OurHealth Roanoke and New River Valleys Magazine: June/July 2019

Y O U R L O C A L H E A LT H R E S O U R C E

COMPLIMENTARY COPY

June/July 2019

ourhealthroanokenrv.com

The 2019 Class of Outstanding Nurses in Roanoke and New River Valleys More Than Measure Up. It Takes Special Qualities to Represent One of the Most Important Roles in Healthcare

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FEATURES

JUNE • JULY 2019

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CELEBRATING OUTSTANDING NURSES IN ROANOKE AND NEW RIVER VALLEYS Our 2nd Annual Celebrating Outstanding Nurses in Roanoke and New River Valleys recognition program puts on display individuals possessing qualities that exemplify excellence in every way. Please join us in congratulating these 12 nurses for setting a standard from which we can all learn.

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MESSAGES TO MEN: YOUR HEALTH IS IMPORTANT TO YOUR FAMILY. IT SHOULD BE IMPORTANT TO YOU. June is Men’s Health Month and there’s no better time to tell the men in our lives how important they are to us. Plus, important health tips geared just to men that they cannot afford to miss.

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DEPARTMENTS JUNE • JULY 2019

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The Pulse | People. Places. News to Know.

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62 – Keeping Children Active This Summer and Off Those Screens: Take back the summer from the screens with these healthy alternatives for a fun-filled and active summer.

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

Local supporters raised $35,000 for Big Brothers Big Sisters of Southwest Virginia by going ‘Over The Edge’ and rappelling 100 feet from the roof of the Roanoke Higher Education Center in Downtown Roanoke.

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

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Healthy Home | Family. Safety. Improvements.

Updating Your Home? Consider These Simple Tips for Making It a Healthier and Safer Place for Your Family: Like all industries, home improvement is one that has seen major advancements in the products, materials and processes used to not only make our lives more comfortable, but healthier too.

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69 – Beat the Summertime Boredom Blues: Help your teens (and pre-teens) stay active this summer with fun activities provided by Roanoke Parks and Recreation.

74 – A Playground for Anybody and Any Body: Thanks to the Addy Grace Foundation, a new all-inclusive playground opened at the Botetourt Family YMCA in Daleville.

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53 – The Benefits of Buying Local Foods: Why buying and consuming local foods is beneficial in more ways than you might think.

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Pet Health | Educate. Train. Care.

Are You an Anti-Vaxxer When it Come to Your Furbaby: There are risks if pet owners vaccinate. But there are also risks if they don’t. Pet owners must stay informed using evidence-based research and input from trusted veterinarians.

Food and Fitness | Nutrition. Exercise. Prevention.

57 – New Botetourt Family YMCA Creates A Closer Choice to Fitness and Fun for Local Families : With the opening of the Botetourt YMCA, Daleville families will never run out of things to do this summer.

Kid’s Care | Inform. Educate. Grow

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Funny Bone | Spot the Seven Differences

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JUNE • JULY 2019

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

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

CONTRIBUTING MEDICAL EXPERTS Jonathan Bennett, EP-C, CSCS Aleksandra Brown, DO, FAAD Chrissy Hodge, PA-C Banafsheh Hosseinian, DDS, MDS Jason Rigoni, DO Daniel Tershak Jr., MD

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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.

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BESTBedside VOTING CATEGORIES INCLUDE: Allergy & Immunology Anesthesiology Audiology Cardiology Chiropractic Concierge Medicine Dentistry (Cosmetic) Dentistry (General) Dentistry (Pediatric) Dermatology Dietetics Emergency Medicine Endocrinology Family Practice Fertility Care Gastroenterology Geriatrics Hematology/Oncology Hospitalist Infectious Disease Internal Medicine Neonatology Nephrology Neurology Nurse Practitioner Obstetrics & Gynecology Occupation Medicine Ophthalmology Optometry Oral Surgery Orthodontics

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in Roanoke and New River Valleys?

POLLS OPEN NOW Visit www.ourhealthroanokenrv.com and click on the 2019 Best Bedside Manner Awards voting button to submit your entries.

VOTING CLOSES JUNE 30, 2019, and winners will be featured in the December/January edition!

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ROANOKE & NEW RIVER VALLEYS

The Pulse INFORMATION • EVENTS • AWARENESS

Peter Hayes, LALA

News and Notes Warm Hearth Village Names New Administrator Warm Hearth Village in Blacksburg announces Peter Hayes, Licensed Assisted Living Administrator (LALA), as the new Administrator for Showalter Center, the residential and assisted living residence at Warm Hearth Village.

Hayes previously served as Executive Director for Brookdale Senior Living, Executive Director for the Crossings at Blacksburg and has consulted with Cardinal Senior Living, in Bedford, VA. He has a Bachelor of Business Administration in Marketing from Radford University and is Uniform Assessment Instrument and Individualized Service Plan certified.

Warm Hearth Village is a nonprofit senior living community in Blacksburg that provides a full continuum of living options on its campus and in the home.

More Information: Visit www.retire.org.

New Locations, Ventures, Mergers and Acquisitions Carilion Clinic Announces Expansion of Carilion Roanoke Memorial Hospital Carilion Clinic announces plans for an expansion of Carilion Roanoke Memorial Hospital and the adjacent Behavioral Health Building in the Roanoke Innovation Corridor. The new structures will replace older structures at the hospital.

“After several years of careful planning, we are embarking on a major expansion that will address the growing needs of the one million patients we serve and continue the great momentum happening in the Roanoke Innovation Corridor,” says Nancy Howell Agee, President and CEO of Carilion Clinic.

This project is part of Carilion Clinic’s long-term capital plan to invest more than $1 billion in the region. The cost of the Carilion Roanoke Memorial Hospital expansion is expected to exceed $300 million.

“We are making real, definitive progress. With these investments, our partnership with Virginia Tech, and our forthcoming merger of Jefferson College and Radford University, the Innovation Corridor continues to take shape,” says Agee.

“The Carilion Clinic Board of Directors takes investments like this expansion very seriously,” says James Hartley, chair of the board of directors for Carilion Clinic.

“Ultimately, we represent the voice of our community and it’s time to replace some of the older parts of Roanoke Memorial. We’re excited to soon be able to offer our neighbors better access to the high-quality care to which they’ve grown accustomed.”

Construction will begin later this year and is expected to take five years to complete.

The new Carilion initiative is introduced as progress continues on the Virginia Tech Carilion Biomedical Research Addition, a joint state, Virginia Tech and Carilion construction project at Riverside Circle; and the recent $50 million gift from the Horace G. Fralin Charitable Trust and Cynthia and Heywood Fralin to Virginia Tech for the Fralin Biomedical Research Institute More Information: Visit www.carilionclinic.org/newsroom.

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The Pulse

• NEWS TO KNOW

News and Notes Family Service of Roanoke Valley Names New President and CEO The Board of Directors of Family Service of Roanoke Valley announces Linda Hentschel as its new President and CEO, effective June 17, 2019. The announcement comes after an extensive search following current President and CEO Sharon Thacker’s retirement announcement in November 2018.

“For an organization that has been serving families in our region for 118 years, finding the right person with the vision and expertise to lead was critical for our future. We’re thrilled to welcome Linda to our team,” says Thomas Bass, Family Service of Roanoke Valley’s Board Chair.

Hentschel currently serves as the Chief Operating Officer at DePaul Community Resources in Roanoke and has been a member of both the Roanoke City and Craig County Community Policy and Management Teams.

She has extensive experience in leadership, compliance, organizational development, and non-profit operational success. Additionally, Linda Hentschel she has spent time as a mental health counselor, deepening her connection to the services Family Service of Roanoke Valley provides.

Hentschel received her Bachelor of Science degree in Behavioral Science from Grace College in Indiana and her Master of Arts degree in Human Services from Liberty University.

Family Service of Roanoke Valley offers mental health counseling, case management and life skills education for children and adults.

More Information: Visit www.fsrv.org or call 540.563.5316.

New Locations, Ventures, Mergers and Acquisitions Reproductive Medicine and Surgery Center of Virginia, PLC Now Accepting Patients in Lynchburg Fertility specialists Chris Williams, MD and Laura Smith, MD of Reproductive Medicine and Surgery Center of Virginia, PLC are now seeing new patients in the Women’s Health Services of Central Virginia’s Lynchburg office. Dr. Williams and Dr. Smith will see patients in the Lynchburg location on Tuesdays from 8:30 am – 3 pm. As sub-specialty, boardcertified Reproductive Endocrinology and Infertility physicians, Dr. Williams and Dr. Smith see patients who are having difficulty conceiving, who have experienced recurrent pregnancy loss, or who are interested in egg banking, in-vitro fertilization, pre-implantation genetic testing, as well as and other complex gynecological issues such as endometriosis, fibroids, uterine anomalies and polycystic ovary syndrome.

More Information: Call 434.654.8520 or visit www.rmscva.com.

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

New Technologies LewisGale Hospital Montgomery First Hospital in Virginia to Offer CT-Free, Robotics-Assisted Knee Replacement Surgery LewisGale Hospital Montgomery is the first hospital in the Commonwealth to offer cutting-edge technology to patients throughout Virginia who are suffering from knee pain. John Velyvis, MD, an orthopedic surgeon at LewisGale Hospital Montgomery, performed the first CT-free, robotics-assisted, full-knee replacement in Virginia using a new, state-of-the-art surgical system in May of this year.

The system incorporates hand-held robotics and 3D images of the patient’s knee, enabling the surgeon to collect patient-specific information and produce an individualized plan based on each patient’s unique anatomy. Working in conjunction with the surgeon’s skilled hands, the system achieves precise positioning of components during surgery, providing an added level of accuracy that can help improve the function, feel, and potential longevity of the knee implant.

Dr. Velyvis has performed more than 1,000 other robotics-assisted surgeries throughout the U.S. over the last decade. “With the robotics-assisted system, we are achieving a greater level of accuracy and precision than ever before,” Dr. Velyvis says. “Using this method shortens recovery time, decreases complications, and provides patients with increased mobility at work and during leisure activities for many years following the surgery.”

More Information: Visit www.lewisgale.com.

New Locations, Ventures, Mergers and Acquisitions River Ridge Dermatology Relocates Roanoke Office River Ridge Dermatology in Roanoke has moved to a new office located at 2110 Carolina Avenue in Roanoke, parallel to Sweet Donkey Coffee in the Crystal Spring area. The dermatology and aesthetics practice offers medical, surgical and cosmetic dermatological procedures, and carries several lines of medicalgrade skin care products, including their own house brand. Appointment hours at the new location are Monday – Friday from 8 am to 5 pm.

More Information and to Schedule a Consultation: Call 540.951.DERM (3376) or visit www.riverridgederm.com.

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The Pulse

• NEWS TO KNOW

News and Notes Friendship Demonstrates Commitment to Nutrition Importance with New Dining Services Leadership

Luke Campbell

Friendship, a senior living and rehabilitation community, announces Luke Campbell as its new Executive Director of Dining Services for both of its campuses. Campbell has worked in food and beverage management for over 25 years, with the past 12 having been with an emphasis in senior care.

“Dining services plays such a crucial role in one’s well-being, especially in the senior living community setting, because food and nutrition ties in with almost every dimension of wellness,” says Campbell. “Encouraging individuals to make smart and healthy choices while, at the same time, providing the comfort foods to which they are accustomed is a fine balance.”

In addition to Campbell, Friendship recently hired James Elmore, Director of Dietary, who manages dining services at Friendship Health and Rehab North. With the addition of both new team members, Friendship has also upgraded key dining components within its physical infrastructure, including at Club Friendship, the community’s on-site restaurant which is open to the public.

James Elmore

Sarah Abey, NP

Carilion Clinic Gastroenterology Roanoke | 540.224.5170 www.CarilionClinic.org

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More Information: Visit www.friendship.us.

Paul Balbach, NP

Carilion Clinic Family Medicine Daleville | 540.966.0400 www.CarilionClinic.org

Sidney Barnes, MD, FACS Elizabeth Boehme, PA LewisGale Physicians General Surgery – Alleghany Low Moor | 540.862.7178 www.lgphysicians.com

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

Carilion Clinic Family Medicine Dublin | 540.674.8805 www.CarilionClinic.org

Jessica Furrow, NP

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

Sydney Garst, PA

Carilion Clinic Otolaryngology Roanoke | 540.224.5170 www.CarilionClinic.org

Chrissy Hodge, PA-C

Brian Hoffmann, MD

Amy Marshall, NP

Laurie Naff, PA

Eric Oliver, MD

Daniel Pauly, MD, PhD

Rebecca Pauly, MD

Christine Pruett, LPN

Benjamin Rentfrow, DO

Mary Scott, NP

Melissa Sheppard, BSN, RN Director of Nursing in the Willows/Arbor Kroontje Health Care Center Warm Hearth Village Blacksburg | 540.443.3800 www.retire.org

Alecia Sizemore, MD

Vistar Eye Center Roanoke | 540.855.5100 www.vistareye.com

Carilion Clinic Otolaryngology Roanoke | 540.224.5170 www.CarilionClinic.org

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

Carilion Clinic General Surgery Christiansburg | 540.731.7600 www.CarilionClinic.org

Carilion Clinic Cardiology, Medical Director of the Heart Failure Clinic Roanoke | 540.982.8204 www.CarilionClinic.org

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

Carilion Clinic Otolaryngology Roanoke | 540.224.5170 www.CarilionClinic.org

Carilion Clinic Internal Medicine Roanoke | 540.224.5170 www.CarilionClinic.org

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

Director of Nursing for Assisted Living Friendship Roanoke | 540.777.7599 www.friendship.us

Carilion Clinic Imaging Roanoke | 540.981.7122 www.CarilionClinic.org

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The Pulse

• NEWS TO KNOW

Recognitions and Accreditations LewisGale Hospital Montgomery Achieves Magnet Recognition® LewisGale Hospital Montgomery has attained Magnet Recognition® for the third time – the highest national honor for professional nursing practice and a testament to the Hospital’s continued dedication to high-quality nursing practice. A program of the American Nurses Credentialing Center, the Magnet Recognition Program® distinguishes healthcare organizations that meet rigorous standards for nursing excellence; only eight percent of U.S. hospitals achieve this recognition.

“This is a tremendous honor and reflects our commitment to delivering the highest quality of care to this community,” explains Alan Fabian, CEO of LewisGale Hospital Montgomery. “Our repeated achievement of this credential underscores the foundation of excellence and values that drive our entire staff to strive harder each day to meet the healthcare needs of the communities we serve.”

Research demonstrates that Magnet Recognition provides specific benefits to healthcare organizations and their communities, such as: •

Higher patient satisfaction with nurse communication, availability of help, and receipt of discharge information.

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Lower risk of 30-day mortality and lower failure to rescue rates.

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Higher job satisfaction among nurses.

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Lower nurse reports of intentions to leave their positions.

To achieve this recognition, organizations must pass a rigorous and lengthy process that demands widespread participation from leadership and staff as well as an on-site visit by the Commission on Magnet Recognition.

Healthcare organizations must reapply every four years based on adherence to Magnet concepts and demonstrated improvements in patient care and quality.

More Information: Visit www.lewisgale.com or www.nursingworld.org/organizational-programs/magnet to learn about Magnet Recognition®.

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

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | JENNIFER HUNGATE photos | DAN MCDILDA, MCDILDA PHOTOGRAPHY

6TH ANNUAL RAPPELLING CHALLENGE RAISES OVER $35,000 FOR BIG BROTHERS BIG SISTERS OF SOUTHWEST VIRGINIA On Saturday, May 18, 2019, supporters of Big Brothers Big Sisters of Southwest Virginia demonstrated their bravery and belief in the mentoring organization by going “Over The Edge” and rappelling 100 feet from the roof of the Roanoke Higher Education Center. In its sixth year locally, Over the Edge is a fundraiser in which the first 85 people to register and raise $1000 earn the honor to rappel the downtown Roanoke building to support the local non-profit and it’s belief that inherent in every child is the ability to succeed and thrive in life.

Big Brothers Big Sisters of Southwest Virginia has been making meaningful, monitored matches between adult volunteers (“Bigs”) and children (“Littles”) for more than 60 years. Most children served by Big Brothers Big Sisters of Southwest Virginia live in single-parent and low-income families homes, or households where a parent is incarcerated.

The event, which ultimately brought in more than $35,000, was sponsored by Allstate, with supporting sponsors including the Bank of Botetourt, Virginia Mountain Mortgage, Huffman & Nixon, PC, Hamlar Enterprises, Marvin Windows and Doors and many others in the greater Roanoke Valley.

For more information or to learn how you can become a volunteer with Big Brothers Big Sisters of Southwest Virginia, visit www.bigslitles.org.

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

Questions. Answers.

Knowledge.

Are sore muscles a sign of a good workout?

You should

EXERCISE TO THE POINT OF

TIRING YOUR MUSCLES

and if you trained correctly, you will have muscles that are sore to touch or move but not enough that it will immobilize you. If you do not achieve fatigue or soreness then your body has adapted to the exercises and you are now ready to increase the intensity of weight, repetitions or sets.

Muscle soreness is caused by the breakdown of muscle fibers while exercising, which is how the muscles grow back bigger and stronger.

What determines a good workout is not just muscle soreness, but also exercising to the point of fatiguing your muscles. A good workout would have a combination of both fatigue and soreness.

You should exercise to the point of tiring your muscles and if you trained correctly, you will have muscles that are sore to touch or move but not enough that it will immobilize you. If you do not achieve fatigue or soreness then your body has adapted to the exercises and you are now ready to increase the intensity of weight, repetitions or sets.

It is also very important to give yourself proper rest in between workouts to recover so you do not over train and do more damage to your body than good.

What is a hernia?

A hernia is an abnormal hole in the muscle lining of the abdominal wall. Hernias can be congenital (something we are born with) or acquired from everyday wear and tear. Inguinal or groin hernias are very common in men. Umbilical hernias are common in both men and women. Incisional hernias are something that can develop on the abdominal wall at a previous site of an operation.

The most common symptoms of a hernia are a bulge and pain. The greatest concern with having a hernia is that the intestine gets incarcerated or strangulated, which is a surgical emergency. Once a hernia develops it will not go away unless it is surgically repaired. If you suspect you have a hernia, it’s best to have it evaluated and confirmed by your primary care provider. He or she can refer you to a general surgeon or a hernia specialist to discuss treatment options.

Daniel Tershak Jr., MD Jonathan Bennett, EP-C, CSCS Green Ridge Recreation Center Roanoke | 540.777.6300 www.roanokecountyparks.com

Section Chief of General Surgery Carilion Clinic Roanoke | 540.224.5170 www.carilionclinic.org

Jonathan Bennett, EP-C, CSCS Green Ridge Recreation Center

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What is dermatochalasis?

Dermatochalasis is excess skin of the upper or lower eyelids. In many men and women, eyelid skin can become more noticeable with age. For some patients with dermatochalasis, the upper eyelids can feel “heavy” and even press down on or hang over the eyelashes.

Dermatochalasis may be bothersome to patients for cosmetic reasons, but can also be severe enough to impact vision. This can make it difficult to see properly during everyday activities such as reading, watching television, or driving.

Upper eyelid dermatochalasis can often be treated with a surgical procedure called blepharoplasty (upper eyelid surgery). Upper eyelid surgery can vastly improve vision for many patients and in some instances, can make the patient appear years younger. For severe cases, if certain conditions are met, insurance companies may cover the cost of surgery. For less severe cases, blepharoplasty surgery may be considered cosmetic, resulting in the patient having to pay out of pocket.

Chrissy Hodge, PA-C

Oculoplastic Surgery Vistar Eye Center Vision & Surgery Specialists Roanoke | 540.855.5100 www.vistareye.com

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Questions. Answers.

Knowledge.

Can psoriasis go away on its own?

How can I recognize a potential bite problem in my child?

Even though psoriasis is a chronic condition with no cure, it can go into remission; there are ways we can encourage this.

Psoriasis tends to have a genetic predisposition and is typically triggered by stressful events (moving, job change, illness, hospitalization, surgeries, death in the family, etc.). For most patients, psoriasis worsens in the winter months and improves in the summer months.

Every child needs to be EXAMINED BY AN ORTHODONTIST

BY THE

AGE OF SEVEN

in order to identify any possible problems with the bite. Occlusion (bite) is like a puzzle where the upper and lower teeth fit together in a very specific way.

When psoriasis is in remission, patients can remain clear for months or even years. So, what factors contribute to remission? Decreased inflammation and avoidance of trigger factors—which include stress, cigarettes, an unhealthy diet, and poor sleep hygiene. Patients who eat well and sleep well are more likely to stay clear of psoriasis.

Every child needs to be examined by an orthodontist by the age of seven in order to identify any possible problems with the bite. Occlusion (bite) is like a puzzle where the upper and lower teeth fit together in a very specific way. There are skeletal and dental variables that contribute to the relationship of a child’s bite. Through observation and monitoring we are able to address concerns early on in order to maintain healthy teeth, gum and bone structure. The use of diagnostic tools, x-rays and orthodontic treatment modalities, can help encourage harmonious growth of the upper and lower jaw.

Craniofacial growth and development can be a complicated topic, but with the partnership of an orthodontist, a final esthetic and functional result is possible for every child.

Aleksandra Brown, DO, FAAD

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

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

Mountain View Orthodontics

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Hernias typically start as small non-tender protrusions that reduce back into the abdominal cavity with pressure or by lying flat.

Problems arise when the hernias have structures from inside the abdominal cavity protrude through the abnormal opening and get stuck outside the abdominal cavity. This is incarceration of the hernia contents and if an acutely incarcerated hernia gets enough swelling of the tissues, the blood supply may become diminished and the tissue become strangulated. Both acute incarcerations and strangulations are surgical emergencies requiring operative repair.

Hernia patients that are suitable candidates for elective repair, should undergo a laparoscopic or robotic laparoscopic repair if they do not have any contra-indications for the procedure. Most elective hernia repairs are performed as outpatient surgery. The recovery for laparoscopic hernia repairs is much quicker with less pain and less complications than the traditional open hernia repair.

If someone has a hernia, it should be fixed electively if the patient is an acceptable candidate before the hernia gets too large to be repaired or becomes a surgical emergency.

Banafsheh Hosseinian, DDS, MDS

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What happens if a hernia is left untreated?

Jason Rigoni, DO

LewisGale Physicians General Surgery Salem | 540.772.3400 www.lgphysicians.com

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

Celebrating

Outstanding

Nurses in Roanoke & New River Valleys The 2nd Annual Celebrating Outstanding Nurses in Roanoke and New River Valleys Recognition Program Puts On Display Individuals

Possessing Qualities that Exemplify Excellence in Every Way words | JOE BUTLER

Having exceptional clinical skills is only part of what reminding them the main reason they got into medicine makes a nurse stand out in her or his field in healthcare. in the first place: because they care.

While there’s no denying the amount of time, effort According to the Virginia Nurses Association, there and intellect that goes into becoming a nurse, it’s often are currently more than 100,000 nurses in the what’s not taught in the classroom that really makes these Commonwealth who all generally possess similar abilities. truly special individuals the difference makers in The class of nurses who make up this year’s list their field. Like compassion and empathy. shows us more about the person, including Resilience and dedication. Resolve what makes each of them unique when it and determination. Selflessness and comes to treating others the way they Nurses are humility. Typically, people in healthcare deserve. It’s either their projects and often the catalysts positions are taught to separate their passions they’ve been involved in for for change when it emotions from their jobs, so they may years or the especially interesting make the most objective decisions comes to the pre-nursing careers and backgrounds based on medical science. But anyone that can sometimes add extra health system as who has been cared for by a nurse will perspective to their current duties and a whole. be the first to tell you that being typical provide more opportunities for them is in no way among the many hats they to share their skills and empathy with wear. For nurses, it’s personal, and they prove today’s patients. It’s everything you can think every day that it takes the best balance of humanity of when you envision what makes a nurse notable, and so to see others in need through what often are the worst much more. moments of their lives.

But it doesn’t end there. Nurses are often the catalysts for change when it comes to the health system as a whole. They motivate their colleagues, peers and leaders around them to do more and expect less while routinely

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Please join us in congratulating the nurses featured in the following pages. We thank each of them for their service and for setting a standard from which we all can learn.

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• DEDICATION •

• EMPATHY •

• RESOURCEFUL •

Teresa Bailey, RN Director of Nursing

Carl Beck, LPN Memory Support Nurse

Lesley Butterfield-Harrop, RN, BSN

Salem

Roanoke

Roanoke

Always eager to make sure residents, family members and fellow employees are as comfortable as possible, Teresa Bailey, RN, leads by example and consistently puts integrity first. As Director of Nursing at The Oaks at Richfield, an assisted living community in Salem, Bailey enjoys her management role, but she also enjoys being a part of the nursing team.

A nursing position in the field of memory care isn’t for everyone. But it seems to be the perfect fit for Carl Beck, LPN, who regularly receives praise from his co-workers and his supervisors for doing so well in his role in the Memory Support Center at Brandon Oaks.

The sad and scary truth about physical and emotional trauma is that its effects can still be felt years and even decades after the initial pain took place. Many of those who have experienced trauma or have been in emotionally abusive situations – even as children – have difficulties with other relationships or experience psychological challenges that can leave them prone to substance abuse later in life. While most communities have resources available to address issues like these, finding where to turn isn’t always as easy as it seems. That’s where Lesley Butterfield-Harrop, RN, BSN comes in. The nurse-educator helps lead those in pain to the care they need and deserve.

The Oaks at Richfield www.richfieldliving.com

Whenever she can, Bailey likes to work directly with patients on the floor, which is a win-win for residents and her team.

The residents benefit from her extensive nursing experience, while she and her team benefit from patient feedback and suggestions for improvement. Teresa’s efforts make a difference to residents and their family members—and her dedication is reflected in consistently high satisfaction scores.

Bailey enjoys keeping in touch with past residents to see their progress and sometimes makes surprise visits on her own time, much to the delight of those residents. It’s all part of her learning process and integral to her role as an administrator and dedicated team member. Her overall commitment to making a difference in the life of every patient she interacts with shows in her positive attitude and sensitivity to the needs of her team, residents and their family members.

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Brandon Oaks Life Plan Community www.brandonoaks.net

Some of the residents in this long-term care center don’t always respond well or at all to others on staff, but they always seem to appreciate Beck’s kind and patient demeanor. Regardless of their health conditions or declining memories, residents always know that he’s there eager to assist them with challenging circumstances. So how is this known if some of the residents are unable to speak or aren’t aware of their surroundings? It’s simple. Residents who he cares for seem to have fewer behaviors that lead to negative ones, have less need for interventions to help correct behavioral issues, and receive fewer negative reports overall. Family members also regularly compliment Beck’s comforting and easygoing presence for not only being able to assist with their loved one’s physical needs, but also for simply being kind to everyone.

Beck also often receives praise from his co-workers for his nursing abilities as well as his professional and personal skills. He’s quick to laugh, is always smiling, and enjoys participating in many of the activities, games and parties that often take place at the facility. This is his second career, and many who have had the opportunity to work with him say he chose this profession well.

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

Nurse Educator

CHIP of Roanoke Valley www.chiprv.org

Butterfield-Harrop is on the Virginia Board of Directors for the National Alliance on Mental Illness (NAMI) and is a frequent media contributor, often advocating policies to protect against abuse and suggests ways survivors of trauma can be empowered. She teaches parenting classes for caregivers of children with challenging behaviors and has spoken to the Virginia Legislature about trauma topics and the need for more resources.

Butterfield-Harrop is also part of the Southwest Regional Council Family Support Program that helps families in rural areas that have special needs children to better connect them with the right resources. Everyone she meets has different histories, but Butterfield-Harrop works hard to help them find the good in the world, and in themselves.

• COMPASSION •

Terrill Barnett, CNA Long-term Care Nursing Assistant

Brandon Oaks Nursing and Rehabilitation Center www.brandonoaks.net

Roanoke Terrill Barnett, CNA, knows the old adage is true… laughter is the best medicine for the mind and body. The certified nursing assistant at Brandon Oaks Nursing and Rehabilitation Center in Roanoke not only performs daily care needs of longterm care patients, he always looks for ways to make them smile or laugh.

By dressing up, organizing fun activities and decorating the center, Barnett engages and entertains patients to brighten their day, and hopefully gives their immune systems a much-needed boost. He knows that holidays can be even more difficult for residents, so he goes all in to transform the center during certain times of the year. Buying them supplies to decorate gingerbread houses or putting on a show with Santa and the Grinch, Barnett helps residents maybe forget for a few moments that they miss their families or homes.

While recently attending a Virginia Healthcare Association’s Activities Training conference session, Barnett learned new strategies to help residents enjoy themselves while receiving quality care. With a focus on relaxation, fun and enjoyment, Barnett gives residents more than just basic care. As his colleagues and the families of his patients can attest to, the creative and energetic nursing assistant lifts spirits and makes a true difference in how Brandon Oaks residents feel. www.OurHealthRoanokeNRV.com

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• Compassion •

Ashley Davis, LPN Nurse Auditor

Friendship Assisted Living www.friendship.us

Roanoke OURHEALTH WOULD LIKE TO

Congratulate ALL OF THE

Outstanding

Nurses

in Roanoke & New River Valleys Join Us in Congratulating THEM ON

social media #OurHealthRoanokeNRV

Beyond the technical skills required to be an effective nurse, what truly makes her or him stand out is a display of genuine compassion and the ability to connect with others. Ashley Davis, LPN excels in both areas. Colleagues respect her abilities to get along with everyone and they find pleasure in working with her at Friendship Assisted Living. As a trained nurse auditor, she must prepare a variety of documentation, surveys and reports for various local and state oversight organizations. Her care plans have received acclaim and one has even been used by the Virginia Department of Social Services as an example of proper protocol.

She enjoys working with colleagues and has even demonstrated leadership abilities as interim director of nursing. Residents and family members also appreciate her ability to listen. On one occasion, the wife of a resident was having difficulty adjusting to her husband's increasing dementia. Davis took the opportunity to speak with her privately, kindly listening to her concerns and fears, and helped her begin to adjust to his – and her – new reality. This level of communication went a long way toward relieving the woman’s anxieties, providing her peace of mind.

Davis, who has been a nurse for 12 years, likes to think about the literal definition of compassion: “to struggle together.” As a nurse, she is always willing to do her part to share the burden of people who are having a difficult time physically, mentally or emotionally. This includes reminding them that they always have hope and support.

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• PASSION •

Darlene Jeffrey, RN, BSN Nurse Educator Salem Health and Rehabilitation Center www.salemhealthrehab.com

Salem It’s no secret that nurses are the caregivers in any healthcare setting who spend the most time with patients. And no one knows that better than nurse educators, the very people responsible for passing on the important lessons and values that make nurses so passionate about what they do.

Nurse educators like Darlene Jeffrey, RN, BSN, who has spent more than 30 years in the industry, working in a variety of clinical and educational environments. During the past 15 years, Jeffrey has taught and trained hundreds, if not thousands of nurses. Making sure the nurses of today and the future are properly prepared to provide the best care possible remains vital to Jeffrey, who often spends 16 hours of her day teaching her team of nurses. Jeffrey leads by example and is always happy to help out on the floor working directly with patients. And it doesn’t take much for her to offer her help either, like during staffing shortages or poor weather.

Along with direct instruction and mentoring, Jeffrey’s career is sometimes shown as a positive example of the different areas that people can advance within the profession.

Through the years, she’s worked in and managed the Emergency Department; she’s been the House Supervisor; and she’s served as Medical Program Director of Education.

While there will always be different types of practical and technical procedures that every good nurse needs to know, Jeffrey makes sure to emphasize that there’s more to the profession than mechanics. A great nurse simply strives to provide the best care for any and all of his or her patients. If Jeffrey is responsible for so many nurses learning this important principle, that’s wonderful for them and for our community.

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• LOYALTY •

• Kindness •

Martha Mays, LPN Licensed Practical Nurse

Krista McPeak, LPN Internal Medicine Nurse

Vistar Eye Center www.vistareye.com

Blacksburg

Roanoke Valley Center for Sight www.rvcs-asc.com

Roanoke Martha Mays, licensed practical nurse (LPN), has always been interested in helping people—her mother inspired her to consider nursing since she was always eager to help humans and animals in need, even at a young age.

Now, with more than 40 years in the nursing field, Mays has a knack for making fears disappear. At Roanoke Valley Center for Sight and Vistar Eye Center in Roanoke, Mays makes it a point to reassure each vision patient, giving as much time as needed to answer questions and making sure the patient understands everything taking place.

Her caring demeanor has helped soothe the concerns of patients anxious about exams, vision loss or optical surgery. She’s forged such strong relationships with patients over the years that many of them ask for her by name.

Mays always puts patients first and makes sure new employees have the same focus on both compassion and communication.

Making sure patients don’t carry anxiety about being overlooked, ignored or rushed, while helping the office run efficiently, Mays’ principles and values help create a better patient experience and foster outstanding vision care.

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LewisGale Physicians www.lgphysicians.com

Nowhere in the basic nurse job description does it say, “Must hold doors for every patient they meet” or “Need to walk patients out to their cars.” So why does Krista McPeak, LPN perform these tasks and many others like it? Simple: because it’s the right thing to do.

As a licensed practical nurse at LewisGale Physicians Blacksburg Internal Medicine, McPeak prides herself on combining common courtesy and kindness with exceptional patient care skills because they just naturally go hand-in-hand. She takes the time to explain health or procedural items to patients, giving each her undivided attention while never once seeming rushed.

She lends a comforting and consoling shoulder to lean on during difficult times, and makes a point to greet every person who comes through the door with a warm smile and welcoming voice. When patients can’t make their appointments, she follows up to ensure they have an ample supply of any vital medications until their next appointment all while using her superior clinical skills to sense any health concerns that shouldn’t be ignored. Co-workers say McPeak’s going above and beyond attitude has a positive, residual effect on other staff in the office, encouraging everyone to follow her lead in being consistently kind to not only some, but to all, just as the Golden Rule suggests.

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

• COMPASSION •

Lauren Miley, BSN, RN, PCCN

Volunteer Nurse/ Emergency Room Nurse Bradley Free Clinic www.bradleyfreeclinic.com Carilion Clinic www.carilionclinic.org

Roanoke There are two life lessons that Lauren Miley, BSN learned long before her 10+ years of nursing that remain as important to her today as they ever have. First, you should never judge others because you haven't walked a mile in their shoes. Miley believes in respecting everyone’s story, no matter who they are or how they got to where they are today. And second, she believes in treating everyone with the same kindness and attentiveness no matter how busy you might be. In today’s non-stop, nose-in-our-phone world, where people are less present and busier than ever before, Miley is proof that no matter how rushed we may think we are, there is always a moment to spare to give to another if we truly want. That’s because there can’t be too many people who keep up the pace she does, yet never let it control her. Whether she’s working full-time in the Emergency Department at Carilion Roanoke Memorial Hospital, or volunteering her time at the Bradley Free Clinic – where she has consistently done so the last six years – or attending college to even further advance her education, there’s one thing for certain: not one of her obligations receives anything less than her 100% attention and effort. It goes to show that leading a more disciplined, balanced life really will allow us to give more to others without pulling us down, and just another example of a life lesson that Miley lives by, and others maybe should consider trying as well.

• COMMUNICATION •

Donna Mitchell, RN Hospice Nurse

Gentle Shepherd Hospice www.gentleshepherdhospice.com

Roanoke Donna Mitchell, RN joined Gentle Shepherd Hospice as a registered nurse in 2016 following her 15-year career as a case manager. Recently, she transitioned to become the weekend on-call nurse, overseeing the care of all patients in the Roanoke region. A former emergency room and travel nurse, Mitchell is extremely knowledgeable and highly respected by peers and staff. Her leadership is evident in the thorough education she provides to facility staff regarding the needs of her patients, such as how to turn and handle them in their bed and what medication they require and how to administer it, to name a few. Down-to-earth and naturally personable, she has a knack for quickly building rapport with patients and their families and earning their unwavering trust during a time in their lives when they need it most. With her calming, kindhearted demeanor, Mitchell is able to bring loved ones together to discuss complicated, and perhaps life-long, issues in a nonthreatening way and can diffuse even the most stressful situations. Her clear and detailed communication with families and members of the care team contributes to the exceptional care Mitchell provides. Mitchell’s dedication to her patients is probably best illustrated by measures she took last year during a winter storm. To get to a patient in his final hours, Mitchell drove all the way from her home in Craig County to Smith Mountain Lake on the slick, snow-covered roads. Unable to make it all the way by car, she hiked a mile to their house and later hitched a ride on a tractor (that she calls her chariot) to get back! Mitchell was probably more prepared than most for this kind of endeavor. When not working, she might be found section hiking (solo) the Appalachian Trail, or with her husband operating a hostel for trail hikers in the New Castle area.

Congratulations

Outstanding

Nurses #OurHealthRoanokeNRV

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• DEDICATION •

Carmen Nolen, FNP Cardiothoracic Nurse

• SELFLESSNESS •

Cristina Trout, FNP, SANE-A, SANE-P

Family Nurse Practitioner

Carilion Clinic www.carilionclinic.org

Carilion Clinic Family Medicine www.carilionclinic.org

Roanoke

Blacksburg

Part of a provider’s role in healthcare is being able to think fast on his or her feet and make incredibly important decisions without any errors. When it comes to making critical choices that are best for her patients, Carmen Nolen, FNP knows what she is doing. The family nurse practitioner also enjoys looking for creative solutions to benefit her patients and help them recover.

For instance, one of her patients had been in the hospital for several months following difficult cardiac surgery. After realizing he hadn’t been outside for weeks and weeks, Nolen arranged for him to spend a day outdoors in the sunlight, which he so appreciated. Another patient was having challenges reading the instructions on her medication and wasn’t always sure when to take them. Nolen researched and found a type of medication box that had the sun and moons on them, indicating when each should be taken. All of these ‘out of the box’ ideas speak to the type of caregiver Nolen is – passionately dedicated to putting her patients first. She also enjoys her role in supporting other staff, such as conducting orientations for new employees. And when it comes to helping a fellow coworker recognize and learn from his or her mistakes, she insists of “correcting with kindness”, never with hatefulness. Nolen is not only an advocate for her patients, she’s an advocate for all people.

Cristina Trout, FNP has been paving the way for nursing care in the New River Valley for many years. In 1995, she became the first Nurse Practitioner at Carilion New River Valley Medical Center (CNRVMC) in Christiansburg. She was among the first 50 nurse practitioners in the state to receive an autonomous license from the governor which allows them to work directly with patients, and today, she serves as the primary care provider for more than 2,000 patients each year. These include patients with a wide range of physical and mental health needs. Trout is also a founding member of the Forensic Nurse Examiner program at CNRVMC, which works with victims of violence to assess them for physical or mental health needs. The program offers examinations to victims in the emergency room, and if needed, referrals to other community resources. These efforts have led to the convictions of scores of abusers as well as strong community support for victims.

Trout is active in training other forensic nurse examiners in an effort to help even more victims of violence. She is a mentor to many in pursuit of their certification for Sexual Assault Nurse Examiner-Adult (SANE-A) and Sexual Assault Nurse ExaminerPediatric (SANE-P) and is the preceptor for several area Nurse Practitioner programs.

Through Trout’s genuine devotion to care in her community, she has touched the lives of countless patients, co-workers and staff and continues to do so in her never-ending commitment to care for others.

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Messages to Men:

Your Health is Important to Your Family.

It Should Be Important to You Too. words | JENNIFER LAMONT

You’re our protector, our advisor and our guide, even if you don’t always know where you’re going. Sometimes you’re the dad who makes us learn how to change a tire before we can drive. Or the class clown who makes us all giggle. You’re the husband who is a best friend and partner. The guy who makes us roll our eyes but who we know we can’t live without.

You’re not a superhero, but, at times, you’re our hero. You seem invincible – and you might feel that way – but you’re not. As the people in your life who love you, we want you to take care of yourself. But we don’t want to nag or constantly remind you, because, frankly, we are tired of doing all the worrying for you. And we know nagging doesn’t work anyway. Men still don’t go to the doctor for checkups as much as women, especially if they feel ‘well.’

Love Your Body Like You Love Your Car June is Men’s Health Month and there’s no better time to tell you how important you are to us – the people in your life who love you, support you and want you around for a very long time. We know you don’t like going to the doctor. Who does? And while some of your reasons for not going are logical, some aren’t.

Logically, you know that men who get early, preventive care have a better chance of catching and surviving illnesses while they’re much more treatable and manageable.

Even if you feel “fine” or you think that pain will go away, there’s never a “dumb” reason to go to the doctor.

Just as you take your car in for regular oil changes and repairs to make sure it’s running smoothly, you need to treat your body with just as much care. If you think something is wrong with your car, you want to fix it early before it becomes a major hassle. Your health is even more important. It matters. So, here’s what we really want you to know.

Love Letters from Your Family – What Your Loved Ones Really Want You to Know

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37

50th e of your ife, L y on the ev ke re a M m e f w ll o e ere u sti a To the Lov gine how fast time woueldwfley’r?eHstill in our twenItisehso.uYldo , but I think

ver ima it feels lik s often as Did you e ’t say it a are times n o re d e I th w d an I kno how birthday, else can. married. you, and y we got ke no one a li d e h g th u s ppreciate la a a w en’t d me v o n a n a h e e s m ing I lov s handso hildren. Th ow much c h r and u u you are a o o u y o to y ll er to te d father rried to a tt n a le m d g is n a in th b e ng ed b a hus ide, my I’m writi w I’ve lov d, my gu ve you as o n a n h ie k fr to to t s u m e Ia t yo You’ve my b thankful but I wan r. You’re my love. e t, c d th fe n e r a g e p to e en -crim our life mes and always be partner-in building h good ti y g u jo n ro e th I h s all e first. how muc steered u eryone els v e t g a in h tt w g ys pu bad, alwa morrow, ou’re doin ig 5-0’ to ‘b e Knowing y th rn first. I lthy a e yourself h As you tu t u y p a t to s e ’s tim all your r you can to honey, it elebrate u c o f to o d n n u aro led and ndatio u o f want you oth wrink e b h e t ’r e s w p l kee places unti e exciting birthdays . th d ll i a l o t u s o ck tire to, ink ab want to re oon. I th e family ro rn w e h ft a rc o e th ep e with th at 4:30 in the hous p dinners d u n a o s r e g n th ti ea all of it l toge t to trave we can do e y o s e , v lf a e h rs we cted us f you ke care o and prote hopeful. r ta o s fo to d m u I’ re o a y d c an ’ve ant ell as you nned. I w much pla urself as w o o s y t e c v a te h ro We . g you’re u to p en strong . Knowin I want yo e e . b in re s g o y a a m lw im d an can ave a solid. It than you ars. You h mily rock e re y fa o r e m u th , o s r f u e o ov ll of ation will keep at helps a It’s what the found th s t. p th n e a g e n w k e y tr uld alth It’s that s family co to stay he and dad a t you can d a n h a w b s g u in h do best are too that you being the u w o o y n s k p , e ke cannot sband ed, and I . arling hu h g d s n ri y o e tr m h s c , u w yo er has ou are morro ves togeth ow that y li te you to n r K ra u . b o d f le o e te c years r gran So, as we e last 25 things fo nty-five. t to take ending th p n S next twe ta . r e u o o p th y d t im n u e o p h s it e ww my life w to see ho imagine can’t wait I . g in s s been a ble

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With early sc reen

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your chance s for develop them are mu ing ch less likely.

CONTINUED ON PAGE 40

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

www.OurHealthRoanokeNRV.com

39

Tips to Der ail D Pred iabet iabe tes a can es be r n d type eve Emily Johnson (Sis)

F

rsed . The 2 diabe tes CDC redu say c by e ing your s ve w perc n 5 to 7 eight e risk. nt lower s F pers or a 200 your o to 14 n, that’s pound only poun 10 ds.

Inbox - Email May 20, 2019 at 5:50 PM

Happy Birthday Bro To: Trever Johnson

Happy 50th Birthday to my favorite big brother!

Yes, you’re my only brother, but still my fave. That’s why I want to tell you how much I appreciate you for always being there for me. As big brothers go, I got lucky.

Did I ever thank you enough for all those times you changed my oil or patched that old VW back together for me? Or for being my protector that one summer at camp?

I know I could never thank you enough for helping me move so, so many times.

(I swear, I’ll never ask again!).

Thank you, big brother, for always being someone I could count on as kids and, even now, you’re always there for me. As your sister, I’m proud to call you my brother. As your family, I hope you’re taking good care of yourself. You know I need you to be here for all the family reunions and help me make fun of the cousins. :)

Reduce Your Risk

Exercising and eating healthy reduces your chances for developing type 2 diabetes by 58 percent. That number jumps to 71 percent if you’re over age 60.

Take care and happy birthday, bro.

Did You Know?

Love always, Your Sis

Replacing fast-digesting carbohydrates (refined, processed sugary foods) with whole foods reduces your chances for developing diabetes by up to 40 percent.

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le ad to big pain s and possible surger ie s – w ith far more compl ications – dow n the road, al

been avoided

l factors that may have with earlier ca re.

CONTINUED ON PAGE 43

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

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

! ay, Daddy d h t ir d give you B y Happ in person an B H u yo h g cool is

hin to w t you somet ’t be there s week! I go Sorry I can al n meeting fi r ’s fo it u t u hug, b , thank yo W T , B e. a great big m t ti f the house it home nex g him out o in n n ru t – bringing o dn the break an John over dy. ad D er y, u od g ut whenev lol. He’s a go me soon, b ti y g an in k ed arri it. Thin t to get m talk about e W f .

O it I don’t wan l? in oo he’s r grad sch my future, s maybe afte e’ h I imagine t ot you. Bu urse, he’s n co l o ys nd, right? L a close seco I will alwa ill so ugh. You w worry, tho ’t n need you, o t D an rt e care of always be the most impo e me please tak is addy. man in my life. ProJmohn and en yourself, d h sle w own the ai care of walk me d to e please take er so , th u e yo d ee n you’ll b s way ed. I will al I get marri addy. yourself, d ter! and Mom la I’ll call you birthday!

nd happy Love you a Girl Your Baby

elling c n a C o t s Tip r Out Cance althy

neral and a ge – s e s s e e doctor— While illn oing to th g t u o b a er ness ye ars soon e stubborn iv f g in y l to men d tentiona contr ibu te rage, unin e v a n o u en n yo do than wom And whe . le ro a lso play ot “suck injuries a a fight to n

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aining a he and maint Exercising risk uces your weight red t as le at g in of develop rs. ce n ca f o 13 types s of ast 2½ cup Eating at le your ts cu ay sad vegetable types eloping all risk of dev of cancers.

Did You Know?

You can increas e your fi rate of ve-year colorec surviva tal canc type of l er – the cancer leading in both men an d wome – up to n 90 perc ent by getting recomm ended screenin gs and catchin g it in th e early sta ge.

43

Dear Son, What a milestone! Getting to 50 means you’ve done okay so far. Just wait till you’re my age! I wish you the happiest of birthdays, kiddo. It doesn’t matter how old you get, you’re still my little boy. I’ve A little birdie told me always been proud of you, you know that. you missed another There’s not much new happening here since doctor’s appointment. we spoke last. Your father sends his love. His Don’t make me take sugar has been a little on the high side. you there myself.

I hope you’re taking good care of yourself.

How is the shoulder doing? A little birdie told me you missed another doctor’s appointment. Don’t make me take you there myself. You know your father doesn’t like me driving the car.

I’ve enclosed a magazine clipping that says eating greens helps prevent cancer and diabetes, so I hope you’re eating your vegetables and taking your vitamins.

And please go the doctor. Don’t be like your father. He won’t eat kale.

Tips for Reducing Slips, Spills and Mishaps Improving your balance and strength can help you reduce the chance of falls and injuries while working, home or at play.

Did Y

ou Kn

Happy, happy birthday! Your dad and I love you with all our hearts.

Take care of yourself, son.

ow?

Wear ing a seat b the sp elt an eed li d follo mit re dying wing duces in a c your r ar cra isk of sh by half.

Gettin g com prehe eye e nsive xams e ach y espec ear, ially a fter th age o e f 45, w ill red your c uce hance s for accid ents a nd fall s.

Love, Mom and Dad

I f Yo u Do A T h e se N o ny t h i n g, Ta ke te s to H e a The way y rt o u t a ke c a re

3 01 2 g rin p S

Spring 2013

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of yourself ever yone a impacts ro u n d y o u , a s ow n physic well as yo ur al and me ntal perfo ever y thin r mance in g you do. P art o

possible

f that is putting o o r other ob perspec stacles in tive to p ut your healthy health fi attitude rst. Ado s pting in fl u e n around y ce not o ou, but m nly thos e ake you son, bro a better ther and h u sband, father.

Your fears, eg

loved one s want to s he althy lif ee you li ve e for your a long , self and fo r them.

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Healthy Home FAMILY • SAFETY • IMPROVEMENTS

Updating Your Home?

Consider These Simple Tips for Making It a Healthier and Safer Place for Your Family words | JEANNE GRUNERT

There’s nothing quite like standing back and seeing how magnificent a project has turned out after all the hard work it took, especially a remarkably large undertaking like renovating or remodeling a home. Yet, no matter how much we may love our living space’s new makeover, there always seems to be something that we would have done differently had we remembered or known about it before the job was complete.

Like all industries, home improvement is one that has seen major advancements in the products, materials and processes used to not only make our lives more comfortable, but healthier too. Before you begin your next big project, take time to learn more about the options available today that can make your home a healthier place to live in the years to come for you and your family.

Mold and Mildew Areas of a home like basements, beneath stairs and in crawl spaces – especially those where furnaces, heat pumps, water heaters and sump and sewer pumps may be located – are more prone to accumulating moisture that can lead to mold and mildew developing.

Moisture behind already enclosed walls can even be present, especially if a home is very old or previous remodeling was done incorrectly.

Did You Know?

According to the Centers for Disease Control and Prevention (CDC), exposure to mold in the home can lead to coughing, wheezing, throat irritation and skin irritation. People with existing lung disease should pay special attention to mold issues as they can aggravate the condition.

New Products for Home Health

Are They Worth It? Ads on television or in glossy brochures at the home center tout the latest health and safety products, but are they worth it? For those with ongoing health concerns or young children at home, you may wish to consider one or more of the following add-on products to your new home or home remodeling project.

1. Media filters: Most air filters for HVAC systems fit loosely in their frames. This allows some air to circulate without passing through the filter, and thus without having airborne particles filtered out. Media filters, on the other hand, fit tightly in the frames and trap more dust, pollen, and other airborne particles. And, according to experts, may last two to three times longer.

2. UV lights: UV lights use ultraviolet radiation to kill mold and bacteria in the air.

They are placed inside the HVAC system. As air passes through the system, the UV light kills these living organisms and improves indoor air quality. They may also be used to reduce mold and bacteria in water systems. They are well-tested and proven to work, and have been in use for decades.

3. Electronic Air Cleaners:

These provide whole-house filtration by removing airborne dust, pollen, and other miscellaneous particles.

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What can homeowners do to keep their homes dry and reduce the risk of mold?

A wet switch or EZ trap into HVAC and water heaters allows the system to cut off upon the detection of water to prevent water damage. Also, a whole-house dehumidifier aids in the prevention of mold development.

Is Summer the Best Time for Home Renovations?

Asbestos and Lead Paint in Older Homes Remodeling older homes is popular among many people who are either interested in updating their current residence or restoring a location full of character from decades before. But with remodeling an older home comes the risk of asbestos exposure and uncovering lead paint under the wallpaper you might dislike.

Not necessarily, according to U.S. News & World Report. Electrical work, painting, plumbing Was Your Home Built Before 1989? upgrades, and even decks and additions can be Homes built before 1989 may contain asbestos. Asbestos is a naturally occurring substance that acts as a fire retardant, but inhaling asbestos completed during the fall or winter, too. You may particles or fibers over a long period of time can cause breathing difficulties also receive faster service during non-traditional or lung diseases. Common areas where asbestos was used in older homes months when contractors aren’t as busy. include roofing shingles, hot water pipe insulation, around boilers, fireplaces, and furnaces, and in pipe joints.

Lead paint may be found in homes built before 1980. The government banned lead additives from paint in 1978, but older homes may have baseboards, trim, or wall CONTINUED ON PAGE 50

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Turn to the Local Pros Tip #1:

Don’ t Duck Your Ductwork Just Because You Don’t See It Home remodeling often involves updates and changes to the more visible surfaces, such as countertops, appliances, windows, flooring and wall textures. While these more minor projects make major improvements in the appearance of our homes, they unfortunately can create unwanted effects in places out of plain sight. Like your ductwork. Dust and debris created from demolition and power equipment can find its way into our ductwork through register grills in the walls, ceilings and floors that take air and everything in it that gets heated or cooled before returning into the home, along with the pesky particles that went along for the trip. These particles of dust and debris can wreck havoc on people with lung conditions, asthma or allergy, and the effects can linger as long as nothing is done. Take the opportunity after your project is complete to have your ductwork and HVAC system cleaned and checked for optimal performance. Professional HVAC contractors like Cundiff Heating and Air Conditioning in Roanoke offer affordable and effective ductwork and overall system cleaning and repair if needed that can make another major improvement in your home, and the health of everyone who lives in it.

Cundiff Heating and Air Conditioning Roanoke | 540.982.1199 www.cundiffheating.com www.OurHealthRoanokeNRV.com

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paint that still contains lead. According to the CDC, nationwide, 24 million housing units are suspected of containing lead paint.

This paint can chip or become dust and airborne, causing mental problems including poor concentration and lowered intelligence.

Turn to the Local Pros Tip #2: Wrap Up Your Remodel with A Professional Whole Home Deep Cleaning Just as a small remodel can cause dust and debris to infiltrate your ductwork, it can also get trapped in the tops and bottoms of wall corners, in crevices, cabinets, carpets, walls, baseboards, ledges, fireplaces, window treatments and more that we may not know about. Mud and dirt from outdoors can also make its way in through foot traffic of construction workers and residents living in the home during construction. Even brand new appliances, sinks, fixtures, windows and doors that look clean to naked eye still may need deeper work done to rid of bacteria, germs and other unhealthy elements that they accumulated while in storage and transport.

The Happy Housekeepers in Roanoke offers specialized deep-cleaning services specifically for post project clean-up. For an even deeper clean, they can tackle that dirty attic or basement ensuring your home is clean and healthy literally top to bottom.

The Happy Housekeepers

Roanoke | 540.774.4299 www.thehappyhousekeepers.com

Contractors today have many options and can guide you on how to remove old asbestos-laden materials and lead paint safely.

Homeowners have options, too.

What can homeowners do if they have lead paint?

For homeowners living in houses that may contain lead paint, the CDC recommends wet-mopping and wiping floors and windowsills frequently to remove any lead particles. Check and remove any peeling paint, especially if you have children under age six living at home who may put hands in their mouths after touching walls or areas containing possibly contaminated paint.

Safety Should Come First When Remodeling Remodeling for aesthetic reasons provides a refreshed and beautiful home, but what about safety? As you’re drawing up your estimates with your contractors for your home remodeling, ask about adding safety features to your home including:

Reinforcing handrails Installing grab bars Modifying showers to include grab bars and seats Removing or tacking down scatter rugs Making sure transition strips are correctly mounted into the floor to prevent trips Making sure areas are well lit indoors and out If you’re remodeling your bathroom, consider adding those grab bars and handrails during the remodel. You may not need them now, but you never know when an accident or illness may reduce your mobility, making those grab bars a lifesaver. Even a slip in the shower could be dangerous; a grab bar or nonskid surface added to the tub or shower floor may save a life.

Home remodeling is more than choosing new carpet, paint, and fixtures. Oh sure, that’s the fun part. But making sure your family is healthy and safe is the essential part of a home remodeling project. Choose your projects wisely, invest in healthy living spaces, and enjoy your home for a long time to come.

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Food Fitness NUTRITION • EXERCISE • PREVENTION

BUYING AND CONSUMING LOCAL FOODS IS BENEFICIAL IN MORE WAYS THAN YOU MIGHT THINK.

words | BRANDY CENTOLANZA

Nothing beats a fresh bowl of strawberries in the spring, a juicy tomato in the summer, or a crisp apple in the fall.

While produce is easily accessible at the supermarket, buying fruits, vegetables and other products from local farmers and merchants can be a benefit for not only your personal health, but also for the community as a whole.

WHAT’S CONSIDERED ‘LOCAL’ FOOD? Local food is generally categorized as food that comes from within 100 miles of where you live, though the Virginia Department of Agriculture and Consumer Services (VDACS) considers anything grown or raised in Virginia as local. This list includes fruits and vegetables, herbs, plants and flowers, meats, cheeses and dairy products, seafood, and other items.

Buying local “helps strengthen local economies,” points out Elaine Lidholm, Director of Communications for the Virginia Department of Agriculture and Consumer Services (VDACS). “Consumer spending at farmers markets keeps money circulating within the local economy, helping to create and preserve jobs www.OurHealthRoanokeNRV.com

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Southwest Virginia FARMERS MARKETS

The Virginia Department of Agriculture and Consumer Services (VDACS) provides a list of more than 200 farmers markets by region on at www.vdacs.virginia.gov/vagrown

Blacksburg Farmers Market

100 Draper Road | Blacksburg | 540.239.8290 www.blacksburgfarmersmarket.com January – March: Saturdays 10 am – 2 pm April – October: Wednesdays Noon – 6 pm Saturdays 8 am – 2 pm November – December: Wednesdays Noon – 6 pm Saturdays 9 am – 2 pm

Catawba Valley Farmers Market

4965 Catawba Creek Road | Catawba | 540.864.5913 www.catawbafarmersmarket.com May – October: Thursdays 3:30 pm – 7 pm

Christiansburg Farmers’ Market Hickok Street | Christiansburg | 540.382.6128 f ChristiansburgFarmersMarket May – October: Thursdays 3 pm – 7 pm

City of Salem Farmers Market

3 East Main Street | Salem | 540.375.4098 https://market.salemva.gov January – March: Saturdays 9 am – Noon April – December: Monday – Saturday 7 am – 4 pm

The Marketplace

Historic Pulaski Train Station 20 South Washington Avenue | Pulaski | 540.994.8610 f PulaskiMarketplace www.pulaskivamarketplace.org May – October: Tuesdays 4 am – 7 pm

Roanoke Historic City Market

213 Market Street | Roanoke | 540.342.2028 f RoanokeCityMarket Open Year Round: Monday – Saturday 8 am – 5 pm Sundays 10 am – 4 pm

farmers markets, you may also wish »to Beyond consider joining a Community Supported Agriculture (CSA) program.

Through a CSA, farmers offer shares to the public: In exchange for a membership, farmers supply patrons with a box of seasonal produce or sometimes even farm products like meats and cheeses each week during the season.

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Food Fitness

• NUTRITION

in rural localities. Consumers visiting farmers markets also spend money at neighboring businesses, supporting the neighborhoods where the markets are located. Buying local is a way to know the farmers who grow your food.”

WHY BUYING LOCAL IS BETTER

Buying local is becoming more popular with more people choosing to shop at area places such as farmers markets and more restaurants also opting to use local ingredients in their dishes in a trend known as farm-to-table dining. Not only does the practice of buying local help boost the economy, it is better for the environment and is healthier for you and your family too.

“It’s also a way to buy produce, plants, herbs or other products that are justpicked fresh, and thus, more nutritious,” says Lidholm. “Spending long hours on a truck or rail car diminishes nutrients, so fresher really is better.”

“Buying local is also a way to buy produce, plants, herbs or other products that are just-picked fresh, and thus, more nutritious.”

Elaine Lidholm

Director of Communications for the Virginia Farmers Market Association

Picking up ingredients for your next meal at a farm stand makes you feel more connected to your food and makes you more aware of what you are putting in your body. It also provides a chance to get to know the farmers and discover foods you may have never heard of before. Prices vary depending on the products, and, while some items may be a little more expensive than your chain grocery store, the benefits to your health make it worth it.

“At a farmers market, people often find products not available at the chain stores like exotic vegetables, or heirloom apples or tomatoes, so price isn’t always a factor,” says Lidholm.

WHERE TO BUY LOCAL PRODUCTS

Nearly every community in Virginia has a weekly farmers market, typically in the warmer months when fruits and vegetables are at their peak. The Virginia Farmers Market Association provides a list of more than 200 farmers markets by region on its website (www.vdacs.virginia.gov/ vagrown). In addition, vendor information is available through the Virginia Farmers Market Association (www.vafma.org).

WHAT ARE COMMUNITY SUPPORTED AGRICULTURE PROGRAMS?

Beyond farmers markets, you may also wish to consider joining a Community Supported Agriculture (CSA) program. Through a CSA, farmers offer shares to the public. In exchange for a membership, farmers supply patrons with a box of seasonal produce or sometimes even farm products like meats and cheeses each week during the season. The arrangement works because you get to know the people growing your food and you receive fresh food full of flavor and vitamins Local farmers also tend to use less pesticides or none at all. Advocates for organic foods – foods grown or produced without the use of chemical fertilizers, pesticides, or other artificial agents – consider these foods to be safer, more nutritious, better tasting, and better for the planet.

“When buying directly from a farmer or food producer, you have the opportunity to ask them about their growing practices,” says Kim Hutchinson, Executive Director of the Virginia Farmers Market Association. “If choosing meat from animals that are grassfed or raised in a particular manner is important to you, talk to the farmers about how they raise their animals. There

are also certifications you can look for such as Animal Welfare Approved, Certified Naturally Grown, and Certified Organic.”

WHEN BEST TO BUY

In Virginia, food is grown year-round, allowing consumers to enjoy various fruits, vegetables, and other products throughout the year.

The Virginia Department of Agriculture and Consumer Services offers a produce availability chart on its website at www.vdacs.virginia.gov/ pdf/producechart.pdf.

“When you eat with the season, buying from local farms, you learn which fruits and vegetables are available each season and enjoy them fresh at their peak: strawberries and asparagus in the spring; tomatoes, corn, and watermelon in the summer; and apples, pumpkins, and sweet potatoes in the fall,” Hutchinson says. “You can also preserve food at its peak through canning, freezing, or dehydrating, so you can enjoy summer flavor throughout the winter. There is also wonderful produce that keeps well like butternut squashes, sweet potatoes, and apples. These are excellent to buy in bulk when they are in season.”

When you are shopping for fresh fruits and vegetables, be sure to pick produce that is firm, colorful, the proper temperature, and is free of any bruising or signs of pests.

Be sure to thoroughly wash items before consuming.

EXPERT CONTRIBUTERS

“You can also preserve food at its peak through canning, freezing, or dehydrating, so you can enjoy summer flavor throughout the winter.”

Kim Hutchinson

Executive Director of Virginia Farmers Market Association

Kim Hutchinson is the Executive Director of Virginia Farmers Market Association.

Elaine Lidholm is the Director of Communications for the Virginia Department of Agriculture and Consumer Services (VDACS).

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NUTRITION • EXERCISE • PREVENTION

W t r E u

NotetoMCA

ice o B y Y er Ch n for l Clos Fu ilies i d m m n A a Faeatesness cal Fa Lo Cr Fit to words | JEANNE GRUNERT photos courtesy of | BOTETOURT YMCA

Many people in Botetourt choose to live in the outlying community because it allows them to avoid the hustle and bustle of the busier areas around it while enjoying more of the natural tranquility the countryside offers.

But having access to certain services close by does have its advantages.

With the continued growth of Daleville Town Center, which now includes the recently opened Botetourt Family YMCA, local members of all ages can enjoy all the benefits of the new fitness center, along with many activities, classes and programs designed with families of all ages in mind.

The Botetourt Family YMCA opened January 2019 in Daleville, and since then, visitors have flocked to participate in swimming, exercise, sporting events, fitness classes, and a variety of other activities.

“We keep hearing from members how beneficial it is to have a YMCA in their community so they don’t have to drive extra distances to access the programs and services we have available,” says Tricia Reynolds, Regional Executive at the Botetourt Family YMCA. Reynolds says that over 4,000 people have already participated in activities at the Botetourt YMCA since its opening. www.OurHealthRoanokeNRV.com

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Did You Know?

Botetourt Family YMCA Memberships Include Access to All YMCA of Virginia’s Blue Ridge Facilities The Botetourt Family YMCA is a part of YMCA of Virginia’s Blue Ridge, which includes Kirk Family YMCA (Roanoke), Salem Family YMCA, YMCA Express at Gainsboro (Roanoke) and Rockbridge Area YMCA. Membership at one facility permits access to each of these area YMCAs. For more information about YMCA of Virginia’s Blue Ridge, visit www.ymcavbr.org

Food Fitness

• EXERCISE

To Date, Swim Lessons Lead the Way as Most Popular Service Swim lessons have been hugely popular at the Botetourt Family YMCA since opening. Parent/child “water discovery” and “exploration” swimming lessons start children off at age six months and introduce them to the skills needed to master the pool. Swimming basics for preschool, school age, teens and adults impart water safety, and successful swimming techniques in the fun supervised atmosphere of the YMCA. “Our biggest programs to date have been swim lessons, parent’s night out, and chair-based exercise classes. This goes to show that the Y is providing community members of all ages with valued activities,” explains Reynolds.

Fitness classes offered at the facility include yoga, barre, Pilates, Zumba and many others for people of all fitness levels. Water classes also offer fitness opportunities for those who need low-impact aerobics and strength training, such as individuals with arthritis, who are recovering from surgery or other health conditions.

Botetourt Family YMCA and Botetourt County Public Schools Partner to Offer Students Activities The Botetourt Family YMCA has partnered with Botetourt County Public Schools to offer classes to high school students. “This summer we have added summer physical education classes for rising 9th graders to provide them with an added opportunity to complete their physical education and health credits requirements,” says Reynolds.

“Our biggest programs Elementary school children also to date have been benefit from the school system’s swim lessons, parent’s partnership with Botetourt night out, and chairbased exercise Family YMCA with after-school classes. This goes activities that provide enrichment to show that the Y is and fun. “We are adding Troutville providing community Elementary, which will be our fourth members of all ages YMCA after-school site in Botetourt,” with valued activities.” notes Reynolds. “Our other Botetourt school sites include Greenfield Tricia Reynolds Regional Executive at the Elementary (Troutville), Cloverdale Botetourt Family YMCA Elementary, and Breckenridge Elementary (Fincastle). A large component of our after-school program focuses on hands-on enrichment learning opportunities that include STEM, arts, leadership development, health and wellness, and more,” she adds.

Later this year, Read Mountain Middle School (Cloverdale) and Central Academy Middle School (Fincastle) will also introduce programs.

Teens will be able to come to the Botetourt Family YMCA with their friends and participate in a variety of activities, too.

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Botetourt YMCA Summer Activities Wellness MX4 SMALL GROUP TRAINING (ages 12+) Six-week program working with a coach in a small group setting to improve cardiovascular fitness, power, strength and endurance.

SUMMER SELF DEFENSE CLASS (Open to women of all ages) Six-week program working with Virginia State Certified Defensive Tactics Instructors to teach hands-on training for self-awareness and safety.

Adult Sport & Rec PICK-UP BASKETBALL (ages 16+) PICKLEBALL (ages 16+) VOLLEYBALL (ages 16+)

Youth Dance PRESCHOOL BALLET (ages 3 – 4) PRESCHOOL COMBO: TAP & BALLET (ages 3 – 4) BEGINNER HIP HOP (ages 6 – 10) SUPER COMBO: TAP & BALLET (ages 5 – 10)

Youth Programs PRESCHOOL ROOKIE SPORTS SAMPLER (ages 3 – 4) Four-week program where your child will be introduced to a variety of sports including basketball, soccer, and T-ball.

MIDDLE SCHOOL MADNESS POOL PARTY (ages 10 – 14) Bring your friends and join us for a pizza pool party featuring a game of battle boats, water relays, and more!

KIDS’ NIGHT OUT (ages 6 weeks – 10 years) Parents, drop off the kids and enjoy an evening to yourselves.

Aquatics SWIM STARTERS (ages 6 months – 3 years) Accompanied by a parent, infants and toddlers learn to be comfortable in the water.

SWIM BASICS (ages 3 – 12) Students learn water safety and basic swimming competency.

SWIM STROKES (ages 3 – 12) Students are introduced to four competitive swimming strokes as well as rescue skills and healthy lifestyle habits.

For more information, including program dates and cost, visit www.ymcavbr.org/ locations/botetourt/botetourtfamily-ymca by scanning the QR code provided.

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“The Botetourt Family YMCA is continually partnering with local organizations as opportunities for the needs in the community present themselves.”

Tricia Reynolds Regional Executive at the Botetourt Family YMCA

ore Read M e th t u Abo ened p O ly New

Grace Addy und o Playgr Page Turn to

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“The Botetourt Family YMCA is continually partnering with local organizations as opportunities for the needs in the community present themselves,” states Reynolds.

Free On-Site Childcare For Family Members While most of the programs offered at the Botetourt Family YMCA focus on physical health, the fitness facility also addresses the need for ongoing learning. One partner is Botetourt County Libraries, which holds a reading program for children in the Y’s childcare area – Stay & Play – on Friday mornings.

Botetourt Family YMCA and Addy Grace Playground

Stay & Play offers trained and certified YMCA staff who supervise children from ages six weeks to eight years of age in an area filled with developmentally appropriate toys and activities while parents work out, attend classes or go for a swim. Stay & Play is included with a family membership and is available up to two hours a day per child. Hours of availability are Monday – Friday, 8 am – 2 pm; and 4 pm – 8 pm; Saturday, 8 am – 2 pm; and Sunday, 1 pm – 4 pm.

The Botetourt Family YMCA has over 45,000 square feet of premium health and wellness space, including an eight-lane lap pool, a warm-water recreation and exercise pool, state-ofthe-art networked fitness equipment, track, three group exercise studios, a basketball gymnasium, a modern lobby with social gathering areas, ample space for kids and teens to play and Addy Grace Playground, an all-inclusive playground for children and adults with and without limitations.

The Region’s First Public All-Abilities Playground for Children With and Without Limitations

115 Shenandoah Avenue | Daleville

EXPERT CONTRIBUTOR

Hours: Monday – Thursday, 5 am – 10 pm; Friday, 5 am – 9 pm; Saturday, 7:30 am – 6 pm; Sunday, 1 pm – 6 pm 540.966.9622 www.ymcavbr.org/locations/ botetourt/botetourt-family-ymca

Situated adjacent to the Botetourt Family YMCA on land the fitness center donated is the recently opened Addy Grace Playground, an all-inclusive playground for children and adults with and without limitations. The playground welcomes all and provides families with the opportunities to be together and enjoy the wonders of play.

Off to a Great Start “It’s exciting and very rewarding to open in a new community and serve those who live and work in it,” says Reynolds. “We’re very pleased with how welcoming the wonderful people of Botetourt have been in embracing us.”

Tricia Reynolds is the Regional Executive at the Botetourt Family YMCA.

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Kid’s Care INFORM • EDUCATE • GROW

KEEPING CHILDREN ACTIVE THIS SUMMER

& Off Those Screens! words | JEANNE GRUNERT

ou Y Did w?

Kno

School’s almost out for summer. As the clang of the last bell of the academic year dies away, and the custodian pulls the floor buffer from the closet, kids everywhere rejoice.

ll of a ent .S. c r e 9p he U aming ut 3 s in t g d Abo ehold ave a ole, an s h t s u n n o e o c h c ve per 95 ens ha e a t of to . ess acc phone l ia rt c a sm ve so y a lo s y t e Th ercen t p 45 almos d n “ a e , dia nlin me are o y e l t y.” th stan con

But parents are another story. Many working parents find themselves worrying about their school-age children – notably those ages 12-17 – during the summer months, especially as children age out of day camp, summer camp, and summer programs.

With 24 million children between the ages of 12-17, and just over 1.8 million children under age 18 living in the commonwealth, that’s not an idle worry.

During the summer months, without the structure of the school day or other activities, adolescents tend to gravitate towards their screens.

Unlike their parents, who tend to visit Facebook, Instagram, and LinkedIn, adolescents prefer YouTube, Instagram, and Snapchat.

Too much screen time can be problematic. Screens take away from active play, reading, and playing independently. And cell phones are a real danger. Distraction with cell phones can make children and teens less able to self-regulate themselves.

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The Summer Fun Checklist Here’s a brief checklist to use when discussing with your teens about what interests them so you can plan your summer fun schedule. For every activity on the list, ask your teen to assign a numerical score from 1 – 5, with “1” being “not interested” and “5” being “that sounds great! Let’s do it!” Tally up the results and the activities with the most “5s” are those you might want to add to a “Summer Fun” Checklist of things to do this year.

Summer Fun Ideas: (SCORE FROM 1 TO 5)

Go canoeing Go kayaking Go fishing Go swimming Go to a museum Go for a hike Go on a family bike ride Schedule a movie night Day trips to see historical sites in Virginia Campfire or fire pit with friends Cooking lessons Craft lessons together like pottery, stained glass, etc.

Visit a vintage or artisan festival Volunteer at a local non-profit 64

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Studies have shown the more screen time kids get, the less able they are to manage their emotions, read verbal cues, and self-soothe.

Other detrimental effects of too much screen time include both physical and emotional problems. Neck pain, shoulder pain, back pain, headaches, sleep disturbance with use of a screen near bedtime, and chronic illness caused by contamination of the phone with viruses and bacteria are all risks from too much screen time.

Vision problems are also common. Small text and bright screens can strain the user’s eyes causing dry eyes, eye redness, and blurred vision.

So no, parents – it’s not your imagination, and you’re not overreacting when you worry about your teens during the summertime. But what can you do?

Take Back Summer from the Screen!

It’s time to take back your summer from the screen or limit your kids’ screentime.

But instead of nagging them to death over their use of smartphones, make the alternative more attractive.

1. Virginia State Parks Programs: Virginia offers a wealth of beautiful state parks with lakes for swimming, canoeing, and fishing. Camping, hiking, nature programs and other outdoor activities make for great family time, too. Special events include nature hikes, star gazing, historical tours of sites, and more.

Visit www.dcr.virginia.gov/ state-parks/other/summer-fun for more information.

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2. Virginia Public Libraries: Many of the public libraries in Virginia offer summer programs for teens including movie days, gaming afternoons with old-fashioned board games, and similar programs.

Visit www.vpl.virginia.gov/ programming/youth-services/ for more information.

3. Friend Fun: Plan for a sleepover, a weekend together, or another activity that brings teens together. It doesn’t have to be elaborate or expensive. It’s having face time, rather than screentime, that counts.

4. Get On Your Bike and Ride: Dust off your old bicycles, fill the tires, and go for a family ride. The Rails-to-Trails Conservancy, a national organization, offers a guide to converted railway lines statewide that are now smooth, groomed bicycling and walking pathways.

Visit www.dcr.virginia.gov/state-parks/blog/9-great-rail-trails-in-virginia to learn about nine great rail trails in Virginia.

5. Encourage Hobbies: Offline hobbies, crafts, and activities offer a great way to keep kids fit and active during the summer months. Baseball, swimming, horseback riding, and other sports provide demanding physical activity with plenty of time away from the screen. Virginia’s Blue Ridge, an online resource to activities, events and attractions throughout the region, offers some excellent ideas to consider in the Greater Roanoke Valley.

Scan the QR code provided to visit www.visitroanokeva.com for more information.

Summertime is when the living is easy, but it’s also a time when parents face many challenges keeping teens active and healthy. Encourage togetherness with family and friends, outdoor time to keep minds and bodies healthy, and enjoy the months ahead.

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Kid’s Care

” ! d e r o b m “I’

INFORM • EDUCATE • GROW

Beat the Summertime Boredom Blues

“There’s nothing to do!”

Summer activities and camps for teens and pre-teens offered through Roanoke County Parks, Recreation and Tourism’s Green Ridge Recreation Center, Camp Roanoke and Explore Park are the ideal antidote to boredom while providing a healthy dose of fitness that will please parents too!

words | JEANNE GRUNERT photos | ROANOKE COUNTY PARKS, RECREATION AND TOURISM

Coming up with new children’s activities and camp ideas that will engage families throughout the Roanoke Valley isn’t always easy. Every year, the desires and needs of people can change, so instead of just assuming what others want, the staff at Green Ridge Recreation Center reaches out to the community to gather their feedback on what types of programs, activities and services they are most interested in.

“Our program staff at Green Ridge Recreation Center is always on the lookout for feedback about current and future programs.

Through communication with participants, annual surveys and requests made directly to staff, we aim to develop programs that are just what our patrons want,” says Scott Ramsburg, Business and Information Manager with Roanoke County Parks, Recreation and Tourism.

Ramsburg shares that full-day care summer programs for middle school age children have seen increased demand from parents over the past few years. “It can be a tough age to be left at home alone when a household has two working parents. Camps at Green Ridge Recreation Center and Explore Park keep kids engaged physically and socially, while providing a safe and enriching environment,” explains Ramsburg.

Green Ridge

Recreation Center is a 76,000 square foot facility providing fitness, wellness, and recreation programs the whole family can enjoy.

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“It can be a tough age to be left at home alone when a household has two working parents. Camps at Green Ridge Recreation Center and Explore Park keep kids engaged physically and socially, while providing a safe and enriching environment.”

SCOTT RAMSBURG of Roanoke County Parks, Recreation and Tourism

Another outlet for kids ages 7-17 is Camp Roanoke. Camp Roanoke offers both full-day and overnight summer camp programs that are affordable and popular. Field games, hiking, canoeing, and a challenging ropes course complete with a 44-foot climbing tower gives kids a taste of excitement in real time instead of virtual reality. It’s a great opportunity to give kids a break from their screens as they spend more time outdoors during the summer.

Developing Programs Kids Will Like One of the trickiest aspects of developing programs for this age group is knowing exactly what they like. Design a program that treats kids like babies, and they’ll immediately tune out. Design a program that’s too mature for them, and they’ll lose interest.

Leadership at Green Ridge understands this risk all too well and takes steps to address it. “From a staff perspective, it can be difficult to create an engaging activity that provides an enrichment but also comes across as genuine. A teenager can spot “forced” programming from a mile away,” says Ramsburg. “Long term success depends on positive interactions and mentoring that rewards each child on a personal level.”

What keeps the park’s teens and parents returning are programs like the ones added to Explore Park this year.

“It’s fun to learn something new!”

“For 2019, we’ve expanded full-day outdoor recreation options for kids at Explore Park, including nature education, paddling and biking programs. Travel camps have also been popular, as they provide unique experiences throughout the region,” adds Ramsburg.

Why travel camps? “Younger teens see their older peers driving and exploring the world and want to do the same. Camps give them the opportunity to expand their horizons.”

CONTINUED ON PAGE 72

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

Roanoke County Parks & Recreation

Summer

Programs Learn

» ARTS & CRAFTS (ages 6-9) » DANCE (ages 16+) » MUSIC (ages 12+) » PHOTOGRAPHY (ages 13+) » POTTERY (ages 7+)

Explore

» KAYAKING (ages 12+) » MOUNTAIN BIKING (ages 13+) » NATURE EDUCATION (all ages) » NATURE HIKES (ages 5+) » PADDLEBOARDING (ages 13+)

Move

» DANCE (ages 3+) » GYMNASTICS (ages 1+) » TAEKWONDO (ages 5+) » YOGA (ages 16+)

Camps

» FULL DAY CAMPS (ages 5-18)

Biking Camps Horseback Riding Camps Paddling Camps Outdoor Adventure Camps and more...

» HALF DAY CAMPS (ages 5-18)

Art Camps American Girl Camps Cooking Camps Dance Camps Lego Camps Sports Camps and more...

» OVERNIGHT CAMPS (ages 8-17)

Camp Roanoke Adventure Camp Roanoke Beach Trek Camp Roanoke Explorer and more...

Scan the QR code provided or visit www.roanokecountyparks.com for the full list of summer activities provided by Roanoke County Parks & Recreation. www.OurHealthRoanokeNRV.com

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s i s i h “T ome!” s e w A Explore Park

is Roanoke County Parks and Rec’s 1,100 acre outdoor playground located at milepost 115 on the Blue Ridge Parkway in Roanoke County.

CONTINUED FROM PAGE 70

Why travel camps?

“Younger teens see their older peers driving and exploring the world and want to do the same. Camps give them the opportunity to expand their horizons.”

New Program Helps Teens Soar (Literally) Ramsburg predicts that the latest addition to the park will be very popular. The Treetop Quest Aerial Adventure opens July 1, 2019 and features progressively challenging obstacles to navigate. Tarzan swings, nets, and ropes advance in difficulty as participants navigate the course. It’s a great way to keep kids offline – or rather, on an actual line. A zipline or a climbing web offers more challenges than being online and surfing the web.

Although Treetop Quest is open to ages four and up, Ramsburg predicts it will be very popular among teens. “It’s an exciting adventure that challenges their limits, pumps their adrenaline and provides a memorable experience.”

EXPERT CONTRIBUTOR Scott Ramsburg is the Business and Information Manager with Roanoke County Parks, Recreation and Tourism.

ON THE WEB More at OurHealthRoanokeNRV.com

Camp Roanoke 6498 Dry Hollow Road | Salem c 540.387.6114 | Hours: Visit website for dates and times of various events and camps m camproanoke@roanokecountyva.gov w www.roanokecountyparks.com/219/Camp-Roanoke

Explore Park 3900 Rutrough Road | Roanoke (Located off the Blue Ridge Parkway at Milepost 115)

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540.427.1800 | Hours: Daily from 9 am – 5 pm

m explorepark@roanokecountyva.gov www.roanokecountyparks.com/231/Explore-Park w 72 OurHealth | The Resource for Healthy Living in Roanoke and New River Valleys

Green Ridge Recreation Center & Splash Valley 7415 Wood Haven Road | Roanoke 540.777.6300 Green Ridge Hours: Monday – Friday, 5:30 am – 10 pm; Saturday, 8 am – 6 pm; Sunday, 10 am – 6 pm Splash Valley Hours*: Monday – Thursday, 11 am – 7 pm; Friday, 11 am – 10 pm; Weekends/holidays, 10 am – 7 pm (Roanoke County residents and season pass holders); 11 am – 7 pm (non-Roanoke County residents)

c

* Hours listed above are for regular season, May 25 – August 11. See website for openings on select Friday nights, late season schedule and costs

m greenridge@roanokecountyva.gov w Green Ridge Recreation Website: www.roanokecountyparks.com/168/ w

Green-Ridge-Recreation-Center Splash Valley Website: www.roanokecountyparks.com/179/Splash-Valley

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Kid’s Care INFORM • EDUCATE • GROW

A PLAYGROUND FOR

Anybody and

Any body words | JEANNE GRUNERT photos courtesy of | ADDY GRACE FOUNDATION

We’ve all experienced it – rejection. The feeling of, “I’m not included. I’m not wanted here.”

Special needs children and their parents feel it in more types of activities than you might think, including at playgrounds – places specifically designed for little ones to engage in the wonder of play and embrace their youthful spirit in a safe, accessible environment. Even today, playgrounds serve as the site where our children’s fondest memories and earliest friendships are formed, but for those with limited mobility, the majority of them are simply not accessible.

It wasn’t until James and Jennifer Garner, of Botetourt, took their daughter Addy Grace to an all-abilities playground in Virginia Beach in 2015 that they realized the limitations of playgrounds for children with disabilities. In 2009, Addy was diagnosed with Spinal Muscular Atrophy (SMA) type 1, also called Werdnig-Hoffmann Disease, a condition that results in poor muscle control. She is unable to walk or lift her head due to SMA and requires the use of a wheelchair.

“We always try to find a way to include Addy in activities other kids participate in, so you can imagine our happiness, especially for our daughter, when we visited the all-abilities playground in Virginia Beach. For the first time, Addy, our family and all other kids could play together,” says James Garner.

Laying the Foundation In southwestern Virginia, a gap from Radford to Harrisonburg existed without any public all-abilities playgrounds. Inspired by this opportunity, the Garners returned home from their visit to Virginia Beach and began putting a plan into motion to bring one to our community. The family had already established the Addy Grace Foundation years before to support other families living with SMA, and adding the goal of bringing an allabilities playground to the Roanoke Valley was a perfect fit for it.

So just before Christmas in 2016, fundraising for the playground began, and it didn’t take long to see how much the people and businesses in the area wanted to offer their support.

The YMCA of Virginia’s Blue Ridge, which includes the Kirk Family YMCA, Salem Family YMCA, YMCA Express at Gainsboro, Rockbridge Area YMCA and the new Botetourt Family YMCA located at Daleville Town Center that opened this past January, donated land adjacent to the Botetourt facility to be home for the playground. The Garners held

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barbecue contests, golf tournaments, barn dances and casino nights to raise the $750,000 needed for construction, and this past May, the Addy Grace Playground named after the Garner’s daughter opened as the first public all-abilities playground in Southwest Virginia.

The farm-themed playground offers a unique design that invites people of all abilities.

Addy Grace Playground Provides First Time Opportunities for People with Limitations Addy likes to go up high on the playground equipment, but her disability makes it impossible to use slide in traditional playgrounds to get down. Thanks to the specially built playground, she can get to the top of the equipment with her brother and go down the ramp while her brother takes the slide.

The Garners worked with physical, speech and occupational therapists to design the elements of the playground so they can be used by anyone.

“Everything is accessible in the playground. Ramps ensure that people with all abilities can easily move through the playground with no limitations.”

– JAMES GARNER, Founder of the Addy Grace Foundation

Another unique aspect of this all-abilities playground is the height at which the equipment is placed. “Everything is low to the ground so that the transfer from wheelchair or walker to playground is easy,” Garner notes.

The ground of the entire playground is covered with a giant rubberized farm themed cushioned mat to make it safe and protective for children.

Where to Find It The Addy Grace Playground at the Botetourt Family YMCA is located at 115 Shenandoah Avenue, Daleville, VA 24083. It is open to the public during the Botetourt Family YMCA’s hours, which are Monday – Thursday from 5 am – 10 pm; Friday from 5 am – 9 pm; Saturday from 7:30 am – 6 pm; and Sunday from 1 pm – 6 pm.

For more information about the Addy Grace Foundation, visit www.addygracefoundation.com or www.facebook.com/ addygracefoundation.

The Family that Plays Together Stays Together The Garners know how heart-rending it can be to have one child sit on the sidelines watching her sibling scamper over playground equipment. But it can also be difficult for grandparents raising grandchildren to keep up with the youngsters on a traditional playground.

Not so with the Addy Grace Playground. Garner says that he’s seen grandparents as well as disabled parents enjoying the playground, too.

“Parents and grandparents with limitations who couldn’t accompany their children to a traditional playground can now play together because they can access all of the playground equipment.”

“There are no limits at this playground and no boundaries. Everyone is welcome and can have fun as one family,” he remarks.

Keep Moving Forward Now that the playground is complete, what does the future hold for the foundation?

“There are always needs,” Garner explains. “We’ll always have something we are working on. We started the nonprofit to help kids with disabilities, and we’ll continue to do so for as long as we can.”

Given that many families with disabled children live a considerable distance from accessible playgrounds and recreational facilities, the Addy Grace Foundation will never lack for projects. Although the cost to establish accessible playgrounds may be considerable, it’s worth it. As the Garners and other families with loved ones who are disabled will attest, ensuring that all children – regardless of their limitations – can be alongside one another and enjoy the wonders of play is priceless and deserved.

ON THE WEB More at OurHealthRoanokeNRV.com

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

Pet Health EDUCATE • TRAIN • CARE

Are You an Anti-Vaxxer When It Comes to Your words | JENNIFER LAMONT

Furbaby?

Ever since Louis Pasteur hesitantly – but successfully – injected a nine-year-old boy named Joseph with the first rabies vaccine in 1885, it has saved millions of people around the world. The boy had been mauled by a rabid dog which, at the time, was a death sentence. He survived, thanks to Pasteur and his partner, Emile Roux, who helped develop the vaccine.

There are still occasional deaths, even today. On January 4, 2019, the Centers for Disease Control and Prevention (CDC) confirmed the cause of death in 2017 for a Virginia woman was rabies. She had been bitten by a rabid puppy while traveling overseas and hadn’t gotten vaccinated against the disease. But these cases are rare. The World Health Organization estimates the vaccine saves more than 250,000 people each year.

As advancements in science and technology change the landscape of healthcare each day for humans, pet medicine follows a parallel path. Advances in science have made it possible to almost eradicate diseases like canine distemper, which only has a 20 percent survival rate.

On the other hand, diseases that were once rare or even eradicated are impacting pet populations again—and differently than in years past. Veterinarians in Virginia are reporting cases of leptospirosis, a dangerous bacterial disease that once only infected dogs in rural areas. Now, it’s showing up in suburban areas. While still rare, it can easily be transmitted to humans. The vaccine for leptospirosis isn’t considered a core vaccine, but many vets, in the face of increasing cases, are recommending it in addition to the core vaccines.

Vaccinations Save Lives

Do you know if your pet is getting under or over vaccinated?

While most vets follow science-based guidelines like those published by the American Animal Hospital Association (AAHA) and American Association of Feline Practitioners (AAFP), some may not. Research the guidelines so you know.

Even though vaccines save both pet and human lives, there is almost as much controversy surrounding our pet’s immunizations as there is surrounding vaccines for humans. Even pet owners who are ‘pro-vaccination’ want to make sure their pets are not getting too many vaccines because of possible dangerous side effects.

Are the fears unfounded? Or, are pet owners right to worry about the vaccines their pets are getting? Understanding what’s occurring when your pet gets vaccinated – or not – can help pet parents make informed decisions. www.OurHealthRoanokeNRV.com

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Pet Health

• CARE

Is your pet getting vaccinated too often?

Mark Finkler, DVM

Some vets think so, but most do not. “We’ve gotten away from ‘overvaccinating’ pets by assessing the risk factors for each individual pet to determine which vaccines are recommended,” says Mark Finkler, DVM of Roanoke Animal Hospital. Additionally, clinical studies have determined the amount of antigen each vaccine needs to stimulate the desired immune system response needed to fight the disease, says Dr. Finkler.

A veterinarian and practice owner with Roanoke Animal Hospital.

Myth vs. Reality:

Indoor Pets Don’t Need Vaccines.

“In truth, while they are at a lower risk of acquiring certain diseases, there are certain core vaccines that should be given,” says Dr. Finkler.

The following are the core vaccines pets should have regardless if they stay indoors or outdoors.

Core Vaccines for Cats » Rabies » Feline Viral Rhinotracheitis (Herpes Virus) » Panleukopenia (Feline Distemper) » Calicivirus

Core Vaccines for Dogs » Rabies » Canine Distemper Virus » Canine Adenovirus Type 2 » Canine Parvovirus Type 2

All pets should receive what’s known as core vaccines, plus additional vaccines based on their individual circumstances. Core vaccines prevent severe or deadly diseases that are universal threats regardless of how or where the pet lives.

Like human vaccines, pet immunizations are becoming more advanced each year. Dr. Finkler explains that vaccines have undergone several innovations. Here are the top four:

A

Vaccines are more purified now, making them less likely to cause side effects. The best example of this, says Dr. Finkler, is the removal of adjuvants from feline vaccines, reducing the risk of vaccine-associated sarcoma.

B

Newer vaccine studies show that many of them have a longer duration of efficacy than originally thought. Many that were once give annually, such as rabies, can be given every three years.

C

Vets tailor vaccines to the individual patient, no longer treating all pets with a one-size-fits-all, standardized protocol.

D

Pets can now have their blood levels (titers) checked for antibodies against certain diseases to see if the pet even needs the vaccine.

There are certain vaccines that new studies have shown to be effective for much longer than originally thought, and many vets are taking this into consideration.

For example, new research shows that parvo and distemper give immunity for some dogs for at least five years. For other dogs, immunity can last a lifetime. So, individual dogs will respond to vaccines differently. Because of that, vets want to err on the side of caution without causing harm to the animal.

Vets also determine what other vaccines are needed based on the pet’s location and activities. If your Golden Retriever is frequently outdoors and may come into contact with wildlife, he will need core vaccines, plus others, which wouldn’t be necessary for a Yorkie that doesn’t leave his condo in the city.

What happens when you don’t vaccinate your pets?

What is Herd Immunity?

Herd immunity is a form of immunity that occurs when the vaccination of a significant portion of a population (or herd) provides a measure of protection for individuals who have not developed immunity.

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As with humans, herd immunity develops when enough of a population has been vaccinated against a particular disease. So, vaccinating your pet doesn’t only protect your beloved pet, but also protects entire populations. When enough are vaccinated, it prevents the disease from gaining a foothold in the community.

When there is a lack of herd immunity, however, diseases like canine distemper start showing up more frequently in animals. It’s no different from the new cases of smallpox showing up in humans in recent years. This was a deadly disease the World Health Organization once deemed completely eradicated, but is making a comeback, along with measles.

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

Myth vs. Reality:

Vaccines are Dangerous.

“In truth, serious side effects are extremely rare. A small percentage of pets may experience mild reactions such as lethargy, a low grade fever, and temporary discomfort at the vaccine site,” says Dr. Finkler.

READ THIS EDITION OF

OurHealth Roanoke & New River Valleys ON YOUR TABLET OR SMARTPHONE

Although immunizing your pet is up to you, except in the case of rabies, there are direct risks to your pet with all vaccines. But the risks are minimal, while vaccines have saved millions of pet lives. Without vaccination, the risks are much greater to your pet, you and the community at large.

There are risks if pet owners vaccinate.

But there are also risks if they don’t.

Like parents of human children, pet owners can stay informed using evidence-based research and input from trusted veterinarians.

EXPERT CONTRIBUTER Mark R. Finkler, DVM is a veterinarian and practice owner with Roanoke Animal Hospital.

SOURCES The American Animal Hospital Association – www.aaha.org The Associated Press www.apnews.com The National Center for Biotechnology Information – www.ncbi.nlm.nih.gov World Health Organization www.who.int/rabies/en

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Funny BONE HUMOR • SEARCH • CHECK

OURHEALTH

ADVERTISER DIRECTORY 52 Alzheimer’s Association 56 American Heart Association 17 American National Bank & Trust

6 Asthma & Allergy Center

51 Blacksburg Eye Associates 78 Bradley Free Clinic 35 Brandon Oaks 3, 39 Carilion Clinic 41 Carrington Cottage Memory

Care Center 18 Crowning Touch 48 Cundiff Heating & Air 21 Dystance 42 Excel Prosthetics & Orthotics 65 Fork Union Military Academy

2 Friendship Living

33 Gentle Shepherd 65, 73 Green Ridge Rec Center 59 Good Samaritan Hospice 21 Heartland Hospice Care 42 Hermitage of Roanoke 29 Humana, Lynn Atkinson 33 Inspire MedSpa

4 Interim Healthcare

19 LewisGale Medical Center

Can you spot the SEVEN differences between the two cartoons?

Be the first reader to email us describing what the seven differences are and you will earn the satisfaction (and bragging rights) of having your name in print in the next edition. OK, START YOUR SEARCH! Email info@ourhealthvirginia.com with the subject line Funny Bone Roanoke & NRV.

14 Marks-Tiller Insurance 83 Medical Facilities of America

5 Mills and Shannon Dentistry

9 Mountain View Orthodontics

71 New Beginnings Pediatrics 41

New River Periodontics

81 Our Lady of the Valley 68 Paul C. Kaiser, Ltd. Orthodontics 77 Pheasant Ridge Assisted Living & Memory Care 55 Physicians to Women 66 Rader Funeral Home

Visit www.OurHealthRoanokeNRV.com or our Facebook page @OurHealthRoanokeNRV and sign up for our e-newsletter for more fun games, quizzes and contests to win great prizes!

21 Radford Health and Rehab Center 29 Reproductive Medicine and Surgery Center of Virginia, PLC 23 Richfield Living 15 Roanoke Oral Surgery 51 Roanoke Valley Speech and Hearing Center, Inc. 31 Susan G. Komen Virginia Blue Ridge

CONGRATULATIONS

ADDISON SCOTT-RYDER OF MONETA

49 The Happy Housekeepers 35 Total You Health 13 VCOM 77 Virginia Prosthetics & Orthotics 45 Virginia Urology 23 Virginia Veteran Care Center

Addison Scott-Ryder of Moneta was the first person to email the correct seven differences in last issue’s Funny Bone.

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For the full list of answers visit our facebook page @OurHealthRoanokeNRV.

84 Vistar Eye Center 25 Warm Hearth Village 25 Weigh Station 61 YMCA of Virginia’s Blue Ridge

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