OurHealth Richmond Dec 2016 Edition

EXPANDING BELLIES MEAN GROWING CONCERN | [PART 6] THE BRIDGE TO BETTER HEALTH STARTS WITH PRIMARY CARE

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TABLE OF CONTENTS DECEMBER 2016

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MEDI•CABU•LARY Local experts define health-related terms

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NEW & NOTEWORTHY A listing of new physicians, providers, locations and upcoming events in the Greater Richmond communities

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58 HEALTHY RECIPE SWAP

Tricia Foley RD, MS, OurHealth's resident nutritionist, shares holiday recipes with healthy ingredient swaps.

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THE ANATOMY CHALLENGE

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GROWING BELLIES MEANS GROWING CONCERN

62 HELLO, HEALTH

Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

Test your knowledge when it comes to GESTATIONAL DIABETES

The abundant information provided by the internet and social media might make having a healthy pregnancy and preparing a mother’s body for the rigorous road ahead seem easier.

However, a lingering concern for some women is whether or not they will develop gestational diabetes.

FIT BITS | Fitness Fusion Deidre Wilkes, OurHealth’s resident fitness specialist, shares the many training benefits of fitness fusion classes.

5 HEALTH TIPS FOR THE HOLIDAYS Check out these simple tips that will help you ring in the New Year happy and healthy!

HEALTH POINTS Interesting facts and tidbits about health

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

JUST ASK Healthcare questions answered by local professionals

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26 2016 BEST BEDSIDE MANNER AWARDS

THE BRIDGE TO BETTER HEALTH STARTS WITH

64 PRIMARY CARE SERIES

PART 6 | MEASURE YOUR CARE The final article in our yearlong series about primary care focuses on how you can Celebrate Your Care. We’ll delve into your part of the patient-physician partnership.

COULD YOUR CHILD BE SUFFERING FROM CHRONIC

70 SINUS PROBLEMS?

Sinus infections are very common, second only to ear infections as the most common reason for kids to visit the doctor.

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CLOSER LOOK Images reflecting the landscape of healthcare in the Greater Richmond Area * PLUS * a chance to win a free year's subscription to OurHealth! www.OurHealthRichmond.com

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december 2016 OURHEALTH’S EXCLUSIVE MEDIA PARTNER PUBLISHER PRESIDENT/EDITOR-AT-LARGE VICE PRESIDENT OF PRODUCTION PROJECT COORDINATOR AND FITNESS EXPERT ACCOUNTING MANAGER CHIEF DESIGNER GRAPHIC DESIGN COPY EDITOR DIGITAL CONTENT MANAGER/EVENT SPECIALIST ORIGINAL PHOTOGRAPHY

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Fields Hungate Deidre Wilkes Laura Bower Karrie Pridemore Tori Meador Bobbi Hoffman Heidi J. H. McClintic Tyler Darden

CONTRIBUTING RICHMOND MEDICAL EXPERTS Mark Bladergroen, MD, MSHA Carlo DeLeon, DDS Shweta Joshi, MD Klinton Kranski, PLLC Kristen Wright, PT, MPT, CMTPT CONTRIBUTING PROFESSIONAL Geri Aston EXPERTS & WRITERS Nancy Glenmore Tatum, MS Tina Joyce Rick Piester Deidre Wilkes ADVERTISING AND MARKETING Rob Robb Account Executive P: 804.539.3955 F: 540.387.6483 rob@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth Richmond via U.S. Mail, please contact Deidre Wilkes via email at deidre@ourhealthvirginia.com or at 540.387.6482

@ourhealthmag

COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions.

Copyright © 2016 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Richmond is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 3420 Pump Road, #314 • Richmond, VA 23233 • P: 540.387.6482 F: 540.387.6483 MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

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

Cortisol is the most potent hormone produced by the adrenal cortex (the stress-handling glands). It functions in blood sugar regulation, anti-inflammatory actions, and immune response modifications.

What is dental bonding?

What is cortisol?

Dental bonding has changed dentistry significantly. Today’s dental bonding is used in toothcolored restorations such as resin fillings, ceramic crowns, veneers, and sealants. Dental bonding is a procedure that uses an adhesive material to seal dental materials such as resin or ceramics onto enamel (the outermost surface of a tooth) or dentin (the inner layer of a tooth). The adhesive material is frequently applied as a viscous fluid and solidifies after it sets. In our dental practice, tooth-colored fillings are used to close minor diastema (spaces between teeth), address tooth discoloration, fix minor cosmetic tooth problems, and restore decayed teeth. As dental bonding techniques advance, more treatment options that provide natural-looking restorations are becoming available to patients.

Cortisol is the most potent hormone produced by the adrenal cortex (the stress-handling glands). Cortisol is also called hydrocortisone. It functions in blood sugar regulation, anti-inflammatory actions, and immune response modifications.

Cortisol keeps us in a specific circadian, or daily, rhythm. The first indication of adrenal dysfunction is usually disruption of this circadian rhythm rather than deviations in total cortisol levels. Higher levels of cortisol in the morning help us wake up and elevate blood sugar after the night’s fast, maintaining circadian rhythm. If a person’s sleep is off, we therefore look to the adrenals and the circadian rhythms. High cortisol can also cause decreased thyroid functioning, diabetic tendencies, sleep disruptions, digestive issues, fluid retention, and belly fat accumulation, among other issues. Low cortisol can cause hypoglycemia, fatigue, gastrointestinal (GI) problems, and difficulty staying asleep and handling stress.

Carlo DeLeon, DDS

Virginia Family Dentistry Midlothian | 804.419.1059 www.vadentist.com

Klinton Kranski, PLLC

Weight Loss, Restless Sleep, and Chronic Pain and Inflammation Richmond | 804.897.0008 www.drkranskiworkshop.com

What is a TAVR (transcatheter aortic valve replacement)?

Transcatheter aortic valve replacement (TAVR) is one of the great medical advances for patients requiring treatment for aortic stenosis (narrowing of the aortic valve). Traditional treatment for aortic stenosis involves open-heart surgery through a chest incision.

In contrast, TAVR procedures are done by accessing the blood vessels, usually through the groin, without the need for surgical incisions. The valve replacement is accomplished by a device that opens the aortic valve and leaves the patient with a functioning artificial valve. Most patients will leave the hospital in 48 hours, returning to full activity in days.

The Bon Secours Advanced Heart Valve Center at St. Mary’s Hospital is active in the treatment of patients with aortic stenosis and other valve disorders. The center utilizes the latest innovations to promote rapid recovery, providing a holistic assessment of treatment options designed to reduce risk and, if possible, avoid surgery. A multidisciplinary team of heart specialists sees the patient during a single visit, allowing the patient to receive a detailed assessment in one location by an experienced team.

Mark Bladergroen, MD, MSHA Cardiac Surgical Specialists Mechanicsville | 804.764.7340 www.bonsecours.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Local health. Anywhere you go.

OurHealth magazine is Greater Richmond’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 900 locations throughout the area or get the digital edition by visiting

ourhealthrichmond.com .

H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

Research suggests

that therapeutic yoga and

meditation may play a role

in slowing the progression of

Alzheimer’s. Studies have shown

that individuals who practice

meditation and yoga have less

brain atrophy and better brain

connectivity than a control group.

How can therapeutic yoga help individuals living with Alzheimer’s or dementia?

How can physical therapy assist patients suffering from fibromyalgia syndrome?

Dementia is a general term for a decline in mental ability, involving confusion and disorientation, that is severe enough to interfere with daily life. Alzheimer’s disease is the most common cause of dementia.

Symptoms include memory loss, communication issues, impaired judgment, chronic stress, and inability to focus.

Patients with fibromyalgia may suffer from chronic pain that can vary in intensity and location. This pain comes from tenderness in the muscles and connective tissues throughout the body. Commonly, patients with fibromyalgia not only feel sore but also feel tight and fatigued.

Research suggests that therapeutic yoga and meditation may play a role in slowing the progression of Alzheimer’s. Studies have shown that individuals who practice meditation and yoga have less brain atrophy and better brain connectivity than a control group.

The practice of yoga calms the nervous system, reducing stress hormones and inflammatory factors that are linked to Alzheimer’s disease. The practice of yoga also creates muscle memory through the repetition of physical movements over time. Using muscle memory becomes an unconscious process; the body continues to move instinctively even when the mind is not able to direct it. Therapeutic yoga is effective either individually or in small groups for individuals with Alzheimer’s and related forms of dementia.

Nancy Glenmore Tatum, MS, Gerontologist, Yoga Therapist Glenmore Yoga & Wellness Center Richmond | 804.741.5267 www.glenmoreyoga.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Physical therapy treatments such as myofascial release and trigger-point dry needling can help to ease the tension on the connective tissues of the body, reduce pain related to muscle spasms and tightness, and allow for more freedom of movement.

Treatments such as muscle energy technique and positional release techniques help ensure the joints of the body are aligned and moving properly. Education in proper posture and ways to position the body will help reduce tension and properly use the natural structural stability of the bones. These strategies are helpful in reducing pain throughout the day and night and will help with quality of sleep.

Proper instruction in gradual, progressive, non-aggravating exercise will help improve overall strength, functioning, and mobility in activities of daily life.

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

What is the difference between diverticulosis and diverticulitis?

Diverticulosis describes the presence of diverticula, pouch-like protrusions that occur in the colon wall. It is equally present in men and women.

The risk of developing diverticulosis increases with age. Approximately 60 percent of people over the age of 60 have this condition, which is often found during tests such as a colonoscopy, flexible sigmoidoscopy, and CT scan. Most people do not have any symptoms, and no treatment is required. Typically, a high-fiber diet is recommended.

Diverticulitis describes the inflammation of these pouch-like protrusions. It can occur with hard stools that become lodged into the pouches. Most people present symptoms, the most common of which is lower-left abdominal pain. Other symptoms include nausea, vomiting, fevers and chills, constipation, and diarrhea. Diverticulitis is typically diagnosed with a CT scan. Seventyfive percent of diverticulitis cases are uncomplicated and respond well to oral antibiotics. However, complications such as abscess, fistula, obstruction or perforations can develop, which may require hospitalization and surgery.

Shweta Joshi, MD

Richmond Gastroenterology Associates Richmond | 804.673.2806 www.richmondgastro.com

NEW

NOTEWORTHY

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

Sheltering Arms Hospital and VCU Health System Announce Plans for a Proposed Rehabilitation Hospital in Goochland County Sheltering Arms Hospital and VCU Health System announce plans for a new regional rehabilitation hospital in Goochland County.

The new hospital, called Sheltering Arms Rehab Institute — A Joint Venture with VCU Health System — will combine the current inpatient rehabilitation programs of Sheltering Arms and VCU Health, to provide comprehensive and innovative physical rehabilitative inpatient care for people who have sustained a stroke, brain injury, spinal cord injury or similar illnesses and injuries.

The 114-bed inpatient rehabilitation facility will be centrally located on an easily accessible 25-acre site in the West Creek Medical Park.

“The Sheltering Arms Rehab Institute will serve as a destination inpatient rehabilitation hospital for patients across the Commonwealth and Mid-Atlantic region,” says Mary Zweifel, interim CEO of Sheltering Arms.

“This joint venture establishes a state-of-the-art teaching hospital to advance clinical education across all the rehabilitation disciplines and to support translational research in the field of rehabilitation that will advance knowledge in the industry and immediately benefit patients,” says Marsha Rappley, CEO of VCU Health System and vice president of VCU Health Sciences.

For more information, visit www.shelteringarms.com or www.vcuhealth.org.

read this edition of

on your tablet or smartphone 12

OurHealth | The Resource for Healthy Living in Greater Richmond

Rebecca Bae, PA-C

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

Cheryl Boggs, NP

Bon Secours Laburnum Medical Center Richmond | 804.226.2444 www.goodhelpdocs.com

Ben Bradenham Jr., MD Shekhu Brar, MD Gastrointestinal Specialists, Inc. Richmond | 804.285.8206 www.gastrova.com

VCU Massey Cancer Center Oncology, GI & GU Malignancies Richmond | 804.828.5116 www.massey.vcu.edu

Candice Calo, AGACNP-BC

Rosanna Chapman, NP John Clore, MD Bon Secours Richmond Cardiology Associates Richmond | 804.730.1481 www.goodhelpdocs.com

Bon Secours Richmond Diabetes and Endocrinology Richmond | 804.764.7686 www.goodhelpdocs.com

Raquel Falcao, MD

Carline Feinman, ACNP-BC

Leopoldo Fernandez, MD Sarah Gordon, DO VCU Massey Cancer Center Surgical Oncology, HIPEC Richmond | 804.828.5116 www.massey.vcu.edu

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

Tyler Howard, PA

Matthew Joseph, MD

Adam Kaiser, MD

Pulmonary Associates of Richmond Henrico | 804.320.4243 www.paraccess.com

Bon Secours Memorial Medical Center Richmond | 804.764.1253 www.goodhelpdocs.com

Ibrahim Hegab, MD

Bon Secours Neurology Clinic at Memorial Regional Richmond | 804.325.8720 www.goodhelpdocs.com

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

Bon Secours Cardiovascular Associates of Virginia Richmond | 804.288.3123 www.goodhelpdocs.com

VCU Health | Cardiology Richmond | 804.562.0682 www.vcuhealth.org

Elisabeth Conrad, NP Bon Secours Hanover Pediatrics Richmond | 804.559.7280 www.goodhelpdocs.com

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

Katie Braun, RN, SCRN, Adam Bullock, MD Children’s Hospital BSN, MS, AGACNP Pulmonary Associates of Richmond Midlothian | 804.320.4243 www.paraccess.com

of Richmond Emergency Medicine Richmond | 804.828.CHOR www.chrichmond.org

George Eapen, MD

John Edmondson, MD

Jessica Hammond, PT, DPT

Pam Harrington, NP

Omer Khalid, MD

Stefan Leichtle, MD

VCU Health | Cardiology Richmond | 804.526.0682 www.vcuhealth.org

Bon Secours Richmond Hope Therapy Center Richmond | 804.747.4673 www.goodhelpdocs.com

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

Children’s Hospital of Richmond Urology Richmond | 804.828.CHOR www.chrichmond.org

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

VCU Health General Surgery Acute Care Surgical Services Richmond | 804.827.0043 www.vcuhealth.org

www.OurHealthRichmond.com

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NEW

NOTEWORTHY

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

Continued...

Joi Lenczowski, MD

Parham Healthcare and Rehabilitation Center Unveils Newly Remodeled Therapy Gym Parham Healthcare and Rehabilitation Center announces its newly remodeled state-of-the-art therapy gym. This new space offers high-tech equipment including a NASA patented AlterG anti-gravity treadmill, Cyber Cycles and more; all designed to help patients return home safe, functional, and independent.

To schedule a tour, call 804.264.9185

VCU Health Dermatology Richmond | 804.828.9361 www.vcuhealth.org

Debra Levin, NP

Bon Secours Heathsville Family Practice Richmond | 804.580.7200 www.goodhelpdocs.com

Peter Liljeberg, MD

Bon Secours Hartfield Medical Center Richmond | 804.776.9221 www.goodhelpdocs.com

Bradford McQuilkin, MD Brittney Meyer, FNP-C Tahira Naviwala, MD Children’s Hospital of Richmond Cardiology Richmond | 804.828.CHOR www.chrichmond.org

Pulmonary Associates of Richmond Henrico | 804.320.4243 www.paraccess.com

Bon Secours Palliative Medicine Richmond | 804.288.2673 www.goodhelpdocs.com

Charlene Ng, MD

Phillip O’Donnell, MD

Satish Pathak, MD

Kali McMurray, MS, RN, AGACNP-BC, CEN Pulmonary Associates of Richmond Midlothian | 804.320.4243 www.paraccess.com

Bergen Nelson, MD

Children’s Hospital of Richmond General Pediatrics Richmond | 804.828.CHOR www.chrichmond.org

To learn more about the exclusive LifeWorks rehab program, visit www.lifeworksrehab.com

Virginia Physicians for Women Now Offers 3D Mammography Virginia Physicians for Women now offers 3D mammography. The biggest advance in mammography in 30 years, 3D mammography provides a 41 percent increase in detecting invasive breast cancer, as well as up to a 40 percent reduction in the need for recalls for additional imaging. 3D mammography can also find cancer 15 months sooner than traditional 2D mammograms. 3D mammography is currently offered at the following Virginia Physicians for Women locations: Midlothian Turnpike | 804.897.2100 Prince George | 804.520.0205 West Creek Medical Park | 804.897.2100 For more information, visit www.vpfw.com.

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Virginia Physicians, Inc. Reynolds Primary Care Richmond | 804.346.1515 www.vaphysicians.com

VCU Health | Neurology Richmond | 804.526.0682 www.vcuhealth.org

Levi Proctor, MD, FACS Kristyn Sayball, DO VCU Health General Surgery Acute Care Surgical Services Richmond | 804.828.8000 www.vcuhealth.org

OurHealth | The Resource for Healthy Living in Greater Richmond

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

VCU Health | Cardiology Richmond | 804.526.0682 www.vcuhealth.org

Laura Poole, NP

Bon Secours Cardiovascular Associates of Virginia Richmond | 804.288.3123 www.goodhelpdocs.com

Mark Schachman, DMD Kristen VCU School of Dentistry Schnurman, PA-C Richmond | 804.828.0784 www.dentistry.vcu.edu

Bon Secours Richmond Cardiology Consultants Richmond | 804.545.2304 www.goodhelpdocs.com

Continued...

John Sentz, DO, MPH Pulmonary Associates of Richmond Henrico | 804.320.4243 www.paraccess.com

Savita Srivastava, MD Gastrointestinal Specialists, Inc. Richmond | 804.285.8206 www.gastrova.com

Mohammad Siddiqui, MD

Gary Simmons, MD

Bon Secours Senior Care Services Richmond | 804.893.8627 www.goodhelpdocs.com

VCU Massey Cancer Center Hematology-Oncology & Bone Marrow Transplant Richmond | 804.628.2749 www.massey.vcu.edu

Deepak Thomas, MD

Allie Turchan, PT, DPT Lisa Zimmer, NP

VCU Health | Cardiology Richmond | 804.526.0682 www.vcuhealth.org

Bon Secours Richmond Hope Therapy Center Richmond | 804.747.4673 www.goodhelpdocs.com

Dan Smith, MD

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

Bon Secours Cardiovascular Associates of Virginia Richmond | 804.288.3123 www.goodhelpdocs.com

Beverly Spencer, MD

Tamar Springel, MD

Megan Zolty, MS, BSN, FNP-C

Katie Zweier, PT, DPT

VCU Health | Cardiology Richmond | 804.526.0682 www.vcuhealth.org

Pulmonary Associates of Richmond Henrico | 804.320.4243 www.paraccess.com

Children’s Hospital of Richmond Nephrology Richmond | 804.828.CHOR www.chrichmond.org

Bon Secours Richmond Hope Therapy Center Richmond | 804.747.4673 www.goodhelpdocs.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 I NF O R M A ND ENT ERTA I N YO U

“Health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.”

Portion Control in the PALM OF YOUR HAND

– World Health Organization

Palm = 3-4 ounces beef, pork, poultry, fish

Two Cupped Hands = 1 ounce chips, crackers, pretzels Fist = 1 cup beverages, cereal, casseroles, soups, fresh fruit, raw veggies and salads

How about a new pair of shoes?

Walking or running shoes should be replaced every six months. The cushioning starts to break down with repeated use, and can cause overuse injuries to the joints of the foot, leg and hip.

Cupped Hand = 1/2 cup pasta, rice, beans, potatoes, cooked veggies and ice cream Thumb = 1-2 tablespoons salad dressing, sour cream, cream cheese, peanut butter and hard cheese Thumb Tip = 1 teaspoon butter, margarine, mayonnaise and oil

Source: Prevention

Every Bit Counts!

“A good day is a GOOD DAY. A bad day is a GOOD STORY. At the end of the day, IT'S ALL GOOD!” – Glennon Doyle Melton, author, blogger, activist and philanthropist (and originally from Burke, Virginia)

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MAKING YOUR HOLIDAY WISH LIST?

OurHealth | The Resource for Healthy Living in Greater Richmond

Did you know that for every one hour of regular, vigorous physical activity, some people may increase their life expectancy by two hours!

Source: American Heart Association

Breakfast [brek-fuh st] noun - a meal eaten in the morning, the first of the day.

ORIGIN: late Middle English [break] + [fast] - Meaning “breaking the fast”. Any meal that breaks the overnight fast that occurs while we sleep, is considered “breakfast”.

Make “Breaking the Fast” a Morning Must!

More Reasons to LOSE THE WEIGHT! According to the American Cancer Society, being overweight or obese likely raises a person’s risk of getting at least 13 types of cancer.

Benefits for children that don't skip this morning meal: •

Better memory

•

Healthier body weight

•

Better attention span

•

Improved overall nutrition

•

Decreased irritability

Try these quick and easy breakfast ideas for your morning meal.

Hard boiled eggs

Obesity negatively affects: »»

The body’s immune system and inflammation

»»

The body’s levels of certain hormones and proteins

»»

Other facts that regulate cell growth

Eliminating just 500 calories/day from your diet will equal a weight loss of 1 pound per week!

Whole grain toast with low-fat cream cheese Greek yogurt with fruit and nuts Fresh sliced fruit Whole grain, high fiber cereal with low-fat milk Source: www.encyclopedia.com and American Academy of Pediatrics (www.aap.org)

ER

MB DECE

The best way to prevent the flu is by getting a flu vaccine each year!

Check out this list of local stops and schedule your shot today!

Keep those hands CLEAN! Washing hands with soap and water is the best defense against bacteria and germs. If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60 percent alcohol.

1.

1 Check with your employer, some businesses offer free flu shots to employees and family members.

2.

2 Covered by the Affordable Care Act – your health insurance will cover your flu shot when given by an in-network provider.

3.

3 Your local Health Department 4 Local businesses including CVS Pharmacy, Kroger Pharmacy, Patient 4.

First, Rite Aid, Walgreens, Wegmans, Westbury Pharmacy and your local primary care provider, just to name a few!

5 Visit www.OurHealthRichmond.com for the Flu Vaccine Finder 5. to find a flu clinic near you!

www.OurHealthRichmond.com

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Anatomy

the

CHALLENGE

How much do you know about Gestational Diabetes?

1. On average, of pregnant women are diagnosed with gestational diabetes each year.

percent

B:

9.2

C:

percent

3

3. Women with gestational diabetes need A:

20.5%

B:

three times

9.2%

1.8

D:

percent

ten times

4. Which of the following risk(s) are associated with gestational diabetes?

A: Increased likelihood of preterm birth B: Babies born with higher than average birth weight

percent

more insulin.

C:

D:

five times

seven times

6. On average,

5. Which of the following is NOT a risk factor for gestational diabetes?

of pregnant women with gestational diabetes will suffer from diabetes after pregnancy.

C: The baby has increased likelihood of Type 2 diabetes later in life D: Increased likelihood of C section

1.8%

A: Race

E: All of the above

50

A:

7. Which of the following methods are used to treat gestational diabetes?

percent

B: Weight

10

B:

A: Daily blood sugar monitoring

B: Healthy diet and exercise

C: Sex of baby

4. E

5. C

6. B

7. D

Sources: www.diabetes.org and www.mayoclinic.org

D: Family history

percent

1

percent

3. A

D: All of the above

5

C:

D: C: Medication

percent

2. True

20.5

Gestational diabetes is most common in pregnant women twenty-five or older.

1. B

A:

2. True or False:

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19

Mean Growing Concern words | TINA JOYCE

Technology, social media, and abundant information make having a healthy pregnancy and preparing a mother’s body for the rigorous road ahead seem easier.

However, a lingering concern for some women is whether or not they will develop gestational diabetes.

It may seem there is no shortage of unsolicited advice given by family members and complete strangers to women trying to become pregnant and mothers expecting their first child. However, there are also many proactive women, like Laura Maher of Richmond, who work to alleviate worry and risk by seeking quality prenatal care.

Laura’s pregnancy was progressing normally, and she was experiencing no precursors for gestational diabetes mellitus (GDM). However, at her routine 28-week appointment with Andrew Moore, MD, of Virginia Women’s Center in Richmond, he noticed that her standard gestational diabetes screening was abnormal. This observation prompted a follow-up diagnostic test, ultimately confirming that Laura did indeed have GDM. Diabetes is a condition in which the body does not properly process food for use as energy. Most of the food eaten by a person without diabetes is turned into glucose, or sugar, for the body to use for energy. The insulin-producing pancreas produces the hormone that helps glucose penetrate the cells of the body; it also helps manage blood sugar levels. When a person has diabetes, the body either doesn’t produce enough insulin or cannot use its own effectively, causing a sugar buildup in the blood.1

www.OurHealthRichmond.com

21

SYMPTOMS OF

GESTATIONAL DIABETES MELLITUS (GDM)

There are two types of diabetes, type 1 and type 2. Type 1 diabetes is caused by genetics and other unknown factors; type 2 is caused by genetics and lifestyle.

The symptoms of GDM might be difficult to notice at first, but may include:

Like Laura, pregnant women who have never had diabetes before, but who have high blood glucose (sugar) levels during pregnancy, are said to have gestational diabetes mellitus.2 During pregnancy, a woman’s body not only produces more hormones, but her existing hormone levels change. These changes, in addition to other bodily changes such as weight gain, cause her body to use insulin less effectively, thus increasing the need for more insulin.

Unusual thirst

“When I was first diagnosed [with gestational diabetes], I was overwhelmed knowing there were eating changes ahead. I have a medical background so I also understood the risks involved, maybe more than others,” remembers Laura.

According to the American Pregnancy Association, “Approximately 2-5 percent of pregnant women develop gestational diabetes; this number may increase to 7-9 percent of mothers who are more likely to have risk

Sugar in urine (revealed in a doctor’s check-up)

factors. The screening for this disease usually takes place between the 24th and 28th week of pregnancy.

Doctors test for gestational diabetes during this time because the placenta is producing large amounts of hormones that may cause insulin resistance. If the results indicate elevated levels, further testing would be done to confirm a gestational diabetes diagnosis.”

Fatigue or nausea (common with many pregnancies)

Frequent bladder or vaginal infections

Dr. Moore explains, “The symptoms of GDM may be difficult to notice at first, but may include: fatigue, excessive hunger, excessive thirst, frequent urination, lethargy, and excessive weight gain. Unfortunately, many of these symptoms are noted in healthy pregnancies, which is why it is important to adhere to the screening recommendations of your healthcare provider.”

Although the American Diabetes Association confirms that professionals do not know the exact cause of gestational diabetes, it does offer suggestions for lowering the risk of developing the condition during pregnancy.

Women can greatly reduce their risk of developing GDM by improving their daily habits prior to becoming pregnant. Being more active and quitting smoking are two low-cost initiatives that not only improve a woman’s own health, but also the health of her unborn baby.

“If left untreated, gestational diabetes can lead to health and safety issues for mother and baby as well as complicating labor and delivery,” notes Dr. Moore.

Blurred vision

22

OurHealth | The Resource for Healthy Living in Greater Richmond

The dangers of developing GDM include the risk of large birth weight, premature delivery, development of jaundice, and cesarean birth. Larger birth

Women who are at risk of developing

weight may also lead to delivery risks such as injuries to the shoulders and arms of the infant. Additionally, a woman who develops gestational diabetes has an increased risk of developing type 2 diabetes later in life, as does her child.3

GESTATIONAL DIABETES are those who:

“We treat patients with gestational diabetes by starting with a modified diet and exercise, then treating with oral medications, and lastly treating with injected insulin if other methods prove ineffective,” says Dr. Moore.

Are overweight

According to the American Diabetic Association, a healthy meal plan for people with diabetes (including gestational diabetes) is generally the same as a healthy diet for anyone —low in saturated and trans fats, moderate in salt and sugar, with meals based on lean protein, nonstarchy vegetables, whole grains, healthy fats, and fruit.

Have high blood pressure

Diabetic and “dietetic” foods generally offer no special benefits. Most of them still raise blood glucose levels, are usually more expensive, and can also have a laxative effect if they contain sugar alcohols.

At first, Dr. Moore and Laura tried altering her diet and increasing her exercise.

When her glucose levels could not be regulated, she experienced large swings from hypoglycemia to hyperglycemia, once resulting in her passing out in the shower. She was very sick. “It became clear after trying diet and exercise regulation that medication was needed,” explains Laura. She opted not to try oral medications but requested insulin injections in an attempt to gain control of her gestational diabetes.

Laura was hospitalized three times before her delivery, due to unstable blood sugar levels. Because of this instability, her healthcare team induced her at 37 weeks. “Toward the end, there was no regulation of my blood sugar. I was going in [to the practice] almost every day to be monitored,” says Laura. “It was either way too high, or way too low.”

Despite close monitoring by Laura’s healthcare team at Virginia Women’s Center, her gestational diabetes was difficult to regulate. She and her husband have talked extensively about the possibility of future children. “We agree, prior to my next pregnancy, we will make sure I am at a healthy weight and I will change my diet and exercise beforehand to help reduce risks.”

A woman looking to improve her own health, as well as the health of her unborn child, should consult with her doctor to discuss steps for implementing a safe plan to achieve long-term results. Women going into pregnancy with a healthy lifestyle are more likely to return to a healthy weight after delivery, in addition to reducing their risk of developing gestational diabetes.

Dr. Moore encourages all of his patients to adhere to screening guidelines and to maintain a healthy diet and exercise program throughout their pregnancy.

Have unhealthy cholesterol levels

Are related to anyone with diabetes

Smoke

Are physically inactive or have unhealthy eating habits

Are of Hispanic/Latina, African American, American Indian, Alaskan Native, Asian American or Pacific Islander descent.

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“Gestational diabetes can occur in any pregnant woman, and is a result of complex biochemistry, not a reflection of one’s care for their pregnancy,” Dr. Moore says.

A pregnant woman’s growing belly is a beautiful gift, but it can also lead to increased worry and concern. By working together with her healthcare team prior, during, and after pregnancy, Laura successfully managed complications that arose during pregnancy, resulting in the birth of a healthy baby girl named Reagan.

Laura Maher and baby Reagan of Richmond.

Andrew Moore, MD is an OB-GYN with Virginia Women’s Center and sees patients at the St. Francis Medical Pavilion located in Midlothian. Dr. Moore is certified by the American Board of Obstetrics and Gynecology.

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“We treat patients with gestational diabetes by starting with a modified diet and exercise, then treating with oral medications, and lastly treating with injected insulin if other methods prove ineffective.”

- Andrew Moore, MD

OurHealth | The Resource for Healthy Living in Greater Richmond

“I really appreciate the practice. I had the best care,” says Laura. At six weeks after delivery, Laura’s blood sugar levels have returned to normal, and baby Reagan is flourishing.

Expert Contributor Andrew Moore, MD, with Virginia Women’s Center

Sources 1

Centers for Disease Control and Prevention: www.cdc.gov

2

American Diabetes Association: www.diabetes.org

3

American Pregnancy Association: americanpregnancy.org

ON THE WEB

More at ourhealthrichmond.com

FITBITS H EALT H AND FIT NE S S O N T HE G O

FITNESS FUSION words | DEIDRE WILKES

Love to cycle, love to strength train, do pilates or circuits? Only have room in your day to take one group fitness class? Are you suffering from burnout or boredom with your current workout schedule? If so, fusion training may be what you need to break out of the rut, and possibly burn some extra calories!

Fitness fusion are classes or workouts that combine at least two different disciplines such as boxing and pilates, yoga and cardio, cycle and strength training – just to name a few.

FIND A CLASS: Ready to reshape your workout? Check out these local facilities that offer fusion classes:

ACAC

Glen Allen | 804.464.0990 www.acac.com

Gold’s Gym Midlothian

“

Fitness fusion classes can vary in intensity, duration and style. It is a fun way to mix up your workout and an opportunity to try something new!

“

These hybrid workouts that combine different exercises or class formats is a great way to cross train your body, avoid burnout as well as overuse injuries that can occur by repetitive similar movement over time. With fusion, the exercises, formats and muscles used are varied throughout the class or workout.

Midlothian | 804.379.5690 www.goldsgym.com

YMCA Greater Richmond Midlothian | 804.379.5668 www.ymcarichmond.org

Deidre Wilkes, AFAA, ACSM

Certified Personal Trainer

Deidre is the resident fitness specialist for OurHealth Richmond.

www.OurHealthRichmond.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

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 2016 Best Bedside Manner Awards, presented by OurHealth Richmond magazine, honors 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.

Please join us in congratulating this year’s 4th Annual Best Bedside Manner Award winners.

The Voting Process: During the month of May 2016, the Best Bedside Manner Awards Voting Form was available on OurHealth’s website, www.ourhealthrichmond.com. The form consisted of over 40 medical specialties (with definitions of each specialty) in which the public could submit the first and last names of local medical providers by the applicable specialty. If you have any questions, please contact Stephen McClintic Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482.

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

hearing, balance, and related disorders. Its practitioners treat those with hearing loss and proactively prevent related damage.

MICHAEL Z. BLUMBERG, MD, MSHA Allergy Partners of Richmond Greater Richmond Area 804.288.0555 www.allergypartners.com/richmond

A LT H

Bedside manner is the ability to establish a rapport with your patients that makes them comfortable and allows them to freely describe their health issues.

ST Z.EBlumberg, MD, MSHA —E Michael

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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.

Allergy & Immunology

Anesthesiology is the practice of medicine Audiology is the branch of science that studies 28

FIRST PLACE

RH

B SID BED

FIRST PLACE JAMES STONE, MD Commonwealth Anesthesia Associates Richmond | 804.594.2622 www.caa-med.com

SECOND PLACE ROBERT CALL, MD Richmond Allergy and Asthma Specialists Henrico | 804.285.7420 | www.richmondallergy.com

THIRD PLACE LAWRENCE GELBER, MD Richmond Allergy and Asthma Specialists Henrico | 804.285.7420 | www.richmondallergy.com

HONORABLE MENTION BARRY K. FEINSTEIN, MD Advanced Allergy and Asthma of Virginia Richmond | 804.739.9005 | www.advancedallergyva.com PATRICK POWERS, MD Allergy Partners of Richmond Richmond | 804.288.0555 www.allergypartners.com/richmond

SECOND PLACE FARNAS MILANI GAZONI, MD Commonwealth Anesthesia Associates Richmond | 804.594.2622 | www.caa-med.com

THIRD PLACE BRENT FAUSS, MD American Anesthesiology Richmond | 804.288.6258

HONORABLE MENTION PHILIP DEWITT, MD Commonwealth Anesthesia Associates Richmond | 804.594.2622 | www.caa-med.com ERIC GROSSMAN, MD Commonwealth Anesthesia Associates Richmond | 804.594.2622 | www.caa-med.com

SECOND PLACE FIRST PLACE HOLLY LAW, MED, CCC-A Richmond Hearing Aids Richmond | 804.937.EARS (3277) www.RichmondHearingAids.com

LEAH BALL, AUD Richmond Hearing Doctors Richmond | 804.282.0022 www.richmondhearingdoctors.com

THIRD PLACE JEAN COUCHMAN, MA, FAAA Hearing Solutions Midlothian | 804.977.0820 | www.hearingsolutions.us

Good bedside manner means showing my patients how invested I am in their care.

— Holly Law, MEd, CCC-A

OurHealth | The Resource for Healthy Living in Greater Richmond

MATTHEW BRENGMAN, MD, FACS Advanced Surgical Partners of Virginia HCA Virginia Physicians Richmond | 804.360.0600 www.advancedsurgicalpartnersofva.com

In the end, the services we provide allow the body to heal itself.

Compassionately, empathetically, and patiently communicating with the patient is part of this bigger picture of healing.

— Matthew Brengman, MD, FACS

Bariatric Medicine is the branch of medicine that deals with the causes, prevention, and treatment of obesity.

FIRST PLACE

SECOND PLACE GREGORY SCHRODER, MD, FACS Advanced Surgical Partners of Virginia HCA Virginia Physicians Richmond | 804.360.0600 www.advancedsurgicalpartnersofva.com

THIRD PLACE ELISEO BAUTISTA, MD, FACS Bon Secours General Surgery at St. Mary’s Richmond | 804.893.8676 www.richmond.bonsecours.com

HONORABLE MENTION TEJWANT DATTA, MD, FACS Southside Regional Medical Center Petersburg | 804.765.5333 www.srmconline.com

SECOND PLACE (tie) MARK JOHNS, MD, FACC Cardiology of Virginia Midlothian | 804.560.8782 www.cardiovirginia.com

SHAIVAL KAPADIA, MD. FACC Bon Secours Cardiovascular Associates of Virginia Midlothian | 804.794.6400 www.richmond.bonsecours.com

THIRD PLACE KENNETH ELLENBOGEN, MD Pauley Heart Center at VCU Richmond | 804.828.7565 | www.vcuhealth.org

HONORABLE MENTION CHRISTINE BROWNING, MD, FACC Bon Secours Cardiovascular Associates of Virginia Midlothian | 804.794.6400 www.richmond.bonsecours.com CLIFFORD V. MORRIS, MD Morris Cardiovascular and Risk Reduction Center Hopewell | 804.530.1044 | www.morriscardio.com

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

FIRST PLACE

JIHO HAN, MD FACC Virginia Cardiovascular Specialists Richmond | 804.323.5011 www.vacardio.com

REZA OMARZAI, MD, FACC Virginia Cardiovascular Specialists Prince George | 804.458.1740 | www.vacardio.com

ANNA BENDER, DC Atlee Chiropractic Center Mechanicsville | 804.730.7010 www.atleechiropractic.com

SECOND PLACE LISA HOLLAND, DC Ariya Family Chiropractic Centers Innsbrook/Westend | 804.270.5700 www.ariyafamilychiropractic.com

THIRD PLACE DAVID BERV, DC Back In Action Chiropractic Center, PC Richmond | 804.254.0200 | www.feelgr8.com

We treat each and every patient as if they are family because they are a part of the Atlee Chiropractic Center family! We work very hard to make sure that each person has a healing experience and we strive to exceed their expectations. Listening is one of the most important parts of my job.

— Anna Bender, DC

HONORABLE MENTION WILLIAM ROODMAN, DC, FIAMA, CCWP Advanced Wellness Centre Richmond | 804.673.WELL (9355) www.advancedwellnessrva.com

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

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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.

Concierge Medicine (also known as

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.

J. RAND BAGGESEN, MD Executive Health Group Richmond | 804.560.3295 www.executive.md

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

JOHN VERHEUL, MD, MPH SignatureMD Midlothian | 804.423.9919 www.johnverheulmd.com

THIRD PLACE

I am honored to receive this award. I believe this recognition 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 Baggesen, MD

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JOHN BARNES, MD Midlothian Family Practice – (MDVIP) Midlothian | 804.419.9702 www.vaphysicians.com

HONORABLE MENTION L. RANDOLPH CHISHOLM, MD Midlothian Family Practice – (MDVIP) Midlothian | 804.419.9704 www.vaphysicians.com

SECOND PLACE FIRST PLACE 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 that is patient care and comfort. As specialists in prosthodontics, it is our responsibility to treat the many needs of our patients. Spending time providing information and addressing concerns is just as important as the actual delivery of care. Our time with you is the most important part of our day.

— Karen McAndrew, DMD, MS

OU

Cosmetic Dentistry

General Dentistry is the evaluation, diagnosis 30

SECOND PLACE

FIRST PLACE

R

L HEA TH

T BES IDE S BED

CATHERINE P. CRICHTON, DDS Virginia Family Dentistry Huguenot Midlothian | 804.794.9789 | www.vadentist.com

THIRD PLACE STEPHEN BROWN, DDS Brown, Reynolds, Snow, LeNoir Dentistry Richmond | 804.288.5324 www.richmondcosmeticdentistry.com

HONORABLE MENTION J. KELLER VERNON, DDS Dentistry by Design Colonial Heights | 804.520.0699 www.catertocowards.biz PRANEE WHITE, DDS White & White Midlothian | 804.302.5592 | www.relaxdental.com

FIRST PLACE

SECOND PLACE

ELIZABETH REYNOLDS, DDS Brown, Reynolds, Snow, LeNoir Dentistry Cosmetic Dentistry Richmond | 804.288.5324 www.richmondcosmeticdentistry.com

J. NEIL TURNAGE, DDS Virginia Family Dentistry West End Richmond | 804.364.7010 | www.vadentist.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

OurHealth | The Resource for Healthy Living in Greater Richmond

THIRD PLACE SUSAN RICHARDSON-OVERSTREET, DDS River City Dentistry Glen Allen | 804.270.7737 www.rivercitydentistryrva.com

HONORABLE MENTION JEFF BLACKBURN, DDS, FAGD South River Dentistry Midlothian | 804.332.5004 www.midlothiandentist.com WILLIAM B. PERKINSON III, DDS Virginia Family Dentistry Midlothian | 804.794.9789 | www.vadentist.com

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the principles of nutrition to the diet.

Dietetics is the science or art of applying

and treatment of diseases of the skin.

Dermatology is a specialty focusing on diagnosis

children from birth through adolescence.

Pediatric Dentistry specializes in treating

SECOND PLACE

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FIRST PLACE ROGER WOOD, DDS Drs. Wood, Dunlevy & Lombardozzi Midlothian | 804.794.3498 www.kidsdentists.com

JOHN FLOWERS, DDS Children’s Dentistry of Virginia, PC Midlothian | 804.639.6445 | www.childrensdentistryofva.com

THIRD PLACE NICHOLAS LOMBARDOZZI, DDS Drs. Wood, Dunlevy & Lombardozzi Midlothian | 804.794.3498 | www.kidsdentists.com

HONORABLE MENTION BRIAN BURKE, DDS Just 4 Kids Pediatric Dentistry & Sedation Richmond | 804.562.2667 |www.just4kidsdentistryva.com RAYMONIA EDDLETON, DDS Drs. Wood, Dunlevy & Lombardozzi Midlothian | 804.794.3498 | www.kidsdentists.com CHRISTOPHER MAESTRELLO, DDS Atkins, Maestrello, Miller & Associates Pediatric Dentistry, PC Richmond and Mechanicsville | 804.741.2226 www.pediatricdentistrichmond.com

FIRST PLACE GEORGIA K. SEELY, MD Dermatology Associates of Virginia PC Glen Allen/Richmond 804.549.4025 www.dermva.com

It is a privilege to serve as a patient’s physician. As such I am entrusted with a person’s physical and emotional health. I must remember to serve with compassion and tenderness as they are someone’s beloved family. I must make time to listen to their concerns and to find a way to know and relate to them on a personal level.

— Georgia K. Seely, MD

SECOND PLACE SHARON S. CAMDEN, MD PHD Dominion Dermatology Glen Allen | 804.262.6060 www.dominiondermatology.org

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HONORABLE MENTION CONTINUED...

THIRD PLACE

LISA EDSALL, MD Dermatology Associates of Virginia, PC Colonial Heights 804.549.4040 www.dermva.com

VICTORIA GROSS, MD Richmond Dermatology & Laser Specialists Richmond | 804.282.8510 www.richmonddermlaser.com

CAMILLE HAISLEY-ROYSTER, MD Commonwealth Dermatology Richmond | 804.282.0831 www.comderm.com

HONORABLE MENTION JO BOHANNON-GRANT, MD Midlothian Dermatology Midlothian | 804.378.3048 www.midloderm.com

LAURIE L. SHINN, MD Commonwealth Dermatology (Pediatric) Richmond | 804.282.0831 www.comderm.com

SECOND PLACE FIRST PLACE KAREN SCHMIDT, RD Children’s Hospital of Richmond at VCU Richmond 804.828.CHOR (2467) www.chrichmond.org

In healthcare, we meet people under the most difficult circumstances. Taking the time to listen and support them goes a long way. It’s important they know that they are a very important part of the team. At the end of the day, the best plan won’t be successful if it can’t be carried out by the patient or their family.

— Karen Schmidt, RD

OurHealth | The Resource for Healthy Living in Greater Richmond

TINA SHIVER, RD Lighten Up, Inc. Richmond | 804.254.1002 | www.tinashiver.com

THIRD PLACE TRISH WILKINS, MS, RD Richmond | 804.346.9866 | www.trishwilkins.com

KENNETH S. HICKEY, MD, FACEP Chippenham-Johnston Willis Medical Center Richmond | 804.483.0030

We work very hard to develop a relationship with our patients in the chaotic emergency room environment.

Hopefully, our care and empathy is evident while providing skilled care.

— Kenneth S. Hickey, MD

ALLEN S. BURRIS, MD, FACP Virginia Diabetes & Endocrinology, PC Midlothian | 804.272.2702 www.vadiabetes.com

SECOND PLACE JESSICA MORTON, MD VCU Health Richmond | 800.762.6161 | www.vcuhealth.org

THIRD PLACE KEVIN J. NOREIKA, DO Chippenham-Johnston Willis Medical Center Richmond | 804.483.0030

HONORABLE MENTION JEFFREY MASON, MD Richmond Emergency Physicians Richmond | 804.287.7611 www.richmond.bonsecours.com

Endocrinology is the study of the glands and hormones of the body and their related disorders.

FIRST PLACE

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

FIRST PLACE

SECOND PLACE MEREDITH M. BERGER, MD Virginia Diabetes & Endocrinology, PC Midlothian | 804.272.2702 www.vadiabetes.com

THIRD PLACE ROBERT P. CASTELLUCCI, MD Henrico | 804.282.9899

HONORABLE MENTION CYNTHIA RYAN, MD, FACE Virginia Endocrinology Midlothian | 804.423.3636 www.virginiaendo.com

ERIC HAACKE-GOLDEN, MD Virginia Family Physicians Midlothian | 804.323.1264 www.virginiafamily physicians.com

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Bedside manner is engaging in the joy, fear, pain, and hope that each individual has. It is sensing when there is a connection and trust. It is allowing a person a time to be heard.

— Eric Haacke-Golden, MD

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A LT H E H T BESSIDE BED

SECOND PLACE JOYNITA NICHOLSON, DO Bon Secours Brook Run Family Physicians 804.266.7611 www.richmond.bonsecours.com

THIRD PLACE (tie) BRIAN BURIJON, MD HCA Virginia Chester | 804.778.4747 www.hcavirginia.com RICHARD L. GERGOUDIS, MD Commonwealth Primary Care, Inc. Richmond | 804.288.1800 www.cpcva.com

HONORABLE MENTION MELANIE BOGGS, MD Commonwealth Primary Care, Inc. Glen Allen | 804.346.3200 www.cpcva.com

HONORABLE MENTION CONTINUED...

CAROLINE CELLA, MD Primary Health Group – Johnston Willis HCA Virginia Physicians Richmond, VA 23235 804.320.1333 www.phgjohnstonwillis.com AMY MARSHALL, MD Virginia Physicians, Inc. Midlothian | 804.744.0200 www.vaphysicians.com CAROLYN PEEL, MD VCU Family Medicine at Nelson Clinic Richmond | 804.828.5883 www.mcvphysicians.vcu.edu

Family Practice is the medical specialty that includes diagnosis and treatment of disease, injury, and illness for patients of any age.

FIRST PLACE

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

Fertility Care or reproductive

FIRST PLACE KENNETH STEINGOLD, MD The Fertility Institute of Virginia Ltd. Richmond | 804.379.9000 www.fertilityinstituteofva.com

Infertility patients feel particularly vulnerable when they begin treatments. Our office understands and responds to this by welcoming our patients in a safe and reassuring atmosphere where they can express their feelings and be treated with respect.

— Kenneth Steingold, MD

SECOND PLACE ANISH SHAH, MD Richmond Center for Fertility Richmond | 804.285.9700 www.richmondfertilitycenter.com

THIRD PLACE

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MICHAEL EDELSTEIN, MD The Fertility Institute of Virginia Ltd. Richmond | 804.379.9000 www.fertilityinstituteofva.com

HONORABLE MENTION JOSEPH GIANFORTONI, MD Lifesource Fertility Center Richmond | 804.673.2273 www.lifesourcefertility.com

Geriatrics is a medical specialty that

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

Gastroenterology is the specialty

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

SECOND PLACE

34

FIRST PLACE HOWARD O. HAVERTY, JR., MD Richmond Gastroenterology Associates Richmond | 804.330.4021 www.richmondgastro.com

WILLIAM BRAND JR., MD Gastrointestinal Specialists, Inc. Henrico | 804.285.8206 | www.gastrova.com

THIRD PLACE ROBERT S. FLYNN, MD Richmond Gastroenterology Associates Richmond | 804.330.4021 | www.richmondgastro.com

HONORABLE MENTION These three influences in my life have shaped my bedside manner: God, family and the Medical College of Georgia. I believe good bedside manner is essential and consider it a privilege and honor to care for my patients.

— Howard O. Haverty, MD

STEPHEN CLEMENT, MD Gastrointestinal Specialists, Inc. Richmond |804.285.8206 | www.gastrova.com CARY GENTRY, MD, FACS, FASCRS Colon & Rectal Specialists Richmond | 804.249.2465 | www.crspecialists.com RICHARD MITCHELL, MD Mitchell Endoscopy Center Richmond | 804.282.3114 www.mitchellendoscopycenter.com

FIRST PLACE JOSEPH JAMES, MD Primary Health Group – Johnston-Willis HCA Virginia Physicians Richmond, VA 23235 | 804.320.1333 www.phgjohnstonwillis.com

The average older adult presents with multiple medical problems and polypharmacy. Sometimes polypharmacy can have a negative impact on cognitive function. It is always very rewarding when a physician can change that trajectory of negative polypharmacy and develop a realistic treatment plan keeping in mind the role of quality of life.

— Joseph James, MD

OurHealth | The Resource for Healthy Living in Greater Richmond

SECOND PLACE PETER A. BOLING, MD VCU Medical Center Richmond | 800.762.6161 | www.vcuhealth.org

THIRD PLACE GEORGE BRENGEL, MD, FACP Bon Secours Commonwealth Internal Medicine Associates Richmond | 804.560.8838 www.richmond.bonsecours.com

HONORABLE MENTION MICHAEL COHEN, MD Southside Physicians Network, LLC Petersburg | 804.733.8821 www.southsidephysicians.com

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treatment and prevention of blood diseases (hematology) and cancer (oncology) and research into them.

Hematology/Oncology is the diagnosis,

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

Infectious Disease is the medical

OU

that deals with diagnosis and nonsurgical treatment of diseases affecting adults.

Internal Medicine is the branch of medicine 36

SECOND PLACE FIRST PLACE LAWRENCE LEWKOW, MD Virginia Cancer Institute Richmond | 804.330.7990 www.vacancer.com

We are honored to have been recognized by our community for our dedicated care and bedside manner. My colleagues and I will continue to earn this distinction every day for the sake of our patients, and would like to extend our gratitude to all patients who voted for our practice.

— Lawrence Lewkow, MD

ASIT PAUL, MD, PHD VCU Health Richmond | 800.762.6161 | www.vcuhealth.com

THIRD PLACE JAMES KHATCHERESSIAN, MD Virginia Cancer Institute Richmond | 804.287.3000 | www.vacancer.com

HONORABLE MENTION ELKE K. FRIEDMAN, MD Virginia Cancer Institute Richmond | 804.287.3000 | www.vacancer.com MADHU GOWDA, MD Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) | www.chrichmond.org WILL VOELZKE, MD Virginia Cancer Institute Richmond | 804.287.3000 | www.vacancer.com

FIRST PLACE JAMES W. BROOKS, MD HCA - Infectious Disease Specialists Richmond | 804.285.1833 www.hcavirginia.com

It is truly a privilege to be a member of the medical profession and I am humbled by the trust that patients place in our care.

I continue to learn every day from my trusted colleagues in the Richmond medical community. But above all, I was blessed to have the greatest role model, my father. He was a physician at MCV for over 50 years and showed me the importance of treating patients with compassion, honesty, dignity, and humor.

— James W. Brooks, MD

SECOND PLACE SHARIKA TRIPATHI, MD Richmond Nephrology Associates Richmond, VA 23235 | 804.464.1028 www.richmondnephrologyassociates.com

THIRD PLACE JANE CECIL, MD VCU Health at Mayland Court Richmond | 804.527.4540 www.vcuhealth.org

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HONORABLE MENTION DAVID ROWLES, MD Infectious Disease Specialists Richmond, VA 23229 | 804.285.1833 www.hcavirginia.com

SECOND PLACE FIRST PLACE MINH Q. TRAN, MD Reynolds Primary Care Richmond | 804.346.1515 www.vaphysicians.com

In caring for my patients, I often refer to a famous quote I learned in Medical School. “The good physician knows his or her patients through and through. Time, sympathy and understanding must be lavishly dispensed, but the reward is to be found in that personal bond which forms the greatest satisfaction of the practice of medicine.” Dr. Francis W. Peabody, 1927 — Minh Q. Tran, MD

E A LT H H R BEST IDE BEDS

OurHealth | The Resource for Healthy Living in Greater Richmond

SONIA SHAH-PANDYA, MD Bon Secours Internal Medicine Associates of Chesterfield Midlothian | 804.423.8470 | www.richmond.bonsecours.com

THIRD PLACE (tie) DARREN WITTE, MD VCU MCV Physicians at Chesterfield Chesterfield | 804.425.3627 | www.vcuhealth.org TIMOTHY WRATCHFORD, MD Ashcake Family Physicians Mechanicsville | 804.559.2916 www.ashcakefamilyphysicians.com

HONORABLE MENTION RICHARD TATE, MD Commonwealth Primary Care, Inc. Richmond | 804.288.3001 | www.cpcva.com STEPHEN YOUNG, MD Virginia Diabetes & Endocrinology, PC Midlothian | 804.272.2702 | www.vadiabetes.com

SECOND PLACE

JENNY FOX, MD, MPH Children’s Hospital of Richmond at VCU Richmond 804.828.CHOR (2467) www.chrichmond.org

BONNIE MAKDAD, MD Commonwealth Neonatology, Inc. Richmond | 804.282.8082

I wholeheartedly want the best for each of my patients. Understanding what is in the best interest of my babies requires establishing a relationship with their parents or caretakers. That relationship can only develop by taking the time to talk and listen to them at the bedside.

— Jenny Fox, MD, MPH

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).

FIRST PLACE

THIRD PLACE KAREN WHARTON, MD Commonwealth Neonatology, Inc. Richmond | 804.282.8082

HONORABLE MENTION VIJAY DHANDE, MD Richmond | 804.289.4500

FIRST PLACE PETER CONDRO, MD, FASN Richmond Nephrology Associates Greater Richmond Metropolitan Area 804.272.5814 www.richmondnephrology associates.com

MARTIN STARKMAN, MD HCA Virginia Richmond | 804.282.8005 | www.hcavirginia.com

THIRD PLACE KARL KOENIG, MD Richmond Nephrology Associates Greater Richmond Metropolitan Area 804.272.5814 www.richmondnephrologyassociates.com

HONORABLE MENTION DOMINIC SICA, MD VCU Health Richmond | 800.762.6161 | www.vcuhealth.org

FIRST PLACE STACEY L. EPPS, MD Bon Secours Neurology Clinic Midlothian | 804.287.7574 www.bonsecours.com

Bedside manner is important as it is the basis of the doctor-patient relationship. The manner in which a physician relates to a patient and his family influences the degree of trust the patient has in the treatment plan and therefore the compliance with the recommended plan of treatment.

An understanding of the patient’s perception of his illness and how it affects him and his family is paramount in the art of healing and even in circumstances where there is no curative treatment, and especially in cases where death is imminent, compassion for the circumstances of the patient is essential.

— Stacey Epps, MD

ROBERT WHITE, MD Neurological Associates Richmond | 804.288.2742 | www.nairichmond.com

THIRD PLACE WARREN FELTON III, MD VCU Health Neuroscience, Orthopedic and Wellness Center (NOW) Henrico | 804.360.4669 www.vcuhealthnowcenter.org

HONORABLE MENTION MATTHEW BOYCE, MD Neurological Associates Richmond | 804.288.2742 | www.nairichmond.com J. KIM HARRIS, MD Neurological Associates Richmond | 804.288.2742 | www.nairichmond.com

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

SECOND PLACE

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

SECOND PLACE (TIE) H. BRIAN PEPPIATT, MD Richmond Nephrology Associates Greater Richmond Metropolitan Area 804.272.5814 www.richmondnephrologyassociates.com

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Nurse Practitioner 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.

FIRST PLACE AMY L. FOSTER, ACNP Richmond Gastroenterology Associates Richmond | 804.330.4021 www.richmondgastro.com

Bedside 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 want myself or my family treated.

— Amy Foster, ACNP

SECOND PLACE STEPHANIE JEFFREY, RN, MSN, FNP Allergy Partners of Richmond Richmond | 804.288.0055 | www.allergypartners.com/richmond

THIRD PLACE LYNN WOODCOCK, FNP Family Practice Specialists of Richmond Midlothian | 804.330.3335 | www.fpsrichmond.com

HONORABLE MENTION ASHLEY BEAVERS, ACNP Pulmonary Associates of Richmond Inc. Richmond | 804.320.4243 | www.paraccess.com BONNIE JOHNSON, ANP-C Virginia Cancer Institute Midlothian | 804.378.0394 | www.vacancer.com KATHERINE LAWLOR, WHNP-BC Virginia Women’s Center Mechanicsville | 804.288.4084 www.virginiawomenscenter.com KAREN SAUNDERS, NP, MSN, CPNP Primary Care Family Practice Prince George | 804.526.1111 www.primecarefamilypractice.com

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IFE TORRENCE, MSN, FNP-C Bon Secours Primary Health Care Associates Richmond | 804.644.1665 | www.richmond.bonsecours.com

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T BES IDE S BED

MARK HYDE, MD, FACOG VPFW (Virginia Physicians for Women) Richmond | 804.897.2100 www.vpfw.com

As physicians, we are entrusted with a significant responsibility to care for our patients but at the same time it is a privilege.

Connecting with patients and their families may require a little more time but in the end, allows for better care, and is more rewarding for all involved.

— Mark Hyde, MD, FACOG

THIRD PLACE ALICE HIRATA, MD Virginia Women’s Center Greater Richmond Area | 804.288.4084 www.virginiawomenscenter.com

HONORABLE MENTION VIENNE MURRAY, MD West End Obstetrics and Gynecology, PC Richmond | 804.282.9479 | www.westend-obgyn.com JOHN PARTRIDGE, MD, FACOG VPFW (Virginia Physicians for Women) Richmond | 804.897.2100 | www.vpfw.com CORINNE TUCKEY-LARUS, MD, FACOG VPFW (Virginia Physicians for Women) Richmond | 804.897.2100 | www.vpfw.com

FIRST PLACE JAMES CISEK, MD Bon Secours Richmond Employee Wellness Richmond | 804.977.8915 www.richmond.bonsecours.com

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Occupational Medicine is the branch of medicine dealing with the prevention and treatment of jobrelated injuries and illnesses.

SECOND PLACE JAMES ROSS, MD, MPH Virginia Industrial Medicine Colonial Heights | 804.526.7467 www.virginiaindustrialmedicine.com

THIRD PLACE JOSEPH ANDRIANO, MD HCA Virginia Richmond | 804.254.5467 | www.hcavirginia.com

Bedside manner is the essence of being with people. It is not only important for a provider but for all people. We are all each other has so we need to be good to each other.

— James Cisek, MD

THEODORE WU, MD, PHD Virginia Eye Institute Richmond | 804.287.4200 www.vaeye.com

I treat each of my patients as if they are a member of my own family.

— Theodore Wu, MD, PhD

SECOND PLACE STEPHEN BUSCH. DO Chesterfield Ophthalmology, PC Midlothian | 804.739.2220 www.chesterfieldophthalmology.com

THIRD PLACE JOSEPH D. IUORNO, MD Commonwealth Eye Care Associates Richmond | 804.271.6363 | www.commonwealtheye.com

HONORABLE MENTION CARL OUTEN, MD Richmond | 804.794.1334 www.eyedoctorrichmond.net EDWIN WORTHAM, MD Virginia Pediatric Ophthalmology Specialists Richmond | 804.272.8040 | www.vposonline.com

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

FIRST PLACE

Obstetrics & Gynecology (OB/GYN)

FIRST PLACE

LESLIE DAVIS, MD, FACOG VPFW (Virginia Physicians for Women) Richmond | 804.897.2100 | www.vpfw.com

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.

SECOND PLACE

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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.

Oral Surgery is the dental specialty that

is limited to the diagnosis, surgery and treatment of diseases, injuries, deformities and defects of the mouth.

is trained and skilled in examining and testing the eyes for defects in order to prescribe corrective lenses or treatment.

Optometry is the specialty where the practitioner

SECOND PLACE

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FIRST PLACE RICHARD DOUGLAS, OD Douglas Optometry Chester | 804.748.6983 www.douglasoptometry.com

Our patients are the reason we are here. We understand their lives are busy, so my team and I learn about them to determine how best to meet their vision and lifestyle needs. We appreciate that patients choose our practice and recommended us to their friends and families. Long-term relationships with patients are truly rewarding. It is a privilege to be entrusted with their eye care needs and to be chosen by our patients for this honor.

— Richard Douglas, OD

FIRST PLACE D. OMAR WATSON, DDS, MD, FACS Virginia Oral & Facial Surgery Midlothian | 804.794.0794 www.oralfacialsurgery.com

PETER NARDONE, OD Patterson Eye Clinic Richmond | 804.285.7638 | www.pattersoneyeclinic.com

THIRD PLACE ROBIE ROBINSON, OD Pearle Vision Midlothian | 804.739.8400 | www.pearlevision.com

HONORABLE MENTION DAVID HAINE, OD Family Eye Care Centers of Virginia Richmond | 804.740.1338 | www.feccva.com DAVID LEROUX, OD Family Vision Care of Richmond Glen Allen | 804.217.9883 | www.familyvisioncareofrichmond.com ROXANN ROBINSON, OD Drs. Robinson & Parker Optometrists Midlothian | 804.595.2020 | www.595-2020.com

SECOND PLACE GREGORY M. ZOGHBY, DDS Commonwealth Oral and Facial Surgery Richmond | 804.354.1600 www.commonwealthofs.com

THIRD PLACE I am honored to have won this award for a second year in a row! Understandably, most people have a fear of surgery, including myself, so I practice with a lot of “TLC”! I hope to genuinely connect with my patients in any way that I can. My first priority is always the patient and their experience.

— D. Omar Watson, DDS, MD, FACS

MICHAEL MILLER, DDS Commonwealth Oral and Facial Surgery Richmond | 804.354.1600 www.commonwealthofs.com

HONORABLE MENTION JAMES WALLACE, DDS Richmond Oral and Cosmetic Surgeons Midlothian | 804.379.7120 www.rocs.net

SECOND PLACE FIRST PLACE PAUL WHITE, DDS White Orthodontics Richmond | 804.715.1998 www.smilerichmond.com

I’d like to thank my team for taking such great care of our awesome patients! We truly consider it an honor that they have chosen us and it’s our mission to make our patients smile at every visit.

— Paul White, DDS

OurHealth | The Resource for Healthy Living in Greater Richmond

GRAHAM GARDNER, DDS Gardner Orthodontics Richmond | 804.282.0505 | www.gardnergrins.com

THIRD PLACE RICHARD BYRD, DDS Dr. Richard Byrd & Associates Richmond | 804.330.0508 | www.drbyrddds.com

HONORABLE MENTION BRYAN BRASSINGTON, DDS Richmond Orthodontics Richmond | 804.740.7281 | www.rwbbraces.com GEORGE DAVIS III, DDS George E. Davis & David J. Nyczepir: Specialists in Orthodontics Richmond | 804.272.7528 www.richmondorthodontist.com

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FIRST PLACE MARK JONES, MD OrthoVirginia Richmond 804.379.8088 www.orthovirginia.com

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I try to treat each patient as if they were a friend or a member of my family; with honesty, respect, and compassion.

— Mark Jones, MD

BEST BEDSIDE

VIC GORADIA, MD G2 Orthopaedics and Sports Medicine Glen Allen | 804.678.9000 | www.g2orthopedics.com

THIRD PLACE WILLIAM NORDT, MD OrthoVirginia Richmond | 804.288.3136 | www.orthovirginia.com

HONORABLE MENTION GLENN KERR, MD OrthoVirginia Midlothian | 804.379.2414 | www.orthovirginia.com DAVID MILLER SR., MD OrthoVirginia North Chesterfield | 804.320.1339 | www.orthovirginia.com VIVEK SHARMA, MD Colonial Orthopaedics Chester | 804.530.3330 | www.colonialorthopaedics.com

FIRST PLACE STEVEN MELHORN, DO Melhorn & Melhorn DO, Inc. Richmond | 804.288.6414 www.melhorndo.com

The initial contact with patients is the most valuable time to establish the doctor-patient bond. It’s important to make patients feel comfortable and to let them know you are here to listen to their health concerns. I treat patients the way I would want to be treated.

— Steven Melhorn, DO

KENLEY NEUMAN, DO, FACOG Virginia Physicians for Women Richmond | 804.897.2100 | www.vpfw.com

THIRD PLACE JOHN MILLS, DO Commonwealth Primary Care, Inc. Richmond | 804.288.1800 | www.cpcva.com

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

SECOND PLACE

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

SECOND PLACE

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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.

Otolaryngology is a surgical specialty

Pain Management encompasses pharmacological, non-pharmacological and other approaches to prevent, reduce or stop pain sensations. approach to specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, physical stress and mental stress of the serious illness - whatever the diagnosis.

Palliative Medicine is a multidisciplinary 42

SECOND PLACE JULIE KERR, MD Commonwealth Ear Nose & Throat Specialists PC Richmond | 804.525.4231 | www.commonwealthentpc.com

FIRST PLACE DAVID SALLEY, MD Virginia Ear Nose & Throat Richmond | 804.484.3700 www.virginia-ent.com

THIRD PLACE KELLEY DODSON, MD Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) | www.chrichmond.org

HONORABLE MENTION

My late grandfather used to tell me how important bedside manner was when he learned I was accepted to medical school. I have always tried to remember that. To me, it is a mix of directness, honesty, humor, kindness, and humility. I think if I remember to apply those qualities to my interactions with my patients that everyone feels comfortable and information flows easily leading to improved care.

— David Salley, MD

MICHAEL ARMSTRONG, MD Richmond ENT Richmond | 804.622.3782 | www.richmondent.com DAVID CROSS, PHD, MD, FACS Pediatric & Adult ENT Mechanicsville | 804.569.6240 | www.ent-doctors.com NICHOLAS TARASIDIS, MD, FACS Virginia Ear Nose & Throat Richmond | 804.484.3700 | www.virginia-ent.com

FIRST PLACE

SECOND PLACE

P. DUKE CRANE, MD Neurosurgical Associates, PC Richmond | 804.288.8204 www.neurosurgicalva.com

NADEEM KHAN, MD Interventional Pain and Spine Specialists Chester | 804.681.0177 | www.hcavirginia.com

FIRST PLACE LEANNE YANNI, MD Bon Secours Palliative Medicine Richmond | 804.288.2673 www.bonsecours.com

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THIRD PLACE STEPHEN LONG, MD Commonwealth & Pain Specialists Richmond | 804.288.7246 | www.commonwealthpain.com

HONORABLE MENTION JAWAD WAZIR BHATTI, MD Virginia Pain Network and Clinics 804.302.8571 | www.virginiapainnetwork.com

SECOND PLACE DANIELLE NOREIKA, MD VCU Medical Center Richmond | 804.628.1295 | www.vcuhealth.org

THIRD PLACE TAHIRA NAVIWALA, MD Thomas Johns Cancer Hospital Richmond | 804.267.6814 | www.hcavirginia.com

I am first a patient’s guest and second a patient’s doctor. As their guest, it’s natural for me to sit and listen with my full attention. What they share supports what I offer as a doctor.

I am honored to receive this award.

— Leanne Yanni, MD

OurHealth | The Resource for Healthy Living in Greater Richmond

Pediatrics focuses on the

detection diagnosis, treatment and prevention of diseases in children, ages infant to 18 years of age.

FIRST PLACE CHARLES TERRY, MD, FAAP RVA Pediatrics Richmond 804.754.3776 www.rvapediatrics.com

I believe the key to an effective bedside manner is to calmly devote full attention to your patient and their family. I attempt to always maintain eye contact and I never take the computer into the exam room. You should convey that the only thing on your mind is the patient’s care.

— Charles Terry, MD

SECOND PLACE TIMOTHY O’NEIL, MD, FAAP Pediatric Associates Richmond | 804.320.7139 www.pediatricassociatespc.com

THIRD PLACE PAUL STREHLER, MD, FAAP Commonwealth Pediatrics Richmond | 804.320.1353 www.commonwealthpeds.com

HONORABLE MENTION MELANI DE SILVA, MD, FAAP RVA Pediatrics Richmond | 804.754.3776 www.rvapediatrics.com DAVID GOSSELIN, MD Richmond Pediatric Associates, Inc. Richmond | 804.747.1750 www.richmondpediatrics.com GAURI GULATI, MD Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) www.chrichmond.org PETER HEYMAN, MD, FAAP RVA Pediatrics Richmond | 804.754.3776 www.rvapediatrics.com

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

FIRST PLACE CARL BLOCK, DDS, FASO Virginia Family Dentistry Midlothian 804.379.1011 www.vadentist.com

Bedside manner is the opportunity to get to know the patient, be empathetic and provide a safe and comfortable environment where trust is built between you and your patient. It’s time you take as the healthcare provider that is most appreciated and heartfelt by those in need.

— Carl Block, DDS, FASO

SECOND PLACE CHRIS RICHARDSON, DMD Drs. Richardson, Overstreet & Glazier Richmond & Midlothian | 804.355.6593 www.richmondperioonline.com

THIRD PLACE JOY MORETTI, DDS Drs. Neighbors and Herod Midlothian | 804.794.8745 www.midlodental.com

HONORABLE MENTION CLAIRE KAUGARS, DDS Drs. Kaugars and Miller, PC Richmond | 804.285.4867 www.richmondperio.net BEN OVERSTREET, DDS Drs. Richardson, Overstreet & Glazier Richmond & Midlothian | 804.355.6593 www.richmondperioonline.com

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

FIRST PLACE BAYLOR RICE, RPH, FIACP South River Compounding Pharmacy Henrico | 804.897.6447 www.southriverrx.com

To me bedside manner is a reflection of the respect and empathy I have for my patients and their issues or concerns. It is always my goal to make my patients feel at ease and involved in their healthcare decisions.

— Baylor Rice, RPh

SECOND PLACE HOLLY LAKE, PHARMD Rx3 Compounding Pharmacy Chester & Short Pump | 804.717.5000 | www.rx3pharmacy.com

THIRD PLACE MARY BETH GRIMES, PHARMD Buford Rd Pharmacy Richmond | 804.272.1423 | www.bufordrx.com

HONORABLE MENTION JANET DARBY, RPH Midlothian Apothecary Midlothian | 804.794.5592 | www.midloapothecary.com

Physical Medicine and rehabilitation, also

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

FIRST PLACE DOUGLAS WAYNE, MD Ortho Virginia Richmond | 804.270.1305 www.advancedortho.me

My practice focus is electrodiagnostic medicine which is a sub-specialty interest area of physical medicine. When I am performing nerve tests I try very hard to make the patient as comfortable as possible and I like teaching them about what I am doing or chatting with them about their interests. This makes the procedure I am doing much more tolerable for the patient and I enjoy getting to meet lots of nice and interesting people. I strive to listen to my patients needs and concerns and find that they are very appreciative. I feel honored to be recognized for this award.

— Douglas Wayne, MD

SECOND PLACE

THIRD PLACE

MANMOHAN S. KHOKHAR, MD HCA - Physical Medicine & Rehabilitation of Richmond Richmond | 804.378.2233 www.hcavirginia.com

HILLARY HAWKINS, MD Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1001 www.shelteringarms.com www.OurHealthRichmond.com

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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 Inc. Richmond | 804.285.0148 www.orthopedicptinc.com

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

— Tracey Adler, DPT, OCS, CMTPT

SECOND PLACE AMANDA WORLEY, PT, DPT Tidewater Physical Therapy, Inc. Ashland | 804.550.5730 | www.tpti.com

THIRD PLACE DEREK METZLER, MPT Restore PT Richmond | 804.644.1221 | www.restore-pt.com

HONORABLE MENTION MICHAEL KELO, PT, MPH, OCS Mike Kelo Physical Therapy Chester | 804.425.4545 | www.mikekelopt.com LANCE TOWNSEND, PT King William Physical Therapy Aylett | 804.769.7504 www.kingwilliamphysicaltherapy.com KRISTEN WRIGHT, PT, MPT, CMTPT Orthopedic Physical Therapy Inc. Richmond | 804.285.0148 | www.orthopedicptinc.com

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OU

SECOND PLACE

MEGAN RUSSELL, PA-C Richmond Aesthetic Surgery Richmond | 804.298.7462 www.richmondplasticsurgery.com

CHARLES WADSWORTH, PA, MPAS Virginia Urology Richmond | 804.330.9105 | www.uro.com

R I careEforSpatients T like I would a family member that deserves B IDE S BED

your utmost respect and kindness in their time of need. I believe caring for people in this way carries benefits well beyond the bedside.

— Megan Russell, PA-C

THIRD PLACE SHANNON TOWNSEND, PA-C Richmond Gastroenterology Associates Mechanicsville | 804.559.6194 www.richmondgastro.com

HONORABLE MENTION JENNIFER BAUER, MPA, PA-C Dermatology Associates of Virginia, PC Richmond | 804.285.2006 | www.dermva.com DAVID MOON, PA-C Richmond Allergy & Asthma Specialists Richmond | 804.285.7420 | www.richmondallergy.com

NADIA P. BLANCHET, MD Nadia Blanchet Plastic and Reconstructive Surgery Richmond | 804.320.8545 www.nadiablanchetmd.com

The joy of the long-term relationships I enjoy with my patients is as rewarding to me as the fun of refining the technical aspects of surgery. I am going through life with my patients and the healing is in both directions.

— Nadia P. Blanchet, MD

SECOND PLACE JOHN ZINSSER, MD Zinsser Plastic Surgery PC Richmond | 804.474.9805 www.zinsserplasticsurgery.com

THIRD PLACE MATTHEW STANWIX, MD Richmond Plastic Surgeons Richmond | 804.285.4115 | www.drstanwix.com

HONORABLE MENTION MICHAEL GODIN, MD Michael Godin, MD PLC: Facial Plastic & Reconstructive Surgery Richmond | 804.285.8578 | www.drgodin.com

STEVEN MONTANTE, MD Richmond Aesthetic Surgery Midlothian | 804.298.7462 www.richmondplasticsurgery.com

THIRD PLACE We aim to treat our patients the way we would like our family to be treated, with compassion and respect. We strive to empower our patients to be healthy, to live beautifully and to face the world with confidence. Winning this award means so much because it lets us know we are meeting these important goals.

— Leslie V. Cohen, MD

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JOSEPH BOYKIN, MD Retreat Hospital Wound Healing Center Richmond | 804.254.5403 | www.hcavirginia.com

HONORABLE MENTION ISAAC WORNOM III, MD, FACS Richmond Plastic Surgeons Richmond & Midlothian | 804.285.4115 www.richmondplasticsurgeons.com

Plastic Surgery – Reconstructive

SECOND PLACE

LESLIE COHEN, MD, FACS Plastic & Reconstructive Surgery Richmond | 804.288.2800 www.lesliecohenmd.com

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

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

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

L HEA TH

FIRST PLACE

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the diagnosis, treatment and prevention of diseases of the human foot.

Podiatry is the branch of medicine that deals with

evaluation, fabrication, and custom fitting of artificial limbs and orthopedic braces.

Prosthetics & Orthotics is the

with diagnosis, Treatment and prevention of mental and emotional disorders.

Psychiatry is the branch of medicine that deals 48

FIRST PLACE

SECOND PLACE

ALLEN WAX, DPM Colonial Orthopaedics Foot & Ankle Institute Chester | 804.518.1300 www.colonialorthopaedics.com

JEFFREY FROST, DPM The Foot & Ankle Center Richmond | 804.320.FOOT (3668) | www.320-foot.com

Great bedside manners are needed to place patient at ease.

They are in a foreign environment, in some situations scared of the unknown, so if you talk in a calm voice, explain all, answer questions in a respectful way, all parties benefit from a wonderful doctor-patient experience.

— Allen Wax, DPM

THIRD PLACE JAMES SHADBOLT, DPM, FACFAS Henrico and Midlothian | 804.754.7400 www.lovethosefeet.com

HONORABLE MENTION LIMOR GLAZER, DPM, FACFAS Foot and Ankle Specialists of Virginia Richmond | 804.330.2467 www.footanklespecialistsva.com DAVID WEISS, DPM, DABPS West End Foot and Ankle Richmond | 804.346.1779 | www.richmondpodiatry.com

FIRST PLACE BETH MARTIN, ABC Powell Orthotics & Prosthetics Richmond | 804.649.9043 www.powelloandp.com

SECOND PLACE JOE SULLIVAN, CP, ABC Powell Orthotics & Prosthetics Richmond | 804.649.9043 | www.powelloandp.com

THIRD PLACE DANIEL MEJIA, CPO Hanger Clinic Richmond | 804.643.9064 | www.hangerclinic.com

“Bedside manner is engaging in the joy, fear, pain, and hope that each individual has. It is allowing a person a time to be heard.”

FIRST PLACE BELA SOOD, MD Virginia Treatment Center for Children at CHoR Richmond | 804.828.3129 www.chrichmond.org

A doctor’s calming and empathetic manner can be the first step toward healing for distressed people who need help.

— Bela Sood, MD

OurHealth | The Resource for Healthy Living in Greater Richmond

SECOND PLACE JOHN LEE, MD Commonwealth Counseling Associates Midlothian | 804.730.0432 www.commonwealthcounseling.com

THIRD PLACE WILLIAM KERNODLE, MD Tucker Psychiatric Clinic Richmond | 804.320.7881 www.tuckerpsychiatric.com

HONORABLE MENTION MARTIN BUXTON, MD Insight Physicians Richmond | 804.323.8282 DAVID GOULD III, MD Tucker Psychiatric Clinic Richmond | 804.320.7881 | www.tuckerpsychiatric.com

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ANDREA WEISMAN, PSYD, LCP Commonwealth Counseling Associates Midlothian | 804.730.0432 www.commonwealthcounseling.com

There is never a moment that I do not feel lucky to work with the people that I see each day. I bear witness to confrontation, exploration, growth and progress because my patients allow me to walk with them on their journey. This is the very reason I became a psychologist.

—Andrea Weisman, PsyD, LCP

SECOND PLACE CARRIE WALKER, LPC, RPT-S, CTP, ADS Richmond Creative Counseling Richmond | 804.592.6311 www.richmondcreativecounseling.com

THIRD PLACE BLAIR CALDWELL, LCSW Discovery Counseling & Consulting Richmond | 804.591.0002 | www.vadcc.com

HONORABLE MENTION JAMES BULLOCK, PSYD, LCP Commonwealth Counseling Associates Hanover | 804.730.0432 www.commonwealthcounseling.com

FIRST PLACE

SECOND PLACE

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

JAMIE C. HEY, MD Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 www.paraccess.com

A thorough LT Hexplanations Eoffer I strive to be a good listener and H to my patients.

U R BEST — Andrea Miksa, MD

O

of medicine that deals wit the diagnosis, treatment and prevention of mental and emotional disorders.

Psychology/Counseling is the branch

that deals with diseases of the respiratory tract and respiratory disease.

Pulmonary Medicine is a specialty

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

Radiation Oncology is the specialty for 50

FIRST PLACE

E

BEDSID

THIRD PLACE GLENN GIESSEL, MD, FCCP, D.ABSM, CPI Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 www.paraccess.com

HONORABLE MENTION SUJOY GILL, MD Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 www.paraccess.com

FIRST PLACE

SECOND PLACE

LAURIE CUTTINO, MD MCV Associated Physicians Richmond | 804.828.7232 www.mcvphysicians.vcu.edu

THIRD PLACE

DAVID M. RANDOLPH, MD Richmond | 804.266.8717 | www.hcavirginia.com

TIMOTHY J. WALLACE, MD, PHD Virginia Urology Midlothian | 804.330.9105 | www.uro.com

Cancer treatment can be difficult and frightening. A good bedside manner is essential in making sure that each patient feels comfortable and respected every step of the way. Showing patients that you really care can make a tough time just a little bit easier.

— Laurie Cuttino, MD

OurHealth | The Resource for Healthy Living in Greater Richmond

HONORABLE MENTION JUDY CHIN, MD Radiation Oncology Associates Richmond | 804.281.8350 www.radiationoncologyassociates.com THOMAS EICHLER, MD HCA Virginia Richmond | 804.330.2164 | www.hcavirginia.com

Radiology is a medical specialty that employs the use of images to both diagnose and treat disease visualized within the human body.

FIRST PLACE KEITH THOMPSON, MD Radiology Associates of Richmond Richmond 804.727.8806 www.rarichmond.com

Care and compassion for the patient are our prime concern at Radiology Associates of Richmond. — Keith Thompson, MD

SECOND PLACE MICHAEL BIGG, MD, JD Allison Breast Center Richmond | 804.288.8321 www.allisonbreastcenter.com

THIRD PLACE JINXING YU, MD VCU Health Richmond | 800.762.6161 www.radiology.vcu.edu

HONORABLE MENTION RAKESH AGARWAL, MD Hunter Holmes McGuire VA Medical Center Richmond | 804.675.5000 www.richmond.va.gov NICOLE KELLEHER, MD Radiology Associates of Richmond Richmond | 804.272.8806 www.rarichmond.com

read this edition of

on your tablet or smartphone www.OurHealthRichmond.com

51

non-surgical treatment of rheumatic illnesses, especially arthritis.

Rheumatology is the specialty in the

subspecialty devoted to the diagnosis and therapy of sleep disturbances and disorders.

Sleep Medicine is a medical specialty or

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

Sports Medicine is an area of health 52

FIRST PLACE PETER COUTLAKIS, MD Arthritis Specialists, Ltd. Richmond | 804.323.1401 www.arthritisspecialistsltd.com

SECOND PLACE TAMMY SPRINGS, MD Premier HealthCare Associates Richmond | 804.288.7901 www.premierhealthcare-va.com

THIRD PLACE CHRISTOPHER WISE, MD VCU Health Richmond | 800.762.6161 | www.vcuhealth.org

HONORABLE MENTION STEVEN MAESTRELLO, MD Virginia Physicians, Inc. Richmond | 804.346.1551 | www.vaphysicians.com AARAT PATEL, MD Bon Secours Arthritis and Osteoporosis Center of Richmond Richmond | 804.217.960 | www.richmond.bonsecours.com

SECOND PLACE FIRST PLACE DOUGLAS W. PURYEAR, MD, FCCP Pulmonary Associates of Richmond, Inc. Richmond | 804.320.4243 www.paraccess.com

Patient-centered medicine is the best approach to caring for people that puts them and their concerns first.

Bedside manner is the way that a physician interacts with their patients to build and grow the relationship that is necessary to give them and their families the best medical care possible.

— Douglas W. Puryear, MD, FCCP

RICHARD PARISI, MD Sleep Clinics of America Richmond | 804.269.8291 | www.scaclinics.com

THIRD PLACE

1

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

HONORABLE MENTION JUSTIN BROCKBANK, MD Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR (2467) | www.chrichmond.org GERARD SANTOS, MD Bon Secours Sleep Disorders Centers Richmond | 804.673.8160 www.richmond.bonsecours.com

SECOND PLACE FIRST PLACE LARRY BENSON, MD Ortho On Call Richmond | 804.440.4878 www.orthooncall.me

I was always taught that a good physician not only sees the patient, but the circumstances around the patient visit. I try my best to provide individualized care to each patient outside of a vacuum. In my experience, this opens up conversation and improves the patient and provider experience.

— Larry Benson, MD

OurHealth | The Resource for Healthy Living in Greater Richmond

DOUGLAS CUTTER, MD, CAQSM HCA Sports Medicine HCA Virginia Physicians Richmond, VA 23235 | 804.560.6500 www.hcavasportsmed.com

THIRD PLACE KATHERINE DEC, MD VCU Health Richmond | 804.800.762.6161 | www.sportsmed.vcu.edu

HONORABLE MENTION MARION HERRING, MD OrthoVirginia Richmond | 804.270.1305 | www.advancedortho.me DAVID NEDEFF, MD OrthoVirginia Richmond | 804.915.1910 | www.orthovirginia.com

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

CHIWON HAHN, MD, FACS Cardiothoracic Surgical Associates HCA Virginia Physicians Richmond, VA 23229 | 804.282.8777 www.heartsurgeryva.com

VIGNESHWAR KASIRAJAN, MD VCU Division of Cardiothoracic Surgery Richmond | 804.828.2774 www.vcuhealth.org

THIRD PLACE MARC KATZ, MD, MPH Cardiac Surgeon Richmond | 804.591.0866 | www.HavHrt.com

People come to us seeking help. When we are professional and courteous, our patients have confidence that we are providing care to the best of our ability to meet their needs.

Excellent bedside manner is the cornerstone of excellent patient care.

— Vigneshwar Kasirajan, MD

HONORABLE MENTION LEO GAZONI, MD, FACS Cardiothoracic Surgical Associates HCA Virginia Physicians Richmond, VA 23225 | 804.320.2751 www.heartsurgeryva.com

Surgery – General is the treatment of injury, deformity and disease using operative procedures.

SECOND PLACE

FIRST PLACE

RUTH FELSEN, MD Surgical Associates of Richmond Richmond | 804.560.5960 | www.thesar.com

AMY T. ROSE, MD Surgical Associates of Richmond Richmond | 804.560.5964 www.thesar.com

THIRD PLACE RICHARD BINNS, MD Surgical Associates of Richmond Richmond | 804.560.5972 | www.thesar.com

HONORABLE MENTION DAVID BETTINGER, MD Surgical Associates of Richmond Richmond | 804.560.5978 | www.thesar.com RALPH LAYMAN, MD, FACS Richmond Surgical Group Richmond | 804.968.4435 www.richmondsurgicalgroup.net

PETER A. ALEXANDER, MD Neurosurgical Associates, PC Richmond | 804.288.8204 | www.neurosurgicalva.com

K. SINGH SAHNI, MD, FACS Neurosurgical Associates, PC Richmond | 804.330.4990 www.neurosurgicalva.com

OU

RHEA

L

TH

B BEDESST IDE

THIRD PLACE RAJESH MEHTA, MD Neurosurgical Associates, PC Richmond | 804.288.8204 | www.neurosurgicalva.com

HONORABLE MENTION RICHARD SINGLETON, MD, PHD Neurosurgical Associates, PC Richmond | 804.330.4990 | www.neurosurgicalva.com HAROLD YOUNG, MD VCU Medical Center Department of Neurosurgery Richmond | 804.828.9165 | www.neurosurgery.vcu.edu

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

SECOND PLACE

FIRST PLACE

www.OurHealthRichmond.com

53

concerned with the prevention, diagnosis, treatment, and rehabilitation of disorders which affect the spinal cord.

Surgery – Spine is the medical specialty

of surgery on diagnosed patients with diseases of the arterial, venous and lymphatic system.

JED VANICHKACHORN, MD Tuckahoe Orthopaedics Richmond | 804.285.2300 | www.tuckahoeortho.com

RICK PLACIDE, MD OrthoVirginia North Chesterfield 804.320.1339 www.orthovirginia.com

THIRD PLACE JOSEPH KIM, MD OrthoVirginia Midlothian | 804.379.2414 | www.orthovirginia.com

RHEA OU L

Listening to the patient and showing a genuine interest can go a long way. Remember, it IS all about the patient.

— Rick Placide, MD

B BEDESST IDE

TH

Surgery – Vascular is the treatment

SECOND PLACE

FIRST PLACE

HONORABLE MENTION PRAKASAM KALLURI, MD Colonial Orthopaedics Colonial Heights | 804.518.1300 www.colonialorthopaedics.com J. MICHAEL SIMPSON, MD Tuckahoe Orthopaedics Richmond | 804.285.2300 | www.tuckahoeortho.com

SECOND PLACE FIRST PLACE BARKLIE W. ZIMMERMAN, MD, FACS Richmond Surgical Group Richmond | 804.968.4435 www.richmondsurgical.net

JOHN HYSLOP, MD Surgical Associates of Richmond Richmond | 804.320.2705 | www.thesar.com

THIRD PLACE RICHARD BINNS, MD Surgical Associates of Richmond Richmond | 804.560.5972 | www.thesar.com

Bedside manner is simply the act of anticipating and showing respect for a patient’s fears and expectations.

In the end, it is the “Golden Rule” applied to the practice of medicine.

— Barklie W. Zimmerman, MD, FACS

disturbances of the urinary (male and female) and reproductive (male) organs.

Urology is a medical specialty that deals with

SECOND PLACE

54

FIRST PLACE ANTHONY SLIWINSKI, MD Virginia Urology Richmond | 804.330.9105 www.uro.com

This is truly an honor for me to receive. I’m proud of my whole team at Virginia Urology for providing compassionate care in our field of very sensitive subjects.

— Anthony Sliwinski, MD

OurHealth | The Resource for Healthy Living in Greater Richmond

KENT ROLLINS, MD Virginia Urology Richmond | 804.330.9105 | www.uro.com

THIRD PLACE JIM EDMONDSON, MD Children’s Urology of Virginia Richmond | 804.828.CHOR (2467) www.childrensurologyofva.com

HONORABLE MENTION JAMES MCMURTRY, MD Virginia Urology Richmond | 804.330.9105 | www.uro.com ROBERT T. NELSON JR, MD Virginia Urology Richmond | 804.330.9105 | www.uro.com JEFFREY REBMAN, MD Urology Associates of Richmond Richmond | 804.320.1355 www.urologyassociatesofrichmond.com

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ALLISON BREAST CENTER 7301 Forest Avenue, Suite 110 | Richmond, VA 23226 | 804.288.8321 f AllisonBreastCenter | www.allisonbreastcenter.com SERVICES AND PROCEDURES: Mammograms, screening and diagnostic. CAD (computer assisted detection), Diagnostic Breast Ultrasound, Steriotactic Core Breast Biopsies, Ultrasound Guided Breast Biopsies.

BRAND NEW TECHNOLOGY ALLISON BREAST CENTER MAMMOGRAMS – MORE COMFORT, LESS WORRY Mammograms don’t have to be uncomfortable, time-consuming experiences that subject patients to high levels of radiation, and anxiety wondering when test results will be delivered and what they will reveal.

Instead, Allison Breast Center in Richmond offers patients what it calls “the more comfortable mammogram,” utilizing the most advanced mammography imaging available, and a spa-like setting that almost makes patients forget they’re at a medical facility.

Traditional mammograms can be uncomfortable and even hurt because the imaging sequence requires the breast to be held for a long time and compressed. Those drawbacks have been reduced using the new Philips MicroDose SI mammography digital system because breast compression is reduced significantly compared to other systems, resulting in increased comfort and a better experience. Allison Breast Center is the only practice in the state to offer this brand new technology.

SHARED TIP Remember to always perform a self-breast examination once monthly. In the interval between yearly mammograms a patient might find something.

Also it is important to have a mammogram annually once you turn 40 years of age. With the technology nowadays we catch stage zero cancers.

GIVING BACK

BETTER IMAGES AND DIAGNOSES, WITH LESS RADIATION Increased comfort isn’t the most important consideration when it comes to mammography, nor is it the only benefit this new mammography system delivers. Philips’ full-field digital mammography system offers excellent image quality while exposing patients to dramatically reduced radiation levels – as much as 75 percent less – than traditional imaging systems.

“Using unique, photon-counting technology, these FDA-approved imaging machines enable us to find more stage zero cancers than is achieved by comparable digital machines,” Gillian Bigg, CEO of Allison Breast Center explains.

Allison Breast Center is a supporter and sponsor of the Susan G. Komen Race for the Cure, Little Kickers, and River City Charities.

“THE MOST REWARDING PART OF OUR JOB IS THE SMILE ON A PATIENT’S FACE AFTER RECEIVING A GOOD MAMMOGRAM RESULT.”

WHAT OUR PATIENTS ARE SAYING Even with the improved comfort levels and enhanced image quality that come from using the MicroDose system, many Allison Breast Center patients say what’s important to them – both for schedule convenience and anxiety reduction – is the fact that they review their results with a physician before ever leaving the facility. There’s no waiting or wondering for days about test results or whether additional follow up tests are needed. Patients instead are in the door and back out within 30 minutes, taking with them the knowledge and peace of mind needed for better health.

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57

Tricia Foley’s

TRADITIONAL CORNBREAD DRESSING

REGULAR INGREDIENTS: (serves 10) ½ ½ ½ 6 1 ½ 4

2 2 2-4

cup butter cup celery, chopped cup onion, chopped cups cornbread, crumbled teaspoon sage teaspoon black pepper cans (14 ounce) chicken broth (not the condensed variety) eggs, beaten eggs, boiled and then chopped cups herb stuffing mix

SWAP INGREDIENTS: (serves 10) SWAP FOR

SWAP FOR

SWAP FOR SWAP FOR SWAP FOR SWAP FOR

DIRECTIONS

Heat oven to 450 degrees. Lightly grease a 13 x 9 x 2 inch baking dish. Add butter to skillet and allow to melt; sauté celery and onion until tender, approximately 3 minutes. In large mixing bowl, mix cornbread, bread, celery, onions, sage and black pepper. Whisk broth and beaten eggs into cornbread mixture; blend well. Stir in chopped boiled eggs.

Pour mixture into prepared baking dish and bake for 30 minutes or until golden brown.

¼ ½ ½ 3 1 ½ 4

2 2 2 3 1/3 1 1 1 2

cup clarified butter cup celery, chopped cup onion, chopped cups cornbread, crumbled teaspoon sage teaspoon black pepper cans (14-ounce) low-sodium chicken broth (not the condensed variety) farm-fresh eggs, beaten farm-fresh eggs, boiled and then chopped slices 100% whole wheat bread, crumbled slices toasted 100% whole wheat bread, pulverized cup finely chopped fresh flat-leaf parsley teaspoon finely chopped fresh sage teaspoon finely chopped fresh thyme teaspoon marjoram tablespoons olive oil

DIRECTIONS

(per serving): 405 calories, 19 grams fat, 8.3 grams saturated fat, 45.2 grams carbohydrates, 4 grams fiber, 4 grams sugar, 1029 milligrams sodium, 11.1 grams protein.

Heat oven to 450 degrees. Lightly grease a 13 x 9 x 2 inch baking dish. Add olive oil to skillet; sauté celery and onion until tender (approximately 3 minutes), then pour melted butter over vegetables.

In large mixing bowl, mix in cornbread, bread, pulverized toast, celery, onions, herbs and black pepper. Whisk broth and beaten eggs into the mixture; blend well. Stir in the chopped boiled eggs. Pour mixture into prepared baking dish and bake for 30 minutes or until golden brown.

Sources: www.food.com & www.cleaneatingmag.com

NUTRITION (per serving): 236 calories, 12.9 grams fat, 4.6 grams

NUTRITION

58

saturated fat, 19.3 grams carbohydrates, 2 grams fiber, 2 grams sugar, 260 mg sodium, 9.5 grams protein.

Tricia Foley’s

SPICY SPAGHETTI SQUASH LATKES REGULAR INGREDIENTS: (serves 8) ½ ¼ 1 ¼ ¼

pound potatoes cup finely chopped onion small egg, lightly beaten teaspoon salt cup vegetable oil

SWAP INGREDIENTS: (serves 8) SWAP FOR

SWAP FOR SWAP FOR

DIRECTIONS

Heat oven to 250 degrees. Peel potatoes and coarsely grate, then place in a large bowl of cold water. Soak potatoes for 1 to 2 minutes after you finish the grating, then drain them well in a colander. Spread potatoes and onion on a kitchen towel and roll them it up, twisting towel tightly to remove as much liquid as possible. Transfer mixture to a bowl and stir in egg and salt. Heat ¼ cup oil in a 12-inch nonstick skillet over medium high heat. Working in batches of four latkes, spoon 2 tablespoons potato mixture per latke into skillet, spreading into 3-inch rounds with a fork. Reduce heat to medium and cook until undersides are browned, about 5 minutes. Flip latkes over and cook until both sides are browned, about 5 minutes more. Transfer to paper towels to drain and season with salt. Add more oil to skillet as needed. Keep latkes warm on a wire rack set in a shallow baking pan in the oven.

NUTRITION

(per serving): 94 calories, 3.45 grams fat, 1.45 grams saturated fat, 42 mg sodium, 10 grams carbohydrates, 3 grams fiber, 6 grams natural sugar, 2.25 grams protein.

Source: www.epicurious.com

1 1 1

1 ½ 2 2

medium spaghetti squash small yellow onion, diced egg salt and pepper to taste olive oil spray small jalapeno with the seeds removed, diced tablespoon coconut oil tablespoons almond flour tablespoons fresh parsley, chopped

DIRECTIONS Heat oven to 400 degrees. Cut the spaghetti squash in half lengthwise and remove seeds. Season with salt and pepper. Roast in the oven, cut-side up for 40 minutes or until tender. Set aside. In a medium skillet, sauté the onion and jalapeno over medium heat in ½ tablespoon coconut oil until softened. Meanwhile, scrape out the cooked spaghetti squash from its skin and combine the squash, egg, almond flour and parsley in a large bowl. Once onion and jalapeno are tender, add them to the squash mixture. Using a spoon, scoop a generous amount of the squash mixture into your hands and form into patties (will make about 16 patties). Lightly flatten. Make sure you shape all of your patties before heating the pan. Using the same skillet as before, generously apply olive oil spray to the entire pan, then place four to five patties on the skillet and allow to brown on both sides (about 2 minutes on each side). Carefully transfer latke onto a paper towel-lined cooling rack and repeat until all patties are cooked. Top with parsley as desired.

NUTRITION (per serving): 94 calories, 3.45 grams fat, 1.45 grams saturated fat, 42 mg sodium, 10 grams carbohydrates, 3 grams fiber, 6 grams natural sugar, 2.25 grams protein. www.OurHealthRichmond.com

59

Tricia Foley’s

WHOLE WHEAT TURKEY POTSTICKERS REGULAR INGREDIENTS: (serves 8) 3 ½ ¼ 2 1 2 1 2 ½ ¼ 1 1/3 1 40

tablespoons vegetable oil, for frying pound ground pork cup finely chopped scallions tablespoons finely chopped red bell pepper egg, lightly beaten teaspoons ketchup teaspoon yellow mustard teaspoons Worcestershire sauce teaspoon kosher salt teaspoon cayenne pepper cups chicken stock, divided teaspoon light brown sugar small wonton wrappers Water, for sealing wontons

SWAP INGREDIENTS: (serves 8) POTSTICKER FILLING

SWAP FOR

½ ¼ 2 1 2 1 2 ½ ¼ 1 1/3

SWAP FOR

WONTONS

SWAP FOR

Sources: www.foodnetwork.com & www.cleaneatingmagazine.com

DIRECTIONS

Heat oven to 200 degrees. Combine the first 11 ingredients in a medium-size mixing bowl. Set aside. To form the dumplings, remove one wonton wrapper from the package, covering the others with a damp cloth. Brush two of the wrapper’s edges lightly with water. Place a half teaspoon of the pork mixture in the center of the wrapper. Fold over, sealing the edges. Set on a sheet pan and cover with a damp cloth. Repeat until all of the filling is gone. Heat a 12-inch sauté pan over medium heat.

Brush with vegetable oil once hot. Add 8 to 10 pot stickers at a time to the pan and cook for 2 minutes. Remove wontons to a heatproof platter and place in the warm oven. Clean the pan between batches by pouring in water and allowing the pan to deglaze. Repeat until all wontons are cooked.

Serve immediately.

NUTRITION (per serving): 239.6 calories, 12.3 grams fat, 2.1 grams saturated fat, 24.3 grams carbohydrates, 0 grams sugar, 0 grams fiber, 10.4 grams protein, 401.75 mg sodium.

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OurHealth | The Resource for Healthy Living in Greater Richmond

3 3 6

pound lean ground turkey cup finely chopped scallions tablespoon finely chopped red bell pepper egg, lightly beaten teaspoons ketchup teaspoon yellow mustard teaspoons Worcestershire sauce teaspoon kosher salt teaspoon cayenne pepper cups low-sodium chicken stock, divided

cups whole-wheat flour small eggs (or 1 1/2 large eggs) tablespoons water (more as needed) dash sea salt

SWAP DIRECTIONS WONTONS: Place flour in a medium mixing bowl. In a small

bowl, whisk together egg, salt and water; stir into flour, adding more water as needed to form a stiff dough. Knead for 1 minute.

Roll out onto a lightly floured surface until very thin and cut into 3 1/2-inch squares.

POTSTICKERS: Line a baking sheet with parchment paper.

Heat the oven to 375 degrees. Arrange the potstickers in a single layer on the baking sheet, allowing approximately ½ inch of space between each dumpling. Bake the potstickers for 12 to 15 minutes at 400 degrees. Rotate the baking sheet halfway through the cooking process to make sure they are evenly cooked. The dumplings’ edges should be golden brown when done.

SWAP NUTRITION

(per serving): 246.3 calories, 4.11 grams fat, 0.3 grams saturated fat, 32 grams carbohydrate, 5.4 grams fiber, 0 grams sugar, 22.19 grams protein, 116 mg sodium.

5

HEALTH TIPS FOR THE

Holidays

words | DEIDRE WILKES

It’s natural to indulge a bit during the holiday season – the trick is not to let it ‘snowball’ out of control and into the New Year. Just a few simple tips can have you ringing in 2017 happy and healthy!

1. Ditch the Scale Weight can fluctuate from day to day – especially when eating certain foods that are common during the holiday season.

Make a pact to put your scale away until well AFTER the holidays have passed and your routine is back to normal.

3. Don’t Sweat the Small Stuff

2. Never Leave the House Hungry During the holidays, there is food, food, everywhere! Whether you’re running errands, shopping for gifts, or out on the town at a party, make sure to eat a healthy snack before you leave. This will keep you from grabbing fast food on the go or overindulging at restaurants or parties. Some great ideas for snacks are carrot or celery sticks, fruit and nuts.

Stress can have a major impact on weight and even trigger emotional eating, so don’t let it get to you! Carve out a few minutes each day for ‘me’ time. Doing anything from meditating to taking a power nap or a bubble bath to listening to soothing music may help you relax during this stressful season.

4. Instant Leftovers Most restaurant portions are much more than a single serving. When your meal arrives, immediately separate the food in half and ask the server for a box.

As soon as the box arrives, place half of your meal in it. You instantly saved both calories and money, as you now have lunch or dinner for the next day!

5. Do the ‘Mall Crawl’ Holiday shopping is often a necessary evil, but you can work it into your fitness routine. After going from store to store, take some time to walk from one end of the mall to the other without stopping. If you shop at a multi-level mall, take the stairs and walk from end to end on each level.

If you’re carrying shopping bags, use them to do some arm curls to help tone your upper body. www.OurHealthRichmond.com

61

Photos courtesy of Jennie and Tim Wood.

Flashback to the Roarin’ 20s! That was the theme of the 10th Annual Pink Tie Gala presented by Bon Secours Cancer Institute at the Richmond Convention Center. An evening of great food, live music and dancing, silent auctions, and performances by the ‘Celebration of Life Dance Team’ was enjoyed by the nearly 700 attendees! Hosted by River City Charities, the event raises funds for breast cancer awareness, grant programs, survivor support, education and research in the greater Richmond area. One hundred percent of the proceeds go to the Central Virginia Affiliate of the Susan G. Komen Foundation.

For more information on River City Charities, www.rivercitycharities.com. For more information on Bon Secours Cancer Institute, www.bonsecours.com. For more information on Susan G. Komen foundation, visit www.komencentralva.org.

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More at ourhealthrichmond.com

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the 2016 OurHealth Richmond Primary Care Series: an issue-by-issue overview

+++

january

| february

KNOW YOUR CARE: understanding your health and how to maintain it

+++ march

| april

PAR T

DO YOUR CARE:

6

taking action with your health

+++ june

| july

SHARE YOUR CARE: setting good examples for others to learn and live by

+++ august

| september

INSPIRE YOUR CARE:

keeping creative with fresh care ideas

+++ october

| november

MEASURE YOUR CARE:

tracking your efforts to ensure you’re on the right path

+++ december

CELEBRATE YOUR CARE: rejoicing the rewards realized from taking good care of yourself

words | GERI ASTON

CELEBRATE YOUR

care

As you travel along life’s journey, it can be fun to step back and take a look at how far you’ve come. That holds true in the journey toward better health as well.

Rejoicing the Rewards Realized from Taking Good Care of Yourself

Working with your primary care doctor to make healthy lifestyle adjustments pays off in both the short and the long term. The path to health lasts a lifetime, but it’s important to pause for a moment now and then to reflect on and celebrate your accomplishments along the way.

This article, the final in a year-long OurHealth series about primary care, will examine ways that your lifestyle changes can benefit your health so that you can give yourself a muchdeserved pat on the back and keep the momentum going.

Give Yourself “Props” for Losing Weight Eating right and shedding extra weight are often part of the plan to improve one’s health. That’s because being overweight or obese plays a major role in many chronic conditions, including heart disease, diabetes, arthritis, and sleep disorders. Even if you haven’t reached your weight-loss goal, every pound that you drop improves your health. That’s an accomplishment well-worth celebrating.

Losing as little as 5 to 10 percent of your weight can reduce your cholesterol levels, decrease your risk of developing type 2 diabetes, and lower your blood pressure.

Cholesterol is a big deal because high levels of “bad” cholesterol, known as low-density lipoprotein (LDL), can build up in the walls of your arteries, forming a plaque that makes the arteries hard and narrow. If the plaque tears or ruptures, a blood clot could form, blocking blood flow or breaking loose and plugging an artery. If the blood flow to part of your heart stops, that’s a heart attack. If a clot blocks blood flow to part of your brain, it’s a stroke.

Decreasing your risk of developing type 2 diabetes is also a major accomplishment because the disease can cause so many health problems. In type 2 diabetes, the pancreas loses its ability to produce enough insulin to properly control the blood sugar, called glucose, which powers the body’s cells. Over time, high blood sugar will damage your nerves and blood vessels, which can lead to heart disease, stroke, kidney disease, blindness, dental disease, and even amputations.

High blood pressure also hurts your blood vessels. It can make your artery walls stiff and create the plaque that can lead to heart attacks or strokes. The narrowing of arteries caused by plaque, furthermore, can also cause kidney failure, dementia, eye damage, and even problems having sex, according to the Mayo Clinic.

The strain on your heart from high blood pressure, moreover, can cause your heart to weaken and work less efficiently. Eventually, your heart will begin to wear out — a condition known as heart failure.

High blood pressure also can cause aneurysms, says the Mayo Clinic. This happens when the constant pressure of blood moving through a weakened artery causes part of its wall to bulge out.

If that bulge ruptures, it causes internal bleeding, which can be deadly.

That’s not all, though — in fact, losing weight offers many other reasons to celebrate as well. It reduces the chances that you’ll get osteoarthritis arthritis, which is caused by wear and tear on the joints, and it can ease the condition if you already have it.

How does reaching an ideal weight reduce the negative impact on joints?

“Let’s look at weight and your knees. When you walk across level ground, the force on your knees is the equivalent of one and a half times your body weight. That means a 200-pound man will put 300 pounds of pressure on his knees with each step. Add an incline, and the pressure is even greater: the force on each knee is two to three times your body weight when you go up and down stairs, and four to five times your body weight when you squat to tie a shoelace or pick up an item you dropped.

Losing a few pounds can go a long way toward reducing the pressure on your knees — and protecting them. For example, research has proven that a sustained 10 to 15 pound weight loss in obese young people can translate to a much lower risk of osteoarthritis later in life.”

VIVEK SHARMA, MD Colonial Orthopaedics

How does being physically healthy help improve a woman’s chance for conception?

“A woman’s chances for conception depend greatly on her ovulatory function. Ovulation can be affected by extremes in weight, by being either underweight or overweight.

Utilizing proper nutrition and exercise to maintain a healthy weight can help regulate ovulation. Furthermore, avoiding alcohol and tobacco products can improve one’s chance for conception.”

KENLEY NEUMAN, DO, FACOG Virginia Physicians for Women

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65

Additionally, extra pounds put extra stress on weightbearing joints like the knees and hips. When you walk across level ground, the force on your knees equals one-and-a-half times your body weight, says Harvard Medical School’s HEALTHbeat. That means that a 200-pound man will put 300 pounds of pressure on his knees with each step.

20 Minutes After Quitting •

Your heart rate drops to a normal level.

12 Hours After Quitting •

The carbon monoxide level in your blood drops to normal.

48 Hours After Quitting •

Your sense of smell and taste begin to return to normal.

2 Weeks to 3 Months After Quitting • •

Your risk of having a heart attack begins to drop.

Your lung function begins to improve.

1 to 9 Months After Quitting •

Your coughing and shortness of breath decrease.

1 Year After Quitting •

Your added risk of coronary heart disease is half that of a smoker's.

5 to 15 Years After Quitting • •

Your risk of having a stroke is reduced to the same as a nonsmoker’s.

Your risk of getting cancer of the mouth, throat, or esophagus is half that of a smoker's.

10 Years After Quitting • • •

Your risk of dying from lung cancer is about half that of a smoker’s.

Your risk of getting bladder cancer is half that of a smoker’s.

Your risk of getting cancer of the cervix, larynx, kidney or pancreas decreases.

15 Years After Quitting •

Your risk of developing coronary heart disease is the same as that of a nonsmoker.

Sources: American Lung Association and QuitDay

66

OurHealth | The Resource for Healthy Living in Greater Richmond

As if that wasn’t enough, the force on each knee increases to two to three times your body weight when you go up and down stairs and four to five times your body weight when you squat to tie a shoelace or to pick up something from the floor — so shedding a few pounds can go a long way toward reducing the pressure on your joints and protecting them.

It also can help you get a good night’s sleep. The risk of developing sleep apnea is four times higher for people who are obese than for people of normal weight, says the Mayo Clinic. Sleep apnea is a potentially serious disorder in which your breathing repeatedly stops and starts while sleeping.

Signs of sleep apnea include snoring loudly and feeling tired even after a full night’s sleep.

The good news is that weight loss helps reduce the severity of obstructive sleep apnea, the most common type of the disorder.

Collecting the Rewards of Exercise Physical activity is part of healthy living. If you’ve worked it into your daily or weekly routine, you’re helping your body in ways that you might not even realize. You should give yourself credit for that.

We all know that exercise helps us to lose weight, but did you know that it can also benefit your brain?

Exercise can improve memory and thinking, reduce the risk of depression and dementia, and improve your mood.

Additionally, according to the National Cancer Institute, exercise lowers the risk of developing heart disease, high blood pressure, stroke and type 2 diabetes. Studies have also

found that physical activity can reduce the chances of developing colon, breast and endometrial cancers.

Regular exercise helps to keep bones, muscles and joints healthy.

Even though exercising might seem like the last thing that people with arthritis should do, it actually helps them by increasing their strength and flexibility and reducing their joint pain, notes the Mayo Clinic. If you have arthritis, you should work with your doctor to figure out what types of exercises are best for you.

For seniors, exercise and physical activity improve endurance, strength, balance and flexibility, according to the National Institutes of Health (NIH). These benefits can help you stay strong and fit enough to perform your daily activities and maintain your independence.

As people age, they run the risk of developing osteoporosis, a condition that could weaken their bones to the point where they easily break. Doing weight-bearing exercises three to four times per week helps to prevent osteoporosis.

Want to sleep better? Exercise plays a role there, too. Regular physical activity can help you fall asleep faster and deepen your sleep.

When a person reduces his/her “bad” cholesterol, how does this positively impact his/her health?

“The foundation of health creation is nutrition, exercise, sleep hygiene and mindfulness. By adopting a diet that is rich in plants, avoiding refined and processed foods and consuming fewer calories an individual will experience less inflammation, reduced “bad” cholesterol levels and normalization of insulin resistance.

This leads to the reduction in cardiovascular events and better health overall.”

SHAIVAL KAPADIA, MD, FACC Bon Secours Cardiovascular Associates of Virginia

Not unexpectedly, finally, people who exercise have more energy in general. That’s because exercise and physical activity deliver oxygen and nutrients to your tissues and help your heart work more efficiently, says the Mayo Clinic. When your heart and lungs work better, you have more energy to go about your daily life.

Health Buzz from Kicking the Habit Smoking is a hard habit to break, thanks to nicotine’s addictive properties. If you’ve quit the habit or never taken up smoking, your body is reaping enormous benefits.

It’s common knowledge that smoking causes lung cancer, but it also increases the chances of getting many more types of cancer — like cancers of the blood, bladder, cervix, colon, esophagus, kidneys, larynx, liver, mouth, nose, rectum, throat and uterus, says the NIH. Over time, your decision to quit will help reduce your risk of developing all of these.

After you stop smoking, furthermore, you begin to breathe more easily and your smoker’s cough starts to go away. But why? The answer is that our lungs are made of tubes that branch out into small sacs. Smoking causes these sacs to lose their elasticity, which prevents them from taking in as much oxygen. That’s why smokers feel short of breath, a condition called emphysema.

How does quitting smoking improve a person’s lung capacity?

“Within two days after quitting smoking, abnormalities in heart rate and blood pressure may show improvement; carbon monoxide levels in the body decrease; risk of coronary artery disease starts to decline; and the ability to taste and smell begins to improve. Quit smoking today and experience more longterm health benefits, in particular increased life expectancy.”

VICKI LATHAM-SOLOMON, MD Bon Secours Canal Crossing Internal Medicine

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HOW MUCH ALCOHOL IS TOO MUCH?

Reasonable zone Moderate drinking: Up to one drink per day for women of all ages and men older than age 65; up to two drinks per day for men age 65 and younger. One drink means: Beer: 12 fluid ounces (355 milliliters) Wine: 5 fluid ounces (148 milliliters) Hard liquor (80 proof): 1.5 fluid ounces (44 milliliters)

Danger zone Heavy drinking: More than three drinks on any day or more than seven drinks per week for all women and men older than age 65; more than four drinks on any day or more than 14 drinks per week for men age 65 and younger.

Binge drinking: Four or more drinks within two hours for women and five or more drinks within two hours for men.

Source: Mayo Clinic

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Normally, the lungs protect themselves with a thin layer of mucus and by moving toxic particles out with small hairs, called cilia.

According to the Quit Smoking Community, smoking makes the cilia move slower and struggle to remove harmful particles. The lungs become irritated from the toxins and collect more mucous, and this triggers smoker’s cough. Over time, smoker’s cough can lead to chronic bronchitis, in which the lining of the tubes in your lungs swells and restricts breathing.

The combination of emphysema and chronic bronchitis is called chronic obstructive pulmonary disease (COPD). About 20-30 percent of chronic smokers may develop COPD, says the Mayo Clinic. When you quit smoking, your lungs’ sacs and cilia begin to heal, which is why you will start to breathe easier and cough less.

Additionally, according to the Mayo Clinic, smoking causes harm all over the body that you might not be able to see. It increases the risk of developing heart disease, strokes, type 2 diabetes and vision problems as well as fertility problems in women and impotence in men. Smoking is also associated with an increased risk of developing inflammation of the gums and serious gum infections that could destroy the support system for teeth.

Finally, women who smoke during pregnancy have a higher risk of miscarriage, early delivery, babies with lower birth weights, and sudden infant death syndrome in their newborns.

By quitting smoking, you’re lowering your risk of developing all of these serious problems. You’re also improving your looks. The chemicals in tobacco smoke can change the structure of your skin, causing premature aging and wrinkles. Smoking also yellows your teeth, fingers and fingernails. Quitting smoking begins to reverse these effects, letting you start to look much healthier.

Drinking Less and Living Better The saying “everything in moderation” applies to alcohol. A little alcohol isn’t likely to cause harm, but a lot of alcohol consumed in one sitting or over time can cause life-altering or life-ending damage.

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The dangers of driving drunk are obvious — you could injure or kill yourself or others due to your weakened thinking skills and muscle control. Getting drunk, however, also increases your chances of drowning, being a victim of or committing a crime, accidental injury, and having unprotected sex or becoming the victim of sexual abuse or date rape, says the Mayo Clinic.

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When we think of the long-term harm caused by alcohol abuse, we usually think of liver damage. The liver breaks down alcohol so that it can be removed from the body. Drinking more alcohol than the liver can process damages it over time. This damage comes in the form of three types of liver disease.

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Alcoholic fatty liver disease, first of all, means that you have too much fat in your liver. It’s the earliest stage of alcohol-related liver disease, says the American Liver Foundation. The damage can be reversed at this point if the person stops drinking alcohol.

Alcoholic hepatitis, secondly, means that there are fat deposits in the liver, plus inflammation and mild scarring. Up to 35 percent of heavy drinkers develop alcoholic hepatitis, the foundation says. Mild alcoholic hepatitis can be reversed by giving up alcohol. Severe alcoholic hepatitis can occur suddenly and lead to liver failure and death.

Alcoholic cirrhosis is the most advanced type of alcohol-caused liver injury. It means that the liver has severe scarring. Between 10 and 20 percent of heavy drinkers develop cirrhosis, the foundation says. Cirrhosis can’t be reversed by giving up alcohol, but doing so could improve the symptoms and prevent more damage from occurring.

Additionally, heavy drinking can increase the risk of developing some cancers, including cancers of the breast, mouth, throat and esophagus. It can cause stomach, heart, pancreas and eye problems, says the Mayo Clinic. Drinking while pregnant can cause a miscarriage or permanent brain damage and other problems in an unborn child.

If you don’t drink or only drink in moderation, you’re protecting yourself and those around you from these dangers. That’s one more accomplishment worth celebrating!

What are the most important habits for maintaining good musculoskeletal health?

“Maintaining good musculoskeletal health throughout life makes a huge difference in long-term health. The most important healthy habits to keep for good musculoskeletal health, are: 1.

Wearing a seatbelt every time you drive or ride in a car.

2.

Keeping body weight close to the ideal body weight.

3.

Exercising in moderation on a regular basis.”

STEPHEN KATES, MD Professor and Chair, The John Cardea Chair of Orthopaedics VCU Health

Expert Contributers Shaival Kapadia, MD, FACC with Bon Secours in Richmond Stephen Kates, MD with VCU Health in Richmond Vicki Latham-Solomon, MD with Bon Secours Canal Crossing Internal Medicine in Richmond Kenley Neuman, DO, FACOG with Virginia Physicians for Women in Richmond Michael Polsky, MD, CPI with Pulmonary Associates of Richmond, Inc. in Richmond Vivek Sharma, MD with Colonial Orthopaedics in Colonial Heights and Chester

Sources American Lung Association, www.lung.org.

Mayo Clinic, www.mayoclinic.org.

Does maintaining a healthy sleep regimen affect overall long-term wellness?

“Technically, sleep can be described as a naturally recurring, reversible state of suspended consciousness. Sleep is absolutely necessary for survival. It is a time of rejuvenation, growth and the consolidation of learning. To perform optimally physically and/ or mentally a person needs sufficient sleep.”

MICHAEL POLSKY, MD, CPI Pulmonary Associates of Richmond, Inc.

Quit Smoking Community, www.quitsmokingcommunity.org

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could your child be suffering from

words | RICK PIESTER

SINUS PROBLEMS Eight-year-old Chloe Waller of Richmond had suffered from sinus problems since birth – but thanks to an outpatient surgery procedure, her chronic condition is finally cured.

You think it’s probably a cold.

Your child is coughing and sneezing and seems tired all the time. She has congestion, a sore throat, a headache, and maybe even a slight fever.

It’s probably a cold, although it sure is lasting longer than it should – almost two weeks now. The symptoms never ease, and then they get worse. Your daughter’s eyes seem puffy, and she’s been really blocked up.

It might be time to see your pediatrician, and, if so, there’s a good chance that the diagnosis will be a sinus infection. They’re very common, second only to ear infections as the most common reason for kids to visit the doctor. The good news is that bacterial sinus infections are most often easily treated with antibiotics and other measures. When undiagnosed and untreated, however, the infections can lead to very serious problems.

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The sinuses are actually air-filled spaces in the bones of the head and face that start developing before birth and continue growing until about age 20. There are four pairs of sinuses, eight spaces in all. They’re near each cheek, behind and between the eyes, in the forehead and at the back of the nasal cavity. Like the nose, the sinuses are lined with thin layers of moist tissue — mucus membranes — that help moisten inhaled air. Sticky mucus secreted by the membranes helps to trap dust and germs in the air we breathe.

But if a sinus infection becomes chronic — in other words, if you experience four or more within a year — it’s probably time to seek out specialized care. “Pediatricians provide excellent care, but sometimes, you simply need the care of a specialist,” notes Robert J. Brager, MD. Dr. Brager is part of the Richmond-based Virginia Ear, Nose and Throat Associates (ENT) and takes care of patients who have complex problems stemming from sinus infections.

Robert J. Brager, MD is an otolaryngologist with Virginia Ear, Nose and Throat Associates (ENT). Dr. Brager is certified by the American Board Otolaryngology.

Eight-year-old Chloe had been treated for severe ear infections almost since birth.

She went through several rounds of antibiotics and steroids, with no lasting improvement. She also suffered from repeated bouts of heavy nasal congestion, a bad cough, and a typically “nasally” voice. Her mom, Kira, notes that Chloe — a “real trooper” – never complained of headaches or any other type of associated pain.

“A sinus infection can typically start with a ‘cold,’ but not every congested nose ends up as an infection,” Dr. Brager cautions, “and not every sinus infection needs aggressive treatment. Every child is different, so it’s usually a good idea to wait for 10 or even 14 days of persistent nasal symptoms, along with a worsening trend, before suspecting that a youngster has a sinus infection that needs antibiotic treatment.”

Under Dr. Brager’s care, Chloe was given an adenoidectomy, the usual first surgical step for young patients with chronic sinus infections that don’t respond to medication. In this procedure, adenoid tissue behind the nose is removed to reduce the likelihood of infections that produce symptoms similar to sinusitis as well as to open the pathways for draining and allowing air to circulate.

Chloe’s adenoidectomy was successful, but it was less than fully effective. Dr. Brager then ordered a CT scan for Chloe. The scan was performed on Virginia ENT’s in-office scanning equipment. Designed especially for scans limited to the sinuses and ears, the equipment is capable of producing high-quality images with about a third of the radiation dose of a conventional full-body scanner.

Sinusitis is the medical term for a bacterial infection of the sinuses. A cold that doesn’t go away can damage the delicate, microscopic hairs (cilia) in the nose that sweep mucus away. It can also allow mucus membranes to become swollen, narrowing and blocking the small opening between the sinuses and the nose. In turn, trapped mucus in the wet, warm environment of the sinuses makes an ideal breeding ground for bacteria.

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Symptoms of Sinus Infection in a Child: • A “cold” lasting more than 10 -14 days, sometimes with a low-grade fever • Thick, yellow-green nasal drainage • Post-nasal drip, sometimes leading to or exhibited as a sore throat, a cough, bad breath, nausea and/or vomiting • A headache, usually in children age 6 or older • Irritability or fatigue • Swelling around the eyes

The CT scan showed the problem clearly: Chloe’s sinuses were heavily blocked, with one of her sinus cavities not developing well as she grew. The very poor drainage caused mucus to build up and become infected.

Chloe Waller of Richmond

Dr. Brager performed a minimally invasive procedure using a small balloon catheter to open up Chloe’s blocked sinuses and passages to ease drainage and increase air flow. Chloe did very well during and after the December 2015 surgery, leaving for home on the same day as the procedure.

In the months since her surgery, Chloe is still “doing great,” according to Kira. So far, Chloe has been having no further trouble with her sinuses, apart from the occasional runny nose.

Kira says that even though she is a nurse, “It still is scary to put your child in surgery, especially anything using anesthesia. It’s so important for parents to ask questions to be sure that they understand every aspect of their child’s procedure, including why it’s being done, what it entails, and what to expect afterwards.”

“The surgeons and everyone involved want you to be comfortable,” she notes. “I’m really happy that my little girl was finally able to breathe comfortably.”

Expert Contributor: Robert J. Brager, MD of Virginia Ear, Nose and Throat Associates (ENT) in Richmond

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