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FEATURES FEBRUARY • MARCH 2019
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HITTING THE RESET BUTTON ON SEVEN HEALTH AND WELLNESS GOALS Rather than setting unrealistic goals and start dates that you’re not confident about, hit the reset button on your health at a time that’s right for you. Here are seven ways to hit the reset button on your health, including insights for starting out, staying on track and recognizing success of your efforts, along with resources and experts available in Roanoke & New River Valleys you can trust and depend on when you need them.
A TOTALLY NEW APPROACH TO HEALTH When her then 16-year-old daughter sustained a brain injury and was told nothing could be done, Linda Bailey of Roanoke took matters into her own hands and developed ‘Total You Health’, an alternative treatment solution that changed her daughter’s life for the better, and is helping others today, as well.
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DEPARTMENTS FEBRUARY • MARCH 2019
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The Pulse | People. Places. News to Know.
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Putting A New Heart Healthy Lifestyle Pattern Into Practice: A healthy diet and lifestyle are your best weapons to fight heart disease, and it’s not as hard as you may think!
20 Health Scene | Happenings. Who’s Who. Trending. The Guns topped the Hoses, 6-3, in the 16th annual matchup that raised over $42,000!
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Volunteer Spotlight | Heroes. Champions. Community Minded.
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Q&A on Health | Questions. Answers. Knowledge.
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Health A-Z | Insight. Awareness. Mindfulness for the Whole Family. 53 - 5 Healthcare Jobs That Can Stop a Midlife Crisis: It’s never too late to change direction and drive yourself down a completely new career path. For many, the answer lies in healthcare.
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Aging Well | Wisdom. Dignity. Support. Making Dysphagia Easier to Swallow: Dysphagia, or difficulty swallowing, is especially prevalent among the elderly. Learn how to spot this condition in seniors, where to go for local diagnosis and treatment options, and how to prepare fast, nutritious meals that are easy for dysphagia patients to eat.
58 - More Than Ever, We Need Outstanding Public Health Professionals: . How Jefferson College’s New Bachelor of Science in Public Health Program is Stepping Up 62 - Training the rural physicians of the future for a healthier Virginia at . The Edward Via College of Osteopathic Medicine (VCOM) in Blacksburg, Virginia
Health Observances | Educate. Eradicate. Victory. Dentists and periodontists around the country have taken this opportunity to even further educate their patients and the greater communities about gum disease condition while emphasizing strategies everyone can use to lower their risk.
Local cancer survivor, Mark Bachmann, finds a way to give back and say thank you by volunteering at Carilion Roanoke Memorial Hospital.
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Food and Fitness | Nutrition. Exercise. Prevention.
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Funny Bone | Spot the Seven Differences
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february • march 2019
PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION VICE PRESIDENT OF BUSINESS DEVELOPMENT GRAPHIC DESIGNER ACCOUNTING MANAGER GUEST PHOTOGRAPHERS
CONTRIBUTING MEDICAL EXPERTS CONTRIBUTING PROFESSIONAL EXPERTS & WRITERS
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Kim Wood Tori Meador Laura Bower Patrick Perkins Photography, LLC Brian Gross, MD Kenneth Luckay, DO Michele Mills, DMD Katherine Oxford, DPT, OCS James Taylor, DO Vanessa Ahern Leonard Butler Tracy Corntazer Rich Ellis Jennifer Lamont Katherine Paljug Timothy Redden Bradley Allan Riddell Christy Rippel Patrick Seguin
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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2019 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Roanoke and New River Valleys is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthroanokenrv.com | ourhealthlynchburg.com | ourhealthrichmond.com | ourhealthcharlottesville.com | Advertising rates upon request.
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The Pulse INFORMATION • EVENTS • AWARENESS
Promotions, Additions, Openings and Changes LewisGale Regional Health System Announces New Chief Operating Officer Ryan D. Lee, FACHE has joined LewisGale Medical Center as its new Chief Operating Officer (COO). Prior to relocating to Virginia, Lee spent the last two years as COO at West Boca Medical Center in Boca Raton, FL. Ryan D. Lee, FACHE “Ryan’s relationship-focused leadership style has brought noteworthy improvements in quality, satisfaction, physician and employee engagement and operations. He has also been involved in growth-focused construction projects, which have included expansions, renovations and redesigns,” says Lance Jones, LewisGale’s CEO. As a native of Aiken, SC, Lee attended Clemson University and earned his Master of Health Administration degree from the Medical University of South Carolina. He is a Fellow in the American College of Healthcare Executives and was named to Becker’s Hospital Review as a “Rising Star Under 40.” More Information: www.lewisgale.com
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Promotions, Additions, Openings and Changes Community Health Center of the New River Valley Receives Grant For Pulaski/Radford Dental Clinic The Community Health Center of the New River Valley has been awarded a $148,400 grant from the Virginia Health Care Foundation (VHCF) Board of Trustees to fund salaries and benefits for a full-time dentist at the newly opened and renovated Community Health Center office in Dublin, located at 5826 Ruebush Road in Dublin. The dental clinic opened in January and has four exam rooms offering general dentistry services including routine dental visits, x-rays, cleanings, extractions and fillings. The Community Health Center of the New River Valley provides affordable and high quality medical, dental, behavioral and preventative health care services to people of all ages, regardless of ability to pay. More Information: To learn more about the Community Health Center’s services and programs in Dublin, Christiansburg and Pearisburg, visit www.chcnrv.org or call 540.381.0820.
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Awards, Recognitions and Nominations Carilion Children’s Hospital Receives Level 1 Pediatric Trauma Center Designation Carilion Children’s Hospital (CCH) within CRMH is now also a designated Level 1 program for treating pediatric patients. Designation occurs at the state level, and CCH is one of only three Level 1 Pediatric Trauma Centers in Virginia, and the only one west of Richmond. “This designation recognizes the strides we’ve made in expanding services to children in our community,” says Kim Dunsmore, MD, Chair of Pediatrics. “It also complements our long-standing NICU and Level 1 Adult Trauma program at CRMH.” Level 1 Trauma Centers provide the most comprehensive services to care for injured patients throughout their hospitalization and recovery—total care from prevention through rehabilitation. “The sophistication of our care in recent years has grown as we’ve added more pediatric specialists and increased the number of pediatric surgeons on staff,” explains Shawn Safford, MD, Pediatric Trauma Medical Director. According to the Centers for Disease Control (CDC), traumatic injury is the number one cause of death for children age 1 to 19. In FY2018, 14 percent of the 1,894 injured patients we cared for at our CRMH trauma center were pediatric (age 15 and under). Part of this designation is to also help prevent these deaths and injuries. “Carilion’s commitment to serving patients in our region has reached a new level with a robust trauma program that specializes in treating both pediatric and adult patients,” says Bryan Collier, DO, Chief of Acute Care/Trauma Surgery. More Information: www.carilionclinic.org
Promotions, Additions, Openings and Changes Warm Hearth Village Employees Partner with Global Partners in Peace Employees of Warm Hearth Village (WHV) and Global Partners in Peace and Development (GPPD) are working together to provide money, medical supplies, clothing, and daily necessities to impoverished nursing home residents and special needs children at Jehovah Rapha House in Haiti. Heather Gearhart, Vice President of Health and Wellness for Warm Hearth Village, initiated the effort after a mission trip to the area. She leads the collection and delivers items to GPPD in Bonsack, Virginia, who then transports the items on their regular trips to Haiti. To date, WHV has sent three deliveries. “The Jehovah Rapha house. donations from the team at Warm Hearth Village will make a difference in the lives of those living in poverty by offering the tangible blessing of much needed resources. Warm Hearth Village is providing Global Partners with resources for those who seem to have been forgotten in Port-au-Prince Haiti,” said Steph Elliot, Administrative Assistant with GPPD. Warm Hearth Village is a nonprofit senior living community in Blacksburg that provides a full continuum of living options on our campus and in the home.
Devin Tobin, Assistant Administrator
Awards, Recognitions and Nominations LewisGale Regional Health System Announces Corporate Committee Nomination Devin Tobin, Assistant Administrator and Ethics and Compliance Officer (ECO) has accepted the nomination to serve on HCA’s Ethics and Compliance Advisory Committee as a representative of LewisGale Medical Center and HCA’s Capital Division, a four-state, 18-facilty health system, for a two-year term (January 2019 – December 2020). The committee serves to review and comment on draft ethics and compliance policies for the for the organization. “We are proud that Devin was nominated and will represent our division by offering her perspective as HCA looks to maintain its status as one of the World’s Most Ethical Companies, a prestigious award that HCA received from Ethisphere for nine consecutive years,” says LewisGale’s CEO Lance Jones. More Information: www.lewisgale.com
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The Pulse
• NEWS TO KNOW
Awards, Recognitions and Nominations LewisGale – Salem Doctor Named VCOM Preceptor of the Year Brian Gross, MD, Department of Surgery, specializing in otolaryngology at LewisGale in Salem, has been named a 2018 Edward Via College of Osteopathic Medicine (VCOM) Preceptor of the Year. Dr. Gross was nominated by the Class of 2018 and has been a preceptor of VCOM students since 2015. “Dr. Gross is extremely knowledgeable in the field of ENT and allows students to participate in surgical procedures when the opportunity arises,” notes one VCOM Brian Gross, MD student who nominated Dr. Gross. “He tailors his teaching to what might be most pertinent to [a doctor’s] future career path, and is always interested in knowing what we want to learn from the rotation. His office staff is also very welcoming of students and makes each feel like a part of the team during their rotation.” More Information: www.vcom.edu
Promotions, Additions, Openings and Changes Friendship Appoints Brent Poff to Lead Salem Terrace at Harrogate Friendship has announced the appointment of Brent Poff to lead Salem Terrace at Harrogate, a senior living community located in Salem.
Brent Poff
“It is my distinct pleasure to welcome Brent to Salem Terrace at Harrogate,” says Luke Waldrop, owner and developer. “He brings tremendous knowledge of the healthcare industry and has a strong sales background.”
Prior to joining Salem Terrace, Poff worked in the Home Healthcare and Hospice Industry for more than 13 years, most recently as Administrator. “From the beginning, Salem Terrace at Harrogate has been committed to providing quality housing and a wide range of services with a commitment to comfort, dignity and peace of mind for all residents. As we move forward, these areas will continue to be my top focus in our day to day operations,” says Poff. A Meet and Greet Social is being held on Wednesday, February 13, 2019 from 4:30 – 7 pm at Salem Terrace at Harrogate to formally introduce Poff to residents, families, team members and the greater community. All are welcome, however space is limited. Please RSVP to 540.444.0343. More Information: Visit www.friendship.us or call 540.444.0343.
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Promotions, Additions, Openings and Changes Friendship Living Completes Upgrades to Assisted Living Areas Friendship has completed major upgrades to the community’s assisted living common area and kitchen. “Our residents enjoy spending time together and seeing the activity that takes place in and around the community,” says Chuck Flynn, Administrator of Assisted Living. “Social interaction and food play a major role in one’s happiness and well-being. Both residents and team members alike are very pleased with these renovations.” Despite the multiple common areas within the building that residents and team members utilize, a crowd continues to congregate in the lobby on a daily basis. “The space naturally lends itself for fellowship,” says Julie Abernethy, Director of Admissions and Marketing. “Social isolation is a major concern when it comes to seniors, and this remodeled area encourages interaction. It’s heartwarming to witness the relationships that continue to build and be enjoyed here.” The renovation also provides visual continuity to Friendship’s adult medical day care building, The Feinour Center, which is connected securely with a hallway. In addition to renovating the lobby and common area, the kitchen in the Assisted Living residence has also been upgraded. “We replaced the entire front line cooking station and have also installed a new stainless steel hood,” continues Flynn. “These improvements come with the latest safety features and are proving to be extremely helpful in streamlining our dining service operation. We’re also now able to offer additional food preparation methods that weren’t previously available due to the equipment limitations, allowing us to appeal to every palate and dietary specification.” More Information: To learn more about Friendship’s Assisted Living, please visit www.friendshipliving.org or contact Abernathy at 540.265.2058.
LewisGale Physicians – Virginia Orthopedics Open New Clinic in Low Moor
Carilion Clinic Opens Primary Care Practice at Warm Hearth Village
LewisGale Physicians – Virginia Orthopedics announces the opening of a new orthopedic clinic in Low Moor, located at 1 ARH Lane, Suite 202, in the Alleghany Medical Office building. Chip Woodyard, PA-C, a native to Alleghany County, will be providing orthopedic services to the area. Mr. Woodyard specializes in orthopedic surgical care, and has more than four decades of experience as a certified physician assistant. “We’re very excited about our new orthopedic clinic’s opening because there is a growing need locally for additional quality orthopedic care,” says Will Windham, LewisGale Hospital Alleghany’s CEO. “At the same time, we’re incredibly grateful to welcome Chip back to Alleghany. His deep orthopedic experience, local connection, and shared commitment to putting patients first every day strengthen and help the team here continue to deliver positive outcomes for patients.” More Information: To schedule an appointment with Woodyard, call 540.444.4020 or visit www.lgphysicians.com.
Chip Woodyard, PA-C
Carilion Clinic has opened a primary care practice at Warm Hearth Village with Sandra Hayes, FNP serving as the practice’s nurse practitioner. The new practice is located at 981 Litton Lane, Blacksburg, on the Warm Hearth Village campus. Practice hours are Monday, Wednesday and Friday from 8 am – 5 pm. Hayes, who received a Bachelor of Science in Nursing from Radford University and Master of Science in Nursing from Virginia Commonwealth University, has previously worked at Carilion Clinic in Family Practice. The new primary care facility will provide residents, employees and the community with acute and chronic care, immunizations, well visits, followup visits, and lab services. More Information: Visit www.carilionclinic.org, www.retire.org/index.php.carilion or call 540.558.2400.
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• NEWS TO KNOW
Awards, Recognitions and Nominations
The Pulse
Promotions, Additions, Openings and Changes
The Pulse
• NEWS TO KNOW
Promotions, Additions, Openings and Changes LewisGale Hospital Pulaski Begins Construction of New Behavioral Health Unit LewisGale Hospital Pulaski recently began construction on a new 16-bed Adult Inpatient Behavioral Health Unit at the hospital to support area residents experiencing mental health and addiction issues. The addition of Behavioral Health Care will result in 25 new jobs coming to the community. Opening in late summer, the new facility is a combination of new construction and renovation of existing space, resulting in 8,000-square feet devoted to patient health and treatment. The completed unit will feature individual therapy space, physician, nursing and staff offices, a dining area, as well as group and courtyard activity space. The new unit will be separate and secure from the existing hospital and will be accessed via a separate entrance adjacent to the main Hospital entrance. More Information: www.lewisgale.com
Awards, Recognitions and Nominations Jefferson College of Health Sciences Named a 2019-2020 Military Friendly School Jefferson College of Health Sciences has been named a 2019-2020 Military Friendly® School by VIQTORY, the leader in successfully connecting the military and civilian worlds, and publisher of G.I. Jobs magazine. This is the seventh consecutive year Jefferson College has received this recognition. The list provides a comprehensive guide for veterans and their families using data sources from federal agencies and proprietary survey information from participating organizations. Institutions earning the Military Friendly® School designation were evaluated using both public data sources and responses from a proprietary survey completed by the school. This year, 766 schools earned this prestigious designation. “We are honored and excited to receive this recognition for the seventh straight year,” says Jefferson College President Dr. Nathaniel L. Bishop. “Jefferson College of Health Sciences is making a concerted effort to welcome veteran and active military students and their families with specific resources designed to meet their needs. We are dedicated to helping our veteran and active military students succeed during their time as a student at Jefferson College and beyond.” More Information: The 2019-2020 Military Friendly® Schools list will be published in the May issue of G.I. Jobs magazine. The list can also be found at www.militaryfriendly.com. Visit Jefferson College’s website at www.jchs.edu/veteran-and-active-military-resources for more information about its commitment to attracting and supporting military students.
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The Pulse • NEWS TO KNOW
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Corrections In the 2018 Best Bedside Manner Awards recognition found in the December 2018/January 2019 issue of OurHealth Roanoke and New River Valleys Magazine, some provider contact information was printed in error. Below are the accurate listings.
AUDIOLOGY THIRD PLACE Joanne Dillon, MS, CCC-A, FAAA New River Valley Hearing Radford | 540.731.4327 www.nrvhearing.com
EMERGENCY MEDICINE FIRST Steven Pasternak, MD Schumacher Clinical Partners Salem | 540.776.4000 www.lewisgale.com
EMERGENCY MEDICINE FIRST Benjamin Davidson, MD Schumacher Clinical Partners Pulaski | 540.994.8100 www.lewisgale.com
EMERGENCY MEDICINE HONORABLE MENTION James Harless, MD Schumacher Clinical Partners Salem | 540.776.4000 www.lewisgale.com
PEDIATRICS HONORABLE MENTION Thomas Donohue, MD Carilion Children’s Pediatric Medicine Roanoke | 540.772.4453 www.carilionclinic.org
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The Pulse
• NEWS TO KNOW
Wayel Alyahya, MD
Amanda Bright, PA-C
Amy Gray, NP
Richard Happel, MD, PhD
Mary Kraemer, MD
Thomas Kraemer, MD
Stephanie Landes
Brent Poff
Carilion Clinic Psychiatry & Behavioral Medicine Christiansburg | 540.731.7311 www.carilionclinic.org
Carilion Clinic Internal Medicine Roanoke | 540.224.5170 www.carilionclinic.org
LewisGale Physicians Cardiothoracic Salem | 540.776.2020 www.lgphysicians.com
Carilion Clinic Obstetrics & Gynecology Christiansburg | 540.731.4578 www.carilionclinic.org
Carilion Clinic Carilion Clinic Cardiology Pulmonary Medicine Wytheville | 276.228.4860 Christiansburg | 540.731.7450 www.carilionclinic.org www.carilionclinic.org
Director of Marketing Friendship Roanoke | 540.777.2399 www.friendship.us
Administrator Salem Terrace Salem | 540.444.0343 www.salemterrace.com
For More of The Pulse Visit:
OurHealthRoanokeNRV.com Audrey Steier, PA
Kristy Vest, NP
Carilion Clinic Neurosurgery Carilion Clinic Blacksburg | 540.224.5170 Family Medicine www.carilionclinic.org Galax | 276.236.5181 www.carilionclinic.org
Do you have health-related news to share for The Pulse? Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com.
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Health Scene HAPPENINGS • WHO’S WHO • TRENDING photos | PATRICK PERKINS PHOTOGRAPHY, LLC
THE GUNS TOPPED THE HOSES, 6-3, IN THE 16TH ANNUAL MATCHUP THAT RAISED OVER $42,000! It was a full house the night of January 19th at the 16th annual Guns N’ Hoses hockey game between local law enforcement (the Guns) and local area fire and rescue personnel (the Hoses). The annual event, which benefits the Muscular Dystrophy Association, raised over $42,000 this year alone. Over the last 16 years, the event has raised over $300,000 and has been attended by over 68,000 fans! The Muscular Dystrophy Association is the official charity of the International Association of Firefighters. In 2017 alone, the IAFF raised nearly $25 million for the MDA through events such as this. The Guns have regained the title after a loss to the Hoses in 2018! Will they be able to hold on to the title, or will the Hoses snag it away? Be sure to mark your calendar for the 17th annual matchup in 2020. Follow Guns & Hoses Hockey on Facebook for dates of the 2020 matchup! For additional photos from the game, visit www.patrickperkinsphotography.pixieset. com/gunsandhoses. For more information on MDA local area events and services, call Diane Boardman at 540.692.4711.
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Health Scene • HAPPENINGS
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VOLUNTEER
Spotlight HEROES • CHAMPIONS • COMMUNITY-MINDED
words | KATHARINE PALJUG
MARK BACHMANN, Volunteer at Carilion Roanoke Memorial Hospital
When Mark Bachmann retired, he still wanted to keep busy. “As someone who has been dealing with cancer since 2004, I felt that I needed to give back, to go to a medical facility and volunteer,” says Bachmann. And so, in 2016, he reached out to Carilion Roanoke Memorial Hospital to find out about their volunteer program. “I started at the information desk on the main floor of the hospital, but I didn’t want to just sit around in a chair and wait for someone to ask me a question,” says Bachmann. “I need something more active.”
It helps people think positively... remembering that other people have gone through this and been okay too.” Family members, he says, can react in many unexpected ways to the stress of waiting. “Whether someone is upset or nervous, or even angry, I try to calm them down and diffuse the situation,” says Bachmann. And then, he adds, he makes them coffee. “I volunteer from 6 - 9 am, and that early in the morning, everyone just needs a cup of coffee! It makes everything easier, so I try to always have it ready first thing.”
Serving Those Who Serve Others After talking to the volunteer coordinator, Bachmann moved to the surgery waiting room, where families and friends of One of the things Bachmann appreciates most about his surgery patients wait while their loved ones are in position is that it doesn’t just give him an opportunity “I was a patient the operating room. “That’s non-stop, there are to help the families who come into the hospital. He’s for a long time, so I people going in and out constantly,” Bachmann also able to lend a hand to the busy, dedicated says. “It keeps you busy. It’s perfect for me.” understand a little of what hospital employees. Being There for the Families When a patient goes in for surgery, they have a team of doctors, nurses and other professionals watching over them. But their family and friends are often left alone, waiting anxiously for news. That’s where Bachmann comes in.
they’re going through, sitting there waiting and not fully understanding what’s going on.” - Mark Bachmann -
“I was a patient for a long time, so I understand a little what they’re going through, sitting there waiting and not fully understanding what’s going on,” says Bachmann. Often, he draws on his own experience as a patient to help reassure anxious family members who might not know what to expect. “One woman I saw a lot, I remember the day her husband was going in [for surgery] for the fourth time,” he said. When the woman seemed overwhelmed, he ended up sitting with her and talking about his own time as a cancer patient. “I told her about my own medical procedures, and that seemed to relax her. 22
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“The people at guest services are busy and trying to help so many people,” says Bachmann. “I can really make it easier on them. I can take care of the little things that pile up, move paperwork around. They’re doing so much, but I can help out.”
Whether he’s lending a hand to overworked hospital staff or sitting with a worried spouse, Bachmann says he values the chance to pay it forward for all the help and treatment that he received as a cancer patient. “You see all kinds of people, all kinds of problems, and it can be hard sometimes. But I’ve never been confronted with anything so terrible that I wouldn’t want to come back,” he says. “I’m there to help, I want to help, and I’m glad I can do it.”
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VOLUNTEER Spotlight • Local Cancer Survivor Finds a Way to Give Back and Say Thank You
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Questions. Answers. Knowledge. Is it possible that my pelvic floor problem will just go away over time? Generally speaking, no it won’t. In fact, it can be progressive and get worse over time.
The time-tested
“ONE-SUBJECT PLAN” affords FUMA’s high school-aged cadets
concentrated time to study and focus on one course at a time, with one teacher every day for the entire school day, encompassing seven weeks of instruction. - Timothy Redden -
The pelvic floor is defined as layers of supportive muscles that hold the pelvic organs and span from the tailbone to the pubic bone. The function of the pelvic floor is to support the bowel, bladder and uterus, assist in urinary and fecal continence, aid in sexual performance (orgasm), stabilize connecting joints and act as a venous and lymphatic pump for the pelvis. If the pelvic floor is overly tight, it can cause pelvic pain, painful sexual activity, difficulty in emptying your bladder, constipation or urgency/ frequency in urination. If the pelvic floor is too loose, then there isn’t enough support against gravity, which can lead to organ prolapse, pelvic or back pain, urinary incontinence or fecal incontinence. It is recommended to get screened by a urogynecological medical provider and a pelvic floor physical therapist in order to correctly diagnose and treat the condition. Katherine Oxford, DPT, OCS Virginia Urology for Women Richmond | 804.330.9105 www.uro.com
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
I was told that I have a thyroid nodule. Should this be removed? The thyroid gland is a butterfly shaped organ that sits in the midline lower neck and releases thyroid hormone, which is critical to control of metabolism and important bodily functions. Nodules commonly develop in the thyroid gland. Up to 60 – 75 percent of individuals have thyroid nodules, and they are most common in women and the elderly. Sometimes these nodules can be felt or seen from the outside, but at other times they are discovered by imaging such as CT scans or ultrasound. Fortunately, most thyroid nodules are not worrisome and require no additional treatment. In order to determine which nodules require removal versus monitoring, it is important to see a physician with experience in thyroid nodule evaluation and management. Brian Gross, MD
LewisGale Physicians Salem | 540.444.8100 www.lgphysicians.com
How does the onesubject curriculum help students at Fork Union Military Academy? Since its inception, Fork Union Military Academy (FUMA) has changed with the times, but since 1950, two constants have remained the same: the school’s Christian mission and its unique “One-Subject Plan” education curriculum. The time-tested “One-Subject Plan” affords FUMA’s high school-aged cadets concentrated time to study and focus on one course at a time, with one teacher every day for the entire school day, encompassing seven weeks of instruction. Intensive immersion in this one-course-at-a-time approach results in greater understanding, comprehension, and application. This program, accompanied by an hour and a half of supervised homework time each evening, helps to promote success among our cadets. Because of this program, we find that our students’ grades, test scores and chances for college acceptance improve, their work ethic strengthens considerably and they are better prepared for life beyond high school. Timothy Redden
Vice President of Development and External Affairs Fork Union Military Academy Fork Union | 434.842.3212 www.forkunion.com
Q A ON HEALTH • Knowledge
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Questions. Answers. Knowledge.
According to the American Heart Association,
SYMPTOMS OF
CORONARY ARTERY DISEASE
vary between men and women with men more likely to experience chest pain and women more likely than men to experience nausea/ vomiting, epigastric discomfort, shortness of breath, and back or jaw pain. - James Taylor, DO -
What is Coronary Artery Disease and what can I do to prevent it?
Is it important for me to tell my dentist if I have a heart condition?
Who can benefit from supplemental insurance?
Heart disease, or Coronary Artery Disease, affects the arteries of your heart. It is the buildup of plaque narrowing the arteries causing reduced blood flow to the heart muscle.
Individuals with certain heart conditions, such as those treated with an artificial heart valve, require antibiotics before some dental procedures. It is thought that the bleeding during invasive dental procedures can put disease-causing microbes in the bloodstream. Antibiotics are used to prevent bacterial endocarditis, an infection of the inner lining of the heart. Bacterial endocarditis is rare, but it should be taken seriously.
Supplemental coverage can be purchased to fill in gaps of either insurance coverage or to pay you money in certain medical situations. Supplemental insurance policies help pay for many expenses that aren’t covered by your primary health insurance.
Coronary Artery Disease is caused by many factors, some that we don’t have control over such as genes, age, sex, or race. However, there are things you can do to help slow down and/or prevent Coronary Artery Disease, such as abstaining from smoking, managing your blood pressure, controlling your cholesterol and blood glucose levels, as well as exercising regularly and watching your diet. Coronary Artery Disease may result in a heart attack and may present with many different symptoms such as chest pain/pressure/discomfort/ squeezing/fullness classically in the middle of your chest. This discomfort may also occur in your arms, neck, jaw, stomach or back, and it may also present as shortness of breath with or without chest pain. Other symptoms may include nausea/vomiting, sweating or lightheadedness. If you are experiencing any of these symptoms, it is important to seek immediate attention such as calling 9-1-1. Don’t wait if you are experiencing any of these symptoms of a heart attack as every minute counts and may be lifesaving. James Taylor, DO
LewisGale Physicians Cardiothoracic Surgery Salem | 540.776.2020 www.lgphysicians.com
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
In the past, it has been recommended that patients with a number of different congenital heart defects receive antibiotics prior to having dental procedures performed. However, more recent studies by the American Heart Association remove many conditions from that list. Other studies have shown that periodontal (gum) disease may cause an increased risk for coronary artery disease. A direct cause and effect link has yet to be proven. It is important for many reasons to talk to your dentist about your heart. Michele Mills, DMD
Mills and Shannon Dentistry Salem | 540.989.5700 www.millsandshannon.com
Medicare Supplements come to mind when hearing the word supplemental insurance. Medicare Supplements fill in some gaps of coverage that Medicare Part A and Medicare Part B doesn’t cover. Medicare Supplements are sold through various health insurance carriers. They can be purchased direct through the carrier or through a local broker. You can also visit www.medicare.gov to search all plans available to you. Another type of supplemental coverage is known as a critical illness policy. Typically, the insured individual receives a preset amount of money to cover certain costs. There are various plans and carriers to choose from for critical illness policies. Be mindful of policy exclusions and limitations and contact a local agent to see if they offer this type of coverage and if it will benefit you. Tracy Corntazer
Virginia Farm Bureau Health Care Consultants Richmond | 804.290.1115 www.vafb.com
Local health. Anywhere you go. OurHealth magazine is Southwest Virginia’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 900 locations throughout the area or get the digital edition by visiting
OurHealthRoanokeNRV.com .
www.OurHealthRoanokeNRV.com
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HITTING RESET BUTTON
7
words | BRADLEY ALLAN RIDDELL
Each New Year begins with optimism. The calendar wipes your slate clean, and the possibilities seem endless. It’s invigorating, isn’t it? So why then do resolutions so often fail? Research by Strava, a social media network for athletes, shows that most resolutions are toast by January 12th. That’s right: Most resolutions fail just two weeks after starting them. That’s why you should take a different approach in 2019. Rather than setting unrealistic goals and start dates that you’re not confident about, hit the reset button on your health at a time that’s right for you. Here are seven ways to hit the reset button on your health, including insights for starting out, staying on track and recognizing success of your efforts, along with resources and experts available in the Roanoke and New River Valleys you can trust and depend on when you need them.
MYTH VS
REALITY: Can You Catch Up on Lost Sleep? The biggest myth about sleep is that you can make up for lost ZZZs. That is, if you get only five hours of sleep one night, you can make up for it the next. But that’s not true. When you deprive yourself of sleep, you create immediate health risks like high blood pressure.
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HITTING THE RESET BUTTON ON:
Sleep & Rest
SLEEP AND REST CYCLE
A lack of sleep can feel like torture. If you’re not getting at least seven hours each night, your days can feel like a slog. You’re never as happy or productive as you want to be, and you can’t live life at your full potential. But getting seven-plus hours each night is tough in our busy, connected world. When you’re ready to reset your sleep, try the following:
A Develop a Routine: Getting consistently good sleep is all about developing a routine. Go to sleep at night and get up each morning at the same times — even on weekends, if possible. Also, avoid napping later in the day.
B Make Adjustments in Increments: When trying to adjust to a new sleep cycle, experts recommend doing so gradually, in 15-minute increments. If you have less time to prepare for a new schedule, you can try 30-minute increments, but no more. Give yourself at least three to four nights to find comfort in your new sleep schedule before adjusting another 15 minutes.
OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
C Unplug: Electronics activate the body in ways that make it hard to fall asleep. Turn off the TV and place your phone out of reach before bedtime. The best device for turning off your brain and preparing your body to rest? A good book.
D Create Optimal Sleep Conditions: People sleep best in cool, dark rooms while wearing loose-fitting clothing. Create those conditions for improved rest.
E Get in Sync: If you have a spouse or significant other, your sleep schedules may affect one another’s. Always make sleep decisions in tandem with whoever shares your space. If you’re really struggling to get to sleep (and stay asleep), you may explore sleep aid options. If and when you do, always consult a medical professional first. SIGNS OF SUCCESS When you’re getting consistently good sleep, you should wake up each morning feeling energized and refreshed and feeling positive and productive each day (with no urge to nap). And, at night, you should feel tired and ready for bed.
HITTING THE RESET BUTTON ON:
Heart Health
HEART HEALTH
Are you living with high blood pressure? Experiencing high cholesterol? Worried about family history of either? There are limitless reasons to be proactive about your cardiovascular health. No matter why you want to start fresh with your heart health, there are options for taking action. These actions fall into five categories:
A Eat Right: Choose whole grains, fruits, vegetables and other natural foods, as well as lean meats and seafood.
B Exercise Daily: Heart health emerges from a blend of eating right and exercising daily. Carve out 30 minutes for aerobic exercise each day, and try to work your way up to 60–90 minutes per day.
C Optimize Your Lifestyle: Lifestyle plays an important role in heart health. Limit alcohol intake, stop smoking and moderate consumption of calorie-dense foods.
D Involve Others: Let family members know that you’ll be eating healthy meals at home
and that you’ll need 30 minutes each morning for exercise. Also, finding an accountability partner is an excellent way to ensure the success of lifestyle changes.
E Check With Your Doctor First: It’s always a good idea to talk to a doctor before dramatically changing your diet or increasing your exercise load. This is especially true if you have a history of heart-related issues like high blood pressure or cholesterol.
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MYTH VS REALITY:
Does Heart Disease Only Affect Men? Some think that heart disease only affects men, but that’s not accurate. Heart disease is the number one cause of death among women 65 and older.
COMMUNITY CARE CONNECTION
Sleep Health
SLEEP LABS: Where Sleep Disorders Get Diagnosed Sleep disorder centers are staffed with board certified sleep physicians and offer state-of-the-art sleep labs for sleep tests to help get to the root of problems that can have an effect on your overall health. Sometimes, home sleep tests can be used, as well.
WHERE DO I GO? CARILION CLINIC SLEEP CENTER 540.985.8526 Roanoke | Blacksburg www.carilionclinic.org/locations/ carilion-clinic-sleep-center
The Carilion Clinic Sleep Center is accredited by the American Academy of Sleep Medicine and includes a team of board certified sleep specialists trained in diagnosing and managing sleep disorders such as sleep apnea, narcolepsy, insomnia, snoring, restless leg syndrome, excessive sleepiness and others in both adults and children.
SOMNODENT: Custommade Oral Appliance for Mild to Moderate Obstructive Sleep Apnea SomnoDent is a custom-made oral appliance for treatment of mild to moderate obstructive sleep apnea (OSA). The device is worn while sleeping to provide continuous airflow through the mouth and throat. The SomnoDent works by moving the lower jaw slightly forward, tightening soft tissues and muscles that would normally become relaxed and cause the obstruction.
WHERE DO I GO? SEMTNER DENTAL 540.989.0112 | Roanoke www.semtnerdental.com/sleepapnea
SLEEP DEPRIVATION AND VETERANS Did you know that sleep problems are one of the most common problems for veterans returning from a deployment? Sleep problems can also be symptoms of Post Traumatic Stress Disorder (PTSD) and traumatic injury. In fact, 90 percent of combat veterans diagnosed with PTSD experience difficulty initiating and maintaining sleep and 52 percent of combat veterans with PTSD experience nightmares.
WHERE DO I GO?
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VIRGINIA DEPARTMENT OF VETERANS AFFAIRS 800.273.TALK (8255) www.dvs.virginia.gov/virginiaveteran-and-family-support-2/ resources/sleep OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
COMMUNITY CARE CONNECTION
SIGNS OF SUCCESS Experts suggest that people who stick to a heart healthy plan may start seeing results – like a drop in blood pressure by 10 points and in cholesterol levels by as much as 20 percent – in as little as five weeks.
MYTH VS
REALITY: Children of Chronic Pain Sufferers Will Also Have Chronic Pain. This is a common and understandable concern to have, but there is no significant research that shows chronic pain conditions are passed onto pain sufferer’s children. There is research that demonstrates pain is a combination of generics and environmental factors. While some illnesses are hereditary, many chronic pain conditions result from other factors, so take comfort in knowing that your child will not automatically inherit your pain.
Doctors often use stress testing to help diagnose coronary heart disease (CHD) as well as to find out the severity of CHD. A cardiac stress test is a recording of the heart’s activity during exercise. The heart is monitored using electrodes to record its electrical activity. A stress test can detect the following problems, which may suggest that your heart isn’t getting enough blood during exercise: •
Abnormal changes in your heart rate or blood pressure
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Symptoms such as shortness of breath or chest pain, especially if they occur at low levels of exercise
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Abnormal changes in your heart’s rhythm or electrical activity
FREE EXERCISE AND WELLNESS PROGRAM FOR SENIOR CARILION WELLNESS MEMBERS Senior Moments is a FREE exercise and wellness program that encourages Carilion Wellness members ages 60 and older to live active lifestyles. The program rewards physical activity and offers social events as motivation to get fit, have fun, and make friends. Member benefits includes: •
Customized senior classes designed exclusively to improve strength, flexibility, and endurance (ex: BodyVive, Peak, Twinges, Gentle Yoga)
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Current health education, seminars, group exercise classes, and community events
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Social events such as monthly potlucks
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Motivation and accountability to get fit and maintain an active lifestyle
WHERE DO I GO? CARILION CLINIC www.carilionclinic.org/specialties/ cardiology JEFFERSON SURGICAL CLINIC www.jeffersonsurgical.com/ services/cardiology
WHERE DO I GO?
LEWISGALE REGIONAL HEALTH SYSTEM www.lewisgale.com/service/ noninvasive-heart-care
BOTETOURT ATHLETIC CLUB (BAC) 540.853.0000 | Botetourt www.carilionwellness.com/programs/ senior-moments
ROANOKE HEART INSTITUTE www.roanoke-heart.net
ROANOKE ATHLETIC CLUB (RAC) 540.853.0000 | Roanoke www.carilionwellness.com/programs/ senior-moments
GREEN RIDGE RECREATION CENTER’S WELLNESS WORKSHOP SERIES Green Ridge Recreation Center’s Wellness Workshops give participants a low-cost opportunity to discover more about the connections health and wellness have to heart health, pain management, mobility, strength, mood and more! These one-hour workshops can be a great motivator to begin and continue working towards your wellness goals. A one-time cost of $5 for members and $8 for guests covers the entire series. •
MINDFUL MOBILITY Saturday, February 23, 2019 | 1 pm
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BUILDING BONES WITH EXERCISE Saturday, March 23, 2019 | 1 pm
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CORE AND POSTURE, PART I Saturday, April 27, 2019 | 1 pm
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CORE AND POSTURE, PART II Saturday, May 18, 2019 | 1 pm
WHERE DO I GO? GREEN RIDGE RECREATION CENTER 7415 Wood Haven Road 540.387.6078 | Roanoke www.roanokecountyparks.com/533/ wellness-workshop-series
CONSIDER A NUTRITIONIST TO HELP YOU START A HEART HEALTHY DIET Making heart healthy nutrition choices can sometimes be difficult, especially with so many considerations that may need to be made, depending on your health needs. A certified nutritionist can help you develop a plan that’s a lot easier to follow than trying to go at alone. Plus, nutritionists’ services may be covered by your health insurance (check with your insurance plan to determine coverage options).
WHERE DO I GO? BETH RICHEY, RD FIRST WE NOURISH, LLC 540.315.1406 | Blacksburg www.firstwenourish.com
Beth Richey, RD with First We Nourish, LLC is a registered nutritionist who offers nutrition counseling, workshops and even grocery store tours through her Blacksburg office to help you get a solid start on your path to better eating for your heart.
READ THIS EDITION OF
OurHealth Roanoke & New River Valleys
www.OurHealthRoanokeNRV.com 31 ON YOUR TABLET OR SMARTPHONE
Hitting the Reset Button on Seven Health and Wellness Goals
DON’T GET DISCOURAGED Just one stressful week can derail your heart health routine. So too can a big event like a vacation or a friend’s wedding. It’s OK to have an unhealthy meal from time to time, and it’s also OK to miss a day of exercise. But don’t let one meal or missed day spiral into something bigger.
CARDIAC STRESS TEST
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CHOOSING A TRUSTWORTHY DIET The American Heart Association (AHA) offers credible and balanced information you can trust when it comes to choosing a heart healthy nutrition plan. Visit the AHA’s website at www.heart. org as a good first step for finding heart healthy recipes, meal plans and other helpful resources.
Heart Health
Features
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HITTING THE RESET BUTTON ON:
PAIN MANAGEMENT
pain
Chronic pain can feel like a prison. It holds you back from doing the things you love with the people most important to you. While a solution to chronic pain would be ideal, start by resetting your approach to managing it more effectively through the following activities:
A Focus on Overall Wellness: General wellness tips are
good for pain management, too. For example, reducing your stress level, eating a healthier diet, getting good sleep and cutting back on alcohol are all good paths to general wellness and great ways to reset your pain management.
B Generate Endorphins: It’s often difficult to exercise
when you’re dealing with pain. But, if you can find an activity that’s relatively pain free, the natural endorphins created will boost your mood and help treat your pain symptoms. Remember to always check with your doctor before you start a new exercise regimen.
C Find a Support Group: Dealing with chronic pain can often leave you feeling very lonely. But the truth is you’re far from being alone. Support groups connect people and create an atmosphere where they can share information and enjoy the company of others who understand the challenges of living with chronic pain.
D You Don’t Have to Just ‘Live with Pain’: Today, there
are countless options for pain relief, including relaxation techniques, exercise, physical therapy, over-the-counter and prescription medications, surgery and injections, as well as many alternative or complementary treatments like acupuncture and massage that offer real results. You may have to try several different approaches before discovering one or a combination of options that work best for you.
Advancements in technology and services continue to bring new hope for chronic pain sufferers, but keep in mind that managing – rather than curing – chronic pain is the goal of treatment. Pain management experts teach you have to live a full, productive life without allowing pain to completely control you. SIGNS OF SUCCESS Positive thinking is a powerful tool. By focusing on the improvements you are making, such as reaffirming yourself that the pain is less today than yesterday or that you feel better now than you did a week ago, you can make a difference in your perceived comfort level. Continue to remind yourself that you are working toward finding a healthy way to deal with pain and living a productive and fulfilling life. Continued on page 34...
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
Physical Therapy Treatment for Patients with Chronic Pain
One example of an effective non-opioid treatment option is called Trigger Point Dry Needling offered by specially trained physical therapists. Trigger Point Dry Needling is the use of solid filiform needles inserted through the skin and into the muscle to release painful myofascial trigger points. The technique allows for improvements in movement and decreased pain. It’s called “Dry” Needling because no medication is injected. With Trigger Point Dry Needling, the needle itself and the effects it produces within the tissue is the treatment. Trigger Point Dry Needling is an effective therapy to treat pain that originates from muscle, but may present as conditions such as arthritis, nerve irritation, headaches, and herniated discs.
WHERE DO I GO? NATE GAY, DPM PRIMARY SOLUTIONS PHYSICAL THERAPY 540.529.9381 | Vinton | www.primarysolutionspt.com
PAIN MANAGEMENT SPECIALISTS Pain management specialists are concerned about the patient’s ability to function and their quality of life. A pain management specialist develops a treatment plan to relieve, reduce, or manage pain to help patients realize their best life possible. Pain management specialists practice in a variety of capacities, including as: •
Physiatrists
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Psychiatrists
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Anesthesiologists
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Psychologists
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Internists
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Nurses
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Oncologists
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Occupational Therapists
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Surgical specialists
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Physical Therapists
WHERE DO I GO? BLUE RIDGE PAIN MANAGEMENT Roanoke & New River Valley | www.blueridgepm.com CARILION CLINIC PAIN MANAGEMENT Roanoke | www.carilionclinic.org/locations/carilionclinic-pain-management New River Valley | www.carilionclinic.org/locations/ carilion-clinic-physical-medicine-new-river-valley COMPREHENSIVE PAIN MANAGEMENT CENTER Roanoke | 540.725.7364 LEWISGALE PHYSICIANS – PETERS CREEK Roanoke | www.lgphysicians.com/physicians/profile/ Deborah-T-Mowery-MD MURRAY E. JOINER, JR., MD, PC & ASSOCIATES Roanoke & Wytheville | www.virginiapain.org NATIONAL SPINE & PAIN CENTERS Roanoke | www.treatingpain.com/pain-clinic/virginia/ roanoke-va VALLEY SPORTS & SPINE CLINIC New River Valley | www.valleysportsandspine.com
Trigger Point Dry Needling and acupuncture are not one in the same, so make sure your physical therapist is specifically trained in Trigger Point Dry Needling.
PSYCHOLOGISTS FOR PAIN MANAGEMENT Treatment options for chronic pain continue to advance as chronic pain is better understood. A psychologist specially trained in pain and injury management can offer pain education and coping strategies that reduce the reliance on drugs and more invasive treatments using techniques for rehabilitation and pain management for a range of conditions.
WHERE DO I GO? JOHN HEIL, DA, LCP PSYCHOLOGICAL HEALTH ROANOKE 540.772.5140 | www.psychhealthroanoke.com
John Heil, DA, LCP with Psychological Health Roanoke is both a clinical psychologist and a sports psychologist with a clinical practice focusing on pain and injury management. Dr. Heil has authored a book – Psychology of Sport Injury – along with numerous professional papers on sport, pain and injury.
VIRGINIA INTERVENTIONAL PAIN AND SPINE CENTER Roanoke | www.vapainsc.com
SUPPORT GROUPS FOR MANAGING PAIN Support groups for individuals for those experiencing health challenges associated with chronic pain such as fibromyalgia, arthritis, MS and other illnesses are available locally, such as Finding Ease in Disease, a Roanoke group led by Susan Boyes, LPC that takes an integrated approach to healing chronic pain and disease, as well as Live Yes! Arthritis Network in partnership with the Arthritis Foundation, which provides personalized help and support to adults living with pain associated with all types of arthritis and rheumatic conditions.
WHERE DO I GO? FINDING EASE IN DISEASE SUPPORT GROUP Meets every Wednesday from 6:30 – 8:30 pm 3635 Manassas Drive | Roanoke | 540.7764.4686 www.susanboyes.com LIVE YES! ARTHRITIS NETWORK www.arthritisintrospective.org/aiss/va-roanoke-valley Click the “Join this Group” button to sign up and receive updates about upcoming events and group meeting days and times.
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Hitting the Reset Button on Seven Health and Wellness Goals
Statistics such as these are just one of the reasons that agencies like the Centers for Disease Control and Prevention (CDC) are urging healthcare providers to help reduce the use of opioids in favor of safer alternatives to treat people suffering with chronic pain. But alternative options are only as good as the effectiveness they provide.
Pain Management
•
While increased awareness surrounding the opioid epidemic has resulted in stricter regulations and tougher standards for prescribing this class of pain management medications, the battle is far from over. In fact, every day, more than 100 people in the U.S. still die from opioid overdoses. Although opioids remain a widely prescribed option for managing patients with chronic pain, reports of misuse continue to be staggering; up to 29 percent of chronic pain patients misuse their medication, despite tight monitoring.
COMMUNITY CARE CONNECTION
Features
AN ALTERNATIVE TO OPIOIDS:
ABCDEs
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of Skincare
In order to catch skin cancer at its earliest stage, the American Academy of Dermatology suggests a monthly head to toe skin self-examination. Consult a doctor if a mole has any of the following characteristics:
HITTING THE RESET BUTTON ON:
Skin Health
SKIN HEALTH
Your skin never lies. When you’re leading a healthy lifestyle and taking care of your body, your skin will radiate like something out of a magazine ad. That’s why so many different factors affect your skin health. If you’re ready to hit the reset button on your body’s largest organ – yes, your skin is an organ – consider the following actions:
A Moisturize: Zap redness, dryness and itchiness by getting the right products for
A = ASYMMETRY
When split down the middle, the two halves of the mole do not match.
moisturizing (a non-abrasive scrub brush, non-irritating ointments or creams and/ or hypoallergenic cleansers, for example.) Also, maintain moisture by taking shorter showers to avoid irritation, washing your face in warm rather than hot water, as well as patting skin dry rather than rubbing.
B Nourish: What you put in your body affects your skin, too. Good things for your skin
include olive oil, green tea, kale, tomatoes and mangoes. Bad things include alcohol, cigarette smoke, caffeine and white bread.
C De-Stress: High stress can lead to poor skin health. Studies indicate that increased levels of stress can cause rashes, itchiness, excessive sweating and even hair loss.
B = BORDER
The border of the mole is uneven.
D Rest: Beauty sleep is real. If you’re not getting at least seven hours each night, your skin won’t have the time it needs to refresh and reenergize for the next day.
E Inspect: When detected early, skin cancer is highly treatable. The American Academy of Dermatology recommends that everyone check their skin and their partner’s skin regularly for any new or suspicious spots. The infographic at left shows you how
to perform a skin exam from head to toe and what signs to look for on the skin.
C = COLOR
The mole is made up of multiple shades and/or colors.
SIGNS OF SUCCESS There are two telltale signs of skin health. First, you won’t feel your skin. When your skin is healthy, there’s no itchiness or dryness and you simply think about it less. And, second, check for consistency. Healthy skin should have the same tone, texture and color all over your body. Continued on page 37...
6mm
D = DIAMETER
The diameter of the mole is larger than the size of a pencil eraser.
E = EVOLUTION
The mole changed in size and/or shape over a course of time.
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
MYTH VS REALITY:
Eating Chocolate or Oily Foods Causes Oily Skin and Acne. According to experts at Harvard Medical School, there is no evidence that any specific food causes acne. Acne is caused by an oily substance called sebum that’s made and secreted by your skin. Certain medications like oral contraceptives, antiandrogens (also known as testosterone blockers) and vitamin A derivatives like isotretinoin are all known to reduce sebum production. Other medications, like testosterone and progesterone, are known to increase sebum production.
COMMUNITY CARE CONNECTION
Medical Grade products only available through a doctor have been developed through clinical trials and scientific research and contain higher amounts of active ingredients than over-the-counter alternatives, which may be needed for certain skin conditions. Medical grade products can reach the root of a problem as the ingredients penetrate the top layer of skin, reaching the dermis (middle) layer of the skin, where collagen and elastin are contained, and the basal (bottom) layer of the skin, where new skin cells are produced.
WHERE DO I GO? CARILION CLINIC DERMATOLOGY MARIANA PHILLIPS, MD & KYLE PRICKETT, MD Mohs Surgery Specialists | 540.224.5170 www.carilionclinic.org/locations/carilion-clinicdermatology-mohs-surgery
SMOOTH AND TIGHTEN SKIN – WITHOUT SURGERY! Collagen, the body’s natural skin plumping agent, has long been the secret to firmer, more youthful looking skin. Forma, a noninvasive technology for the treatment of wrinkles and fine lines, stimulates the formation of new collagen. The safe, FDA approved skin tightening treatment uses radio frequency technology to accelerate collagen production in the deep layers of the skin through the application of warm, deep heat. Because no lasers or lights are used, Forma is a great option for any skin type.
WHERE DO I GO? INSPIRE MED SPA – JANE GILLEY, NP 540.739.3214 | Blacksburg | www.inspiremedspava.com
Hitting the Reset Button on Seven Health and Wellness Goals
MEDICAL GRAD SKIN CARE
Mohs micrographic surgery is considered the most effective technique for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), the two most common types of skin cancer. The procedure is done in stages, including lab work, while the patient waits. This allows the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar.
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GET TO KNOW MOHS SURGERY
Features
Heart Health
WHERE DO I GO? MEDICAL GRADE SKIN CARE, LLC – MICHAEL GODIN, MD Board Certified Facial, Plastic and Reconstructive Surgeon 540.774.3223 | Roanoke | www.mgskincareroanoke.com
A SUPER FACIAL? The OxyGeneo® treatment is the only 3-in-1 super facial that provides three facial treatments simultaneously. It combines gentle exfoliation, natural skin oxygenation and a deep facial rejuvenation with the infusion of essential revitalizing nutrients that is intended to restore skin volume, renew a youthful glow, revitalize dull complexion and reduce appearance of wrinkles and pigmentation. Considered safe for all skin types and results may be noticed after one treatment.
WHERE DO I GO? AESTHETIC SURGERY OF VIRGINIA ENRIQUE SILBERBLATT, MD An American Board of Plastic Surgery-Certified Doctor 540.776.1600 | Roanoke www.silberblatt.com/nonsurgical/skin-care
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COMMUNITY CARE CONNECTION
Lung Health
QUIT NOW VIRGINIA! The Virginia Department of Health provides assistance to those interesting in kicking the habit through its program Quit Now Virginia. Available 24 hours a day, seven days a week, Quit Now Virginia provides free counseling sessions and informative materials to help Virginians lose the tobacco habit.
WHERE DO I GO? QUIT NOW VIRGINIA 800.QUIT.NOW (784.8669) | www.quitnow.net/virginia
IS IT ALLERGIES OR ASTHMA? For allergy and/or asthma sufferers, living in the Roanoke and New River Valleys can sometimes be challenging, but with the right specialist helping you to determine which condition you may have and how to best manage it, you can realize a much more healthier and happier life.
WHERE DO I GO? ASTHMA & ALLERGY CENTER Board Certified Asthma and Allergy Specialists
540.343.7331 | Roanoke | Salem 434.846.2244 | Lynchburg www.asthmaandallergycenter.net JEFFERSON SURGICAL CLINIC 540.283.6000 | www.jeffersonsurgical.com
Subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT) have been found to be effective in patients with allergic asthma. Both of these therapies are offered at Jefferson Surgical Clinic.
GET A TAILORED ASTHMA AND ALLERGY FORECAST FOR WHERE YOU LIVE Find out the air quality forecast in your hometown by visiting www.asthmaforecast.com and entering your zip code in the search bar at the top of the page.
CHECK YOUR HOME FOR ALLERGENS If someone in your home suffers from allergies or asthma, then you know the importance of good indoor air quality. Oftentimes, poor air quality starts where we may not think of looking – our air ducts – which makes understanding how your air ducts get clogged with dirt, dust, debris and mold, how often they should be cleaned and where to turn for help so important.
WHERE DO I GO? CUNDIFF HEATING & AIR CONDITIONING 540.362.8784 | www.cundiffheating.com/services
Cundiff Heating & Air Conditioning offers professional duct cleaning services that go further than just “sweeping out the ductwork”, including VacuBrush, a new method for removing years of accumulated dust and debris that can compromise the quality of air you and your family breath.
$50 OFF coupon for VacuBrush by visiting www.cundiffheating.com
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
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HITTING THE RESET BUTTON ON:
Lung Health
LUNG HEALTH
It’s easy to overlook lung health, but your lungs are essential to your overall wellness. They make your every breath possible, and they also keep other organs functioning by delivering oxygen to the bloodstream. You can probably guess the top tip for resetting your lung health: Stop smoking! But, for non-smokers, discover these other ways to reset:
A Improve Indoor Air Quality: What you breathe matters. Improve the air quality in
your home or office by cleaning regularly, investing in an air purifier, changing out HVAC filters regularly and installing radon detectors, remembering to replace the batteries regularly as needed. And on nice days, open windows to let fresh air circulate in. Keep an eye on the pollen count though so you’re not letting in allergy triggering irritants.
B Stave Off Infections: Keep your lungs healthy by preventing lower respiratory
infections like pneumonia and bronchitis. In addition to getting flu and pneumonia shots, it’s also important to wash your hands regularly and to maintain good oral hygiene practices (to prevent germs from traveling to your lungs from your mouth).
C Exercise Aerobically: Aerobic exercise strengthens your lung capacity, which means
your body distributes oxygen more efficiently and allowing you to maintain a larger breathing reserve. Need a little help with exercise? Consider starting a walking group in your neighborhood. A walking group creates built-in accountability, and walking with others gives you an opportunity to connect and talk while improving lung health..
USE GOOD “LUNG SENSE” Any doctor would green-light improved air quality and infection prevention. Still, consult a doctor if you have any conditions that might make aerobic exercise dangerous or if you are dealing with a respiratory condition that lingers for more than a few days. Most importantly, seek help immediately if you are experiencing shortness of breath. DON’T OVERDO IT The fastest way to get off track with lung health is to get sick — despite your best efforts at staving off infection. If you get sick, do two things. First: don’t beat yourself up (because sickness happens); and second: wait until you’re fully recovered to jump back into exercise (because you don’t want a secondary infection). SIGNS OF SUCCESS Here’s a surefire sign your lung health is improving: climb a few flights of stairs. You should find that your added lung capacity helps you navigate steps with ease.
MYTH VS REALITY:
FOR EVEN MORE HEALTH RESOURCES, CHECK OUT OurHealthRoanokeNRV.com VISIT BY SCANNING THE QR CODE PROVIDED
Receive A Radon Home Test Kit for $3.00 The Virginia Department of Health offers a Radon Home Test Kit for a $3 shipping fee. You must be a Virginia resident to qualify for the kit that’s available while supplies last. Visit www.vdhradon.org by scanning the QR code provided for more information and to order.
Only Smokers Can Get Lung Cancer.
This fact might take your breath away, but according to the American Cancer Society, as many as 20 percent of people who die from lung cancer each year have never smoked or used tobacco products. So what’s the leading cause of lung cancer in non-smokers? Exposure to radon gas. Because radon gas can’t be seen or smelled, the only way to know whether it’s a problem in your home is to test for it. Visit www.ourhealthvirginia.com/ eparadonguide to download a copy of A Citizen’s Guide to Radon from the Environmental Protection Agency (EPA), which explains how to test your home for radon easily and inexpensively, as well as what to do if your levels are too high.
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COMMUNITY CARE CONNECTION Mental Health NEW HOPE SUPPORT SERVICES, LLC Based in Roanoke, New Hope Support Services, LLC is a human services agency licensed by the Virginia Department of Behavioral Health and Development Services serving Southwest and Central Virginia through mental health skill-building services, psychosocial rehabilitation services for individuals 18 and older, outpatient counseling and therapeutic mentoring services for adolescents and young adults. In-office and onsite appointments are available during regular business hours as well as in the evening and on weekends. Medicaid is accepted.
HITTING THE RESET BUTTON ON:
MENTAL HEALTH
Mental Health
WHERE DO I GO? NEW HOPE SUPPORT SERVICES 540.777.2777 | www.newhopesupportservices.com
SUPPORT GROUPS As discussed in other ‘Reset’ sections throughout this article, support groups play an important role in helping you discover more about yourself and how to realize a better life through sharing and talking. When it comes to mental health, talking about your challenges with others through support groups is just as important.
WHERE DO I GO? SUPPORT GROUPS IN SOUTHWEST VIRGINIA www.healthfocusswva.org/health-center/supportgroups LOCAL DEPRESSION AND MENTAL HEALTH SUPPORT GROUPS IN ROANOKE www.psychologytoday.com/us/groups/depression/ va/roanoke LOCAL DEPRESSION AND MENTAL HEALTH SUPPORT GROUPS IN THE NEW RIVER VALLEY or www.psychologytoday.com/us/groups/ depression/va/blacksburg
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OurHealth Roanoke & New River Valley ON YOUR TABLET OR SMARTPHONE
But there are other ways to reset your mental health in 2019. When you’re ready, consider taking the following actions:
A Take a Break: When was the last time you took time
off from work or parenting to focus on yourself? We often take time away from our busy schedules to do other busy things like visiting friends or taking a family vacation, but to truly reset your mental health, consider taking a truly restful break all by yourself. Remember, there’s nothing wrong with taking a break, even if you feel like you just had one. If you have a bad mental health day or week, consider taking a break to rest and recharge. A break doesn’t always mean going somewhere — you can have a great break just by taking an afternoon to browse through a quiet bookstore or get a massage away from the humdrum of your daily life.
B Start Journaling: Journaling can be a positive way to organize your thoughts and manage the things that affect your mental health. Just don’t forget to stay positive — dedicate a portion of journaling time to write about what you’re grateful for.
C Talk to Someone: Sometimes you need to open up and
talk to someone about mental health. This can be a friend, but, in more severe cases, it can and should be a mental health professional. Should you talk to a doctor about mental health? Absolutely. It’s not a requirement before you take a break or start journaling, but you should certainly talk to a medical professional if mental health is starting to overwhelm your life.
SIGNS OF SUCCESS The signs of mental health issues include: exhaustion, feeling overwhelmed, feeling hopeless and feeling negatively toward yourself. You’ll know you’re getting results from your mental health reset when those feelings dissipate. Continued on page 41...
MYTH VS REALITY: Mental Health is Not a Sign of Weakness.
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The biggest myth about mental health is that it is a sign of weakness or character flaws. Mental health challenges can strike any time, and they are no reflection of who you are as a person.
OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
The “Resets” described in many other sections throughout this article also offer solid, related advice that applies to realizing good mental health. Getting better sleep, exercising regularly, eating a conscientious diet — resetting in these ways will make both your body and your brain feel better.
Features • Hitting the Reset Button on Seven Health and Wellness Goals
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
HITTING THE RESET BUTTON ON:
ADDICTIONS
Addiction Management
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities.
If you’re ready to address your addictions, here are ways you can start:
A Admit to Yourself A Problem Exists: The
greatest challenge of realizing and admitting you have an addiction is getting past yourself. Yes, you are your own worst barrier. While it may sound cliché, when it comes to addiction recovery, admitting you have a problem is perhaps the most important step. A common belief is that people must “hit rock bottom” before they can admit to themselves they do have a problem. There is a lot of truth in this notion, but “hitting rock bottom” doesn’t always mean that a person has to experience total loss and despair such as losing their job, destroying relationships, incurring legal issues, realizing financial ruin and worst of all irreparably damaging their health or the health of others before recognizing a change is needed. Understanding that every person’s “rock bottom” can be different is something everyone – including those with and without addictions – should remember and embrace.
WHERE DO I GO? SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION 800.662.HELP (4357) | www.findtreatment.samhsa.gov
Visit www.findtreatment.samhsa.gov by scanning the QR code provided. Enter your address, city or zip code in the search field to confidentially and anonymously find inpatient and outpatient treatment facilities and resources close to you or call 800.662.HELP (4357) for treatment referral and information available 24/7.
B Know Your Triggers: Triggers generally fall into one of
C Recognize Signs of Relapse: For those with a substance abuse problem, maintaining sobriety can be an everyday struggle. The potential for relapse is always there, but knowing the warning signs that could foreshadow a relapse can help to avoid it. It’s just important for friends and family to be educated on what to look for as potential triggers for relapse as it is for those in recovery to be able to monitor themselves, as well. D Discover Effective Ways to Avoid Your
Addiction: How will you respond when you get the urge to engage in addictive behavior? To quell addictive urges, some people exercise, some read books, some play cards and some organize closets, for example. Plan ahead to avoid your addiction.
Hitting the Reset Button on Seven Health and Wellness Goals
ADDICTION RECOVERY CENTERS AND SUPPORT RESOURCES
Addiction
three categories: emotional, environmental or exposure. You have a bad day at work, or you have a fight with your spouse, or you see something, or you hear something, and you’re triggered to engage in your addiction. Think back to the recent times when you’ve engaged in an addictive behavior, and try to identify the triggers to avoid. Recognize these triggers so that you can handle your addictive urges in real-time.
•
Addiction takes all shapes and forms. Some of us are addicted to substances. Some of us are addicted to spending. And some of us are addicted to social media. No matter what type of addiction you’re dealing with, there are several ways to reset.
Features
COMMUNITY CARE CONNECTION
...Continued from page 38
ALSO SEE: The Community Care Connection in the ‘LUNG HEALTH’ section offers local services available for overcoming tobacco addiction.
Know the Warning Signs of Relapse According to the online resource AddictionCenter (www.addictioncenter.com), relapses can happen suddenly and are usually brought on by triggers that can cause bad habits to re-surface. Some warning signs to watch out for are: •
Overconfident attitude
•
Self-pitying attitude
•
Dishonesty
•
Hanging out with people from drug use days
•
Changes in personal hygiene, sleep or appetite
•
Sudden changes in routine and irresponsible behaviors (skipping school, work or appointments)
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E Find Accountability: You need a plan and a support system to help you see a
plan through. Family and friends play a vital role in helping keep addiction sufferers accountable, but they are only part of the process. Support groups should also be a part of the routine of those trying to overcome addiction. Not only do they offer invaluable education and insight on addiction, they connect together people who are all facing the same set of problems, which helps them open up and talk more about their issues and reinforces the understanding they are not all alone in their struggle.
SIGNS OF SUCCESS Yes, it’s another commonly used cliché’, but approaching life one day at a time really is the best mantra to follow. Always remember that each day you remain sober marks one more successful step in your path to recovery.
ARE YOU READY TO RESET?
MYTH VS
REALITY: Natural Drugs Are Safer Than Synthetic Ones. Marijuana, mushrooms and other “natural” highs still alter brain chemistry and produce dangerous side effects. They are not harmless just because they grow in the ground.
A New Year’s resolution is all about tyranny. You’re forced to make a life change starting on a date that is less than ideal. A health reset is all about freedom. You’re given the power to make a change at a time that sets you up for ultimate success. Are you ready to reset in one of the areas? Consider these options discussed in this article, or schedule an appointment with your primary care doctor to discuss other concerns and the best steps for realizing improvement and put some action behind your decision.
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LET US KNOW HOW THINGS ARE GOING. Once you reset, share about your experience at www.ourhealthvirginia.com/contact or on our facebook page at www.facebook.com/ OurHealthRoanokeNRV with #OurHealthRoanokeNRVReset.
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
A Totally
NEW APPROACH words | CHRISTY RIPPEL
to
HEALTH .
When her then 16-year-old daughter sustained a brain injury and was told nothing could be done, Linda Bailey of Roanoke took matters into her own hands and developed ‘Total You Health’, an alternative treatment solution that changed her daughter’s life for the better, and is helping others today, as well. Linda Bailey’s daughter Allyson sustained a traumatic brain injury (TBI) about seven years ago while playing in a basketball game. Then 16, Allyson spent several days in the hospital beginning her recovery from the severe concussion that left her unable to function. “She couldn’t walk at first and she would slur and mix up words,” says Linda, recalling the painful and confusing time. “She was also sensitive to light and noise and suffered from terrible headaches.” When Allyson was discharged and the family started to process what had happened and to determine how best to help her recover, their resolve was tested by a one-two punch of car accidents. Those events would derail Allyson’s health once again, and leave the Baileys grappling for answers. “While she was still reeling from her basketball injury, we were rear ended at 50 miles an hour by another car,” says Linda. “Then, eight months after that accident, we were hit by a drunk driver.” Allyson’s brain hadn’t yet healed from the first assault, and the two additional traumas halted any progress she’d made towards normalcy. Local physicians that the family consulted were unable to provide the resources Allyson needed to get better, and Linda felt dismissed and frustrated. However, she was determined to find the help that would get her daughter back on her feet.
Linda Bailey
Linda Bailey is the owner and director of Total You Health, LLC. Her daughter's health inspired her decision to launch the business. 45
Laser Therapy for Brain Injury Linda’s own research led her to two physicians that changed the course of Allyson’s condition: family doctor Randolph Merrick, MD in Orange, VA and neuropsychologist Gregory O’Shanick, MD with Center for Neurorehabilitation services in Richmond. “I had been told by other providers that Allyson’s symptoms weren’t normal for a brain injury, but Dr. O’Shanick assured us that the symptoms were normal, that there would be some recovery for her,” recalls Linda. “And even though he couldn’t assure us how much she’d recover, he gave us hope again.”
Once we had one [low level laser unit] at home, I treated anyone I could find for free, because I wanted to see if it would work on other people. I was never disappointed.
Linda Bailey explaining the NOVOThor Whole Body Pod. In a 15 to 20 minute treatment, the red LED light in the pod reduces total body oxidative stress and helps cells repair themselves.
- Linda Bailey -
Dr. Merrick offers laser therapy in his office 30 miles northeast of Charlottesville. From Linda’s research and consultation with him, she believed that this type of laser therapy, officially called photobiomodulation therapy, could help her daughter. It targets pain and inflammation, which were both persistent issues following Allyson’s brain traumas. So mother and daughter would make the five hour round trip for treatments, hoping it would bring some relief. Not only did it do that, but Linda believes it transformed Allyson.
“After those three brain incidents, I would liken Allyson’s mental state to that of a kindergartener,” Linda says. “She had to relearn so much. We started homeschooling, because she still couldn’t handle noise and light, and then we finally got to the point where she was able to complete high school.” Dr. Merrick is a passionate advocate for photobiomodulation therapy, which is sometimes also called low-level laser therapy or cold laser therapy. Research is showing great promise for photobiomodulation therapy to treat traumatic brain injury (like Allyson’s) as well as post traumatic stress disorder or PTSD, Dr. Merrick notes. He’s particularly encouraged about the possibilities in treating early Alzheimer’s disease. “We are seeing incredible things done with this technology,” Dr. Merrick says. “It’s really exciting, because we are on the very cusp of what we can do.” The laser treatments on Allyson were done in Dr. Merrick’s office with a wand applied directly to Allyson’s head. Because Linda believed so strongly in the therapy but was tired of making the trek to Orange, Dr. Merrick wrote her a prescription so she could purchase a desktop unit for home use. “Once we had one at home, I treated anyone I could find for free, because I wanted to see if it would work on other people,” Linda explains. “I was never disappointed.” Meanwhile, Allyson was accepted to Virginia Tech, where she will graduate, on time, this May. She has accommodations, such as taking tests alone without the distraction of others in the room. She still battles headaches, but according to mom Linda, her recovery has been remarkable for someone with such serious brain injuries. “I never thought we would get here,” Linda says proudly, because she remembers the dark time right after the accidents halted their lives. “Someone told me early on to keep a journal, because improvement in brain injury can be so slow. Sometimes it seemed like day to day and week to week there was no improvement.”
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Health A-Z •
Linda could then look back in her journal and see what progress had been made over time, and her hope was renewed. “I can’t even remember who gave me that advice because it was such a hectic time, but I’m so glad someone did,” she says.
A Totally New Approach to Health
With Allyson thriving in Blacksburg, Linda began thinking about helping others access the same care that was life changing for her family. She had already treated several people at her home, and the feedback was overwhelmingly positive. One woman who had shingles felt that the laser therapy had controlled her painful rash. Several people who had wisdom teeth pulled were treated for pain. “You name it, knee pain, neck pain, back pain… I even worked on a couple of dogs,” laughs Linda. Linda, who holds a BA in business as well as an MBA, had sidelined her career for several years to care for Allyson. She was laid off after she missed work repeatedly due to Allyson’s all-consuming needs. But her experience in medical sales, her business sense, and her deep desire to bring relief to others drove her to develop a business plan to create a center where different types of laser therapies could be offered. She brought her idea to the Roanoke Star Tank last year, where small businesses can pitch their ideas to investors. “I learned a lot,” Linda says, who was undeterred by not landing an investor, which she thinks worked out better in the long run. The group gave her valuable insight on how to fine tune her business plan. After that experience, Linda participated in The Gauntlet, which is a business plan competition in Roanoke. “Of the 80 people who turned in a plan, I placed eighth, so I was really excited about that,” she says. Linda was awarded a cash prize from The Gauntlet to help with start-up costs.
‘Total You Health’ Opens Its Doors Linda rented a space in Roanoke County, on the corner of Electric Road and Starkey, across from the Carilion Wellness Center. She consulted with a local physician – Eduardo Castro, MD, who operates Valley Wellness, an alternative medical clinic specializing in treating chronic illnesses – to become her medical director. Total You www.OurHealthRoanokeNRV.com
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Health now offers photobiomodulation therapy via the ThorLX2, which delivers targeted therapy to a specific body part for pain and inflammation issues, and the NOVOThor Whole Body Pod, which resembles a traditional tanning bed in appearance. While the pod may look like a tanning bed, the similarities end there, as the body pod does not emit any harmful UV light, which can cause aging and skin cancer. In a 15 to 20 minute treatment, the red LED light in the pod reduces total body oxidative stress and helps cells repair themselves, says Linda.
What is Oxidative Stress?
Total You Health also has a laser called the Cryoskin 3.0 for skin rejuvenation and body slimming. If used to promote fat cell loss and inches, a wand is applied directly to the problem areas (hips, stomach, etc.). A specific heat setting of 72 degrees brings fat to the surface, which is then treated with a cool setting of 24 degrees. Molecules in the fat cells expand and the fat cells break. The cellular waste is then directed to the lymphatic system (so it’s passed through the body naturally). “With every session, we expect a client to lose a half inch to one and a quarter inches,” Linda says.
Think about how an apple turns brown after days of exposure to air. Our body takes in free radicals from the environment, Facial treatments with the Cryoskin laser can help restore a more both in the air we breathe and from youthful look by encouraging collagen production, which is an essential protein that helps skin stay supple. Collagen production naturally what we eat and drink (traces of pesticides, declines with age, contributing to fine lines, sagging and wrinkles. Laser etc). Free radicals are unstable molecules treatments can be an alternative to BOTOX and fillers, says Linda. that damage or “oxidize” cells. This process Clients are coming from as far as Charlotte, NC for laser treatments in is called oxidative stress. Reducing total Roanoke, and Linda’s health business is doing a healthy business. While oxidative stress could have positive focused on growing her client base, she is excited about future possibilities and impacts in disease prevention. hopes to eventually add many more services.
“I’d like to have an organic juice bar, Himalayan bath salt soaks, maybe a massage therapist on site,” Linda says. “We want to address all facets of health.” While insurance doesn’t cover services at this point in time, all pricing and scheduling information can be found online at totalyouhealth.org or by calling 540.404.8858.
ON THE WEB
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Total You Health FOR MORE INFORMATION
540.404.8858
ABOUT CALL OR VISIT THEIR WEBSITE,
totalyouhealth.org
Linda Bailey treats a client using a wand from the ThorLX2 machine, which delivers targeted photobiomodulation therapy for pain and inflammation issues.
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ASK THE EXPERT
KENNETH LUCKAY, DO
WHAT SHOULD I KNOW ABOUT HORMONE IMBALANCES?
LUCKAYDOC
4515 Brambleton Avenue | Suite B | Roanoke, VA 24018 | c 540.777.6807 | w www.luckaydoc.com
HORMONE BALANCING | WEIGHT MANAGEMENT | WELLNESS MANAGEMENT What are hormones? Hormones are chemicals that are produced by glands in the endocrine system that travel through the bloodstream to the tissues and organs that require hormones to function most effectively. Hormones are important for regulating most major bodily processes and functions, including metabolism and appetite, heart rate, sleep cycles, reproductive cycles, sexual function, general growth and development, mood and stress levels, and body temperature.
What tests can be used to determine hormone imbalance? Typically, testing is performed through drawing blood and sending it to a laboratory to measure hormone levels. Depending on the hormone imbalance that is suspected and based on your symptoms, a urine test or a saliva test may also be recommended. After initiation of therapy, your doctor may require several intervals of testing to be sure your hormones are being optimized.
What are signs my hormones may be out of balance?
Are all hormone replacement therapies the same?
It depends on the hormones that are out of balance. Unexplained excessive thirst, fatigue, weight gain or loss, changes in mood, brain “fog”, skin changes, hot flashes or night sweats are a few symptoms of imbalanced hormones. If you have a bad case of the “used-tos” (I used to do this, I used to do that), it may be related to low testosterone, estrogen and/or progesterone.
No. There are major differences between using hormonelike drugs, (promoted by drug companies) and bio-identical hormones. Bio-identical hormones are hormones biologically identical to that produced by the body. To get patents on their products, drug companies need to make a similar, but different compound. A slight change in the molecule makes a big change in clinical effect. The delivery mechanism also plays a role in safety and effect. Some hormones can be taken orally, while others need to be applied to the skin, injected into the bloodstream or placed under the skin. Our bodies make many different hormones that do many different jobs. The most common hormones are insulin, thyroid, testosterone, estrogen, and progesterone. Vitamin D should be considered a hormone, also, due to its action in the body. Hormone optimization is complicated, and best done by a doctor or clinician with advanced training in the field.
How do hormones affect my weight? Both unexplained weight gain or weight loss may be symptoms of a hormone imbalance. Insulin resistance can make it more difficult to lose weight. Our ability to lose weight decreases as we age due to decreases in hormones. It may seem to take much more effort with smaller results. Our muscle mass tends to decrease in our golden years so more effort is required to maintain it. Muscle burns ten times more calories than fat just sitting still. So it is wise to build as much muscle as we can. Exercise in general helps us to age better. We are less prone to falls and injuries if we maintain our mobility. Decreasing an unhealthy fat mass even by one percent can significantly decrease our disease risk and mortality. To age in a healthy way is like money in the bank. You will spend more time living and less time in a doctor’s office. That is a great return on your investment.
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Health
A-Z
5
INSIGHT • AWARENESS • MINDFULNESS
Healthcare Jobs T H AT C A N S TO P A
MIDLIFE CRISIS words | JENNIFER LAMONT
Half the people at your company are seriously considering a career change right at this moment, whether they’re 35 or 55 years old. If you happen to be at the older end of that range group, you may doubt your ability to land a new job or learn a whole new set of skills. But research proves that may be all in your head. Career statistics show it’s never too late to completely change direction and drive yourself down a new career path. Gone are the days where employees stick with a company for as long as possible, regardless of job satisfaction.
There’s room for you in healthcare even if you faint at the sight of blood. With more people living longer and putting off retirement, employees in their 40s, 50s and 60s are working long into their golden years and searching for more purpose in what they do for a living. That can mean changing career fields entirely. For many, the answer lies in healthcare.
A 2015 survey conducted by the American Institute for Economic Research (AIER) showed more than HALF
OF OLDER WORKING ADULTS ARE UNSATISFIED in
their current jobs and want to
CHANGE CAREERS. And each year, millions of
mid-lifers do so successfully.
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Health A-Z
• INSIGHT
MYTH VS. REALITY:
You Need an Advanced Degree to Go into Healthcare. Many people start off on pathway careers as technicians, phlebotomists and nursing assistants to work their way up. Healthcare is one of the best industries for providing numerous opportunities to advance and specialize.
?
DID YO
You’re Never Too Old for Your Second Act “It’s a big step, but it’s fabulous to see people doing this because we’re all working longer. People in their 50s and 60s are graduating from our healthcare programs, especially in the nursing programs,” says Carole Graham, Dean of Health Professions at Virginia Western Community College. “There are industry shortages so we need to put qualified people out there. The healthcare fields can be very challenging and you’re dealing with life and death situations often. It takes a mature person to work with patients under those circumstances,” she says. “We’re seeing it often now that people decide they want to take on the challenge
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
U KNO W?
STOLE N HEA LTHCA 20 tim RE DA es mo TA ca r e VALU MARK n be 1 ABLE 0 to ET tha on the n cred BLAC accord it card K in in g to R forma organ AND, tion, ization a r e t s hat de earch public velops policy solutio challe comm ns to nges t unitie s thro o help ughou m ake t the w and m orld s ore se afer cure.
and try something new. And the jobs are certainly plentiful in healthcare.” Because of an aging population, new technologies and medical advances, no other industry offers more opportunities and consistent, faster growth, according to the Bureau of Labor Statistics (BLS).
Health A-Z
Top 5 HEALTHCARE JOBS To Consider
•
1. REGISTERED NURSE (RN) No surprise there; nurses have always been in demand. Providing patient care and education, while collaborating with physicians and patient families, registered nurses can work with an ADN (Associate Degree in Nursing), BSN (Bachelor of Science in Nursing) or MSN (master’s level). Most hospitals prefer BSN or MSN degrees. By 2026, the BLS projects that Virginia will have almost 4,500 annual job openings for registered nurses. Many colleges have accelerated programs for people who already have degrees in other fields.
“The nursing shortage is very real but not equal everywhere in the country. Rural areas are impacted more heavily and some hospitals in our area are experiencing significant shortages and difficulty in filling RN positions,” says Ava Porter, DNP, RN, CNE, Chair, Department of Nursing at Jefferson College of Health Sciences in Roanoke.
2. OCCUPATIONAL THERAPIST (OT) Occupational therapists help patients “age in place,” says David Haynes, Director of the Occupational Therapy Graduate Programs at Jefferson College. Essentially, as Americans become older, they expect to “expect to remain active past retirement and live in communities and their homes,” he says. Occupational therapists fulfill that need by helping patients develop, recover and maintain the skills they need for daily living and working. The field has shifted to a “wellness approach” to give patients the opportunity to live life to their fullest potential, adds Haynes. One of the fastest-growing professions according to the BLS, occupational therapy positions are expected to grow 24 percent through 2026.
Carole Graham, Dean of Health Professions, Virginia Western Community College
Ava Porter, DNP, RN, CNE, Chair, Nursing, Jefferson College of Health Sciences
Five Healthcare Jobs that can Stop a Midlife Crisis
Job satisfaction, compensation and growth potential make the following five jobs ideal opportunities for someone changing careers. They don’t require advanced medical degrees and can be easier to transition into while applying your existing skill set.
3. RADIOLOGIC TECHNOLOGIST (RADIOGRAPHER) Operating and maintaining radiology equipment and performing diagnostic imaging exams such as x-rays, CT scans, mammograms and MRIs, radiological technologists can work with an associate level degree. However, many radiologic technologists with a four-year bachelor’s degree can specialize in certain areas (such as MRI), which increases both earning potential and supervisory eligibility.
4. RESPIRATORY THERAPIST (RT) Caring for patients who have trouble breathing, respiratory therapists help people of all ages with both chronic conditions (such as asthma and emphysema) to emergency situations like heart attacks or drowning. As the population ages and more people enter long-term facilities, the demand for respiratory therapists is projected to grow much faster than the current average of 23 percent. According to the BLS, this is still faster than average for all occupations. Like radiologic technologists, respiratory therapists can work with an associate degree but hospitals usually prefer bachelor’s degrees. At Jefferson College, the respiratory therapy graduates are in such high demand that approximately 70 percent of them are hired before graduation. “We have students that are interviewing now and they don’t graduate until May,” says Chase Poulsen, Program Director and Associate Professor. His oldest student was 62 years old when she went through the program.
5. CERTIFIED NURSING ASSISTANT (CNA OR NURSING AIDE) Providing basic, daily care and safe environments for patients in hospitals and long-term facilities, nursing assistants take direction from physicians and nurses. The position typically only requires certification from an accredited course, which is several weeks long. Many hospitals, however, prefer an associate degree.
Sarah R. Boswell, Director, Office of Admissions, Jefferson College of Health Sciences
David Haynes, DHS, Director, MSOT Program, Jefferson College of Health Sciences
Chase Poulsen, Chair, Clinical Health Professions and Program Director, Respiratory Therapy
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Community Care
CONNECTION DEPARTMENT OF LABOR: Research the Department of Labor’s Bureau of Labor Statistics on Healthcare Jobs. www.bls.gov/ooh/healthcare/home
COMMUNITY COLLEGES: Virginia Western Community College Roanoke | 540.857.VWCC www.virginiawestern.edu New River Community College Dublin | 540.674.3600 ww.nr.edu
OTHER LOCAL HIGHER EDUCATION PROGRAMS: These jobs take a little extra education beyond what you may already have. But chances are, if you’re executing a mid-life career change, you’re bringing a bigger skill set to the exam table than you may realize. Transferring as much of your existing skill set and knowledge to a new career will not only help you successfully make the transition but also benefit your employer. Changing careers takes courage. There will be naysayers, no doubt, who won’t hesitate to tell you there’s obviously a mid-life crisis going on. But in today’s job landscape, changing careers at 40—or even 50—isn’t such a big deal anymore. With the healthcare industry adding more stable jobs than any other occupational field in the coming years, it’s a natural choice for many workers who feel like something’s missing. Increasing job satisfaction, happiness, and job stability is important at any age. With relatively little extra education and training, these five jobs offer a chance to change your life without starting all over. EXPERT CONTRIBUTERS Sarah R. Boswell, Director, Office of Admissions, Jefferson College of Health Sciences Carole Graham, Dean of Health Professions, Virginia Western Community College David Haynes, DHS, Director, MSOT Program, Jefferson College of Health Sciences Ava Porter, DNP, RN, CNE, Chair, Nursing, Jefferson College of Health Sciences Chase Poulsen, Chair, Clinical Health Professions and Program Director, Respiratory Therapy
SOURCES American Institue for Economic Research – www.aier.org Becker’s Health IT and CIO Report – www.beckershospitalreview.com Bureau of Labor Statistics – www.bls.gov
ON THE WEB
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
American National University Salem | 540.986.1800 www.an.edu Roanoke Higher Education Center Roanoke | 540.767.6161 www.education.edu ECPI University Roanoke | 540.563.8000 www.ecpi.edu
CAREER SITES: Career sites like Glass Door list job descriptions, open positions and estimated salary ranges for all types of healthcare positions, including the ones you didn’t know existed. www.glassdoor.com
NETWORKING EVENTS: Attend networking events and health fairs whenever possible and talk to those in the field.
www.meetup.com/topics/networkingevents/us/va/roanoke www.meetup.com/topics/networkingevents/us/va/blacksburg
TRY BEFORE YOU BUY: Check listings for local healthcare internships and volunteer positions to help you decide whether you even like the healthcare environment before you begin to invest in additional degrees or training.
Health A-Z • Five Healthcare Jobs that can Stop a Midlife Crisis
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Health
A-Z
INSIGHT • AWARENESS • MINDFULNESS
More Than Ever,
We Need
Public Health Professionals How Jefferson College’s New B.S. Public Health Program is Taking Action words | JENNIFER LAMONT
Jefferson College Bachelors Degree Graduates Earn the Highest Average Salaries in Virginia
According to the American Public Health Association (APHA), most Americans believe they live in the healthiest country in the world. However, America ranks 34th in life expectancy compared with other industrialized nations. We also perform poorly on most health measures, especially those related to chronic disease. In Virginia, chronic disease is responsible for over 50 percent of avoidable deaths each year and large health disparities exist between northern and western regions of our state. But, how do we become the healthiest nation and a state where all citizens have good health? How do you help an individual—let alone an entire population—be healthy?
93% of Jefferson College Graduates are Employed Within 6 Months of Graduation
“Interestingly, only 20 percent of health outcomes can be contributed to clinical care. Social and economic factors, physical environment, and health behaviors are the major contributors…. A public health professional focuses on these important health determinants,” says Sallie Beth Johnson, PhD, Program Director of the new B.S. Public Health program at Jefferson College of Health Sciences. The new Public Health program is an exciting and timely addition to the college’s health sciences lineup. Through education, advocacy, and service, the program aims to support the development of a public health workforce in our state that is dedicated to improving community health and wellness, says Dr. Johnson.
Why Pursue a B.S. in Public Health at Jefferson College 100% of the Clinical Programs at Jefferson College are Accredited
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Meagan Helmick, PhD, Assistant Professor at Jefferson College, says “the new Public Health program educates students to address the pressing health needs of underserved populations in Virginia, Appalachia, and beyond. Program graduates will be prepared to tackle the overburden of chronic disease, the persistent epidemic of substance use addiction, an aging population, increasing mental illness, and an ongoing need for outbreak and disaster preparedness in our communities.”
OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
Health A-Z
Photo: Sallie Beth Johnson, Program Director, Health Sciences, leads a public health session for HandsOn HealthCare with students and staff.
•
Dr. Johnson adds, “Studying within the vibrant interprofessional, healthcare learning community of Jefferson College prepares students to be ready to serve as an active collaborating member of the health team.”
NEED
As public health concerns increase in the 21st century, professionals in the field can build careers in a variety of environments. Jefferson College’s Public Health program prepares graduates for:
A
In demand positions with immediate employment opportunities and growth well above national averages
B
Many graduates find successful employment as Health Education Specialists in healthcare, government, community/non-profit organizations, schools, and corporate settings. Other graduates discover careers in epidemiology, environmental health, food safety, policy, and research.
C D
Improving your local community, the nation and global health
E F
Opportunity to help reverse the current downward trend for all Americans, regardless of age, income or education Helping medically underserved and rural communities. Jefferson College Public Health students are eligible to sit for the competencybased Certified Health Education Specialist (CHES) exam upon graduation. CHES credentialing is recognized as a standard of professional excellence in health education and has recently been added as a credentialing for reimbursement on the primary care health team.
For those who have a sincere desire to make a difference in their community, the Public Health B.S. program is the perfect choice. It’s for people, says Dr. Helmick, who have a passion for solving problems and moving the needle toward a healthier world. The best candidates want to help both individuals and communities to prevent illnesses and injuries, helping to reduce the number of those needing treatment later at higher costs and often diminished outcomes.
Public Health Professionals are in High Demand The umbrella of public health covers many types of positions and has broad appeal. It’s one of the fastest growing undergraduate degrees in the United States, with a 16-21% faster than average expected employment growth by 2026, according to the Bureau of Labor Statistics (BLS). Public health professionals are in high demand.
Jefferson College’s program is in a unique position to create a highly capable workforce by promoting “accessibility and flexibility for working adults,” says Diana Willeman-Buckelew, PhD, Chair, Department of Health Sciences Administration at Jefferson College.
The Online and Transfer-Friendly “2+2” Plans to Help Public Health Students Excel Students in the program, Dr. Willeman-Buckelew says, “gain valuable practical experience in their community to integrate, apply and synthesize course knowledge.” All the while, students can take classes 100 percent online—or as a hybrid of online and on-campus classes. “Online courses are interactive and delivered in a synchronous format that includes face-to-face engagement with faculty and fellow students,” she adds. The program also offers students the ability to transfer in as part of a “2+2” plan of study. So, even if they begin the program at a community college with a two-year associate degree, they can then transfer to Jefferson College to complete their remaining requirements for a bachelor’s degree. This program offers great flexibility for working adults, while still maintain accessibility for first-time freshmen. Dr. Johnson states, “Pursuing a career in public health has been a privilege because it is a field that you get many opportunities to make a difference in the lives of others and create positive change… From one-on-one counseling for health behavior change to large-scale
“Students in the program, Dr. Willeman-Buckelew says, “gain valuable practical experience in their community to integrate, apply and synthesize course knowledge.” All the while, students can take classes 100 percent online—or as a hybrid of online and oncampus classes.” - Diana Willeman-Buckelew, PhD, Chair, Department of Health Sciences Administration at Jefferson College
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Photo: Students volunteer at a local healthy living event, Healthy Southeast, in April 2018. Students were on hand to demonstrate healthy meal prep options and more.
A Look at Three Different Public Health Initiatives The faculty of the B.S. Public Health program is active in developing, implementing and evaluating public health programmatic and policy initiatives to address the burden of chronic disease at the local and national level. Here are three examples of current faculty activity:
Dr. Sallie Beth Johnson is on a research team to evaluate the implementation of the U.S. Housing and Urban Development (HUD)’s smoke-free public housing policy that went into effect in August 2018. Dr. Helmick is identifying nutrition policies at food pantries to better understand the quality of food being distributed to individuals with food insecurity. Dr. Diana Willeman-Buckelew leads the HandsOn HealthCare initiative which includes modules for adult ESL students to learn about hand hygiene, public health, and making healthy choices for disease prevention, in addition to other modules such as human anatomy and physiology, CPR, and health professions.
Students enrolling in Jefferson College’s Public Health program now also benefit from several unique opportunities, including:
Flexible plans of study. Full-time and parttime plans of study are available, both 100 percent online or hybrid.
Caring, knowledgeable, competent and ethical healthcare professionals. These prepare students within a vibrant, interprofessional learning community.
Collaboration between Jefferson College of Health Sciences and Radford University. This offers enhanced access to ongoing research, additional collaboration and greater clinical experiences to better prepare students and offer increased career opportunities.
EXPERT CONTRIBUTORS Meagan Helmick, PhD, MPH, CHES®, Assistant Professor, Public Health, Jefferson College of Health Sciences
Students receive personalized instruction, oneon-one advising, and small class sizes, encouraging student/faculty relationships and mentoring. Each student has a faculty advisor who works with them to develop a plan of study that matches their skills and interests.
Collaboration with Carilion Clinic. As part of Carilion, Jefferson College students have access to state-of-the-art equipment and facilities, national healthcare leaders and learning opportunities with medical and doctoral students.
The opportunity to partner with a health organization in their community to complete two semesters of a Capstone project or internship. As an example, many students work with Carilion Clinic Community Health and Outreach, along with other partners and programs throughout western Virginia, to address community health needs.
policy implementation for a healthier living environment, a career in public health offers an opportunity to be engaged in your community and create lasting impact.” she says.
Sallie Beth Johnson, PhD, MPH, MCHES®, Program Director, Public Health, Jefferson College of Health Sciences
And at multiple levels, a career in public health offers an opportunity to have an impact,” says Strong public health systems are vital to a higher quality of life for us as individuals and as a collective society. Our nation’s health—and the Commonwealth’s—depends on effective public health initiatives. Jefferson College’s B.S. Public Health program prepares students to enter the public health workforce or graduate programs well-equipped to improving local, national and global health and wellness.
Diana Willeman-Buckelew, PhD, Chair, Department of Health Sciences Administration, Jefferson College of Health Sciences
The program currently accepts rolling admissions and is now accepting applications for Summer (beginning May 13, 2019) and Fall (beginning August 26, 2019). For more information, visit https://www.jchs.edu/PH or contact Jefferson College Office of Admissions at 1.888.985.8483.
SOURCES Carilion Clinic - www.carilionclinic.org Centers for Disease Control and Prevention - www.cdc.gov Jefferson College of Health Sciences www.jchs.edu Virginia Department of Health www.vdh.virginia.gov
The program is a member of the Undergraduate Public Health and Global Health Education Network with the Association of Schools & Programs of Public Health.
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Health
A-Z
INSIGHT • AWARENESS • MINDFULNESS
Training the
Rural Physicians of the Future
for a Healthier Virginia at
The Edward Via College of Osteopathic Medicine (VCOM)
in Blacksburg, Virginia words | VANESSA AHERN
The Edward Via College of Osteopathic Medicine (VCOM) in Blacksburg, VA welcomed its first medical students in the fall of 2003 with its earnest mission “To prepare globally minded, community focused physicians to meet the needs of rural and medically underserved populations and promote research to improve human health.” But what does it mean to be in a rural community? “One person tried to convince me that Blacksburg was rural because they could see a cow from their hotel window. For me rural is quiet, lack of traffic jams, and where healthcare providers can really make a difference. Rural physicians can really get to know their patients and their families,” says Ward Stevens, Assistant Vice President for Academic Health Centers and Graduate Medical Education at VCOM. But living and practicing medicine in a rural community also has its challenges. Patients who live in rural towns can have a tough time accessing care due to transportation issues, physician shortages, and lack of insurance. And prospective doctors may worry about extra on-call hours and limited jobs available for a non-physician partner. “A rural community may be able to financially support two obstetricians but there are very few obstetricians who would want to be on call 50 percent of the time,” explains Stevens. So, how does VCOM prepare students for these challenges?
Nearly Half of VCOM Students Are From Rural Communities About 47 percent of the students at VCOM were raised in rural communities of less than 30,000, with 22 percent coming from communities with less than 10,000. They have seen the need for accessible healthcare in their own hometowns and are eager to reverse the downward trend. “The first step to ‘making a difference’ is to see need. From their earliest months in medical school, our students travel on ‘early clinical experiences’ to watch and participate in care at regional free clinics. This is first line exposure to challenges that many patients who are trying to make good health choices face when trying to take care
47 percent
Forty-seven percent of the students at VCOM were raised in rural communities of less than 30,000.
103 Graduates Virginia has 103 graduates since the first class in 2007 who are now Preceptors, (physicians supervising clinical education) and 67 of those are right here in Virginia.
> 450
More than 450 VCOM graduates now practice in Virginia, with a significant percentage entering into primary care.
89 percent
Eighty-nine of all VCOM student home locations are in the Appalachian States
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of themselves. For example, to control blood pressure or diabetes,” notes Delmas Bolin, MD, PHd, FACSM, FAAFP, professor of sports and family medicine at VCOM. Once they gain confidence and mature into their clinical rotations in their third and fourth years, the students can take on more responsibility at similar sites, or expand their experience-based learning in VCOM’s International Outreach Program in Central America. Students can experience rural medicine in places where patients have to wait in line in the heat to receive medical care (for example) and get hands-on training, under supervision of faculty. Pe Jo dia de nes tric te m D ian B ch ons alto Be Bl egin niqu trat n M lle ac n e in D ks ing s a g e bu s t N x rg Pe e am di w at ric si n
The International Outreach Program includes two sustainable clinics in the Dominican Republic, two in Honduras and one in El Salvador. “This experience allows the students to encounter the very poor in different cultures; allowing them the opportunity to compare and contrast treatment options that are available in the U.S. versus those that are available in these other rural locations, and to think carefully (and sometimes cleverly) how to adapt a treatment program using the patient’s available resources,” says Dr. Bolin.
Advanced Simulation Technology Center Ward Stevens Assistant Vice President for Academic Health Centers and Graduate Medical Education at VCOM
Delmas Bolin, MD, PHd, FACSM, FAAFP Professor of Sports and Family Medicine at VCOM
VCOM in U.S. News and World Report Rankings (2018)
2 3rd 4th 5th
nd
64
VCOM ranks second in graduates receiving first choice of residency VCOM ranks third among U.S. Medical Schools with the highest African American Enrollment VCOM ranks fourth among the nation’s medical schools for the enrollment of Hispanic and Latino students
In the advanced Simulation Technology Center, students get to practice simple to complex clinical maneuvers, anything from joint injection to delivering a baby. In a simulation lab, physicians are trained to handle stressful emergency situations. “Quick recognition and decision-making can be the difference between a patient’s survival and death. The VCOM simulation center has several ‘ER Rooms’ equipped with life-like mannequins (from adults to infants), which are fully integrated with heart monitoring technology and even simulated lungs with sensors to detect how effectively CPR is performed or how a particular drug alters the cardiac rhythm. The “patient” can even look at you and speak,” says Dr. Bolin. He explains that this allows students to make decisions based on clinical data such as an irregular heart rhythm. After the exercise the students get immediate feedback regarding good (or poor) clinical judgments long before they must confront those issues with a real patient. To hone their communication skills and finesse their empathy, interviewing skills, and patient rapport, students examine Standardized Patients (medical actors) in a series of encounters, viewed by faculty who can give them feedback in the early part of their training. Dr. Bolin says this is the key ingredient to helping young doctors mature into competent caring physicians. One of the perks of teaching is watching students have epiphanies during their medical education. “It is always nice to see “the light go on” as students realize that being a physician is much more than writing a prescription; it is often seeing and knowing a patient, their life situations, and recognizing how life’s ‘barriers’ can frustrate well intentioned treatment plans. They get to likewise experience the joy of small victories when they help a patient overcome obstacles to making better choices and experience relief or improvement. I am privileged to watch our students come in and grow in confidence and ability and then graduate and return as colleagues. As I age, I am comforted by the fact that this next generation of physicians will be the ones who care for and look after my family,” concludes Dr. Bolin. EXPERT CONTRIBUTORS Delmas Bolin, MD, PHd, FACSM, FAAFP, Professor of Sports and Family Medicine at VCOM Ward Stevens, Assistant Vice President for Academic Health Centers and Graduate Medical Education at VCOM
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VCOM ranks fifth for graduates entering primary care residencies
Health A-Z • Training the Rural Physicians for a Healthier Virginia
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Putting A New
Heart Healthy
Lifestyle
Pattern Into Practice words | AMERICAN HEART ASSOCIATION AND OURHEALTH ROANOKE & NEW RIVER VALLEYS STAFF
A healthy diet and lifestyle are your best weapons to fight heart disease, and it’s not as hard as you may think! Remember, it’s the overall pattern of your choices that count. Start your new pattern for realizing long-term heart health by putting these small and simple steps into practice. Always speak with your doctor first before beginning any new diet, fitness or lifestyle change routine.
Use Up at Least As Many Calories As You Take In •
The Takeaway » »
» » »
Know how many calories you should be eating and drinking to maintain your weight. Aim for at least 150 minutes of moderate physical activity or 75 minutes of vigorous physical activity (or an equal combination of both) each week. Eat a variety of nutritious foods from all the food groups while consuming less nutrient-poor foods. Base your eating pattern on the American Heart Association’s recommendations. Live tobacco free.
DETERMINE DAILY CALORIE INTAKE: Start by knowing how many calories you should
be eating and drinking to maintain your weight. Nutrition and calorie information on food labels is typically based on a 2,000 calorie per day diet. You may need fewer or more calories depending on several factors including age, gender, and level of physical activity. •
DETERMINE WEIGHT GOALS: If you are trying not to gain weight, don’t eat more
calories than you know you can burn up every day. •
ADJUST PHYSICAL ACTIVITY ACCORDING TO GOALS: Increase the amount and
intensity of your physical activity to burn more calories.
Aim for at least 150 minutes of moderate physical activity or 75 minutes of vigorous physical activity (or an equal combination of both) each week. Regular physical activity can help you maintain your weight, keep off weight that you lose and help you reach physical and cardiovascular fitness. If it’s hard to schedule regular exercise sessions, look for ways to build short bursts of activity into your daily routine, like parking farther away and taking the stairs instead of the elevator. Ideally, your activity should be spread throughout the week.
DOWNLOAD THIS > The American Heart Association’s Cold Weather Fitness Guide. Visit www.ourhealthvirginia.com/ 66 OurHealth | The Resource for Healthy Living in Roanoke and New to Riverdownload Valleys coldweatherfitguide your copy.
Eat a Variety of Nutritious Foods From All the Food Groups You may be eating plenty of food, but your body may not be getting the nutrients it needs to be healthy. Nutrient-rich foods have minerals, protein, whole grains and other nutrients but are lower in calories. They may help you control your weight, cholesterol and blood pressure.
Eat an overall healthy dietary pattern that emphasizes:
A B C D E F
A variety of fruits and vegetables Whole grains Low-fat dairy products Skinless poultry and fish Nuts and legumes Non-tropical vegetable oils
Limit saturated fat, trans fat, sodium, red meat, sweets and sugar-sweetened beverages. If you choose to eat red meat, compare labels and select the leanest cuts available.
Eat Fewer Nutrient Poor Foods.
What’s the DASH Eating Plan? One of the diets that fit this pattern is the DASH (Dietary Approaches to Stop Hypertension) eating plan, or DASH diet, as it is also known. Most healthy eating patterns can be adapted based on calorie requirements and personal and cultural food preferences. Visit www.nhlbi.nih.gov/ health-topics/dasheating-plan by scanning the QR code provided to learn more about DASH and to access related meal planning tools and tips to help you realize lifelong success.
The right number of calories to eat each day is based on your age and physical activity level and whether you’re trying to gain, lose or maintain your weight. You could use your daily allotment of calories on a few high-calorie foods and beverages, but you probably wouldn’t get the nutrients your body needs to be healthy. Limit foods and beverages high in calories but low in nutrients. Also limit the amount of saturated fat, trans fat and sodium you eat. Read Nutrition Facts labels carefully — the Nutrition Facts panel tells you the amount of healthy and unhealthy nutrients in a food or beverage.
How Can I Better Understand Food Nutrition Labels? Learning how to understand and use the Nutrition Facts label can help you make healthier eating choices and identify nutrient-dense foods for a healthy diet. Visit www.heart.org/ en/healthy-living/healthy-eating/ eat-smart/nutrition-basics/ understanding-food-nutritionlabels by scanning the QR code provided for some tips from the American Heart Association to help you make the most of the information on food labels.
What’s Your Move? Everyone needs physical activity to stay healthy, but fitting fitness into our busy daily routines can sometimes be challenging. That’s where Move Your Way comes in. Move Your Way is a physical activity campaign from the U.S. Department of Health and Human Services promoting recommendations from the Physical Activity Guidelines for all Americans. Visit www.health.gov/ moveyourway or scan the QR code provided to access interactive tools, videos, motivational tips, fact sheets and more for adults and children that make getting activewww.OurHealthRoanokeNRV.com a little easier. 67
Community Care Connection OurHealth Roanoke & New River Valleys Magazine’s Care Connector helps you start your search for local experts and resources that may assist you in realizing your health goals*. NUTRITION COUNSELING RESOURCES
» » » »
Virginia Academy of Nutrition and Dietetics P.O. Box 7061 | Fairfax | 703.815.8293 www.eatrightvirginia.org Nutrition Counseling Roanoke, LLC Tina Renick, RD, CSP Roanoke | 540.772.0690 www.nutritioncounselingroanoke.com Yours Chewly Nutrition, LLC www.clairechewning.com f @YoursChewly2 FPS Roanoke Premade meal service. Roanoke | 540.655.0546 www.fps.hasanapp.com
As you make daily food choices, base your eating pattern on these recommendations:
A
Eat a variety of fresh, frozen and canned vegetables and fruits without high-calorie sauces or added salt and sugars. Replace high-calorie foods with fruits and vegetables.
B C
Choose fiber-rich whole grains for most grain servings.
D
Eat a variety of fish at least twice a week, especially fish containing omega-3 fatty acids (for example, salmon, trout and herring).
E F
Select fat-free (skim) and low-fat (1%) dairy products.
G
Limit saturated fat and trans fat and replace them with the better fats, monounsaturated and polyunsaturated. If you need to lower your blood cholesterol, reduce saturated fat to no more than 5 to 6 percent of total calories. For someone eating 2,000 calories a day, that’s about 13 grams of saturated fat.
H I
Cut back on beverages and foods with added sugars.
FITNESS RESOURCES
» »
» » » »
Green Ridge Recreation Center Roanoke | 540.777.6300 www.GreenRidgeRecreationCenter.com Carilion Wellness SW Roanoke | 540.989.5758 Downtown Roanoke | 540.581.1111 Botetourt | 540.992.2993 Blacksburg | 540.961.8923 Westlake | 540.719.3150 www.carilionwellness.com YMCA of Virginia’s Blue Ridge Roanoke | 540.342.9622 Salem | 540.387.9622 Gainsboro | 540.344.9622 Botetourt | 540.966.9622
J
Christiansburg Recreation Center Christiansburg | 540.382.2349 www.christiansburg.org/recreation
»
Avoid foods containing partially hydrogenated vegetable oils to reduce trans fat in your diet.
Choose foods with less sodium and prepare foods with little or no salt. To lower blood pressure, aim to eat no more than 2,300 milligrams of sodium per day. Reducing daily intake to 1,500 mg is desirable because it can lower blood pressure even further. If you can’t meet these goals right now, even reducing sodium intake by 1,000 mg per day can benefit blood pressure. If you drink alcohol, drink in moderation. That means no more than one drink per day if you’re a woman and no more than two drinks per day if you’re a man. Follow the American Heart Association recommendations when you eat out, and keep an eye on your portion sizes. Visit www.heart.org/en/healthy-living/healthy-eating/eat-smart/ nutrition-basics/portion-size-versus-serving-size by scanning the QR code provided for more information on portion sizes.
Blacksburg Pilates & Fitness Studio Blacksburg | 540.641.1532 www.blacksburgfitness.com Crunch Fitness Roanoke | 540.527.4653 www.crunch.com/locations/roanoke
SMOKING CESSATION RESOURCES
»
Choose poultry and fish without skin and prepare them in healthy ways without added saturated and trans fat. If you choose to eat meat, look for the leanest cuts available and prepare them in healthy and delicious ways.
Live Tobacco Free
Quit Now Virginia www.quitnow.net/virginia Virginia Health Care Foundation www.vhcf.org/for-those-who-help/resources-forproviders/nurse-practitioner-resources/smokingcessation/
*Medical experts and resources listed are not endorsed by McClintic Media, Inc., publisher of OurHealth Roanoke and New River Valleys Magazine, nor are they intended to be a substitute for advice provided by your doctor or other attending medical specialist. Always speak with your doctor first before making changes to your health plan or starting a new health and fitness regime. To be considered for inclusion in the Care Connection for future issues of OurHealth Magazine, email info@ourhealthvirginia.com and include “Care Connection: RoanokeNRV” in the subject line for more information.
Don’t smoke, vape or use tobacco or nicotine products — and avoid secondhand smoke or vapor. Visit www.heart.org/en/healthy-living/ healthy-lifestyle/quit-smoking-tobacco/help-i-want-to-quit-smoking to learn more about quitting smoking. For more information on American Heart Association’s Diet and Lifestyle Recommendations and additional heart healthy information, visit www.heart.org.
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WIN A
MOVE MORE INFUSER BOTTLE! 68
Visit www.ourhealthvirginia.com/infuserbottle by scanning the QR code provided and take our short Food and Fitness quiz for your chance to win a Move More Infuser Bottle! The Move More Infuser Bottle from the American Heart Association is perfect for helping you stay hydrated throughout the day – whether you’re at home, in the office or at the gym. Plus it’s your daily reminder to stay active and keep moving. The bottle holds up to 25 ounces, features a flip up spout and carry handle and includes an infuser container that easily attaches to the lid. Fill container with your favorite fruits and/or vegetables to give your water a little extra kick.
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Food Fitness • Putting A New Heart Healthy Lifestyle Pattern Into Practice
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HEALTH OBSERVANCES FEBRUARY | GUM DISEASE AWARENESS MONTH
GOOD GUM HEALTH
HELPS MORE THAN YOUR MOUTH words | LEONARD BUTLER
Forget about Valentine’s Day and all the sweet treats that accompany it this month. There’s another special occasion happening in February where the goal is to bring to the surface the reasons practicing good gum health should be a priority to protect and preserve your pearly whites, plus much more.
GUM DISEASE
[GUHM DIH-ZEEZ] noun
Gum Disease Awareness Month February is Gum Disease Awareness Month, where, since 2012, dentists and periodontists around the country have taken this opportunity to even further educate their patients and the greater communities about this common condition while emphasizing strategies everyone can use to lower their risk. This condition can cause a variety of factors for inflammation to the gums, ranging from minor gingivitis to periodontitis, considered advanced periodontal disease.
50%
Also called periodontal disease, gum disease is a general infection of the tissue that holds teeth into place. Different types of diseases are often caused by a build-up of plaque, which is a type of clear, sticky bacteria that covers the teeth and gums.
According to the American Academy of Periodontology, about half of all Americans age 30 or over suffer from advanced periodontal disease, which works out to about 64.7 million Americans.
Brushing and flossing plus regular cleanings at a dentist’s or periodontist’s office are the best ways to help clear away plaque and reduce the risk of gum disease. But if ignored, the presence of plaque can easily lead to:
A Inflamed gum tissue B Soreness C Bleeding
D Painful chewing E Loss of gum tissue F Abscesses
G H I
Loose teeth Bad breath Tooth loss
FUN FACT
The word periodontist comes from two Greek words – PERI and ODONT.
PERI means around (like in the words periphery perimeter) ODONT means tooth
What’s more, many people aren’t aware of periodontal disease’s connection to a host of other illnesses and conditions, including obesity, heart disease, diabetes, stroke, cancer and even erectile dysfunction. www.OurHealthRoanokeNRV.com
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HEALTH OBSERVANCES
•
GUM DISEASE AWARENESS MONTH
New River Periodontics & Dental Implant Center Blacksburg Office 2612 Sheffield Drive | Blacksburg, VA 24060
540.951.4848 Roanoke Office
The Role Periodontists Play in Protecting Our Health John Buyer, DDS, MPH, MSS and John Lentz, DDS with New River Periodontics & Dental Implant Center in Blacksburg and Roanoke and their associates don’t necessarily want to frighten people into brushing better. Instead, they prefer to give patients useful information in order to help them develop healthy habits to make sure their gums stay in great shape all their lives.
5002 B Brambleton Avenue | Roanoke, VA 24018
540.772.4848 Showing potentially disturbing images like bloody teeth or severely infected gums, while wellintentioned, can sometimes backfire and actually discourage people from seeking help, or at least ramp up their dental anxiety. Having this stress on top of this health condition can sometimes lead to longer times between visits and then a need for more intensive treatments. This may even make further visits even less and less likely.
www.nrvperio.com
John Buyer, DDS, MPH, MS, MSS Diplomate, American Academy of Periodontology
Instead, Dr. Buyer and Dr. Lentz advocate a preventive approach to gum disease, which includes regular periodontal appointments, along with good oral care in between visits. Then, if additional care and treatment is needed, they or other periodontists can offer a wide variety of assistance.
The Difference Between Periodontists and General Dentists
John Lentz, DDS Practice limited to Periodontics, Dental Implants and Oral Medicine OFFICE HOURS: Monday – Thursday, 8 am – 4:30 pm; Fridays reserved for complex surgical cases. SPECIALTIES/SERVICES: Scaling & Root Planing, Dental Implants, Cosmetic Periodontal Surgery, Gum Grafting, Crown Lengthening, Osseous Surgery, Bone Regeneration, Bone Grafting, Ridge Preservation, Laser Periodontal Therapy, Crestal Sinus Lift Procedure for Dental Implants, Three-Dimensional Radiography, Conscious Sedation and Digital Sedation
Periodontists like Dr. Buyer and Dr. Lentz have successfully completed dental school but then chose to continue their studies at least three more years so they can become experts in areas such as the gums, bone and the tissue that connects them. They also have advanced knowledge of dental implants, which are other tools to help patients. Not only are they helping patients, but Dr. Buyer also shares his expertise with future periodontists as a part-time faculty member in Periodontology and Dental Implantology at VCU School of Dentistry. While all dentists are able to discuss general oral health, a periodontist can offer a more specific diagnosis for gum disease, followed by guidance and treatment options that can best help patients, especially methods and procedures that may be beyond the expertise of a dentist.
Preventative, Diagnostic and Treatment Options Periodontists Provide Patients Treating gum disease can start by looking at a patient’s risk factors, and whether any can be reduced. For instance, cigarette smoking and smokeless tobacco use can be especially damaging to the mouth, teeth, gums and the rest of the body. Eliminating the 72
OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
TRENDING TOPIC: Does gum disease increase your risk for heart disease? Research shows that people with gum disease are twice as likely to suffer from heart disease or even more severe heart related episodes like heart attack or stroke. Continuing research attempts to find if the link is direct or due to other health risk factors.
addiction of nicotine can go a long way in reducing the risk of gum disease. Genetic history and hormonal changes can also be factors. Even crooked teeth can increase risk of plaque build-up, since it may be difficult to reach certain areas with floss or a brush. A referral to an orthodontist may be needed to discuss braces or other straightening needs. Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. Even in severe cases, non-surgical periodontal therapy often precedes surgical therapy. Dr. Buyer, Dr. Lentz and their team at New River Periodontics & Dental Implant Center pride themselves on being very conservative in their treatment recommendations and limit surgery to the areas where it is absolutely necessary. They have also made significant investments in emerging laser therapy and placement technology in order to provide the best possible outcomes for their patients. Each patient receives a customized plan based on the current condition of their teeth and gums and what they would like to see. Options to reach these dental goals can range from practicing better dental hygiene to improving nutrition. In some cases, different surgery options can be discussed. For more information about New River Periodontics & Dental Implant Center visit www.nrvperio.com or call the Blacksburg office at 540.951.4848 or the Roanoke office at 540.772.4848.
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Aging Well WISDOM • DIGNITY • SUPPORT
Making
Dysphagia
Easier to Swallow Dysphagia, or difficulty swallowing, is especially prevalent among the elderly. Learn how to spot this condition in seniors, where to go for local diagnosis and treatment options, and how to prepare fast, nutritious meals that are easy for dysphagia patients to eat. words | KATHARINE PALJUG
Swallowing comes as naturally as breathing to most of us. Unfortunately, this seemingly simple everyday act can become difficult, especially among seniors. This complication is called dysphagia, and it is a frustrating condition that requires immediate attention to prevent it from creating further medical problems. The good news is that most of the causes of dysphagia are temporary and non-threatening. Difficulty swallowing rarely represents a more serious disease; however, if you experience dysphagia for an extended period, you may need to be seen by a specialist. Speaking to your primary care doctor is a good place to start. Your primary care doctor can provide you with a list of specialists that can help.
Causes of Dysphagia In some people, dysphagia is just a result of aging. As we get older, all our muscles can weaken, including the muscles and nerves that help move food and drink through the throat and esophagus. Some elderly people with dentures have problems chewing properly before swallowing, resulting in food getting stuck in the throat or esophagus.
Other Common Causes of Dysphagia Include: A Problems with the nervous system, such as multiple sclerosis, muscular dystrophy, or Parkinson’s disease B Immune system afflictions that cause swelling and weakness C Blockage of the throat or esophagus due to acid reflux and other esophageal conditions
D E F G H
Strokes Hypertension Diabetes Thyroid disease Brain or spinal cord injuries
Swallowing difficulty can also be connected to some medications including: Nitrates | Calcium tablets | Aspirin | Iron tablets | Vitamin C | Tetracycline (used to treat acne)
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Dysphagia By The Numbers
15 million
Dysphagia impacts 15 million Americans
1 million
Every year, 1 million Americans receive a new diagnosis of the condition.
Aging Well
• WISDOM
How to Identify the Symptoms of Dysphagia If you’re having difficulty swallowing for an extended period, and exhibit one or more of the following symptoms, you should schedule an appointment with your primary care doctor: •
Drooling
•
A feeling that food or liquid is sticking in the throat
•
Discomfort in the throat or chest (when gastroesophageal reflux is present)
•
A sensation of a foreign body or lump in the throat
•
Weight loss and inadequate nutrition due to prolonged or more significant problems with swallowing
•
Coughing or choking caused by bits of food, liquid, or saliva not passing easily during swallowing, and being sucked into the lungs
•
Voice change
Complications of Dysphagia With timely and proper treatment, dysphagia patients can manage, and often overcome, their swallowing difficulties and avoid further medical issues, including:
Pneumonia and upper respiratory infections
– specifically aspiration pneumonia, which can occur if food or drink is swallowed down the “wrong tube” and enters the lungs.
Malnutrition — people who are unaware of their dysphagia and are not being treated for it are especially at risk.
Dehydration —
people who cannot drink properly are unable to hydrate themselves.
75% of nursing home residents experience some degree of dysphagia
1 in17
1 in 17 people will develop some form of dysphagia in their lifetime
Diagnosis & Treatment To determine the extent of your swallowing problem, your doctor or provider will discuss the history of your problem with you and examine your mouth and throat. This examination may be done with mirrors; when a closer look is needed, he/she may place a small tube with a camera at the end through the nose and down the throat and you will be given food to eat. This procedure shows the back of the tongue, throat, and larynx as you swallow. Once your provider has a better idea of the cause of a swallowing problem, they can prescribe a treatment that is tailored to that cause. Many cases of dysphagia can be treated with medications, such as antacids and muscle relaxants. A speech language pathologist (SLP) is a key member of every dysphagia diagnostic and treatment team. These specialists employ proven traditional treatments such as conventional speech therapy and oral exercises, patient education, swallowing maneuvers, and physiologic exercises.
50% of all Americans over 60 will experience dysphagia at some point
Thermal stimulation (application of cold to the throat area) has been commonly used. New treatments are evolving, including the use of neuromuscular electrical stimulation (NMES) and surface electromyography (EMG), in which feedback about the muscle’s activity level encourages the patient to swallow. In extreme cases, surgery may be required; for example, if a muscle in the throat or esophagus is too tight, it may need to be dilated or released surgically. Continued on page 78...
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Aging Well
General Guidelines for Safe Swallowing Bear in mind that dysphagia patients have individual requirements, so not all of this advice applies to every patient.
B
Take small bites — only 1/2 to 1 teaspoon at a time.
C
Eat slowly. It may also help to eat only one food at a time.
D
Avoid talking while eating.
E
When one side of the mouth is weak, place food into the stronger side of the mouth. At the end of the meal, check the inside of the cheek for any food that may have been pocketed.
F
Try turning the head down, tucking the chin to the chest, and bending the body forward when swallowing. This often provides greater swallowing ease and helps prevent food from entering the airway.
G
Do not mix solid foods and liquids in the same mouthful and do not “wash foods down” with liquids, unless you have been instructed to do so by the therapist.
H
Eat in a relaxed atmosphere, with no distractions.
I
Following each meal, sit in an upright position (90-degree angle) for 30 to 45 minutes.
Making Dysphagia Easier to Swallow
Maintain an upright position (as near 90 degrees as possible) whenever eating or drinking.
•
A
Dysphagia Treatment is a Team Effort A dysphagia diagnostic and treatment strategy team can be quite extensive – in addition to family members, the team can consist of:
SLPs
Gastroenterologists
Surgeons
Otolaryngologists
Dietitians
Neurologists
Nurses
Radiologists
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Graphic Source: International Dysphagia Diet Standardization Initiative (IDDSI)
...Continued from page 76
Dysphagia Diets Regardless of one’s condition, proper nutrition is vital to physical and emotional well-being. Your dietician can recommend alterations to your diet, so you get the nutrients and hydration you need safely.
To improve safety and care for dysphagia patients, the International Dysphagia Diet Standardization Initiative (IDDSI) has developed global standardized definitions and terminology for texture-modified foods and thickened liquids. This dietary framework consists of eight levels (0 – 7), where drinks are measured from levels 0 – 4, and foods are measured from levels 3 – 7 (see the table at left). To learn more, visit www.iddsi.org
Maintain a Positive Mindset Dysphagia is a frustrating problem, but it’s important to remember that with time, help, and support, many patients recover completely. Working together, a qualified medical provider can help you improve your ability to swallow safely, while a dietician can help make sure you’re eating the right foods. Combined with expert assistance and the support of friends and family, the right knowledge and a positive mindset are key to improving or even eliminating a patient’s dysphagia and living a full and enjoyable life. Continued on page 80...
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OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys
Aging Well
Easy and Tasty Recipes that Go Down Easy Fruit Blend
•
In a blender, mix 1/4 cup apple juice, 1/4 cup orange juice, and 1 cup canned peaches or pears. Mix until smooth.
Making Dysphagia Easier to Swallow
High-Protein Smoothies In a blender, mix 1 cup of fruit-flavored yogurt and 1 cup fortified milk with soft, fresh, peeled fruit or soft, canned fruit, and 1 cup of cottage cheese. Mix until smooth.
Fruit Shake In a blender, place 1-1/2 cups of fresh, frozen, or canned fruit with 1 cup fortified milk. Mix until smooth.
Cottage Cheese Pudding Mix together 1/4 cup low fat cottage cheese and 3 tablespoons baby fruit. Chill.
Creamed Vegetable Soup In a blender, add 1/2 cup strained or very soft cooked vegetable; 1/2 cup fortified milk, cream, or plain yogurt, 1 teaspoon margarine; salt, onion powder, and crushed dried parsley flakes to taste. Mix to desired consistency.
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COMMUNITY CARE CONNECTION: These Roanoke Valley and New River Valley-based medical experts specialize in diagnosing and/or treating dysphagia.
Carilion Clinic Physical Medicine
Roanoke | 540.510.6200 Christiansburg | 540.731.2992 Giles | 540.731.2992 www.carilionclinic.com
LewisGale Regional Health System
LewisGale Medical Center 540.529.5681 LewisGale Hospital Alleghany 540.862.6265 LewisGale Hospital Montgomery 540.961.4585 LewisGale Hospital Pulaski 540.994.8325 www.lewisgale.com/service/ swallowing-therapy
Roanoke Valley Speech and Hearing Center Roanoke | 540.343.0165 www.rvshc.org
Jefferson Surgical Clinic Gregory Zachmann, MD Roanoke | 540.283.6000 www.jeffersonsurgical.com
...Continued from page 78
Myth vs. Reality: DYSPHAGIA
There are a surprisingly high number of myths surrounding dysphagia. They will also tell you that a regular part of their work is educating patients and families about swallowing disorders to help ensure proper care.
Myth: Thick Liquids Are Always Safer Than Thin Liquids Because they move more slowly, thick liquids give the body more time to react and swallow, making them easier to ingest for many dysphagia patients. However, research has shown that thick fluids also increase the risk of residue, which can be aspirated post-swallow. A qualified medical provider will help determine whether thick liquids are right for your dysphagia diet.
Myth: Tucking Your Chin is Always Safe Tucking the chin to the chest closes off the airway for many patients, but for others, it can make things worse and cause aspiration. Your medical provider can recommend whether you should use a chin-tuck strategy after testing its impact on your swallow.
Myth: You Should Never Use Straws Straws propel fluids into the back of the mouth faster, sometimes causing problems for dysphagia patients. However, some patients have trouble propelling fluids backward, so they need a straw to make swallowing easier. An instrumental assessment will help your doctor or provider decide whether drinking through straws will help you swallow.
Myth: Tube Feeding Prevents Aspiration There is a widespread assumption that patients on feeding tubes for nutrition and hydration are not at risk of aspiration pneumonia. However, saliva and regurgitated tube-feeding liquid can be aspirated. Tube-feeding also increases medical oversight requirements, caregiver burden, and medical complications – speak with your medical provider before even considering feeding tubes.
Myth: An SLP-Recommended Dysphagia Diet is Forever Medical provider recommended diets compensate for swallowing problems during rehabilitation and change according to the patient’s progress. You can always ask for a reassessment if you’re unhappy or are struggling with your modified diet. SOURCES Jackson Siegelbaum Gastroenterology – www.gicare.com Medbridge – www.medbridgeeducation.com Tactus Therapy – www.tactustherapy.com Vital Care Technology – www.vitalcaretech.com
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