OurHealth Magazine for Richmond: July/August 2019

Y O U R L O C A L H E A LT H R E S O U R C E

July | August 2019

COMPLIMENTARY COPY

ourhealthrichmond.com

When Students Aren’t Healthy, Can They Be Expected to Learn?

Is Your Family Financially Literate?

What’s All This Buzz About Fermented Foods?

What it Takes to Beat a Brain Injury

7 Annual th

Senior Healthy Living Awards

From assisted living and rehabilitation experts to restaurants, pharmacies, and salons, we unveil readers’ top choices in Richmond for services they trust to keep our golden generation healthy and happy.

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FEATURES

JULY • AUGUST 2019

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CELEBRATING THE 7TH ANNUAL SENIOR HEALTHY LIVING AWARDS Join us in celebrating the 7th Annual Senior Healthy Living Awards for the Greater Richmond area. From assisted living and rehabilitation experts to restaurants, pharmacies, and salons, we unveil readers’ top choices in Richmond for services they trust to keep our golden generation healthy and happy.

BEATING BRAIN INJURY Following being struck by a vehicle while serving on a traffic crash scene, police officer Josh Makin recalls a long road to recovery that may not have been possible without the help of a Richmond-based traumatic brain injury rehabilitation center.

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DEPARTMENTS JULY • AUGUST 2019

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The Pulse | People. Places. News to Know.

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Health Scene | Happenings. Who’s Who. Trending.

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Financial Wellness | Savings. Investments. Insurance.

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Food and Fitness | Nutrition. Exercise. Prevention.

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Funny Bone | Spot the Seven Differences

16 – Richmond CycleNation Raises Over $19,000 For Stroke And Heart Disease Prevention 18 – Annual Ashland Strawberry Faire Raises More Than $13,000 for Student Scholarships and Grants

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Q&A on Health | Questions. Answers. Knowledge.

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Kid’s Care | Inform. Educate. Grow Chronically Catching Up. Students with long-term illnesses often struggle with academic achievement—but with the right support and resources for families, this doesn’t have to be the case.

Financial Literacy for the Family: Where Do You Begin? Nearly two-thirds of Americans can’t pass a basic test of financial literacy. Fortunately, there are many trusted resources and experts available throughout Richmond that can help bridge your knowledge gap and put you on a path to better financial health.

What’s All This Buzz about Fermented Foods? Fermented foods have been around for centuries, but have recently grown in popularity for the role they play in your overall health. But, like any product promising health benefits, it’s important to know what you are looking for to help you make the best choice.

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JULY • AUGUST 2019

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The Pulse

INFORMATION • EVENTS • AWARENESS

New Leadership Announcements

New Practice Openings

Sheltering Arms Institute Names New Chief Medical Officer

Virginia Arrhythmia Consultants Medical Practice Opens in Richmond

Sheltering Arms Institute, a collaboration with VCU Health, announces the appointment of Richard Kunz, MD as Chief Medical Officer. Dr. Kunz currently serves as an assistant clinical professor in the Department of Physical Medicine and Rehabilitation at VCU School of Medicine. He is also the medical transitional team leader on the Sheltering Arms Institute project.

Virginia Arrhythmia Consultants, the only medical practice in central Virginia devoted entirely to the management of heart rhythm disorders, has opened in Richmond. Saumil Shah, MD and Guru Mohanty, MD lead the new practice that provides comprehensive consultative and procedural services, as well as advanced diagnostic and treatment options for all types of arrhythmias, including atrial Guru Mohanty, MD fibrillation, SVT and device-based management for brady arrhythmias and heart failure.

“We are confident that Dr. Kunz will successfully lead the continued development of a Richard Kunz, MD transdisciplinary rehabilitation team that delivers our vision to reinvent rehabilitation for a life beyond limits,” says Alan Lombardo, CEO of Sheltering Arms Institute. “His leadership, experience in medicine, hospital operations, and administration will be valuable assets. “Additionally, his enthusiasm for advancing personcentered care and elevating the quality of rehabilitation care will play a leading role for the organization.”

Scheduled to open summer 2020, the new rehabilitation facility situated on 46 acres in the West Creek Medical Park off Broad Street Road, just east of the state Route 288 interchange in Goochland County. The joint venture combines the strengths of both organizations to provide exceptional care for individuals who have survived strokes, spinal cord injuries or brain injuries, as well as those in need of general rehabilitation for various neurological diseases and disorders.

Sheltering Arms and VCU Health will consolidate several of their locations to create one 114-bed hospital. Sheltering Arms Institute will combine 68-beds from Sheltering Arms’ two inpatient hospitals, located in Midlothian and Mechanicsville, with 46 beds from VCU Medical Center located in downtown Richmond. All outpatient services for both organizations will operate separately for now and into the foreseeable future.

Virginia Arrhythmia Consultants accepts all major insurance plans, including Medicare at its three area locations: BOULDERS 1001 Boulders Parkway, Suite 110 | Richmond, VA 23225 HENRICO DOCTORS’ FOREST 7605 Forest Avenue, Suite 100 | Richmond, VA 23229 COLONIAL HEIGHTS 930 South Avenue, Suite 4C | Colonial Heights, VA 23834

Office hours for the Boulders location are Monday – Friday, 8 am – 5 pm. Availability at the Henrico Doctors’ Forest and Colonial Heights locations is by appointment need. To schedule an appointment at any of the three locations, call 804.410.9749.

More information: Visit www.vaheartbeat.com Saumil Shah, MD

More information: Visit www.shelteringarmsinstitute.com

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The Pulse

New Leadership Announcements HCA Capital Division Names New Chief Medical Officer

• NEWS TO KNOW

HCA Capital Division, a division of HCA Healthcare serving Virginia, Kentucky, Indiana and New Hampshire through its 18 hospital facilities and multiple freestanding centers and offices, announces that Jake O’Shea, MD has been named the division’s Chief Medical Officer (CMO). Dr. O’Shea assumed his new position June 1, 2019.

Prior to this role, Dr. O’Shea served as the CMO of both HCA Virginia’s Chippenham and Johnston-Willis Hospitals. He is the former Chief Medical Information Officer of HCA’s Capital Division, where he oversaw all medical informatics activities and helped integrate information technology strategy with clinical applications.

In his new role, Dr. O’Shea will help lead the clinical quality agenda, drive physician engagement strategies, and focus on execution of improved physician alignment efforts.

“Dr. O’Shea’s ability to provide clinical guidance and his exceptional healthcare leadership will be a great asset to the communities that our hospitals serve,” says Tim McManus, President of HCA’s Capital Division. “I am confident that his commitment to high quality, patient-centered care will help us further our overall strategic vision.”

Dr. O’Shea began his career as a medical informatics consultant and practicing emergency medicine physician in the Hampton Roads region. He received his undergraduate degree at Dartmouth College, attended the University of Virginia School of Medicine, and completed his residency in emergency medicine at the University Jake O’Shea, MD of Pittsburgh. Dr. O’Shea is board certified in both emergency medicine and clinical informatics. He is the former president of the Virginia College of Emergency Physicians.

Don’t Miss

the 7th

Annual

Senior Healthy Living Awards

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ON PAGE

More information: Visit www.hcavirginia.com

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The Pulse

• NEWS TO KNOW

New Facilities and Services Riverside Tappahannock Hospital Collaborates with VCU Massey Cancer Center to Enhance Cancer Care Cancer patients in the Tappahannock and Northern Neck region of Virginia will benefit from enhanced cancer care thanks to a new collaboration between Riverside Health System and Virginia Commonwealth University Massey Cancer Center (through VCU Health System and its affiliate physician practice, MCV Associated Physicians) to provide physician services for medical oncology and hematology at Riverside Tappahannock Hospital. Massey medical oncologists and hematologists Shekhu Brar, MD and Tzann Fang, MD will begin serving patients at Riverside in July. As current Riverside Tappahannock Hospital oncologist Kim Schlesinger, MD transitions to a new role out of state, several weeks of crossover are planned to ensure a smooth handoff and continuity of patient care.

“We’ve long been committed to providing the highest-quality cancer care to patients in the community,” says Liz Martin, Administrator and Vice President of Riverside Tappahannock Hospital. “This collaboration follows a series of investments that we’ve made – including the renovation of our Cancer Infusion Center, investment in the latest diagnostic and surgical technologies, and the addition of our oncology nurse navigator – to ensure that patients in the region don’t have to travel to get the important services they need when facing a cancer diagnosis.”

“We are pleased to collaborate with Riverside Tappahannock Hospital to provide expert, patient-centered cancer care in the communities where patients live,” says Khalid Matin, MD, Medical Director of Community Oncology and Clinical Research Affiliations at VCU Massey Cancer Center and Vice Chair for Clinical Affairs in the VCU Division of Hematology, Oncology and Palliative Care. “We share their commitment to expanding access to first-class oncology care backed by innovative research.”

Shekhu Brar, MD

In addition, Riverside cancer patients will have more seamless and rapid referral to the cutting-edge clinical trials and other specialized, comprehensive services offered at VCU Massey Cancer Center and the VCU Medical Center in the Richmond metropolitan region. Advanced diagnostic testing, cancer infusions, surgical interventions and nurse navigator services will continue to be provided locally by Riverside.

“It has been an honor to serve the patients in Tappahannock and the Northern Neck,” Dr. Schlesinger says. “My leaving reflects a calling for me and my family to another chapter in our lives. I transition from Tappahannock knowing every person here remains committed to providing the personal care we want for our own family.”

“Already, many patients from the Tappahannock and Northern Neck area are choosing VCU Massey Cancer Center when they need complex cancer care, in part, because of our close proximity, so we are delighted to bring our physicians even closer to them,” says Steven Grossman, MD, PhD, Deputy Director of VCU Massey Tzann Fang, MD Cancer Center and chair of the VCU Division of Hematology, Oncology and Palliative Care. “Drs. Brar and Fang are looking forward to serving this community. They are talented, compassionate doctors committed to providing excellent medical care.”

Furthermore, the collaboration will provide a more sustainable long-term solution for the Tappahannock region to access top cancer physicians and a range of cancer experts.

“We are focused on a long-term vision for the best path forward for Riverside Tappahannock Hospital, and this collaboration is just one of the many ways we are committed to serving the health care needs of our community,” adds Dr. Martin.

More information: Visit www.riversideonline.com

New Facilities and Services Johnston-Willis Hospital First in Central Virginia to Offer Latest in Aneurysm Treatment HCA Virginia’s Johnston-Willis Hospital has performed Central Virginia’s first Woven EndoBridge, or WEB, device implantation, a new procedure offering patients a low-risk surgical option to treat brain aneurysms.

The FDA-approved device is carefully placed into the aneurysm using tiny specialized catheters similar to those used in the more commonly performed procedure known as coiling. The device is a basket made of very fine wire mesh.

It acts as a plug inside the aneurysm, reducing the blood flow and preventing further bleeding.

Efstathios Spinos, MD, a neurovascular specialist at Johnston-Willis Hospital, was the first in Central Virginia to place the device.

A brain aneurysm is a bulge or ballooning in the wall of a blood vessel inside the brain that can leak or rupture. According to the Brain Aneurysm Foundation, an estimated six million people in the United States, or 1 in 50, have an un-ruptured brain aneurysm. Each year, there are almost 500,000 deaths worldwide caused by brain aneurysms, and half of the victims are younger than 50.

“We are thrilled to be able to offer this latest treatment option for patients and to remain leaders in neurological care throughout Central Virginia,” says Efstathios Spinos, MD Zach McCluskey, Chief Executive Officer of Johnston-Willis Hospital. “This is yet another example of our level of commitment to those we serve.”

More information: Visit www.hcavirginia.com

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New Leadership Announcements Henrico Doctors’ Hospital Names Associate Chief Medical Officer HCA Virginia’s Henrico Doctors’ Hospital has appointed Matthew Brengman, MD to the role of Associate Chief Medical Officer (ACMO) Of Henrico, Parham and Retreat Doctors’ Hospital.

In this newly-created role, Dr. Brengman will work collaboratively with Tony Spensieri, MD, Chief Medical Officer of Henrico, Parham and Retreat Doctors’ Hospitals, the administrative team and medical staff to develop, promote and implement new process improvements and patient safety initiatives.

In addition, Dr. Brengman will serve as the medical lead on all efforts associated with surgical services, efficiency of care, utilization management and quality improvement efforts, including reduction of hospital acquired conditions.

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Dr. Brengman’s clinical expertise and leadership will further help support our commitment to excellence and those whom we care for. We are pleased with the opportunity to work with him and look forward to building stronger relationships among our teams as well as throughout the community.

Will Wagnon, Chief Executive Officer of Henrico Doctors’ Hospitals

Dr. Brengman relocated to Richmond in 2004 after serving in the U.S. Army. He retired with the rank of Major and served in combat as a trauma surgeon in Iraq during Operation Iraqi Freedom. Following his military service, Dr. Brengman joined the medical staff of Bon Secours St. Marys’ Hospital, where he was named Bariatric Medical Director and clinical lead.

In 2012, Dr. Brengman transitioned to Advanced Surgical Partners of Virginia and Parham Doctors’ Hospital, where he again assumed the role of Bariatric Matthew Brengman, MD Medical Director. Under his leadership, the program has attained and sustained quality accreditation by MBSAQIP and all major insurers.

During recent years, Dr. Brengman has served as Department of Surgery chair, chief of Medical Staff, and completed a Master’s Degree in healthcare administration at VCU. “I look forward to collaborating with Dr. Spensieri on projects that focus on surgical quality, efficiency of care, creating the surgical experience that is the safest in our region, and offering the overall best patient experience at our hospitals,” says Dr. Brengman.

More information: Visit www.hcavirginia.com

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The Pulse

• NEWS TO KNOW

New Facilities and Services Bon Secours Memorial Regional Medical Center Introduces Robotic-Arm Assisted Joint Replacement Surgery Bon Secours Memorial Regional Medical Center is the second Bon Secours hospital in the greater Richmond area to offer roboticassisted joint replacement surgery for patients, including partial knee, total knee and total hip replacements.

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The demand for joint replacements is expected to rise in the next decade in the U.S.; total knee replacements are estimated to increase by 673 percent by 2030, while primary total hip replacements are estimated to increase by 174 percent.

The Journal of Bone and Joint Surgery

Utilizing a virtual three-dimensional model of the knee or hip, device company Stryker’s Mako System robot assists surgeons in performing minimally-invasive joint replacement surgery to provide patients with a personalized surgical experience.

“We are proud to offer the Mako System at Bon Secours Memorial Regional Medical Center,” says Leigh Sewell, President of Bon Secours Memorial Regional Medical Center. “This advanced technology will allow us to offer a quality alternative treatment option for joint replacement surgeries and continue to improve the overall experience for our patients.”

A total hip procedure is a treatment option for adults who suffer from degenerative joint disease of the hip. During surgery, the surgeon guides the Mako robotic-arm during bone preparation to prepare the hip socket and position the implant according to the pre-determined surgical plan.

A partial knee procedure is a treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis that has not yet progressed to all three compartments of the knee. By selectively targeting only the part of the knee damaged by osteoarthritis, surgeons can use the Mako robotic-arm to resurface the diseased portion of the knee, while helping to spare the healthy bone and ligaments surrounding the knee joint. The Mako Total Knee application is a knee replacement treatment option designed to relieve the pain caused by joint degeneration due to osteoarthritis. The Mako System also enables surgeons to virtually modify the surgical plan intra-operatively and assists the surgeon in executing bone resections.

More information: Visit www.bonsecours.com/richmond

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Recognitions and Achievements Chippenham Hospital Earns Provisional Status as Level I Trauma Center HCA Virginia’s Chippenham Hospital has achieved provisional status as a Level I trauma center by the State Health Commissioner from the Commonwealth of Virginia Department of Health. Earning Level I trauma accreditation will make Chippenham the second hospital in the region, along with VCU Medical Center, to have this status. Level I is the highest level of trauma care that a patient can receive.

“The growing healthcare needs of Central Virginia and the surrounding areas will eventually strain the existing trauma services,” says Khaled Basiouny, MD, FACS, Trauma Medical Director at Chippenham Hospital. “As a trauma leader, Chippenham Hospital has stepped up to meet this demand.”

Anastasia Cleary, MD

Emily Driscoll, PT, DPT

Michael Kenerson, MD

Robin Lee, FNP

Cameron Lindsey, OD

Molly Massey, FNP

Bryce Nelson, MD, PhD

Ryan Williams, DO

Tappahannock Family Practice Tappahannock | 804.443.6063 www.riversideonline.com

Women’s Health Physical Therapy & Men’s Pelvic Health Richmond | 804.282.3500 www.obgyn-physicaltherapy.com

According to Dr. Basiouny, Chippenham Hospital has been providing trauma quality outcomes that meet or exceed state and national averages as a Level II trauma center since they received this designation in 2015. Additionally, Chippenham meets or exceeds quality outcome benchmarks from the American College of Surgeons (ACS), which aim to improve care for the surgical patient and safeguard standards of care.

“Given Virginia’s unique mix of large population areas, there is a critical need for trauma care throughout the state,” continues Dr. Basiouny. ”Patients who live in rural areas south and west of Central Virginia deserve to have the same level of trauma care as those in the metro Richmond area. Having a trauma access point closer to them may mean the difference between life and death.”

As a Level II trauma center, Chippenham Hospital has been able to initiate definitive care for patients by providing 24/7 on-site trauma surgeons, who are available immediately. In addition, trauma experts with a variety of surgical specialties are on call 24/7 and required to be at bedside within 30 minutes. Dr. Basiouny also says that Level I certification allows Chippenham to care for all patient acuity levels onsite, without transfer, including limb reattachment.

HCA Virginia’s other trauma centers in Richmond include JohnstonWillis and Henrico Doctors’ Hospitals, which are Level III and Level II trauma centers, respectively. In Virginia, the trauma designation process is voluntary and intended to identify the various levels of capability available at participating hospitals. There are three levels in the state. These include:

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LEVEL I: a comprehensive regional source that is capable of providing total care for every aspect of injury from prevention to rehabilitation.

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LEVEL II: facilities that are able to initiate definitive care for all injured patients.

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LEVEL III: centers that have demonstrated an ability to provide prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients and emergency operations.

In one year, the State will return to re-evaluate Chippenham Hospital’s progress during a site visit. If all criteria are met during the provisional timeframe, during which Chippenham is fully operational as a Level I trauma center, the hospital will receive its full, official Level I trauma designation.

More information: Visit www.hcavirginia.com

For More of The Pulse Visit: www.ourhealthrichmond.com

Virginia Ear Nose and Throat Henrico and Colonial Heights 804.484.3700 www.virginiaent.com

Tappahannock Family Practice Tappahannock | 804.443.6063 www.riversideonline.com

Virginia Eye Institute King William Medical Center Mechanicsville | 804.404.6320 Aylett | 804.769.1245 www.vaeye.com www.riversideonline.com

Children’s Hospital of Richmond at VCU Endocrinology and Metabolism Downtown Richmond and West End 804.828.2467 www.chrichmond.org

Tappahannock Family Practice Tappahannock | 804.443.6063 www.riversideonline.com

Do you have health-related news to share for The Pulse? Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com. www.OurHealthRichmond.com

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING contributer | AMERICAN HEART ASSOCIATION photography | COURTESY OF THE AMERICAN HEART ASSOCIATION

RICHMOND CYCLENATION RAISES OVER $19,000 FOR STROKE AND HEART DISEASE PREVENTION The energy and spirits were high at the inaugural American Heart Association’s Richmond CycleNation event held on May 30, 2019 at the Maymont Nature Center – West Terrace, where more than 200 people gathered and raised over $19,000 from sponsorships and individual fundraising efforts in support of CycleNation’s mission to get the community involved on a quest to put the brakes on heart disease and stroke. The networking event featured a celebration of great music, fun instructors, spirited games and friendly competitions all in the name of a great cause to help bring awareness to the importance of recognizing and treating heart disease and stroke – two conditions that unfortunately take the lives of many of our loved ones too soon. Stroke is the #2 killer worldwide while a person suffers a stroke and dies from a heart attack every 40 seconds. Events like Richmond CycleNation empowers people to turn the motion of cycling into a movement for healthy living while also helping support research and advocacy efforts.

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To learn more about Richmond CycleNation, including details for the 2020 event, visit www.cyclenation.org/richmond.

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1) Stroke survivor Skylar Doerwaldt shows her support for the cause. 2) Kristina Gooch represents Team VCU Health. 3) (L to R): Ashley Fary, Katie Schrecker, Amber Pinigis and McKenzie want everyone to know F.A.S.T. is the acronym for recognizing stroke warning signs: Face drooping, Arm weakness, Speech difficulty and Time to call 9-1-1. 4) Stroke survivor, Malissa Bradshaw inspires riders with her story. 5) Event emcee, Ja Jones, gets the riders pumped up and ready to sweat. 6) Through sponsorships and individual contributions, Richmond CycleNation raised over $19,000 for heart disease and stroke. 7) Local cycling instructors and heart-pumping tunes motivate the riders. 8) Danielle Nogle helps Malissa Bradshaw adjust her bike.

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | JENNY HUNGATE photography | KATIE CARTWRIGHT

ANNUAL ASHLAND STRAWBERRY FAIRE RAISES MORE THAN $13,000 FOR STUDENT SCHOLARSHIPS AND GRANTS

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For nearly four decades, Ashland, Virginia locals and visitors statewide have gathered in June to celebrate the harvest of the juicy, sweet strawberry. This year was no different, as an estimated 30,000 guests filled the streets of the Randolph-Macon College campus for the 38th Annual Ashland Strawberry Faire on June 15, 2019. As a family fun event that focuses on giving back to the community, the 38th Annual Ashland Strawberry Faire raised more than $13,000 in scholarships and grants that were presented to local students and organizations. The Faire, which has recently partnered with the Kiwanis Club of Ashland, also requires all participating food vendors to donate a portion of their proceeds to a local non-profit of their choice. In the history of the Faire, more than $100,000 has been donated to local, charitable organizations.

Mark your calendar for the 39th Annual Ashland Strawberry Faire, which will take place on Saturday June 6th, 2020.

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For more information, visit www.ashlandstrawberryfaire.com.

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10 1) Berries from Ashland Berry Farm. 2) Ashland Strawberry Faire scholarship recipients. 3) 2019 Junior Miss Strawberry, Charlotte Booth with Miss Greater Charlottesville, Audrey Kate Taylor. 4) The 2019 Strawberry Faire event committee. 5) The Hanover Humane Society had friendly faces doling out kisses to passersby. 6) Kids of all ages enjoyed face painting, especially this little tiger. 7) Perfect weather for all the visitors! 8) Local resident Dan McGraw was a crowd favorite in the Dunk Tank.

9) Beau Dabney of Ashland shows off “Ole Rusty” for the Faire. 10) Strawberry treats for everyone!

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Questions. Answers.

Knowledge.

How common is juvenile arthritis and is there a cure?

Did you know?

July is JUVENILE IDIOPATHIC ARTHRITIS AWARENESS MONTH

Juvenile Idiopathic Arthritis (JIA) is an autoimmune disease that causes stiff joints, swollen joints and joint pain in children.

Juvenile Idiopathic Arthritis (JIA) is an autoimmune disease that causes stiff, swollen joints and joint pain in children. In addition to stiffness, swelling and pain, symptoms of joint disease include fatigue, fever, rash and back pain. While the estimated incidence is 14 cases per 100,000 per year, the actual prevalence in the total United States population is probably around 15,000-36,000.

There are different types of JIA which include: polyarthritis-type, oligoarthritis-type, enthesitisrelated arthritis, psoriatic arthritis and systemic arthritis. The immune system is overactive in all types of JIA. The prognosis is generally good for JIA due to the existence of safe and effective treatments that can control the inflammation. Although there is no cure, many patients achieve disease remission with therapy, and some are even able to taper off therapy as they get older.

Can men who undergo testicular cancer treatment still have children?

Does the amount of water I drink (or don’t drink) have an effect on my cardiovascular health?

Yes! Most men are able to father biological children following treatment for testicular cancer.

During the course of pre-treatment evaluation, care providers will discuss the possibility of sperm banking if there is a chance fertility cannot be preserved. However, for those patients who undergo unilateral orchiectomy (removal of one testicle), most patients will have restoration of fertility within two years after completing chemotherapy.

Hydration during the summer months is extremely important.

Excessive sweating during activities in the summer heat can make you lose more fluid than at other moderate times of the year.

Thomas Weart, MD Virginia Cancer Institute Richmond | 804.287.3000 www.vacancer.com

Aarat M. Patel, MD Adult and Pediatric Rheumatology Bon Secours Rheumatology Center Richmond | 804.217.9601 www.bonsecours.com

During these summer activities, you may notice your heart beating faster and harder; you may even notice periods of rapid heartbeats known as palpitations. Your heart is working harder to pump and will also increase your blood pressure.

The elderly and people with chronic conditions may have a greater risk of becoming more quickly dehydrated.

When dehydration occurs, your blood holds on to sodium and becomes thicker, making it harder to circulate throughout your body.

This can cause a drop in your blood pressure and can lead to fainting spells.

Drinking water is the best way to stay hydrated and allow your heart to pump blood to all your muscles.

Start the day with a glass of water, include as part of each meal and add a few more glasses during your daily activities to stay hydrated and heart healthy!

Jaspreet Singh, MD James River Cardiology Richmond | 804.520.1764 www.jamesrivercardiology.com

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Questions. Answers.

Knowledge.

Why are older adults at greater risk for experiencing the flu or complications from the flu?

Did you know?

August is

IMMUNIZATION

and INFLUENZA AWARENESS MONTH

Scan the QR code provided to download information about flu and vaccinations in older adults.

While the majority of the population can recover from the flu in about a week, adults who are 65 years and older may take several weeks to return to normal health. Even if older adults recover from the flu, some may never fully regain pre-flu health and abilities, significantly impacting their lifestyle. Older adults are at a higher risk for flurelated complications because they have a weaker immune system, which naturally occurs as we age.

When the immune system isn’t strong, it becomes harder for the body to fight off infection.

Flu-related complications may also occur more frequently in seniors due to a higher rate of chronic medical conditions like diabetes, kidney or heart conditions, chronic lung disease or liver problems.

When a flu infection worsens, it can progress to a life-threatening infection of the lungs called pneumonia, which may then lead to hospitalization, and in some instances, could be deadly. Several weeks after recovering from flu symptoms, older adults may still be at an increased risk of heart attack, stroke, or other cardiovascular conditions.

Bikram Saini, MD

JenCare Senior Medical Center Richmond | 804.344.9848 www.jencaremed.com

Do I need to renew my Medicare coverage each year?

Can medication increase the risk of falling in seniors?

In most cases you are not required to do anything each year to renew your coverage for the following year.

However, it may be in your best interest to review your coverage to make sure the plan still fits your needs. Medicare plans are standardized. By exploring Medicare plan options, you may find the exact plan at a lower cost. Use this time to also review all the benefits of your existing plan. You may find benefits within your current plan that you forgot were originally included. While there is an Annual Election Period (October 15th thru December 7th) typically there is no reason to wait to save money since many plans can be changed throughout the entire year.

Reviewing your coverage and benefits yearly with a licensed insurance agent could save hundreds if not thousands of dollars in the coming year.

Falls are the leading cause of injuries among adults aged 65 years and older. The majority of falls have a multifactorial origin. Besides the use of medications, additional risk factors include increasing age, visual impairments, cognitive decline and environmental factors.

Bryan Gay

Boomer Insurance Group Richmond | 804.464.8960 www.boomerinsurancegroup.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Prescription medication use in the older population has increased within the last decade.

Approximately 72 percent of people age 55 or older use at least one prescription medication. Within this age group 20.3 percent are taking four or more medications.

Medications in the following categories can significantly increase the risk for falls: sedatives, hypnotics, anti-seizure, antidepressants, antianxiety, benzodiazepines, antidepressants, antipsychotics, anti-hypertensives, and opioids. Responsible management and awareness of all side-affects from medications is of utmost importance.

While removing medications from one’s regimen may not be a realistic option, an annual review of all medications with your provider may help identify any dangerous drug interactions or duplications.

Prevention is key and should involve a multidisciplinary team approach by analyzing and evaluating the root cause of any fall and implementing appropriate interventions.

Ghulam Nessar, PharmD

Director of Pharmacy Services Sitter and Barfoot Veterans Care Center Richmond | 804.371.8438 www.dvs.virginia.gov/veterans-care-centers

www.OurHealthRichmond.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

From assisted living and rehabilitation experts to restaurants, pharmacies, and salons, we unveil readers’ top choices in Richmond for services they trust to keep our golden generation healthy and happy.

www.OurHealthRichmond.com

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5

th annual

th annual

GOLD

G R E AT E R R I C H M O N D

5

5

th annual

SILVER

BRONZE

Senior Healthy Living Awards Third Place

5

th annual

GOLD

Morrissett Funeral and Cremation Richmond | 804.275.7828 www.morrissett.com

Honorable Mention

ADULT DAY CARE CENTERS First Place

Circle Center Adult Day Services Richmond | 804.355.5717 www.circlecenterva.org

Third Place

Beechwell Adult Day Program, LLC Richmond | 804.217.8196 www.beechwelladp.com

Honorable Mention

E. Alvin Small Funeral Home and Crematory Colonial Heights | 804.526.3436 www.ealvinsmall.com J.M. Wilkerson Funeral Home Petersburg | 804.732.8911 www.jmwilkersonsince1874.com Woody Funeral Homes Mechanicsville | 804.730.0035 Midlothian | 804.794.1000 Richmond | 804.288.3013 www.dignitymemorial.com/ woodyfuneralhome

5

th annual

GOLD

dayBREAKS Adult Day Center Midlothian | 804.419.0999 www.daybreaksva.com

Hanover Adult Center Mechanicsville | 804.746.0743 www.hanoveradultcenter.com 5

th annual

ASSISTED LIVING COMMUNITY

GOLD

First Place

Chestnut Grove Assisted Living Henrico | 804.262.7333 www.chestnutgroveliving.com

AFTER LIFE SERVICES First Place

Bliley’s Funeral Home Richmond | 804.355.3800 www.blileys.com

Second Place

J.T. Morris and Son Petersburg | 804.733.8511 www.jtmorriss.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Second Place

Spring Arbor of Salisbury Midlothian | 804.601.0910 www.springarborliving.com/ midlothian-va.htm

Third Place (tie) The Towers Richmond | 804.320.1412 www.rui.net/the-towers

Commonwealth Senior Living at Chesterfield North Chesterfield | 804.271.9787 www.commonwealthsl.com

Join Us in Congratulating the

SOAR365 Formerly Greater Richmond ARC Richmond | 804.358.1874 www.soar365.org

Cremation Society of Virginia Richmond | 804.355.3360 www.virginiacremate.com

Senior Healthy Living Award Winners on Social Media

Second Place

Bennett Funeral Homes Chesterfield | 804.639.4975 Glen Allen | 804.270.6321 Mechanicsville | 804.746.8665 Richmond | 804.359.4481 www.bennettfuneralhomes.com

www.OurHealthRichmond.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

G R E AT E R R I C H M O N D

Senior Healthy Living Awards ASSISTED LIVING COMMUNITY

Amada Senior Care Richmond | 804.793.8255 www.amadaseniorcare.com/ richmond-senior-care

Brighter Living Assisted Living Hopewell | 804.458.5830 www.brighter-living.com

Seniors Helping Seniors Richmond | 804.921.4280 www.seniorcarechesterfieldcountyva.com

Cedarfield Richmond | 804.474.8800 www.cedarfield.org

Transitional Home Care Louisa | 540.967.5375 www.transitionalhomecare.com

Honorable Mention

Covenant Woods Mechanicsville | 804.569.8000 www.covenantwoods.com Dunlop House Colonial Heights | 804.520.0050 www.dunlophouse.com

5

th annual

GOLD

Magnolias of Chesterfield Chester | 804.256.2082 www.meridiansenior.com Petersburg Home For Ladies Petersburg | 804.733.0148 www.petersburghomeforladies.com The Crossings at Bon Air Richmond | 804.560.1440 www.thecrossingsatbonair.com

ELDER LAW ATTORNEY First Place

Thompson McMullan Law Firm Richmond | 804.649.7545 www.t-mlaw.com

5

th annual

GOLD

Second Place

Paula Peaden Parker, Pollard, Wilton and Peaden Richmond | 804.262.3600 www.parkerpollard.com

COMPANION CARE First Place

Companion Extraordinaire Richmond | 804.752.2205 www.cenninc.com

Second Place

Comfort Keepers Richmond | 804.750.1123 www.comfortkeepers.com/ richmondwest-va

Third Place

Care Advantage Richmond | 804.323.9464 www.careadvantageinc.com

Honorable Mention

Always Best Care of Virginia Midlothian | 804.912.5688 www.alwaysbestcare.com/va/midlothian

Third Place

Lee Law Office Richmond | 804.204.1500 www.mleelaw.com

Honorable Mention

Fletcher Cooke Crater District Area Agency on Aging Petersburg | 804.732.7020 Stapleton Elder Law Richmond | 866.284.4529 www.elderlaw-va.com

Congratulations TO THE

2019

Senior Healthy Living Award winners! www.OurHealthRichmond.com

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G R E AT E R R I C H M O N D

Senior Healthy Living Awards 5

5

th annual

th annual

GOLD

FINANCIAL ADVISING First Place

Edward Jones: Ellen Wulf Richmond | 804.262.0754 www.edwardjones.com/ellen-wulf

Second Place

Financial Dynamics and Associates Inc. Midlothian | 804.777.9999 www.financialandestateplanning.com

Third Place

Edward Jones: John M. Reid Colonial Heights | 804.526.4777 www.edwardjones.com/john-reid

Honorable Mention

Edward Jones: Jim Gallagher Jr. Prince George | 804.458.3003 www.edwardjones.com/jim-gallagher Eric Jorgensen The Jorgensen Group Richmond | 804.290.0700 Heritage Wealth Advisors Richmond | 804.643.4080 www.heritagewealth.net

GOLD

FITNESS SERVICES (INCLUDING YOGA AND TAI CHI STUDIOS)

First Place

YMCA of Greater Richmond Greater Richmond Area www.ymcarichmond.org

Second Place

American Family Fitness Greater Richmond Area www.amfamfit.com

Third Place

Glenmore Yoga Richmond | 804.741.5267 www.glenmoreyoga.com

Honorable Mention ACAC Glen Allen | 804.464.0990 Midlothian | 804.378.1600 www.acac.com

Henrico County Parks and Recreation Henrico | 804.501.7275 www.henrico.us/rec

5

th annual

Virginia Asset Management Midlothian | 800.787.1716 www.vamllc.com

GOLD

Congratulations TO THE

2019

Senior Healthy Living Award winners!

30

OurHealth | The Resource for Healthy Living in Greater Richmond

HOME HEALTH CARE First Place

BestCare Home Care Glen Allen | 804.883.6104 www.bestcarehomecare.com

5

th annual

th annual

GOLD

G R E AT E R R I C H M O N D

5

5

th annual

SILVER

BRONZE

HOME HEALTH CARE

Second Place

Senior Healthy Living Awards Third Place

5

th annual

GOLD

Care Advantage, Inc. Richmond | 804.323.9464 www.careadvantageinc.com

Honorable Mention Amada Senior Care Richmond | 804.793.8255 www.amadaseniorcare.com/ richmond-senior-care Companion Extraordinaire Henrico | 804.752.2205 www.cenninc.com James River Home Health Richmond | 804.272.3300 www.jamesriverhh.com Paradise Home Care Richmond | 804.288.0033 www.paradisehomecareinc.com

GOLD

Honorable Mention

Third Place

AT Home Care Richmond | 804.612.3737 www.athomecareandhospice.com

Hospice of Virginia Richmond | 804.281.0451 www.harborlighthospice.com

5

th annual

AT Home Care and Hospice Richmond | 804.612.3737 www.athomecareandhospice.com

HOSPICE CARE First Place

Crater Community Hospice Petersburg | 804.526.4300 www.cratercommunityhospice.org

Second Place

Hospice Community Care Glen Allen | 804.290.0951 www.harborlighthospice.com

Bon Secours Hospice Richmond | 804.627.5360 www.hospicerichmond.com Capital Caring Richmond | 804.601.3180 www.capitalcaring.org

Congratulations

Senior Healthy Living Award winners!

INDEPENDENT LIVING COMMUNITY First Place

Cedarfield Richmond | 804.474.8800 www.cedarfield.org

Second Place

Westminster Canterbury-Richmond Richmond | 804.256.2092 www.wcrichmond.org

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OurHealth | The Resource for Healthy Living in Greater Richmond

INDEPENDENT LIVING COMMUNITY

Third Place

Covenant Woods Mechanicsville | 804.569.8000 www.covenantwoods.com

Honorable Mention Brandermill Woods Retirement Mechanicsville | 804.744.1173 www.brandermillwoods.com Chesterfield Heights Midlothian | 804.419.5076 www.seniorlivinginstyle.com Heritage Oaks Senior Living Richmond | 804.323.3800 www.heritageoaksseniorliving.com Hermitage Richmond Richmond | 804.474.1800 www.hermitagerichmond.org Imperial Plaza Richmond | 804.262.6537 www.ipseniorliving.com

5

th annual

GOLD

INPATIENT REHABILITATION First Place

Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1000 www.shelteringarms.com

Second Place

Beth Shalom Richmond | 804.750.2183 www.bethsholomliving.org

Third Place

Hanover Health and Rehabilitation Center Mechanicsville | 804.559.5030 www.hanoverhealthrehab.com

Honorable Mention

Encompass Health Rehabilitation Hospital of Richmond Richmond | 804.288.5700 www.encompasshealth.com/richmondrehab Dinwiddie Health and Rehab Center Petersburg | 804.518.0780 www.dinwiddie-rehab.com

www.OurHealthRichmond.com

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G R E AT E R R I C H M O N D

Senior Healthy Living Awards INPATIENT REHABILITATION

Honorable Mention Continued...

5

th annual

GOLD

The Laurels of Bon Air Richmond | 804.521.9980 www.laurelsofbonair.com Westport Health and Rehab Richmond | 804.288.3152 www.care-virginia.com

5

MASSAGE THERAPY SERVICES

th annual

GOLD

First Place

Glow Med Spa Carytown, Midlothian, Northside and Short Pump 804.262.0330 www.glowmedspa.net

LOCAL PHARMACY First Place

Walnut Hill Pharmacy Petersburg | 804.733.7711 www.walnuthillpharmacy.com

Second Place

Bremo Pharmacy Henrico | 804.288.8361 www.bremorx.com

Third Place

Buford Road Pharmacy Richmond | 804.272.1423 www.bufordroadpharmacy.com

Honorable Mention Midlothian Apothecary Midlothian | 804.794.5592 www.midloapothecary.com

Rx3 Compounding Pharmacy Richmond | 804.717.5000 www.rx3pharmacy.com South River Compounding Pharmacy Midlothian | 804.897.6447 www.southriverrx.com

Second Place

Ripple Effect Massage LLC Chester | 804.921.7279 www.rippleeffectmassage.weebly.com

Third Place

Hand and Stone Massage and Facial Spa Carytown, Chesterfield, Glen Allen, Midlothian, Short Pump and West End 866.889.STONE (7866) www.handandstone.com

Honorable Mention Ariya Family Chiropractic Centers Ashland | 804.550.0780 Colonial Heights | 804.526.7125 Glen Allen | 804.270.5700 Henrico | 804.750.2400 Petersburg | 804.862.2255 Richmond | 804.288.1005 www.ariyafamilychiropractic.com

Back In Action Health Resource Center Richmond | 804.254.0200 www.feelgr8.com Massage Envy – Richmond Willow Lawn Richmond | 804.440.0004 www.massageenvy.com Massage LuXe – Henrico Henrico | 804.332.5006 www.massageluxe.com

Westwood Pharmacy Richmond | 804.288.1933 www.westwoodpharmacy.com

Join Us in Congratulating the

Senior Healthy Living Award Winners 36

OurHealth | The Resource for Healthy Living in Greater Richmond

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OurHealth | The Resource for Healthy Living in Greater Richmond

5

G R E AT E R R I C H M O N D

5

5

th annual

th annual

th annual

GOLD

SILVER

BRONZE

Senior Healthy Living Awards Third Place (tie)

5

th annual

GOLD

Dunlop House Colonial Height | 804.520.0050 www.dunlophouse.com The Towers Memory Care Richmond | 804.320.1412 www.rui.net/the-towers

MEDICAL EQUIPMENT PROVIDER First Place

ABC Health Care Richmond | 804.864.8700 www.abc-hc.com

Second Place

Clay Home Medical Petersburg | 804.861.1606 www.clayhomemedical.com

Third Place

West Home Health Care Inc Richmond | 804.353.7703 www.whhci.com

Honorable Mention Capital Medical Supply Inc Richmond | 804.353.0707 www.capitalmedicalsupply.com

Honorable Mention

Third Place

Parham Healthcare and Rehabilitation Center Richmond | 804.264.9185 www.parhamhealthrehab.com The Laurels of Bon Air Richmond | 804.521.9980 www.laurelsofbonair.com

Chestnut Grove Assisted Living Richmond | 804.262.7333 www.chestnutgroveliving.com

Tyler’s Retreat at Iron Bridge Chester | 804.706.1023 www.saberhealth.com

Petersburg Home For Ladies Petersburg | 804.733.0148 www.petersburghomeforladies.com

5

th annual

GOLD

5

th annual

GOLD

National Seating and Mobility Richmond | 844.772.1170 www.nsm-seating.com

PALLIATIVE CARE First Place

Crater Community Hospice Petersburg | 804.526.4300 www.cratercommunityhospice.org

Second Place

Bon Secours Hospice and Palliative Care Richmond | 804.627.5360 www.hospicerichmond.com

Sunflower Gardens Prince George | 804.452.5000 The Memory Center Richmond Midlothian | 804.378.5100 www.thememorycenter.com/ communities/richmond

GOLD

Honorable Mention

Cedarfield Richmond | 804.474.8800 www.cedarfield.org

Magnolias of Chesterfield Memory Care Chester | 804.256.2082 www.meridiansenior.com

5

th annual

Our Lady of Hope Richmond | 804.360.1960 www.ourladyofhope.com

OUTPATIENT REHABILITATION

Third Place

VCU Massey Cancer Center Richmond | 804.628.1295 www.massey.vcu.edu

First Place

5

th annual

Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1000 www.shelteringarms.com

GOLD

Second Place

5

th annual

GOLD

NURSING HOME First Place

MEMORY CARE First Place

Morningside of the West End Richmond | 804.270.3990 www.fivestarseniorliving.com

Second Place

Spring Arbor Cottage of Richmond Richmond | 804.308.3500 www.springarborliving.com

Cedar Woods Health Care Center at Cedarfield Richmond | 804.474.8800 www.cedarfield.org/health-care

Second Place (tie) Sitter and Barfoot Veterans Care Center Richmond | 804.371.8000 www.dvs.virginia.gov

Dinwiddie Health and Rehab Center Petersburg | 804.518.0780 www.dinwiddie-rehab.com

Fox Rehabilitation Greater Richmond | 877.407.3422 www.foxrehab.org

Third Place

VCU Health Neuroscience, Orthopaedic and Wellness Center Henrico | 804.360.4669 www.vcuhealth.org

Honorable Mention Encompass Health Rehabilitation Hospital of Richmond Richmond | 804.288.5700 www.encompasshealth.com/ richmondrehab Southside Regional Rehabilitation Services Petersburg | 804.765.6660 www.srmconline.com

POST-ACUTE REHAB SERVICES First Place

Hanover Health and Rehabilitation Center Mechanicsville | 804.559.5030 www.hanoverhealthrehab.com

Second Place

Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1000 www.shelteringarms.com

5

5

5

th annual

th annual

th annual

GOLD

SILVER

BRONZE

www.OurHealthRichmond.com

39

5

G R E AT E R R I C H M O N D

5

5

th annual

th annual

th annual

GOLD

SILVER

BRONZE

POST-ACUTE REHAB SERVICES

Senior Healthy Living Awards Third Place

5

th annual

Third Place

GOLD

Southside Regional Rehabilitation Services Petersburg | 804.765.6660 www.srmconline.com

Encompass Health Rehabilitation Hospital of Richmond Richmond | 804.288.5700 www.encompasshealth.com/ richmondrehab Parham Healthcare and Rehabilitation Center Richmond | 804.264.9185 www.parhamhealthrehab.com

5

GOLD

40

RESTAURANT First Place

Latitude Seafood Co. Midlothian Midlothian | 804.379.8100 www.latitudeseafoodco.com

SILVER

Dixie Resturant Petersburg | 804.732.7425 f thedixierestaurant Glory Days Grill Midlothian | 804.608.8350 www.glorydaysgrill.com Metro Diner Richmond | 804.510.0780 www.metrodiner.com

Second Place

Buckhead’s Richmond | 804.750.2000 www.buckheads.com

th annual

th annual

GOLD

Cracker Barrel Old Country Store Richmond | 804.290.0713 www.crackerbarrel.com

5

5

th annual

5

th annual

Honorable Mention

Honorable Mention Beaufont Health and Rehabilitation Center Richmond | 804.272.2918 www.beaufonthealthrehab.com

Mama J’s Kitchen Richmond | 804.225.7449 www.mamajskitchen.com

BRONZE

OurHealth | The Resource for Healthy Living in Greater Richmond

Senior Healthy Living Awards

SALON AND DAY SPA SERVICES First Place

Bombshell Brazilian Waxing and Beauty Lounge Richmond | 804.342.0051 www.ilovebombshell.com

Second Place

Hand and Stone Massage and Facial Spa Carytown, Chesterfield, Glen Allen, Midlothian, Short Pump and West End 866.889.STONE (7866) www.handandstone.com

www.OurHealthRichmond.com

41

5

th annual

th annual

GOLD

G R E AT E R R I C H M O N D

5

5

th annual

SILVER

BRONZE

Senior Healthy Living Awards SALON AND DAY SPA SERVICES

Second Place

5

th annual

Third Place

GOLD

Salon del Sol – Midlothian North Chesterfield | 804.331.4025 www.sdssalon.com/locations/ richmond/midlothian

Honorable Mention Crystal Spa and Nails Petersburg | 804.732.1234 www.crystalspa.org

Join Us in Congratulating THE

2019

Senior Healthy Living Award Winners ON

Social Media!

Renewal Day Spa North Chesterfield | 804.320.8094 www.renewaldayspa.org Ripple Effect Massage LLC Chester | 804.921.7279 www.rippleeffectmassage.weebly.com Massage Envy – Richmond Willow Lawn Richmond | 804.440.0004 www.massageenvy.com

5

th annual

GOLD

Third Place

SENIOR RELOCATION SERVICES First Place

Door To Door Solutions Inc. Richmond | 804.261.4124 www.doortodoorsolutions.com

Second Place

Senior Connections Richmond | 804.343.3000 www.seniorconnections-va.org

Third Place

Boomers Transitions Richmond | 804.617.4219 www.boomerstransitions.com

Honorable Mention

SENIOR COMMUNITY CENTER

Two Men and a Truck Henrico | 804.723.1355 www.twomenandatruck.com

The Laurels of Bon Air Richmond | 804.521.9980 www.laurelsofbonair.com

Honorable Mention

All About Care Richmond | 804.560.5430 www.careadvantageinc.com/all-about-care Beaufont Health and Rehabilitation Center Richmond | 804.272.2918 www.beaufonthealthrehab.com BestCare Home Care Glen Allen | 804.883.6104 www.bestcarehomecare.com Bon Secours St. Mary’s Hospital Richmond | 804.285.2011 www.bonsecours.com Henrico Health and Rehabilitation Center Highland Springs | 804.737.0172 www.henricohealthrehab.com Tyler’s Retreat at Iron Bridge Chester | 804.706.1023 www.saberhealth.com

5

th annual

GOLD

5

First Place

Colonial Heights Senior Center Colonial Heights | 804.520.9220 www.colonialheightsva.gov

th annual

GOLD

Second Place

Lifelong Learning Institute in Chesterfield Midlothian | 804.378.2527 www.llichesterfield.org

Third Place

Crater District Area Agency Petersburg | 804.732.7020

Honorable Mention InnovAge PACE – Richmond Ashland | 804.550.0780 Richmond | 804.977.5900 www.myinnovage.com/locations/ va-richmond

Senior Center of Greater Richmond Richmond | 804.353.3171 www.seniorcenterofgreaterrichmond.org

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Hanover Health and Rehabilitation Center Mechanicsville | 804.559.5030 www.hanoverhealthrehab.com

OurHealth | The Resource for Healthy Living in Greater Richmond

SPEECH THERAPY SKILLED NURSING CARE First Place

Lucy Corr Chesterfield | 804.748.1511 www.lucycorr.org

First Place

Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1000 www.shelteringarms.com

Second Place

All About Care Richmond | 804.560.5430 www.careadvantageinc.com

Join Us in Congratulating the

Senior Healthy Living Award Winners

G R E AT E R R I C H M O N D

Senior Healthy Living Awards Second Place

5

th annual

GOLD

Tender Care Transport Inc Montepelier | 804.288.8763 www.tendercareofva.com

Third Place

STROKE CARE First Place

Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1000 www.shelteringarms.com

The Shepherd’s Center of Chesterfield Chesterfield | 804.706.6689 www.shepcenter.org

Honorable Mention Owl Transportation Inc Richmond | 804.303.9448 www.owlinctransportation.com

5

th annual

GOLD

Second Place

HCA Johnston Willis Hospital Richmond | 804.483.5000 www.johnstonwillismed.com

Third Place

Hanover Health and Rehabilitation Center Mechanicsville | 804.559.5030 www.hanoverhealthrehab.com

Honorable Mention Beaufont Health and Rehabilitation Center Richmond | 804.272.2918 www.beaufonthealthrehab.com

Comprehensive Stroke Center at VCU Richmond | 800.762.6161 www.vcuhealth.org

TRAVEL AGENCY First Place

AAA-Colonial Heights Colonial Heights | 804.520.7388 www.midatlantic.aaa.com

Second Place

Covington Travel Richmond | 804.747.7077 www.covingtontravel.com

Third Place

5

th annual

GOLD

SignaTours Chesterfield | 804.379.6500 www.travelsignatours.com

Honorable Mention

TRANSPORTATION SERVICES First Place

Senior Transport – Colonial Heights Colonial Heights | 804.520.9219 www.colonialheightsva.gov

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OurHealth | The Resource for Healthy Living in Greater Richmond

AAA-Scott’s Addition Car Care Insurance Travel Center Richmond | 804.887.3580 www.midatlantic.aaa.com Excursions LLC Midlothian | 804.739.3855 www.excursionsllc.com

ON THE WEB

More at ourhealthrichmond.com

dayBREAKS Adult Day Center 2405 Dovercourt Drive | Midlothian | 804.419.0999 | www.daybreaksva.com | f daybreaksva

About Us dayBREAKS Adult Day Center is an affordable care solution for seniors, offering compassionate and comprehensive day time care in a safe and welcoming environment.

The small staff to patient ratio (one to five) at dayBREAKS allows us to provide the highest quality of care, support and attention to our participants.

All care staff are specifically trained in the unique needs of seniors and maintain yearly continuing education requirements, keeping them fully credentialed and certified. They also have extensive training in working with individuals who have memory issues, including Alzheimer’s disease and related dementias.

WHEN YOUR LOVED ONE PARTICIPATES IN THE DAYBREAKS PROGRAM, IT ALLOWS YOU PEACE OF MIND KNOWING THEY ARE BEING CARED FOR IN A SAFE AND SECURE ENVIRONMENT AS WELL AS MUCH NEEDED RESPITE TIME FOR YOU.

Programs and Activities Our goal is to enrich the lives of our participants through their own interests and strengths and to provide lots of social interaction and mental stimulation. Through physical exercise, mindfulness activities, art therapy, personal care and nutrition programing, we are able to provide an enjoyable and meaningful environment.

We believe that daily movement has lasting benefits, including increased blood flow, increased flexibility and enhanced mood. We offer daily exercise classes with a senior fitness instructor and encourage each participant to engage to the extent they are capable. Modifications and alternatives are always offered. Our focus is on exercises that improve balance and overall strength and stability as well as stretching for increased flexibility.

In addition to physical activities, we also offer sensory, cognitive and social activities which aid in slowing the progression of memory impairment.

Typical programming includes art therapy for strengthening memory and creative expression, board games and cards, group crossword puzzles, and auditory stimulating games.

Location We are located in the heart of Midlothian within the Salisbury neighborhood at the intersection of Winterfield and Salisbury Roads. www.OurHealthRichmond.com

45

Following being STRUCK BY A VEHICLE while serving on a traffic crash scene, police officer JOSH MAKIN RECALLS A LONG ROAD TO RECOVERY that may not have been possible without the help of a RICHMOND-BASED TRAUMATIC BRAIN INJURY REHABILITATION CENTER. words | CHRISTY RIPPEL

Josh Makin is a police officer with the Virginia Beach Police Department’s K-9 unit. His partner, Amos, is a half German Shepherd, half Belgian Malinois mix who lives in Makin’s backyard, at a house he shares with his wife Sarah and their baby daughter. Makin is living out his dream of working as a police officer and returning home at night to a loving family, but his dream was almost shattered when he nearly lost his life seven years ago in an accident.

It was August 2012, and the then 26-year-old police officer had two years on the job. He was newly married to Sarah, his college sweetheart. It was a rainy evening, and Makin was called to the scene of a vehicle crash to help direct traffic. Makin was in the road with his hand up, preparing to stop a truck.

“IT WAS A LARGE TRUCK, AND I REALIZED IT WASN’T GOING TO STOP.”

“It was a large truck, and I realized it wasn’t going to stop,” says Makin. “Well, that’s what was told to me, because I have no memory of any of it.” As the truck approached, Makin jumped out of the way to avoid being hit, but a sedan that was traveling in the adjacent lane struck him.

“It wasn’t the sedan driver’s fault, all of a sudden a police officer was coming at his car,” explains Makin, – JOSH MAKIN whose head went into the windshield. The local news in Virginia Beach covered the story, and showed a photo of the car, which had an imprint of Makin’s head where it impacted the glass.

After Makin hit the windshield, his body flew 15 feet and landed on the pavement, much to the horror of onlookers.

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CONTINUED FROM PAGE 46

Traumatic Brain Injury Left His Future Uncertain Makin, not surprisingly, sustained a severe Traumatic Brain Injury (TBI). At the time of the accident, his wife Sarah was at the movie theatre with her parents, who were in town visiting. She got a police escort to the hospital from the theatre, and when she arrived, the captain met her there, somberly telling her they were going to take the best care possible of Josh.

But she didn’t grasp the severity of his injury until she saw him. “That’s when I hit my knees,” she says. The doctor sat her down and showed her a scan of a normal brain, and then showed her a scan of her husband’s brain. “It looked like a blur instead of a brain,” Sarah remembers.

Still in shock, Sarah tried to absorb the news that her husband was not expected to make it through the night. If he did, doctors said he’d likely never be the same person, physically or mentally. “Josh was a surfer, a police officer, and he lived to be active,” Sarah says, swallowing the lump in her throat, the memories still a painful reminder of that frightening time. “Here I was in my early 20s, with a vital husband that I was told wasn’t going to be able to do the things he loved anymore, if he ever woke up.”

scans to see if the surgery would be necessary,” Sarah says. The results were encouraging, and the surgery was called off. After three days of constant bedside vigil by his wife, father, and father-in-law, Makin woke up.

The next morning, Makin’s pupils weren’t dilating, a discouraging sign. The medical team discussed surgery with the family to remove a piece of Makin’s skull, to relieve swelling and pressure from the traumatic brain injury. “They decided to do some more

When Makin’s eyes fluttered open for the first time, he was staring at a sign on the wall with a confusing acronym. It didn’t make sense to him, and he said out loud, “Why are there two “Rs” in that word?” Besides a reduction in the swelling in his brain, it was the second good sign for his family – he could talk.

But she didn’t grasp the severity of his injury until she saw him.

“That’s when I hit my knees,” she says. The doctor sat her down and showed her a scan of a normal brain, and then showed her a scan of her husband’s brain. “It looked like a blur instead of a brain,” Sarah remembers.

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“I think in the movies, when someone wakes from a coma they are suddenly 100 percent recovered, and completely with it,” Makin says. “But that’s not how it is. The doctors had cautioned my family that I may not be the person I was before when I woke up, if I woke up. And I wasn’t, at least not at first.”

Makin spent two weeks at the hospital, first in the intensive care unit, then in a stepdown unit and finally on a rehabilitation floor. Despite his encouraging recovery, he was miles away from the life he’d lead just a couple of weeks earlier, before the car struck him. He couldn’t run or walk on his own.

“Something wasn’t clicking between my legs and my brain,” remembers Makin, and he was acting more like a child than a grown man, which is typical with traumatic brain injury.

1. The Tree of Life

main campus offers a home-like atmosphere on a multi-acre campus in the far west end of Richmond.

2. The Bioness

3

Integrated Therapy System (BITS) is a touch screen rehabilitation tool.

Clients engage in a series of activities that challenge memory, problem solving, sustained attention, processing speed, and multi-tasking.

3. Dr. Zasler (left)

checks in on a client who is working in the on-site rehabilitation gym with occupational and physical therapists.

4. Tree of Life’s

residential campus offers plenty of outdoor space for clients.

2

He would need dedicated and specialized neurological rehabilitation, and the hospital case worker thought Tree of Life’s Transitional Neurorehabilitation Program in Richmond would be a fit. “She coordinated with the city and the insurance company to get my therapy covered, and I was taken by ambulance to Richmond to Tree of Life to begin to work on getting my life back,” Makin says.

Traumatic Brain Injury Recovery at Tree of Life Tree of Life is a private facility that was started in 1998 by Nathan Zasler, MD, one of the country’s foremost experts on acquired brain injury (ABI) rehabilitation. The program provides transitional as well as long-term specialized care for adult patients who’ve suffered any form of acquired brain injury which includes trauma, stroke, electric shock as well as lack of oxygen to the brain.

“We have a team of physicians, therapists, neuropsychologists and nurses that provide care for our clients” says Dr. Zasler. “There really isn’t anything quite like it in Virginia.

Instead of a hospital-like atmosphere, the feel is residential, with an outdoor pool, greenhouse and recreation areas that serve the private group homes where patients like Makin live

4

during treatment. Dr. Zasler says the program currently has 27 clients with a current capacity for 29 (not including apartments which are also available for higher functioning clients). The program goal is to expand to 40 beds across five group residences by 2022.

The integration of services, and the intensity of therapy, helped Makin recover quickly. “I lived at Tree of Life first, and then I lived in a nearby hotel with my wife, from where she drove me to Tree of Life every day for therapies,” he says. “I was there from August to December of 2012, and probably worked 40 hours a week on my recovery.”

Makin says Tree of Life became like a home to him, and staff members were committed to his care, and to helping he and his wife cope. “The counselors would meet with me and my wife, and really dug into things,” he says. “Our marriage came out of it stronger than before. I wonder if all brain injury places address this part of recovery?”

“We have a team of physicians, therapists, neuropsychologists and nurses that provide care for patients. There really isn’t anything quite like it in Virginia. Instead of a hospital-like atmosphere, the feel is residential.”

Nathan Zasler, MD, DAAPM&R, FAAPM&R, FACRM, CBIST

A board-certified rehabilitation physician with fellowship training as well as subspecialization in brain injury medicine. He is the Founder, CEO and Medical Director of the Concussion Care Centre of Virginia and Tree of Life Services, both in Richmond. He is editor in chief of the journal Brain Injury and Chief editor of the major textbook in his field, Brain Injury Medicine: Principals and Practice.

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Resources for

BRAIN INJURY IN RICHMOND Tree of Life

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m w

3721 Westerre Parkway Richmond, VA 23233 888.886.5462 info@tree-of-life.com www.tree-of-life.com

Brain Injury Association of America

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w

1608 Spring Hill Road | Suite 110 Vienna, VA 22182 703.761.0750 | 800.444.6443 www.biausa.org

Brain Injury Association of Virginia

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w

1506 Willow Lawn Drive Suite 212 Richmond, VA 23220 800.444.6443 www.biav.net

Center for Neurorehabilitation Services

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7401 Beaufont Springs Drive Suite 205 Richmond, VA 23225 804.272.0114 www.centerforneurorehabservices.org

HCA Johnston-Willis Hospital

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Neuroscience and Gamma Knife Center 14001 Johnston-Willis Drive Richmond, VA 23235 804.483.5000 www.johnstonwillismed.com

Hunter Holmes McGuire VA Medical Center

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Polytrauma Rehabilitation Center 1201 Broad Rock Boulevard Richmond, VA 23249 804.675.6548 www.richmond.va.gov/ services/polytrauma.asp

Sheltering Arms Physical Rehabilitation Centers

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w

Several locations in and around Greater Richmond.

804.764.1000 www.shelteringarms.com

VCU Brain Injury Rehabilitation Program

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1300 E. Marshall Street Richmond, VA 23298 800.762.6161 www.vcuhealth.org 50

Josh with K-9 partner, Amos.

Makin first learned how to walk again, and then how to run with a therapist, who began going on jogs with him as he got stronger. His emotions were raw, and his responses sometimes immature for his age, due to his brain injury. He had assistance with speaking and grammar, and on controlling and dealing with his emotions.

He improved steadily, and was finally able to return home. But the question of what he would do next in his life still lingered.

Police Department allowed him back on the force, and first tested the waters by assigning Makin to work with a partner for a month.

After his partner reported that he was indeed fit for duties, Makin was on his own. Well, almost on his own. He’s now a Master Police Officer and K-9 Handler. He and Amos, his K-9 partner, spend their days responding to calls like traffic stops, robberies and tracking down evidence.

Returning to the Police Force Remained Makin’s Goal

His days have changed from constant therapy to investigating evidence and diaper changes for his almost year-old daughter. But how has the accident changed him? “I hate to say this almost, because so many other people who have traumatic brain injury don’t have a miraculous recovery like what I experienced, but it changed me for the better,” Josh admits. “I have a different outlook on life.

I’m so appreciative, and the world looks different now.”

The police department was inclined to give Makin medical retirement, but Makin was interested in donning a uniform again. Dr. Zasler continued to follow Makin as an outpatient after his discharge from TOL. “He cleared me medically to return to work and helped convince the city that I was fit to return to normal duties,” he says. The Virginia Beach

Sarah feels that Tree of Life was a Godsend to their family and was essential to her

“I was humbled by the support at Tree of Life, they were wonderful,” Sarah enthuses. “We had roundtable meetings where every doctor and therapist was present, deciding on the best way forward. Dr. Zasler also worked with us to make things as accommodating as possible.”

Sarah and Josh Makin of Virginia Beach with their daughter.

husband’s recovery. “I was humbled by the support there, they were wonderful,” Sarah enthuses. “We had roundtable meetings where every doctor and therapist was present, deciding on the best way forward. Dr. Zasler also worked with us to make things as accommodating as possible for Josh, even allowing him to live at the hotel with me, even though it wasn’t what they normally did.”

“It was about what was best for Josh.”

Dr. Zasler regularly receives inquiries regarding patient referrals to TOL. He continues to evaluate the best way to optimize the care rendered and evolve the program to its next stage of growth.

He hopes that at some point other payers aside from worker’s compensation will see the benefits of such services including Virginia Medicaid and commercial insurances. “One thing that has fascinated me about brain injury is that every injury is different just like every person is different,” says Dr. Zasler. “Care needs to involve not just good differential diagnosis but also choosing the right interventions during the right window of time post-injury”. He espouses the concept of patient centered treatment and is a strong advocate for both patient and family education following ABI. EXPERT CONTRIBUTOR Nathan Zasler, MD, DAAPM&R, FAAPM&R, FACRM, CBIST is a boardcertified rehabilitation physician with fellowship training as well as subspecialization in brain injury medicine. He is the Founder, CEO and Medical Director of the Concussion Care Centre of Virginia and Tree of Life Services, both in Richmond. He is editor in chief of the journal Brain Injury and Chief editor of the major textbook in his field, Brain Injury Medicine: Principals and Practice.

ON THE WEB

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Kid’s Care INFORM • EDUCATE • GROW

Students with long-term illnesses often struggle with academic achievement—but with the right support and resources for families, this doesn’t have to be the case. words | KELSEY CASSELBURY

As a parent, it’s heart-wrenching to watch your child suffer from any sort of sickness, even if it’s mild or short-lived. When your child falls ill with an unpleasant but minor illness, such as the flu, the setback from missing school for even a few days in a row can be significant. There are tests to be made up, homework to catch up on and concepts to be retaught.

Now imagine if your child suffers from a lingering medical condition that doesn’t go away after a few days of rest, fluids and a round of antibiotics.

Imagine if just as soon as they returned to class and caught up on the lessons they had missed, they were absent again—and again and again.

When a student has a chronic illness—generally defined as any condition that lasts between three months and a lifetime—their academic path is often drastically altered. According to the Centers for Disease Control and Prevention (CDC), around one in four children in the U.S. have been diagnosed with one of these diseases, which can range from asthma and food allergies to epilepsy, diabetes, and cancer. The numbers aren’t precise, mostly because health experts sometimes disagree on what constitutes a chronic illness. What isn’t up for discussion, however, is the significant impact that it can have on a child’s academic achievements.

THE ACADEMIC EFFECT

Accord ing for Dise to the Centers ase Con t Preven tion (CD rol and C), arou one in nd four ch ildr U.S. ha ve been en in the diagno with a c sed hronic illness— genera ll any con y defined as dition t betwee hat las ts n th a lifetim ree months a nd e. When has a c a stude hronic n t illness academ their ic path is often drastic ally alt ered.

School can be challenging for the healthiest of kids, thanks to rigorous state and federal education standards. Kids with prolonged medical issues aren’t any less intelligent than their peers, but they often must overcome so many additional obstacles compared with other students to achieve the same outcome.

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LOCAL SUPPORT AND SERVICES TO AID IN Academic Success ASK Childhood Cancer Foundation Richmond | 804.658.5910 | www.askccf.org

A support system for families in Richmond who have a child with a cancer diagnosis or other serious medical health barriers to focus on successful childhood development.

Fit4Kids

Richmond | 804.307.9161 | www.grfit4kids.org Innovative programs in the Richmond region designed to promote physical activity and healthy eating to combat childhood obesity.

Epilepsy Foundation Virginia Charlottesville | 434.924.8669 www.epilepsyva.com

Consumer services, including support groups, children’s camps, support dogs and more, for people affected by epilepsy.

FocusMD

Mechanicsville | 804.723.4668 www.focus-md.com Support and quality medical treatment plans for families with recent ADHD diagnoses.

Kids Care

• EDUCATE

In 2017, the CDC took a deep dive into the research on the academic performance of students with specific chronic conditions such as asthma, diabetes, and epilepsy. Upon reviewing more than 50 studies, the conclusion was clear: Chronic health conditions lead to increased school absenteeism, which in turn leads to decreased academic achievement.

Part of the impact comes from simply missing the lessons, whether it’s because of hospitalizations or frequent medical appointments. However, constantly having to play catch-up on missed work can drastically raise a child’s anxiety levels, which has its own effect on academic progress. Additionally, there are consequences to the pain a child feels or medical treatments that influence a youngster’s cognitive abilities, such as focus, concentration, and mental recall—and it all adds up to more frustration and a decreased desire to even attempt to learn.

THE SOCIAL FACTOR

A chronic illness doesn’t have to limit the achievement of affected children.

As any parent knows, a child’s desire to go to school isn’t usually predicated on a love of learning or a passion for textbook-reading.

Rather, it’s about the friendships they’ve forged and the bonds that grow stronger each and every day the children spend together in the classroom.

Juvenile Diabetes Research Fund Central Virginia Richmond | 804.254.8014 www.jdrf.org/centralvirginia

What if, though, your child didn’t have those connections with other students? That’s a scenario that’s all too real for kids with chronic conditions, who often lose out because they’re out of school too often for friendships to develop. It might be because they’re unable to participate in extracurricular activities such as sports or school plays where those bonds intensify, or because they’re subject to bullying about their condition.

Support and advocacy for Central Virginia families affected by type 1 diabetes through community connections and a new diagnosis guide.

Without a positive social influence, kids with chronic conditions may not have the drive to get to class, despite their illness—and that often has ramifications on progress.

Partnerships for Families Richmond | 804.353.4264 www.partnershipforfamilies.org

Tools for Northside area parents that aim to help them equip their children to grow and succeed in school.

Richmond Public Schools Resiliency Partnership A PARTNERSHIP WITH:

• ChildSavers

Richmond | 804.644.9590 | www.childsavers.org

• Greater Richmond S.C.A.N.

Richmond | 804.257.7226 | www.grscan.com

A collaborative trauma-informed network aiming to improve resiliency in RPS staff, students and families through trauma-informed care practices.

RVA Childhood Asthma Collaborative Richmond | www.rvakidsasthma.org

Best practices and support services for treating and managing childhood asthma.

Smart Beginnings Greater Richmond Richmond | 804.409.5650 www.smartbeginningsrva.org

A coalition of local organizations that work together to ensure health for the Richmond area’s youngest children as they enter school.

VCU Autism Center for Excellence Richmond | 855.711.6987 www.vcuautismcenter.org

Resources and support for families affected by childhood autism diagnoses.

FINDING SUPPORT AND SERVICES

Successfully managing a student’s academic progress, particularly one with a chronic illness, is a joint effort for the student, parents, healthcare providers, and the school itself. The CDC’s 2017 review of research found, unsurprisingly, that the better-managed a chronic condition is, the better academic outcomes for the affected student.

The Americans with Disabilities Act, a federal law, does its part to help protect students with chronic illness by requiring schools, in tandem with the family, to develop 504 Plans, Individualized Education Plans (IEPs), or other appropriate plans to facilitate academic success. However, it’s not always a straightforward process to get started nor is it easy to know where to turn if they need more support and guidance. Parents who are unsure of how to lead their child to success can also take advantage of Richmond-area organizations staffed with folks who with niche expertise in specific chronic conditions can help.

Check out these local resources to aid in academic success at left.

A PATH TO ACADEMIC SUCCESS

A chronic illness doesn’t have to limit the achievement of affected children. In fact, a recent study found that children with certain conditions such as asthma, ADHD and digestive disorders reported being just as happy as those without chronic diseases—in other words, when the condition doesn’t require intensive care, most children don’t define themselves by their medical status. As a parent, you can join forces with the schools and local support organizations to ensure that, no matter what obstacles must be overcome, academic success is within your child’s reach.

ON THE WEB

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Financial Wellness SAVINGS • INVESTMENTS • INSURANCE

Financial Literacy for the Family

Where Do You Begin? words | STEVE MCCLINTIC, JR.

If you’re a person who stands by sayings like “money can’t buy happiness”, or that “money isn’t everything”, you’re not wrong. But there’s a big difference between people who lean on the abstract notion that money isn’t a necessity, yet have spent and saved smartly, and those who have no nest egg at all. Unfortunately, it’s the latter that way too many have let themselves fall into, with nearly half of Americans not expecting to have enough money to retire comfortably. And saving for the senior years is only part of the problem. Credit card debt has reached its highest point ever – surpassing $1 trillion – with the average American carrying a balance of $6,375. What about being able to come up with cash now for an emergency expense, say an amount as small as $400? Forty percent admit there’s no chance.

Sobering statistics like these do more than just ruin the romance of letting love be all you need to live on. They uncover a fact that should be considered as unfathomable and unacceptable as being pushed through the education system without learning how to read or write, which is that nearly two-thirds of Americans can’t pass a basic test of financial literacy.

What is Financial Literacy?

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Fortun ately, t h

trusted ere are many r expert esources an d s avail able th Richm rou on bridge d that can h ghout elp yo your k u no and pu t you o wledge gap n a pa better th t financia l health o .

Financial literacy is defined as the education and understanding of various financial areas, including topics related to managing personal finance such as investing, insurance, real estate, paying for college, budgeting, retirement and tax planning. This sounds solid as a broad-based definition, but it lacks the specifics consumers – including parents and children – need to help them achieve the goal of becoming financially literate.

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Financial Wellness

Virginia was one of only five states to receive an “A” from Champlain College in its 2017 National Report Card on State Efforts to Improve Financial Literacy in High Schools.

(The others were Alabama, Missouri, Tennessee, and Utah.)

Yet, 30 percent of states received a grade of “D” or “F”. States receiving an “A” met a majority of the following requirements:

1. Financial literacy is taught in a course

(typically a one-semester or half-year course of personal finance instruction) that students must take as a high school graduation requirement.

2. Teachers of these courses have received specialized training in personal finance.

3. State or national funding has been

secured to ensure personal finance courses are offered to all high school students statewide.

4. Standardized tests are administered.

5. Educators are given access to quality

curriculum including lesson plans, videos, games, activities, projects, case studies, articles, and expert speakers.

Ideally, each state also provides an accessible online financial education platform.

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• FINANCIAL LITERACY

According to the independent, non-profit financial consulting agency www.Credit.org, there is no one, agreed-upon list of financial literacy standards, but there are many topics like those listed below that experts broadly agree are necessary to understand as a part of being considered financially literate.

Taxes.

Understanding the effect taxes have on your income, and why your take-home pay is often much less than your salary.

Basic Money Management.

Knowing how to create a budget, setting and meeting financial goals and making solid decisions with regard to your personal finances.

Credit and Debt Basics.

Understanding the difference among loans of various types, what borrowing with credit costs in the long run, the impact interest rates and fees associated with borrowing can have on the amount you repay, borrower’s rights and responsibilities, how to obtain and interpret a credit report and FICO score, and the bankruptcy process and its consequences.

Saving and Investing.

Recognizing the different options for long-term saving and how to make informed decisions about investments and financial planning.

Insurance.

Discovering how insurance works, its role in family financial planning and how to make choices that help manage risks to your personal finances.

Spend wisely.

Being a cautious consumer who makes good decisions with regard to spending and assessing the value of goods and services and the difference between needs and wants. A key element of spending wisely is understanding and analyzing advertising and sales pitches.

To those who are financially literate, this may seem like a rather basic overview. But for someone starting from scratch in his or her education of finances, it can be a lot to take in and digest at once. Like any unfamiliar subject, becoming financially literate is achieved over the long term, and learning never truly ends as methods and strategies for being financially savvy are constantly evolving.

Resources in Richmond to HELP CONSUMERS BECOME

Financially Literate 1

Despite receiving high marks for financial literacy, there remain many consumers in Virginia – including here in Richmond – who not only struggle when it comes to being financially literate, but also are unaware of where to turn for help. Having access to a trusted list of resources for consumers – both adults and children – and teachers to help further promote the importance of financial literacy can mean all the difference in reversing routines that could literally be costing you and your future security more than you know.

The READ Center 4915 Radford Avenue, Suite 204 | Richmond, VA 23230

c 804.288.9930 | m frontdesk@readcenter.org w www.readcenter.org/financial-literacy The READ Center is a community-based nonprofit organization providing educational opportunities to adults with low-level reading and communication skills. READ was founded as the Literacy Council of Metropolitan Richmond in 1982 by Altrusa International Richmond, Inc., a professional women’s business service club and became a 501(c)(3) organization in 1984. The READ Center’s mission is accomplished by providing classroom instruction, oneto-one tutoring, and educational resources to support students.

Included among The READ Center’s curriculum are resources on how to become financially literate, including resources that include money lessons, lesson plans, worksheets and interactive materials to help expand your knowledge of budgeting, saving, using bank services, building and managing credit, investing, financial planning and starting a small business.

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The READ Center’s Financial Literacy Curriculum Covers: A Budgeting B Saving C Using Bank Services D Building and Managing Credit

E Investing F Financial Planning G Starting a Small Business

ConnectVA and Community Foundation for a Greater Richmond

3409 W. Moore Street | Richmond, VA 23230 | c 804.409.5645 m connectva@cfrichmond.org | w www.connectva.org The Community Foundation for a greater Richmond and ConnectVA offer a two-part program providing financial literacy support, as well as financial assistance to those in emergency situations.

A Financial Literacy Support:

Financial literacy support is offered using the Money Smart Program model. The FDIC’s Money Smart financial education program can help people of all ages enhance their financial skills and create positive banking relationships through the assistance of trained staff that help you achieve your financial literacy goals.

B Emergency Financial Assistance Program (E.F.A.P.): The E.F.A.P. was created to bridge the gap between the resource assistance provided by outside agencies and those that may still be in need of assistance. This program is available to the general public. Assistance provided is based on emergency need and availability of funding.

Priority is given to those with special circumstances. If approved, financial assistance is provided once per year, per household.

The FDIC’s Money Smart financial education program can help people of all ages enhance their financial skills and create positive banking relationships through the assistance of trained staff that help you achieve your financial literacy goals.

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Virginia Credit Union

P.O. Box 90010 Richmond, VA 23225-9010 c 804.323.6800 w www.vacu.org/learn/financial-education Virginia Credit Union in Richmond offers financial education for adults and young people to help them build financial confidence through its variety of SmartStart online courses, seminars and workshops, while their SmartStart Curriculum for Teachers helps prepare instructors to teach students about personal finance using engaging tools and resources.

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Don’t Miss!

Meet with a Financial Educator Virginia Credit Union’s Financial Education team encourages its members and community to be confident about their money and financial choices with guidance available through its financial educators.

Cherry Dale, Director of Financial Education, has developed financial education curricula about savings, budgeting, and managing debt.

Under her direction and through her team of specialists, over 17,000 people have participated in VACU financial education workshops or seminars in each of the past two years. Dale’s team includes specialists who teach K-12 students, college students and adults in Richmond and surrounding counties about money and personal finance. Send an email to financialeducation@vacu.org to learn more about working with one of their experts.

Virginia Employment Commission 703 E. Main Street | Richmond, VA 23219 | c 866.832.2363 w www.vec.virginia.gov/find-a-job/financial-literacy

The Virginia Employment Commission offers resources for helping people realize financial literacy, including through two online organizations it endorses.

A www.MyMoney.gov:

MyMoney.gov is a product of the Congressionally chartered Federal Financial Literacy and Education Commission, which is made up of more than 20 Federal entities that are coordinating and collaborating to strengthen financial capability and increase access to financial services for all Americans. The Commission was established by the Financial Literacy and Education Improvement Act, Title V of the Fair and Accurate Credit Transactions Act of 2003 (P.L. 108-159).

B www.SmartAboutMoney.org: SmartAboutMoney.org is one of the many programs of the National Endowment for Financial Education®. NEFE® is an independent, nonprofit foundation committed to educating Americans on a broad range of financial topics and empowering them to make positive and sound decisions to reach their financial goals.

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Southside Community Development & Housing Corporation 1624 Hull Street | Richmond, VA 23224 | c 804.231.4449

w www.scdhc.com/financial-literacy Southside Community Development & Housing Corporation (SCDHC) has more than 25 years of experience as a non-profit community development corporation and HUD approved housing counseling agency. SCDHC has served and is currently serving as a Community Housing Development Organization (CHDO) in the City of Richmond and the Counties of Chesterfield and Henrico. Its staff specializes in pre-purchase counseling, homebuyer education, financial literacy training and counseling, default mortgage and foreclosure prevention counseling.

SCDHC’s community outreach services extend to schools, churches, small business organizations, financial institutions, and various for-profit and not-for profit organizations.

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OurHealth | The Resource for Healthy Living in Greater Richmond

The National Endowment for Financial Education® is an independent, nonprofit foundation committed to educating Americans on a broad range of financial topics and empowering them to make positive and sound decisions to reach their financial goals.

Don’t Miss!

SCDHC’s Monthly Credit Workshop Scan the QR code provided to visit www.scdhc.com/ registration/ to sign up for SCDHC’s Monthly Credit Workshop to begin managing your money instead of it managing you.

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Virginia Jump$tart Coalition

Financial Literacy Quiz How financially literate are you? Test your financial knowledge and decision-making with this quiz.

1001 Connecticut Avenue | Suite 640 Washington, DC 20036 c 202.846.6780 | m info@jumpstart.org w www.jumpstart.org/who-we-are/ states/virginia

1. Which of these bills should you pay first each month?

The Virginia Jump$tart Coalition is a nonprofit, volunteer-driven organization representing more than 100 individuals and organizations in business, government, association/nonprofit and education who have joined together to improve the financial literacy of Virginians.

2. What is a good size for an emergency savings fund?

Virginia Jump$tart Coalition Goals Include: • Continually assess the level of financial literacy in Virginia using available surveys and testing of student performance.

• Develop and maintain a clearinghouse of personal financial resources, statewide bureau of contacts and speakers available for training and information on personal financial literacy.

• Serve as a resource for the state legislature to assess effectiveness of pertinent legislation.

• Build awareness of and promote support for the need for personal finance education.

The Virginia Jump$tart Coalition is an independent affiliate of the national Jump$tart Coalition for Personal Financial Literacy. The national Jump$tart Coalition is a 501(c)(3) tax-exempt non-profit organization headquartered in Washington, D.C.

Don’t Miss!

www.checkyourschool.org Money management is one subject everyone will use throughout their lives. But not all schools offer effective financial education. The Check Your School campaign is led by the Jump$tart Coalition on behalf of its national partners, affiliated state coalitions and network of talented educators, and is designed to complement other efforts to advance financial literacy. Utilizing a grid of essential elements, www.CheckYourSchool.org will promote quality and effectiveness in classroom-based financial education without prescribing a single curriculum or program – enabling teachers to use the wide array of excellent resources currently available from Jump$tart Coalition partners and other providers.

ON THE WEB

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A. Credit card bills B. Car lease or auto loan payment C. Rent or mortgage payment

A. One paycheck B. 3 to 6 months’ living expenses C. One year’s living expenses

3. Will applying for a credit card impact your credit score?

A. Yes B. Not if the application is approved C. Not if the application is declined

4. Which mortgage typically has higher payments, but lower interest over the life of the loan?

A. 30-year mortgage B. 15-year mortgage

5. What is the threshold for a “good” credit score?

A. 680 B. 800 C. 9206

6. The best way to save for a financial goal is:

A. Save every spare cent you can until the goal is met B. Save 25% of your total income, and be consistent C. Write your savings goal down and factor it into your budget

7. The best way to save for a comfortable retirement is: A. Social Security B. An Individual Retirement Account C. Mutual Funds

8. What’s the first step to take if you are the victim of identity theft?

A. Put a “credit freeze” on your accounts B. Call the authorities, including the police and the

Federal Trade Commission C. Call your creditors and cancel the affected accounts Answers: 1) C 2) B 3) A 4) B 5) A 6) C 7) B 8) C Source: Credit.org www.OurHealthRichmond.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Food Fitness NUTRITION • EXERCISE • PREVENTION

words | TRICIA FOLEY, MS, RD, ACE®, CHC

Have you ever wondered what turns grapes into wine or barley seeds into beer? Well, the secret lies in a process called fermentation.

From sauerkraut and miso to kimchi and kefir, fermented foods have been around for centuries. And recently, they have drawn a lot more attention for the role they play in your overall health. But like any product promising health benefits, it’s important to know what you are looking for to help you make the best choice.

More Common Than You May Think Although you may cringe at the thought of eating something fermented, chances are you consume these foods regularly. Pickles, yogurt, olives and even aged cheese are examples of common fermented foods. Other examples include the popular drink kombucha and the vegetarian dish tempeh. Even your grandma’s famous canned beans were more than likely fermented.

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Food Fitness

• NUTRITION

Fermented Foods 101 Raw, fermented foods all have one thing in common: micro-organisms.

To ferment, they require an anerobic environment, which is one absent of oxygen, so bacteria can grow and thrive. These foods also need a culture and time to ferment. This process involves exposing the food or beverage to starches and sugars that bacteria can feed on. Although the words bacteria and sugar may raise a nutritional red flag, the duo create lactic acid as a byproduct protecting the food from spoilage. Adding salt provides another layer of protection by pulling out moisture to keep bad bacteria away while allowing good bacteria to flourish. The technique was originally used to preserve food, but we now know it produces amazing health benefits, as well.

Why Fermented Foods are Fantastic

These shelf stable super foods contain significant nutrition qualities including vitamin K, calcium, magnesium, potassium, fiber and, if in raw form, probiotics. Thanks to lactic acid, B vitamins and digestive enzymes are also produced. Fermented foods also boast a greater nutrient bioavailability than their unfermented counterparts, meaning our body can use more of the nutrients. For example: vitamin C is twenty times more bioavailable in sauerkraut compared to cabbage.

What are Probiotics?

Probiotics are live bacteria and yeasts that are good for you, especially your digestive system. We usually think of these as germs that cause diseases.

But your body is full of bacteria, both good and bad. Probiotics are often called “good” or “helpful” bacteria because they help keep your gut healthy.

Emerging research shows promise in the use of raw fermented products in areas of weight maintenance, improved mood, allergies, immunity and gut health.

This may be due in part to the powerful probiotics they contain.

Probiotics are living microorganisms, which, when administered in adequate amounts, provide a health benefit to the host.

Foods You Didn’t Know Were Fermented These foods contain vitamins, minerals, antioxidants, and gut-friendly probiotic bacteria. Some of these foods are not always fermented so make sure the check the food label with the tips on the next page. .

SAUERKRAUT | Fermented red or green cabbage PICKLES | Cucumbers fermented in lactic acid MISO | Fermented soybeans, barley or brown rice YOGURT | Fermented milk RAW CHEESE | Chesses made with milk that hasn’t been pasteurized KOMBUCHA | Fermented black tea with sugar, fruit, or honey APPLE CIDER VINEGAR (Raw and contains “the mother”) | Fermented apples

When buying fermented foods and drinks, always read the food labels first. Look for key words like “unpasteurized”, “live cultures”, “raw” or “naturally fermented” as these provide optimal probiotic properties.

Read Fermented Food Labels First When buying fermented foods and drinks, always read the food labels first. Look for key words like “unpasteurized”, “live cultures”, “raw” or “naturally fermented” as these provide optimal probiotic properties. Keep in mind that although sugar is needed for fermentation to take place, there should not be excessive amounts.

In addition, products with ingredients that don’t belong such as “substitutes” should be avoided. Keep it simple, and always search for a short ingredient list. Don’t be fooled! Commercially bought foods like pickles are not always prepared using live cultures and therefore do not contain probiotics. As a final test, when you open a jar, look for active bubbles. This lets you know that the organisms are alive and well.

Fermented Foods Should Be Introduced Slowly to Your System Fermented foods can be enjoyed every day, but use caution.

Introducing these foods and drinks too quickly and/or in large quantities can result in excess gas, bloating, diarrhea or even constipation. Your body will let you know what you can tolerate.

Start with small portions of fermented food and drink and increase them overtime for optimal benefits.

Choose Variety To get the greatest bang for your nutrition buck, choose a variety of raw fermented foods and beverages to introduce more forms of healthy bacteria to your body.

Much like a rainforest thrives from the many species of plants living in it, your body will thrive from a variety of healthy bacteria living in you. Adding fermented foods to a nutritious diet helps create an environment in your body that supports overall health.

EXPERT CONTRIBUTOR Tricia Foley, MS, RD, ACE®, CHC is a registered dietitian and Wellness Health Coach with CareHere, LLC.

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Be the first reader to email us describing what the seven differences are and you will earn the satisfaction (and bragging rights) of having your name in print in the next edition. OK, START YOUR SEARCH! Email info@ourhealthvirginia.com with the subject line Funny Bone Richmond.

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CONGRATULATIONS

REGINA HALL of Richmond

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Regina Hall of Richmond was the first person to email the correct seven differences in last issue’s Funny Bone.

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