OurHealth Richmond Jan/Feb 2017 Edition by OurHealth Media LLC

Making a Difference in Heart Health Locally | Greater Richmondâ&#x20AC;&#x2122;s Nutrition, Wellness, and Fitness Resource Guide january february 2017 www.ourhealthrichmond.com

Heart & Lungs

MEMORY

Eye Care

Skin Care

FOOT CARE

MENTAL EXERCISE

Immunizations

NUTRITION

SCALP

DIGESTION BONE & JOINT Sleep

HEARING

SPORTS PHYSICALS

HAIR

Stomach &

HEALTH

DIET &

Dental Care

CARE

DIABETES

OurHealth | The Resource for Healthy Living in Greater Richmond

TABLE OF CONTENTS JANUARY • FEBRUARY 2017

Q&A ON HEALTH

PULSE

Healthcare questions answered by local professionals

Keeping the pulse on local healthcare news and information including tips for healthy living, as well as a listing of new physicians, providers, locations and upcoming events in the Greater Richmond communities.

THE ANATOMY CHALLENGE

MAKING A DIFFERENCE IN HEART HEALTH LOCALLY

17 TIPS TO THINK ABOUT FOR 2017

HELLO, HEALTH

COULD WEIGHT LOSS SURGERY BE FOR YOU?

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

HEALTHY RECIPE SWAP

GREATER RICHMOND’S NUTRITION, WELLNESS, AND FITNESS RESOURCE GUIDE

FIT BITS | Fitness Anytime, Anywhere Deidre Wilkes, OurHealth’s resident fitness specialist, shares the convenience and training benefits of ‘on-demand’ workouts and classes.

Every new year is a new beginning, a chance to make positive changes in your health. In this article, OurHealth provides 17 quick tips to help you step into the new year on the right foot.

For some of us, weight loss is completely out of reach. No amount of dieting or exercise is going to lead to a significant or lasting change. OurHealth explores the different types of weight loss surgeries available locally.

Test your knowledge when it comes to HEART DISEASE.

OurHealth shares the substantial impact the Richmond Chapter of the American Heart Association has on the Greater Richmond community.

Tricia Foley RD, MS, OurHealth's resident nutritionist, shares heart healthy recipes with healthy ingredient swap tips.

Your resource guide for nutrition, wellness and fitness in the Greater Richmond area.

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

january • february 2017 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 DIGITAL CONTENT MANAGER/EVENT SPECIALIST

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

CONTRIBUTING RICHMOND MEDICAL EXPERTS Erin Alesi, MD Cristin Beazley PT, DPT, CBIS Bobby LeNoir, DDS Daniel VanHimbergen, MD Michael J. Wittkamp, MD, FACC, FSCAI CONTRIBUTING PROFESSIONAL Stacy Bowen EXPERTS & WRITERS Rich Ellis Tina Joyce Rick Piester Deidre Wilkes ADVERTISING AND MARKETING Cindy Morris-Scruggs Senior Media Account Executive P: 804.300.0650 F: 540.387.6483 cmscruggs@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth Richmond via U.S. Mail, please contact Jennifer Hungate via email at jenny@ourhealthvirginia.com or at 540.387.6482

@ourhealthrva

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 © 2017 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.

OurHealth | The Resource for Healthy Living in Greater Richmond

HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

What is mesothelioma? Mesothelioma is a type of cancer that occurs in the mesothelium, the thin layer of tissue that covers most of the internal organs. It develops most often in the lining of the lungs (pleural mesothelioma) or the abdomen (peritoneal mesothelioma). Other rarer types affect the tissue around the heart and around the testicles. The primary cause of mesothelioma is exposure to asbestos. Mesothelioma is a rare and aggressive cancer that is usually incurable, but it can be controlled. Treatment is coordinated by oncologists and may include surgery, radiation and chemotherapy.

People experience a wide variety of symptoms and impairments after a concussion, including headaches, dizziness, fatigue, and light and noise sensitivity. Any of these will affect a student’s ability to learn and to participate in physical activities.

Mesothelioma is hard to diagnose because its symptoms often look like those of other diseases. The symptoms also vary with the type of mesothelioma, but common ones include cough, chest pain, shortness of breath, and fever.

What is the return to learn/return to play model of care for concussions? People experience a wide variety of symptoms and impairments after a concussion, including headaches, dizziness, fatigue, and light and noise sensitivity. Any of these will affect a student’s ability to learn and to participate in physical activities. Many of these symptoms result from impairments of eye movement and balance systems and dysfunction of the cervical spine. Students are often advised to return to school with supports for their specific impairments so they can learn to tolerate the environment without a significant increase in symptoms. The “return to learn” and “return to play” guidelines are individualized and help ensure a safe and successful return to academics and athletics. Both are based on graduated protocols for increasing the cognitive and physical stimulation the student can tolerate without symptoms. Return to learn must be successfully achieved before return to play.

Erin Alesi, MD

Many people worry when they can’t find their keys or forget where they parked the car. Forgetting names and appointments, making the occasional error balancing the checkbook, and temporarily forgetting the day of the week are typical cases of age-related forgetfulness. However, forgetting important events, needing help to complete routine tasks, having difficulty finding the words for a conversation or asking the same questions over and over can be a sign of something more serious. A decline in cognition is a symptom of a number of less serious conditions too, many of which are treatable. If you’re concerned, the best thing to do is seek medical advice. A thorough physical exam with appropriate blood work can rule out many conditions. If necessary, your physician may order further neurological testing. Knowledge is far better than worry!

VCU Massey Cancer Center Richmond | 804.828.7999 www.masseycancercenter.org

Cristin Beazley PT, DPT, CBIS Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1001 www.shelteringarms.com

How do I know if my memory loss is the start of Alzheimer’s or just forgetfulness?

OurHealth | The Resource for Healthy Living in Greater Richmond

Stacy Bowen

Regional Director of Nursing Commonwealth Senior Living at The West End Richmond | 804.596.9025 www.commonwealthal.com

www.OurHealthRichmond.com

HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

What are some reasons to consider an oral cancer examination? Oral and pharyngeal cancers affect about 45,000 new people every year, and about 40 percent of those people die from the disease within five years of diagnosis. Early detection of oral and pharyngeal cancers is key to survival, and that starts with a biannual oral cancer screening. During this screening, a dentist examines the structures of the oral cavity, tonsils and lymph nodes of the neck—all structures in which oral and pharyngeal cancer can begin or spread.

Medical studies have proven that cardiac wellness programs decrease chest pain, increase exercise tolerance, prevent hospital readmissions and even prolong patients’ lives.

Historically, oral and pharyngeal cancers mainly affected people with a history of tobacco use. According to the Oral Cancer Foundation, however, non-smokers under the age of 50 are the fastest-growing sector of the oral cancer population. This has been attributed to an increase in HPV-related cancers, which due to their locations are more difficult for the patient to detect. This shift makes it even more critical for everyone to have a biannual oral and pharyngeal cancer screening.

What is a cardiac wellness program?

What is balloon sinuplasty?

Cardiac Wellness at Bon Secours is a comprehensive program for patients with chest pain (angina), heart failure, previous heart attack, coronary stent, heart surgery, including coronary artery bypass (CABG), valve replacement, heart transplant or left ventricular assist devices (LVAD).

Balloon sinuplasty is a technology for dilating the sinus cavities in a minimally invasive way to enlarge their natural openings for better sinus function. The balloon was introduced as an instrument in sinus surgery about twelve years ago, and its use has grown in the last decade.

The program’s services include cardiovascular exercise three times a week with heart monitoring, supervised by highly experienced cardiac nurses and exercise physiologists. The exercises include the use of treadmills, ellipticals and exercise bicycles, and resistance training with dumbbells and bands. The exercise starts slow and easy in the first week and gradually increases in intensity over 36 sessions. Patients also participate in group educational sessions on healthy diet and exercise, stress management and smoking cessation. Medical studies have proven that cardiac wellness programs decrease chest pain, increase exercise tolerance, prevent hospital readmissions and even prolong patients’ lives.

Bobby LeNoir, DDS

Brown, Reynolds, Snow, LeNoir Dentistry Richmond | 804.288.5324 www.brsdentistry.com

Michael J. Wittkamp, MD, FACC, FSCAI

Director of Cardiac Rehabilitation Bon Secours Memorial Regional Hospital Richmond | 804.764.6000 www.bonsecours.com

OurHealth | The Resource for Healthy Living in Greater Richmond

Balloon sinuplasty can be performed in the office, on a fully awake patient under local anesthesia, with only mild to minimal pain in most circumstances. Recovery to normal activity is usually possible within one or two days. This procedure is useful as a treatment for chronic sinusitis that is refractory to medical treatment, and for recurrent acute sinusitis, defined as four or more sinus infections a year that typically respond to antibiotics but tend to recur. A sinus CT scan is recommended to evaluate sinus anatomy and disease process before judging a patient’s candidacy for balloon sinuplasty.

Daniel VanHimbergen, MD Virginia Ear, Nose & Throat Richmond | 804.484.3700 www.virginia-ent.com

KEEPING THE PULSE ON HEALTH SAFE HARBOR AND BON SECOURS RICHMOND HEALTH SYSTEM PARTNER TO OPEN SHELTER >> Central Virginia’s First Dedicated Shelter for Human Trafficking Victims Now Open

SOCIALBUZZ The December edition of OurHealth Richmond magazine featured the 2016 Best Bedside Manner Award Winners. Here’s some of the love our readers shared about their award winning providers.

+++

“Well deserved! He’s the best of the best and I’ll forever be grateful for what he’s helped make happen for my little family. Bless you Dr. Hyde and all those sweet babies you care for!”

Safe Harbor and Bon Secours Richmond Health System together announce the establishment of The Central Virginia Emergency Shelter for Human Trafficking Victims, the region’s first dedicated shelter of its kind to provide shelter, counseling, safety planning and case management in a single location to adult female human trafficking victims. The primary goal of the shelter is to provide victims fleeing their traffickers with immediate safe housing. Once safe, secure housing is established, staff will assist with addressing legal and emotional support needs, including learning life skills, gaining meaningful employments, completing education and securing safe, affordable housing. Many of the victims of human trafficking have not received basic medical care in years. Bon Secours Richmond, which helped open Safe Harbor in the late 1990s, will address medical needs of the victims, including emergency and primary medical care for shelter residents. Forensic nurses from Bon Secours Forensic Nursing Program will help them to get back onto their feet and on the road to recovery. The confidential location, which plans to provide shelter to 15 residents in Fiscal Year (FY) 17, will welcome residents upon its official opening early this year. As awareness about this societal issue continues to grow, the shelter plans to increase its capacity to 25 residents in 2018. To learn more about the shelter and Safe Harbor’s work with victims of violence please visit www.safeharborshelter.com.

- LINDSEY LAFOON RICHARDS In response to VPFW’s Mark Hyde, MD and his Best Bedside Manner Award.

+++

“I fully agree with this award. You deserve it! You are an awesome person!” - ROBYN ZATKULAK In response to Richmond Gastroenterology Associates’ Amy Foster, ACNP and her Best Bedside Manner Award.

+++

“He is awesome and a great inspiration to his patients and colleagues!” - ELIZABETH ARISTOV In response to Bon Secours Neurology Clinic’s Stacey Epps, MD and his Best Bedside Manner Award.

+++ For more comments or if you are interested in leaving a congratulatory message for your provider, visit @OurHealthRichmond on Facebook.

NATIONAL INSTITUTES OF HEALTH EXPERT PANEL ISSUES CLINICAL GUIDELINES TO PREVENT PEANUT ALLERGY >> Recommendations focus on introducing peanut-containing foods to infants. An expert panel sponsored by the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, has early this year, issued clinical guidelines to aid healthcare providers in early introduction of peanut-containing foods to infants to prevent the development of peanut allergy. For the full report, visit www.OurHealthRichmond.com.

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

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facebook.com/ OurHealthRichmond

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Hind Al Saif, MD

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

Farihah Anwar, MD

VCU Health Ophthalmology Richmond | 804.323.0831 www.vcuhealth.org

Surbhi Bansal, MD

VCU Health Ophthalmology Richmond | 804.323.0830 www.vcuhealth.org

Stephanie Hoelscher, NP Elizabeth Huntoon, MD Barbara Lawson, MD Bon Secours Ironbridge Family Practice Richmond | 804.717.5300 www.goodhelpdocs.com

VCU Health Neuroscience, VCU Health | Cardiology Orthopaedic and Wellness Richmond | 804.828.8885 Center (N.O.W.) www.vcuhealth.org Richmond | 804.360.4669 www.vcuhealthnowcenter.org

Mohammed Quader, MD Jillian Raybold, MD VCU Health Cardiothoracic Surgery Richmond | 804.828.4641 www.vcuhealth.org

VCU Health Infectious Diseases Richmond | 804.828.6163 www.vcuhealth.org

Biren Shah, MD

VCU Health | Radiology Richmond | 804.237.6666 www.vcuhealth.org

Jaime Bohl, MD, FACS, FASCRS

Katherine Cannon, MSPT Leigh Hamm, CPNP The Foot & Ankle Center Richmond | 804-320-3668 www.320-FOOT.com

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

Peter Lee, MD

Joelle Makon, MD

Alexander Mount, DPM

Syed Ammer Shah, MD, MRCS, MSc

Bradley Stovall, DO

Charlene Tai, PhD

VCU Health | GI/Bariatric and Colorectal Surgery Richmond | 804.827.0045 www.vcuhealth.org

VCU Health | Pulmonary and Critical Care Richmond | 804.527.4540 www.vcuhealth.org

VCU Massey Cancer Center Surgery Richmond | 804.828.3250 www.vcuhealth.org

Welcome

Sheltering Arms Hanover Rehabilitation Center Mechanicsville 804.764.1001 www.shelteringarms.com

VCU Health Neuroscience, Orthopaedic and Wellness Center (N.O.W.) Richmond | 804.360.4669 www.vcuhealthnowcenter.org

The Foot & Ankle Center Richmond | 804-320-3668 www.320-FOOT.com

Sheltering Arms Bon Air Center Richmond | 804.764.1001 www.shelteringarms.com

NEW PHYSICIANS TO THE

GREATER RICHMOND Nathaniel Warner, MD VCU Health | General Medicine and Primary Care www.vcuhealth.org

Community www.OurHealthRichmond.com

HEALTHY LIVING

WINTER PET HEALTH >> Tips for your pets during the cold months

The cold weather can be as difficult on pets as it is on their ‘human’ families. Remember, if it’s too cold for you, it’s probably too cold for your pet. Domestic animals should be kept inside during severe cold. Other tips pet owners should be aware of include: •

PAMPER THE PAWS. Salt and other chemicals used to melt snow and ice can irritate a pet’s paws. Wipe their paws with a damp towel before your pet licks them and irritates their mouth.

•

EXTRA KIBBLE TO NIBBLE. Pets burn extra energy by trying to stay warm in the winter. Feeding your pet a little bit more during the cold winter months can provide much needed calories.

•

LET THEM ROCK THE SHAGGY LOOK. Never shave your dog down to the skin in winter, as a longer coat will provide more warmth.

•

NO MORE BATHS, OR AT LEAST LESS. Bathe your pets as little as possible during cold spells. Washing too often can remove essential oils and increase the chance of developing dry skin. In addition, repeatedly coming out of the cold into the dry heat of your home can cause itchy, flaking skin. Keep your home humidified and towel dry your pet as soon as he or she comes inside, paying special attention to the feet and in between the toes. Remove any snow balls from between the foot pads.

Winter Gardening

>> The benefits of indoor herb gardening Gardeners take heart! Indoor winter herb gardening is rewarding and provides fresh herbs year round! The following selection of herbs do well in containers, and offer a nice pantry mix to spice up soups, chilis and casseroles for the cold winter ahead! Here are five herbs that you can safely grow indoors this winter:

Mint

Parsley

Chives

Rosemary

Basil

Mint grows heartily throughout the year for indoor container herb gardens. Mint plants require a good deal of moisture and partial shade to thrive.

Parsley requires well-drained soil and can tolerate some shade during the winter months but tends to grow at slower rates than other months of the year without full sun.

Chives make a delicious herb to grow in the winter. Gardeners should use organically-rich and well-drained soil in potting containers for growing chives.

Rosemary is a vigorous herb that does well outdoors or indoors during the winter.

Basil grows well indoors for the winter in well-drained containers.

OurHealth | The Resource for Healthy Living in Greater Richmond

DID YOU KNOW:

Gardening is a proven stress reliever?

Surviving the Drive Through Winter >> Tips for getting your car through the harsh winter weather When it comes to safe driving and your vehicle, winter weather presents a unique set of challenges. While regular, preventive vehicle maintenance is important no matter the season, it becomes even more so when the temperature dips below freezing and the snow flies. Several vehicle systems are critical to driver and passenger safety, vehicle reliability and vehicle performance in winter weather, and should be checked before it snows to ensure they’re functioning properly. •

TIRES – Examine the tires for both tread depth and inflation pressure. Tires lose air pressure in cold weather and should be inflated to the pressure indicated on the driver’s side door, door frame or owner’s manual, not to the maximum pressure listed on the tire sidewall. After checking your tires inflation pressure it is crucial to also check your tires tread depth. Tires that have shallow tread depth won’t deliver the traction or steering needed to drive in snow- or slush-covered roads. Purchase an inexpensive tread depth gauge or have the tires evaluated by a professional tire installer.

•

WIPERS – Road salt, snow and ice are constant threats to clear visibility in winter driving. To help ensure maximum wiping performance and visibility, windshield wipers that are more than six months old should be replaced.

•

BATTERY – The heat of summer weakens batteries, and the cold of winter kills them. Have your battery and charging system tested for free at one of the many auto parts stores offering the service.

•

LIGHTS – Fewer hours of daylight and bad weather mean more time spent driving with the lights on during winter months. Consider replacing headlights with new bulbs that utilize lighting technology to increase down-road visibility.

•

ANTIFREEZE – It prevents the engine from freezing in winter and from overheating in summer. Make sure to take the time to check the antifreeze levels in your car. Not all antifreeze or coolant is the same; many vehicles require a specific type. Refer to the owner’s manual for recommendations.

VEHICLE Emergency Kits ARE A MUST! An emergency kit stored in the trunk or cargo area can improve your chances of surviving plummeting temperatures, or even help get the vehicle unstuck. The kit should include water, food, blankets, emergency flares, a flashlight, extra batteries, jumper cables, a small shovel, sand or cat litter for traction, a first aid kit, foam tire sealant, and a fire extinguisher.

www.OurHealthRichmond.com

BOOK REVIEW words | RICK PIESTER

>> Showcasing some of the most authoritative books on how to get and stay healthy Americans have become very health-conscious in recent years. Thanks to that, there’s no end to the articles, books, websites, and folklore on how to stay healthy. Sifting through all of these sources of information can get confusing, so OurHealth Virginia is beginning a regular feature to highlight some of the most-respected and readable books on how to be healthy. We’ll start with two respected books that deal with Alzheimer’s, a disease that has touched one out of every two families in America. One of these is among the first and most respected books on the disease, and the second is a relative newcomer. Additionally, February is American Heart Month, a perfect time to bone up on all of the lifestyle changes — both large and small — that can lead to good heart health. There’s no lack of books on the subject, but here’s one that seems to rise above the rest.

The 36-hour Day

A Family Guide to Caring for People who have Alzheimer Disease, Related Dementias, and Memory Loss (5th Edition) By Nancy L. Mace and Peter V. Rabins, MD, PhD Johns Hopkins Press | 384 pages Published originally in 1981 (the newest edition is from 2011), this is the book that experts call the “go-to” information source for caregivers, family members, and anybody else who loves someone who is affected by this progressive disease. The information is clear, compassionate, and complete, making this the best guide of its kind. It is also available in Spanish as “Cuando el Dia Tiene 36 Horas.”

OurHealth | The Resource for Healthy Living in Greater Richmond

Before I Forget

Heart 411

By B. Smith and Dan Gasby with Michael Shnayerson

By Marc Gillinov, MD and StevenNissen, MD

Harmony Books | 319 pages

Three Rivers Press | 550 pages

Lifestyle maven B. Smith never expected to become an Alzheimer’s patient, but at 66, she and her husband Dan Gasby found themselves dealing with the dayto-day challenges of this disease that one person around the world develops every 67 seconds. Their story, which is as much a love story as an informational guide, is told in alternating chapters that weave valuable, practical tips and advice throughout their narrative. This book is a gem.

Don’t be misled by the subtitle, which was probably dreamt up by the publisher’s marketing department with an eye on sweetening sales. In truth, the constant research tends to change the way that medicine deals with heart disease on a regular basis. That aside, this book is an accessible, wide-spectrum work by two respected cardiac specialists at Cleveland Clinic. They provide a down-to-earth discussion of the many questions about heart health that their own patients have raised over the years.

Love, Hope, Help and Acceptance in Our Fight Against Alzheimer’s

The Only Guide to Heart Health You’ll Ever Need

How much do you know about the

Heart Disease? 2. Every ___________ someone dies from heart disease or stroke.

1. True or False: Heart disease is the leading cause of death in the United States.

17 seconds

39 seconds

4. True or False:

3. On average, ___________ deaths in the United States is caused by heart disease and stroke. A:

B: 1 of 6

1 of 7

1 of 3

1 of 5

5. On average, ___________ of Americans need to improve their heart health. A:

percent

7. True or False: Lowering your blood pressure can decrease your risk of heart disease by about 50 percent.

9. Common heart attack warning signs include all of the following EXCEPT:

A: Chest discomfort

B: Shortness of breath

percent

More men than women die from heart disease each year.

60 seconds

52 seconds

6. Which of the following methods improve heart health?

percent

8. Which of the following is NOT a risk factor of heart disease?

A: Understand your heart risk

A: High cholesterol

B: Healthy diet and exercise

B: High blood pressure

C: Minimize stress and get enough sleep

C: Diabetes D: All of the above are risk factors

D: All of the above 2. B

3. D

4. False

5. A

6. D

7. True

8. D

9. C

Source: www.heart.org

D: Nausea

1. True

C: Metallic taste in mouth

www.OurHealthRichmond.com

OurHealth | The Resource for Healthy Living in Greater Richmond

Making a

DIFFERENCE

Heart Health LOCALLY

Richmond Chapter of the American Heart Association Focuses on Improving Heart Health Locally words | RICH ELLIS

Heart disease is the leading cause of death in the United States, killing more than 370,000 people annually, according to the American Heart Association. When statistics for stroke and other cardiovascular diseases are combined with heart disease, the number of deaths attributable to one of those three causes rises to approximately one in three deaths in the U.S. — more than 800,000 people — in 2013, the most recent year for which data is currently available.

Virginia is no exception to these sobering national statistics, but there is some good news. Deaths here that are attributable to heart disease and stroke have declined for more than a decade, and some of the credit for the decline undoubtedly lies with efforts put forth throughout the Commonwealth by the American Heart Association’s local chapters, including the one in Richmond. Rachael Schrinel, senior development director for the American Heart Association (AHA) in Richmond, outlined the organization’s goals that help guide efforts at both the local and national levels. “Our mission is building healthier lives, free of cardiovascular diseases and stroke,” Schrinel said. “The goal by 2020 is to improve all Americans’ cardiovascular health by 20 percent while reducing deaths from cardiovascular disease and stroke by 20 percent.”

www.OurHealthRichmond.com

“To help fund all of this groundbreaking research, AHA’s Richmond chapter hosts several annual fundraising events, including the Heart Walk, the Go Red for Women Luncheon and the Heart Ball.”

With backing from their parent organization, Schrinel and her staff have a powerful ally in their local fight. The American Heart Association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. Founded by six cardiologists in 1924, today’s AHA includes more than 22.5 million volunteers and supporters, 156 local offices and 3,000-plus employees funding innovative research, fighting for stronger public health policies, and providing critical tools and information to save and improve lives. Schrinel points to some of her organization’s specific and local community efforts aimed at helping improve heart health and lives throughout Richmond. “Our mission is building healthier lives, free of cardiovascular diseases and stroke. The goal by 2020 is to improve all Americans’ cardiovascular health by 20 percent while reducing deaths from cardiovascular disease and stroke by 20 percent.” RACHAEL SCHRINEL Senior development director for the American Heart Association (AHA) in Richmond

For starters, the AHA is working to end obesity, she explains. Approximately 35 percent of Richmond-area adults are overweight, and another 28 percent are obese. Additionally, 30 percent of Virginia’s 10- to 17-year-olds are overweight or obese, and Virginia ranks first in the United States for childhood obesity rates among two- to five-year-olds. To help lower those alarming rates, the American Heart Association is supporting a local Virginia advocacy priority this year that ensures healthy food and beverage options are available in public places, such as parks, recreation centers, libraries and other buildings. Locally, AHA advocates are working with the city of Richmond to support the development of a grocery store in Richmond’s East End, the opening of which would help the nearly 22,000 Richmond adults and 7,000 children faced with limited supermarket access. In addition to combating obesity, Schrinel said her organization’s staff and volunteers are also focused on helping people control and reduce high blood pressure. “It’s estimated that 80 million Americans have high blood pressure, and in about half of them it’s uncontrolled, increasing the risk of heart disease, stroke and other major health problems,” she explains. “Approximately 28 percent of Richmond residents have been told by their doctor they have high blood pressure. The good news, however, is that high blood pressure can be controlled and we are working with local medical partners through

OurHealth | The Resource for Healthy Living in Greater Richmond

“The Heart Walk alone has seen a 60 percent increase in revenue over the last three years, and when figures are coupled with those from the Heart Ball, it raises more money than any other Heart Walk or Heart Ball in the state — something Schrinel and her team are very proud of achieving.”

a nationwide initiative called Target: BP to help patients with high blood pressure reduce it to healthy levels. Locally, this program has the potential to impact 102,000 patients.”

Schrinel said her organization also advocates for laws at the local, state and national levels that improve the health of all individuals. In 2013, for example, American Heart Association advocates were instrumental in passing Gwyneth’s Law, which requires all Virginia high school students to be trained in CPR before they graduate. Based on enrollment data and as a direct result of this law, 13,089 local students will join this army of lifesavers annually. In 2014, AHA advocates helped pass legislation requiring all newborns in Virginia to receive a pulse oximetry screening to detect congenital heart defects, the most common birth defect in infants worldwide.

AHA’s deep commitment to cutting-edge research benefits the Richmond community.

The American Heart Association Impacts Local Communities By:

Funding Innovative Research

“Only the federal government funds more cardiovascular research than we do,” Schrinel says. “AHA does this by convening top scientific and medical experts to annually review thousands of submitted research proposals and then choose the most deserving studies, which are then funded through support from our donors. While the researchers are nationwide, we are proud to have active research studies being conducted right here in Virginia at

Fighting for Stronger Public Health Policies

Virginia Commonwealth University, the University of Virginia, McGuire VA Medical Center and Virginia Tech.”

AHA funding and research are yielding important results, with AHA funding 13 Nobel Prize winners as well as breakthroughs in treatment and prevention, including CPR techniques, the first artificial heart valve, implantable pacemakers, cholesterol inhibitors, microsurgery and drug-coated stents.

Providing Critical Tools and Information to Save and Improve Lives

“We also bring science to life so we can stop heart disease before it starts,” Schrinel explains. “We fund the development of evidence-based guidelines that help physicians treat patients using the latest scientific findings, and we promote these standards by educating consumers, healthcare providers and scientists.” www.OurHealthRichmond.com

Sadly, adults aren’t the only population affected by heart-related health issues. Children suffer too, as the world’s most common birth defect is a congenital heart defect. AHA’s Richmond chapter assists local children by helping further lifesaving research on congenital heart defects (CHD) through a joint initiative of the American Heart Association/American Stroke Association and the Children’s Heart Foundation. This new alliance will not only provide $29 million in grants to further research over the next five years, but also provides an outlet to encourage conversations among parents and caregivers through its Patient Support Network. This network connects people living with heart disease and stroke with others who are experiencing a similar journey and offers an online community as well as materials for starting face-to-face community support groups.

Call to learn more about the American Heart Association’s Richmond chapter today! Individuals or organizations interested in donating to the American Heart Association’s Richmond chapter, or receiving information about local sponsorship opportunities, should contact the chapter by calling

804.965.6535.

In addition, both organizations will continue to raise awareness about CHDs, the need to address national policies for early CHD detection, and health advances that can change the life expectancy of babies born with a congenital heart defect.

Funds raised here stay here. To help fund all of this groundbreaking research, AHA’s Richmond chapter hosts several annual fundraising events, including the Heart Walk, the Go Red for Women Luncheon and the Heart Ball. The Heart Walk alone has seen a 60 percent increase in revenue over the last three years, and when figures are coupled with those from the Heart Ball, it raises more money than any other Heart Walk or Heart Ball in the state — something Schrinel and her team are very proud of achieving. For every dollar raised through these fundraisers, 75 cents stay within the MidAtlantic Affiliate — where Virginia is a member — and 20 percent of that amount is allocated to supporting regional research projects while 80 percent funds local mission programs and operations. The remaining 25 cents help fund nationwide programs, research and operations. “Pooling our dollars with the other six AHA affiliates across the country and with the national center enables AHA to provide higher quality programs and resources to local communities,” Schrinel says. “For example, we know that research performed in Boston about congenital heart defects and why they form will benefit all children, not just those in Boston.”

Looking forward to 2017. In addition to all the local events planned, the AHA’s Richmond chapter is helping the organization reach its 2020 impact goal by building a “culture of health” wherein the healthy choice is the easy and popular one, Schrinel explains. To accomplish this goal, the AHA will continue to advocate for laws and public policies that change communities, focus on areas where it can make the biggest impact — including high blood pressure control — and provide education and resources to underserved populations.

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FITBITS H EALT H AN D FIT NE S S O N T HE G O

FITNESS

ANYTIME, ANYWHERE words | DEIDRE WILKES

It’s cold. It’s dark. The weather’s bad. It’s WINTER. These obstacles can make getting to the gym difficult. Now, with today’s technology, there is an alternative. Virtual or ‘on-demand’ workouts and classes can be done anytime and anywhere. Virtual classes are ‘live’ and streamed into your home or studio, which gives the same look and feel as being in a group class, rather than a traditional DVD workout. You can participate in real-time classes at some of the best studios in cities like Chicago, Los Angeles and New York without ever leaving the comfort of your home gym or living room!

DAILY BURN At only $12.95 per month, the website offers diverse workouts from in-house instructors, including pilates, yoga, weightlifting, and cardio. Easy-to-follow meal plans are also included. www.dailyburn.com

LES MILLS ON DEMAND This popular franchise now offers virtual workouts for six of their signature programs – Body Pump, Body Combat, Body Balance, CXWorx, Sh’bam, and RPM. Subscriptions start as low as $12.99 per month. www.lesmills.com

WORKOUTS ON DEMAND This subscription offers access to a library of over 210 fitness workouts to chose from, with new workouts constantly being added. There are several membership options that range from $5 to $12 per month.

Deidre Wilkes, AFAA, ACSM Certified Personal Trainer

Deidre is the resident fitness specialist for OurHealth Richmond.

www.workoutsondemand.com www.OurHealthRichmond.com

BONE & JOINT CARE

MENTAL HEALTH

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172017 for

to think about

Setting off on a year of better health words | RICK PIESTER

Every new year is a new beginning, a chance to make positive changes in our behavior, lifestyle, choices and health. Making significant changes, though, is a big undertaking. Itâ&#x20AC;&#x2122;s best to start small, and we all need help. So in that spirit, weâ&#x20AC;&#x2122;ve assembled 17 quick tips that we hope will make the job a little easier. These tips are not meant to be all-inclusive, obviously, but think of them as a tasting menu on your trip to good health.

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SLEEP: The he is hot while she is cold dilemma.

A constant demolisher of good sleep is losing all of your covers to your bed partner. If that happens to you a lot, or if one of you shivers while the other one sweats, try this: Make the bed with separate sets of sheets. Use one fitted sheet to start. Then top it off with twin-size flat sheets and blankets to match each person’s comfort needs. Don’t worry that it might look weird. You can top the whole thing off with a single comforter when making the bed each morning.

HEALTH TIP

MEMORY: Make note of it. To be sure you remember something important, break the routine around it. For example, if you constantly forget to turn the heat down at night, make a small sign to remind you (write “HEAT” on it) and post it where you are bound to see it — on the steps going upstairs, or on the bathroom counter. Or if you normally keep your car keys in your right-hand pocket, put them in your lefthand pocket to trigger a reminder of something that must be done during the day.

“Along with your sunscreen, consider window tint on your vehicle’s side and rear windows. Because window film blocks more than 99% of harmful UV rays, the Skin Cancer

MENTAL HEALTH: Hugs, good for the soul.

Foundation recommends window tint as a part of a comprehensive skin care program.”

Get a hug and give a hug. It’s fun, and science has learned that hugging releases oxytocin, the hormone that makes us feel good, as well as reducing levels of the stress hormone cortisol.

HAIR AND SCALP:

MARYANNE BURNS

4 Advanced Window Tint Co. Richmond 804.677.TINT (8468) www.advancedtint.com

Brushing your way to healthier hair.

You know that gently brushing your hair is a good thing, but giving your hair a light brushing just before you step into the shower can be a big help. It will remove dead skin cells so that they can’t clog hair follicles and interfere with the growth of new hair. Brushing the hair stimulates circulation of the scalp, and it spreads natural oils down the shaft of hairs to moisturize dry ends. But plastic bristle brushes can’t distribute those oils. Invest in a natural bristle brush for best results.

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EYE CARE: The 20-20-20 rule.

The hours we spend staring at computer screens can seriously strain our eyes, disturb sleep patterns, and wipe out concentration. Heavy computer use doesn’t damage longrange vision; the eye strain comes from constantly focusing on something that’s about 18 inches away, rather than switching your gaze between objects of varying distances from your eyes, say by looking around a room. So follow the 20-20-20 rule: Every 20 minutes, focus on something that is 20 feet away for 20 seconds.

HEARING: Turning down the volume. About 15 percent of Americans have hearing loss that is induced by loud work or leisure environments. Any place that is noisy enough to force you to shout so that the person next to you can hear you is an area with a dangerous level of sound. To conserve your hearing, try using earplugs. They are easy to obtain, and you can have them custom made by a local hearing care provider. Otherwise, give yourself about 16 hours of quiet for your ears to recover from about six hours of loud noise.

SKIN CARE: Sun exposure, inside and out. You’ve heard that it’s wise to avoid overexposure to the sun. But you should remember that when it’s sunny outside, it’s also sunny inside, and staying out of direct sunlight doesn’t fully protect you. Damaging UVA rays travel through the windows of your home, your workplace and your car. UVA rays weren’t considered a problem until recently, because UVB light causes the most damaging sunburns. But scientists have determined that UVA light is carcinogenic. UVA light is what causes the grayishyellow cast on the skin of older people. The lesson: Unless you spend all your time deep in a cave, wear a broad-spectrum sunscreen all year, rain or shine.

HEALTH TIP “If your skin is in need of a little rejuvenation, try out the current generation of fillers (Juvederm, Voluma, Volbella). They offer wonderful options for facial rejuvenation without the downtime or discomfort of surgery.” LESLIE COHEN, MD, FACS Richmond | 804.288.2800 www.LeslieCohenMD.com

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PAIN: Heat vs. cold.

Applied correctly, both heat and cold can help reduce pain. But there’s a great deal of confusion about what to use when. As a general rule, heat is best used to take the edge off of muscle spasms and chronic pain such as back or neck pain. Ice is a mild, drug-free way of dulling the pain of damaged tissue that is red, inflamed or swollen. Keep in mind that heat can make inflammation worse, and cold can make muscle tension and spasms worse, so be careful.

HEALTH TIP “The dentists at Virginia Family Dentistry recommend skipping the sugary drinks and drinking more water throughout the day. Sugary drinks such as soda, sweetened tea, and juice enable oral bacteria to feed on sugars left in the mouth, causing cavities. Alternately, dark colored drinks like coffee, black tea, and red wine can stain your teeth. Following your favorite drink with a glass of water can improve your oral health by reducing

10 sugars left in the mouth and lessening teeth stains.”

DENTAL CARE: When to brush.

VIRGINIA FAMILY DENTISTRY Richmond | www.vadentist.com

Since childhood, we’ve been told to brush our teeth after every meal, at least three times a day. But now dentists know that that’s not quite right. Don’t brush your teeth immediately after every meal, especially if your food or drink was acidic. High-acid foods such as citrus fruits and tomatoes, as well as sports drinks and soft drinks, soften tooth enamel. Brushing your teeth when the enamel is slightly softened can speed up the effects of acid, eroding both the enamel and the layer under it. Better to wait 30 to 60 minutes after eating to brush.

DIABETES: Superfoods to the rescue. The American Diabetes Association maintains a handy list of ten “superfoods” that are less likely to affect your blood sugar than other foods. The list includes beans, leafy dark green vegetables, citrus, sweet potatoes, berries, tomatoes, fish high in omega-3 fatty acids, whole grains, nuts and fat-free milk and yogurt. Post a copy of this list on your refrigerator and refer to it when you plan your meals or reach for a snack.

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HEALTH TIP

EXERCISE:

“Yoga has been documented to reduce stress and anxiety, ease pain, improve memory and flexibility. A regular yoga

30 minutes a day keeps the doctor away.

practice energizes the body and mind and enhances

Experts say that it’s important to get at least 30 minutes of exercise each day, but what if you’re too busy to find a half-hour? You can break it up into two or three shorter periods of exercise. For example, do ten minutes of strength training in the morning. At lunchtime, take a brisk ten-minute walk. And then after work in the evening, take the dog for a walk, or do another brisk stroll. The combination can help a lot in keeping up your health.

metabolic and respiratory functions. The postures release stiffness and tension, increase flexibility of the spine and joints and strengthen and tone every part of the body. Whatever your age or stage in life, Glenmore has a class

12 to meet your needs.”

KATHLEEN BAKER, RYT-200, BSBA Glenmore Yoga and Wellness Center Far West End | 804.741.5267 www.GlenmoreYoga.com

DIET AND NUTRITION: Filling your plate.

A good general rule to follow when plating food is to fill half of a dinner plate with vegetables (non-starchy veggies such as carrots, Brussels sprouts or asparagus). About a quarter of your plate should be reserved for starchy foods (potatoes, corn, rice or peas), and the remaining quarter should be filled with protein (preferably chicken, fish or beans). Use caution with baked goods and pasta, especially if you have high blood sugar.

STOMACH AND DIGESTION: Chew, chew, chew.

Chewing your food is the first step in proper digestion, so do it thoroughly. Chewing breaks your food down into smaller pieces, allowing saliva and enzymes in your mouth to act on the surface of food to chemically break it down. More chewing creates more surface areas, better enzyme action and better digestion.

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BONE AND JOINT CARE: Get up and move!

Your joints may be painful, but don’t be inactive. Sitting at a desk all day or refusing to move around can either cause joint pain or make it worse. You need to vary your routine, giving your body and your joints rest as well as activity. If you have to sit for long periods of time, try to remember to get up and move around every couple of hours.

HEALTH TIP “Keep in mind ‘Pain, No Gain’. If you are trying to work through continued pain during regular activities you may exasperate the condition, making it worse. Pain is our body’s way of telling us something is not working

15 correctly. Getting to the source of the problem with a

physical therapist can help you recover more quickly and get back to your normal activities.”

TRACEY ADLER, PT, DPT, OCS, CMTPT Orthopedic Physical Therapy, Inc. Richmond | 804.285.0148 www.orthopedicptinc.com

HEART AND LUNGS: Dangers of smoking.

You’ve doubtless heard it before, but it’s well worth repeating: If you are a smoker, stop. Smoking is the leading cause of preventable death in the United States. It causes heart disease, stroke, lung disease, osteoporosis, and cataracts, among other ailments. But don’t try to quit “cold turkey.” Smoking is an addiction, so take a little time to prepare. Research methods, such as classes, counseling, medication or hypnosis, that will help you quit successfully. But determine that you are going to quit, and get to work on it.

IMMUNIZATIONS: Build up the antibodies.

For many years, it was almost standard practice to give babies a dose of acetaminophen (Tylenol, for example) when it was time for their first vaccinations. But now pediatricians are warning against it since research has shown that the medication causes babies’ bodies to produce fewer disease-fighting antibodies, which reduces the effectiveness of the vaccinations. It’s best to give fever-reducing medicine only if a child’s fever is dangerously high, or if doing so has been recommended by your physician.

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SPORTS PHYSICALS: When is the best time to go?

Participating in school or community sports teams is a great way for children to stay in shape, but itâ&#x20AC;&#x2122;s important that they see a healthcare provider for a sports physical to make sure that their bodies are ready for the season ahead. Most experts say that six to eight weeks ahead of the sports season is the best time to schedule a physical. That way, if the child has a condition that needs treatment, needs to see a specialist or needs any follow-up care, there will be enough time before play starts.

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Photos courtesy of The Rink at West Broad Village and Rink Management Services Corporation.

Lace up and skate on! Ice skating is fun AND a great way to burn off some energy from being cooped up inside during the cold winter months! Check out The Rink at West Broad Village! The prime location provides a stunning backdrop for a great winter tradition. Public skate sessions are offered, as well as lessons. The Rink also offers a series of special events throughout the winter and specials for group outings, fundraisers or private rentals. No worry if you donâ&#x20AC;&#x2122;t own a pair of skates, rentals are available for use while at the rink. For more information on The Rink at West Broad Village, including price, hours and special events, visit www.westbroadvillageicerink.com.

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Could

WEIGHT LOSS SURGERY be right for you? It’s not a cure-all, but it can be a dramatic help. words | RICK PIESTER

This is the time of year when many of us are trying to make good on our New Year’s weight-loss resolutions. We’re furiously dieting and steadfastly working out, trying to get our bodies down to that elusive “ideal weight” goal. But for some of us, the goal isn’t merely elusive: It’s completely out of reach. No amount of dieting or exercise is going to lead to significant and lasting weight loss. We are — in medical terms — obese. And the more obese we are, the less likely we are to lose weight and keep it off through diet and exercise. Some people who have made repeated serious-but-failed attempts at traditional weight loss programs are now turning to weight-loss surgery, called “bariatric” surgery. This alters the digestive system to help people lose weight by limiting how much they can eat. Bariatric surgeries have become so popular that about 200,000 of them are performed each year in the U.S. alone, a tenfold increase since the early 1990s. Although they were considered to be rather exotic, high-risk procedures not long ago, they have become a safe and relatively standard surgical approach to a lifestyle problem.

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In fact, they have become so effective that many healthcare insurers in Virginia and at least 47 other states as well as Medicare and Medicaid cover them, as long as the somewhat stringent eligibility and patient education requirements are met. In Richmond, Eliseo Bautista, MD, is part of the Bon Secours St. Mary’s Hospital bariatric surgery department, recognized since 2005 as a Center of Excellence by the American Society for Metabolic and Bariatric Surgery. Dr. Bautista says that St. Mary’s criteria for people seeking bariatric surgery is fairly straightforward and is determined in large part by healthcare insurers. “It’s important that people understand that surgery is a tool to help meet weight-loss goals,” he notes. “People still have to be mindful of what they eat — that the operation doesn’t force you to eat the right foods and the right portion sizes.” For that reason, candidates for surgery complete an evaluation by hospital dietitians, pre-surgery educational programs run by dietitians and nurses from the bariatric surgery department, a mental evaluation, an assessment of any related health problems such as diabetes or heart disease, and a psychological assessment. Preparation for surgery typically takes from two to three months, Dr. Bautista says, and post-surgical care consists of frequent contact with surgeons, dietitians and nurses from the department. A key criteria for surgery is having a body mass index (BMI) of 40 and above, if there are no “It’s important that people understand

accompanying medical problems. If a person has

that surgery is a tool to help meet weight

diabetes, blood pressure issues, or any other weight-

loss goals. People still have to be mindful

related ailments, the BMI requirement drops to 35.

of what they eat — that the operation doesn’t force you to eat the right foods and the right portion sizes.” ELISEO BAUTISTA, MD Bon Secours St. Mary’s Hospital Bariatric Surgery Department

BODY MASS INDEX BMI is a measurement of body fat based on each person’s weight and height. It’s a numerical score that applies to both women and men, used to indicate whether a person is underweight, of normal weight, overweight, obese, or severely obese. If you score a BMI between 18.5 and 25, you are considered to be a normal weight for your height. If your BMI is between 25 and 30, you are considered to be overweight, and medical professionals consider you to be obese if your BMI is 30 or higher. A BMI of 40 or higher indicates severe obesity. (Continued on page 39...)

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HOW TO CALCULATE YOUR

BODY MASS INDEX STEP 1

(weight in pounds) x

STEP 2

(height in inches) x

.45

.025

STEP 3

(answer from step 2) 2

STEP 4

(answer from step 1) (answer from step 3)

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FOUR TYPES OF

BARIATRIC SURGERY

GASTRIC BYPASS In this surgery, the stomach is made smaller by creating a small pouch at the top using surgical staples. The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine.

SLEEVE GASTRECTOMY

GASTRIC BANDING

In this surgery, the stomach is surgically narrowed to resemble a sleeve. The smaller pouch, about 15 percent the size of the â&#x20AC;&#x153;original,â&#x20AC;? has a capacity that is reduced from about 11/2 quarts to between 4 and 6 ounces.

In this surgery, a device is wrapped around the upper part of the stomach to form a ring. A thin tube is attached to the ring, and an access port in the body allows surgeons to tighten or loosen the band by injecting saline solution.

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INTRAGASTRIC BALLOON In this surgery, a saline-filled silicone balloon is placed in the stomach to limit how much a person is able to eat. The balloon stays in place for roughly 6 months and is especially suited for short-term weight loss.

(...continued from page 36)

About two out of every three American adults are overweight, and one out of three can be said to be obese. In 1990, hardly any states had obesity rates of more than 15 percent; today, all 50 states have obesity rates of at least 20 percent. A 2012 study in the Journal of Health Economics estimated the medical care costs of obesity in the U.S. in 2005 to have been as high as a 190 billion dollars, a figure that is steadily increasing. Weight gain also gives rise to looming health risks. The physical ailments associated with obesity include higher rates of heart disease and stroke, diabetes, sleep difficulties, joint problems, and an increased risk of certain types of cancers. Obesity, in fact, has become second only to tobacco as a major killer in the United States. This is part of the reason that healthcare insurers cover bariatric surgery. The surgery helps reduce the costs of serious weight-related diseases.

“About two out of every three American adults are overweight, and one out of every three can be said to be obese.”

Bariatric surgeries do not remove fat tissue. Instead, surgeons rework the stomach and intestines so that a person feels full more quickly, ingests fewer calories, or both.

TYPES OF SURGERY At Bon Secours St. Mary’s, surgeons perform three types of bariatric operations, all of them laparoscopic surgeries in which small “keyhole” incisions rather than larger, open incisions allow surgeons to introduce a video camera and surgical instruments rather.

“In 1990, hardly any states had obesity rates of more than 15 percent; today, all 50 states have obesity rates of at least 20 percent.”

GASTRIC BYPASS SURGERY Dr. Bautista calls gastric bypass surgery the “old faithful” of the operations he performs. It’s been in use for the longest time and offers the best and longest-lasting results, in his opinion. In this surgery, the stomach is made smaller by creating a small pouch at the top using surgical staples. The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine. SLEEVE GASTRECTOMY SURGERY In a sleeve gastrectomy, the stomach is surgically narrowed to resemble a sleeve. The smaller stomach pouch, about 15 percent the size of the “original,” has a capacity that is reduced from about 1½ quarts to between 4 and 6 ounces.

1st 2nd

3rd

“Obesity has become second only to tobacco as a major killer in the United States. This is part of the reason that healthcare insurers cover bariatric surgery. The surgery helps avoid the costs of serious weight-related diseases.”

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GASTRIC BANDING SURGERY The third approach, gastric banding, is falling out of favor with surgeons and patients alike because of the intensive level of follow-up needed, Dr. Bautista says. In this surgery, a device is wrapped around the upper part of the stomach to form a ring. A thin tube is attached to the ring, and an access port in the body allows surgeons to tighten or loosen the band by injecting saline solution. Recovery time with all three approaches is relatively rapid, with most patients going home a day or two after surgery and getting back to work between a week and a month after surgery, depending on the kind of work they do. However, Dr. Bautista cautions that bariatric surgery does not signal an end to a person’s fight against weight gain. Surgery can create new and different nutritional, medical and physical challenges along with changes in a person’s emotions and behavior. Still, Dr. Bautista relishes the chance to form long-term relationships with his patients and says that he never tires of the impact that he and his team can have on the health of others. “It can be fascinating,” he says, “to watch a patient’s sometimes long list of medications become pared down to just a few items — such as vitamins — and to help them live healthier lives.” EXPERT CONTRIBUTERS Eliseo Bautista, MD with Bon Secours St. Mary’s Hospital Bariatric Surgery Department in Richmond.

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Healthy Ideas

Tricia Foleyâ&#x20AC;&#x2122;s

ARTICHOKE DIP Ingredients

LOW SODIUM WHITE BEANS Using low-sodium white beans instead of Alfredo sauce (typically found in many artichoke dips) will reduce sodium while improving the overall nutrition.

2 1 4 1 2

cups artichoke hearts tablespoon black pepper cups chopped spinach teaspoon minced thyme cloves garlic, minced

1 tablespoon minced parsley 1 cup low-sodium white beans, prepared 2 tablespoons parmesan cheese Â˝ cup fat-free sour cream

Directions

Heat oven to 350 degrees. Meanwhile, in a medium bowl, mash the white beans and fat-free sour cream together until a paste is formed. In an 8 x 8 inch-baking dish, combine all of the ingredients and blend them together, spreading evenly. Bake the mixture in the oven for 30 minutes, then serve warm with whole-grain pitas or vegetables for dipping.

Nutrition

(Nutrition per serving, 1/2 cup) 120 calories, 14 grams carbohydrates, 6 grams fiber, 71 milligrams sodium, 2 grams fat, 0 grams saturated fat and 4 grams protein. Source: www.mayoclinic.org

FAT FREE SOUR CREAM Using fat free sour cream instead of full-fat sour cream, will save six grams of saturated fat .

SPICE IT UP Thyme and parsley enhance the flavor that otherwise would have been lost when removing the Alfredo sauce, which is usually seasoned.

OLIVE OIL Searing the chicken in olive oil instead of butter reduces saturated fat and gives the dish a healthy dose of monounsaturated heart healthy fats.

Tricia Foley’s

CHICKEN WITH MUSHROOMS AND RICE Ingredients (serves 6) 1 6 1 2 1½ 1 1/4 1/4

tablespoon olive oil (4-ounce) chicken breasts pound white mushrooms, thinly sliced cups low-sodium chicken broth or vegetable broth cup water cup uncooked Brown rice teaspoon salt cup fresh cilantro or parsley, chopped Salt and pepper

Directions

Heat a large skillet on medium-high heat until hot. Add olive oil. Season the chicken breasts with salt and pepper. Sear the chicken for five minutes. Flip the breasts to the other side and sear for two more minutes on medium heat. Remove from the skillet (they will not be cooked through). In the same skillet, add the thinly sliced mushrooms and cook on medium heat for about one to two minutes, until the mushrooms soften. Add the chicken broth, water, uncooked rice, and ¼ teaspoon salt and bring to a boil. Mix everything well. Put the chicken breasts on top, making wells for them in the rice. Reduce the heat to a low boil simmer. Cover the skillet and simmer for 15 to 20 minutes until the rice is soft and the chicken is completely cooked. Sprinkle with chopped fresh cilantro before serving.

Nutrition (Nutrition per serving): 337 calories, 6.7 grams fat, 0.5 grams saturated fat, 468 milligrams sodium, 26 grams carbohydrates, 3 grams fiber and 38 grams protein. Source: www.Juliasalbum.com

SKINLESS CHICKEN BREASTS Using skinless chicken breasts instead of chicken thighs saves nearly 14 grams of fat, about 5 grams of saturated fat, and 116 calories per serving.

BROWN RICE Substituting brown rice instead of white rice adds more than 2 grams of fiber per serving.

FRESH MUSHROOMS Using fresh mushrooms instead of condensed soup reduces sodium and adds a healthy dose of vitamins and antioxidants to the meal. www.OurHealthRichmond.com

Healthy Ideas

Tricia Foley’s

BAKED APPLES Ingredients (serves 6)

SUBSTITUTE BROWN SUGAR By substituting honey and applesauce for brown sugar, we are able to maintain the flavors and sweetness of the dessert while cutting back on the calories.

6 2 1/2 ¼ 1 1

honey crisp apples tablespoons butter cup unsweetened applesauce cup honey tablespoon apple pie spice (blend of cinnamon, nutmeg and allspice). ounce chopped pecans

Directions

Heat oven to 375 degrees. Wash and core apples, leaving enough of the core at the base of the apple to contain the filling. Combine the butter, honey, applesauce, apple pie spice, and chopped pecans in a small bowl. Spoon the contents evenly into each apple to fill the core. Fill a baking dish with ¾ cup water. Place the apples upright and bake them for about one hour until the apples are soft and the filling is browned.

Nutrition

(Nutrition per serving): 161 calories, 7.4 grams fat, 2.4 grams saturated fat, 2 milligrams sodium, 26 grams carbohydrates, 23.9 grams sugar, 4.5 grams fiber and 0.5 grams protein. Source: www.foodnetwork.com

GLAZED PECANS Substituting regular chopped pecans for glazed pecans also reduces the sugar while still maintaining the crunch of the original dish.

SPICE IT UP By decreasing the butter and adding more spices, we are able to maintain the flavor while cutting back on the saturated fat.

2121 Ivy Road, Charlottesville

434.296.6131

Monday – Saturday: 7:30 am – 8 pm Sunday: 10 am – 6 pm www.foodsofallnations.com

FOODS OF ALL NATIONS HEALTHY FOOD FOR ALL PEOPLE

>> Featuring a locally sourced gourmet food store in Central Virginia You’re in Charlottesville for the day, maybe for a visit to the hospital at the University of Virginia, maybe on business, or maybe just for some shopping. Whatever the reason, it’s about time for lunch. You’re hungry, but you’ve been trying to eat healthy, even when eating out. And Charlottesville is a foodie town, boasting more restaurants per capita than many larger cities. So...where should you go? And what should you order? For generations of locals and visitors alike, the venerable Foods of All Nations has been at the top of the list. It’s a stone’s throw from the UVA campus as well as the Barracks Rd./ Route 29 commercial corridor. And recently, this combination international foods market and café has embarked on a mission to boost the health value of its offerings, expanding the range of its locally sourced foods and fresh, unprocessed ingredients while maintaining the topdrawer reputation that the business has enjoyed for about 50 years. Store manager Geoffrey Garbaccio has been on-site for about a year, following work experience at his parents’ gourmet food store in his native New Jersey and, more recently, a decade with Whole Foods markets, including his work helping to open the Charlottesville Whole Foods location.

His efforts have resulted in Foods of All Nations carrying “much more locally sourced produce than any other store,” he says, including items from nearby Schuyler Greens, a “huge” variety of local eggs, and fresh-daily breads from Charlottesville’s MarieBette Bakery and Newtown Baking in Staunton. The lunch selections are headlined by a long list of housemade sandwiches, soups, salads, and hot entrees. Two standouts include the In-House Vegetarian Chili and what the store calls a Veg Head Sandwich. The chili ($9.99) is a tasty blend of kidney beans, chili sauce, eggplant, green and yellow squash, bell pepper, onion, corn and spices. The Veg Head ($5.29) is built on a foundation of fresh hummus and includes roasted tomatoes, cucumbers, sweet peppers, sprouts and lettuce on a crisp baguette. Another big part of the lunch business at Foods of All Nations is the creations of the store/café’s sushi chef, who Garbaccio calls the “best in the area,” producing “impeccable product quality.” So if you haven’t yet been to Foods of all Nations, it’s well worth a visit for the food, the staff, the shopping, and the health.

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O U R H E A LT H RICHMONDâ&#x20AC;&#x2122;S

NUTRITION WELLNESS FITNESS

RESOURCE GUIDE

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OURHEALTH RICHMOND’S

NUTRITION + WELLNESS + FITNESS RESOURCE GUIDE

FITNESS CENTERS 9Round Kickbox Fitness Midlothian | 804.404.2448 www.9round.com

ACAC Fitness and Wellness

Crossfit Newfound

Orangetheory Fitness

Midlothian | 804.658.1704 www.crossfitnewfound.com

Midlothian | 804.510.0300 Short Pump-Henrico 804.823.7530 www.orangetheoryfitness.com

Crossfit Prelude Richmond | 804.384.0552 www.crossfitprelude.com

Short Pump | 804.464.0990 Midlothian | 804.464.0997 www.acac.com

Crossfit RVA

Aim4Fitness

Crunch

Midlothian | 804.419.5158 www.aim4fitness.org

Anytime Fitness Chester | 804.768.6000 Glen Allen | 804.658.3725 Henrico | 804.823.7727 Richmond (Forest Hill) 804.404.3604 Richmond (Patterson Ave) 804.754.1000 www.anytimefitness.com

Bodies & Beyond Gym and Fitness Center Petersburg | 804.732.0936 www.bodiesandbeyond.com

Body Creations Richmond | 804.262.8004 www.bodycreationsfitness.com

Richmond | 804.313.9348 www.crossfitrva.com

Henrico | 540.756.5050 Richmond Brook Road 804.261.6700 Richmond W. Broad | 804.303.3201 Richmond West End | 804.447.5129 www.crunch.com

Curves Ashland | 804.752.2664 Glen Allen | 804.756.2002 Mechanicsville | 804.559.0063 Sandston | 804.328.2878 www.curves.com

Divine Fitness Mechanicsville | 804.559.0284 www.hiitstudio.com

Fighting Gravity Fitness Richmond | 804.355.3700 www.fightinggravityfit.com

Fitness Evolution Richmond | 804.261.6700 www.fitnessevolution.com

Flow Cycle Studio Glen Allen | 804.360.0266 www.flowcyclestudio.com

Boho Cycle Studio Richmond | 804.355.1151 www.bohocyclestudio.com

Form Fitness

Brickhouse Cardio Club

Mechanicsville | 804.263.5818 www.formfitnessmechanicsville.com

Mechanicsville | 804.723.5921 www.brickhousecardio.com

Gold’s Gym

CKO Kickboxing Henrico | 804.968.4828 www.ckokickboxing.com

Crossfit Addict Richmond | 804.322.9275 www.crossfitaddict.net

Crossfit Full Circle Richmond | 804.359.9637 www.crossfitfullcircle.com

Crossfit Midlo Richmond | 215.760.8508 www.crossfitmidlo.com

Colonial Heights | 804.895.7895 Mechanicsville | 804.781.4400 Midlothian | 804.379.5690 Richmond | 804.968.4653 Richmond (Arboretum) 804.562.4632 Richmond (The Fan) | 804.249.4653 Richmond (Laburnum) 804.510.0210 Richmond (Willow Lawn) 804.625.4444 www.goldsgym.com

Onward Fitness Richmond | 804.272.1244 www.onwardfitness.com

Peak Experiences Indoor Climbing Midlothian | 804.897.6800 www.peakexperiences.com

Planet Fitness Colonial Heights | 804.524.2310 Midlothian | 804.658.3089 Richmond | 804.323.4348 www.planetfitness.com

Pulse Barre Studio Mechanicsville | 804.723.4696 www.pulsebarre.com

YouFit Health Clubs

Richmond – Short Pump 804.918.2568

Midlothian | 804.419.9533 Richmond – Hull Street Road 804.309.4466 Richmond – Mechanicsville Turnpike | 804.529.3791 Richmond – Midlothian Turnpike 804.309.4070 www.youfit.com

Richmond – West End 804.477.6036

MIND + BODY

www.purebarre.com

Academy of Kung Fu

Pure Barre

Midlothian 804.464.4098

SEAL Team Physical Training, Inc. Glen Allen | 804.262.1894 www.sealteampt.com

Shockoe Bottom Crossfit Richmond | 804.539.8262 www.shockoebottomcrossfit.com

SNAP Fitness Bon Air | 804.272.7627 Colonial Heights | 804.526.0060 www.snapfitness.com

Stockyard Crossfit Midlothian | 804.601.4030 www.stockyardcrossfit.com

Victory Lady Fitness Centers Southside | 804.272.1095 West End | 804.965.9741 www.victorylady.com

Weinstein JCC Richmond | 804.285.6500 www.weinsteinjcc.org

West End Crossfit Richmond | 804.314.4071 www.crossfitwestend.com

Richmond | 804.346.3478 www.vakungfu.com

Adya Yoga & Ayurveda Richmond | 804.775.2392 www.adyava.com

Aikido Suenaka-Ha Northside Henrico | 804.537.0526

Ashtanga Yoga Richmond Richmond | 804.622.8211 www.ashtangayogarichmond.com

Balance Pilates Training Center Richmond | 804.340.1203 www.pilatesrichmond.com

Bikram Yoga Richmond Stony Point | 804.330.3353 West End | 804.249.3355 www.bikramyogarichmond.com

Bowdendo Martial Arts Richmond | 804.918.6094

Bushin Martial Arts Academy Richmond | 804.822.1451 www.bushinmartialarts.com

www.OurHealthRichmond.com

OURHEALTH RICHMOND’S

NUTRITION + WELLNESS + FITNESS RESOURCE GUIDE

Dynamic Taekwondo

Master Yi’s Taekwondo

Andrs Wellness Consulting

Midlothian | 804.608.0146 Henrico | 804.360.3981 www.leesdynamic.com

Chesterfield | 804.918.2470 Short Pump | 804.915.7033

Petersburg | 804.733.3333 www.andrswellnessconsulting.com

MMA Institute

Body Works 4 U Inc.

Richmond | 804.330.3424 www.mmainstitute.com

Henrico | 804.222.5407

East-West Wing Chun Kung Fu Richmond | 804.513.4408 www.wingchun-richmond.com

Om On Yoga

Richmond | 804.339.3200 www.ub-well.com

Richmond | 804.282.9642 www.omonyoga.com

Ellwood Thompson’s

Richmond | 804.338.1105 www.easyinyourbones.com

Project Yoga Richmond

Richmond | 804.359.7525 www.ellwoodthompsons.com

The Fan Dojo

Richmond | 804.399.3340 www.projectyogarichmond.org

GNC

Easy in Your Bones Svaroopa Yoga

Richmond | 804.340.0116 www.aikirichmond.org

Full Circle Integrated Martial Arts Chesterfield | 804.621.3401 www.fcimevolution.com

Gentle East Martial Arts of Virginia

“Our classes release stiffness and tension, increase flexibility of the spine and joints and strengthen and tone every part of the body. Whatever your age or stage in life, Glenmore has a class to meet your needs.” KATHLEEN BAKER, RYT-200, BSBA Glenmore Yoga and Wellness Center

Midlothian | 804.739.2715 www.gema-va.com

Glenmore Yoga & Wellness Center Richmond 804.741.5267 glenmoreyoga.com

Richmond Brazilian Jiu-Jitsu and Self Defense Academy Richmond | 804.249.6509 www.richmondbjj.com

Richmond Traditional Martial Arts Mechanicsville | 804.730.0905 www.rtmaonline.com

Richmond | 804.447.5191 www.humblehavenyoga.com

Karmady Yoga Studio Chester | 804.796.9642 www.karmadyyogastudio.com

Koryo Traditional Martial Arts Center Richmond | 804.527.1059 www.koryomartialarts.org

LucidYogi Richmond | 804.918.1144 www.lucidyogi.com

OurHealth | The Resource for Healthy Living in Greater Richmond

Richmond | 804.320.6767 www.goodfoodsgrocery.com

Lifestyle & Wellness Medical Center

Mechanicsville | 804.683.2711 www.satnamrichmond.com

Lighten Up

Shield Martial Arts

Richmond | 804.254.1002 www.tinashiver.com

Henrico | 804.938.8948 www.shieldma.com

No Limits Nutrition Center Richmond | 804.367.7951

Shockoe Slip Yoga Richmond | 804.343.2010 www.shockoeslipyoga.com

Synergy Yoga Studio Midlothian | 804.423.8600 www.healthylifeyoga.com

Good Foods Grocery

Sat Nam Yoga

Midlothian | 804.683.0186 www.studioyoga.com

Healthy Life Yoga

Various Locations throughout RVA www.gnc.com

Richmond | 804.554.3464 www.lifestylewellness medicalcenter.com

Studio D Yoga

Humble Haven Yoga

Elliott Evans Nutrition, LLC

Richmond | 804.747.9642 www.synergyyogastudio.com

Tri-City Aikikai Dojo Petersburg | 804.536.4217 www.tri-cityaikikai.com

Yoga Motion Richmond | 804.216.1212

Richmond Wellness Richmond | 804.367.3589 www.richmond-wellness.com

Sharon Upton RD Richmond | 804.346.9866 www.richmondvadietitian.com

The Center of Wellness Richmond | 804.612.4896 www.thecenterofwellness.org

The Vitamin Shoppe Various locations throughout RVA www.vitaminshoppe.com

Wellness Village at Starling

Yoga Source

Richmond | 804.673.2936 www.wellnessvillagerva.com

Richmond | 804.359.9642 www.yogarichmond.com

Whole Foods Market

NUTRITION AND WELLNESS

Zacharias Ganey Health Institute

Advanced Wellness Centre Richmond | 804.673.9355 www.advancedwellnessrva.com

Glen Allen | 804.364.4050 www.wholefoodsmarket.com

Northside | 804.358.1000 Southside |804.358.1000 www.zghealth.com

PERSONAL TRAINING 360 Plus Fitness Consult LLC Chester | 804.926.9057 www.go360plus.com

B.E. Fit, Inc. Midlothian | 804.740.3700 www.befitrichmond.com

SPORTS PERFORMANCE AND TRAINING ACTS of VA Richmond | 885.669.8657 www.actsofva.com

Elkin Sports Performance

Boost VIP Fitness Training

Henrico | 804.321.3777 www.elkinsportsperformance.com

Richmond | 804.433.8555 www.boostmyfitness.com

Endorphin Fitness

Fit 4 Life Personal Training Richmond | 804.938.8927 www.fit4lifepersonaltraining.com

FIT Richmond Richmond | 804.347.5588 www.fitrichmond.com

Glatter Fitness Richmond | 804.420.2440 www.glatterfitness.com

Katie Painter Fitness & Wellness Coach Richmond www.katiepainterfitness.com

Kinetix Performance Training Richmond | 804.355.1132

Leah Husk Fitness Mechanicsville | 804.789.9205 www.leahhuskfitness.com

NOW Personal Training Richmond | 804.543.2029 www.nowpt.com

Peak Physique Richmond | 804.482.4240 www.peakphysiqueva.com

Phyzique Fitness & Wellness Club

MAKE SURE TO VISIT THE

Richmond | 804.741.1599 www.endorphinfitness.com

GOAL High Performance Sports Specific Training

WEBSITE FOR EVEN MORE HEALTH RESOURCES!

Richmond | 804.622.4625 www.goalperformancetraining.com

Mitchell Sports Performance Chester | 804.717.5050 www.msp50.com

Performance PT

SCAN HERE or visit us at www.ourhealthrichmond.com

Mechanicsville | 804.723.5940 www.performanceptst.com

Sports Performance and Wellness Institute Henrico | 800.966.1718 www.sportsperformance institute.me

Sports Reality Mechanicsville | 804.730.6420 www.gosportsreality.com

Total Training, Inc. Richmond | 804.741.0318 www.totaltraininginc.com

U-Turn Sports Performance Academy Richmond | 804.358.2775 www.u-turn.org

Henrico | 804.332.5476 www.myphyzique.com

ReDefine RVA Richmond | 804.213.0000 www.redefinerva.com

SimplyLiv Studio Glen Allen | 804.277.7719 www.simplylivstudio.com

read this edition of

SWEAT Richmond | 804.344.4381 www.sweatllc.com on your tablet or smartphone

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