OurHealth Magazine for Richmond: May/June 2020 by OurHealth Media LLC

CONNECTING YOU TO

trustworthy CARE CLOSE TO HOME

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Celebrating Local Nurses for making the True Difference inHealthcare

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May/June 40 Regular

HAVING A BETTER CONVERSATION WITH MEN ABOUT THEIR HEALTH

There is a tendency for men to be bad about taking charge of their health. It is through constructive conversation that men can be convinced to take their health more seriously.

DEPARTMENTS 10 13 14

The Pulse New People Q&A on Health

ON THE COVER

Celebrating Our

COMMUNITY OF NURSES

We are proud to honor the nurses in our local communities by name.

NON-SURGICAL COSMETIC SURGERY PROCEDURES MAKING THE CUT Many consider cosmetic surgery to address stubborn areas of fat, but there are many noninvasive fat-reduction options that can get you ready for swimsuit season.

48 www.OurHealthRichmond.com

MAY • JUNE

Contents

GUIDE TO NON-SURGICAL BODY CONTOURING

FINDING JUST THE RIGHT HOME AWAY FROM HOME

IS YOUR H 2 O HYDRATING OR OVERHYPED?

THE NEW NORMAL OF HEALTH: GOOD OR BAD?

Looking for non-surgical ways to get swimsuit ready? Check out the following noninvasive fat-reduction procedures: CoolSculpting®, SculpSure®, Kybella®, UltraSlim®, and Vanquish®.

With so many types of water available for consumption, it’s tough to determine what’s actually benefiting you and what’s simply a marketing ploy.

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Moving into a senior living community can be a tough transition on any senior, especially one struggling with early signs of dementia.

People have been careful to social distance, to disinfect, and to keep their hands clean. But if done improperly or taken to the extreme, these healthy practices can be potentially detrimental.

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MoreThana

MAY • JUNE 2020

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Brittony Blakey, DO Jonathan McNamara Gregory J. O’Shanick, MD Seema K. Patel, MD Stephen Schroeder, DDS

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The Pulse INFORMATION • EVENTS • AWARENESS

OpeningsandChanges

Special Announcements: COVID-19 Updates Healthcare organizations and medical practices throughout Richmond continue to monitor the uncertainty surrounding the coronavirus (COVID-19) while implementing protocols that are consistent with guidelines from the Centers for Disease Control and Prevention (CDC) to ensure the safety of our communities. The following updates from Richmond area medical facilities are current as of press time, however, please check the website and/or call any medical office or healthcare facility prior to your scheduled appointment to learn of the latest updates and requirements.

VCU Dental Care – VCU Dental Care continues to implement

Bon Secours Medical Group – All practices within the Bon

» Providing

Secours Medical Group in Richmond are open for both new and existing patients. Depending on the nature of the care needed, patients may be seen via virtual visits. To discuss the virtual visit option for care, please call your provider to schedule a virtual appointment.

» Staff

Moreinformation: Visit www.bonsecours.com or contact your provider.

Children’s Hospital of Richmond at VCU – As clinics, surgical services and therapies that have been closed or postponed during the COVID-19 pandemic begin to re-open, Children’s Hospital of Richmond at VCU is reminding patients and visitors to adhere to the following precautions to ensure the health and well-being of people in our communities.

new strategies that safely allow routine dental care and postponed procedures to resume. The practice is taking steps to prevent the spread of COVID-19 and to keep patients, team members and community safe such as: » Using

telehealth for patient appointments and to communicate with patients both before and after their procedures and treatments

» Screening

all individuals entering the facility for COVID-19 symptoms while requiring everyone who enters a VCU facility to wear a mask. Masks are provided if an individual does not have one. extra hand-washing stations and instituting robust cleaning and disinfecting protocols, protective barriers and social distancing standards. continue to wear personal protective equipment (PPE) recommended by CDC and the American Dental Association when caring for patients. Robotic UV sanitizers, customized face shields and specially fitted N95 masks are among the types of PPE that are being utilized.

In addition to resuming oral health care safely, VCU Dental Care is urging the community to avoid postponing necessary or emergency dental care. Dental and other oral diseases, including gum issues, cavities, and cancers are chronic and progressive, and delaying treatment usually leads to poor outcomes and increased health risks. Moreinformation: Visit www.vcudentalcare.com or call 804.828.9190.

» Masks

Virginia Urology – All Virginia Urology offices throughout

» Patients and visitors are being screened with temperature and symptoms

Greater Richmond are resuming clinical operations with the following protocols in place for your safety:

» Team

» Upon arrival at the office, remain in your car and call the number posted

are required for patients, visitors and team members. (Children under age two should not wear masks.) checks.

members are being asked to self-monitor for symptoms and remain home if sick.

» Appointments are being staggered and spaced to reduce the number of people occupying waiting rooms.

» New and more frequent cleaning and disinfecting processes continue to be performed.

» Signage throughout the facilities remain as a reminder to follow safety

measures in place, such as wearing masks, washing hands regularly and following social distancing standards.

» Modified visitation guidelines remain in place. » Patients are being tested prior to surgeries,

procedures and hospital admissions to ensure healthcare team members are using proper protective gear.

outside the office to notify staff of your presence. You will be advised when it is safe to enter and to proceed to your exam room.

» Virginia

Urology team continues to conduct screening questions with patients prior to entering facilities.

» All

patients and visitors must wear a mask, bandana or other facial covering at all times when in building.

» Office

visits remain limited to patients only or a patient plus one additional person should a patient need assistance due to mobility or medical issues.

» Telemedicine

visits remain available for at-risk patients and those experiencing symptoms of illness.

» Telehealth services continue to be offered in an effort to limit in-person

» Waiting rooms remain closed to limit person-to-person contact. » Cleaning schedules adhering to CDC guidelines are performed

» In-person appointments remain available for patients receiving vaccines

» A

» Valet parking remains closed; self-parking is open. » Some of the locations at Children’s Hospital of Richmond at VCU have

Many of the conditions treated at Virginia Urology can start with a telemedicine visit to learn more about diagnosis and treatment options.

interactions when appropriate.

or other hands-on treatments, however, new and revised protocols and measures have been instituted to keep patients, family members and staff safe during these visits.

established separate entrances for patients who are experiencing signs and symptoms of illness, including in the emergency room and Children’s Pavilion. If your child is experiencing COVID-19 symptoms, please call 804.828.CHOR (2467) before coming to an appointment. A representative will discuss the symptoms and ask further questions to help determine the best course of action, as well as appropriately prepare for your arrival.

Moreinformation: Visit www.chrichmond.org or call 804.828.CHOR (2467).

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throughout the day.

Uro-on-the-Go Tent offering limited ancillary services is available at the Stony Point office for patients who do not need to see a physician.

Moreinformation: To schedule a telemedicine visit or for more information, visit visit www.uro.com or call 833.330.9105.

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VCU Health Emergency Center at New Kent.

NewFacilitiesandRelocations

New VCU Health Emergency Center at New Kent Opens VCU Health Emergency Center at New Kent, a new, free-standing emergency center has opened in New Kent County, making it the first of its kind for the area and bringing emergency level care closer to residents in the community than hospital emergency rooms currently located in either Richmond or Williamsburg. A freestanding emergency center, which is not is not an urgent care facility, operates just like a hospital-based emergency room. Examples of lifethreatening injuries and illnesses that are treated in an emergency center are chest pain, difficulty breathing, signs of stroke, major burns and head injuries. The $16 million center is staffed 24/7/365 with emergency medicine physicians and emergency-trained registered nurses, and is equipped with 12 treatment rooms, laboratory services and integrated technology, as well as advanced medical imaging services such as CT scan, digital X-rays and ultrasound. VCU Health Emergency Center at New Kent is located at 2495 Pocahontas Trail, Quinton, VA 23141. Moreinformation: Visit www.vcuhealth.org or call 804.828.9000.

NewFacilitiesandRelocations

Medical Imaging and Interventional Radiology Join Together to Open Practice in Richmond Dominion Imaging and Virginia Interventional & Vascular Associates have opened at 6600 West Broad Street, Richmond, VA 23230. The new practice provides high-quality radiology services at lower costs, according to Christopher Snyder, Chief Operating Officer of practiceâ&#x20AC;&#x2122;s parent company. Dominion Imaging provides diagnostic radiology services, including X-ray and ultrasound and has future plans to expand their outpatient imaging services. Virginia Interventional & Vascular Associates offers interventional radiology services including but not limited to: treatments for varicose veins, ultrasound guided biopsies, dialysis access management, peripheral artery disease treatments and vascular ultrasound exams. Moreinformation: Visit www.dominionimaging.com or call 804.486.4635 or www.vivarichmond.com or call 804.486.4625 for more information. www.OurHealthRichmond.com

The Pulse

• NEWS TO KNOW

NewFacilitiesandRelocations

New Joint Effort Physical Rehabilitation Hospital Opens in Richmond Sheltering Arms Hospital and VCU Health recently held a virtual ribbon-cutting ceremony for their new 114-bed rehab facility, Sheltering Arms Institute. The new hospital will not only serve the physical rehabilitation needs of the local community, but also will be a destination hospital for the mid-Atlantic region and beyond. Sheltering Arms Institute serves patients who have survived strokes, spinal cord injuries and brain injuries, as well as those in need of general rehabilitation for various illnesses and injuries at its 212,063 square foot, state-of-thescience facility constructed specifically for physical rehabilitation. In addition to all patient rooms being private, the Institute offers multiple specialty units, a 9,251 square foot main therapy gym with three satellite gyms, research space and more. Advanced rehab technology is integrated throughout the Institute, including the Motek Rysen, a 360-degree over ground assistive walking device – the first of its kind in North America. Sheltering Arms Hospital and VCU Health are relocating inpatients from both organizations’ three current hospitals – Sheltering Arms Hanover (40 beds), Sheltering Arms South (28 beds), and VCU Health (46 beds) – over a two-week period beginning June 13, 2020. Transporting patients in phases allows for the most effective accreditation and regulatory reviews, which are standard requirements for a new hospital. Sheltering Arms Institute is located at 2000 Wilkes Ridge Road, Richmond, VA 23233. Moreinformation: To learn more about Sheltering Arms Institute and its services, visit www.shelteringarmsinstitute.com or call 804.877.4000. Sheltering Arms Institute

ResearchandClinicalTrials

Richmond ENT Offering Clinical Trial for Adults with Sensorineural Hearing Loss Richmond ENT is now offering a randomized clinical trial evaluating a new treatment for sensorineural hearing loss Sensorineural hearing loss is the most common form of hearing loss, typically resulting from damage to the hair cells in the inner ear that convert sound waves from the inner ear to the brain. These auditory sensory hair cells may be lost due to chronic noise exposure, aging, certain viral infections or exposure to drugs that are toxic to the ear. Richmond ENT welcomes referrals of adults with stable, moderate to severe sensorineural hearing loss in at least one ear. Current inclusion criteria require a diagnosis of sudden or noise-induced sensorineural hearing loss. Moreinformation: To learn more about the sensorineural hearing loss clinical trial, call Richmond ENT at 540.622.3782.

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NEWPEOPLE

Allison Beasley, NP-C

An Barry Bui, MD

R. Donald Doherty Jr., MD

Katie Doswell, DDS

Gustavo Elias, MD

Samer Hijaz, MD

David Jacobs, MD

John J. McLaughlin, MD

Dhaval Patel, MD

Jim Quigg, MBA

Narinder Sethi, MD

Dana Tang, DDS

Virginia Interventional and Vascular Associates Richmond | 804.486.4625 www.vivarichmond.com

Virginia Cardiovascular Specialists Richmond | 804.323.5011 www.vacardio.com

Virginia Interventional and Gardner Orthodontics Vascular Associates Richmond | 804.282.0505 www.gardnerorthodontics.com Richmond | 804.486.4625 www.vivarichmond.com

Virginia Eye Institute Richmond | 804.287.4200 www.vaeye.com

Vice President, Business Solutions SOAR365 Richmond | 804.358.1874 www.soar365.org

Virginia Interventional and Vascular Associates Richmond | 804.486.4625 www.vivarichmond.com

Medical Director Dominion Imaging Richmond | 804.486.4635 www.dominionimaging.com

Medical Director Virginia Interventional and Vascular Associates Richmond | 804.486.4625 www.vivarichmond.com

Virginia Interventional and Vascular Associates Richmond | 804.486.4625 www.vivarichmond.com

Virginia Cardiovascular Specialists Mechanicsville | 804.559.0405 www.vacardio.com

Gardner Orthodontics Richmond | 804.282.0505 www.gardnerorthodontics.com

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Questions. Answers. Knowledge. What do I do if my child knocks out a tooth after a bicycle accident? Dental trauma is a frightening experience, however, there is no need to panic. Trauma is common, and fortunately, there are procedures available to save the tooth. When trauma occurs, the most important advice is to see your dentist within the hour to address the type of trauma and any intervention that may be necessary. The earlier you are seen may prevent further complications from arising.

Did you know?

If a permanent tooth is avulsed, or knocked out of the mouth,

it can still be saved. It is necessary to prevent the tooth from drying. Place the tooth in milk, if not available, keeping the tooth in your mouth will allow saliva to keep the tooth moist. Do not place the tooth in water, as it will kill living cells of the tooth.

If a permanent tooth is avulsed, or knocked out of the mouth, it can still be saved. It’s necessary to prevent the tooth from drying, however. Place the tooth in milk. If milk is not available, keeping the tooth in your mouth will allow saliva to help it remain moist. Do not place the tooth in water, as it will kill living cells of the tooth. Your dentist will be able to replant the tooth, and with further treatments and follow up appointments, the tooth can be saved. Stephen Schroeder, DDS Commonwealth Endodontics Richmond | 804.501.0501 www.commonwealthendo.com

Can serious head trauma make you more susceptible to develop Alzheimer’s? Studies have shown that severe traumatic brain injury (TBI) does increase the risk of developing dementia, and technically, any level of traumatic brain injury (mild, moderate or severe) is associated with an increased statistical lifetime risk. Think of your brain as a bank account of brain cells from which gradual withdrawals are taken over the course of a lifetime. We can do things to either slow down or speed up that process. Maintaining a healthy lifestyle such as exercising regularly, keeping blood pressure under control and getting plenty of sleep will prolong our “savings” of brain cells. Conversely, unhealthy habits like drug and alcohol abuse, uncontrolled high blood pressure, poor sleep habits and no exercise can cause a more rapid “withdrawal” of those brain cells from our “brain savings account”. TBI also causes a withdrawal from that account. As we get older, we want our brain age to be as close to our real age as possible, otherwise, we see more evidence of cognitive problems (dementia) at a younger age. So, the main message is, even if you have had an injury, living the healthiest life afterwards is the best option to improve your overall brain function in your later years. Gregory J. O’Shanick, MD Center for Neurorehabilitation Services, PC Richmond | 804.272.0114 www.cns-va.org

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Not long after the COVID-19 outbreak, I began hearing the word antigen being used. What does it mean? Our immune system is our primary line of defense and helps keep us healthy. It protects us from harmful little invaders like chemicals, toxins, pollen, viruses, bacteria, fungi and parasites. These “harmful invaders” can also be called antigens. They come in all shapes and sizes. Antigens are not recognized by our immune system and are a threat to it. When an antigen enters our body, this triggers an immune response to help fight it off. Our immune system will make proteins called antibodies. These antibodies will bind and lock onto the antigens to neutralize and stop them from causing damage to cells. Antibodies are one of the warriors inside our body needed to defend against antigens and fight off disease. Seema K. Patel, MD Department of Internal Medicine VCU Health Richmond | 804.828.9341 www.vcuhealth.org

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Questions. Answers. Knowledge.

Did you know? Moles that meet the ABCDE criteria of Asymmetry, Border irregularity, Color that is not uniform, Diameter size that is greater than 6mm, and Evolving or changes in the mole are all concerning and should be brought to your primary care provider’s attention.

Can I go to my primary care provider for a routine skin exam?

Can I donate blood if I’ve been exposed to COVID-19?

Yes. Our skin is a first line of defense against many infections and should be regularly examined by your primary care provider. Cancers of the skin also need to be addressed just as seriously as other cancers. A skin exam should be part of your annual preventive or wellness exam. Primary care providers can also evaluate spots that may be concerning and decide if further attention is needed or reassure you if normal. Moles that meet the ABCDE criteria of Asymmetry, Border irregularity, Color that is not uniform, Diameter size that is greater than 6 mm, and Evolving or changes in the mole are all concerning and should be brought to your primary care provider’s attention. Many providers are willing to biopsy and treat benign, pre-cancerous, and cancerous skin lesions while others may refer you to a dermatologist if they are unsure or concerned about the nature or location of the lesion.

While there have been no reported cases worldwide of any respiratory virus, including COVID-19, being transmitted through a blood transfusion, the Red Cross has implemented new blood donation deferrals out of an abundance of caution. The Red Cross has requested that individuals postpone their donation for 28 days following:

Caroline Blevins, MD

Primary Health Group Chippenham Richmond | 804.560.0490 www.phg-chippenham.com

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» Travel to China and its special administrative regions, Hong Kong and Macau, as well as Iran, Italy and South Korea.

» Diagnosis of COVID-19 or contact with a person who has or is suspected to have the virus. Contact is defined as an individual who has cared for, lived with, or had direct contact with bodily fluids of a person with COVID-19 or someone suspected to have COVID. To ensure the safety of the blood supply, as well as of staff and donors, the deferral period often doubles the incubation period out of an abundance of caution. This 28-day deferral period for COVID-19 aligns with recommendations from American Association of Blood Banks Transfusion Transmitted Disease Committee and FDA considerations. Jonathan McNamara

Regional Communications Director American Red Cross of Virginia Richmond | 800.RED.CROSS www.redcross.org/local/virginia

Why are mineral sunscreens better? Mineral sunscreens provide protection against the full spectrum of ultraviolet radiation from the sun. When searching for a sunscreen, look for the active ingredients zinc oxide and titanium dioxide. These ingredients even protect against UVA, which is the wavelength from the sun that penetrates clouds and glass and causes significant photo-aging in the form of wrinkles and sunspots. Additionally, mineral sunscreens are less likely to irritate sensitive skin. They are generally well-tolerated by sensitive skin because their ingredients aren’t absorbed into the skin itself. Instead, the physical filters in mineral sunscreens sit on the surface of the skin and act as a screen that deflects UV radiation. I recommend the use of mineral sunscreens for patients who have eczema, psoriasis and/or rosacea. In general, they are safer. Also, mineral sunscreens start protecting your skin immediately after application instead of taking 20 – 30 minutes for the sunscreen to absorb. Brittony Blakey, DO

Affiliated Dermatologists of Virginia Henrico | 804.264.4545 www.adov.net

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CELEBRATING OUTSTANDING NURSES GREATER RICHMOND – 2020

Celebrating

OUR

COMMUNITYof

NURSES words | STEVE MCCLINTIC, JR.

Since mid-March, nearly every measure of consistency that once framed our lives has been replaced with one word we never imagined would define our hope for a better tomorrow: uncertainty. Yet, as used as we have become to this unknown, there has never been a time in which we were left in doubt of who remains present and accounted for and who still stands strong, steady and prepared to answer our call for care whenever we need it: the men and women who represent the frontline of our healthcare system. Traditionally, this is the time of year when we feature several of the healthcare workers who represent a significant segment of our frontline of healthcare – our nurses – in our annual Celebrating Outstanding Nurses recognition program. This year however, it only seems fitting that we do something different, something we feel shows how much we value every man and woman serving our communities as nurses. In partnership with the Virginia Board of Nursing – Department of Health Professions and its partnering agency, Virginia Interactive*, OurHealth Magazine for Richmond is pleased to recognize all nurses serving the Richmond community by name and certification in the following pages. From Certified Registered Nurse Anesthetists (CRNA), Nurse Practitioners (NP), Clinical Nurse Specialists (CNS) and Certified Nurse Midwives (CNM)/Certified Professional Midwives (CPM) to Registered Nurses (RN), Licensed Practical Nurses (LPN) and Certified Nurse Aides/Assistants (CNA), these are the people you entrust your health and wellbeing to, and who we are proud to collectively honor and celebrate, and most importantly, give our deepest, heartfelt thank you.

“

These are the people you ENTRUST YOUR HEALTH and WELLBEING to, and who WE ARE PROUD TO COLLECTIVELY HONOR AND CELEBRATE, and most importantly, give our deepest, HEARTFELT THANK YOU.

”

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RICHMOND – CERTIFIED REGISTERED NURSE ANESTHETISTS: ALL | NURSE PRACTITIONERS: MAT

Certified Registered Nurse Anesthetists

Nurse Practitioners Nurse Practitioners (NP) are Advanced Practice Registered Nurses (APRN) who have earned either a Master’s of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP), as well as completed additional training and certification. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe treatment plans.

Certified Registered Nurse Anesthetists (CRNA) are Advanced Practice Registered Nurses (APRNs) who administer anesthesia and other medications. They also monitor patients who are receiving and later recovering from anesthesia.

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Clinical Nurse Specialists Clinical Nurse Specialists (CNS) are Advanced Practice Registered Nurses (APRN) with graduate education at the master’s or doctoral level as a CNS. They are clinical experts in evidence-based nursing practice within a specialty area, treating and managing the health concerns of patients and populations.

Certified Nurse Midwives &Certified Professional Midwives Certified Nurse Midwives (CNM) are Advanced Nurse Practitioners (ANP) who provide healthcare and wellness care to women, which may include family planning, gynecological checkups and prenatal care. Certified Professional Midwives (CPM) are trained and credentialed to offer expert care, education, counseling and support to women for pregnancy, birth and the postpartum period.

Registered Nurses Registered Nurses (RN) are individuals who have graduated from a stateapproved school of nursing and have been licensed by a state authority after passing qualifying examinations for registration. RNs roles range from direct patient care and case management to establishing nursing practice standards, developing quality assurance procedures, directing complex nursing care systems, conducting clinical research and teaching in nursing programs, as well as practicing in many other invigorating settings.

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RICHMOND â&#x20AC;&#x201C; REGISTERED NURSES: GOR - HOJ

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Licensed Practical Nurses Licensed Practical Nurses (LPN) are individuals who complete an accredited practical nursing certificate program and have been licensed by a state authority after passing qualifying examinations for registration. LPNs are directly involved in providing basic patient care and ensuring that patients are comfortable and well cared for. LPNs may also administer certain medications and perform other duties such as taking blood pressure, inserting catheters and recording other vital signs.

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Certified Nurse Aides/Assistants Certified Nurse Aides/Assistants (CNA) are individuals who have completed a state-approved education program and are trained and often certified to assist nurses (as in a hospital or nursing home) in providing basic patient care and services (such as bathing, feeding, or measuring vital signs of patients).

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COVER FEATURE INSIGHT • AWARENESS • MINDFULNESS

HOW CAN WE have a BETTER CONVERSATION with Men About

THEIR HEALTH? words | DYLAN ROCHE

Many a TV sitcom or newspaper cartoon has shown us an oh-so-negative trope: a nagging wife berating her clueless husband about his high cholesterol, his beer consumption, his back pain or some other aspect of his health. Nobody wants to be that couple, right? But the struggle not to be that husband and wife is real. All gender stereotyping aside, there’s still a tendency for men to be bad about taking charge of their health. According to a January 2018 study published by the peer-reviewed World Journal of Men’s Health, men have a lower life expectancy around the world, and this receives little national, regional or global attention from policymakers or health care providers who could push for change.

Research reports that there is a

Harvard Medical School even reports that there’s a five-year gender gap when it comes to life expectancy: Per the numbers in 2017, the average woman lives to 81.1 years and the average man lives to 76.1 years.

FIVE

This problem can be further exacerbated by the tendency of women to try to take care of their husbands’ health situations for them. As Althea Dent, MA, LPC, with Total Life Counseling in western Virginia explains, this is a pretty common gender dynamic. “Women are typically the nurturers,” she says. “Even if you’re a career woman, we are conditioned to be caretakers, to be nurturing for the family.”

GENDER GAP when it comes to life expectancy.

Why Don’t Men Go See Their Doctor? National organizations like the American Psychological Association, the AARP and the Family Caregiver Alliance agree that women are more likely than men to be the family caregiver — not only when it comes to looking after sick, injured or disabled relatives but also when it comes to addressing the health needs of the immediate family. Mom is the one who schedules doctor appointments for the kids, who plans nutritious meals for lunch and dinner, and who enforces safety rules so nobody gets hurt. Meanwhile, in some families, Dad can just be another kid she has to take care of. There’s plenty of theories on why. Men are traditionally the breadwinner of the family, so they work demanding jobs that make them less available for a doctor’s appointment. Society has dictated they be tough and fearless, so they tend to take more risks and fewer precautions. Society has also dictated that things like healthy eating and weight consciousness are traditionally feminine — it’s way manlier to chow down on a burger and bulk up instead of eating a salad. 40

Did you Know?

OurHealth | The Resource for Healthy Living in Greater Richmond

YEAR On average, MEN live to

76.1 On average, WOMEN live to

81.1

What can I say to get you to care about your health?!

Somephrasesyoucouldtry,

“

I’m so excited about our relationship and I want us to have a long life together.

”

“

We want to be healthy enough to travel in retirement. And we want to enjoy many years playing with our grandchildren.

”

“

I want to know you’re taking care of yourself so that it doesn’t get any worse.

”

“

I’m scared of this and it would give me a lot of comfort to know you’re taking care of yourself.

”

“

I know it’s a hassle for you to research the right cardiologist, so I tried to help you out by finding a good one. You have an appointment for next Tuesday at 5:00 pm.

”

“

Here’s why it’s still important you take care of your health.

”

Althea Dent, MA, LPC Total Life Counseling in western Virginia

The other part of this is that a doctor’s visit is something women are introduced to at a young age — they often see an OB-GYN as soon as they start menstruating. Men might see a doctor for a physical every year throughout adolescence, but it’s easy for them to fall out of this practice once they become adults. “Women tend to go to the doctor more often and develop a relationship,” Dent explains. “Men don’t go as often. If you’re healthy, you can skate through life pretty well up until about 40.” And by the time they reach 40, it’s commonplace for men to have it in their heads that they know what’s best for them and that listening to a doctor’s advice is akin to having someone mess with their routine. They don’t want to hear how they should be cutting back on their consumption of chips and beer. And they’re a little unnerved at the thought of a prostate exam even if it means early detection of cancer. That’s not the only problem, however. A review published by the World Journal of Men’s Health emphasizes that men don’t often have health information readily available to them or have outreach programs that are tailored to their needs. Even worse is the fact that male-specific conditions — such as erectile dysfunction or premature ejaculation — are not taken seriously or perceived as priorities, even though they could be indicative of other problems. Most men aren’t aware, for example, that erectile dysfunction is linked to cardiovascular disease. For the women taking on the role of family caretaker, all these social aspects are stacked against her when she tries to open up the conversation about why her husband should adopt healthier lifestyle practices or go to the doctor more often. Her husband might be resistant or dismissive. Worse still, it could be a point of resentment. So…what’sthebestwaytoopen suchaconversation?

Broaching the Topic of Health: Ways to Make Your Point Discussing health is just like any other conversation in a relationship — it needs to be constructive and respectful, and it requires listening as much as it does talking. FocusonthePositive:When there’s problem behavior, such as neglecting one’s health, it’s easy to focus on the negative. Instead of being critical, it’sbestto beencouraging and emphasize why improvement is a positive option.

Dent suggests women could frame it along the lines of “I’m so excited about our relationship and I want us to have a long life together.” Women can help their husbands be more receptive to health promotion by presenting their reasons as ways they can improve in important areas of their life. For example, taking care of their health will make them stronger. Having more energy and vitality will mean they are able to be more productive and successful in the office and more effective parents in the home. Dent takes it one step further and suggests using future-based ideology in the long term rather than focusing on the here and now. In other words, what does he have to gain in the years to come rather than what inconvenience will he face now? “We want to be healthy enough to travel in retirement,” you might say. “And we want to enjoy many years playing with our grandchildren.” Whenit’snegative,behonest abouthowitaffectsyou:These conversations can be stressful, and it’s easy to get wrapped up in how you feel yourself. If you find that you’re focused on the negative, be honest about why. Making yourself vulnerable can be difficult, but it shows that your intentions are not to be a control freak. Be willing to say, “I’m scared of this and it would give me a lot of comfort to know you’re taking care of yourself.” Continued on page 44...

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Before Starting a Conversation, ConsidertheFollowing:

1 Focus on the Positive:

When there’s problem behavior, such as neglecting one’s health, it’s easy to focus on the negative. Instead of being critical, it’s best to be encouraging and emphasize why improvement is a positive option.

2 When it’s negative, be honest about how it affects you: These conversations can be stressful, and it’s easy to get wrapped up in how you feel yourself. If you find that you’re focused on the negative, be honest about why. Making yourself vulnerable can be difficult, but it shows that your intentions are not to be a control freak. Be willing to say, “I’m scared of this and it would give me a lot of comfort to know you’re taking care of yourself.”

Forexample,youmightsay,

“

Honey, I know it’s inconvenient to get to the doctor, but I’m concerned about your health. You’re getting close to 40, and you don’t have as much energy as you used to. You should schedule a checkup just to make sure everything is 100 percent right.

”

3 Don’t make assumptions or expect certain reactions from him: Some men will need

more persuasion, but others might simply need to hear you make the recommendation that he go see a doctor. Don’t head into the conversation with the mindset that it’s going to be a struggle. Clearly assert your reasons for thinking the way that you do.

4 Be respectful: Don’t resort to words that patronize or put him down. Saying things like “selfish,” “oblivious” or “irresponsible” just make the situation worse.

5 Make it a team effort:

Remember that it’s not you versus him – it’s you and him together versus the problem of his health. Work toward a solution that you both feel comfortable with. In some cases, that might be simply going for a checkup to establish a relationship with a general practitioner.

Continued from page 42..

In many situations, these especially negative conversations can happen when he’s exhibiting symptoms or has received a diagnosis. If you witness that your husband has trouble sleeping, shows signs of depression, feels frequent fatigue or headaches, or simply walks in a way that indicates injury, let him know that these signs concern you. “I want to know you’re taking care of yourself so that it doesn’t get any worse,” you might say. When a person receives a difficult diagnosis, support from the non-affected spouse is important. If your partner hears from his doctor that he’s at risk for diabetes but he’s still eating too many refined carbs, your first inclination is to tell him he can’t do that. Instead, remind him that these instructions came from his doctor. If it helps, have your doctor prioritize

the lifestyle changes your husband needs to make — that way, you both are

on the same page about which ones can’t be compromised and which ones could potentially be relaxed occasionally.

Don’tmakeassumptions orexpectcertainreactions fromhim: Some men will need more persuasion, but others might simply need to hear you make the recommendation that he go see a doctor. Don’theadintothe conversationwiththemindset thatit’sgoingtobeastruggle. Clearly assert your reasons for thinking the way that you do.

For example, you might say, “Honey, I know it’s inconvenient to get to the doctor, but I’m concerned about your health. You’re getting close to 40, and you don’t have as much energy as you used to. You should schedule a checkup just to make sure everything is 100 percent right.” He might be receptive to your suggestion but unwilling to make it a priority. “That sounds great, dear,” he might say. “As soon as I have the time, I’ll make an appointment.” By the next day, he’s forgotten. In these situations, you could try helping him out by researching the right doctor and making his appointment for him (as long as you know days and times that are convenient for him). Continued on page 46...

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Men’s Health QUIZzes:

Applying What We’ve Learn in Real Life

Primary Care and More: A Primary Care Provider Is On Your Side and Who You Can Depend On and Trust

He’s not getting an annual physical. Why? The common response among a lot of men is it doesn’t make sense going to the doctor when nothing is wrong. Telling him that something might be wrong that he may not know about because symptoms aren’t always obvious can be counterproductive. Instead, focus on the importance of having a primary care provider to establish a baseline of health and who he can get to know and trust and feel comfortable confiding in, as well as allow him quicker access to healthcare services if ever needed.

What should she say? a

How the heck do you not have a relationship with a primary care provider? What’s the matter with you?

You’re supposed to be going for an annual physical. You need to schedule one, like, yesterday!

Getting to know a doctor now who you can trust and confide makes for one less thing you need to worry about doing should you need to see one. You already know my primary care doctor, who I’ve seen for years. Well, he also accepts male patients. Why don’t I make you an appointment with him?

I know you’re averse to seeing a doctor. Get over yourself. You can have a heart attack like anyone else.

AnswerC:Focus on the benefits of having a primary care doctor – someone with whom he can confide, trust and depend on as opposed to being the bearer of bad news. Don’t assume his mindset or shame him for his negligence.

Find a Primary Care Provider Right for You at Virginia Physicians, Inc.

Virginia Physicians, Inc. offers physicians and nurse practitioners providing primary care at its more than 10 locations conveniently located in and around greater Richmond. They also offer the option of telemedicine appointments if needed. Visit www.vaphysicians.com or call 804.726.8571 for more information.

It’s one thing to grasp the ideals of how to have conversations about health with men, but it’s another matter to actually apply them. Take a look at the following scenarios and quizzes see if you can identify the best way to broach the topic of health with men.

Physical Fitness and Nutrition:

Managing Stress:

Life’s Obligations Can Make Keeping Healthy and in Shape a Challenge

Speaking with an Expert Who Can Provide Solid Advice is a Good Thing

Between chasing the big promotion at work and helping raise the kids at home, adult life has gotten pretty busy. He hasn’t stuck to a workout routine or healthy diet in years, and it’s starting to show in his weight and lack of energy.

He’s landed a senior management position and is working 60-hour weeks. On top of that, he has four teenage children who need his guidance and direction. It’s clear he’s under a lot of stress.

What should she say?

You probably don’t care about how you look, but you should at least care about your health. You need to start working out again and eating better.

We all have stress and we all have to deal with, all right? Get over yourself.

I remember how much you used to enjoy hitting the gym. How about we get back into the routine together, starting with taking a walk on the gym track in the evening. I’ve also found some pretty tasty and healthy recipes we can make at home and try together.

I really can’t stand the way you’ve been acting lately. You need to go get some help.

If you don’t get your stress under control, then you’re going to give yourself a heart attack. And you’re going to drive the kids to resent you!

I know you put a lot of pressure on yourself to provide for our family and to teach the kids as best you can, but we both know too much stress isn’t a good thing. My friend told me her husband has been talking to someone who specializes in stress management who has really helped him learn how to better manage his life, and she says he feels so much better now than he ever thought.

Don’t take this the wrong way, but you’re getting fat. If you don’t take care of yourself, you’re going to have a heart attack by the time you’re 50.

Remember how I told you a month ago it was time to get back to the gym? I guess I’ll just have to let out these trousers of yours — again!

AnswerB:Even if you’re already engaged in a fitness and nutrition plan, involve him and make it a team effort. It’s a lot easier to make a change with a supportive and caring partner. Don’t be negative or focused on the way he looks.

Start Your Journey to a Healthier Lifestyle at Zacharias Ganey Health Institute From classes and nutrition services to lifestyle fitness programs and accountability teams, Zacharias Ganey Health Institute in Richmond can help make good health your newest habit. Learn more by visiting www.zghealth.com or call 804.358.1000 to book a free assessment and consultation.

Make Your Fitness Goals a Family Affair at the YMCA of Greater Richmond Whether you’re a seasoned fitness guru or starting out with a goal in mind, the YMCA of Greater Richmond and its 17 locations throughout the community has what you need. Online and in-person classes, aquatics, community programs, state-of-the-art equipment and even childcare when you need it make the YMCA of Greater Richmond a perfect place to reacquaint with your fit self. Visit www.ymcarichmond.org or call 804.649.9622 for more information.

AnswerD:Acknowledge why he’s stressed and do so without adding to his stressful burden by making him feel guilty or by resorting to threats, ultimatums or shaming. Offer suggestions for help in a way he may better relate to and respond.

Thriveworks Richmond Counseling: A Little Help Can Go a Long Way When Managing Stress When the stressors of life seem overwhelming, turning to someone who has expertise to help you manage it is not only a good choice, but a responsible one. Thriveworks Richmond Counseling and Coaching can help you set and achieve personal goals, work through challenges and pursue and realize positive changes for you and your family. Visit www.thriveworks.com/richmondtherapy or call 804.554.0356 to learn more and set up your first appointment.

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Men’s Health Quizzes:

Applying What We’ve Learn in Real Life Preventative Tests: Prostate Cancer Screenings are Life Saving and May Be Necessary at an Early Age. He knows prostate cancer runs in his family. But because it didn’t affect his father until he was in his late 60s and his grandfather until he was in his late 70s, he doesn’t see the urgency or need in his early 50s.

What should she say? a

I know the thought of finding out something could be wrong is scary. But even if there’s a small chance that you do have prostate cancer, finding out early is best. The information from your doctor says it’s just a simple blood test and exam. And finding out everything is OK is better than worrying about something that may not be worth worrying about at all, right? I promise I will be right be your side.

You’re not Superman, buddy. You could have prostate cancer now and be totally oblivious to it.

Are you telling me you don’t think being around for your family is important enough to go get a little test done?

How would it make you feel if you had to tell your children you waited to be tested after it was too late – when it is certain to kill you?

AnswerA: Discuss with a compassionate

and empathic tone and reinforce with trustworthy facts that dispel myths associated with testing procedures. Demonstrate that knowing more about his health will make life less stressful and scary than not knowing, which removes one less burden that he needs to carry. Reinforce you are by his side throughout the process.

Screening and Testing Can Start From Home with a Telemedicine Appointment. According to urologists at Virginia Urology, central Virginia’s largest urology practice with six locations in and around Richmond, prostate cancer screening is commonly performed through a physical exam and a prostate specific antigen (PSA) test that measures the level of PSA in the blood. PSA is a substance made by the prostate. Men with a higher risk should consider screening at age 40 or 45. Your doctor can discuss other types of tests and information that will help you become more informed and less anxious. Virginia Urology also offers the convenience of telemedicine appointments so you can learn more about prostate cancer and other men’s wellness topics from the convenience of your home. To learn more, visit www.uro.com or call 833.330.9105.

Aging Well: Becoming Older Doesn’t Diminish the Importance of Being Proactive with Your Health Days after retiring, he experiences chest pains that lands him in the emergency room, where he learns he has high blood pressure and elevated blood sugar levels. The emergency room doctor recommends he make some lifestyle changes and sees a doctor who can help manage his conditions. He’s in denial, saying he otherwise feels fine.

What should she say? a

I don’t care if we’re out to dinner – you can’t have fried foods anymore. It’s salads or else from here on out if you don’t want to have heart attack or go into a diabetic coma. Why are you such a child? Can’t you just make some common sense decisions that are good for you?

I know making a lot of changes at once can be difficult. With guidance from your doctor, I am here to support and help you take each step, one at a time.

I hate that you won’t even try to change your lifestyle even though the doctor said you needed to make changes.

AnswerC:Show him empathy for what he has experienced and explain that you are here to help and support him in following a plan outlined by his doctor. Suggest manageable options or constructive solutions instead of simply trying to control what he does.

Helping Seniors Manage Their Health is What JenCare Senior Medical Center Is About Staffed with compassionate, expert geriatricians, specialty doctors and medical providers offering services with senior, Medicare-eligible patients in mind – from primary care, nutrition counseling, onsite diagnostic testing and medication dispensaries to transportation to appointments and direct access to doctors via email and cell phones, JenCare Senior Medical Center coordinates all aspects of its patients’ care while helping keep them accountable for their own wellness and the quality of life they can realize well into their golden years. Visit www.jencaremed.com or call 855.845.9333 for more information or to schedule an appointment at one of its four Richmond offices.

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Continued from page 44...

And just as you shouldn't be making assumptions or pretending as if you can read his mind, don’t expect him to be able to read your mind either. Explain everything, including your intentions: “I know it’s a hassle for you to research the right cardiologist, so I tried to help you out by finding a good one,” for example. “You have an appointment for next Tuesday at 5:00 pm.” Be respectful: Don’t resort to words that patronize or put him down. Saying things like “selfish,” “oblivious” or “irresponsible” just make the situation worse.

It’s also important to remember that though you have your concerns, he may have concerns of his own as well. Allow him to assert them without interruption and demonstrate that you are listening to him. “I see your point,” you can say before rephrasing what he just expressed to you. “Here’s why it’s still important you take care of your health.” Makeitateameffort: Remember that it’s not you versus him – it’s you and him together versus the problem of his health. Worktowarda solutionthatyoubothfeel comfortablewith. In some cases, that might be simply going for a checkup to establish a relationship with a general practitioner.

You could offer support by planning appointments together if you are both able to see the same provider. Make it fun by planning an outing afterward that you’ll enjoy together, such as antiquing or lunch. This way, the doctor visit just becomes part of a fun day.

It’s Up to Him You can have constructive conversations over and over again. You can lead by example, making your own appointments and diligently following the expert advice that your doctor gives you. And you can promote healthy practices for your family, such as nutritious dinners and regular exercise. There will still be times when your husband might neglect his health. Ultimately, remember that this is his choice – and respect that. “A good relationship needs to have freedom,” Dent explains. “People need to be separate people. They need to be able to say no and hear no.”

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BEAUTIFUL BODY

Community Care Connection

SELF-CARE • EXPRESSION • CONFIDENCE

Nonsurgical

Fat Reduction Procedures

Help Remove Unwanted Fat

Minus the Long Recovery By all accounts, it fits the description of a contradiction, but nonsurgical cosmetic surgery is exactly what it is. Nonsurgical fat-reduction procedures have come a long way over the years, a viable alternative to the more commonly known surgical cosmetic procedure, liposuction. But with five FDA-approved options available in Richmond, there’s even more reason to trust and consider these than ever before. words | DYLAN ROCHE

ummer is finally in full swing. With Memorial Day serving as the unofficial opening weekend of the season, we pack away our sweaters and excitedly dust off the beach bag in anticipation of brighter, fun-filled days ahead. The summer season also brings with it women and men who have a renewed interest in shaping up their body for the celebrated season of bathing suits, shorts and tank tops. For some men and women, standing in the way of their ideal warm weather bodies are pesky pockets of fat that just don’t seem to respond to any amount of diet and exercise. Today, it’s much more common to consider cosmetic surgery to address these stubborn areas of fat. But fat-reducing surgical options like liposuction or a tummy tuck (abdominoplasty) not only require a more lengthy recovery period to allow incisions to heal properly and appear less visible – they can also cost significantly more than nonsurgical alternatives. Traditionally, surgical cosmetic procedures are scheduled in the winter or early spring, allowing plenty of time to recover from incisions and show off your new body in advance of the swimsuit season. But if you were hoping to get liposuction or a tummy tuck in 2020, you might have missed your chance — at least if you want to be ready for summer. That doesn’t mean you’re necessarily out of options though. In some cases, a noninvasive fat-reduction procedure could be a viable option.

Surgery Versus Nonsurgical Procedures: How Do They Compare? While it’s true that some noninvasive fatreduction procedures take weeks or even months for you to see optimum results just as surgery does, they don’t require the same downtime for recovery. That’s because cosmetic surgery – which can include not only liposuction, but also body sculpting procedures like a tummy tuck, breast lift or buttock lift – are often a one-time procedure for a major body change. These surgeries require anesthesia and sometimes an overnight stay at the hospital. And then there are some unpleasant surprises during recovery. You might need to wear a compression garment for six to eight weeks, and you may need to use surgical drains to remove the excess fluid and blood that collect at the surgical site. Furthermore, you won’t see results right away. According to the American Society of Plastic Surgeons, liposuction might take out 10 pounds of fat, but the fluid retention and swelling you experience immediately after your procedure could have you looking and feeling as if you’ve gained weight. This swelling could even take several months before it fully dissipates. While you recover, you might deal with incision wounds, stitches, and dressings and bandages. You might need to avoid bending, straining or lifting.

Richmond Medical Providers Certified to Perform FDA Approved, Nonsurgical Fat Reduction Procedures For any type of medical procedure, always verify that the medical provider has received certification from a reputable board ensuring that he or she has received optimal training and who has a demonstrated record of safely and effectively performing the procedure. The following medical providers practicing in and around Richmond have been certified to perform FDA approved, nonsurgical fat reduction procedures. This is a partial list. For a complete list of all local certified providers offering noninvasive fat-reduction procedures, visit www.coolsculpting.com, www.sculpsure.com, www.mykybella.com, www.myultraslim.com, and/or www.bodybybtl.com.

CoolSculpting® Dermlounge at Richmond Aesthetic Surgery

Neil Zemmel, MD Richmond | 804.621.5381 www.dermlounge.com Dermlounge at Richmond Aesthetic Surgery offers a VIP Program that provides discounts and offers only to members. The membership ($100 per year) is designed to encourage patients to continue with specific treatments and skin care regimens at a discounted rate. When you sign up for the VIP Program, you receive 10 percent off all CoolSculpting® treatments and more.

Lewis Plastic Surgery

Gordon Lewis, MD Midlothian | 804.657.9315 www.lewisplasticsurgery.com Lewis Plastic Surgery offers on its website a comprehensive price list of all procedures and services they offer, including CoolSculpting®.

Montante Plastic Surgery and Aesthetics Steven Montante, MD Richmond | 804.325.4795 www.montanteaesthetics.com Montante Plastic Surgery is now offering virtual consultations from the comfort of your own home. Call to schedule a virtual appointment with one of the practice’s certified specialists.

Virginia Institute of Plastic Surgery

Burton Sundin, MD | Reps Sundin, MD Richmond | 8004.290.0909 www.drsundin.com Virginia Institute of Plastic Surgery is currently offering re-opening specials which can be pre-purchased and used at a later date. You can also follow the practice on Instagram at @drsundin-mbody for daily, weekly and monthly specials. Virtual consultations will be offered throughout summer 2020.

SculpSure® DWH Health & Wellness Med Spa

Danny Shaban, MD | Bialines Espinosa, MD Colene Smith, NP Richmond | 804.447.2303 www.dwhmedspa.com DWH Health & Wellness Med Spa is currently offering complimentary consultations for SculpSure® and a 30 percent discount on all treatments and packages. Visit the practice’s website to find out about other upcoming events, specials and packages. Continued on page 51... www.OurHealthRichmond.com

If you’re still holding out hope this year for that beach body that stubborn, hard to lose fat deposits are standing in the way of, you’re not alone. With FDA-approved, nonsurgical fat reduction procedures, the look you’ve been trying to achieve is possible – minus the extra downtime, recovery, scarring, drainage or other unpleasant side effects.

BeRealisticinYourExpectations Non-surgical fat reduction, according to the American Board of Cosmetic Surgery, is intended for patients who are near their ideal bodyweight but are trying to rid themselves of bodyfat that they can’t seem to lose with diet and exercise. As with surgery, some of these procedures can take several weeks or even months to see optimum results; however, you can go about your routine as usual in that time. If you opt for a procedure in May, there’s nothing to stop you from going to the beach in June or July. You could even see optimum results by August, when there’s plenty of summer weather left to be enjoyed.

Keep in Mind:

If FDA-Approved, Nonsurgical Fat Reduction Procedures Sound Appealing, Consider These Options

Noninvasive fatreduction procedures won’t make an overweight person magically become a healthy weight and the results need to be maintained with diet and exercise.

Here are some of the noninvasive fat-reduction procedures you might consider: Note that most of them refer to some kind of lipolysis, the formal term for the breakdown of fat.

The American Society of Plastic Surgeons defines nonsurgical fatreduction procedures as any that use heat, cooling or injected medications to reduce fat cells. They won’t make an overweight person magically become a healthy weight, and the results need to be maintained with diet and exercise. But for people who are trying to lose stubborn areas of body fat, particularly people who cannot or do not want to undergo invasive surgery, they are potential options.

CoolSculpting®

SculpSure®

Kybella®

UltraSlim®

Vanquish

CoolSculpting® what’s known as cryo-lipolysis technology. A device is placed on your skin, where it transmits cold temperatures that freeze the fat cells without hurting your skin or other tissue. The fat is then eliminated through your lymphatic system.

SculpSure® uses what’s known as laser lipolysis. The SculpSure applicator emits laser energy, sending wavelengths through your skin to heat up your fat cells and disrupt them without harming other cells in the process.

Kybella® uses injection lipolysis, in which a chemical called deoxycholic acid, which is naturally produced by the body to break down fat for digestion, is injected into the body, where it disrupts and kills fat cells.

UltraSlim® uses photonic lipolysis, also known as red light therapy. A specialized lamp is used to deliver wavelengths of light through the skin. The wavelengths then trigger selected fat cells to reduce them in size.

Vanquish uses radiofrequency lipolysis. Radiofrequency is emitted from an instrument or applicator that doesn’t even need to make physical contact with the skin — it’s held from about 1 centimeter away, and its heat kills fat cells without harm to skin or other cells.

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Itemsto Consider

Before Making an Appointment

Continued from page 49...

Community Care Connection SculpSure® Facial Plastic Surgery Aesthetics

Surgeon Certification

Quick Tip: Be sure to discuss your concerns and

Seek out surgeons that are certified by the American Board of Cosmetic Surgery.

ask questions with your surgeon — and not just about their training and years of experience but also about whether you are a good candidate for the procedure.

What Should You Consider Before Making an Appointment? Although a noninvasive procedure doesn’t come with the same risks and side effects that you would have with surgery, there are still a few important factors to consider. Most importantly, you want to make sure you’re scheduling an appointment with a doctor who is certified to perform the procedure. As the American Board of Cosmetic Surgery explains, an inexperienced or unqualified surgeon means you could end up not getting the results you want, which is a waste of your time and money, plus it sets you up for disappointment. And with the American Society of Plastic Surgeons reporting the average cost of nonsurgical fat-reduction as $1,417, you don’t want to be disappointed in the results.

The American Board of Cosmetic Surgery encourages patients to seek out surgeons that are certified by its board, which ensures those doctors are knowledgeable and trainedintheirfield, have undergone in-depth training, have completed fellowships, and work in accredited hospitals and surgical centers.

It can also be helpful for you to look at before and after photos so you get a sense of what the procedure will accomplish. This can help you determine which option and doctor is best for you, and it will help you manage your expectations. If possible, look at people with body shapes that are similar to yours. Finally, be sure to discuss your concerns and ask questions with your surgeon — and not just about their training and years of experience but also about whether you are a good candidate for the procedure and what you will need to do to see the best results in the months following. Remember, no fat-reduction procedure is a replacement for a healthy lifestyle, and to see long-lasting results from these procedures, you will need to maintain a healthy diet and exercise routine. But if you’re looking to make a subtle change this swimsuit season? Well, one of these procedures could give you the boost of confidence you need.

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Consider the Cost The average nonsurgical fat reduction is $1,417.

Travis Shaw, MD Richmond | 804.775.4559 www.travisshawmd.com In addition to the practice’s body sculpting services, it is also offering specially priced summer facial three-packs, available through July 31, 2020. Visit the website for additional details and new specials.

Zinsser Plastic Surgery

John Zinsser, MD Richmond | 804.464.7615 www.zinsserplasticsurgery.com John Zinsser, MD and his team of certified skin care professionals offer a variety of non-surgical and skin spa procedures. In addition to monthly specials found on the website, the practice also offers special financing options for eligible procedures in partnership with CareCredit, a healthcare financing company.

Kybella® Commonwealth Dermatology, P.C.

Richmond | 804.282.0831 www.comderm.com In addition to Kybella® treatment performed by Kybella-trained healthcare specialists, Commonwealth Dermatology offers personalized skincare analysis by licensed master esthetician Jessica Fritzen. The $115 consultation fee may be used toward any purchase made the day of the consultation.

Leslie V. Cohen MD FACS Plastic and Reconstructive Surgery

Do Your Research Look at before and after photos so you get a sense of what the procedure will accomplish.

Leslie Cohen, MD Richmond | 804.288.2800 www.lesliecohenmd.com As of May 5, 2020, Leslie Cohen, MD is now seeing the patients of recently retired plastic surgeon Louise Ferland, MD of the former Ferland Plastic Surgery practice. Dr. Cohen is also the custodian of the medical records for Dr. Ferland’s patients.

Richmond Plastic Surgeons

Sharline Aboutanos, MD Stephen Chen, MD | Darrin Hubert, MD Lewis Ladocsi, MD | Issac Wornom, MD Richmond | 804.585.3420 www.richmondplasticsurgeons.com Visit the practice’s website for specially priced packages and for details on its Buy One Get One Free laser treatments.

Talk to Your Surgeon Ask questions with your surgeon to see if you would be a good candidate for the procedure.

UltraSlim® UltraSlim of Virginia

Richmond | 804.404.9111 www.ultraslimofvirginia.com UltraSlim of Virginia has recently reopened and is accepting new patients. The practice is offering complimentary consultations throughout summer 2020.

Vanquish David H. McDaniel, MD Laser and Cosmetic Center

Don’t Forget No fat-reduction procedure is a replacement for a healthy lifestyle.

David H. McDaniel, MD Virginia Beach | 757.437.8900 www.drmcdaniel.com David McDaniel, MD offers highrisk patients care and consultations via Telehealth appointments. Visit the practice’s website for additional information.

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CoolSculpting

Guide to

Non-Surgical Body Contouring

ComparingNoninvasiveFat-ReductionProcedures

LENGTHOFPROCEDURE: 30 minutes, performed in-office SIDEEFFECTS/RISKS: Mild discomfort from intense cold feeling. Less than 1 percent see paradoxical hyperplasia (unexpected increase in number of fat cells) FDAAPPROVED: FDA approved for abdomen, flanks, thighs, bra fat, back fat, banana roll, and most recently the upper arms WHO’SNOTACANDIDATE: Patients with sensitivity to cold-related conditions (e.g. cryoglobulinemia, cold urticaris and paroxysmal cold hemoglobulinuria) NUMBEROFPROCEDURESREQUIRED:Typically two treatments HOWLONGBEFOREREALIZINGRESULTS: Two to four months

Under the Chin Kybella

Upper Arms CoolSculpting

Back

CoolSculpting and SculpSure

Waist

UltraSlim

Abdomen

CoolSculpting, SculpSure UltraSlim and Vanquish

Flanks

(Love Handles)

CoolSculpting, SculpSure UltraSlim and Vanquish

Hips

UltraSlim

Buttocks UltraSlim

Under the Buttocks CoolSculpting

Inner and Outer Thighs

CoolSculpting, SculpSure UltraSlim and Vanquish

Quick Facts about Non-Surgical Body Contouring » » » »

Options to reduce fat, smooth cellulite, tighten skin, rejuvenate sagging tissues & more Less dramatic results than surgery, but little to no downtown Most treatments are done in-office in 90 minutes or less Gradual onset of results; typically results are final in 2 to 3 months

When is Cosmetic Surgery a Better Option? » You desire more dramatic body sculpting » You have significant loose or sagging skin » You prefer to undergo a procedure only once to achieve your final results » Your cosmetic surgeon agrees that surgery will better achieve your desired changes » You would like to enhance, rather than reduce, the size of an area 52

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SculpSure LENGTHOFPROCEDURE: 25 minutes, performed in-office SIDEEFFECTS/RISKS: Temporary redness, tenderness or swelling FDAAPPROVED: FDA approved for abdomen, flanks, back, inner thighs, outer thighs and submental area WHO’SNOTACANDIDATE: Patients with loose skin or fat deep inside the abdomen NUMBEROFPROCEDURESREQUIRED:One or more, depending on treatment area HOWLONGBEFOREREALIZINGRESULTS: Six to 12 weeks

Kybella LENGTHOFPROCEDURE: 20 minutes, performed in-office SIDEEFFECTS/RISKS: Temporary mild swelling, numbness, redness, bruising, risk of facial weakness or prolonged numbness (rare) FDAAPPROVED: FDA approved for treatment of the area under the chin (double chin) WHO’SNOTACANDIDATE: Not for patients with loose skin or poor tone NUMBEROFPROCEDURESREQUIRED:Often two are needed, but a patient can have up to six HOWLONGBEFOREREALIZINGRESULTS: Eight weeks

UltraSlim LENGTHOFPROCEDURE: About 30 minutes, performed in-office SIDEEFFECTS/RISKS: None FDAAPPROVED: FDA approved for nonsurgical fat reduction WHO’SNOTACANDIDATE: Not for patients who are pregnant or have reduced liver function NUMBEROFPROCEDURESREQUIRED:Yes, usually three or more HOWLONGBEFOREREALIZINGRESULTS: Results seen in as little as a few hours

Vanquish LENGTHOFPROCEDURE: About 30 minutes, performed in-office SIDEEFFECTS/RISKS: Mild erythema FDAAPPROVED: FDA approved for deep tissue heating WHO’SNOTACANDIDATE: Not for patients with loose skin or poor tone NUMBEROFPROCEDURESREQUIRED:Typically once per week for four weeks HOWLONGBEFOREREALIZINGRESULTS: Two weeks from fourth procedure

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Auburn Hill Senior Living Community offers its strategically placed Memory Care neighborhood on fourth floor allowing residents added sensory exposure to sounds of the wind blowing and birds chirping, the smell of the lake breeze, and the touch of the warm sun.

Finding Just the Right Home Away From Home Moving into a senior living community can be a tough transition on any senior, especially one struggling with early signs of dementia. That’s why preparing and having hard conversations early can help both you and your loved one in finding just the right community to suit their needs. contributing expert | SUE AYSCUE, RN, Regional Director, Health and Wellness with Park Street Senior Living words | RICK PIESTER

Based in Central Virginia, Park Street Senior Living provides management and operational services for retirement living communities in the region, including Auburn Hill Senior Living in Midlothian. OurHealth sat down with Sue Ayscue, RN, Regional Director of Health and Wellness to talk about preparing for the possibility of dementia care for a loved one.

There’s been a lot of conversation about “memory care.” Just what is it? Memory care is a highly specialized form of senior living for people diagnosed with Alzheimer’s disease and other forms of dementia. It’s a holistic, whole-person approach offered in a safe, specialized wing and staffed by professionals who are specially trained to focus on each person’s capabilities, rather than their disabilities. Looking at the whole person is important, because each person has individual needs, interests, passions, hobbies, things that bring them joy. So, team members in a memory care neighborhood are specially trained to recognize and cultivate those skills and interests.

Let’s say I have a loved one who has been diagnosed with dementia. When should I involve him or her in the selection process for a memory care facility? The earlier, the better. As a matter of fact, as soon as possible, families should start discussing senior care possibilities long before any kind of specific diagnosis has been reached. That way, it becomes more of a fulfillment of a person’s choices and what they see as their future and what they want for themselves. It

then becomes a matter of carrying out the decisions your loved one had made from himself or herself. With regard to a person who may be in the early stages of any form of dementia, their ability to express preferences and choices is not going to improve as time goes on. The ability to make complex decisions is going to diminish. That’s why it’s especially important and helpful to have that conversation very early, when it can be most helpful.

Where can I go for further suggestions? Just about every community has expert help available. The Alzheimer’s Association is very valuable. Other communities have local agencies on aging, such as Senior Connections in Chesterfield, or Dementia Friends USA. And a loved one’s physician or other care giver can be an enormous help as well. In the Richmond area, Senior Connections is online at www.seniorconnections-va.org, and by telephone at 804.343.3000. Or visit the Alzheimer’s Association at www.alz.org and Dementia Friends USA at www.dementiafriendsusa.org.

That can be a tough conversation to have. What are some good ways to go about it? Yes, many families want to avoid that kind of conversation. But it helps if you can make it more global: asking “If you had to leave home someday, what are the things that are the most important for you? What are your wishes?” Many people understand that there are going to be changes as the years go on, and by having that kind of conversation, they can have a real impact on what their life can look like six weeks, six months, six years down the road. It’s important to reiterate that loved ones have control, and that their control can extend into later years. It’s also far easier and much more productive when the conversation is between the loved one and whoever their primary care giver is, a care partner, a close family member. Make it a non-clinical conversation. It’s a conversation about a person’s quality of life for years going forward. And it won’t be the same for everyone. It needs to be tailored for each individual person.

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Assisted Living and Memory Care

Offering Studio, 1 and 2 Bedroom Suites, beautifully situated on Swift Creek Reservoir.

Community Features and Amenities » Lounges and Library » Patios and Porches with Lakefront View » Beauty and Barber Shop » Theater and Pub » Dining and Private Dining Options » Wellness Center » Rehabilitation Services 5800 Harbour Lane Midlothian | 804.250.5740

www.AuburnHillLiving.com

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NUTRITION

Most prominent among water’s benefits are the ways it regulates body temperature, lubricates your joints, and removes waste through urination, perspiration and bowel movements. Water helps your body absorb certain vitamins and minerals, improves blood flow, and even boosts your cognitive function.

INSIGHT • AWARENESS • PREVENTION

Most people need to DRINK SIX TO

EIGHT GLASSES of water everyday,

Is Your H2O Hydrating

or Overhyped? With so many types of water available for consumption, it’s tough to determine what’s actually benefitting you and what’s simply a marketing ploy.

Benefits of Water 1 Lubricates Your Joints

2 Removes Waste

words | DYLAN ROCHE

Water, water everywhere, but which type should you drink? And how much? And when? If you find yourself looking at shelves of bottled water in the grocery store and trying to determine the best type, you’re not alone. The task of finding the right bottle of H2O is steeped in a little bit of misconception (and sometimes even marketing gimmicks). That’s not to say water isn’t important for your overall wellness — any doctor or healthcare expert will tell you that it absolutely is. But most of the time, just drinking the plain ol’ stuff straight from the tap is just as good for you, or even better for you, than the expensive bottle with the trendy health claim you get from the store.

Health Benefits of Hydration There’s no one single benefit to drinking plenty of water — it’s vital for overall health. As the American Academy of Family Physicians explains, everything in your body depends on water if it’s going to function the way it should: Every cell, tissue, organ and system in the human body requires water.

3 Helps Body Absorb Vitamins and Minerals

4 Improves Blood Flow

5 Boosts Cognitive Function

but this rule isn’t hard and fast for everyone. (8 ounces per glass)

Somepeopleneedmore whileotherpeopleneed less. As the Centers for Disease Control and Prevention notes, you get some fluids through the foods that you eat, such as fruits and vegetables with high water content (think celery, tomatoes, melons, apples, and berries). If you eat a lot of water-densefoods, you might not need to drink a full eight glasses of water.

On the other hand, some people have an increased need for water because they’re at a higher risk of dehydration. Athletes undergoing intense training, for example, need to drink more water to replace what they lose through sweat — this is especially true if they’re exercising outside in hot weather. The same goes for people who work physically demanding outdoor jobs, such as landscaping or construction. Certain health conditions will also increase your hydration needs. If you’re running a fever or if you’re losing a lot of fluids through diarrhea and vomiting, you need more water than normal. Additionally, people who have certain medical conditions, such as kidney stones or bladder infections, might hear from their doctor to drink extra fluids. www.OurHealthRichmond.com

Drinking plenty of water, but your pee looks like highlighter ink? It mightbe thevitaminB complex you’re taking. Vitamin B supplements, or a multivitamin with a high dose of B vitamins, will often turn your urine bright yellow. Don’tbealarmed

— this is normal and not a sign of dehydration.

The Problem with Being Parched If you’re worried you aren’t drinking as much water as you should be, your body will tell you. The easiest way to find out is to check the color of your urine. A hydrated person’s urine will usually be colorless or light yellow, but people who are dehydrated will often urinate a dark yellow or even an amber color. If you’re dehydrated, you might notice other symptoms beyond the color of your urine. Dehydration can also cause fatigue, headaches, lightheadedness, dry mouth and extreme thirst. Instead of waiting for symptoms, you should actively prevent dehydration by consuming plenty of water throughout the day. It’s also important to increase your fluid intake if you consume a lot of caffeine, which is a diuretic and will make you urinate more frequently. Keep your caffeine intake to no more than 200 to 300 milligrams per day.

What Are You Drinking? When it comes to staying hydrated, water is your best bet instead of fluids like juice or soft drinks, because water does the job without any added calories or sugars. But what type of water is the best for you? The Mayo Clinic explains that tap water and bottled water are similar in terms of safety, so whether you choose to drink water straight from the tap or buy a bottled product mostly comes down to personal preference. 58

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While tap water is generally safe, some people with

CERTAIN HEALTH CONDITIONS COULD BE VULNERABLE to

getting sick from contaminants in water — chemo patients, people with HIV/AIDS, transplant recipients, pregnant women, seniors and children could all be at risk, according to the Mayo Clinic. Yourdoctorcanadvise youonwhatprecautions youshouldtake, whether you should boil your tap water, or whether you should opt exclusively for bottled water.

The Food and Drug Administration regulates the many different types of bottled water on the market, holding them to what’s known as a “standard of quality.” These standards dictate the maximum level of contaminants that bottled water can have, including chemical, physical, microbial and radiological contaminants. The FDA’s current good manufacturing practice regulations (commonly called CGMP) dictate that bottled water must be produced, held and transported under sanitary conditions. In addition to enforcing good manufacturing practices on manufacturers of bottled water, the FDA maintains standards for identifying specific types of bottled water and requires those types be identified on the label. In other words, when you pick up two bottles in the grocery store and one says “spring water” and the other says “distilled water,” those identifiers are actually defined and regulated by the FDA. So, in that case, what’s actually the difference between spring water and distilled water? Let’s break down the different options you have as a consumer when it comes to staying hydrated.

Tap Water: This is probably the most readily available type of water for the average American household. Tap water is the water that comes straight from your kitchen sink, and yes, it’s safe to drink. The water that flows into your home comes from a municipal source that is regulated by the Environmental Protection Agency, and the Centers for Disease Control and Prevention even states the U.S. drinking supply is one of the safest in the world. The water is processed and treated to meet drinking water standards, even though, according to the International Bottled Water Association, less than 1 percent of municipal water is actually used for drinking. Municipal water is primarily used for activities like cleaning, cooking, showering, watering the lawn or garden, and flushing the toilet. In rare circumstances, sources of public water can become contaminated either at the source or during the distribution system, according to the CDC. This can cause adverse health problems. If this situation occurs, your household will receive notification from local authorities, such as your local department of health or department of public works.

Mineral Water: Per the FDA’s definition, mineral water is that which has come from an underground source and contains minerals (such as sodium or calcium) or trace elements that are naturally part of the underground water source — they haven’t been dissolved into the water by the bottling company. The water must contain at least 250 parts per million total dissolved solids according to the FDA’s definition.

Spring or Glacier Water: These terms mean the water has been taken from an underground formation where the water flows naturally to the surface. In some cases, the water will be collected through a borehole that taps into the underground formation feeding the spring, but the FDA requires that this water must have the same composition and quality as it would have when it flows naturally to the surface.

Sparkling Water: Sparkling water is technically not considered a type of bottled water under FDA regulations — it’s actually a soft drink. Sparkling water, which is sometimes called club soda or soda water, is water that has been carbonated, a process in which it is infused with carbon dioxide gas. This carbonation gives sparkling water its distinctive bubbly effervescence. As long as there are no added sugars or artificial flavors, sparkling water is just as good for you as other types of water. It’s just as hydrating, and despite popular misconception, the carbonation does not pose any threat to your bones or teeth. However, people with sensitive stomachs could feel gassy or bloated from the carbonation.

Purified Water:

Alkaline Water:

Purified water comes from municipal sources just like tap water, but it is treated with a purification process before it is bottled up and distributed. One common type of purified water is distilledwater, which is vaporized, leaving behind any minerals it contains, and then the vapors are condensed into water again.

There’s an idea out there that by consuming foods and drinks that are alkaline (that is, they have a higher pH level compared with acidic foods), you can lower the acidity of your blood and help protect yourself against diseases.

Other ways of purifying water include reverseosmosis, where the water is forced through membranes to remove minerals, or ozonation, where ozone gas, an antimicrobial agent, is used to disinfect the water instead of chlorine, which can leave an unpleasant taste and odor.

14 13 12 11 10 9 8 7 6 5 4 3 2 1 0

Flavored or Infused Water: As the name suggests, flavored or infused water is water that has been flavored or infused to give it a distinct taste. In some cases, this is a good thing — it might have natural flavors and no added sugars, so you’re ostensibly drinking plain water with a more appealing taste. But check the ingredient list and nutrition facts first. Artificial flavors, artificial colors, added sugars, artificial sweeteners, caffeine or other ingredients might be a turn-off depending on your health concerns.

Flavored water can be a great option for people who are used to drinking a lot of soda or fruit punch and are bored by the taste of plain water. You can even make your own flavored water at home by dressing it up with slices of lemon, limes, oranges, cucumbers or strawberries. 60

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As such, people consume alkaline water — which often has a pH of 8 or 9 — with

THE HOPES THAT IT WILL NEUTRALIZE THE ACIDS IN THEIR BLOOD BETTER than traditional water, which has a pH of 7, making it neutral and neither alkaline nor acidic.

Unfortunately, this believe is a myth and not a fact.

Electrolytes Water: Electrolytes — including sodium, potassium, calcium and magnesium — are minerals that carry an electric charge when they’re dissolved in water, and they’re vital for many important bodily functions, including

fluid balance. People lose electrolytes through sweat, so athletes and other individuals who perspire profusely need to be diligent about replenishing their electrolytes along with their fluids; however, this is often easy enough to do with a balanced diet.

THERE’S NO NEED TO CONSUME DRINKS THAT ARE SUPPLEMENTED WITH ELECTROLYTES, such as Gatorade, which are often high in sugar and calories.

Well Water: Some properties source their tap water from a private well rather than from a municipal source regulated by the EPA. Well water is taken from a hole drilled into the ground to tap what’s known as an aquifer — a layer of rock, sand or earth containing water.

Because the EPA does not regulate private wells, people in households onwellwatershouldgettheir watertestedforcontaminants annually.

What’s the Verdict? When it comes to water, opt for bottled water if it’s more convenient (for example, you’re on a road trip and need a healthy, hydrating beverage from the gas station), but it’s generally no healthier or safer for you than tap water from a municipal source. Avoid any sort of gimmicky health claims, such as those about alkalinity or electrolytes, and always be sure to read the label to make sure there aren’t any added sugars or other ingredients.

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Test Your Knowledge: Think you have a solid understanding of what makes a good bottle of water? TRUEor FALSE: Bottled water is better for you than tap water. ANSWERFALSE: Although bottled water might be convenient in some

circumstances, tap water is just as hydrating.

TRUEor FALSE: The carbonation in sparkling water dehydrates you and depletes your body of calcium. ANSWERFALSE: This is a common misconception. Sparkling water is just as

hydrating as regular water.

Which of the following is a circumstance that might warrant drinking more than the recommended six to eight glasses of water a day? A Intense physical activity in the heat B Vomiting and diarrhea

C D

A bladder infection All of the above

ANSWERD: Any of these three reasons would warrant drinking more water.

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THE LAST STITCH LOCAL • TOGETHER • COMMUNITY

Good:We’re respecting personal space. The Centers for Disease Control and Prevention has been encouraging people to keep six feet of distance between themselves and others, as this will lessen the risk of transmission. Thanks to this guideline, many are now paying conscious attention to the personal space of others and reducing the risk of exhaling germy respiratory droplets on somebody else or having somebody else’s germy respiratory droplets on them.

The New Normal of Health: Good or Bad? words | DYLAN ROCHE

Life has definitely been different for the past few months. Throughout the COVID-19 pandemic, people across the country and around the globe have had to change the way they work, shop, attend school, exercise, worship and socialize. But it’s not merely restrictions and closures that have altered people’s ways of life. COVID-19 has altered the way people think about their health and hygiene — people who until recently might not have thought twice about how easily germs and viruses can be transmitted have But done now found themselves hypervigilant, whether for their improperly or own safety or for the safety of those around them.

“

taken to the extreme, these healthy practices have the potential to be detrimental.

”

In many ways, that’s a good thing. People are careful to respect the personal space of others, to disinfect the surfaces in their homes and places of business, and even keep their hands clean to the best of their ability. Who could argue with these practices?

But done improperly or taken to the extreme, these healthy practices have the potential to be detrimental. Let’s take a look at these habits that many of us are developing during the spread of COVID-19 and consider how we can keep safe and healthy, either now or in the long term after the pandemic ends.

Bad:Being physically close to people can be good for us. While most people are not in the habit of making physical contact with strangers, the fear of getting too physically close has meant limited interaction with friends, neighbors, and even extended family. This is detrimental because physical closeness and touch is an important part of our physical and mental wellbeing. According to Penn Medicine, our bodies produce the hormone oxytocin when we make physical contact with somebody else, and oxytocin stimulates feelings of trust, bonding and connection, all of which are good for our mental health. Oxytocin can also improve physical health by improving appetite control, enabling better sleep, and improving our mood. In fact, the National Institutes of Health explains that people who are social and frequently have physical interaction with others tend to live longer lives, and they are even less likely to develop colds even when they are exposed to viruses.

OUR TAKE: Personal space is great, and let’s continue to respect it. But once the pandemic is over, let’s go back to hugs and handshakes (as long as we and the other person can both be presumed healthy).

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Did You Know?

Long-term use of antibacterial soap can cause more harm than good by killing the healthy bacteria on your skin. The Cleveland Clinic advises consumers to avoid antibacterial hand soap, as long-term exposure to the chemicals in these soaps could kill the healthy bacteria on your skin and could even cause hormonal effects. Instead, opt for soap without antibacterial chemicals, which does just fine when combined with water to loosen dirt and germs and remove them from your skin.

COMMON MISUSE OF HOUSEHOLD CLEANERS:

Using more of a product than directed on the label.

Good: We’re doing a better job of disinfecting. Because the research isn’t yet clear how long coronavirus can live on certain surfaces, more people are taking extra precautions to disinfect often-touched surfaces that ordinarily wouldn’t get the clean treatment the way they should — that includes the obvious places like the kitchen counter, as well as less obvious spots like doorknobs, light switches, and elevator buttons.

Bad: Some people aren’t using disinfectant carefully — and it’s making them sick. The Centers for Disease Control and Prevention notes that as the use of cleaners and disinfectants increased, so too did the possibility of improper use, and the number of cases of people exposed to toxic products saw a sharp increase in March 2020. Among the common ways people misuse household cleaners are using more of a product than directed on the label, mixing chemical 64

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Mixing chemical products together.

Applying in areas with bad ventilation.

Using chemical products without proper protective gear, such as rubber gloves.

Storing cleaning products in a place that is accessible to small children.

products together, applying in areas with bad ventilation, and using chemical products without proper protective gear, such as rubber gloves. Additionally, people should never store cleaning products in a place that is accessible to small children. Disinfectant misuse spiked even further following a comment by President Donald Trump during a coronavirus task force briefing, in which he suggested injecting cleaners into the body as a way of killing the virus (President Trump later claimed this suggestion was made sarcastically). In the 18 hours following the President’s comment, the New York City Department of Health and Mental Hygiene saw approximately 30 cases of misuse reported to its poison control department. Reckitt Benckiser, the company that manufactures Lysol and other popular cleaning products, put out a statement saying, “As a global leader in health and hygiene products, we must be clear that under no circumstance should our disinfectant products be administered into the human body (through injection, ingestion or any other route).” The company also said, “As with all products, our disinfectant and hygiene products should only be used as intended and in line with usage guidelines. Please read the label and safety information.”

OUR TAKE: Disinfecting is great, and we should stick with doing it regularly — and doing it to all surfaces. But if we’re going to keep cleaners around the house, we need to be careful that we’re following instructions, using them properly, and storing them away from children.

Good: People are keeping their hands clean. In the early weeks of the coronavirus pandemic, grocery stores and pharmacies across the country couldn’t keep their shelves stocked with enough hand soap and hand sanitizer. Keeping clean hands had become a major priority for the population. That’s a good thing, as the CDC calls hand washing the most effective way of stopping the spread of germs, thus reducing the risk of getting yourself sick or getting others sick.

Bad: Don’t overdo it. Unfortunately, there are some healthy practices you can do to an unhealthy extent. More importantly, you shouldn’t assume they make you invincible. As the CDC explains, alcohol-based hand sanitizers should never take the place of a good hand washing with soap and water; what’s more, people are more likely to contract a virus by breathing in respiratory droplets than by having germs on their hands. The Cleveland Clinic advises consumers to avoid antibacterial hand soap, as long-term exposure to the chemicals in these soaps could kill the healthy bacteria on your skin and could even cause hormonal effects. Instead, opt for soap without antibacterial chemicals, which does just fine when combined with water to loosen dirt and germs and remove them from your skin.

2020

People can also face problems if they wash or sanitize their hands too frequently, as this can cause their skin to dry out, crack and get easily infected. If you are in a situation where you have to wash your hands frequently — for example, you are a caretaker for an elderly or immunocompromised person — be sure to keep your hands moisturized with lotion.

OUR TAKE: Washing your hands is good, and in some situations (such as a pandemic), we might need to do it more frequently than is comfortable. When the pandemic is over, let’s continue to keep our hands clean — but let’s not do it more than is necessary. www.OurHealthRichmond.com

People talk about how the coronavirus requires us to adopt a “new normal.” And our take on that? Well, that’s not a bad thing if this new normal is better for our own health and the health of those around us!

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