New Knees, New Life | Greater Richmond’s 2017 Oral Health Resource Guide | Below the Surface
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TABLE OF CONTENTS MARCH • APRIL 2017
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Q&A ON HEALTH
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Healthcare questions answered by local professionals
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HELLO, HEALTH
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NEW KNEES, NEW LIFE
THE ANATOMY CHALLENGE Test your knowledge when it comes to SEASONAL ALLERGIES.
TOP TEN FAT BURNING FOODS You’ve heard the phrase ‘you are what you eat?’ Well, not literally, of course. But there is some truth to that cliché. OurHealth explores nutritionally dense foods that increase our metabolism and burn unwanted fat.
Capturing the spirit of those working in healthcare and of people leading healthy lives through photos.
OurHealth explores how a new orthopaedic system is making knee replacement surgery an easier experience.
ALLERGIES MAKE US SNEEZE AND A LOT MORE If you’re one of the 50 million people in America who suffer from allergies, you most likely greet spring with equal parts delight and dread, pleasure and pain, sunbathing and sneezing. OurHealth explores the cause of seasonal allergies.
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Lauren Yasi, a loan accountant for Virginia Commercial Finance, had no idea that something discussed in her initial interview with VCF would impact the rest of her life. OurHealth uncovers the benefits of corporate wellness partnerships.
THE PULSE 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.
BELOW THE SURFACE
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HEALTHY RECIPE SWAP Tricia Foley RD, MS, OurHealth's resident nutritionist, shares spring-inspired recipes with healthy ingredient swap tips.
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GREATER RICHMOND’S 2017 ORAL HEALTH RESOURCE GUIDE Your 2017 resource guide for oral health in the Greater Richmond area, sponsored by Delta Dental. www.OurHealthRichmond.com
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march • april 2017
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McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Fields Hungate Laura Bower Karrie Pridemore Tori Meador Heidi J. H. McClintic
CONTRIBUTING RICHMOND MEDICAL EXPERTS Leslie Cohen, MD, FACS Holly Lewis, DMD, MS R. Brian Mitchell, MD Charles Steadman, PT, DPT, MTC, CMTPT CONTRIBUTING PROFESSIONAL Kathleen Baker, RYT 200 EXPERTS & WRITERS Christine Delaughter, CDVS Rich Ellis Tricia Foley, RD Tina Joyce Rick Piester Diane York 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 Heidi McClintic via email at heidi@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.
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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
How do I know when pain after a workout is more serious than just sore muscles? Having sore muscles after a good workout can be normal, and the term for this is delayed onset muscle soreness (DOMS). The soreness experienced is a typical part of the inflammation and strengthening process that occurs as the body repairs micro-tears in the muscles after exertion.
Looking for clinical trials? The first place to get started is to talk to your physician. Then visit www.ciscrp.org, www.ClinicalTrials.gov and www.centerwatch.com in order to search for clinical trials that you might participate in.
Typically, DOMS presents between 24 and 72 hours after a workout. DOMS is not experienced at rest, but instead when using the muscles that were exercised. If the soreness returns or lingers, it could indicate an injury, underlying movement dysfunction, or susceptibility to injury that should be addressed before it gets worse. Muscle soreness post-workout when at rest is not normal and usually indicates that the muscle has been injured, to some extent. An injured muscle often forms a trigger point or a “knot” that can cause soreness when the muscle is being used, stretched, or at rest. In Virginia, Direct Access laws allow you to consult with a physical therapist without a physician referral if you experience any lingering soreness or a new injury. Charles Steadman, PT, DPT, MTC, CMTPT Orthopedic Physical Therapy, Inc. Richmond | 804.285.0148 www.orthopedicptinc.com
My mother was just diagnosed with cancer. What should we know about clinical trials and where do we begin? The idea of enrolling in a clinical trial for the treatment of cancer can seem a little scary at first, but there are a few things you should know. The goal of cancer research is to compare the standard treatment to an experimental treatment that we think may be more effective. Clinical trials give patients the opportunity to access the latest in cancer care. The studies that these trials are a part of are designed to keep risks as low as possible for maximum benefit. Before being enrolled in a clinical trial, the patient will sign an informed consent form. The consent paperwork explains in detail why the study is being done, what it will entail and any potential risks and benefits. Clinical trial participants are monitored closely and managed by a number of people in addition to the treating physician. The research team follows patients closely for toxicity monitoring and the management of side effects. The effectiveness of the treatment will be evaluated frequently. The patient’s physician will stop the clinical trial treatment if it is not being tolerated or effective. Patients can also opt out of the clinical trial at any time. R. Brian Mitchell, MD Virginia Cancer Institute Richmond | 804.287.3000 www.vacancer.com
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OurHealth | The Resource for Healthy Living in Greater Richmond
What is the best treatment for vertical frown lines between eyebrows (glabellar lines)? Treating vertical frown lines with Botox provides excellent results with no downtime. Botox is a safe, FDA-approved medication that is currently used to treat many different medical problems. To treat frown lines, Botox is injected in very small amounts into the muscles that cause these frown lines. This decreases the ability of these muscles to contract, which reduces the creasing of the skin that causes the wrinkles. Some people feel like these vertical wrinkles make them look angry or worried. Botox injections by a board-certified plastic surgeon who understands the workings of the facial muscles can allow your face to still be expressive, but without the frown lines. This gives you a more serene and refreshed look. The effect of Botox lasts from three to four months, so in order to maintain your new look, you may need several treatments per year. Leslie Cohen, MD, FACS
Plastic & Reconstructive Surgery Richmond | 804.288.2800 www.lesliecohenmd.com
www.OurHealthRichmond.com
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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
The week of April 23rd is National Healthcare Volunteer Week. Can I volunteer at my local hospital? Most hospitals have a robust volunteer services program, offering various opportunities that fit many lifestyles. The volunteers range in age from teenagers to retirees. Hospital volunteer service is also a great fit for those who have a range of interests and availability. Volunteers serve in many areas throughout the hospital, directly assisting the patients, their families and visitors.
The American Academy of Orthodontics recommends that children see an orthodontist no later than age 7, even if they aren’t experiencing any problems.
There are numerous ways that volunteers help others while helping themselves. Yes, you help yourself when you volunteer. Volunteer service provides mental and physical exercise, social outlets and educational opportunities; it also allows you to share your kindness and compassion with your community. A study conducted by the Corporation for National and Community Service has shown that volunteers who give at least 100 hours of service annually get the maximum health benefits from volunteering, such as lower rates of depression, lower mortality rates and greater functional ability. Do yourself and your community a favor — start volunteering today.
Christine Delaughter, CDVS
Certified Director of Volunteer Services Bon Secours St. Mary’s Hospital Richmond | 804.287.7575 www.bonsercours.com
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OurHealth | The Resource for Healthy Living in Greater Richmond
Can yoga help relieve my sciatica nerve pain? Sciatic nerve pain is caused by compressed nerves around the lower spine, resulting in back pain that may radiate down the leg. Its causes include a tight piriformis, a herniated disk and tight hamstrings. Specific yoga poses can offer relief from this discomfort. King Pigeon pose is the deepest stretch for the piriformis, while Reclined Pigeon is a more accessible version. Reclined hamstring stretches with extended leg and a strap around the ball of the foot lengthen the hamstrings while supporting the lower back. A gentle yoga class focusing on aligning, lengthening and strengthening the lower back can alleviate herniated disk discomfort. Diagnosis to determine the cause of the discomfort is important as well, as is informing your yoga instructor about your sciatic pain in order to ensure that they offer you the proper guidance and relief.
Kathleen Baker, RYT 200
Owner Glenmore Yoga & Wellness Center Richmond | 804.741.5267 www.glenmoreyoga.com
My seven-year-old’s teeth are crowded, and getting worse. With the few adult teeth he has, should I be concerned? The crowding of the permanent teeth is a common problem in children. Crooked or crowded teeth, as well as overbites and underbites can lead to tooth decay, gum disease and even tooth loss. That’s because overlapping teeth can be hard to clean. A bad bite can also cause problems when chewing and talking, not to mention too much wear, grinding and clenching. The American Academy of Orthodontics recommends that children see an orthodontist no later than age seven, even if they aren’t experiencing any problems. That’s because the jaw is still developing and it’s best to catch issues early. By age seven, it’s possible to tell if a child has a problem with excessive crowding or spacing. Crowding may require that the arches be expanded or that teeth be removed to help improve the situation. Early diagnosis and successful treatment of crowding can have both short- and long-term benefits while achieving aesthetic goals.
Holly Lewis, DMD, MS
Sparkle Pediatric Dentistry Short Pump | 804.746.7382 Hanover | 804.746.7382 www.sparklepediatricdentistry.com
KEEPING THE PULSE ON HEALTH VIRGINIA ENDOSCOPY GROUP ANNOUNCES EXPANSION OF NORTHSIDE LOCATION Virginia Endoscopy Group, an AAAHC accredited endoscopy center, announces an expansion of their northside location. Virginia Endoscopy Group offers patients a high quality, efficient, and cost-effective option for diagnostic endoscopic services (including colonoscopy and upper GI endoscopy). The expansion includes a 50 percent increase in the number of procedure rooms as well as a renovated waiting room and front desk. According to the American Cancer Society, the death rate (the number of deaths per 100,000 people per year) from colorectal cancer has been dropping in both men and women for several decades. There are a number of likely reasons for this. One is that colorectal polyps are now being found more often by screening and removed before they can develop into cancers or are being found earlier when the disease is easier to treat. In addition, treatment for colorectal cancer has improved over the last few decades. As a result, there are now more than one million survivors of colorectal cancer in the United States. The facility is a joint venture between two gastroenterology practices in the Richmond area: Gastrointestinal Specialists, Inc. (www.gastrova.com) and Richmond Gastroenterology Associates, Inc. (www. richmondgastro.com). Services are covered by most major commercial insurance carriers. For more information about services at Virginia Endoscopy Group visit www.vaendoscopy.com.
BON SECOURS NEW ARRHYTHMIA CENTER PROVIDES COMPREHENSIVE CARE >> Center provides latest technology in two locations in Richmond Bon Secours Heart and Vascular Institute has opened a new Arrhythmia Center, providing comprehensive services for all forms of abnormal heart rhythms. An arrhythmia is an abnormal heart rhythm often discovered during routine exams; however some patients report other symptoms such as sudden fluttering or pounding of the heart, lack of energy, dizziness, chest discomfort, and shortness of breath. An estimated 3.4 million people in the United States have atrial fibrillation which is the most common type of arrhythmia. People with atrial fibrillation are up to seven times more likely to have a stroke. Omar Shams, MD, and Harpreet Grewal, MD, lead the new Arrhythmia Center located at Memorial Regional Medical Center, 8243 Meadowbridge Road and at St. Francis Medical Center, 13700 St. Francis Boulevard. Both facilities are equipped with state-of-the art electrophysiology labs with advanced medical imaging and ultra-high-definition monitors that provide brilliant 3-D visualization of the heart. “In some cases arrhythmias are self-limiting and require very little treatment. However, some arrhythmias, if left untreated, can dramatically increase your risk of stroke, heart failure and sudden death,” says Dr. Grewal. For more information, call 804.418.2702 or visit www.bonsecours.com/arrhythmiacenter.
Jennifer Accardo, MD
Developmental Pediatrics Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR www.chrichmond.org
Valerie Bowman, MD, FAAP
Bon Secours Laburnum Medical Center Richmond | 804.222.7744 www.Bonsecours.com
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OurHealth | The Resource for Healthy Living in Greater Richmond
Sandy Aderholt, RN, MSN
Roberta Bogaev, MD, FACC, FACP
Winslow Borkowski Jr., MD
Erica Brecher, DMD
John Clore, MD
Nancy Durso, MD
Chief Nursing Officer HCA Virginia’s Chippenham Hospital Richmond www.chippenhammed.com
Dentistry Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR www.chrichmond.org
Bon Secours Advanced Heart Failure Center Richmond | 804.287.3550 www.Bonsecours.com
Bon Secours Richmond Diabetes and Endocrinology Mechanicsville | 804.764.7686 www.Bonsecours.com
Bon Secours Pediatric Neurology Clinic Richmond | 804.281.8303 www.Bonsecours.com
Reproductive Endocrinology & Infertility VCU Health Stony Point | 804.327.8820 www.vcuhealth.org
Koren Fleming, PA-C
Richmond Gastroenterology Associates Richmond and Tri-Cities 804.520.5223 www.richmondgastro.com
Jennifer Hauser, ACNP-AG
Bon Secours Senior Care Services Glen Allen | 804.893.8627 www.Bonsecours.com
Alice Ann Howard, PA
Bon Secours Advanced Heart Failure Center Richmond | 804.287.3550 www.Bonsecours.com
Kim Jarrelle, RN, MSN Nursing Director of Neuroscience HCA Virginia’s Johnston-Willis Hospital Richmond www.johnstonwillismed.com
Welcome
Anuradha Gonuguntla, MD FAMILY PRACTICE
Services Provided: • Preventative Care • Women’s Health • Adolescent Medicine Rachel Licklider, LCSW Theofolis “Theo” Bon Secours Advanced Heart Machinis, MD Failure Center Richmond | 804.287.3550 www.Bonsecours.com
Neurosurgery VCU Health Richmond and Stony Point 804.828.9165 www.vcuhealth.org
Emily Rivet, MD
Edgar Rodas, MD
Bariatric & Gastrointestinal Surgery VCU Health Richmond and Stony Point 804.827.0045 www.vcuhealth.org
Acute Care Surgical Services VCU Health Richmond | 804.957.6287 www.vcuhealth.org
Eric Parlette, MD
Dermatology VCU Health Stony Point | 804.560.8919 www.vcuhealth.org
Lindsay Sherrard, MD
Bon Secours Patterson Avenue Family Practice Midlothian | 804.741.6200 www.Bonsecours.com
Catarina Regis, MD
General Internal Medicine and Primary Care VCU Health Richmond | 804.828.9357 www.vcuhealth.org
“My family and I are very pleased to be a part of the Richmond community! I look forward to providing compassionate care to you and your family and working toward your continued good health.”
Kimberly Skelton, DO
Physical Medicine and Rehabilitation VCU Health’s NOW Center Richmond | 804.360.4NOW www.vcuhealthnowcenter.org
Commonwealth Primary Care 5360 Twin Hickory Road Glen Allen, VA 23059 Office Hours: M-F from 8 – 5:00 pm
804.346.3200 www.cpcva.com Sarah Temkin, MD
Gynecologic Oncology Massey Cancer Center Richmond and Stony Point 804.828.9080 www.massey.vcu.edu
Kristin Williams, MD
Behavioral Neurology and Cognitive Disorders VCU Health’s NOW Center Richmond | 804.360.4NOW www.vcuhealthnowcenter.org
Scan here for more information about our services and providers. www.OurHealthRichmond.com
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HEALTHY LIVING words | TINA JOYCE
SPRING INTO ACTION >> Spring tips for man's best friend
Warmer weather and longer days can make you jump into projects and activities. Also, getting your pet out and about is much easier in the sunshine. There are a few things that pet owners must keep in mind this spring, however. CONSIDER ADOPTING – Pet owners tend to be more active, making the health benefits of owning a pet twofold. You can make a difference by providing a forever home for a pet in need; plus, you’re likely to gain emotional and physical payback from the experience.
BE CAREFUL OF THE RUN-AWAY – Sunny days make walks in the park or open windows seem appealing to our furry friends. However, if your pets discover a newfound freedom, they might try to venture off on their own. Identification tags and microchips are important for your pets’ safety and your peace of mind.
BUILD IN EXERCISE – The warm temperatures may take jogging with your pooch or riding your horse to the top of your weekend to-do list. Be careful to add exercise into your routine slowly, however, especially if your pet (or you) has been sedentary over the winter months.
BEWARE OF STANDING WATER – Flowerpots and puddles can be filled with harmful bacteria. It’s extremely important to make sure that all pets have fresh water daily, but also avoid water from unknown sources. Even “fresh” rainwater may have traces of antifreeze, oil, or animal feces in it by the time it accumulates where your pet looks to quench his thirst.
CLEAN THE CLEAN UP – Spring is a natural time to embark on cleaning and restoration projects. However, cleaning solutions, engine gas and oil, insecticides and even mulch can be dangerous to pets that venture outside. Be aware of the products you use.
>> What it takes to grow organic Thinking of growing organic to avoid chemicals on your table this summer? Soil preparation and spring planning can make the biggest difference. words | TINA JOYCE
BEGIN EARLY Sketch out a blueprint of your garden, then start growing plants early to gain a few weeks’ advantage and reap the best weather for your prime growing season.
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LOCATION, LOCATION, LOCATION This is true for success in real estate, and it’s also true for your organic garden. Sunny, fertile soil with proper drainage will give your crop the best chance to flourish.
THE COMPOST ADVANTAGE Aged animal manure (e.g., horse manure works very well) in addition to leaves, soil, grass clippings and organic fruits and vegetables that have composted all winter are prime ingredients to help your soil stay loose and fertile.
OurHealth | The Resource for Healthy Living in Greater Richmond
DIG DEEP Whether it’s in raised beds or in the ground, your garden should have 12” of composted, well-tilled soil. Good root development is crucial in organic gardening.
or · gan · adjectiv e
ic
grown o rm use of a ade without t h rtificial chemic e als
MANAGE WATER
ENJOY THE PROCESS
Rain barrels are a popular way to gather water and irrigate your garden. Slow drip diversions allow you to regulate the water in rows, even when you leave town for a few days.
Growing organic may take a tad more prep time, but the health benefits and satisfaction of growing your own produce this season will be abundant.
DON’T LET A
words | RICH ELLIS
VEHICLE BREAKDOWN RUIN YOUR SPRING TRAVEL PLANS
>> Review these systems to check your car’s health before hitting the road. For many, spring means travel over spring break and making exciting getaway plans for the summer driving season. Road trips and dream vacations can quickly turn into travel nightmares, however, when a vehicle breakdown leaves you stranded on the side of the road. Preventive maintenance is the key to ensuring your vehicle can handle the spring and summer heat, the additional miles you’ll be racking up, and to keeping your passengers safe and comfortable. So before warmer weather is here to stay, spend a weekend afternoon this spring reviewing the condition of the following vehicle systems. You’ll travel with greater peace of mind knowing your vehicle is safe and reliable.
– Normal operating temperatures under the hood can approach 200 degrees Fahrenheit. Your vehicle’s cooling system is responsible for keeping those temperatures from climbing even higher, and for preventing the engine from overheating. Follow the instructions in your vehicle’s owner’s manual to check the coolant (antifreeze) level and the vehicle manufacturer’s recommended maintenance schedule for changing the coolant. Old coolant or not enough coolant can lead to overheating and expensive engine damage. COOLING SYSTEM
BELTS AND HOSES – A vehicle’s cooling system depends on hoses to move coolant between
the radiator and engine block, and in most vehicles, it also depends on belts that turn the fan(s) that dissipate heat from the radiator. Because they’re made of rubber and other compounds, belts and hoses eventually deteriorate due to high under-hood temperatures and environmental exposure. With the engine cold and the vehicle turned off, examine the belts for signs of wear, indicated by cracking or fraying. Visually inspect the hoses for bulges and then feel along the length of each of them for noticeable soft spots. Then replace the hoses if you find problems. Even if they appear to be okay, belts and hoses should still be replaced according to the vehicle manufacturer’s recommended maintenance schedule.
AIR CONDITIONING – It’s just as important to keep your passengers cool as it is to keep
the engine cool. Test the AC system to ensure that all of the vents are working, that the blower motor is moving enough air, and that the air is cold. If the air doesn’t feel cool enough, it could be because the system needs a recharge. Before taking the vehicle to a mechanic, try a do-ityourself A/C recharge and stop-leak product such as AC Pro to find out if that will solve the problem quickly and inexpensively.
– The summer months guarantee that bugs, as well as downpours during thunderstorms, will be pelting your vehicle’s windshield, reducing visibility. Consider filling the wiper fluid tank with a product such as RainX Bug Remover. It helps remove bugs and road grime while coating the windshield with a water-beading product that clears rain quickly. WINDSHIELD
MYTH: MORE CAR BATTERIES FAIL DURING THE COOLER MONTHS Contrary to popular belief, more batteries fail in spring and summer than in winter, mainly because heat kills batteries. Depending on the brand and operating environment, batteries last between two and five years. Check the install date on the top of the battery, and examine the posts protruding from the battery’s top or side for corrosion, which looks like a white or bluegreen powdery buildup. Corrosion can lead to problems with starting the vehicle, and it needs to be cleaned off using a battery terminal cleaning brush, anti-corrosion spray and protective equipment. Have the battery tested for free at most auto parts stores.
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BOOK REVIEW words | RICK PIESTER
>> Showcasing some of the most authoritative books on how to get and stay healthy In this issue, we take a look at two books dealing with two mainstays of our metabolism, sugar and fat, and both contain some surprises. The third book is an absorbing discussion of end-of-life issues and how modern healthcare can improve them.
The Case Against Sugar By Gary Taubes
Penguin Random House | 384 pages Is sugar the root cause of most of our ills — stroke, Alzheimer’s, heart disease, diabetes, and more? Gary Taubes is out to change our relationship with sugar, and he presents compelling if not absolutely convincing evidence. He also chronicles how hard it is to avoid sugar; it’s in almost everything we eat.
The Secret Life of Fat:
Being Mortal:
The Science Behind the Body’s Least Understood Organ and What It Means for You
Medicine and What Matters in the End By Atul Gawande, MD
By Sylvia Tara, PhD
Metropolitan Books/Henry Holt & Company | 282 pages
W.W. Norton & Company Inc. | 288 pages We all have it, and most of us hate it, but here’s a book that sheds some light on how the body uses fat and how, in moderation, it can be a useful thing. Body fat is actually an endocrine gland, Sylvia Tara tells us; actually, it’s the largest in our body, and it does some work on our behalf. A fascinating read.
KEEP IN MIND, ‘PAIN NO GAIN’ In the “17 Health Tips for 2017” article of our January/February edition, one of our providers was misquoted in her statement. The quote provided by Tracey Adler, of Orthopedic Physical Therapy, should have read “Keep in mind, ‘Pain No Gain’. If you are trying to work through continued pain during regular activities you may exacerbate the condition.”
This is an absolutely absorbing account of how we die — and how we should die — by a practicing surgeon. Through riveting storytelling and lots of tips on how to improve our healthcare, Dr. Gawande makes a persuasive argument on how and why we should make the end of life as enriching as life itself can be.
JOIN THE OURHEALTH COMMUNITY >> We would love to hear from you. Write us, tweet us, or tag us today! facebook.com/OurHealthRichmond
TRACEY ADLER, PT, DPT, OCS, CMTPT Orthopedic Physical Therapy, Inc. | Richmond | 804.285.0148 www.orthopedicptinc.com
@OurHealthRVA on twitter @OurHealth on pinterest
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OurHealth | The Resource for Healthy Living in Greater Richmond
How much do you know about
Seasonal Allergies? 1. On average, what percentage of Americans are affected by allergies? A:
15
percent
75
B:
C:
percent
30
percent
D:
20
percent
2. Which of the following is NOT one of the most common triggers of seasonal allergies?
3. On average, ___________ Americans are affected by allergies. A:
B: 50 million
C:
30 million
4. Which of the following are symptoms of seasonal allergies?
D: 70 million
A: Pollen
20 million
5. Which of the following is NOT a strategy to avoid seasonal allergy triggers?
B: Grass
A: Showering and changing clothes after working or playing outdoors
A: Itchy or irritated eyes
B: Keeping windows and doors shut
C: Pet Dander
C: Eating more vitamin rich fruits and vegetables
D: Monitoring pollen and mold B: Sneezing or coughing
6. On average, what percentage of Americans are affected by allergies? C: Runny or congested nose
+
+
D: All of the above
Sources: www.aafa.org & www.acaai.org
A:
Between 10 am and 4 pm
B:
Before 10 am and after 4 pm
C: Pollen counts are not affected by the time of day
D: Mold
7. True or False: Immunotherapy or allergy shots, is a form of long-term treatment that decreases symptoms of allergies by injecting a small amount of the allergen into the patient’s skin.
1. C 2. C 3. A 4. D 5. C 6. A 7. True
counts via newspapers, radio, or television
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OurHealth | The Resource for Healthy Living in Greater Richmond
g n i r p S Ahh-CHO
Ah
. . . h h
O
Allergies Make Us Sneeze and a lot More! words | RICK PIESTER
If you’re one of the 50 million people in America who suffer from allergies, you most likely greet spring with equal parts delight and dread, pleasure and pain, sunbathing and sneezing.
Although allergy season seems to have started a bit early this year (medium-high levels of pollen were being reported in mid-February), as an allergy sufferer, you know the worst is yet to come. Virginia is a hotbed for allergies. The verdant hills and lush grasses of the midAtlantic states have few rivals in producing the pollens that make people wheeze and sneeze. Our commonwealth has the dubious distinction of being among the national champs when it comes to pumping out tree and grass pollens. In 2015, for example, the Natural Resources Defense Council rated Richmond the number one most challenging city in the country to live in for people with allergies. Our capital city was number eight on the 2011 Forbes list of allergyheavy cities, and the city held the same spot in a 2014 ranking by the Asthma and Allergy Foundation of America. Experts also say there’s not a lot of difference between the state’s capital area and other regions of Virginia.
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n e l l Po To get a sense of how severe an allergy season might be, keep an eye on the weather. Weather conditions can either increase or decrease the levels of pollen in the air around us.
Mild winters generally produce an early pollen season, as trees will start pollinating earlier in the year.
Immune System Gone Awry Allergies are the result of the body’s immune system going awry. The immune system normally attacks the body’s genuine enemies, such as bacteria or a virus, but allergy-sufferers’ immune systems launch an all-out attack on otherwise innocent substances called allergens. The body mistakenly identifies the allergens as harmful and begins spewing histamine and other substances to fight them off. You feel the battle in the form of itching, sneezing, red eyes, and a runny nose within minutes of exposure. That’s followed by the typical congested nose and cough, and maybe even hammering headaches. Allergies (medically known as allergic rhinitis) are always bothersome, but they can even be life-threatening. The cause of the misery, allergens, are found both indoors and outside, according to Richmond allergist Barry Feinstein, MD, of Advanced Allergy and Asthma of Virginia. They can come from plants, foods, pets, and even some household products.
The Power of Pollens
Dry, windy weather spreads pollen quickly.
Pollens produced by trees, weeds and grasses are light and dry, picked up by the wind and deposited on everything in sight during the spring, summer and fall. (Flowers also make pollen, but flower pollen is usually spread by insects, with little escaping into the air.) Here in Richmond, tree pollens dominate early in the year, beginning in late February, according to Dr. Feinstein. They peak in April and extend into
Rain can reduce the pollen count by washing pollen into the soil before it becomes airborne. However, rain in the late fall or winter can spur tree pollination, and a rainy spring induces
late May. By then, our region has transitioned into grass season. In mid to late summer the weed pollens, especially ragweed, come into play.
grass growth, increasing the amount of pollen from grasses and weeds.
When Mold Makes Its Move Autumn brings the environmental mold allergens, Dr. Feinstein notes, such as leaf mold stirred up while raking wet leaves. Mold also lives indoors all year, in damp areas such as basements, bathrooms, on window sills and in refrigerators.
A freeze late in the winter can delay tree pollination, which decreases, at least temporarily, the daily pollen count.
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When Dust Mites and Dander Attack Dust mites are microscopic eight-legged living creatures that eat dead flakes of human skin. If you are allergic to dust mites,
a s ’ t ha
W POLLEN COUNT?
Every day, in locations all over America, a rod covered with a sticky substance is attached to the roof of a building. Over the next 24 hours, the rod will be tested for the amount of pollen that sticks to it. Samples are analyzed microscopically to determine how much pollen is in the air. A daily pollen count is the number of grains of pollen in a cubic centimeter of air. As the number increases, people who have allergies will sense an increase in their allergic reaction. A medium pollen count of 4.9 – 7.2 is the point at which most allergy sufferers begin to notice symptoms. A medium-high count is 7.3 – 9.6, and a high count is 9.7 – 12. Most daily newspapers carry that day’s projected pollen count, which is also available in the weather forecast portion of most television newscasts, as well as online at such sites as www.weather.com and www.pollen.com. Some online sites also offer daily pollen count email alerts and other helpful information.
SCAN THE QR PROVIDED to view the
current pollen count for your area.
you are reacting to the mites’ droppings. The mites don’t bite or spread disease. Dust mites thrive in damp warmth with a humidity of over 50 percent. They live mainly in carpeting, bedding, furniture and furry objects, such as stuffed animals. Animal dander is loose skin cells shed by animals. Dander from pets such as dogs and cats may contain saliva or other substances from the animals. The cells become airborne and are inhaled by people.
Is It a Cold, or Is It an Allergy? The symptoms of colds and allergies can sometimes be similar, Dr. Feinstein says, but there are some essential differences: allergy symptoms are persistent, and they are bothersome for longer than the five to seven days it takes for a cold to run its course. Symptoms are also quite specific: the telltale red, itchy eyes, the runny nose, and in some people, the skin symptoms such as red, swollen hives, all of which point to an allergy. Dr. Feinstein also notes that the allergy symptoms appear perennially, coming and going in concert with whatever allergens a person is most sensitized to.
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How to Address Allergies Medicine has developed quick and reliable ways to pinpoint the cause of allergies in individuals. The most common test is a skin prick test — Dr. Feinstein notes that it feels more like a “kitty cat scratch” — where small amounts of allergy triggers are placed on the skin. Swelling or redness appears within about ten minutes, indicating an allergy to the substance placed on that part of the test area.
New Thinking on
PEANUT ALLERGIES One of the most frightening of foodborne allergies, especially for children, is a youngster’s allergic reaction to peanuts and peanut products.
Once you know what’s causing your allergy, you can begin to fight back. You’ll know how to reduce your exposure to airborne allergens by keeping windows closed and cranking up the air conditioning at home and in the car. Staying inside as much as possible when the pollen count is high (see sidebar), and taking a shower to wash the allergens out of your hair before bed, are other coping strategies. Keeping your pet out of the bedroom or running a high-efficiency air cleaner in your home may help as well.
An Array of Remedies If those measures don’t help much, there’s an abundance of over-the-counter remedies you can try.
Though rare, peanut allergies are responsible for
According to the Asthma and Allergy Foundation,
more anaphylaxis (constricted airway) deaths
four out of five people with allergies don’t make it
than any other food allergies, resulting in an
to the doctor’s office. Instead, they rely on any of
almost universal ban of peanut butter and jelly sandwiches from school lunchrooms. But conventional wisdom has been turned on its
a somewhat dizzying array of medications in the local pharmacy that may offer effective relief. Dr.
head over the past year, with new guidelines from
Feinstein says that a “perfectly reasonable first
the National Institute of Allergy and Infectious
approach” is to let your symptoms be your guide
Diseases advising parents to give their kids foods containing peanuts starting when they are
for taking over-the-counter medications.
infants, to help prevent life-threatening allergies. The Institute recommends giving babies puréed food or finger food containing peanut powder or extract before they are six months old, and even earlier if a child is prone to allergies and doctors say it is safe to do so. One should never give a baby whole peanuts or peanut bits, experts say, because they can be a choking hazard. As always, following this advice should be prefaced by the approval of your child’s physician.
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A congested or runny nose can be treated with a corticosteroid nasal spray, a safe and effective treatment. Pairing it with an antihistamine to prevent the body’s release of histamines would be a good first step. It’s always a good idea to start taking an antihistamine before the start of a pollen-heavy season to control symptoms. And look for long-acting antihistamines (like Allegra, Claritin, and Zyrtec) that don’t have a sedative effect that will leave you drowsy. If over-the-counter medications fail, immunotherapy (allergy shots) can be formulated for particular combinations of allergies. Dr. Feinstein notes that the expense and time
investment of immunotherapy is often rewarded by an eventual shift in the immune system that makes treatment no longer necessary. In effect, you’re cured of your allergy. Immunotherapy is also an important treatment for youngsters, who can be spared later allergic asthma. Immunotherapy has been refined over the last century to the point that prescription medicines that dissolve under the tongue are now coming onto the market — good news for the needle-shy, though not always approved for use in the U.S. by the Food and Drug Administration. Widely used in Europe, these sublingual remedies are currently approved in the U.S. for treatment of ragweed and grass allergies.
Expert Contributer Barry Feinstein, MD, of Advanced Allergy and Asthma of Virginia.
“The symptoms of colds and allergies can sometimes be similar, but there are some essential differences: allergy symptoms are persistent, and they are bothersome for longer than the five to seven days it takes for a cold to run its course.” BARRY FEINSTEIN, MD of Advanced Allergy and Asthma of Virginia is certified by the American Board of Allergy and Immunology. Dr. Feinstein sees patients in both his Midlothian and West End locations.
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words | TINA JOYCE
You’ve heard the phrase ‘you are what you eat?’ Well, not literally, of course. But there is some truth to that cliché. We should seek nutritionally dense foods (the ratio of nutrients to calories) to gain the most benefits from our diet — protein to help promote building muscle, fiber to help regulate the digestive system and carbohydrates to provide energy. There are also some foods said to increase our metabolism and burn unwanted fat. Our food choices alone won’t magically burn off that stubborn fat, but the right selections, combined with consistent physical activity and strength training, will help us on our way to sculpt the lean body we’ve always wanted.
Green Tea
Whole Grains
The catechins (a natural flavonoid and antioxidant) in tea are believed to improve fat oxidation.
Oats and brown rice are at the top of our list. The body burns twice as many calories breaking down whole foods as it does with processed foods. Also, whole grains help us feel fuller for a longer time.
Salmon It’s full of omega-3’s and packed with protein. Not a fan of salmon? Try tuna or mackerel as a substitute.
Beans As with most lentils, black and kidney beans pack in approximately 15 grams of protein per serving and none of the saturated fats that other protein sources add to our diet.
Almonds In moderation because of their caloric density, these nuts provide a healthy alternative to carb-loaded snacks like crackers and chips, which offer little nutrients. Tired of almonds? Pine nuts can also fill this category.
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Quinoa This trendy whole grain can add a tasty protein-packed flair to any diet. It is a perfect replacement for rice and pasta.
Berries A colorful mix of blackberries, blueberries, and strawberries help prevent cravings (especially sweets) and improve taste.
Lean Meats Our body burns 30 percent of the food’s calories just in the digestion process. Low-fat options include poultry, wild game, and some red meats. Each serving provides an excellent source of protein as well as B vitamins.
Leafy Greens Spinach, Swiss chard, and kale are super foods. It’s practically impossible to overeat these weight-friendly staples. Low in calories and high in fiber, these greens also provide much-needed vitamin C.
Coffee Notice we didn’t say flavored latte. Black coffee can curb the appetite and acts as a stimulant in digestion. Also, coffee contains the antioxidant chlorogenic acid (CGA), which is hypothesized to slow the release of glucose and lowers insulin resistance. However, we have to leave out the cream and syrup or we’re simply drinking our daily calories.
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Lauren Yasi
of Richmond, Virginia
“Acac has been a second home to me. Everyone has been very encouraging. It has become much more than just a gym.�
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BELO W the
SURFACE Uncovering benefits from a non-traditional corporate perk words | TINA JOYCE
Have you ever seen someone smile with their eyes? How about disguise pain with a laugh? It seems that there is always more to someone’s story than what you can see on the surface. Lauren Yasi is no exception to this. Her sweet smile, jubilant voice and reputable career start might make other young women sigh with envy. However, Lauren’s journey is far more than meets the eye. Lauren, a 2015 Virginia Tech graduate and current loan accountant for Virginia Commercial Finance, had no idea that something discussed in her initial interview with VCF was about to impact the rest of her life. “In my interview, one of the benefits discussed was a membership to a local health and fitness club, acac. I knew I wanted to work for VCF, but [the membership] was just an added bonus,” Lauren recalls. “During my first week of work, they gave me a tour of acac.” VCF has a corporate wellness partnership with acac to help promote health and fitness for their employees. If a VCF employee utilizes the fitness facility at least eight times in a month, VCF pays the membership fee. acac sends participating companies the attendance each month.
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“Acac is not just a gym; it’s a community. Employees can use acac not only to exercise, but also to relieve stress and socialize. We encourage all employees to include their families to make it more convenient. Our number one goal is for companies to see healthcare cost reductions. However, the benefits of partnering with acac outside of cost savings are just as valuable.” KELLY LYNN is the vice president of sales and P.R.E.P. with acac in Richmond.
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“We have several tiers of wellness programming. We have our basic corporate partnership that involves discounted rates for companies that offer payroll deduction and or subsidy. We also have a software platform that offers 60 days for 60 dollars for employees. This software includes challenges, device tracking for all activity in and outside the gym, small group training, assessments, online education and much more,” shares Kelly Lynn, the Vice President of Sales and P.R.E.P. at acac. At first, Lauren was simply taking advantage of the corporate benefit package and trying out different classes. She began with water classes, then tried cycling, then elliptical, working her way up to more advanced classes and equipment. “I started working out, but hadn’t changed my eating habits. I knew my relationship with food wasn’t like other people’s. I really had to get honest with myself [before seeing major results],” Lauren admits. She remembered using food as a way to cope with stressful situations in her youth, when she hadn’t yet gained the ability to see food as needed fuel for her body. She started using the gym
on her own, but now utilizes the experience and expertise of an acac personal trainer. “We have a history of teaching people how to exercise,” explains Lynn. Lauren shares, “acac has been a second home to me. Everyone has been very encouraging. It has become much more than just a gym.” Lauren (age 23) started working out at acac in August 2015. As of February 2017, she has lost more than 130 pounds! John McCauley, the CEO of Virginia Commercial Finance, comments, “One of the things we believe in very strongly is offering wellness memberships to our employees so they can be the best they can be in the marketplace to serve others. We are exceedingly proud of the accomplishments Lauren has made. She is a role model for us all.” There are both direct and indirect advantages for companies choosing to offer corporate wellness memberships as a benefit to their employees— including creating happier, healthier and more productive employees. It isn’t about losing weight; it’s about gaining health. “I am much healthier and more confident,” Lauren now admits. She speaks with a confidence that can only come from deep within. Her skin glows and her eyes sparkle because she has changed her lifestyle. She has learned a lot about herself, thanks to a non-traditional workplace benefit. She has a good story to share, one beyond her outward appearance—proving that beauty isn’t only skin-deep.
FOR MORE INFORMATION
about corporate health and wellness programs at acac, contact Kelly Lynn at kellyl@acac.com or visit www.acac.com.
EXPERT CONTRIBUTERS Kelly Lynn is the vice president of sales and P.R.E.P with acac in Richmond. John McCauley is the CEO of Virginia Commercial Finance in Richmond.
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Photos courtesy of Rich Terrell.
The Cannonball, the Belly Flop, the Can Opener, the Pencil and the Lemon Drop! All were on display at the 2017 Richmond Polar Plunge Fest! This year’s uncommonly warm weather made it just a little better for participating plungers. The Plunge, which is more than a dip in the water, is a fundraiser benefiting the local chapter of Special Olympics Virginia. Special Olympics Virginia provides year-round sports training, competition, leadership opportunities and health services to more than 27,000 athletes of all abilities. Costumed plungers were able to strut their stuff on the Red Carpet showing off their best costumes and themed outfits. This year, the event raised over $40,000! For more information about Special Olympics Virginia, visit www.specialolympicsva.org.
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NEW KNEES
New Life!
How a new orthopaedic system is making knee replacement surgery an easier experience. words | DIANE YORK
Polly Smith has a career that many of us would envy. She is a judge at the most prestigious dog shows in the world, including the Westminster Kennel Club show at Madison Square Garden in New York. In her younger years, she showed horses. Later, she and her husband started breeding and showing Welsh Terriers, then Chow Chows. They became so skilled and knowledgeable about dogs that they were soon asked to judge contests all over the United States, including in Hawaii and Alaska. Thanks to this, they began traveling all over the world: to Sweden, Argentina, Chile, Columbia, Australia and other countries. Contrary to what you might think, judging dogs is a physical sport that involves a considerable amount of walking and lots of bending to take a closer look at the dogs as they are shown. Then, there is the travel. All of this added up, and Polly began to experience significant problems with her knees. The stiffness, pain and swelling began to cut into her activities. She was concerned that she might have to give up judging. Polly is one of the thousands of Americans who seek help for painful knees each year. More than 600,000 knee replacements are performed annually in the United States.
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DAMAGE TO THE KNEE Injuries are the most common cause of knee problems. Sudden (acute) injuries may be caused by a direct blow to the knee or from twisting, bending or falling on it. Also possible are tears in the rubbery cushions of the knee joint, called meniscus tears; or ligament tears such as those to the anterior cruciate ligament, commonly called ACLs. In Polly’s case, years earlier, she had experienced a blow to her left knee. Osteoarthritis, which causes joints to wear down, is another frequent cause of knee damage. Rheumatoid arthritis (as opposed to osteoarthritis) is an autoimmune condition in which the body’s own immune system attacks its joints.
“The OrthAlign computer allows us to make a straight line precisely from the center of the hip to the center of the ankle. If the knee tends to be on one side or other, we must try to get the mechanical axis
THERE ARE SEVERAL TREATMENT OPTIONS THAT MAY BE ATTEMPTED PRIOR TO TURNING TO SURGERY.
1
CORTICOSTEROID SHOTS
2
STEM CELL THERAPY
3
PLATELET-RICH PLASMA (PRP) THERAPY
straight. The computer can adapt and allow us to make a correct alignment with true center through the center of the knee.” VIC GORADIA, MD of G2 Orthopedics in Richmond is certified by the American Board of Orthopaedic Surgery with a subspecialty in Orthopaedic Sports Medicine. Dr. Goradia see patients in both the Glen Allen and Chester locations.
These are designed to cut inflammation and pain.
Where amniotic (not embryonic) membrane stem cells are injected into the knee.
Popular in sports medicine, takes blood from the patient, separates out the platelets then injects the platelets near the knee. The stem cells and platelets both travel to the site of the damage and attempt to repair it. When these treatments fail, however, there is both partial and total knee replacement surgery to consider.
KNEE REPLACEMENT SURGERY During partial knee replacement surgery, one or more of the three compartments of the knee can be replaced. Using this procedure, the ligaments do not have to be cut. With a partial knee replacement, more of your own body structure remains intact.
Polly Smith presents an award at the Westminster Kennel Club Dog Show.
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Total knee replacement surgery (also called knee arthroplasty) is a common orthopaedic procedure that is used to replace the damaged or worn parts of the knee. Replacing these parts with an implant or “prosthesis”
will relieve pain and increase mobility, allowing you to return to your normal, everyday activities. Your doctor may recommend knee replacement surgery if you have severe knee pain and/or disability from rheumatoid arthritis, osteoarthritis or traumatic injury. No one looks forward to any kind of surgery; most people fear it, especially the post-op pain. However, new advances in knee surgery help make the process of knee replacement almost foolproof. While there is still discomfort and recovery time, new technology puts odds of complete recovery with the restoration of former abilities in the very highest range. Polly sought help from Vic Goradia, MD of G2 Orthopedics and Sports Medicine in Richmond. Dr. Goradia is a nationally recognized, board-certified arthroscopic and sports medicine surgeon. He was one of the first surgeons in the U.S. to receive a Certificate of Added Qualifications in Sports Medicine by the American Board of Orthopaedic Surgery. “I went to Dr. Goradia and asked about stem cell therapy,” Polly says. “While he did not think it would work in both legs, I requested it anyway. It worked in the right knee but not in the left knee, the one that had a previous injury, so we scheduled the surgery for that knee. I had some pre-surgery physical therapy and felt confident about the surgery.” Dr. Goradia says, “Both of Polly’s knees had bothered her for years. They were badly arthritic, and she had developed a significant limp. She leads a very active life and wanted to keep it that way, so she had already tried other treatments.” One of the most challenging things about knee replacement surgery is the proper alignment of the replacement knee in the patient’s leg. Most of the time, this involves a steel rod being placed in the bone in order to correct a leg deformity making the operation invasive. However, Dr. Goradia’s practice, G2 Orthopedics and Sports Medicine, is offering something that’s new, more accurate and far less invasive. OrthAlign is a small, handheld device that utilizes cell phone and missile guidance technology to map the perfect placement of the new prosthetic knee. It is compatible with all implant systems. According to the manufacturer, recent studies www.OurHealthRichmond.com
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FREQUENTLY ASKED
questions about KNEE REPLACEMENT HOW LONG SHOULD PEOPLE WAIT TO HAVE KNEE SURGERY? “When your knee problems begin to affect your daily activities,” says Dr. Goradia. You should consider having knee surgery when you cannot get out of a chair without difficulty, when you avoid walking because of pain and when you cannot bend your knee. In other words, you should consider having surgery when your knee problems are stopping you from living your life. If you have tried injections and other treatments without success, then it is time to consider knee surgery.
SHOULD YOU CONSIDER HAVING SURGERY ON BOTH KNEES AT ONE TIME? Many people consider getting both knees operated on at the same time in order to reduce their time lost from work. Some feel that it is better to experience all of the pain at once instead of during two separate operations. However, Dr. Goradia says, “There is a somewhat higher risk of blood clots and infection when both knees are done at once. The recovery is harder. To do it this way, the patient must really be up for it and be willing to work hard through the pain.”
have shown that OrthAlign® technology improves alignment when compared to traditional mechanical guides.
HOW CAN YOU HELP YOURSELF HAVE A SUCCESSFUL KNEE REPLACEMENT?
1
2
3
BE PREPARED MENTALLY AND PHYSICALLY. As with any surgery, recovery isn’t easy. Expect some pain and discomfort. You may also experience some frustration over your limited ability to move around. It may help to talk with others who have had a knee replacement to get a good sense of what to expect.
BE IN AS GOOD OF PHYSICAL SHAPE AS YOU CAN BEFORE THE SURGERY. Do pre-surgery physical therapy to make the post-surgical therapy easier. Strengthening the arm and shoulder muscles will help you use crutches after surgery.
LOSE WEIGHT. Dr. Goradia says that losing weight benefits the knees because it decreases the weight-bearing pressure on the knees. Each pound of weight loss can reduce the knee-joint load by 4 pounds. Lose just 10 pounds, and that’s 40 fewer pounds per step that your knees must support. People who are overweight or take part in high-impact activities are more likely to experience problems with a knee implant.
HOW LONG DO KNEE REPLACEMENTS LAST? According to the American Academy of Orthopaedic Surgeons, if you’ve had a total knee replacement, you can expect it to hold up and allow you to remain active for at least 20 years and sometimes for as long as 30 years.
HOW LONG DOES RECOVERY TAKE? Patients often start standing and walking the same afternoon of their surgeries. Hospital stays are usually no more than three days. Patients begin physical therapy in the hospital and continue it at home. Usually 6 to 12 weeks of physical therapy is required post-surgery.
HOW SAFE IS IT? Total knee replacement is considered to be a relatively safe procedure. Per the American Academy of Orthopaedic Surgeons, “Serious complications such as knee joint infection occur in fewer than 2 percent of patients.” Blood clots can be a risk, as they are with all orthopaedic procedures — but that risk is low. Using a blood thinner or other common preventative measures reduces the risk. In terms of the side effects, stiffness is typical following the operation. This is one of the reasons that postoperative physical therapy is so important.
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Dr. Goradia says, “The OrthAlign computer allows us to make a straight line precisely from the center of the hip to the center of the ankle. If the knee tends to be on one side or other, we must try to get the mechanical axis straight. The computer can adapt and allow us to make a correct alignment with true center through the center of the knee.” He explains how OrthAlign is different from older technology. “In the old way, we had to insert a half-inch rod into the femur
thigh bone. We don’t have to do that with OrthAlign. It decreases bleeding and is less invasive, easier on the patient. This makes for a quicker, easier recovery and better results.” While OrthAlign is used regularly by Dr. Goradia, it is relatively new technology, and there are only a few of these devices available in the Richmond area. He says, “While we don’t have 10-year outcomes yet, I feel that OrthAlign is a big improvement in knee replacement surgery.” Polly says, “I had the surgery on a Tuesday, Nov 8th. I walked on Wednesday and went home Thursday, doing physical therapy at home with a therapist. By January 14th, I was showing and judging dogs again. I flew to Arizona and judged 146 dogs in one day! Pain had been a constant part of my life. I don’t even think about it now. I am going from 8 a.m. to 6 at night. Sometimes, I will be stiff, but there’s no real pain. I did not need pain medication after December 1st. It feels like a normal knee. Dr. Goradia is a great surgeon.” EXPERT CONTRIBUTERS Vic Goradia, MD of G2 Orthopedics in Richmond is certified by the American Board of Orthopaedic Surgery with a subspecialty in Orthopaedic Sports Medicine. Dr. Goradia see patients in both the Glen Allen and Chester locations.
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Tricia Foley’s
QUINOA SALAD (4 servings)
Salad Ingredients 1 1 2 ¼ ¾ ½ ½ ½ ¼
tablespoon olive oil cup Quinoa cups low sodium chicken stock cup chopped flat-leaf parsley teaspoon chopped rosemary leaves teaspoon chopped thyme leaves medium green apple, diced cup fresh blueberries cup slivered almonds, toasted
Salad Directions
In a medium pan, heat the olive oil on medium-high heat. Add the quinoa and stir occasionally until light brown (3-5 minutes). Add chicken stock and allow to boil. Simmer for about ten minutes or until liquid is gone. Pour the quinoa into a large bowl and set aside. Add the parsley, herbs, apple, blueberries and almonds to the quinoa.
Dressing Ingredients ¼ 3 ½ ½ 2
cup apple cider vinegar tablespoons honey teaspoon salt teaspoon black pepper tablespoons olive oil
Dressing Directions
In a small bowl, combine vinegar, honey, salt and pepper, then stir in oil until smooth. Pour over the couscous to coat evenly.
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»
Quinoa offers a healthy dose of fiber and fewer refined carbohydrates than other typically used ingredients, like couscous.
»
If a recipe calls for dry fruit, try using fresh fruit instead. Dried fruits usually lack the free water and fiber of whole fruit and are concentrated in sugar.
»
Try replacing sugar with honey in your next dressing recipe! When replacing, use equal amounts of honey for sugar up to one cup.
Nutrition
(Nutrition per serving) 200 calories, 6 grams fat, 2 grams saturated fat, 260 milligrams sodium, 12.4 grams carbohydrate, 3 grams fiber and 21.1 grams protein.
Tricia Foley’s
ORANGE ROUGHY WITH CITRUS SAUCE Ingredients
(4 servings)
1 pound orange roughy fillets ½ cup reduced fat milk ¼ teaspoon salt 1/3 cup whole wheat flour 1 ½ tablespoon olive oil 1 tablespoon minced garlic 3 tablespoons lime juice
Directions
2 1 1 2 1/2 1
tablespoons lemon juice tablespoon orange juice tablespoon chopped parsley tablespoons green onion, thinly sliced tablespoon butter tablespoon reduced fat milk
Soak fish in milk for ten minutes. Remove, sprinkle with salt and dredge in whole-wheat flour. Heat two tablespoons oil in a frying pan over medium-high heat. Cook fish until golden brown, then flip and allow other side to cook until golden brown. Remove fish and set aside. Wipe pan clean. Reduce heat to low and add remaining oil and garlic. Allow garlic to cook for thirty seconds, and then add the lime, lemon and orange juice as well as parsley and onion. Finally add butter and one tablespoon milk and mix until creamy. Pour over fish to serve.
»
Eat more fish! Besides being a healthy source of protein, fish is an excellent source of Omega-3 acids, widely considered to be beneficial in promoting cardiovascular health.
»
Whole wheat flour is higher in fiber than white flour and may help reduce your risk of heart disease and Type 2 diabetes, and help control blood sugar if you already have diabetes.
»
If a recipe calls for vegetable oil, try swapping it out for olive oil. Using olive oil increases heart healthy fats while limiting the amount of saturated fat in a dish.
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2017 G R E AT E R RICHMOND'S
B R O U G H T TO Y O U B Y
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B R O U G H T TO Y O U B Y
COSMETIC DENTISTRY Adam Davis, DDS Richmond | 804.893.8692 Advanced Dental Care of Richmond Richmond | 804.741.4177 Alan Grooper, DDS Petersburg | 804.732.7821 Alexandra Renkenberger, DDS Richmond | 804.740.3402 Allen D. Bernstein, DMD, LLC & T. James Dix, DDS Richmond | 804.270.4397 Allen Davia, DDS, PC Richmond | 804.282.4429 Anh T. Do, DDS Richmond | 804.358.3842 Anthony J. Puller, DDS Richmond | 804.272.0563 Atkins, Maestrello, Miller & Associates Pediatric Dentistry, PC Richmond | 804.741.2226
Baicy Dental Richmond | 804.288.8200 Barry Weiss, DDS Richmond | 804.740.9118 Beautiful Smiles by Dr. Jill Bussey, DMD Richmond | 804.644.5225 Benjamin J. Crowley, DDS & Edmund E. Mullins, Jr. DDS Richmond | 804.412.0874 Blair E. Witt, DMD Colonial Heights | 804.526.4889 Bright Smiles Dental Chesterfield | 804.413.6459 Brown, Reynolds, Snow, LeNoir Richmond | 804.288.5324 Bruce C. Cook, DDS, PC Richmond | 804.359.2136 C. Nelson Herring, DDS Richmond | 804.282.5031 Carl E. Cash, DDS Richmond | 804.675.5000 Chad M. Van Scyoc & Associates Richmond | 804.270.7425
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Charles R. Counts, DDS Richmond | 804.285.8609
Dr. Jarvandi & Associates Richmond | 804.271.9828
Feisal Osman & Associates Richmond | 804.364.1696
Chesterfield Dentistry Chesterfield | 804.796.9500
Dr. Juan M. Carrillo: Soothing Dental Care Richmond | 804.754.2020
Frank Bruni, DDS Richmond | 804.272.4711
Christina Byerson, DDS Richmond | 804.525.1335
Coker Dental Richmond | 804.358.1933 Colonial Heights Dental Colonial Heights | 804.526.0807 Colonial Heights Dental Care Colonial Heights | 804.520.1741 Commonwealth Dentistry Richmond | 804.520.4088 Commonwealth Endodontics Richmond | 804.501.0501 Commonwealth Prosthodontics Richmond | 804.346.3366 Comprehensive Family Dentistry Richmond | 804.282.9191 Crowley Dentistry Richmond | 804.412.0874 Daily Planet: Wellness For All Richmond | 804.649.2119 Davey Crockett Dentistry Richmond | 804.282.2990 David A. White, DDS Richmond | 804.266.6050 David B. Pemberton, DDS, PC Richmond | 804.233.6811 David L. Lilly, DDS Richmond | 804.320.0773 Dentistry by Design Colonial Heights | 804.520.0699 Dentistry for Children Richmond | 804.780.2888 Douglas B. Peoples, DDS Petersburg | 804.733.8135 Douglas S. Belt, DDS Richmond | 804.288.1290
Dowdy & Dowdy Petersburg | 804.861.2571 Dr. Bill Falls: Family & Cosmetic Dentistry Richmond | 804.285.0986 Dr. Exum & Associates Richmond | 804.212.2501
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Dr. Kemler Family Dentist Richmond | 804.266.7976 Dr. Kitt Finley-Parker & Dr. Connie Kitts Richmond | 804.266.8547 Dr. Mark Freeman & Associates Richmond | 804.270.3080 Dr. Rosesetti & Dr. Myers, DDS Richmond | 804.409.3474 Drs. Baum & Graham, DDS Richmond | 804.359.5041 Drs. Duff & Cox, DDS Richmond | 804.355.3100 Drs. Kaugars and Miller, PC Richmond | 804.285.4867 Drs. Richardson, Overstreet & Glazier Richmond | 804.355.6593
Fred A. Knaysi, DDS Richmond | 804.313.8070 Fred Kessler, DDS Richmond | 804.828.9517 Gale F. Jones, DDS Richmond | 804.222.4003 Garfield Family Dentistry Richmond | 804.282.4646 Gary H. Morgan, DDS Richmond | 804.266.8769 George A. Smith, DDS Richmond | 804.674.3081 George J. Lake, DDS Petersburg | 804.733.4641 George R. Andreadis, DMD Chesterfield | 804.745.4550 Glen Allen Dentistry Henrico | 804.261.1970
Drs. Stenger, Cole & Gupta Richmond | 804.320.7147
Glenside Dental Richmond | 804.756.6658
Earl J. Rubis, DDS Richmond | 804.828.9903
Gloria E. Ward, DDS, MS, MIS, PC Henrico | 804.270.7940
Edward J. Thomason, DDS Richmond | 804.282.7096
Grove Avenue Family & Cosmetic Dentistry Richmond | 804.285.1378
Eli Robinson, DDS, PLC Richmond | 804.346.9049 Elizabeth A. Lee, PC Richmond | 804.288.4526 Endodontic Partners Richmond | 804.285.0400 Ernest T. Spaur, DDS Powhatan | 804.598.3500 Eugene A. Richardson, III, DDS Petersburg | 804.861.5331 F. Anderson Wade, DDS Richmond | 804.358.8204 Fahad M. Alsaad, DDS Richmond | 804.319.5665 Family and Cosmetic Dentistry Richmond | 804.353.3009
Grove Avenue Smiles Richmond | 804.359.6009 H. Andrew Fratkin, Inc. Richmond | 804.346.4066 Hackett Dental Center Richmond | 804.288.9111 Hamilton Dental Richmond | 804.282.4476 Harini B. Reddy, DMD, LLC Richmond | 804.501.0816 Harry E. Savage, Jr, DDS Richmond | 804.643.7889 Hudson & Hudson Richmond | 804.740.8320
Family Dentistry & Orthodontics Colonial Heights | 804.704.8394
Hunter Holmes McGuire VA Medical Center Richmond | 804.675.5000
Faryl K. Hart, DDS Richmond | 804.266.2074
Israel R. Mendoza, DDS Richmond | 804.501.8483
ORAL HEALTH RESOURCE GUIDE
Ivoir Smiles of Midlothian Midlothian | 804.897.8550
Jason T. Lipscomb, DDS Richmond | 804.648.6684
J. Wayne Browder, DDS Colonial Heights | 804.526.4822
Jay B. Spitzer, DDS Richmond | 804.747.0105
Joseph N. Tregaskes, DMD, MS, Inc.
Jack W. Chevalier, DDS Richmond | 804.359.4121
Jennifer T. Rose, DDS Henrico | 804.285.8290
Richmond | 804.308.5765
Jacqueline Brown, DDS Richmond | 804.648.2020 Jacqueline Johnson-Curl, DDS Richmond | 804.624.4068 James E. Taylor, Jr, DDS Richmond | 804.282.9418
Jermel D. Ford, DDS Richmond | 678.904.5665 Jerome A. Cohen, DDS Richmond | 804.285.7525 John B. Denson, Jr, DDS Colonial Heights | 804.526.8638
James F. Londrey, DDS Richmond | 804.358.2480
John Reynolds, DDS & L. Scott Sill, DDS Richmond | 804.282.8712
James McCain, DDS Richmond | 804.649.0240
John S. Kttrell, DDS Richmond | 804.359.6471
James River Dentistry Richmond | 804.323.4200
Johnny Reid, DMD Richmond | 804.270.6830
Jared S. Martin, DDS Richmond | 804.319.5665
Joseph C. Cox, Jr, DDS Richmond | 804.346.8882
Joseph H. Morgan, DDS, Ltd Richmond | 804.266.8769
Joseph R. Bosley, DMD Richmond | 804.320.7590 Joshua B. Rubinstein, DDS Richmond | 804.741.7440 Julian C. Gills, DDS Chesterfield | 804.272.5430
Julie F. Palmore, DDS Richmond | 804.359.6442 Julius V. Morrison, DDS Richmond | 804.648.1305 Kamelia G. Radeva, DDS Richmond | 804.740.0834 Kathryn S. Finley-Parker, DDS Richmond | 804.266.8547
Kenneth E. Stoner, DDS and Associates, PC Richmond | 804.282.4279 Khisti Dental Center Glen Allen | 804.747.7400 Kim P. Nguyen, DDS Richmond | 804.740.8360 Kirk R. Hazelgrove, DDS, PC Richmond | 804.747.4001 Kontopanos Dental Richmond | 804.275.7477 Kool Smiles Richmond | 844.478.8497 Lakeside Family Dentistry Richmond | 804.262.9824 Latrice R. Foster, DDS Richmond | 804.828.9095
www.OurHealthRichmond.com
43
ORAL HEALTH RESOURCE GUIDE
COSMETIC DENTISTRY CONTINUED... Leslie S. Webb, DDS Richmond | 804.282.9781 Lifetime Dentistry at Short Pump Richmond | 804.360.8890 Lori S. Wilson, DDS Petersburg | 804.733.6740 Lucious H. Clemons, DDS Richmond | 804.270.5033 Margaret E. Hyer, DDS Powhatan | 804.598.8951 Mark P. Gerald, DDS Manassas | 703.368.0580 Matthew R. Brokaw, DDS Richmond | 804.270.6200 Maury A. Hubbard, Jr, DDS Richmond | 804.288.5565 McComb & Stewart Dentistry Richmond | 804.672.1400 Melanie L. Boone, DDS, PC Richmond | 804.264.0224 Michael A. Stansfield, DDS Colonial Heights | 804.526.2200 Michael O. McMunn DDS and Associates, PC Richmond | 804.740.7212 Midlothian Dental Center Midlothian | 804.302.5981 Midtown Richmond Dentistry Richmond | 804.729.8341 Mohanty Comprehensive Dentist Richmond | 804.527.1008 Monument Avenue Dentist Richmond | 804.358.0002 Monument Family Dentistry Richmond | 804.359.3449. Morrison Dental Group Richmond | 804.261.4020 Mueller Dentistry Richmond | 804.360.1800
Muncy Dental Care Richmond | 804.290.0490
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Murad Kerneklian, DDS Richmond | 804.359.2136
Richmond Family Dentistry Richmond | 804.381.6238
Stephen J. Todd, DDS Richmond | 804.228.1267
Murr R. Oettinger, Jr, DDS Goochland | 804.556.2540
Richmond Orthodontics Richmond | 804.740.7281
Stephen S. Young, DDS, PC Richmond | 804.741.2812
Murry & Kuhn Dentistry Powhatan | 804.598.2600 Chesterfield | 804.796.9500
Richmond Surgical Arts Richmond | 804.560.5260
Steven B. Schmitt, DDS Richmond | 804.282.3613
Mustian Dentistry Richmond | 804.285.9548
River City Dentistry Glen Allen | 804.270.7737 Sandston | 804.737.7402
Steven E. Evans, DDS Richmond | 804.282.6665
Naveen Chennupati, DDS Richmond | 804.319.5665
River Run Dental Richmond | 804.419.6779
Norman, Obeck & Foy Dentistry Richmond | 804.288.0102
Robert A. Bischoff, DDS Richmond | 804.741.2000
Patterson Village Dentistry Richmond | 804.282.3197
Ronald E. Cade, DMD Richmond | 804.233.2881
Paul L. Saunders, DDS Henrico | 804.364.0909
RVA Dental Care Richmond | 804.282.3838
Paul Neumann, DDS Richmond | 804.358.4089
Sam E. English DDS Dentistry Colonial Heights | 804.520.1177
Paul Y. Da Cunha, DMD Richmond | 804.262.9563
Sandra J. Smith Family Dentistry Richmond | 804.743.9235
Peter Matkowsky, DDS Powhatan | 804.897.3339
Sarah M. Dowdy, DDS, PC Richmond | 804.285.8609
Thomas Conner and Associates Chesterfield | 804.768.7600
Petersburg Complete Dental Care Petersburg | 804.861.5237
Sarmad Bakuri, DMD Richmond | 804.828.8022
Thomas G. Schleicher, DDS, PLC Colonial Heights | 804.526.0231
Scott B. Culpepper, DDS Richmond | 804.360.8890
Thomas H. Trow, DDS Richmond | 804.272.2205
Sheilandice Brown, DDS Petersburg | 804.733.5591
Thomas King, Jr, DDS Richmond | 804.285.2333
Short Pump Dental Henrico | 804.747.0116
Thomas Wright, Jr, DDS, Ltd Richmond | 804.320.8894
Petersburg Smile Center, PC Petersburg | 804.732.8800 Pfabulous Gentle Dentistry Chesterfield | 804.639.9622 Progressive Dental Richmond | 804.261.4020 Raidah Hudson, DDS Richmond | 804.222.3135
Signature Smiles Richmond | 804.320.6997
Railey Hill Dental Richmond | 804.378.0082
Solomon M. Lee, DDS Colonial Heights | 804.520.5009
Ralph J. Rutledge, Jr, DDS Colonial Heights | 804.526.0807
South River Dentistry Midlothian | 804.451.1665
Richard F. Roadcap, DDS Colonial Heights | 804.520.4770
Southside Dental Associates Petersburg | 804.732.5776
Richard J. Lieb, DMD Richmond | 804.741.2800
Southside Family & Cosmetic Dentistry Richmond | 804.520.5009
Richard W. Bates, DDS Colonial Heights | 804.479.8898 Richmond Center for Advanced Dentistry Richmond | 804.935.5631 Richmond Dental Richmond | 804.222.8140
OurHealth | The Resource for Healthy Living in Greater Richmond
Stuart D. Martin Jr, DDS Richmond | 804.440.0504 Supraja Bilakanti, DMD Colonial Heights | 800.904.5665 T. O. Layman, DDS Richmond | 804.353.6671 Tabbitha Grantham, DDS Richmond | 804.230.4078 Tareq Al-Ali, DDS Richmond | 804.564.1561
Teeth by Talton Richmond | 804.740.9402
Timothy Breeden, DDS Chesterfield | 804.748.6433 Tuckahoe Family Dentistry Richmond | 804.740.0834 United Smiles Colonial Heights | 804.504.0012 VCU Dental Care Richmond | 804.826.9190 Virginia Center for Advanced Dentistry Richmond | 804.639.8338
Stacy L. Zackowski, DDS Richmond | 804.264.9460
Virginia Center for Prosthodontics Richmond | 804.741.8689
Steadman Family Dentistry Richmond | 804.272.3200
Virginia Family Dentistry, PC Full list of locations on page 48.
Stephen E. Spainhour, DDS Richmond | 804.747.7001
Virginia Oral & Facial Surgery Richmond | 804.559.5416
B R O U G H T TO Y O U B Y
Vista Dental Richmond | 804.672.7070 West End Pediatric Dentistry Richmond | 804.741.1400 West Richmond Family Dentistry Richmond | 804.282.9600 Westhampton Dentistry Full listing on page 48. White & White Midlothian | 804.302.5602 Whitney E. Maier, DDS Richmond | 804.266.5040
Who Does Your Teeth Henrico | 804.447.1435 William C. Woods, DDS Richmond | 804.358.9743 William D. Covington, DDS Richmond | 804.266.3026
Grove Avenue Family & Cosmetic Dentistry Richmond | 804.285.1378 Monument Avenue Dentist Richmond | 804.358.0002 Morrison Dental Group Richmond | 804.261.4020 Mueller Dentistry Richmond | 804.360.1800 Seaborn M. Wade, Jr, DDS Richmond | 804.285.7505 Southside Endodontics, PC Chesterfield | 804.796.1136 Colonial Heights | 804.520.0000
Allen Davia, DDS, PC Richmond | 804.282.4429
Commonwealth Dentistry Richmond | 804.520.4088
Anh T. Do, DDS Richmond | 804.358.3842
Commonwealth Endodontics Richmond | 804.501.0501
Anthony J. Puller, DDS Richmond | 804.272.0563
Commonwealth Prosthodontics Richmond | 804.346.3366
Atkins, Maestrello, Miller & Associates Pediatric Dentistry, PC Richmond | 804.741.2226
Comprehensive Family Dentistry Richmond | 804.282.9191
Baicy Dental Richmond | 804.288.8200 Barry Weiss, DDS Richmond | 804.740.9118
Steadman Family Dentistry Richmond | 804.272.3200
Beautiful Smiles by Dr. Jill Bussey, DMD
Thomas Wright, Jr, DDS, Ltd Richmond | 804.320.8894
Richmond | 804.644.5225
United Smiles Colonial Heights | 804.504.0012
Benjamin J. Crowley, DDS & Edmund E. Mullins, Jr. DDS Richmond | 804.412.0874
VCU Dental Care Richmond | 804.826.9190
Blair E. Witt, DMD Colonial Heights | 804.526.4889
Virginia Family Dentistry, PC Full list of locations on page 48.
Bright Smiles Dental Chesterfield | 804.413.6459 Brown, Reynolds, Snow, LeNoir Richmond | 804.288.5324
Commonwealth Endodontics Richmond | 804.501.0501
Virginia Oral & Facial Surgery Brandermill | 804.608.3200 Monument | 804.359.4474 Mechanicsville | 804.559.5416 Sandston | 804.737.0992 Southside | 804.794.0794 West End | 80444.270.5028
David B. Pemberton, DDS, PC Richmond | 804.233.6811
Who Does Your Teeth Henrico | 804.447.1435
William H. Rhea, DDS Chesterfield | 804.751.0609 William L. Newberry, DDS Richmond | 804.262.5445 William T. Boland, DDS Richmond | 804.288.4103
ENDODONTICS
Dominion Endodontics Midlothian | 804.744.3636 Dr. Kemler Family Dentist Richmond | 804.266.7976
GENERAL DENTISTRY
Drs. Duff & Cox, DDS Richmond | 804.355.3100
Adam Davis, DDS Richmond | 804.893.8692
Drs. Oley, Shaia & Associates Richmond | 804.282.7011 Huguenot | 804.379.6806 Mechanicsville | 804.789.9118
Advanced Dental Care of Richmond Richmond | 804.741.4177
East Coast Endodontics Mechanicsville | 804.789.8426 Endodontic Partners Richmond | 804.285.0400 Faryl K. Hart, DDS Richmond | 804.266.2074 Fawaz Al-Foraih, DDS Richmond | 804.263.7197
Advanced Dentistry of Richmond Richmond | 804.7671002 Alan Grooper, DDS Petersburg | 804.732.7821 Alexandra Renkenberger, DDS Richmond | 804.740.3402 Allen D. Bernstein, DMD, LLC & T. James Dix, DDS Richmond | 804.270.4397
Bruce C. Cook, DDS, PC Richmond | 804.359.2136 C. Nelson Herring, DDS Richmond | 804.282.5031 Carl E. Cash, DDS Richmond | 804.675.5000 Chad M. Van Scyoc & Associates Richmond | 804.270.7425
Charles R. Counts, DDS Richmond | 804.285.8609 Charles Jewett, DDS, PC Richmond | 804.272.2955 Chesterfield Dentistry Chesterfield | 804.748.6677 Christina Byerson, DDS Richmond | 804.525.1335
Crowley Dentistry Richmond | 804.412.0874 Daily Planet: Wellness For All Richmond | 804.649.2119 Davey Crockett Dentistry Richmond | 804.282.2990 David A. White, DDS Richmond | 804.266.6050 David B. Pemberton, DDS, PC Richmond | 804.233.6811 David L. Lilly, DDS Richmond | 804.320.0773 Dentistry by Design Colonial Heights | 804.520.0699 Dentistry for Children Richmond | 804.780.2888 Dhakar Family Dentistry Richmond | 804.447.4801 Douglas B. Peoples, DDS Petersburg | 804.733.8135
Douglas S. Belt, DDS Richmond | 804.288.1291 Dowdy & Dowdy Petersburg | 804.861.2571 Dr. Bill Falls: Family & Cosmetic Dentistry Richmond | 804.285.0986 Dr. Edward Gardner Richmond | 804.272.2010 Dr. Exum & Associates Richmond | 804.212.2501 Dr. Jarvandi & Associates Richmond | 804.271.9828
Coker Dental Richmond | 804.358.1933
Dr. Juan M. Carrillo: Soothing Dental Care Richmond | 804.754.2020
Colonial Heights Dental Colonial Heights | 804.526.0807
Dr. Kemler Family Dentist Richmond | 804.266.7976
Colonial Heights Dental Care Colonial Heights | 804.520.1741
Dr. Kitt Finley-Parker & Dr. Connie Kitts Richmond | 804.266.8547 www.OurHealthRichmond.com
45
B R O U G H T TO Y O U B Y
GENERAL DENTISTRY CONTINUED... Dr. Mark Freeman & Associates Richmond | 804.270.3080 Dr. Rosesetti & Dr. Myers, DDS Richmond | 804.409.3474 Drs. Baum & Graham, DDS Richmond | 804.359.5041 Drs. Duff & Cox, DDS Richmond | 804.355.3100
Drs. Kaugars and Miller, PC Richmond | 804.285.4867 Drs. Oley, Shaia & Associates Richmond | 804.282.7011 Huguenot | 804.379.6806 Mechanicsville | 804.789.9118 Drs. Richardson, Overstreet & Glazier Richmond | 804.355.6593 Drs. Stenger, Cole & Gupta Richmond | 804.320.7147 Earl J. Rubis, DDS Richmond | 804.828.9903 Edward J. Thomason, DDS Richmond | 804.282.7096 Eli Robinson, DDS, PLC Richmond | 804.346.9049 Elizabeth A. Lee, PC Richmond | 804.288.4526 Endodontic Partners Richmond | 804.285.0400 Erika Mason, DDS Midlothian | 804.745.0666
46
Ernest T. Spaur, DDS Powhatan | 804.598.3500
Glen Allen Dentistry Henrico | 804.261.1970
Jacqueline Brown, DDS Richmond | 804.648.2020
Eugene A. Richardson, III, DDS Petersburg | 804.861.5331
Glenside Dental Richmond | 804.756.6658
Jacqueline Johnson-Curl, DDS Richmond | 804.624.4068
F. Anderson Wade, DDS Richmond | 804.358.8204
Gloria E. Ward, DDS, MS, MIS, PC Henrico | 804.270.7940
James E. Taylor, Jr, DDS Richmond | 804.282.9418
Fahad M. Alsaad, DDS Richmond | 804.319.5665
Grove Avenue Family & Cosmetic Dentistry Richmond | 804.285.1378
James F. Londrey, DDS Richmond | 804.358.2480
Family and Cosmetic Dentistry Richmond | 804.353.3009 Family Dentistry & Orthodontics Colonial Heights | 804.704.8394 Faryl K. Hart, DDS Richmond | 804.266.2074 Feisal Osman & Associates Richmond | 804.364.1696 Frank Bruni, DDS Richmond | 804.272.4711 Fred A. Knaysi, DDS Richmond | 804.313.8070 Fred Kessler, DDS Richmond | 804.828.9517 Gale F. Jones, DDS Richmond | 804.222.4003
Grove Avenue Smiles Richmond | 804.359.6009
Richmond | 804.649.0240
H. Andrew Fratkin, Inc. Richmond | 804.346.4066
James O. Glaser, DDS Chesterfield | 804.272.5430
Hackett Dental Center Richmond | 804.288.9111
James River Dentistry Richmond | 804.323.4200
Hamilton Dental Richmond | 804.282.4476
Jared S. Martin, DDS Richmond | 804.319.5665
Harini B. Reddy, DMD, LLC Richmond | 804.501.0816
Jason T. Lipscomb, DDS Richmond | 804.648.6684
Harry E. Savage, Jr, DDS Richmond | 804.643.7889
Jay B. Spitzer, DDS Richmond | 804.747.0105
Hudson & Hudson Richmond | 804.740.8320
Garfield Family Dentistry Richmond | 804.282.4646
Hunter Holmes McGuire VA Medical Center Richmond | 804.675.5000
Gary H. Morgan, DDS Richmond | 804.266.8769
Israel R. Mendoza, DDS Richmond | 804.501.8483
George A. Smith, DDS Richmond | 804.674.3081
Ivoir Smiles of Midlothian Midlothian | 804.897.8550
George J. Lake, DDS Petersburg | 804.733.4641
J. Wayne Browder, DDS Colonial Heights | 804.526.4822
George R. Andreadis, DMD Chesterfield | 804.745.4550
Jack W. Chevalier, DDS Richmond | 804.359.4121
OurHealth | The Resource for Healthy Living in Greater Richmond
James McCain, DDS
Jennifer T. Rose, DDS Henrico | 804.285.8290 Jermel D. Ford, DDS Richmond | 678.904.5665 Jerome A. Cohen, DDS Richmond | 804.285.7252 John B. Denson, Jr, DDS Colonial Heights | 804.526.8638
John Reynolds, DDS & L. Scott Sill, DDS Richmond | 804.282.8712 John S. Kttrell, DDS Richmond | 804.359.6471
ORAL HEALTH RESOURCE GUIDE
Johnny Reid, DMD Richmond | 804.270.6830
Matthew R. Brokaw, DDS Richmond | 804.270.6200
Peter Matkowsky, DDS Powhatan | 804.897.3339
Joseph C. Cox, Jr, DDS Richmond | 804.346.8882
Maury A. Hubbard, Jr, DDS Richmond | 804.288.5565
Joseph H. Morgan, DDS, Ltd Richmond | 804.266.8769
McComb & Stewart Dentistry Richmond | 804.672.1400
Petersburg Complete Dental Care Petersburg | 804.861.5237
Joseph N. Tregaskes, DMD, MS, Inc. Richmond | 804.308.5765
Melanie L. Boone, DDS, PC Richmond | 804.264.0224
Joseph R. Bosley, DMD Richmond | 804.320.7590
Michael A. Stansfield, DDS Colonial Heights | 804.526.2200
Petersburg Smile Center, PC Petersburg | 804.732.8800 Pfabulous Gentle Dentistry Chesterfield | 804.639.9622 Progressive Dental Richmond | 804.261.4020
Joshua B. Rubinstein, DDS Richmond | 804.741.7440
Michael O. McMunn DDS and Associates, PC Richmond | 804.740.7212
Julie F. Palmore, DDS Richmond | 804.359.6442
Midtown Richmond Dentistry Richmond | 804.729.8341
Railey Hill Dental Richmond | 804.378.0082
Julius V. Morrison, DDS Richmond | 804.648.1305
Mohanty Comprehensive Dentist Richmond | 804.527.1008
Ralph J. Rutledge, Jr, DDS Colonial Heights | 804.526.0807
Kathryn S. Finley-Parker, DDS Richmond | 804.266.8547
Monument Avenue Dentist Richmond | 804.358.0002
Richard F. Roadcap, DDS Colonial Heights | 804.520.4770
Kenneth E. Stoner, DDS and Associates, PC Richmond | 804.282.4279
Monument Family Dentistry Richmond | 804.359.3449.
Richard J. Lieb, DMD Richmond | 804.741.2800
Morrison Dental Group Richmond | 804.261.4020
Richard W. Bates, DDS Colonial Heights | 804.479.8898
Mueller Dentistry Richmond | 804.360.1800
Richmond Center for Advanced Dentistry Richmond | 804.935.5631
Khisti Dental Center Glen Allen | 804.747.7400
Kim P. Nguyen, DDS Richmond | 804.740.8360 Kirk R. Hazelgrove, DDS, PC Richmond | 804.747.4001 Kontopanos Dental Richmond | 804.275.7477 Kool Smiles Richmond | 844.478.8497
Muncy Dental Care Richmond | 804.290.0490 Murad Kerneklian, DDS Richmond | 804.359.2136 Murr R. Oettinger, Jr, DDS Goochland | 804.556.2540
Raidah Hudson, DDS Richmond | 804.222.3135
Richmond Dental Richmond | 804.222.8140 Richmond Family Dentistry Richmond | 804.381.6238 Richmond Orthodontics Richmond | 804.740.7281
Lakeside Family Dentistry Richmond | 804.262.9824
Murry & Kuhn Dentistry Powhatan | 804.598.2600 Chesterfield | 804.796.9500 Richmond | 804.285.9548
Latrice R. Foster, DDS Richmond | 804.828.9095
Mustian Dentistry Richmond | 804.285.9548
River City Dentistry Glen Allen | 804.270.7737 Sandston | 804.737.7402
Leslie S. Webb, DDS Richmond | 804.282.9781
Naveen Chennupati, DDS Richmond | 804.319.5665
River Run Dental Richmond | 804.419.6779
Lifetime Dentistry at Short Pump Richmond | 804.360.8890
Norman, Obeck & Foy Dentistry Richmond | 804.288.0102
Robert A. Bischoff, DDS Richmond | 804.741.2000
Lori S. Wilson, DDS Petersburg | 804.733.6740
Patterson Village Dentistry Richmond | 804.282.3197
Ronald E. Cade, DMD Richmond | 804.233.2881
Lucious H. Clemons, DDS Richmond | 804.270.5033
Paul L. Saunders, DDS Henrico | 804.364.0909
RVA Dental Care Richmond | 804.282.3838
Margaret E. Hyer, DDS Powhatan | 804.598.8951
Paul Neumann, DDS Richmond | 804.358.4089
Sam E. English DDS Dentistry Colonial Heights | 804.520.1177
Mark P. Gerald, DDS Manassas | 703.368.0580
Paul Y. Da Cunha, DMD Richmond | 804.262.9563
Sandra J. Smith Family Dentistry Richmond | 804.743.9235
Richmond Surgical Arts Richmond | 804.560.5260
Sarah M. Dowdy, DDS, PC Richmond | 804.285.8609 Sarmad Bakuri, DMD Richmond | 804.828.8022 Scott B. Culpepper, DDS Richmond | 804.360.8890 Sheilandice Brown, DDS Petersburg | 804.733.5591 Signature Smiles Richmond | 804.320.6997 Short Pump Dental Henrico | 804.747.0116 Solomon M. Lee, DDS Colonial Heights | 804.520.5009 Southside Dental Associates Petersburg | 804.732.5776 Southside Family & Cosmetic Dentistry Richmond | 804.520.5009 Stacy L. Zackowski, DDS Richmond | 804.264.9460 Steadman Family Dentistry Richmond | 804.272.3200 Stephen E. Spainhour, DDS Richmond | 804.747.7001 Stephen J. Todd, DDS Richmond | 804.228.1267 Stephen S. Young, DDS, PC Richmond | 804.741.2812 Steven B. Schmitt, DDS Richmond | 804.282.3613 Steven E. Evans, DDS Richmond | 804.282.6665 Stuart D. Martin Jr, DDS Richmond | 804.440.0504 Supraja Bilakanti, DMD Colonial Heights | 800.904.5665 T. O. Layman, DDS Richmond | 804.353.6671 Tabbitha Grantham, DDS Richmond | 804.230.4078 Tareq Al-Ali, DDS Richmond | 804.561.1561
www.OurHealthRichmond.com
47
Virginia Family Dentistry, PC Huguenot – Bon Air 1612 Huguenot Road Midlothian Dental: 804.794.9789 Orthodontics: 804.419.1041
GENERAL DENTISTRY CONTINUED... Teeth by Talton Richmond | 804.740.9402 Thomas Conner and Associates Chesterfield | 804.768.7600 Thomas G. Schleicher, DDS, PLC Colonial Heights | 804.526.0231 Thomas H. Trow, DDS Richmond | 804.272.2205 Thomas King, Jr, DDS Richmond | 804.285.2333 Thomas Wright, Jr, DDS, Ltd Richmond | 804.320.8894 Timothy Breeden, DDS Chesterfield | 804.748.6433 Tuckahoe Family Dentistry Richmond | 804.740.0834 United Smiles Colonial Heights | 804.504.0012 VCU Dental Care Richmond | 804.826.9190 Virginia Center for Advanced Dentistry Richmond | 804.639.8338
Midlothian – 288 14001 Charter Park Drive Midlothian Dental: 804.379.1011 Orthdontics: 804.417.0245
Virginia Oral & Facial Surgery Richmond | 804.559.5416
Earl L. Shufford, DDS Colonial Heights | 804.520.4092
Vista Dental Richmond | 804.672.7070
Brandermill – Woodlake 6510 Harbour View Court Midlothian Dental: 804.739.6500 Orthodontics: 804.739.6494
West End Pediatric Dentistry Richmond | 804.741.1400
Hunter Holmes McGuire VA Medical Center Richmond | 804.675.5000
Powhatan 2625 Anderson Highway Powhatan Dental: 804.598.3000 Orthodontics: 804.403.6036 Atlee – Ashland 10500 Atlee Station Road Ashland | 804.550.3324 West End – Staples Mill 10212 Staples Mill Road Glen Allen | 804.672.4900 West End – Short Pump 12390 Three Chopt Road Richmond | 804.364.7010 Mechanicsville – Hanover 6353 Mechanicsville Turnpike Mechanicsville Dental: 804.730.3400 Orthodontics: 804.730.3457 Ironbridge – Courthouse 6441 Ironbridge Road Richmond Dental: 804.743.8166 Orthodontics: 804.743.8189 Chester – Rt.1/Rt.10 2601 Swiftrun Road Chester | 804.751.0300 Tri-Cities 4710 Puddledock Road Prince George | 804.526.4822 Patterson/Parham 8516 Patterson Avenue Richmond | 804.364.7090
MAKE SURE TO VISIT THE
WEBSITE FOR EVEN MORE HEALTH RESOURCES!
Services Provided: • General Dentistry • Cosmetic Dentistry • Implant Dentistry • Sedation Dentistry • Orthodontics • Pediatric Dentistry • Periodontics • Endodontics www.vadentist.com
ourhealthrichmond.com SEE AD ON PAGE 43
48
West Richmond Family Dentistry Richmond | 804.282.9600
Westhampton Dentistry 118 Libbie Avenue Richmond | 804.288.0948 westhamptondentistry.com
Jonathan E. Carlton & Associates Richmond | 804.740.5015 Richmond Oral & Cosmetic Surgeons Midlothian 804.379.7120 or 804.739.5490
Southside Oral & Facial Surgery Petersburg | 804.732.6532 Truitt Oral Surgery Mechanicsville | 804.789.0230
SEE AD ON PAGE 50
Whitney E. Maier, DDS Richmond | 804.266.5040 White & White Midlothian | 804.302.5602
United Smiles Colonial Heights | 804.504.0012 VCU Dental Care Richmond | 804.826.9190
William C. Woods, DDS Richmond | 804.358.9743
Virginia Oral & Facial Surgery Brandermill | 804.608.3200 Monument | 804.359.4474 Mechanicsville | 804.559.5416 Sandston | 804.737.0992 Southside | 804.794.0794 West End | 80444.270.5028
William D. Covington, DDS Richmond | 804.266.3026
Walter K. Murphy, DDS Mechanicsville | 804.746.1864
Who Does Your Teeth Henrico | 804.447.1435
William H. Rhea, DDS Chesterfield | 804.751.0609 William L. Newberry, DDS Richmond | 804.262.5445 William T. Boland, DDS Richmond | 804.288.4103
ORAL & MAXILLOFACIAL SURGERY Abdulrahman Al-Ehmeli, DDS Richmond | 804.628.6637 Commonwealth Oral & Facial Surgery Henrico | 804.354.1600 Daily Planet: Wellness For All Richmond | 804.783.0678 Dr. Stephen C. Brown Chesterfield | 804.768.9000
ORTHODONTICS All-Star Orthodontics Richmond | 804.419.6788 Aloha Orthodontics Mechanicsville | 804.746.7720 Anderson Orthodontics, Ltd. Richmond | 804.285.9800
Bates Orthodontics Richmond | 804.934.9292 Dabney Orthodontics Brandermill | 804.744.1468 Midlothian | 804.794.8943
Dominion Orthodontics Richmond | 804.427.7420 Dr. Germane Orthodontics Mechanicsville | 804.730.2622 Dr. Kemler Family Dentist Richmond | 804.266.7976
B R O U G H T TO Y O U B Y
Dr. Richard Byrd & Associates Richmond | 804.330.0508 Midlothian | 804.379.3718 Drs. Oley, Shaia & Associates Richmond | 804.282.7011 Huguenot | 804.379.6806 Mechanicsville | 804.789.9118
Richmond Surgical Arts Richmond | 804.560.5260 Short Pump Orthodontics Richmond | 804.308.0158 Southside Orthodontics Colonial Heights | 804.526.1241
East End Orthodontics Sandston | 804.737.8777
Steadman Family Dentistry Richmond | 804.272.3200
Eric R. Shell, DDS Colonial Heights | 804.526.1241
Stephen S. Young, DDS, PC Richmond | 804.741.2812
Erin A. Smith, DDS Richmond | 804.330.0508
Thomas Orthodontics Richmond | 804.740.2642
Gardner Orthodontics Richmond | 804.282.0505
United Smiles Colonial Heights | 804.526.2702
Holbert Family Orthodontics Richmond | 804.270.7824
VCU Dental Care Richmond | 804.826.9190
Horsey Orthodontics Richmond | 804.672.3030
Virginia Family Dentistry, PC Full list of locations on page 48.
Jack Dunlevy Orthodontics Midlothian | 804.378.7881
WB Orthodontics Chester | 804.454.1888
James River Orthodontics Henrico | 804.672.8607
West End Orthodontics Glen Allen | 804.364.8366
Jason T. Lipscomb, DDS Richmond | 804.648.6684
White Orthodontics Richmond & Glen Allen 804.715.1730
Ji Orthodontics Colonial Heights | 804.520.6050 John W. King, DDS Orthodontics Midlothian | 804.739.3399 Julian C. Gills, DDS Richmond | 804.272.4807
Kelleher Orthodontics
Dentistry for Children Richmond | 804.780.2888 Dr. Richard Byrd & Associates Richmond | 804.330.0508 Drs. Duff & Cox, DDS Richmond | 804.355.3100 Drs. Wood, Lombardozzi & Eddleton Midlothian | 804.415.8473 Faryl K. Hart, DDS Richmond | 804.266.2074 Hamilton Dental Richmond | 804.282.4476 Just 4 Kids Pediatric Dentistry and Sedation Richmond | 804.562.2667 Chester | 804.318.1623 Monument Avenue Dentist Richmond | 804.358.0002 Morrison Dental Group Richmond | 804.261.4020
PEDIATRIC DENTISTRY Adventure Dental Richmond | 804.266.5040
Pediatric Dentistry and Orthodontics of Virginia Colonial Heights | 804.526.9815 Midlothian | 804.739.0963
Kool Smiles Colonial Heights | 844.320.9564 Monacell Orthodontics Mechanicsville | 804.746.0918 Sandston | 804.737.6757
Bon Secours Pediatric Dental Associates Richmond | 804.893.8715
Monument Avenue Dentist Richmond | 804.358.0002
Chesterfield Dentistry Chesterfield | 804.748.6677
Murry & Kuhn Dentistry Chesterfield | 804.796.9500
Children’s Dentistry of Richmond Richmond | 804.321.6800
Pediatric Dentistry and Orthodontics Colonial Heights | 804.526.9815 Midlothian | 804.739.0963
Children’s Dentistry of Virginia, PC Midlothian & Chester 804.639.6445
Richmond Orthodontics Richmond | 804.740.7281 Midlothian | 804.794.9557 Glen Allen | 804.747.9105
David B. Pemberton, DDS, PC Richmond | 804.233.6811
Murry & Kuhn Dentistry Chesterfield | 804.796.9500
Atkins, Maestrello, Miller & Associates Pediatric Dentistry, PC Richmond | 804.741.2226
Midlothian | 804.464.8716
Commonwealth Pediatric Dental Specialists Sandston | 804.322.3669
Pamela K. Donohue, DDS Richmond | 804.321.6800
Richmond Dentistry for Children Richmond | 804.780.2888
Sparkle Pediatric Dentistry 11934 West Broad Street Suite 120 Richmond | 804.746.7382 8203 Center Path Lane Mechanicsville | 804.746.7382 sparklepediatricdentistry.com
United Smiles Colonial Heights | 804.504.0012 VCU Dental Care Richmond | 804.826.9190
Virginia Dental & Anesthesia Associates Glen Allen | 804.273.6818 Virginia Family Dentistry, PC Full list of locations on page 48. West End Pediatric Dentistry Richmond | 804.741.1400
PERIODONTICS Abraham Shait, DDS Richmond | 804.270.7070 Barry Griffin, DDS Richmond | 804.288.7211 Dr. Kemler Family Dentist Richmond | 804.266.7976 Drs Kaugars & Miller, PC Richmond | 804.285.4867 Edward Howe, DDS Richmond | 804.282.7011 George E. Tolson, IV, DDS Richmond | 804.675.3210 John C. Doswell, DDS Richmond | 804.285.8839 Justin Hardison, DMD Richmond | 804.828.4867
Kevin C. Sweeney, DDS: Periodontics and Implantology, Ltd Richmond | 804.270.3131 Michael O. McMunn, DDS and Associates, PC Richmond | 804.740.7212 Monument Avenue Dentist Richmond | 804.358.0002 Richardson, Overstreet & Glazier Richmond | 804.355.6593 Midlothian | 804.794.7094 Steadman Family Dentistry Richmond | 804.272.3200
Children’s Hospital of Richmond at VCU Richmond | 804.828.2467
Toothbeary Pediatric Dentistry Glen Allen | 804.709.1863
SEE AD ON PAGE 46
VCU Dental Care Richmond | 804.826.9190
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PERIODONTICS CONTINUED... Virginia Family Dentistry, PC Full list of locations on page 48.
MAKE SURE YOU VISIT THE
Virginia Perio: Periodontics and Dental Implants Petersburg | 804.733.9490
PROSTHODONTICS WEBSITE TO LEARN MORE ABOUT HOW YOU CAN BETTER PROTECT YOUR FAMILY'S ORAL HEALTH!
SCAN HERE
OR VISIT THEIR WEBSITE, www.deltadentalva.com
Advanced Dentistry of Richmond Richmond | 804.767.1002
MAKE SURE TO VISIT THE
Commonwealth Prosthodontics Richmond | 804.346.3366
Grove Avenue Family & Cosmetic Dentistry Richmond | 804.285.1378 Hunter Holmes McGuire VA Medical Center Richmond | 804.675.5000
WEBSITE FOR EVEN MORE HEALTH RESOURCES!
Jason T. Lipscomb, DDS Richmond | 804.648.6684 Jeffer L. Hudgins, DDS Richmond | 804.285.7726 JNT Dental Richmond | 804.308.5765 Jonathan M. Wohlford, DDS Richmond | 804.262.6587 Michael O. McMunn, DDS and Associates, PC Richmond | 804.740.7212
SCAN HERE OR VISIT US AT ourhealthrichmond.com
Monument Avenue Dentist Richmond | 804.358.0002
Richmond Center for Advanced Dentistry Richmond | 804.935.5631 Steadman Family Dentistry Richmond | 804.272.3200 United Smiles Colonial Heights | 804.504.0012 VCU Dental Care Richmond | 804.826.9190 Virginia Center for Prosthodontics Richmond | 804.741.8689
ON THE WEB
More at ourhealthrichmond.com
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