september october 2017 www.ourhealthrichmond.com l
PLUS:
CANCER TIES US
TOGETHER WITH HOPE
SEVEN
BRAIN EXERCISES TO
BOOST MEMORY WHAT DO WATERMELON
AND YOUR HOMETOWN HAVE TO DO WITH
PROSTATE CANCER
?
18 25 10 38
30
26
TABLE OF CONTENTS SEPTEMBER • OCTOBER 2017
10
THE PULSE
| KEEPING THE PULSE ON HEALTHCARE
26
While cancer diagnoses have remained alarmingly high in the US, there’s a silver-lining: the uptick is partly tied to the disease being caught and treated sooner.
10 – Q&A ON HEALTH 14 – HEALTH HAPPENINGS 17 – NEW PEOPLE & PLACES
18
CHECKUP
| LOCAL HEALTH & MEDICINE
18 – 3 REASONS WHY THE BENEFITS OF DRINKING ALCOHOL DON'T BENEFIT THE RISK
TAKING AIM AT CANCER
30
CANCER CARE
| LOCAL CANCER STORIES
30 – CANCER TIES US TOGETHER WITH HOPE | This is a story of three people, three cancers and one purpose: to live life with hope, every day. 38 – CAN YOU TRUST ONLINE CANCER SUPPORT SERVICES?
21 – THE OURHEALTH BOOKSHELF 22 – ASK THE EXPERT | Parkinson’s Disease 25 – ANATOMY CHALLENGE | How much do you know about Cancer? www.OurHealthRichmond.com
5
52 56
40
58
54
42
48
TABLE OF CONTENTS SEPTEMBER • OCTOBER 2017
40
FITSTYLES
| LOCAL FITNESS & ATHLETICS
52
HEALTHCARE OBSERVANCES
| SEPT – OCT OurHealth Richmond partners with local healthcare organizations and medical professionals to raise awareness
54 – HOW YOUNG IS TOO YOUNG? | Should your teen be getting cosmetic surgery?
about monthly health observations.
46
NUTRITION
48 – RECIPES | Healthy and nutritious recipes for the family.
6
56 – SEVEN BRAIN EXERCISES TO HELP BOOST MEMORY
| LOCAL FOODS & RECIPES
46 – HEALTHY EATS | Local restaurant reviews
OurHealth | The Resource for Healthy Living in Greater Richmond
| HEALTH FOR THE WHOLE FAMILY
52 – CAN WATERMELON & WHERE YOU LIVE PREVENT PROSTATE CANCER? | Pampering your prostate in youth could make for a healthier life later on.
40 – HOW TO AVOID HURTING YOURSELF IN THE GYM
42
FAMILY CARE
58
CLOSER LOOK
| LOCAL HEALTHCARE Images reflecting the local landscape of healthcare.
www.OurHealthRichmond.com
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september • october 2017
OURHEALTH’S EXCLUSIVE MEDIA PARTNER
PUBLISHER PRESIDENT/EDITOR-AT-LARGE VICE PRESIDENT OF PRODUCTION ACCOUNTING MANAGER CHIEF DESIGNER GRAPHIC DESIGN DIGITAL CONTENT MANAGER/EVENT SPECIALIST
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 Betsy Cheney, OTR/L Jennifer Helmke, PharmD Elizabeth Miller, RD, CSO Peter Miller, MD Carrie M. Riddock, MSPT, CLT-LANA Erin M. Sharkey, DDS, FICOI David Trent, MD
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Subscriptions are $19.95 per year. 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.
8
HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
“
While poor oral hygiene does not directly cause oral cancer, it is known to cause other lifealtering diseases and illnesses. Tooth decay and periodontal disease are two common outcomes of prolonged plaque and tartar build up, and poor oral healthcare only facilitates this disease process.
”
What is Cancer Rehabilitation?
What is Polycythemia Vera or PV?
Can poor dental hygiene lead to oral cancer?
Cancer rehabilitation helps survivors regain and improve their abilities that may have changed FOLLOWING cancer treatment. Fighting cancer is hard work and can take a toll on the body and the spirit. The disease and its treatment can cause physical problems including, but not limited to, pain, fatigue, swelling, numbness in hands and feet, and muscle weakness. These may interfere with life in physical, emotional, and practical ways. The goal of rehabilitation is to help a person remain as independent and productive as possible.
Polycythemia vera is a rare, slowly progressing blood disorder in which your bone marrow makes too many red blood cells. It occurs when a mutation in a gene causes a problem with blood cell production. This can cause blood clots, itching, and enlargement of the spleen.
While poor oral hygiene does not directly cause oral cancer, it is known to cause other life-altering diseases and illnesses. Tooth decay and periodontal disease are two common outcomes of prolonged plaque and tartar build up, and poor oral healthcare only facilitates this disease process. Subsequently, these diseases, if uncontrolled, can lead to conditions such as tooth loss, diabetes, heart disease, and stroke.
An effective cancer rehabilitation program helps optimize health and minimize side effects. Members of a cancer rehabilitation team may include a physiatrist, physical therapist, occupational therapist, and/or speech and language pathologist. The rehabilitation team should work closely with all oncology providers to help patients reach their goals both during and following treatments for cancer.
Carrie M. Riddock, MSPT, CLT-LANA
Cancer Rehabilitation Therapist Bon Secours Physical Therapy at Westchester Medical Park Midlothian | 804.325.8822 www.bonsecoursphysicaltherapy.com
– Erin M. Sharkey, DDS, FICOI
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OurHealth | The Resource for Healthy Living in Greater Richmond
Treatments can include regular blood draws (to remove excess red cells), blood thinners, or medications which reduce red blood cell production. Over time, in some cases, there is a risk of progressing to more-serious blood cancers.
David Trent, MD
Virginia Cancer Institute Richmond | 804.287.3000 www.vacancer.com
Oral cancer, on the other hand, is highly associated with one’s social behavior and exposure to HPV. Tobacco use, both chewing and smoking, as well as drinking alcohol puts a person at an increased risk for oral cancer and precancerous oral lesions. It also increases the risk of developing more common conditions such as dry mouth, gum recession, bone loss and delayed healing from infection. To help reduce the risk of oral – related conditions, it is important to brush with a soft toothbrush twice daily, floss regularly, and visit the dentist at least twice a year for professional cleanings and check-ups. It is also recommended to see a primary care physician at an early age to inquire about HPV vaccinations and prevention, and to discuss tobacco cessation and how to maintain a healthy lifestyle.
Erin M. Sharkey, DDS, FICOI
Virginia Family Dentistry Ironbridge North Chesterfield | 804.743.8166 www.vadentist.com
Local health. Anywhere you go. OurHealth magazine is Richmond’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 900 locations throughout the area or get the digital edition by visiting
ourhealthrichmond.com .
www.OurHealthRichmond.com
11
HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
“
A cancer-fighting diet consists of a variety of fruits and vegetables, whole grains, nuts and seeds, and beans and peas. With that being said, if there is one food to incorporate into your daily diet, broccoli—fresh or frozen, raw or steamed—is a top choice.
If there is one food to incorporate into your daily diet, broccoli—fresh or frozen, raw or steamed—is a top choice.
”
– Elizabeth Miller, RD, CSO
12
If there were one cancerfighting food people should include in their diet, what would it be?
Broccoli is a cruciferous vegetable, meaning it’s a part of the cabbage family. It is an excellent source of vitamins K, C, and folate (a B-vitamin.) It is a good source of fiber, potassium, and manganese. It has anti-inflammatory benefits provided by its antioxidants (among them sulforaphane, beta-carotene, lutein, kaempferol and quercetin) and omega-3 fat, alpha-linolenic acid. If you are not a fan of the taste of plain broccoli, it can easily be incorporated into items like a vegetable-bean spaghetti sauce where its taste can be masked by the flavorful sauce.
Elizabeth Miller, RD, CSO VCU Massey Cancer Center Richmond | 804.828.0450 www.massey.vcu.edu
OurHealth | The Resource for Healthy Living in Greater Richmond
I’m on so many different medications, I can barely keep them straight. How can my pharmacist help me? As medication experts, pharmacists have many strategies to help patients manage their prescriptions. Some pharmacies offer medication synchronization programs, such as SyncRX, which allows all medications to be picked up on the same day every month. At Bremo Pharmacy, we give you a monthly courtesy call to answer any questions and make necessary changes before we prepare your medications. Our SyncRx program offers free adherence packaging that makes it easy to remember when to take your medications and free delivery services to ensure you receive your medications on time. Knowing why each medication is prescribed gives the patient motivation to take them every day. Your pharmacist can perform a comprehensive medication review to discuss all medications and detect drug interactions, recognize gaps in therapy, and discontinue unnecessary or duplicate medications. These are ways your pharmacist can help simplify and optimize your medication regimens.
Jennifer Helmke, PharmD Bremo Pharmacy Richmond | 804.288.8361 www.bremorx.com
Is the recommended age for when to have a first colonoscopy changing? Most individuals should have their first screening colonoscopy at age 50. Exceptions include patients with a first-degree family member (mother, father, brother or sister) who was diagnosed with colon cancer at a young age (less than 60) and individuals with certain conditions such as inflammatory bowel disease. These patients need to have their screening colonoscopy at a younger age and should discuss this with their primary care physician or gastroenterologist or colorectal surgeon.
Peter Miller, MD
Colon & Rectal Specialists Stony Point | 804.249.2465 Hanover | 804.559.3400 www.crspecialists.com
THE PULSE
KEEPI NG THE PUL SE ON HEALTH
Make Sure you
DON'T MISS
30 on page
Pictured Above: Dana Taylor, Leann Parker, and Julie Weathers are the new certified nurse midwives at Bon Secours Richmond OB-GYN West End.
NOW OPEN
>> Ground breakings and openings in Greater Richmond BON SECOURS RICHMOND OB-GYN, an obstetrics and gynecology provider of Bon Secours Richmond Health System, has established a midwifery practice at BON SECOURS ST. MARY’S HOSPITAL in the West End of Richmond. Three nurse-midwives provide 24/7 midwifery care to women and their families — the first midwifery practice of its kind in the West End of Richmond. While midwives are best known for helping with the birth process, they also serve women of all ages in all stages of life, providing professional, state-of-the-art medical care, including providing well-woman annual exams; complete prenatal and postpartum care for women with low-risk pregnancies; lactation and breastfeeding consulting; counseling women about family planning; helping women navigate menopause; and treating common gynecological problems and infections. For more information visit, www.richmondobgyn.com or call 804.320.2483.
HEALTH HAPPENINGS
>> News on Healthcare in the Greater Richmond Area HCA VIRGINIA’S JOHNSTON-WILLIS HOSPITAL is now offering Robotics Mazor X Technology for spine surgery patients. The Mazor X system provides the highest level of pre-operative assessment and intra-operative precision. Mazor X offers minimally-invasive procedures with less pain, less blood loss, smaller incisions, shorter hospitalizations and shorter recovery time for patients. For more information visit, www.mazorrobotics.com.
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OurHealth | The Resource for Healthy Living in Greater Richmond
VIRGINIA COMMONWEALTH UNIVERSITY MASSEY CANCER CENTER, the state’s first cancer center designated by the National Cancer Institute, has renewed its NCI designation for the 42nd year. The prestigious distinction was given to Massey for demonstrating superior capabilities in cancer education and in researching new and better cancer treatments as well as methods for prevention, detection and survivorship.
Make Sure you
Health Happenings
>> Noteworthy News from Local Healthcare Providers
THE P ULSE |
AT THE FOREFRONT
DON'T MISS
For more information about VCU Massey Cancer Center visit, www.massey.vcu.edu.
Two HCA VIRGINIA hospitals have been recognized by U.S. NEWS & WORLD REPORT as a Best Hospital for 2017-2018. They are CHIPPENHAM HOSPITAL for congestive heart failure treatment and HENRICO DOCTORS’ HOSPITAL for colon cancer surgery. The annual Best Hospitals rankings, now in their 28th year, are part of U.S. News’ patient portal, designed to help patients make informed decisions about where to receive care for life-threatening conditions or for common elective procedures. For more information about the rankings visit, health.usnews.com/best-hospitals.
40 on page
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THE PULSE
KEEPING THE PUL SE ON HEALTH
Make Sure you
FUNNY BONE
DON'T MISS
BRAIN EXERCISES
56 on page
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OurHealth | The Resource for Healthy Living in Greater Richmond
THE P ULSE |
Daniel J. Bartling, DDS Joseph Coury, MD Endodontist Virginia Family Dentistry Tri-Cities | 804.526.4822 www.vadentist.com
Colon & Rectal Specialists Mechanicsville 804.249.2465 www.crspecialists.com
Meghan Doyle, MD
Leslie Gallagher, NP
Saritha Godadam, DO
Laura Koon, PA-C
Danielle McCormack, DDS, MS
Ryan Melchior, MD
Meghan H. Morris, MSN, NP-C
Tiffany Pajic, NP
Takisha Robinson, MD
Bon Secours Home Based Primary Care & Supportive Services Henrico | 804.325.8714 www.goodhelpdocs.com
Richmond Gastroenterology Associates West Creek | 804.330.7840 www.RichmondGastro.com
Periodontist Virginia Family Dentistry Chester | 804.751.0300 www.vadentist.com
Tanuj Saaraswat, MD Bon Secours Neurology Clinic at St. Mary’s Richmond | 804.893.8656 www.goodhelpdocs.com
Virginia Cardiovascular Specialists – Harbourside Medical Center Midlothian | 804.915.1400 www.vacardio.com
Denise Schindler, NP
Bon Secours Kilmarnock Pediatrics Kilmarnock | 804.435.1152 www.goodhelpdocs.com
Bon Secours Kilmarnock Pediatrics Kilmarnock | 804.435.1152 www.goodhelpdocs.com
Richmond Gastroenterology Associates Midlothian | 804.330.4021 www.RichmondGastro.com
Radhika Thorn, MD
Bon Secours Cancer Institute at St. Francis Medical Center Midlothian | 804.893.8717 www.goodhelpdocs.com
Bon Secours Palliative Medicine Richmond | 804.288.2673 www.goodhelpdocs.com
Bon Secours Palliative Medicine Richmond | 804.288.2673 www.goodhelpdocs.com
Francis Tintani, MD
Bon Secours Pediatric Endocrinology and Diabetes Associates Richmond | 804.281.8303 www.goodhelpdocs.com
Bon Secours Infectious Disease Specialists Mechanicsville |804.764.2200 www.goodhelpdocs.com
Bon Secours Patterson Avenue Family Practice Richmond | 804.741.6200 www.goodhelpdocs.com
Angie Tucker, FNP-BC Bon Secours Brook Run Family Physicians Henrico | 804.266.7611 www.goodhelpdocs.com
www.OurHealthRichmond.com
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New People and Places
Kelli Baker, NP
CHECKUP
LOCAL HEALTH & MEDICINE
REASONS
THE BENEFITS OF
DRINKING ALCOHOL
DON'T
OUTWEIGH THE RISK
words | LAURA NEFF-HENDERSON, APR
While moderate alcohol use has possible health benefits, it's not risk-free, and the benefits don’t outweigh the risk, according to Mayo Clinic researchers. Moderate alcohol use is believed to be of most benefit to individuals with existing risk factors for heart disease, but even then, researchers advise people to avoid alcohol and take other steps to improve their heart health, including
1 2 3
eating a healthy diet and exercising.
EXCESS INCREASES RISK People who drink excessive amounts of alcohol over an extended period of time are more at risk of developing six cancers: colorectal, breast, esophageal, liver, stomach and oral (mouth, larynx and pharynx cancers).
ALCOHOL DAMAGES DNA Like tobacco and radiation, ethanol (commonly referred to as alcohol) is one of 248 known carcinogens according to the US Department of Health and Human Services. Ethanol can cause DNA damage and reduce the body’s ability to absorb cancer-fighting nutrients (like folate and multiple vitamins) making it easier for potential carcinogens to enter cells.
A BAD COMBINATION Combining alcohol with smoking dramatically raises the risk of developing mouth and throat cancers.
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OurHealth | The Resource for Healthy Living in Greater Richmond
C HEC K UP |
According to the National Institute on Alcohol Abuse and Alcoholism, a standard alcoholic drink in the United States contains 0.6 ounces of pure alcohol.
3 Reason Why the Benefits of Drinking Alcohol Don't Outweigh the Risk
STANDARD ALCOHOLIC BEVERAGES
12
OUNCES BEER About 5% Alcohol
8
OUNCES
MALT LIQUOR About 7% Alcohol
Excessive drinkers can reduce their risk by stopping alcohol consumption, but the effects are not immediate. It can take years to undo the damage.
5
OUNCES WINE About 12% Alcohol
1.5
OUNCES
80-PROOF LIQUOR About 40% Alcohol
Moderate alcohol use for healthy adults means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger.
www.OurHealthRichmond.com
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OurHealth | The Resource for Healthy Living in Greater Richmond
C HEC K UP |
OurHealth BOOKSHELF words | RICK PIESTER
Living with Childhood Cancer:
OurHealth Bookshelf
A Practical Guide to Help Families Cope By Leigh A. Woznick and Carol D. Goodheart, EdD 359 Pages | Available with:
Drawn from the experiences of a mother (Goodheart) and daughter (Woznick) and what they confronted when Woznick’s youngest daughter developed cancer, this is a real-life guide to the practical and emotional impacts of cancer in the family. The authors intersperse their own experiences with those of other families, and it includes a 44-page section of sources of help. It is full of useful actions and strategies for any family facing cancer — a welcome and valuable resource.
6 Months to Live, 10 Years Later: A Healing Journey and Guide to Wellbeing By Suzanna Marcus 282 Pages
A story not only of cancer, but also of how author Marcus overcame almost lifelong violence, loss and betrayal with internal tools and techniques. A candid, moving story, it is offered here not as a suggestion to reject modern diseasefighting methods, but to help the reader realize that a powerful ally in fighting disease is our own ability to create inner peace and harmony.
The Emperor of All Maladies: A Biography of Cancer
By Siddhartha Mukherjee 571 pages | Available with:
Winner of the Pulitzer Prize for general non-fiction and included on the New York Times list of the 100 most important books of all time, The Emperor of All Maladies has its source in the demand of a cancer patient. Columbia University cancer specialist and author Mukherjee’s patient told him, “I’m willing to go on fighting, but I need to know what it is that I’m battling.” And with that, Mukherjee set to work on what has become an eloquent “biography” of the disease whose name was not even uttered in polite society until recent generations. At different times, painful, hopeful, discouraging and ultimately profound, this is a majestic book. www.OurHealthRichmond.com
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ADV E RT I S E ME N T
ASK THE EXPERT ABOUT
PARKINSON’S DISEASE BETSY CHENEY, OTR/L Director of Rehabilitative Services 1600 John Rolfe Parkway | Richmond 804.750.2183 www.bslcc.org
What is Parkinson’s?
If I have a tremor, do I have Parkinson’s?
Parkinson’s disease is a disease of the central nervous system that affects movement and other bodily functions such as stiffness and tremors. It is a condition involving the degeneration of the basal ganglia and deficiency of the neurotransmitter dopamine.
A tremor does not necessarily mean that you have Parkinson’s disease. There are many causes of tremor. Several neurological conditions may cause a tremor.
What is the difference between Parkinson’s and Parkinsonism? Parkinson’s disease involves a dopamine deficiency and responds to Sinemet. Parkinsonism mimics many of the symptoms of Parkinson’s but is not caused by a dopamine deficiency therefore does not respond to Sinemet.
What is coming in the future for Parkinson’s? The future of Parkinson’s lies in the collaboration of people living with Parkinson’s and scientists working together to find a cure. Organizations such as the Michael J. Fox Foundation and others have many initiatives underway in an attempt to find a cure. People living with Parkinson’s are a vital part of the future.
What does Parkinson’s do to me or my loved one? Parkinson’s symptoms which involve movement (known as motor symptoms) include resting tremors, rigidity, difficulty maintaining upright posture, slow movement, small movements, and shuffling gait. Non-motor symptoms which do not involve movement include depression, loss of higher cognitive functions, dementia, bowel issues, sensory changes, sleep disorders, and emotional changes.
How is Parkinson’s disease treated? Treatment of Parkinson’s first and foremost involves collaboration with a physician to determine pharmacological treatment. A surgeon may implant a Deep Brain Stimulator. Speech, occupational, and physical therapies are an integral part of Parkinson’s treatment. 22
OurHealth | The Resource for Healthy Living in Greater Richmond
Who does Parkinson’s affect? Parkinson’s affects people of all ages, males more often than females. It is more prevalent in older years; however young onset is not uncommon. For example: Michael J. Fox was diagnosed with Parkinson’s when he was 29 years old.
Are there other ways to treat Parkinson’s? EXERCISE has proven to be an essential tool for symptom management. LSVT BIG™ / LSVT LOUD™, Tai Chi, Rock Steady Boxing, dance, cycling, forced-use training, muscle strengthening, compensatory training, and treadmill training have all been shown to produce favorable results. LSVT BIG™ (movement) and LSVT LOUD™ (voice) are interventions provided by a LSVT certified therapist which focus on amplitude with intensive, high effort, to produce generalization to everyday life. Beth Sholom Lifecare Community is investigating a plan to begin a Rock Steady Boxing wellness program on sight.
How do I learn more? Beth Sholom Lifecare Community, with the generous support from the Jewish Community Federation of Richmond, VA from its IMPACT Grant, is providing community education events over the next several months. These education days are intended to provide education, offer opportunities to meet other people living with PD, enjoy round-table discussions over lunch, collaborate with health professionals, and to learn that it is possible to have power over Parkinson’s. We are pleased to announce that our education series begins on October 24, 2017, featuring a speaker from the Michael J. Fox Foundation. For more information or to register for an event, visit www.bslcc.org or call 804.750.2183.
C HEC K UP | Ask the Expert about Parkinson’s Disease
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OurHealth | The Resource for Healthy Living in Greater Richmond
C HEC K UP |
How much do you know about Cancer?
7. Match each cancer with the corresponding awareness ribbon:
A)
Brain Cancer _____
1 Million
B) 1.7 Million
C)
500,000
D)
850,000
Anatomy Challenge on Cancer
1. In 2017, there will be an estimated ____________ Americans diagnosed with cancer.
Breast Cancer _____ 2. In 2017, there will be an estimated ____________ cancer related deaths in the United States.
A) 600,000
B) 300,000
C) 500,000
D) 200,000
Colon Cancer _____ Leukemia _____ Liver Cancer _____ Lung Cancer _____
3. True or False: In the United States the most commonly diagnosed cancer is non-melanoma skin cancer followed closely by breast cancer and then prostate caner.
Prostate Cancer _____ Skin Cancer _____
4. Approximately ____________ American males will develop cancer in their lifetime.
1 in 5
D)
1 in 3
5. Approximately ____________ American females will develop cancer in their lifetime.
1 in 2
C)
1 in 5
D)
10% less likely
Source: American Cancer Society, www.cancer.org
C)
25%
more likely
D)
40%
less likely 8. True
more likely
B)
H)
8. True or False: Cancer is the second leading cause of death in the United States.
7. F, C, A, D, H, E, B, G
20%
G)
1 in 3
6. Men are an estimated ____________ to be diagnosed with cancer in the United States then women.
A)
F)
6. A
B)
E)
5. D
1 in 4
D)
4. B
A)
C)
3. True
C)
2. A
1 in 2
B)
B)
1. B
1 in 4
A)
A)
www.OurHealthRichmond.com
25
TAKING AIM at
CANCER WHERE ARE WE HITTING THE MARK?
While cancer diagnoses have remained alarmingly high in the US, there’s a silver-lining: the uptick is partly tied to cancer being caught and treated sooner. words | BRANDON SHULLEETA
The American Cancer Society is on a mission to educate people about preventing cancer in the first place — while also encouraging screenings that catch cancer in its infancy, when least dangerous. “With better screening, you can see that cancer diagnoses go up, because we’re identifying cancer in earlier stages on more people,” says Domenick Casuccio, who represents the American Cancer Society for Richmond and other areas of Virginia. “However, the death rates are declining because we’re diagnosing cancers at an earlier, more treatable stage, so people’s chance of surviving that cancer is higher.” As of the start of last year, more than 15.5 million living Americans knew they had cancer at the time or had previously been diagnosed, according to Casuccio. About one in three people will be diagnosed with cancer in their lifetimes.
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OurHealth | The Resource for Healthy Living in Greater Richmond
27
CANCER CARE
LOCAL CANCER STORIES
In an exhaustive report released this year, the American Cancer Society found the “five-year relative survival rate” has increased by 20 percentage points among Caucasians and 24 percentage points among African Americans.
1 IN 3
PEOPLE WILL BE DIAGNOSED WITH
CANCER
IN THEIR LIFETIMES.
The relative survival rate is the percentage of people who are alive over a designated time period (five years in this case) after having been diagnosed with cancer, compared with normal life expectancy. Skin and lung cancers are the most common of them all, Casuccio notes, adding that the overwhelming majority of lung cancer diagnoses are “directly attributed to tobacco usage.” “That’s why we’re working so hard to get people to either not smoke, or quit smoking,” he says. Ranked high among the other forms of cancer that are either largely preventable or effectively treated when caught early are: breast cancer, prostate cancer and cervical cancer, as well as ovarian cancer, which is often tied to the HPV virus. The American Cancer Society, for that reason, has been lobbying for HPV vaccinations for children.
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OurHealth | The Resource for Healthy Living in Greater Richmond
CANC ER CAR E |
“We know those are preventable cancers,” Casuccio says. “We have a way to prevent them, but people are smoking and aren’t vaccinating their children.”
Taking Aim at Cancer
Local organizations that fight cancer have also been greatly focused on attacking colon cancer nowadays, continues Casuccio. “There’s a screening available for colon cancer, but many people, because of what’s involved, don’t get screened for the disease. So, we are trying to educate and encourage people that this is a cancer that we can catch early,” Casuccio explains. “If we catch it early, the polyps of the cancer can be removed and there’s no other radiation or chemotherapy involved.” “If you don’t get screened and the cancer advances, treatment will likely involve radiation, chemotherapy, and/or surgery,” he adds. Casuccio likens a colonoscopy to “having a mole removed before it’s skin cancer.” The American Cancer Society has been working with other local entities, including Virginia Commonwealth University, to educate people and provide screenings for people who have a family history of colon cancer or are over the age of 50, which is when people need their first colonoscopy. In addition to education and earlier screenings, survival rates have also improved because of technology, according to experts. “So, for instance, mammography 20 years ago was very basic, but now it is possible to find breast cancer that is smaller than a grain of salt,” Casuccio says. The American Cancer Society has also initiated outreach programs aimed at encouraging people to eat healthier, exercise more and keep tabs on alcohol consumption. In a large part, when it comes to cancer prevention and screening, people are finally listening. However, there’s more work to be done. “There are still people out there who are not getting screened,” says Casuccio. “But, with continued awareness programs about the importance of screenings and early education programs about not smoking and living a healthy lifestyle, we will continue to make progress. And that is important to celebrate.”
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Cancer Ties Us
with Hope
This is a story of three people, three cancers and one purpose:
TO LIVE LIFE WITH HOPE, EVERY DAY. words | BRANDY CENTOLANZA
Everyone knows someone impacted by cancer. Whether it’s your grandfather, your mom, your next-door neighbor, your best friend, or even you, cancer touches not only the patient in profound ways, but doctors and family members as well. “Cancer does affect your daily routine,” shares Misti Wilson, MD, a breast surgical oncologist with Bon Secours Virginia Breast Center in Mechanicsville. “How can it not at some point? People fixate on it, but I always tell them it’s just a part of your life, it’s not your whole life.” Jennifer Webb, 35, of Mechanicsville found out she had stage 3 breast cancer in January. She felt a lump in her left breast just before the holidays, and, believing it was only a cyst, waited to have it checked out. Learning it was a cancerous tumor instead came as a surprise to Webb. “I was in a state of shock and disbelief,” she says. “I couldn’t believe it. Breast cancer was not in my family, and I was a healthy individual otherwise.”
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K.C. Meadows, 43, of Farmville felt the same way when she found out she had breast cancer following a mammogram last year. “I went into a state of panic,” Meadows recalls. “My emotions were all over the map.” Just over two years ago, Ian Wei-Hong Dempster sought medical attention following a bout of nosebleeds that wouldn’t stop.
“Getting over the shock is a process. It’s not something that happens overnight. When most people think of cancer, they think of death. It is very normal to have periods of sadness, anger, or fear. Cancer patients also need time to adjust as they find a new normal.” TAMARA ORR, PHD
A clinical health psychologist at VCU Massey Cancer Center in Richmond.
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“On May 23, 2015, I got the news that it was a cancerous tumor in the back of my head,” shares Dempster, who learned it was stage 3 Nasopharyngeal Carcinoma. “They said that it was the size of my fist by the time they found it. Being told at 22 years old that you’ve got a lump on your own flesh that is trying to kill you is a lot to take in, and I’ll admit I didn’t say much for the first day or two after the call came in.” It is never easy hearing the news that you have cancer. Minds start racing with questions and possible outcomes, even worst-case scenarios. “Getting over the shock is a process,” says Tamara Orr, PhD, LCP, a clinical psychologist and psychiatric nurse practitioner with VCU Health and Massey Cancer Center in Richmond. “It’s not something that happens overnight. When most people think of cancer, they think of death. It is very normal to have periods of sadness, anger, or fear. Cancer patients also need time to adjust as they find a new normal.”
CANC ER CAR E | Cancer Tie Us Together with Hope
Dr. Wilson adds: “It’s important to explain what it means to have cancer, and for patients to really understand their treatment plan and what to expect, so they aren’t surprised. I also try to incorporate family every step of the way. When it comes to cancer, you are not just treating the patient; you are treating the whole family. They are also affected, and you have to remember that.” Dempster underwent radiation therapy at Massey Cancer Center five days a week for seven weeks as well as chemotherapy once every three weeks during the radiation, followed by adjuvant chemotherapy once a month for three months. “Cancer hit me at sort of a high point in my life,” Dempster says. “I was going to the gym three times a week, I was an instructor in my Tae Kwon Do class and took part in demonstrations, and I had a full-time job. I was feeling confident about myself in a way I can’t really explain.
Chemotherapy was also a part of Webb’s treatment plan, which occurred once every 21 days for six months at Bon Secours Virginia Breast Center in Richmond. In July, she had a double mastectomy, which was difficult to accept at first. “That was tough,” she says. “It’s not easy loosing a part of your body, regardless of the circumstance, but knowing it didn’t end there, that I still I had to contend with cancer, made it even more difficult.” Some days, the chemo left Webb feeling nauseas and in a lot of pain, but it was the days that she felt lonely and depressed that hurt the most.
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People FIXATE ON CANCER, but I always tell them it’s JUST A PART of your life, IT’S NOT YOUR WHOLE LIFE. - MISTI WILSON, MD, FACS -
“I think it is more of a mental thing than a physical one,” she explains. “Some days, I felt so alone. There are definitely days where you spend every minute crying because you feel like you are the only one going through this. But I learned that you don’t have to be ashamed to cry. You are not the only one.
Cancer can be consuming, and it’s typical to have those ups and downs while undergoing treatment. Some people seek out their faith to cope, while others turn to nature, their friends and family. Many even use humor as a mechanism to get by. “Each person has to figure out for themselves how best to get through it,” says Will Voelzke, MD, an oncologist with Virginia Cancer Institute in Richmond. “Journaling is a great idea. So is going to support groups. They offer an ideal place where you can talk about your experiences with someone who is going through a similar situation. It’s a great way to connect. Exercise is also a tremendous stress reliever.” Meadows sought support from her team of doctors at Virginia Cancer Institute. “To be able to ask them questions – no matter how small – and their willingness to slow down and answer them made everything so much easier for me,” says Meadows, who recently wrapped up her chemotherapy treatments. “You have
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to be able to talk to your doctor. Everyone was super amazing. I really had a lot of confidence in them. I had confidence that I was going to be okay. I was also open and honest with my daughter and my husband, and being able to talk to them about it also gave me a sense of freedom.” “Doctors aren’t just there to treat the cancer,” says Meadows. “They are people too. They know what you are going through and they want to help put your mind at ease whenever they can.”
“It’s important to explain what it means to have cancer, and for patients to really understand their treatment plan and what to expect, so they aren’t surprised. I also try to incorporate family every step of the way. When
Not long after her double mastectomy, Meadows and her friends started raising funds for breast cancer research.
it comes to cancer, you
“I wanted to do something for the next person who has cancer so that they know they will be okay,” she says.
the whole family. They
Webb relied on her faith and her family to help her through the tough moments. “I spend a lot of time on my knees praying,” says Webb. “I am a very spiritual person. Without God, I would not have gotten through any of this.
are not just treating the patient; you are treating are also affected, and you have to remember that.” MISTI WILSON, MD, FACS A surgeon with Bon Secours Virginia Breast Center in Richmond.
Webb also spent as much time as possible enjoying the outdoors, going for walks each day, and attending her two sons’ baseball and basketball games. www.OurHealthRichmond.com
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“I am so hap py wh up ea en I w ch day ake . I app kids s r e c i ate m o muc y h mor broug e . I t ht my ’s also husba nd an closer d me . I’ve t aken a mom to step ent back a nd vis what u alize is trul y imp ortan t.”
Jenni
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Web
“Each person has to figure out for themselves how best to get through it. Journaling is a great idea. So is going to support groups. They offer an ideal place where you can talk about your experiences with someone who is going through a similar situation. It’s a great way to connect. Exercise is also a tremendous stress reliever.” WILL VOELZKE, MD
An oncologist with Virginia Cancer Institute in Richmond.
36
ebb
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“I promised myself that I would not let cancer win,” she says. “It is very helpful to keep that positive outlook. It gets your mind thinking that you can do this, and that means the world. I am so happy when I wake up each day. I appreciate my kids so much more. It’s also brought my husband and me closer. I’ve taken a moment to step back and visualize what is truly important.” Dempster gave himself permission to have bad days. “I let myself cry or rant or shout at the toaster oven,” he says. “As long as you are not taking it out on another person, I think acknowledging your feelings is important.” Like Webb, Dempster refused to give into the cancer “partly just because I can’t stand losing,” he says. “Cancer to me was an opponent. This malicious force that was trying to take me down, take my life, take my body, take my smile. I couldn’t control some of it, but I would not under any circumstances lose my ability to smile.” These days, Dempster has a thousand reasons to show off his pearly whites. “My prognosis is very good,” he says. “I’ve been officially cancer free since March of 2016. I am grateful for the work of those at Massey Cancer Center.”
Cancer not only impacts patients, but the physicians as well. Both of Dr. Wilson’s parents suffered from lung cancer. She decided to become a physician in part because of watching what her father went through as he battled cancer when she was a young child. She particularly remembers the caring, kindness, and support of her dad’s physicians as they treated him. “It’s a calling for me,” Dr. Wilson says. “I now use my own personal experience to make a difference for someone else.” EXPERT CONTRIBUTORS Tamara Orr, PhD is a clinical health psychologist at VCU Massey Cancer Center in Richmond. Will Voelzke, MD is an oncologist with Virginia Cancer Institute in Richmond. Misti Wilson, MD, FACS is a surgeon with Bon Secours Virginia Breast Center in Richmond.
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Richmond ON YOUR TABLET OR SMARTPHONE
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CANCER CARE
LOCAL CANCER STORIES
CAN YOU ONLINE CANCER SUPPORT SERVICES?
If it looks TOO GOOD TO BE TRUE, then it probably is.
What you need to know to AVOID CANCER FRAUD when browsing the web. words | CHRISTINE STODDARD
The ubiquity of the internet has made it easy for individuals to find information quickly and from the comfort of their homes. Unfortunately, it has also made it simple for some organizations to take advantage of people – especially those who may be most vulnerable, looking for resources and
1
support to help them through difficult times. To help you in your search for the most credible information, keep these simple tips in mind:
If it looks too good to be true, it is. Be cautious of offers of ‘free trips’ for cancer patients, websites that ask for personal information, like your social security number or bank information and use screenshots of doctors claiming they have “miracle cures” so you can bring them to your provider. Even blogs can sometimes be misleading as they offer a very individualized experience and don’t provide the most accurate information needed for your own experience.
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CANC ER CAR E |
2 3
Use websites with .gov or .org for general information and support services.
Can You Trust Online Cancer Support Services?
Be careful if you come across a .com site offering “too good to be true” services or uncorroborated information. Some websites that are recommended include the National Cancer Institute, the American Cancer Society (which has over 800 resources for patients in Virginia), Cancer Care, and the National Comprehensive Cancer Network.
Caregivers, you should be aware too. There are also many misleading websites geared to caregivers. In addition using sites with .gov and .org, you can find resources at the Family Caregiver Alliance, National Family Caregiver Association, and the National Cancer Institute. Always remember that it’s easy to type in the word cancer and go to many different sites, all with promising or misleading information, but this does not mean you should avoid the internet altogether. As long as you know what to look for, online resources can be great tools to help talk with providers and find some great services.
4
So, what do you do if you find fraudulent services or see acts of abuse online? Unfortunately, a specific agency for reporting cancer fraud doesn’t exist, but you can report it to USA.gov via their Online Safety portal. There you can learn more about safety on the internet, file a complaint with the Internet Crime Complaint Center, and report cyber crime with the Department of Justice.
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FITSTYLES
LOCAL FITNESS & ATHLETICS
Types of
GYM
Equipment
EVERY GYM NOVICE
SHOULD TRY words | CHRISTINE STODDARD
Are you new to the gym or has it been awhile? Get into your gym groove with these pieces of equipment. Going to the gym, whether for the first time or after a long break, can be intimidating. There’s a whole sea of strange equipment. Where do you even start? And how do you use anything? Jordan Smuts, a personal trainer at one of our favorite local gyms, recommends these six types of equipment for gym beginners:
Barbells
1 2
Barbells are a tool that provide you with the ability to load numerous exercises with a large amount of weight. Barbells are the best piece of equipment to help you get as strong as possible. Learn the big exercises, like the squat, deadlift, and presses, to perform them effectively and safely and progressively add weight over the course of weeks, months, and years.”
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Resistance Bands
Resistance bands have multiple uses as they can either add resistance or add assistance to movements. From a resistance standpoint, they are great for activation exercises of the shoulder and the glutes to get some of the muscles responsible for stability working. From an assistance perspective, you can loop your foot in them to provide some extra help for bodyweight movements like pull-ups or push-ups if you aren't able to do those with your bodyweight.”
FI TSTY LES |
6
Cable machines decrease the stability demands needed in comparison to free weights as it limits you to one or two planes of motion. This is advantageous for more isolated exercises where you can target specific muscle groups to focus on bringing up a specific body part or address some muscular imbalances
5 3 4 Dumbbells
Dumbbells force each arm to act independently of one another placing more of a stability demand on the body. As free weights, dumbbells allow you to move through a full range of motion, which is beneficial for building more muscle and bettering your movement.
Sled
Similar to the things you will see out on the football field, most gyms are outfitted with a sled that you can load with weights and either push it or pull it for distance. Loading it up heavier will help build some lower body strength while keeping the weight lighter and going faster will give you a great high-intensity workout to get you in better cardiovascular shape and burn some fat.
Kettlebells
Kettlebells are a unique piece of equipment that allow you to do a wide range of exercises to help you get stronger, add muscle, or lose some weight. With sizes varying from 5 to well over 100 pounds, performing exercises like goblet squats, overhead presses, and swings can be sufficiently loaded for beginners and advanced users alike.
EXPERT CONTRIBUTOR
Jordan Smuts is an NATA-certified athletic trainer and an NSCA-certified strength and conditioning specialist with an M.S. in Kinesiology and a B.A. in athletic training. www.OurHealthRichmond.com
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Six Types of Gym Equipment Every Gym Novice Should Try
Multi-Use Cable Machines
HEALTHCARE OBSERVATIONS
NATIONAL PHYSICAL THERAPY MONTH | OCTOBER 2017
OCTOBER IS
NATIONAL
PHYSICAL THERAPY MONTH Physical Therapists are Taking a Leading Role in Fighting the Opioid Epidemic
words | RICK PIESTER
Every October, the nation’s medical community sets time aside to recognize the contributions of physical therapists, the people who work to return us to normal physical activity after we injure ourselves or after we suffer a debilitating illness such as a stroke. That’s every October. But this October is different. This year, buoyed by a Centers for Disease Control and Prevention recommendation that Americans look to physical therapy (PT) as an alternative to pain-masking opioids, PT professionals are in position to do their part in fighting an opioid epidemic that kills as many as 140 Americans each day.
THE EPIDEMIC The class of medications called opioids — codeine, hydrocodone, oxycodone, methadone and others — works by interrupting the flow of pain signals to the brain, masking the pain. They have a place in treatment of moderate to severe short-term pain, but they do nothing to alter the source of pain. Prolonged use of an opioid can produce a tolerance for the drug, and this in turn can lead to addiction, which can result in overdose and death. According to the American 42
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Society of Addiction Medicine, 20,101 Americans died of overdoses related to prescription pain relievers in 2015. In response, the Centers for Disease control last year released guidelines urging prescribers to reduce the use of opioids in favor of safer alternatives to treat chronic pain. One of those alternatives: physical therapy. Orthopedic Physical Therapy, Inc. in Richmond, VA is a practice that specializes in treating people who are in chronic pain – pain that lasts for roughly six months or more. Its founder, Tracey Adler, PT, DPT, OCS, CMTPT, notes that only about four percent of the estimated 300,000 physical therapists in the US focus almost exclusively on treating patients with chronic pain. The goals of treatment are to reduce pain and restore function to the musculoskeletal system – joints, tendon, ligaments, and bones – in our bodies.
HEALTHCAR E O B SERVATI O NS |
“Our goal,” Adler says, “is to find and treat the source of pain instead of the symptoms. Painkiller drugs such as opioids can treat the symptoms, but the risk of opioids may many times outweigh the reward.”
FIRST CALL FOR MANY? This finding is very much in line with Adler’s contention, echoed by many other physical therapy experts, that a physical therapist should be the first call by people suffering pain in the lower back or other joints, as well as fibromyalgia, a disorder characterized by widespread musculoskeletal pain. She notes that patients in all states can now go directly to a physical therapist without first seeking a referral from a physician. “We’re well equipped to make an evaluation of the source of the pain and see if it’s within our scope to treat it,” explains Adler. “If we are unable to provide the necessary treatment, we refer the person to the right specialist.” Interestingly, Adler mentions, in the military, physical therapists
are
often
the
medical
professionals
responsible for triage, which involves sorting out
Pictured above: Orthopedic Physical Therapy, Inc. staff
National Physical Therapy Month
This past August, we saw strong evidence of the value of physical therapists in heading off the pain that is so often a gateway to opioid abuse. In a research letter published in the journal JAMA Surgery, the authors of a study found that most patients who use opioid medications for six months or more get their first prescription for some sort of back pain, or to combat pain described in medical code as “other ill-defined conditions.” Translated, this could well mean that potential opioid abusers take the medication not as a result of surgical pain as had been earlier suspected, but as a result of back pain or some other pain where a root cause is unclear.
ORTHOPEDIC PHYSICAL THERAPY, INC 2000 Bremo Road | Suite 202 | Richmond, VA
804.285.0148 www.orthopedicptinc.com
HOURS: Monday – Friday 8 AM to 5 PM SPECIALTIES: • Chronic Pain
• Hypermobility & EDS
• Fibromyalgia
• Trigger Point Needling
• Headache Relief
• Myofascial & Referred Pain
• Neck & Back Pain • Women’s Pelvic Pain • TMJ / TMD
• Men’s Health Issues
• Sports Injuries
• Posture & Orthotics
TRACEY ADLER, PT, DPT, OCS, CMTPT Founder of Orthopedic Physical Therapy, Inc. in Richmond.
patients according to their medical needs and assigning them to the appropriate sources of treatment. “Most people don’t have to live their lives in pain,” concludes Adler. “A properly trained physical therapist can not only evaluate musculoskeletal structures that may be the source of pain, but also treat it.” EXPERT CONTRIBUTOR Tracey Adler, PT, DPT, OCS, CMTPT, founder of Orthopedic Physical Therapy, Inc. in Richmond.
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HEALTHCARE OBSERVATIONS
NATIONAL PHYSICAL THERAPY MONTH | OCTOBER 2017
POINTS ABOUT
EVERYONE
SHOULD KNOW
Pain is output from the brain. Pain does not exist until the brain determines it does. The brain uses a virtual “road map” to direct an output of pain to tissues that it suspects may be in danger. It’s a means of communication between the brain and the tissues of the body, to serve as a defense against possible injury or disease.
words | OURHEALTH STAFF WRITER source | AMERICAN PHYSICAL THERAPY ASSOCIATION
The degree of injury does not always equal the degree of pain.
Your social environment may influence your perception of pain.
We all experience pain in individual ways. While some of us experience major injuries with little pain, others experience minor injuries with a lot of pain (think of a paper cut).
Pain messages can be generated when an individual is in an environment or situation that the brain interprets as unsafe. It is a fundamental form of self-protection.
Psychological factors, such as depression and anxiety, can make your pain worse. Pain can be influenced by many different factors, such as psychological conditions. A recent study in the Journal of Pain showed that psychological variables that existed prior to a total knee replacement were related to a patient’s experience of long-term pain following the operation.
Our brains can be tricked into developing pain in prosthetic limbs.
Understanding pain through education may reduce your need for care. Military personnel demonstrated that those who were given a 45-minute educational session about pain sought care for low back pain less than their counterparts.
Studies have shown that our brains can be tricked into developing a “referred” sensation in a limb that has been amputated, causing a feeling of pain that seems to come from the prosthetic limb – or from the “phantom” limb.
SPONSORED BY There is no proven way of knowing whether you have a high tolerance for pain or not. While some people claim to have a “high tolerance” for pain, there is no accurate way to measure or compare pain tolerance among individuals.
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Scan the QR code provided to download a PDF of this page.
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NUTRITION
LOCAL FOODS & RECIPES
HealthyEats >> First Impressions of Three Healthy Restaurants in the Greater Richmond Area words | RICK PIESTER
Ellwood Thompson’s Local Market 4 North Thompson Street (at Ellwood Avenue) | Richmond 804.359.7525 www.ellwoodthompsons.com Store Hours: Open Daily 7:00 AM – 9:00 PM Brunch Hot Bar Hours Monday: Saturday 7:00 AM to 11:00 AM, Sunday 7:00 AM – 2:00 PM
This is officially the best grocery store in Virginia, so named in 2016 by the web site The Daily Meal. No minor feat, the distinction was based on reviews on Google, food enthusiast sites Yelp and Foursquare, Facebook comments, and informal interviews. In addition to a huge selection of local organic foods in the expansive grocery sections of the store, Ellwood Thompson’s houses a variety of eat-in spaces. The Green & Grind is a juice, smoothie and coffee bar A café area, The Beet, serves beer and wine. And the Create Bar prepares sandwiches, breakfast foods, waffles, flatbreads and “earth bowls” to order. Hot Bar selections change daily, with one recent menu featuring more than two dozen dishes including veggie korma, cabbage sukka, green curry mock chicken, locally sourced tofu cacciatore and seitan Stroganoff. In addition, a tempting array of vegetarian, healthy meat and seafood creations and four soups were on the board. 46
North End Juice Co. 718 North Cleveland Street | Richmond 804.729.7340 www.northendrva.com Hours: Monday – Friday 7:30 AM to 4:30 PM, Saturday, Sunday 8:00 AM – 4:30 PM
You wouldn’t think that a street side juice bar that opened not long before Christmas in the dead of winter would be busy, but, thankfully, you’d be wrong. When brothers Cliff and Channing Miller opened the North End Juice Co. in Richmond’s Museum District, they tapped the area’s then-unrealized yen for a walk-up source of fresh-squeezed juices, smoothies, salads-togo and other healthy stuff. The brothers carved some space out of the Richmond branch of mom Debra Miller’s Virginia Beach-based Incredible Edibles Bakery for their venture, which boasts an expansive menu that belies the low square footage of the place. In the juices column, there is a list of eight signature juices — “The Rookie,” with pear, orange and apple juices over ice is a good first choice — and a make-your-own, with your pick of five of the 13 proffered choices. North End Juice Company lists five smoothie bowl choices, eight smoothies, caffeinated drinks, and a very tempting list of street food items.
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The Daily Kitchen & Bar 2934 West Cary Street | Richmond 804.342.8990 12201 West Broad Street (Short Pump) Henrico | 804.360.3800 www.northendrva.com Hours (Carytown): Sunday – Thursday 7:00 AM to 11:00 PM; Friday, Saturday 7:00 AM to 1:00 AM Hours (Short Pump): Monday – Thursday 4:00 PM to 12 PM; Friday, Saturday 4:00 PM to 2:00 AM
From the restaurants’ web site: “We strive to serve foods that are not only delicious, but also health conscious, environmentally friendly and socially responsible. We use organic, all natural, local and sustainable ingredients as much as possible while still keeping our prices fair. In addition, we also offer an extensive selection of vegetarian, vegan, gluten free and paleo options.” That provides a clear idea of The Daily Kitchen & Wine Bar mission. The restaurant aims high, and it delivers. With a diverse menu at both locations, “The Daily” offers breakfast, lunch and dinner dishes guided by environmentally conscious practices and locally sourced ingredients. The menus at The Daily Kitchen & Bar takes pains to include those who follow vegetarian, vegan, gluten free and paleo diets. Try the veggie burger, the mushroom and kale pizza, the curried lentil bowl, or the seared salmon, for example.
NUTRITION
CANCER FIGHTIN G FOODS
NUTRITION Per Serving: 231 calories, 12 g total fat (1 g saturated fat),24 g carbohydrate, 13 g protein, 8 g dietary fiber, 111 mg sodium.
BREAKFAST ENERGY DRINK
>> This nutritious breakfast smoothie is a cancer-fighting kick-start to your morning!
INGREDIENTS
DIRECTIONS
2 medium kale leaves, stems removed
Combine all ingredients in blender or food processor and blend on high until smooth. Let sit for 1 minute to thicken before serving.
(serves 2)
1 cup spinach leaves loosely packed 1/2 cup fresh or frozen fruit 1/3 cup plain canned pumpkin*
This cancer-fighting smoothie combines leafy
3 tablespoons seeds or nuts
super greens, kale and spinach, with seasonal
1 tablespoons chia seeds
fruits, nuts, seeds and pumpkin. Pumpkin will
1/2 teaspoon cinnamon
give you plenty of beta-carotene, a compound
1/4 teaspoon nutmeg
important in controlling normal cell growth and
1Âź cups soy or dairy milk
preventing cell damage from oxidation.
1/2 cup water 6-8 ice cubes (1 cup)
Visit the American Institute for Cancer Research at www.aicr.org/healthyrecipes for more recipes like this one.
NUTRITION Per Serving: 385 calories, 15 g fat (2 g saturated fat), 55 g carbohydrate, 11 g protein, 8 g dietary fiber, 409 mg sodium.
SWEET POTATO CHILI WITH PEANUTS
>> This vegetarian one-pot meal will be a crowd favorite at your next tailgate event!
INGREDIENTS (serves 10)
DIRECTIONS
2 tablespoons canola oil
In a large, heavy pot, heat the canola oil over medium heat.
1 medium onion, chopped 2 medium carrots, peeled and thinly sliced 1 medium green bell pepper, seeded and chopped 1 medium red bell pepper, seeded and chopped 3 garlic cloves, minced 2 pounds sweet potatoes, peeled and cut into bite-sized chunks (about 4 cups) 1 1/2 cups unsalted roasted peanuts 1 can (28 ounces) crushed tomatoes in juice 1 can (6 ounces) tomato paste 2 cans (4 ounces each) diced mild green chiles with liquid
Add the onion, carrots, and bell peppers and sautĂŠ, stirring occasionally, for about 8 minutes, until vegetables are golden. Add the garlic and sautĂŠ stirring constantly for 30 seconds, until fragrant. Stir in the sweet potatoes, peanuts, tomatoes and juice, tomato paste, chiles and their liquid, chili powder, cumin and sugar. Bring to a boil, then reduce the heat to low immediately and simmer gently, stirring occasionally, for 15 to 25 minutes until the sweet potatoes are just tender. NOTE: Halfway through the cooking process, adjust the seasonings, adding more chili powder and cumin, if desired. Season to taste with salt and pepper and serve.
4 to 6 tablespoons. chili powder, to taste 1 tablespoon ground cumin, to taste
Hearty sweet potatoes and carrots form the
1 tablespoon sugar
base and provide cancer-fighting fiber and
Salt and freshly ground pepper, to taste
carotenoids.
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NUTRITION
CANCER FIGHTING FOODS
NUTRITION Per Serving: 151 calories, 3.5 g total fat (<1 g saturated fat), 31 g carbohydrate, 2 g protein, 4 g dietary fiber, 5 mg sodium.
EASY BAKED APPLES WITH WALNUTS AND RAISINS >> This nutritious fiber-packed dessert satisfies that sweet tooth.
INGREDIENTS (serves 6)
Canola oil cooking spray 3 large Granny Smith apples or any variety baking apple 3 tablespoons whole-wheat flour 3 tablespoons brown sugar 3/4-1 teaspoon ground cinnamon 1/4-1/2 teaspoon ground nutmeg 1/3 cup coarsely chopped walnuts 1/4 cup raisins 1/3 cup apple cider
DIRECTIONS Preheat oven to 350 degrees F. Spray ovenproof glass pie dish. Cut apples in half from top to bottom, core and peel. Lay halves flat and cut into medium slices. Place apple slices in large bowl. In medium bowl, mix together flour, sugar, cinnamon and nutmeg. Sprinkle mixture on apples and gently stir until apples are evenly coated with spices. Gently fold in walnuts and raisins. Spoon apple mixture into prepared pie dish. Drizzle cider evenly over top. Bake 50-55 minutes or until apples are tender. Remove from oven and cool 5 minutes. Using spatula, carefully turn over apple mixture to get caramelized sauce from bottom of dish. Serve hot or let cool to room temperature, refrigerate and serve cold later.
Packed with fiber, particularly pectin fiber, apples help gut Visit the American Institute for Cancer Research at www.aicr.org/healthyrecipes for more recipes like this one.
bacteria produce compounds to protect colon cells. Sprinkled with walnuts and raisins, this recipe also contains beneficial omega-3 fat and cancer-protective flavonoids and phenolic acids.
NUTR I TI O N | Summer Seafood
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
Pampering Your Prostate in Youth Can Make for a Healthier Man Later On words | RICK PIESTER
For such a small thing (about the size of a walnut,) the prostate sure gets a lot of press. The vaguely kidney-bean-shaped gland sits at the base of the male bladder and encircles the urethra, the tube that carries urine and semen out of the body. Its job is to produce some of the fluid that nourishes and protects sperm cells in semen. Every male should be mindful of the prostate, because every male has one. And after age 50 or so, it can be the source of trouble that no man would want. The prostate tends to enlarge as a man ages, with ills ranging from an overly enlarged prostate (benign prostatic hyperplasia in medical terms) to inflammation of the gland (prostatitis) to prostate cancer, which can affect as many as 230,000 men each year. Prostate cancer is the most common cancer among men. It’s the second leading cause of cancer death after lung cancer in men. So it makes good sense for every man to do what he can in youth to avoid problems with the prostate later on in life. There’s no guarantee, but there are steps that men can take in their 20s, 30s and 40s to up the chances for a healthier 50s and beyond. According to Andrew Colhoun MD of Virginia Urology in Richmond, the main step to take in prostate care is to take care of the packaging around it. Good general health practices, Dr. Colhoun says, can pay dividends in prostate health. Certain risk factors, he says, can’t be avoided. Those include your age, your family history, your race (a higher incidence of cancer among African Americans, especially people of Caribbean extraction and Caucasians higher than Hispanics, for example) and even where you live. Research suggests that men living above the 40th degree of latitude have a higher chance of a diagnosis of prostate cancer. Virginia is below 40 degrees latitude. 52
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THOSE FACTORS ASIDE, HERE ARE SOME THINGS YOU CAN DO TO KEEP YOURSELF, AND YOUR PROSTATE, HEALTHY: PROPER NUTRITION. Cultivate a diet low in saturated fats and high in fruits and vegetables. Limit your intake of animal fats, including dairy products; eat lots of fish, fruits (especially watermelon) vegetables (especially cooked tomatoes, onions, garlic, broccoli, cauliflower, leafy green vegetables and others). Green tea also helps. “We see a lower incidence of prostate cancer in Asian men and vegetarian men,” Dr. Colhoun notes, “and altering your diet to consume more fruits and vegetables, less red meats and cured meats and less animal fats may play a role in decreasing the risk of developing prostate cancer.”
Did you know? Watermelon is a GOOD SOURCE OF LYCOPENE, an antioxidant linked with treatment and prevention of cancer.
Can Watermelon Where You Live Prevent Prostate Cancer?
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“We see a lower incidence of prostate cancer in Asian men and vegetarian men and altering your diet to consume more fruits and vegetables, less red meats and
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EXERCISE. Dr. Stisser notes that current exercise recommendations for males over age 40 are for about 150 minutes of cardiovascular exercise per week, something to get the heart rate elevated. And, he cautions, it doesn’t have to be wind sprints at the local track. It can be like mowing the lawn, cleaning gutters, etc. “Other times, he says, “it can be choosing a flight of stairs instead of an elevator, parking a little further away from where you’re going, and things like that.” HERBAL SUPPLEMENTS. There are no studies that suggest clear benefit to the prostate of vitamins and herbal supplements, and Dr. Colhoun cautions that they are “tricky subjects” pertaining to prostate cancer. He notes that very high intake of calcium — significantly above daily recommendations — has been associated with a higher risk of prostate cancer, as well as too much or too little Vitamin D. URINATION. Pay attention to your urine stream, Dr. Calhoun says. If you have trouble urinating, it may be a sign of trouble. Also, stay hydrated; he recommends drinking two liters (slightly over 2 quarts) of water a day. REGULAR SCREENING. The American Urological Association recommends screening for prostate cancer between the ages of 55 and 70 for healthy men, with the ages adjusted for at-risk men, healthier older men, etc. The screening is quick, simple and painless, involving a rectal exam and a blood test called the PSA. And always be sure to discuss your individual needs with your physician.
EXPERT CONTRIBUTOR Andrew Colhoun, MD with Virginia Urology in Richmond.
cured meats and less animal fats may play a role in decreasing the risk of developing prostate cancer.” ANDREW COLHOUN, MD Virginia Urology in Richmond
Schedule your screening today! According to the American Urological Association, you should schedule a prostate screening if you meet the following criteria:
Male between the ages of
55 and 70. Note: ages may be adjusted for at-risk men, healthier older men, etc.
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
“The goal of cosmetic surgery is improvement, not perfection,” says Dr. Naderi. “The quest for perfection cannot overshadow common sense.”
Should Your Teen Be Getting Cosmetic Surgery? words | CHRISTINE STODDARD
There was a time when plastic surgery was only for devastated accident survivors and aging movie stars trapped in an increasingly superficial industry. Yet today it is becoming a far more common choice for younger candidates to go under the knife. For the young and famous like Kyle Jenner of Kardashian family fame, cosmetic surgery is an expensive but expected rite of passage. By age 16, the young star already had lip augmentation, while other photos and rumors hinted at possible breast implants. SHERVIN NADERI, MD A plastic surgeon at Naderi Center for Cosmetic Surgery & Skin Care in Herndon. Dr. Naderi is certified by the American Board of Facial Plastic and Reconstructive Surgery.
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So, when it comes to teen cosmetic surgery, how young is too young?
What are the risks? According to rhinoplasty expert Shervin Naderi, MD of Herndon, it depends on the procedure. The most common cosmetic surgery for children as young as six years of age is otoplasty, also known as ear pinning. This procedure is commonly done before the start of the school year to help a child avoid
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too much teasing about “elephant” or “Dumbo” ears. Other procedures, such as rhinoplasty, can begin as early as 14. Less invasive forms of enhancement, such as Botox, can be performed on 20-year-olds. No matter the procedure or the reason, cosmetic surgery is not something to be taken lightly at any age. “I talk 20-30 percent of all patients out of surgery at any age,” says Dr. Naderi. Mental, emotional, and physical maturity are key factors. “Giving a 14 or 16-year-old who is mature and wants more self-confidence a better nose is very rewarding,” he says. “The surgery must be appropriate. We will not do major bone shifting or major architectural changes to the face before 18 simply to ensure the patient is at a mature and a legal age to make the decision— and have no regrets.” Parents need to vet doctors carefully to make sure they have their children’s best interests at heart.
Surgery Pressure When young people are pressured to undergo cosmetic surgery by either parents or doctors, the results can be tragic and traumatizing. “Kids who were taken for plastic surgery by their parents recall the heartbreaking harsh comments or scrutiny or mocking by their parents affecting their selfconfidence which creates scars much longer lasting than a surgeon's scalpel,” says Dr. Naderi. A botched surgery can be fixed, but a scarred psyche cannot.
Improvement, Not Perfection The risks for young people electing to undergo cosmetic surgery are primarily psychological. If they have low selfesteem, therapy is a better option. No child or teen should ever feel that they are unlovable or unattractive. After all, “The goal of cosmetic surgery is improvement, not perfection,” says Dr. Naderi. The quest for perfection cannot overshadow common sense. Ultimately, parents are responsible for protecting their kids—even from themselves. EXPERT CONTRIBUTOR Shervin Naderi, MD with Naderi Center for Cosmetic Surgery & Skin Care in Herndon.
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HEALTH FOR THE WHOLE FAMILY
BRAIN
EXERCISES
TO HELP BOOST MEMORY
Brain exercises are to the mind what weight lifting is to the body. words | LAURA NEFF-HENDERSON, APR
As we age, our brainâ&#x20AC;&#x2122;s ability to withstand the natural neurological damage that occurs lessens and can make it more difficult to perform seemingly simple mental tasks. Brain exercises can help strengthen the neural connections in the brain by challenging our working memory and mental agility. In combination with a healthy lifestyle that includes a nutrient-rich diet, getting plenty of sleep, and physical exercise, some researchers believe brain exercises (also referred to as brain training) can strengthen our mental ability. Find a few minutes to fit the following brain exercises into your schedule to boost your memory and flex your mental muscles.
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Make a list – grocery items, daily tasks, or anything else that comes to mind – and memorize it. An hour or so later, see how many items you can recall. Make items on the list as challenging as possible for the most benefit.
Playing a game, like Chess or Sudoku, makes you to think several steps ahead to your next move. The planning and strategizing component of games requires focus and self-control.
7 Hit the gym:
Exercise affects the brain on multiple fronts. It increases heart rate, which pumps more oxygen to the brain. It also aids the bodily release of a plethora of hormones, all of which participate in aiding and providing a nourishing environment for the growth of brain cells.
Learn something new:
Take up a new hobby that involves fine-motor skills or learn a foreign language. Knitting, drawing and painting are all good ways to refine your hand-eye abilities and the listening and hearing involved in learning a foreign language stimulates the brain.
Did you know?
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A rich vocabulary has been linked to a REDUCED RISK for cognitive decline.
Challenge your taste buds:
Choose a cuisine unfamiliar to you for dinner tonight. Pick up the ingredients and make it at home, or visit a local restaurant to try something new. While you eat your meal, take time to identify each of the smells and tastes.
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7 Brain Exercises to Help Boost Memory
Test your recall:
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Figure out how much you can save at the grocery store with coupons and sale items without help from a pencil and paper or your phone calculator. Make it even harder by walking up and down the aisle at the same time.
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Research has shown that using the opposite side of your brain can result in a rapid and substantial expansion in the parts of the cortex that control and process tactile information from the hand. Don't forget to open the tube and apply toothpaste in reverse, too.
Play a game:
Do the math… in your head:
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Brush your teeth with your non-dominant hand:
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Can you identify which local practice the image belongs to?
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