OurHealth Richmond May/Jun 2017 Edition

may • june 2017 ourhealthrichmond.com

BREATHE FREE!

6 Healthy Plants for Your Home

5

BORN TO

MOVE

Tips to Follow for Your Arthritic Pet

2017

Greater Richmond

DERMATOLOGY & COSMETIC SURGERY Resource Guide

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TABLE OF CONTENTS MAY • JUNE 2017

8

27

Q&A ON HEALTH Healthcare questions answered by local professionals

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14

THE PULSE Keeping the pulse on local healthcare news, new physicians, providers, locations and upcoming events in the Greater Richmond communities.

AUTO HEALTH

| 7 Simple Steps to Summer

Travel Success

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BETTER BOTANY |

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PET HEALTH

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THE OURHEALTH BOOKSHELF

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Showcasing some of the most authoritative books on how to get and stay healthy

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HEALTHCARE IN A FEW OF THEIR WORDS

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HELLO, HEALTH

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TAKING THAT FIRST STEP TOWARDS A NEW LIFE

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EIGHT GREAT SUPER VEGGIES

GET SUN SMART The pool, the beach, the backyard—these are all great places to be on a sunny day. But too much sun can cause premature wrinkling, sun spots, sunburn—and in the worst cases, skin cancer.

In honor of national healthcare recognition month, OurHealth challenges local healthcare providers to describe what their profession means to them and how important it is to their community.

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

OurHealth explores how a new robotic device allows wheelchair-bound patients to stand up and walk.

Tricia Foley RD, MS, OurHealth's resident nutritionist, shares nutrient-rich vegetables perfect for spring time.

THE ANATOMY CHALLENGE Test your knowledge when it comes to YOUR SKIN.

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OurHealth explores how the right music can push us to go that extra mile.

Breathe Free

| 5 Tips to Follow for Arthritic Pets

FITBITS | Moving to the Beat

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THE 2017 GREATER RICHMOND DERMATOLOGY & COSMETIC SURGERY RESOURCE GUIDE Your resource guide for dermatology and cosmetic surgery in the Greater Richmond area.

www.OurHealthRichmond.com

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may • june 2017

OURHEALTH’S EXCLUSIVE MEDIA PARTNER

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CONTRIBUTING RICHMOND MEDICAL EXPERTS

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Fields Hungate Laura Bower Karrie Pridemore Tori Meador Heidi J. H. McClintic Shawn Sprouse – www.sdsimages.com hepherson – www.hepherson.com Alison Breland, PhD Kelly Hagan, MD, FACP Karim Richard Masri, MD Christopher Stewart, DPM

CONTRIBUTING PROFESSIONAL Tracy Cornatzer

EXPERTS & WRITERS Rich Ellis Tricia Foley, RD, MS Tina Joyce Elizabeth S. McNeal Rick Piester Christy Rippel Christine Stoddard

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

Copyright © 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

Posterior tibial tendon dysfunction, otherwise known as adult acquired flatfoot, is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed or torn. As a result, the tendon may not be able to provide stability and support for the arch of the foot, resulting in flatfoot.

What is a Health Savings Account (HSA), and how do I know if it’s right for me?

A Health Savings Account (HSA) is an account used to pay for qualified medical expenses tax-free. An HSA must be paired with a qualified high deductible health plan. You can use funds from your HSA to pay for expenses covered under your insurance plan. You can also use your HSA to pay for qualified medical expenses that are not covered by your insurance, such as dental or vision expenses. Unlike a flexible spending account, HSA funds roll over each year, allowing you to save for unforeseen medical expenses tax-free.

There are annual limits as to how much you may contribute to your HSA. For 2017, the self-only limit is $3,400, while the family limit is $6,750. When you reach the age of 55, the IRS allows you to add an extra $1,000 to these caps.

When considering an HSA, you need to look at your overall health status and your healthcare spending patterns. Talk with a qualified health insurance agent; they will help you to determine if this is the right fit for you.

Tracy Cornatzer

Sales Manager, Health Insurance Consultants Virginia Farm Bureau Richmond | 804.290.1115 www.vafb.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Why does having a hysterectomy increase women’s chances for developing thyroid cancer?

That is a good question that has not been answered yet, as best as I can tell. There have been two large epidemiological studies showing that the risk of developing thyroid cancer is higher in women undergoing a hysterectomy.

The initial report was a Finnish study published in 2003, which showed that the risk of thyroid cancer increased in the first two years following a hysterectomy.

In 2016, a Swedish study headed by Juhua Luo, PhD, Associate Professor of Epidemiology and Biostatistics at Indiana University in Bloomington confirmed that there is an increased risk of thyroid cancer following a hysterectomy regardless of whether or not the ovaries are removed.

It is not clear whether the increased risk is actually due to the removal of the uterus or if the conditions that lead to the removal of the uterus might also predispose a woman to developing thyroid cancer.

Kelly Hagan, MD, FACP

Virginia Cancer Institute Mechanicsville | 804.559.2489 www.vacancer.com

What is posterior tibialis dysfunction?

The posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot. The main function of the tendon is to hold up the arch and support the foot when walking.

Posterior tibial tendon dysfunction, otherwise known as adult acquired flatfoot, is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed or torn.

As a result, the tendon may not be able to provide stability and support for the arch of the foot, resulting in flatfoot.

Posterior tibial tendon dysfunction is most common in women and in people older than 40 years of age, and diagnosis is generally made with weight-bearing X-rays, ultrasound, or MRI. Most patients can be treated without surgery, using orthotics and braces. If orthotics and braces do not provide relief, surgery can be an effective way to help with the pain. Surgery might be as simple as removing the inflamed tissue or repairing the torn tendon. However, in more advanced cases, bone surgery is required to stabilize the foot.

Christopher Stewart, DPM Central Virginia Foot & Ankle Laser Center Charlottesville | 434.979.0456 www.cvillefootankle.com

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

How does diet affect arthritis?

Food impacts the gastrointestinal tract in the same way that viruses affect the immune system. As such, we should be cautious of what we eat and avoid the “bad stuff.”

Although there is no evidence that an “anti-inflammatory diet” improves autoimmune inflammatory diseases like rheumatoid arthritis (RA) or degenerative osteoarthritis, I do believe that watching what you eat can have a positive influence on arthritis.

Although there is no evidence that an “antiinflammatory diet” improves autoimmune inflammatory diseases like rheumatoid arthritis (RA) or degenerative osteoarthritis, I do believe that watching what you eat can have a positive influence on arthritis.

The Mediterranean diet is likely the healthiest diet for anyone.

It includes vegetables, legumes, grains, fruits, beans, fish, nonanimal fats such as olive oil, and spices and herbs rather than salt.

Frozen vegetables and fruits are healthier than canned ones, due to the additives and preservatives in canned foods. Processed foods as well as animal and polyunsaturated fats should be avoided. Fish, which is high in omega-3 fatty acids, has been shown to have antiinflammatory properties and cause clinical improvement in RA.

A lot is unknown about e-cigarettes, otherwise known as “vapes,” and there are many varieties, which makes drawing conclusions about the entire product class difficult.

In the short term, e-cigarettes may expose users to fewer of the toxicants found in cigarettes, such as some carcinogens and carbon monoxide. However, there are concerns about other carcinogens that are produced when the liquid in e-cigarettes is heated to high temperatures. Little is known about the effects of long-term e-cigarette use, and most smokers who use e-cigarettes continue to smoke at the same time, which may reduce the potential health benefits. Also, research shows that adolescent e-cigarette users may progress to becoming cigarette smokers. Finally, e-cigarettes contain nicotine, which can harm a fetus and the developing adolescent brain.

Here’s some food for thought: If there is a particular food that makes your joints hurt, talk to your doctor and consider avoiding future consumption.

The bottom line is that the shortterm use of e-cigarettes in nonpregnant adults may be associated with less harm than the use of cigarettes, but the effects of longterm use are unknown. Long-term use should be avoided, and pregnant women and adolescents especially should not use these products.

Karim Richard Masri, MD

Alison Breland, PhD

Bon Secours Medical Group Arthritis and Osteoporosis Center of Richmond Richmond | 804.217.9601 www.bonsecours.com

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Are “e-cigarettes” a healthy alternative to regular cigarettes?

OurHealth | The Resource for Healthy Living in Greater Richmond

VCU Department of Psychology Richmond | 804.828.1193 www.psychology.vcu.edu

I’m feeling a little discouraged after a friend told me about a waiting list at a retirement community I was considering. Should I just look somewhere else?

Don’t be discouraged. The best retirement communities have waiting lists. Consider putting your name on the waiting list for your top two or three communities, many people do.

Each community’s waiting list policy and practice may vary; talk to the marketing staff — they will always be eager to help you get a realistic understanding of how long an actual wait may be.

At Bridgewater Retirement Community, regular communication, updates and special events for our wait list members enable us to focus on a smaller group of ‘ready’ members when there is a vacancy.

Additionally, our new 34-apartment expansion, The Grove, means that some members can move in sooner.

Elizabeth S. McNeal

Director of Sales and Marketing Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brc-online.org

KEEPING THE PULSE ON HEALTH VIRGINIA FAMILY DENTISTRY WEST END MOVES TO NEW LOCATION >> Virginia Family Dentistry, a multi-specialty dental practice has relocated its West End-Short Pump location on 12390 Three Chopt Road to a new building located at 12040 W. Broad Street.

The new location houses General Dentistry, Periodontics, and Endodontics. Orthodontics and Pediatric Dentistry remains in the existing location, which will be renovated into a specialty center.

BON SECOURS ANNOUNCES RICHMOND OB-GYN EXPANSION TO HENRICO COUNTY >> Richmond OB-GYN, an

General dentists Christine O. Ressler, DDS, J. Neil Turnage, DDS, and Michael V. Catoggio, DDS are joined by periodontist Stephanie C. Voth, DDS, MS and endodontist David Wozniak, DDS, MS. Having general dentists and dental specialists work together within the same location is a model unique to Virginia Family Dentistry.

An education room is located in the building as well, providing continuing education classes within the practice and dental seminars to the community.

Renovation on the current West End location will begin in June 2017. The existing space will become an Orthodontic and Pediatric Specialty Center. The office will remain open to patients during the renovation.

For more information or to schedule an appointment call 804.364.7010 or visit |www.vadentist.com.

obstetrics and gynecology provider of Bon Secours Richmond Health System, has opened a new office in the Bon Secours Heart and Vascular Institute building in Henrico County.

Bon Secours is pleased to announce that Alice Hirata, MD, joined the Bon Secours Medical Group and is now part of the physician team at Richmond OB-GYN, where she will help to establish a midwifery practice at St. Mary’s Hospital. She will focus on lowrisk pregnancy, low-intervention birth and midwifery care. Dr. Hirata was previously with Virginia Women’s Center for 25 years.

Sarah Peterson, MD, also joins the physician team at the new Henrico County office.

She enjoys caring for women of all ages, with a particular interest in pediatric and adolescent gynecology. Dr. Peterson is an advocate for low-intervention childbirth and is supportive of patients wishing to have a vaginal birth after having a cesarean section.

Cletus Aralu, MD

Roger W. Cappello, MD Alice Coombs, MD Bon Secours Lee Davis Medical Associates Richmond | 804.746.3505 www.bonsecours.com

Anesthesiology VCU Health Richmond | 804.828.9000 www.vcuhealth.org

Deanna Couser, MD

John Drago, DO

Beata Evans, MD

Alice Hirata, MD

Samuel M. Janney II, MD

Bon Secours Neurology Clinic at Richmond Community Midlothian | 804.225.1760 www.bonsecours.com

Anesthesiology Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR www.chrichmond.org

Richmond OB-GYN will continue to operate its location at St. Francis Medical Center.

To learn more and to schedule an appointment, visit www.richmondobgyn.com/new-location.

Anesthesiology VCU Health Richmond | 804.828.9000 www.vcuhealth.org

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OurHealth | The Resource for Healthy Living in Greater Richmond

Anesthesiology Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR www.chrichmond.org

Bon Secours Richmond OB/GYN 804.320.2483 www.bonsecours.com

Bon Secours Lee Davis Medical Associates Mechanicsville 804.746.3505 www.bonsecours.com

Jacynthe NadeauDeckert, NP

Richard L. Overmeyer, MD

Mareen Thomas, MD

Gary Tye, MD

Bon Secours Lee Davis Medical Associates Mechanicsville 804.746.3505 www.bonsecours.com

Endocrinology and Metabolism Children’s Hospital of Richmond at VCU West End | 804.828.CHOR www.chrichmond.org

Bon Secours Lee Davis Medical Associates Mechanicsville 804.746.3505 www.bonsecours.com

Charles F. Payne, MD Bon Secours Lee Davis Medical Associates Mechanicsville 804.746.3505 www.bonsecours.com

Rehan Qayyum, MD

General Internal Medicine, Chief, Section of Hospital Medicine VCU Health Richmond | 804.828.9000 www.vcuhealth.org

Kenneth H. Roberts, MD Mishka Terplan, MD, Bon Secours Lee Davis MPH, FACOG, FASAM Medical Associates Mechanicsville 804.746.3505 www.bonsecours.com

OB/GYN Primary Care VCU Health Richmond | 804.828.4409 www.vcuhealth.org

Neurosurgery Children’s Hospital of Richmond at VCU Richmond | 804.828.CHOR www.chrichmond.org

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AUTOMOBILE H E A LT H T I P S words | RICH ELLIS

SEVEN SUMMER SIMPLE STEPS TO

TRAVEL SUCCESS

BE PREPARED AND CHECK YOUR VEHICLE BEFORE YOU TRAVEL! While today’s vehicles are safer and more reliable than ever, that doesn’t mean that an accident or breakdown can’t happen. Being prepared and checking your vehicle before you travel can help you get back on the road faster when misfortune does strike.

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Nothing ruins a summer vacation road trip or gets you even hotter during already sweltering temperatures like a vehicle breakdown that leaves you stranded on the side of the road. That’s why it’s important to ensure that both you and your vehicle are prepared for the unexpected before you head out this summer. Follow these seven steps to perform a vehicle safety check that will help stop a minor breakdown from becoming a major headache.

1

FIRST-AID KIT

2

EMERGENCY ROADSIDE/ACCIDENT KIT

3 4 5

Confirm that there’s one in the vehicle and that it’s stocked with the basic emergency supplies.

Useful in the event of an accident or breakdown, a good kit should include jumper cables, flares, reflective roadside triangles/markers, hand tools, tape, a tire inflator and a flashlight.

SPARE TIRE

Know where your tire is, how to access and remove it, and how to check its air pressure. Also, know the location of the jack and how to use it. (Instructions can often be found in the vehicle owner’s manual.)

FOOD AND WATER

Always keep water and snacks available, particularly if you’re traveling with children.

EXTERNAL CELL PHONE CHARGER AND CORD

If your vehicle experiences a battery failure or other electrical problem, you might not be able to charge your cell phone. Carry a small, external battery pack and charging cord with interchangeable adapters to fit various phone types.

6

EMERGENCY CONTACTS

7

TEST THE VEHICLE’S SECURITY SERVICES

Research and save important phone numbers in your cell phone before traveling, including those for AAA and the roadside assistance offered by many vehicle manufacturers.

If your vehicle is equipped with OnStar or a similar service, test it before traveling. These services can provide directions or let you call for help in the event of an emergency. Some services even offer the option of activating and paying for them for short periods, such as during a two-week vacation.

OurHealth | The Resource for Healthy Living in Greater Richmond

Breathe Free

6 Indoor Plants that Produce the Most Oxygen in Your Home

H E A LT H Y GARDEN TIPS words | TINA JOYCE

As we seek ways to purify our homes, examining the air we breathe becomes a critical factor in improving our everyday health and wellness.

Indoor air pollution, caused from synthetic building materials, mold, cleaning products, upholstery, and artificial scents can emit a variety of toxins in the air we breathe daily. Researchers are finding ways to reduce pollutants and improve air quality; some solutions are as simple as the everyday houseplant.

(Sansevieria trifasciata)

(Chlorophytum comosum)

SPIDER PLANT

BAMBOO PALM

Snake plants are low maintenance and offer appealing vertical growth from one to six feet.

Also, they tend to convert carbon dioxide into oxygen at night, making them ideal bedroom greenery. The snake plant was recommended by a NASA study as one of the top oxygen producing plants and requires little water.

Spider plants are ideal for the novice plant owner because the plants are easy to take care of and remove small amounts of formaldehyde and xylene from our homes.

They prefer bright, indirect sunlight and weekly watering.

Bamboo palm thrive in indoor spaces. This plant may grow to more than 10 feet and is pet friendly. It best filters trichloroethylene and benzene, but doesn’t thrive if over watered.

ALOE VERA

WEEPING FIG

PEACE LILY

The aloe plant has been known for years for its burn-healing gel within the leaves due to its combination of anti-bacterial and antiinflammatory properties. Also, aloe is known to help rid our homes from benzene (found in some chemical cleaners and paint).

Weeping figs reduce pollutants like benzene and formaldehyde. It loves indirect sunlight and requires infrequent watering, making it an easy keeper. Also, in warmer months, this plant can easily be moved outside for decorative purposes.

Often a beautiful gift, the peace lily offers much more than condolences. By reducing levels of mold spores, the lily is likely to help keep mildew to a minimum. The lily makes it known when it needs watered, but be careful not to over water. Peace lilies thrive in bright, indirect light. Be cautious of allergies, blooms may contribute to pollen or scents in your home.

SNAKE PLANT

(Aloe barbadensis)

(Fiscus benjamina)

One large, or two smaller plants every 100 square feet can significantly improve air quality in our workplaces and homes.

(Chamaedorea seifritzii)

(Spathiphyllum)

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H E A LT H Y P E T T I P S words | TINA JOYCE

TIPS

TO FOLLOW FOR

Arthritic Pets

The cold nose, the loving eyes, and the faithful return all describe man’s best friend. It’s no wonder we seek to offer our canine friends the best care. Many pets, especially large-breed dogs, are prone to developing arthritis. The larger the breed, the more debilitating arthritis can be.

The climate in Richmond can make getting outdoors in the summer months particularly challenging, due to heat and humidity. The most obvious sign of arthritis (in both dogs and cats) is limping. Your pet may also begin to move more slowly up steps or down hills. Usually, pets rise tenderly from laying down. *Below are a few ways to help recognize your dog(s) arthritis and creatively help him or her move more comfortably.

1 2 THE MOST OBVIOUS SIGN OF ARTHRITIS IN PETS IS LIMPING! *For the most accurate diagnosis of symptoms and solutions, contact your regular veterinarian who is familiar with your pet’s habits and tendencies.

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3 4 5

PREVENTION

The best way to keep your pets from suffering from arthritis is to keep them at a healthy weight in the first place.

REDUCE THE POUNDS IF OVERWEIGHT

Helping your pet lose weight reduces stress on his entire body. This may include utilizing a special type of food, removing “free will” food options, skipping excess treats, and/or increasing exercise.

GO EASY

As with humans, exercise must be entered into gradually. Choose low-impact activity, with a 5-10 minute warm-up. Swimming is ideal for dogs, as are leisure walks. Avoid rough play or excessive jumping and running, which can lead to significant pain the next day, defeating the purpose.

PAY ATTENTION

Allow your pet to exercise in the cool of the morning or evening and keep a close watch signs of dehydration and unusual fatigue. An adequate cool down helps to reduce the heart rate and stiffness later. A good massage may also be beneficial for sore muscles, not to mention enjoyable for both you and your pooch.

AT LAST

If all natural attempts fail to alleviate your pet’s discomfort, ask your veterinarian about an antiinflammatory medication, such as LTCI (Lymphocyte T-Cell Immunomodulator) or other safe alternatives.

OurHealth | The Resource for Healthy Living in Greater Richmond

BO OKSHELF words | RICK PIESTER

>> Showcasing some of the most authoritative books on how to get and stay healthy In 2015, medicine got a wake up call in the pages of the Journal of the American Medical Association: a 24-year study showed that nearly half of the adults living in the U.S. have diabetes or pre-diabetes, which is a condition in which a person’s blood sugar is elevated and the person is at risk of developing the disease. That’s a lot of people, and publishers have responded by releasing tons of books on the subject. In this issue, we take a look at two of the most approachable sources of general information on diabetes, along with a book examining the Danish approach to well-being.

The American Diabetes Association Complete Guide to Diabetes (5th Ed.) By the American Diabetes Association | 512 Pages

The American Diabetes Association has served as America’s most trusted source of information on diabetes for more than 70 years. This book is an encyclopedic, one-volume sourcebook on how to live an active, healthy life with the condition.

Diabetes for Dummies

By Alan L. Rubin, MD | John Wiley & Sons | 432 Pages

Perhaps a “friendlier” read than the ADA guide, this is an equally trustworthy look at up-to-date information about all aspects of diabetes. Significantly revised and updated, the book is an accessible, reliable resource to taking the guesswork out of living with diabetes. A nifty companion piece to this book would be The Diabetes Cookbook for Dummies, by author Rubin and Cait James.

The Little Book of Hygge: Danish Secrets to Happy Living

By Meik Wiking | William Morrow | 225 Pages

Lest you think we’ve gone too far afield with this book, consider that it’s been named one of People magazine’s Best Health and Wellness Books of 2017. Hygge (pronounced HOO-ga) loosely translates from the Danish as a sense of comfort and well-being, which after all is the prime benefit of good health. This entertaining little book shows us how to experience joy and contentment the Danish way.

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How much do you know about the Skin?

2. Your skin accounts for about _______________ of your body weight.

1. True or False Your skin is the largest organ in your body.

A: 3. The average person’s skin contains around _______________ of blood vessels.

A:

2 miles

B:

2%

15%

C:

D:

5%

20%

4. It is estimated that more than _______________ of the dust in your home is made up of dead skin.

A:

15

B:

percent

50

percent

C:

30

percent

20

D:

percent

B:

11 miles

C:

5 miles

5. The average person’s skin weighs around _______________.

D:

23 miles

A:

6. The average person’s skin covers an area of _______________ .

A:

2 lbs 7. The skin renews itself every _____________ .

21 ft

2

A: 2 months

D:

C:

B:

9 lbs

6 lbs

3 lbs

8. The vital role(s) your skin plays:

vs.

A: Detecting hot and cold

x12 B:

32 ft

2

B: A year

B: Regulating your body temperature

x6 C: Protecting your muscles, bones, and internal organs D: All of the above 6. A

7. D

8. D

Sources: www.forefrontdermatology.com

D: 28 days

5. B

2

4. B

12 ft

C: 6 months

3. B

2

2. C

D:

14 ft

1. True

C:

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OurHealth | The Resource for Healthy Living in Greater Richmond

SUN GET

SMART

How to Care for Your Skin This Summer words | CHRISTY RIPPEL

As the temperature rises and the days grow longer, people spend more time outdoors. The pool, the beach, the backyard — these are all great places to be on a sunny day. But too much sun can cause premature wrinkling, sun spots, sunburn — and, in the worst cases, skin cancer.

While wearing sunscreen daily should be a part of your routine, it’s most important when the sun shines brightest in the summer months.

Thankfully, the newest sunscreens, clothing and sunglasses can provide excellent protection so that you can safely enjoy your time outside.

Even if you think you’ve heard it all before, brush up on your sun IQ before the heat hits this summer, and your skin will thank you!

Just a Mark or Something More Serious?

Sun spots — also known as age or liver spots — have nothing to do with your liver, but result from repeated sun exposure on an area of the body. They range in color from white to brown, and, once they appear, they continue to darken or

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Sun Care Cheat Sheet: Apply Sunscreen Early and Ofter

Apply sunscreen daily to all exposed skin, rain or shine. Choose a broad spectrum formula of SPF 30 or higher; generic brands can be just as effective and save you money. Slather on your choice of sunscreen 30 minutes before you head outside, and re-apply every 80 minutes to two hours. Remember, you need a full shot-glass worth to cover your body!

Sunglasses Aren’t Just a Fashion Statement

Look for a pair that offer 100% UV protection, and know that the color of the lens does not tell you how much protection your shades offer. Darker doesn’t mean better!

UPF Clothing is Always a Good Idea

UPF – (ultraviolet protection factor) rated clothing adds another layer of protection between you and the sun’s harmful rays — so find a hat or swim shirt this summer.

increase with every UV ray that hits your skin. They often appear on the hands, arms, chest, face and shoulders, though they can appear anywhere on the body if it has been exposed to UV rays.

But how do you know if a spot on your skin is simply a sun spot or something more serious, like skin cancer? First, if a spot is new, you should run it by a dermatologist, as they have specialized training in skin conditions.

If you are over age 50, it’s a good idea to have a full-body check with a dermatologist or primary care physician to get a baseline for what your moles, freckles and spots read this edition of

on your tablet or smartphone

look like.

Plus, some areas are hard to examine on your own, like your back. If you are under 50 but have had a lot of sun exposure, are fair-skinned or have a family history of skin cancer, it’s a good idea to get a fullbody check.

Another strategy for keeping track of changes in your sun spots, moles or freckles is to take a picture — a phone camera works fine — every six months to a year so that any changes will be more apparent.

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OurHealth | The Resource for Healthy Living in Greater Richmond

(Sometimes, you don’t notice a chance that happens gradually, but a picture will tell a clear story.)

If you’re determined that your sun spot is not cancerous, but you don’t like the way it looks, you have options. Some over-the-counter creams can gradually fade dark spots. A low strength of hydroquinone, which is a bleaching cream, is available over-the-counter at many drugstores. You can also look for creams that contain retinoids, which can also help spots fade. A doctor can provide stronger topical creams that may be more effective, and new laser technologies that are available through dermatologists can treat sun spots, causing them to disappear completely. However, they can reappear unless sunscreen is used religiously and you avoid too much sun exposure in the peak hours of the day when the sun’s rays are strongest.

How to Choose the Best Sunscreen for You Protecting your skin outdoors starts with sunscreen. While older formulas left a tell-tale white film that was messy and difficult to rub in, the newest sunscreens are easy to apply and can virtually disappear into the skin. Look for the words “broad spectrum” on your bottle or spray, as this means that it will protect against both UVA and UVB rays.

UVA rays penetrate deep into the skin and are responsible for wrinkles and aging; UVB rays cause sunburn and play a big role in the development of skin cancer — so protection from both is important.

If you are swimming or playing sports, look for a formula that is water-resistant so it will stay with you through your tennis game or splash in the pool.

If you have sensitive or acne-prone skin, scan the sunscreen aisle for a formula made specifically for babies or sensitive skin for less chance of irritation. People of all ages, from babies 6 months old and up, need sunscreen protection when outdoors. (Younger babies should always be covered.)

Sunscreen is a weapon, but to protect you well, it has to be used wisely. Ideally, apply it 30 minutes before sun exposure, using a full shot-glass worth of the product. Dermatologists advise you to use more than you think you need. Reapply at least every two hours or every 80 minutes if you are swimming or sweating. There are now www.OurHealthRichmond.com

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sprays that can be applied to wet skin, so if you can only grab your kid on his way to the diving board for a quick spray, it can still be effective.

Can Your Car Cause Skin Cancer? Yes, it can. words | RICH ELLIS

We trust our vehicles to protect our health and safety during a collision. But crashes aren’t the only thing we should be concerned about.

Another C-word – cancer – specifically skin cancer, has become a real risk for those who spend a lot of time behind the windshield. Nearly, 53 percent of skin cancers in the US occur on the left, or drivers’, side of the body, according to a 2010 study in the Journal of the American Academy of Dermatology.

The distribution pattern supports the theory that automobile drivers in the US are exposed to more ultraviolet (UV) radiation on the left, through the driver’s side window, and that ultraviolet A (UVA) radiation causes more damage than formerly believed.

When Maryanne Burns meets someone with skin cancer, she isn’t surprised to learn the cancer is on their left arm or the left side of their face. As the owner of Advanced Window Tint Company in Richmond, she points to this fact as perhaps being one of the reasons behind what she says is an “incredible increase” in the number of drivers contacting her business to inquire about window tint installation.

“On long summer road trips, vehicle passengers – regardless of where they’re sitting – need protection from the sun’s damaging rays, as does the vehicle’s interior,” says Burns. “The front driver and passenger side windows are rarely tinted in new vehicles, and the glass installed on the factory floor offers little to no protection from the sun’s damaging rays.”

To ensure maximum protection from the UV rays, Burns recommends working with a professional tinting company because they know the state regulations regarding vehicle window tinting, they use professional-grade material, and they know how to avoid the common problems associated with trying to install “do-it-yourself” window tinting kits.

MARYANNE BURNS

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

In addition to sunscreen, many bathing suits, swim coverups and fabric hats now come with sun protection builtin. Instead of an SPF rating, clothing has a UPF rating — giving you an idea of how effective it is at blocking harmful rays. UPF ratings range from 15 (good) to 50+ (excellent).

In addition to sunscreen and UPF clothing, sunglasses are an easy way to protect your eyes and the skin around them from exposure. Look for shades that offer 100% UV protection — and know that darker lenses don’t offer better protection. Dark-tinted glasses without UV protection are more dangerous, as they dilate your pupils more than a lighter lens color, leaving them more exposed to damaging light.

When Avoiding the Sun is Your Best Move Some medications can make you photosensitive — a fancy word for more sensitive than usual to the sun. There are many medications that can do this, including many nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, many antibiotics and some diuretics.

Most drugs will have a warning on the label. Additionally, you can ask any pharmacist, and they’ll be able to advise you if a medication you are currently taking will cause sun sensitivity.

Photosensitivity can result in an inflammation of the skin created by the combination of sun exposure and the medication. This can look similar to a sunburn, rash or eczema. Some topical creams like retinoids and hydroquinone also cause sun sensitivity. If you are taking any of these medications, you should heed the warning to avoid the sun, or you may wind up with painful, blistered or red skin.

The outdoors were meant to be enjoyed — and if you wear your sunscreen, don a hat and sunglasses, seek shade breaks and avoid the sun if taking photosensitive medications, you won’t be sidelined by sunburn.

Sources

American Cancer Society | www.cancer.org The Skin Cancer Foundation | www.skincancer.org Journal of American Academy of Dermatology | www.eblue.org

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SUNSCREEN I0I 1

APPLY REGULARLY – For best results, try applying your sunscreen 30 minutes before sun exposure. Make sure to reapply every two hours or every hour and a half if you are swimming or sweating.

2

BE GENEROUS – Use at least one ounce (about a palm-full) to cover your arms, legs, neck and face.

3

BROAD SPECTRUM – When buying sunscreen, look for the words “broad spectrum” on the bottle. This means it will protect against UVA and UVB rays.

4

SPF 30 MINIMUM – Make sure to use at least SPF 30, which blocks 97 percent of UV rays.

5

WATER-RESISTANT – If you are swimming or playing sports make sure your sunscreen is water-resistant.

6

DON'T FORGET – Make sure not to miss the ears, hands, feet and underarms.

7

SUNSCREEN EXPIRES! – Did you know that suncreen can expire? Make sure to check your sunscreen's expiration date before use.

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words | STAFF WRITER

Music energizes us. Music puts some extra pep in our step. And the right music can push us to go that extra mile, take us around that final lap and get us to the top of that steep hill. But finding the perfect playlist to inspire and motivate us can be a challenge. Who has time to create one? Have no fear — there’s an app for that. In fact, we found three that we really like. Plus, some can even sync to your ideal workout beat!

RockMyRun

by Rock My World, Inc. Available on iTunes and Google Play Cost: FREE with upgrades starting at $2.99 per month Aimed specifically at runners, this app allows you to pick a music genre and a beats per minute (BPM) tempo to match your individual pace. The app adjusts the BPM of mixes and playlists to match your steps or goal cadence. Also works seamlessly with your other running apps, such as Nike+ and MapMyFitness.

“Rated the number one workout music app worldwide!“

Fit Radio App

by Social Study Media, LLC Available on iTunes and Google Play Cost: Subscriptions starting at $2.99 per month With FIT Radio, manually putting together upbeat playlists for the gym is now a thing of the past. Thousands of mixes are all in one easy place, so listeners can simply choose their favorite genre, push play and go! The music never stops, not even for ads. Also features over 45 stations sorted by genre, workout type and BPM.

“The motivation of trainer synced with the perfect playlist!“

Aaptiv

by Skyfit Sports, Inc. Available on iTunes and Google Play Cost: $9.99 per month The amazing playlists filled with some of our favorite music are really an added perk to this robust app. Its main feature is the unlimited access to hundreds of fitness classes in running, cycling, elliptical, treadmill, strength training, yoga, meditation and walking with the motivational guidance of a trainer.

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. . . s ord

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e icat d e to d May is m e se s th Becau sionals e r i . s u req re does re profe rtant t a o a th hca ealthc imp t n l w o a i o e h h ss h d and rofe eld of allenge ng p m e a th cati ch i e fi n n d e h i e o v t s k e ha yd n ha wor ers lik th, we unit o i s m e s l m h p on ofe peo ur co g ot tion M r pr o i n i y e n i i p h n l t n os e ma o he e Recog impact o th t Not lives t u r e yo ca th ir alth words ank e h t the H l l ia iona in a few nity. s p ec a s Nat u p d mu omm xten to su r their c mond e rs. fo ch he it is ealth Ri ping ot l e H Our ives to h rl thei

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By providing care

__________________________________________________

I am able to make a difference in people’s lives every day.

By addressing the oral health of children in order to impact their overall health and quality of life, I am able to make a difference in people’s lives every day.

Jeffrey Laughlin, DDS, MPH Virginia Family Dentistry

emergency medical services I choose to work in ___________________________________

I want to impact others

because ________________________________________ I chose to become a Firefighter/Paramedic because I have a strong passion for helping others.

With this career, I am able to use life-saving, critical thinking skills that can make an impact on someone’s life and the things most precious to them. I am thankful for the opportunity I have to help someone in their time of need and to be with them when they need it the most.

Marquita Whisonant Firefighter/Paramedic Hanover Fire-EMS Department

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I choose to work in healthcare because

of the unique challenge

__________________________________________________ I choose to work in healthcare because for me it is a special balance of knowledge, dexterity and thoughtfulness. I find something new every day. The “new” can be new information or procedures, new ways to interact more effectively with colleagues, or new techniques to be more engaged and empathetic with patients.

Matthew Brengman, MD Chief of Staff Henrico Doctors’ Hospitals

My most memorable day working in healthcare was

enlightening

__________________________________________________ My most memorable day working in healthcare was when we showed that Vitamin C saved the life of a 20-year old college student who had virus induced sepsis and acute lung injury.

Berry Fowler, MD Director VCU Johnson Center for Critical Care and Pulmonary Research

The person who has inspired me in my job the most

is my mother

__________________________________________________ The person who has inspired me in my job the most is my mother, who gave me an appreciation for equity in my dealings, empathy for the human condition and passion for my work. All are important values in healthcare.

Bela Sood, MD Virginia Treatment Center for Children VCU Health

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What I love most about my job in healthcare is

how I can impact others

__________________________________________________ I leave work every day knowing that my contributions impact the lives of our patients in a positive manner. This job is more than just a paycheck – it is a calling that provides meaning and significance to life.

Charles Davis, RN, BSN Operating Room Business Manager Bon Secours St. Francis Medical Center

One of the most important lessons I have learned working in healthcare is

the value of trustworthiness

__________________________________________________ Making an impact on a patient’s life is dependent on many factors. I have found that the greatest reward is getting to know my patients and gaining their trust. This allows me to help them decrease their pain, improve function, and achieve their goals. Being a physical therapist is one of the most enjoyable and rewarding jobs.

Rebecca Ayers, PT, DPT Orthopedic Physical Therapy, Inc.

listening

I help people feel better by ______________________ I help people feel better by being an attentive listener. I’ve been told, in the encounter, that the patient often tells you their diagnosis.

John Hennessey, MD Bon Secours Neurology Clinic

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The person who has inspired me in my job the most

is a friend and a mentor

__________________________________________________ The person who has inspired me in my job the most is certified nurse midwife Nancy Giglio.

While it is impossible to just pick one person, she is certainly on my top 10 list. She is a trusted friend and mentor. I have learned from her wisdom and dedication in caring for women.

Christine Isaacs, MD Director, Midwifery Services VCU Health

After a challenging day, I am reminded

that I am fortunate

__________________________________________________ After a challenging day, I am reminded that I am lucky to have been given the skills that allow me to help children and families, and put a smile on their faces because of how much better they feel.

Bela Sood, MD Virginia Treatment Center for Children VCU Health

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privileged

Working in healthcare makes me feel __________________ Working in healthcare makes me feel unbelievably privileged because of my ability to have the opportunity to work in a profession that is inherently noble and can make the difference in the health and well-being of so many people.

Sandy Aderholt, RN, MSN Chief Nursing Officer Chippenham Hospital

What I love most about my job in healthcare is

sharing technology

__________________________________________________ What I love most about my job in healthcare is the opportunity to provide patients cutting edge therapies through clinical research. We started our oncology research program in 2014 and are proud to offer a wide range of clinical trial opportunities for patients from the National Cancer Institute, industry, and from partnerships with academic centers. Clinical trials are “tomorrow’s therapy today,” and are the ONLY way that we have made the lives of people with cancer better.

William J. Irvin, MD Medical Director, Medical Oncology, Virginia / Director of Clinical Research Bon Secours Cancer Institute

core values

Every day, I start my job thankful for ____________________ Every day I start my job thankful for the culture that Bon Secours espouses. I appreciate the mission and values of Bon Secours. Being able to pray with patients or the fact that our meetings start with a reflection or prayer is meaningful.

Charles Davis, RN, BSN Operating Room Business Manager Bon Secours St. Francis Medical Center

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I choose to work as a

Firefighter/Paramedic

______________________________

because

it offers a variety of challenges and ______________________________ experiences ______________________________ ______________________________

I chose to work as a Firefighter/Paramedic because it offers a variety of challenges and experiences. I wanted something where I could interact with a wide range of people, be forced to leave my comfort zone, and continually be humbled by what I saw. I also wanted a dynamic career that uses technology and state-of-theart equipment in real life problem solving.

J. T. Williams Battalion Chief Hanover Fire-EMS Department

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Original photography by hepherson.

The 3rd Annual Friends of Richmond K-9’s 5k This year’s Friends of Richmond K-9’s 5k was one of the most successful yet! Participants raised more than $20,000 for the Richmond Police K-9 Unit.

The Friends of Richmond K-9 organization was created to facilitate educational opportunities, raise awareness of Police K-9s and their activity and accomplishments, foster community support of police dogs and K-9 officers, and provide assistance in meeting the needs of retired active duty police dogs.

Funds raised through the race go directly to assisting the K-9 Unit in various ways such as training, equipment and other costs not included in the city budget.

For more information about Friends of Richmond K-9, visit www.rvak9.com.

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“Prior to using the Indego, I only had mobility through my legs at my hip. After I used the Indego I was able to lock my knees into extension, which opened up a whole new world of possibilities. It was a keystone in my recovery.�

- Taylor Roberts

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Taking that

FIRST STEP TOWARDS A

e f i L ew

N

New Robotic Device Allows Wheelchair-Bound Patients to Stand Up and Walk words | CHRISTY RIPPEL

Taylor Roberts was a 20-year-old college sophomore when her life was changed in the twisted metal of a devastating car crash.

Three miles from her family’s home in Powhatan, the Virginia Commonwealth University student was hit by a man who ran a stop sign. He plowed into her car, which flipped before crashing head-on into a telephone pole. Critically injured, Roberts was airlifted to VCU’s hospital, which began her two-month inpatient stay in Richmond and then Philadelphia to treat broken ribs, a lacerated liver and two spinal fractures.

The diagnosis was grim. “I was told I would never walk again,” says Roberts.

Released from the hospital in Philadelphia to begin outpatient rehabilitation, Roberts returned home to Richmond and began therapy at Sheltering Arms Physical Rehabilitation Center. It was here that Roberts’ determination and grit, along with the assistance of a groundbreaking new device called the Indego, helped her defy doctors’ expectations and take her first steps toward independence.

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INDEGO: HOW IT WORKS TO HELP PATIENTS LIKE NO DEVICE BEFORE IT

HIP PIECE

The Indego device allows people with paraplegia, which is paralysis of the legs and lower body from spinal cord injury or disease, like Roberts, to stand and walk without the aid of a walker or crutches. Worn around the waist and legs, Indego helps patients take pressure off of the legs so that they can develop the muscles and skills they need to practice walking at home with leg braces.

THIGH PIECES

“The Indego is basically a robot worn outside the body,” says Amber Walter, a physical therapist with Sheltering Arms Rehabilitation Center who uses the device regularly in patients’ therapy. Walter explains that the five modular pieces of the device can be combined to create different sizes to accommodate different patients. There is a hip piece, two lower leg pieces that go into the patient’s shoes, and two that sit on each thigh and attach to the hip and knee.

Indego immediately stood out from the devices that came before it because of its lightweight design. At 26 pounds, it is half the weight of similar devices — important for injured patients who may have difficulty lifting heavy, bulky items.

“Patients can still roll themselves around in their wheelchairs with the device on, because it’s so light,” says Walter.

The Indego also allows patients to walk outdoors and down hallways as it can adjust to inclines and declines, unlike other devices that can only be used on a treadmill or flat surfaces.

“The thing about spinal cord injury is that the person still has intact thinking skills, and walking on a treadmill is just not that interesting over time,” Walter says. “The mental boost this device provides to patients — to be able to go outside — is incredible.”

LOWER LEG PIECES Image courtesy of www.indego.com.

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In addition to the mental lift, the Indego is helping patients progress at a faster rate, says Walter, because it challenges the brain in a new way. “On the scientific side, we know that the brain makes changes through time, repetition and a principle called salience, which is the quality of being noticeable or different, and is harder to achieve. The Indego helps with that,” Walter notes.

ass is

ti n

gT ay

r lo b Ro

s. er t

The challenge of working with the Indego, which responds to the patient’s movements, helps the brain and body adapt and progress. The Indego mimics natural movement and takes cues from the posture of the patient — when he leans forward, the device helps him stand or walk forward. The patient leans backward to stop or sit. A series of vibrations signal the patient for the next movement, and a mobile control app helps the therapist or patient adjust for step length or step height. The app can also decrease the amount of assistance the device provides as the patient gets stronger.

Amber W alte r

HOW INDEGO HAS CHANGED LIVES IN RICHMOND Sheltering Arms was selected as a clinical trial site for the device, which was FDA approved in April 2016 for spinal cord injury rehabilitation. Sheltering Arms is also able to use the Indego, sometimes also called an exoskeleton, for clinical patients, not just those enrolled in the study.

Developed at Vanderbilt, the device has only been available for the past three years, but there are users in other areas of the country who have purchased their own device for private use to improve quality of life. Walter tells of a patient who uses it to stand and give talks at work, and another who wears it to his child’s sporting events so he can stand up to see the action.

While it’s not currently meant as a wheelchair replacement, it can allow a wheelchair-bound patient to do more than before.

In Richmond, it has made all the difference to Roberts, in recovering from the car crash that nearly took her life. While doctors initially believed she had a complete spinal cord injury, meaning she would never recover any movement in her legs, they later downgraded her condition to an incomplete spinal cord injury — meaning she could recover some movement with therapy. That’s when she got to work at Sheltering Arms.

“Bad things happen, but we have to see the hope in any situation…that anything is possible. For someone who sits in a wheelchair for most of the day, to change position, to stand, to move—there is so much hope in that.”

AMBER WALTER, DPT is a physical therapist at Sheltering Arms’ Hanover Neuro Center in Mechanicsville.

“Prior to using the Indego, I only had mobility through my legs at my hip. After I used the Indego I was able to lock my knees into extension, which opened up a whole new world of possibilities. It was

fP ow h ts o

Roberts progressed so much that she’s moved beyond the Indego, and is in physical therapy three to four times a week, working towards walking on her own. She’s just wrapped up finals at a Richmond-area community college, with her sights

ata n

a keystone in my recovery,” Roberts says.

ob rR o l Tay

er

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set on transferring back to VCU to get her degree. She has taken up rowing, and plans to pursue a passion for writing.

WHAT IT TAKES TO BE A CANDIDATE FOR

INDEGO THERAPY

Walter has witnessed firsthand the benefits for patients like Roberts, and says the record for number of steps in a one-hour Indego session at Sheltering Arms is up to 1,300. “When the patient puts on the device and stands up for the first time, there’s always a huge smile,” says Walter, who is excited about how the device can continue to help new patients.

CANDIDATES FOR INDEGO THERAPY

STABLE BLOOD PRESSURE is important because a sudden drop in pressure could cause the patient to pass out, and risk further injury from a fall.

How does Sheltering Arms determine if someone is a candidate to use Indego? Walter says the center looks for a few basics, such as stable blood pressure, good bone density and a baseline range of motion. Stable blood pressure is important because a sudden drop in pressure could cause the patient to pass out, risking further injury from a fall.

Good bone density is key, and is sometimes an issue for patients who were injured years ago. “If you haven’t been weight bearing for some time, you may have some osteoporosis, and sudden weight bearing could be a fracture risk,” explains Walter.

GOOD BONE DENSITY is importatnt because patients with poor bone density could be a fracture risk.

A decent range of motion is required, so a patient needs to be able to get his hips, knees and ankles relatively straight. Lastly, the skin where the device touches has to be free of wounds or sores.

Indego is used for two different purposes, depending on the patient. For someone with a complete spinal cord injury who is not expected to regain movement in his legs, the device can be an exercise tool, and a way to “walk” with assistance. For patients like Roberts, with an incomplete spinal cord injury, Indego can be a bridge from using a wheelchair to walking with leg braces, other devices or independently.

INDEGO FOR STROKE THERAPY? BASELINE RANGE OF MOTION is required because a patient must be able to get their hips, knees and ankles relatively straight to use Indego.

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Trials will soon be underway to determine if Indego can be useful in stroke therapy, and Sheltering Arms is participating in these trials along with eight other sites across the country.

This is an exciting possibility, as stroke is the leading cause of serious, long-term disability in the United States. Each year, approximately 795,000 people suffer a stroke, so the potential for benefit is huge.

The Indego is a novel device that brings hope to patients — which is what keeps Walter, who has worked as a physical therapist for a decade, engaged in her job.

“Bad things happen, but we have to see the hope in any situation … that anything is possible,” says Walter. “For someone who sits in a wheelchair for most of the day, to change position, to stand, to move — there is so much hope in that.”

EXPERT CONTRIBUTERS Amber Walter, DPT is a physical therapist at Sheltering Arms’ Hanover Neuro Center in Mechanicsville.

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Great Super Check Out These Nutrient-Rich Vegetables That Taste and Make Us Feel Great words | TRICIA FOLEY, RD, MS

Ahhhh Spring. It means we’re not far away from enjoying garden-fresh, nutrientpacked veggies grown right her in Richmond. Besides the great taste, keeping a steady stream of vegetables in our diet can reduce blood pressure, prevent certain types of cancer, lower the risk of heart disease and stroke, reduce eye and digestive problems and a lot more! By eating a variety of fruits and vegetables, we give our body the mixture of needed nutrients to stay healthy. Check out our eight favorite super veggies and the special health benefits that each offers.

1

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Cucumbers:

BIOTIN

This surprising super food contains molybdenum, a trace mineral that acts as a catalyst aiding in the metabolism of fats, carbohydrates and amino acids. They also pack a punch of pantothenic acid (vitamin B5), which assists in using carbohydrates, protein and fat for energy. As a bonus, cucumbers also provide a good source of copper, potassium, manganese, vitamin C, phosphorus, biotin, vitamin K and vitamin B1. For maximum impact, be sure to incorporate them into salads and as snacks several times per week!

COPPER

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MANGANESE PHOSPHORUS POTASSIUM VITAMINS B1, B5 + K

24

Asparagus:

These mighty spears have an amazing amount of vitamin K per serving, providing more than one hundred percent of the recommended daily allowance. Known for promoting cardiovascular health, asparagus also supplies about half the daily need of folate. A serving size is approximately six spears and provides two grams of fiber with only 20 calories per serving. Those on blood thinners should monitor their intake of asparagus closely.

FIBER

FOLATE

VITAMIN K

FOLATE – body uses to create genetic material

Artichokes: Packed with fiber, calcium, iron, phosphorus and potassium, these leaves and hearts are known to promote overall health!

Enjoy them boiled to aid in the prevention of arteriosclerosis, gout, and ward off migraines. They also aid in digestion, promote liver health and help to regulate blood sugar levels. One medium artichoke contains only sixty calories and a whopping seven grams of fiber.

CALCIUM

PHOSPHORUS

FIBER

POTASSIUM

IRON

3

Summer Squash:

Also known as yellow squash, this summer favorite provides about twenty-five percent of your vitamin C per one cup serving!

The yellow pigment is also due to the beta-carotene, which has been shown to reduce the risk of certain cancers, heart disease and age-related vision impairment. Manganese is another important mineral you can find in summer squash. This mineral is required to maintain healthy bones and connective tissue and plays a role in brain and nerve function. Enjoy it several times a week raw or cooked.

MANGANESE

VITAMIN C

COPPER – helps with the growth and development of various organs PHOSPHORUS – helps with filtering waste and repairing tissue and cells POTASSIUM – helps maintain fluid and electrolyte balance in the body MANGANESE – creates essential enzymes used to create bones SOURCES:

www.choosemyplate.gov www.fruitsandveggiesmorematters.org www.medicalnewstoday.com

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5 6

Mushrooms:

Known for their health promoting benefits, mushrooms are more than just a typical vegetable; they are a fungus. Unlike most veggies, mushrooms are rich in selenium, which can decrease inflammation, improve immunity, promote heart health and decrease cancer risk.

In addition, mushrooms are rich in B vitamins, can boost Vitamin D levels and can assist in weight regulation thanks to their high fiber content. Enjoy one cup raw or one half cup cooked several times a week with other veggies to maximize your nutritional profile.

Onions:

Cry for joy next time you’re slicing onions! Rich in antioxidants, these veggies have amazing antiinflammatory power. They have been associated with a decreased risk of cancer, improved blood sugar management and better bone health. In addition, onions are rich in polyphenols, a type of phytonutrient that protect us from oxidative stress associated with aging.

ANTIOXIDANTS

POLYPHENOLS

8

ANTIOXIDANTS – protect the cells in the body from damage

Bell Peppers: Bell peppers are a excellent source carotenoids, a form of antioxidants that protect against cellular damage.

They are also rich in vitamins C and E giving a boost to your immune system. Enjoy them several times per week choosing different colors to liven up your dishes.

One medium bell pepper provides only six grams of carbohydrate (two grams fiber) and thirty calories.

ANTIOXIDANTS

FIBER

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SELENIUM VITAMIN B VITAMIN D

7

Sugar Snap Peas:

Craving a crunch? These delicious peas deliver every time! With only thirty-five calories per cup, these peas pack a nutritious punch providing two grams of fiber and a healthy dose of B vitamins and vitamin C. In addition, they offer about ten to twenty percent of your daily need for iron, magnesium, phosphorus and potassium making them a heart healthy choice!

FIBER + IRON MAGNESIUM PHOSPHORUS POTASSIUM

VITAMINS C + E

MAGNESIUM – aids blood pressure, bones strength, and heart rhythm 46

FIBER

VITAMINS B + C

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RICHMOND

DERMATOLOGY & COSMETIC SURGERY RESOURCE

GUIDE

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47

2017

GREATER

RICHMOND

DERMATOLOGY & COSMETIC SURGERY

RESOURCE

COSMETIC & PLASTIC SURGERY Advanced Art of Cosmetic Surgery Glen Allen | 804.290.0200 Richmond | 804.288.2444 American Self Richmond | 804.290.0060

Austin I. Mehrhof, Jr., MD Richmond | 804.828.3033

GUIDE

Cosmetic and Plastic Surgery Specailist

Kenneth Olshansky, MD Richmond | 804.282.7965

Chester | 804.748.6350

Richmond | 804.257.7195

DeConti Plastic Surgery Richmond | 804.673.8000

Ferland Plastic Surgery Richmond | 804.346.8700

Hunter Holmes McGuire VA Medical Center

Leslie V. Cohen, MD, FACS 7110 Forest Avenue Suite 101 Richmond | 804.288.2800 www.LeslieCohenMD.com

Richmond | 804.675.5752

James Ware, MD

Commonwealth Facial Plastic Surgery Midlothian | 804.655.0400

Travis Shaw, MD Richmond | 804.386.0223

VCU Health Plastic and Reconstructive Surgery Richmond (Forest Avenue) 804.288.5222 Richmond (VCU Medical Center) | 804.828.3060 Virginia Institute of Plastic Surgery

Richmond | 804.353.8333

Bermant Plastic Surgery Chester | 804.748.7737

Southside Oral & Facial Surgery

Richmond | 804.290.0909

Jefferey Zuravleff MD FACS

Wyndell H. Merritt, MD, FACS

Richmond | 804.934.9344

Joseph E. McKeown, MD, PC Richmond | 804.238.7065

Henrico | 804.282.2112

Lewis Plastic Surgery Midlothian | 804.267.6009

Zinsser Plastic Surgery PC Richmond | 804.474.9805

Matthew G. Stanwix, M.D. Midlothian | 804.285.4115

Michael A. Bermant, MD, PC Chester | 804.748.7737

DERMATOLOGY Affiliated Dermatologists of Virginia Henrico | 804.264.4545

Nadia P. Blanchet, MD Richmond | 804.320.8545 Niamtu Cosmetic Facial Surgery Midlothian | 804.934.3223

Retreat Doctor’s Hospital Richmond | 804.257.7195

Richmond Aesthetic Surgery Short Pump | 804.417.6103

Richmond Facial Plastics

Avenues Dermatology Richmond | 804.288.4410

B. Thomas Reams Dermatology Midlothian | 804.794.3140

Bon Secours Surgical Dermatology Center 5207 Hickory Park Drive Glen Allen | 804.977.8938 www.bonsecours.com

Richmond | 804.622.3782

Richmond Plastic Surgeons Midlothian | 804.585.3420 Richmond | 804.585.3420

Richmond Surgical Arts Richmond | 804.560.5260

Sewell Plastic Surgery Mechanicsville | (804) 427-7770

Commonwealth Dermatology Richmond | 804.282.0831

Dermatologist Specialist: Richard Fohl Richmond | 804.285.3019

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OurHealth | The Resource for Healthy Living in Greater Richmond

2017

GREATER

RICHMOND

DERMATOLOGY & COSMETIC SURGERY RESOURCE

Dermatology Associates of Virginia, PC

Hunter Holmes McGuire VA Medical Center

Colonial Heights | 804.526.7364 Glen Allen | 804.549.4025 Richmond (Midlothian Turnpike) 804.794.2307 Richmond (Patterson Avenue) 804.285.2006

Richmond | 804.675.5000

Dermatology Center of Richmond Henrico | 804.916.7062 Dominion Dermatology, PC Glen Allen | 804.262.6060

James River Dermatology Mechanicsville | 804.379.0116 Midlothian | 804.379.0116

Joan R. Paciocco, MD Richmond | 804.285.2006 Midlothian Dermatology

Richmond | 804.855.0372 Hanover Dermatology Mechanicsville | 804.730.2652

Richmond | 804.440.3376 Richard B. Fohl, MD

Naz’Rene Clinic & Skincare Paladin Dermatology

A New Length Salon & Day Spa

Richmond Dermatology

Mechanicsville | 804.730.7677

Richmond | 804.282.8510

Royal Dermatology & Aesthetic Glen Allen | 804.934.0060

VCU Health Dermatology Stony Point | 804.560.8919 Downtown Richmond 804.828.9361

Petersburg | 804.324.4511

Petersburg Dermatology, PC Petersburg | 804.861.5555

MEDICAL SPAS & SKIN CARE SERVICES

Richmond | 804.285.3019

Midlothian | 804.378.3048

Chester | 804.655.0270

Galen H. Fisher, MD

Renew Dermatology

GUIDE

Yvonne N. Knight, MD Richmond | 804.270.6100

Affordable Spa Services Richmond | 804.525.4038

Alicia Salon & Day Spa Chesterfield | 804.768.0131

Allure Day Spa Midlothian | 804.378.2075 Andres’ Day Spa & Unique Gifts Henrico | 804.288.7106

www.OurHealthRichmond.com

49

MEDICAL SPAS & SKIN CARE SERVICES CONTINUED...

Angel Touch Electrolysis & Skin Spa Colonial Heights | 804.526.6344

Aroma Spa

Laura D’s Hair & Day Spa Mechanicsville | 804.730.7131

Luminous Skin Care & Wellness Henrico | 804.901.7897

Main Street Spa & Wellness Center Richmond | 804.644.1084

Colonial Heights | 804.504.0355

MAKE SURE TO VISIT

Aura Spa & Salon

Margarita’s Skin Care Center Richmond | 804.747.7482

Richmond | 804.622.6000

Bon Air Med Spa

Massage Envy Midlothian | 804.379.8005

Richmond | 804.330.4772

Bondi Blonde

FOR EVEN MORE HEALTH RESOURCES!

OR VISIT US AT ourhealthrichmond.com

Chrystia Anne’s Carriage House Day Spa Midlothian | 804.794.4262

Mechanicsville | 804.277.3330

Perception Organic Spa Richmond | 804.855.1989

Renewal Day Spa Richmond | 804.320.8094

Midlothian | 804.897.5297

Crystal Spa & Naila Petersburg | 804.732.1234

Design One Midlothian | 804.794.4247

Deux Amis Chester | 804.796.2647

Dominion Women’s Health, Inc. Mechanicsville | 804.730.0078

Face Works Day Spa

Retreat Salon & Spa Petersburg | 804.861.8104

Rituals Salon-Spa Midlothian | 804.794.6699

Salon Del Sol Midlothian | 804.335.0042 Richmond (Midlothian Turnpike) 804.323.9767 Richmond (Parham Road) 804.740.9430 Short Pump | 804.364.9888

Salon Vivace Richmond | 804.565.9000

Henrico | 804.740.5665

Scents of Serenity

Glow Med Spa

Glen Allen | 804.277.4498 Richmond | 804.277.4499

Richmond | 804.262.0330 Short Pump | 804.262.0331

Greater Than Sparrows Midlothian | 804.379.4000

Hand & Stone Chesterfield | 804.608.9901

Idolize Brows & Beauty Short Pump | 804.260.1777

La Bella Dona Richmond | 804.330.3300

La Visage Mobile & Day Spa Richmond | 804.514.8837 OurHealth | The Resource for Healthy Living in Greater Richmond

Muise Spa

Chesterfield | 804.385.7961

Club West Med Spa

50

Midlothian | 804.651.7298

Chester | 804.454.1626

Bronzed and Beautiful

SCAN HERE

Mint

SpaTaneity Richmond | 804.740.6690

The Medi Spa West Richmond | 804.270.3032

The Red Door Short Pump | 804.360.1239

Therapeutic Massage Center & Boutique Petersburg | 804.722.1720

ON THE WEB

More at ourhealthrichmond.com