OurHealth Magazine for Roanoke and New River Valleys - December 2019/January 2020

December 2019 | January 2020 OurHealthRoanokeNRV.com

13th 2019

2019

2019

2019

HEALTH TRENDS: WHAT WERE THEY THEN AND WHAT ARE THEY NOW?

DISCUSSING POLITICS AND RELIGION DURING HOLIDAY DINNERS: CAN IT ACTUALLY BE DONE DIPLOMATICALLY?

Roanoke & New River Valleys

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FEATURES

DECEMBER 2019 • JANUARY 2020

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FIRST EXPRESSIONS: A GOOD BEDSIDE MANNER GOES MUCH DEEPER THAN A REASSURING SMILE Doctors and medical providers are forced to do more with less, including time – with every minute considered precious and invaluable by themselves and their patients.

Altogether, it makes having a relationship built on trust, and understanding of mutual expectations and effective two-way communication more important than ever.

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ROANOKE AND NEW RIVER VALLEYS 13TH ANNUAL BEST BEDSIDE MANNER AWARDS Join us in congratulating 504 of Roanoke and New River Valleys most esteemed doctors and providers in 65 specialties for being recognized in the 2019 Best Bedside Manner Awards.

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DEPARTMENTS DECEMBER 2019 • JANUARY 2020

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The Pulse | People. Places. News to Know.

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Health Scene | Happenings. Who’s Who. Trending.

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Discussing Politics and Religion During Holiday Dinners: Can It Actually Be Done Diplomatically? Politics and religion have long believed to be two topics we should avoid sharing opinions on – especially at family gatherings. But an expert at James Madison University weighs in with a different perspective, suggesting doing so correctly may spark more conversations that can turn out to be more productive than divisive.

A total of 318 people ranging in ages from toddlers to seniors participated in the 3rd Annual SVH Services Run for Donuts 5k and Fun Run raising nearly $13,000.

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Q&A on Health | Questions. Answers. Knowledge.

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Overcoming Obstacles | When Pain Gives Athletes Nothing to Gain As a sophomore at Glenvar High School in western Roanoke County, Carly Wilkes has solidified herself as one of the top distance runners in the region, state and even the nation. But when persistent foot pain started to plague her, finding out the cause and how to overcome it before it sidelined her short- and long-term goals made it an opponent she didn’t see coming – or could beat alone. Fortunately, custom-fit foot orthotics proved to be the answer to keeping her hopes and dreams on pace.

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Health Chats | Changing of the Guard at Good Sam Hospice: A Year Later One year after the founder of Good Samaritan Hospice retired as its CEO, Sue Ranson sits down the person who took over her former position – Aaron Housh – to discuss how he’s been keeping true to the organization’s mission while bringing about new change of his own.

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Healing Words | Listen. Learn. Communicate.

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Health Trends | Review. Compare. Predict.

What Were They Then, and What are They Now? It’s inevitable that trends come and go. What’s popular today will be a memory tomorrow. And while it’s true that some practices do prove to have staying power, they still evolve with the changing times.

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Food and Fitness | Nutrition. Exercise. Prevention.

Adopting Smaller Habits Every Day Will Make Your New Year’s Resolution Much More Manageable. Here are 21 healthy eating habits for you to adopt throughout the first few weeks of the new year.

106 Funny Bone | Spot the Seven Differences

DECEMBER 2019 • JANUARY 2020

PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION VICE PRESIDENT OF BUSINESS DEVELOPMENT GRAPHIC DESIGNER ACCOUNTING MANAGER

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Kim Wood Tori Meador Laura Bower

CONTRIBUTING MEDICAL EXPERTS

Bradley Conner, CPO Ashley Davis, LPN Stephanie Hall, NASM Certified Personal Trainer Andrea Hanlon, MSW Keith McCurdy, ED.S, LPC, LMFT Anita Iari Register, DO Erin Saks, MD Charles Zelen, DPM

CONTRIBUTING PROFESSIONAL

EXPERTS & WRITERS

Lori Britt, PhD Rich Ellis Ann Green, esq Jaime Kurtz, PhD Steve McClintic, Jr. Dylan Roche

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.

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The Pulse INFORMATION • EVENTS • AWARENESS

New Facilities and Services Carilion Clinic Launches Plans for New Cancer Center; Receives One Million Dollars Seed Gift Carilion Clinic has announced a one million dollars seed gift has been donated to jumpstart plans for its new Carilion Clinic Cancer Center on the Virginia Tech Carilion (VTC) Health Sciences and Technology Campus in downtown Roanoke.

President and CEO Nancy Howell Agee and her husband, the Honorable G. Steven Agee, have donated the money in honor of the many individuals who have dedicated their lives to caring for patients with cancer, along with those confronting the disease through their research and advocacy efforts.

“Cancer care has long held a special place in my heart,” says Ms. Agee. “Steve and I are taking this step now to enhance care in our region, building upon the dedicated work of those who have come before us. We’re committed to offering exceptional care to our neighbors in years to come.”

The new cancer center will enhance cancer care in the region with an innovative facility that offers a sophisticated, warm, caring environment and opens opportunities for leading edge research and clinical trials for patients in the community. The anticipated cost of building and outfitting the new center is approximately $100 million. This capital project is not a part of the one billion dollars Carilion plans to invest in the communities it serves over the next seven years, which was announced in May 2019.

“This is a big step forward for cancer care in our region,” says James Hartley, Chairman of the Board of Directors for Carilion Clinic. “Nancy and Steve have long been ambassadors of our community – what a tremendous way of showing the love to their neighbors. This cancer center will play an integral role in providing high-quality care close to home for us all.”

Slated to be constructed at the corner of Franklin Road and Reserve Avenue, where the former Roanoke City Public Schools maintenance building previously stood, the new cancer center builds on continued growth of the VTC Health Sciences and Technology campus.

Carilion Clinic’s New Cancer Center is slated to be constructed on the VTC Health Sciences and Technology campus at the corner of Franklin Road and Reserve Avenue, where the former Roanoke City Public Schools maintenance building previously stood. The anticipated cost of building and outfitting the new center is approximately $100 million, with fundraising play a large role in how quickly it is built. Carilion Clinic President and CEO Nancy Howell Agee and her husband, the Honorable G. Steven Agee have donated a one million dollars seed gift to jumpstart plans for the center. To contribute, visit www.carilionfoundation.org and click the “Donate Now” button.

“Over the years, the partnership between Virginia Tech and Carilion Clinic has enhanced specialty medical services in our region, as talented physicians and researchers work side by side to solve our greatest health care challenges,” says Virginia Tech President Tim Sands. “Thanks to the leadership and generosity of people like Nancy and Steve Agee, cancer research and treatment will advance in our region.”

Detailed planning is underway. Fundraising will play a large role in how quickly the center is built.

More Information: Visit www.carilionclinic.org. To contribute to the cancer center initiative, visit www.carilionfoundation.org and click on the “Donate Now” button to make a gift.

For More of The Pulse Visit:

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Do you have health-related news to share for The Pulse?

Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com.

Recognitions, Awards and Accreditations LewisGale Regional Health System Hospitals Earn Top Grade for Patient Safety LewisGale Regional Health System’s four hospitals – LewisGale Hospital Alleghany, LewisGale Hospital Montgomery, LewisGale Hospital Pulaski, and LewisGale Medical Center – have each been awarded an ‘A’ in the Fall 2019 Leapfrog Hospital Safety Grade. Of the more than 2,600 hospitals graded nationwide, only 33 percent earned an “A” grade for meeting some of the industry’s highest standards.

FOR EVEN MORE HEALTH RESOURCES MAKE SURE TO CHECK OUT

www.OurHealthRoanokeNRV.com

The Leapfrog Hospital Safety Grade was created and is administered by The Leapfrog Group, an independent national watchdog organization committed to improving healthcare quality and safety for consumers and purchasers. The Safety Grade assigns an ‘A’, ‘B’, ‘C’, ‘D’ or ‘F’ grade to general hospitals across the country based on their performance in preventing medical errors, injuries, accidents, infections, and other harm to patients in their care.

“I’m incredibly proud of our Medical Staff and team of LewisGale associates for their commitment to our patients, as well as for the care they provide – both of which result in continued strong patient satisfaction and improved health outcomes,” says Steven Pasternak, MD, an emergency medicine physician and Chief of Staff at LewisGale Medical Center.

Developed under the guidance of a national expert panel, the Leapfrog Hospital Safety Grade uses 28 measures of publicly available hospital safety data to assign grades to more than 2,600 U.S. acute-care hospitals twice per year. The Hospital Safety Grade’s methodology is peer-reviewed and fully transparent, and the results are available to the public.

More Information: Visit www.hospitalsafetygrade.org or www.lewisgale.com

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The Pulse

• NEWS TO KNOW

Recognitions, Awards and Accreditations Warm Hearth At Home Earns ACHC Accreditation for Home Health Services Warm Hearth at Home, the home health services division of Warm Hearth Village in Blacksburg, has earned accreditation from the Accreditation Commission for Health Care (ACHC). The ACHC recognizes organizations providing the highest quality home health services by complying with ACHC and the Centers for Medicare and Medicaid Services national standards.

Accredited services include physical, occupational and speech therapy, home health aide and skilled nursing services.

More Information: Visit www.achc.org or call 855.937.2242.

Correction In the October/November 2019 edition of OurHealth Magazine for Roanoke and New River Valleys, the following changes should be noted for the Ask the Expert spotlight with Robert O’Brien, MD and Insight Imaging discussing platelet rich plasma and the role it can have in treating pain and promoting healing:

» The Insight Imaging physical address is 2923 Franklin Road SW. » The correct Insight Imaging website address for all references is www.myInsightImaging.com. » Insight Imaging’s hours of operation are: Monday – Friday, 6 am – 10 pm; Saturday – Sunday, 8 am – 4:30 pm.

» Platelet rich plasma is to be accurately referenced throughout without dashes between the words.

» In the fourth paragraph on the left in the content discussing side effects or downtime

following the procedure, the last sentence in the paragraph beginning with “However, the physician also provides…” is correctly stated as: “The physician will provide specific instructions depending on the site you had treated, so you go home knowing how to treat yourself.”

» In

the highlighted light yellow box at top left of the content discussing the kinds of conditions benefiting from PRP injections, the first item in the list is correctly listed as Chronic Tendonitis or Tendon Sprain, and the sixth item in the list, Disc Degeneration, is not to be included.

» In

the final paragraph entitled, “About Robert O’Brien, MD” the first sentence is correctly stated as: “Robert O’Brien, MD is a board-certified interventional and vascular radiologist with Image Guided Pain Management, PC.”

You can view our digital edition reflecting all changes to the Insight Imaging Ask the Expert by visiting www.bit.ly/2OrxmbD.

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

Welcome

to the Community

Ashley Davis, LPN

Debbie Davis, PNP

Lisa Deyerle, MD

Brittany Jones, DO

Kevin Kelleher, MD

Abigail Lubin, DO

Erin McCoy

Zachary Rasor, DPM, AACFAS

Director of Nursing Friendship Assisted Living Roanoke | 540.777.6545 www.friendship.us

Adrianna Hempelmann, OD

Lactation Consultant LewisGale Physicians – Pediatrics Roanoke | 540.772.3580 www.lgphysicians.com

PEDIATRIC OPTOMETRY

LewisGale Physicians Roanoke | 540.777.4000 www.lgphysicians.com

LewisGale Physicians Blacksburg | 540.443.3980 www.lgphysicians.com

Blacksburg Eye Associates is excited to welcome Dr. Adrianna Hempelmann!

Dr. Hempelmann provides comprehensive pediatric eye care from infancy to young adulthood. She is one of our area’s only residencytrained pediatric vision specialists and is excited to bring her passion and expertise to the New River Valley.

Services include, but are not limited to:

LewisGale Physicians Roanoke | 540.777.4000 www.lgphysicians.com

LewisGale Physicians – Family Medicine Roanoke | 540.265.4210 www.lgphysicians.com

» Routine Wellness Exams » InfantSEE Exams » Amblyopia / Lazy Eye Consultations » Nonsurgical Eye Turn / Strabismus Consultations » Visual Perceptual Analysis » Vision and Learning Evaluation » Vision Training, Development, and Rehab

Blacksburg Eye Associates 1440 S. Main Street | Blacksburg

540.953.2020

Director of Admissions Friendship North Health and Rehab Roanoke | 540.265.2213 www.friendship.us

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

www.blacksburgeye.com

Scan here for more information about our services and providers.

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

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | OURHEALTH STAFF photos courtesy of | BLUE RIDGE AUTISM AND ACHIEVEMENT CENTER

3RD ANNUAL SVH SERVICES RUN FOR DONUTS 5K AND FUN RUN RAISES NEARLY $13,000 The 3rd Annual SVH Services Run for Donuts 5k and Fun Run was held Saturday, November 2nd at Sherwood Memorial Park in Salem. The 2019 event’s turnout included a total of 318 people ranging in ages from toddlers to seniors participating in the fun run and 5K races.

For 2019, $12,900 was raised from the event – with proceeds split between the three programs offered by SVH Services, which include SVH Adult Services, Blue Ridge Autism and Achievement Center (BRAAC) and SVH Family Services. These programs provide individuals who have intellectual and/or developmental disabilities with opportunities to reach their full potential through education, employment training, social relationships, and ultimately achieving independence. All of SVH Services’ programs can work independently or together to achieve objectives for each individual client’s goals.

The 3rd Annual Run for Donuts 5K and Fun Run was sponsored and supported by many volunteers and organizations, including: Susan Mini, President/CEO of Sherwood Memorial Park, who graciously donated the use of the Sherwood Memorial Park facility for the event, as well as Atlantic Union Bank, Berglund Center, Dunkin’ Donuts, 104.9 Steve FM, Servpro, Business Solutions, Comcast Spotlight, Run About Sports, Roanoke Valley Orthodontics, Shrader Investment Company, Growing Up in the Valley and The Great 611 Steak Company.

The 4th Annual SVH Services Run for Donuts 5k and Fun Run is scheduled for Saturday, November 7, 2020 at Sherwood Memorial Park. For more information about next year’s event, visit www.svhservices.org.

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Health Scene • HAPPENINGS

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Questions. Answers.

Knowledge.

Did you know?

January is

BIRTH DEFECTS PREVENTION MONTH

Why is adding folic acid to my diet important for a healthy pregnancy?

Folic acid is important to prevent neural tube defects from developing in unborn babies. The formation of the neural tube develops the brain, spine, and spinal cord. Defects in unborn children can occur when the spinal column doesn’t close or when the brain and skull do not develop correctly, which can lead to nerve damage. Depending on the severity of the defect, this can cause anything from no symptoms to severe disability and even early mortality.

Folic acid is recommended to be taken by all reproductive aged women (from the time you start your period until menopause) as almost half of pregnancies are unplanned, and because the formation of the neural tube occurs before a woman may be aware she is pregnant.

Women should consume at least 400 micrograms of folic acid in their diet daily. This can be accomplished with prenatal vitamins and certain foods such as green leafy vegetables, citrus fruits, beans, bread, cereals, rice, and pasta.

Anita Iari Register, DO

Obstetrician/Gynecologist Virginia Women’s Health Blacksburg | 540.443.0500 www.vawomens.com

Do hospice care services end when a patient passes away?

A common misconception about hospice care is that it ends when a patient passes away. Hospice care and support continues for at least a year following the death of a loved one to help address the emotional and spiritual needs of the grieving family. Studies by the National Institutes of Health have shown that the interaction and professional support provided by a hospice care team can reduce caregivers’ feelings of social isolation and helplessness, prepare the family for the impending death of their loved one and even decrease the rate at which depression can occur after a loved one passes. The grief support provided by hospice helps families better understand what to expect during the grieving process and offers comfort, hope and encouragement. These services may include: supportive phone calls, cards, educational materials, online resources, support groups and individual counseling. Gentle Shepherd also offers specialized support for children through a youth support group and summer camp.

Andrea Hanlon, MSW

Director of Support Services Gentle Shepherd Hospice Roanoke | 800.789.0586 www.gentleshepherdhospice.com

How far in advance should mom and dad start planning and preparing for long-term care?

Did you know that if you live to age 65, there is a 50 percent chance you will need some type of nursing home care? This is especially true for women who tend to outlive their male partners. Statistics also tell us that 10 percent of Americans will need more than five years of longterm care. With so many questions and options, it can be difficult to determine when and how to begin.

First, it’s important to plan well in advance of needing care. You may find yourself asking questions such as: “Can I self-insure?” and “Should I buy some sort of long-term care insurance?” Keep in mind there are new hybrid policies, which are quickly replacing traditional long-term care only policies that you should know about. Will you need to access Veteran’s or Medicaid benefits? What about other options available to pay for your care?

It’s important in any situation to have documents that give your family or agents power to do what is necessary to effectuate your plans. Every family and situation is different. If you have questions about yours or a loved one’s options or unique needs, you may want to consult with an elder law attorney for assistance.

Ann Green, Attorney at Law

Anderson, Desimone and Green, PC Roanoke | 540.776.6434 www.andersondesimone.com

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Questions. Answers.

Knowledge.

What are the signs and symptoms of cervical cancer?

Cervical cancer is characterized by a prolonged pre-cancerous phase of cervical changes caused by the Human Papilloma Virus (HPV).

During this time, and in the earliest stages of cervical cancer, the disease is asymptomatic, showing no symptoms. Early intervention is very effective at preventing or curing cervical cancer, which is why routine Pap smears and HPV testing are considered life-saving.

When cervical cancer becomes symptomatic, the symptoms can include irregular or heavy vaginal bleeding, post-coital bleeding, excessive vaginal discharge with an unpleasant odor, and pelvic, back or thigh pain. Advanced cases may present with bladder or bowel problems or kidney failure.

Did you know?

January is also

CERVICAL CANCER AWARENESS MONTH

The HPV vaccine is incredibly safe and protects against 90 percent of cervical and anal cancers, as well as a substantial proportion of oropharyngeal (mouth and pharynx) and penile cancers.

With the combination of routine gynecologic care and widespread HPV vaccination for both male and female adolescents, cervical cancer could become a disease of the past.

Erin Saks, MD

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

For more information about how you can spread awareness, visit www.cancer.org.

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

How can I best prepare for Mom’s visit while away from her routine at the retirement living community?

Having a parent who lives in a retirement living community come to your home for the holidays can be a special treat. Following this short checklist can help make a visit most comfortable for both of you: Let the Community Know:

Make sure you let the retirement community know when your mom will be leaving and returning.

Medication Instructions: Request

a copy of your mom’s medication record with the medications she’ll need during her time with you.

Carefully review the medication record to ensure you understand the dosage instructions, any allergies, or new dietary restrictions.

I’m struggling to make going to the gym a regular part of my routine. What tips do you recommend for helping me establish and maintain dedication to a fitness routine?

The age-old issue of keeping up with a gym routine is one most people have struggled with at some point.

Fortunately, there are simple and time-tested methods that can keep you motivated to do so, including: Schedule it! Add your workout

time to your calendar. Block it off like any other important meeting. If you make it a priority, you will more likely stick to it.

Pack ahead! Pack your gym bag the

night before so it is one less obstacle to getting out of the door in the morning.

Take Along Familiar Items: If

Buddy up! Get yourself an

mom has memory issues, bring along something familiar, such as a favorite blanket. Also, set up a room on the first floor to prevent stair climbing, which may be a necessity if a wheelchair or walker is needed.

exercise partner who will hold you accountable (and you them) to staying on track.

Follow-up: Upon return to the

retirement community, share with a designated caregiver any concerns or issues that may have come up while she was away.

If you don’t feel taking your mom outside of her community is the best idea, consider bringing the celebration to her. At Friendship, there are areas set aside for families to visit, dine and make the most of time spent together during holidays.

Ashley Davis, LPN

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

Group fitness! Finding a group

fitness class you enjoy participating in increases the likelihood you will return day after day. Remember, group fitness classes aren’t limited to just cycle and dance options anymore. Most fitness centers offer a variety of group fitness classes designed for every skill level that focus on cardio, endurance, strength building and high intensity training, to name a few, and most offer these as a part of their regular group fitness class offerings.

Stephanie Hall, NASM Certified Personal Trainer

Green Ridge Recreation Center Roanoke | 540.777.6300 www.greenridgerecreationcenter.com

www.OurHealthRoanokeNRV.com

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

Expressions A GOOD BEDSIDE MANNER GOES MUCH DEEPER THAN A REASSURING SMILE words | DYLAN ROCHE

Not even medicine is exempt from being impacted by the fast pace of the world we now live in. Schedules are tight. Support services come at a premium. Regulations are complicated. And paperwork has become seemingly unlimited. Today, doctors and medical providers are expected to do more, which unfortunately can leave less time available to spend with each patient. Attempting to build a relationship with those receiving care based on trust, compassion, empathy and effective twoway communication – characteristics that largely define a doctor’s or medical provider’s good bedside manner – helps make patients more receptive to guidance, more honest about their lifestyle, more apt to embrace new technology and more likely to keep their appointments.

But not everything a doctor or medical provider says is going to be warm and fuzzy, and sometimes patients will receive information the wrong way.

KEITH A. MCCURDY, EDS, LPC, LMFT, a mental health professional with Total Life Counseling in Roanoke who has 30 years of experience specializing in relationship counseling, says a good bedside manner is based on a model of empathy, truthfulness and kindness. Those three qualities will help ensure smooth communication between the caregiver and patient. “It’s about being able to acknowledge the patient’s emotions,” he says. “A good bedside manner is about seeing the value in everyone.”

“A good bedside manner is about seeing the value in everyone.”

– Keith A. McCurdy, EDS, LPC, LMFT

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Breakdowns in Communication One of the major problems in communication is that many people suffer from what is known as a negative confirmation bias, according to McCurdy. “We much more easily hear what confirms our frustrations than what confirms our blessings,” he says.

This isn’t merely in the case of doctor/provider-patient relationships — it’s in all relationships. As an example, McCurdy tells how he will often help couples on marriage retreats by giving them 30 seconds to write down everything that frustrates them about their spouse, followed by 30 seconds to write down everything they appreciate about the other. When it comes to their frustrations, each spouse scribbles away for the full 30 seconds, filling up entire sheets of paper; as soon as it’s time to write down their appreciations, both of them will have to stop and think for a moment.

Then there’s the problem of people having distorted emotions. For example: a person’s fear felt during a bad dream or scary movie is every bit as real as the fear felt during a real-life threatening situation. “Our feelings can’t tell the difference between fantasy and reality,” McCurdy says.

When it comes to doctor/provider-patient relationships, the combination of negative confirmation bias and distorted emotions can force a bad perception on the situation. Caregivers must be aware of this if they’re going to get through to people who are struggling to accept a difficult diagnosis or change poor habits. “If we’re going to operate from a platform of instilling hope and offering assistance, we’ve got to correct those things in ourselves,” McCurdy says.

Projecting a Good Bedside Manner So if patients can come to the exam room with a distorted perception, how can a doctor overcome that and still connect with them? The way to do this is by recognizing the patient’s humanity and inherent value, McCurdy explains.

This is what makes a doctor successful. Even if a doctor has a strong understanding of medicine, that will accomplish only so much if the doctor doesn’t have good people skills. Instead, a doctor needs to connect with the human being behind the disease.

“When a patient feels valuable where they are, they are able to open up to accepting assistance and taking direction.”

– Keith A. McCurdy, EDS, LPC, LMFT

A doctor or medical provider with good bedside manner is one who greets a patient warmly, makes eye contact when speaking, and uses language the patient will understand rather than medical jargon. A doctor or medical provider also must practice body language that is honest and express emotions that will put the patient at ease. But most importantly, caregivers with good bedside manner must be aware of a patient’s emotions and know how to react to them properly.

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Acupuncture

2019

Roanoke & New River Valleys 2019

ROANOKE

NEW RIVER VALLEY

Alexander Davis, LAc Acupuncture Center of Roanoke Roanoke | 540.344.3286 www.acupunctureofroanoke.com/ index.html

John Thacker, LAc, CMPTP Blacksburg Acupuncture Blacksburg | 540.315.9763 www.acupunctureblacksburg.com

FIRST PLACE

The OurHealth Roanoke and New River Valleys Magazine Best Bedside Manner Awards are widely considered by doctors and providers as the most meaningful and cherished recognition they receive because it comes from patients and peers in our community. Throughout the month of June this year, the public was invited to visit www.OurHealthRoanokeNRV.com to cast their votes for their favorite medical providers in 65 medical specialties who they feel exemplify excellence in bedside manner – a medical provider’s total approach to patient care that encompasses the attributes of professionalism blended with compassion and attentiveness and the ability to communicate with concern and empathy.

For 2019, more than 33,000 votes were cast, which were tabulated by a third party firm to determine the first, second, third and honorable mention winners in each specialty.

Please join us in congratulating the 504 doctors and providers in Roanoke and New River Valleys who are the 2019 Best Bedside Manner Award winners.

If you have any questions, please submit via email to info@ourhealthvirginia.com.

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FIRST PLACE

SECOND PLACE

SECOND PLACE

Greg Johnston, LAc Dancing Crane Center of Chinese Medicine Salem | 540.444.1053 www.dancingcranecenter.com

Joy Yang, LAc EHE Clinic and Wellness Blacksburg | 540.505.9263 www.eheclinic.com

THIRD PLACE

THIRD PLACE

Sheila Guarnagia, M.Ac, LAc Holistic Acupuncture and Herbal Medicine Roanoke | 540.797.4685 www.sghealingarts.com

D. Michael Denbow, LAc Oriental Medicine and Acupuncture Clinic Blacksburg | 540.951.1888 www.twoelmsomac.com

Allergy and Immunology

2019

ROANOKE

NEW RIVER VALLEY

Saju Eapen, MD Asthma and Allergy Center Roanoke | 540.343.7331 www.asthmaandallergycenter.net

Kristina Kwak, MD, FACAAI Asthma and Allergy Associates of the New River Valley Christiansburg | 540.381.7686 www.allergynrv.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

SECOND PLACE

Thomas Fame, MD Dr. Fame Allergy and Asthma Salem | 540.404.9598 www.drtomfame.com

Paras Acharya, MD Paras Acharya, MD PC Pulaski | 540.980.1802

THIRD PLACE Christina Abraham, MD Allergy and Asthma Associates, Inc. Roanoke | 540.343.1235 www.allergyandasthmaroanoke.com

HONORABLE MENTION Laura Dziadzio, MD Carilion Clinic Roanoke | 540.985.9835 www.carilionclinic.com

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

Gates Hoover, MD Carilion Clinic Salem | 540.387.0441 www.carilionclinic.com

Luis Matos, MD Allergy and Asthma of Virginia Lynchburg | 434.515.0419 www.va-allergy.com

Anesthesiology ROANOKE

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

SECOND PLACE Pamela Zollinger, MD Anesthesiology Consultants of Virginia Roanoke | 540.345.0289 www.acv-virginia.com

CONTINUED FROM PAGE 24

THIRD PLACE Kathleen James, MD Blue Ridge Anesthesia Associates, Inc. Salem | 540.772.7200

HONORABLE MENTION Jeffrey Forbes, MD Valley Anesthesia, PC Salem | 866.788.9852 www.valleyanesthesiapc.com

2019

Good Bedside Manner Doesn’t Mean Coddling Many patients will come into the exam room with a range of negative emotions. They might be upset about their diagnosis — fearful of what’s to come or frustrated by the thought that they have to change their lifestyle.

“Nobody goes to a doctor or medical provider without being in need. When they’re coming in, they’re already stimulated with emotion.”

– Keith A. McCurdy, EDS, LPC, LMFT

NEW RIVER VALLEY

FIRST PLACE

Angela Billue, MD Anesthesiology Associates of Radford, Inc. Christiansburg | 540.731.1898 www.carilionclinic.org

SECOND PLACE Charles Clark IV, MD Valley Anesthesia, PC Blacksburg | 540.953.5373 www.valleyanesthesiapc.com

THIRD PLACE Jeffrey Brooks, MD Anesthesiology Associates of Radford, Inc. Christiansburg | 540.731.1898 www.carilionclinic.org

HONORABLE MENTION Miram Afridi, MD Valley Anesthesia, PC Blacksburg | 540.953.5373 www.valleyanesthesiapc.com Farid Dakermandji, MD ARH Anesthesia Associates Low Moor | 540.862.6377

McCurdy explains that doctors and medical providers should acknowledge their patient’s emotion — even in situations where the emotion seems overblown — so they can then lay the groundwork for moving onto a solution. “Don’t fight the emotion of where they are,” McCurdy says.

“When we can acknowledge the way they feel, it’s like letting air out of an overinflated tire.”

In other situations, patients might be disappointed that there isn’t a miracle cure they were hoping for, such as pills and other pharmaceuticals that are perceived to be the sole solution. Doctors and medical providers should be prepared for this. “How many people feel they failed if they don’t leave the doctor with a prescription for an antibiotic?” McCurdy poses rhetorically. He says this is especially true in the field of pediatrics, when parents can get frustrated that not enough is being done to help their sick child. “That’s the mindset we have today, that everything should be solved, everything should have a quick fix, rather than accepting that sometimes, life is messy,” McCurdy continues. “We need to learn to be OK and have hope in the midst of life being messy. That’s a tough thing.”

In these situations, McCurdy says it’s important that doctors and providers empower their patients to overcome hardships related to their health. The challenge, however, is that contemporary society doesn’t view struggle as a normal part of life the way people viewed struggle, say, 50 years ago.

“We’ve changed our perception so that when we’re facing normal rigors of life, we view those as really negative,” he says. “When we suffer something traumatic, we feel completely helpless and hopeless.”

CONTINUED ON PAGE 31 www.OurHealthRoanokeNRV.com

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Audiology

2019

ROANOKE

NEW RIVER VALLEY

Heather Dickey, CCC-A AuD Roanoke Valley Speech and Hearing Center Roanoke | 540.343.0165 www.rvshc.org

Janice Anderson, AuD Anderson Audiology Blacksburg | 540.440.5038 www.anderson-audiology.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

Michelle Ickes, PhD, CCC-A Roanoke Valley Speech and Hearing Center Roanoke | 540.343.0165 www.rvshc.org

Douglas Cameron, AuD Hearing Health Associates Roanoke | 540.759.7799 www.healthyhearing.com

Marie Church, MS, FAAA Anderson Audiology Blacksburg | 540.440.5038 www.anderson-audiology.com

Richard Harrell, PhD The Hearing Clinic Blacksburg | 540.307.4258 www.swvahearing.com

HONORABLE MENTION

HONORABLE MENTION

Kim Lower, AuD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

Joanne Dillon, MS, CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 www.nrvhearing.com

Bariatric Medicine

2019

ROANOKE

FIRST PLACE Kenneth Luckay, DO LuckayDoc Roanoke | 540.777.6807 www.luckaydoc.com

SECOND PLACE

THIRD PLACE

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

Arnold Salzberg, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

NEW RIVER VALLEY

FIRST PLACE

Charles Shaffer, MD The Weigh Station Christiansburg | 540.381.2670 www.theweighstation.com

SECOND PLACE Charles Bissell, MD Carilion Clinic Christiansburg | 540.731.7600 www.carilionclinic.org

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Best Bedside Manner Awards

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Cardiology

2019

ROANOKE

NEW RIVER VALLEY

Stephen Phillips, MD Carilion Clinic Rocky Mount | 540.982.8204 www.carilionclinic.org

Amjad Wyne, MD Carilion Clinic Christiansburg | 540.731.3191 www.carilionclinic.org

FIRST PLACE

FIRST PLACE

SECOND PLACE (TIE)

THIRD PLACE

SECOND PLACE

Richard Prokopchak, MD Southwest Virginia Cardiology, PC Salem | 540.375.9375

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

Jose Rivero, MD,FACC Carilion Clinic Christiansburg | 540.382.6711 www.carilionclinic.org

Molly Rutherford, MD, FACC Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

THIRD PLACE

Sudhendu Choubey, MD, FACC, FACP, FASNC, RPVI New River Valley Heart Clinic Radford | 540.283.7252 www.newrivervalleyheartclinic.com

HONORABLE MENTION Steven Goldstein, DO LewisGale Physicians Salem | 540.772.3430 www.lgphysicians.com

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

Carl Musser, Jr., MD Carilion Clinic Roanoke | 540.982.8204 www.carilionclinic.org

www.OurHealthRoanokeNRV.com

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2019

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2019 ROANOKE & NEW RIVER VALLEYS

Certified Registered Nurse Anesthetist (CRNA)

2019

ROANOKE

NEW RIVER VALLEY

Barbara Weiserbs, CRNA Blue Ridge Anesthesia Associates, Inc. Salem | 540.772.3600

Whitney Bateman, CRNA Valley Anesthesia, PC Blacksburg | 540.953.5373 www.valleyanesthesiapc.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Karen Khuri, CRNA Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Jane Belcher, CRNA Valley Anesthesia, PC Roanoke | 540.345.4900 www.valleyanesthesiapc.com

Tracey Rhodes, CRNA Valley Anesthesia, PC Blacksburg | 540.953.5374 www.valleyanesthesiapc.com

HONORABLE MENTION

THIRD PLACE

Michelle Marie Gates, CRNA Valley Anesthesia, PC Blacksburg | 540.953.5374 www.valleyanesthesiapc.com

READ THIS EDITION OF

A. Shawn Metzler, CRNA Valley Anesthesia, PC Salem | 540.772.3601 www.valleyanesthesiapc.com

Roanoke & New River Valleys ON YOUR TABLET OR SMARTPHONE

Chiropractic

2019

ROANOKE

NEW RIVER VALLEY

Benjamin Bowman, DC Walter Chiropractic Clinic Roanoke | 540.362.0811 www.walterchiropracticclinic.com

Steve Dowell, DC Dowell Chiropractic Christiansburg | 540.381.0220 www.dowellchiro.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Garrett Thompson, DC Tuck Chiropractic Clinic Roanoke | 540.776.8200 www.tuckclinic.com

Joe Cotton, DC Cotton Chiropractic Salem | 540.765.2990 www.cottonchiropractic.com

Gregory Tilley, DC Tilley Spinal and Wellness Center Blacksburg | 540.951.1183 www.thehokiechiropractor.com

HONORABLE MENTION Dan Davidson, DC Back Resort Salem | 540.389.2225 www.backresort.com

Logan Brooke, DC Tuck Chiropractic Clinic Radford | 540.731.4357 www.tuckclinic.com

HONORABLE MENTION

Nancy Meyer, DC Total Wellness – Chiropractic Clinic Roanoke | 540.819.6817 www.drnancymeyer.com

Howard Wilson, DC Wilson Chiropractic Clinic, PC Roanoke | 540.776.0101 www.fixbax.com

Lee Matthis, DC Tuck Chiropractic Clinic Christiansburg | 540.382.3000 www.tuckclinic.com

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THIRD PLACE

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M E D I A !

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Jennifer Rathmann, DC Tuck Chiropractic Clinic Blacksburg | 540.951.4357 www.tuckclinic.com

CONTINUED FROM PAGE 27

Patients can be difficult because most people don’t have a healthy outlook on hardship — or they act that way, at least. When McCurdy speaks at conferences, he recalls to the crowd a bit of advice his grandmother used to give: “It’s not a big deal unless your head’s on fire and you’re bleeding out of your ear.”

In that context, McCurdy will ask his audience how many of them have suffered a big deal that day, or that week, or even that month. It’s usually not until they reflect on the past year that most people concede they’ve been up against something that could be classified as a big deal.

But then McCurdy asks his audience how many of them have acted as if they’ve faced a big deal already that day. Most people will raise their hand and acknowledge they have.

“The point made is you’re operating on a distorted perception and that’s affecting your ability to see the world accurately, to have hope in the middle of these things because you’re convincing yourself this is worse than it really is.”

– Keith A. McCurdy, EDS, LPC, LMFT

“When we can separate that, then when someone really is in trauma, we can more effectively deal with it.”

Expressing Emotion Part of a doctor’s or medical provider’s communication is nonverbal, often in the form of facial expressions.

As noted by pioneering psychologist Paul Ekman in the 1960s, certain facial expressions are universally recognized across cultures even if people aren’t speaking the same language. The expressions Ekman noted as such include: HAPPINESS, DISGUST,

ANGER, SADNESS, SURPRISE AND FEAR. CONTINUED ON PAGE 35

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Dentistry: Cosmetic

2019

ROANOKE

NEW RIVER VALLEY

Michele Mills, DDS Mills and Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com

Justin Tebbenkamp, DDS Justin Tebbenkamp DDS PC Blacksburg | 540.961.3279 www.blacksburgdentist.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Paul Henny, DDS Henny Fine Aesthetic and Restorative Dentistry Roanoke | 540.774.1577 www.paulhennydds.com

Andrew Henritze, DDS Henritze Dental Group Roanoke | 540.989.6600 www.henritzedental.com

Nicholas Bottorff, DDS Real Life Dental Blacksburg | 540.552.5433 www.reallifedentalcare.com

THIRD PLACE

HONORABLE MENTION

HONORABLE MENTION

Stephen Alouf, DDS Alouf Aesthetics Cosmetic and Implant Dentistry Salem | 540.375.0097 www.aloufdentistry.com

Christopher Huff, DDS Huff Smiles Blacksburg | 540.951.4833 www.huffsmiles.com

Rob Semtner, DDS Semtner Dental Roanoke | 540.989.0112 www.semtnerdental.com

Matthew Glasgow, DDS Cosmetic Smile Center Blacksburg | 540.552.3111 www.cosmeticsmilecenter.com

Jae Park, DDS, PC Park Family Dentistry Christiansburg | 540.382.6108 www.jaeparkdds.com

Congratulations Winners of the

Richard Smith, II, DDS Hunting Hills Family Dentistry Roanoke | 540.523.1326 www.huntinghillsdentistry.com

2019 BEST BEDSIDE MANNER AWARDS

Dentistry: Dental Hygienist

2019

ROANOKE

NEW RIVER VALLEY

Caitlin North, RDH Mills and Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com

Kirsten McCown, RDH Richard L. Anthony, DDS Blacksburg | 540.552.8870 www.richardlanthonydds.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Brandi Alexander, RDH Cross, Lavinder, Quinn and Park Family Dentistry Roanoke | 540.989.1170 www.dentistroanoke.com

Sarah Marrs, RDH Blue Ridge Dental Group – Salem Salem | 540.389.0720 www.blueridgedentalgroup.com

Chelsa Bradley, RDH Real Life Dental Blacksburg | 540.552.5433 www.reallifedentalcare.com

HONORABLE MENTION

HONORABLE MENTION

Brooke Crouch, RDH Virginia Department of Health Roanoke | 540.283.5050 www.vdh.virginia.gov/roanoke

Frances Yeomans, RDH NRV Family and Sports Dentistry Blacksburg | 540.552.2551 www.nrvfamilydentistry.com

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THIRD PLACE

Cassie Huffman, RDH Cook Family Dentistry Blacksburg | 540.951.8383 www.cookdentistry.com

2019

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2019

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Dentistry: Endodontics

2019

ROANOKE

NEW RIVER VALLEY

Michael Mayerchak, DMD Blue Ridge Endodontics Roanoke | 540.772.9515 www.blueridgeendo.com

Matthew Ankrum, DDS New River Valley Endodontics Blacksburg | 540.552.1100 www.nrvendo.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Sean Lawson, DDS, MSD Lawson Endodontics Roanoke | 540.989.9070 www.lawsonendodontics.com

Laura Garden, DDS, MSD Roanoke Endodontics Salem | 540.989.6648 www.roanokeendo.com

Leander Lanier, DDS Lanier Endodontic Group Blacksburg | 540.552.0101 www.lanierendodonticgroup.com

Dentistry: General

2019

ROANOKE

NEW RIVER VALLEY

Griffin Cross, DDS Cross, Lavinder, Quinn and Park Family Dentistry Roanoke | 540.989.1170 www.dentistroanoke.com

Damon Thompson, DDS Real Life Dental Blacksburg | 540.552.5433 www.reallifedentalcare.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Travis Shannon, DMD Mills and Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com

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

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

Jay Bass, DDS NRV Family Dentistry Blacksburg | 540.552.2551 www.nrvfamilydentistry.com

HONORABLE MENTION

Matthew Tomoda, DDS Blacksburg Smiles Blacksburg | 540.509.0112 www.blacksburgsmiles.com

HONORABLE MENTION

Jonathan Lubeck, DMD Gary Roach, DDS and Jonathan Lubeck, DMD Roanoke | 540.774.1019 www.cavespringdental.com

James Hoye, DDS Dental Associates of Salem Salem | 540.389.0225 f SWVAsmile Richard Huffman, DDS Huffman and Kreger Family Dentistry Roanoke | 540.989.3321 www.huffmanandkregerdentistry.com

William Moore, DDS Dr. William Moore Dentistry Roanoke | 540.362.3846 www.williammooredentistry.com

Loren Cook, DDS Cook Family Dentistry Blacksburg | 540.951.8383 www.cookdentistry.com Matthew Hofrichter, DDS Real Life Dental Blacksburg | 540.552.5433 www.reallifedentalcare.com

Lisa Lavinder, DDS Cross, Lavinder, Quinn and Park Family Dentistry Roanoke | 540.989.1170 www.dentistroanoke.com

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THIRD PLACE

CONTINUED FROM PAGE 31

Professor Robert Plutchik of the University of South Florida would later conduct follow-up research and add JOY and TRUST to Ekman’s list.

Doctors/medical providers and patients can bring any of these expressions on their face when they enter the exam room, and in many cases, the emotion might not have anything to do with the appointment, diagnosis or recommended treatment. A patient might be sad because he broke a sentimental family heirloom before heading to the doctor’s office. The doctor or medical provider might be angry because he got a speeding ticket on his or her way to work. In either of these scenarios, each person’s expression might affect the communication between them and the overall experience of the visit.

Ang er

• E ye • B brows u p • D lging ey ulled do il e wn • P at e d n o s s u rs e d lip trils s

Consider a doctor’s or medical provider’s anger.

ANGER is an emotion that can range from mild irritation to extreme rage. Anger is expressed via lowered eyebrows, pursed lips, bulging eyes and dilated nostrils. Inside the body, heart rate and blood pressure increase, and levels of adrenaline and noradrenaline rise abnormally. Anger can often be met with a defensive reaction.

Similarly, the patient’s SADNESS, an emotion associated with loss or helplessness, can range from mild disappointment to extreme despair. It’s expressed by lowering the corners of the mouth, raising the inner part of the eyebrow and pouting the lips.

If the doctor or patient are aware of how they are feeling, they can better understand how the other might respond to their emotion, and they can strive to change their expression so they are not bringing problems like broken heirlooms or speeding tickets into the exam room.

CONTINUED ON PAGE 39

Disgust

Sadn ess

down pulled brows • Eye d le e wrink p • Nos ulled u er lip p p p U • e s loo • Lips

• In ner rais corners of e • L ed yeb owe row s mou ring cor n e rs th w ith p of th outin e g of www.OurHealthRoanokeNRV.com lips

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Dentistry: Oral Surgery

2019

ROANOKE

NEW RIVER VALLEY

Albert Parulis, Jr., DMD Roanoke Oral Surgery Roanoke | 540.362.5900 www.roanokeoralsurgery.com

Richard Boyle, DDS NRV Oral and Maxillofacial Surgery, LTD Blacksburg | 540.951.8777 www.nrvoralsurgery.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

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

Samuel Scroggins, DMD Southwest Virginia Oral and Maxillofacial Surgery Salem | 540.989.5257 www.swvirginiaoralsurgery.com

James VanGilder, DDS NRV Oral and Maxillofacial Surgery, LTD Blacksburg | 540.951.8777 www.nrvoralsurgery.com

THIRD PLACE

Clinton Howard, DMD, MS NRV Oral and Maxillofacial Surgery, LTD Blacksburg | 540.951.8777 www.nrvoralsurgery.com

HONORABLE MENTION READ THIS EDITION OF

Larry Meador, DDS Valley Oral Surgery, PC Roanoke | 540.774.5900 www.larrymeadordds.com

Roanoke & New River Valleys ON YOUR TABLET OR SMARTPHONE

Dentistry: Orthodontics

2019

ROANOKE

NEW RIVER VALLEY

Paul Kaiser, DDS Dr. Paul Kaiser Orthodontist Roanoke | 540.362.1097 www.kaiserorthodontics.com

DoBin Choi, DDS Real Life Smiles Blacksburg | 540.443.9285 www.reallifesmiles.com

FIRST PLACE

FIRST PLACE (TIE)

Misty Lenk, DDS, MS Lenk Orthodontics Daleville | 540.966.3990 www.lenkbraces.com

SECOND PLACE

THIRD PLACE

Evan Johnson, DMD Johnson Orthodontics Dublin | 540.674.4712 www.emjortho.com

Kent Kiser, DDS Kiser Orthodontics Radford | 540.639.0111 www.kiserorthodontics.com

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

Ann Reopelle, DMD, MS Lampros and Reopelle Orthodontics Roanoke | 540.344.2758 www.reopelleorthodontics.com

David Jones, DDS Roanoke Valley Orthodontics Roanoke | 540.563.1640 www.roanokevalleyortho.com

Bana Hosseinian, DDS, MDS Mountain View Orthodontics Vinton | 540.342.9876 www.orthomv.com

Evan Johnson, DMD, MS Johnson Orthodontics Roanoke | 540.989.5621 www.emjortho.com

Congratulations to all the Winners of the

2019 BEST BEDSIDE MANNER AWARDS! 36

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Dentistry: Pediatric

2019

ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Scott Anderson, DDS Anderson Pediatric Dentistry Roanoke | 540.989.3639 www.pediatricdentistryroanoke.com

SECOND PLACE Corey Sheppard, DDS Roanoke Pediatric Dentistry Roanoke | 540.563.1660 www.roanokepediatricdentistry.com

Dentistry: Periodontics ROANOKE & NEW RIVER VALLEYS

FIRST PLACE (TIE)

Gavin Aaron, DDS Aaron Periodontics and Dental Implants Roanoke and Christiansburg | 540.562.3166 www.periohub.com

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SECOND PLACE

THIRD PLACE

Priya Acharya, DMD Acharya Periodontics and Dental Implants Roanoke | 540.283.0959 www.acharyaperiodontics.com

Linda Till, DDS Linda Till, DDS Roanoke | 540.772.3940 www.lindatill.com

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2019

John Buyer, DDS, MPH, MS, MSS New River Periodontics and Dental Implant Center Blacksburg | 540.951.4848 Roanoke | 540.772.4848 www.nrvperio.com

CONTINUED FROM PAGE 35

But not all shows of emotion are bad. Because doctors and medical providers must be personable to form a relationship, emotion is important. In many cases, an expression of happiness can put patients at ease or make them feel optimistic. HAPPINESS is an emotion often associated with contentment or satisfaction, and it’s expressed with a smile, sometimes with the mouth parted to expose the teeth. Cheeks are raised and wrinkles form on the outside of the eye (known as crow’s feet) and from the outer nose to the upper lip. A person who is happy has a lower heart rate and reduced blood pressure. People who fake an expression of happiness might not necessarily be deceitful, but rather showing friendliness toward others.

Hap piness

To achieve a productive bedside manner, doctors and medical providers must find a way of separating the emotions of the outside world with what they must accomplish in their practice.

• M usc tigh le aroun d th • C tened e ey hee es k corn s raise d wit e rs raise h lip d dia gon a l ly

Part of that is achieving perspective — realizing that not everything is the end of the world, such as in the hypothetical case of the speeding ticket.

“If I’m going to instill hope and offer assistance to folks who are struggling, I can’t act like everything in my life is a big deal.”

Surprise

up pulled brows p u d • Eye e ll lids pu • Eye n th ope • Mou

– Keith A. McCurdy, EDS, LPC, LMFT

“If I get a speeding ticket on my way to work and I let it affect my whole day, I’m acting as if it’s this horrible thing, then I’m not able to effectively deal with patients. How can I speak into their perception of life if I’m distorted by something that in the long run is not really a big deal?”

CONTINUED ON PAGE 43

Fear

• E ye • U brows pull ppe ed u eye r eyelid pa • M s slight s pulle nd tog et h e d ly outh r stre bulging up with tche d

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Dermatology

2019

ROANOKE

NEW RIVER VALLEY

Mariana Phillips, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Aleksandra Brown, DO, FAOCD, FAAD River Ridge Dermatology Blacksburg, Roanoke and Narrows 540.951.DERM (3376) www.riverridgederm.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Melanie Walter, MD, FAAD Dermatology Practice of Roanoke, PC Roanoke | 540.562.8873 www.dermatologypracticeofroanoke.com

Susan Dorsey, MD Carilion Clinic Roanoke | 540.981.1439 www.carilionclinic.org

Daniel Hurd, DO, FAOCD, FAAD, FASMS New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.com

THIRD PLACE

Chad Johnston, DO, FAAD River Ridge Dermatology Blacksburg, Roanoke and Narrows 540.951.DERM (3376) www.riverridgederm.com

HONORABLE MENTION Allison Divers, MD The Art and Science of Dermatology Roanoke | 540.725.7546 www.theartandscienceofdermatology.com

Gary Gross, MD LewisGale Physicians Roanoke | 540.772.3421 www.lgphysicians.com

Ear, Nose and Throat (Otolaryngology)

2019

ROANOKE

NEW RIVER VALLEY

Paul Lenkowski, MD Roanoke Valley ENT and Allergy Roanoke | 540.655.1888 www.rovaent.com

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

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Gregory Zachmann, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

Brian Gross, MD LewisGale Physicians Roanoke | 540.444.8100 www.lewisgale.com

Kenneth Rogotzke, DO Carilion Clinic Christiansburg | 540.731.7660 www.carilionclinic.org

HONORABLE MENTION Kurt Chen, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Joshua Farrar, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Jennifer Nelson, MD LewisGale Physicians Roanoke | 540.443.7400 www.lewisgale.com

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THIRD PLACE

Michael Bowman, MD LewisGale Physicians Radford | 540.443.7400 www.lgphysicians.com

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Emergency Medicine

2019

ROANOKE

NEW RIVER VALLEY

Janet Young, MD Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Courtney Rocovich, DO Carilion Clinic Lexington | 540.731.2000 www.carilionclinic.org

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Carla Williams, MD Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Paul Haskins, MD Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Laura Harvey, DO LewisGale Hospital Montgomery Blacksburg | 540.776.4000

THIRD PLACE

HONORABLE MENTION

HONORABLE MENTION

John Burton, MD Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Edmund Sciullo, DO LewisGale Hospital Montgomery Blacksburg | 540.776.4000

Brian Ekey, DO LewisGale Hospital Montgomery Blacksburg | 540.776.4000

Endocrinology, Diabetes and Metabolism ROANOKE

FIRST PLACE D. James Bailey III, MD, FACE Endocrinology Associates Inc. Roanoke | 540.344.3276 www.endocrinologymed.com

SECOND PLACE

THIRD PLACE

Kamran Rasul, MD LewisGale Physicians Roanoke | 540.772.3616 www.lgphysicians.com

James Mulinda, MD Endocrinology Associates Inc. Roanoke | 540.344.3276 www.endocrinologymed.com

NEW RIVER VALLEY

FIRST PLACE

Bruce Fariss, MD Bruce L. Fariss, MD Dublin | 540.674.5900 www.carilionclinic.org

SECOND PLACE Scott Boerth, MD LewisGale Physicians Blacksburg | 540.552.1246 www.lgphysicians.com

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CONTINUED FROM PAGE 39

Doctors and medical providers also must provide support to patients during hard times in their life. If a caregiver must deliver unfortunate news, such as a bad diagnosis, he or she should communicate with compassion rather than personal sadness. As McCurdy explains it, the doctor or medical provider should focus on the patient’s emotions rather than their own. “At the most basic level, even if the news is horrible, we’re still in this with you,” McCurdy says. “When we share bad news, it’s a lot less about my emotional state.”

He emphasizes that the doctor or medical provider should, instead of reinforcing the patient’s emotional state, remind them of their own strength.

The key to that is showing empathy — not to be confused with sympathy, which is often misapplied in society, according to McCurdy. If a patient comes in with a situation that it not traumatic but simply difficult, the doctor or medical provider shouldn’t be overly sympathetic and say, “I’m so sorry you’re going through that.” This show of sympathy encourages a false perception.

“What we need to get better at is offering empathy, and empathy is about acknowledging what they’re expressing,” McCurdy explains. “A patient who comes in for care, but is having a hard time doing their part to take better care of their health gets frustrated. In turn, the doctor or medical provider can get frustrated with what may be perceived as the patient’s disregarding or not following his or her medical advice, thus seeing him or her as quote ‘noncompliant’. Instead, we can show empathy and demonstrate we can relate to and identify with the patient, such as saying: ‘I can tell how frustrating this is for you.’ When we show empathy, we disarm someone from the emotion that’s driving them.”

The other part of consoling a patient is having a sense of immediacy. It’s easy to reflect on the past or anticipate the future. What life choices brought the patient to this state of health? What steps are needed for him or her to get healthy again?

Instead, when doctors and medical providers are immediate — that is, focused on the moment at hand — they can help the patient move past the moment.

“We need to stop and address what we see right then.

When we do that, the patient connects to what I’m doing,” McCurdy says. “Empathy and immediacy go hand-in-hand.”

CONTINUED ON PAGE 47

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Empathy Sympathy: vs.

Instead of reinforcing a patient’s emotional state, a doctor should remind them of their own strength. The key to this is showing empathy — not to be confused with sympathy.

If a patient comes in with a situation that is not traumatic by simply difficult, The use of SYMPATHY encourages a false perception. Where as, the use of EMPATHY disarms the patient from the emotion that’s driving them.

EXAMPLE OF SYMPATHY: “I’m so sorry you’re going through this.”

EXAPMLE OF EMPATHY: “I can tell how frustrating this is for you.”

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Family Practice

2019

ROANOKE

NEW RIVER VALLEY

Mark Taylor, MD Salem Family Medicine Salem | 540.375.2686 www.salemfamilymed.com

Elliot Freed, DO LewisGale Physicians Pembroke | 540.626.4343 www.lgphysicians.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Nina Sweeney, MD Roanoke Partners In Health PC Roanoke | 540.904.7912 www.roanokepih.com

Vishalakshi Sundaram, MD, FAAFP LewisGale Physicians Roanoke | 540.265.4210 www.lewisgale.com

Isaac Spence, DO Carilion Clinic Blacksburg | 540.951.0352 www.carilionclinic.org

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

HONORABLE MENTION

Charles Judy, MD Family Health Clinic, Inc. Radford | 540.639.5300

HONORABLE MENTION Timothy Beirne, MD Carilion Clinic Vinton | 540.983.6700 www.carilionclinic.org

Marie Malinchak, MD Roanoke Partners In Health PC Roanoke | 540.904.7912 www.roanokepih.com

Bonnie Culkin, MD Physician Associates of Virginia, PC Roanoke | 540.345.4946 www.pavclinics.com

THIRD PLACE

Jeremy Freeman, MD Carilion Clinic Blacksburg | 540.951.8380 www.carilionclinic.org Carl Hannah, MD LewisGale Physicians Christiansburg | 540.382.6148 www.lgphysicians.com

Matthew McCarthy, DO Direct Primary Care of Blacksburg Blacksburg | 540.315.7389 www.drmatthewmccarthy.com

Fertility Medicine

2019

ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Adrienne Gentry, DO Carilion Clinic Roanoke | 540.985.8078 www.carilionclinic.org

SECOND PLACE Emily Evans-Hoeker, MD Carilion Clinic Roanoke | 540.985.8078 www.carilionclinic.org

THIRD PLACE Laura Smith, MD Reproductive Medicine and Surgery Center of Virginia Charlottesville and Lynchburg 434.654.8520 www.rmscva.com

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Gastroenterology

2019

ROANOKE

NEW RIVER VALLEY

Brian Van Der Linden, MD LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com

Mark Ringold, MD Carilion Clinic Christiansburg | 540.382.9405 www.carilionclinic.org

FIRST PLACE

FIRST PLACE

SECOND PLACE (TIE)

THIRD PLACE

SECOND PLACE

Vikas Chitnavis, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Seeniann John, DO Salem VA Medical Center Salem | 540.982.2463 www.salem.va.gov

Jennifer Sinclair, MD LewisGale Physicians Blacksburg | 540.552.3670 www.lgphysicians.com

THIRD PLACE

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

Nirish Shah, MD Gastroenterology Consultants of Southwest Virginia Salem | 540.345.4900 www.colonoscopyroanoke.com

HONORABLE MENTION R. Lee Meyers III, MD, FACG Gastroenterology Consultants of Southwest Virginia Roanoke | 540.345.4900 www.colonoscopyroanoke.com

Joseph Nelson III, MD LewisGale Physicians Salem | 540.444.2010 www.lgphysicians.com

Jonh Pineda-Bonilla, MD LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com

Geriatric Medicine ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Christopher Wood, DO Carilion Clinic Center for Healthy Aging Roanoke | 540.981.7653 www.carilionclinic.org

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Mohammad Shakhatreh, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

SECOND PLACE

THIRD PLACE

Anne Jaeger, MD Physician Associates of Virginia, PC Roanoke | 540.345.4946 www.pavclinics.com

Gary Oberlender, MD, FACP Senior Evaluations Roanoke | 540.529.7566 www.seniorevaluations.com

HONORABLE MENTION Brian Unwin, MD Carilion Clinic Center for Healthy Aging Roanoke | 540.981.7653 www.carilionclinic.org

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Focusing on the Content, Not the Delivery Productive communication is a two-way street. Doctors and medical providers must speak well and listen well, as do patients. In situations where a doctor’s or medical provider’s tone isn’t exactly what the patient wants to hear — because it sometimes will not be — the patient should understand that the caregiver still has his or her best interest at heart.

For example, a doctor or medical provider might be happy and jovial when they first come in to greet the patient, thus putting the patient at ease. But later in the appointment, the caregiver has to be very firm and forward with his or her advice as to what the patient should be doing at home. Recognizing this firmness is not necessarily poor bedside manner is very important.

“The doctor or medical provider has to be aware of his or her delivery; at the same time, the patient needs to realize it’s the content not the manner,” McCurdy says.

“We’ve got to work on both. I’m not necessarily warm and fuzzy, but I like to think I’m hopeful. I’m hopeful, but very direct.”

Good communication is about taking what is said at face value. Those who overthink or overanalyze nonverbal communication — or those who are passive aggressive in their delivery — run the risk of drawing or delivering false information.

“Ignore what you see and pay attention to what you hear,” McCurdy says. “Learn to ignore the white noise.”

This can be difficult when one or both parties is bad at communication, and not just in a doctor/providerpatient relationship. McCurdy compares it to a man who asks his wife whether he can play golf one Saturday.

His wife scoffs and says yes in an exasperated voice. If the man listens to tone, he won’t go play golf; on the other hand, if he listens to the content, he will take his wife at her word and feel at liberty to play golf that day.

This is about trusting and operating on the words that a person says, and about having transparent communication.

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www.OurHealthLynchburg.com

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Best Bedside Manner Awards

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2019 ROANOKE & NEW RIVER VALLEYS

Hematology/Oncology

2019

ROANOKE

NEW RIVER VALLEY

William (Bill) Fintel, MD Blue Ridge Cancer Care Salem | 540.774.8660 www.blueridgecancercare.com

Harry McCoy, MD Blue Ridge Cancer Care Blacksburg | 540.381.5291 www.blueridgecancercare.com

FIRST PLACE

FIRST PLACE

*Dr. Fintel recently retired, October 2019.

SECOND PLACE (TIE)

THIRD PLACE

SECOND PLACE

Andrew Fintel, DO Blue Ridge Cancer Care Salem | 540.774.8660 www.blueridgecancercare.com

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

Heather Brooks, MD Blue Ridge Cancer Care Marion | 276.781.1400 www.blueridgecancercare.com

THIRD PLACE

Robert Rotche, MD, FACP Blue Ridge Cancer Care Wytheville | 276.228.7665 www.blueridgecancercare.com

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

HONORABLE MENTION Mark Currie, MD LewisGale Physicians Salem | 540.772.3411 www.lgphysicians.com

Daniel Temeles, MD Blue Ridge Cancer Care Roanoke | 540.586.5770 www.blueridgecancercare.com

Infectious Disease ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

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

2019

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

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

Jim Wong, MD Carilion Clinic Roanoke | 540.981.7715 www.carilionclinic.org

Ekta Bansal, MD Carilion Clinic Roanoke | 540.981.7000 www.carilionclinic.org

Integrative Medicine ROANOKE & NEW RIVER VALLEYS

2019

FIRST PLACE

SECOND PLACE

THIRD PLACE

Janine Talty, DO, MPH Talty Clinical Biomechanics and Orthopedic Medicine Roanoke | 540.685.2670 www.drjaninetalty.com

Alicia Hollis, DO Valley Integrative Medicine Roanoke | 540.556.1061 www.draliciahollis.com

Kenneth Luckay, DO LuckayDoc Roanoke | 540.777.6807 www.luckaydoc.com

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Internal Medicine

2019

ROANOKE

NEW RIVER VALLEY

Vashist Nobbee, MD LewisGale Physicians Salem | 540.283.3760 www.lgphysicians.com

Gregory Beato, DO, CAQ, FACOI Medical Associates of Southwest Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com

FIRST PLACE

FIRST PLACE

SECOND PLACE (TIE)

THIRD PLACE

SECOND PLACE

Roy Habib, MD LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com

Chetna Jha, MD LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com

Christine Jordan, MD LewisGale Physicians Blacksburg | 540.951.6070 www.lgphysicians.com

THIRD PLACE

Robert Solomon, MD LewisGale Physicians Blacksburg | 540.951.6070 www.lgphysicians.com

Ross Murchison, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

HONORABLE MENTION

HONORABLE MENTION Ann Austin, DO Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Son Nguyen, MD LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com

T. Scott Jamison, MD LewisGale Physicians Christiansburg | 540.381.1882 www.lgphysicians.com

Mary-Ellen Mick, DO Carilion Clinic Christiansburg | 540.639.9071 www.carilionclinic.org

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

Nephrology

2019

ROANOKE

NEW RIVER VALLEY

Matt Mathew, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com

Paul Laflam, MD Blue Ridge Nephrology Associates Christiansburg | 540.633.5650 www.blueridgenephrologyassociates.com

FIRST PLACE

SECOND PLACE

THIRD PLACE

Fletcher Matthews, MD Southwest Virginia Nephrology Medicine, PC Roanoke | 540.904.5366 www.swvakidneydoctor.com

James Cain, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com

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SECOND PLACE Allan Sklar, MD New River Nephrology Associates Blacksburg | 540.381.3750

THIRD PLACE

HONORABLE MENTION Bassel Moughrabi, MD LewisGale Physicians Salem | 540.966.6430 www.lgphysicians.com

FIRST PLACE

Rebin Titus, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com

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Bhairvi Trivedi, MD Blue Ridge Nephrology Associates Christiansburg | 540.633.5650 ww.blueridgenephrologyassociates.com

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“If you get both sides working at once, it works well. In a patient/provider-doctor relationship, that’s pretty tough because we can only control one side of that.”

– Keith A. McCurdy, EDS, LPC, LMFT

Ultimately, however, a doctor’s or medical provider’s number one priority is communicating what a patient needs to hear, even if that means tough love. Patients should recognize this as such. “My job is not to make you feel good,” McCurdy says.

“My job is to tell you the truth and give you the information you need because you are valuable.”

From the patient’s perspective, it helps to acknowledge his or her doctor or medical provider is just another human being with complex emotions who is trying to do the best he or she can with the knowledge possessed. “Don’t put doctors or medical providers on a pedestal,” McCurdy says. “It’s the same with doctors/medical providers, lawyers, preachers and folks in government. We need to recognize they are individuals just like we are. As patients, we need to go in and realize this is a person as well.” And, it helps when patients demonstrate kindness toward their providers.

In the Roanoke and New River Valley community, there are thousands upon thousands of exceptional doctors and providers who are just as committed to providing exceptional bedside manner to their patients as the winners on this list. If you feel your doctor or provider is deserving of recognition for his or her excellent bedside manner and would like to receive reminders of when voting will open for the 2020 Best Bedside Manner Awards so you can nominate him or her, please visit

www.OurHealthRoanokeNRV.com and subscribe to our e-newsletter.

Working off the model of empathy, truthfulness and kindness, doctors and medical providers will be able to help their patients feel seen and heard — this will go a long way in demonstrating to patients that they are valued and their doctor or medical provider has their best interests at heart.

“When we can demonstrate that value to them, all of sudden their issues are important, then they’re willing to trust more and willing to take more direction.”

– Keith A. McCurdy, EDS, LPC, LMFT

This is what makes up good bedside manner, and it can make all the difference.

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Neurology

2019

ROANOKE

NEW RIVER VALLEY

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

Jill Cramer, MD Blue Ridge Associates in Neurology Christiansburg | 540.381.6211 www.swvabrain.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Joseph Ferrara, Jr., MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Timothy Hormel, MD Valley Neurology Associates, PC Roanoke | 540.725.3500

Chunxiao “Belinda” Zhang, MD New River Neurology and Epilepsy Christiansburg | 540.381.9480 www.neurologyepilepsy.com

HONORABLE MENTION

THIRD PLACE

Manuel Marrufo-Salazar, MD Neurological Care Clinic, PC Blacksburg | 540.951.5090 www.neurologicalcareclinic.com

READ THIS EDITION OF

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

Roanoke & New River Valleys ON YOUR TABLET OR SMARTPHONE

Nurse Practitioner (NP)

2019

ROANOKE

NEW RIVER VALLEY

Molly Camper, NP Carilion Clinic Roanoke | 540.982.8204 www.carilionclinic.org

Carol Ballard, FNP Medical Associates of Southwest Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

William Pauley, III, FNP-C LewisGale Physicians Salem | 540.265.1607 www.lgphysicians.com

Audra Doyle, FNP LewisGale Physicians Salem | 540.283.3760 www.lgphysicians.com

Sandra Hayes, NP Carilion Clinic Family Medicine – Warm Hearth Village Blacksburg | 540.558.2400 www.carilionclinic.org

HONORABLE MENTION

Jolee Preston, MSN, NP-C Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

HONORABLE MENTION

Katherine Barnhill, FNP Physicians Associates of Virginia, PC Roanoke | 540.345.4946 www.pavclinics.com

Cynthia Shively, FNP-BC Free Clinic of Franklin County Rocky Mount | 540.489.7500 www.bernardhealthcare.com

Heather Bragg, NP LewisGale Physicians Christiansburg | 540.382.6148 www.lgphysicians.com Susan Gaither, NP-C DermOne Radford Radford | 540.633.3015 www.dermoneva.com

THIRD PLACE

Cristina Trout, NP Carilion Clinic Blacksburg | 540.951.0352 www.carilionclinic.org *Cristina Trout has recently retired.

Wendy Hundley, NP Pulaski Health and Rehabilitation Center Pulaski | 540.980.3111 www.pulaskihealthrehab.com Anthony Ramsey, NP Community Health Center of the NRV Christiansburg | 540.831.7700 www.chcnrv.org

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Obstetrics and Gynecology

2019

ROANOKE

NEW RIVER VALLEY

Margaret Grove, MD Physicians to Women, Inc Roanoke | 540.982.8881 www.ptow.com

Sanam Campbell, MD New River Women’s Health Blacksburg | 540.605.7566 www.newriverwomenshealth.com

FIRST PLACE

FIRST PLACE

SECOND PLACE (TIE)

HONORABLE MENTION

SECOND PLACE

HONORABLE MENTION

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

Debra Clapp, MD LewisGale Physicians Salem | 540.774.6000 www.lgphysicians.com

Carrie Champine, DO LewisGale Physicians Blacksburg | 540.443.0500 www.lgphysicians.com

Margarita Abrams, MD Encore Blacksburg | 540.251.0980 f Encore Ob Gyn

George Maxymiv, MD LewisGale Physicians Salem | 540.772.3520 www.lgphysicians.com

THIRD PLACE

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

Barbara Moore, MD, FACOG Drs. Moore and Stockstill, PC Roanoke | 540.904.7710 www.mooreandstockstill.com Donna Musgrave, MD Physicians to Women, Inc Roanoke | 540.982.8881 www.ptow.com Eric Swisher, MD Physicians to Women, Inc Roanoke | 540.982.8881 www.ptow.com Jonas Wilson-Leedy, MD Carilion Clinic Roanoke | 540.526.2273 www.carilionclinic.org

THIRD PLACE

James Weston, MD James S. Weston, PC Christiansburg | 540.639.2037 f BestWomanCare

John Christopher Colby, MD Carilion Clinic Blacksburg | 540.961.1058 www.carilionclinic.org N. Alex Letham, DO LewisGale Physicians Blacksburg | 540.443.0500 www.lgphysicians.com

Congratulations Winners of the

BEST BEDSIDE MANNER AWARDS

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Occupational Medicine ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Darrell Powledge, MD, PhD, MPH Valley Occupational Medicine, PC Roanoke | 540.362.9620 www.drpowledge.com

2019

SECOND PLACE

THIRD PLACE

Maria Journales, MD Valley Occupational Medicine, PC Roanoke | 540.362.9620 www.drpowledge.com

Stephen Cho, DO, MPH Carilion Clinic Roanoke | 540.985.8521 www.carilionclinic.org

Ophthalmology

2019

ROANOKE

NEW RIVER VALLEY

Richard Johnson, MD LewisGale Physicians Salem | 540.772.3480 www.lgphysicians.com

Parisa Farhi, MD Farhi Vision and Glaucoma Specialists Blacksburg | 540.552.1120 www.farhivision.com

FIRST PLACE (TIE)

Nicholas Ramey, MD Vistar Eye Center Locations throughout the Greater Roanoke and New River Valleys 540.855.5100 www.vistareye.com

FIRST PLACE

SECOND PLACE

THIRD PLACE

Patrick Bradley, MD Eye Care and Surgery Christiansburg | 540.552.4573 www.eyecaresurgery.com

Stephen Hudgins, MD Stephen Hudgins, MD Christiansburg | 540.382.8316

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

Eugene Eng, MD Eye Care and Surgery Roanoke | 800.650.7313 www.eyecaresurgery.com

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

Daniel Drysdale, MD Drysdale Eye Center Blacksburg | 540.951.0525 www.drysdaleeyecenter.com

HONORABLE MENTION John Facciani, MD Vistar Eye Center Locations throughout the Greater Roanoke and New River Valleys | 540.855.5100 www.vistareye.com

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Will Griffith, MD Vistar Eye Center Locations throughout the Greater Roanoke and New River Valleys | 540.855.5100 www.vistareye.com

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Optometry

2019

ROANOKE

NEW RIVER VALLEY

Donald Scothorn, OD Vistar Eye Center Locations throughout the Greater Roanoke and New River Valleys 540.855.5100 www.vistareye.com

John Dovie, OD, FAAO Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Jon Gudeman, OD Invision Salem | 540.387.1183 www.invision2020.com

Kevin Coolbaugh, OD Eye Care and Surgery Roanoke | 800.650.7313 www.eyecaresurgery.com

Jessica Beaudoin, OD Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

HONORABLE MENTION

THIRD PLACE

Becky C. Mann, OD Invision Christiansburg | 540.381.2020 www.invision2020.com

HONORABLE MENTION Miles Newman, OD Johnson Curran Optometry Centers Roanoke | 540.989.6515 www.johnsoncurran.com

Megan Andrews, OD Star City Eye Care Roanoke | 540.563.8279 www.sceclc.com Michael Johnson, OD Johnson Curran Optometry Centers Roanoke | 540.366.2457 www.johnsoncurran.com

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

Colleen Mitchell, OD Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

James McDonel, OD Johnson Curran Optometry Centers Christiansburg | 540.382.1731 www.johnsoncurran.com

Olivia Schaubach, OD Eye Care and Surgery Blacksburg | 540.552.4573 www.eyecaresurgery.com

Roanoke Orthopaedics

2019

ROANOKE

NEW RIVER VALLEY

Preston Waldrop, MD LewisGale Physicians Salem | 540.44.4020 www.lgphysicians.com

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

FIRST PLACE

SECOND PLACE

HONORABLE MENTION

Jonathan Carmouche, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

Micah Jones, DO LewisGale Physicians Salem | 540.772.3530 www.lgphysicians.com

THIRD PLACE (TIE)

Jesse Seamon, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

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

Jeremy Smalley, MD LewisGale Physicians Salem | 540.444.4020 www.lgphysicians.com

FIRST PLACE

SECOND PLACE Derek Buck, MD, DC Sideline Orthopedics and Sports Medicine Blacksburg | 540.552.7133 www.sidelineortho.com

THIRD PLACE

Christofer Catterson, MD Carilion Clinic Blacksburg | 540.510.6200 www.carilionclinic.org

HONORABLE MENTION John Velyvis, MD Sideline Orthopedics and Sports Medicine Blacksburg | 540.552.7133 www.sidelineortho.com

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Osteopathic Medicine

2019

ROANOKE

NEW RIVER VALLEY

Kenneth Luckay, DO Luckay Doc Roanoke | 540.777.6807 www.luckaydoc.com

David Harden, DO VCOM Sports and Osteopathic Medicine Blacksburg | 540.231.4000 www.osteopathicsports.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Janine Talty, DO Clinical Biomechanics and Orthopedic Medicine Roanoke | 540.685.2670 www.drjaninetalty.com

Ann Austin, DO Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Bradley McCrady, DO, CAQSM, FAAPMR VCOM Sports and Osteopathic Medicine Blacksburg | 540.231.4000 www.osteopathicsports.com

THIRD PLACE

Hope Tobey, DO VCOM Sports and Osteopathic Medicine Blacksburg | 540.231.4000 www.osteopathicsports.com

READ THIS EDITION OF

HONORABLE MENTION

Roanoke & New River Valleys

Alicia Hollis, DO Valley Integrative Medicine Roanoke | 540.556.1061 www.draliciahollis.com

ON YOUR TABLET OR SMARTPHONE

Pain Management

2019

ROANOKE

NEW RIVER VALLEY

Murray Joiner, MD Murray E. Joiner Jr., MD, PC Associates Roanoke | 540.772.4448 www.virginiapain.org

Tejal Raju, MD Virginia Interventional Pain and Spine Christiansburg | 540.251.3472 www.vapainsc.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Chheany Ung, MD Virginia Interventional Pain and Spine Center Roanoke | 540.777.0090 www.vapainsc.com

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

Anthony Dragovich, MD Blue Ridge Pain and Spine Associates Christiansburg | 540.291.7200 www.blueridgepm.com

HONORABLE MENTION Anthony Dragovich, MD Blue Ridge Pain Management Associates Roanoke | 540.444.5670 www.blueridgepm.com

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Pediatrics

2019

ROANOKE

NEW RIVER VALLEY

Robert Gard, MD Physicians to Children, Inc Roanoke | 540.344.9213 www.physicianstochildren.com

Christina Kozar, DO, FAAP New Beginnings Pediatrics Blacksburg | 540.739.3623 www.newbeginningspediatrics.org

FIRST PLACE

FIRST PLACE

SECOND PLACE (TIE)

THIRD PLACE

SECOND PLACE

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

Christopher Pierce, MD Carilion Clinic Roanoke | 540.772.4453 www.carilionclinic.org

Sofia Hardee, DO, PhD, FACOP, FAAP New Beginnings Pediatrics Blacksburg | 540.739.3623 www.newbeginningspediatrics.org

THIRD PLACE

Amanda Preedom, MD NRV Pediatrics Radford | 540.639.5188 www.nrvpediatrics.com

Russell Delaney, MD LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com

HONORABLE MENTION

HONORABLE MENTION

William H. Craft Jr., MD Carilion Clinic Roanoke | 540.772.4453 www.carilionclinic.org

Lauren Good, DO LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com

Ann Collins, DO NRV Pediatrics Radford | 540.639.5188 www.nrvpediatrics.com

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

Camron Johnson, DO Physicians to Children, Inc Roanoke | 540.344.9213 www.physicianstochildren.com

Belle Dalton, MD New Beginnings Pediatrics Blacksburg | 540.739.3623 www.newbeginningspediatrics.org

Timothy Walker, MD NRV Pediatrics Radford | 540.639.5188 www.nrvpediatrics.com

Pharmacy

2019

ROANOKE

NEW RIVER VALLEY

Anita Brightbill, PharmD Kroger (West Salem) Salem | 540.389.7251 www.kroger.com

Jeremy Counts, PharmD Main Street Pharmacy Blacksburg | 540.605.7721 www.msblacksburg.com

FIRST PLACE

FIRST PLACE

SECOND PLACE (TIE)

THIRD PLACE

SECOND PLACE

Lisa Houck, PharmD Valley Apothecary Salem | 540.772.3788 www.valleyapothecary.com

Craig Hodges, PharmD Kroger (Bonsack) Roanoke | 540.977.6480 www.kroger.com

David Davidson, RPh Davidson’s Pharmacy Christiansburg | 540.381.9345 www.davidsonspharmacy.com

THIRD PLACE

Senthil Marimuthu, RPh Blacksburg Pharmacy Blacksburg | 540.552.7716 www.blacksburgpharmacy.com

Mitch West, PharmD West Pharmacy Roanoke | 540.774.5500

HONORABLE MENTION Cameron Brooks, PharmD Brooks-Byrd Pharmacy Salem | 540.389.8111

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Physical Medicine

2019

ROANOKE

FIRST PLACE Deborah Mowery, MD LewisGale Physicians Salem | 540.283.3660 www.lgphysicians.com

SECOND PLACE Mark Kasmer, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

THIRD PLACE Richard Weiss, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

HONORABLE MENTION Lydia McNeary, MD Carilion Clinic Roanoke | 540.985.8000 www.carilionclinic.org

2019

NEW RIVER VALLEY

FIRST PLACE

Bradley McCrady, DO, CAQSM, FAAPMR VCOM Sports and Osteopathic Medicine Blacksburg | 540.231.4000 www.osteopathicsports.com

SECOND PLACE Ethan Colliver, DO Valley Sports and Spine Clinic Blacksburg | 540.443.3832 www.valleysportsandspine.com

THIRD PLACE Ralph Brown, Jr., MD Carilion Clinic Pearisburg | 540.731.2992 www.carilionclinic.org

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Physical Therapy

2019

ROANOKE

NEW RIVER VALLEY

Wendy Lucas, PT Lucas Therapies Roanoke | 540.772.8022 www.lucastherapies.com

Christopher Rogers, PT Rogers Physical Therapy Blacksburg | 540.739.3082 www.rogersphysicaltherapy.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Tyler Bowersock, DPT, CSCS University Physical Therapy Roanoke | 540.774.0729 www.universityptonline.com

Jessica Rider, MPT CORA Physical Therapy Roanoke | 540.982.2208 www.coraphysicaltherapy.com

Cindy Henderson, PT, DPT, AT, C, FAFS CORA Physical Therapy Blacksburg | 540.951.2703 ww.coraphysicaltherapy.com

Bryon Batty, PT University Physical Therapy Blacksburg | 540.552.5100 www.universityptonline.com

HONORABLE MENTION

Kim Holt, MPT Roanoke Rehabilitation and Wellness Roanoke | 540.774.9000 www.roanokept.com

HONORABLE MENTION

Jennifer McCrady, DPT University Physical Therapy Radford | 540.633.0413 www.universityptonline.com

Nate Gay, PT Primary Solutions Physical Therapy Vinton | 540.529.9381 www.primarysolutionspt.com Jed Gorman, DPT Spine and Orthopedic Rehab of Virginia, Inc. Roanoke | 540.366.9245 www.physicaltherapyroanokeva.com

Remco Schreuders, MPT Advanced Physical Therapy of Virginia Salem | 540.444.0291 www.aptofva.com

THIRD PLACE

Glen Davis, PT COMT CORA Physical Therapy Blacksburg | 540.951.2703 ww.coraphysicaltherapy.com Ron Masri, DPT, DPT, OCS, ATC, FAAOMPT Total Motion Physical Therapy Blacksburg | 540.585.4841 www.totalmotionpt.net

Physician Assistant (PA)

2019

NEW RIVER VALLEY

ROANOKE

FIRST PLACE

FIRST PLACE (TIE)

Steven Evans, MSPA-C New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.com

Matthew Bowles, PA-C LewisGale Physicians Salem | 540.772.3430 www.lgphysicians.com Arun Sun, PA-C Virginia Interventional Pain and Spine Center Roanoke | 540.777.0090 www.vapainsc.com

SECOND PLACE

THIRD PLACE

Jason Bailey, PA-C River Ridge Dermatology Blacksburg, Roanoke and Narrows 540.951.DERM (3376) www.riverridgederm.com

Rhonda Nunley, RN, PA-C Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

HONORABLE MENTION Reese Clark, PA-C LewisGale Physicians Salem | 540.283.3660 www.lgphysicians.com

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Mary Vandergrift, PA-C Intercept True North Health Clinic Roanoke | 540.523.8080 www.intercepthealth.com

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

THIRD PLACE

SECOND PLACE Matthew Shortt, PA-C Sideline Orthopedics and Sports Medicine Blacksburg | 540.552.7133 www.sidelineortho.com

HONORABLE MENTION Beth Ashe, PA-C Sideline Orthopedics and Sports Medicine Blacksburg | 540.552.7133 www.sidelineortho.com Misty Basham-Leedy, PA Carilion Clinic Blacksburg | 540.951.8380 www.carilionclinic.org

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

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

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Plastic Surgery: Cosmetic ROANOKE & NEW RIVER VALLEYS

SECOND PLACE

HONORABLE MENTION

Philip Grubbs, MD Plastic Surgery Center of Virginia Blacksburg | 540.951.8885 www.carilionclinic.org

Kurtis Moyer, MD Carilion Clinic Cosmetic Center Roanoke | 540.853.0510 www.carilionclinic.org

Anthony Capito, MD Carilion Clinic Cosmetic Center Roanoke | 540.853.0510 www.carilionclinic.org

THIRD PLACE

Norman Harris, II, MD Norman Harris, MD Roanoke | 540.776.6979 www.doctor-harris.com

FIRST PLACE (TIE)

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

Barton Thomas, MD, FACS Roanoke Plastic Surgery Roanoke | 540.581.1400 www.roanokeplasticsurgery.com

Plastic Surgery: Reconstructive ROANOKE & NEW RIVER VALLEYS

FIRST PLACE (TIE)

Steven Harris, MD Jefferson Surgical Clinic Salem | 540.283.4962 www.jeffersonsurgical.com James T. Thompson, II, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Congratulations WINNERS OF THE

SECOND PLACE Kurtis Moyer, MD Carilion Clinic Rocky Mount | 540.224.5170 www.carilionclinic.org

THIRD PLACE Mark Feldman, MD, FACP Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

2019

BEST BEDSIDE MANNER Awards!

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Podiatry

2019

ROANOKE

NEW RIVER VALLEY

FIRST PLACE

FIRST PLACE

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

Mark Wilt, DPM, FACFAS Foot and Ankle Clinic of the Virginia’s Blacksburg | 540.552.3668 www.drfootpain.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

Randy Clements, DPM Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

Craig Wilhelms, DPM Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

Robert Schopf, DPM Foot and Ankle Clinic of the Virginia’s Blacksburg | 540.552.3668 www.drfootpain.com

HONORABLE MENTION

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

Peter Kelly, DPM Roanoke Foot and Ankle Roanoke | 540.989.3338 www.roanokefootandankle.com

2019

THIRD PLACE

2019

2019

Jason Naldo, DPM Carilion Clinic Christiansburg | 540.510.6200 www.carilionclinic.org

2019

Psychiatry

2019

NEW RIVER VALLEY

ROANOKE

FIRST PLACE

FIRST PLACE (TIE)

Nnenna Okereke, MD Carilion Clinic Christiansburg | 540.731.7311 www.carilionclinic.org

Gerald DeMasters, MD LewisGale Physicians Salem | 540.772.2801 www.lgphysicians.com Jitendra Desai, MD Avenues to Wellness Roanoke | 540.345.6468 www.avewell.com

SECOND PLACE Circe Cooke, MD New River Valley Community Services Pulaski | 540.961.8300 www.nrvcs.org

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

Brian Wood, DO, DFAPA LewisGale Physicians Salem | 540.444.0460 www.lgphysicians.com

Joseph Iskandar, DO Joseph W. Iskander, D.O., FAPA, Child, Adolescent and Adult Psychiatry Roanoke | 540.344.5100 www.josephiskandardo.com

Gagandeep Singh, MD New River Valley Community Services Pulaski | 540.994.5023 www.nrvcs.org

HONORABLE MENTION Jason Grove, DO Mountain Psychiatric, LLC Salem | 540.772.3485 www.mountainpsychiatric.com

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Richard Leggett, MD Richard Leggett, MD Salem | 540.776.1018

Norah Silver, MD LewisGale Physicians Salem | 540.444.0460 www.lgphysicians.com

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

THIRD PLACE

Michael Greenage, DO Carilion Clinic Christiansburg | 540.981.8025 www.carilionclinic.org

Congratulations Winners of the

2019 BEST BEDSIDE MANNER AWARDS!

2019

2019

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2019

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Psychology and Counseling

2019

ROANOKE

NEW RIVER VALLEY

Keith McCurdy, ED.S, LPC, LMFT Total Life Counseling, Inc. Roanoke | 540.989.1383 www.totallifecounselinginc.com

Jane Hundley, LCSW Psychological Health Roanoke Christiansburg | 540.772.5155 www.psychhealthroanoke.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Chris Miller, PhD, LPC Thriveworks Roanoke | 540.788.5090 www.thriveworks.com

Ella Pecsok, PhD Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

Jennifer Mercier, LPC Healing Tree Counseling Blacksburg | 540.808.3382 www.htcounseling.com

HONORABLE MENTION

Lisa Teegarden-Cabay, PhD, LCP Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

HONORABLE MENTION

Neena Cassell, PhD Salem VAMC Salem | 540.982.2463 www.salem.va.gov Emily DeFrance, PhD Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

Christy Vaughn, LPC Tinker Creek Creative Counseling, LLC Roanoke | 540.562.0800 www.tinkercreekcreativecounseling.com

THIRD PLACE

Lisa Goatley, MS, LPC The Cascade Group Blacksburg | 540.951.4800 www.thecascadegroupblacksburg.com

Johanna Jones, LPC Thriveworks Blacksburg | 540.376.3348 www.thriveworks.com

2019 2019

2019 2019

Pulmonary Medicine ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

James Witten, MD LewisGale Physicians Salem | 540.772.3540 www.lgphysicians.com

2019

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

Andre Muelenaer, Jr., MD Carilion Clinic Roanoke | 540.985.9835 www.carilionclinic.org

Nelson Greene, MD LewisGale Physicians Salem | 540.772.3540 www.lgphysicians.com

Robert Keeley, MD Pulmonary Medicine Associates Roanoke | 540.342.6701

Radiation Oncology ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Robert Heath, MD Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

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2019

SECOND PLACE

HONORABLE MENTION

Karanita Ojomo, MD Blue Ridge Cancer Care Pulaski | 540.994.8545 www.blueridgecancercare.com

David Buck, MD Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

THIRD PLACE John McCool, MD Blue Ridge Cancer Care Pulaski | 540.994.8545 www.blueridgecancercare.com

Best Bedside Manner Awards

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2019

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Radiology

2019

ROANOKE

NEW RIVER VALLEY

Robert O’Brien, MD Insight Imaging Roanoke | 540.581.0882 www.myInsightImaging.com

Donna Aubrey, MD Carilion Clinic Christiansburg | 540.731.2810 www.carilionclinic.org

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Evelyn Garcia, MD Carilion Clinic Roanoke | 540.981.7122 www.carilionclinic.org

James Matthews, MD Insight Imaging Roanoke | 540.581.0882

Bharat Patel, MD Carilion Clinic Christiansburg | 540.731.2810 www.carilionclinic.org

www.myInsightImaging.com

HONORABLE MENTION Ronald Broadwell, MD Radiology Associates of Roanoke, PC Roanoke | 540.283.3700

THIRD PLACE

Thomas Bishop, MD Carilion Clinic Rocky Mount | 540.981.7083 www.carilionclinic.org

READ THIS EDITION OF

John Steffe, Jr., MD Carilion Clinic Roanoke | 540.981.7122 www.carilionclinic.org

Roanoke & New River Valleys ON YOUR TABLET OR SMARTPHONE

Rheumatology

2019

ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Garry Bayliss, MD LewisGale Physicians Salem | 540.444.5600 www.lgphysicians.com

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

Jeff Croteau, MD Roanoke | 540.224.5170 www.carilionclinic.org

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

Sorina Dancea, MD LewisGale Physicians Salem | 540.444.5600 www.lgphysicians.com

Sleep Medicine

2019

ROANOKE

NEW RIVER VALLEY

Sameh Aziz, MD Carilion Clinic Roanoke | 540.985.8505 www.carilionclinic.org

Donald Zedalis, MD Sleep Disorders Network of Southwest Virginia Christiansburg | 540.382.1165

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Frank Biscardi, MD Carilion Clinic Roanoke | 540.985.8505 www.carilionclinic.org

Claudia Corrales, MD LewisGale Physicians Salem | 540.772.3450 www.lgphysicians.com

Mahtab Foroozesh, MD Carilion Clinic Christiansburg | 540.731.7460 www.carilionclinic.org

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

THIRD PLACE

John Leslie, Jr., MD Carilion Clinic Blacksburg | 540.731.7450 www.carilionclinic.org

Congratulations to all the Winners of the 2019 BEST BEDSIDE MANNER AWARDS www.OurHealthRoanokeNRV.com

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Sports Medicine

2019

ROANOKE

NEW RIVER VALLEY

Delmas Bolin, MD Performance Medicine of Southwestern Virginia Roanoke | 540.772.1890 www.pmswva.com

Mark Rogers, DO, CAQSM, FAAFP, FAOASM VCOM Sports and Osteopathic Medicine Blacksburg | 540.231.4000 www.osteopathicsports.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

James Farmer, MD LewisGale Physicians Salem | 540.444.4020 www.lgphysicians.com

Mark Kasmer, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

Bart Eastwood, DO Sideline Orthopaedics and Sports Medicine Christiansburg | 540.773.2656 www.sidelineortho.com

HONORABLE MENTION Stephen Cromer, DO Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

THIRD PLACE

Ethan Colliver, DO Valley Sports and Spine Clinic Blacksburg | 540.443.3832 www.valleysportsandspine.com

HONORABLE MENTION Bradley McCrady, DO, CAQSM, FAAPMR VCOM Sports and Osteopathic Medicine Blacksburg | 540.231.4000 www.osteopathicsports.com

Brent Johnson, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

Surgery: Cardiac ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Joseph Baker, MD Carilion Clinic Roanoke | 540.853.0100 www.carilionclinic.org

2019

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

James Taylor, DO LewisGale Physicians Salem | 540.776.2020 www.lgphysicians.com

Joseph Rowe III, MD Carilion Clinic Roanoke | 540.853.0100 www.carilionclinic.org

Cemil Purut, MD LewisGale Physicians Salem | 540.776.2020 www.lgphysicians.com

Surgery: Colon and Rectal ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Keith Munson, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

2019

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

David Stoeckle, MD LewisGale Physicians Blacksburg | 540.552.0005 www.lgphysicians.com

David Minichan, Jr., MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

Farrell Adkins, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

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2019

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2019

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Surgery: General

2019

ROANOKE

NEW RIVER VALLEY

James Callis, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

Jason Fowlkes, MD LewisGale Physicians Blacksburg | 540.961.11590 www.lgphysicians.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Nadeem Khuri, MD, FACS Salem Surgical Salem | 540.772.3008 www.salemsurgical.net

David Luyimbazi, MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Amanda Reese, DO LewisGale Physicians Blacksburg | 540.552.0005 www.lgphysicians.com

HONORABLE MENTION

Eric Steen, DO LewisGale Physicians Salem | 540.772.3620 www.lgphysicians.com

HONORABLE MENTION

Dominique Dempah, MD LewisGale Physicians Salem | 540.772.3620 www.lgphysicians.com John Hagy, Jr., MD Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Lisa Gray, DO LewisGale Physicians Dublin | 540.980.9660 www.lgphysicians.com

THIRD PLACE

David Stoeckle, MD LewisGale Physicians Blacksburg | 540.552.0005 www.lgphysicians.com

Charles Harris, MD Carilion Clinic Christiansburg | 540.731.7600 www.carilionclinic.org

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Surgery: Hand ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

Norman Harris, II, MD Norman Harris, MD Roanoke | 540.776.6979 www.doctor-harris.com

SECOND PLACE

THIRD PLACE

HONORABLE MENTION

Micah Jones, DO LewisGale Physicians Salem | 540.772.3620 www.lgphysicians.com

Hugh Hagan, III, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

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

Surgery: Neurosurgery ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

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

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SECOND PLACE

THIRD PLACE

Gregory Howes, DO Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Raymond Harron, DO Harron Neurosurgery Roanoke | 540.400.8777 www.harronneurosurgery.com

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2019

2019

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Surgery: Orthopaedic

2019

ROANOKE

NEW RIVER VALLEY

James Farmer, MD LewisGale Physicians Salem | 540.444.4020 www.lgphysicians.com

Bart Eastwood, DO Sideline Orthopedics and Sports Medicine Christiansburg | 540.773.2656 www.sidelineortho.com

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Joseph Moskal, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

John Mann, III, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

Jonathan Maher, MD Carilion Clinic Blacksburg | 540.510.6200 www.carilionclinic.org

HONORABLE MENTION

HONORABLE MENTION

Preston Waldrop, MD LewisGale Physicians Salem | 540.444.4020 www.lgphysicians.com

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

THIRD PLACE

Christofer Catterson, MD Carilion Clinic Blacksburg | 540.510.6200 www.carilionclinic.org

Surgery: Spine

2019

ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

SECOND PLACE

THIRD PLACE

Jonathan Carmouche, MD Carilion Clinic Roanoke | 540.510.6200 www.carilionclinic.org

James Leipzig, MD LewisGale Physicians Salem | 540.725.9771 www.lgphysicians.com

Gregory Riebel, MD LewisGale Physicians Salem | 540.444.4020 www.lgphysicians.com

Surgery: Vascular

2019

ROANOKE

NEW RIVER VALLEY

James Drougas, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

Ashish Raju, MD Carilion Clinic Blacksburg | 540.731.7600 www.carilionclinic.org

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

William H’Doubler, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

Thomas Conlee, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

LaMiere Downing, MD Carilion Clinic Blacksburg | 540.731.7600 www.carilionclinic.org

HONORABLE MENTION James Callis, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

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Urgent Care Medicine

2019

ROANOKE

NEW RIVER VALLEY

David Alligood, MD Express Family Care Roanoke | 540.400.6676 www.expressfamilycare.com

Michelle Rockwell, MD Carilion Clinic – Velocity Care Christiansburg | 540.382.6000 www.carilionclinic.org

FIRST PLACE

FIRST PLACE

SECOND PLACE

THIRD PLACE

SECOND PLACE

Serge Depret-Guillaume, MD AFC Urgent Care Roanoke Roanoke | 540.274.0566 www.afcurgentcare.com

Scott Crosby, MD Express Family Care Roanoke | 540.400.6676 www.expressfamilycare.com

Kenneth Mcintyre, MD Carilion Clinic – Velocity Care Christiansburg | 540.382.6000 www.carilionclinic.org

HONORABLE MENTION Jennifer Easterday, MD Carilion Clinic Roanoke | 540.772.8670 www.carilionclinic.org

THIRD PLACE

David Woodson, DO Carilion Clinic – Velocity Care Christiansburg | 540.921.6110 www.carilionclinic.org

READ THIS EDITION OF

Roanoke & New River Valleys ON YOUR TABLET OR SMARTPHONE

Urogynecology

2019

ROANOKE & NEW RIVER VALLEYS

FIRST PLACE

James Daucher, MD Blue Ridge Urogynecology and Aesthetics Roanoke | 540.904.2845 www.blueridgeurogynecology.com

SECOND PLACE William Greer, MD Carilion Clinic Hardy | 540.985.4099 www.carilionclinic.org

THIRD PLACE Natalie Karp, MD Carilion Clinic Roanoke | 540.985.4099 www.carilionclinic.org

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Urology

2019

2019

ROANOKE

FIRST PLACE Charles Daniel, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

SECOND PLACE

THIRD PLACE

Mark Schmidt, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

Rodney Poffenberger, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

HONORABLE MENTION

Christopher Reynolds, MD Carilion Clinic Salem | 540.382.3440 www.carilionclinic.org

David Kagey, MD Urology Associates, LTD Roanoke | 540.343.8066

NEW RIVER VALLEY

FIRST PLACE

Brian Tully, MD Carilion Clinic Christiansburg | 540.382.3440 www.carilionclinic.org

SECOND PLACE

THIRD PLACE

Judy Chun, MD Carilion Clinic Christiansburg | 540.382.3440 www.carilionclinic.org

Christopher Reynolds, MD Carilion Clinic Christiansburg | 540.382.3440 www.carilionclinic.org

Join us in Congratulating WINNERS OF THE

2019 BEST BEDSIDE MANNER AWARDS O N

As of summer 2019, all doctors receiving recognition for their bedside manner held current certification from the American Board of Medical Specialties (ABMS), as applicable. The American Board of Medical Specialties is the recognized leader in developing and setting the gold standard for physician specialty certification in the United States. The 24 ABMS Member Boards that offer Board Certification in 40 specialties and 87 subspecialties adhere to rigorous training and assessment standards. It is for this reason, that all physicians recognized in OurHealth Roanoke and New River Valleys Best Bedside Manner Awards are certified by one or more of the American Board of Medical Specialties Member Boards in their applicable specialty or subspecialty as verified through our partnership with ABMS Solutions™ The Primary Source for Verification.

SOCIAL MEDIA!

www.OurHealthRoanokeNRV.com

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MEDICAL PROFILES

BLACKSBURG EYE ASSOCIATES

2019

2019

YOUR LOCAL SOURCE FOR EYE CARE AND EYE WEAR First & Main Shopping Center | 1440 S. Main Street | Blacksburg c 540.953.2020 | w www.blacksburgeye.com | f f g f

Who Are the Doctors of Blacksburg Eye Associates?

Blacksburg Eye Associates is home to four therapeutic-certified optometrists, John Dovie, OD, Colleen Mitchell, OD, Jessica Beaudoin, OD and Adrianna Hempelmann, OD. Each provides a full range of eye care to patients in and around Blacksburg.

Founded in 2008 by Dr. John M. Dovie, a graduate of Virginia Tech and the Pennsylvania College of Optometry (now Salus University), Blacksburg Eye Associates offers comprehensive eye care and a full service optical boutique with a large selection of glasses and sunglasses.

In 2013 Dr. Colleen Mitchell joined the staff, bringing with her clinical experience in comprehensive eye care, with a focus on ocular diseases, myopia control, scleral contact lenses, and orthokeratology, or corneal refractive therapy.

AWARD WINNING SERVICES EIGHT YEARS IN A ROW!

What Services Does Blacksburg Eye Associates Offer?

You can think of your optometrists at Blacksburg Eye Associates as the “primary care provider” for your eyes. With our equipment and expertise, our examination is designed to detect and manage not only diseases and disorders of the visual system, but also signs of systemic disease. We also offer specialty services including our dry eye clinic evaluation, myopia control, scleral contact lenses, low vision services, visual neurorehabilitation, and vision therapy.

Shortly after, Dr. Jessica Beaudoin joined the team. Dr. Beaudoin provides comprehensive eye care. She also has a passion for low vision care, and providing care to patients with significant vision loss.

Blacksburg Eye Associates most recently welcomed Adrianna Hempelmann, OD. Dr. Hempelmann focuses on pediatrics (17 and under) and patients with binocular vision disorders (eye turns, lazy eye, etc.) of any age.

What Makes Blacksburg Eye Different from Other Optometrists?

Because of our commitment to convenient and accessible service and in order to meet the needs of the growing community in and around Blacksburg we offer the following:

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Pediatric eye care with a focus on visual function and nonsurgical options, including myopia control, visual neurorehabilitation, vision therapy, and free InfantSEE exams.

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We offer online appointment requests, scheduling, and forms.

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Our optical showroom houses over 1200 frames, ranging from budget-conscious to hand-made in Spain.

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We offer a one of a kind in-house “WOW Guarantee” on all glasses bought from us – we unconditionally guarantee the quality of the product and if it breaks for any reason we will replace it for only $25.

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We are conveniently located less than a mile away from the Virginia Tech campus in the First & Main Shopping Center.

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We are growing! We have four full-time optometrists and a team of over 20 well-trained staff eager to help you see and look your best.

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

What’s Special About the Optical Boutique?

Blacksburg Eye Associates is home to one of the largest optical showrooms in the area, including glasses, sunglasses, computer eyewear, prescription sports eyewear, swim goggles, athletic safety glasses, and more. Whether you are using a prescription from one of our doctors, an outside prescription, or just shopping for a new pair of sunglasses, Blacksburg Eye Associates has your needs covered!

www.OurHealthRoanokeNRV.com

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MEDICAL PROFILES

LENK ORTHODONTICS GIVING SOUTHWEST VIRGINIA A REASON TO SMILE 228 Commons Parkway | Daleville | c 540.966.3990 w www.lenkbraces.com | f Lenk-Orthodontics

What age should my child be seen by an orthodontist?

The American Association of Orthodontists recommends children to be evaluated by an orthodontist by the age of seven years. At Lenk Orthodontics, we try to postpone the onset of formal orthodontic care if possible.

Early evaluations, however, are valuable to ensure normal growth and development. Orthodontists are specialists in the growth and development of the head and neck. As a result, they can detect many problems early and make recommendations to improve or fix the problems or to prevent the problems from getting worse. Recommendations do not always involve the placement of braces on teeth. If it is deemed braces or other forms of orthodontic treatment would benefit a patient, then early evaluations and establishing a relationship with an orthodontist allows for the onset of such care to occur at an ideal time in a child’s development. This ensures treatment is provided before problems become too bad or irreversible, and it ensures treatment is started at an ideal time in development to allow for efficiency, effectiveness and affordability of treatment!

Can you be too old for braces?

No way! While adult teeth sometimes move a little slower than children’s teeth, adults can benefit from orthodontics as much and sometimes even more than a child! Any healthy adult that does not present with active periodontal disease (a disease associated with the loss of bone and gum from around the teeth) can use braces or clear tray aligners to either restore their mouth or to perfect their smile. The alignment of teeth and the establishment of a normal bite also changes the appearance of the lips, jawline, chin, profile and overall facial esthetics. Almost every person could benefit from orthodontic treatment at some level. The great news is you don’t have to be a teenager or even have to have metal rings or braces glued to your teeth to reap the benefits orthodontics has to offer now!

How can I guarantee my teeth stay straight after my care is completed?

My office provides all patient with retainers and ensures they understand that active retention is a life-long necessity. Because teeth can move for the rest of a person’s life our office follows “the standard of care” by providing fixed/permanent retainers to patients that qualify for this service. Every patient receives removable retainers (sometimes two sets). In addition, our patients are patients for life. We do not take the braces off and have our patients call if and when they need us. We put every patient on a recall schedule, meaning we call them at predefined time periods to see them even after care has been completed. The goal is to monitor and guide continued development, to ensure permanent retainers are secure and clean, to ensure removable retainers are still fitting and active, and to catch up (because we love our patients and miss them when their care is complete!)

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MISTY D. LENK, DDS, MS

Will I get scars or cavities on my teeth if I get braces?

Every single patient at Lenk Orthodontics has fluoride varnish applied to their teeth in order to prevent scars and cavities from developing under wires, around braces and near the gum line. Our patients do not pay more for this service. Our bonding system has been proven to decrease breakage of appliances. It stays on the teeth during the entire course of care. It cannot be removed during general cleanings at the dental office or with aggressive tooth brushing.

And it has also been proven to actively protect the teeth the entire time it remains on the teeth!

Do I need a referral from my dentist to see an orthodontist?

Although it is recommended that a patient establish or maintain a working relationship with a dental office if and when they receive formal orthodontic treatment, a referral from a general dentist is not necessary in order to obtain an examination at an orthodontist’s office.

2019

DR. LENK AND STAFF

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MEDICAL PROFILES

INSIGHT IMAGING

ROBERT O’BRIEN, MD | JAMES MATTHEWS, MD 2923 Franklin Road SW | Roanoke | c 540.581.0882 | w www.myInsightImaging.com | f f f f Hours: Monday – Friday, 6 am – 10 pm; Saturday – Sunday, 8 am – 4:30 pm

Why Choose Insight Imaging For My Imaging Needs?

At Insight Imaging in Roanoke, we understand that when your health is in question, you want answers. That is why we offer evening and weekend hours, including same-day appointments when needed. Our associates are here to answer any insurance questions and are also able to give you a personalized price quote before your appointment. We understand how critical our role is in getting you the care you need so you have peace of mind. That’s why our team of specialists works with you and your doctor to deliver accurate results the first time, timely and efficiently. With the latest equipment, technology and expertise, we have the power to make the unknown, known. To give you the right answers that lead to important decisions.

Do I Really Have A Choice Of Imaging Facilities?

You have the power of choice. While your doctor or insurance provider may offer referrals, ultimately, you are in control of your own care. In fact, even if you are seen by a doctor at the hospital, you do not need to have your imaging done at that hospital. Not all imaging facilities are the same. At Insight Imaging in Roanoke, we cost 30-50% less than hospital-affiliated imaging providers.

2019

What Are Some Of The Services Offered At Insight Imaging?

HIGH-FIELD MRI: captures high-quality, clear images.

Also, Insight Imaging now offers Prostate MRI. HIGH-FIELD OPEN MRI: high-quality images in an open scanner, ideal for claustrophobic, anxious or larger patients.

CT: detailed images of your organs and vascular system, as well as your abdomen and bones.

INJECTIONS FOR PAIN: cost-effective options to better analyze and treat joint pain.

REGENERATIVE MEDICINE: non-surgical treatments used to treat various orthopedic injuries, including tendon, joint, osteoarthritic conditions and soft tissue injuries.

ULTRASOUND: imaging with no radiation exposure or injections.

X-RAY: quick and convenient, walk-ins accepted.

2019

Congratulations Robert O’Brien, MD and James Matthews, MD on your award winning services!

2019

MEDICAL PROFILES

2019

2019

RIVER RIDGE DERMATOLOGY 3706 South Main Street, Suite B | Blacksburg 2110 Carolina Avenue, 3rd Floor | Roanoke 2829 Virginia Avenue | Narrows c 540.951.DERM (3376) | w www.RiverRidgeDerm.com

What Services Does River Ridge Dermatology Offer?

Why Should You See a Dermatologist?

River Ridge Dermatology provides medical, surgical, and cosmetic dermatology services. Our board-certified dermatologists treat and prevent common and rare medical skin conditions including allergic reactions, dermatitis, eczema, psoriasis, acne, warts, skin infections, venereal diseases, blistering diseases, moles and other skin growths, —as well as internal diseases that manifest in the skin. We care for skin of all shades and at every stage of life. Some skin conditions require surgical procedures, and River Ridge dermatologists can assess and surgically treat these conditions to ensure your overall health. River Ridge Dermatology also offers cosmetic dermatology treatments, which help to rejuvenate damaged skin and repair problems that interfere with good skin health and confidence.

Has this mole changed color? Where did this rash come from? Can I get rid of this acne? When you need answers to questions like these, a dermatologist can help. A dermatologist is a doctor who specializes in the health of your skin, hair, and nails. They treat and prevent common skin conditions like allergic reactions and acne. Dermatologists also perform the life-saving task of screening and treating skin cancer, which affects one in five Americans by the age of 70. According to the Skin Cancer Foundation, more than two people die of the disease every hour. However 99% of all cases are curable if they are diagnosed and treated early, so we encourage everyone to schedule a yearly skin check. When these or other skin, hair, or nail issues arise, make an appointment — we can help.

What is Mohs Surgery?

Mohs surgery is a precision surgical technique that targets cancerous skin cells layer by layer, while minimizing damage to surrounding healthy tissue. Mohs surgery is done in short stages with lab work processed on-site while you wait.

How is River Ridge Bringing More Dermatology Care to the Area?

River Ridge is actively engaged in educating the next generation of dermatologists: we proudly participate in the LewisGale Hospital Montgomery Graduate Education program. Having recently completed rigorous medical education programs, resident physicians bring innovative practices and methodologies to the field of dermatology and to our patients.

Jason Bailey, PA-C | Chad Johnston, DO, FAAD | Aleksandra Brown, DO, FAOCD, FAAD | Seth Morgan, PA-C | Melanie Schano, MSN, FNP-C www.OurHealthRoanokeNRV.com

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MEDICAL PROFILES

ROANOKE VALLEY SPEECH & HEARING CENTER

2019

2019

Speech Language Pathology | Audiology | Industrial Hearing Testing 2030 Colonial Avenue | Roanoke |

c 540.343.0165 | w www.rvshc.org

What Services Does Roanoke Valley Speech and Hearing Center Offer?

For 60 years, Roanoke Valley Speech and Hearing Center (RVSHC) has been helping people of all ages develop their communication skills so they can better relate to the world around them.

We provide comprehensive speech services for children through adults, including evaluation and speech therapy sessions. We also offer a full array of audiology services, including hearing evaluations, hearing aid fittings, custom ear molds, and auditory processing disorder (APD) testing.

SPEECH THERAPISTS (L to R): Melissa Patterson, MS, CCC-SLP Janet Miller, MS, CCC-SLP

We also provide on-site industrial hearing testing for companies that require testing for OSHA compliance. This mobile unit is operated by a CAOHC Certified Hearing Conservationist and can test up to seven employees at a time.

What Makes RVSHC’s Providers Unique?

RVSHC’s highly-qualified and caring professionals hold master’s and doctoral degrees in their specialties from accredited universities, are licensed by the state of Virginia to practice audiology and/or speech-language pathology and hold the Certificate of Clinical Competence issued by the American Speech-Language-Hearing Association.

HEARING THERAPISTS (L to R): Heather Dickey, AuD CCC-A Michelle Ickes, PhD, CCC-A | Marty Smolak, Audiology Assistant

To schedule an appointment, contact us at 540.343.0165.

Improving quality of life by helping children and adults communicate effectively.

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www.OurHealthRoanokeNRV.com

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As a sophomore at Glenvar High School in western Roanoke County, Carly Wilkes has solidified herself as one of the top distance runners in the region, state and even the nation. But when persistent foot pain started to plague her, finding out the cause and how to overcome it before it sidelined her short- and long-term goals made it an opponent she didn’t see coming – or one she could beat alone. Fortunately, custom-fit foot orthotics proved to be the answer to keeping her hopes and dreams on pace. words | RICH ELLIS

While Carly Wilkes may be a typical teenager – a 15-year-old high school sophomore who enjoys hanging out with her friends and has hobbies that include swimming, baking, and cooking – she’s anything but typical when it comes to athletics, and specifically, to running.

Wilkes is a distance runner. A really, really good distance runner.

Carly Wilkes

As a freshman, she placed third in the state in the Virginia High School League’s (VHSL) State Cross Country Championships and second statewide in the 3200 meters and 1600 meters indoor track events. That same year she was named to the first team in the All-Timesland Runner rankings. And she was crowned the Three Rivers District Female Cross Country Runner of the Year.

This year as a sophomore, Wilkes’ dominating performance has continued. She ran in the Footlocker South Regional Cross Country race in Charlotte, NC on November 30 where she placed sixth, helping ‘Team Virginia’ capture the state award for having the highest scoring runners out of the 14 competing states, in addition to Puerto Rico and the U.S. Virgin Islands. Next year, Wilkes hopes to compete in the same event’s Championship race, where the top 10 finishers earn a berth in the Footlocker National Cross Country race in San Diego and compete against top 10 runners from the other regions.

When Should An Athlete’s Pain Become Cause for Concern?

Wilkes’ talent is already getting the attention of cross country and track programs at the collegiate level, which quite possibly could lead to athletic scholarship opportunities for her. Understanding a lot can happen between now and then, she remains focused on controlling what she can – remaining an excellent student in the classroom and continually getting stronger as a runner on the course and track. But when one of her greatest challengers became persistent foot pain that she couldn’t outrun or beat alone, Wilkes and her parents, Deidre and Kirk, knew it was time for a different game plan.

“The break-in period I recommend is to gradually start wearing them over the course of a week, before wearing them all the time. An orthotic’s lifespan depends on how it wears and a patient’s activity level. I encourage patients to return for a complimentary evaluation every six to eight months so we can examine the orthotics for excessive wear and make any necessary adjustments – particularly if there has been a change in shoe size as a child grows.”

BRADLEY CONNER A certified prosthetist-orthotist (CPO) with Virginia Prosthetics & Orthotics in Roanoke. www.OurHealthRoanokeNRV.com

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A mold made from an impression of Carly’s foot is carefully trimmed of excess material to ensure it will replicate with complete accuracy the orthotic that will be made using it.

A heat press conforms the material used to develop the orthotic to the foot mold designed specifically for Carly’s foot.

The molded orthotic is trimmed to fit Carly’s shoes. Orthotics can be adapted and worn in any type of shoe. They are recommended to be used daily, not just during athletic participation.

“What goes through your mind, as a parent, is, ‘Is this injury a seasonwas referred to Charles Zelen, DPM, a podiatrist with Foot and Ankle ending or career-ending one?’” explains Deidre. “You hear about these Associates of Southwest Virginia in Roanoke. types of injuries happening and wonder if it’s something that requires “Dr. Zelen examined Carly’s foot and could tell right away what the surgery. Information available online varies as to the cause and how to problem was,” Kirk explains. “She has really flat feet, coupled with treat it, which creates more speculation than certainty about what to do. a bunion that creates pressure in that area and causes her pain.

But what we were sure about was that Carly’s condition wasn’t getting Dr. Zelen suggested we should first consider custom foot orthotics to any better no matter how much she rested or by address the problem without surgery and wrote us running on softer surfaces [such as on grass instead “Running is an endurance a prescription for them.” of asphalt]. It became more and more evident she needed to be evaluated by a medical professional who sport, and the feet are Foot Pain in Athletes Commonly could tell us exactly what was going on before it got a runner’s foundation.

Unrelated to a Sports Injury worse and potentially caused long term harm.”

For Carly, the intermittent foot pain was more of a disappointment than anything else.

“When the time came for one of the more competitive meets – one where I knew there would be other really strong runners – it was so disappointing not to be able to run,” Carly recalls. “I tried to warm up and run through the pain, but I was having to limp and compensate with my other foot. I knew it wouldn’t be a good idea to try and race.”

The pain would come and go sporadically, mainly in her left foot, and specifically near the ball of that foot, under her second and third toes, and sometimes even radiate to the top of her foot.

So when a runner is experiencing foot pain, it prevents him or her from performing at their optimal level.

Additionally, this type of foot problem – if it isn’t corrected – can also lead to knee problems.”

– BRADLEY CONNER A certified prosthetist-orthotist (CPO) with Virginia Prosthetics & Orthotics in Roanoke.

“Sometimes, it would hurt just to even walk,” Carly says. “The pain first appeared around eighth grade, occurred mostly during track season in ninth grade, and got really bad toward the end of last outdoor track season [spring 2019], forcing me to miss a few meets.”

After off-the-shelf shoe inserts and an initial consultation with one doctor didn’t yield any improvements, Carly’s father Kirk decided to consult with a doctor who specializes in similar foot problems and 82

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Carly’s next step in her quest for pain-free running found her at Virginia Prosthetics & Orthotics in Roanoke, where she was examined by Bradley Conner, a certified prosthetist-orthotist (CPO).

“Carly has essentially two issues with her feet that are causing pain when she’s active,” Conner explains. “The first is pes planus – more commonly known as “flat feet” in which there is little or no arch. The second is over pronation where the foot rolls inward excessively.

Both issues are the result of genetics, as opposed to any type of injury. Another reason for her pain can be traced to metarsalgia – a painful inflammation of the ball of her foot that also can be causing some of the pain and numbness she’s experiencing with her toes.”

And while running isn’t the root cause of Carly’s foot issues or pain, it is exacerbating her condition due to the stress that accompanies the increased activity.

“Running is an endurance sport, and the feet are a runner’s foundation,” Conner explains. “So when a runner is experiencing foot pain, it prevents him or her from performing at their optimal level. Additionally, this type of foot problem – if it isn’t corrected – can also lead to knee problems.”

Once production of the orthotics is complete, they are inserted into shoes and carefully evaluated for precise fit and comfort, making adjustments as needed.

Custom-Fit Foot Orthotics Provide Total Contact with the Foot

The process for making custom orthotics is detailed and involved. It includes a thorough exam by a podiatrist, followed by a referral to an orthotist who will make an exact impression of the foot from which to manufacture the orthotics.

patients notice improvements within a week or two of first wearing their orthotics, while others may notice improvements right away.

“The break-in period I recommend is to gradually start wearing them over the course of a week, before wearing them all the time,” Conner explains.

“An orthotic’s lifespan depends on how it wears and a patient’s activity level. I encourage patients to return for a complimentary evaluation every six to eight months so we can examine the orthotics for excessive wear and make any necessary “My dream has always adjustments – particularly if there has been a change been to earn a scholarship in shoe size as a child grows.”

The orthotics that Conner designed for Carly differ significantly from off-the-shelf shoe inserts because they are custom made specifically for Carly’s feet, and as a result provide total contact with each foot.

“The fact that a patient receives a true total foot contact fit from the orthoses helps prevent excessive pressure points and delivers the maximum effectiveness when it comes to adjusting the foot,” Conner explains.

“With these types of foot conditions, there is a biomechanical imbalance in the foot. We need to correct it using a wedge or post that’s built into the orthotics.

That just can’t be done with an off-the-shelf insert.”

Carly’s orthotics make total contact with her feet because Conner began by taking an impression of her foot by pressing it into a foam-filled box. From that impression, the team at Virginia Prosthetics & Orthotics then formed a mold that is an exact replica of Carly’s foot, and from that, built an orthotic that slips easily into her running shoes and everyday shoes.

to run at the collegiate level. Not having to deal with constant pain is one less obstacle, but I know the path to reaching my goal isn’t going to get any easier.”

– CARLY WILKES

In Carly’s case, Conner says the orthotics work by supporting and aligning her foot to control her excessive pronation, alleviate her symptoms, and decrease her pain. The orthotics are composed of multiple foam and cork layers for comfort, and even though they’re custom molded, can be adjusted.

“We do a follow up after several weeks of wearing the orthotics, and one of the things we look at are wear patterns,” Conner explains. “They should be even – but if it’s excessive, we can make further adjustments.”

Additionally, Conner says he added a metatarsal pad to Carly’s orthotics to help with the pain she was experiencing at the ball of her foot by redirecting the pressure away from the ball back into the arch. Typically,

Carly says she wears the orthotics in all of her shoes – except for dress shoes or sandals – and then switches them out and puts them in her running shoes.

“They felt a little weird at first, but then you get used to them,” Carly says. “So far, I haven’t had any more foot problems, but I’ll really be able to tell when track season starts in the spring.”

Listen to Your Body: An Important Lesson Learned

For now, Carly feels her goals are back on track. Still, she is fully aware that nothing is guaranteed. Her experience has taught her a valuable lesson she won’t soon forget; adversity can present itself when you least expect it. And when it comes to injury or having pain that doesn’t improve, it’s how you react to and handle it that can make all the difference.

“My dream has always been to earn a scholarship to run at the collegiate level. Not having to deal with constant pain is one less obstacle, but I know the path to reaching my goal isn’t going to get any easier. Listening to my body and recognizing when it’s telling me something isn’t normal before letting it get worse is something I won’t forget,” concludes Carly.

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“What attracted me to Good Sam is it being a community-based non-profit with tenured leadership and a stellar reputation. These attributes for which the organization is known have made it natural to embrace, support and continue without interruption.”

- Aaron Housh -

Changing of the Guard AT GOOD SAM HOSPICE:

A Year Later

words | STEVE MCCLINTIC, JR.

One year after the founder of Good Samaritan Hospice retired as its CEO, Sue Ranson sits down the person who took over her former position – Aaron Housh – to discuss how he’s been keeping true to the organization’s mission while bringing about new change of his own.

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The celebration of a new year is traditionally marked by change intended to be good. Such was the case at the turn of 2019 when Good Samaritan Hospice’s founder, Sue Ranson, retired from her position as CEO while welcoming Aaron Housh as the new leader charged with helping guide the organization’s future. Work began, the months unfolded and literally like clockwork, a year has passed since the transition in what seemed like a blink of the eye.

While Ranson began a new chapter in her life that included traveling, spending quality time with family and volunteering, she has remained readily available to Housh – who she self proclaims being one of his biggest fans – to help in any way he may have needed. But as expected, the new CEO has adjusted quite well, having a well documented record of experience and success that has translated very favorably in his latest role that’s now nearly a year old.

In an opportunity each welcomed being apart of, Ranson and Housh recently sat down together during an informal Q&A-style chat to reflect on what has transpired at the community-based hospice during the past 12 months, as well as to look ahead at what area residents might expect from it in 2020 and beyond.

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

Ranson: What brought you to Good Sam? Do you feel you’ve made progress in reaching the goals you’ve set?

Housh: Well, to be honest, I wasn’t even looking for a job when the Good Sam opportunity presented itself. It just sort of came to me. But what attracted me to Good Sam is it being a community-based non-profit with tenured leadership and a stellar reputation. These attributes for which the organization is known have made it natural to embrace, support and continue without interruption. Of course, I do have a lot of hopes for this organization, as we all do. Right now, we are creating the foundation for realizing those dreams. The norm has changed, so we are all working together to learn more about one another, find our pace and move forward in a healthy and vibrant way.

It’s an exciting period. In some ways, it seems like it has been a long time, but it also seems like no time has passed at all.

Ranson: What have been your main challenges?

Housh: Like any organization, we have day-to-day issues that we have to resolve, but our biggest challenge has been navigating the major leadership transformation that has taken place in a relatively short amount of time. It’s not just my position that has changed. Several leaders have retired, and this kind of transition tends to create uncertainty. Managing and navigating that uncertainty has really been my focus this first year. I’ve been intentional about getting to know the organization and letting the organization get to know me.

In addition, differentiating ourselves in such a competitive hospice environment has been a challenge. In West Virginia and North Carolina – areas where I’ve served in hospice – we didn’t have as many hospices concentrated in the same area. Communicating our differences has been a challenge, but it is important work for us to do because people always have a choice about which hospice they want and they need to understand the pros and cons of those choices.

Ranson: In the communities that Good Sam serves, what have you discovered are the greatest misconceptions about hospice care and how do you plan to address these?

Housh: I think the misconceptions about hospice are more national in scope rather than regional. I haven’t necessarily encountered anything different in this area. What I really want to address is the myth that all hospices are equal because I have not found this to be true. While the core services may be similar, community-based hospices function differently. This is why we have aligned Good Sam with NPHI (National Partnership for Hospice Innovation) to better communicate those differences.

For example, we have a full-time in-house medical director, multi-tiered after-hours program, a vast bereavement program and a multitude of complementary therapy options that not all hospices offer. Many people think all hospices are the same and this is a fallacy. www.OurHealthRoanokeNRV.com

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Ranson: How have you been involved in the community in an effort to get to know people and share the message about the value of hospice care?

Housh: It has been a pleasure to get to know this community. I feel like people have accepted me, maybe because of Sue, who is so loved and respected. Everyone has been incredibly kind and helpful. I’ve been able to meet with many of our care partners, facility administrators, members of the palliative care partnership and similar organizations. What I know is that there is a true passion for endof-life care in this valley. It quickly felt like home.

Ranson: In this past year, what accomplishment do you believe has been most appreciated by those who have utilized hospice care?

Housh: Again, I think the focus we have given to enhancing our physician and nurse practitioner involvement has really served our patients and families well. The multi-level clinical expertise with sleep issues, anxiety and pain is phenomenal. These professionals really know how to make a difference. They go after symptoms aggressively.

Also, in our effort to treat the whole person, we have focused heavily on increasing our spiritual care and bereavement services. This, too, has been well received and I think the extra support is what really matters to people. Both patients and families want to know they are doing everything possible for their loved ones and it’s our job to offer the services that enable them to do that well.

Ranson: Can you give us a glimpse into what we might expect to see with Good Sam in 2020?

“It has been a very smooth transition, and I recognize that it’s not always this seamless. I see so many good things happening and know that it all translates into quality care for patients and families.”

Housh: I have done a great deal of observation in 2019, and our team has developed a

- Sue Ranson -

Housh: What about you, Sue? What have you discovered this past year?

comprehensive strategic plan for the future. Needless to say, 2020 has the potential for change that may impact our community in a significant way. There are a lot of opportunities on the horizon for this industry that we will consider. This may include the introduction of new service lines, expansions and partnerships. Whatever we do, though, it will be what we feel most benefits the patients and families we serve in this community. They come first.

Before concluding their chat, Housh has one question to ask of Ranson.

Ranson: Well, first, I am so grateful for the relationships I have maintained and for

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the many ways that I have been able to stay involved in hospice service. And from my perspective, it has been a very smooth transition, and I recognize that it’s not always this seamless. I see so many good things happening and know that it all translates into quality care for patients and families. For several years, we had been very intentional in establishing structure and operations in anticipation of this organizational change, and 2019 has been a reflection of that process. It’s evident that the goal is to maintain Good Sam’s vision for this community well into the future. In the midst of my own change, I’ve been able to pick up my first patient and go back to my roots as a volunteer. And I couldn’t be happier!

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Politics and religion have long been considered topics of conversation to steer clear of, especially when among families and friends. But a James Madison University communication studies professor is challenging this notion. Her research suggests that weighing in on these tough topics instead of avoiding them may spark conversations that can turn out to be more productive than divisive.

words | STEVE MCCLINTIC, JR.

While there are lots of good times to look forward to as the holidays approach, the season can also bring much unwanted stress. Whether it be diet concerns, the pressure of planning events or even anxiety over family gatherings, there’s no question that emotions can run high.

But when it comes to a line commonly, almost universally, considered one never to be crossed – discussing heavy topics that traditionally have a track record of wrecking havoc on the most merry of occasions – James Madison University professors Lori Britt, PhD and Jaime Kurtz, PhD suggest what many would believe unthinkable: invite politics and religion to the table this holiday season.

Dr. Britt, professor of communication studies at James Madison, says it actually may prove beneficial to dive into heavier topics over a meal with loved ones. As the focal point of her research – facilitating healing conversations – Britt’s aim is to shape dialogue that positively impacts individuals and communities.

“Well designed and facilitated talk can keep people at the table even when the issues are difficult. This offers more opportunity to collaboratively find solutions,” says Dr. Britt.

Well designed and facilitated talk can keep people at the table even when the issues are difficult.

This offers more opportunity to collaboratively find solutions.

– LORI BRITT, PhD –

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BE HAPPY DURING THE HOLIDAYS

Leave the Stress Behind

Happiness is among Dr. Kurtz’s research interests, including looking at how people in other countries view happiness compared to Americans. She has authored more than 30 books and papers on the subject, including “The Happy Traveler: Unpacking the Secrets of Better Vacations.”

A few suggestions Dr. Kurtz can pass along to ease holiday stress include:

» Don’t procrastinate. Spread out your

shopping and other holiday prep so you’re not overwhelmed and battling crowds at the last minute.

» Anticipate likely challenges. Is there a

particular relative you always butt heads with? A person who is especially hard to shop for? Travel headaches that leave you exhausted? You can strategize on how to manage these challenges ahead of time.

» Consider what research says about gift giving. Give gifts that connect you with your

loved ones (such as a spa day together), gifts that save time for busy people (a meal delivery service), an experiential gift (movie tickets or a hot air balloon ride) or gifts that somehow really say, “I understand you.”

» Most of all, just take the pressure off of yourself. The more you try to craft a perfect holiday, the more stressed, less present, less connected, and less happy you will be.

Lori Britt, PhD Associate Professor in the School of Communication and Director of the Institute for Constructive Advocacy and Dialogue (ICAD) at James Madison University.

Jaime Kurtz, PhD Associate Professor in the Department of Psychology at James Madison University.

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Dr. Britt’s teachings with the Institute for Constructive Advocacy and Dialogue at James Madison, where she serves as the director, is what the University describes as being infused with a passion for training students to design and facilitate conversations where people can tackle challenging issues and impede productive and healing conversations. Here are some tips she shares:

How to Have a Healing Conversation About Hot Button Topics Introduce a Topic in a Non-Confrontational Way Instead of beginning the conversation offering your viewpoint on a topic, first try to understand what others are concerned or hopeful for regarding pressing public issues. We have an easier time when we learn what people care about; the “why” rather than the “what” of their position.

The National Institute for Civil Discourse (NICD) offers these starter questions as part of its Revive Civility Project:

» What are you most thankful for about America? » What are your thoughts and feelings about the deep divisions and incivility we see now in the country?

A good practice is attempting to engage others through the spirit of curiosity. Dialogue shouldn’t be considered a competition where there’s a winner and loser; it’s about understanding each other. Try to shape the space into one where you can uncover the nuance. Think about asking questions that get beneath the surface of what another person believes so you can have a better understanding of why. This helps us humanize each other. For instance, I may not agree with my father’s commitment to free markets as the solution to many of our pressing concerns, but understanding his upbringing, his commitment to hard work, his career in banking, and his experience going through several recessions makes me understand why certain things are important to him. This allows us to learn about each other in deeper ways.

Establish Ground Rules for the Conversation If you are having a conversation with a large group, chances are there is going to be some strong opinions on both sides. Setting some ground rules before you begin can help keep everyone on point and reduce the chances of the conversation veering to far off the path. Examples can include:

» Assume Best Intent » Listen to Understand, Not to Counter » Don’t Interrupt » Share the Air (don’t monopolize the conversation)

If you get a group to agree to the guidelines, it’s easier to then gently remind or redirect a person or persons should the conversation seem to be getting off point. It may feel awkward to do at first, but in order to shape new habits for communication, we need to learn how to talk to each other in productive ways.

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Health Trends words | DYLAN ROCHE

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It’s inevitable that trends come and go. What’s popular today will be a memory tomorrow. And while it’s true that some practices do prove to have staying power, they still evolve with the changing times.

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10

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When it comes to health, modern science continually changes our concept of what’s best for the human body, whether it’s the food we eat, the exercises we do, the medicine we take or some other healthy habit we adopt.

But what the masses latch onto isn’t always what’s necessarily the best option, and the necessary information isn’t always available when the trend is at its peak. So, what health trends captured America’s attention over the past decade, and what do we think of those trends now in 2019? How has science shaped our understanding of these practices, and in what ways is their influence still a part of our culture? Let’s take a look.

We’re giving each trend a rank on a scale of 1 to 10.

Those that proved to have staying power and scientific support get higher scores, while those that flopped when put under scrutiny get lower scores.

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Elimination of Trans fats 2 3 4

10 ELIMINATION OF TRANS FAT

HEALTH RATING: The conversation around trans fats 10 years ago paved the way for partially hydrogenated oils to be removed from the market today, making the food industry safer for all consumers.

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The fight to eliminate trans fats from the American diet has been going on for decades, but it wasn’t until the last 10 or 15 years that it really entered mainstream conversation. And it wasn’t until 2019 that these dangerous oils finally left the market.

Found in processed fats like partially hydrogenated oils, trans fats pose a threat to health by lowering HDL cholesterol (commonly known as the good cholesterol) and raising LDL cholesterol (commonly known as the bad kind), thus contributing to heart disease.

Back in the early ‘90s, the Center for Science in the Public Interest began to urge 10 the Food and Drug Administration to include information about trans fats on food labels. But it wasn’t until 2006 that laws went into effect stating that trans fats had to be included on Nutrition Facts labels. That was also the year New York City became the first city to ban partially hydrogenated oils from all restaurants.

9

The year 2009 was a turning point, as studies showed then that more manufacturers were responding to the growing awareness by replacing trans fats in their products with healthier types of oil. In 2012, a study by the Centers for Disease Control and Prevention showed a decline in consumption of trans fat.

But the biggest progress took place in 2013, when the Food and Drug Administration announced a preliminary determination that partially hydrogenated oils were no longer generally recognized as safe. Two years later, the FDA went one step further and declared that the industry had three years to eliminate partially hydrogenated oils from all its recipes.

As of 2019, no new products can be made with partially hydrogenated oils, and the war on an especially dangerous ingredient has been won.

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Low-Carb Diets 2

3 Low-carb diets work for fast weight loss, but doctors still maintain that carbohydrates are an important source of energy. More importantly, those who consume too much saturated fat and avoid fruits and vegetables run the risk of hurting their long-term health.

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10

The aversion to carbohydrates has stuck around in one form or another, and the biggest diet craze today is ketogenic diets, known to most people simply as keto. In this form, 7 going low carb means being much more restrictive.

8 Doctors with the Mayo Clinic cite the scientific reasoning behind keto is that when you decrease carbohydrate intake, the body turns to fat for energy.

With keto, people must eat fewer than 50 grams of carbohydrates a day.

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LOW-CARB DIET

HEALTH RATING:

Even though the low-carbohydrate diet advocated by physician and cardiologist Dr. Robert Atkins has been around since the 1970s, it saw a resurgence in 3 the 2000s. Other popular eating plans based on reduced carbohydrate 4 consumption, such as the South Beach Diet, also evolved toward the end of the decade. The idea behind these diets was that cutting refined carbohydrates 5 and sugar could aid in weight loss.

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For many people, it works for weight loss. The catch? It calls for cutting out lots of healthy food, including many fruits and vegetables. There’s not enough research on the longterm effects of a ketogenic lifestyle, but doctors fear that the high levels of fat, particularly saturated fat, along with the limits on nutrientrich fruits, vegetables and grains, don’t bode well for a person’s health.

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Cannabis 2 3 4

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CANNABIS

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HEALTH RATING: 10

Far from being considered a dangerous psychoactive substance the way it once was, cannabis is now regarded for its health benefits. Times have definitely changed with this one!

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It’s amazing what a difference 10 years can make in the public’s perception of a drug. Cannabis, more commonly known as marijuana, has gone from being an illegal substance to an acceptable medicinal alternative to pharmaceuticals.

Although many progressive thinkers had been pushing to destigmatize cannabis for years prior, it still carried criminal penalties at the end of the last decade. Early in 2009, Olympic swimmer Michael Phelps suffered a scandal after a photo was released showing him smoking recreational cannabis. USA Swimming suspended him from competing for three months, and a heroic figure of athleticism lost the respect of many.

Fast-forward to today, and medicinal cannabis is legal in 29 states and Washington, D.C. Harvard Medical School estimates that 85 percent of Americans support the legalization of cannabis and at least several million Americans currently use it.

Does this make what Phelps did acceptable by modern standards? Maybe, maybe not.

Cannabis use among athletes is still a subject of debate. The World Anti-Doping Agency lists cannabis as prohibited in competition; however, a 2018 review published in the Clinical Journal of Sports Medicine notes that there is no evidence of performanceenhancing effects from cannabis and that it is useful for pain and concussion management.

And some athletes are open about their use, such as ultramarathoner Avery Collins, who advocates cannabis for athletes, claiming it helps him focus when he is running for hours at a time.

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Superfoods 2 3 4

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SUPERFOODS

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HEALTH RATING: The superfood trend has introduced many lesser known fruits and vegetables into the mainstream, but people should not let themselves believe that any one food is a cure-all miracle that will provide them all the nutrients they need.

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If you feel as if every year brings a new food trend…well, you’d be right. It all started in 2009 with a segment by Dr. Mehmet Oz (better known simply as Dr. Oz) on The Oprah Winfrey Show when he introduced America to a little-known fruit called the acai berry, touting it as having twice the antioxidant content of a blueberry.

Suddenly, everyone wanted to start eating acai berries for their enormous health benefits. And in the years that followed, specific foods would emerge from relative obscurity into the mainstream and be hailed for their cure-all properties: quinoa, kale, coconut, avocado and so forth. Each one of them was loosely referred to as a superfood.

Today, the trend continues, and although doctors and dietitians encourage people to try new foods, they want them to look past the hype around these so-called superfoods. Why? Well, as the experts at Harvard Medical School emphasize, no single food can offer all nutritional and health benefits the human body needs.

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Instead, people should start thinking of superfoods as important additions to the diet. It’s great that more people are eating healthy foods, but variety and balance is still key.

Consider this: A 2018 review published in the journal Food & Function looked at the effects of 17 superfoods sourced from an internet search and found only limited evidence for their effect on things like BMI, blood pressure and cholesterol levels.

So in the era of avocado toast, experts such as those at Harvard emphasize that people should not focus all their attention on one specific food to improve their health. Instead, they should focus on other equally nutritious options that might not get as much media attention.

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Swine Flu and Vaccinations 2 3 4

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SWINE FLU AND VACCINATIONS

HEALTH RATING:

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Reaction to the swine flu helped raise awareness about the importance of vaccinations, but there’s still progress to be made in eradicating all viruses.

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Swine flu was one of the biggest health stories of 2009 and 2010. The strain of influenza formally known as H1N1 broke out across the world. In the United States, the first reported cases supposedly resulted from trips to Mexico.

By March 2010, an estimated 59 million Americans had been affected, according to the Centers for Disease Control and Prevention.

By August 2010, the World Health Organization had declared that the outbreak had moved into post-pandemic mode. But during the time that swine flu was rampant, the U.S. government launched a massive vaccination campaign to fight its spread.

Through advertising and press conferences, the Centers for Disease Control and Prevention ran an aggressive campaign to spread awareness of and encourage vaccination, which played a major role in reining in H1N1, although it continues to circulate today as a strain of seasonal flu.

Many people responded to the campaign and started making flu shots a regular part of their fall health routine. The CDC estimates that vaccinations were able to prevent an estimated 5.3 million flu illnesses in the United States during the 2018 flu season.

But despite the CDC’s efforts, and despite the growing number of people who vaccinate every year, a vocal group of dissenters in 2019 continue to distrust vaccines — flu or otherwise. Case in point? Measles, which were eliminated in the United States in 2000, are making a comeback. So far in 2019, about 670 people from 22 states have been affected. Doctors emphasize that the best way to avoid the measles is to get the vaccine, but skeptics continue to fear negative side effects. Lack of insurance or access to health care is also an obstacle in the push for vaccination.

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Minimalist Running Shoes 2 3 4

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It’s not the worst trend to enter the mainstream, but science doesn’t seem to support the claims that these trendy shoes were any better for runners than other (i.e. less-expensive) versions. In 2019, most people are back to using traditional cushioned running shoes.

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Between 2010 and 2012, sales in minimalist shoes tripled. More and more people were subscribing to the idea that if they trained in these types of shoes, they could strengthen their feet back to how nature intended them to be.

But the American Academy of Sports Medicine and the American Podiatric Medical Association maintained 8 that there was not enough research to support either the benefits or the risks, and encouraged anyone interested in the trend to consult a podiatrist beforehand.

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MINIMALIST RUNNING SHOES

HEALTH RATING:

Interest in barefoot running and minimalist running shoes rose after the release of Christopher McDougall’s Born to Run. The idea behind the practice is that running shoes with thinner, minimalized soles encourage a natural gait, strengthen the foot and reduce risk of injury.

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Then the lawsuits started. Vibram, one of the leading manufacturers, settled in a class-action lawsuit stating its marketing made unsubstantiated claims that minimalist shoes were better for preventing injuries.

The trend very quickly fizzled out, although some runners continue to swear by minimalist shoes. As for the science behind it, a 2019 study published in the Journal of Applied Physiology explains that it’s less about the shoe itself and more about how athletes adjust their gait to compensate for the lack of cushioning. Runners in cushioned shoes tend to land on their heels whereas barefoot runners land on the balls of their feet to absorb the impact.

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Interval and Circuit Fitness Training

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10 INTERVAL AND CIRCUIT FITNESS TRAINING

HEALTH RATING: These workouts are scientifically supported and continue to grow in popularity.

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By the late 2000s, countless fitness junkies were embracing new workout routines like bootcamp-style fitness programs, functional fitness, circuit training and HIIT (high-intensity interval training). These types of fitness classes were popular because, as the Mayo Clinic observes, they require little or no equipment and they create a sense of camaraderie among the participants.

Over the past 10 years, these workouts continued to be popular, particularly circuit training and HIIT. The American 9 Council on Exercise (ACE) explains that most people give up a 10 fitness routine because they’re either bored or pressed for time.

Both these styles of exercise avoid those problems — they’re varied, so you don’t get bored, and they’re so intense that you get the benefits of a full workout in a shorter period of time.

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And that short amount of time still counts, according to the experts.

Per the recommendation of the Department of Health and Human Services, you should get 150 minutes a week of moderate aerobic activity or 75 minutes a week of vigorous aerobic activity. So it’s still effective to work out less as long as you’re working out harder.

You should get

75 MINUTES

of vigorous aerobic activity a week.

These fitness trends have stuck around with good reason, but that’s not to say they’re not better in 2019 than they were in the past. With the surging popularity of fitness apps like Esquared, which lets you find and drop in on classes close to where you are, it’s easier than ever for people to seek out opportunities for these types of classes, even if they’re traveling or moving to a new area.

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HealthCare Reform 2 3 4

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HEALTHCARE REFORM

HEALTH RATING: Strides have been made in reforming the American healthcare system, but it remains a controversial topic.

How legislators will handle it going forward remains to be seen.

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The new decade was a milestone for healthcare changes in the United States.

In 2010, a little more than a year after his inauguration, President Barack Obama signed into law the Patient Protection and Affordable Care Act, which required everyone to have health insurance by 2014.

The legislation strove to make affordable health insurance available to more people by providing subsidies for lowincome households, expanding Medicaid, and restricting health plans from denying coverage to anyone for any reason.

Throughout the years that have followed, healthcare has continued to be a huge part of political discourse, and it is now a major talking point for presidential candidates running for office in 2020.

To put it simply, there are lots of opinions. Joe Biden, who was vice president under Obama, wants to expand the Affordable Care Act and give Americans the choice of either enrolling in a public health insurance option or keeping their employer-based plan. Senators Bernie Sanders and Elizabeth Warren want to get rid of private insurance and establish Medicare for All. And Donald Trump wants to do away with the Affordable Care Act and reduce funding for Medicaid and Medicare.

A decade after it first started trending, healthcare reform continues to be a controversial topic, and there doesn’t seem to be an easy solution in sight. In summer 2019, the American Medical Association stated it “strongly believes that every American should have access to meaningful, affordable coverage” and that America must “build on our current system of coverage provided by employers, government, and individually selected plans so that patients can benefit from choice and competition.” www.OurHealthRoanokeNRV.com

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E-Cigarettes 2

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E-CIGARETTES

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HEALTH RATING: E-cigarettes might have once been seen as a safe alternative to cigarettes by some people, but experts emphasize that’s not the case. They still pose certain health hazards. More research is being done to help doctors and legislators fully understand the risks that vaping devices might pose.

Electronic cigarettes, e-cigarettes, e-cigs, vapes — whatever you want to call them, they were originally embraced by people as a safer alternative to smoking tobacco 3 products. That’s because electronic cigarettes produced vapor instead of smoke.

4 When a person puffs on an electronic cigarette (or vapes, per the proper terminology), they inhale a vaporized nicotine solution that mimics that flavor 5 and feeling of tobacco smoke.

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Action in the United States started in 2009 with the Family Smoking Prevention and Tobacco Control Act, which gave the Food and Drug Administration the authority to regulate tobacco products, including e-cigarettes. However, despite the controversy, proponents of vaping continued to build a culture around it. The first VapeFest was held in Richmond, Virginia, in March 2010.

A decade later, more information continues to be available on e-cigarettes. The National Institute on Drug Abuse notes that research so far shows they are less harmful than cigarettes when people who regularly smoke switch to them, but they are still dangerous to a person’s health.

There are other concerns as well. It’s now understood that e-cigarettes can lead to a nicotine addiction just as cigarettes can, and it’s still to be determined whether they are an effective smoking cessation aid. More research is needed. Meanwhile, as of fall 2019, the FDA and CDC are investigating incidents of respiratory illness associated with vaping products.

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Gluten-Free Eating 2

Back toward the end of the 2000s, eating a gluten-free diet was still an emerging lifestyle. People were doing it, but it wasn’t as commonplace as it is today. But there’s been a lot of misconception that’s floated around in the years in between.

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GLUTEN-FREE EATING

HEALTH RATING: While it’s great that growing awareness of gluten has made life easier for those with Celiac disease, it has also led to a lot of false information that has duped people into putting unnecessary dietary restrictions on themselves.

From the get-go, experts weren’t onboard with this alternative. In 2008, after e-cigarettes had been in the U.S. market for about two years, the World Health Organization stated it did not consider e-cigarettes to be a legitimate smoking cessation aid.

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Gluten-free diets are beneficial for people with Celiac disease, an autoimmune disorder in which gluten — a type of protein found in wheat, barley and rye — triggers an immune reaction in the small intestines that prevents the absorption of nutrients.

Scientific circles have studied gluten allergies since the 1970s, but between 2005 and 2010, awareness of gluten entered mainstream culture. Celebrities and other prominent figures started claiming avoiding gluten helped them lose weight. Sales of gluten-free products exploded, and countless people started turning to wheat alternatives like rice flour.

However, doctors have responded to the gluten-free diet’s popularity by emphasizing the reality: Less than one percent of Americans actually have Celiac disease, and there’s no evidence to support claims of weight loss or overall improved health in people who don’t have an allergy. On the contrary, as Mayo Clinic points out, striking whole-grain products made from wheat, rye and barley can affect your intake of fiber, vitamins and minerals.

Restaurants and food manufacturers continue to cater to gluten-free living by providing more options and designating those options with gluten-free labels. For those who have Celiac disease, this is a huge step forward in helping them manage a normal life with their dietary restriction. For those who don’t have an allergy — well, it’s just another marketing ploy.

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Food Fitness NUTRITION • EXERCISE • PREVENTION

Adopting Smaller Habits Every Day Will Make Your

Much More Manageable words | DYLAN ROCHE

By the time most people have been through the indulgent weeks between Thanksgiving and Christmas, they’re ready to make a resolution in the new year to eat healthier. The problem? Well, most people don’t stick to those New Year’s resolutions and go right back to their old habits after a few weeks.

This year, resolve to do things differently — instead of giving your diet a sudden overhaul that you then abandon three weeks later, aim to adopt a new small habit every day for three weeks. They don’t have to be big changes, but as you adopt more and more of them, they will start to make a major difference.

Here are

21 healthy eating habits for you

to adopt throughout the first few weeks of the new year.

If you find that they’re manageable, try a new one every day; if you find that you’re having a little bit of trouble, try making a change every other day or every three days.

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Start a food journal or download a nutrition app.

Logging a food journal will ensure that you’re keeping an eye on what you’re eating and being conscious of how you’re fueling your body. It is also helpful to go back at the end of the day and evaluate what you might have eaten too much of or what your diet is lacking. Most nutrition apps can calculate your calorie and nutrient intake automatically if you simply enter the food and the portion size, thus taking care of the math work for you.

Focus on nutrient balance with every meal.

Counting calories can get overwhelming, but it’s much easier for you to focus on having a source of protein, complex carbohydrates and healthy fats (ideally plant-based fat) at every meal. Meals that lack one of these nutrients — for example, a bowl of pasta with olive oil has carbohydrates and fat but no protein — won’t leave you feeling as satisfied and energized.

Distracted driving is one of the main risk factors for younger drivers. These apps can help your young driver establish good habits and be safer on the road:

Replace• LifeSaver at least one refined-grain product with a whole-grain one.

• TrueMotion Family The U.S. Department of Agriculture recommends • Mojo that at least half the grains you eat should be whole grains, are aDriveMode better source of fiber, • whichAT&T vitamins and minerals. Start slowly by phasing • SafeDrive out one refined grain with a whole one at each • Focus by TeenDrive meal. Have whole-wheat bread or brown rice instead of their white counterparts. As you get used to the taste and texture of whole grains, you can start to include more and more while phasing out refined carbohydrates.

Make half your plate vegetables or fruit.

When you sit down to a meal, is your plate primarily meat and starch with a side of vegetables? Swap your proportions.

Loading up half your plate with fruits and vegetables will still satisfy you because it’s volume that makes you feel full, not calorie content. You’ll also be taking in lots of extra vitamins and minerals with all those fruits and veggies.

Start leaving the skin on your produce.

Many people peel their fruits and vegetables, but the skin is a great source of vitamins, minerals and fiber. Fiber is especially important for people who are trying to achieve a healthy weight because it helps you feel full faster and keeps you full longer.

Add more color to your diet.

Fruits and vegetables come in a variety of colors. Some are red, some are orange or yellow, others are green, while others are blue or purple. Eating a variety of colors means you’ll be getting a variety of nutrients. Try a new color every day, and aim to start including at least three or four colors every meal.

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Take up a non-food-related hobby.

After you finish dinner, focus on something that requires active engagement like a crossword puzzle, knitting or painting instead of simply watching television. Reducing boredom and diverting your attention elsewhere will help you break the habit of mindless eating and instead learn to eat at mealtimes or designated snack times.

Drink a glass of water if you’re feeling hungry.

Sometimes you think you’re hungry but what you’re really feeling is dehydrated, and drinking a glass of water can remedy your craving. Even if it doesn’t, the water will fill you up so that you’re inclined to consume less when you do sit down to eat.

Use half your usual sugar or cream in your coffee.

Use herbs in place of table salt.

If you’re the type of coffee drinker who likes to load up your cup of joe with lots of sugar and cream, you might be taking in more calories than you realize. You don’t have to switch to drinking it black right away, but using half your usual amount of sugar and cream in your coffee will still give you the taste that you like with far fewer calories. As you cut back on sugary foods and drinks, you’ll also start to notice that your cravings for something sweet decrease.

It’s not just that excess sodium leads to high blood pressure.

Salty foods are addictive, so you’re inclined to eat more of them. Start adding flavor to your food using fresh herbs and spices instead of salt.

Use olive oil in place of butter.

A tablespoon of butter and a tablespoon of oil have approximately the same number of calories, but olive oil is full of monounsaturated fats (that’s the good kind, which help your body fight plaque buildup in your arteries) and antioxidants.

The rich flavor also means you can get away with using less of it.

Try a new plant-based source of protein.

Meat and dairy are great sources of protein, B vitamins and other nutrients, but they also tend to be high in saturated fat and cholesterol. On the other hand, plantbased sources of protein like nuts, beans and quinoa have lots of fiber and tend to be lower in calories.

Try a plant-based source at a meal every day. If you’re feeling extra adventurous, go vegetarian just one day a week. You’ll find that you consume more vegetables and fewer calories without feeling deprived.

Pack your lunch.

Packing your lunch saves you from poor take-out choices midway through your workday. Don’t think that packing lunch requires a lot of time or effort.

You can take leftovers from last night’s dinner, or you can pack healthy ingredients to make something at work. If you have the option, see whether you can keep bread, lean deli meat, lettuce, tomato and mustard in your office’s kitchen so you can easily assemble a healthy sandwich.

Eat your fruit instead of drinking it.

If you frequently drink fruit juice, you probably think of it as a great source of nutrients like vitamin C. But fruit juice retains all of a fruit’s natural sugar without any of its fiber, so it’s going to spike your insulin levels, leaving you feeling hungry only a little while later.

Instead of drinking juice, grab an apple or orange and enjoy the real thing.

You’ll feel more full and have more energy.

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Have smoothies for your go-to snack.

Smoothies are an easy option for getting extra fruits and vegetables into your diet, and their high water content helps fill you up. Just be sure to make them at home so you have control over the ingredients — a smoothie from your local smoothie bar is likely full of added sugar. Spinach and avocados have mild tastes that are easily masked by flavorful fruit. Try mixing spinach, avocado, banana, strawberries, blueberries, almond butter and a little bit of honey up in your blender at home for a low-calorie, nutrient-rich pick-me-up to replace a Frappuccino or milkshake.

Research the ingredient list on a packaged food.

You only need to do this once or twice to gain some perspective.

The next time you’re eating food out of a package, read the ingredient list and look up anything that you don’t recognize. You might find that even foods marketed as healthy are full of added sugars, sodium, preservatives and artificial ingredients. Enjoy these in moderation, but aim to make more meals and snacks from scratch in your kitchen at home.

Ditch soda and opt for seltzer instead.

Make your own salad dressing.

Your soda habit is easier to give up than you might think. Try swapping your regular sugary beverage for seltzer, which has the same fizzy sensation but with none of the empty calories. If you want a little flavor, add a bit of fresh lemon or lime.

Salad dressing is a great way to liven up your fresh vegetables, but packaged products can be full of added sugar, sodium and preservatives. Start making your own salad dressing with a blend of olive oil and an acid of some sort (vinegar, wine or lemon juice). To give it some extra flavor, try adding herbs and mustard, or even a little bit of a natural sweetener like honey or maple syrup.

Stick to only one drink.

Nobody is saying you can’t have alcohol if you’re trying to eat healthy, but moderation is key. Enjoy one drink and make it last throughout the evening. Alcohol is not only an empty source of calories (that is, calories without any nutritional benefit) but it lowers your inhibitions and makes you more inclined to make poor food choices.

Shop the perimeter at the grocery store.

Do a workout that you enjoy.

One of the most important lessons you have to teach yourself when learning to eat healthy is to stop thinking of food as a crime you need to atone for with exercise.

Find a workout you enjoy and look forward to. Not only will enjoying your physical activity make you more likely to stick with it, but you’ll also start thinking of food as a way of fueling your workout so that you feel your best before, during and after.

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For your next grocery shopping trip, make your way around the perimeter of the grocery store first. You can get fruit, vegetables, lean meats, dairy and fresh bread without venturing down any of the aisles where you’ll mostly find processed, packaged food. Once you’ve done this, look through your cart and ask yourself whether you actually need to go through the center section of the grocery story. In many cases, you might find that you already have everything you need.

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78 Roanoke Valley Speech and Hearing Center, Inc. 9 Susan G. Komen Virginia Blue Ridge 99 The Woodland Place 57 VCOM 87 Virginia Prosthetics & Orthotics

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