy of the uterus and cervix, making it easier to see abnormalities like polycystic ovarian syndrome (also known as PCOS, often characterized by follicles on the ovaries), place intrauterine device (also known as an IUD, a device used for birth control that is put inside the uterus to stop sperm from getting to the eggs) and even diagnose and understand fetal anomalies. Ultrasounds also offer 4-D imaging, which could be likened to a live stream of a fetus inside the uterus, meaning the OB/GYN can see the motion of fetal organs. How is this

New Diagnostic/Treatment

Option Different/ImprovedOver

Existing/PastOne(s)? OB-GYN specialists have used ultrasound since the 1950s, but today’s modern technology is much better than it was even 20 years ago, when ultrasound equipment produced images that were two-dimensional and very grainy — not the best way for an OB/GYN to see what’s happening inside the uterus and cervix. While many expectant parents might be eager to see an ultrasound image that’s more detailed than the blurry outline produced by 2-D technology, medical professionals discourage 3-D and 4-D ultrasounds simply for the sake of seeing the developing fetus. Instead, this technology should be reserved for when there’s suspicion of a medical condition, as these require exposing a fetus to more ultrasound than necessary.

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Ophthalmology The Role of an

Ophthalmologist

Not to be confused with an optometrist, who does vision care and primary eye health care, an ophthalmologist is a physician who provides medical and surgical eye care. An ophthalmologist will treat such conditions as glaucoma, iritis, cataracts and macular degeneration. With a license to practice both medicine and surgery, an ophthalmologist will not only conduct eye exams and diagnose conditions but also perform procedures like LASIK surgery.

Recommended

Trustworthy Resources

Physical Therapy The Role of a

PhysicalTherapist

Although not strictly a doctor, a physical therapist is a trained and licensed health professional who provides care and guidance that can help alleviate pain, recuperate function and movement, and prevent future issues as a patient either recovers from an injury or manages a physical condition. A physical therapist will examine and assess an individual’s physical abilities to determine their specific needs, looking at movement, posture, balance, gait, heartbeat and other indicators. A physical therapist can then develop a treatment plan and guide a patient on how to do specific stretches and exercises to meet their goals.

To Use When Researching Ophthalmology

Trustworthy Resources

American Academy of Ophthalmology www.aao.org

Recommended

International Council of Ophthalmology www.icoph.org

American Physical Therapy Association www.apta.org

BreakthroughDiagnostic/Treatment for:

Choose PT www.ChoosePT.com

Myopia, Hyperopia and Astigmatism

Laser assisted in-situ keratomileusis eye surgery, more commonly known as LASIK surgery, was implemented in the United States and approved by the Food and Drug Administration in the early 1990s, paving the way for ophthalmologists to correct such problems as myopia (nearsightedness) hyperopia (farsightedness) and astigmatism (an eye defect that causes distorted images) by reshaping the cornea (front part of the eye) with the use of a laser. LASIK has the capability to improve a person’s vision to 20/25 so that they no longer need glasses or contact lenses. The Mayo Clinic acknowledges that results can vary and will depend on a person’s eyesight before surgery, though people with mild nearsightedness have the most success. How is this

New Diagnostic/Treatment

To Use When Researching Physical Therapy

BreakthroughDiagnostic/Treatment for:

Rehabilitation

With the advent of the Kinetisense system — a 3-D motion sensor device and movement assessment software — physical therapists achieved the ability to analyze a person’s posture, measure their range of motion and track physical improvements in an accurate and objective way.

“

This system, which video records every movement, does a complete

functional assessment of all standard physical therapy modules (balance,

posture, range of motion and functional movement) in just three minutes.

Option Different/ImprovedOver

Existing/PastOne(s)? Before laser surgery, ophthalmologists would use radial keratotomy (RK) to reshape the cornea by making slits with a knife. RK later gave way to photorefractive keratectomy (PRK), an early precursor to LASIK that uses the same type of laser. According to the Food and Drug Administration, PRK is different from LASIK because of the different ways the procedures expose the middle layer of the cornea, known as the stroma. With PRK, an eye surgeon will remove the epithelium (the top layer of the cornea) before using the laser to reshape the eye, whereas with LASIK, an eye surgeon creates small flaps in the cornea, raises the flap, reshapes the cornea with the laser, then lowers the flap after the surgery is over so the cornea can repair itself. PRK also requires a much longer healing process than LASIK, which usually requires only a few days of recovery afterward. 40

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How is this

” New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before this technology, physical therapists could do tests, take measurements and perform screenings, but these subjective observations took lengthy periods of time, were not as precise and were prone to human error. Kinetisense provides a more accurate assessment, thus improving results, and it can be done quickly to provide more time for actual therapy.

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Plastic Surgery The Role of a

PlasticSurgeon

A plastic surgeon is a surgical specialist focusing on both reconstructive and cosmetic surgical and non-surgical procedures that alter the shape, appearance, or function of structures of the body. Plastic surgery procedures can include skin rejuvenation and facial and body contouring that may alter the aesthetic symmetry and proportion of the body and reconstructive treatments of physical conditions caused by trauma, infection, tumors, disease, congenital defects and developmental abnormalities.

Recommended

Trustworthy Resources

To Use When Researching Plastic Surgery

American Society of Plastic Surgeons www.plasticsurgery.org American Board of Plastic Surgery www.abplasticsurgery.org

BreakthroughDiagnostic/Treatment for:

Wrinkles

A well-liked cosmetic procedure and one of the more popular plastic surgery options, BOTOX® injection, was approved by the FDA in 2002 after researchers discovered that botulinum toxin A could be used to relax the muscles and prevent severe spasms. The botulinum toxin blocks chemical signals from the nerves that cause muscles to contract. By injecting it into the face, scientists could relax the facial muscles that cause wrinkles in the forehead and around the eyes.

“

Today, BOTOX® injections are used for much more than simply reducing wrinkles.

”

The noninvasive procedure carries few risks or side effects and can also be used to treat lazy eye, muscle contractures, chronic migraine, bladder dysfunction, eye twitching and other conditions. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Throughout the 1970s, the latest in cosmetic facial surgery was the facelift, according to the American Academy of Plastic Surgeons. This procedure, which is still available today, is an invasive surgical procedure where an incision is made along the hairline so that fat or underlying tissue in the face can be repositioned or removed altogether, ultimately with the goal of removing wrinkles and smoothing out the skin. The procedure carries numerous risks, including bleeding, infection, facial nerve injury, poor wound healing and fluid accumulation.

Urogynecology The Role of a

Urogynecologist

Urogynecology is a field of medicine that combines urology with gynecology. A urogynecologist diagnoses and treats conditions or disorders pertaining to the pelvic floor (the muscles, ligaments, connective tissue and nerves that support the bladder, uterus, vagina and rectum). According to the National Institutes of Health, one-quarter of women have pelvic floor disorders, which could include urinary incontinence, overactive bladder or pelvic organ prolapse.

Recommended

Trustworthy Resources

To Use When Researching Urogynecologist

American Urogynecologic Society www.augs.org

Voices for PFD www.voicesforpfd.org

International Urogynecological Association www.iuga.org

BreakthroughDiagnostic/Treatment for:

Stress Urinary Incontinence

Urogynecology innovators Ulf Ulmsten and Peter Petros introduced the midurenthral synthetic sling in the mid 1990s, and it has since become the most common surgical intervention to treat stress urinary incontinence (the unintentional loss of urine caused by stress on the bladder such as coughing, laughing, running or heavy lifting). With this minimally invasive procedure, specially designed needles are used to place a thin strip of mesh under the urethra, which prevents urine from leaking out. The procedure takes about 15 to 30 minutes and can be performed on an outpatient basis using local anesthesia. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)?

Option

According to Harvard Medical School, the various procedures to treat urinary incontinence before the invention of the midurenthral synthetic sling were invasive, requiring hospitalization, anesthesia and recovery time, as well as posing risk. Women with mild cases of incontinence who wanted to avoid surgery were encouraged to do Kegel exercises or try a pessary (a removable device inserted in the vagina to support the urethra).

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Urology The Role of a

Urologist

A urologist diagnoses and treats conditions of the urinary tract as well as the male reproductive system. The urinary tract encompasses the bladder, urethra, kidneys and adrenal glands, and the male reproductive system. Although a urologist does specialize in the male reproductive system, there are still reasons women see a urologist, such as a urinary tract infection (commonly called a UTI). Men commonly see a urologist because of male infertility, erectile dysfunction or an enlarged prostate, as well as for cancers related to the male reproductive system, such as prostate cancer or testicular cancer.

Recommended

Trustworthy Resources

To Use When Researching Urology

American Board of Urology www.abu.org American Urological Association www.auanet.org

Urology Care Foundation www.urologyhealth.org

BreakthroughDiagnostic/Treatment for:

Prostate Cancer

In February 2020, researchers at Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins announced they had made progress toward a urine test to diagnose prostate cancer after noticing cancer-specific changes in urinary RNA and metabolites. With these discoveries, the researchers hope they can develop a simple, noninvasive, reliable test for diagnosing prostate cancer, although further studies must be done to validate their findings before they can proceed. How is this

New Diagnostic/Treatment

As you can see, the

faceofhealthcare isanever-changing one. Scientists

and researchers are continually making new discoveries that promise better treatment options.

“

Even longstanding perceptions on certain conditions can change, or knowledge that’s been around for decades can move to the forefront when medicine finds a new way to make practical use of it.

”

All of this shows that change isn’t always bad. In the case of science and healthcare, change canbegood. Change can mean less expense. Change can mean minimal invasion or inconvenience. Change can mean fewer side effects or less recovery time. Change can mean an increased chance of survival or longevity. Overall, change can mean an improved quality of life — and that’s a change we can all embrace.

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Different/ImprovedOver Existing/PastOne(s)? Option

Currently, prostate cancer must be diagnosed with tissue biopsies, which can be invasive and will often miss cancer cells, explains Ranjan Perera, PhD the senior author behind the study and associate professor of oncology at Johns Hopkins University. However, this new research may pave the way for accurate noninvasive testing. According to the Mayo Clinic, currently a prostate biopsy is conducted using a thin needle that goes into the prostate to collect tissue, which is then analyzed in a laboratory.

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HOSPICE Care Hospice Care [‘häspəs/ /kair] is end-of-life care that treats

the person rather than the disease, addressing a terminally ill person’s physical, emotional and spiritual needs in lieu of curative treatment. Focused on quality of life, care is provided in whatever setting they call home (their own home, a family member’s home, assisted living or skilled nursing facilities). Support services are provided for the entire family as well.

How do we know What’s New with

Hospice Care Has hospice care changed over the years?

When hospice care came into being in the US during the 1970s, most hospice patients were battling cancer.

Now, more than half of hospice patients have heart, lung or kidney disease, or some form of dementia. Since 1986, hospice has been 100 percent covered by Medicare, Medicaid and most private insurance companies.

when it might be time for hospice care? It’s always best to have this discussion as early as possible, when you or your loved one is able to express wishes clearly.

“

Generally, it’s time to consider hospice when your physician tells you that you or your loved one has six months or less to live, when there is rapid decline despite medical treatment, and when you or your loved one wishes to forgo

further medical treatment in favor of living more comfortably.

”

Gentle Shepherd Hospice serves

the Roanoke and Lynchburg regions, including the surrounding counties of Amherst, Appomattox, Bedford,Botetourt andCampbell.Serving partial counties of Charlotte, Craig, Floyd, Franklin, Nelson and Pittsylvania.

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How...

Gentle Shepherd is Shaping Hospice Care in the Region

A little over 25 years ago, Gentle Shepherd blazed a trail for hospice care in the Roanoke, Lynchburg and surrounding communities. The simple statement, We Live to Give, directs the vision, mission and the staff of the only Christ-centered and family-owned hospice in the region. Family caregivers often bear a heavy burden for several years before their loved one may become eligible for hospice services. They are the real heroes! Now through a free community program, the Gentle Shepherd Family Caregiver Resource, they have 24/7 access to online educational articles to help manage difficult symptoms and make important decisions, as well as receive tips for caregiving and emotional and spiritual support. To help families navigate the wide range of emotions in the year after the loved on has passed, Gentle Shepherd also offers extensive grief support services— phone calls, letters, reading materials throughout the stages of grief and support groups for both adults and youth. Young people are especially prone to feel adrift at the time of the loss of an older loved one. For them, Gentle Shepherd maintains the Healing Hearts support group designed especially for youth. Gentle Shepherd is also a major benefactor of the annual Camp Braveheart, a weeklong summer camp designed to bring together grieving children and teens from across the country to address their unique emotional and spiritual needs. Beyond the bedsides of families experiencing the end of life, Gentle Shepherd supports local ministries that serve the most vulnerable and overlooked and offers hope to the suffering in East Africa and other poverty stricken regions of the world. When families choose Gentle Shepherd for hospice care, in many ways they become united with a higher purpose.

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BEAUTIFUL BODY SELF-CARE • EXPRESSION • CONFIDENCE

QUARANTINE

BEAUTY QUEEN DIY Tips for When You Can’t Get to the Salon or Spa words | DYLAN ROCHE

After several weeks of staying at home during the coronavirus disease (COVID-19) pandemic, you might feel as if you look a little rough around the edges. Not that you have to go anywhere, and everyone you live with is telling you that you look just fine. Still, what would you give for some pampering to clean yourself up? There’s good news and there’s bad news. The bad news is that it’s likely going to be a little while longer before anyone sees the inside of a salon and spa. But the good news? There are a few do-it-yourself beauty practices you can undertake by yourself. Sure, your results might not be as good as the ones you would get with a professional. But as long as you manage your expectations and take plenty of care in what you’re doing, you can still look and feel your best while you’re under lockdown. And once you’ve mastered these skills, you might find they’re helpful in maintaining your look between salon appointments, saving you both time and money in the long run. 44

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Here are

FOUR EASIE WAYSST the

to g ive y our AT-HO self some

M COSM ETIC C E ARE.

Tweeze Your Eyebrows

If you have a few stray hairs that have sprung up and made your normally exquisite arches look more unruly that usual, DON’T STRESS — this is one of the easier beauty processes to master. But before you go haphazardly plucking at your brow, take a few moments to do the job properly.

Start by washing your face with warm

water to soften your skin. This will open your hair follicles and make it easier for the hairs to slide out.

the

Tweeze ’s

Do Don’t s

Cut Your Bangs

This one is the hardest to master and the easiest to mess up when you’re doing it yourself, but if your bangs have grown to be the length of a curtain and you can’t stand it anymore — well, desperate times call for desperate measures. However, trimming your own bangs isn’t impossible.

and

DO:

Take a step back after every few plucks to Identify the basic length of your eyebrows.The inside of the eyebrow should start

at a point perpendicular to your nose. The other end of the eyebrow should be at a point the intersects an imaginary diagonal line from the nostril through the outside corner of the eye. If it helps, mark these points with a white eyeliner pencil.

After you’ve marked the start and end points of your brows, use a clean spoolie (the little mascara brush) or toothbrush to pushyoureyebrowhairsin the same direction. This will let you identify any stray hairs outside the eyebrow’s natural shape.

Using a clean pair of tweezers with a fine, pointed end, grip the hair you want to remove and pull it in the direction of growth.

Pull each hair one at a time.

When you’re done, usealoeveragelon the skin around your eyebrows to soothe any irritation.

ensure you’re retaining the proper shape of your eyebrow and that your eyebrows are even.

DON’T:

Don’t get overly ambitious with pulling hairs — having

severely shaped eyebrows was trendy in the ‘90s, but today’s style is a more natural eyebrow. Focus only on stray or unruly hairs.

Begin with dry hair, as this will give

you the best idea of your hair’s true length. Use a comb to separate your bangs from the rest of your hair and bring them directly in front of your face.

Gather your bangs and straighten

them so they are perpendicular to the floor. Hold them between the index and middle finger of your nondominant hand close to where you want the trim to be.

With your hair still gripped between your fingers, lower them so they are

straight down in front of your face. Position your scissors alongside the

hair hanging out from underneath your fingers. This is where you’ll trim.

Remember to start longer — you can always cut them shorter if you want to.

Cutthehairinshort,precisesnips.

Afterward, wash and style your hairasnormal. www.OurHealthRoanokeNRV.com

Give Yourself a Facial

Rejuvenating your skin isn’t a miracle that can happen only at the spa. With a few ingredients that you probably already have in your kitchen, you can treat yourself to a facial that will leave you feeling clean, smooth, tight and glowing.

Start by making your facial serum.

Slather it generously on your face, avoiding your eyes and lips.

Clean Up Your Nails

Your natural fingernails are easy enough to maintain, but a manicure and pedicure just feel so good. You want your hands and feet to feel clean, soft and pampered. NOT TO WORRY — you won’t have someone else pampering your hands and feet for you (unless you can talk your partner into doing it), but you can still make them feel clean, soft and pretty. Here’s how.

FACIAL SERUM RECIPE: In a bowl, mix EQUAL PARTS of the following:

HONEY

IT’S ANTIBACTERIAL

LEMON JUICE RICH IN VITAMIN C

OLIVE OIL A MOISTURIZER

To reduce puffiness and dark circles Wash your hands and feet,

and remove any existing polish with acetone. Cut your nails to the desired length with clippers and shape them with a file or emery board.

Soak your hands and feet in warmwaterforfiveminutes

to soften the skin.

Try a Homemade Exfoliation Scrub: After soaking your hands and feet, give them a good scrub with a homemade mixture of equal parts brown sugar and olive oil. This will exfoliate and moisturize your skin. If necessary, use a pumice stone to remove callouses on your feet. Rinse and pat your hands and feet dry with a clean towel. 46

Give your hands and feet a good rub down with lotion or cream. Wait a few minutes to

allow the cream to be absorb.

Use a cuticle pusher to push your cuticle back, then clean

your nails with a cotton ball or Q-tip soaked in rubbing alcohol or witch hazel. This will remove any lotion or other residue on the nails.

Start with a base coat on yournailstocreateaneven surface. After this has dried,

apply a layer of nail polish in your desire color. Allow the polish to dry, then apply another layer.

Finally, apply a top coat that

will give your nails a glossy finish and protect them from any wear-or-tear that your hands or feet might endure.

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around your eyes, use thinly sliced cucumber or tea bags that have been steeped in warm water and allowed to cool.

Did you know? The ascorbic acid in the cucumber and the tannins in the tea can reduce swelling and discoloration. Find a comfortable chair or bed to lie down on, placing either the cucumber or the tea bags on your eyes after your head is reclined.

Relax for 20 to 30 minutes in your mask

with your eye covers. If you’re feeling stressed, try listening to classical music or white noise.

Afterward, rinse the mask off your face and dab your skin with a natural toner made from equal parts apple cider vinegar and water.

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LIVING

LOCAL • TOGETHER • COMMUNITY

DEFINING TIMES Can You PASS

THE TEST of Coronavirus Disease Terms?

words | DYLAN ROCHE

You might be surprised to learn that the definitions for words like ‘social distancing’ and ‘quarantine’ have taken on different meanings from those you might have known. What’s the reason for the change? The coronavirus disease (COVID-19). And because of the unprecedented impact that COVID-19 continues to have on us, it’s safe to assume any earlier interpretations will be overshadowed by the standard it is known by now.

As the Centers for Disease Control and Prevention

There’s that phrase you’ve been hearing a lot lately, whether it’s when you log on to social media, catch up on the news, or talk to a friend over the phone — socialdistancing.

because coming in close contact with others is how viruses are spread, so maintaining distance in social settings

It’s not a new concept by any means, but it has gained ubiquity in recent weeks after countless health experts started encouraging it to slow the COVID-19 pandemic.

social distancing

defines it, (also called physical distancing) means avoiding mass gatherings, remainingoutofcrowdedpublic places where close contact with others may occur, and maintaining distance of approximately 6feet from others whenever possible.

Why? Well,

is an important practice for keeping yourself and others healthy.

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SOCIAL DISTANCE in the Age of Coronavirus

This is not the first time health experts have encouraged social distancing — it was previously encouraged during the New York polio epidemic of 1916, as well as the influenza pandemic of 1918 (colloquially known as the Spanish flu), and numerous other health crises. Today, health experts encourage it as a way of preventing the spread of the novel 2019 coronavirus (also known as severe acute respiratory syndrome coronavirus 2 or SARS-CoV-2), which causes the disease known as COVID-19, a respiratory infection marked by fever, fatigue and dry cough.

Although the World Health Organization reports that

80 percent ofthe people who catchCOVID-19recover safely without any special treatment, one in six people become seriously ill from the disease.

Because the coronavirus spreads through respiratory droplets a person expels when they speak, cough or sneeze, it’s easily passed from person to person when they are in close contact with one another. It doesn’t even require physical contact — you can simply breathe in these droplets when you are standing within 6 feet of a person. You could also get the respiratory droplets on your skin and clothing, and then become infected if you touch your eyes, nose or mouth without washing your hands first. Hence why the federal government implemented social distancing guidelines through April 30, with many state and local governments creating even stricter restrictions. It’s why #canceleverything has been trending on social media, as everything from street festivals to sporting events have been rescheduled or dropped altogether. Many businesses have had to change their model of operations, and colleges have had to switch to online classes. In short, it has meant a change in lifestyle for just about everyone.

Social Distancing, Quarantining, and Isolating —

What’s the Difference?

If you’re still a little iffy on the meaning of social distancing, particularly with how it compares with other practices that people have talked about in the context of COVID-19, don’t worry — the phrases are sometimes used interchangeably by casual speakers. But in formal contexts, you should note there’s a subtle difference between social distancing, quarantining and isolating. Johns Hopkins Medicine explains that social distancing means you can go out in public, but when you do so, you should keep the necessary 6 feet between you and other people to reduce the risk of spreading sickness. This applies to healthy people, whether they are at high risk or not. Then there are those who have likely been exposed to the novel coronavirus or are showing symptoms of COVID-19. These people are expected to quarantine themselves for 14 days, which means they should stay at home and not interact with healthy individuals. If they share a home with others — for example, their family members or roommates — they should do their best to maintain 6 feet of distance, practice good hygiene (e.g. frequent handwashing) and not share items like food utensils or bath towels.

Quarantining is intended to keep a potentially infected

person away from others so that they do not spread the sickness. This

isolation

is different from , which Johns Hopkins Medicine notes is for people who have a confirmed case of COVID-19. Theyarekeptawayfrom

non-infected individuals, either at home or at the hospital, and personal protective equipment should be used by caretakers who interact with them.

All three of these practices are intended to do what’s referred to as flattening the curve. Imagine a bunch of people all exposed to the novel coronavirus at once — there would be sharp rise (or curve) in the number of COVID-19 cases in a short period of time, far exceeding what health care systems can accommodate. When too many people are sick, there are not enough hospital beds, equipment or doctors for all of them. However, if the virus spreads slowly, the number of cases will rise gradually over a longer period of time; the same number of people might get it, but they will get it over the course of several weeks or months instead of all at the same time. The curve of cases is flatter, not a sharp spike.

Does this

APPLY TO EVERYONE? Everyone is required to practice social distancing. Even if someone is young and healthy, they might be inadvertently spreading the virus to others who are more vulnerable. But those who are young and healthy shouldnâ&#x20AC;&#x2122;t be so quick as to think they are invincible against coronavirus, as there is still some risk they could suffer severe symptoms. A report by the Centers for Disease Control and Prevention released on March 16, 2020, showed that 38 percent

of Americans hospitalized for COVID-19 were between 20 and 54 years old and that half the patients who ended up in intensive care were younger than 65.

But it is true that those more vulnerable to COVID-19 are seniors and people with compromised immune systems or other conditions.

8:10

According to the Centers for Disease Control and Prevention,

eight out of 10 deaths due to COVID-19inthe United Stateshavebeenpeople age 65 and older. Johns Hopkins reports that up to 29 percent of thoseage85andolderwho getCOVID-19will require intensive care.

People with heart disease are also at risk, as overworked lungs mean the heart has to work harder to circulate oxygen. The American Heart Association emphasizes that viral respiratory illnesses like COVID-19 can increase the risk of heart attack in people who have plaque buildup. Coronavirus also poses a risk of higher infection in people who have chronic airway or lung diseases, such as COPD, asthma or pulmonary fibrosis. Finally, because high blood sugar creates a bodily environment where coronavirus is more likely to flourish, people with diabetes (both type 1 and type 2) could be at greater risk.

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The Best

Practices for Social Distancing

Even if you grasp the importance of social distancing, it can be a little overwhelming to actually live by it — just what are you allowed to do and what aren’t you allowed to do? More importantly, how are you supposed to cope if you’re not supposed to go out in public? Let’sbreakitdown:

Stay Home When Possible Although you can go out for certain activities (more on that in a second), the main idea of social distancing is to stay home as much as possible. This is why most businesses are allowing their staff to work from home and most schools have switched to online courses.

Stay Connected Because you aren’t going to be getting out as much, download an app so you can visit with friends and loved ones digitally. Facetime, Skype, Zoom, Google Duo, Marco Polo, WhatsApp and Snapchat are all great options because they allow you to see and hear the person, which creates a better sense of connectivity than a simple phone call. Harvard Medical School encourages use of apps like these to relieve feelings of loneliness and isolation. If there’s a senior in your life who is not as adept with technology, be sure to help them download the app and show them how to use it. 52

No Large Groups Don’t go to places where large groups of people are gathered, as keeping six feet of distance from others is virtually impossible in these settings. Many states have enforced orders to cancel events that entail large gatherings of people (festivals, marathons, fundraisers) and to close nonessential businesses where people are packed close together (bars, sports stadiums, movie theaters, arcades).

Get Some Fresh Air You can still go outside to walk your dog or exercise, but don’t go in a large group. If you are on a sidewalk or trail, announce yourself as you pass so other people can have plenty of space.

“

Avoid spitting, and ifyouhave tocough orsneeze, do so into thecrook ofyour elbow.

”

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Avoid Unnecessary Errands Avoid errands as much as possible, but you can still go to the grocery store and pharmacy to get necessities.

“

When you go, remember yourSix feetof distance.

”

Some grocery stores may allow a maximum number of people in the store at a time to avoid overcrowding.

Make a Plan Have a plan in place on how you will function if you or someone close to you gets sick. Stock up on enough medication, food, pet supplies and other essentials (batteries, light bulbs, cleaning supplies) to last you at least two weeks. Research any delivery services in your area, or determine how a friend or neighbor can bring items to you. For example, they could do your grocery shopping and leave it on your doorstep at an agreed-upon time so there does not need to be any interaction.

Wash Your Hands After coming home from a public place, take care to wash your hands with soap and warm water, especially if you were touching surfaces that were touched by many other people, such as grocery carts, door handles, restaurant menus, elevator buttons or PIN pads.

Don’t Let Isolation Get You Down The American Psychological Association acknowledges that being isolated with little stimulation can take a toll on your mental health. In addition to keeping in contact with others to reduce feelings of loneliness and isolation, you can further cope by consulting only reliable sources for news updates and by keeping a routine that will help you maintain a sense of order and purpose. Stick with a healthy lifestyle, including eating well and exercising, and improve your daily mood by showering and getting dressed even if you don’t have to go anywhere.

Sourcesof Information: There’s a lot of misleading information out there. Be sure to stay informed by consulting only the most reliable sources on the novel 2019 coronavirus.

Centers for Disease Control and Prevention www.cdc.gov

The National Institutes of Health www.nih.gov

The World Health Organization www.who.int

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HEALTHY OBSERVATIONS MAY 27 | SENIOR HEALTH & FITNESS DAY

PANDEMIC PRODUCES INNOVATIONS in Retirement Community Severe restrictions placed on retirement communities and nursing homes by the COVID-19 pandemic have spurred one local retirement community to find alternative ways to keep their residents active.

words | RICK PIESTER

In late May of each year (May 27 in 2020) the US normally observes National Senior Health and Fitness Day. It’s a special day for local organizations throughout the country to host senior-related health and fitness events at retirement communities, senior centers, health clubs, and other organizations with significant participation by older Americans. Activities typically include walking events, low-impact exercises, health screenings, and workshops. But when the virus epidemic struck — with almost universal no visitor policies at retirement communities and the need for social distancing — it quickly became

evident that the usual slate of activities for the special day would not be possible in 2020. The Village Center at Warm Hearth Village, a 16,000 square-footbuilding that houses the community’s fitness center, swimming pool, meeting rooms, and café, closed in mid-March as the pandemic was taking hold. That’s when the Life Enrichment staff and many others at Warm Hearth Village began pondering what could be done, both to honor and observe the nation’s largest health and fitness recognition day for older adults, and to provide a wide range of activities for the retirement community’s 570 residents. The community embraces the full range of retirement housing — independent living, assisted living, memory care, skilled nursing care, and longterm nursing care.

“

The Life Enrichment staff and many others at Warm Hearth Village began pondering what could be done, both to honor and observe the nation’s largest health and fitness day for older adults.

”

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The retirement community offers some built-in advantages. Its 220-acre mountain site includes some 12 miles of walking trails that are available to residents. After COVID-19 safeguards were imposed, many of the community’s residents began independent fitness activities in small, socially distanced groups. And the community’s staff turned to technology to take the place of in-person activities. RECOMMENDED

Activity Levels FOR ADULTS

Adults should get at least

150 minutes

of moderateintensity exercise per week. Exercise recommendations can be met through 30 to 60 minutes of moderate-intensity exercise five days per week or 20 to 60 minutes of vigorous-intensity exercise three days per week.

They created a Facebook site — Warm Hearth Village Enrichment — available on a membersonly basis to gather and post material from a wide variety of other online offerings. There are virtual tours of museum and national parks. There are pages for coloring and inspirational messages to help residents through a confusing, challenging time. There are music performances, a place for photos of pets, and more. Tambra Dixon, the Warm Hearth Village director of marketing and development, notes that the Facebook site has already become “a really active forum” in the absence of what had been the usual, daily on-site and in-person activities. Another major component of the Facebook site is a series of fitness videos developed by Kenny Harrah, Director of Fitness for the community. Working from his background knowledge of the preferences and abilities of retirement community residents, Harrah compiled the series that includes exercise routines as well as tai chi sessions, chair yoga instruction, and meditation. This video series is also available on YouTube by looking for Warm Hearth. In a message to Warm Hearth Village residents, Harrah notes that The American College of Sports Medicine (ACSM) recommends “adults should get at least 150 minutes of moderate-intensity exercise per week. Exercise recommendations can be met through 30 to 60 minutes of moderate-intensity exercise

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five days per week or 20 to 60 minutes of vigorousintensity exercise three days per week”.

“

By moving your body and

increasing your heart rate with cardiovascular exercise, you can stimulate the production of endorphins in the bloodstream. These are the very same endorphins one attains when they eat chocolate and chili peppers, get a massage, laugh or meditate.

”

- Kenny Harrah, Warm Hearth Director of Fitness for the Community

The Warm Hearth staff is awaiting the re-opening of the large community center, although it’s unclear when the COVID-19 pandemic will abate to the point that re-opening might occur. Whenever that is, it is almost certain that it will be accomplished in a limited, controlled way. But in the meantime, many of the residents of Warm Hearth Village have a way to keep interested, keep fit, and keep healthy.

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2387 WARM HEARTH DRIVE BLACKSBURG

540.552.9176 WWW.RETIRE.ORG SERVICES Active Adult Independent Living | Assisted Living Memory Care | Skilled Nursing Care | Home Health Long-term Nursing Care

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MORE THAN

MEETS THE EYE What Can Our Eyesight Tell Us About Our Health? The optometrists at Blacksburg Eye Associates take us on a journey with B.E. SPEC (Blacksburg Eye Sidekick Specialist) who shares his insight about what an eye exam can reveal about your immune system. system words | JENNIFER LAMONT

In the first part of our “More Than Meets the Eye” series, we learned how the optometrists at Blacksburg Eye Associates can tell if your blood pressure is chronically high while testing you for glaucoma or nearsightedness. If heart disease or other conditions have impacted your eyesight, a comprehensive eye exam can reveal what’s happening, especially with new technology. Like the heart, other organs and areas in your body work in concert with your eyes. One of those areas is your immune system. Not only do your eyes have special immune properties, they give the eye doctor a front row seat into your immune system and overall health. The eyes and the immune system share many traits that make their relationship unique, as well as powerful. They’re also both areas we tend to take for granted. They efficiently ‘do their thing,’ and we don’t notice them until there’s a problem. In this issue, “Your Eyes and the Immune System,” Blacksburg Eye Associates specialist, B.E. SPEC is back again to show you how it all works. A little sort of fellow, you may remember SPEC from part one in our eye health series. He gives you an inside look into how the eyes and immune system work together, along with a few surprising insights into the eye’s unique immune abilities in preserving vision.

Hi, I’m SPEC!

I’m here to help you preserve your vision. If your immune system is unbalanced, your eyes can give clues to the docs at Blacksburg Eye—even if you don’t notice any vision problems.

Put Your Knowledge to the Test

| page 64

As you follow SPEC along the illustrative map on page 64, you can test your ‘Eye(Q)’ knowledge with our fun, interactive quizzes. On your way to the finish line, watch out for B. Lind Spot, who likes to throw obstacles in way that can damage your vision.

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Did you know? Many times, eye symptoms—like pain or vision loss—can show up before autoimmune symptoms appear anywhere else. That’s why an eye doctor is commonly the first to suspect certain autoimmune disorders, like rheumatoid arthritis or lupus.

The Fighting, Tightrope-Walking Librarian that is Your Immune System

Did you know?

Like a library, your immune system ‘catalogs’ information about every invading germ you’ve ever defeated. If an invader comes around again, your fighters recognize it and know how to beat it quickly. That’s why a new germ can make you very ill. It’s not in your catalog, so there is no defense against it.

Your immune system is multi-talented, performing like an army, tightrope walker and even a librarian every single day. Simply put, its job is to recognize, attack and remove foreign invaders (germs or other pathogens including bacteria, viruses and other toxins). If a pathogen slips past your barrier defenses—including your tears, skin, stomach acid and sweat—it activates your immune response. This coordinated response sets in motion your army of specialized fighters (white blood cells) to defend you and remove the invading pathogens. The resulting inflammation is a good thing. However, your immune system is constantly performing a balancing act like a tightrope walker. A pronounced tendency in either direction is harmful. Too weak a response to invaders, you’ll get sick. Too big an inflammatory response, your fighter cells can mistakenly attack healthy cells. Your immune system can also create ongoing, damaging inflammation in your body because of illness, allergies, smoking or other unhealthy lifestyle habits.

The Surprising Connections Between Your Eyes and Immune Health Changes in your eyes can signal changes in your immune system—whether it’s weakened or in overdrive. Besides obvious eye infections, your eyes can show symptoms if you’re fighting an infection elsewhere in your body as well. This can show up during an exam as white blood cells (immune fighters) floating in the fluids (vitreous) of your eyes.

“Regular eye exams are essential to spotting eye disease and protecting your sight. Most patients don’t realize, however, that we screen them for overall health risks as well. With regular exams,

immune system changes presenting as ocular symptoms are caught early, so patients have a better chance to preserve not only their sight, but their overall health as well.” DID YOU MISS PART ONE OF THE

More Than Meets the Eye Series? CHECK IT OUT ONLINE AT www.OurHealthRoanokeNRV.com

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– Dr. John Dovie, OD, FAAO, Blacksburg Eye Associates.

If your immune system is in overdrive, it keeps attacking the healthy cells of your organs or other areas, thinking they are foreign invaders. This attack can signal an autoimmune condition and shows up as inflammation throughout the body, including the eyes.

But, while your eyes can suffer from infections or indicate an infection in other parts of your body, they also have a special relationship with your immune system that protects them from getting damaged by inflammation. This relationship is known as “immune privilege.” Your eyes, brain, and a few other sites in your body, are blessed with immune privilege as protection against your own immune responses. While it doesn’t mean your eyes can’t get infected, it does mean they’re protected from the inflammatory damage (swelling, heat and tissue damage) created by a heightened immune reaction in the rest of your body. This preserves your vision and brain function, among other vital processes, from being destroyed. It’s this same type of immune privilege that also protects a developing fetus during pregnancy from being seen as something ‘foreign.’

Immune Privilege and the Bugs in Your Eye May Be Key to Treating Vision Loss Because your eyes have this protective immune privilege, it creates an opportunity for new types of research and therapies. As we learned in part one of our eye health series, your eyes are windows into the rest of your body. Doctors and researchers can easily examine blood vessels, cells and tissues of the eye without surgery or other invasive measures.

What exactly are stem cells?

Stem cells are specialized human cells drawn from donor sites, like blood or bone marrow. They can develop and change into other types of cells in the human body or repair damaged tissues.

The unique window-like structure of the eye gives researchers the advantage of immune privilege to study how the eyes work within the immune system and create new treatments to prevent vision loss. One promising treatment area is stem cell therapy. Researchers can successfully implant stem cells within the landscape of the eye to study them without the cells becoming rejected. Because these specialized cells can repair damaged tissue in conditions like macular degeneration, stem cell treatments to restore or improve vision are just on the horizon.

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Did you know?

You’re slightly more bacteria than human. Most adults have an average of 30 trillion human cells and 40 trillion bacteria.

A lot of these friendly bacteria live on every surface of your body, including your eyeballs.

When is it time to schedule an appointment? Schedule an eye exam immediately if you experience sudden changes in your vision, including:

Blurring or double vision in one or both eyes

» »

Floaters or spots

» » »

Bright flashes or blind spots

A diagnosis of any kind that may affect your vision (diabetes, autoimmune disorders)

Dimmed vision, even if it lasts only a few seconds Distorted objects Frequent headaches or sensitivity to light

A head injury

John Dovie, OD, FAAO

Researchers also study the landscape of the eyes to watch ‘bugs.’ That’s right— your eyes are teeming with bacterial microbes, and these bugs may be vital in treating eye disorders. Like your gut or skin, your eyes have their own microbiome (a community of microorganisms that affect the immune system). They host a collection of microbes that work together as a mini immune system to protect your eyes and vision. If these microbes get out of balance and harmful bacteria take over, your eyes become susceptible to disease and infection. Between physical defenses, immune privilege and microbiome protections, your body goes to great lengths to protect your eyes from damage, pathogens and disease. Despite this, autoimmune disease and an unbalanced microbiome can damage your vision if symptoms go untreated. And because many symptoms are silent, the most important thing you can do to preserve your vision is to get regular eye exams, whether you’re experiencing vision changes or not.

“Even if you’re not experiencing issues, routine screenings are important for your health. Starting at age 40, schedule yearly eye exams, especially if you’re at risk for other conditions. If you have any type of immune disorder, you should be getting eye exams more frequently regardless of age.” – Dr. John Dovie, OD, FAAO, Blacksburg Eye Associates.

A comprehensive eye exam can find undiagnosed, and sometimes surprising, health issues. Because of that, your eye doctor can help you boost your overall health as well as keep you seeing clearly throughout your lifetime.

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An optometrist with Blacksburg Eye Associates.

Colleen Mitchell, OD, FAAO An optometrist with Blacksburg Eye Associates.

Blacksburg Eye Associates Adrianna Hempelmann, OD An optometrist with Blacksburg Eye Associates.

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JOIN SPEC TO

Test Your EyeQ

What area of your eye is the strongest barrier defense you have against foreign invaders?

As you follow SPEC along the path to good health, test your knowledge with our fun, interactive quizzes. On your way to the finish line, watch out for B. Lind Spot, who likes to throw road blocks in the way that can damage your vision.

A – Eyelids B – Tears C – Cornea D – Friendly bacteria E – All of the above

Way to go!

Continue down the path to good health.

IF YOU PICKED ANSWER E:

Your eyelids, tears and cornea are physical barriers while friendly bacteria fight against harmful microbes that land on the surface of your eye from the air or your hands.

YOU ARE CORRECT AND CAN CONTINUE DOWN THE PATH OF GOOD HEALTH!

ROAD BLOCK BUT, IF YOU PICKED ANSWERS A, B, C, OR D:

YOU HIT ONE OF B. LIND. SPOT’S ROAD BLOCKS! Quick, learn the correct answer to continue down the path of good health.

DETOUR AHEAD

Autoimmune conditions that damage the eyes, like rheumatoid arthritis, lupus and hyperthyroidism (Graves’ disease), impact men and women equally. A – True B – False

IF YOU PICKED ANSWER B:

YOU ARE CORRECT AND CAN CONTINUE DOWN THE PATH OF GOOD HEALTH!

ROAD BLOCK

BUT, IF YOU PICKED ANSWERS A:

YOU HIT ONE OF B. LIND. SPOT’S ROAD BLOCKS! Quick, learn the correct answer to continue down the path of good health.

Women are up to 50 times more likely than men to suffer from certain autoimmune conditions that cause vision loss. Because of their higher risk, women need to schedule comprehensive eye exams, rather than simple vision tests.

DETOUR AHEAD

Great work today friends! Don’t miss my next “More Than Meets the Eye” adventure featured in the June/July issue of OurHealth Roanoke and New River Valleys. Hope to see you there!

Can harmful viruses or bacteria affect you through your eyes? A – Yes B – No C – Only in special circumstances IF YOU PICKED ANSWER A:

YOU ARE CORRECT AND CAN CONTINUE DOWN THE PATH OF GOOD HEALTH!

GOT YOU!

ROAD BLOCK

While some germs can infect just your eyes (like pinkeye), viruses and other bacteria can get through your eyes’ barrier defenses to infect the rest of you. The most common way is by touching or rubbing your eyes after touching a contaminated surface or person.

BUT, IF YOU PICKED ANSWERS B OR C:

YOU HIT ONE OF B. LIND. SPOT’S ROAD BLOCKS! Quick, learn the correct answer to continue down the path of good health.

DETOUR AHEAD

Which of the following isn’t proven to boost your immune health? Great work!

Continue down the path to good health.

Most studies don’t conclusively prove that supplements help boost your immune system more than any of the tried-and-true, simple daily habits. True health comes from moderate exercise, healthy eating, lowering stress and getting enough sleep. The best thing you can do, however, is to wash your hands frequently with foaming soap and hot water. Hand washing—and not touching your face—is the most effective way to stop viruses or bacteria from infecting your eyes or body.

A – Exercising B – Leafy green vegetables C – Supplements D – Regular hand washing

IF YOU PICKED ANSWER C:

YOU ARE CORRECT AND CAN CONTINUE DOWN THE PATH OF GOOD HEALTH!

ROAD BLOCK BUT, IF YOU PICKED ANSWERS A, B, OR D:

YOU HIT ONE OF B. LIND. SPOT’S ROAD BLOCKS! Quick, learn the correct answer to continue down the path of good health.

DETOUR AHEAD

www.OurHealthRoanokeNRV.com

Who Do You

THINK HAS THE

BEST

BEDSIDE MANNER IN Roanoke & New River Valleys?

A DV E R T I S E R D I R EC TORY 39 Alzheimer’s Association 19 American Heart Association 15 American National Bank & Trust 6 Asthma & Allergy Center 61 Blacksburg Eye Associates 48 Blue Ridge Cancer Care 3, 35 Carilion Clinic 28 Carrington Cottage Memory Care Center 47 Carrington Place at Botetourt 57 Center for Neurorehabilitation Services 18 Crowning Touch 28 Cundiff Heating & Air

2 Friendship Health & Living Community

9, 58

Green Ridge Recreation Center

43 Gentle Shepherd Hospice 14 Humana, Lynn Atkinson 4 Interim Healthcare 2 3 LewisGale Medical Center 67 Medical Facilities of America 17 Mills and Shannon Dentistry 13 Mountain View Orthodontics 51 New Beginnings Pediatrics 54 New River Periodontics 16 Our Lady of the Valley 25 Paul C. Kaiser, Ltd. Orthodontics

2020

31 Pheasant Ridge Assisted Living & Memory Care 54 Physicians to Women, Inc. 12 Rader Funeral Home

2020

14 Reproductive Medicine and Surgery Center of Virginia, PLC

BEST BEDSIDE MANNER AWARDS

COMING SOON!

14 Annual Best Bedside Manner Awards Don’tmiss the

57 Radford Health and Rehab Center

in the December/JanuaryEdition of

OurHealth Roanoke & New River Valleys Magazine.

63 Richfield Living 31 Roanoke Oral Surgery 47 Roanoke Valley Speech and Hearing Center, Inc. 5 Susan G. Komen Virginia Blue Ridge 11 VCOM 63 Virginia Prosthetics & Orthotics 58 Virginia Veteran Care Center 68 Vistar Eye Center 55-56 Warm Hearth Village 31 Wow Organizing Services, LLC 53 YMCA of Virginia’s Blue Ridge