OurHealth Magazine for Richmond - March/April 2020 by OurHealth Media LLC

CONNECTING YOU TO

trustworthy CARE CLOSE TO HOME

OurHealthRichmond.com

March | April 2020

Magazine for Richmond

Delivering a Different Dose of

Medicine: OurHealth Richmond’s

THE DEBUT OF

HOW SPECIALTYCARE IS

Changing for the Better Guide

Three D’s

to do during

Spring Cleaning

Invisible

VEGETABLES Take Yours and Your Family’s Nutrition into Your Own Hands.

What’s Special about your

Specialty How Specialty Care is Changing for the Better.

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March/April

contents

Regular

THREE D’S TO DO DURING SPRING CLEANING

There’s more to spring cleaning than opening windows. See what it takes to really deep clean your home — and why it means tossing out as much junk as possible.

DEPARTMENTS 10 12 16 18

The Pulse New People Health Scene Q&A on Health

ON THE COVER

Delivering a Different Dose of Medicine: The

Debut of OurHealth Richmond’s How Specialty Care Is Changing for the Better Guide

Six local medical providers share notable advancements that have changed how health conditions are diagnosed and/or treated in their specialty.

WHAT’S SPECIAL ABOUT YOUR SPECIALTY?

www.OurHealthRichmond.com

MARCH • APRIL

Contents

QUARANTINE BEAUTY QUEEN

DEFINING TIMES

It’s likely to be a little while before anyone sees the inside of a salon or spa. Here are a few do-it-yourself beauty practices to help you look and feel your best while you’re under lockdown.

You might be surprised to learn that the definitions for words like ‘social distancing’ and ‘quarantine’ have taken on different meanings from those you might have known.

INVISIBLE VEGETABLES

HEALTHY BAKED BROCCOLI TOTS

Food manufacturers are introducing more ways to get beneficial nutrients into foods, such as including vegetables in pasta sauces and sandwich wraps. But is it offering the same benefit?

If you and your family are lovers of broccoli, then these are for you! But even it the flavor of broccoli isn’t your favorite, these still might be a hit because the flavor of the broccoli is not over-powering.

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MoreThana

MARCH • APRIL 2020

OURHEALTH’S EXCLUSIVE MEDIA PARTNER

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CONTRIBUTING RICHMOND MEDICAL EXPERTS Paula Ferrada, MD, FACS, FCCM

Barry Katchinoff, MD Gabriel McCoy, DO Sean Whittaker, PT, DPT, OCS

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Meredith Shaw Mark Sheets

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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2020 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Richmond is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 3420 Pump Road, #314 • Richmond, VA 23233 • P: 540.387.6482 F: 540.387.6483 MAIN: ourhealthvirginia.com | ourhealthroanokenrv.com | ourhealthlynchburg.com | ourhealthrichmond.com | ourhealthcharlottesville.com | Advertising rates upon request.

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The Pulse INFORMATION • EVENTS • AWARENESS

NewLeadershipAnnouncements

Dennis Szurkus, Jr. MD

Chase Christianson

MilestonesandAchievements

HCA Virginia Announces New Leadership

Virginia’s Oldest Free Clinic Turns 50

Two local HCA Virginia hospitals announce recent leadership changes. HCA Virginia Henrico Doctors’ Hospital has announced Dennis Szurkus, Jr., MD as the new Chief Medical Officer of the hospital. Dr. Szurkus most recently served as the Vice President of Medical Affairs at Sentara Leigh Hospital in Norfolk. Dr. Szurkus began his new role in January 2020.

Health Brigade remains unwavering in its commitment to health equity and serving vulnerable populations in the community—not only those with limited resources, but also those often stigmatized or experiencing systemic oppression. Health Brigade is known as a safe place to seek care for those who need it the most. Today they serve close to 11,000 individuals through primary medical care, mental health and wellness services and HIV/STI testing, outreach and education.

After opening its doors in 1970, Health Brigade, formerly Fan Free Clinic, celebrates its 50th anniversary this year.

Moreinformation: Visit www.healthbrigade.org.

NewFacilitiesandRelocations

Local Health Addiction Medicine Business Relocates

HCA Parham Doctors’ Hospital has announced the appointment of Chase Christianson as its new Chief Executive Officer. Christianson, who also began his new role in January, most recently served as Chief Operating Officer at Capital Regional Medical Center in Tallahassee, FL.

The Virginia Center for Addiction Medicine is now seeing patients in its new location. As of early March 2020, all business and patient appointments have been relocated to the center’s Innsbrook location at 4212 Park Place Court, Glen Allen, VA 23060. The Virginia Center for Addiction Medicine is a physicianled outpatient rehabilitation center offering services in detoxification, psychology and psychiatry in addiction treatment.

Moreinformation: Visit www.hcavirginia.com.

Moreinformation: Visit www.addictionva.com.

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NEWPEOPLE

Yasir Al-Khalili, MD

VCU Health Neurology Richmond | 804.828.9350 www.vcuhealth.org

Morgan Allen, CPNP-PC

Bon Secours Pediatric Gastroenterology Associates Richmond | 804.281.8303 www.bonsecours.com

Matthew Barrett, MD

VCU Health Neurology Richmond | 804.828.9350 www.vcuhealth.org

Tamika Batten, PT, DPT, AIB-VR

Morgan Baumgartner, PT, DPT

Emily Bellavance, MD

Kelly Calandra, PT, DPT

Michelle Cosby, PsyD, LCP Children’s Hospital of Richmond at VCU Virginia Treatment Center for Children Child and Adolescent Psychology Richmond | 804.828.3137 www.chrichmond.org

Michaela Crutsinger, OTR/L Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Breast Surgeon Virginia Surgical Institute Richmond | 804.348.2814 www.vasurg.com

Robert Bies, MS, CCC-SLP Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Barbara Bishop, ANP-BC, David Bruno, MD, FACS VCU Health Hume-Lee MSCN, CNRN Bon Secours Neurology Clinic at Memorial Regional Mechanicsville | 804.325.8720 www.bonsecours.com

Transplant Center Children’s Hospital of Richmond at VCU Pediatric Transplant Surgery Richmond | 804.828.4104 www.chrichmond.org

Neel Dixit, MD

VCU Health Neurology Richmond | 804.828.9350 www.vcuhealth.org

Rebecca Ferguson, PT, DPT Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Matthew Fisher, PT, DPT Luigi Lagazzi Garros, MD Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

VCU Health Cardiac and Thoracic Surgery Richmond | 804.828.2775 www.vcuhealth.org

Myla Goldman, MD, MSc

Anna Greenwood, MD

Katherine Hogue, PT, DPT Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Kathryn Ingraham, PT, DPT Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Ashely Kennison, NP

Ashley Kenny, PT, DPT

Zachary Knox, PT, DPT

Sarah Krzastek, MD

James River Cardiology Colonial Heights 804.520.1764 www.jamesrivercardiology.com

OurHealth | Connecting You to Trustworthy Care Close to Home

Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

VCU Health Neurology Richmond | 804.828.9350 www.vcuhealth.org

Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

VCU Health Orthopaedic Surgery Richmond | 804.828.7069 www.vcuhealth.org

VCU Health Surgery, Urology Richmond | 804.828.9331 www.vcuhealth.org

NEWPEOPLE

Jessica Lowman, OTR/L Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Anne Magee, PT, DPT

Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Patrick Mason, PT, DPT Gabriel McCoy, DO

Katherine Marlatt, PT, DPT Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Katherine Murphy, MS, CCC-SLP

Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Medical Oncologist Virginia Cancer Institute Midlothian | 804.330.7990 www.vacancer.com

Apostolos Perelas, MD

Tami Pohnert, PhD, MS PT, CHT, ATC, MHSA

Nicole Robinson, PA

Rachel Scanlon, PT, DPT

Jacob Schmitz, PsyD, LCP

VCU Health Pulmonary and Critical Care Medicine Richmond | 804.828.6396 www.vcuhealth.org

Carrie Rose, NP

Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

Virginia Surgical Institute Richmond | 804.348.2814 www.vasurg.com

Childrenâ&#x20AC;&#x2122;s Hospital of Richmond at VCU Virginia Treatment Center for Children Child and Adolescent Psychology Richmond | 804.828.3137 www.chrichmond.org

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The Pulse

• NEWS TO KNOW

NewsandNotes

Richmond-based Specialty Tea Company Releases New Line of Herbal Products

NEWPEOPLE

Nishaun Battle, PhD, founder and owner of Lady Rose Specialty Teas in Richmond has released a line of herbal products devoid of toxins and harmful preservatives for the skin and hair. The herbal hair rinses, herbal masks, herbal bath teas, and Yoni steams are designed with health and wellness in mind. While the company offers products that can be enjoyed by both women and men, Lady Rose Specialty Teas has a specifically-crafted blend it claims targets endometriosis, fibroids, cysts, and a host of other reproductive issues in women. The company offers individual health and wellness consultations to help consumers gain a better understanding of how herbal products assist in everyday health, along with herbal education workshops. Lady Rose Specialty Teas’ herbal products are available for purchase both online and at select retailers in the Greater Richmond region, including Very Ashley at Stony Point Mall, Books, Beads, and More in Mechanicsville, and the Waterfall Salon and Spa in Glen Allen.

Leah Short, PT, DPT

Patricia Sime, MD, FRCP

Lauren Todd, NP

www.jamesrivercardiology.com

Madana Mohana Vallem, MD VCU Health Orthopaedic Surgery Richmond | 804.828.7069 www.vcuhealth.org

Kanika Varma, MD

Theresa Williams, SLP

Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

VCU Health Pulmonary and Critical Care Medicine Richmond | 804.828.6396 www.vcuhealth.org

Moreinformation: Visit www.ladyroseteas.com to shop to collection or to schedule an herbal tea event.

For More of The Pulse Visit: www.OurHealthRichmond.com DO YOU HAVE HEALTH-RELATED NEWS TO SHARE FOR THE PULSE? Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com.

James River Cardiology Colonial Heights 804.520.1764

Bon Secours Primary Care Associates Mechanicsville Mechanicsville 804.746.3505 www.bonsecours.com

Rebecca Zee, MD, PhD

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

OurHealth | Connecting You to Trustworthy Care Close to Home

Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.ShelteringArms.com

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OurHealth Richmond

ON YOUR SMARTPHONE OR TABLET

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | OURHEALTH STAFF original photography | CBS6 CREATIVE SERVICES

18th Annual Richmond

Women’s Thrive Health and Fitness Expo

Shines Again

On Saturday, February 29, 2020, the 18th Annual Richmond Women’s Thrive Health and Fitness Expo, presented by WTVR CBS 6 was held at the Richmond Raceway Complex, and featured more than 100 booths and exhibits, all focused on ways women can lead healthier, more balanced lifestyles. Over 3,300 attendees from a broad spectrum of ethnic, social, and economic backgrounds joined together with a shared interest in learning, experiencing, trying, and purchasing health-related products and services. This year’s Expo featured three stages: The Fitness Stage, The Cooking Stage, and The Thrive Stage. Each stage was filled with high-energy, motivational speakers showcasing the newest trends in living healthy. Also featured was “The Doctor Is In” session, which brought together local doctors to answer important and insightful questions posed by attendees. After spending the day with an amazing array of speakers, chefs, nutritionists, fitness experts, trainers, and physicians, Expo attendees left with tools and ideas needed to help lead healthier and more active, fulfilling lives. Started in 2002, the Expo attracts a dedicated community of followers, including thousands of attendees, local businesses, wellness professionals and healthcare institutions, making it Richmond’s largest women’s health event. To learn even more about the vendors and services that were featured at the 2020 Richmond Women’s Health and Fitness Expo, and to receive updates about the 2020 event, visit www.rvahealthexpo.com.

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Questions. Answers. Knowledge. Why do surgeons remove nail polish prior to some surgeries?

Believe it or not, GERMS and other

INFECTIONS

can hide in the nooks and crannies between your nails and nail polish

Hand hygiene is a critical component of ensuring a safe environment for patients during surgeries. As part of creating a safe and hygienic environment, you may see providers do all sorts of things to ensure cleanliness, including scrubbing before and after surgery and wearing double sterile gloves. Removing fingernail polish is just one more step to ensure safety. Believe it or not, germs and other infections can hide in the nooks and crannies between your nails and the polish especially if the polish is chipped. To eliminate the extra possibility of infection, surgeons must remove polish to ensure the greatest measure of hand hygiene. Paula Ferrada, MD, FACS, FCCM Medical Director Surgical and Trauma ICU VCU Health Richmond | 804.828.7748 www.vcuhealth.org

What do the different parts of Medicare cover? Medicare Part A is typically called Hospital Insurance, commonly referred to as the inpatient coverage portion of Medicare insurance. In addition to hospitalization, Part A also covers other items such as inpatient rehab, hospice, and some in-home care. Part B is called Medical Insurance and refers to most coverage for outpatient medical needs, such as doctor's office visits, lab work, x-rays/imaging, etc. Part C is an alternate way to receive Medicare benefits called Medicare Advantage. The Medicare Advantage program is health insurance offered by private insurance companies to take over for your Medicare benefits. It often includes added coverage for things like routine vision care, hearing aids, routine dental and more. Medicare Advantage Plans should not be confused with Medicare Supplement (Medigap) Plans. Part D is the portion of Medicare that sets the rules for drug coverage. You can only buy Medicare Prescription Drug Plan coverage (Part D) through private insurance companies. However, those private insurance companies must follow the rules set by Medicare’s Part D guidelines.

especially if chipped.

How can I help Dad manage his diabetes when I don’t live nearby? For senior diabetics who are “aging in place,” it may be necessary to have some assistance to ensure that they stay as active and healthy as possible. Professional caregivers can assist. They can help their senior diabetic clients maintain proper nutrition by helping them with grocery shopping and planning balanced meals. Caregivers can provide medication reminders to be sure that their senior clients take any necessary medications or insulin at the required times. Should blood sugar readings be necessary, caregivers can remind their clients to use whatever items or devices are needed to do so. Caregivers can also encourage their diabetic clients to remain active and provide them with valuable companionship when they go for walks or do at-home exercises. Professional caregivers can visit as little or as often as required. Mark Sheets Comfort Keepers Greater Richmond Richmond | 804.750.1123 www.comfortkepers.com

Bryan Gay Boomer Insurance Group Richmond | 804.464.8960 www.boomerinsurancegroup.com

Join the OurHealth Community on Social Media

WE WANT TO HEAR FROM YOU! DON’T FORGET TO TAG US, #OurHealthRichmond 18

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Questions. Answers. Knowledge. Can a torn rotator cuff be treated with physical therapy?

75% Did you know? Research shows that

75 PERCENT OF PATIENTS

who were successfully treated with physical therapy for three months

BEFORE ROTATOR CUFF SURGERY were very successful at their five-year follow-up visit.

Tears of the rotator cuff are common and can be very disabling. Patients with chronic symptoms are often confronted with the decision to undergo surgery or try physical therapy. Cost of surgery, the patient’s age, health, fitness and ability to heal are deciding factors that all play a role in the health of the rotator cuff muscle tissue and its ability to heal. Neither option is a sure success or failure. In fact, 34 percent of rotator cuff repairs fail and re-tear. Current studies advocate for physical therapy for three months before considering surgery. Research shows that 75 percent of patients who were successfully treated with physical therapy for three months were very successful at their five-year follow-up visit. Those who were unsuccessful with physical therapy and opted for surgery did not have significantly different pain or function than the non-operative group. Your decision to undergo surgery or try conservative treatment should be discussed with your doctor. However, there is evidence that the right candidate has a good chance of success with physical therapy. Sean Whittaker, PT, DPT, OCS Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.shelteringarms.com

What is immunotherapy? Immunotherapy has become a mainstay of treatment for a variety of cancers across the entire field of oncology. Whether or not to use immunotherapy in cancer treatment is dependent on an individual cancer expressing a receptor called PDL-1. This receptor on cancer cells has the unfortunate ability to shut off the immune system which otherwise would naturally kill cancer cells with an immune reaction. This provides cancer cells “camouflage” to hide from your immune system attack. Immunotherapy gives us the ability to block the PDL-1 receptor, to rip off the “camouflage” of the cancer cell and expose it to the immune system so the body can destroy it much like a splinter in the skin. Another type of immunotherapy may be used simultaneously to increase white blood cell activity to “rev up” the immune reaction against the cancer. Altogether, immunotherapy has the ability to utilize your own immune system to fight cancer. Gabriel McCoy, DO

Virginia Cancer Institute Richmond | 804.330.7990 www.vacancer.com

What are night sweats a sign of? It is not unusual to sweat a little at night. However, there may be an associated medical problem if you are regularly awakening with a wet bed or pajamas. It is important to differentiate the less serious causes of night sweats from the more concerning causes. Less serious causes: • Hormonal related: menopause, low testosterone, hyperactive thyroid • Gastro-esophageal reflux (GERD) • Stress or anxiety • Night sweats can occur with a number of medications including antidepressants, steroids, pain relief medications (aspirin, acetaminophen) More concerning causes: • Night sweats are not unusual in individuals with untreated sleep apnea. Further evaluation needed if you experience loud snoring, episodes of not breathing, fatigue on awakening and during the day. • Serious infections: tuberculosis, endocarditis, HIV • Cancer It is recommended to see your healthcare provider if you are having difficulty sleeping due to night sweats, fatigue, have recently lost weight or feel unwell. Barry Katchinoff, MD

Bon Secours Sleep Disorders Center Mechanicsville | 804.764.7491 www.bonsecours.com

OurHealth | The Resource for Healthy Living in Greater Richmond

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Step #1

MAKING YOUR HOUSE A

HEALTHIER HOME

Find times to schedule each part of the home so it makes the most sense.

CLEAN • DECLUTTER • ORGANIZE

Three D’s

Herearejusta fewideastoget youstarted:

To do during

Spring Cleaning Spring cleaning is a perfect time to organize

your home and make it that much healthier and more inviting, and it begins with following the three D’s: Declutter, Disinfect and Deep Clean. But there’s more to it than opening windows when you feel a warm breeze in the air. See what it takes to really deep clean your home — and why it means tossing out as much junk as possible. words | MEREDITH SHAW

Medicine cabinet: If your law enforcement group has a Take Back Prescription Day, start clearing out this cabinet prior to the event.

Garage:

If you’re getting ready to air out your rooms in preparation for spring cleaning, you may want to try a different tactic this year. There’s more to this ritual than just clearing out the stale winter funk. Instead of treating the surface dust of the home, a real deep cleaning should combine decluttering with disinfecting and organizing. Learn more about how to break it down, which tools can help, and when to let go of your packrat tendencies.

Stop Referring to It As Spring

Pantry: The holidays are a great time to remove items from the shelves. Check expiration dates, donate fresh items that you’re unlikely to eat, toss unidentifiable foods, and rediscover usable items.

Most neighborhoods have trash days when residents can dispose of bulk trash, or schedule right before a community yard sale.

Cleaning

This isn’t about bringing out your summer clothes and letting the sunlight be your natural disinfectant. You really can’t tackle everything in one season because when you’re going about it the right way, the sheer volume of work would seem too overwhelming. Instead, focus on deep cleaning each section of the home thoroughly and in the process, set the stage for maintenance in the long term. Much like tips for general health and fitness, keeping a status quo is far easier than starting from scratch every single time.

Home office: If your office is stuffed with old documents, make (and pre-pay for) an appointment with a professional shredding service so you have a reason to start sorting.

www.OurHealthRichmond.com

These apps can

HELP YOU

organize, digitize, and generally get rid of junk—and maybe make some money while you do so.

Sortly App: for the hyper-organized, this is a dream app. Sortly lets you create a visual inventory by taking photos of your items or scanning QR codes. After you input your items, you can sort them into category folders by location (like in the jewelry box or in the garage closet). You can also tag certain items for easy search and include purchase and warranty dates for even more detail.

COST: FREE Download from iTunes, iOS devices only.

Decluttr: Make selling DVDs, CDs, video games, and more the work of minutes— not a whole afternoon— with Decluttr’s barcode scanner, which makes short work of figuring out how much you can sell your items for. All shipping is free, so you can get those space hogs out ASAP, and any earnings can help fund some spacefriendly digital downloads.

COST: FREE, for iOS and Android

Tody: Motivate yourself (and your family members) to clean more often with this smart app. You can create cleaning tasks and to-do lists by frequency and the app will tell you when a chore is due or overdue, and when something was last cleaned.

Step #2

Map Out Your Decluttering

First, determine the best ways to dispose of

everything, including hazardous materials such as old batteries and electronic waste.

COST: $4 Download from iTunes, iOS devices only.

Second, decide how you’ll justify keeping certain

Handy: Sometimes you might need to ask for extra help. This is where Handy comes in. With this app you can schedule a date and time for a cleaning professional to come and tidy up. Plus, track the progress of your cleaning session—from when the cleaner is on the way to when he or she is just finishing up.

COST: FREE, for iOS and Android

Criteria

Most of us have a difficult time deciding whether we should keep something or not. Multiply that mental exhaustion over countless items in the home, and it’s easy to see why decluttering isn’t a common practice. One tip is to think everything through objectively before you even start cleaning.

items. Ask yourself who is likely to use each item in the home, and if you can’t come up with a concrete answer, then it really should go.

“

If you haven’t used your old cake-decorating kit in three years, chances are this year is not going to be a turning point for you.

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”

Step #4

It’s Time for a Deep

Step #3 Bring Out

THE TOOLS

The decluttering has to come before the deep clean, because it’s all too easy to let surface problems cloud the real dangers below. That soda spill behind the couch that’s been out of sight, out of mind? The sticky residue on the floor can attract anything from a build-up of bacteria to an army of ants. The same goes for the spills in the back of the fridge that are hidden by expired condiments.

Besides general household cleaners, you can use natural disinfectants like LEMON JUICE and VINEGAR

Hang cookware on cabinet pot racks, store shoes in a tree, and arrange knick-knacks in a bookcase. Shelving can be

to kill off a number of bacteria and pathogens.

Some people use TOOTHPASTE to get out silver tarnish, and Kool-Aid powder to remove the rings on their toilet.

especially handy in a closet or garage because you’re not wasting all that precious wall space to put items front and center (so you’re not constantly upending your closet every time you want to find your favorite scarf).

Organization

TIPS & TRICKS

You can even wipe down metal fixtures with used DRYER SHEETS to give them a nice sheen. Deep cleaning brings items out in the open and improves the quality of the air you breathe. It’s no wonder that studies conducted at Princeton University have shown a strong link between mental health and the state of one’s environment. For example, clutter can make it more difficult to focus on a single task because it distracts and overwhelms the visual cortex. In addition, house cleanliness has been shown to be strongly correlated with physical health.

“

Frustration can be a common feeling even in the cleanest of homes, but it’s only exasperated if the place is a sty.

Step #5

”

Create an Add magnets to garage shelving and tack up smaller tools.

Employ clotheslines in an attic to store summer hats and winter scarves.

Use shower curtain rings on a single hanger to separate and organize multiple scarves in one place.

Use heavy-duty hooks for major items, such as surfboards, rakes, or fishing rods.

Clean

Inventory

If you’ve ever wondered why you have four wine openers and nine old measuring cups, you’re not alone. A meticulous inventory is the best way to stop the endless cycle of replacing items you already have.

This is where app suggestions can really come in handy: “Hey Alexa, we have seven pairs of pajamas that don’t fit Ricky!” From the basement to the attic and everything in between, you have a real opportunity to dig into your mess and root out the underlying problems that cause it. Once your home is organized and disinfected, you’ll feel like a weight has been lifted off you.

It all starts with taking the first step in one section of your home, and then working your way out from there.

ON THE WEB

More at OurHealthRichmond.com

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words | DYLAN ROCHE

OurHealth Richmond’s first annual How Specialty Care Is Changing for the Better Guide brings to light some of the more notable advancements that have changed how health conditions are diagnosed and/or treated across 13differentmedicalspecialties. No matter how in-tune to current events you may be, there’s a good chance you’ll learn something from this Guide because you truly want to, especially when it will likely make a difference in yours or a loved one’s health one day.

How Specialty Care is Changing for the Better

Guide Breakdown: PAGE

Most of us have heard the phrase ‘the only constant in life is change’. The lesson learned from this seven-word statement is a valuable one, and perhaps even more important to live by in today’s faster-than-ever-paced world than during any other time we’ve known. Still, the notion of change can be difficult for many to embrace, even when the difference is for the better.

Allergy & Immunology » FOR MORE | page 29

“

Endodontics

Fear that’s associated with change often comes down to having a lack of knowledge about something already considered intimidating because of the complicated and negative shape it has been molded into by those we believe we can trust.

”

Couple this with the sheer speed and volume of inconsistent information coming at us in so many formats – computers, phones, tablets, television, radio and print – it can not only feel like drinking from a fire hose, but also completely close the door on any chance of considering a different perspective. There’s perhaps no better example in which uncertainty that stems from misperception and fear of the unknown can be more detrimental than when it comes to understanding healthcare. That’s where OurHealth Richmond’s How Specialty Care Is Changing for the Better Guide comes in. This Guide is built upon the format OurHealth Richmond is known for, with language that’s easy to understand, technical terms that are defined and a friendly tone that encourages a desire to learn more how positive change has transformed or is transforming 13 major medical specialties our readers have indicated a need to know more about. Our hope is this Guide will serve as a way to start and keep the conversation going about the services offered by experts who recognize how emotional the topic of healthcare is, and why it’s vital for these professionals to continue reinforcing the message they are allies on the same team as their patients, committed to serving and helping them realize their best health potential possible.

How Allergy Partners of Richmond’s Specialty Care is Changing for the Better.

Cardiology PAGE

Dermatology » FOR MORE | page 31

How Commonwealth Endodontics’ Specialty Care is Changing for the Better.

PAGE

Ear, Nose & Throat (Otolaryngology) » FOR MORE | page 33

How Virginia Ear, Nose and Throat’s Specialty Care is Changing for the Better.

Gastroenterology PAGE

Neurology Obstetrics/Gynecology (OB/GYN) PAGE

Ophthalmology Physical Therapy » FOR MORE | page 37

How Orthopedic Physical Therapy's Specialty Care is Changing for the Better.

PAGE

Plastic Surgery Urogynecology

» FOR MORE | page 39

How Virginia Urology Women’s Health Specialty Care is Changing for the Better.

PAGE

Urology

» FOR MORE | page 41

How Virginia Urology’s Specialty Care is Changing for the Better.

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Allergy and Immunology The Role of an Allergist Allergist/Immunologist Immunologist

An allergist/immunologist diagnoses and manages medical conditions involving the immune system such as asthma, anaphylaxix (allergic reaction), rhinitis (inflammation of the mucous membrane of the nose) and eczema, as well as negative reactions to drugs, foods, and insect stings. Allergy/ immunology specialists also focus on immune deficiency diseases and problems related to autoimmune disease (condition in which the immune system mistakenly attacks the body), organ transplantation, or malignancies of the immune system.

Cardiology The Role of a

Cardiologist

A cardiologist diagnoses and manages conditions of the heart, blood vessels and circulatory system. In many cases, this means helping patients understand the dangers of heart disease and preventing it through healthy lifestyle practices. In more extreme cases, this could entail treating heart attacks, heart failure and serious heart rhythm disturbances. Although a cardiologist will diagnose and treat cardiovascular disease, and they may undertake procedures such as the insertion of a pacemaker, they are not the same as a cardiac surgeon, who performs heart surgery.

Recommended Recommended

Trustworthy Resources

To Use When Researching Cardiology

To Use When Researching Allergy/Immunology

American College of Cardiology www.acc.org

American Board of Allergy and Immunology www.abai.org

American Society of Echocardiography www.asecho.org

American Academy of Allergy, Asthma and Immunology www.aaaai.org

Heart Rhythm Society www.hrsonline.org

American College of Allergy, Asthma and Immunology www.acaai.org

American Heart Association www.heart.org

BreakthroughDiagnostic/Treatment for:

Early evidence provided by a Stanford-led pilot study has determined that an injection of an antibody treatment called etokimab, lets people with severe peanut allergies eat a nut’s worth of peanut protein two weeks later. Researchers are repeating the study with a larger group of participants to better learn who will benefit from antibody treatment, and scientists also need to determine the appropriate timing and dosing amount of the antibody before being made available to the public.

Although transcatheter aortic valve replacement (TAVR), also known as transcatheter aortic valve implantation (TAVI), was being developed as far back as the 1980s, it was approved by the Food and Drug Administration less than a decade ago as a minimally invasive option for people with aortic stenosis, a condition that prevents their heart’s aortic valve from opening all the way, thus limiting blood flow from the heart to the rest of the body. A cardiologist can implant a TAVR via a catheter, which is inserted through tiny blood vessels in the leg or a tiny incision in the chest. The cardiologist then guides the catheter along the blood vessels until it reaches the aortic valve, where a small balloon on the tip of the catheter is inflated to set the new valve in place.

Peanut Allergies

How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

The only existing treatment for peanut allergy is oral immunotherapy, which requires patients to eat tiny, gradually escalating doses of the food-allergy triggers under medical supervision. Desensitizing someone to their allergens with oral immunotherapy takes six months to a year, and can cause allergic reactions along the way. In contrast, 73 percent of people who received the etokimab antibody treatment were able to eat a modest amount of protein 15 days after receiving a single injection.

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Faulty Heart Valves

How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before TAVR, a cardiology patient in need of a new aortic valve had only one other option: to undergo open-heart surgical aortic valve replacement (SAVR). Because open-heart surgery, as its name suggests, requires a sternotomy (a surgical incision along the sternum), it can be a risky procedure for older patients or for patients with medical conditions, such as kidney or lung disease, which increases risk of complications. TAVR, on the other hand, is an effective alternative that is available to patients in all risk categories. Continued on page

What’s Special About

YOUR SPECIALTY?

10%

ALLERGY PARTNERS OF RICHMOND

Allergy

of Americans

Report to have an

allergy to penicillin

and Immunology

How is...

Allergy and Immunology [‘alərjē] and [,imyə’näləjē]

Playing a Role in the

is the specialty of healthcare that focuses on the diagnosis and management of disorders involving immune system conditions such as asthma, anaphylaxis, rhinitis and eczema as well as adverse reactions to drugs, foods and insect stings; also immune deficiency diseases and problems related to autoimmune disease, organ transplantation or malignancies of the immune system.

Allergy Partners Treatment of Penicillin Allergy Allergy Partners of Richmond is a

full-service allergy clinic and offers testing for many common allergens, including

How Has... Diagnosing and

penicillin, for children and adults. For those patients who are candidates, a highly sensitive skin test for penicillin allergy can be performed by an allergist.

Penicillinis one

In the past, diagnosing penicillin allergy might have been a guessing game—if a patient exhibited symptoms after taking penicillin it was assumed to be due to an allergy to the antibiotic. However, there are other conditions that may mimic such an allergy.

If the skin test is negative, it is very

treat infections causedbybacteria.

“

Medical Condition People Commonly Associate with the Specialty of Allergy

and Immunology

of the best-known antibiotics used to

While it is one of the more important antibiotics used today, there are some who suffer from serious allergic reactions to it. Essentially, their

immune system reacts abnormally to the drug and can cause serious side effects. Side effects of a penicillin allergy may include hives, rash and itching. In very serious cases, a life-threatening condition that affects multiple systems called anaphylaxis can occur.

Treating Penicillin Allergy Advanced?

Of the approximately 10 percent

of Americans that report an allergy to penicillin, nearly 90 percent of

”

those may not truly be allergic.

While not all testing is available to diagnose every type of penicillin drug reaction, speaking with an allergist and discussing your history should be the initial step, followed by possible skin testing, in order to get the most accurate diagnosis.

“

unlikely that a penicillin allergy is present.

”

In many instances after negative testing, a dose of an oral penicillin may be given, followed by an in-office observation period. If there is no reaction, the patient is not at risk of having a serious immediate reaction and penicillin can be used thereafter.

Because penicillin is frequently the preferred medication to treat many common infections it is of paramount importance that an allergy diagnosis be accurate. Additionally, the inability to use penicillin leads to the use of stronger antibiotics that may lead to drug resistance in the future.

Lachara Livingston, MD is certified by the American Board of Internal Medicine and the American Board of Allergy and Immunology.

www.allergypartners.com/richmond www.OurHealthRichmond.com

Dermatology The Role of a

Dermatologist

A dermatologist specializes in conditions related most notably to the skin but also to hair and fingernails or toenails. Some of these conditions are harmful or uncomfortable while others are simply cosmetic. Dermatologists can diagnose and treat eczema, psoriasis, acne or skin cancer, and can help identify why patients are suffering certain reactions of the skin, such as hives or rashes.

Recommended

Trustworthy Resources

Endodontics The Role of an

Endodontist

An endodontist is a dentist with specialized training in the interior of the tooth and protecting teeth from disease. In fact, they often refer to themselves as “specialists in saving teeth.” Those who experience serious tooth pain will often see an endodontist, who can diagnose what’s wrong and perform the necessary procedure, often what’s commonly known as a root canal.

Recommended

Trustworthy Resources

To Use When Researching Dermatology

To Use When Researching Endodontics

American Academy of Dermatology www.aad.org

American Association of Endodontists www.aae.org

American Board of Dermatology www.abderm.org

American Dental Association www.ada.org

Skin Cancer Foundation www.skincancer.org

BreakthroughDiagnostic/Treatment for:

Skin Cancer

It was back in the 1930s that Mohs surgery was originally developed by Dr. Frederic E. Mohs, and it was during the 1960s and 1970s that it gained prominence.

“

But this skin cancer treatment continues to be held in high regard today — in fact, it’s what the Skin Cancer Foundation calls the most effective technique for treating basal

Procedural Pain

Root canal treatment is much easier today than it was in the past thanks to the use of anesthetics — specifically, in the case of endodontic procedures, patients will receive what’s known as local anesthetic, which is injected into the area that needs to be numbed or administered in the form of a gel that’s rubbed onto the location. The most common type of local anesthetic used by dentists, lidocaine, blocks the nerve signals so the endodontist can work without the patient feeling anything. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

cell carcinomas (BCCs) and squamous cell carcinomas (SCCs).

In the past, endodontic therapy — that’s the formal name for a root canal procedure — was notoriously painful.

This surgical procedure involves removing layers of cancer tissue so a dermatologist can examine them under a microscope one layer at a time until the cancer is entirely removed.

During the procedure, which is done to preserve a tooth that is badly decayed or infected, an endodontist

”

How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

At the end of the 19th century and the beginning of the 20th century, radiation therapy was the go-to treatment for cancer, although it was discovered shortly thereafter that radiation could cause cancer as well as cure it, according to the American Cancer Society. Advances in radiation physics and computer technology over the past 100 years have made it possible to use radiation more effectively, but Mohs surgery continues to be the “gold standard,” in the words of the Skin Cancer Foundation, for BCCs and SCCs.

“

removes the nerve and pulp from the inside of an infected tooth and does a deep-clean of the inside.

”

The American Academy of Endodontics acknowledges that root canal treatment was painful in past decades, but modern anesthetics have put an end to that strife.

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What’s Special About

YOUR SPECIALTY?

COMMONWEALTH ENDODONTICS

endodontics Endodontics [,endō’dän(t)iks] is the highly skilled

dental specialty of diagnosing and treating tooth pain, saving teeth, and performing root canal treatment.

The Facts...

most common

About Root

worrieswhenit comestoa

Canal Procedures

Though it wasn’t always the case, new

technology and anesthetics have significantly reduced the amount of pain a patient endures during root canal treatment. In fact, pain is no worse than having

ROOT CANAL

Medical Condition People

Commonly Associate with the Endodontist Root canal treatmentis

not something to fear– although many people do.

The three most common worries that root canal patients have are:

» pain during treatment » worry that treatment

could lead to infection or illness » a general fear of dentists Root canal treatment is the best way to preserve natural teeth when they have become injured or diseased, and technology has come a long way in making it a lesspainful procedure.

a cavity filled. The pain from a severe toothache, often caused by damaged tissues in the tooth, is usually remedied when an endodontist removes the damaged tissue through root canal treatment. Additionally, endodontists are pain management experts, and most cases can be treated quickly and comfortably. Information you may find on the Internet that claims that if you undergo root canal treatment, you’re more likely to become ill in the future simply isn’t true. This false claim was based on long debunked and poorly designed research conducted nearly a century ago. There is no valid, scientific evidence that links root canal treatment to disease elsewhere in the body.

“

Saving your natural teeth, if possible, is almost always the best option. Endodontic treatment has a high success rate and many root canal-treated teeth last a lifetime.

”

Replacing an extracted tooth with a bridge or implant requires more time in treatment and may result in further procedures to neighboring teeth and supporting tissue.

Did you know? Commonwealth Endodontics is the largest endodontic practice in Virginia with seven highly trained specialty doctors and five office locations. The CWE doctors have been recognized as having the

“Best Bedside Manner” and awarded the gold, silver and honorable mention medals in the endodontics category.

804.501.0501 | www.cwendo.com

For over twenty years, Commonwealth Endodontics has partnered with hundreds of local doctors to provide quality endodontic care and treatment to mutual dental patients. They

offer state of the art facilities, complete with operating microscopes, digital radiography, and 3D specialized x-ray imaging.

WEST END OFFICE 3107 HUNGARY SPRING ROAD MIDLOTHIAN OFFICE 2312 ROBIOUS STATION CIRCLE MECHANICSVILLE OFFICE 7347 BELL CREEK ROAD | #300 SHORT PUMP OFFICE 12320 WEST BROAD STREET | #209 GROVE AVENUE OFFICE

Opening Spring 2020

Harold Martinez, DDS

Specialist in Endodontics & Microsurgery

Ronald Vranas, DDS

Specialist in Endodontics & Microsurgery

Madelyn Morris, DDS

Specialist in Endodontics & Microsurgery

Steve Barbieri, DDS

Specialist in Endodontics & Microsurgery

Timothy Finkler, DDS

IV Conscious Sedation Certified Specialist in Endodontics & Microsurgery

Michael Morris, DDS

Specialist in Endodontics & Microsurgery

Stephen N. Schroeder, DDS

IV Conscious Sedation Certified Specialist in Endodontics & Microsurgery

www.OurHealthRichmond.com

Ear, Nose and Throat (ENT) Otolaryngology

The Role of an Ear,NoseandThroat(ENT)

Specialist(Otolaryngologist)

An ear, nose and throat specialist, commonly known as an ENT, also called an otolaryngologist, specializes in conditions of the head and neck. As their title suggests, ENTs deal with ears, noses and throats, but they also work with the sinuses and the respiratory system. A person might go to an ENT for something as simple as a sinus headache or as complex as sleep apnea. Other reasons you might see an ENT are ear infection, tinnitus, allergies, nasal obstruction, gastroesophageal reflux disease and airway disorders.

Recommended

Trustworthy Resources

To Use When Researching ENT (Otolaryngology)

American Academy of Otolaryngology – Head and Neck Surgery www.entnet.org ENT Health www.enthealth.org

BreakthroughDiagnostic/Treatment for:

Chronic Rhinitis

The 25 million people who suffer from chronic rhinitis — an inflammation of the nasal tissue characterized by sneezing, congestion, runny nose and post-nasal drip — saw a game changer in 2017 with the release of ClariFix. The nasal device uses cryotherapy technology to freeze the irritated nasal tissue, thus providing fast and long-lasting relief of symptoms. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)?

Gastroenterology TheRoleofa

Recommended

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Trustworthy Resources

To Use When Researching Gastroenterology

American College of Gastroenterology www.gi.org American Gastroenterological Association www.gastro.org

BreakthroughDiagnostic/Treatment for:

Colorectal Cancer Screening

In recent years, alternative screening options for colorectal cancer have gained prominence for their ease and noninvasiveness. A fecal immunochemical test (FIT), which uses antibodies to detect blood in a patient’s stool, is deemed the screening test of choice by European Union Guidelines. A similar screening option is the stool DNA tests, which looks for altered DNA in a patient’s fecal matter. These screenings can be done once a year, and if they come back positive for colorectal cancer, a gastroenterologist can schedule the patient to have a colonoscopy for a more definitive answer.

Option

Before the release of ClariFix, people with chronic rhinitis had to rely on short-term solutions that treated their symptoms but did not bring any longstanding relief: common over-the-counter medications such as antihistamines or nasal decongestants, as well as neti pots and nasal sprays. These required continual administration or use, unlike ClariFix, which is a one-and-done treatment option for this chronic problem.

Gastroenterologist

A gastroenterologist diagnoses and treats conditions of the digestive tract, which encompasses the esophagus, the stomach, the small intestine, the colon and the rectum, as well as related digestive organs like the pancreas, gallbladder, bile ducts and liver. In short, this is a medical specialty concerned with the breakdown of food, the absorption of nutrients and the elimination of waste. A gastroenterologist can help patients who are fighting colon polyps and cancer, heartburn, irritable bowel syndrome (IBS), colitis, peptic ulcer disease, gallbladder and biliary tract disease, and nutrient malabsorption.

How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before these noninvasive procedures, a colonoscopy was the only way to screen for colorectal cancer. The procedure involves sending a thin tube up inside a patient’s colon to check for polyps or cancer; in addition to being expensive, it requires inconvenient pre-procedural preparation consisting of a bland diet for several days, followed by a liquid diet for a day, then drinking a solution that cleanses the colon by means of diarrhea. Simple screenings like FIT and stool DNA tests make it practical for more people to get screened annually, and the Centers for Disease Control and Prevention recommends a colonoscopy only once every 10 years for people who do not have increased risk of colorectal cancer. Continued on page

What’s Special About

YOUR SPECIALTY?

VIRGINIA EAR NOSE & THROAT

Vestibular Therapy

Vestibular Therapy [və’stibyələr ‘THerəpē] is a specialized

form of rehabilitation therapy designed to improve symptoms of vertigo, dizziness, visual disturbance and imbalance that are often related to vestibular (inner ear and balance) disorders.

What can

be treated with

vestibular therapy

Medical Conditions People Commonly

Associate with Vestibular Therapy: Patientssuffering fromconditions related tothe

inner ear and balancesuch as

dizziness, imbalance, vertigo, Meniere’s syndrome, benign paroxysmal positional vertigo (BPPV) and migraines can often benefit from vestibular therapy. When

the disorder itself cannot be cured or the cause is unknown, vestibular therapy can help relieve symptoms and allow normalcy and enjoyment of day to day activities.

How Virginia Ear Nose and Throat’s Total Balance Center Treats Vestibular

Conditions:

Virginia ENT has developed a comprehensive clinical assessment that includes a number of tests to help determine the root cause of the symptoms. Following an initial discussion of your symptoms and a review your medical history, a Virginia ENT physical therapist will assess your balance, strength, flexibility, gait, vision and mobility and develop your individualized treatment plan based on your goals.

“

Your treatment plan may include exercises to strengthen posture, gait and balance, and may include exercises of the eyes, ears and legs. These exercises help retrain the brain to recognize and process signals from the vestibular system. In addition to in-office therapy, therapists may also design exercise plans to continue progress at home.

”

The goal of vestibular therapy at Virginia ENT is to enhance stability, reduce vertigo and help patients safely manage day to day activities. Through the exercise and therapy-based treatment program, we are able to help patients learn to control symptoms, reduce functional disabilities and improve their quality of life.

Total Balance

Center at Virginia ENT Virginia ENT’s Total Balance Center was established to fill a void in the community for the prompt and accurate diagnosis and treatment of balance and dizziness disorders. The vestibular rehabilitation program offers patients relief from the debilitating symptoms of these conditions and disorders.

The team of highly skilled physical therapists use the latest techniques to help patients increase strength, balance, and stability to reduce the symptoms and effects of a vestibular disorder. Because of the specialty nature of vestibular therapy services, Virginia ENT frequently sees patients from across the state of Virginia.

Tony Curtis, PT

with Virginia Ear Nose and Throat

Adrienne Latimer, LPTA with Virginia Ear Nose and Throat

Kristie McAuliffe, PT with Virginia Ear Nose and Throat

Jennifer Stults, PT, DPT with Virginia Ear Nose and Throat

3450 MAYLAND COURT | RICHMOND 804.484.3700 | www.virginiaent.com www.OurHealthRichmond.com

Neurology The Role of a

Neurologist

A neurologist studies and treats a patient’s nervous system, which encompasses the brain, spinal cord and nerves. Disorders of the nervous system include conditions as simple as a headache or something as serious as Parkinson's disease. Neurologists treat epilepsy, neuritis, neuropathy, brain and spinal cord tumors, multiple sclerosis, stroke and muscular dystrophy, among other conditions. These specialists will also work with patients who have neurodevelopmental disorders, learning disabilities and similar chronic conditions.

Recommended

Obstetrics/Gynecology (OB/GYN) The Role of an

OB/GYN OB GYNSpecialist

An obstetrician-gynecologist, often known simply as an OB/ GYN, specializes in women’s reproductive health. Specifically, the practice of gynecology refers to care of a woman’s reproductive system and organs (her vagina, uterus and ovaries) while the practice of obstetrics refers to care throughout childbearing (pregnancy, birth and postpartum care). An OB/GYN handles fertility issues, family planning, hormone disorders, sexually transmitted diseases and menstruation problems. The American College of Obstetricians and Gynecologists recommends girls begin to visit a gynecologist between the ages of 13 and 15.

Trustworthy Resources

To Use When Researching Neurology

Recommended

Trustworthy Resources

To Use When Researching Ob/Gyn

American Academy of Neurology www.aan.org

American Board of Obstetrics and Gynecology www.abog.org

BreakthroughDiagnostic/Treatment for:

Association of Women’s Health, Obstetric and Neonatal Nurses www.awhonn.org

There’s still so much progress to be made in restoring mobility to paralyzed individuals, but a major breakthrough happened in 2018 when the Mayo Clinic and UCLA collaborated on spinal cord stimulation to help Jered Chinnock, a man paralyzed from the waist down in 2013, take several steps with a frontwheel walker.

American College of Obstetricians and Gynecologists www.acog.org

Paralysis

“

Dr. Kendall Lee with the Mayo Clinic noted that the study shows the neurons (cells that transmit nerve impulses) below a spinal cord

injury still function after paralysis; when the spinal cord is stimulated by electrodes, as Chinnock’s was, the neurons receive the signal that he wants to stand or walk.

”

Although this breakthrough was not able to treat Chinnock’s paralysis completely, it gives hope that individuals with paralysis can regain function. How is this

New Diagnostic/Treatment

Option Different/ImprovedOver

Existing/PastOne(s)? Prior to this, there was no cure or treatment for paralysis, although rehabilitation through physical therapy, occupational therapy, mobility aids and supportive devices helped paralyzed people live as independently as possible. READ THIS EDITION OF

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BreakthroughDiagnostic/Treatment for:

Ultrasound

The progress of ultrasound technology has reached a point where 3-D images are more prevalent and widely available for gynecology and obstetric patients. Thanks to this technology, an OB/GYN can get a full view of the anatomy of the uterus and cervix, making it easier to see abnormalities like polycystic ovarian syndrome (also known as PCOS, often characterized by follicles on the ovaries), place intrauterine device (also known as an IUD, a device used for birth control that is put inside the uterus to stop sperm from getting to the eggs) and even diagnose and understand fetal anomalies. Ultrasounds also offer 4-D imaging, which could be likened to a live stream of a fetus inside the uterus, meaning the OB/GYN can see the motion of fetal organs. How is this

New Diagnostic/Treatment

Option Different/ImprovedOver

Existing/PastOne(s)? OB-GYN specialists have used ultrasound since the 1950s, but today’s modern technology is much better than it was even 20 years ago, when ultrasound equipment produced images that were two-dimensional and very grainy — not the best means for an OB/GYN to see what’s happening inside the uterus and cervix. While many expectant parents might be eager to see an ultrasound image that’s more detailed than the blurry outline produced by 2-D technology, medical professionals discourage 3-D and 4-D ultrasounds simply for the sake of seeing the developing fetus. Instead, this technology should be reserved for when there’s suspicion of a medical condition, as these require exposing a fetus to more ultrasound than necessary.

www.OurHealthRichmond.com

Ophthalmology The Role of an

Ophthalmologist

Not to be confused with an optometrist, who does vision care and primary eye health care, an ophthalmologist is an eye doctor who provides medical and surgical eye care. An ophthalmologist will treat such conditions as glaucoma, iritis, cataracts and macular degeneration. With a license to practice both medicine and surgery, an ophthalmologist will not only conduct eye exams and diagnose conditions but also perform procedures like LASIK.

Recommended

Trustworthy Resources

Physical Therapy The Role of a

PhysicalTherapist

Although not strictly a doctor, a physical therapist is a trained and licensed health professional who provides care and guidance that can help alleviate pain, recuperate function and movement, and prevent future issues as a patient either recovers from an injury or manages a physical condition. A physical therapist will examine and assess an individual’s physical abilities to determine their specific needs, looking at movement, posture, balance, gait, heartbeat and other indicators. A physical therapist can then develop a treatment plan and guide a patient on how to do specific stretches and exercises to meet their goals.

To Use When Researching Ophthalmology

Trustworthy Resources

American Academy of Ophthalmology www.aao.org

Recommended

International Council of Ophthalmology www.icoph.org

American Physical Therapy Association www.apta.org

BreakthroughDiagnostic/Treatment for:

Choose PT www.ChoosePT.com

Myopia, Hyperopia and Astigmatism

Laser assisted in-situ keratomileusis eye surgery, more commonly known as LASIK surgery, was implemented in the United States and approved by the Food and Drug Administration in the early 1990s, paving the way for ophthalmologists to correct such problems as myopia (nearsightedness) hyperopia (farsightedness) and astigmatism (an eye defect that causes distorted images) by reshaping the cornea (front part of the eye) with the use of a laser. LASIK has the capability to improve a person’s vision to 20/25 so that they no longer need glasses or contact lenses. The Mayo Clinic acknowledges that results can vary and will depend on a person’s eyesight before surgery, though people with mild nearsightedness have the most success. How is this

New Diagnostic/Treatment

To Use When Researching Physical Therapy

BreakthroughDiagnostic/Treatment for:

Rehabilitation

With the advent of the Kinetisense system — a 3-D motion sensor device and movement assessment software — physical therapists achieved the ability to analyze a person’s posture, measure their range of motion and track physical improvements in an accurate and objective way.

“

This system, which video records every movement, does a complete

functional assessment of all standard physical therapy modules (balance,

posture, range of motion and functional movement) in only three minutes.

Option Different/ImprovedOver

Existing/PastOne(s)? Before laser surgery, ophthalmologists would use radial keratotomy (RK) to reshape the cornea by making slits with a knife. RK later gave way to photorefractive keratectomy (PRK), an early precursor to LASIK that uses the same type of laser. According to the Food and Drug Administration, PRK is different from LASIK because of the different ways the procedures expose the middle layer of the cornea, known as the stroma. With PRK, an eye surgeon will remove the epithelium (the top layer of the cornea) before using the laser to reshape the eye, whereas with LASIK, an eye surgeon creates small flaps in the cornea, raises the flap, reshapes the cornea with the laser, then lowers the flap after the surgery is over so the cornea can repair itself. PRK also requires a much longer healing process than LASIK, which usually requires only a few days of recovery afterward. 36

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How is this

” New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Before this technology, physical therapists could do tests, take measurements and perform screenings, but these subjective observations took lengthy periods of time, were not as precise and were prone to human error. Kinetisense provides a more accurate assessment, thus improving results, and can be done quickly so as to provide more time for actual therapy.

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What’s Special About

YOUR SPECIALTY?

ORTHOPEDIC PHYSICAL THERAPY, INC.

Physical Therapy

2000 BREMO ROAD, SUITE 202 RICHMOND | 804.285.0148

www.orthopedicptinc.com

Physical Therapy [‘fizikəl ‘THerəpē] is the specialty

practice of care that evaluates and treats patients in recovery from an injury, improving mobility, relieving pain, preventing future injury or dealing with a chronic condition.

Medical Conditions Not

Lookingfora

opioid-free solutionto

Chronic Pain?

Do I Need

Commonly Associated with Physical Therapy:

A Referral For Physical Therapy?

Physical therapists treat patients of all ages who suffer from medical problems or other healthrelated conditions that limit their abilities to move and perform functional activities of daily living.

One of the most frustrating things patients face in healthcare is whether or not they need a referral to see a specialist. Luckily, physical therapy is a bit different from other specialties.

This includes chronic pain (pain lasting six months or longer), which can develop

due to repetitive strains to the body from sports, hobbies, work or injury.

“

In most cases, patients

can schedule a visit with a physical therapist directly without the need

”

of a referral.

Other instances of chronic pain can be due to conditions like fibromyalgia, chronic fatigue syndrome, or myofascial pain syndrome. Physical therapy may be a standalone option, or it may support other treatments. Many people think about physical therapy as a treatment that is utilized after accidents or injuries. However, physical therapy is an excellent option for patients suffering from chronic pain.

“

Orthopedic Physical Therapy, Inc in Richmond, is a practice that specializes in treating people with chronic pain. Their goal is

to find and treat the SOURCE of pain and restore function to the

musculoskeletal system—joints, tendons, ligaments and bones in our bodies—instead of masking

In Virginia, patients can choose to see a physical therapist without a physician’s referral for up to 30 consecutive days before a referral is necessary. As the patient, you always have the freedom to choose where you receive your physical therapy treatment. Prompt treatment is often important when dealing with chronic pain or when the patient has a specific concern that may respond better to therapy rather than treatment that could involve pain medication.

Beyond the care they provide, physical therapists are trained to make an evaluation of the SOURCE of the pain and determine

symptoms with medications.

if it is within their scope to treat.

Painkilling drugs such as opioids may address the symptoms, but the associated risks –namely addiction –far outweigh the reward.

If they are unable to provide the necessary treatment, they can then refer the patient to the right specialist.

”

SPECIALTIES: » CHRONIC PAIN » FIBROMYALGIA » HEADACHE RELIEF » HYPERMOBILITY AND EDS » MYOFASCIAL AND REFERRED PAIN » NECK AND BACK PAIN » PELVIC PAIN/PELVIC HEALTH » POSTURE AND ORTHOTICS » SPORTS INJURIES » TMJ/TMD » TRIGGER POINT DRY NEEDLING

Tracey Adler,

PT, DPT, OCS, CMTPT Director/Owner

Kristen Hicks

PT, MPT, CMTPT

Brooks Steadman PT, DPT, MTC, CMTPT

Samantha Chou MSPT

Rebecca Ayers PT, DPT, CMTPT

Kiara Girkins PT, DPT

www.OurHealthRichmond.com

Plastic Surgery The Role of a

PlasticSurgeon

A plastic surgeon is a surgical specialist focusing on both reconstructive and cosmetic surgical and non-surgical procedures that alter the shape, appearance, or function of structures of the body. Plastic surgery procedures can include skin rejuvenation and facial and body contouring that may alter the aesthetic symmetry and proportion of the body and reconstructive treatments of physical conditions caused by trauma, infection, tumors, disease, congenital defects and developmental abnormalities.

Recommended

Trustworthy Resources

To Use When Researching Plastic Surgery

American Society of Plastic Surgeons www.plasticsurgery.org American Board of Plastic Surgery www.abplasticsurgery.org

BreakthroughDiagnostic/Treatment for:

Wrinkles

A well-liked cosmetic procedure and one of the more popular plastic surgery options, BOTOX® injection, was approved by the FDA in 2002 after researchers discovered that botulinum toxin A could be used to relax the muscles and prevent severe spasms. The botulinum toxin blocks chemical signals from the nerves that cause muscles to contract. By injecting it into the face, scientists could relax the facial muscles that cause wrinkles in the forehead and around the eyes.

“

Today, BOTOX® injections are used for much more than simply reducing wrinkles.

”

The noninvasive procedure carries few risks or side effects and can also be used to treat lazy eye, muscle contractures, chronic migraine, bladder dysfunction, eye twitching and other conditions. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Throughout the 1970s, the latest in cosmetic facial surgery was the facelift, according to the American Academy of Plastic Surgeons. This procedure, which is still available today, is an invasive surgical procedure where an incision is made along the hairline so that fat or underlying tissue in the face can be repositioned or removed altogether, ultimately with the goal of removing wrinkles and smoothing out the skin. The procedure carries numerous risks, including bleeding, infection, facial nerve injury, poor wound healing and fluid accumulation.

Urogynecology The Role of a

Urogynecologist

Urogynecology is a field of medicine that combines urology with gynecology. A urogynecologist diagnoses and treats conditions or disorders pertaining to the pelvic floor (the muscles, ligaments, connective tissue and nerves that support the bladder, uterus, vagina and rectum). According to the National Institutes of Health, one-quarter of women have pelvic floor disorders, which could include urinary incontinence, overactive bladder or pelvic organ prolapse.

Recommended

Trustworthy Resources

To Use When Researching Urogynecologist

American Urogynecologic Society www.augs.org

Voices for PFD www.voicesforpfd.org

International Urogynecological Association www.iuga.org

BreakthroughDiagnostic/Treatment for:

Stress Urinary Incontinence

Urogynecology innovators Ulf Ulmsten and Peter Petros introduced the midurenthral synthetic sling in the mid 1990s, and it has since become the most common surgical intervention to treat stress urinary incontinence (the unintentional loss of urine caused by stress on the bladder such as coughing, laughing, running or heavy lifting). With this minimally invasive procedure, specially designed needles are used to place a thin strip of mesh under the urethra, which prevents urine from leaking out. Altogether, the procedure takes about 15 to 30 minutes and can be performed on an outpatient basis using local anesthesia. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)?

Option

According to Harvard Medical School, the various procedures to treat urinary incontinence before the invention of the midurenthral synthetic sling were invasive, requiring hospitalization, anesthesia and recovery time, as well as posing risk. Women with mild cases of incontinence who wanted to avoid surgery were encouraged to do Kegel exercises or try a pessary (a removable device inserted in the vagina to support the urethra).

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Medical Condition People Commonly

What’s Special About

YOUR SPECIALTY?

Associate with

VIRGINIA UROLOGY WOMENS’ HEALTH

Urogynecology Urogynecology [,yur-ō-,gī-nə-’kä-lə-jē] is a surgical subspecialty of urology and gynecology focusing on the evaluation and treatment of non-cancerous conditions concerning the female pelvic organs and their supporting muscles and tissues, as well as pelvic reconstructive surgery.

Gold Standard in pelvic

support surgery

How Has Diagnosing

and Treating Pelvic Organ Prolapse (POP) Advanced?

Sacrocolpopexy Performed Through

Minimally Invasive Robotic-Assisted SurgeryConsidered Gold Standard

There are many treatment options for pelvic organ prolapse, including pelvic floor strengthening, products to help provide support to your pelvic floor, and even surgery. Sacrocolpopexy is considered the gold standard in pelvic support surgery. A complex, but effective technique for repairing organ prolapse, sacrocolpopexy is performed either through an abdominal incision (open surgery), with a laparoscope or by minimally invasive robotic-assisted surgery. While sacrocolpopexy has been performed since 1957, many variations to techniques have resulted in improved patient safety and outcomes. Today, surgeons are able to use minimally invasive robotic surgery that offers quicker recovery times and less blood loss than abdominal (open) surgery.

What Sets Virginia Urology Apart in

Offering Advanced Surgical Treatment of Pelvic Organ Prolapse? Virginia Urology’s

Urogynecologists Have Received the Latest Training in Robotic Surgery A study in the Journal of the American Medical Association (JAMA) looked at the outcomes of pelvic organ prolapse surgery performed both vaginally and robotically. The results of pelvic organ prolapse surgery through the vagina were not as successful as the roboticassisted surgery; seventy percent of women who had the vaginal approach still had symptoms five years after the surgery. During minimally invasive robotic-assisted surgery, the area where the surgery is performed is magnified tenfold, making it easier to see the anatomy and greatly improving the precision of the surgery. Patients also experience significantly reduced blood loss during robotic-assisted surgery and reduced pain afterward.

“

Robotic-assisted surgery involves surgically complex procedures that

require a balance of knowledge, surgical skill and experience as well as

”

appropriate ongoing surgical volume.

The urogynecologists at Virginia Urology have each received the most advanced training required to perform the latest in robotic-assisted surgery and have met and exceeded the American Urogynecologic Society’s guidelines requiring board certification in obstetrics and gynecology or urology while performing a minimum of 30 pelvic organ prolapse surgeries a year. Patients and families interested in learning more about diagnosis and treatment options for pelvic floor disorders can visit Virginia Urology’s website at www.uro.com or call 804.330.9105.

the Specialty of

Urogynecology Pelvic Floor Disorders

Affect Nearly One Third U.S. Women The pelvic floor includes the muscles, ligaments and connective tissue in the lowest part of the pelvis that act like a sling and support the bladder, bowel and uterus, keeping them in the correct position. The pelvic floor also helps maintain bladder and bowel control and sexual function. Pelvic floor disorders is the name under which a number of related conditions are categorized, including one of the most common, pelvic organ prolapse (POP). Pelvic organ prolapse is a hernia of the pelvic organs to or through the vaginal opening. It occurs when one or more of the organs in the pelvis shift downward following an injury to or weakening of the pelvic floor wall. Pelvic organ prolapse can be very uncomfortable for some women. Symptoms may include a feeling of heaviness or pressure in the vagina, incontinence (urinary leakage), pain during intercourse, or even constipation. The risk of pelvic organ prolapse increases with age. It occurs predominantly in perimenopausal and postmenopausal women; however symptoms can occur at any age. Risk factors include multiple vaginal childbirths, prolonged labor, and instrumented delivery. Other causes include chronic cough, hereditary connective tissue weakness, radiation treatment, surgery and obesity. David Glazier, MD

Female Pelvic Medicine and Reconstructive Surgeon

Meghana Gowda, MD Female Pelvic Medicine and Reconstructive Surgeon

Bruce Rowe, MD

Female Pelvic Medicine and Reconstructive Surgeon

Quinn Lippmann, MD Female Pelvic Medicine and Reconstructive Surgeon

Urology The Role of a

Urologist

A urologist diagnoses and treats conditions of the urinary tract as well as the male reproductive system. The urinary tract encompasses the bladder, urethra, kidneys and adrenal glands, and the male reproductive system. Although a urologist does specialize in the male reproductive system, there are still reasons women see a urologist, such as a urinary tract infection (commonly called a UTI). Men commonly see a urologist because of male infertility, erectile dysfunction or an enlarged prostate, as well as for cancers related to the male reproductive system, such as prostate cancer or testicular cancer.

Recommended

Trustworthy Resources

To Use When Researching Urology

American Board of Urology www.abu.org American Urological Association www.auanet.org

Urology Care Foundation www.urologyhealth.org

BreakthroughDiagnostic/Treatment for:

Prostate Cancer

In February 2020, researchers at Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins announced they had made progress toward a urine test to diagnose prostate cancer after noticing cancer-specific changes in urinary RNA and metabolites. With these discoveries, the doctors hope they can develop a simple, noninvasive, reliable test for diagnosing prostate cancer, although further studies must be done to validate their findings before they can proceed. How is this

New Diagnostic/Treatment

Different/ImprovedOver Existing/PastOne(s)? Option

Currently, prostate cancer must be diagnosed with tissue biopsies, which can be invasive and will often miss cancer cells, explains Ranjan Perera, PhD the senior author behind the study and associate professor of oncology at Johns Hopkins University. However, this new research may pave the way for accurate noninvasive testing. According to the Mayo Clinic, currently a prostate biopsy is conducted using a thin needle that goes into the prostate to collect tissue, which is then analyzed in a laboratory.

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How Virginia Urology’s Health Specialty Care is Changing for the Better.

As you can see, the

faceofhealthcare isaneverchanging one. Scientists

and researchers are continually making new discoveries that promise better treatment options.

“

Even longstanding perceptions on certain conditions can change, or knowledge that’s been around for decades can move to the forefront when doctors find a new way to make practical use of it.

”

All of this shows that change isn’t always bad. In the case of science and healthcare, change canbegood. Change can mean less expense. Change can mean minimal invasion or inconvenience. Change can mean fewer side effects or less recovery time. Change can mean an increased chance of survival or longevity. Overall, change can mean an improved quality of life — and that’s a change we can all embrace.

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OurHealth Richmond

ON YOUR SMARTPHONE OR TABLET

What’s Special About

How is...

YOUR SPECIALTY?

Virginia Urology

VIRGINIA UROLOGY

Urology Urology [yu-’rä-lə-jē] is the specialty of healthcare focusing on the diagnosis and treatment of disorders of the urinary tract of males and females and on the reproductive system of males.

Playing a Role in the

Advancement of Prostate Cancer Diagnosis and Treatment?

Virginia Urology Set to Offer Genetic Testing to Patients and Family Members

In the coming months, Virginia Urology will begin offering patients and family members options to learn more about their risk for developing hereditary cancer through

genetic testing

3RD

LeadingCauseof Cancer-Related DeathinMen

Medical Condition People

Commonly Associate with the Specialty of

Urology

Prostate Cancer is the Third

Leading Cause of Cancer-Related Death in Men When it comes to a condition urologists are commonly known for diagnosing and treating in males, prostate cancer often tops the list. In the U.S., prostate cancer is the third leading cause of cancer-related death in men. Overall, one in nine men will be diagnosed with the condition. Prostate cancer risk is higher for African American men with one in six affected, and even greater in men with a family history of the disease at one in five.

How Has Diagnosing and Treating Prostate Cancer Advanced? Genetic Testing Provides Personalized Timeline For When Men Should Be Testedfor Prostate Cancer For decades, doctors have known that genetics can greatly impact the chances of breast and ovarian cancer developing in women. As such, genetic and genomic testing is quickly emerging as an important new avenue for guiding cancer treatment as an essential component of breast, ovarian and pancreatic cancer therapy. Today, doctors now realize these same genetic changes may affect the chances of men developing prostate cancer. In fact, it has been suggested that one in nine men with metastatic prostate cancer carry an inherited mutation in genes involved in DNA repair.

“

A male is two – three times more likely to develop prostate cancer if his father, brother or son had it. The risk rises by the number of family members who have or had prostate cancer, breast cancer and ovarian cancer. The age when a close family member was diagnosed is also a vital factor.

”

When it comes to prostate cancer, new guidelines suggest that men meeting specific criteria should consider undergoing genetic testing. Genetic testing has the potential to determine the age for when to have prostate cancer screening as well as guide treatment decisions. It can also have important implications for family members who may be at a higher risk for developing cancer resulting from an inherited gene mutation.

using technology called next generation sequencing (NGS) offered through the urology practice’s Molecular Diagnostic Laboratory. Virginia Urology’s nurse practitioner, Heather Hannon, MSN, RN, OCN, ANPBC, will be available to discuss results with patients and families, allowing them to make more informed decisions about when they should consider testing and what treatment options may be best suited for their individual needs. Patients and families interested in learning more can visit Virginia Urology’s website at www.uro.com or call 804.330.9105.

John Delisio, MD

Virginia Urology’s Comprehensive Cancer Clinic Provider

Michael Franks, MD

Virginia Urology’s Comprehensive Cancer Clinic Provider

Kinloch Nelson, MD Virginia Urology’s Comprehensive Cancer Clinic Provider

Heather Hannon, NP Virginia Urology’s Comprehensive Cancer Clinic Provider

BEAUTY SELF-CARE • EXPRESSION • CONFIDENCE

QUARANTINE

BEAUTY QUEEN DIY Tips for When You Can’t Get to the Salon or Spa words | DYLAN ROCHE

After several weeks of staying at home during the coronavirus disease (COVID-19), you might feel as if you look a little rough around the edges. Not that you have to go anywhere, and everyone you live with is telling you that you look just fine. Still, what would you give for some pampering to clean yourself up? Well, there’s good news and there’s bad news. The bad news is that it’s likely going to be a little while longer before anyone sees the inside of a salon and spa. But the good news? There are a few do-it-yourself beauty practices you can undertake by yourself. Sure, your results might not be as good as the ones you would get with a professional. But as long as you manage your expectations and take plenty of care in what you’re doing, you can still look and feel your best while you’re under lockdown. And once you’ve mastered these skills, you might find they’re helpful in maintaining your look between salon appointments, saving you both time and money in the long run. 42

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Here are

FOUR EASIE WAYSST the

to g ive y our AT-HO self some

M COSM ETIC C E ARE.

Tweeze Your Eyebrows

If you have a few stray hairs that have sprung up and made your normally exquisite arches look more unruly that usual, DON’T STRESS — this is one of the easier beauty processes to master. But before you go haphazardly plucking at your brow, take a few moments to do the job properly.

Start by washing your face with warm

water to soften your skin. This will open your hair follicles and make it easier for the hairs to slide out.

the

Tweeze ’s

Do Don’t s

Cut Your Bangs

This one is the hardest to master and the easiest to mess up when you’re doing it yourself, but if your bangs have grown to be the length of a curtain and you can’t stand it anymore — well, desperate times call for desperate measures. However, trimming your own bangs isn’t impossible.

and

DO:

Take a step back after every few plucks to Identify the basic length of your eyebrows.The inside of the eyebrow should start

at a point perpendicular to your nose. The other end of the eyebrow should be at a point that intersects an imaginary diagonal line from the nostril through the outside corner of the eye. If it helps, mark these points with a white eyeliner pencil.

After you’ve marked the start and end points of your brows, use a clean spoolie (mascara wand-style brush) or toothbrush to pushyoureyebrowhairsin the same direction. This will let you identify any stray hairs outside the eyebrow’s natural shape.

Using a clean pair of tweezers with a fine, pointed end, grip the hair you want to remove and pull it in the direction of growth.

Pull each hair one at a time.

When you’re done, usealoeveragelon the skin around your eyebrows to soothe any irritation.

ensure you’re retaining the proper shape of your eyebrow and that your eyebrows are even.

DON’T:

Don’t get overly ambitious with pulling hairs — having

severely shaped eyebrows was trendy in the ‘90s, but today’s style is a more natural eyebrow. Focus only on stray or unruly hairs.

Begin with dry hair, as this will give

you the best idea of your hair’s true length. Use a comb to separate your bangs from the rest of your hair and bring them directly in front of your face.

Gather your bangs and straighten

them so they are perpendicular with the floor. Hold them between the index and middle finger of your nondominant hand close to where you want the trim to be.

With your hair still gripped between your fingers, lower them so that are

straight down in front of your face. Position your scissors alongside the

hair hanging out from underneath your fingers. This is where you’ll trim.

Remember to start longer

— you can always cut them shorter if you want to do so.

Cutthehairinshort,precisesnips.

Afterward, wash and style your hairasnormal. www.OurHealthRichmond.com

Give Yourself a Facial

Rejuvenating your skin isn’t a miracle that can happen only at the spa. With a few ingredients that you probably already have in your kitchen, you can treat yourself to a facial that will leave you feeling clean, smooth, tight and glowing.

Start by making your facial serum.

Slather it generously onto your face, avoiding your eyes and lips.

Clean Up Your Nails

Your natural fingernails are easy enough to maintain, but a manicure and pedicure just feel so good. You want your hands and feet to feel clean, soft and pampered. Well, DON’T WORRY — you won’t have someone else pampering your hands and feet for you (unless you can talk your partner into doing it), but you can still make them feel clean, soft and pretty. Here’s how.

FACIAL SERUM RECIPE: In a bowl, mix EQUAL PARTS of the following:

HONEY

IT’S ANTIBACTERIAL

LEMON JUICE RICH IN VITAMIN C

OLIVE OIL A MOISTURIZER

To reduce puffiness and dark circles Wash your hands and feet,

and remove any existing polish with acetone. Cut your nails to the desired length with clippers and shape them with a file or emery board.

Soak your hands and feet in warmwaterforfiveminutes

to soften the skin.

Try a Homemade Exfoliation Scrub: After soaking your hands and feet, give them a good scrub with a homemade mixture of equal parts brown sugar and olive oil. This will exfoliate and moisturize your skin. If necessary, use a pumice stone to remove callouses on your feet. Rinse and pat your hands and feet dry with a clean towel. 44

Give your hands and feet a good rub down with lotion or cream. Wait a few minutes to

allow the moisture to absorb.

Use a cuticle pusher to push your cuticle back, then clean

your nails with a cotton ball or Q-tip soaked in rubbing alcohol or witch hazel. This will remove any lotion or other residue on the nails.

Start with a base coat on yournailstocreateaneven surface. After this has dried,

apply a layer of nail polish in your desire color. Allow the polish to dry, then apply another layer.

Finally, apply a top coat that

will give your nails a glossy finish and protect them from any wear-or-tear that your hands or feet might endure.

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around your eyes, use thinly sliced cucumber or tea bags that have been steeped in warm water and allowed to cool.

Did you know? The ascorbic acid in the cucumber and the tannins in the tea can reduce swelling and discoloration. Find a comfortable chair or bed to lie down, placing either the cucumber or the tea bags on your eyes after your head is reclined.

Relax for 20 to 30 minutes in your mask

with your eye covers. If you’re feeling stressed, try listening to classical music or white noise.

Afterward, rinse the mask off your face and dab your skin with a natural toner made from equal parts apple cider vinegar and water.

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LIVING

LOCAL • TOGETHER • COMMUNITY

DEFINING TIMES Can You PASS

THE TEST of Coronavirus Disease Terms?

words | DYLAN ROCHE

You might be surprised to learn that the definitions for words like ‘social distancing’ and ‘quarantine’ have taken on different meanings from those you might have known. What’s the reason for the change? The coronavirus disease (COVID-19). And because of the unprecedented impact that COVID-19 continues to have on us, it’s safe to assume any earlier interpretations will be overshadowed by the standard it is known by now.

As the Centers for Disease Control and Prevention

There’s that phrase you’ve been hearing a lot lately, whether it’s when you log on to social media, catch up on the news, or talk to a friend over the phone — socialdistancing.

because coming in close contact with others is how viruses are spread, so maintaining distance in social settings

It’s not a new concept by any means, but it has gained ubiquity in recent weeks after countless health experts started encouraging it to slow the COVID-19 pandemic.

social distancing

defines it, (also called physical distancing) means avoiding mass gatherings, remainingoutofcrowdedpublic places where close contact with others may occur, and maintaining distance of approximately 6feet from others whenever possible.

Why? Well,

is an important practice for keeping yourself and others healthy.

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SOCIAL DISTANCE in the Age of Coronavirus

This is not the first time health experts have encouraged social distancing — it was previously encouraged during the New York polio epidemic of 1916, as well as the influenza pandemic of 1918 (colloquially known as the Spanish flu), and numerous other health crises. Today, health experts encourage it as a way of preventing the spread of the novel 2019 coronavirus (also known as severe acute respiratory syndrome coronavirus 2 or SARS-CoV-2), which causes the disease known as COVID-19, a respiratory infection marked by fever, fatigue and dry cough.

Although the World Health Organization reports that

80 percent ofthepeople who catchCOVID-19recover safely without any special treatment, one in six people become seriously ill from the disease.

Because the coronavirus spreads through respiratory droplets a person expels when they speak, cough or sneeze, it’s easily passed from person to person when they are in close contact with one another. It doesn’t even require physical contact — you can simply breathe in these droplets when you are standing within 6 feet of a person. You could also get the respiratory droplets on your skin and clothing, and then become infected if you touch your eyes, nose or mouth without washing your hands first. Hence why the federal government implemented social distancing guidelines through April 30, with many state and local governments creating even stricter restrictions. It’s why #canceleverything has been trending on social media, as everything from street festivals to sporting events have been rescheduled or dropped altogether. Many businesses have had to change their model of operations, and colleges have had to switch to online classes. In short, it has meant a change in lifestyle for just about everyone.

Social Distancing, Quarantining, and Isolating —

What’s the Difference?

If you’re still a little iffy on the meaning of social distancing, particularly with how it compares with other practices that people have talked about in the context of COVID-19, don’t worry — the phrases are sometimes used interchangeably by casual speakers. But in formal contexts, you should note there’s a subtle difference between social distancing, quarantining and isolating. Johns Hopkins Medicine explains that social distancing means you can go out in public, but when you do so, you should keep the necessary 6 feet between you and other people to reduce the risk of spreading sickness. This applies to healthy people, whether they are at high risk or not. Then there are those who have likely been exposed to the novel coronavirus or are showing symptoms of COVID-19. These people are expected to quarantine themselves for 14 days, which means they should stay at home and not interact with healthy individuals. If they share a home with others — for example, their family members or roommates — they should do their best to maintain 6 feet of distance, practice good hygiene (e.g. frequent handwashing) and not share items like food utensils or bath towels.

Quarantining is intended to keep a potentially infected

person away from others so that they do not spread the sickness. This

isolation

is different from , which Johns Hopkins Medicine notes is for people who have a confirmed case of COVID-19. Theyarekeptawayfrom

non-infected individuals, either at home or at the hospital, and personal protective equipment should be used by caretakers who interact with them.

All three of these practices are intended to do what’s referred to as flattening the curve. Imagine a bunch of people all exposed to the novel coronavirus at once — there would be sharp rise (or curve) in the number of COVID-19 cases in a short period of time, far exceeding what health care systems can accommodate. When too many people are sick, there are not enough hospital beds, equipment or doctors for all of them. However, if the virus spreads slowly, the number of cases will rise gradually over a longer period of time; the same number of people might get it, but they will get it over the course of several weeks or months instead of all at the same time. The curve of cases is flatter, not a sharp spike.

Does this

APPLY TO EVERYONE? Everyone is required to practice social distancing. Even if someone is young and healthy, they might be inadvertently spreading the virus to others who are more vulnerable. But those who are young and healthy shouldnâ&#x20AC;&#x2122;t be so quick as to think they are invincible against coronavirus, as there is still some risk they could suffer severe symptoms. A report by the Centers for Disease Control and Prevention released on March 16, 2020, showed that 38 percent

of Americans hospitalized for COVID-19 were between 20 and 54 years old and that half the patients who ended up in intensive care were younger than 65.

But it is true that those more vulnerable to COVID-19 are seniors and people with compromised immune systems or other conditions.

8:10

According to the Centers for Disease Control and Prevention,

eight out of 10 deaths due to COVID-19inthe United Stateshavebeenpeople age 65 and older. Johns Hopkins reports that up to 29 percent of thoseage85andolderwho getCOVID-19will require intensive care.

People with heart disease are also at risk, as overworked lungs mean the heart has to work harder to circulate oxygen. The American Heart Association emphasizes that viral respiratory illnesses like COVID-19 can increase the risk of heart attack in people who have plaque buildup. Coronavirus also poses a risk of higher infection in people who have chronic airway or lung diseases, such as COPD, asthma or pulmonary fibrosis. Finally, because high blood sugar creates a bodily environment where coronavirus is more likely to flourish, people with diabetes (both type 1 and type 2) could be at greater risk.

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The Best

Practices for Social Distancing

Even if you grasp the importance of social distancing, it can be a little overwhelming to actually live by it — just what are you allowed to do and what aren’t you allowed to do? More importantly, how are you supposed to cope if you’re not supposed to go out in public? Let’sbreakitdown:

Stay Home When Possible Although you can go out for certain activities (more on that in a second), the main idea of social distancing is to stay home as much as possible. This is why most businesses are allowing their staff to work from home and most schools have switched to online courses.

Stay Connected Because you aren’t going to be getting out as much, download an app so you can visit with friends and loved ones digitally. Facetime, Skype, Zoom, Google Duo, Marco Polo, WhatsApp and Snapchat are all great options because they allow you to see and hear the person, which creates a better sense of connectivity than a simple phone call. Harvard Medical School encourages use of apps like these to relieve feelings of loneliness and isolation. If there’s a senior in your life who is not as adept with technology, be sure to help them download the app and show them how to use it. 50

No Large Groups Don’t go to places where large groups of people are gathered, as keeping six feet of distance from others is virtually impossible in these settings. Many states have enforced orders to cancel events that entail large gatherings of people (festivals, marathons, fundraisers) and to close nonessential businesses where people are packed close together (bars, sports stadiums, movie theaters, arcades).

Get Some Fresh Air You can still go outside to walk your dog or exercise, but don’t go in a large group. If you are on a sidewalk or trail, announce yourself as you pass so other people can have plenty of space.

“

Avoid spitting, and ifyouhave tocough orsneeze, do so into thecrook ofyour elbow.

”

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Avoid Unnecessary Errands Avoid errands as much as possible, but you can still go to the grocery store and pharmacy to get necessities.

“

When you go, remember yourSix feetof distance.

”

Some grocery stores may allow a maximum number of people in the store at a time to avoid overcrowding.

Make a Plan Have a plan in place on how you will function if you or someone close to you gets sick. Stock up on enough medication, food, pet supplies and other essentials (batteries, light bulbs, cleaning supplies) to last you at least two weeks. Research any delivery services in your area, or determine how a friend or neighbor can bring items to you. For example, they could do your grocery shopping and leave it on your doorstep at an agreed-upon time so there does not need to be any interaction.

Wash Your Hands After coming home from a public place, take care to wash your hands with soap and warm water, especially if you were touching surfaces that were touched by many other people, such as grocery carts, door handles, restaurant menus, elevator buttons or PIN pads.

Don’t Let Isolation Get You Down The American Psychological Association acknowledges that being isolated with little stimulation can take a toll on your mental health. In addition to keeping in contact with others to reduce feelings of loneliness and isolation, you can further cope by consulting only reliable sources for news updates and by keeping a routine that will help you maintain a sense of order and purpose. Stick with a healthy lifestyle, including eating well and exercising, and improve your daily mood by showering and getting dressed even if you don’t have to go anywhere.

Sourcesof Information: There’s a lot of misleading information out there. Be sure to stay informed by consulting only the most reliable sources on the novel 2019 coronavirus.

Centers for Disease Control and Prevention www.cdc.gov

The National Institutes of Health www.nih.gov

The World Health Organization www.who.int

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FOOD FITNESS NUTRITION • EXERCISE • PREVENTION

1 10 IN

Invisible

VEGETABLES:

The Centers for Disease Control and Prevention reports that only one in 10 gets their recommended one and a half to two cups of fruit and two to three cups of vegetables every day.

Which Could it Be:

A Case of Fruits and Veggies Hiding in Plain Site – or Out of Sight Altogether?

If you had to guess which kind of food kids like the least, what would it be? Could it be broccoli? What about Brussel sprouts? How about spinach? Whatever food comes to your mind first, it’s likely some kind of vegetable. And it’s not just kids — many adults aren’t eating the way they should either. Food manufacturers are introducing more ways to get beneficial nutrients into foods children love, yet are traditionally lacking them, like pasta sauces and sandwich wraps. But is it offering the same benefit?

To encourage people young and old to consume more nutrient-rich fruits and veggies (or at least feel as if they’re consuming more of them), many food manufacturers have started hiding vegetables in foods that would please even the pickiest eaters — everything from pasta to chocolate milk.

words | DYLAN ROCHE

But if you opt for food products that contain fruits and/or vegetables disguised within them, whether for yourself or for your kids, are the benefits the same? Do they actually have any nutritional value? Well, it depends on the product, says nutritionists, which means consumers need to be more savvy not only when it comes to what they choose, but in how they choose.

Raising a child today can be stressful enough when you consider everything parents must to keep their children on a path to better health and safety. When it comes to getting children to eat healthy while competing with commercials and other messages for fast food, how do you sell them on options that are designed to do their body good? Top it off with busy schedules that make getting home in time to prepare a balanced meal quick enough to satisfy your crowd who is shouting how “starved” they are the second you walk through the door, can make meeting everyone’s expectations – including your own to provide that healthy meal – a bit of a challenge parents are all too familiar facing. 52

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Three Steps to See if

What’s Hidden Inside Matters

Read theIngredients List: List Flip the package over and look at the ingredient list. In most cases, you’ll find that these products contain only a negligible amount of vegetables, often in a dehydrated or powdered form.

FOR EXAMPLE: if you grab a bag of Simply 7 Organic Veggie Chips (www.simply7snacks.com), you’ll see that powdered spinach, tomato and beetroot are low on the list of ingredients after potato flour, corn flour, oil, salt and sugar. Similarly, Made Good chocolate chip granola bars (www.madegoodfoods.com) have “vegetable extracts” of spinach, broccoli, carrots, tomatoes, beets and shiitake mushrooms listed at the end of the ingredient list after agave nectar, brown rice syrup and molasses — all different forms of sugar.

“

CarefullyConsider AnyHealthClaims:

“

It’s one thing for a product to state that it’s “made with vegetables,” but such a health claim means very little when it doesn’t state how much it’s made with. If it’s made with a significant amount, the packaging will likely state so.

”

Unless the vegetables are listed prominently among the ingredients, ideally the first or second ingredient, then you can safely assume you’re consuming so small an amount of vegetables that it really doesn’t count. Even worse, you might be consuming a bunch of oil, sugar or processed carbohydrates being marketed under the guise of being healthy.

FOR EXAMPLE: Green Giant’s broccoli tots (www.greengiant.com), which are like tater tots but made with broccoli, clearly state on the front of the packing that each serving of tater tots contains a full serving of broccoli. Sure enough, when you read the back of the package, you’ll see that broccoli is the first ingredient listed.

Not all products are out to deceive you though. While most vegetable or tricolor pastas are made with the typical scant amounts of powdered vegetables, black bean pasta such as the kind produced by Explore Cuisine (www.explorecuisine. com) is made entirely from black bean flour, so it has many of the health benefits you would get if you ate black beans, including 11 grams of fiber, 25 grams of protein and lots of potassium, iron and calcium.

The same goes for the Sneakz line of flavored milk (see below). The label states that each 8-ounce serving contains a half-serving of vegetables. Sure, it’s not a full serving — but at least you know you’re getting more than an eyedropper’s amount in each 8-ounce carton.

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If you want to determine whether a snack gains any nutritional boost from added vegetables, simply compare it to a similar product without any vegetables added. If there’s a significant amount of vegetables in the product, you’ll likely see fewer calories and more fiber.

ComparetheNutritional InformationwithaSimilarProduct:

FOR EXAMPLE: Sneakz (www.sneakz.com) is a line of organic flavored milk products that are made with pureed carrots, cauliflower, sweet potato and spinach. An 8-ounce serving of Sneakz chocolate milk has 110 calories with 1 gram of fiber and only 18 grams of sugar. Compare that with an 8-ounce serving of Nesquik’s (www.nesquik.com) low-fat chocolate milk, which has 140 calories, no fiber and 21 grams of sugar. www.OurHealthRichmond.com

Take Yours and Your Family’s

Health into Your Own Hands The Homemade Way

Want to MAKE FOODS AT

HOME MORE HEALTHY?

Here are some ideas to get you started: started Start by matching colors.

Add pureed cauliflower to mashed potatoes or pureed yellow squash to macaroni and cheese. You’ll also be surprised how easily pureed black beans work in brownie batter or chocolate cake batter.

If you like the idea of hidden vegetables but you’re tired of navigating ingredient labels and nutritional panels — or you’re just not finding worthwhile products at your local grocery store —

Remember that spinach has a mild taste.

If you’re making a smoothie or milkshake in your blender, don’t be afraid to add a handful of raw spinach leaves. The sweetness of mixed berries or the richness of chocolate is strong enough to mask the taste of the spinach.

you always have the option of making food at home with some hidden vegetables. Simply steam them and puree them in a blender or food processor before hiding them in your favorite recipes.

Carrots are naturally sweet and can give a boost to recipes without the added calories of sugar. Slip some pureed carrots

In fact, a study published by the American Journal of Clinical Nutrition found this was a helpful method for getting people to increase their vegetable intake and decrease their calorie intake. Participants in the study ate foods like macaroni and cheese or chicken rice casserole that had been made with pureed vegetables, and they consumed on average 350 fewer calories per day than if they had eaten the same volume of the food made with a traditional recipe — the participants even rated the foods the same as they would for taste and satisfaction.

: s t n e ParTogetherild

Join our Ch Y e with Take th ov andseMyPlate.g iz u Choo able Q t Vege

into your next batch of tomato sauce or into your homemade salad dressing or marinade.

Avocado makes a nice substitute for butter in your favorite baked foods. These will add fiber and nutrients, and you’ll be getting more heart-healthy fats rather than the saturated fats found in butter.

Remember to pay attention to the amount of vegetables you’re using. If you steam and puree one cup of cauliflower and

add it to an alfredo sauce that will be served for five people, each person is consuming far less than a serving of cauliflower. Yes, a little bit is better than nothing at all, but you should still be realistic about the amount you’re actually consuming.

1. ( TRUE or FALSE ) Eating a diet with lots of vegetables and fruit is good for you. 2. About how much of your plate should be fruits and vegetables? A ) ONE QUARTER

B ) ONE HALF

C ) THREE QUARTERS

D ) ALL OF IT

3. What vitamin are asparagus spears a good source of? A ) VITAMIN A

B ) VITAMIN K

C ) IRON

D ) VITAMIN D

4. What vitamin gives carrots and sweet potatoes their orange color? A ) VITAMIN D

B ) FOLATE

C ) VITAMIN A

D ) VITAMIN O

Hidden Vegetables Can

Offer Nutritional Value, Value

But Nothing is Like the Real Thing The USDA states that vegetables and fruits can be whole, cut-up, mashed, dehydrated, juiced, raw or cooked, but you still need to make sure you’re consuming enough. And even though hidden vegetables are a way of increasing your intake, dietitians agree that everyone — both children and adults — are better off learning to enjoy eating fruits and vegetables without disguising them.

Parents can lead by example in the following ways:

Introduce a new vegetable every week.

Instead of turning to chips or cookies at snack time, choose vegetables.

Serve raw fruits and vegetables with fun dips.

Let your kids pick it out from the produce section at the grocery store. Let the kids help prepare the vegetable at home, and you can discuss what health benefits they get from it while you cook together.

Hummus or seasoned Greek yogurt are great for raw vegetables, and fruit goes well with honey or cream cheese.

Classic kid favorites like bugs on a log, made by spreading a carrot stick or celery stalk with peanut butter and dotting it with raisins, work just as well for grown-ups.

For more tips on healthy eating or vegetable-rich recipes that the whole family will love, consult the Academy of Nutrition and Dietetics at www.eatright.org or the USDA’s MyPlateKitchen at www.choosemyplate.gov/myplatekitchen.

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5. Which of these is a subgroup of vegetables? A ) RAW

B ) CRUNCHY

C ) DARK-GREEN

D ) JUICED

6. ( TRUE or FALSE ) You should only eat raw vegetables because if you cook vegetables, all of the vitamins are “cooked away.”

7. Carrots, onions, and sweet potatoes are all vegetables and are what part of a plant? A ) SEEDS

B ) FLOWERS

ANSWERS ON NEXT PAGE

C ) ROOT

D ) STEM

Healthy Baked

Broccoli Tots If you and your family are lovers of broccoli, then these are for you! But even it the flavor of broccoli isn’t your favorite, these still might be a hit because the flavor of the broccoli is not over-powering. You can also use all Italian or all panko bread crumbs, or a mixture of both – the panko breadcrumbs make the tots light and airy, while the Italian breadcrumbs give the tots flavor.

Nutri Informtional SERV ation ING S IZE: S IX

One More Tip: Shaping the tots might seem hard at first

Calor

(6) TO ies: 9 TS 5 Satur | Total Fat ated : 3.6 g F Chole a sterol: t: 1.6 g 37.4 So Total dium: 314.4 mg C Dietar arbohydra mg y Fibe tes: 11 .2 r: g Pro 2 g | Sugar g tein: 5 s: 1.7 .4 g

but after a few tries, you should get the hang of it. The trick is to firmly press the mixture into a small tiny ball then shape it into a tot. You can also make these in a mini muffin pan or consider placing the whole mixture into a piping bag, then pipe into a log and cut into tots. You can also squeeze a little mixture out of the bag and cut into tots one by one.

Directions: Ingredients:

A Preheat the oven to 400°F. Grease a baking sheet with a thin layer of oil or line with parchment paper and set aside.

• 2 cups or 12 ounces uncooked or frozen broccoli

B Blanch the broccoli in boiling water for one minute, then remove and

• 1 large egg

shock with cold tap water to stop the cooking process. Drain well.

• 1/4 cup diced yellow onion

C Chop broccoli finely and mix thoroughly with the egg, onions,

• 1/3 cup cheddar cheese

cheddar, breadcrumbs, and seasoning. Scoop about 1.5 tablespoons of mix using a ice-cream scoop or your hands and gently press between your hands into a firm ball then shape into a tater-tot shape. It helps to wash your hands after every few tots to keep them from sticking onto your hands.

• 1/3 cup panko breadcrumbs • 1/3 cup Italian breadcrumbs • 2 tablespoons parsley (you can also substitute cilantro or rosemary)

D Place tots on the prepared baking sheet. Bake until golden brown

• 1/2 teaspoon salt

and crispy, 18-24 minutes, turning half way.

• 1/2 teaspoon pepper

E Remove from the oven and enjoy hot with ketchup, sriracha, ranch dressing, or your favorite dipping sauce!

8. What color vegetable should you eat the most? A ) ORANGE – THEY TASTE BEST

C ) GREEN – BECAUSE KALE IS GREEN

B ) PURPLE – THEY’RE RARE AND EXOTIC

D ) A VARIETY OF COLORS

9. What food group are beans and peas counted in? A ) VEGETABLE GROUP

B ) PROTEIN GROUP

C ) BOTH

D ) NEITHER

10. Which of these foods is actually a fruit in plant biology? A ) TOMATOES

B ) SWEET ONIONS

C ) PEAS

ANSWERS: 1) TRUE 2) B 3) B 4) C 5) C 6) FALSE 7) C 8) D 9) C 10) A

D ) KALE

For More Quizzes

ABOUT HEALTHY EATING VISIT www.choosemyplate.gov/quiz.

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