OurHealth Roanoke & NRV Nov/Dec 2017

December 2017 • January 2018 ourhealthswva.com

LEADING A

BETTER LIFESTYLE IS THE BEST WAY TO BEAT DIABETES PLUS: BREAKING THE SILENCE GUILLIAN-BARRE

SYNDROME

the 11th Annual Best Bedside Manner Awards

Did your favorite

PROVIDER HEALTHCARE make the

CUT?

HELPFUL TIPS FOR

EATING HEALTHY

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TABLE OF CONTENTS DECEMBER 2017 • JANUARY 2018

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THE PULSE

| KEEPING THE PULSE ON HEALTHCARE

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| LOCAL HEALTHCARE

16 – Q&A ON HEALTH

78 – BLACKSBURG EYE ASSOCIATES

20 – HEALTH HAPPENINGS

80 – INSIGHT IMAGING

22 – EARTH FARE BRINGS HEALTHY FOOD THAT’S AFFORDABLE

81 – LENK ORTHODONTICS

BREAKING THE SILENCE: GUILLIAN-BARRE SYNDROME

82 – ROANOKE VALLEY SPEECH & HEARING CENTER

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This series explores medical conditions that can be devastating to the patients and families they affect — yet no one is talking about them. That is, until now.

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MEDICAL PROFILES

2017 BEST BEDSIDE MANNER AWARDS OurHealth’s Best Bedside Manner Awards honor medical providers who were voted by the local community for their kindness, empathy and attentiveness—attributes that go a long way in gaining a patient’s confidence.

NUTRITION

| LOCAL FOODS & RECIPES

84 – HELPFUL TIPS FOR EATING HEART HEALTHY 87 – HEART HEALTHY RECIPES

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FITSTYLES

| LOCAL FITNESS & ATHLETICS

92 – HAPPY FEET: FOUR STEPS TO YOUR BEST FITTING SHOES

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FAMILY LOVE LETTER | PART FIVE More than anything, drafting this one document now can help ease your loved ones’ pain and stress in the event of your death or incapacitation.

LEADING A BETTER LIFESTYLE IS THE BEST WAY TO BEAT DIABETES Type II Diabetes, a disease in which there is a high level of sugar in the blood, is on the rise. A poor diet and lack of exercise are partially to blame.

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FAMILY CARE

| HEALTH FOR THE WHOLE FAMILY

104 – ARE LEG CRAMPS KEEPING YOU UP AT NIGHT?

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IS YOUR TEEN AT RISK FOR DEPRESSION AND ANXIETY? How to help your child navigate a brave new world of challenges.

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VA ORTHO URGENT CARE: FILLING A SPECIALTY NEED Virginia Orthopaedic Direct – Orthopaedic Urgent Care in Salem offers quick access to specialty care for orthopaedic-related injuries – with no appointment needed.

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december 2017 • january 2018

PUBLISHER

PRESIDENT/EDITOR-IN-CHIEF

VICE PRESIDENT OF PRODUCTION

VICE PRESIDENT OF BUSINESS DEVELOPMENT

CHIEF DESIGNER

GRAPHIC DESIGNER WEBMASTER

ACCOUNTING MANAGER DIGITAL CONTENT MANAGER | EVENT SPECIALIST

DIGITAL MEDIA STRATEGY

ORIGINAL PHOTOGRAPHY

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

CONTRIBUTING MEDICAL EXPERTS

Janice Anderson, AuD Vishak John, MD Richard Spice, C.Ped Allison Toffle, DPT

CONTRIBUTING PROFESSIONAL Tina Bell EXPERTS & WRITERS Catherine Brown Brandy Centolanza Tracy Corntazer Susan Dubuque Rich Ellis Christy Rippel

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

SUBSCRIPTIONS Subscriptions are $19.95 per year.

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@ourhealthSWVA

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 © 2018 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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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

The first step in determining whether vitamins may help your vision is to get a thorough retinal examination annually with your eye doctor. If you are diagnosed with macular degeneration, then you may be referred to a retina specialist to help determine the stage of your AMD and decide on the role of vitamins to help you.

”

– Vishak John, MD

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How can people with macular degeneration benefit from taking vitamin supplements?

I’m so confused about my individual health insurance options right now. Where do I begin to learn more?

Age related macular degeneration (AMD) is the leading cause of vision loss in the United States, affecting close to two million Americans.

In general, we think of macular degeneration as being dry (early) and wet (advanced). Vitamins have been shown to slow down the progression of dry macular degeneration by about 25-30 percent, and thereby, reduce the risk of wet macular degeneration.

If you are not insured through your employer’s group health plan, one option is individual coverage. When the Affordable Care Act was signed into law in 2010, it was a game changer. When you could purchase coverage and the types of plans you could purchase changed. Unless you involuntary lose coverage during the year, the only time to purchase an individual health insurance policy is during Open Enrollment. This year’s Open Enrollment period is shorter than year’s past. It runs from 11/1/17 – 12/15/17 for a January 1, 2018 effective date. Your plan options will vary based on the county in which you live.

The best vitamins for macular degeneration are what are known as AREDS2 vitamins (Age-Related Eye Disease Study-2), which are combination of: • 500 milligrams (mg) of vitamin C • 400 international units of vitamin E

• 80 milligrams (mg) zinc as zinc oxide • 2 milligrams (mg) copper as cupric oxide

• 10 milligrams (mg) lutein and 2 milligrams (mg) zeaxanthin The first step in determining whether vitamins may help your vision is to get a thorough retinal examination annually with your eye doctor. If you are diagnosed with macular degeneration, then you may be referred to a retina specialist to help determine the stage of your AMD and decide on the role of vitamins to help you. Always remember to speak with your doctor and/or pharmacist before taking any medications.

Vishak John, MD

Vistar Eye Center Roanoke | 540.389.2020 www.vistareye.com

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

To find the options available to you, you can either visit www.Healthcare.gov or contact a local health insurance agent. Either will be able to guide you through which plans are available and show you how to search for medical providers and prescriptions options.

You can also learn if you qualify for either a premium subsidy or a costsharing subsidy. If you miss Open Enrollment, contact a local agent and ask about temporary policies.

Tracy Corntazer

Virginia Farm Bureau Experient Health Richmond | 804.290.1115 www.vafb.com

My mom is moving in with my family this month. I know I cannot care for her alone.

How do I know what level of assistance to request from a home health agency?

It can be overwhelming, no matter how much you love your parent(s), to have them move into your home.

A home health agency can assist and eliminate much of this stress. Your home health partner will walk you through the process and will help determine the right support your and your mom are comfortable with and need.

During the initial meeting with a home care specialist, he or she will gain insight on your family’s specific needs to identify an appropriate level of care. The key is total flexibility. You do not sign a contract or commit to a certain number of hours; the care can grow or taper as needed. A home health nurse may also visit the home to assess and offer suggestions on the level of assistance needed.

With our team of specialists and dedicated caregivers working together for you, we are able to make the process a seamless and stressfree one, providing you and your loved one with peace of mind.

Tina Bell

Care Advantage Richmond | 800.473.0022 www.careadvantageinc.com

THE P ULSE | Q&A on Health

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

BY LOCAL PROFESSIONALS

“

All custom foot orthotics are adjustable and can be modified to correct discomfort.

Custom foot orthotics can be used to treat a number of medical issues, and only a licensed medical professional can determine if they are right for you.

”

How can physical therapy help with my Osteoarthritis?

Osteoarthritis is the degeneration of a joint over time from the wear and tear of our daily lives. Every individual and case is unique.

Therefore, a licensed physical therapist can tailor an exercise program specifically to you, which can improve your overall joint mobility and strength.

Hands-on manual therapy can also improve the range of motion and diminish the pain within the joint. Being overweight has also been linked to some cases of osteoarthritis, particularly in the knee. Research has shown that even a small amount of weight loss can help prevent osteoarthritis in the knee.

Physical therapists are qualified to provide you with weight management strategies, which could help prevent some cases of osteoarthritis from becoming severe.

Allison Toffle, DPT

Blacksburg Physical Therapy Associates Blacksburg | 540.951.2703 www.blacksburgptonline.com

– Richard Spice, C.Ped

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

How do I know if custom orthotics are right for me?

Often many of us develop foot pain as we age, and for most, the pain goes away after therapy or use of “off the shelf” arch supports. However, for the rest of the people that still experience chronic foot pain, a custom orthotic may be needed.

A custom foot orthotic is made from a mold taken from a cast of the foot. The goal is to keep the foot as neutral as possible and prevent excessive motion that can lead to repetitive stress. Once the foot is properly supported, then the body can heal, and the patient can hopefully enjoy a more active lifestyle.

All custom foot orthotics are adjustable and can be modified to correct discomfort. Custom foot orthotics can be used to treat a number of medical issues, and only a licensed medical professional can determine if they are right for you.

Richard Spice, C.Ped

Excel Prosthetics and Orthotics Roanoke | 540.982.0205 www.excel-prosthetics.com

My mother’s hearing loss is beginning to have a noticeable effect on her social activities. How can I encourage her to have her hearing checked?

Having untreated or ignored hearing loss could impact your parent’s health and safety. Plus, studies have shown that when hearing loss is ignored, it can speed up cognitive decline.

When you notice that a family member seems to be missing out on family gatherings and social events, encourage them to have their hearing checked. The problem is, how do you so without undermining their independence?

Try inviting them to an appointment you’ve made for yourself to get a baseline hearing test. Often partnering up can make an unpopular task a little more appealing. Should a negative discussion about hearing aids arise, remind them that technology has changed so much and that a simple hearing test may or may not lead to hearing aids. Be empathetic and loving, and don’t lose sight of your good intentions if the conversation isn’t going the way you hoped.

Sometimes, you may be surprised with a knowing and willing reply.

Janice Anderson, AuD

Anderson Audiology Dublin | 540.674.4889 www.anderson-audiology.com

THE P ULSE | Q&A on Health

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THE PULSE

AT THE FOREFRONT

>> Noteworthy News from Local Healthcare Providers

The Carilion Children's Advisory Board and staff.

Amy BramblettRobinson, PA-C

Jennifer Easterday, MD

Laura Gayton, CNM

Howard Heinze, MD

Carilion Clinic Obstetrics & Gynecology Christiansburg | 540.731.4578 www.carilionclinic.org

Carilion Children’s Pediatric Endocrinology Roanoke | 540.224.4445 www.carilionclinic.org

Kelley Hilldrup, DO

Boyd Jensen, III, DPM

The Medi Spa at Ridgewood Hill Salem | 540.444.4343 www.carolwraymd.com

Carilion Clinic Community Care Roanoke | 540.985.8044 Www.carilionclinic.org

CARILION CHILDREN’S CEREMONIAL GROUND BREAKING The Carilion Clinic Foundation recently celebrated the first steps in a total renovation of the children’s playroom at Carilion Children’s Hospital. The playroom will be remodeled into five different stations, offering a wide variety of activities for children of all ages.

Play is an effective way to reduce children’s fears and anxieties, in hopes of promote faster healing.

For more information visit www.carilionclinic.org/carilionchildrens.

Carilion Clinic Family Medicine Daleville| 540. 966.0400 www.carilionclinic.org

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

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THE P ULSE |

CONTINUED...

Health Happenings

Christina Dunbar Matos, DO

Miguel Matos, DO

Avery Matthews, MD

Petronella Mbu, MD

Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org

Ladonna Osborne, NP

Laura Root, NP

Ivan Rubiano, DPM

Jessica Sadler, CPO

Carilion Clinic Family Medicine Tazewell | 276.988.8850 www.carilionclinic.org

Carilion Clinic Family Medicine Dayton | 540.879.4300 www.carilionclinic.org

Crystal Truong, MD

Carilion Clinic Center for Healthy Aging Roanoke | 540.981.7653 www.carilionclinic.org

Psychiatry LewisGale Physicians Blacksburg | 540.552.1246 www.lgphysicians.com

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

Craig Wilhelms, DPM Carilion Clinic Foot and Ankle Surgery Roanoke | 540.725.1226 www.carilionclinic.org

Carilion Clinic Child & Adolescent Psychiatry Roanoke | 540.853.0900 www.carilionclinic.org

Excel Prosthetics and Orthotics, Inc. Roanoke | 540.982.0205 www.excelprosthetics.com

Sharon Williams, MD Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org

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

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THE PULSE

EARTH FARE

BRINGS HEALTHY FOOD THAT’S AFFORDABLE to Southwest Virginia with the Opening of Its New Roanoke Store The natural foods grocer is on a mission to prove that healthy food doesn’t have to be expensive, and to help people lead healthier lifestyles by improving their food choices. words | RICH ELLIS

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Founded in 1975 in Asheville, NC, Earth Fare today is one of the country’s largest natural and organic food retailers. It prides itself on its decadeslong commitment to providing customers and communities with only the cleanest, most healthful food and a unique “Food Philosophy” that forbids hundreds of harmful chemicals and ingredients from the products on its shelves, resulting in a “Boot List” of banned ingredients that’s plastered on the sidewalk in front of the store entrance. Some of the ingredients on the List include high fructose corn syrup, artificial colors, artificial preservatives, artificial fats, trans-fats, bleached or bromated flour, added hormones, and antibiotics.

“If the Food Philosophy and Boot List are our constitution, then our more than 2,800 Earth Fare Team Members comprise our enforcement agency, constantly monitoring and filtering ingredients to ensure customers find only the cleanest foods in our stores,” said Frank Scorpiniti, Earth Fare’s President and CEO. “We read the labels so shoppers

To cater to regional tastes and needs, Earth Fare established a Community Advisory Board prior to the store’s opening.

Through a series of four, two-hour meetings, community leaders provided insight into the types of products they’d like to see in the local store.

“We want to be what our customers want us to be,” Scorpiniti explained when asked about the Board during an interview at the Franklin Road store.

As further evidence of community involvement and giving shoppers what they want, Earth Fare also held a vendor fair prior to opening to solicit local grocery, beer, wine, coffee, cheese and wellness product producers to become suppliers to the new store, some of which today include Franklin County’s Homestead Creamery and Chaos Mountain Brewery.

The new store also offers a selection of healthy, affordable meals ready to eat or needing minimal preparation, a call-ahead pizza hotline, catering menu, 100 percent traceable and sustainably-sourced seafood featuring 100-plus fish varieties, and nearly 200 bulk foods and liquids.

And they don’t use plastic bags at checkout, making the environment healthier too.

Earth Fare, Scorpiniti added, is proving that shoppers don’t have to spend a lot to eat healthy, and in the process “democratizing healthy food” by making it accessible to everyone, including those right here in the Roanoke Valley.

ON THE WEB

More at ourhealthswva.com

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Health Happenings

Earth Fare opened its first Roanoke and Virginia location, and 44th store nationwide, in November to one of the largest crowds they’ve ever experienced at a store grand opening, according to company officials. Southwest Virginians, it seems, are hungry for what Earth Fare is selling and ready to “Live Longer with Earth Fare” – one of the company’s trademarked campaign messages.

don’t have to. We believe, and science supports us, that the better you eat, the healthier, happier and longer life you can live.”

THE P ULSE |

Earth Fare – Roanoke’s new, specialty organic and natural foods grocery store – feels different. Sure, at the end of the day it’s still a grocery store, but it’s one that seemingly takes Aldi’s price-consciousness, Fresh Market’s unique and gourmet offerings, Roanoke Co-op’s healthy, natural, local, and bulk foods, and Kroger’s selection, and adds to them an unrelenting, longstanding commitment and focus of helping people lead healthier lifestyles packaged in an ultra-modern, spacious new store. That’s Roanoke’s new Earth Fare.

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

Breaking the Silence:

Guillain-Barre Syndrome words | SUSAN DUBUQUE

This series explores medical conditions that can be devastating to the patients and families they affect — yet no one is talking about them. That is, until now. We will talk openly about these disorders and dedicate these stories to the courageous individuals living with them and the healthcare providers and researchers committed to treating and seeking cures for these enigmatic diseases.

Imprisoned in a lifeless body. Unable to move or to communicate with even the merest flick of a finger or blink of an eye. Yet fully conscious and aware —hearing everything from the warm and reassuring croons of family and friends to the cool, clinical assessments of the doctors. For more than two weeks, Joel Elmore remained in this state of suspended animation. Until the mystery was solved and a diagnosis was confirmed: Guillain-Barré syndrome.

Spring 2016 | Joel Elmore was anxiously working to complete his senior thesis at Covenant College, a small Christian school in Lookout Mountain, Georgia, where he was majoring in psychology. Life was grand. He shared a log cabin with six roommates, all close friends and fellow students. He was at his peak of fitness, playing collegiate soccer and club team rugby. And best of all, he was about to ask for his girlfriend’s hand in marriage. In just a few months, Joel looked forward to graduation and pursuing his ultimate goal of attending seminary and becoming a pastoral counselor. What could possibly go wrong? A lot.

As spring break approached, Joel’s roommates packed up for a well-deserved respite from school — a week spent at a friend’s parent’s church camp. But Joel, dealing with a nagging respiratory infection, was too sick to go. But a quick trip to the doctor, a little rest and one “Z-Pak” later, Joel appeared to have recovered. www.OurHealthswva.com

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BREAKING THE SILENCE

March 13 | “I woke up Sunday morning too sick to go to church. Instead I

When my roommates got home, I tried to talk, but ALL THAT CAME OUT was a hoarse, croaking sound. And then, when I TRIED TO EAT a piece of pizza, I couldn’t swallow.

– Joel Elmore

stayed home in bed. Later that day, I felt dizzy and I stumbled when I got out of the shower,” says Joel. “When my roommates got home, I tried to talk, but all that came out was a hoarse, croaking sound. And then, when I tried to eat a piece of pizza, I couldn’t swallow.”

Joel drove himself to an urgent care clinic, where he tested positive for mononucleosis and was given a steroid injection. But his condition continued to deteriorate. Joel’s mother, Cindy Elmore, called and suggested that he might be dehydrated and in need of fluids. Too weak to drive himself, Joel called his girlfriend and asked her to take him to the emergency room of a local community hospital. There, a nurse practitioner admonished him for “listening to his mom” and reminded him that he had a simple case of mono. She sent him home without seeing a doctor.

Within a few hours, Joel’s breathing became labored and his motor functions became even more impaired. This time, all six of his roommates drove Joel back to the hospital, demanding that a doctor see him. Deeply concerned by the reports from Joel’s roommates, Cindy and Joel’s sister, Annamarie, began driving from their home in Roanoke, Virginia, arriving at the hospital around 9:00 pm.

The first time I tried to talk to Joel on the phone, I knew something was SERIOUSLY WRONG. – Cindy Elmore

“After pleaded with the doctor, telling him that Joel could not breathe, the doctor gave Joel a breathing treatment. It was suffocating him.” The doctor sent him for a chest X-ray, but while on the imaging table, the unthinkable happened — Joel began to choke and stopped breathing. He had to be resuscitated and a breathing tube had to be inserted in his trachea in order to save his life.

SPREAD AWARENESS Help us spread awareness about Guillain-Barre syndrome by sharing Joel’s story on social media! Don’t forget to tag us.

#OurHealthRNRV

March 14 | Joel was admitted to the hospital’s intensive care unit, where his condition plummeted. Within 12 hours, Joel went from thrashing movements to complete paralysis. He couldn’t open his eyelids, and his pupils would not even dilate.

It was like BEING FROZEN. I had NO WAY OF LETTING ANYONE KNOW I was still in there.

– Joel Elmore

“My roommates and my family would talk to me as if I could hear. But the doctors would sometimes talk about me like I was unconscious. It was apparent from their comments that they didn’t think I would make it.”

For Joel, the whole experience was surreal. “Although my eyes were closed and I couldn’t see a thing, I was having a continuous stream of bizarre dreams. In one dream, I was hanging upside down like a bat.”

Continued on page 28...

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B R EAK I NG THE SI LENC E |

as if I could hear. But

Guillain-Barre Syndrome

“My roommates and my

family would talk to me

the doctors would some times talk about me like I wa s unconscious. It was apparent from their co mments that they did n’t think I would make it.”

– Joel Elmore

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BREAKING THE SILENCE

... continued from page 26

I CONSTANTLY PRAYED, ‘Don’t leave me here,’ and I clung to a favorite passage from the Bible: ‘BY HIS WOUNDS YOU HAVE BEEN HEALED’ (Isaiah 53).

- Joel Elmore

The mere act of breathing was the most stressful part of Joel’s ordeal. “I was on a respirator. And when the staff had to move me for a test or a procedure, they would ‘bag’ me — manually breathe for me — while we were going down the hall.

I would pray that they would keep me breathing until I could be hooked up to the respirator again.”

Despite being in this terrifying state, Joel was able to maintain some semblance of calm and control as he tried to establish a rhythm to his altered existence.

I knew the neurologist MADE ROUNDS in the morning, so with every visit, I would CHECK OFF – Joel Elmore ONE MORE DAY. Immediately, the family wagons quickly began to circle. Joel’s father, Joe Elmore, his brother, Josiah, aunts and grandmother came to offer comfort and support. His uncle and aunt, both physicians, also lent valuable medical insights.

March 16 | During these trying early days, Joel’s uncle, Dr. Jay Freeman, and aunt, Dr. Nikki Brannon, were searching frantically for an answer. They soon suspected that Joel might have a very rare form of Guillain-Barré syndrome called Bickerstaff brainstem encephalitis, and discussed this finding with the hospital physicians. Joel was immediately started on intravenous immunoglobulin (IVIg) — antibodies that help to fight inflammation and infection. But after one week of treatment at the community hospital, it became clear that he needed more advanced care.

March 21 | Joel was transferred to a major teaching hospital in Tennessee where he could receive plasmapheresis, a blood exchange treatment that removes harmful antibodies from the bloodstream, preventing the antibodies from attacking his own nervous system. After completing seven treatments, seven more were ordered.

Although Joel couldn’t move, he did have some sensation. During the plasmapheresis treatments, he experienced intense cold as the chilled plasma infused with calcium was reintroduced into his bloodstream.

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OURHEALTH ROANOKE & NEW RIVER VALLEYS WEBSITE AT www.ourhealthswva.com

March 23 | Joel opened his eyes for the first time in more than two weeks. He was able to respond to questions by moving his eyes — showing that his cognitive functions were still intact.

Extraordinary measures were taken to keep Joel alive and allow time for the plasmapheresis to work. A tracheotomy was performed to create an opening in Joel’s airway so he could breathe with the aid of the ventilator. He had a feeding tube inserted in his stomach. His heart, blood pressure and brain function were monitored.

March 27 | There was movement. “Over the next few days, I was gradually able to move my head and neck and even whisper my first word,” says Joel. With this slight 28

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

April 7 | Joel was accepted at

The team at Shepherd wasted no time in helping Joel do just that, and he was thrust into a busy schedule of physical, occupational and speech therapy. As Joel’s sensation returned, it was in the form of pain — stabbing nerve pain with every movement. But perhaps the most stressful part of Joel’s therapy was weaning him from the ventilator.

“They had to get me breathing on my own,” reflects Joel.

We did it step by step.

First, two hours at a time, then longer.

Imagine HAVING TO CONCENTRATE on taking EVERY SINGLE BREATH you take.

JOIN THE OURHEALTH COMMUNITY >> We would love to hear from you. Write us, tweet us, or tag us today! facebook.com/ OurHealthSWVA

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Guillain-Barre Syndrome

Shepherd Center, a rehabilitation hospital in Atlanta, and made the two-hour trip by ambulance. He was still paralyzed from head to toe, but now there was hope on the horizon.

“The first positive thing that happened at Shepherd, recalls Joel, “was receiving a special TV remote that I could operate by blowing through a straw. That was my first step toward regaining control over my body — and my life.”

B R EAK I NG THE SI LENC E |

improvement, in a few days he was moved to a step-down unit.

Guillain-Barré Syndrome (gee-YAH-buh-RAY) An autoimmune disorder in which the body’s immune system begins to attack the peripheral nervous system.

The first signs are typically a tingling sensation and weakness that start in the feet and legs and may spread to the arms and upper body. In the most severe cases, muscle weakness can evolve into paralysis, potentially interfering with breathing, blood pressure and heart rate.

– Joel Elmore

“While I was at Shepherd, I just focused on making it through one www.OurHealthswva.com

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BREAKING THE SILENCE

s, I py session ra e th l a ic s of my phy admill, “In some over a tre s s e n r a h nded in a legs as if was suspe moved my m te s y s c y oti retrain m and a rob ea was to id e h T . g in .”

I was walk w to walk nerves ho d n a s le c mus e – Joel Elmor

day at a time,” says Joel. “I constantly prayed, ‘Don’t leave me here,’ and I clung to a favorite passage from the Bible, ‘By His wounds you have been healed’ ” (Isaiah 53).

There were little things that helped make it bearable, like when one of my roommates came to visit and rolled a lollipop on my tongue. It was blueberry flavored — the first thing I had tasted in weeks.”

But now, I realize a lot of things that I worried about WEREN’T REALLY A BIG DEAL. It brought things into perspective.

IT’S BETTER TO LOOK FOR JOY and happiness than sweat the small stuff.

– Joel Elmore

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Joel remained at Shepherd for a total of three months — the first six weeks as an inpatient and the second six weeks in outpatient therapy. Very gradually he regained feeling, strength and movement. “In some of my physical therapy sessions, I was suspended in a harness over a treadmill, and a robotic system moved my legs as if I was walking. The idea was to retrain my muscles and nerves how to walk.”

August 1 | A happy day for the Elmore family — Joel’s homecoming. “By this time I was able to walk with a walker and I could dress myself,” says Joel. “Believe it or not, the first thing I did when I got home was mow the grass. I didn’t have strength yet to pull the cord and start the motor, but I could walk behind it and use it for balance.

It just felt like A WONDERFUL, ‘NORMAL’ THING – Joel Elmore to do.

After returning to his home in Roanoke, Joel resumed outpatient therapy at Carilion Clinic until November 2016. While at Shepherd, Joel was fitted for leg braces that allowed his to walk independently. But the nerve damage to his left hand and right foot was severe and he continued to experience some mobility issues and challenges with fine motor skills, like writing, tying shoes and buttoning buttons. Joel's primary

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

B R EAK I NG THE SI LENC E | Guillain-Barre Syndrome

Joel may not be

hitting the socc er or rugby field an ytime soon, bu t he is now able to ru n a mile. And with his determination, there is no lim it to how far he can go.

care physician at the Carilion Clinic in Vinton, Russell Slayton, MD, diligently coordinated Joel’s follow-up care.

February 2017 | Always an athlete, Joel wasn’t satisfied with just walking.

He was determined to run again. David Lawrence, a physical therapist at Lawrence Rehabilitation’s Gait Center in Richmond, Virginia, was willing to take on the challenge. He fabricated special leg braces and began training Joel to run.

Spring 2017 | When he was struck down by GBS, Joel was only one semester shy of graduating from Covenant College, and it was time to start thinking about finishing his degree and moving on with his career. In order to ease back into the rigors of school, Joel started by taking some elective classes at Virginia Western Community College in hopes of completing all requirements, including his thesis, in time to graduate in December 2017.

TODAY | After surviving a near-death experience and living through the sheer terror of being entombed in his own body, Joel Elmore has emerged a strong, resilient young man. “I used to feel anxious a lot of the time. I guess I was a bit of a perfectionist, like my mom,” reflects Joel. “But now, I realize a lot of things that I worried about weren’t really a big deal. It brought things into perspective. It’s better to look for joy and happiness than sweat the small stuff.”

Joel lives each new day with an incredible sense of gratitude. “My family and my friends never gave up on me. They stayed with me in the hospital and came to see me in Atlanta. The talked to me, read to me and, most of all, prayed for me — along with a huge faith community. I was lucky to have great medical care. Thanks to that — and God’s mercy — I’m here today.”

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BREAKING THE SILENCE

on page

100

“One other thing I learned is that change is inevitable. You won’t be the same person you are tomorrow as you are today. You just have to embrace your strengths and work with what you have.” Joel may not be hitting the soccer or rugby field anytime soon, but he is now able to run a mile. And with his determination, there is no limit to how far he can go.

When it comes to healthcare, knowledge is power. So let’s learn more about GuillainBarré syndrome or GBS — the nature of the disorder, how it is diagnosed and treated, and what the future holds.

What is Guillain-Barré syndrome?

Guillain-Barré syndrome (geeYAH-buh-RAY) is an autoimmune disorder in which the body’s immune system attacks peripheral nerves.

The syndrome is named after the French physicians Georges Guillain and Jean Alexandre Barré, who described it in 1916. The first signs are typically a tingling sensation and weakness that start in the feet and legs and may spread to the arms and upper body. In the most severe cases, nerves controlling breathing, swallowing, blood pressure and heart rate can be affected.

“Guillain-Barré syndrome is a type of neuropathy,” explains Jay Ferrara, Jr., MD, a neurologist at Carilion Clinic. “But a few features separate it from more common neuropathies, 32

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

B R EAK I NG THE SI LENC E |

such as the type associated with diabetes. First, the disease worsens at a faster rate than most neuropathies, generally over a matter of days rather than years. Also, most neuropathies involve injury to the axon (the wire part of nerve), while Guillain-Barré syndrome is usually demyelinating (affecting the nerve’s insulation).”

Anyone can get Guillain-Barré syndrome, but the condition is more common in adults than in children, and more men than women are diagnosed with GBS. Fortunately, this is a rare condition, and only one or two in 100,000 people develop the disorder each year in the United States.

“There are several variations of Guillain-Barré syndrome along a spectrum,” says Dr. Ferrara. “The most common form is called Acute Inflammatory Demyelinating Polyneuropathy (AIDP). Cases that are axonal rather than demyelinating often are slower to recover and may not recover fully.”

Signs and Symptoms In GBS, the immune system — which typically attacks foreign bodies and invading organisms — starts to destroy nerves. This damage prevents nerves from transmitting signals to the brain.

After the first signs appear, symptoms of GBS can progress over the course of hours, days or weeks, typically peaking in two to three weeks.

The Signs and Symptoms of

Guillain-Barre Syndrome may include: •

tingling or prickly sensations in your fingers and toes

•

muscle weakness in your legs that travels to your upper body and gets worse over time

•

unsteady walking

•

difficulty moving your eyes or face, talking, chewing or swallowing

•

severe pain that may feel achy or cramplike and may be worse at night

•

rapid heart rate

•

low or high blood pressure

•

problems with bladder or bowel control

•

difficulty breathing

•

paralysis

Diagnosis and Treatment Guillain-Barré syndrome can be difficult to diagnose, as the symptoms are similar to those of other neurological disorders or conditions that affect the nervous system, like botulism, heavy metal poisoning and meningitis. Arriving at an accurate diagnosis involves a medical history (including any recent illnesses, vaccinations or surgeries) and a complete physical and neurological exam. “Most patients with GBS lack tendon reflexes,” says Dr. Ferrara, “such as when the knee cap tendon is tapped with a reflex hammer. Additional studies such as a lumbar puncture and nerve conduction test/electromyography can be helpful, but are often normal in the initial days after symptom appear, so no tests can replace a careful examination.”

While there’s no cure for Guillain-Barré syndrome, there are treatments that can reduce the severity of the illness, manage complications and help speed recovery.

Most individuals with GBS require hospital treatment.

Two main types of GBS therapy are:

Guillain-Barre Syndrome

Medical science does not yet know the exact cause of Guillain-Barré syndrome, but the disorder often appears days or weeks after a respiratory or digestive tract infection.

In rare instances, GBS may be triggered by recent surgery, trauma or immunizations.

1. High-dose immunoglobulin therapy: Injections of high doses of special

proteins that help reduce the immune system’s attack on the body’s nerve cells.

2. Plasma exchange (plasmapheresis): Blood purification procedure used to treat

certain autoimmune diseases. www.OurHealthswva.com

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BREAKING THE SILENCE

A critical aspect of treating GBS is keeping the patient’s body functioning while the nervous system recovers, including: Breathing difficulties. The weakness or paralysis associated with GBS can

affect the muscles that control breathing — a potentially fatal complication.

Up to 30 percent of patients with GBS need to be temporarily placed on a respirator or ventilator to support breathing.

Heart and blood pressure issues. Blood pressure fluctuations and irregular

heart rhythms (cardiac arrhythmias) are common side effects of GBS. Pain. Up to half of people with Guillain-Barré syndrome experience severe

“Guillain-Barré

nerve pain, which may be eased with medication.

syndrome is a type of

Blood clots and pressure sores. Patients who are immobile due to GBS are

neuropathy. But a few

at risk of developing blood clots and bedsores.

features separate it from more common neuropathies, such as the type associated with diabetes. First, the disease worsens at a faster rate than most neuropathies, generally over a matter of days rather than years. Also, most neuropathies involve injury to the axon (the wire part of nerve), while GuillainBarré syndrome is usually demyelinating (affecting the nerve’s insulation). ” JAY FERRARA, JR., MD A neurologist with Carilion Clinic.

Dr. Ferrara is certified by the American Board of Psychiatry & Neurology.

Most individuals have a good recovery from Guillain-Barré syndrome, although the recovery period may vary — from as little as a few weeks to as long as a few years. Some people may experience lingering effects, such as weakness, numbness or fatigue, and a small number may suffer a relapse years after the initial attack.

Patients may need physical therapy as well as emotional support following the initial acute treatment.

What does the future hold?

Neurologists, immunologists, virologists, pharmacologists and other specialists are working collaboratively to learn how to prevent Guillain-Barré syndrome and how to treat it more effectively when it strikes.

Researchers are investigating the workings of the immune system to find which cells are responsible for initiating and carrying out GBS’s attack on the nervous system.

The fact that so many cases of Guillain-Barré syndrome begin after a viral or bacterial infection suggests that certain characteristics of some viruses and bacteria may activate the immune system inappropriately.

Until there is a proven cure, the best way to protect yourself and your family is to become familiar with the signs and symptoms of Guillain-Barré syndrome and have an open conversation with your healthcare provider.

EXPERT CONTRIBUTORS

Jay Ferrara, Jr., MD, a neurologist with Carilion Clinic.

SOURCES

Centers for Disease Control and Prevention (CDC) GBS/CIDP Foundation International National Institutes of Health — National Institute of Neurological Disorders and Stroke

ON THE WEB

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B R EAK I NG THE SI LENC E | Guillain-Barre Syndrome

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Celebrating Excellent

BEDSIDE MANNER words | CATHERINE BROWN

In room one, a single mother waits. Her headaches have been getting more intense and frequent lately. Is it the stress of raising three energetic boys on her own, or does she have a brain tumor? She isn’t normally so pessimistic, but her fears have taken hold.

In room two, a retired grandfather sits and worries.

Although he has worked hard to manage his type 2 diabetes, he struggles with his wife’s developing dementia. He tries to have strong willpower, but finds himself eating too many candy bars to cope with the loneliness and stress.

In room three, an anxious mother tries to comfort her coughing child. He has never been this sick in his five years of life, and she worries. Is this just a normal cold that will lead to a quick recovery, or could it be something more serious? Could he be developing life-threatening asthma like his dad has?

In room four, a middle-aged father tries to read a sports magazine in an uncomfortable chair. He has noticed his hand shaking lately, and he worries. Is it something perfectly explainable, or could he be developing a potentially debilitating disease that will rob him of the chance to play basketball with his sons?

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

According to a recent study, patients whose medical providers interacted positively with them had better outcomes in the areas of obesity, diabetes, asthma, heart health and osteoarthritis. Researchers have also found that patients are more likely to adhere to treatment plans when their medical providers are compassionate and patient-focused.

In addition, studies have found that, when physicians treat patients with empathy, it helps not only the patients, but also the medical providers themselves, who report decreased burnout and an increased sense of well-being. Incidents of malpractice also decrease, thus alleviating physician stress. That happens because a patient is more likely to share information that might impact the treatment plan when she feels comfortable and valued.

A medical provider with a good bedside manner will walk into a room and focus completely on the patient. He makes eye contact and engages the patient in conversation in a kind, friendly way. The medical provider also expresses to the patient that he feels empathy; the provider wants to hear the patient’s story and is willing to understand her perspective. These qualities distinguish an outstanding doctor from one who is merely competent.

Polling for the Best Bedside Manner Awards took place in May, and over 35,000 local people voted for medical providers in over 50 medical specialties.

Because of the value that patients place on medical providers’ compassion and care, the number of people voting for these awards has increased by double digit percentages each year.

For many people, meeting with a doctor can be stressful and overwhelming.

Thankfully, so many of our community’s medical professionals recognize that challenge and walk into the room with a warm smile and the willingness to hear their patients’ stories.

While the region lays claim to many medical providers who deliver excellent care, those who receive the Best Bedside Manner Awards have developed exceptional interpersonal skills and deserve to be recognized for this.

Please join us in congratulating this year’s 11th Annual Best Bedside Manner Award winners.

The Voting Process: During the month of May 2017, the Best Bedside Manner Awards Voting Form was available on OurHealth’s website, www.ourhealthswva.com. The form consisted of over 40 medical specialties (with definitions of each specialty) in which the public could submit the first and last names of local medical providers by the applicable specialty. If you have any questions, please contact Stephen McClintic Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482, ext. 1.

ON THE WEB

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Roanoke & New River Valleys

To be effective, medical providers need to understand and relate to every single patient they see, which is often nearly 20 patients per day. In other words, bedside manner matters. Providers with an excellent bedside manner treat their patients well; they listen and are kind, understanding, patient and empathetic.

For the 11th year in a row, OurHealth Roanoke & New River Valleys is pleased to present the awards for local medical providers with the best bedside manner. While other awards recognize medical providers for their knowledge and competence, the Best Bedside Manner Awards are unique because they ask members of the public—not other medical providers—to share their input about how doctors relate to patients.

2 01 7 B EST B EDSI DE MANNER |

Across the country, patients sit in medical providers’ offices, waiting anxiously. They bring to their brief appointments their life stories, cultural contexts, anxieties, responsibilities and challenges. As they sit in small rooms sharing their experiences, patients want to know that their medical providers care, even if their medical conditions aren’t as serious as they fear they might be.

ALLERGY & IMMUNOLOGY

ROANOKE FIRST PLACE SAJU EAPEN, MD

“Obtaining a good history is integral to formulating a patient treatment plan. Visits to the doctor’s office are often stressful to the patient. A provider who appears relaxed and has a good bedside manner will be able to put the patient at ease and thereby obtain an accurate history. With all the changes happening in the healthcare industry, the providers at the Asthma and Allergy Centers of Roanoke, Lynchburg and Salem have always been dedicated to providing a comfortable experience for our patients, while providing the best modern treatments.”

— Saju Eapen, MD

“I am honored to receive this recognition as I feel having a good bedside manner is one of the most important characteristics for a physician.

I strive to treat my patients and/or their parents with kindness and respect and truly listen to their concerns.”

— Kristina Kwak, MD

NEW RIVER VALLEY FIRST PLACE KRISTINA KWAK, MD

Allergy Associates and Sleep Disorders Network Christiansburg | 540.382.1165 www.allergyandasthmaswva.com

Asthma & Allergy Center Roanoke | 540.343.7331 www.asthmaandallergycenter.net

SECOND PLACE

THIRD PLACE

SECOND PLACE

CHRISTINA ABRAHAM, MD Allergy & Asthma Associates Roanoke | 540.343.1235 www.allergyandasthmaroanoke.com

THOMAS FAME, MD Dr. Tom Fame Allergy & Asthma Salem | 540.404.9598 www.drtomfame.com

DONALD ZEDALIS, MD Allergy Associates and Sleep Disorders Network Christiansburg | 540.382.1165 www.allergyandasthmaswva.com

HONORABLE MENTION GATES HOOVER, MD Carilion Clinic Allergy & Immunology Salem | 540.387.0441 www.carilionclinic.org

“As anesthesiologists, we often meet patients for the first time on the day of surgery. This is often a very stressful and nervous time for them. I feel that the best patient care often begins before we even enter the operating room by listening and addressing the concerns of patients and their family.”

— Kendrick Lee, PharmD, DO

ANESTHESIOLOGY

“In anesthesia, a good bedside manner will often allow you to answer questions and reassure patients, hopefully allowing them to enter the operating room calmly.”

— Charles Clark IV, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

CHARLES CLARK IV, MD

KENDRICK LEE, PHARMD, DO Anesthesiology Associates of Radford, Inc. Christiansburg | 540.731.1898

Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

CHRISTY SHERMAN, MD Anesthesiology Consultants of Virginia, Inc. Roanoke | 540.345.0289 www.acv-virginia.com

ALEX CARDENAS, MD Anesthesiology Consultants of Virginia, Inc. Roanoke | 540.345.0289 www.acv-virginia.com

AMY HAMILTON, MD Anesthesiology Associates of Radford, Inc. Christiansburg | 540.731.1898

FARID DAKERMANDJI, MD ARH Anesthesia Associates Low Moor | 540.862.6377

HONORABLE MENTION MIRAM AFRIDI, MD Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

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JEFFERY BROOKS, MD Anesthesiology Associates of Radford, Inc. Christiansburg | 540.731.1898

ROBERT DALLAS, MD Anesthesiology Consultants of Virginia, Inc. Roanoke | 540.345.0289 www.acv-virginia.com

JEFFERY FORBES, MD Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

Obtaining a good history is integral to formulating a patient treatment plan.

Visits to the doctor’s office are often stressful to the patient. A provider who appears relaxed and has a good bedside manner will be able to put the patient at ease and thereby obtain an accurate history.

— Saju Eapen, MD OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

MATTHEW FULTON, DO Valley Anesthesia, PC Salem | 540.776.4000 www.valleyanesthesiapc.com

ROANOKE FIRST PLACE

2 01 7 B EST B EDSI DE MANNER |

“It is an honor to receive this recognition. All of us at Hearing Health Associates are committed to providing client-focused hearing care with exceptional service.

Hearing care should be personalized, not commoditized.”

— Doug Cameron, AuD

SECOND PLACE JEFFREY AKERS, MS The Hearing Clinic Salem | 540.904.4719 www.swvahearing.com

THIRD PLACE

DOUG CAMERON, AUD

Hearing Health Associates Roanoke | 540.427.6967 www.hearinghealthassoc.com

MICHELLE ICKES, PHD, CCC-A Roanoke Valley Speech & Hearing Center Roanoke | 540.343.0165 www.rvshc.org

Roanoke & New River Valleys

HONORABLE MENTION

AUDIOLOGY

LILLIAN BEAHM, AUD Carilion Clinic Otolaryngology Roanoke | 540.224.5170 www.carilionclinic.org

“The Anderson Audiology experience is important to our entire staff. Our Patient Care Coordinators, Audiologists and Hearing Aid Specialists work diligently to provide the best personal care to each patient that walks into each of our offices so they walk out with a positive experience so they may Hear Better-Live Better.”

— Janice Anderson, AuD

NEW RIVER VALLEY FIRST PLACE JANICE ANDERSON, AUD

Anderson Audiology Christiansburg | 540.381.6967 www.anderson-audiology.com

KIM LOWER, AUD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

SECOND PLACE JOANNE DILLION, MS, CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 www.nrvhearing.com

THIRD PLACE RICHARD HARRELL, PHD The Hearing Clinic Blacksburg | 540.307.4258 www.swvahearing.com

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

BARIATRIC MEDICINE

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

KENNETH LUCKAY, DO

CHARLES SHAFFER, MD

The Weigh Station Christiansburg | 540.381.2670 www.weighstation.net

Luckay Doc Roanoke | 540.777.6807 www.luckaydoc.com

THIRD PLACE

SECOND PLACE

ARNOLD SALZBERG, MD Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org

TA LUCKTONG, MD Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org

CHARLES BISSELL, MD Carilion Clinic General Surgery Christiansburg | 540.731.7600 www.carilionclinic.org

Roanoke & New River Valleys

SECOND PLACE

“Bedside manner is important so that patients feel comfortable and relaxed regarding their care.

This helps them have a clearer understanding of treatment plans and expectations.”

— Alan McLuckie, MD

CARDIOLOGY

2 01 7 B EST B EDSI DE MANNER |

“In bariatrics, losing weight is more than just learning how to eat right, it's about nourishing the body, mind and spirit. Bedside manner is an imperative part of ensuring that the patient is improving their health from all the facets of life.”

— Charles Shaffer, MD

“The practice of medicine is both art and science.

Bedside manner is the art of medicine and without it, a practitioner is incomplete.”

— Kenneth Luckay, DO

“I strongly feel that good bedside manner, as well as respect for my patients, results in better health outcomes.”

— Uzair Wyne, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

ALAN MCLUCKIE, MD

UZAIR WYNE, MD

The Heart Clinic Christiansburg | 540.731.3191 www.wynemd.com

Heart of Virginia Cardiology Roanoke | 540.283.4477 www.heartofvirginiacardiology.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

STEPHEN PHILLIPS, MD Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

ANDREW MAIOLO, MD LewisGale Physicians Salem | 540.772.3430 www.lgphysicians.com

DANIEL OSIMANI, MD LewisGale Physicians Blacksburg | 540.961.0218 www.lgphysicians.com

SUDHENDU CHOUBEY, MD New River Valley Heart Clinic Christiansburg | 540.731.3172 www.newrivervalleyheartclinic.com

HONORABLE MENTION WILLIAM GAY, MD Carilion Children’s Pediatric Cardiology Roanoke | 540.224.4545 www.carilionclinic.org

RICHARD KONSTANCE, MD Heart of Virginia Cardiology Roanoke | 540.283.4477 www.heartofvirginiacardiology.com

TERRENCE MAY, MD Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

RICHARD PROKOPCHAK, MD Southwest Virginia Cardiology Salem | 540.375.9375

SANDEEP RAVI, MD Carilion Clinic Cardiology New River Valley | 540.382.6711 www.carilionclinic.org

JOSE RIVERO, MD Carilion Clinic Cardiology New River Valley | 540.382.6711 www.carilionclinic.org

MOLLY RUTHERFORD, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

ERIC WILLIAMS, MD Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

ALEXANDER VIGH, DO Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

STEPHAN VIVIAN, MD LewisGale Physicians Salem | 540.772.3430 www.lgphysicians.com

Having a good bedside manner is the foundation of a successful practice. It is essential to get to know my patients and take the time to answer their questions so that I may ease any dental anxiety. We strive to assure our patients that we care about them and their well-being.

— Richard Anthony, DDS www.OurHealthswva.com

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CHIROPRACTIC

“I love to connect with patients and learn about their work, family, hobbies and interests so I can understand how factors like posture and stress may affect their condition. I look to see the person beyond the symptoms as I encourage each patient in their overall health goals.”

— Dan Davidson, DC

“Our team is honored to receive this acknowledgement. Our goal is for every patient to have the best experience possible, every visit.”

— Philip E. Cooley, DC

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

DAN DAVIDSON, DC

PHILIP E. COOLEY, DC

Radford Chiropractic Clinic, LLC Radford | 540.731.3842 www.radfordchiropractor.com

The Back Resort Salem | 540.389.2225 www.backresort.com

SECOND PLACE

THIRD PLACE (TIE)

SEAN SKINNER, DC Tuck Chiropractic Roanoke | 540.563.0334 www.tuckclinic.com

NANCY MEYER, DC Chiropractic Wellness Roanoke | 540.777.5556 www.drnancymeyer.com

SECOND PLACE (TIE) GARRETT THOMPSON, DC Thompson Family Chiropractic Roanoke | 540.776.8200 www.chiropractorsroanoke.com

THIRD PLACE

LEE MATTHIS, DC Tuck Chiropractic Christiansburg | 540.382.3000 www.tuckclinic.com

MARK HUNDLEY, DC Hundley Chiropractic & Sports Medicine Christiansburg | 540.382.3333 www.drmarkhundley.com

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

HONORABLE MENTION LOGAN BROOKE, DC Tuck Chiropractic Radford | 540.731.4357 www.tuckclinic.com

JOE COTTON, DC Cotton Chiropractic Salem | 540.765.2990 www.cottonchiropractic.com

CHRISTOPHER DOWELL, DC Dowell Chiropractic Christiansburg | 540.381.0220 www.dowellchiro.com

ERICA POLLACK, DC Chiropractic Care Center Blue Ridge | 540.977.4611 www.virginiachiropractic.org

athelas

HOLLY WELTY-MILLER, DC Foothills Chiropractic Clinic Pulaski | 540.980.1425 f | Foothills Chiropractic Clinic, PC

DENTISTRY: COSMETIC

JENNIFER WALKER, DC Balance Wellspace Roanoke | 540.212.9119 www.balancewellspace.com

“I am very honored to receive this award. Thank you for voting! I enjoy getting to know my patients and I firmly believe that you should treat people as you would like to be treated. I am fortunate to have an incredible team that shares my vision and passion for dentistry. It takes a whole team to make a great experience for our patients.”

— Michele Mills, DDS

“A good bedside manner is important in dentistry, but even more important in everyday life. A smile says a lot.”

— Amy Hunter, DDS

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

MICHELE MILLS, DDS

AMY HUNTER, DDS

Christiansburg | 540.382.4441 f | AmySHunterDDS

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

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

LISA LAVINDER, DMD Coots, Cross, Lavinder & Quinn Family & Cosmetic Dentistry Roanoke | 540.989.1170 www.cwcfd.com

GREGORY SKINNER, DDS Skinner Family Dentistry Roanoke | 540.344.6688 www.gregoryskinnerdds.com

MATTHEW GLASGOW, DDS Cosmetic Smile Center Blacksburg | 540.552.3111 www.cosmeticsmilecenter.com

STEPHEN D. MCCUIN, DDS Radford | 540.639.2921 www.radfordgentledentist.com

HONORABLE MENTION AMANDA JOHNSON, DDS Roller and Johnson Dentistry Roanoke | 540.772.9373 www.rollerjohnsondentistry.com

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ELIZABETH NEAL, DDS Blue Ridge Dental Group Vinton | 540.904.4969 www.blueridgedentalgroup.com

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

ROB SEMTNER, DDS Semtner Dental Roanoke | 540.989.0112 www.semtnerdental.com

JUSTIN TEBBENKAMP, DDS Blacksburg | 540.961.3279 www.blacksburgdentist.com

DAMON THOMPSON, DDS Real Life Dental Blacksburg | 540.808.4500 www.reallifedentalcare.com

www.OurHealthswva.com

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

NEW RIVER VALLEY FIRST PLACE

FRED COOTS III

RICHARD ANTHONY, DDS

Blacksburg | 540.552.8870 www.richardlanthonydds.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

BRICE ROBERTS, DMD Blue Ridge Dental Group Salem | 540.389.0720 www.blueridgedentalgroup.com

D. KYLE FITZGERALD, DDS Roanoke | 540.366.3999

KIMBERLYN ATHERTON, DDS NRV Dental Blacksburg | 540.951.2260 www.nrvdental.com

LOREN COOK, DMD Cook Family Dentistry Blacksburg | 540.951.8383 www.cookdentistry.com

DENTISTRY: PEDIATRIC

HONORABLE MENTION JAY BASS NRV Family Dentistry Blacksburg | 540.552.2551 www.nrvfamilydentistry.com

GRIFFIN CROSS, DDS Coots, Cross, Lavinder & Quinn Family and Cosmetic Dentistry Roanoke | 540.989.1170 www.cwcfd.com

TRAVIS SHANNON, DMD Mills & Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com

STEVE TUPMAN, DDS Blue Ridge Dental Group Dublin | 540.674.8891 www.blueridgedentalgroup.com

KEVIN GREENWAY, DDS Vinton | 540.342.2949 www.drkevingreenway.com

ANDREW HENRITZE, DDS Dr. Andrew Henritze Dentistry Roanoke | 540.989.6600 www.drhenritze.com

CHRISTOPHER HUFF, DDS Blacksburg | 540.951.4833 www.huffsmiles.com

ROANOKE & NEW RIVER VALLEY FIRST PLACE DARCY AMACHER, DDS

Christiansburg | 540.394.3300 www.darcyamacherdds.com

“My greatest joy is helping a patient become happy and excited to come see the dentist, providing a positive experience for patients and their family while educating them about the importance of preventative care and oral hygiene. We strive to provide the most comfortable environment for both patients and parents and we are delighted to receive such an honor.”

— Darcy Amacher, DDS

SECOND PLACE

THIRD PLACE

CORY SHEPPARD, DDS Anderson & Sheppard Pediatric Dentists Roanoke | 540.989.3639 www.pediatricdentistryroanoke.com

MICHAEL JONES, DDS Carilion Clinic Dental Care – Pediatrics Roanoke | 540.224.4318 www.carilionclinic.org

HONORABLE MENTION SCOTT ANDERSON, DDS Anderson & Sheppard Pediatric Dentists Roanoke | 540.989.3639 www.pediatricdentistryroanoke.com

www.OurHealthswva.com

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Roanoke & New River Valleys

DENTISTRY: GENERAL

ROANOKE FIRST PLACE Coots, Cross, Lavinder & Quinn Family and Cosmetic Dentistry Roanoke | 540.989.1170 www.cwcfd.com

2 01 7 B EST B EDSI DE MANNER |

“Having a good bedside manner is the foundation of a successful practice. It is essential to get to know my patients and take the time to answer their questions so that I may ease any dental anxiety.

We strive to assure our patients that we care about them and their well-being.”

— Richard Anthony, DDS

“Thank you to my patients for this wonderful recognition. My compassionate staff and I will continue to earn your trust.”

— Fred Coots III

“Bedside manner is often thought of as something that you perfect in order to achieve a result. I feel an excellent bedside manner is simply a side effect that occurs naturally as a result of truly caring for that patient who has placed their trust in you.”

— Daniel Hurd, DO, FAOCD

DERMATOLOGY

“This is my 25th year of practice and I am very happy to be here in Roanoke seeing my patients.”

— Susan Dorsey, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

SUSAN DORSEY, MD

DANIEL HURD, DO, FAOCD

Dermatology Associates of Roanoke, PC Roanoke | 540.981.1439 www.dermatologyassociatesofroanoke.com

New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

ALLISON DIVERS, MD The Art and Science of Dermatology Roanoke | 540.725.7546 www.theartandscienceofdermatology.com

MARIANA PHILLIPS, MD Carilion Clinic Dermatology Roanoke | 540.224.5170 www.carilionclinic.org

CHAD JOHNSTON, DO, FAAD River Ridge Dermatology Blacksburg | 540.951.3376 www.riverridgederm.com

ALEKSANDRA BROWN, DO, FAOCD, FAAD River Ridge Dermatology Blacksburg | 540.951.3376 www.riverridgederm.com

HONORABLE MENTION GARY GROSS, MD LewisGale Dermatology Roanoke | 540.772.3421 www.lgphysicians.com

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LARRY PATTON, MD LewisGale Dermatology Roanoke | 540.772.3430 www.lgphysicians.com

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

MELANIE WALTER, MD, FAAD Dermatology Practice of Roanoke, P.C. Roanoke | 540.562.8873 www.dermatologypracticeofroanoke.com

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

JOHN PERKINS JR., MD

ALISON HESTER, DO

Carilion New River Valley Medical Center Christiansburg | 540.731.2000 www.carilionclinic.org

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

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

JAMES HARLESS, MD Apollo MD Salem | 540.776.4000 www.lewisgale.com

STEVEN PASTERNAK, MD Apollo MD Salem | 540.776.4000 www.lewisgale.com

BRIAN EKEY, DO LewisGale Hospital – Pulaski Pulaski | 540.994.8100 www.lewisgale.com

JOSEPH JOYCE, MD Apollo, MD Blacksburg | 540.951.1111 www.lewisgale.com

HONORABLE MENTION

ENDOCRINOLOGY

MATTHEW BORLOZ, MD Carilion New River Valley Medical Center Christiansburg | 540.731.2000 www.carilionclinic.org

LINDSEY CALEY, MD Carilion Roanoke Memorial Hospital Roanoke | 540.981.7000 www.carilionclinic.org

KAREN KUEHL, MD Carilion Roanoke Memorial Hospital Roanoke | 540.981.7000 www.carilionclinic.org

“To me, “bedside manner” implies several things.

First, being polite, respectful, and empathetic is very important. Second, taking the time to explain things in a way the patient understands and lastly, never appearing to be hurried or distracted. Patients want to feel they are the most important thing to you at that time.”

— D. James Bailey, MD

ERIC STANLEY, DO Carilion New River Valley Medical Center Christiansburg | 540.731.2000 www.carilionclinic.org

“I believe a good bedside manner represents a strong bond between patient and provider. This is important to establish patient trust, enabling me to offer the best therapeutic options for my patients. ” — Scott Boerth, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

D. JAMES BAILEY, MD

SCOTT BOERTH, MD

LewisGale Physicians Blacksburg | 540.552.1246 www.lgphysicians.com

Endocrinology Associates, Inc. Roanoke | 540.344.3276 www.endocrinologymed.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

JAMES MULINDA, MD Endocrinology Associates Roanoke | 540.344.3276 www.endocrinologymed.com

KAMRAN RASUL, MD LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com

BRUCE L. FARISS, MD, FACP, FACE Dublin | 540.674.5900

HONORABLE MENTION ROBERT MOUNTCASTLE, MD Physician Associates of Virginia, PC Roanoke | 540.345.4946 www.pavclinics.com

Good bedside manner involves active listening and communicates a sense of caring.

When patients know I care about them, they are more likely to participate in their healthcare, which ultimately improves their lives.

— Alison Hester, DO

Roanoke & New River Valleys

EMERGENCY MEDICINE

“Good bedside manner involves active listening and communicates a sense of caring. When patients know I care about them, they are more likely to participate in their healthcare, which ultimately improves their lives.”

— Alison Hester, DO

2 01 7 B EST B EDSI DE MANNER |

“There is nothing more rewarding than shaping a positive patient experience by spending time at the bedside with the patient and their family. My father was revered by his patients for his bedside manner, and I am humbled to be recognized for the skill set that he taught me.”

— John Perkins Jr., MD

“Our office strives to be kind and compassionate to those who walk through the door. We want people to feel warm and welcomed since, generally, people don’t like coming to the doctor. The more people feel comfortable, the more they may feel willing to discuss their healthcare needs.”

— Marie Malinchak, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

MARIE MALINCHAK, MD

ELLIOT FREED, DO

FERTILITY SPECIALIST

FAMILY PRACTICE

Roanoke Partners in Health Roanoke | 540.904.7912 www.roanokepih.com

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“Our team’s goal is to treat everyone with respect and compassion, and that leads to better care and health outcomes.”

— Elliot Freed, DO

LewisGale Physicians Pembroke | 540.626.4343 www.lgphysicians.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

MARK TAYLOR, MD Salem Family Medicine Salem | 540.375.2686 www.salemfamilymed.com

CLIFFORD NOTTINGHAM, MD Carilion Clinic Family Medicine Roanoke | 540.265.5500 www.carilionclinic.org

MATTHEW KAATZ, MD New River Medical Group Pulaski | 540.980.0550 www.newrivermedicalgroup.com

REED LAMBERT, MD Carilion Clinic Family Medicine Christiansburg | 540.381.6000 www.carilionclinic.org

HONORABLE MENTION JOSEPH BAUM, MD Carilion Clinic Family Medicine Floyd | 540.745.2031 www.carilionclinic.org

HENRY BURGESS, MD LewisGale Physicians Daleville | 540.966.6430 www.lgphysicians.com

BRIAN DICKENS, DO LewisGale Physicians Blacksburg | 540.443.3700 www.lgphysicians.com

KATIE EDSON, MD Edson Family Practice Christiansburg | 540.251.1394 www.edsonfp.com

SCOTT HIPPEARD, MD Roanoke | 540.774.4000 www.scotthippeardmd.com

LIANNA LAWSON, DO Lawson Family Medicine and Aesthetics Daleville | 540.992.3600 www.lawsonfamilymedicine.com

APOLLO LEONG, MD Carilion Clinic Family Medicine Roanoke | 540.772.8950 www.carilionclinic.org

HILARY LOIS, DO LewisGale Physicians Blacksburg | 540.443.3700 www.lgphysicians.com

CHRISTOPHER MERTES, MD Carilion Clinic Family Medicine Blacksburg | 540.951.0352 www.carilionclinic.org

JOHN PRIDDY, MD Carilion Clinic Family Medicine Salem | 540.387.0441 www.carilionclinic.org

MARK ROGERS, DO VCOM Sports & Osteopathic Medicine Blacksburg | 540.232.8405 www.osteopathicsports.com

ISSAC SPENCE, DO Carilion Clinic Family Medicine Blacksburg | 540.951.0352 www.carilionclinic.org

WILLIAM WHITNEY III, MD Carilion Clinic Family Medicine Roanoke | 540.772.0555 www.carilionclinic.org

“A good bedside manner comes much more naturally when you love what you do and truly care about your patients. It’s important to let patients see this so they know that you’re as invested in their care as they are.”

— Emily Evans-Hoeker, MD

ROANOKE & NEW RIVER VALLEY FIRST PLACE EMILY EVANS-HOEKER, MD Carilion Clinic Reproductive and Fertility Medicine Roanoke | 540.985.8078 www.carilionclinic.org

Good bedside manner is about going beyond the technical aspects of medicine and having a genuine concern for each patient.

— Brian Van der Linden, MD OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

SECOND PLACE BRUCE BATEMAN, MD Reproductive Medicine and Surgery Center of Virginia, PLC Charlottesville | 434.654.8520 www.rmscva.com

THIRD PLACE JAMES S. WESTON, MD, PC Christiansburg | 540.639.2037

NEW RIVER VALLEY FIRST PLACE

BRIAN VAN DER LINDEN, MD

JENNIFER SINCLAIR, MD LewisGale Physicians Blacksburg | 540.552.3670 www.lgphysicians.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

JOSEPH NELSON, III, MD LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com

MICHAEL LEE, DO Gastroenterology Consultants of Southwest Virginia, Inc. Roanoke| 540.345.4900 www.colonoscopyroanoke.com

MARK RINGOLD, MD Carilion Clinic Gastroenterology Christiansburg | 540.382.9405 www.carilionclinic.org

MICHAEL RIEL, DO Carilion Clinic Gastroenterology Christiansburg | 540.382.9405 www.carilionclinic.org

Roanoke & New River Valleys

GASTROENTEROLOGY

ROANOKE FIRST PLACE LewisGale Physicians Salem | 540.772.5970 www.lgphysicians.com

2 01 7 B EST B EDSI DE MANNER |

“Taking the time to really listen to my patients is important to me – you'd be surprised what you learn which is helpful in addressing their concerns. My goal is to take care of my patients the way I would want my family taken care of, and it's important to me that my patients know that.”

— Jennifer Sinclair, MD

“Good bedside manner is about going beyond the technical aspects of medicine and having a genuine concern for each patient.”

— Brian Van der Linden, MD

HONORABLE MENTION MERRITT BERN, MD Carilion Clinic Gastroenterology Roanoke | 540.224.5170 www.carilionclinic.org

VIKAS CHITNAVIS, MD Carilion Clinic Gastroenterology Roanoke | 540.224.5170 www.carilionclinic.org

JOHN PINEDA-BONILLA, MD Lewis Gale Physicians Salem | 540.772.5970 www.lgphysicians.com

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GERIATRIC CARE

SECOND PLACE ANNE JAEGER, MD Physician Associates of Virginia, PC Roanoke | 540.345.4946 www.pavclinics.com

THIRD PLACE

ROANOKE & NEW RIVER VALLEY FIRST PLACE GARY OBERLENDER, MD

HEMATOLOGY/ONCOLOGY

Senior Evaluations Roanoke | 540.529.7566 www.seniorevaluations.com

“An interaction at the bedside goes well when the person in need has exceptional care, from everyone who enters the room. We doctors get the privilege of conducting those intimate moments while so many others do the hard work day after day. I wish there were categories for Nurse, and Nursing Assistant, and Housekeeper, and Pharmacist, and Dietary Aide, and even the person who changes the light bulbs.”

— William Fintel, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

AUBREY KNIGHT, MD Carilion Center for Healthy Aging Roanoke | 540.981.7653 www.carilionclinic.org

“What an honor to receive this recognition! I am inspired daily by my patients, who have the courage to be vulnerable and selfless even as they face challenges. I am strengthened by those I work with, who on my hardest days, carry me with their love and encouragement. I am thankful for my family, who remind me that we walk the journey of life together.”

— Heather Brooks, MD

HEATHER BROOKS, MD

WILLIAM FINTEL, MD

Blue Ridge Cancer Care Blacksburg | 540.381.5291 www.blueridgecancercare.com

Blue Ridge Cancer Care Salem | 540.774.8660 www.blueridgecancercare.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

MARK CURRIE, MD LewisGale Hematology/Oncology Care Salem | 540.772.3411 www.lgphysicians.com

VANADANA KARRI, MD LewisGale Physicians Salem | 540.772.3411 www.lgphysicians.com

JEROME GOLDSCHMIDT, MD Blue Ridge Cancer Care Wytheville | 276.228.7665 www.blueridgecancercare.com

HARRY MCCOY, MD Blue Ridge Cancer Care Blacksburg | 540.381.5291 www.blueridgecancercare.com

HONORABLE MENTION MARK KOCHENDERFER, MD Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

athelas

PADMAJA MALLIDI, MD Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

Did your favorite

HEALTHCARE PROVIDER make the

50

CUT?

INFECTIOUS DISEASE

SECOND PLACE

“I like to put myself in patients' shoes.”

— Muddasar Chaudry, MD

ROANOKE & NEW RIVER VALLEY FIRST PLACE MUDDASAR CHAUDRY, MD LewisGale Physicians Salem | 540.772.3407 www.lgphysicians.com

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

JEAN SMITH, MD Carilion Clinic Infectious Disease Roanoke | 540.981.7715 www.carilionclinic.org

THIRD PLACE THOMAS KERKERING, MD Carilion Clinic Infectious Disease Roanoke | 540.981.7715 www.carilionclinic.org

HONORABLE MENTION DOROTHY GARNER, MD Carilion Clinic Infectious Disease Roanoke | 540.981.7715 www.carilionclinic.org

2 01 7 B EST B EDSI DE MANNER | Roanoke & New River Valleys

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www.OurHealthswva.com

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

“Bedside manner is an important detail in being a holistic and empathetic physician. I truly enjoy helping my patients and having a good time doing so!”

— Gregory Beato, DO, CAQ

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

VASHIST NOBBEE, MD

GREGORY BEATO, DO, CAQ

Medical Associates of Southwest Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com

Lewis Gale Physicians Salem | 540.283.3760 www.lgphysicians.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

CHETNA JHA, MD Lewis Gale Physicians Salem | 540.772.3400 www.lgphysicians.com

NATALIE KLAWONN, MD Carilion Clinic Internal Medicine Roanoke | 540.244.5170 www.carilionclinic.org

SCOTT JAMISON, MD LewisGale Physicians Blacksburg | 540.443.3980 www.lgphysicians.com

ROBERT SOLOMON, MD LewisGale Physicians Blacksburg | 540.951.6070 www.lgphysicians.com

Roanoke & New River Valleys

INTERNAL MEDICINE

2 01 7 B EST B EDSI DE MANNER |

“To ensure a good and productive patient experience it is essential that all healthcare providers, not just physicians, demonstrate a compassionate, professional mannerism that fosters confidence in the healthcare they are receiving.”

— Vashist Nobbee, MD

HONORABLE MENTION JOHN GAYLORD, III, MD Salem VA Medical Center Salem | 540.982.2463 www.salem.va.gov

ROY HABIB, MD LewisGale Physicians Salem | 540.772.3490 www.lgphysicians.com

PATRICIA KITCHIN, DO LewisGale Physicians Salem | 540.444.2010 www.lgphysicians.com

QUASIR RAZA, MD LewisGale Physicians Roanoke | 540.283.3660 www.lgphysicians.com

WILLIAM THOMAS, DO Lewis Gale Physicians Christiansburg | 540.382.6148 www.lgphysicians.com

ERIC WOMELDORF, MD Carilion Clinic Internal Medicine Roanoke | 540.224.5170 www.carilionclinic.org

NEPHROLOGY

“It's important for us as providers to put ourselves in the patient’s and family’s shoes. They come to the clinic or hospital in one of the most stressful times.

We must connect to our patients and their families.

With good bedside manner, providers are ultimately able to improve communication and reduce errors.”

— Fletcher Matthews, MD

“Good bedside manner is important to ensure effective communication with patients, so we can deliver the appropriate care, safety and optimal outcomes.”

— Feras Ghosheh, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

FLETCHER MATTHEWS, MD

FERAS GHOSHEH, MD

New River Nephrology Associates Blacksburg | 540.381.3750 www.newrivernephrology.com

SWVA Nephrology Medicine, PC Roanoke | 540.904.5366 www.swvakidneydoctor.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

MATT MATTHEW, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com

FRED BALLENGER, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com

BHAIRVI TRIVEDI, MD Blue Ridge Nephrology Associates Christiansburg | 540.633.5650 www.blueridgenephrologyassociates.com

ALLAN SKLAR, MD New River Nephrology Associates Blacksburg | 540.381.3750 www.newrivernephrology.com

HONORABLE MENTION CLIFFORD CULPEPPER, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com

SUSAN GUELICH, MD Valley Nephrology Associates Roanoke | 540.344.1400 www.valleynephrologyassociates.com

athelas

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53

NEUROLOGY

“In some circumstances, merely sitting on the bedside and touching a hand enables patients to ask questions or elaborate fears that they would otherwise not.”

— Timothy Hormel, MD

“Bedside manner is the reflection of my professional passion — I remind myself every day to care deeply and love genuinely so that the gifted power of healing can be exercised fully.”

— Chunxia “Belinda” Zhang, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

TIMOTHY HORMEL, MD

CHUNXIA “BELINDA” ZHANG, MD New River Neurology and Epilepsy Christiansburg | 540.381.9480 www.neurologyepilepsy.com

Valley Neurology Associates, PC Salem | 540.725.3500

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

CLEMENT ELECHI, MD LewisGale Neurology Salem | 540.772.3450 www.lewisgale.com

GORDON BURCH, MD Roanoke Neurological, Inc. Roanoke | 540.342.0211 www.roanokeneuro.com

MANUEL MARRUFO-SALAZAR, MD Neurological Care Clinic, PC Blacksburg | 540.951.5090 www.neurologicalcareclinic.com

JILL CRAMER, MD Blue Ridge Associates in Neurology Christiansburg | 540.381.6211 www.swvabrain.com

HONORABLE MENTION GARY HARPOLD, MD Carilion Clinic Neurology Roanoke | 540.224.5170 www.carilionclinic.org

MICHAEL SISK, MD Carilion Children’s Pediatric Neurology Roanoke | 540.985.8454 www.carilionclinic.org

“Creating a personal connection with my patients is very important to me. Having a greater understanding of their situation — their concerns, their health habits, and even their daily life — helps me provide better, faster, and more effective treatment.”

— Susan Gaither, FNP, MSN

NURSE PRACTITIONER (NP)

“I believe bedside manner is an imperative component of healthcare. In order to feel heard and understood, patients must feel genuine kindness and empathy.”

— Stephanie Quinn, NP

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

STEPHANIE QUINN, NP

SUSAN GAITHER, FNP, MSN

Physicians to Women Roanoke | 540.982.8881 www.ptow.com

River Ridge Dermatology Blacksburg | 540.951.3376 www.riverridgederm.com

SECOND PLACE (TIE)

THIRD PLACE

SECOND PLACE

THIRD PLACE

MOLLY CAMPER, NP Carilion Clinic Cardiology Roanoke | 540.982.8204 www.carilionclinic.org

BARBARA HURST, OGNP, RN-C LewisGale Physicians Salem | 540.772.3520 www.lgphysicians.com

CAROL BALLARD, RN, FNP, CDE Medical Associates of SW Virginia Blacksburg | 540.951.3311 www.medicalassociatesswva.com

CRISTINA TROUT, NP Carilion Clinic Obstetrics & Gynecology Christiansburg | 540.731.4578 www.carilionclinic.org

AMY SINCLAIR, NP MedExpress Roanoke | 540.265.8924 www.medexpress.com

HONORABLE MENTION GLENDA BALL, FNP Family Medicine of Blacksburg Blacksburg | 540.552.1246 www.lgphysicians.com

MELINDA BARBER, NP LewisGale Physicians Dublin | 540.674.4560 www.lgphysicians.com

JUDY JENKS BRANSCOM, MSN, FNP New River Internal Medicine, Inc. Pulaski | 540.980.8804 www.nriminc.com

LAURIE BUCHWALD, RNC, WHNP, FNP, NCMP Summit Women’s Health Christiansburg | 540.639.9651 f | Summit Women’s Health

JESSICA CONLEY, NP Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org

SUSAN GAITHER, FNP, MSN River Ridge Dermatology Blacksburg | 540.951.3376 www.riverridgederm.com

SUSAN JONES, FNP Asthma & Allergy Center Roanoke | 540.343.7331 www.asthmaandallergy.com

MICHELLE MEINHART, NP Starkey Medical Aesthetics Salem | 540.389.0909 www.starkeymedical.com

BOBBILOU NOTTINGHAM, NP CVS Minute Clinic Roanoke | 540.580.7649 www.cvs.com/minuteclinic

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

TARA WICKLINE, FNP LewisGale Physicians Roanoke | 540.265.1607 www.lgphysicians.com

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

NEW RIVER VALLEY FIRST PLACE

JILL GAINES, MD

JOHN COLBY, MD

John Christopher Colby, MD PC Christiansburg | 540.639.3540

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

SECOND PLACE

THIRD PLACE

SECOND PLACE (TIE)

KURT STOCKSTILL, MD Drs. Moore & Stockstill, PC Roanoke | 540.904.7710 www.mooreandstockstill.com

GEORGE MAXYMIV, MD LewisGale Gynecology Salem | 540.772.3520 www.lewisgale.com

MARGARITA ABRAMS, MD The Encore OB/GYN Center of Southwest Virginia Blacksburg | 540.251.0980

THIRD PLACE CARRIE CHAMPINE, DO Virginia Women’s Health Blacksburg | 540.443.0500 www.lgphysicians.com

SANAM CAMPBELL, MD New River Women’s Health Blacksburg | 540.605.7566 www.newriverwomenshealth.com

HONORABLE MENTION DEBORAH CLAPP, MD LewisGale Physicians Salem | 540.774.6000 www.lgphysicians.com

MARK GUSTAFSON, MD Lewis Gale Physicians Salem | 540.772.3520 www.lgphysicians.com

TAMERA HOWELL, MD Carilion Clinic Obstetrics and Gynecology Christiansburg | 540.731.4578 www.carilionclinic.org

KIMBERLY SIMCOX, DO Carilion Clinic Obstetrics and Gynecology Christiansburg | 540.731.4578 www.carilionclinic.org

JAMES KELLY, MD LewisGale Physicians Roanoke | 540.774.6000

ELIZABETH MCCUIN, MD Carilion Clinic Obstetrics and Gynecology Roanoke | 540.526.2273 www.carilionclinic.org

ERIC SWISHER, MD Physicians to Women, Inc. Roanoke | 540.982.8881 www.ptow.com

“One of the greatest desires of the human soul is to be understood. It has been my experience that if I do my best to understand my patient's concerns, not just make the correct diagnosis and offer the proper treatment, but really make sure I address their concerns, that I am more likely to have a satisfied patient who responds well to treatment.”

— Darrell Powledge, MD

SECOND PLACE LOUIS CASTERN, MD Valley Occupational Medicine Roanoke | 540.362.9620 www.drpowledge.com

THIRD PLACE

ROANOKE & NEW RIVER VALLEY FIRST PLACE DARRELL POWLEDGE, MD

Valley Occupational Medicine Roanoke | 540.362.9620 www.drpowledge.com

MARIA JOURNALES, MD Valley Occupational Medicine Roanoke | 540.362.9620 www.drpowledge.com

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Roanoke & New River Valleys

OBSTETRICS & GYNECOLOGY

ROANOKE FIRST PLACE

DAVID ROBERTS, MD Carilion Clinic Obstetrics and Gynecology Blacksburg | 540.961.1058 www.carilionclinic.org

OCCUPATIONAL MEDICINE

2 01 7 B EST B EDSI DE MANNER |

“I enjoy teaching patients so that they have a full understanding of their medical condition and available treatment options. I want my patients to know what is going on with their body and to be comfortable with the medical and surgical care I provide them. Kindness, patience and understanding are of utmost importance.”

— John Colby, MD

“I want my patients to be comfortable with me, so they can tell me everything that could possibly impact their health. I am a patient as well as a provider, so I treat my patients how I would like to be treated.

I adore them and truly want what is best for their physical and emotional well-being.”

— Jill Gaines, MD

ROANOKE FIRST PLACE

ROANOKE FIRST PLACE

JOHN FACCIANI, MD

RICHARD JOHNSON, MD, FAAO LewisGale Vision Care Salem | 540.772.3480 www.lgphysicians.com

Vistar Eye Center Salem | 540.855.5100 www.vistareye.com

OPHTHALMOLOGY

SECOND PLACE

“I believe my bedside manner is a by-product of the genuine gratitude I have for the opportunity I have to help my patients. It is important to me to be present in every interaction with my patients, to focus on the person in front of me, and to treat them with kindness, honesty, and respect.”

— John Facciani, MD

“I am blessed to be honored with this award. My staff and I try to get to know our patients and treat them as family. We take this responsibility seriously. We try to care for them as we would want to be cared for. I thank all of our patients who trust us with their eye care and took time to vote.”

— Richard Johnson, MD, FAAO

THIRD PLACE J. STUART TIMS, MD Vistar Eye Center Roanoke | 540.855.5100 www.vistareye.com

SECOND PLACE

PARISA FARHI, MD

THIRD PLACE

Farhi Vision & Glaucoma Specialists Blacksburg | 540.552.1120 www.farhivision.com

ROANOKE FIRST PLACE

HONORABLE MENTION CHAD ALBRIGHT, MD Vistar Eye Center Salem | 540.855.5100 www.vistareye.com JOHN STEPHEN HUDGINS, MD Christiansburg | 540.382.8316 JOSEPH WEISMAN, MD Blue Ridge Eye Center Roanoke | 540.345.2020 www.blueridgeeye.com

“Interacting with patients with respect, kindness and understanding is an integral part of being a doctor and taking care of patients. Anything less is unacceptable. ” — Parisa Farhi, MD

NEW RIVER VALLEY FIRST PLACE

OPTOMETRY

EUGENE ENG, MD Eye Care and Surgery Roanoke | 540.772.7171 www.eyecaresurgery.com

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

JOHN WOOD, MD Vistar Eye Center Roanoke | 540.855.5100 www.vistareye.com

TEDD PUCKETT, MD, FACS New River Valley Eye Center Christiansburg | 540.381.2013 www.nrveye.com

“Having a good bedside manner is a direct result of our office culture treating others as we ourselves would like to be treated. As a healthcare provider I feel that a good bedside manner, taking the time to listen and to answer questions, is important in building trusting relationships with my patients.

I believe this leads directly to better outcomes as people are more likely to follow a recommended treatment plan when they know they have been heard and they fully understand their own unique situation.”

— Jon Gudeman, OD

NEW RIVER VALLEY FIRST PLACE

“It is both humbling and rewarding to be acknowledged by my patients as having a good bedside manner. I believe that building a trusting relationship helps create a patientdoctor bond that is important in getting the best results, be it vision, healing, or comfort. For me, that bond starts with a smile, a handshake, and active listening. It’s great to see so many of my patients appreciate that.”

— John Dovie, OD, FAAO

JOHN DOVIE, OD, FAAO

JON GUDEMAN, OD

Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

Invision Salem | 540.387.1183 www.invision2020.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

MICHAEL JOHNSON, OD Johnson Curran Optometry Centers Roanoke | 540.366.2457 www.johnsoncurran.com

GARY BEST, OD Family Eye Care, PC Salem | 540.389.0731

OLIVIA SCHAUBACH, OD Blacksburg Eye Care and Surgery Blacksburg | 800.650.7313 www.eyecaresurgery.com

COLLEEN MITCHELL, OD Blacksburg Eye Associates Blacksburg | 540.953.2020 www.blacksburgeye.com

HONORABLE MENTION SCOTT BRANDAU, OD Eye Care on the Ridge Dublin | 540.674.6824 www.eyecareontheridge.com

KEVIN COOLBAUGH, OD Eye Care & Surgery PC Roanoke | 540.772.7171 www.eyecaresurgery.com

ANGELA STEWART, OD Kartesz Eye Care Roanoke | 540.562.3458 www.kartszeyecare.com

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

PATRICK CURRAN, OD Johnson Curran Optometry Centers Roanoke | 540.989.6515 www.johnsoncurran.com

MELISSA FARLEY, OD Infinity Eye Care Radford | 540.731.1010 www.infinity2020.com

DONALD SCOTHORN, OD Vistar Eye Center Roanoke | 540.855.5100 www.vistareye.com

ALBERT PARULIS, DMD

“I can't remember one happy person at the beginning of an appointment, what normal person would be coming to see a surgeon? Trying your best to make someone relatively comfortable in an uncomfortable situation is as important as any aspect of that patient's physical and mental well-being.”

— Albert Parulis, DMD

SECOND PLACE

HONORABLE MENTION

SAMUEL SCROGGINS, DMD Southwest Virginia Oral & Maxillofacial Surgery Salem | 540.989.5257 www.swvirginiaoralsurgery.com

GEORGE KEVORKIAN, DDS Oral Surgery Center Vinton | 540.344.7252 www.georgekevorkiandds.com

THIRD PLACE JASON MARGOLIS, DMD Roanoke Oral Surgery Roanoke | 540.362.5900 www.roanokeoralsurgery.com

athelas

Roanoke & New River Valleys

ORAL SURGERY

Roanoke Oral Surgery Roanoke | 540.362.5900 www.roanokeoralsurgery.com

2 01 7 B EST B EDSI DE MANNER |

ROANOKE FIRST PLACE

SECOND PLACE JAMES VANGILDER, DDS NRV Oral and Maxillofacial Surgery Blacksburg | 540.951.8777 www.nrvoralsurgery.com

NEW RIVER VALLEY FIRST PLACE CLINTON HOWARD, DDS, MS

NRV Oral and Maxillofacial Surgery Blacksburg | 540.951.8777 www.nrvoralsurgery.com

THIRD PLACE RICHARD BOYLE, DDS NRV Oral and Maxillofacial Surgery Blacksburg | 540.951.8777 www.nrvoralsurgery.com

ROANOKE & NEW RIVER VALLEY FIRST PLACE

ORTHODONTICS

MISTY LENK, DDS

Lenk Orthodontics Daleville | 540.966.3990 www.lenkbraces.com

“Interpersonal relations are valued at my office on the same level as clinical performance.12 years of higher education will undoubtedly result in clinical ability. Patients, however, also want to work with people with whom they can effectively communicate and more importantly with whom they can trust. I view my patients as extended family and thus care for each and every one of them as such. Winning this award means the world to me because it shows me that my patients value the energy and emotion I invest in their care!”

— Misty Lenk, DDS

SECOND PLACE

THIRD PLACE

DAVID JONES, DDS Roanoke Valley Orthodontics Roanoke | 540.563.1640 www.roanokevalleyortho.com

PENNY LAMPROS, DDS, MS Dr. Penny L. Lampros Roanoke | 540.344.2758 www.drpennylampros.com

HONORABLE MENTION TIMOTHY T. JANOWICZ, DDS, MS Vinton | 540.342.9876 www.janowiczortho.com

EVAN JOHNSON, DMD Wheelock and Johnson Orthodontics Roanoke | 540.989.5621 www.wjortho.com

RICHARD TATE, DDS Richard H Tate, DDS Salem | 540.389.0491

www.OurHealthswva.com

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“An injury or orthopedic condition takes a piece of a person’s life from them that is part of who they are. Sports, gardening or even the independence to be home, its different for everyone. The bedside is my opportunity to find out what that is and how we can return that to their life.”

— Bart Eastwood, DO

ORTHOPAEDICS

“For me, good bedside manner involves compassionate and expert care focusing on patients and their families at times of injury and illness.”

— Mark Rowley, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

MARK ROWLEY, MD

BART EASTWOOD, DO

Sideline Orthopedics and Sports Medicine Blacksburg | 540.552.7133 www.sidelineortho.com

LewisGale Physicians Salem | 540.772.3530 www.lgphysicians.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

THOMAS MILLER, MD Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

BRENT JOHNSON, MD Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

RYAN HARRIS, DO Carilion Clinic Institute for Orthopaedics and Neurosciences New River Valley | 540.510.6200 www.carilionclinic.org

CHRISTOFER CATTERSON, MD Carilion Clinic Institute for Orthopaedics and Neurosciences New River Valley | 540.510.6200 www.carilionclinic.org

HONORABLE MENTION

OSTEOPATHIC MEDICINE

JAMES FARMER, MD Virginia Orthopaedic Salem | 540.444.4020 www.vaortho.com

STUART GARDNER, MD LewisGale Physicians Christiansburg | 540.951.6000 www.lgphyscians.com

JOSEPH MOSKAL, MD Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

PRESTON WALDROP, MD Virginia Orthopaedic Salem | 540.444.4020 www.vaortho.com

“My intention is to surround the patient and their family with the unspoken understanding that “I get it,” we will face this challenge together and I will never utter the words “there is nothing I can do for you.”

To exude kindness, warmth and understanding in the midst of a life that has turned into medical chaos is the first phase of the healing process.”

— Janine Talty, DO

“A good bedside manner is not just being nice. It means taking the time to listen to and connect with your patient on an emotional level. This connection gives you a deeper understanding of their life and how to better partner with them to promote their health.”

— Hope Tobey, DO, FAAP, FACOP

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

JANINE TALTY, DO

HOPE TOBEY, DO, FAAP, FACOP

VCOM Sports & Osteopathic Medicine Blacksburg | 540.232.8405 www.osteopathicsports.com

Clinical Biomechanics & Orthopedic Medicine Roanoke | 540.685.2670 www.drjaninetalty.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

ALICIA HOLLIS, DO Valley Integrative Medicine Roanoke | 540.556.1061 www.draliciahollis.com

SARAH STEELE-KILLEEN, DO Blue Ridge Osteopathic Medicine Salem | 540.387.9090 www.blueridgeomm.org

DAVID HARDEN, DO VCOM Sports & Osteopathic Medicine Blacksburg | 540.232.8405 www.osteopathicsports.com

BRADLEY MCCRADY, DO VCOM Sports & Osteopathic Medicine Blacksburg | 540.232.8405 www.osteopathicsports.com

HONORABLE MENTION ELLIOT FREED, DO LewisGale Physicians Pembroke | 540.552.3670 www.lgphysicians.com

MARK ROGERS, DO, MA, CAQSM, FAAFP VCOM Sports & Osteopathic Medicine Blacksburg | 540.232.8405 www.osteopathicsports.com

For me, good bedside manner involves compassionate and expert care focusing on patients and their families at times of injury and illness 58

BRIAN TORRE, MD LewisGale Physicians Salem | 540.772.3530 www.lgphysicians.com

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

— Mark Rowley, MD

www.OurHealthswva.com

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

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

BRIAN GROSS, MD

JENNIFER NELSON, MD

LewisGale Physicians Blacksburg | 540.443.3980 www.lgphysicians.com

LewisGale Physicians Salem | 540.444.8100 www.lgphysicians.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

GREGORY ZACHMAN, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

JOSHUA FARRAR, MD Carilion Clinic Otolaryngology Roanoke | 540.224.5170 www.carilionclinic.org

KENNETH ROGOTZKE, DO Carilion Clinic Otolaryngology Christiansburg | 540.731.7660 www.carilionclinic.org

MICHAEL BOWMAN, MD LewisGale Physicians Radford | 540.443.7400 www.lgphysicians.com

HONORABLE MENTION

Roanoke & New River Valleys

OTOLARYNGOLOGY (ENT)

2 01 7 B EST B EDSI DE MANNER |

“I try to treat each patient as if they were a member of my family. I also think spending the extra time to educate a patient and make sure they understand why you’re recommending a certain treatment plan pays off in better outcomes for the patient.”

— Jennifer Nelson, MD

“To me, good bedside manner is at the core of what we do as physicians. Demonstrating empathy, compassion and respect establishes trust, encourages open communication and is a direct line to better outcomes.”

— Brian Gross, MD

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PAIN MANAGEMENT

PAUL LENKOWSKI, MD, PHD LewisGale Physicians Salem | 540.444.8100 www.lgphysicians.com

“Medicine for me is not my job or vocation. I'm fortunate that what I wake up and do every morning is my avocation. It is a ministry of service to others with the primary goal being to make God and my parents proud of what I do for each and every one of the patients I care for each day.”

— Murray Joiner, MD

“I care for all my patients like family, with compassion and respect.”

— Tejal Raju, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

MURRAY JOINER, MD

TEJAL RAJU, MD

Virginia Interventional Pain & Spine Center Christiansburg | 540.251.3472 www.vapainsc.com

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

SECOND PLACE

THIRD PLACE (TIE)

ANTHONY DRAGOVICH, MD Blue Ridge Pain Management Roanoke | 540.444.5670 www.blueridgepm.com

CHHEANY UNG, MD Virginia Interventional Pain & Spine Center Roanoke | 540.777.0090 www.vapainsc.com

CYRUS BAKHIT, MD National Spine & Pain Centers Roanoke | 540.345.4230 www.treatingpain.com

SECOND PLACE

THIRD PLACE

GEORGE BAYLOR, MD Blue Ridge Pain Management Associates Christiansburg | 540.444.5670 www.blueridgepm.com

ANTHONY DRAGOVICH, MD Blue Ridge Pain Management Associates Christiansburg | 540.444.5670 www.blueridgepm.com

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

To me, good bedside manner is at the core of what we do as physicians.

Demonstrating empathy, compassion and respect establishes trust, encourages open communication and is a direct line to better outcomes.

— Brian Gross, MD

www.OurHealthswva.com

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PALLIATIVE MEDICINE

ROANOKE & NEW RIVER VALLEY FIRST PLACE HARRY MCCOY, MD

Blue Ridge Cancer Care Blacksburg | 540.381.5291 www.blueridgecancercare.com

“Helping and healing comes from trust and the ability to communicate. Without a kind bedside manner you cannot do either.”

— Harry McCoy, MD

SECOND PLACE ALICE INOUYE, MD Good Samaritan Hospice, Inc. Roanoke | 888.466.7809 www.goodsamhospice.com

THIRD PLACE CHRISTOPHER W. PILE, MD Carilion Clinic Palliative Medicine Roanoke | 540.981.7515 www.carilionclinic.org

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OurHealth Roanoke & New River Valleys ON YOUR TABLET OR SMARTPHONE

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

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

CAMRON JOHNSON, DO

SOFIA ABRAHAM-HARDEE, DO, PHD, FACOP, FAAP New Beginnings Pediatrics Blacksburg | 540.739.3623 www.newbeginningspediatrics.org

Physicians to Children, Inc. Roanoke| 540.344.9213 www.p2ckids.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

HUGH CRAFT JR., MD Carilion Children’s Pediatric Medicine Roanoke | 540.772.4453 www.carilionclinic.org

RUSSELL DELANEY, MDD LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com

PAUL MCELROY, MD NRV Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

FLORENCE MOGEN, MD NRV Pediatrics Christiansburg | 540.639.5620 www.nrvpediatrics.com

Roanoke & New River Valleys

PEDIATRICS

— Sofia Abraham-Hardee, DO, PhD, FACOP FAAP

PERIODONTICS

HONORABLE MENTION MEREDITH ARTHUR, DO Physicians to Children Hardy | 540.344.9213 www.p2ckids.com

ANN COLLINS, DO NRV Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

JOYCE CUMMINGS, MD LewisGale Physicians Salem | 540.772.3580 www.lgphysicians.com

ROBERT GARD, MD Physicians to Children Roanoke | 540.344.9213 www.p2ckids.com

WAEIL NUR, MD Physicians to Children Roanoke | 540.344.9213 www.p2ckids.com

CHRISTOPHER PIERCE, MD Carilion Children’s Pediatric Medicine Roanoke | 540.772.4453 www.carilionclinic.org

AMANDA PREEDOM, MD NRV Pediatrics Christiansburg 540.639.5620 www.nrvpediatrics.com

CHRISTOPHER STAPLETON, MD NRV Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

ROBERT STICKLEY, MD NRV Pediatrics Christiansburg 540.639.5620 www.nrvpediatrics.com

TIMOTHY WALKER, MD NRV Pediatrics Blacksburg | 540.552.7272 www.nrvpediatrics.com

“Service and quality are wise choices of numerous alternatives. It is doing what is right when people are looking and not looking. It is an intentional way of life. Patients see this as good service. It results in a patient’s confident investment in our perio team as we meet their dental implant and periodontal needs.”

— John Buyer, DDS, MPH, MS, PLLC

“In my experience, I’ve realized that patients desire two things, personalized care and affordable treatment. I simply try my best to provide those things. I appreciate all of the patients and all of the dentists who have allowed me the privilege of working with them. Thank you, and may the floss be with you.”

— Gavin Aaron, DDS

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

GAVIN AARON, DDS

JOHN BUYER, DDS, MPH, MS, PLLC

New River Periodontics and Dental Implant Center Blacksburg | 540.951.4848 www.newriverperio.com

Aaron Periodontics & Dental Implants Roanoke | 540.562.3166 www.periohub.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

LINDA TILL, DDS Roanoke | 540.772.3940 www.lindatill.com

PRIYA ACHARYA, DMD Coots, Cross, Lavinder & Quinn Family and Cosmetic Dentistry Roanoke | 540.989.1170 www.cwcfd.com

WALTER SHIELDS, DDS, MS Christiansburg | 540.382.7960 www.walterdshieldsdds.com

Helping and healing comes from trust and the ability to communicate. Without a kind bedside manner you cannot do either.

— Harry McCoy, MD www.OurHealthswva.com www.OurHealthswva.com

2 01 7 B EST B EDSI DE MANNER |

“Thank you. It is an honor and privilege to serve my kids and their families. I love the smiles, the cries, the hard talks and the trust that we build through the years. Thank you for blessing me with your children.”

“Practicing medicine gives me an opportunity to make an impact on children’s lives and our community. I appreciate the privilege of being able to care for my patients and their families.”

— Camron Johnson, DO

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PHARMACY

“The staff here at Valley Apothecary believes that great customer service is the most important quality we can have. We strive to give each patient the personal service and best possible “bedside manner” they deserve and hopefully this translates into customer loyalty.”

— Lisa Houck, RPh

“It is an honor to serve the patients in our community. We are all in it together and have to take care of each other.”

— Kerry Brisco, RPh

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

LISA HOUCK, RPH

KERRY BRISCO, RPH

Kroger Pharmacy Blacksburg | 540.951.4136 www.kroger.com/pharmacy

Valley Apothecary Salem | 540.772.3788 www.valleyapothecary.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

CRAIG HODGES, PHARMD Kroger Pharmacy Bonsack | 540.977.6480 www.kroger.com

ADRIEN WILSON, PHARMD Carilion Clinic Pharmacy Roanoke | 540.853.0905 www.carilionclinic.org

JEREMY COUNTS, PHARMD Main Street Pharmacy

SENTHIL MARIMUTHU, RPH Blacksburg Pharmacy Blacksburg | 540.552.3000 www.blacksburgpharmacy.com

HONORABLE MENTION

PHYSICAL MEDICINE

CAMERON BROOKS, RPH Brooks-Byrd Pharmacy Salem | 540.389.8111

ROANOKE FIRST PLACE

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AARON HALL, PHARMAD Kroger Pharmacy Hollins | 540.561.3935 www.kroger.com

“My first memories of courteous bedside manner were my mentors in medical school and residency. I saw how much more connected the patients felt with the doctor who was present, engaged and attentive to their needs. Today, I have the privilege to carry out these fine examples as I serve my patients. Optimal patient care results from listening to the patient.

Over the years, we have established a mutual trust which is critical to our long term physician-patient relationship.”

— Rebecca Tanner, MD

NEW RIVER VALLEY FIRST PLACE ETHAN B. COLLIVER, DO

REBECCA TANNER, MD

Valley Sports & Spine Clinic Blacksburg | 540.443.3832 www.valleysportsandspine.com

Blue Ridge Physical Medicine Roanoke | 540.772.8052 www.blueridgephysicalmedicine.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

DEBORAH MOWERY, MD LewisGale Physicians Roanoke | 540.283.3660 www.lgphysicians.com

MARK KASMER, MD Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

BRAD MCCRADY, DO, CAQ, FAAPMR VCOM Sports & Osteopathic Medicine Blacksburg | 540.232.8405 www.osteopathicsports.com

RALPH BROWN JR., MD Carilion Clinic Physical Medicine Christiansburg | 540.731.2992 www.carilionclinic.org

HONORABLE MENTION RICHARD WEISS, MD Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

Having a good bedside manner is not an option but an obligation for me. I want to build strong relationships with my patients so they feel comfortable with me to ensure they get the best care possible.

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“My goal when entering a patient's room is multifaceted. I must discover the patient’s needs, deliver quality care, and always remember the most important thing is to just be present in the moment. I believe patient focused care or bedside manner, builds a trust and rapport between patient and caregiver proving to aid in the healing process.”

— Ethan B. Colliver, DO

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

— Teri Blomberg, PA

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

REMCO SCHREUDERS, MPT

CINDY HENDERSON, PT, ATC, FAFS

Blacksburg Physical Therapy Associates Blacksburg | 540.951.2703 www.blacksburgptonline.com

Advance Physical Therapy of Virginia Salem | 540.444.0291 www.aptofva.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

WENDY LUCAS, PT Lucas Therapies Roanoke | 540.772.8022 www.lucastherapies.com

ERIC REICHARDT, MPT, OCS, CMTPT Spine and Orthopedic Rehab of Virginia, Inc. Roanoke | 540.985.6500 www.physicaltherapyroanoke.com

KATHY STEWART, MSPT Professional Rehab Associates Radford | 540.639.5786 www.professionalrehabassociates.com

RON MASRI, PT, DPT, OCS, ATC, FAAOMPT Total Motion Physical Therapy Christiansburg | 540.492.4669 www.totalmotionpt.net

PHYSICIAN ASSISTANT (PA)

HONORABLE MENTION BRIAN BATTY, PT University Physical Therapy Blacksburg | 540.552.5100 www.universityptonline.com

TYLER BOWERSOCK, PT, DPT, CSCS University Physical Therapy Roanoke | 540.774.0729 www.universityptonline.com

MEGHAN OWENS, PT Professional Therapies, Inc. Roanoke | 540.982.2208 www.professionaltherapies.org

AUDREY WARD, PT Professional Therapies, Inc. Daleville | 540.992.4801 www.professionaltherapies.org

ROANOKE FIRST PLACE

“Having a good bedside manner is not an option but an obligation for me. I want to build strong relationships with my patients so they feel comfortable with me to ensure they get the best care possible.”

— Teri Blomberg, PA

JORDAN CHANG, PT University Physical Therapy Pearisburg | 540.921.5200 www.universityptonline.com

“When patients feel respected, they will respect you. I treat patients the way I want to be treated.”

— Julie Lena, PA-C

ROANOKE FIRST PLACE JULIE LENA, PA-C

TERI BLOMBERG, PA

The Art and Science of Dermatology Roanoke | 540.725.7546 www.theartandscienceofdermatology.com

MATTHEW SHORTT, PA-C

Sideline Orthopedics and Sports Medicine Blacksburg | 540.552.7133 www.sidelineortho.com

FRANCINE NOEL-FORD, PT, DPT, OCS, MBA, MTC Back to Basics Family Physical Therapy, PC Roanoke | 540.985.0500 www.backtobasicspt.com

SECOND PLACE

HONORABLE MENTION

REESE CLARK, PA-C LewisGale Physicians Roanoke | 540.283.3660 www.lgphysicians.com

MISTY BASHAM-LEEDY, PA Carilion Clinic Family Medicine Blacksburg | 540.951.8380 www.carilionclinic.org

THIRD PLACE JASON BAILEY, PA-C River Ridge Dermatology Roanoke | 540.951.DERM (3376)

AFC Urgent Care Roanoke | 540.904.4431 www.afcurgentcareroanoke.com

“When a patient selects you as a provider, it is a privilege that they are putting their trust in you and I strive to respect that choice and provide compassionate thorough care, as if I was treating a family member. I feel the relationships that I am able to build with my patients are an essential component to providing exceptional care and through active listening, empathy, and compassion those relationships are formed.”

— Matthew Shortt, PA-C

NEW RIVER VALLEY FIRST PLACE

GLEN DAVIS, PT, COMT Christiansburg | 540.381.2722 Blacksburg Physical Therapy www.blacksburgptonline.com

JILL BLOOM, PA Carilion Clinic Urology Christiansburg | 540.382.3440 www.carilionclinic.org PHILIP FURROW, PA-C Express Family Care Roanoke | 540.400.6676 www.expressfamilycare.com

SECOND PLACE COREY SMOCK, PA-C Carilion Clinic Institute for Orthopaedics and Neurosciences New River Valley | 540.510.6200 www.carilionclinic.org

THIRD PLACE ANGIE HURD, PA-C New River Dermatology Blacksburg | 540.953.2210 www.newriverdermatology.com

JEFFREY THOMPSON, PA Carilion Clinic General Surgery Christiansburg | 540.731.7600 www.carilionclinic.org BRADLEY WILLIAMS, PA Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

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Roanoke & New River Valleys

PHYSICAL THERAPY

“It is very important to have good bedside manner.

This is demonstrated by listening to my patients, answering questions and showing respect for each individual. Thank you for this honor!”

— Cindy Henderson, PT, ATC, FAFS

2 01 7 B EST B EDSI DE MANNER |

“As health professionals, putting our patients at ease and being careful listeners are two of the most important aspects of patient care. A positive bedside manner creates a trusting relationship between caregiver and patient and begins a positive path towards healing.”

— Remco Schreuders, MPT

PLASTIC SURGEON: COSMETIC PLASTIC SURGEON: RECONSTRUCTIVE

“I have wonderful patients and consider it a pleasure and a privilege to be involved in their care. I genuinely want the best for them ” — Phillip Grubbs, MD

SECOND PLACE CAROL WRAY, MD The Center for Plastic Surgery Salem | 540.444.4343 www.plasticsurgeryinvirginia.com

THIRD PLACE

PODIATRY

NORMAN HARRIS, MD Roanoke | 540.776.6979 www.doctor-harris.com

ENRIQUE SILBERBLATT, MD, FACS Aesthetic Surgery of Virginia Roanoke | 540.994.7408 www.silberblatt.com

ROANOKE & NEW RIVER VALLEY FIRST PLACE PHILLIP GRUBBS, MD

Plastic Surgery Center of Virginia Blacksburg | 540.951.8885 www.philipgrubbs.com

“Having a good bedside manner is important to me because it is the best way I have found to open a solid line of communication with my patients. This is so valuable in making sure that I understand the patient’s goals and concerns and that the patient understands my pre- and post-operative instructions, assuring a great surgical outcome.”

— Steven Harris, MD

SECOND PLACE

HONORABLE MENTION

BARTON THOMAS, MD Roanoke Plastic Surgery Roanoke | 540.581.1400 www.roanokeplasticsurgery.com

MICHAEL BOWMAN, MD LewisGale Physicians Radford | 540.443.7400 www.lgphysicians.com

THIRD PLACE

ANTHONY CAPITO, MD Carilion Clinic Plastic & Reconstructive Surgery Roanoke | 540.224.5170 www.carilionclinic.org

KURTIS MOYER, MD Carilion Clinic Plastic & Reconstructive Surgery Roanoke | 540.224.5170 www.carilionclinic.org

ROANOKE & NEW RIVER VALLEY FIRST PLACE STEVEN HARRIS, MD

Jefferson Surgical Clinic Salem | 540.283.6000 www.jeffersonsurgical.com

“I strive to always provide the best possible foot and ankle care to all my patients with a gentle and personal touch, just as I would with a member of my own family.”

— Charles Zelen, DPM

“We strive to provide quality care and treat patients like they are a family member.”

— Mark Wilt, DPM

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

CHARLES ZELEN, DPM

MARK WILT, DPM

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

Foot & Ankle Clinic of the Virginias Blacksburg | 540.552.3668 www.drfootpain.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

DONALD STEFL, DPM Podiatrist Roanoke | 540.774.5585

JOHN CLEMENTS, DPM Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

JASON NALDO, DPM Carilion Clinic Institute for Orthopaedics and Neurosciences New River Valley | 540.510.6200 www.carilionclinic.org

HONORABLE MENTION MARC PLATT, DPM Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

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HONORABLE MENTION

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ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

NICHOLAS ZELTVAY, DO

GAGANDEEP SINGH, MD, FAPA

New River Valley Community Services Blacksburg | 540.961.8300 www.nrvcs.org

Salem VA Medical Center Salem | 540.982.2463 www.salem.va.gov

SECOND PLACE (TIE) JITENDRA DESAI, MD Avenues to Wellness Roanoke | 540.345.6468 www.avewell.com

ANURADHA REDDY, MD Carilion Clinic Child and Adolescent Psychiatry Roanoke | 540.853.0900 www.carilionclinic.org

THIRD PLACE

SECOND PLACE

THIRD PLACE

CHARLOTTE HAGAN, MD Physician Associates of Virginia, PC Roanoke | 540.345.4946 www.pavclinics.com

PRADIP KOIRALA, MD LewisGale Senior Transitions Low Moor | 540.862.6713 www.lewisgale.comm

ELIZABETH YAGER, MD Carilion Clinic Psychiatry & Behavioral Medicine Christiansburg | 540.731.7311 www.carilioinclinic.com

HONORABLE MENTION

Roanoke & New River Valleys

PSYCHIATRY

“A good bedside manner is imperative for a positive doctor patient relationship which ultimately leads to better and more effective medical care.”

— Gagandeep Singh, MD

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GARY ROOKER, DO Christiansburg | 540.381.5832

PSYCHOLOGY & COUNSELING

“One of the most important things I've learned and tried to teach is that we all should create a culture of caring and kindness no matter where we are – school, family, workplace, and social events – even football games.”

— Alice Jackie Wilkerson, PhD, LPC

“A good bedside manner lays the foundation for the therapeutic relationship, which is essential for progress and change to happen. More importantly, showing my clients kindness and respect is a natural expression of the care and acceptance that I feel towards them.”

— Jennifer Mercier, LPC

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

ALICE JACKIE WILKERSON, PHD, LPC

JENNIFER MERCIER, LPC

Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

Healing Tree Counseling Blacksburg | 540.808.3382 www.htcounceling.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

STACEY LILLEY, LPC Braley & Thompson Roanoke | 540.989.7175 www.braleyandthompson.com

KEITH MCCURDY, EDS, LPC, LMFT Total Life Counseling, Inc. Roanoke | 540.989.1383 www.totallifecounselinginc.com

SCARLETT WILLIAMS, LPC Blacksburg | 540.818.2838 www.scarlettwilliamslpc.com

LYNN BEVER, PHD Lynn M. Bever, LLC Blacksburg | 540.239.0598 www.lynnbever.com

HONORABLE MENTION JODY ANDERSON, LCSW Anderson & Anderson Associates Roanoke | 540.400.7841

EMILY DEFRANCE, PHD Psychological Health Roanoke Roanoke | 540.772.5140 www.psychhealthroanoke.com

POARCH SLEDD, LPC Tanglewood Counseling & Psychology Roanoke | 540.772.1872 www.poarchsledd.com

SAMANTHA WILHELMI, MSW, LCSW The Cascade Group Blacksburg | 540.951.4800 www.thecascadegroupblacksburg.com

PETER GOLLADAY, LCS Valley Counseling Services, Inc. Radford | 540.731.0838 www.vcsradford.com

PAULA MARKHAM, LPC Christiansburg | 540.953.5587 www.paulamarkham.com

BRETT ROACH, LPC, LMFT Roanoke | 540.904.6488

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2 01 7 B EST B EDSI DE MANNER |

“I’m not sure what good bedside manner is other than being on the patient’s side. If you listen to the patient with concern, sincerity, and a healthy agenda, the patient will eventually find answers to questions that they had already known and simply forgot.”

— Nicholas Zeltvay, DO

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PULMONARY

“I like to help my patients especially during stressful times. When they are at the doctor’s office and when they are sick, I try to be emotionally available and engaged.”

— Sameh Aziz, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

SAMEH AZIZ, MD

THOMAS SCHNEIDER, MD

“I see relating to patients as mainly involving three things. First, it is important to listen to the patient, find out what impact the illness is having on their life, and discover what is important to THEM. Second, care for the patient, and if you are genuine about it, they will sense your caring. Third, the patient needs to know that you are really on their side and that you are going to face this health challenge together.”

— Thomas Schneider, MD

LewisGale Physicians Blacksburg | 540.961.0149 www.lgphysicians.com

Carilion Clinic Pulmonary & Sleep Medicine Roanoke | 540.985.8505 www.carilionclinic.org

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

NELSON GREENE, MD LewisGale Physicians Salem | 540.772.3540 www.lgphysicians.com

JAMES WITTEN, JR., MD LewisGale Physicians Salem | 540.772.3540 www.lgphysicians.com

SANJIVA M. LUTCHMEDIAL, MD Carilion Clinic Pulmonary Medicine Christiansburg | 540.731.7450 www.carilionclinic.org

JOHN LESLIE JR., MD Carilion Clinic Pulmonary Medicine Christiansburg | 540.731.7450 www.carilionclinic.org

HONORABLE MENTION

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JOHN WHITE, MD Christiansburg | 540.381.2200

RADIATION ONCOLOGY

DOUGLAS DORSEY, MD LewisGale Physicians Salem | 540.772.3540 www.lgphysicians.com

ROANOKE & NEW RIVER VALLEY FIRST PLACE JOHN ROGERS, MD

Blue Ridge Cancer Care Salem | 540.774.8660 www.blueridgecancercare.com

“It is a privilege to receive this recognition. I am fortunate to work with a team of outstanding caregivers that are dedicated to meeting the needs of every patient.”

— John Rogers, MD

SECOND PLACE

THIRD PLACE

DAVID BUCK, MD Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

ROBERT HEATH, MD Blue Ridge Cancer Care Roanoke | 540.982.0237 www.blueridgecancercare.com

HONORABLE MENTION KARANITA OJOMO, MD Blue Ridge Cancer Care Pulaski | 540.994.8545 www.blueridgecancercare.com

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JOHN MCCOOL, MD Blue Ridge Cancer Care Pulaski | 540.994.8545 www.blueridgecancercare.com

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“Being ill is stressful, in part because of the unknown. A bit of information, reassurance and even humor can go a long way to improve one's emotional well-being.”

— Michael Aronson, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

ROBERT O’BRIEN, MD

MICHAEL ARONSON, MD

Montgomery Radiology Associates, Inc. Blacksburg | 540.953.5137

Insight Imaging Roanoke | 540.581.0882 www.insighthealth.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

EILEEN KENNY, MD Carilion Clinic Breast Diagnostic Center Roanoke | 540.224.6920 www.carilionclinic.org

RONALD A. BROADWELL, MD Radiology Salem | 540.776.4055

DONNA AUBREY, MD Carilion Clinic Imaging Christiansburg | 540.731.2810 www.carilionclinic.org

BRANDON LANGLINAIS, MD Montgomery Radiology Associates, Inc. Blacksburg | 808.782.8721

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HONORABLE MENTION JAMES MATTHEWS, MD Insight Imaging Roanoke | 540.581.0882 www.insighthealth.com

Roanoke & New River Valleys

RADIOLOGY

2 01 7 B EST B EDSI DE MANNER |

“My philosophy of medicine is shared by my partners and is incorporated into the functioning of Insight Imaging. We believe that patient care, service to the patients and to our referring physicians are paramount. We are committed to treating them as they should be treated, in a kind caring way with the dignity they deserve.”

— Robert O’Brien, MD

ERIK STORM, DO Carilion Clinic Breast Diagnostic Center Roanoke | 540.224.6920 www.carilionclinic.org

RHEUMATOLOGY

ROANOKE & NEW RIVER VALLEY FIRST PLACE ADEGBENGA BANKOLE, MD Carilion Clinic Rheumatology Roanoke | 540.224.5170 www.carilionclinic.org

“Bedside manner to me means: how I interact with patients. It is a reflection the value I place on the doctor-patient relationship. It allows me to get to know the patients, relatives, medical learners and even my colleagues. More importantly, it allows me to get to know their values as this guides me in providing patient centered care and directed learning in all situations.”

— Adegbenga Bankole, MD

SECOND PLACE

THIRD PLACE

GARRY BAYLISS, MD LewisGale Physicians Salem | 540.444.5600 www.lgphysicians.com

EDWARD TACKEY, MD, FACR LewisGale Physicians Salem | 540.772.3707 www.lgphysicians.com

HONORABLE MENTION CARL HENDERSON, DO Carilion Clinic Rheumatology Roanoke | 540.224.5170 www.carilionclinic.org

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“Treating patients from all walks of life with dignity and respect is taught in medical school as the ideal. I never seek for less and I expect that I will maintain this standard as long as I am given the privilege to practice medicine.”

— Donald Zedalis, MD

SLEEP MEDICINE

“I like to help my patients especially during stressful times. When they are at the doctor’s office and when they are sick, I try to be emotionally available and engaged. ” — Sameh Aziz, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

SAMEH AZIZ, MD

DONALD ZEDALIS, MD

Allergy Associates & Sleep Disorders Network Christiansburg | 540.382.1165 www.allergyandasthmaswva.com

Carilion Clinic Pulmonary & Sleep Medicine Roanoke | 540.985.8505 www.carilionclinic.org

SECOND PLACE

THIRD PLACE

SECOND PLACE

CLEMENT ELECHI, MD LewisGale Physicians Salem | 540.772.3450 www.lgphysicians.com

BRUCE STEWART, MD LewisGale Pulmonary Medicine Salem | 540.772.5951 www.lgphyscians.com

JOHN LESLIE JR., MD Carilion Clinic Pulmonary and Sleep Medicine Christiansburg | 540.731.7450 www.carilionclinic.org

HONORABLE MENTION

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FRANK BISCARDI, MD Carilion Clinic Pulmonary & Sleep Medicine Roanoke | 540.985.8505 www.carilionclinic.com

“Good bedside manner is important, as it helps me connect to the patient and earn their trust, which will help us partner to better understand what’s going on with them and how we can treat whatever ailment they have. It helps to allow me to comfort them in times of discomfort.”

— Mark Rogers, DO

SPORTS MEDICINE

“I am again humbled to be recognized for the Bedside Manner Award, because it comes from those who matter most – the patients.”

— Delmas Bolin, MD, PhD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

DELMAS BOLIN, MD, PHD

MARK ROGERS, DO

VCOM Sports & Osteopathic Medicine Blacksburg | 540.232.8405 www.osteopathicsports.com

Performance Medicine of Southwestern Virginia Roanoke | 540.772.1890 www.pmswva.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

BRENT JOHNSON, MD Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

JAMES FARMER, MD Virginia Orthopaedic Roanoke | 540.444.4020 www.vaortho.com

CHRISTOFER CATTERSON, MD Carilion Clinic Institute for Orthopaedics and Neurosciences New River Valley | 540.510.6200 www.carilionclinic.org

BRADLEY MCCRADY, DO VCOM Sports & Osteopathic Medicine Blacksburg | 540.232.8405 www.osteopathicsports.com

HONORABLE MENTION TOM MILLER, MD Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

I think that people just want to be heard as well as have complicated issues discussed in a way they can understand. It helps patients to feel comforted, more confident, and empowered to be a part of their own care.

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— Nadeem E. Khuri, MD

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SURGERY: CARDIAC

“Cardiac surgery can be a stressful experience. Being kind and spending a little extra time with patients and families goes a long way in easing our patients’ recoveries. I try to treat our patients as I would want to be treated.”

— Joseph Baker, MD

JOSEPH ROWE III, MD Carilion Clinic Cardiothoracic Surgery Roanoke | 540.853.0100 www.carilionclinic.org

THIRD PLACE JOSHUA APPELSTEIN, MD LewisGale Physicians Salem | 540.776.2020 www.lgphysicians.com

ROANOKE & NEW RIVER VALLEY FIRST PLACE

HONORABLE MENTION

JOSEPH BAKER, MD

MARK JOSEPH, MD Carilion Clinic Cardiothoracic Surgery Roanoke | 540.853.0100 www.carilionclinic.com

Carilion Clinic Cardiothoracic Surgery Roanoke | 540.853.0100 www.carilionclinic.org

Roanoke & New River Valleys

“I enjoy and respect my patients. If I can make them smile, be a little happier, or more at ease in their time of need, then I feel that I have helped in their healing.”

— David Stoeckle, MD

“I think that people just want to be heard as well as have complicated issues discussed in a way they can understand. It helps patients to feel comforted, more confident, and empowered to be a part of their own care.”

— Nadeem E. Khuri, MD

SURGERY: GENERAL

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SECOND PLACE

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

NADEEM E. KHURI, MD

DAVID STOECKLE, MD

LewisGale Physicians Blacksburg | 540.552.0005 www.lgphysicians.com

Salem Surgical Salem | 540.772.3008 www.salemsurgicla.net

SECOND PLACE

THIRD PLACE

SECOND PLACE

THIRD PLACE

DANIEL TERSHAK JR., MD Carilion Clinic General Surgery Roanoke | 540.224.5170 www.carilionclinic.org

KEITH MUNSON, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

CHARLIE BISSELL, MD Carilion Clinic General Surgery Christiansburg | 540.731.7600 www.carilionclinic.org

JASON FOWLKES, MD LewisGale Physicians Blacksburg | 540.961.1590 www.lgphysicians.com

HONORABLE MENTION

SURGERY: NEUROSURGERY

JAMES CALLIS, MD, FACS Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

MADGE ELLIS, MD Salem Surgical Salem | 540.772.3008 www.salemsurgicla.net

JOLENE HENSHAW, MD LewisGale Physicians Blacksburg | 540.961.1590 www.lgphysicians.com

KEITH STEPHENSON, MD Carilion Clinic General Surgery Christiansburg | 540.731.7600 www.carilionclinic.org

SECOND PLACE “Listening to the patient and helping them understand their condition and therapy is the key!”

— Raymond Harron, DO

ROANOKE & NEW RIVER VALLEY FIRST PLACE RAYMOND HARRON, DO

Harron Neurosurgery Roanoke | 540.400.8777 www.harronneurosurgery.com

GARY SIMONDS, MD Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org

THIRD PLACE LISA APFEL, MD Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org

HONORABLE MENTION GREGORY HOWES, DO Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org

Did your favorite

HEALTHCARE PROVIDER make the

CUT?

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SURGERY: SPINE

ROANOKE & NEW RIVER VALLEY FIRST PLACE JAMES LEIPZIG, MD, FACS Virginia Spine Care Salem | 540.725.9771 www.virginiaspinecare.com

“It is an honor to once again receive this award. I enjoy interacting with patients, and helping them to understand their specific medical condition and treatment options. Spine problems and spine surgery can be quite stressful. It is an honor to be able to treat these patients and guide them toward recovery.”

— James Leipzig, MD, FACS

SECOND PLACE

THIRD PLACE

RAYMOND HARRON, DO Harron Neurosurgery Roanoke | 540.400.8777 www.harronneurosurgery.com

JOHN CARMOUCHE, MD Carilion Clinic Institute for Orthopaedics and Neurosciences Roanoke | 540.510.6200 www.carilionclinic.org

HONORABLE MENTION GREG RIEBEL, MD Virginia Orthopaedic Salem | 540.404.4251 www.vaortho.com

EDGAR WEAVER JR., MD Carilion Clinic Neurosurgery Roanoke | 540.224.5170 www.carilionclinic.org

SURGERY: VASCULAR

“Seeing a doctor can be an anxiety-provoking experience. I believe a good bedside manner comes from a comforting and caring approach, which can inspire confidence, allay fears, and improve the patient's experience. ” — William H’Doubler, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

WILLIAM H’DOUBLER, MD

ASHISH RAJU, MD

Carilion Clinic Vascular Surgery Christiansburg | 540.731.7600 www.carilionclinic.org

Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

JAMES CALLIS, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

THOMAS CONLEE, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

JOSEPH DOWNING, MD Carilion Clinic Vascular Surgery Christiansburg | 540.731.7600 www.carilionclinic.org

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HONORABLE MENTION JAMES DROUGAS, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

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“Good bedside manner is key to establishing strong relationships with patients. It lets them know what to expect, helps calm their fears, and encourages them to participate in their care.”

— Ashish Raju, MD

WILLIAM TUNG, MD LewisGale Physicians Roanoke | 540.776.2010 www.lgphysicians.com

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

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

DAVID ALLIGOOD, MD

MICHELLE ROCKWELL, MD

VelocityCare Christiansburg | 540.382.6000 www.velocitycarebycarilion.com

Express Family Care Roanoke | 540.400.6676 www.expressfamilycare.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

SERGE DEPRET-GUILLAUME, MD AFC Urgent Care Roanoke | 540.904.4431 www.afcurgentcareroanoke.com

SABRINA BERGER, DO MedExpress Salem | 540.389.0374 www.medexpress.com

KAROL GORDON, DO VelocityCare Christiansburg | 540382.6000 www.velocitycarebycarilion.com

Roanoke & New River Valleys

URGENT CARE MEDICINE

2 01 7 B EST B EDSI DE MANNER |

“I consider it a great privilege that my patients entrust me with their care. I treat them as I would my family, and try to make each patient feel as if they are the only one I have for the day.”

— Michelle Rockwell, MD

“Patients need to feel listened to, and also have their physical needs addressed – both are vital!”

— David Alligood, MD

HONORABLE MENTION JOSEPH B. COATES, MD Carilion VelocityCare Roanoke | 540.772.8670 www.carilionclinic.org

SCOTT CROSBY, MD Express Family Care Roanoke | 540.400.6676 www.expressfamilycare.com

UROLOGY

“My approach is to practice what I was taught by my parents and to treat others as I would want a family member or myself to be treated. Helping our patients feel at ease when they have a medical issue is very important to me and our staff.”

— Mark Schmidt, MD

“Good bedside manner is a reflection of kindness and compassion. It is important because patients are already anxious and upset. They need to feel comfortable and understood at the start of the healing process.”

— Judy Chun, MD

ROANOKE FIRST PLACE

NEW RIVER VALLEY FIRST PLACE

MARK SCHMIDT, MD

JUDY CHUN, MD

Carilion Clinic Urology Christiansburg | 540.382.3440 www.carilionclinic.org

Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

SECOND PLACE

THIRD PLACE

SECOND PLACE

RODNEY POFFENBERGER, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

DAVID KAGEY, MD Urology Associates, Ltd Roanoke | 540.343.8066

CHRISTOPHER HICKS, MD LewisGale Physicians Urology Pulaski | 540.552.1353 www.lgphysicians.com

HONORABLE MENTION CHARLES DANIEL, MD Jefferson Surgical Clinic Roanoke | 540.283.6000 www.jeffersonsurgical.com

ROBERT WHISNANT, MD Urology Associates, Ltd Roanoke | 540.343.8066

Good bedside manner is a reflection of kindness and compassion. It is important because patients are already anxious and upset. They need to feel comfortable and understood at the start of the healing process.

— Judy Chun, MD

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BLACKSBURG EYE ASSOCIATES 1440 South Main Street, Suite 100 | Blacksburg VA 24060 | 540.953.2020 | www.blacksburgeye.com f blacksburgeye | f blacksburgeye | f blacksburgeye | f blacksburgeye

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AWARD WINNING SERVICE, SIX YEARS IN A ROW!

Blacksburg Eye Associates John Dovie, OD, FAAO | Colleen Mitchell, OD YOUR LOCAL SOURCE FOR EYE CARE AND EYE WEAR

OUR CARE PROMISE

Blacksburg Eye Associates is home to Dr. John Dovie and Dr. Colleen Mitchell, therapeutic-certified optometrists, providing a full range of eye care to patients in and around Blacksburg.

Blacksburg Eye Associates will always put the patient first. We will be compassionate, understanding, and deliver care that meets or exceeds the highest possible standard. We will treat every patient like they are a member of our family and strive to exceed expectations on every visit.

Blacksburg Eye Associates was founded in 2008 by Dr. John M. Dovie, a graduate of Virginia Tech and the Pennsylvania College of Optometry. Dr. Colleen Mitchell joined the practice in 2013, and is also an alumna of Virginia Tech.

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: •

We are available in 'off' hours, including nights (until 6 pm).

•

We can be reached via the various email addresses (found throughout our website) and online forms.

•

We are conveniently located less than a mile away from the Virginia Tech campus, in the First & Main Center, next to Avellino's.

•

We've also made it easy to communicate with any of your other current or previous care-providers by obtaining a toll-free number for our fax line.

COMPREHENSIVE EYE CARE You can think of your optometrists at Blacksburg Eye Associates as the “primary care provider” for your eyes. With our state of the art 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. Our examinations and comanagement range from cataracts and glaucoma, to diabetes and multiple sclerosis.

OPTICAL LAB AND SHOP Blacksburg Eye Associates also houses an optical boutique with over 1200 pairs of glasses and sunglasses, and a fully trained staff to help find the best fitting and most comfortable eyewear for you. Whether you are using an in-house 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.

WE STRIVE TO CREATE A MEMORABLE EXPERIENCE IN THE OFFICE SO THAT EVERY PATIENT LEAVES WITH A “WOW” MOMENT. OUR GOAL IS TO EXCEED EXPECTATIONS AND STRIVE TO DEVELOP PATIENT LOYALTY, NOT JUST SATISFACTION.

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INSIGHT IMAGING

2923 Franklin Road | Roanoke | 540.581.0882 | www.mycdi.com f CenterforDiagnosticImaging | f myCDI | f f f Center for Diagnostic Imaging Hours: Mon-Fri: 8am – 5:30pm, MRI: 8am – 8pm, Sat: 8am – 1pm, MRI: 8am – 4pm

Insight Imaging Robert O’Brien, MD | James Matthews, MD

ACCURATE RESULTS THE FIRST TIME, TIMELY AND EFFECTIVELY 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.

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 hospitalaffiliated imaging providers.

SERVICES AND PROCEDURES •

Highfield MRI

•

Injections for pain

•

High-field open MRI

•

Ultrasound

•

CT

•

Xray

AT INSIGHT IMAGING – ROANOKE OUR FOCUS ON MEDICAL IMAGING DRIVES ADVANCEMENTS IN QUALITY AND PATIENT CARE. 80

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LENK ORTHODONTICS

228 Commons Parkway | Daleville | 540.966.3990 | www.lenkbraces.com | f Lenk-Orthodontics

adults who need revisional treatment: they had braces when they were younger, but were not given fixed retainers or stopped wearing their removable retainers, and they come to us to fix the relapse that occurred over time. We also work with many general dentists and dental specialists not only to create beautiful smiles, but to restore entire mouths to healthy and normal functions! Orthodontists receive 2-4 more years of specialized education than regular dentists in order not only to be able help kids with their growth and development, but to make overall dental treatments more efficient, effective, affordable, and successful! The alignment and bite of teeth are very important to a person’s overall health and aesthetics. They impact one’s ability to speak and eat. They impact jaw function. They affect smile aesthetics.

The alignment of teeth and the establishment of a normal bite also changes the appearance of the lips, jawline, chin, profile, and overall face. Almost every person can benefit from orthodontic treatment at some level. The great news is that you don’t have to be a teenager or even have metal rings or braces glued to your teeth to reap the benefits that orthodontics has to offer!

HOW CAN I GUARANTEE THAT MY TEETH STAY STRAIGHT AFTER MY CARE IS COMPLETED? Lenk Orthodontic Staff

Lenk Orthodontics 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 just as much and sometimes even more than children! Any healthy adult who 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 or perfect their smile! Lenk Orthodontics has served adults ranging from 18 to 75 years of age! We have some

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

GIVING SOUTHWEST VIRGINIA A REASON TO SMILE!

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ROANOKE VALLEY SPEECH & HEARING CENTER 2030 Colonial Avenue | Roanoke | 540.343.0165 | www.rvshc.org

Roanoke Valley Speech & Hearing Center IMPROVING QUALITY OF LIFE BY HELPING CHILDREN AND ADULTS COMMUNICATE EFFECTIVELY. For over 50 years, The Roanoke Valley Speech and Hearing Center 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 an evaluation and speech therapy sessions.

We also offer a full array of audiology services, including hearing evaluations, hearing aid fittings, custom ear molds, and APD testing. We also have a mobile test unit that can travel on-site to companies that require testing for OSHA compliance. This unit can test up to 7 employees at a time and is run by a CAOHC certified hearing conservationist.

Hearing Specialists: (left to right) Marty Smolak, Audiology Assistant; Heather B. Dickey, AuD, CCC-A; Michelle A. Ickes, PhD, CCC-A

RVSHC’s highly-qualified and caring professionals hold master 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.

To schedule an appointment, contact us at 540.343.0165.

Speech Therapists: (left to right) Janet E. Miller, MS, CCC-SLP; Molly E. Webster, MS, SLP-A; Ann R. Walsh, MS, CCC-SLP; Melissa R. Patterson, MS CCC-SLP

SPEECH LANGUAGE PATHOLOGY | AUDIOLOGY | INDUSTRIAL HEARING TESTING 82

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Helpful Tips F O R E AT I N G

HEART HEALTHY words | OURHEALTH STAFF WRITER

The holiday season is all about family, fun and food! Getting your family to eat heart-healthy, especially during the holidays, takes effort. In partnership with the American Heart Association, OurHealth Roanoke & New River Valleys magazine brings you these great tips and recipes to help you navigate the holiday season in a healthy way.

1

WATCH THE SODIUM Limit your sodium.

Did you know that many of your favorite holiday dishes may be packed with sodium? Breads and rolls, poultry, and canned soups are three common foods that can add sodium to your diet. When shopping for ingredients to prepare your holiday meal, compare the labels and choose options with the lowest amount of sodium.

Savor the flavor.

Use herbs and spices, like rosemary and cloves, to flavor dishes instead of salt or butter.

Rinse away.

When using canned beans or veggies, drain and rinse in a colander to remove excess sodium.

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2 TURKEY TALK Outsmart the bird.

Reach for the lighter pieces of meat; they have fewer calories and less fat than the darker ones. Another way to cut calories and fat is to take off the skin.

Keep portions in check.

A serving size of meat is 3 ounces, about the size of a deck of cards.

So, be conscious of how much you put on your plate, and pass on that second helping. If you’re also having another meat, like ham or lamb, take smaller portions of each.

Watch out for the gravy train.

Turkey usually comes with gravy, which can add excess fat, calories and sodium. Limit gravy to a tablespoon, and keep it off other items, like the dressing.

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HEART HEALTHY HOLIDAYS CHECKLIST

CASSEROLES

WHAT YOU SHOULD INCLUDE:

What’s in it?

Fruits and vegetables Whole grains Beans and legumes Nuts and seeds Fish, skinless poultry, and plant-based alternatives

Holiday casseroles can be filled with fat, sugar or sodium. Your best bet is to limit yourself to a small spoonful of casserole and fill the rest of your plate with a serving of lean protein along with roasted or sautéed veggies and tossed salad instead.

Fat-free and low-fat dairy products Healthier fats and nontropical oils WHAT YOU SHOULD LIMIT: Sodium and salt Saturated fat Sweets and added sugars, including sugar-sweetened beverages Red meats — if you choose to eat red meat, select the leanest cuts WHAT YOU SHOULD AVOID: Trans fat and partially hydrogenated oils

DRESSING Call it what it is.

Dressing is intended to be a complement to your meal, not an entree. To keep calories and excess fat in check, aim for 1/4 cup (or about half a scoop with a serving spoon).

Judge it by its cover.

If the dressing is filled with fatty meats like sausage and pork, looks greasy or buttery, or is made with white bread or sweet rolls, it may be best to pass. Better options would be dressings that have whole grain or cornbread, lean meat (or no meat), nuts (like almonds or walnuts), and lots of veggies and fruits.

Aim for 1/4 cup serving of dressing.

This is about half a scoop with serving spoon.

REMEMBER TO STAY PHYSICALLY ACTIVE! The holiday season is about family and food – and all too often, adding a few extra pounds to our waistlines. Being physically active throughout the entire year is important to maintaining a healthy weight. The American Heart Association recommends that children (up to age 18) get at least 60 minutes a day and adults get at least 150 minutes per week of moderately vigorous physical activity.

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DESSERTS Treat yourself right.

The best way to enjoy an occasional sweet without losing control is by sampling a selection or two, rather than having full servings. For example, have one bite of pie, half a cookie or one small square of fudge. Find a friend or family member who will stick to the sampling rule with you.

ORANGE-GLAZED TURKEY WITH POTATOES & CARROTS

6 servings

INGREDIENTS

DIRECTIONS

Cooking spray

1. Preheat oven to 375 degrees.

1 ½ to 1 ¾ pounds boneless turkey breast roast, skin and fat removed

2. Spray a 9x13-inch casserole dish with cooking spray and place the turkey in the dish.

2 teaspoons mixed dried herbs (mix a combination of any/all – rosemary, basil, parsley, tarragon, chives, thyme, sage)

3. In a small bowl, mix dry ingredients (herbs, salt, pepper, garlic powder). Rub half of mixture over the turkey.

¾ teaspoon salt ½ teaspoon black pepper ½ teaspoon garlic powder

4. Spread marmalade over turkey.

5. Stir potatoes, carrots and oil into remaining herb mixture. Place vegetables in dish around the turkey. Bake for 1 hour.

6. Remove from oven and let sit 5-10 minutes to allow juices to redistribute.

3 tablespoons no-sugar added orange marmalade 1 pound potatoes scrubbed and cut in to 1-inch cubes (can use any type of potatoes) 1 tablespoon extra virgin olive oil 4 medium carrots, peeled and cut in to 1-inch sections

NUTRITION FACTS: Per Serving Calories: 257. Total Fat: 3.5 g, Saturated Fat: .5 g, Trans Fat: 0.0 g, Polyunsaturated Fat: .5 g, Monounsaturated Fat: 2.0 g, Cholesterol: 76 mg, Sodium: 389 mg, Carbohydrate: 23 mg, Fiber: 3 g, Sugar: 7 g, Protein: 32 g, Dietary Exchanges: 1 starch, 1 vegetable, 4 lean meat

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MAPLE SYRUP-GLAZED

SWEET POTATO CASSEROLE

6 servings | 1 cup per serving

INGREDIENTS

DIRECTIONS

40 ounces canned, chopped sweet potatoes in light syrup, drained (or 1 1/2 pounds cooked sweet potatoes)

1. Preheat oven to 400 degrees.

1 ¼ teaspoons pumpkin pie spice, divided ¼ teaspoon salt 1 teaspoon vanilla extract 2 large egg whites ¼ cup unsalted pumpkin seeds (pepitas) 1 tablespoon olive oil 2 tablespoons maple syrup 2 tablespoons all-purpose flour

2. Drain the sweet potatoes and add to large bowl. Using a potato masher or fork, mash well. Stir in 1 teaspoon pumpkin pie spice, salt, and extract.

3. Add egg whites into mixer bowl. Using a whisk attachment (or a hand mixer) whip the egg whites on high speed until firm peaks form, about 3 to 4 minutes. Use a spatula to gently fold egg whites into the sweet potato mixture.

4. Coat a 1.5-quart baking dish with cooking spray. Transfer the sweet potato mixture into the baking dish.

5. In a small bowl, stir together pumpkin seeds, oil, maple syrup, flour, and remaining ¼ teaspoon pumpkin pie spice. Sprinkle over the sweet potatoes.

6. Bake in preheated oven until sweet potatoes are fluffy and topping is golden-brown, about 20 to 25 minutes.

NUTRITION FACTS: Per Serving Calories: 249, Total Fat: 5.5 g, Saturated Fat: 0.9 g, Trans Fat: 0.0 g, Polyunsaturated Fat: 1.6 g, Monounsaturated Fat: 2.0 g, Cholesterol: 0 mg, Sodium: 176 mg, Carbohydrates: 46 g. Dietary Fiber: 5 g, Total Sugars: 13 g. Protein: 5 g, Dietary Exchanges: 3 starch, ó fat

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GREEN BEAN SALAD VINAIGRETTE 12 servings | 1/2 cup per serving

INGREDIENTS

DIRECTIONS

1 quart water for fresh green beans or ¼ cup for frozen

1.

1 pound fresh or frozen green beans

2. Meanwhile, fill a large bowl with cold water. When the beans are ready, drain them in a colander, then plunge them into the cold water to stop the cooking process and cool quickly. Once the beans are cold, drain well and pat dry with paper towels.

1 tablespoon raspberry vinegar or red or white wine vinegar ¾ to 1 teaspoon yellow mustard ½ teaspoon finely snipped fresh thyme or 1 ½ teaspoons dried, crumbled ½ teaspoon finely snipped fresh parsley or 1 ½ teaspoons dried, crumbled ½ teaspoon honey ½ medium garlic clove, minced

In a large saucepan, bring the water to a boil over high heat.

Add the beans. Boil for 5 minutes.

3. While the beans are cooling, in a separate large bowl, whisk together the vinegar, mustard, thyme, parsley, honey, and garlic. Slowly whisk in the oil, continuing to whisk until thoroughly combined. Whisk in the salt and pepper.

4. Add the green beans, bell pepper, and onion to the vinegar mixture. Toss to coat. Cover and refrigerate for at least 30 minutes. Just before serving, sprinkle with the lemon zest.

¼ cup canola or corn oil 1/8 teaspoon salt 1/8 teaspoon pepper, or to taste 1 medium red bell pepper, cut lengthwise into thin strips ½ to 1 small red onion, cut lengthwise into thin strips

NUTRITION FACTS: Per Serving Calories: 29, Total Fat: 1.0 g, Saturated Fat: 0 g, Trans Fat: 0 g, Polyunsaturated Fat: .5 g, Monounsaturated Fat: .5 g, Cholesterol: 0 mg, Sodium: 52 mg, Carbohydrate: 4 g, Fiber: 2 g, Sugar: 1 g, Protein: 1 g, Dietary Exchanges: 1 vegetable

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FITSTYLES

Phot os p rov ide d et Fle by

t Roa Fee

noke

Four Steps to Your Best Fitting Shoes words | CHRISTY RIPPEL

Pull up the tongue on your favorite athletic shoes. Do you know what the numbers mean? The tongue usually lists the US size, the UK size and a width measurement—which is a letter or double letter. But what’s confusing is that sizing is not standard across shoe brands, and narrow, wide and extra wide sizes are not consistent, either. It can be confusing, but cracking the shoe code

1

is crucial for selecting shoes that provide the best fit for your foot. Here’s a guide to finding your perfect pair of kicks:

Get measured each time.

You might think you know your shoe size, but foot size can change with pregnancy and age. Stop in to a shoe store in the evening hours when your feet are largest (they can swell throughout the day) to be measured by an expert. At Fleet Feet in Roanoke, the store offers a free digital 3D foot scan for all customers. “It provides a map of your foot, and gives a lot of data on size, as well as instep and arch height,” says Andrew Holbrook, store manager.

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FI TSTY LES |

“It can tell us if the arch is

Happy Feet

high, or the foot is stable or hyper mobile. It helps us select shoes that will provide the best comfort for that person.”

2

ANDREW HOLBROOK Store manager of Fleet Feet in Roanoke.

Try on a variety of shoes.

After you’ve had your foot measured, you’ll need to fit your largest foot (most people have feet that are different sizes).

Consider your measurement a starting point, as brands may run big or small. Don’t plan on shoes stretching over time; they should fit well when you buy them. And don’t count out running shoes just because you don’t run—they may provide the best cushioning for walking and general on-your-feet activity.

3 4

Invest in shoe inserts.

The cheapest part of an athletic shoe is the sock liner or insert— the part that your sock rests on. You can easily pry it out of the shoe and replace it with a pair of inserts that provide more cushion and support. “We recommend insoles that match the foot shape,” says Holbrook. “They provide a more custom fit, and are helpful for problems like plantar fasciitis.”

Know your store’s return policy.

Before you buy, understand the return policy at your store.

Good shoes can be expensive, but the right fitting shoes can prevent or help lessen lower back pain, leg fatigue and prevent bunions and other problems. If you find your shoes are less comfortable than they seemed in the store, some retailers, like Fleet Feet, will accept the return even when worn, while others will only accept returns within a certain time frame.

Know before you go!

EXPERT CONTRIBUTOR Andrew Holbrook, store magager of Fleet Feet in Roanoke.

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Part Five of a Six-Article Series More than anything, drafting this one document now can help ease your loved ones’ pain and stress in the event of your incapacitation or death. words | RICH ELLIS

Part I of the Family Love Letter series examined how this informational document serves as a roadmap to financial and personal details and described how having a completed Letter helps ease heirs’ and caregivers’ pain and stress in the event of a loved one’s incapacitation or death. Part II took a closer look at the Family Love Letter’s first section – Advisors and Assets – and why those components are the foundation on which all of the Letter’s other sections are built. Part III explored an individual’s liabilities and what information was important to record and share as part of the Financial Information section, while Part IV examined insurance and benefits and explained how not recording details could result in benefits going unused.

This installment in the six-part series focuses on a wide variety of documents and their importance to survivors or caregivers as well as other important information to include in section four of the Family Love Letter.

Of the more than 30 listed in the Family Love Letter, which official or legal documents apply to you? Where are those documents located?

Stewart Barnes is a private wealth advisor with The Myrias Group, an advisory practice of Ameriprise Financial Services, Inc. in Roanoke. When it’s time to cover section four of the Family Love Letter in particular, he always has an attorney present because so many of the documents are legal ones and because the workshop participants invariably have many legal questions.

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FAMILY CARE

The first thing that’s important to understand is that not all of the documents apply to everyone, Barnes explains. The best practice is to cross documents off the list if they don’t pertain to your situation. Taking this one action eliminates any confusion about an inconsequential area of your financial affairs, enabling your caregivers or heirs to concentrate on what’s important.

“Every family’s dynamics are different, and you don’t want

For example, some of the documents on the list are ones that almost everyone will have and be affected by, including a last will and testament, a birth certificate, a deed to real property and a marriage license.

Other, less common documents that affect a smaller percentage of people but still need to be catalogued include citizenship papers, burial agreements, military discharge papers, powers of attorney and pre- or post-nuptial agreements.

to hurt people’s feelings, but

“This discussion around important documents is one of

at the same time, you don’t get

the more complicated ones, primarily because everyone’s

to choose when you’re going to

situation is unique in terms of which documents apply to

become incapacitated or when

them,” Barnes explains. “That’s where the more work you

you’re going to die, making it

can do upfront reviewing and winnowing down that list of

that much more important to

documents makes it easier for your survivors because you’re

leave a trail for your survivors

telling them, ‘Here are the documents you need to focus on

to follow.”

and these are the ones you can ignore.’ Reviewing the list

STEWART BARNES

might take you a little more time, and that’s where attending

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

a Family Love Letter workshop or meeting with your attorney can help you get through it.”

One question that workshop attendees frequently ask, Barnes says, is whether they need the original documents or if copies will suffice.

“20 years ago, you had to have an original,” Barnes says. “Now, more and more frequently, copies are being accepted. The answer is going to depend on the document itself and the legal environment you’re in. A lot of questions come up about this, and the answers are very dependent on the situation. Sometimes you do still have to find the original, and that’s where it becomes important to leave clues as to where the originals are located, such as in a safe deposit box or a fireproof box in the home.”

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

Barnes also suggests uploading copies of important documents to the Cloud as well as informing family members of where the originals are stored.

Other Information that People Need to Know In addition to a list of important documents, this section of the Family Love Letter provides space to detail “My General Information,” which includes whether or not the individual has a safety deposit box and where it’s located, a personal safe and the combination, computer passwords, cell phone numbers and people to contact in an emergency. The section 96

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FAMI LY CAR E | Family Love Letter Series

also asks participants to list “Other Important Numbers,” including their Social Security, driver’s license, Medicare and passport numbers. There’s even an entry for pets and what is to become of them in the event of the owner’s death or incapacity. Additional sections include a list of personal property and the individuals who should receive it, a list of powers of attorney in the event of incapacitation and final wishes and special requests when death occurs.

While these sections of the Family Love Letter may sound a lot like a will, Barnes says that it’s important to understand that they’re not.

“A will is a legal document. The Love Letter is a road map,” Barnes explains. “A will has paragraphs and details people and their roles and responsibilities. It typically does not explain the reasoning behind your decisions.

That’s where this section of the Love Letter can provide some of the justifications and thoughts behind why you made the decisions you did.”

Given the complexities of family dynamics (particularly when it comes to siblings), Barnes notes that the explanations contained in the Love Letter can go a long way in helping to maintain family harmony and unity.

One common concern shared by many people as they draft a Family Love Letter is that they’re not ready to share this sensitive information with anyone yet.

“That concern is completely natural and understandable,” Barnes agrees. “This is a private document, and you may not be ready to share it with whomever right now.

What you should do, however, is to let your caregivers and heirs know it exists. Hold up the book, make sure they know what it looks like, tell them where they will find it and that this one document will provide all the information needed.”

Barnes also suggests that the author share more and more of the information in the Love Letter as he or she ages and as family members mature and can accept more responsibility.

“Every family’s dynamics are different, and you don’t want to hurt people’s feelings,” Barnes explains, “but at the same time, you don’t get to choose when you’re going to become incapacitated or when you’re going www.OurHealthswva.com

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FAMILY CARE

You can get information about upcoming

Family Love Letter

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

to die, making it that much more important to leave a trail for your survivors to follow.�

Completing a Family Love Letter The final installment of the Family Love Letter series in the February/ March 2018 edition of OurHealth Roanoke & New River Valleys will explore how to draft a family history and ethical will as well as recap the information covered in preceding articles.

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

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Local experts agree that diet, exercise, and medication are the three keys to controlling Diabetes words |BRANDY CENTOLANZA

Type II Diabetes, a disease in which there is a high level of sugar in the blood, is on the rise. As of 2015, roughly 100 million adults in America were considered pre-Diabetic or Diabetic. A poor diet and lack of exercise are partially to blame. “There has been a remarkable increase in the number of cases as well as people who are being diagnosed at younger ages,� says Chris Mertes, MD, Vice Chair of Clinical Affairs in the Carilion Clinic Family and Community Medicine department at Carilion Clinic Family Medicine in Blacksburg.

Type II Diabetes is Reversible There are 1.5 million new cases of Diabetes each year. The good news is that Type II Diabetes is reversible. (Type I Diabetes, meanwhile, is considered an autoimmune disease in which the body does not produce insulin. Only five percent of those diagnosed with Diabetes have Type I).

The reason for the increase in the number of Type II Diabetes is the reliance on the Western diet: fast foods and processed foods with an exorbitant amount of calories and sugar. Think refined carbohydrates such as white bread, rice, and pasta and sweets such as soda, candy and high fructose corn syrup.

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FAMILY CARE

STEP

Approach to

MANAGING DIABETES

These types of foods “overload our systems,” says Dr. Mertes. “Eating too much, too often is a problem. Less physical activity, and burning less calories is also a problem.”

Obese individuals who subsist on an unhealthy diet and do not exercise are most at risk for developing Type II Diabetes. Family history and genetics as well as stress may also play a factor. Once diagnosed, patients typically work with physicians and Diabetes educators to form a plan to help manage the disease before it leads to other health issues.

Three Steps to Managing Diabetes There is a three-step approach to managing Diabetes that includes maintaining a healthy diet, daily physical activity, and the intake of any possible prescribed medications. Patients who are considered pre-Diabetic (which means they are likely to develop the disease within five years) and those who are Diabetic should first begin by eliminating any sugary, processed foods from their diet.

1

“It starts with calorie reduction,” says Dr. Mertes. “The number one

Cut out Sugar

The less sugar you take in, the better it is for your body.

2

Drink Plenty of Water

Drink water instead of juice or soda.

thing you can do is don’t drink soda or sweet drinks.”

Drink water instead of juice or soda, and choose foods that are lower in calories, saturated fat, trans fat, sugar, and salt. Instead, incorporate more foods with fiber, such as whole grain cereals, breads, rice or pasta as well as more fruits and vegetables, especially green, leafy vegetables.

In addition to altering their diet, Diabetes patients should exercise on a routine basis.

Dr. Mertes recommends patients start slowly and don’t overdo it, working their way up to 40-45 minutes of physical activity daily four to five times a week. Aerobic exercise combined with resistance training such as weightlifting or yoga twice a week will help control blood sugar levels more effectively.

“I tell my patients to get up and go for a walk,” Dr. Mertes says. “Walking is a great place to start. You can walk around malls, neighborhoods, or on hiking trails. I also encourage patients to find something that they enjoy doing.”

It is also important to monitor Diabetes. Patients need to keep a glucose meter nearby, check their blood sugar level frequently and know what to do if the level is too low or too high (a normal reading is 100, range between 70-120). Blood sugar levels can change in response to food, exercise, alcohol, illness, or medications.

Watch for Symptoms

3

Increase Physical Activity, but Start Slowly Try to get at least 30 minutes of physical exercise daily at least five days a week.

Symptoms of Type II Diabetes include increased thirst and hunger, dry mouth, frequent urination, unexplained weight loss, fatigue, blurred vision, headaches, or numbness and tingling in the hands and feet. It can lead to more serious conditions that impact internal organs if it is not treated. Medications and insulin therapy may be necessary, which can be costly and come with a series of side effects.

One out of every four people have Type II Diabetes without realizing it.

The disease can lead to further complications including kidney disease, heart disease, and stroke.

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FAMI LY CAR E |

Controlling Diabetes without having to rely on medications is the goal Dr. Mertes hopes for his patients.

“If we can help those who have Type II Diabetes manage their disease through diet, exercise, and weight loss, they will be far better off,” he concludes.

EXPERT CONTRIBUTOR Chris Mertes, MD, Vice Chair of Clinical Affairs in the Carilion Clinic Family and Community Medicine department at Carilion Clinic Family Medicine in Blacksburg.

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OurHealth Roanoke & New River Valleys ON YOUR TABLET OR SMARTPHONE

“Walking is a great place to start. You can walk around malls, neighborhoods, or on hiking trails. I also encourage patients to find something that they enjoy doing.”

CHRIS MERTES, MD Vice Chair of Clinical Affairs in the Carilion Clinic Family and Community Medicine department at Carilion Clinic Family Medicine in Blacksburg.

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Leading a Better Lifestyle is the Best Way to Beat Diabetes

Diabetics are also more prone to gum infections and problems with their feet.

Patients should check their teeth and feet daily, and consult their doctors if their gums bleed or look red or swollen, or if their feet have sores, redness, or swelling that doesn’t heal.

FAMILY CARE

words | CATHERINE BROWN

Many of us know the experience well. You are sleeping peacefully under your cozy comforter, perhaps dreaming of a romantic walk on the beach, when—OUCH—a severe cramp in your leg wrenches you from blissful slumber. You sit up in a state of confusion, trying desperately to loosen up the tightened muscles. The leg cramp or charley horse may last for only a few seconds or minutes, but going back to sleep seems impossible, particularly when your muscle continues to ache long after it has “Women experience cramping at a higher incidence than men (32-56 percent of women as opposed to 26-40 percent of men, or about a 3:2 ratio).”

SCOTT HIPPEARD, MD An independent practitioner in Roanoke.

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stopped contracting.

Nighttime leg cramps most often occur in the calf muscle, but they can also take place in the thigh or foot muscles. Leg cramps affect 50 to 60 percent of adults and fewer than 10 percent of children. After age 60, leg cramps become more common. Leg cramps are also more common during pregnancy, particularly during the third trimester. According to Scott Hippeard, MD, an independent practitioner in Roanoke, “Women experience cramping at a higher incidence than men (32-56 percent of women as opposed to 26-40 percent of men, or about a 3:2 ratio).”

CAUSES Causes of leg cramps can be difficult to pinpoint. Possible contributing factors include structural issues in the legs and feet, such as flat-footedness; dehydration; electrolyte imbalance; poor circulation and nerve disorders. Leg cramps can occur after long periods of sitting or, conversely, from overexertion.

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FAMI LY CAR E |

For many people, nighttime leg cramps are a normal part of life and do not signify a serious medical condition.

Are Leg Cramps Keeping You Up at Night?

Dr. Hippeard explains that “features of cramping that might suggest a more sinister cause include widespread location of cramping over the body (not just limited to the lower leg/calf region), longer duration of cramps when they do occur (> 10 minutes), and/or other abnormalities on neurologic examination (such as loss of sensation, increased deep tendon reflexes, muscle stiffness/ spasticity, muscle twitching/fasciculations, muscle weakness/atrophy).”

Leg cramps can be associated with neuromuscular disorders, chronic kidney disease, anemia, thyroid disorders and diabetes.

Certain medications, like statins, asthma inhalers and diuretics, can also contribute to leg cramps.

RELIEF While in most cases leg cramps do not impact patients significantly, if they happen regularly, the resulting lack of sleep can lead to difficulties driving safely and working productively.

Thankfully, there are ways to alleviate suffering. “Many medications have been found to be useful with muscle cramping,” says Dr. Hippeard, “though none are specifically FDA-indicated for that purpose. These include seizure medications (phenytoin, gabapentin), heart medications (verapamil, quinine), antidepressants (desipramine, nortriptyline), Vitamins B/C/E, magnesium, calcium, and muscle relaxers (carisoprodol).”

PREVENTION There are also several non-medical ways to prevent leg cramps. Staying hydrated by drinking water throughout the day can help. Eating foods with potassium, magnesium and calcium might also help. Yogurt and bananas, for instance, provide a perfect bedtime snack.

In addition, stretching the legs before going to sleep and keeping blankets loose around the feet can help. Wearing supportive shoes during the day when exercising or standing for long periods of time can prevent leg cramps.

“Splints can also be used to prevent recurrent cramps by keeping your foot in a dorsiflexed position during sleep,” explains Dr. Hippeard.

If knotted, tightened muscles wake you in the middle of the night, you can alleviate the cramp by forcefully stretching and kneading the muscle. You can also help the muscles relax by walking around, flexing the foot, sitting in a warm bath, and applying ice.

As with most health conditions, exercise regularly and eat healthfully to sleep well and feel great.

EXPERT CONTRIBUTOR Scott C. Hippeard, MD is an independent family practice provider.

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words | CHRISTY RIPPEL

How to Help your Child Navigate a Brave New World of Challenges Teen angst is nothing new—raging hormones and swirling emotions are a part of growing into adulthood. But sometimes, the “normal” teenage experience goes beyond the normal, and crosses into a real battle with anxiety or depression, or both. More than 75 percent of all mental health conditions begin before the age of 24, according to the National Alliance on Mental Illness, so the teen years are often when issues crop up. What’s most concerning is that several recent studies have documented an alarming increase in mental health issues among high school and college students. So why are today’s kids stumbling more than previous generations, and what can parents do about it?

Increased Pressure to Succeed Modern parents are often concerned about their child’s performance in everything from the classroom to the cello to the basketball court, at very early ages. This parental anxiety can have a trickle-down effect. Kathleen Bagby counsels parents, children and teens at her private practice in Roanoke, and says that today’s teens feel a lot of pressure to succeed and often have parents who are over-involved. “College administrators today are talking about parents calling the dean’s office to talk about a child’s performance, instead of letting the child handle it,” says Bagby. Bagby also points out that kids who are taking the initiative to do their own work, like science

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projects, are often competing against kids whose parents have done the work. “The kids who have done their own work feel anxious when competing against other kids who’ve been given a leg up [by his or her parents],” says Bagby, creating a no-win cycle for all kids.

The success-driven parenting culture has insulted kids from making low-risk mistakes at early ages. Recovering from those small mistakes builds the resiliency to cope with bigger challenges in the teen years – and knowing that mistakes are okay, and life goes on.

PARENTING TO DO: Allow your kids to mess up and accept the consequences at early ages.

Don’t bring forgotten homework and musical instruments, and manage your own anxieties about your child’s performance in school, sports and activities.

A bad grade or getting cut from a team are not reasons for panic.

Social media woes

“It can be helpful to let your child know you are there for him, without asking

Previous generations of teens did not have to deal with social media pressures, a 24/7 news cycle and cyber bullying, which can contribute to depression and anxiety in this vulnerable age group. One study showed that when we look at social media, our mind takes all the different profiles and merges them into one. So, if we look at one person who is good at athletics, one who is good at art and one person with a great face, our mind creates one perfect persona, which is impossible to live up to. Teens can also fall into the trap of gauging their self-worth based on the number of “likes” and comments they get on social media. “Social media is a big concern for kids and teens,” says Bagby.

“They aren’t mature enough yet to understand the consequences of sexting, or posting something on Snapchat, and if a child is prone to anxiety, social media can make it worse.

It can be very hurtful to find out what other people are posting or saying about you on these platforms.”

a lot of questions.

Sometimes you can just step back and be there to listen, and that can make a world of difference.”

KATHLEEN BAGBY counsels parents, children and teens at her private practice in Roanoke.

PARENTING TO DO: Monitor your child’s social media, even if it means taking some time to learn what platforms they are using. Ask them to share what they’ve

posted with you, and spot check daily to make sure your child is not being bullied, or bullying others. Consider rules about turning in devices at nighttime to limit social media exposure.

Recognize the warning signs If your teen shows signs of anxiety or depressed mood, such as sleeping more or less than usual, losing interest in activities, bringing home plummeting grades or experimenting with drugs and alcohol – try talking to your teen before things spiral. There may be deep anxieties underneath the behaviors. “It can be helpful to let your child know you are there for him, without asking a lot of questions,” says Bagby. “Sometimes you can just step back 108

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PARENTING TO DO: Approach your child with curiosity rather than anger. Help your teen

talk through feelings—with you or someone else who can help them sort out what is truly bothering them. Family physicians and school counselors can provide resources to address serious issues, including threats of self-harm.

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Kathleen Bagby counsels parents, children and teens at her private practice in Roanoke.

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Is Your Teen at Risk for Depression and Anxiety?

and be there to listen, and that can make a world of difference.” If you want to ask why your teen was engaging in risky behavior, a better way to engage is with open questions like, ‘Are you drinking alcohol to feel better? Why? What are you stressed about?’ If your child still seems resistant to sharing, suggest a trusted counselor. In many cases, talk therapy, medication or a combination of both can be life changing. And the basics of good nutrition, exercise and sleep are important tools in combating mental health issues.

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ORTHOPAEDIC URGENT CARE:

Filling a Specialty Need Virginia Orthopaedic Direct – Orthopaedic Urgent Care in Salem offers quick access to specialty care for orthopaedic-related injuries – with no appointment needed. words | CATHERINE BROWN

You’re enjoying watching your son make a basket at his weekend game, when suddenly, he falls to the ground clutching his ankle. You start to panic as you run through your options. It’s Saturday, so the pediatrician’s office is closed. Do you take him to the emergency room? If so, how long will the wait be? Do you take him to a traditional urgent care center? That might be quicker, but will they have a specialist for his type of injury?

Today, a relatively new option for treating non-emergency orthopaedic injuries in people of all ages is available for people in our communities: Virginia Orthopaedic Direct – Orthopaedic Urgent Care. A division of Virginia Orthopaedic in Salem, Virginia Orthopaedic Direct, located in the Ridgewood Farms shopping center across from LewisGale Medical Center in Salem, provides patients with a reliable, costeffective option for non-life threatening orthopaedic injuries with no appointment needed. As the area’s only orthopaedic urgent care, Virginia Orthopaedic Direct joins a growing trend nationwide for specialized orthopaedic urgent care centers that can treat related injuries and pain relatively quickly and affordably.

A recent study in the Journal of Orthopaedic Trauma found that orthopaedic urgent care services benefit the US healthcare system and patients. They offer three major benefits: convenience, financial saving, and specialized care.

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Convenience of Orthopaedic Urgent Care Virginia Orthopaedic Direct walkin urgent care providers treat the following injuries in people of all ages with no appointment needed:

Virginia Orthopaedic Direct is currently open Monday through Friday from 8 AM – 8 PM, Saturday from 10 AM – 8 PM, and Sunday from 12 PM – 8 PM. So, if you need to be seen right away during the week, or if you are a weekend warrior who ends up with an injury after a grueling workout, you have a convenient place to go.

The total visit time at an orthopaedic urgent care center averages 43 minutes compared to 156 minutes in the Emergency Department.

Broken bones Dislocations Sports injuries Sprains and strains Acute back pain Arthritis Pain Joint and tendon pain Foot and ankle problems Acute neck pain Nerve pain Work injuries Physicals Urine Drug Screenings On-the-job injuries

Cost Savings of Orthopaedic Urgent Care You can also visit a Virginia Orthopaedic Direct provider without worrying about highly expensive costs. The study in the Journal of Orthopaedic Trauma found that the average charge for a patient seen in an orthopaedic urgent care center totaled $461, compared to $8150 for an average visit to the hospital Emergency Department for a related orthopaedic injury. According to Preston Waldrop, MD – an orthopaedic surgeon with Virginia Orthopaedic who helped found Virginia Orthopaedic Direct – the visit charge for the urgent care center is the same as a new patient charge at their primary office. Total fees depend, of course, on specific patient tests and treatment.

Virginia Orthopaedic Direct also accepts most insurance plans. For many insurance providers, the co-pay for a visit to Virginia Orthopaedic Direct is designated as a specialty visit, which can be significantly lower than a traditional urgent care visit co-pay.

Specialized Training of Orthopaedic Urgent Care Providers Emergency Departments successfully manage multiple cases, and many of those cases are life-or-death situations. Emergency care providers thus need to have a wide

James Farmer, MD

Mark Hagym, MD

Gregory Riebel, MD

Jeremy Smalley, MD

Preston Waldrop, MD

Pictured above are the Physicians of Virginia Orthopaedic

Virginia Orthopaedic Direct – Orthopaedic Urgent Care 1917 Electric Road | Salem, VA 24153 540.404.4251 | www.vaortho.com/vao-direct-orthopaedic-urgent-care/ HOURS: Monday – Friday: 8 AM – 8 PM | Saturday: 10 AM – 8 PM | Sunday: 12 PM – 8 PM

FAMI LY CAR E | Orthopaedic Urgent Care

range of knowledge about a variety of medical issues. If you have a lifethreatening emergency, like an open fracture or gunshot wound, you will want to visit a hospital Emergency Room. And, of course, if you have other kinds of illnesses, like the flu or strep throat, a general urgent care center is a better solution.

When you have a non-life-threatening orthopaedic emergency such as a broken bone or dislocation, back pain or nerve pain, you can benefit from the specialized knowledge of providers at Virginia Orthopaedic Direct.

“Every provider is experienced and

knowledgeable

about

orthopaedic injuries. They have received specialty training in

Located in the Ridgewood Farms Shopping Center Across from LewisGale Hospital

orthopaedic care and have worked in orthopaedic offices.”

In addition, Dr. Waldrop says, “all physicians’ assistants at the urgent care are 100 percent backed up by orthopedists on call.”

That means providers can confidentially text pictures to and talk on the phone with orthopaedic doctors to ensure they conduct the right tests and perform the appropriate treatment. The most common injuries providers see at Virginia Orthopaedic Direct include ankle and knee sprains, shoulder pain, overuse injuries, and work injuries.

Mike Buurman, MA, LAT, ATC, Head Athletic Trainer at Roanoke College, sends many of his student athletes to Virginia Orthopaedic Direct. “Mostly we send them to rule out fractures and other injuries that couldn’t wait to be seen until the next day,” Buurman says.

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“If they need to be seen for a follow-up or if we have any questions regarding the student-athlete we sent, the orthopedists at Virginia Orthopaedic will already have the information when the studentathletes get into the office the next day.”

MIKE BUURMAN, MA, LAT, ATC Head Athletic Trainer, Roanoke College

Salem High School Athletic Trainer, Chris Tucker, also appreciates the benefits of Virginia Orthopaedic Direct. “In many cases, practice times and games go beyond the doctor's normal office hours, or on weekends or evenings, so with this we can evaluate and X-ray after hours with no appointment,” he says.

“Our coaching staff and parents have been very supportive and excited that we have this service in our area.”

EXPERT CONTRIBUTORS Mike Buurman, MA, LAT, ATC, Head Athletic Trainer, Roanoke College Chris Tucker, Salem High School Athletic Trainer Preston Waldrop, MD, Orthopaedic Surgeon, President, VA Orthopaedic

CHRIS TUCKER Salem High School Athletic Trainer

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