OurHealth Richmond Dec 2014 Edition

table of contents | december 2014

28 MEDI•CABU•LARY.....................10 Local experts define health related terms

JUST ASK!.......................................12 Healthcare questions answered by local professionals

NEW & NOTEWORTHY.............14

2nd Annual Best Bedside Manner Awards

The 2014 Best Bedside Manner Awards, presented by OurHealth magazine, recognize medical providers who were voted for by the local community for their kindness, empathy and attentiveness—attributes that go a long way in gaining a patient’s confidence.

A listing of new physicians, providers, locations and upcoming events in greater Richmond

HEALTH POINTS.........................18 Interesting facts and tidbits about health

THE ANATOMY CHALLENGE..................................21 How much do you about our anatomy? In this issue, test your knowledge when it comes to the amazing SPINE!

ANATOMY: Testing the Spine for Pain................................. 22 All too often pain of the back and neck can be debilitating. In many cases, the source of pain is a problem with the spine. To learn more about this intricate structure and when spine surgery is necessary, OurHealth has turned to the experts at OrthoVirginia.

FIT BITS!......................................................................... 59 Rather than a ‘resolution’, why not make a ‘commitment’ to be fit as you ring in the new year? Here are some great tips to get started from the legs up!

hello, HEALTH!...............................................................60 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

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The Resource for Healthy Living in Greater Richmond

62

[series]

Breaking the Silence: Living with HIV This series explores diseases that can be devastating to the individuals and families they affect—yet no one is talking about them—until now.

12 Days of Holiday Eating!.......... 72 Many of us have deprived ourselves of our favorite holiday recipes due to fear of gaining weight. By making some simple substitutions, you will be shocked at how little changes can make a huge difference in calories and overall nutritional content of your favorite holiday food.

NUTRITION.........................77 HEALTHY EATS: Shop Seasonally for Better Flavor­and Extra Value—Mashed Sweet Potatoes & Carrots, Roasted Brussels Sprouts, Sugar Free Cranberry Orange Oat Cookies

Fan Free Clinic.................................................................. 70 Among service organizations in Richmond, VA, there are many shining stars. One of the brightest is Fan Free Clinic. Founded in 1968 as the first free medical clinic in Virginia, FFC initially focused on women’s health and the prevention of communicable diseases.

LOOKING BACK........................... 82 Images reflecting the landscape of healthcare in Richmond * PLUS * a chance to win prizes!

www.OurHealthRichmond.com

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The Resource for Healthy Living in Greater Richmond

december 2014

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CONTRIBUTING RICHMOND MEDICAL EXPERTS Peter Gent, DO Rakesh Jain, MD Elaine Turner, MD Jean Z. Couchman, MA, FAAA Baylor Rice, RPh Gonzalo Bearman, 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-at-Large: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Information in all print editions of OurHealth and on all OurHealth’s websites (www.ourhealthrichmond.com, www.ourhealthcville.com and www.ourhealthvirginia.com), social media sites 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 © 2014 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. The OurHealth Greater Richmond edition is published seven times annually by McClintic Media, Inc. 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. www.ourhealthrichmond.com | Advertising rates upon request.

LOCAL EXPERTS D E F I N E H E A LT H R E L AT E D T E R M S

What is Osteopathic Manipulation Therapy and what conditions is it used to treat?

Osteopathic Manipulative Medicine (OMM) or Osteopathic Manipulative Therapy (OMT) is a technique in which osteopathic physicians use their hands to diagnose illness and help relieve pain in patients.

They pay particular attention to the joints, bones, muscles and nerves. As a result of OMM or OMT, a patient’s circulation is often improved. Normal blood flow and nerve supply help the body heal itself.

Osteopathic physicians (DOs) are fully trained and licensed physicians who treat patients by looking at the whole body and its systems, not just at the part that is sick, such as the eye, ear, arm, leg or foot. They know that what happens in one part of the body may affect other parts, as well.

That’s why most DOs practice in family medicine, and are known for their “holistic approach” to helping patients get well.

For more information about osteopathic physicians, visit www.aoa.org.

Peter C. Gent, DO

Peter C. Gent, DO Midlothian | 804.897.3746 www.drgent.com

What is cardiac arrhythmia?

What is Eosinophilic Esophagitis?

Cardiac arrhythmia refers to extra heart beats that can in some cases be a sign of underlying heart disease.

These extra beats can originate from the top chambers of the heart (atrium) or lower chambers (ventricular). Generally speaking, premature ventricular contractions (PVC) originating from the lower chambers are more concerning than beats from the top chambers, called premature atrial contractions (PAC).

Eosinophilic esophagitis, or EoE, is an inflammation of the esophagus resistant to acid blockers caused by eosinophils, a type of cell that contributes to many allergic conditions.

Some people may have no symptoms, but typically, a person may describe it as a “skipped” beat or a “thump” in the chest. Others may complain of having a fast pulse or “racing” heart, chest pain and difficulty breathing. Some may have dizziness or faint, which can be from their heart rate being too slow or fast, while others may show signs of having a stroke initially.

There are factors other than underlying heart problems, such as caffeine and other stimulants, anxiety/stress, sleep disorders, thyroid problems, decongestants and allergy medications which can exacerbate the problem.

Some of the more common problems such as atrial fibrillation, which can increase the risk of stroke, can be treated with medications or an ablation procedure. Similarly, ventricular arrhythmias can be treated with medication, ablation or implantation of a defibrillator.

Rakesh Jain, MD

Cardiology Associates of Richmond Richmond | 804.560.8880 www.cardiologyrichmond.com

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Symptoms of EoE in adults include: Gastroesophageal reflux disease (GERD), abdominal pain, chest pain, difficulty swallowing and getting food stuck when swallowing.

In children, symptoms may include: inadequate growth or weight gain, refusing food, vomiting, GERD and tummy pain.

An allergist and a gastroenterologist often work together to treat the condition. If a gastroenterologist finds more than a certain number of eosinophils in a biopsy of the esophagus after the patient has failed to respond to two months of acid blockers, this makes the diagnosis.

Most EoE patients have food allergies, which trigger symptoms.

An allergist performs skin tests to determine the patient’s allergies, confirming positive food allergies through the removal and then reintroduction of the possible culprit.

Swallowed topical corticosteroids can also help if recommended by a physician.

Elaine Turner, MD

Allergy Partners of Richmond Richmond, Midlothian and Mechanicsville | 804.288.0055 www.allergypartners.com

H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

Can chemotherapy affect my hearing?

Yes. As an increased number of cancer patients are surviving longer, it is more apparent that hearing loss can be a long term side effect, sometimes occurring months or years post treatment. Chemotherapy drugs and radiation can be ototoxic, causing damage to the auditory nerve, resulting in sensory hearing loss. Cisplatin and Carboplatin, medications that have been used successfully, can be ototoxic to the inner ear.

If you are beginning chemotherapy or radiation treatment or have completed treatment, it is important to discuss symptoms of hearing loss with your oncologist. Symptoms of hearing loss can include a decreased understanding of speech, difficulty hearing on the phone, tinnitus (ringing in the ear), dizziness, vertigo or otalgia (ear pain). If you suspect hearing loss, schedule an appointment to obtain a baseline audiological evaluation. Follow-up testing can monitor changes in your hearing function. If changes are detected, treatments are available to prevent further damage or possibly recover hearing.

Hearing is essential to empower you in managing your cancer treatment and living your life to the fullest.

Take care of it, and it will take care of you.

Jean Z. Couchman, MA, FAAA Audiologist/Hearing Aid Specialist Hearing Solutions, PLLC Midlothian | 804.794.9087 www.hearingsolutions.us

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OurHealth | The Resource for Healthy Living in Greater Richmond

How is pharmaceutical compounding different from drug manufacturing?

What is the difference between an endemic, an epidemic and a pandemic?

Whether it’s an allergy to a dye or ingredient, a need for a customized strength, or a preference for a different dosage form, compounding pharmacists provide patients — humans and animals —with the medication that is customized for each need. For example, if a child needs an adult medication in a pediatric strength, it is a compounding pharmacist who prepares the medication. If an elderly patient cannot swallow a pill, a compounding pharmacist can create a liquid. Increasingly, commercially manufactured drugs are back-ordered, and patients must rely on a compounding pharmacy for their medication.

Endemic disease is a disease that is showing up at an expected or normal rate of appearance. An epidemic is the appearance of a disease above what is normally expected. A pandemic is an epidemic that is essentially worldwide.

For example, every year we have seasonal influenza, an endemic, which may be labeled an epidemic when the rate is higher than normal regionally or nationally. When the infection rate of influenza becomes high worldwide, it’s then considered a pandemic.

Pharmaceutical compounding is the mixing of two or more ingredients using FDA-approved active ingredients to meet the specific needs of each patient, dispensed directly to the patient or prescriber.

The relationship between patient, prescriber, and pharmacist— what we call the triad—is the foundation for compounded medications. Drug manufacturing is the mass production of FDAapproved products that are sold to pharmacies, practitioners, or others authorized under state and federal law to resell them.

Drug manufacturing is large scale; compounding is individualized.

Baylor Rice, RPh

President/Compounding Specialist South River Compounding Pharmacy Midlothian and Richmond | 804.897.6447 www.southriverrx.com

Gonzalo Bearman, MD

Chair of the Division of Infectious Diseases VCU Medical Center Richmond | 804.828.2161 www.intmed.vcu.edu/divisions/infectious/ chair.html

NEW

NOTEWORTHY

NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS

Kaleo Supports Opioid Overdose Emergency Treatment Efforts with EVZIO™ (naloxone hcl injection) Donations to Local Law Enforcement Agencies Henrico County Sheriff’s Office to Receive First Donation The Henrico County Sheriff’s Office has been selected as the first recipient of the Kaléo Cares law enforcement donation program.

Located in the suburbs of Richmond, the Sheriff’s Office is comprised of more than 350 deputies and 44 civilian employees.

Kaléo, a privately-held pharmaceutical company headquartered in Richmond, recently announced a new donation program that will allow qualifying local

law enforcement agencies to receive EVZIO™ naloxone auto-injectors without charge as part of the kaléo Cares program.

EVZIO™ is an opioid antagonist indicated for the emergency treatment of known or suspected opioid overdose, as manifested by respiratory and/or central nervous system depression. EVZIO™ is the first and only naloxone product approved for emergency therapy in any settings where opioids may be present, including outside of supervised medical settings. EVZIO™ is not a substitute for emergency medical care.

“In an opioid overdose emergency, timing is very important and the ability of our deputies to administer naloxone with the EVZIO™ naloxone auto-injector, even before an ambulance arrives, can save precious time and potentially save lives,” said the Honorable Michael L. Wade, Sheriff of Henrico County. “We are pleased to be the first local law enforcement agency to receive this generous donation.”

Johnston-Willis Hospital Opens New Occupational Health Clinic

Occupational Medicine Services Help Area Employers Keep Workers Healthy and Productive HCA Virginia’s Johnston-Willis Hospital recently opened a new occupational health clinic, which offers medical services for central Virginia employees who have suffered an illness or injury on the job and employers who are seeking to improve the overall health of their organizations.

The new location at Johnston-Willis will mirror the same services as the other clinics in the HCA Occupational Healthcare clinic network and will specialize in the evaluation and treatment of referral of work-related injury cases and comprehensive clinical documentation.

Allynn Alexander, MD

Chris Andrus, PA

Gretchen Aquilina, DO

Ismat Asad, MD

Obstetrics and gynecology HCA Virginia Physicians and Richmond Women’s Specialists Richmond | 804.267.6931 www.hcavirginia.com

Virginia Physicians, Inc. Midlothian Family Practice Village Midlothian | 804.794.5598 www.vaphysicians.com

The addition of this fifth clinic coincides with the market-wide launch of a 24 hour-per-day Work Injury hotline (1.844.OHS.FORU) to assist in guiding injured workers to the closest HCA Occupational Healthcare facility.

The clinic offers convenient hours from noon to 8 p.m. to ensure after-hour coverage and onsite services to reduce the amount of time an employee is away from the workplace.

Some of the services include physicals; work injury treatment, audiograms for hearing; vision screenings; pulmonary function testing; biological testing for lead, heavy metals, and asbestos; breath alcohol testing; vaccinations and immunizations; x-rays; urine drug screenings; injury management; and ergonomic evaluations.

For more information, visit www.hcavirginia.com/service/occupational-health 14

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VCU Medical Center Bariatric and Gastrointestinal Surgery Downtown Richmond and Stony Point | 804.828.8000 www.vcuhealth.org

Bon Secours Parham Road Family Medicine Richmond | 804.262.2333 www.richmond.bonsecours.com

Phoebe Ashley, MD, MS, FACC VCU Pauley Heart Center General and Preventative Cardiology Stony Point and West End | 804.828.8885 www.pauleyheart.vcu.edu

Catherine Bagley, DO HCA Virginia Physicians and Commonwealth OB/Gyn Specialists Obstetrics and Gynecology Richmond | 804.285.8806 www.hcavirginia.com

Ilvy Cotterell, MD

VCU Medical Center Orthopedics (Hand, Wrist and Elbow) Downtown Richmond and Stony Point | 804.828.7069 www.vcuhealth.org

Madeline Klim, NP

Bon Secours Powhatan Medical Associates Richmond | 804.285.6050 www.richmond.bonsecours.com

Pamela Bartell, DO

Virginia Physicians, Inc. Midlothian Family Practice Village Midlothian | 804.794.5598 www.vaphysicians.com

Paulina Essah, MD

Bon Secours Theresa A. Thomas Medical Center Richmond | 804.798.9208 www.richmond.bonsecours.com

Randall Bowman, MD

Francesco Celi, MD,

Bon Secours Associated MHSc Internists VCU Medical Center Richmond | 804.288.3079 Endocrinology and Metabolism www.richmond.bonsecours.com Downtown Richmond and West End | 804.828.2161 www.vcuhealth.org

Lindsey Guirgues, NP

Bon Secours Cardiac Surgery Specialists Richmond | 804.764.7340 www.richmond.bonsecours.com

Suleman Iqbal, MD

Sleep Clinics of America Richmond, Henrico, and Colonial Heights | 804.269.8291Â www.SCAClinics.com

Bon Secours Cardiac Surgery Specialists Richmond | 804.764.7340 www.richmond.bonsecours.com

Seema Patel, MD

Elizabeth Phan, DO

Andrew Routh

Lori Sweeney, MD

Deepa Taggarshe, MD

Maria Turney, NP-BC

Saima Zaidi, MD,

VCU Medical Center Endocrinology and Metabolism Downtown Richmond, Stony Point and West End 804.828.2161 www.vcuhealth.org

Bon Secours Glen Allen Internal Medicine Richmond | 804.612.2980 www.richmond.bonsecours.com

VCU Medical Center Bariatric and Gastrointestinal Surgery Downtown Richmond and Stony Point | 804.828.8000 www.vcuhealth.org

VCU Massey Cancer Center Palliative and Supportive Care Downtown Richmond 804.828.9723 www.massey.vcu.edu

Bon Secours Advanced Heart Failure Center Richmond | 804.287.3550 www.richmond.bonsecours.com

Kathryn Johnston, NP

Richard Parisi, MD

Sleep Clinics of America Richmond, Henrico, and Colonial Heights Richmond | 804.269.8291Â www.SCAClinics.com

Michael Coggin, NP

Virginia Home for Boys and Girls Director of Therapeutic Services Richmond | 804.270.6566 www.vhbg.org

Michael Steinberg, MD Bon Secours Cancer Institute Medical Oncology at Memorial Regional Richmond | 804.435.8583 www.richmond.bonsecours.com

Bon Secours Parham Road FAAFP Family Medicine VCU Medical Center Richmond | 804.262.2333 Family Medicine and www.richmond.bonsecours.com Primary Care Chesterfield | 804.425.3627 www.vcuhealth.org

www.OurHealthRichmond.com

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NEW

NEW PHYSICIANS,

NOTEWORTHY

P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS

New Research by Bon Secours Surgeon Points to Better Diagnosis and Treatment of Breast Cancer Molecular Test Offers Greater Understanding of Breast Cancer Subtypes Research co-authored by Bon Secours breast surgeon James Pellicane, MD, may eventually change the way breast cancer is treated—and help many Richmond-area women get therapy that is customized to their particular condition.

The study showed that a molecular test called “BluePrint” provides new information that helps decide the best preoperative treatment— such as whether or not to do chemotherapy before surgery.

According to the study, the BluePrint test is better than standard pathology tests in determining the subtype of a woman’s breast cancer. When doctors have a clearer idea of the subtype, they can more precisely tailor treatment.

“This test helps us hone in on the biological pathways that are driving each individual breast cancer,” Dr. Pellicane said. “Armed with that knowledge, we can make better decisions about which treatments will be most effective.”

The study appears in the prestigious Annals of Surgical Oncology journal. Dr. Pellicane is a breast surgeon and co-founder of the Virginia Breast Center.

“Because the molecular test provides new information beyond just the size and stage of the tumor, it tells us how the tumor is going to act and not just how it looks under a microscope,” Dr. Pellicane said.

“This has important implications for the future of breast cancer treatment,” he said. “We will eventually end up evaluating and treating many breast cancer patients differently than we do now, especially before surgery. That’s because we will rely on their molecular subtype, rather than just the standard results of clinical pathology tests.”

ABOUT THE STUDY Advancing from pathology tests to molecular testing is sometimes compared to replacing your old cell phone with a smartphone. With molecular tests, doctors now have something like a smartphone’s GPS to help them better determine where they are and where they can go in best treating the cancer.

Before a patient undergoes surgery (either lumpectomy or mastectomy), her doctor can check her molecular subtype and then select the right drug therapy to treat and potentially shrink her tumor ahead of surgery.

The BluePrint test, along with a companion test called MammaPrint, is typically performed on breast biopsy tissue, and therefore doesn’t require an extra procedure. MammaPrint is covered by Medicare and many other forms of health insurance, and coverage is expanding for BluePrint.

The prospective observational study of 426 patients, on which Dr. Pellicane was a co-author, showed that the 80-gene BluePrint test reclassified 22 percent of tumors overall – meaning it more accurately identified breast cancer subtypes than did pathology tests known as IHC and FISH. Based on these results, researchers concluded that the BluePrint assay may be superior to IHC-FISH testing for guiding physicians’ decisions about how to treat their patients’ early-stage breast cancers before surgery.

The Foot & Ankle Center Expands Clinic Located on the campus of Johnston-Willis Hospital, The Foot & Ankle Center doubled in size to 7325 square feet in the fall of 2014 with an expanded clinic and medical-grade spa as well as enhanced services.

The most comprehensive foot center in Central Virginia, The Foot & Ankle Center is home to the only JCAHO-accredited office-based surgical center for podiatry in the state, and offers diagnostics as well as comprehensive care for orthopedic foot and ankle problems, diabetic foot problems and nail problems.

For more information visit www.320-foot.com or call 804.320.3668 Photo: Dr. Mitchell Waskin and Dr. Jeffrey Frost cut the ribbon at the newly renovated and expanded Foot & Ankle Center while Dan Gecker, Rueben Waller, Carolyn Clements, Sara Waskin, Danna Geisler and Will Davis look on.

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New Cardiology Services offered in the West End VCU Medical Center and Children’s Hospital of Richmond at VCU are now offering general and preventative cardiology services to adults and children at their new outpatient location in the West End. Roshanak Markley, MD, and Phoebe Ashley, MD, have joined VCU Medical Center’s Division of Cardiology and the Pauley Heart Center, and are now accepting patients. They provide evaluation and management of variety of acute and chronic cardiovascular diseases for adults including coronary artery disease, heart value disease, arrhythmia and heart failure.

Douglas Allen, MD, Kerri Carter, MD, Scott Gullquist, MD, and William Moskowitz, MD, from Children’s Hospital of Richmond at VCU, offer comprehensive services for congenital and acquired heart diseases for children with both common and rare heart conditions.

The clinic is located at 2200 Pump Road, at the intersection of Ridgefield Parkway and Pump Road. For more information or to schedule an appointment, visit vcuhealth.org or call 804.740.1100.

HealthSouth Virginia Announces New Medical Director

HealthSouth Rehabilitation Hospital of Virginia is pleased to announce the appointment of Shahriar Nabizadeh, MD (pictured at left) as its new Medical Director.

As the new Medical Director, Dr. Nabizadeh will be the primary admitting and attending physician at HealthSouth and is available for acute care inpatient consults upon request. For more information visit www.healthsouthrichmond.com

www.OurHealthRichmond.com

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T I P S , T I D B I T S A ND MO R E TO IN F O R M A ND ENT ERTA I N YO U

Holiday Awareness AidsMonth Eating SURVIVING

International

December is International AIDS Awareness Month.

Established in 1988 by the World Health Organization to focus attention on the continuing impact of the epidemic and encourages each of us to take action to expand our collective response to the epidemic of HIV/AIDS.

AIDS/HIV Facts

• Every 9 ½ minutes, someone in the United States is infected with HIV. • The Centers for Disease Control and Prevention estimates that more than one million people in the United States are living with HIV.

The holidays can pose a great risk to even the healthiest eating plans.

On average, Americans gain about a pound at holiday time, which may not seem like a lot, but we

• One in five people living with HIV are unaware of their infection.

usually don't lose this pound. Long

• There are currently 33.4 million people living with HIV/AIDS worldwide.

of extra weight. Short term,

• Every year another 56,000 Americans become infected with the virus.

find out more • Virginia Commonwealth University’s HIV/AIDS Center coordinates many of the HIV/AIDS-related clinical, research, educational, and support activities within the university, the greater Richmond area and the Commonwealth of Virginia.

They provide a range of services for various audiences including individuals living with HIV, physicians, pharmacists, dentists, mid-level providers, nurses, social workers, substance abuse professionals, mental health providers and case managers. For more information on the VCU HIV/AIDS Center, visit their website at www.hivcenter.vcu.edu • For more information about Confidential HIV testing throughout Virginia, please contact the VDH Division of Disease Prevention Hotline at 800.533.4148

term, after 10 years, you've put on a lot

all the sugar, calories, sodium and fat that you've consumed during the holidays may make for an extra wrinkle and dull skin for the New Year. You can survive holiday parties and avoid overeating with a few simple tactics.

• Go for the passed hors d'Oeuvres, and skip the buffet • Choose low-calorie and healthy festive foods • Bring the healthy fare to parties and potlucks • Use a napkin to control portion size

DID YOU KNOW? 18

The ear’s malleus, incus and stapes (otherwise known as the hammer, anvil and stirrup) are the smallest bones in the human body. All three together could fit together on a penny.

OurHealth | The Resource for Healthy Living in Greater Richmond

• Drink plenty of water • Watch ‘liquid calories’ • Bring gum or mints to parties • Hit the veggie tray

Popular

New Year’s Resolutions

Happy New Year! These New Year's resolutions are popular every year. Remember, pick something attainable and set short-term goals for your best chances of making permanent lifestyle changes in 2015!

• Lose Weight

• Get a Better Job

• Eat Healthy Food

• Quit Smoking

• Save Money

• Manage Stress

• Get a Better Education • Get Fit

• Manage Debt

WINTER

ALLERGIES: To help

Dry, Red Eyes:

• Run a humidifier at night.

Omega 3s

• Eat more (fish and flax) • Use preservative-free

Artificial Tears

LIGHTEN UP YOUR NIGHT

Resolution Run 5K (after dark on closed roads!)

2014 New Year's Eve Run 5K run after dark to help bring in the New Year in a healthy way. Come out and win the best dressed, spirit or fundraising contest! Proceeds benefit the Alzheimer’s Association Race Day: Start Time: Location:

Wednesday, December 31, 2014 6:30 p.m.

Striker Fields on West Creek Parkway, Richmond VA

ON THE WEB

More at ourhealthrichmond.com www.OurHealthRichmond.com

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The Anatomy Challenge is proudly sponsored by

the

Anatomy

CHALLENGE

Here’s your chance to see how much you know about your amazing

spine! First, fill in the crossword puzzle below. Next, match up the correct word with the part of the body in the illustration. __________________

[ the amazing SPINE ]

CROSS WORD ACROSS 3 brain 4 dural sac 5 cauda equina 6 dura and arachnoid mater 7 spinal nerves

__________________

__________________

DOWN 1 spinal cord 2 medullary cone

__________________

__________________

__________________ __________________

For answers, visit OurHealth Richmond's

Facebook page at

With 12 Offices, including three after hours locations to serve you. For a physician appointment, please call 804.915.4602. For a therapy appointment, please call 804.285.2645.

Chippenham | Hanover Memorial Regional | Henrico Parham | Johnston-Willis Prince George | St. Francis | St. Mary’s | Emporia | Farmville | Kilmarnock | New Kent After Hours Hanover | After Hours St. Francis | After Hours St. Mary’s www.OurHealthRichmond.com

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words |EDWIN SCHWARTZ

TESTING

the

SPINE

FOR

PAIN

All too often pain of the back and neck can be debilitating. In many cases, the source of pain is a problem with the spine. Because of the complexity of spinal conditions, an accurate diagnosis is essential to develop effective treatment.

To learn more about this intricate structure and when spine surgery is necessary, OurHealth has turned to the experts at OrthoVirginia.

The Basic Construction of the Spine The spine has many functions as it holds up the head, shoulders and upper body. The spinal column is the body’s most complex set of joints as it surrounds and protects the spinal cord and gives us the flexibility to twist and bend.

The spine is made up of 24 small bones, called vertebrae, which are stacked on top of one another and form the natural curves of the back. It also includes the sacrum and tailbone, or coccyx.

The vertebrae are grouped in three segments. At the top are seven cervical vertebrae that make up the cervical spine that begins at the base of the skull and ends at the upper chest.

In the middle are twelve thoracic vertebrae that make up the thoracic spine that starts from the upper chest to the middle back and connects to the rib cage. At the bottom are five larger lumbar vertebrae that make up the lumbar spine.

The lumbar vertebrae are larger because they carry more of the body's weight. “Lumbar vertebrae afford the stability and the curvature we have,” says Thomas Scioscia, MD, at OrthoVirginia. “Not many injuries or trauma occur in the thoracic vertebrae, because the rib cage protects the spine from injury. The cervical and lumbar vertebrae are injured the most, because they don’t have an internal splint like the thoracic region.”

In between each vertebrae are flat, round intervertebral discs. These act as shock absorbers for the spine and give us the flexibility to move and bend. Each disc is made up of two parts: a spongy center portion (nucleus) and a stringy outer covering of ligament rings (annulis) that hold the spongy center in place. Nerves branch out from the spinal cord and pass through openings in the vertebrae to reach other parts of the body.

Causes of Lumbar Disc Herniation Disc herniation occurs when the spongy tissue in the center of the disc is forced out of position. Stretching or tearing of the annulus (outer ring) can cause the inner disc material to enter the spinal canal through the hole in the annulus. Pieces of the spongy tissue may put pressure on the spinal nerve roots, or even the entire spinal cord. This nerve compression can cause severe pain, numbness, or sciatica (a tingling sensation in the legs).

Thomas Scioscia, MD is an orthopaedic surgeon with OrthoVirginia. He specializes in spine surgery.

Intervertebral Discs Intervertebral discs are made up of two parts: the nucleus pulposus and the annulus fibrosus. The jelly-like nucleus pulposus makes up the center of the disc and gives it flexibility and strength. The annulus fibrosus is the flexible outer ring of the disc and has several elastic bandlike layers. The annulus holds the nucleus in place. While standing or moving, weight is placed on the nucleus and causes it to expand. This allows the spine to move and maintain its strength. www.OurHealthRichmond.com

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Microdiscectomy In a microdiscectomy, the goal is to relieve pain and numbness by removing the part of the herniated disc that is putting pressure on the nerve roots. The surgeon makes a small incision over the herniated disc to pull the spine muscles away from the bone. The herniated disc and any loose pieces are removed until they are no longer pressing on the nerve.

Most disc herniations occur in the bottom two discs of the lumbar spine just below the waist.

Herniations are caused by twisting motions, sharp bending or lifting heavy objects. A person's physical condition and work habits contribute to the likelihood of developing a herniated disc.

“Disc herniation is more common with younger people,” says Dr. Scioscia. “Older people can get bone spurs (overgrowth of bone) and spinal stenosis (the narrowing of the spinal canal from aging) which places pressure on nerves due to maturity.”

When is Spine Surgery Necessary?

At OrthoVirginia, surgery becomes viable only if initial, nonoperative therapies have not provided adequate relief of symptoms. These treatments consist of rest, non-steroidal anti-inflammatory medication, oral steroids, epidural steroids and physical therapy (PT). Most patients with new onset symptoms significantly improve within three months and do not require surgery.

“At OrthoVirginia, we’re not just spine surgeons,” says Dr. Scioscia. “All our doctors do our own PT injections, epidurals and handle the pain management part. We do it all as we see patients through the whole process.”

“Good candidates for surgery have pain going down the arms or legs,” says Dr. Scioscia. “Spine surgery is necessary when patients have nerve pain or injury that is resistant to conservative management such as physical therapy, epidural steroid medication, oral medication (anti-inflammatories like Advil) or muscle relaxers.”

One of the goals of lumbar spine surgery is to relieve the pain, numbness, tingling or weakness in the legs and back that put pressure on the lumbar nerve roots. Sometimes surgery is necessary to halt the deterioration of the spinal cord or to correct a deformed lumbar spine.

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Laminectomy A laminectomy addresses spinal stenosis, which occurs when the space around the spinal cord narrows. This puts pressure on the spinal cord and the spinal nerve roots and may cause pain, numbness or weakness in the legs. The procedure involves removing the bony arch (lamina), bone spurs and ligaments compressing the spinal cord. The spinal cord becomes decompressed, making the bones less stable. This requires fusion with a bone graft and the possible insertion of screws and rods.

Different Types Of Spine Surgery The three types of spine surgery include microdiscectomies, laminectomies and spinal fusion. The microdiscectomy is the most commonly recommended procedure and can be performed with minimal invasiveness on an outpatient basis. Both the microdiscectomy and laminectomy take pressure off nerves.

Common Benefits And Potential Risks “The best benefit of surgery is the resolution of leg pain (caused by damaged lower lumbar vertebrae) or arm pain (caused by damaged cervical vertebrae),” says Dr. Scioscia.

“Resolution of back pain is less predictable.”

Regarding surgical dangers, Dr. Scioscia says, “Infection is the biggest risk and would be treated with irrigation and antibiotic for six www.OurHealthRichmond.com

25

Spinal Fusion

weeks. Nerve damage can be temporary or permanent, but these are all rare.”

Spinal fusion is essentially a welding process in which painful vertebrae are fused together to heal into a single, solid bone. Spinal fusion eliminates motion between vertebrae and prevents the stretching of nerves and surrounding ligaments and muscles. It is an option when pain is caused by motion. The theory is if the painful vertebrae do not move, they will not hurt.

Dr. Scioscia advises people to be wary of procedures not covered by insurance plans. “People need to be careful spending money outside their insurance, because most are scams and gimmicks.

In general, insurance usually pays for procedures that have been studied and proven to work.”

Dr. Scioscia continues, “What people should look for in a surgeon is whether the doctor has done a Spine Medicine Fellowship. This is an extra year of specialized training after the residency where you only operate on the spine. As a spine fellow you are teaching both neurosurgeons and orthopedic surgeons. It is the most extensive training available (Dr. Scioscia did his fellowship at the UCLA Spine Center).”

“In general, most people greatly improve with surgery,” says Dr. Scioscia. “People with leg and arm pain do very well and are into the 90th percentile, those with back pain less-so. Some patients feel they didn’t get better or got worse, and these are the ones you typically hear about. But the success stories completely outweigh them as the majority of surgery patients get substantially better.”

On the Horizon Robotic spinal surgery is in its infancy, and St. Mary’s Hospital considering the acquisition of a Mazor Robotics Renaissance™ Guidance System.

“It may be promising in the future,” says Dr. Scioscia.

“The Mazor helps target where to place rods and screws in the spine. It is designed to be minimally invasive, limit the use of X-rays and speed up surgeries.”

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Best Bedside Manner Awards Medical expertise and compassionate care should always go hand-in-hand when it comes to treating patients. Going to the doctor or health provider can be an unnerving experience for many people. Professionals who incorporate The Golden Rule into their practice philosophy are ones that stand out in people’s minds for the better.

The 2014 Best Bedside Manner Awards, presented by OurHealth Richmond magazine, honor medical providers who were voted by the local community for their kindness, empathy and attentiveness—attributes that go a long way in gaining a patient’s confidence.

The Voting Process During May and June 2014, commercials announcing voting for the 2014 Best Bedside Manner Awards and how to submit votes for medical providers aired on OurHealth Richmond's television media partner’s station, CBS6, WTVR-TV. Print ads promoting the awards were also included in OurHealth Richmond's May 2014 edition. Votes were submitted by the public through an online submission form that was available on CBS6's site, www.wtvr.com and on www.ourhealthrichmond.com from June 1st - July 15th 2014. During this

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cover, contact Deidre Wilkes at

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To view additional work by our artist, Joe Palotas, visit www.salemartcenter.com

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ALLERGY & IMMUNOLOGY

encompasses a broad array of diagnoses, ranging from nasal and sinus problems and severe food or bee sting allergy to recurrent infections due to sinus disease, immune deficiency and asthma conditions.

FIRST PLACE Elaine Turner, MD

Allergy Partners of Richmond | Greater Richmond Area | 804.559.0370 www.allergypartners.com/richmond

Listening to what the patient is saying about their symptoms is one of the most important aspects of patient care. Their history is a vital contributor in puzzling out the source of the patient’s complaints. And I like puzzles!

— Elaine Turner, MD

Children’s Hospital of Richmond at VCU Richmond/Chesterfield 804.828.CHOR (2467) www.chrichmond.org

THIRD PLACE Robert Call, MD

Richmond Allergy and Asthma Specialists Henrico | 804.285.7420 www.richmondallergy.com

ANESTHESIOLOGY

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.org

Barry K. Feinstein Advanced Allergy and Asthma of Virginia Richmond | 804.739.9005 www.advancedallergyva.com

Michael Z. Blumberg, MD, MSHA Allergy Partners of Richmond Greater Richmond Area 804.559.0370 www.allergypartners.com/richmond

SECOND PLACE Mary Dillon, MD

Commonwealth Anesthesia Associates Midlothian | 804.594.2622 www.caa-med.com

FIRST PLACE

THIRD PLACE

Jay Shapiro, MD

Anthony Manning, MD

Children’s Hospital of Richmond at VCU | Richmond/Chesterfield 804.828.CHOR (2467) | www.chrichmond.org

Providing a calming, reassuring face to patients and families is an essential part of anesthesia care, particularly for pediatric patients, who are often scared in a strange environment. A calm and comfortable patient makes us all feel good about what we do every day.

— Jay Shapiro, MD

AUDIOLOGY

is the branch of science that studies hearing, balance, and related disorders. Its practitioners treat those with hearing loss and proactively prevent related damage.

FIRST PLACE Holly Law, Med, CCC-A

Ear, Nose, & Throat Specialists of Central Virginia Chesterfield/Henrico | 804.272.1413 www.entsva.com

SECOND PLACE Richmond Hearing Doctors Richmond | 804.282.0022 www.richmondhearingdoctors.com

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Ann-Marie Irani, MD

Wei Zhao, MD, PhD

is the practice of medicine dedicated to the relief of pain and total care of the surgical patient before, during and after surgery.

Leah Ball, AuD

HONORABLE MENTION

SECOND PLACE

THIRD PLACE Kim Fisher, MA, CCC-A

Richmond Hearing Doctors Richmond | 804.282.0022 www.richmondhearingdoctors.com

HONORABLE MENTION Meredith Heiner, AuD Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.org

OurHealth | The Resource for Healthy Living in Greater Richmond

West End Anesthesia Group–Bon Secours Richmond | 804.288.6258 www.richmond.bonsecours.com

HONORABLE MENTION Randy Applefeld, MD Commonwealth Anesthesia Associates Midlothian | 804.594.2622 | www.caa-med.com

Anne Wilhite, MD Commonwealth Anesthesia Associates Midlothian | 804.594.1383 | www.caa-med.com

BARIATRIC MEDICINE is the branch of medicine that deals with the causes, prevention, and treatment of obesity.

FIRST PLACE Matther Brengman, MD, FACS

HCA - Advanced Surgical Partners of Virgina | Richmond 804.360.0600 | www.advancedsurgicalpartnersofva.com

Going to the doctor can be a nervous experience.

Good bedside manner helps the patient relax and feel comfortable. Once the patient and I establish a good connection, we can work through their issues and come to treatment decisions as a team.

— Matther Brengman, MD, FACS

Your dedicated source for healthcare in Greater Richmond

SECOND PLACE Gregory Schroder, MD

HCA - Advanced Surgical Partners of Virginia Richmond | 804.360.0600 www.hcavirginia.com

THIRD PLACE Tejwant Datta, MD, FACS

Southside Metabolic & Bariatric Surgery Petersburg | 804.504.7900 www.srmconline.com

ourhealthrichmond.com

CARDIOLOGY is the branch of medicine focusing on the structures, functions and disorders of the heart.

FIRST PLACE Clifford V. Morris, MD

Morris Cardiovascular and Risk Reduction Center | Hopewell 804.530.1044 | www.morriscardio.com

As a physician, healing begins at the bedside. To me, this offers a special opportunity to form a partnership with the patient. Breaking any barriers and forming a trust, is when magic happens. I am very humble and grateful for this award. Every interaction is a lesson, and this is just the beginning.

— Clifford V. Morris, MD

SECOND PLACE (TIE)

HONORABLE MENTION

Steven W. Cross, MD, FACC

Minh N. Bui, MD Henrico Cardiology Associates Richmond | 804.346.2070 henricocardiolgyassociates.org

Virginia Cardiovascular Specialists Richmond | 804.288.4827 www.vacardio.com

Jiho Han, MD FACC, FSCAI Virginia Cardiovascular Specialists Richmond | 804.323.5011 www.vacardio.com

THIRD PLACE

William Moskowitz, MD, FAAP, FACC, FCSAI Children’s Hospital of Richmond at VCU Richmond 804.828.CHOR (2467) www.chrichmond.org

Douglas Allen, MD

Children’s Hospital of Richmond at VCU Richmond | 804.828.

CHOR (2467) www.chrichmond.org

CHIROPRACTIC

is a health profession concerned with the diagnosis, treatment (without drugs or medication) and prevention of disorders of the neuromusculoskeletal system and the effects of these disorders on general health.

FIRST PLACE Lisa Holland, DC

Ariya Family Chiropractic Centers | Glen Allen | 804.270.5700 www.ariyafamilychiropractic.com

I approach my patients in the same way I would treat friends and family, particularly if a patient is in pain. If my patients understand what I am doing and why I am taking this approach, they will feel more comfortable and at ease.

— Lisa Holland, DC

SECOND PLACE Michael Johnson, DC, CCSP, FIAMA, DAcu Midlothian Chiropractic & Acupuncture Center Richmond | 804.320.9050 www.chirorichmond.com

THIRD PLACE Michael J. Albanese, Jr, DC

Albanese Chiropractic Glen Allen | 804.290.4414 www.albanesechiropractic.com

HONORABLE MENTION Cory Moran Back in Action Richmond | 804.254.0200 www.Feelgr8.com

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CONCIERGE MEDICINE

SECOND PLACE

(also known as direct care) is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. In exchange for the retainer, doctors provide enhanced care.

John Barnes, MD

Virginia Physicians – Midlothian Family Practice | Midlothian | 804.419.9705 www.vaphysicians.com

FIRST PLACE

THIRD PLACE

J. Rand Braggesen, MD

Stuart Solan, MD

n1 Executive Health Group | Richmond | 804.560.3295 | www.executive.md

Dr. Allan and I are both honored to receive this award. This recognition, we believe, is a direct statement of how our practice provides the opportunity for both the doctor and the patient to come together, allowing us to be proactive and to truly affect meaningful change in our patients’ lives.

— J. Rand Braggesen, MD

DENTISTRY: COSMETIC

n1 Executive Health Group Richmond | 804.560.3295 www.executive.md

Drs. Brown Reynolds & Snow Richmond Family and Cosmetic Dentistry Richmond | 804.288.5324 www.richmondcosmeticdentistry.com

Karen McAndrew, DMD, MS

Virginia Center for Prosthodontics | Richmond | 804.741.8689 | www.vapros.net

I am humbled to again receive this recognition, for the most important aspect of our practice is patient care and comfort. Spending time providing information and addressing concerns is just as important as the actual delivery of care. It is our responsibility to reassure our patients and provide compassion while delivering the absolute best treatment possible. Our time with you is the most important part of our day.

— Karen McAndrew, DMD, MS

Your dedicated source for healthcare in

OurHealth | The Resource for Healthy Living in Greater Richmond

Christine D. Allan, MD

Stephen Brown, DDS

FIRST PLACE

32

HONORABLE MENTION

SECOND PLACE

improves the appearance and function of a person’s teeth. Dentistry is the art and science of improving the appearance (aesthetics), function and health of the teeth and associated structures.

Greater Richmond

PartnerMD Richmond | 804.282.2655 www.partnermd.com

THIRD PLACE Catherine P. Crichton, DDS Virginia Family Dentistry Midlothian | 804.794.9789 www.vadentist.com

HONORABLE MENTION Al Stenger, DDS Drs. Stenger, Cole & Gupta Richmond | 804.320.7147 www.richmonddentist.net

DENTISTRY: GENERAL

is the evaluation, diagnosis, prevention and/or treatment (non-surgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity.

DENTISTRY: PEDIATRIC specializes in treating children from birth through adolescence.

FIRST PLACE

FIRST PLACE

Malinda Husson, DDS, MSD

Elizabeth Reynolds, DDS

Children’s Hospital of Richmond at VCU Richmond | 804.828.9190 | www.chrichmond.org

Drs. Brown Reynolds & Snow Richmond Family and Cosmetic Dentistry | Richmond 804.288.5324 | www.richmondcosmeticdentistry.com

The perception of dentistry is certainly one associated with angst and trepidation. For this reason, patients often come to their appointments with a preconceived notion of what is going to happen at that appointment. Anything I can do as a practitioner to alleviate my patient’s anxiety provides a tremendous service to my patient. I truly feel it is imperative that the patient feel as comfortable as possible with me and the procedure. That falls into “bedside manner” I suppose. I love practicing dentistry but I truly love my patients; they are why I do what I do, and my team and I always try to make sure that our patients know that.

— Elizabeth Reynolds, DDS SECOND PLACE

Great bedside manner is deeper than just treating the patient, especially when working with children. It means actively listening to the patient and parents, making them feel at ease, and building a relationship based on trust.

— Malinda Husson, DDS, MSD SECOND PLACE Nicholas C. Lombardozzi, DDS

Drs. Wood, Dunlevy & Lombardozzi Pediatric Dentistry & Orthodontics Midlothian | 804.794.3498 www.kidsdentists.com

THIRD PLACE Tegwyn H. Brickhouse, DDS, PhD

Children’s Hospital of Richmond at VCU Richmond | 804.828.9190 www.vcudentalcare.com

HONORABLE MENTION Chris Maestrello, DDS Atkins, Maestrello, Miller and Associates Richmond | 804.741.2226 www.pediatricdentistryrichmond.com

Meera A. Gokli, DDS Pediatric Dentistry & Orthodontics of Virginia Midlothian and Colonial Heights 804.739.0963 | www.pdova.com

Holly C. Lewis, DDS Hanover Pediatric Dentistry Mechanicsville | 804.746.7382 www.hanoverpediatricdentistry.com

Jeff Blackburn, DDS, FAGD

South River Dentistry Midlothian | 804.378.7888 www.midlothiandentist.com www.richmondcosmeticdentistry.com

THIRD PLACE Kurt Obeck, DDS

Drs. Norman, Obeck & Foy Richmond | 804.288.0102 www.nofdentistry.com

HONORABLE MENTION Michael O. McMunn, DDS, ACD, MAGD, FICOI Michael O. McMunn, DDS and Associates Richmond | 804.740.7212 www.drmcmunn.com

David C. Sarrett, DMD, MS VCU Dental Care

Richmond | 804.828.9190 www.vcudentalcare.com

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33

DERMATOLOGY is a specialty focusing on the diagnosis and treatment of diseases of the skin.

FIRST PLACE Eileen Cantor Kitces, MD

Richmond Dermatology & Laser Specialists | Richmond 804.282.8510 | www.richmonddermlaser.com

To me a good bedside manner is the combination of confident medical knowledge and judgment, given with a genuine concern, empathy and understanding of each individual patient. B ecause going to the doctor can be a frightening and vulnerable experience, it is important to make the patient feel comfortable and a part of the decision making process.

— Eileen Cantor Kitces, MD

SECOND PLACE

HONORABLE MENTION

Georgia K. Seely, MD

Erin G. Adams, MD

Dermatology Associates of Virginia PC Glen Allen/Richmond 804.549.4025 www.dermva.com

THIRD PLACE Laurie L. Shinn, MD

principles of nutrition to the diet.

FIRST PLACE Elisabeth Peterson, RD

Elisabeth Peterson Nutrition & Fitness | Henrico | 804.440.3110 www.petersonnutrition.com

A feeling of empowerment is the most frequent result of my work. It sprouts from you taking the all important first steps to be in charge of yourself rather than drifting in the current and feeling out-of-control.

The feeling grows as you learn and grow in a safe, trusting and caring environment. My role is to be your compassionate and supportive educator and to provide you a helpful and safe environment.

— Elisabeth Peterson, RD

EMERGENCY MEDICINE is the specialty of providing care for patients requiring prompt medical attention and urgent medical evaluation and treatment.

FIRST PLACE Robin Foster, MD, FAAP, FACEP

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.org

“B edside manners means it is the ultimate privilege to care for children and their families, so I treat everyone as I would like my own family to be treated.. with compassion and concern.”

— Robin Foster, MD, FAAP, FACEP

OurHealth | The Resource for Healthy Living in Greater Richmond

Kristin Z. Haushalter, MD Dermatology Associates of Virginia, PC Richmond | 804.285.2006 www.dermva.com

Commonwealth Dermatology (Pediatric) Richmond | 804.282.0831 www.comderm.com

DIETETICS is the science or art of applying the

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Dominion Dermatology Glen Allen | 804.262.6060 www.dominiondermatology.com

SECOND PLACE Mandy Mirzaie, RD

HCA Advanced Surgical Partners of Virginia Richmond | 804.360.0600 www.advancedsurgicalpartnersofva.com

THIRD PLACE Carol Hughitt, RD, CDE, CPT

Specialty Nutrition and Health, LLC Ashland | 804.762.6161 www.vcuhealth.org

HONORABLE MENTION Mary-Jo Sawyer, RD VCU Medical Center – MCV Campus 804.762.6161 | www.vcuhealth.org www.vcuhealth.org

SECOND PLACE Kenneth Scott Hickey, MD Emergency Consultants Inc. Richmond | 804.320.3911 www.hcavirginia.com

THIRD PLACE Michael William Singleton, MD Virginia Emergency Physicians Richmond | 804.330.2000

HONORABLE MENTION Peter T. Mellis, MD Emergency Consultants Richmond | 888.632.1085

ENDOCRINOLOGY is the study of the glands and

FIRST PLACE (TIE)

hormones of the body and their related disorders.

Kelsey E.S. Salley, MD

Virginia Endocrinology Midlothian | 804.423.3636 www.virginiaendo.com

FIRST PLACE (TIE) Meredith M. Berger, MD

Virginia Diabetes & Endocrinology PC Richmond/Midlothian | 804.272.2702 www.vadiabetes.com

I’m passionate about endocrinology and the whole story. I enjoy working with patients to deliver medical solutions that are most suited to individual situations.

My nurse and I work closely to deliver a personal and pleasant experience for our patients.

— Meredith M. B erger, MD

SECOND PLACE Robert P. Castellucci, MD

Richmond | 804.282.9899

THIRD PLACE Edmond P. Wickham, III, MD VCU Medical Center Richmond | 800.762.6161 www.vcuhealth.org

FAMILY PRACTICE is the medical specialty that

HONORABLE MENTION Allen S. Burris, MD, FACP Virginia Diabetes & Endocrinology, PC Richmond | 804.272.2702 www.vadiabetes.com

Leanza Hui Liu, MD HCA – Endocrinology Specialists of Richmond Richmond | 804.267.6920 www.endospecofrichmond.com

SECOND PLACE (TIE)

includes diagnosis and treatment of disease, injury, and illness for patients of any age.

Haroon Hyder, MD

Patterson Avenue Family Practice | Richmond 804.741.6200 | www.bonsecours.com

FIRST PLACE

Hayden Merrill Pasco, MD

Primary Health Group - Short Pump | Richmond 804.217.9091 | www.Phg-shortpump.com

Lorena L. Harvey, MD, FAAFP

Physicians of Family Medicine | Midlothian | 804.739.0910 www.physicians-familymed.com

THIRD PLACE (TIE)

How do you make the patient feel at ease so that they feel free, comfortable, honest and willing to share their complaints and deeper personal issues? The relationship between the patient and the physician is based on trust. The patient has to feel that the physician has a genuine concern for his/her wellbeing.

Anything less and the patient will tend to become guarded and less forthcoming, or perhaps may even alter the proper information for fear that they are being judged or that the doctor doesn’t really care. Having a good bedside manner should ease those fears, after all our patients become part of our lives and we try always to be sensitive to them.

— Lorena L. Harvey, MD, FAAFP

Emily K. Davis, DO

Family Practice Specialists of Richmond Midlothian | 804.330.3335 www.fpsrichmond.com

HONORABLE MENTION Patrick Mitchell, MD Chesterfield Family Practice | Richmond 804.276.9305 | www.chesterfieldfamily.com

Garrison Bennett, MD Virginia Physicians, Inc | Midlothian 804.419.9760 | www.vaphysicians.com

Richard L. Gergoudis, MD Commonwealth Primary Care, Inc. | Richmond 804.288.1800 | www.cpcva.com

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35

FERTILITY SPECIALIST

or reproductive endocrinology and infertility (REI) is a subspecialty of obstetrics/gynecology that trains physicians in reproductive medicine addressing hormonal functioning as it pertains to reproduction as well as the issue of infertility.

FIRST PLACE (TIE) Michael Edelstein, MD

The Fertility Institute of Virginia Ltd. Richmond | 804.379.9000 www.fertilityinstituteofva.com

FIRST PLACE (TIE) Anish A. Shah, MD

Richmond Center for Fertility and Endocrinology Richmond | 804.285.9700 www.richmondfertilitycenter.com

I believe in patient-centered fertility care. I arrived here one year ago from Duke University. I am proud to be known for personalized care. I credit this to my philosophy that 'every patient is like a member of my family.'

SECOND PLACE

HONORABLE MENTION

Kenneth Steingold, MD

R. Scott Lucidi, MD, FACOG

The Fertility Institute of Virginia Ltd. Richmond | 804.379.9000 www.fertilityinstituteofva.com

VCU Medical Center at Stony Point Richmond | 804.762.6161 www.vcuhealth.org

THIRD PLACE Joseph Gianfortoni, MD

— Anish A. Shah, MD

Lifesource Fertility Center Henrico | 804.673.2273 www.lifesourcefertility.com

GASTROENTEROLOGY is the specialty dealing with the treatment of disorders of the digestive gastroenterology or GI system.

SECOND PLACE (TIE)

HONORABLE MENTION

Howard O. Haverty, MD

Narendra B. Vadlamudi, MD, DCH, MRCPCH

Richmond Gastroenterology Associates Richmond | 804.560.9852 www.richmondgastro.com

FIRST PLACE William Brand, MD

Sean C. O’Donovan, MD, FACS

Gastrointestinal Specialists, Inc Richmond | 804.285.8206 | www.gastrova.com

P hysicians should understand what a privilege we have to take care of patients.

We should listen better, try not to rush the patient through the visit, and treat everyone with the care and compassion we would hope to be treated with ourselves.

— William Brand, MD

Colon and Rectal Specialists Stony Point | 804.249.2465 www.crspecialists.com

Children’s Hospital of Richmond at VCU Stony Point | 804.828.CHOR (2467) www.chrichmond.org

Richard Mitchell, MD Independent Associates Richmond | 804.282.3114

THIRD PLACE Gregory Lemite, MD

Tri-Cities Gastroenterology, PC Chester | 804.681.0556 www.tcgastrocenter.com

GERIATRIC CARE is a medical specialty

that addresses the complex needs of older patients and emphasizes maintaining functional independence even in the presence of chronic disease.

SECOND PLACE Stanley N. Furman, MD

FIRST PLACE Danny W. Felty, MD, FAAFP, CMD

HCA – Chippenham Family Medicine Richmond | 804.560.0490 www.chippenhamfamilymedicine.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Senior Health Center Richmond | 804.237.1665

THIRD PLACE Peter A. Boling, MD

VCU Medical Center Richmond | 800.762.6161 www.vcuhealth.org

INFECTIOUS DISEASE

is the medical specialty focusing on the diagnosis, cause and treatment of contagious disease.

FIRST PLACE James W. Brooks, MD

HCA - Infectious Disease Specialists | Richmond 804.285.1833 www.hcavirginia.com

SECOND PLACE Mark A. Gentz, DO

Commonwealth Infectious Disease | Richmond 804.601.0609 www.hcavirginia.com

THIRD PLACE Andrea Gonzalez, MD

Richmond Infectious Disease Associates Midlothian | 804.276.7125 www.bonsecours.com

HONORABLE MENTION Michael Edmond, MD, MPH, MPA VCU Medical Center | Richmond 804.762.6161 | www.vcuhealth.org

INTERNAL MEDICINE is the branch of medicine that deals with the diagnosis and nonsurgical treatment of diseases affecting adults.

FIRST PLACE Lauren Goode, MD

Primary Health Group Richmond | 804.282.0514 www.phg-forest.com

I feel that every doctor – patient relationship must start with excellent communication. I attempt to accomplish this by having a warm, friendly conversation with my patients about their medical needs and issues as opposed to a one-sided interview. One’s medical needs cannot be separated from their social and emotional needs and the integration of taking care of a person as a whole and not just their physical ailments. I believe is what makes good medicine.

— Lauren Goode, MD

SECOND PLACE (TIE) Kelly White, MD

West End Internal Medicine Richmond | 804.282.7857 www.bonsecours.com

Brian W. Hanrahan, MD

Hospitalists of Virginia, LLP Richmond | 804.327.4046 www.hcavirginia.com

THIRD PLACE Richard S. Tate, MD

Commonwealth Primary Care, Inc. Richmond | 804.288.3001 www.cpcva.com

HONORABLE MENTION Beth S. Du, MD Associated Internists Richmond | 804.288.3079 www.bonsecours.com

Minh Q. Tran, MD Reynolds Primary Care Richmond | 804.346.1515

www.vaphysicians.com

www.OurHealthRichmond.com

37

NEONATOLOGY

is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant. It is a hospital-based specialty, and is usually practiced in neonatal intensive care units (NICUs).

SECOND PLACE Raymond Farhi, MD

Pediatrix Medical Group | Richmond 804.323.8893 | www.hcavirginia.com

THIRD PLACE

FIRST PLACE

Russell Moores, MD

Karen Hendricks-Munoz, MD, MPH

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) | www.chrichmond.com

I believe that providing medical care to high risk infants and their families in the NICU is an opportunity to support families through a difficult time, understand and respect their concerns and treat each patient and family in an honest and compassionate manner.

— Karen Hendricks-Munoz, MD, MPH

Enewsletters

Tablet Mobile

Online

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.com

HONORABLE MENTION Vijay Dhande, MD Sheridan Health Corp. | Richmond | 804.288.8338

James Christmas, MD HCA – Commonwealth Perinatal Services Richmond | 804.289.4674 www.commonwealthperinatal.com

NEPHROLOGY is the study of the function and diseases of the kidney and related organs.

FIRST PLACE Martin Starkman, MD

HCA Virginia Richmond | 804.282.8005 www.hcavirginia.com

SECOND PLACE Christopher Acker, MD

Richmond Nephrology Associates Greater Richmond | 804.272.5814 www.richmondnephrologyassociates.com

THIRD PLACE Timothy Bunchman, MD

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.com

NEUROLOGY is the specialty of medicine which focuses on the diagnosis and treatment of disorders of the nervous system.

HONORABLE MENTION Peter Condro, Jr., MD, FASN Richmond Nephrology Associates Greater Richmond | 804.272.5814 www.richmondnephrologyassociates.com

H. Brian Peppiatt, MD Richmond Nephrology Associates Greater Richmond | 804.272.5814 www.richmondnephrologyassociates.com

SECOND PLACE (TIE) Jean Teasley, MD

Children’s Hospital of Richmond at VCU | Richmond 804.828.CHOR (2467) www.chrichmond.com

FIRST PLACE Mubashir Khan, MD

Neuro Care of Virginia | Hopewell 804.452.4546

Robert J. White, MD

Neurological Associates Richmond | 804.272.9146 www.hcavirginia.com

THIRD PLACE Matthew Boyce, MD

Neurological Associates Richmond | 804.288.2742 www.hcavirginia.com

HONORABLE MENTION Stacy L. Epps, MD Bon Secours Neurology Clinic Chester | 804.284.6880 Midlothian | 804.325.8750 www.bonsecours.com

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NURSE PRACTITIONER (NP)

Tablet

is a registered nurse with advanced academic and clinical experience, which enables him or her to diagnose and manage most common and many chronic illnesses, either independently or as part of a healthcare team.

Mobile

Online

FIRST PLACE Amy Foster, ACNP

Richmond Gastroenterology Associates Midlothian | 804.560.9844 | www.richmondgastro.com

B edside manner can be the best ‘medicine’ a patient receives. When I walk into a patient’s room, I remember that this person is someone’s parent or sibling or child. I treat them just like I’d want myself or my family treated.

— Amy Foster, ACNP SECOND PLACE

THIRD PLACE (TIE)

HONORABLE MENTION

Kate T. Tibbs, RN, PMHNP-BC

Julie Shotwell, RN, MS, CPNP

George Proffitt, NP-C

Commonwealth Counseling West End | 804.237.8030 www.commomwealthcounseling.com

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.com

Colonial Heights Medical Center Colonial Heights | 804.520.3105 www.colonialheightsmedicalcenter.com

Donna Mitchell, RN, MS, CPNP

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.com

www.OurHealthRichmond.com

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OBSTETRICS & GYNECOLOGY

SECOND PLACE Vienne Murray, MD

is the specialty of medicine that includes care for women before, during, and after pregnancy and child birth and the diagnosis and treatment of disorders affecting the female reproductive system.

West End Obstetrics and Gynecology | Richmond 804.282.9479 | www.westend-obgyn.com

THIRD PLACE (TIE) Siobhan S. Dunnavant, MD, FACOG

FIRST PLACE

Ob-Gyn Associates, Ltd. | Richmond 804.741.0440 | www.obgyn-assoc.com

Kimberly M. Galgano, MD

Lawrence G. Miller, III, MD

Virginia Women’s Center | Mechanicsville | 804.288.4084 www.virginiawomenscenter.com

Visiting a healthcare provider can make us all feel scared and vulnerable. Throughout every interaction, I try to put myself in my patients’ shoes – what would I want to know and how would I want to be treated?

— Kimberly M. Galgano, MD

OCCUPATIONAL MEDICINE is the branch of medicine dealing with the prevention and treatment of job-related injuries and illnesses.

Richmond | 804.282.2848 www.drlarrymiller.com

HONORABLE MENTION B. Boyden Clary, III, MD Ob-Gyn Associates, Ltd. | Richmond 804.741.0440 | www.obgyn-assoc.com

Susan Lanni, MD VCU Medical Center | Richmond 800.762.6161 | www.vcuhealth.com

ONCOLOGY is the diagnosis, treatment and prevention of blood diseases (hematology) and cancer (oncology) and research into them.

FIRST PLACE David Trent, MD

Virginia Cancer Institute | Richmond | 804.287.3000 www.vacancer.com

FIRST PLACE Joseph Andriano, MD

HCA Virginia Richmond | 804.254.5467 www.hcavirginia.com

SECOND PLACE James Cisek, MD

Bon Secours – Good Health Clinic Richmond | 804.288.1326 www.bonsecours.com

THIRD PLACE George Wedd, III, MD

HCA – Primary Health Group Ironbridge Richmond | 804.271.8990 www.phg-ironbridge.com

A good bedside manner to me means that I listen to what my patients have to say and make an effort to understand what’s most important to each of them. In a very limited amount of time, I have to create a relationship in which my patients can fully understand the information I’m giving them - and at the same time - feel comfortable asking questions.

— David Trent, MD SECOND PLACE

HONORABLE MENTION

Gita V. Massey, MD

Harry D. Bear, MD, PhD

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.com

THIRD PLACE Elke K. Friedman, MD

Virginia Cancer Institute Richmond | 804.287.3000 www.vacancer.com

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VCU Massey Cancer Center Richmond | 804.828.5116 www.massey.vcu.edu

Pablo M. Gonzalez, MD Virginia Cancer Institute Richmond | 804.330.7990 www.vacancer.com

Shobha R. Nalluri, MD Virginia Cancer Institute Hopewell/Petersburg | 804.431.1100 www.vacancer.com

OPHTHALMOLOGY

is the medical specialty that treats eye disorders, including injuries, infections, tumors, and cataracts.

FIRST PLACE Evelyn L. Baker, MD

Virginia Eye Institute | Richmond | 804.287.4200 | www.vaeye.com

I thank my wonderful patients for this honor. B edside manner means listening to patients then treating them with respect, dignity, and friendliness. My staff are heroes who help improve every patient’s experience in my clinic.

— Evelyn L. Baker, MD

SECOND PLACE (TIE) Andrew Michael, MD

Commonwealth Eye Care Associates | Richmond 804.271.6363 | www.commonwealtheye.com

Edwin Wortham, V, MD

Virginia Pediatric Opthalmology Specialists Richmond | 804.272.8040 | www.vposonline.com

THIRD PLACE Joseph D. Iuorno, MD

Commonwealth Eye Care Associates Richmond | 804.271.6363 www.commonwealtheye.com

HONORABLE MENTION Donna D. Brown, MD, FACS Virginia Eye Institute | Richmond 804.287.4200 | www.vaeye.com

OPTOMETRY is the specialty where the practitioner is trained and skilled in examining and testing the eyes for defects in order to prescribe corrective lenses or treatments.

FIRST PLACE Robert Rainer, OD

West End Eye Care | Richmond | 804.282.7228 | www.drrainer.com

Abraham Lincoln said: “In the end, it’s not the years in your life that count It’s the life in your years.”

To my patients: Thank you for putting life in my years. You make it a true pleasure to come to work every day. I will continue to serve you by offering comprehensive eye care in an unhurried, friendly manner and will always make my recommendations based on what is best for you. It is an honor and pleasure to serve you.

— Robert Rainer, OD

SECOND PLACE Patrick Ryan, OD

Ryan Vision Center Henrico | 804.364.1837 www.ryanvisioncenter.com

THIRD PLACE Peter Nardone, OD

Patterson Eye Clinic Richmond | 804.285.7638 www.pattersoneyeclinic.com

HONORABLE MENTION David LeRoux, OD Family Vision Care of Richmond Glen Allen | 804.217.9883 www.visionsource-familyvisioncareofrichmond.com

Your dedicated source for healthcare in

Greater Richmond

www.OurHealthRichmond.com

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ORAL SURGERY is the dental specialty that is limited to the diagnosis, surgery and treatment of diseases, injuries, deformities, and defects of the mouth.

FIRST PLACE Gregory M. Zoghby, DDS

Commonwealth Oral and Facial Surgery Richmond | 804.354.1600 | www.commonwealthofs.com

B edside manner starts with talking with the patient, not to the patient. I like to sit face to face, listen more than I speak. My role as a doctor is to educate; not to sell.

Ultimately, I want the patient to be comfortable with their decision. My mantra: Don’t hurry; things rarely turn out better when you rush.

— Gregory M. Zoghby, DDS SECOND PLACE

HONORABLE MENTION

Michael E. Miller, DDS

Robert Campbell, DDS

Commonwealth Oral and Facial Surgery | Richmond 804.354.1600 | www.commonwealthofs.com

Virginia Dental and Anesthesia Associates Glen Allen | 804.273.6818 | www.vdaa.info

Kanyon R. Keeney, DDS

THIRD PLACE

Virginia Oral & Facial Surgery | Mechanicsville 804.559.5416 | www.oralfacialsurgery.com

Thomas B. Padgett, DMD

Richmond Oral and Cosmetic Surgeons Midlothian | 804.379.7120 | www.rocs.net

ORTHODONTICS

is the specialty of dentistry that is concerned with the study and treatment of malocclusions (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships, or both.

FIRST PLACE Graham Gardner, DDS

Gardner and Jones Orthodontics Richmond | 804.282.6436 | www.gardnergrins.com

We have a simple philosophy: we treat our patients like family— with compassion and understanding. Every patient is a special individual and needs to be treated as such. A little kindness and a positive attitude go a long way.

— Graham Gardner, DDS SECOND PLACE

THIRD PLACE

HONORABLE MENTION

Jeffery W. Beyer, DDS

Dale Rogers, DDS

Michael Holbert, DDS, MDSc

Commonwealth Orthodontics Midlothian/Colonial Heights 804.739.6600 www.commonwealthortho.com

Virginia Family Dentistry Midlothian | 804.379.1011 www.vadentist.com

Holbert Family Orthodontics Richmond | 804.270.7824 www.holbertbraces.com

Allison S. Purcell, DDS Virginia Family Dentistry Midlothian | 804.794.9789 www.vadentist.com

www.OurHealthRichmond.com

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ORTHOPAEDICS

is focused on diseases, injuries, and conditions of the musculoskeletal system relating to the body’s muscles and skeleton, as well as the joints, ligaments, tendons, and nerves.

FIRST PLACE David W. Miller, Sr., MD

OrthoVirginia Richmond | 804.320.1339 | www.richmondhipandknee.com

The limited time that a physician has to spend with his patient is precious. I take to heart my patient satisfaction surveys.

A good bedside manner and communication skills foster a healthy interaction with patients and their family members.

— David W. Miller, Sr., MD SECOND PLACE (TIE)

THIRD PLACE

HONORABLE MENTION

William D. Brickhouse, MD

Praveer Srivastava, MD

Victoria Kuester, MD

Advanced Orthopaedics West End/Southside | 804.270.1305 www.advancedortho.me

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.com

Colonial Orthopaedics Richmond | 804.518.1300 www.colonialorthopaedics.com

William E. Nordt, III, MD

Mark Jones, MD

OrthoVirginia Richmond | 804.379.8088 www.vaknee.com

OrthoVirginia Richmond | 804.379.8088 www.orthovirginia.com

ORTHOTICS AND PROSTHETICS is the evaluation, fabrication, and custom fitting of artificial limbs and orthopedic braces.

FIRST PLACE Michael R. Monteiro, CP, ABC

POWELL | Richmond | 804.649.9043 | www.powelloandp.com

It’s more than just hearing what patients are saying, it’s about understanding their feelings, emotions and what they are trying tell you about their situation. Sometimes they just want someone to listen as a friend.

— Michael R. Monteiro, CP, ABC SECOND PLACE

THIRD PLACE

Joe L. Sullivan, CP, ABC

Thomas Mitchell Powell, CO, ABC and BOC

POWELL | Richmond | 804.649.9043 www.powelloandp.com

POWELL | Richmond | 804.649.9043 www.powelloandp.com

OSTEOPATHIC MEDICINE

is an approach to healthcare that emphasizes the role of the musculoskeletal system in health and disease.

FIRST PLACE Kenley W. Neuman, DO, FACOG

Virginia Physicians for Women Richmond | 804.897.2100 | www.vpfw.com

To me, good bedside manner means treating each patient as an individual and listening to what they have to say. It’s the most important way to connect with your patients and gain their trust and respect.

— Kenley W. Neuman, DO, FACOG SECOND PLACE

HONORABLE MENTION

Larry Gooss, DO

Steve Melhorn, DO

Sommerville Family Practice Midlothian | 804.594.0125 www.sommervillefp.com

THIRD PLACE Mark A. Gentz, DO

Commonwealth Infectious Disease Richmond | 804.601.0609 www.hcavirginia.com

Melhorn & melhorn DO, Inc. Richmond | 804.288.6414 www.melhorndo.com

OTOLARYNGOLOGY (ENT) is a surgical

specialty focusing on the diagnosis, management, and treatment of diseases and disorders of the ear, nose, throat (ENT) and related structures of the head and neck.

FIRST PLACE Kelley Dodson, MD

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.com

B edside manner means treating my patients like family.

— Kelley Dodson, MD

SECOND PLACE David Salley, MD

Virginia Ear Nose and Throat Midlothian | 804.484.3700 www.virghiniaent.com

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THIRD PLACE John Ditto, Jr., MD

HCA - Institute of Advanced ENT Surgery Richmond | 804.433.1400 www.hcavirginia.com

HONORABLE MENTION Julie Redmon, MD Comprehensive ENT | Glen Allen 804.228.4480 | www.comprehensiveent.us

Travis Shaw, MD Richmond | 804.775.4559 www.travisshawmd.com

PAIN MANAGEMENT

encompasses pharmacological, non-pharmacological, and other approaches to prevent, reduce, or stop pain sensations.

FIRST PLACE Jawad Wazir Bhatti, MD

Virginia Pain Network and Clinics 804.302.8571 | www.virginiapainnetwork.com

To me, bedside manner means treating in medicine with compassion and understanding.

— Jawad Wazir Bhatti, MD

PEDIATRICS focuses on the detection, diagnosis, treatment and prevention of diseases in children, ages infant to 18-years of age.

FIRST PLACE Sean McKenna, MD

Children’s Hospital of Richmond at VCU | Richmond 804.828.CHOR (2467) | www.chrichmond.org

B edside manner is all about teamwork. The team that gathers around my patients- parents, family, nurses, social workers, teachers, case managers, specialists- is the greatest team a doctor could hope to have.

— Sean McKenna, MD

SECOND PLACE P. Duke Crane, MD

Neurosurgical Associates, PC Richmond | 804.288.8204 www.neurosurgicalva.com

THIRD PLACE Yaoming Gu, MD

National Spine and Pain Center Richmond | 804.270.7262 www.treatingpain.com

SECOND PLACE (TIE)

HONORABLE MENTION

Susanne Appleton, MD

Adam M Falik, MD

Children’s Hospital of Richmond at VCU Richmond | 804.828.2467 www.chrichmond.org

Paul M. Strehler, MD

Chippenham Pediatrics Richmond | 804.320.1353 www.chippenhampediatrics.com

THIRD PLACE G. Thomas Rowe, MD, FAAP

Drs. Overton, Wiley, Kirchmier, Terry & Rowe, PC Richmond | 804.754.3776 www.vapeds.com

Henrico Pediatrics Richmond | 804.288.3069 www.henricopediatrics.com

Clifton C. Lee, MD, FAAP, FHM Children’s Hospital of Richmond at VCU Richmond | 804.628.0267 www.chrichmond.org

Mark Polanshek, MD Chester Pediatrics Chester | 804.748.9090 www.chesterpeds.com

Carol B. Williams, MD Bon Secours - Hanover Pediatrics Mechanicsville | 804.559.7280 www.bonsecours.com

www.OurHealthRichmond.com

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PERIODONTICS

is the specialty of dentistry that studies supporting structures of teeth, diseases, and conditions that affect them.

PHARMACY is the health profession of experts in the use of medicines.

FIRST PLACE

FIRST PLACE

Christopher K. Currin, RPh

Stephanie Voth, DDS, MS

Virginia Family Dentistry | Midlothian 804.379.1011 | www.vadentist.com

RX3 Compounding Pharmacy | Chester 804.717.5000 | www.rx3pharmacy.com

At Virginia Family Dentistry, we strive to always make patient satisfaction our first priority.

Receiving this award is a great honor and a testament to the hard work and dedication of our entire team.

— Stephanie Voth, DDS, MS

Compassion mixed with a dose of active listening is the perfect recipe for a successful bedside manner. The key is in understanding the delicate balance between the two in order to maximize every patient’s optimal wellness goals.

— Christopher K. Currin, RP h

SECOND PLACE

THIRD PLACE

Chris Richardson, DMD

Ben Overstreet, DDS

Richmond, Virginia Periodontist and Dental Implant Specialists Richmond & Midlothian 804.355.6593 www.richmondperioonline.com

Richmond, Virginia Periodontist and Dental Implant Specialists Richmond & Midlothian 804.355.6593 www.richmondperioonline.com

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SECOND PLACE

THIRD PLACE

Everett Darby, RPh

Baylor Rice, RPh

Midlothian Apothecary Midlothian | 804.794.5592

South River Compounding Pharmacy Henrico | 804.237.5970 www.southriverrx.com

PHLEBOLOGY

SECOND PLACE

a branch of medicine concerned with the veins.

William Torres, MD

Vein Clinics of Virginia Midlothian | 804.897.LEGS (5347) www.veinclinicsofvirginia.com

FIRST PLACE Charles F. Gould, MD

Richmond Vein Center | Richmond | 804.346.1612 | www.richmondveincenter.com

THIRD PLACE

At Richmond Vein Center, we consider it a privilege to care for any patient that seeks our help. We make a special effort to listen to our patients rather than just talking at them. Our guiding principal is that people remember the way you make them feel. Moreover, given the choice of being right or kind we prefer to choose kindness. Our Clinic strives to provide the best and most comprehensive vein care possible each day.

Raymond G. Makhoul, MD Vein Solutions | Richmond 804.330.8024 www.veinsolutions.com

— Charles F. Gould, MD

PHYSICAL MEDICINE

and rehabilitation, also referred to as physiatry, is a medical specialty concerned with diagnosis, evaluation, and management of persons of all ages with physical and/or cognitive impairment and disability.

FIRST PLACE Manmohan S. Khokhar, MD

HCA - Physical Medicine & Rehabilitation of Richmond | Richmond | 804.378.2233 www.hcavirginia.com

SECOND PLACE Charles M. Dillard, MD

Children’s Hospital of Richmond at VCU Richmond 804.828.CHOR (2467) www.chrichmond.org

THIRD PLACE Nathan Zasler, MD

Concussion Care Centre of Virginia, LTD Richmond | 804.270.5484 www.concussioncarecentre.com

HONORABLE MENTION Eugenio A. Monasterio, MD Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chirichmond.org

PHYSICAL THERAPY (or physiotherapy), often abbreviated PT, is the art and science of physical care and rehabilitation.

FIRST PLACE Tracey Adler, DPT, OCS, CMTPT

Orthopedic Physical Therapy | Richmond | 804.285.0148 | www.orthopedicptinc.com

I believe that when a patient feels “heard” by a health care professional, it is good bedside manner. A patient should feel that they are at ease, safe, understood and respected. At Orthopedic P hysical Therapy, Inc, the entire staff is committed to these principles.

— Tracy Adler, DPT, OCS, CMTPT

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SECOND PLACE Kristen Robertson Wright, PT, MPT, CMTPT Orthopedic Physical Therapy | Richmond 804.285.0148 | www.orthopedicptinc.com

THIRD PLACE David A. Lawrence, MSPT, ATC

The Gait Center | Richmond | 804.523.2653 www.lawrencerehabilitation.com

HONORABLE MENTION Lydia Morris, PT, CMTPT Orthopedic Physical Therapy | Richmond 804.285.0148 | www.orthopedicptinc.com

Katherine M. Oxford, DPT, OCS Virginia Urology for Women | Richmond 804.330.9105 | www.virginiaurologyforwomen.com

www.OurHealthRichmond.com

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PHYSICIAN ASSISTANT (PA) is licensed to practice

SECOND PLACE

medicine under the supervision of a licensed physician, and who thereby extends the physician’s capacity to provide medical care.

Steven Gaylor, PA-C

CJW Medical Center Richmond | 804.320.2751 www.heartsurgeryva.com

FIRST PLACE

THIRD PLACE

Ken McColley, PA

HCA Virginia - Primary Health Group | Hopewell | 804.458.8535 | www.phg-hopewell.com

I view bedside manner as employing a positive patient care approach by listening, communicating and showing empathy. Involving patients in health decisions and helping them feel at ease is the cornerstone of my practice, and I hope my patients see that every day.

— Ken McColley, PA

Jennifer Newlin, MHS, PA-C

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.org

HONORABLE MENTION Julia Saddington, PA-C Ortho Virginia North Chesterfield | 804.320.1339

Lindsay Arthur, PA-C Patient First | Chester | 804.796.3636 www.patientfirst.com

PLASTIC SURGERY: COSMETIC

is the field of surgery that is performed to reshape structures of the body in order to improve appearance and self-esteem.

FIRST PLACE Travis Shaw, MD

Stony Point Surgery Center Richmond | 804.681.3928 www.stonypointsc.com

I learned how to care for patients from my father. Taking time to sit down with patients and really listen sets a foundation for a meaningful relationship.

SECOND PLACE

HONORABLE MENTION

Nadia P. Blanchet, MD

Gordon Lewis, MD

Nadia Blanchet Plastic and Reconstructive Surgery Richmond | 804.320.8545 www.madiablanchetmd.com

THIRD PLACE Joe Niamtu, DMD

Lewis Plastic Surgery Richmond | 804.267.6009 www.lewisplasticsurgery.com

Sharline Z. Aboutanos, MD, FAAP Richmond Plastic Surgeons Richmond | 804.285.4115 www.richmondplasticsurgeons.com

Cosmetic Facial Surgery Richmond | 804.934.3223 www.lovethatface.com

— Travis Shaw, MD

PLASTIC SURGERY: RECONSTRUCTIVE is the field of surgery concerned with reducing scarring or disfigurement that may occur as a result of accidents, birth defects, or treatment for diseases, such as melanoma.

FIRST PLACE Jennifer Rhodes, MD

Children’s Hospital of Richmond at VCU | Richmond 804.828.CHOR (2467) | www.chrichmond.org

To me, good bedside manner is about treating patients and families with respect. It means giving my undivided attention and really listening to what they are saying, and not saying. My intention is that every visit provides education, support, and hope.

— Jennifer Rhodes, MD 50

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SECOND PLACE Isaac L. Wornorm, III, MD, FACS

Richmond Plastic Surgeons Richmond | 804.285.4115 www.richmondplasticsurgeons.com

THIRD PLACE Leslie V. Cohen, MD

HCA Virginia Retreat Hospital Wound Healing Center Richmond | 804.254.5100 www.hcavirginia.com

HONORABLE MENTION Joseph V. Boykin The Wound Healing Center at Retreat Doctor’s Hospital Richmond | 804.254.5403 www.hcavirginia.com

PODIATRY

is the branch of medicine that deals with the diagnosis, treatment, and prevention of diseases of the human foot.

FIRST PLACE Scott Vantre, DPM

Virginia Foot and Ankle Center | Richmond | 804.285.3933 | www.vafootankle.com

This summer I celebrated 20 years of practicing psychiatry. B edside manner means having a relationship with my patients. I have been part of their lives through joys and sorrows and watched them grow. That’s what has made my career fulfilling.

— Scott Vantre, DPM

SECOND PLACE Franklin Ognelodh, DPM

Preventive Foot Care Richmond | 804.643.8863 www.richmond-podiatrist.com

THIRD PLACE David M. Binder, DPM

Commonwealth Podiatry Associates Richmond | 804.730.1300 www.hcavirginia.com

HONORABLE MENTION Noel P. Patel, DPM The Foot Center, Inc. Richmond | 804.285.1523 www.thefootcenter.org

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PSYCHIATRY is the branch of medicine that deals with the diagnosis, treatment, and prevention of mental and emotional disorders.

SECOND PLACE Martin Buxton, MD

Insight Physicians Richmond | 804.282.0655 www.hcavirginia.com

FIRST PLACE Susan Jones, MD

Commonwealth Counseling | Greater Richmond Area 804.730.0432 | www.commonwealthcounseling.com

This summer I celebrated 20 years of practicing psychiatry. B edside manner means having a relationship with my patients. I have been part of their lives through joys and sorrows and watched them grow. That's what has made my career fulfilling.

— Susan Jones, MD

THIRD PLACE Alexis Aplasca, MD

Virginia Treatment Center for Children Richmond | 800.762.6161 www.vcuhealth.org

HONORABLE MENTION Durre N. Khan, MD Behavioral Health Group at St. Mary’s Richmond | 804.287.7788 www.bonsecours.com

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PSYCHOLOGY & COUNSELING

PULMONARY (aka pulmonology) is the specialty that deals with diseases of the respiratory tract and respiratory disease.

is the branch of medicine that deals with the diagnosis, treatment, and prevention of mental and emotional disorders.

FIRST PLACE Scott Radow, MD

Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 | www.paraccess.com

FIRST PLACE Jessica D. Roberts, PMHNP-BC

"When I am entrusted with the health of another person, I want them to know that I will listen to them, that I care about them, and that I am committed to doing whatever I can to help them.

—Dr. Scott Radow

Children’s Hospital of Richmond at VCU Richmond | 804.828.

CHOR (2467) www.chrichmond.org

One can never underestimate the impact of giving your time and undivided attention when caring for those in need. Meredith Bucknell once said, ‘we (as clinicians) have the capacity to be with those who are at the extremes of human existence and yet still somehow remain hopeful of the potential for each life.’ Often times the children and families I serve are experiencing their worst of days when our paths cross. Above all, I’m compelled to hold on to that hope and provide them a safe, family-focused place to tell their story and gain the strength to overcome.

— Jessica D. Roberts, PMHNP-BC

SECOND PLACE Jamie C. Hey, MD

Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 www.paraccess.com

THIRD PLACE (TIE) Peter Torisi, MD

Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 www.paraccess.com

H. Joel Schmidt, MD

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.org

HONORABLE MENTION Gary Giessel, MD, FCCP, D.ABSM, CPI Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 www.paraccess.com

SECOND PLACE James Bullock, PsyD, LCP

Commonwealth Counseling Greater Richmond | 804.730.0432 www.commonwealthcounseling.com

THIRD PLACE Margaret Norman, LPC, LMFT

Glenside Wellness and Counseling Richmond | 804.741.4300

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RADIATION ONCOLOGY

is the specialty for the treatment of cancer patients, using radiation therapy as the main modality of treatment.

SECOND PLACE George Trivette, MD

Radiation Oncology Associates Richmond | 804.281.8350 www.roa-vu.com

FIRST PLACE

THIRD PLACE

David M. Randolph, MD

David Randolph, MD Richmond | 804.266.8717 www.hcavirginia.com

Laurie Cuttino, MD

VCU Massey Cancer Center Richmond | 804.828.5116 www.massey.vcu.edu

HONORABLE MENTION Douglas Arthur, MD MCV Associated Physicians Richmond | 804. 628.1027 www.hcavirginia.com

RADIOLOGY is a medical specialty that employs the use of imaging to both

SECOND PLACE

diagnose and treat disease visualized within the human body.

Joseph Harpole, MD

Radiology Associates of Richmond Hopewell | 412.223.2272 www.hcavirginia.com

FIRST PLACE Jacqueline Hogge, MD

Radiology Associates of Richmond | Richmond | 804.282.8806 | www.rarichmond.com

All women who come into the breast center for a diagnostic work up or a biopsy are worried that they may have breast cancer. I always strive to make a personal connection so that each patient has a positive experience with us rather than a negative one. I have an excellent staff with years of experience, and I greatly appreciate the help that they provide with each patient. I am also very proud to offer our patients the latest technology and advances in imaging including 3-D Tomography and Breast MRI at the Johnston Willis Breast Center.

— Jacqueline Hogge, MD

THIRD PLACE Vaden Padgett, MD

Commonwealth Radiology, PC Richmond | 804.281.8237 www.commonwealthradiology.com

RHEUMATOLOGY is the specialty in the non-surgical treatment of rheumatic illnesses, especially arthritis.

FIRST PLACE Steven Maestrello, MD

Bon Secours St. Mary’s Hospital Richmond | 804.346.1551 www.richmond.bonsecours.com

I have always enjoyed spending time with my patients in the practice of medicine, and hope that joy is apparent to those around me.

— Steven Maestrello, MD 54

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SECOND PLACE George Moxley, MD

VCU Medical Center Richmond | 804.762.6161 www.vcuhealth.org

THIRD PLACE Beth Rubenstein, MD

VCU Medical Center Richmond | 804.762.6161 www.vcuhealth.org

SLEEP MEDICINE is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders.

FIRST PLACE Douglas W. Puryear, MD, FCCP

Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 | www.paraccess.com

As a pulmonary, critical care, and sleep physician, my goal is to practice patient centered medicine that requires an approach that builds a lasting relationship built on trust and respect. Patient care is a partnership between the physician and the patients.

— Douglas W. Puryear, MD, FCCP THIRD PLACE

SECOND PLACE

Richard Parisi, MD

Zahid I. Mughal, MD

Pulmonary and Critical Care Associates Hopewell | 804.458.7781 | www.bonsecours.com

Sleep Clinics of America Henrico | 804.269.8291 | www.scaclinics.com

SPORTS MEDICINE

is an area of health and special services that apply medical and scientific knowledge to prevent, recognize, manage, and rehabilitate injuries related to sport, exercise, or recreational activity.

SECOND PLACE Vivek Sharma, MD

FIRST PLACE Douglas Cutter, MD

CJW Sports Medicine | Richmond 804.560.6500 www.hcavirginia.com

Colonial Orthopaedics Colonial Heights | 804.526.5888 www.viveksharmamd.com

THIRD PLACE Katherine L. Dec, MD

HCA Virginia - Sports Medicine Midlothian | 804.545.7560 www.hcavirginia.com

HONORABLE MENTION Geoffery Higgs, MD Advanced Orthopaedics | Henrico 804.800.1718 | www.advancedortho.me

Julius ‘Jody’ Smith, MD Ortho Virginia | Richmond 804.379.8088 | www.orthovirginia.com

see page 82 for details

SURGERY: CARDIAC

is surgery on the heart to correct congenital heart disease or the complications of heart disease or valve problems created by various causes.

SECOND PLACE

FIRST PLACE Thomas Christopher, MD, FACS

HCA - Cardiothoracic Surgical Associates Richmond | 804.320.2751 www.hcavirginia.com

SURGERY: GENERAL is the treatment of injury, deformity, and disease using operative procedures.

James Whelan, MD

VCU Medical Center | Richmond | 804.762.6161 | www.vcuhealth.org

This is a great honor. I try to instill in our residents that our patients are our greatest teachers, and should be treated as such. We all can learn from every patient encounter no matter how brief, gaining knowledge in every aspect of patient care by the simple act of just taking time to listen.

— James Whelan, MD

SURGERY: NEUROSURGERY

is a surgical specialty for the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.

FIRST PLACE Peter A. Alexander, MD, FACS Neurosurgical Associates, PC Richmond 804.288.8204 www.neurosurgicalva.com

SECOND PLACE K Singh Sahni, MD, FACS

Neurosurgical Associates of Richmond Richmond | 804.330.4990 www.hcavirginia.com

THIRD PLACE Gary W. Tye, MD–NO longer w/ VCU

Children’s Hospital of Richmond at VCU | Richmond 804.828.CHOR (2467) www.chrichmond.org

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Bon Secours Cardiac Surgery Specialists Richmond | 804.287.7840 www.bonsecours.com

THIRD PLACE Chiwon Hahn, MD, FACS

HCA - Cardiothoracic Surgical Associates Richmond | 804.282.8777 www.hcavirginia.com

SECOND PLACE

HONORABLE MENTION

Amy T. Rose, MD

Clifford Deal, III, MD, FACS

Surgical Associates of Richmond Richmond | 804.320.2705 www.hcavirginia.com

FIRST PLACE

Mark Katz, MD

THIRD PLACE (TIE) Eric P. Melzig, MD. FACS

HCA Virginia - Richmond Surgical Richmond | 804.285.9416 www.hcavirginia.com

David A. Lanning, MD, PhD

Children’s Hospital of Richmond at VCU | Richmond | 804.828.CHOR (2467) www.chrichmond.org

HONORABLE MENTION Rajesh Mehta, MD Neurosurgical Associates, PC Richmond | 804.288.8204 www.neurosurgicalva.com

John D. Ward, MD, MSHA VCU Medical Center Richmond | 800.762.6161 www.vcuhealth.org

HCA Virginia - Richmond Surgical Richmond | 804.285.9416 www.hcavirginia.com

Shaun O’Donovan Colon and Rectal Specialists Richmond | 804.775.4500 www.crspecialists.com

Debra Hutchins, MD, FACS HCA Virginia - Richmond Surgical Richmond | 804.285.9416 www.hcavirginia.com

SURGERY: VASCULAR is the treatment of surgery on diagnosed patients with diseases of the arterial, venous, and lymphatic system.

UROLOGY is a medical specialty that deals with disturbances of the urinary (male and female) and reproductive (male) organs.

FIRST PLACE Douglas Ludeman, MD

Virginia Urology | Richmond | 804.330.9105 | www.uro.com

FIRST PLACE

It means a lot to me to receive the best bedside manner award from my patients as this indicates they recognize how much I consider it a great honor and privilege to care for them and help them feel better. — Douglas Ludeman, MD

Barklie W. Zimmerman, MD, FACS

Richmond Surgical Group Henrico | 804.968.4435 www.richmondsurgical.net

SECOND PLACE Mark M. Levy, MD, RVT

Bair Vascular Institute | Richmond 804.828.9849 | www.bairdvascular.vcu.edu

THIRD PLACE John W. Hyslop, MD

Surgical Associates of Richmond | Richmond 804.320.2705 | www.hcavirginia.com

SECOND PLACE

HONORABLE MENTION

Aaron Krill, MD

C. Ryan Barnes, MD

Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.org

THIRD PLACE Jeffrey Lou, MD

Virginia Urology | Richmond 804.330.9105 | www.uro.com

Nathan L. Guerette, MD The Female Pelvic Medicine Institute of Virginia | North Chesterfield 804.523.2533 | www.fpmiofva.com

Urology Specialists of Virginia Richmond | 804.323.0226 www.urologyspecialistsva.com

Your dedicated source for healthcare in

Greater Richmond

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FITBITS

H EA LT H A ND F I T NES S O N THE GO

Rather than a ‘resolution’, why not make a ‘commitment’ to be fit as you ring in the new year? Here are some great tips to get started from the legs up!

Did you know you burn the most calories when you exercise your legs?

That’s because they’re home to your body’s biggest muscle groups, so it takes more energy to move them.

For maximum results in getting the legs you want, the secret lies in workouts that use slow movements that purposefully fatigue the muscles.

The first phase of an exercise is done to a slow count of ten seconds. When you reach the most difficult part of the exercise – where gravity and the nature of the

If you want sculpted, lean legs, check out these simple exercises, which can be done with minimum space and equipment : For optimum results, perform three sets of 8-12 repetitions of the following exercises 3-5 times per week.

#2. Lunge:

1. Place feet a little wider than shoulder-width apart, hips stacked over the knees, and knees over ankles.

1. Step forward with right leg and keep left leg back. Step should be comfortable and allow you to keep balance. You should be able to feel the stretch in your gluteus and hamstring muscles.

3. Extend the arms out straight so they are parallel with the ground, palms facing down 4. Initiate movement by inhaling into the belly, and unlocking the hips, slightly bringing them back. Keep sending hips backward as the knees begin to bend.

5. While the butt starts to stick out, make sure the chest and shoulders stay upright, and the back stays straight. Keep the head facing forward with eyes straight ahead for a neutral spine.

6. Engage the core, and exhale while driving through the heels to return to standing. With bodyweight in the heels, explode back up to a standing position, driving through the heels.

Deidre is a certified personal trainer with more than 15 years experience in the health and fitness industry.

She is the resident fitness specialist for OurHealth Richmond.

exercise require peak effort (maximum tension point or MTP) – hold the contraction for two seconds. Then return to the starting point through another count of ten seconds. Moving this slowly is so important because it creates an intense resistance workout.

#1. Bodyweight Squat:

2. Roll the shoulders back and down away from the ears. It’s important to maintain a neutral spine throughout the movement.

Deidre Wilkes, AFAA, ACSM, Certified Personal Trainer

2. Lower body by bending legs.

Right leg should create a 90-degree angle at the knee.

Left knee should dip down toward the floor until it almost touches. Remember to stretch only as far as you can without being uncomfortable and feeling unsteady.

3. Maintain posture by keeping back straight.

Right knee should be directly above foot without moving too far forward. Keep feet completely on the ground, relying on both feet for balance.

4. Raise body back up without standing up completely.

5. Repeat these steps with left leg forward.

#3. Side Leg Lift on Exercise Ball 1. Kneel on a yoga mat with exercise ball on one side.

2. Rest one side of body against exercise ball and push up, so bottom leg is underneath you on the mat.

3. Extend the leg on the opposite side of the exercise ball straight out to the side. Rest your body against the side of the exercise ball, and support with one hand.

4. Opposite hand is on the floor. Back should be straight and shoulders square.

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take a tour of

acac

FITNESS & WELLNESS CENTERS

acac Fitness & Wellness Centers came to Richmond in 2005 from nearby Charlottesville where it was started by local businessman Phil Wendel in 1984. Celebrating 30 years this past fall, acac has locations in Midlothian and Short Pump offering comprehensive fitness centers complete with aquatics, group exercise, mind~body classes, strength and cardio equipment, fully appointed locker rooms, child care, squash and tennis courts. acac is most proud of its Physician Referred Exercise Program, or p.r.e.p.®, which encourages physicians to prescribe exercise to their patients as a way of answering many health concerns. p.r.e.p.® participants are engaged with acac nurses and exercise physiologists for 60 days for $60 to begin an exercise regime in conjunction with their doctor’s wishes.

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ON THE WEB

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Breaking the Silence

Living with HIV

words | SUSAN DUBUQUE

This series explores diseases that can be devastating to the individuals and families they affect—yet no one is talking about them. That is, until now. In each edition of Our Health, we bring these medical issues into the light—and dedicate these stories to the courageous patients and families living with them and the healthcare providers and researchers who commit their lives to treating and seeking cures for these enigmatic conditions.

Portia’s Story She’s a poet, a praise dancer, a yoga enthusiast. A health nut and active member of her church. A mother, grandmother and great grandmother eight times over. But on January 3, 1999, her world came tumbling down—when she learned she had HIV. The diagnosis was devastating. “A nurse sat across the desk from me and said, ‘Your test results are in. You are HIV positive.’ And that was it. No support, no advice, no information on what to do next. She might as well have said, ‘And have a nice day.’” With this, Portia Baskerville launches into her story of living with HIV.

And live to the fullest is just what she does.

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“HIV is my diagnosis. It’s not who I am,” says Portia. But it wasn’t always that way. “Immediately after I left that clinic, I walked to my brother’s house—in a daze. When I gave him the news, he told me that it wasn’t the end of the world. There was medication to treat HIV and I had family who loved me.” But coping wasn’t easy. Portia was paralyzed with fear. “I went through every stage of grief—denial, anger, bargaining, depression and acceptance. Oh, did I ever bargain. And I got stuck in denial. I kept being retested, hoping for different results.”

Acceptance finally came a year later. When Portia began to experience one of the early indications of HIV—a yeast infection in the mouth called thrush—it was a wake-up call. “I had to admit that HIV was my reality,” Portia reflects. “I could let it beat me—or I could get my life under control.

It was all up to me.”

As a first step, she visited a free clinic. Without insurance that was her only option. “It was very uncomfortable,” recalls Portia. “The place was filled with young people. I felt totally out of place—with no one to guide me.” But, with a strong sense of determination she continued on and tried Fan Free Clinic, where a case manager helped her get started on a long road back to wellness. Portia was referred to the HIV/AIDS Center at VCU Medical Center. “Not only did I receive medication for my body, but they also invited me to join a support group—and it nourished my soul.”

That was the turning point for Portia, and overall it’s been uphill since then. But there still were a few bumps along the way. “By 2000, my vision deteriorated to the point that I could no longer drive,” says Portia.

After eight surgeries to try to repair detached retinas in both eyes, she was rendered virtually (legally) blind. But loss of vision has not deterred her for one minute.

Portia attended a leadership program for residents of Gilpin Court and Jackson Ward—designed to build confidence, improve job skills and encourage community involvement.

But it was the day that John Purnell recommended her for Leadership Metro Richmond (LMR) that Portia truly felt like her life was her own again.

“Looking back, it is sometimes hard to believe everything I’ve been through,” reflects Portia. “When I was young I got caught up with the wrong crowd and got hooked on drugs. But that was a different time—and I am a different person today.”

The Portia of today is bright, strong, confident and funny. She is a lifelong 64

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lover of learning—ready to sign on for any class where she can test her skills as a writer or master a new yoga pose. She is an active member of the Sixth Mount Zion Baptist Church, and in her “spare” time loves to celebrate her faith by dancing for churches, senior centers and nursing homes.

She continues her care at VCU Medical Center, where her doctors are so pleased with her progress that she only has to come for checkups every six months. She is meticulous about her diet—eliminating red meat and consuming lots of fresh produce and nuts. At age 65, Portia is as fit as many 40 year olds.

“I’m not sure how I contracted the disease,” says Portia.

“In 1985, I had major surgery that required blood transfusions.

And my lifestyle as a young person put me at a tremendous risk.

At this point, it really doesn’t matter. But if I can hold my head high and share my story, perhaps I can help one other person with HIV to feel whole again.” And, to Portia, that’s really living.

One of the highlights of Portia’s journey was the opportunity to meet Magic Johnson. In fact, she met him twice. “Magic is a positive force on the basketball court—and in life,” notes Portia.

She was so moved and inspired by his uplifting messages of encouragement, that she penned the following poem, which she had shared with him during their second encounter.

The time to once again speak out about HIV is now. Let’s talk openly about this disease—the myths and facts, the risk factors, how it is diagnosed and treated, and what the future holds.

On June 5, 1981, the U.S. Centers for Disease Control and Prevention (CDC) in its Morbidity and Mortality Weekly Report (MMWR) described five cases of a rare lung infection, Pneumocystis carinii pneumonia (PCP), in young, previously healthy, gay men in Los Angeles. All the men had other unusual infections as well, indicating that their immune systems were not working. Two died by the time the report was published. This edition of the MMWR marked the first official reporting of what has become known as the HIV/AIDS pandemic.

Fast-forward 30 years. “HIV is no longer the death sentence it was considered in the early days,” says Veronica Ayala-Sims, MD, specialist in infectious diseases at VCU Medical Center. “Today, there is no reason for a newly diagnosed HIV patient to die of the disease unless it is detected at a very late stage. With access to quality medical care and life-saving medications, my patients can expect to live long, full lives.”

Dr. Ayala-Sims observes that this rapid evolution of HIV/AIDS is unique and she credits two things with the containment of this disease: the fact that the patient community mobilized and aggressively advocated for funding and support and the dedicated researchers who continue to relentlessly pursue new treatments. “Other diseases are now taking a cue from these early activists,” she comments.

Although HIV/AIDS is now considered it a chronic, manageable condition—not unlike diabetes and some forms of cancer—there are significant differences. HIV is a communicable (contagious) disease and many of the known risk factors—IV drug usage, commercial sex trade and men who have sex with men—are marred by stigma. Women with breast cancer get sympathy, while individuals infected with HIV are often blamed for their disease.

People aren’t talking about HIV like they used to; it’s no longer a front-page news story. And sadly, by not talking about it, the stigma persists. While the life expectancy of HIV patients has improved dramatically, the number of new cases has remained unchanged. When a disease is shrouded in secrecy, people are reluctant to seek treatment. “As a result,” remarks Dr. Ayala-Sims, “we’re actually seeing increases in HIV among our most vulnerable populations—particularly young men of color who have sex with other men.” It’s time to take HIV out of the closet and understand it for the medical condition that it is. HIV does not discriminate. And no one is immune.

What is HIV/AIDS? HIV is a virus like other viruses that cause the “flu” or the common cold. But here is one important distinction—your immune system can clear most viruses from your body. But that isn’t the case with HIV. Once you have HIV in your system, it’s with you for life.

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People become infected with HIV through bodily fluids such as blood, semen, breast milk and vaginal fluids. These fluids can be passed between people in a variety of ways, including having unprotected sex (oral, vaginal or anal) or sharing needles. HIV can also be passed from mother to child during childbirth or through breastfeeding. People do not get HIV through insect bites, casual contact such as hugging or shaking hands with someone who has HIV. Testing for HIV involves a relatively simple oral swab or blood test that can be obtained from your personal physician or healthcare provider, a community health center, veteran’s health center, public health department, Title X family planning clinic or many other locations. There are also FDAapproved HIV home test kits that can be used.

Despite the fact that testing for HIV is readily available, more than 15 percent of people with HIV are unaware that they are infected. In 2006, the CDC came out with the recommendation that everyone between the ages of 13 and 64 should have at least one HIV test in their lifetime—with more frequent testing for individuals who are at higher risk for the disease. The hope is that by making HIV screening a routine part of primary healthcare, the stigma of HIV testing will be lessened.

To fully understanding HIV and how it affects the body, let’s break it down: “HIV” stands for Human Immunodeficiency Virus.

• H – Human – This particular virus can infect only human beings.

• I – Immunodeficiency – HIV weakens your immune system by destroying important cells that fight disease and infection. A “deficient” immune system can’t protect you.

• V – Virus – A virus can only reproduce itself by taking over a cell in the body of its host.

The HIV virus attacks your T-cells—also called CD4 cells. These cells are an important part of your immune system that fights infections and disease.

HIV invades the CD4 cells, uses them to make more copies of the virus and then destroys the CD4 cells. Eventually, HIV can destroy so many of the CD4 cells that the individual can’t fight off infections and diseases. When that occurs, HIV can lead to AIDS—the final and most advanced stage of HIV infection.

“AIDS” stands for Acquired Immunodeficiency Syndrome.

• A – Acquired – AIDS is not something you inherit from your parents.

You acquire AIDS after birth.

The Power of Your Spoken Word Gentle as a falcon, a hawk of the tower.

Steadfast of all thoughts.

Well made, well taught.

Grace is not given to the swift, Nor to the strong , but to him.

But to him who endureth.

Storms come and storms go, But you my friend continue to grow.

Adversity only seems to accelerate you.

Pressure prepares you.

Magic, continue to build between the storms.

For as long as you live, there will be storms.

God creates integrity and morality in you.

You are a true advocate for the cause.

People look up to you, they respect you.

You know just what to say and do.

Your spoken word means a lot.

When you unleash your thoughts and demonstrate how you feel, You make everything real.

Your words are akin to an oak tree.

Each brand depending on the other for life.

A mere way to be free.

You words have substance and meaning.

Your words are real.

Your words are P-O-W-E-R. The power of your spoken word allows your voice to be heard.

By: Portia Baskerville presented to Magic Johnson 5/10/2007

• I – Immuno – Your body’s immune system includes all the organs and cells that work to fight off infection or disease.

• D – Deficiency – You get AIDS when your immune system is “deficient,” or isn’t working the way it should.

• S – Syndrome – A syndrome is a collection of symptoms and signs of

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disease. AIDS is a syndrome, rather than a single disease, because it is a complex illness with a wide range of complications and symptoms.

People with AIDS have badly damaged immune systems, which put them at risk for opportunistic infections and certain types of cancers. In order to prevent death, aggressive medical intervention and treatment are essential. HIV can remain dormant long periods of time in the cells of your body and not everyone who has HIV will progress to AIDS.

HIV/AIDS care is about more than helping patients survive. It’s about helping them thrive.

Treatment Options for HIV With proper treatment, HIV can be controlled, meaning patients live longer, healthier lives with less risk of transmission to others.

On March 19, 1987, AZT became the first drug approved by the FDA for treatment of HIV. AZT was approved in record time with only one trial on humans instead of the standard three and that trial was stopped after 19 weeks. The study was stopped early and the drug made available because the patients on the placebo were dying faster and the need for a treatment outweighed the need for full testing.

Early treatments involved complicated medication “cocktails” that had to be taken several times a day. Pharmaceutical development then progressed to multiple pills taken one time a day. Now, there are three FDA-approved drugs that require only one pill a day. With fewer pills, it’s easier for patients to stick to their treatment regimens—vital for controlling HIV. “It has been 33 years since the beginning of the HIV epidemic,” says Jayashree Ravishankar, MD, MPH, Bon Secours Infectious Disease Specialists, “but access to care and retention in care still continue to be a problem. In spite of advances in HAART (highly active antiretroviral therapy), we continue to see patients with clinical manifestation of advanced AIDS in our hospitals.”

Medications must be tailored to the individual patient. Any other existing medical conditions or medications the patient may be taking must be considered. And side effects vary from one person to the next. Having multiple options for treatment is important for yet another reason.

HIV can mutate—or change—and become resistant to certain drugs. A patient may be initially infected with a drug-resistant form of HIV or they may become resistant to a certain medication over time.

In couples where one partner is HIV positive and one is HIV negative, vigilant medical management is important, to protect and maintain the health of both individuals. “The goal of therapy,” explains Dr. Alaya-Sims, “is to achieve an ‘undetectable viral load.’ This means the patient’s immune system is not being damaged by the HIV virus. And a study funded by the National Institutes of Health shows that as an added benefit, the partner’s risk of infection is reduced by 96 percent.”

Living with HIV/AIDS High-quality medical care and medication are crucial to the survival of HIV/AIDs patients. But HIV medications are very costly. Fortunately, in this country a variety of sources are available to help low-income, uninsured or underinsured patients. In 1987, federal dollars were first appropriated to establish AIDS Drug Assistance Programs in all 50 states. The program was expanded in 1990 with the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act—commonly referred to as the Ryan White Care Act. Today, a variety of governmental and private sources are available to ensure life-saving treatment for patients in need.

Jayashree Ravishankar, MD, MPH, Bon Secours Infectious Disease Specialists

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HIV/AIDS care is about more than helping patients survive. It’s about helping them thrive. Dr. Alaya-Sims acknowledges, “I can dispense drugs and medical advice, but it takes an entire team of counselors, nurse educators, social workers, case managers and others to help our patients overcome the many challenges they face. Some individuals are homeless or out of work. They

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may have children to feed. And treating their HIV may not be the most pressing problem they face.” In addition to all the social issues, there are emotional ones. “We have mental health workers and support groups to provide ‘wrap around’ care and to make sure that every patient is fully engaged in his or her treatment.”

What Does the Future Hold?

Research is continuing to seek new and improved ways of treating HIV. “Imagine how much easier it would be for a patient to take a pill just once a month or have a shot once a year,” reflects Dr. Ayala-Sims. It’s more than a matter of convenience. “The easier it is for patients to take their medications, the more they are willing to do so. And that means fewer people are likely to be infected.” Another area of study is the impact of “drug holidays” to offer patients a brief respite from side effects, which can range from sleeping difficulties and gastric distress to cholesterol problems.

Veronica Ayala-Sims, MD, specialist in infectious diseases at VCU Medical Center

The National Institute of Allergy and Infectious Diseases (NIAID)—a part of the National Institutes of Health—declared May 18, 2012 HIV Vaccine Awareness Day. That same day, Anthony S. Fauci, MD, the NIAID’s director, stated, “Controlling and ultimately ending the HIV/ AIDS pandemic will require an effective vaccine.” He also reported on a number of encouraging research findings that are leading scientists closer to that goal.

There are more than 1 million people in this country—just like Portia—who are living with HIV. The hope and light they are seeking will become brighter only if we can stomp out the stigma and shame associated with HIV/AIDS. “I’m not sure how I contracted the disease,” says Portia. “In 1985, I had major surgery that required blood transfusions.

And my lifestyle as a young person put me at a tremendous risk.

At this point, it really doesn’t matter. But if I can hold my head high and share my story, perhaps I can help one other person with HIV to feel whole again.” And, to Portia, that’s really living.

Medical Experts • Veronica A. Ayala-Sims, MD, Division of Infectious Diseases, VCU Medical Center • Jayashree Ravishankar, MD, MPH, Bon Secours Infectious Disease Specialists

Sources: • Centers for Disease Control and Prevention (CDC) • U.S. Department of Health and Human Services • NIH National Institute of Allergy and Infectious Diseases

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Serving the Needs of the HIV/AIDS Community words | SUSAN DUBUQUE photography | ADAM EWING photo editing | JIMMY JONES

World AIDS Day The red ribbon, a symbol of HIV/AIDS awareness since 1991, took on human form on December 1, 2011 as 400 Fan Free Clinic volunteers and donors held bright red umbrellas in a ribbon formation on Brown’s Island in downtown Richmond.

Fan Free Clinic Among service organizations in Richmond, VA, there are many shining stars. One of the brightest is Fan Free Clinic.

Founded in 1968 as the first free medical clinic in Virginia, FFC initially focused on women’s health and the prevention of communicable diseases. In the 1980s—in response to the national epidemic—FFC established the first communitybased HIV/AIDS outreach program in the state.

Fan Free Clinic 1010 N. Thompson Street Richmond, VA 23230 804.358.6343 fanfreeclinic.org

Today, as more and more individuals and families find themselves without adequate healthcare coverage and affordable resources, FFC is reshaping itself once again to meet contemporary challenges. But the organization remains steadfast to its commitment to HIV/AIDS care.

Free, confidential testing is provided. Patients who test positive for HIV are referred for case management, ongoing medical care and other support services that may be needed. HIV test counselors provide compassionate, nonjudgmental support throughout the process.

FFC provides various services to low-income and uninsured adults age 18 to 65 through various daytime and evening clinics, including: • General medicine • Chronic disease management • Referrals to specialists through Access Now, a network of volunteer physicians • Gynecology/birth control • Pregnancy testing • Sexually transmitted disease (STD) testing and treatment

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World AIDS Day is held on December 1st each year and is an opportunity for people worldwide to unite in the fight against HIV, show their support for people living with HIV, and to commemorate people who have died. World AIDS Day was the first ever global health day and the first one was held in 1988.

• Links to medication assistance • Mental health counseling • Trans Health Services (medical and counseling services and support for the transgender community)

Nurse Practitioner Mary Simmons reviews a patient’s chart with Elizabeth Sadock, a VCU clinical psychology doctoral student who completed her practicum in Behavioral Health at FFC. Photo by Sid Koerin

Bon Secours Health System—Infectious Diseases Clinic Bon Secours Health System’s infectious disease specialists diagnose and treat the various opportunistic infections associated with AIDS in its admitted patients and links them to outpatient HIV care upon their discharge from the hospital.

Bon Secours also offers HIV testing. If diagnosed with HIV/AIDS, the patient is linked to the Bon Secours Outpatient Infectious Diseases clinic, which helps with the continuum of care.

This clinic is located within Monument Internal Medicine at St. Mary’s Hospital and provides comprehensive medical care for patients who are newly diagnosed with HIV/AIDS, as well as for patients transferring their care from other healthcare facilities. Another clinic is located within Bon Secours Richmond Community Hospital and offers patients a discreet option for seeking treatment. Free testing is offered at the Richmond Community Hospital Emergency Department three days a week, and insurance assistance is available for HIV patients who cannot afford treatment.

VCU Medical Center—HIV/AIDS Center The VCU Medical Center HIV/AIDS Center coordinates HIV/AIDS-related clinical, research, educational and support activities within the university, the greater Richmond area and the commonwealth of Virginia. The center provides a range of services for various audiences, including individuals living with HIV, physicians, pharmacists, dentists, midlevel providers, nurses, social workers, substance abuse professionals, mental health providers and case managers.

The center has been funded by the National Institutes of Health’s/National Institute of Allergy and Infectious Diseases as an HIV clinical trials unit since 1989.

Clinical care, including medication management, case management, nutritional therapy, mental health services and more, is offered at VCU Medical Center as well as various locations throughout the greater Richmond area.

HIV Test Counselor Afton Bradley instructs volunteer Taylor Ihsane-Thomas on properly swabbing the inside cheek for HIV test. photo by Ashleigh Hobson

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For more information call the VCU Medical Center HIV/AIDS Center at 804.828.2210 or visit HIVcenter.vcu.edu. www.OurHealthRichmond.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

12 Days of

HEALTHY HOLIDAY words | TRICIA FOLEY, RD, MS

EATING With the holidays approaching, many of us feel overwhelmed by the temptation of tasty treats and savory dishes served during this time of year. This is especially true if you are trying to watch your waistline! Many of us have deprived ourselves of our favorite holiday recipes due to fear of gaining weight.

By doing so, we end up feeling irritable and deprived and may even end up having more cravings, eventually giving in. By making some simple substitutions, you will be shocked at how little changes can make a huge difference in calories and overall nutritional content of food. Follow the tips below to enjoy the holidays un-deprived, yet still healthy!

#1. Traditional Mashed Potatoes.

The Culprits: Lots of simple starches paired with butter and whole milk. This is a deadly combo for our waistlines, since simple carbohydrates break down quickly to sugar and make it easier for our bodies to store fat. The Fix: Try using chicken broth to soften the mashed potatoes instead. You will save about 85 calories and cut the fat by eight grams (four grams saturated). Watching your carbs? No problem, cauliflower mashed potatoes are a great delicious substitution. You can use all cauliflower or half potato and half cauliflower. Whatever you decide, you can be sure it will save you between 50 and 100 calories and cut your carbs by at least half.

#2. Traditional Cornbread Stuffing.

The Culprits: Cornbread and butter. Again, the simple carbohydrates paired with fat always lead to trouble! The Fix: Try substituting one hundred percent whole wheat bread for the boxed cornbread mix. This will save you a whopping 250 calories per serving and 14 grams of fat! The whole grains will also provide a healthy dose of fiber and B vitamins.

#3. Pumpkin Rolls. The Culprits: Powdered sugar, white

flour, butter and cream cheese. The Fix: Forgo the powdered sugar and opt for reduced fat cream cheese. Consider substituting coconut flour for the white flour.

Coconut flour is found in health food stores and is very high in fiber. Due to the high fiber content, you can actually cut back on the amount that is used in the recipe. For example, if a recipe calls for one cup of white flour, you can substitute one-third cup of www.OurHealthRichmond.com

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coconut flour instead. You will also need to add more liquid (normally water) to help even things out. Also, consider cutting the sugar by substituting Stevia (an all-natural sugar substitute) instead. It measures cup for cup and is a great substitute. Be sure to buy the unsweetened can of pumpkin too, since the pumpkin pie fillings can be laden with sugar. By just switching out the sugar alone you will save about 40 grams of sugar and 160 calories; switch out the cream cheese too and subtract another 40 calories and six grams of fat.

#4. Green Bean Casserole. The Culprit: French fried onions

and condensed cream of mushroom soup. The Fix: Try tossing the green beans in a light Italian dressing and sprinkling them with toasted slivered almonds instead. You will get a healthy dose of healthy fats and flavor and skip the not so healthy saturated fats from the fried onions and cream soup.

#5. Cranberry Sauce. The Culprit: Lots of added sugar! The Fix: Use fresh cranberries, boil them on the stove, and add some Stevia. By doing so, you will save about 18 grams of sugar and 72 calories.

#6. Sweet Potato Casserole: The Culprit: Orange juice, raisins, marshmallows, and brown sugar! The Fix: Consider a baked sweet potato sprinkled with Stevia, one tablespoon of orange juice and cinnamon. You won’t miss the casserole and will save yourself from tons of sugar and added calories.

#7. Chocolate Treats: When holiday baking recipes call for chocolate,

substitute cocoa instead. This will help cut some fat and calories too. Try substituting three tablespoons of cocoa for every one ounce of chocolate.

#8. Sour Cream: Do you love sour cream on your baked potato? Consider a

dollop of plain Greek yogurt! It will give you a boost of protein while saving you 50 calories and five grams of fat per ounce.

#9. Pasta:

The Culprits: High in calories and simple carbohydrates. The Fix: Consider trying high fiber pastas and even mixing them with spaghetti squash.

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Combining these two foods will increase bulk while saving tons of calories and carbohydrates without feeling deprived.

#10. Dips. The Culprits: Heavy cream and cheese based dips like ranch and cheese

fondue add lots of calories and saturated fat. Instead try flavorful dips such as hummus and black bean dip to add a dose of filling fiber and healthy fats to keep you feeling full and satisfied throughout the night.

#11. Cobbler.

The Culprits: Added sugar and the crust.

The Fix: Go crust-less and consider adding Stevia to your fruit instead of sugar. Use spices such as nutmeg and cinnamon to add more flavor without the calories!

#12. Gravy. The Culprit:

The fat from the meat and the flour as a thickener can really undo your day!

The Fix: Be sure to skim the fat from the top of the gravy and try thickening it with guar gum and xanthan gum. These thickeners are types of fiber that are healthier alternatives to flour. They can be found at your local health food store.

In addition to these tips, also consider enjoying the holiday atmosphere instead of focusing on food. Take a drive around town to look at the lights and décor. Cherish time spent with family and friends and talk more while eating less! Shop ’til you drop at your favorite stores. The exercise you will get from walking is just an added bonus.

At parties swap out cider for sparkling water – this will help cut calories and keep you feeling satisfied without making multiple visits to the buffet line. Finally, focus on the gift of giving!

If you love to bake, do so. Just be sure to give your baked goods away as a gift to neighbors and friends. You can also give the gift of volunteering by serving your community at the local rescue mission or soup kitchen. Tis the season to enjoy others. Happy Holidays!

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HealthyEats These recipes are some of our favorites and they bring a variety of delicious sweet and savory flavors to your holiday table.

The beautiful selection of bulk spices available at Good Foods Grocery will make you want us to be your first stop in holiday baking. With so much variety, we have what you need to fulfill your shopping list. Buying in bulk doesn’t have to mean buying a lot; it means getting as much or as little as you want, which keeps everything fresh and the price affordable.

And if you don’t feel like cooking, let our deli do it for you. We have an abundant selection of side dishes and sweets sure to please all your guests.

Mashed Sweet Potatoes & Carrots Ingredients: 4 large sweet potatoes 1 large carrot/peeled 4 Tbsp butter ½ Cup of cream 1 tsp fresh garlic

salt & pepper

toasted almonds & chives for garnish

proudly sponsored by

Good Foods Grocery

Directions:

1. Cut potatoes and carrots into same size chunks.

2. Steam all until tender 3. Melt butter cream & garlic and simmer.

4. Mash all ingredients together.

5. Salt & Pepper to taste.

6. Garnish with toasted almonds & chives.

Good Foods Grocery’s

’TATERS & CARROTS

Good Foods Grocery—two convenient, neighborhood stores: Open 9am -9pm Mon - Sat. Closed Sundays. | www.goodfoodsgrocery.com Gayton Crossing Shopping Center (West End) | 1312 Gaskins Road | 804.740.3518 and Stony Point Shopping Center (Southside) | 3062 Stony Point Road | 804.320.6767

HealthyEats Roasted Brussels Sprouts Ingredients: 2 pounds of brussels sprouts 2 Tbsp Olive Oil

Salt and pepper to taste

proudly sponsored by

Good Foods Grocery

Directions: 1. Toss brussels sprouts in olive oil and spread in roasting pan.

2. Roast brussels sprouts in preheated oven @ 375°F until bright green and tender.

2 Tbsp balsamic vinegar

3. Remove from oven.

2 Tbsp maple syrup

4. Mix together vinegar, syrup and walnuts and drizzel on top of brussels sprouts and serve.

2 Tbsp toasted walnuts

Good Foods Grocery’s

ROASTED SPROUTS

Good Foods Grocery—two convenient, neighborhood stores: Open 9am -9pm Mon - Sat. Closed Sundays. | www.goodfoodsgrocery.com Gayton Crossing Shopping Center (West End) | 1312 Gaskins Road | 804.740.3518 and Stony Point Shopping Center (Southside) | 3062 Stony Point Road | 804.320.6767

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HealthyEats Sugar Free Cranberry Orange Oat Cookies

Swerve is a great tasting, natural sweetener that measures cup-for-cup just like sugar. It is derived from fruits and vegetables, contains no artificial ingredients, preservatives or flavors.

We are thrilled about this new sugar replacement because it is non-gmo, has zero-calories, is all natural and does not affect insulin levels.

proudly sponsored by

Good Foods Grocery

Servings:

1¾ C flour

Yields 2-3 dozen, depending on size of scoop.

1 tsp baking soda

Ingredients: ½ pound butter 1¼ Cup Swerve 2 eggs 3

Tbsp coconut milk

2

tsp vanilla

½ tsp salt 2½ Cup oats 2 Cup dried cranberries 2 Tbsp orange zest

Directions: 1. Cream together butter & Swerve. Add eggs, vanilla and coconut milk.

2. In separate bowl, mix flour, oats, baking soda and salt.

3. Add dry mixture to wet mixture.

4. When just combined, add dried cranberries and orange zest 5. Drop by rounded tablespoons onto greased cookie sheet.

6. Bake in preheated oven at 325° for 10-15 minutes.

Good Foods Grocery’s

CRAN-ORANGE COOKIES

off your entire purchase next time you visit Good Foods Grocery

One per customer, one time use. Valid at both Good Foods Grocery locations (West End & Southside) thru December 31, 2014.

Good Foods Grocery—two convenient, neighborhood stores: Open 9am -9pm Mon - Sat. Closed Sundays. | www.goodfoodsgrocery.com Gayton Crossing Shopping Center (West End) | 1312 Gaskins Road | 804.740.3518 and Stony Point Shopping Center (Southside) | 3062 Stony Point Road | 804.320.6767

where is this?

Post the correct answer on our facebook page by January 7, 2014.

You could win some great food from Good Foods Grocery! Cool, right? The winner will be announced on our facebook page January 14, 2014.

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