OurHealth Magazine for Richmond: May/June 2019

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

COMPLIMENTARY COPY

The Benefits of Buying Local Foods

It Takes Special Qualities to Represent One of the Most Important Roles in Healthcare

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FEATURES

MAY • JUNE 2019

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CELEBRATING OUTSTANDING NURSES IN RICHMOND Our 2nd Annual Celebrating Outstanding Nurses in Richmond recognition program puts on display individuals possessing qualities that exemplify excellence in every way. Please join us in congratulating these 14 nurses for setting a standard from which we can all learn.

MESSAGES TO MEN: YOUR HEALTH IS IMPORTANT TO YOUR FAMILY. IT SHOULD BE IMPORTANT TO YOU. June is Men’s Health Month and there’s no better time to tell the men in our lives how important they are to us. Plus, important health tips geared just to men that they cannot afford to miss.

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DEPARTMENTS MAY • JUNE 2019

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The Pulse | People. Places. News to Know.

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

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Keeping Children Active This Summer and Off Those Screens!

Find yourself worrying about what your school-age teens will be doing this summer? Take back the summer from those screens with these healthy alternatives for a fun-filled and active summer.

Chesterfield County area high school students raise over $20,000 for Hitting Cancer Below the Belt, a local non-profit that provides education and resources for patients and survivors affected by colorectal cancer.

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

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44 Healthy Home | Family. Safety. Improvements.

Updating Your Home? Consider These Simple Tips for Making It a Healthier and Safer Place for Your Family.

Like all industries, home improvement is one that has seen major advancements in the products, materials and processes used to not only make our lives more comfortable, but healthier too.

Kid’s Care | Inform. Educate. Grow

Food and Fitness | Nutrition. Exercise. Prevention.

The Benefits of Buying Local Foods!

Why buying and consuming local foods is beneficial in more ways than you might think.

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Funny Bone | Spot the Seven Differences

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CONTRIBUTING RICHMOND MEDICAL EXPERTS

Michael Z. Blumberg, MD, JD, MSHA Lydia Johnson, MD Nathan Lee, MD Steven J. Montante, MD Richard G. Rento II, MD Brandon C. Wong DMD

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

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The Pulse

INFORMATION • EVENTS • AWARENESS

New Technologies

New Locations, Ventures, Mergers and Acquisitions

Sheltering Arms Partners with Feedtrail to Enhance Patient Experience

Montante Plastic Surgery Relocates

Sheltering Arms, a local physical rehabilitation provider in Virginia, is proving its commitment to prioritizing a personalized patient experience to accompany its rapid expansion.

In a departure from traditional post-experience pen and paper surveys, Feedtrail enables Sheltering Arms to engage with patients in real time via smart phone or tablet to learn specific details about their interactions with individual physicians, therapists, nurses, and patient-facing personnel. Sheltering Arms can now distill the most crucial and time-sensitive insights related to every patient-provider interaction, which is paramount in providing a satisfying patient experience.

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Regardless of how rapidly we expand and grow as an organization, our priority will always be to keep our patients first. Our partnership with Feedtrail is a direct example of our investment in ensuring a world-class patient experience every time.

Mary Zweifel, President and CEO of Sheltering Arms

Sheltering Arms deployed Feedtrail’s real-time patient engagement platform at its Reynold Center location in March 2018 as a three-month pilot, with the goal of increasing their understanding of specific patient sentiment surrounding their care experience. Upon roll-out, Feedtrail’s platform enabled staff to detect emotional comment-based patient feedback and respond to patients in real time. The platform also enables managers to share all compliments with location leaders and patient-facing staff to ensure that care providers also feel valued.

“This innovative service is more than just enhancing results at Sheltering Arms, it’s about showing how one organization can pave the way to putting patients at the center of care across the state of Virginia,” explains Feedtrail’s CEO, Paul Jaglowski.

Montante Plastic Surgery with Steven Montante, MD and Shelly Montante, NP, has moved to a new office located at 5706 Grove Avenue, Suite 201, Richmond.

The plastic surgery and aesthetics practice offers both surgical and non-surgical procedures, and carries medical grade skin care products. Appointment hours at the new location are Monday through Friday from 9 am to 5 pm.

More Information and to Schedule a Consultation: Call 804.325.4795 or visit www.montanteaesthetics.com.

Richmond Acupuncture Care Relocates Acupuncturist and owner, Yan Fan, LAc with Richmond Acupuncture has moved to a new location at 2567 Homeview Drive in Richmond. The practice treats and relieves pain caused by a variety of conditions and disorders through acupuncture.

Fan is now accepting appointments in the new location.

More Information or to Schedule an Appointment: Call 804.937.6738 or visit www.richmondacupuncturecare.com.

Commonwealth Endodontics (CWE) Opens New Locations Commonwealth Endodontics has opened new practice locations in both Mechanicsville and Short Pump. The Mechanicsville office opened on March 11th and is located at 7347 Bell Creek Road, Suite 300.

The Short Pump office opened on April 18th and is located in the Bon Secours Short Pump Emergency Center at 12320 West Broad Street, Suite 209.

CWE is comprised of seven endodontic treatment providers, including: Harold Martinez, DDS, Ronald Vranas, DDS, Madelyn Morris, DDS, Steven Barbieri, DDS, Timothy Finkler, DDS, Michael Morris, DDS and Stephen Schroeder, DDS. This expansion positions CWE as the largest endodontic practice in Virginia, with offices located in the West End, Midlothian, Mechanicsville and Short Pump.

CWE has provided the highest standard of endodontic care for over 20 years and offers state-of-the-art facilities, complete with operating microscopes, digital radiography, and CBCT imaging. Their services include root canal therapy, endodontics retreatment, microsurgery, dental trauma, and management of cracked teeth. For apprehensive patients, CWE offers nitrous oxide, oral anxiolysis, conscious sedation and general anesthesia.

More information: Visit www.cwendo.com or call 804.501.0501.

More information: Visit www.shelteringarms.com or www.feedtrail.com.

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Timothy Finkler, DDS | Harold Martinez, DDS | Steven Barbieri, DDS | Ronald Vranas, DDS | Madelyn Morris, DDS | Michael Morris, DDS | Stephen Schroeder, DDS

The Pulse

Recognitions and Accreditations Brain Injury Association of Virginia Recognizes Contributors During Inaugural Legacy Dinner

Nathan Zasler, MD, CEO and Medical Director of the Virginia-based Concussion Care Centre of Virginia, an outpatient neurorehabilitation practice, and Tree of Life Services, Inc., a living assistance and transitional neurorehabilitation program for persons with acquired brain injury, received the 2019 BIAV Legacy Award. The Legacy Award recognizes significant, long-term contributions of lasting impact to the field of brain injury.

Nathan Zasler, MD, CEO

Delegate Eileen Filler-Corn was named Legislator of the Year and Patricia “Patti’ Goodall, Director of Brain Injury Services at the Virginia Department for Aging and Rehabilitative Services, who was presented with the Weinstock Award.

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We are absolutely delighted to recognize these individuals for their exceptional and inspiring work on behalf of individuals with brain injuries, and for their extraordinary contributions to the brain injury community.

Anne McDonnell, Executive Director of Brain Injury Association of Virginia.

• NEWS TO KNOW

The Brain Injury Association of Virginia (BIAV) presented awards to three Virginia individuals during its inaugural Legacy Dinner honoring concussion advocacy held on April 6, 2019. The event was attended by practitioners, donors, legislators, policymakers, caregivers, and members of the brain injury community from across the Commonwealth.

Don’t Miss ALL OF THE

Outstanding

Nurses in Richmond

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More information: Visit www.biav.net or contact Anne McDonnell at 804.355.5748.

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The Pulse

• NEWS TO KNOW

Recognitions and Accreditations Chippenham and Johnston-Willis Hospitals Name New CEO HCA Virginia has named William Lunn, MD its new CEO of Chippenham and JohnstonWillis Hospitals. Dr. Lunn recently served as President and CEO of Tulane Health System in New Orleans, which was named a “World’s Best Hospital” by Newsweek, as well as a Top Teaching Hospital by the Leapfrog Group. Dr. Lunn replaces Greg Lowe, who was appointed president of HCA’s newly-created North Carolina Division in Asheville.

Dr. Lunn is one of the founding members of Baylor College of Medicine’s Complex Airway and Pleural Disease Center and served as its first director. He is a recipient of numerous awards, including the American College of Chest Physicians’ Young Investigator Award, the Fulbright and Jaworski Award for Educational Leadership, and the New Orleans City Business Healthcare Hero Award. He attended Tulane University for his undergraduate degree and the University of Texas Southwestern for medical school. Dr. Lunn completed his residency at Emory (Atlanta), and fellowships in pulmonary and critical care medicine at Vanderbilt and Harvard. Dr. Lunn is relocating to Richmond with his wife, Dr. Mary Lynn Lunn, and their three daughters, and assumes his new role on May 13th.

More information: Visit www.hcavirginia.com.

William Lunn, MD

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Recognitions and Accreditations HCA Virginia Hospitals Earn Top Recognition for Excellence in Nursing Two HCA Virginia hospitals have been recognized for excellence in nursing as part of HCA Healthcare’s 2018 Unit of Distinction (UOD) Awards – an annual program that recognizes and rewards exemplary nursing units at HCA Healthcare facilities.

Retreat Doctors’ Hospital – 5 East was named a winner for emergency services and medical surgical services. In addition, Parham Doctors’ Hospital was named a winner for the intensive care unit and medical surgical services – orthopedic unit, received honorable mention.

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Our nurses strive to go above and beyond in every aspect possible. I am extremely proud of the many compassionate nurses at Retreat for their continued achievements and dedication to our patients.

Nancy Boykin, RN, Chief Nursing Officer of Retreat Doctors’ Hospital

The “Unit of Distinction” designation is achieved through measurable, exemplary performance in the strategic areas of advocacy and leadership, consistency in nursing practice and operations, and leveraging scale to drive performance. Recipients of the 2018 Unit of Distinction honor are considered to be in the top five percent of all HCA Healthcare medical-surgical, critical care, emergency services and surgical services nursing units.

An important component of the program is the company’s sponsorship of nurses to obtain national certification through programs accredited by the American Board of Nursing Specialties. This year, more than 2,600 HCA-affiliated nurses expanded their professional knowledge and advanced their individual and professional skills to earn certification.

More information: Visit www.hcatodayblog.com.

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The Pulse

Recognitions and Accreditations

• NEWS TO KNOW

HCA Virginia Hospitals Now Offering Area’s Most Advanced 3D Mammography HCA Virginia hospitals are now offering the region’s latest technology in detecting breast cancer with the new curved compression 3D mammography. This new approach to breast cancer detection produces a series of dimensional, fine-detail images that allow layer by layer evaluation of breast tissue.

“Detection plays a significant role in a patient’s treatment, says Jonathan Tinker, Regional Vice President of Oncology Services for HCA Virginia’s Sarah Cannon Cancer Institute. “We are thrilled to be able to offer our patients this advanced 3D technology to help increase our ability to diagnose breast cancer and more importantly, to formulate an appropriate treatment plan for every patient.”

The new technology is available at Chippenham & Johnston-Willis Hospitals, The Breast Center at Henrico Doctors’ Hospital’s Sarah Cannon Cancer Institute, Retreat Doctors’ Hospital, Spotsylvania Regional Medical Center and various outpatient locations throughout Central Virginia including Appomattox Imaging, Chesterfield Imaging, Hanover Imaging Center and Independence Park Imaging.

The 3D mammography has been designed to set a new standard for: • • •

Increased patient comfort Clearer images Fewer unnecessary biopsies

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Reducing call-backs by 30 percent Earlier detection

According to the American Cancer Society, breast cancer is the most common cancer in American women except for skin cancer. The average risk of a woman in the United States developing breast cancer sometime in her life is about 12 percent.

More information: Visit www.hcavirginia.com.

Chelsee Freudig, RN

Recognitions and Accreditations Southside Regional Medical Center Nurse Honored with DAISY Award® Chelsee Freudig, RN with Southside Regional Medical Center (SRMC) has received the DAISY Award® in recognition of her exemplary patient care. The DAISY Award® recognizes extraordinary nurses around the world for their acts of compassion.

More information: Visit www.daisyfoundation.org.

Southside Regional Medical Center Junior Volunteers

Community Outreach Southside Regional Medical Center Offers Junior Volunteer Program for Teens Southside Regional Medical Center (SRMC) is currently accepting applications for its 2019 Junior Volunteer program. Participants will be assigned to work in specific departments within SRMC based on their interests, when possible.

Applications can be picked up at the SRMC Welcome Center and must be returned no later than June 3, 2019. Participants must be at least 14 years old and show proof of age if they are selected for the program.

Junior Volunteers will be required to submit to a drug screening and TB test.

Download your application here: http://bit.ly/2GaBoAV. More information: Contact Lisa Mason, Manager, Volunteer and Support Services, at 804.765.5786 or via email at lisa_mason@ SRMConline.com. www.OurHealthRichmond.com

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The Pulse

• NEWS TO KNOW

New Technologies Retreat Doctors’ Hospital First in Virginia to Expand Urological Program with Next Generation Robotic Technology

VCU Health Radiology Downtown Richmond 804.828.6831 www.vcuhealth.org

James Atkins, MD

Lisa Burns, MD

Bon Secours Cancer Institute at St. Mary’s Richmond | 804.287.7804 www.BonSecours.com

Children’s Hospital of Richmond at VCU Pulmonology Downtown Richmond 804.828.2467 www.chrichmond.org

Joseph Crisalli, MD

Children’s Hospital of Richmond at VCU Pulmonology/ Sleep Medicine Downtown Richmond/ Bon Air | 804.828.2467 www.chrichmond.org

“ Pravin Deshmukh, MD Bon Secours Short Pump Primary Care Henrico | 804.612.2980 www.BonSecours.com

Cooper Evans, AuD

Stephen Foxx, MD

Evolution Hearing Richmond | 804.215.0001 www.evolutionhearing.com

VCU Health Radiology Downtown Richmond 804.828.6831 www.vcuhealth.org

Kelly Gwathmey, MD

VCU Health Neurology Richmond/The NOW Center 804.828.9350 www.vcuhealth.org

The advent of more minimally-invasive procedures and robotic technology have allowed surgeons to perform more complex procedures with greater precision and increased visualization. Being able to offer our patients the latest technology to ensure the best possible outcome and, ultimately, quality of life are among our greatest goals.

Blake Moore, MD

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Kelley Allison, MD

HCA Virginia’s Retreat Doctors’ Hospital is the first hospital in Virginia to perform urological surgery using the latest robotic technology designed for single-incision surgery. Blake Moore, MD and Tim Bradford, MD recently performed the first case using the da Vinci Single Port SP robot to remove the patient’s prostate.

Traditional methods for prostate surgery have involved larger incisions, post-operative side effects, greater risk of excessive blood loss and infections, increased pain, and longer hospital stays.

H. Ester Han, OD

John Heath, MD

Virginia Eye Institute VCU Health Mechanicsville | 804.404.6320 Anesthesiology www.vaeye.com Downtown Richmond 804.828.9160 www.vcuhealth.org

David W. Hess, PhD

Kesha Patel, OD

Bon Secours Virginia Eye Institute Neurology Clinic Henrico | 804.287.1380 Mechanicsville | 804.325.8720 www.vaeye.com www.BonSecours.com

Welcome to the

“Having this latest technology allows us to offer a more enhanced patient experience,” says Beth Matish, CEO Retreat Doctors’ Hospital.

Recognized by Healthgrades as a Top 100 Hospital for Prostate Surgery, the Center for Urology at Retreat Doctors’ Hospital delivers the latest innovations in urologic care.

More information: Visit www.retreatdoctors.com/service/urology.

Greater Richmond

Sarah Ruffin, NP-C

K. Gabriela Tomlinson, MD

James River Cardiology Bon Secours Pediatrics of Richmond | 804.520.1764 Mechanicsville www.jamesrivercardiology.com Mechanicsville| 804.730.4690 www.BonSecours.com

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Community

For More of The Pulse Visit: www.ourhealthrichmond.com Do you have health-related news to share for The Pulse? Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com.

New Locations, Ventures, Mergers and Acquisitions Greater Richmond ARC Renamed SOAR365 After 65 years, Greater Richmond ARC has retired its name, and is now SOAR365.

“It has become clear that we need a name as big as our aspirations,” says John Walker, President and CEO of the organization, which provides pediatric therapies, children youth and adult programs, and employment services for more than 1,300 people with disabilities annually.

Founded by families in 1954, the organization began doing business as the Greater Richmond ARC years ago, but retained its legal name, the Richmond Area Association for Retarded Citizens, with language that in today’s world is considered offensive.

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Our new name is one of which we can be proud. SOAR365 reflects who we are today, the potential we see in our clients and families, and the value we place on their dignity.

John Walker, President and CEO of Soar365

SOAR365’s logo includes a colorful origami crane, a bird symbolizing long life, happiness, and peace. Origami is the art of transforming a sheet of paper into a beautiful finished sculpture, and syncs nicely with organization’s mission to provide life-fulfilling opportunities.

A new website, www.SOAR365.org and animated video explaining the name change has also debuted.

“SOAR365 personifies how we provide unique solutions to help each person succeed and, yes, fly,” Walker says, recounting some examples of clients’ small, but mighty a cco m p l i s h m e n t s: a teen attending SOAR365 who now selects and irons her school clothes; a nine-year-old who at first could barely hold a pencil but now writes his name; and a man who lost his hand to illness but found a new career in the nonprofit’s Business Solutions program, where he has been promoted multiple times.

“We provide a wide range of services and an environment where people with disabilities can have fun, socialize, and learn new skills, which ultimately empowers them and extends into their lives well beyond our operating hours,” Walker adds.

In addition to SOAR365, several of the nonprofit’s programs have been renamed to better communicate their breadth and type of services. For instance, Infant and Child Development Services is now Pediatric Therapy, and ARC Employment Services is now SOAR365 Business Solutions.

“Our organization offers individuals with disabilities a variety of choices, safe environments, and a sense of community. For decades, we have stayed flexible so we can provide services that our clients and families truly want and need. SOAR365 will continue this ongoing mission,” he says.

More information: Call 804.358.1874 or visit www.soar365.org.

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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | STEVE MCCLINTIC, JR. photography | KENT BROCKWELL

CHESTERFIELD COUNTY HIGH SCHOOL STUDENTS RAISE OVER $20,000 TO STRIKE OUT CANCER On Tuesday, March 5, 2019, more than 400 students, teachers, and staff members from five Chesterfield County high schools, including Cosby, Clover Hill, Manchester, Midlothian, and James River, packed all 40 lanes at Bowl America Southwest in Midlothian to roll out support for colorectal cancer awareness.

Strike Out Cancer, which is organized by Hitting Cancer Below the Belt, Inc. (HCB2), is a bowling competition and fundraiser focused on educating local high school students about the risks of colorectal cancer. The event brings together local high schools to compete with one another to see which school can raise the most money, as well as see who has the best game on the lanes. The schools raised more than $20,000 for HCB2 in this year’s 5th annual event.

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Colorectal Cancer Awareness Month is observed annually in March and organizers say this event is a wonderful vehicle for giving high school students valuable facts about colorectal cancer that they can share with their families at home.

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“As diagnosis of colorectal cancer is rising in the 20 to 34-year-old population, it’s imperative to bring students education about symptoms, family history and screening options,” says HCB2 founder Mindy Conklin, who started the organization after the passing of Rich Conklin, her husband of 20 years who was only 43-years-old at the time of his passing from colorectal cancer.

Jack Lauterback and Melissa Chase from 103.7 PLAY FM were emcees for the event. Sponsors included Haley Auto, Marco’s Pizza, Chick-fil-a, and many others from the Greater Richmond community.

Hitting Cancer Below the Belt, Inc. is a Richmond-based 501(c)3 organization that offers participatory community events and educational services to help prevent cancer from taking anymore lives. The organization hosts numerous special events and services each year to create awareness about cancer prevention, including the Boxer Brief 5K, Strike Out Cancer, and the Blue Gene Bash. Visit www.hcb2.org for more information.

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1 Manchester High School: (back row) Mason Lynn, James Bell, Shular Smith, Zach Bowman, Dalton Richardson; (front row) Sydney Smith, Hannah Houston 2 James River High School - (from left to right) Bud Keeler, Barrett Wright, Alexis Nardo and Jay Wu 3 Jack Lauterback (103.7 Play), Mindy Conklin (Founder of HCB2), Melissa Chase (103.7 Play) 4 Members of the Clover Hill High School football team cheer on [No.18] 5 James River High School’s Barrett Wright. 6 Midlothian High School faculty team: (front row) Denise Bowes, Christina Frias, Elizabeth Baber; (back row) Principal Shawn Abel, Robert Gifford, Activities Director Shea Collins 7 Cosby High School DECA advisors Barbara DeFrancesco and Jane S. Werner 8 Board Members: Dr. Andrew Vorenberg, Steve Fisher, and HCB2 Executive Director Mindy Conklin. 9 Midlothian Principal Shawn Abel and Cosby Principal Ben Snyder not happy about having to wear a Cosby HS jersey to school the next day. 10 Cosby High School DECA team. DECA officers/members (from left to right): Katie Pham, Maddie Newman, Cailtyn Knowles, Bailey Atkinson, Adin Martinez, and Andrew Fleming. 11 HCB2 Board of Directors: Members Suzanne Tharin, Dr. Andrew Vorenberg, Kristi Seay, Darron Franta, Executive Director Mindy Conklin, Steve Fisher 12 The event completely packed Bowl America Southwest, with teams competing on all 40 lanes. 13 Chesterfield Schools Superintendent Dr. Mervin B. Daugherty 14 Midlothian High School Football Team 15 HCB2’s Mindy Conklin gives an interview to NBC12. 16 One of the student teams from Clover Hill High School.

17 “Lane Crushers” from Clover Hill High School

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Questions. Answers.

Knowledge.

How can someone determine if he or she has too much belly (visceral) fat?

Visceral fat is the fat we carry on the inside of the abdomen. In the medical world, we call this central obesity. Central obesity is linked to heart attacks, diabetes, cancer, and high blood pressure among a number of other medical issues.

The common reason for

THUNDERSTORM

INDUCED ASTHMA

is that winds lift particles of pollen and mold into the atmosphere, which the rain then saturates, causing the particles to burst into tiny pieces. These tiny pieces are more likely than larger particles to enter and stick in the lung and cause asthma.

A simple way to tell if a person has visceral fat is to measure his or her waist line at the navel. For women, measurements greater than 35 inches and for men, greater than 40 inches, usually means too much visceral fat is present.

Nathan Lee, MD Bon Secours Surgical Specialists at St. Mary’s Hospital Richmond | 804.893.8676 www.bonsecours.com

Michael Z. Blumberg, MD, JD, MSHA An allergist with Allergy Partners of Richmond

Can psoriasis go away on its own?

Is thunderstorm asthma a real thing?

Psoriasis is a chronic inflammatory skin condition that affects approximately two percent of the U.S. population. Skin lesions are most commonly characterized by pink raised areas with overlying silvery scale. The most commonly affected sites are those overlying the elbows, knees, and scalp, but any skin area may be involved. Psoriasis can also affect the joints, which is known as psoriatic arthritis, and it is also associated with an increased risk of other conditions, including cardiovascular disease.

The role of thunderstorms as a cause of lower respiratory tract symptoms and asthma has been well documented over the past 30 years, most often in Australia, but in many U.S. cities, as well. In Australia, thunderstorms trigger exposure to small particles of rye grass, while in the U.S. grasses, weeds and the common outdoor molds Alternaria and Cladosporium have been implicated.

The natural history of psoriasis is for it to “flare up” periodically; the frequency and extent of flares varies by person. Multiple treatments are available, including topical medications, which are applied to the skin lesions, as well as systemic therapies in the form of pills, injections, or controlled ultraviolet therapy treatments. Currently, there is no cure for psoriasis, which means that the skin lesions may clear with or without treatment, but the expectation is that the disease will likely recur in the future.

Lydia Johnson, MD VCU Health Dermatology Richmond | 804.828.9361 www.vcuhealth.org

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The common reason for thunderstorm induced asthma is that winds lift particles of pollen and mold into the atmosphere, which the rain then saturates, causing the particles to burst into tiny pieces.

These tiny pieces are more likely than larger particles to enter and stick in the lung and cause asthma.

The people affected have a prior history of allergy to either pollen or the mold, but often only nasal symptoms with previous exposures.

Thunderstorm asthma is an uncommon event, but has been associated with increased emergency room visits and deaths.

Michael Z. Blumberg, MD, JD, MSHA Allergy Partners of Richmond Richmond | 804.288.0055 www.allergypartners.com/richmond

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Questions. Answers.

Knowledge.

According to recent statistics by the American Society of Plastic Surgeons,

THE TOP FIVE MOST POPULAR SURGICAL PROCEDURES

FOR MEN ARE: 1.

Rhinoplasty (nasal reshaping)

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Blepharoplasty (eyelid surgery)

3.

Liposuction

4. Male Breast Reduction 5.

Hair Restoration

Steven J. Montante, MD A plastic surgeon with Montante Plastic Surgery and Aesthetics

What is “active surveillance” if you have prostate cancer?

What is the most popular aesthetic procedure for men?

Because certain prostate cancers grow very slowly, your doctor may determine that this type of cancer may not likely present a significant threat to you. This is only true if the type of prostate cancer is localized, meaning it hasn’t spread beyond the prostate.

Cosmetic surgery tailored to the needs of male patients is one of the fastest growing areas of plastic surgery. According to recent statistics by the American Society of Plastic Surgeons, the top five most popular surgical procedures for men are:

If that’s the case, you and your doctor can discuss forgoing immediate treatment. Doctors call this approach “active surveillance”.

By not rushing into treatment for a cancer that may not cause you any harm, this approach helps many men avoid treatment-related side effects.

Active surveillance means your doctor will monitor you closely, watching to see how the cancer progresses, if at all. This requires regular rectal exams, PSA blood tests, biopsy or an MRI. If your doctor notices changes occurring, then treatment discussions will begin. Patients are carefully monitored during this type of treatment, and your doctor will consider many factors before deciding whether this approach is right for you.

Richard G. Rento II, MD Virginia Urology Richmond | 804.330.9105 www.uro.com

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Rhinoplasty (nasal reshaping)

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Blepharoplasty (eyelid surgery)

3.

Liposuction

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Male Breast Reduction

5.

Hair Restoration

The most common non-surgical procedures are: 1.

BOTOX

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Soft Tissue Fillers (Juvederm, Radiesse and Restylane, to name a few)

3.

Laser Hair Removal

4.

Microdermabrasion

5.

Chemical Peels

There has also been a significant increase in men seeking facelifts and ear reduction surgery.

The most common requests we get from men concern signs of facial aging and male breast reduction.

Many men are bothered by tired appearing eyes and the dreaded “turkey gobbler”. While historically, men have been reluctant to ask about options for treatment, they are now exploring more surgical options to keep them looking as young as they feel. Likewise, we have many male fitness-oriented patients who cannot reduce their chest size, despite all of their efforts. In many cases, the best treatment for male breast reduction is surgical removal of the tissue.

Steven J. Montante, MD

Montante Plastic Surgery and Aesthetics Home of Mancave Aesthetics™ Richmond | 804.325.4795 www.montanteaesthetics.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Is crunching ice bad for my teeth?

Chewing ice can cause the corners of your teeth to chip, which can be aesthetically unpleasant, and even cause sensitivity. In some cases, chewing ice can cause larger fractures in teeth where portions of the tooth are lost, or cause cracks to form deep into the tooth or down the length of the root.

Repairing a larger fracture usually requires a crown, and sometimes may require a root canal or extraction depending on the extent, depth and location of the fracture.

Teeth that have had large or multiple fillings in the past are more susceptible to fracture, however a virgin tooth could very well fracture in the habitual ice chewer.

Medical research has also found an association with ice chewing and iron deficiency anemia, so I always advise patients to also alert their physician as a safe practice.

Brandon C. Wong DMD Virginia Family Dentistry Midlothian | 804.739.6500 www.vadentist.com

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Celebrating

Outstanding

Nurses in Richmond

The 2nd Annual Celebrating Outstanding Nurses in Richmond Recognition Program Puts On Display Individuals Possessing

Qualities that Exemplify Excellence in Every Way words | JOE BUTLER

Having exceptional clinical skills is only part of what reminding them the main reason they got into medicine makes a nurse stand out in her or his field in healthcare. in the first place: because they care.

While there’s no denying the amount of time, effort According to the Virginia Nurses Association, there and intellect that goes into becoming a nurse, it’s often are currently more than 100,000 nurses in the what’s not taught in the classroom that really makes these Commonwealth who all generally possess similar abilities. truly special individuals the difference makers in The class of nurses who make up this year’s list their field. Like compassion and empathy. shows us more about the person, including Resilience and dedication. Resolve what makes each of them unique when it and determination. Selflessness and comes to treating others the way they Nurses are humility. Typically, people in healthcare deserve. It’s either their projects and often the catalysts positions are taught to separate their passions they’ve been involved in for for change when it emotions from their jobs, so they may years or the especially interesting make the most objective decisions comes to the pre-nursing careers and backgrounds based on medical science. But anyone that can sometimes add extra health system as who has been cared for by a nurse will perspective to their current duties and a whole. be the first to tell you that being typical provide more opportunities for them is in no way among the many hats they to share their skills and empathy with wear. For nurses, it’s personal, and they prove today’s patients. It’s everything you can think every day that it takes the best balance of humanity of when you envision what makes a nurse notable, and so to see others in need through what often are the worst much more. moments of their lives.

But it doesn’t end there. Nurses are often the catalysts for change when it comes to the health system as a whole. They motivate their colleagues, peers and leaders around them to do more and expect less while routinely

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Please join us in congratulating the nurses featured in the following pages. We thank each of them for their service and for setting a standard from which we all can learn.

www.OurHealthRichmond.com

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• Compassion •

• Kindness •

• Humility •

Maureen Bell, BSN, RN Living Donor Coordinator

Lesli Davis, RN Clinical Coordinator

Sherry Fox, PhD, RN, CNRN, FAAN

Richmond

Chesterfield

Richmond

Organ donation is something that many of us know more about in the abstract, like in that little box we should really check when we get our driver’s license renewed.

But donations and transplants are part of the VCU Health System, where a record number of transplants were performed last year. Organ donations are also an important part of Maureen Bell, RN’s life. As the Living Donor Coordinator at the VCU Hume-Lee Transplant Center, Bell works regularly with patients needing or considering donating kidneys and those who have already made this valuable gift. She is also active in the transplant community, including supporting the National Kidney Foundation’s fundraising efforts. These opportunities are ways to increase awareness about the need for more donations; currently, there are more than 100,000 potential recipients on national waiting lists for a transplant. Although kidney donations are becoming more common, the donors and recipients still benefit from quality nursing care before, during and after the transplant process. Bell’s support includes educating every patient about the process, risks and benefits, so they go into it with their eyes open and can make a properly informed decision. She also hosts educational seminars, so donors, recipients and their families can learn all about the steps involved. Bell has forged close connections with every member of the VCU Hume-Lee Transplant Center staff, which makes it convenient to get answers when asked questions. Being part of the transplant community requires a blend of professionalism, respect and compassion, and Bell is the epitome of all three.

It’s not hard to shrug off the occasional office mix-up or delayed doctors. Stuff happens, and everyone is busy. That’s kind of the way our busy lives are these days, right?

Well, just don’t say that around Lesli Davis, RN at VCU Health at Chesterfield Meadows, who makes sure that patients are always put first – period. Any excuse why they’re not is simply not good enough. Colleagues are happy to share all sorts of occasions on which Davis successfully turned an unhappy situation around, first by apologizing, and then figuring out clever and creative solutions to make things right. Sometimes, these efforts even brought in the staff at other VCU Health clinics – whatever will work best for patients. She is also wonderful at following up with patients and their families, sometimes checking in with them days after an appointment to see how everyone is doing or sending a card. Co-workers say she has the same high level of interest and commitment to the clinic staff as she has for patients. She’s the one to arrange birthday cards, birthday cakes and birthday parties, and she also makes sure employees with children attend functions or meetings at their schools when needed. Since a big part of the VCU Health experience is customer service, Davis always looks for ways to improve everyone’s time on the telephone and time from patient check-in to when they actually see a provider. She also looks for ways to spread her patient-first philosophy further by providing orientation to new clinical coordinators and sending her staff to other clinics. While the concept of “whatever inconveniences patients least” seems sort of radical in today’s busy world, it’s really rather refreshing.

No one will argue with you if you say that modern healthcare can often be confusing, even frustrating.

Though individual providers or office managers may be helpful at certain locations or for treating certain health conditions, sometimes an expert navigator is needed to guide patients through the bigger picture when all of multiple health systems, providers and benefit coverage are involved. That’s part of the goal of Ask Nurse Debbie, a new initiative that helps navigate patients through any and all the red tape, all with a goal of advocacy. Rather than giving this task to an entry-level employee with a book of regulations and list of providers in front of them, this project tapped the talents of Sherry Fox, PhD, RN, CNRN, FAAN, who probably could have written the book herself. Fox has been working closely with patients for more than 40 years and is a proven leader in multiple capacities, from heading nursing departments to teaching students to involvement in local and national medical boards and organizations.

Her areas of expertise include neurooncology and radiation therapy, but she also is familiar with the ins and outs of the entire area’s medical community.

Beyond her leadership positions, Fox always remains committed to her patients and their well-being, wherever they are or heading in their health journey. She’s worked on the business development side of a cancer care organization and was also part of a program that provided free legal services to cancer clients. Fox is a perfect person to assist anyone who is confused, scared or just doesn’t know where to start or where to go next.

VCU Hume-Lee Transplant Center www.vcuhealth.org

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VCU Health at Chesterfield Meadows www.vcuhealth.org

OurHealth | The Resource for Healthy Living in Greater Richmond

Expert Nurse Navigator Ask Nurse Debbie www.asknursedebbie.com

• Determination •

ZenQuetta Jones, LPN Licensed Practical Nurse JenCare Senior Medical Center www.jencaremed.com

Richmond ZenQuetta Jones, LPN has only been a nurse for two years, but she’s already had plenty of valuable interactions with patients, which constantly tells her she’s in the right place for her career and her life path.

As an LPN at JenCare Senior Medical Center, she works with all types of patients and has learned that sometimes even what may be thought of as a minor gesture, such as saying hello or asking someone how they are, can truly brighten someone’s entire day. So, she always makes an effort to reach out to every patient, show respect and compassion and try to get to know each patient individually. Whether some are never seen again or return in the future, they and their families will remember the wonderful treatment they received from the wonderful nurse.

Jones makes sure to stop by and say hello to every patient, take the time to hear how they truly are, listen to any concerns, let them know that what they’re saying is valid and that they are being listened to and reassures them that they’ll be supported and cared for. This spirit of compassion and loyalty only strengthens her quality clinical skills, demonstrating the importance of having both a subjective and objective approach as equally important when it comes to caring for others. One potentially negative interaction even turned out to have a heart-warming twist. She and other team members tried to help an unresponsive patient, but despite their best effort, he showed no signs of improving, forcing the team to dial 9-1-1 for emergency assistance. Thankfully, the patient recovered and, shortly after, when he spotted Jones, he went out of his way to thank her for not giving up on him and doing all she could, including having the intuition to call paramedics during those minutes that mattered, so much so that the patient and his wife said they wanted to adopt her. Examples like these are the very reason that Jones decided to pursue nursing – to help others when they needed it most.

www.OurHealthRichmond.com

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• Innovative •

• Loyalty •

• Dedication •

Kadiatu Kallon, RN Registered Nurse

Shelia Mann, RN Staff Nurse

Jennie Miller, RN School Nurse

Co-Founder of ODINSAL www.odinsal.org

Richmond

Mechanicsville

Nurses are encouraged to treat each patient like he or she is the only patient on the floor.

This helps create a strong bond, make patients feel comfortable and hopefully improve each person’s experience. But another part of effective nursing is working with colleagues, sometimes in different departments, to improve everyone’s experience. That’s been part of the role of Sheila Mann, RN, at the Hunter Holmes McGuire VA Medical Center, who has been leading efforts to make processes more efficient across multiple clinics, multiple categories and multiple surgical specialties within the local veteran medical community. This effort requires the buy-in and participation of many RNs, APRNs, LPNs, CNAs and other members of nursing teams, all focusing on better service, telephone skills, room assignments and general patient flow on a daily basis. The hard work is already paying off in terms of better surveys, higher marks on inspections and improved clinical compliance. Mann is cochair of her department’s customer service committee and Nurse Professional Practice committee, and she has also started an employee recognition program to highlight employees who perform at a high level.

Though these internal improvement efforts aren’t necessarily connected to direct patient care, all of them do contribute to finding creative ways to encourage employees to come to their jobs excited and willing to work harder and serve others. Our country’s VA medical centers share a wonderful mission of providing care to current and former service members, but it’s easy to get lost in the paperwork, protocol and big workloads.

Mann and others are excellent at providing reminders of what’s most important: helping patients and always trying to be better.

As a school nurse, it’s easy to want to wait for things to come your way. After all, depending on the time of day and time of year, there’s usually no end of students and staff with questions, concerns and needs for medical assistance. But Jennie Miller, RN, makes it a point to go beyond the walls of the nursing office at Hanover High School – literally. She’s always a recognizable face in the hallways, classrooms and pretty much anywhere on campus. Along with educating the whole Hanover High community whenever possible — about 1,400 students and 200 staff at last count — she also makes sure people who interact with the school and students regularly are always up-to-speed on the constantly changing safety procedures and processes. This includes making sure staff like bus drivers and coaches have current training in how to deal with students who have medical issues or needs while traveling or in athletic situations, and that everyone files correct paperwork when health incidents occur.

This training includes teaching as many people as possible to use various medical devices. Miller leads by example and is responsive and pro-active during crises.

And when she’s not carrying out all these responsibilities, she’s also the head coach of the school’s award-winning flag team.

It’s easy to think of a school nurse only as someone who focuses on health needs in a school setting vs. a hospital setting, but Miller has transformed this role into that of a valuable community educator and leader, always ready to impart knowledge and give students and staff the best tools and the confidence to help them make healthy choices.

Retreat Doctors’ Hospital www.retreatdoctors.com

Richmond A popular inspirational phrase going around is “Be the change you want to see in the world”, but perhaps this should be updated to “Let’s all be more like Kadiatu Kallon”. The registered nurse at Retreat Doctors’ Hospital since 2003 was once a high school teacher in the West African nation of Sierra Leone.

She and her husband came to the U.S. to further their educations in the early 1990s, just when their country entered a bloody extended civil war lasting more than 10 years. As she advanced in her nursing skills here, they both vowed to do whatever they could to help her family and others in her home country, perhaps build a health clinic.

Today, that goal has been completed. She balances her time working in Virginia with regular trips to Sierra Leone, where she’s a founder of the non-profit Old Dominion in Salone, or ODINSAL. This innovative program focuses on delivering all sorts of healthcare, everything from eye exams to vaccines to pre-natal care, plus necessary medical equipment and medication to everyone in the community. ODINSOL also goes beyond basic health services by providing school supplies, books and other educational items which can further boost the lives and well-being of its citizens.

Kallon often can be seen at Richmond-area bookstores purchasing lots of literary treats to be taken across the world, often out of her own pocket. She and her two siblings also balance their trips back home to make sure someone always takes care of their ailing mother. Kallon is an excellent example of nursing being able to help many people in many ways, both directly and indirectly.

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Hunter Holmes McGuire VA Medical Center www.richmond.va.gov

OurHealth | The Resource for Healthy Living in Greater Richmond

Hanover High School Hanover County Public Schools http://hhs.hcps.us

• Encouraging •

Jennifer Myers, RN, OCN Oncology Nurse Manager

Virginia Cancer Institute at Southside Regional Medical Center and at Puddledock www.vacancer.com

Petersburg and Prince George Transitioning into hospice care can feel overwhelming, but a reassuring presence like that of Jennifer Myers, RN, OCN, can make a positive difference to patients and their families during this challenging time. She accomplishes this, in large part, through education and communication. As an oncology nurse manager, Myers has developed a thorough knowledge and expertise that patients and those with whom she works trust and depend on – from providing descriptions of medical procedures and information about hospice resources to where to turn to for additional help when needed. Myers manages the Southside Regional Medical Center and Puddledock offices at Virginia Cancer Institute, but that’s hardly all. She also spends time visiting the cancer center’s other offices in the region, providing support for physicians and other specialists, including radiation therapists, haematology and oncology infusion services staff and patients all while identifying opportunities to improve efficiency at every level.

Colleagues say Myers can always be counted on for having a positive, encouraging and supportive attitude – traits that help reduce anxiety and fear for patients during what is often one of the most difficult times their lives.

Join Us in Congratulating these

Outstanding

Nurses

#OurHealthRichmond www.OurHealthRichmond.com

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• Resilience •

Yane Morton, LPN Licensed Practical Nurse Parham Health and Rehabilitation Center www.mfa.com

Richmond If you’re looking for the perfect formula to demonstrate how America still remains a land of opportunity, you can’t do much better than Yane Morton, LPN. Today, she’s a licensed practical nurse at Parham Health and Rehabilitation Center, appreciated by patients and staff alike. But just over a decade ago, she came to the U.S. with little money, a child and nowhere to live. Although she was an industrial engineer in her home country, at first she could only find child care and housekeeping jobs. But soon, she had enough money to take a CNA course which led to a position at a local nursing facility, which she did for five years. This led her to a position as a medication technician for two years. Even though she was interested in more nursing positions, and colleagues felt she had the abilities and personality to do well in this field, she found she lacked a U.S. high school diploma. But with research and encouragement, she was soon able to earn her GED which qualified her to begin LPN training. Today, Morton enjoys working with all types of patients. She has a big heart, and because she put so much effort getting to where she is today, she is appreciative and also encouraging to others.

This interest in collaboration with staff as well as always delivering superior skilled nursing care to patients is a core value at Parham, and it’s something that Morton does well.

Patients often need more than basic care; they need an advocate to speak for them and make sure they’re receiving optimal care for whatever their condition is. Colleagues say that’s where Morton’s compassion and empathy come in – she wants to make sure she can make a difference in her patients lives and they feel safe and connected.

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• Compassion •

Daniel O’Brien, RN Intensive Care

Bon Secours Virginia Health System www.bonsecours.com/richmond

Richmond All nurses have different backgrounds and personal motivations for choosing to do what they do. But very few have a history as diverse as that of Daniel O’Brien, who spent several years jumping out of airplanes for the U.S. Army. True, some of his airborne skills haven’t (yet) been called for within the Bon Secours Health System, especially anything involving a parachute. But what has translated quite well is O’Brien’s ability to make going above and beyond in everything he does part of his standard nursing duties in the intensive care/critical care unit. People in need continue to appreciate how he makes everyone feel more comfortable during difficult times. Family members make mention of the strength, valor and respect that he demonstrates each day.

Patients with military experience have enjoyed being assisted by someone who shares similar honorable experiences while in uniform. Likewise, civilians who may not know about his military background simply appreciate being assisted by someone so attentive, compassionate and willing. O’Brien has been noted as someone personable yet professional, and a perfect example of the mission of Bon Secours: “Good Help to Those in Need.” He helps patients and their family members with their emotional burdens during their darker times and is an exceptional example of how service can take many forms, especially loyalty to those you serve, no matter what uniform you wear.

OurHealth | The Resource for Healthy Living in Greater Richmond

• Passion •

Jo Lynne W. Robins, PhD, RN, ANP-BC, HTP, AHN-C, FAANP

Volunteer Practitioner Health Brigade Program Director Virginia Commonwealth University School of Nursing www.nursing.vcu.edu

Richmond It’s not uncommon for people with plenty of academic credentials and many years in medicine to stay close to the classroom or perhaps the administrative offices of a medical center. But, for the last two decades, you would have always found Jo Lynne Robbins, PhD, RN, ANP-BC, HTP, AHN-C, FAANP on the front lines of community health, directly helping patients. She’s spent 22 years as a dedicated volunteer at Health Brigade, a community clinic where patients don’t have any other sources of healthcare. Here, she helps individuals who may have severe health needs but often lack the resources to get adequate help. She serves as an inspirational mentor to other Health Brigade volunteers and also teaches future nurses as an instructor at VCU’s School of Nursing. Here, Robins imparts to her students the value of volunteering and how vital it is to give back and help those who don’t have anything. She often works with Nurse Practitioner and PhD students who may go on to be tomorrow’s leaders and wants to make sure students learn the requirements and techniques of helping and serving others. It’s important that they learn the clinical and leadership skills, but equally important that they learn the skills of being good human beings, such as patience, compassion and collaboration. Essentially, Robins tells and shows how a more effective approach to meeting patient needs must go beyond the physical and help people mentally and emotionally as well. This holistic approach works well at a community level also.

• Selflessness •

Connie Rush, BSN, RN, OCN Oncology Nurse Johnston-Willis Hospital at CJW Medical Center www.johnstonwillismed.com

Richmond Just about everyone has had a loved one who has battled cancer. This dreadful disease pushes people to their limits, and while many do come out as the victor, the loss of even a single brave soul is still one too many. When it comes to gaining the edge on cancer, an important defender against the condition is the oncology nurse, who helps patients as they literally fight for their lives. One special nurse at the oncology unit of Johnston-Willis Hospital is Connie Rush, who has received all sorts of accolades from colleagues, patients and family members for her wonderful efforts and abilities. Patients at this challenging time of their lives are often frightened of what’s ahead, in severe pain and surrounded by family members and loved ones who are feeling anxious and helpless as well. Rush is credited for doing so much to help patients, plus boosting the spirits of everyone around them. It can be as simple as sharing a smile and a kind word or as unexpected as a telling joke or singing a silly song, but Rush believes in doing whatever it takes to cheer up her patients and help provide a bit of distraction, if even for a moment. Survivors may not want to remember much about this difficult time in their lives, but the genuine demeanor of a kind, compassionate and respectful nurse like Rush certainly helps make those long, dark days a bit brighter. Even fellow nurses say that Rush continues to professionally inspire them with her compassion and caring spirit. Working with oncology patients can be difficult for newer nurses, but it doesn’t take them long to figure out that Rush is an example of who to follow. From the smallest gesture to going above and beyond, Rush gives everything of herself to her profession and her patients to help them keep alive the faith and hope of defeating their greatest opponent, one day at a time.

www.OurHealthRichmond.com

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• Leadership •

Monika Smith, BSN, RN, CRRN AND STAFF AT

Staff Nurse

Montante Plastic Surgery and Aesthetics

Richmond

Dr. Steven J. Montante

WOULD LIKE TO

Congratulate ALL OF THE

Outstanding

Nurses in Richmond

5706 Grove Avenue | Suite 201 Richmond, VA 23226 www.montanteaesthetics.com

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Sheltering Arms Physical Rehabilitation Center www.shelteringarms.com

Nursing school can be great for learning the clinical skills essential to helping patients with a variety of medical conditions. But once you’re out in the field, it’s amazing what else you learn simply by working with patients, staff, guests and even other departments. It’s even more rewarding when this knowledge is requested and depended on to benefit the greater good.

At Sheltering Arms Physical Rehabilitation Center, the opinions of the nursing staff, including Monika Smith, BSN, RN, CRRN, have been asked for as part of the design process for a new science hospital project in Goochland.

Who better than nurses to share ideas for ways that a new facility can make sure workflow and patient satisfaction are kept in mind? Smith provided input on the features of patient rooms and units, the nursing areas and general movement and space needs of patients and staff. She was also asked to solicit other ideas from her colleagues since they too might have creative suggestions. Smith’s leadership in the building project has led others in the organization to seek her help and expertise.

She has been asked to update a nursing clinical ladder program and is also active in outreach efforts in the greater Richmond community.

She has taught a variety of classes at churches and neighborhood groups, discussing health and wellness topics like food allergy awareness, communication with teens, Internet safety and the risks of vaping. Some of these community health promotion fairs she’s been part of also include blood pressure screenings and collecting blood donations. Although her work in inpatient physical rehabilitation remains challenging, she also cultivates opportunities to lead and to serve, and encourages other employees to do the same.

OurHealth | The Resource for Healthy Living in Greater Richmond

• Empathy •

Shannon Thompson, RN Nursing Coordinator Virginia Urology at Stony Point, Reynolds Crossing and Hanover www.uro.com

Richmond and Mechanicsville A specialist clinic is nothing without its nurses, especially a place like Virginia Urology, where, for nearly 30 years, Shannon Thompson, RN, has not only helped plenty of patients but also been a welcome asset to the rest of the staff, including the physicians and management team. Thompson has earned plenty of praise from fellow nurses at both offices, who are constantly impressed with her abilities to work so well with all types of patients, sometimes as many as 50 a day coming through and needing help. More than one patient has also commented that Thompson has the amazing ability to remain upbeat and always flash her trademark smile, no matter what’s happening or how challenging her job might be. Thompson has a role in hiring nurses for the practice, and she also organizes continuing education and related training opportunities for the staff. Patients describe her as being an attentive and empathetic listener while maintaining a high level of professionalism and expertise, to provide the highest level of care. All in all, Thompson symbolizes many of the ideal characteristics of a nurse by simply going the extra mile for patients.

ON THE WEB

More at ourhealthrichmond.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Messages to Men:

Your Health is Important to Your Family.

It Should Be Important to You Too. words | JENNIFER LAMONT

You’re our protector, our advisor and our guide, even if you don’t always know where you’re going. Sometimes you’re the dad who makes us learn how to change a tire before we can drive. Or the class clown who makes us all giggle. You’re the husband who is a best friend and partner. The guy who makes us roll our eyes but who we know we can’t live without.

You’re not a superhero, but, at times, you’re our hero. You seem invincible – and you might feel that way – but you’re not. As the people in your life who love you, we want you to take care of yourself. But we don’t want to nag or constantly remind you, because, frankly, we are tired of doing all the worrying for you. And we know nagging doesn’t work anyway. Men still don’t go to the doctor for checkups as much as women, especially if they feel ‘well.’

Love Your Body Like You Love Your Car June is Men’s Health Month and there’s no better time to tell you how important you are to us – the people in your life who love you, support you and want you around for a very long time. We know you don’t like going to the doctor. Who does? And while some of your reasons for not going are logical, some aren’t.

Logically, you know that men who get early, preventive care have a better chance of catching and surviving illnesses while they’re much more treatable and manageable.

Even if you feel “fine” or you think that pain will go away, there’s never a “dumb” reason to go to the doctor.

Just as you take your car in for regular oil changes and repairs to make sure it’s running smoothly, you need to treat your body with just as much care. If you think something is wrong with your car, you want to fix it early before it becomes a major hassle. Your health is even more important. It matters. So, here’s what we really want you to know.

Love Letters from Your Family – What Your Loved Ones Really Want You to Know

www.OurHealthRichmond.com

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CONTINUED ON PAGE 38

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OurHealth | The Resource for Healthy Living in Greater Richmond

QUIZ:

ASK THE EXPERT

JAMES RIVER CARDIOLOGY

How Much Do You Know About Heart Health?

Test your knowledge about heart health by visiting www.ourhealthrichmond.com/heartconvo and taking the Heart Health Quiz sponsored by James River Cardiology.

Mitesh Amin, MD | Jaspreet Singh, MD | Frederick Schnatz, DO | Victor Sidell, NP Kylene Botts, NP | Minju Sparks, NP | Stacy Brinkley, FNP-BC | Sarah Ruffin, NP 445 Charles H. Dimmock Parkway, Suite 100 | Colonial Heights | c 804.520.1764 7300 Ashlake Parkway, Suite 200 | Chesterfield | c 804.245.8340 101 S. College Drive, Suite 107 | Franklin | c 757.550.2095 864 N. Mecklenburg Avenue | South Hill | c 434.471.4575 7101 Jahnke Road, Suite 200 | Richmond | c 804.495.2299 w www.jamesrivercardiology.com

What’s a “Hollywood Heart Attack” and Why Should Men Take Less Obvious Symptoms More Seriously?

If you’re old enough to remember the 1970s television sitcom Sanford & Son, then you will certainly recall Fred commonly clutching his chest in agony and crying out his catch phrase, “Oh, this is the big one, Elizabeth!” to depict having a gravely serious heart attack when he wasn’t getting his way. Through the years, movies and television have routinely portrayed heart attacks as an event defined by a quick strike of significant pain and suffering so much so that there’s even a term dubbed for it: the “Hollywood heart attack.”

less common in men than women. Experiencing shortness of breath, called dyspnea, can happen with or without chest pain and may be the only symptom of a heart attack, whether you’re being active or not. You might even find yourself coughing and wheezing.

All humor aside, most people know what is and is not accurate when it comes to movies and television, but it doesn’t hurt to be reminded that if you feel there’s any possibility you’re having a heart attack, you should call 9-1-1 immediately, and always follow-up with your primary care provider and cardiologist for a thorough exam and care. If you haven’t been to the doctor in a while, it’s smart to schedule a check-up today to learn what your risk factors are before a heart attack happens. Because in real life, our life is one story we all want to see have a happy outcome.

The truth is that the symptoms of a heart attack aren’t usually as dramatically obvious as they get played out on screen. While chest pain is the most experienced symptom of a heart attack, it more often starts out slowly with mild pain and discomfort. In fact, some heart attacks can occur with no symptoms at all. These “silent heart attacks” are common in older men and diabetics.

Chest pain from a heart attack can be a feeling of “fullness”, squeezing or pressure. It may even be mistaken for heartburn. The discomfort often happens in the left or center of your chest, and may last for several minutes, or it may come and go. The pain can also be felt in other areas of the body because they aren’t getting enough blood. These areas are usually above the waist, such as in the upper part of the stomach, shoulders, one arm (generally the left) or both, back, neck, jaw or even teeth, and can be accompanied by nausea, vomiting, sweating, weakness, tiredness and dizziness. Nausea and vomiting, however, are Jaspreet Singh, MD | Frederick Schnatz, DO | Mitesh Amin, MD

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37

Tips to Der ail D Pred iabet iabe tes a can es be r n d type eve Emily Johnson (Sis)

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rsed . The 2 diabe tes CDC redu say c by e ing your s ve w perc n 5 to 7 eight e risk. nt lower s F pers or a 200 your o to 14 n, that’s pound only poun 10 ds.

Inbox - Email May 20, 2019 at 5:50 PM

Happy Birthday Bro To: Trever Johnson

Happy 50th Birthday to my favorite big brother!

Yes, you’re my only brother, but still my fave. That’s why I want to tell you how much I appreciate you for always being there for me. As big brothers go, I got lucky.

Did I ever thank you enough for all those times you changed my oil or patched that old VW back together for me? Or for being my protector that one summer at camp?

I know I could never thank you enough for helping me move so, so many times.

(I swear, I’ll never ask again!).

Thank you, big brother, for always being someone I could count on as kids and, even now, you’re always there for me. As your sister, I’m proud to call you my brother. As your family, I hope you’re taking good care of yourself. You know I need you to be here for all the family reunions and help me make fun of the cousins. :)

Reduce Your Risk

Exercising and eating healthy reduces your chances for developing type 2 diabetes by 58 percent. That number jumps to 71 percent if you’re over age 60.

Take care and happy birthday, bro.

Did You Know?

Love always, Your Sis

Replacing fast-digesting carbohydrates (refined, processed sugary foods) with whole foods reduces your chances for developing diabetes by up to 40 percent.

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CONTINUED ON PAGE 41

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OurHealth | The Resource for Healthy Living in Greater Richmond

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OurHealth | The Resource for Healthy Living in Greater Richmond

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hin to w t you somet ’t be there s week! I go Sorry I can al n meeting fi r ’s fo it u t hug, bu , thank yo W T , B e. a great big m t ti f the house it home nex g him out o in n n ru t – bringing o dn the break an John over dy. ad D y, u od g t whenever lol. He’s a go e soon, bu m ti y g an arried it. Thinkin t to get m talk about e W f .

O it I don’t wan l? in oo he’s r grad sch my future, s maybe afte e’ h I imagine t ot you. Bu urse, he’s n co l o ys nd, right? L a close seco I will alwa ill so ugh. You w worry, tho ’t n need you, o t D an rt e care of always be the most impo e me k a t e s a le p is addy. man in my life. ProJmohn and en yourself, d h sle w own the ai care of walk me d to e please take er so th , u e yo d ee n you’ll b s way ed. I will al I get marri addy. yourself, d ter! and Mom la I’ll call you birthday!

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41

Dear Son, What a milestone! Getting to 50 means you’ve done okay so far. Just wait till you’re my age! I wish you the happiest of birthdays, kiddo. It doesn’t matter how old you get, you’re still my little boy. I’ve A little birdie told me always been proud of you, you know that. you missed another There’s not much new happening here since doctor’s appointment. we spoke last. Your father sends his love. His Don’t make me take sugar has been a little on the high side. you there myself.

I hope you’re taking good care of yourself.

How is the shoulder doing? A little birdie told me you missed another doctor’s appointment. Don’t make me take you there myself. You know your father doesn’t like me driving the car.

I’ve enclosed a magazine clipping that says eating greens helps prevent cancer and diabetes, so I hope you’re eating your vegetables and taking your vitamins.

And please go the doctor. Don’t be like your father. He won’t eat kale.

Tips for Reducing Slips, Spills and Mishaps Improving your balance and strength can help you reduce the chance of falls and injuries while working, home or at play.

Did Y

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Happy, happy birthday! Your dad and I love you with all our hearts.

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Love, Mom and Dad

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Spring 2013

ON THE WEB

More at ourhealthrichmond.com

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of yourself ever yone a impacts ro u n d y o u , a s ow n physic well as yo ur al and me ntal perfo ever y thin r mance in g you do. P art o

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www.OurHealthRichmond.com

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OurHealth | The Resource for Healthy Living in Greater Richmond

Healthy Home FAMILY • SAFETY • IMPROVEMENTS

Updating Your Home?

Consider These Simple Tips for Making It a Healthier and Safer Place for Your Family words | JEANNE GRUNERT

There’s nothing quite like standing back and seeing how magnificent a project has turned out after all the hard work it took, especially a remarkably large undertaking like renovating or remodeling a home. Yet, no matter how much we may love our living space’s new makeover, there always seems to be something that we would have done differently had we remembered or known about it before the job was complete.

Like all industries, home improvement is one that has seen major advancements in the products, materials and processes used to not only make our lives more comfortable, but healthier too. Before you begin your next big project, take time to learn more about the options available today that can make your home a healthier place to live in the years to come for you and your family.

Mold and Mildew Areas of a home like basements, beneath stairs and in crawl spaces – especially those where furnaces, heat pumps, water heaters and sump and sewer pumps may be located – are more prone to accumulating moisture that can lead to mold and mildew developing.

Moisture behind already enclosed walls can even be present, especially if a home is very old or previous remodeling was done incorrectly.

Did You Know?

According to the Centers for Disease Control and Prevention (CDC), exposure to mold in the home can lead to coughing, wheezing, throat irritation and skin irritation. People with existing lung disease should pay special attention to mold issues as they can aggravate the condition.

New Products for Home Health

Are They Worth It? Ads on television or in glossy brochures at the home center tout the latest health and safety products, but are they worth it? For those with ongoing health concerns or young children at home, you may wish to consider one or more of the following add-on products to your new home or home remodeling project.

1. Media filters: Most air filters for HVAC systems fit loosely in their frames. This allows some air to circulate without passing through the filter, and thus without having airborne particles filtered out. Media filters, on the other hand, fit tightly in the frames and trap more dust, pollen, and other airborne particles. And, according to experts, may last two to three times longer.

2. UV lights: UV lights use ultraviolet radiation to kill mold and bacteria in the air.

They are placed inside the HVAC system. As air passes through the system, the UV light kills these living organisms and improves indoor air quality. They may also be used to reduce mold and bacteria in water systems. They are well-tested and proven to work, and have been in use for decades.

3. Electronic Air Cleaners:

These provide whole-house filtration by removing airborne dust, pollen, and other miscellaneous particles.

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What can homeowners do to keep their homes dry and reduce the risk of mold?

A wet switch or EZ trap into HVAC and water heaters allows the system to cut off upon the detection of water to prevent water damage. Also, a whole-house dehumidifier aids in the prevention of mold development.

Is Summer the Asbestos and Lead Paint in Older Homes Best Time for Home Renovations? Was Your Home Built Before 1989?

Remodeling older homes is popular among many people who are either interested in updating their current residence or restoring a location full of character from decades before. But with remodeling an older home comes the risk of asbestos exposure and uncovering lead paint under the wallpaper you might dislike.

Not necessarily, according to U.S. News & World Report. Electrical work, painting, plumbing upgrades, and even decks and additions can be completed during the fall or winter, too. You may also receive faster service during non-traditional months when contractors aren’t as busy.

Homes built before 1989 may contain asbestos. Asbestos is a naturally occurring substance that acts as a fire retardant, but inhaling asbestos particles or fibers over a long period of time can cause breathing difficulties or lung diseases. Common areas where asbestos was used in older homes include roofing shingles, hot water pipe insulation, around boilers, fireplaces, and furnaces, and in pipe joints.

Lead paint may be found in homes built before 1980. The government banned lead additives from paint in 1978, but older homes may have baseboards, trim, or wall paint that still contains lead. According to the CDC, nationwide, 24 million housing units are suspected of containing lead paint. This paint can chip or become dust and airborne, causing mental problems including poor concentration and lowered intelligence.

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OurHealth | The Resource for Healthy Living in Greater Richmond

Contractors today have many options and can guide you on how to remove old asbestos-laden materials and lead paint safely. Homeowners have options, too.

Community Care Connection Finding the right local contractor who specializes in the health of your home is a great place to start with any renovations and remodels. While there are many in the area to choose from, here are a few that stand out for their healthy home services.

Remember to always use a licensed professional for your projects.

What can homeowners do if they have lead paint?

Virginia Basement, locally owned and operated contractor, serves the Greater Richmond community and offers a comprehensive list of healthy home services including air quality tests and treatment, mold and mildew removal, radon gas testing and remediation, and iron bacteria removal.

For homeowners living in houses that may contain lead paint, the CDC recommends wet-mopping and wiping floors and windowsills frequently to remove any lead particles. Check and remove any peeling paint, especially if you have children under age six living at home who may put hands in their mouths after touching walls or areas containing possibly contaminated paint.

VIRGINIA BASEMENT Ashland | 804.798.2111 www.virginiabasement.com

What is iron bacteria?

Iron bacteria are small naturally occurring living organisms in the soil and shallow groundwater that forms rust colored, slimy deposits on pipes, pumps and plumbing fixtures. Although there is no health risk associated with iron bacteria, it can make water taste and small unpleasant. It is still not recommended to drink.

Safety Should Come First When Remodeling a Home

If you are not searching for a contractor, but instead a certified and licensed professional who specializes in only indoor air quality testing, consider Air Quality Consultants, Inc. in Richmond. They offer professional grade testing services for indoor air quality, home allergen testing and mold testing.

Remodeling for aesthetic reasons provides a refreshed and beautiful home, but what about safety? As you’re drawing up your estimates with your contractors for your home remodeling, ask about adding safety features to your home including:

AIR QUALITY CONSULTANTS, INC. Richmond | 804.687.9190 www.airquality4u.net

Reinforcing handrails Installing grab bars Modifying showers to include grab bars and seats Removing or tacking down scatter rugs Making sure transition strips are correctly mounted into the floor to prevent trips Making sure areas are well lit indoors and out If you’re remodeling your bathroom, consider adding those grab bars and handrails during the remodel. You may not need them now, but you never know when an accident or illness may reduce your mobility, making those grab bars a lifesaver. Even a slip in the shower could be dangerous; a grab bar or nonskid surface added to the tub or shower floor may save a life.

Home remodeling is more than choosing new carpet, paint, and fixtures. Oh sure, that’s the fun part. But making sure your family is healthy and safe is the essential part of a home remodeling project. Choose your projects wisely, invest in healthy living spaces, and enjoy your home for a long time to come.

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Children and Lead-based Paint Physicians with adolescent patients whose blood lead level is 10ug/dl or greater may refer families to the Richmond City Health District Lead-Safe and Healthy Home Initiative who will provide the following at no cost: •

Home visit with Environmental Lead Screening

•

Preventative education for patient

•

Educational resources Richmond City Health Homes Initiative

For more information about the Health home Initiative in Richmond and additional home health resources, visit www.vdh.virginia.gov/richmond-city/healthy-homesinitiative-information-and-resources

Radon Radon is a naturally occurring gas, typically found in igneous rock and soil throughout the country, that can have big impact on the indoor air quality in your home. You can’t see it or smell it and it can build up in your home. According to the American Lung Association, radon is the second leading cause of lung cancer in the U.S. In 2013, 12 national organizations representing government, nonprofit and industry developed The National Radon Acton Plan to help reduce radon risk and eliminate avoidable radon-induced lung cancer in the U.S. Most professionally completed radon testing costs around $150. There are “do-ityourself” tests and kits that can be purchased at a local hardware store for a fraction of the cost, though they may not fulfill the requirements when requested for home sales and purchases

Currently, The Virginia Department of Health has a limited supply of Radon Home Test Kit available for Virginia residents for only $3. Scan the QR code provided to visit www.vdhradon.org to order yours.

Stepping Up the Safety in Your Home While the aging population prefers to stay in their own homes later in life, the addition of grab bars and bath safety products helps make that option a viable one. If you’re not sure what options are best for you and your home, consider visiting Complete Interior Package, Inc. While they are known as shower door experts, they also carry a full line of grab bars and bath safety products in a variety of styles, lengths and colors for your new or remodeled bathroom.

COMPLETE INTERIOR PACKAGE, INC. 10901 Trade road, Suite F North Chesterfield | 804.378.1801 www.ciprichmond.com

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Kid’s Care INFORM • EDUCATE • GROW

KEEPING CHILDREN ACTIVE THIS SUMMER

& Off Those Screens! words | JEANNE GRUNERT

ou Y Did w?

Kno

School’s almost out for summer. As the clang of the last bell of the academic year dies away, and the custodian pulls the floor buffer from the closet, kids everywhere rejoice.

ll of a ent .S. c r e 9p he U aming ut 3 s in t g d Abo ehold ave a ole, an s h t s u n n o e o c h c ve per 95 ens ha e a t of to . ess acc phone l ia rt c a sm ve so y a lo s y t e Th ercen t p 45 almos d n “ a e , dia nlin me are o y e l t y.” th stan con

But parents are another story. Many working parents find themselves worrying about their school-age children – notably those ages 12-17 – during the summer months, especially as children age out of day camp, summer camp, and summer programs.

With 24 million children between the ages of 12-17, and just over 1.8 million children under age 18 living in the commonwealth, that’s not an idle worry.

During the summer months, without the structure of the school day or other activities, adolescents tend to gravitate towards their screens.

Unlike their parents, who tend to visit Facebook, Instagram, and LinkedIn, adolescents prefer YouTube, Instagram, and Snapchat.

Too much screen time can be problematic. Screens take away from active play, reading, and playing independently. And cell phones are a real danger. Distraction with cell phones can make children and teens less able to self-regulate themselves.

CONTINUED ON PAGE 51

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The Summer Fun Checklist Here’s a brief checklist to use when discussing with your teens about what interests them so you can plan your summer fun schedule. For every activity on the list, ask your teen to assign a numerical score from 1 – 5, with “1” being “not interested” and “5” being “that sounds great! Let’s do it!” Tally up the results and the activities with the most “5s” are those you might want to add to a “Summer Fun” Checklist of things to do this year.

Summer Fun Ideas: (SCORE FROM 1 TO 5)

Go canoeing Go kayaking Go fishing Go swimming Go to a museum Go for a hike Go on a family bike ride Schedule a movie night Day trips to see historical sites in Virginia Campfire or fire pit with friends Cooking lessons Craft lessons together like pottery, stained glass, etc.

Visit a vintage or artisan festival Volunteer at a local non-profit 50

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Studies have shown the more screen time kids get, the less able they are to manage their emotions, read verbal cues, and self-soothe.

Other detrimental effects of too much screen time include both physical and emotional problems. Neck pain, shoulder pain, back pain, headaches, sleep disturbance with use of a screen near bedtime, and chronic illness caused by contamination of the phone with viruses and bacteria are all risks from too much screen time.

Vision problems are also common. Small text and bright screens can strain the user’s eyes causing dry eyes, eye redness, and blurred vision.

So no, parents – it’s not your imagination, and you’re not overreacting when you worry about your teens during the summertime. But what can you do?

Take Back Summer from the Screen!

It’s time to take back your summer from the screen or limit your kids’ screentime.

But instead of nagging them to death over their use of smartphones, make the alternative more attractive.

1. Virginia State Parks Programs: Virginia offers a wealth of beautiful state parks with lakes for swimming, canoeing, and fishing. Camping, hiking, nature programs and other outdoor activities make for great family time, too. Special events include nature hikes, star gazing, historical tours of sites, and more.

Visit www.dcr.virginia.gov/ state-parks/other/summer-fun for more information.

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2. Virginia Public Libraries: Many of the public libraries in Virginia offer summer programs for teens including movie days, gaming afternoons with old-fashioned board games, and similar programs.

Visit www.vpl.virginia.gov/ programming/youth-services/ for more information.

3. Friend Fun: Plan for a sleepover, a weekend together, or another activity that brings teens together. It doesn’t have to be elaborate or expensive. It’s having face time, rather than screentime, that counts.

4. Get On Your Bike and Ride: Dust off your old bicycles, fill the tires, and go for a family ride. The Rails-to-Trails Conservancy, a national organization, offers a guide to converted railway lines statewide that are now smooth, groomed bicycling and walking pathways.

Visit www.dcr.virginia.gov/state-parks/blog/9-great-rail-trails-in-virginia to learn about nine great rail trails in Virginia.

5. Encourage Hobbies: Offline hobbies, crafts, and activities offer a great way to keep kids fit and active during the summer months.

Baseball, swimming, horseback riding, and other sports provide demanding physical activity with plenty of time away from the screen.

Mommy Poppins, an online guide to activities designed to help children get more out of life, offers some excellent ideas to consider in the Richmond area.

Scan the QR code provided to visit www.mommypoppins.com/things-to-do-inrichmond-virginia-best-outdoor-activitiesfor-kids for more information.

Summertime is when the living is easy, but it’s also a time when parents face many challenges keeping teens active and healthy. Encourage togetherness with family and friends, outdoor time to keep minds and bodies healthy, and enjoy the months ahead.

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WHO DO YOU think has the

BESTBedside VOTING CATEGORIES INCLUDE:

Manner

in Richmond?

POLLS OPEN MAY 1

ST

Visit www.ourhealthrichmond.com and click on the 2019 Best Bedside Manner Awards voting button to submit your entries.

VOTING CLOSES JUNE 15, 2019, and winners will be featured in the November/December edition!

Questions? Email steve@ourhealthvirginia.com

RICHMOND

Food Fitness NUTRITION • EXERCISE • PREVENTION

BUYING AND CONSUMING LOCAL FOODS IS BENEFICIAL IN MORE WAYS THAN YOU MIGHT THINK.

words | BRANDY CENTOLANZA

Nothing beats a fresh bowl of strawberries in the spring, a juicy tomato in the summer, or a crisp apple in the fall.

While produce is easily accessible at the supermarket, buying fruits, vegetables and other products from local farmers and merchants can be a benefit for not only your personal health, but also for the community as a whole.

WHAT’S CONSIDERED ‘LOCAL’ FOOD? Local food is generally categorized as food that comes from within 100 miles of where you live, though the Virginia Department of Agriculture and Consumer Services (VDACS) considers anything grown or raised in Virginia as local. This list includes fruits and vegetables, herbs, plants and flowers, meats, cheeses and dairy products, seafood, and other items.

Buying local “helps strengthen local economies,” points out Elaine Lidholm, Director of Communications for the Virginia Department of Agriculture and Consumer Services (VDACS). “Consumer spending at farmers markets keeps money circulating within the local economy, helping to create and preserve jobs www.OurHealthRichmond.com

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Richmond FARMERS MARKETS

The Virginia Department of Agriculture and Consumer Services (VDACS) provides a list of more than 200 farmers markets by region on at www.vdacs.virginia.gov/vagrown

Food Fitness

• NUTRITION

in rural localities. Consumers visiting farmers markets also spend money at neighboring businesses, supporting the neighborhoods where the markets are located. Buying local is a way to know the farmers who grow your food.”

WHY BUYING LOCAL IS BETTER

Birdhouse Farmers Market

Buying local is becoming more popular with more people choosing to shop at area places such as farmers markets and more restaurants also opting to use local ingredients in their dishes in a trend known as farm-to-table dining. Not only does the practice of buying local help boost the economy, it is better for the environment and is healthier for you and your family too.

Carytown Farmers Market

“It’s also a way to buy produce, plants, herbs or other products that are justpicked fresh, and thus, more nutritious,” says Lidholm. “Spending long hours on a truck or rail car diminishes nutrients, so fresher really is better.”

1507 Grayland Avenue | Richmond | 804.404.3817 www.birdhousefarmersmarket.org May – November: Tuesdays 3 p.m. – 6:30 p.m.

3201 Maplewood Avenue | Richmond | 804.402.9076 www.carytownmarket.com May – November: Sundays 9 a.m. – 1 p.m.

Dorey Park Farmers Market

2999 Darbytown Road | Henrico | 804.314.9739 www.doreyparkfarmersmarket.org June – October: Saturdays 9 a.m. – 1 p.m.

Farmers Market at St. Stephen’s 6000 Grove Avenue | Richmond | 804.261.0841 www.ststephensrva.org/farmersmarket Saturdays 8 a.m. – Noon

Huguenot-Robious Farmers’ Market at the Great Big Greenhouse 2051 Huguenot Road | Richmond | 804.320.1317 www.greatbiggreenhouse.com/farmers-market Thursdays 10 a.m. – 2 p.m.

Lakeside Farmers Market

6110 Lakeside Avenue | Richmond | 804.262.6593 www.lakesidefarmersmarket.net Wednesdays 9 a.m. – 2 p.m. | Saturdays 9 a.m. – Noon

OnTheSquareVA Farmers Market

1314 East Grace Street | Richmond | 804.929.6653 f OnTheSquareVAFarmersMarket Fridays 11 a.m. – 1 p.m. (May 10th – October 11th)

South of the James Farmers Market Forest Hill Avenue & 42nd Street | Richmond 804.221.6667 | www.growrva.com November – April: Saturdays 9 a.m. – Noon May – October: Saturdays 8 a.m. – Noon

“Buying local is also a way to buy produce, plants, herbs or other products that are just-picked fresh, and thus, more nutritious.”

Elaine Lidholm

Director of Communications for the Virginia Farmers Market Association

Picking up ingredients for your next meal at a farm stand makes you feel more connected to your food and makes you more aware of what you are putting in your body. It also provides a chance to get to know the farmers and discover foods you may have never heard of before. Prices vary depending on the products, and, while some items may be a little more expensive than your chain grocery store, the benefits to your health make it worth it.

“At a farmers market, people often find products not available at the chain stores like exotic vegetables, or heirloom apples or tomatoes, so price isn’t always a factor,” says Lidholm.

WHERE TO BUY LOCAL PRODUCTS

Nearly every community in Virginia has a weekly farmers market, typically in the warmer months when fruits and vegetables are at their peak. The Virginia Farmers Market Association provides a list of more than 200 farmers markets by region on its website (www.vdacs.virginia.gov/ vagrown). In addition, vendor information is available through the Virginia Farmers Market Association (www.vafma.org).

WHAT ARE COMMUNITY SUPPORTED AGRICULTURE PROGRAMS?

Beyond farmers markets, you may also wish to consider joining a Community Supported Agriculture (CSA) program. Through a CSA, farmers offer shares to the public: In exchange for a membership, farmers supply patrons with a box of seasonal produce or sometimes even farm products like meats and cheeses each week during the season. The arrangement works because you get to know the people growing your food and you receive fresh food full of flavor and vitamins Local farmers also tend to use less pesticides or none at all. Advocates for organic foods – foods grown or produced without the use of chemical fertilizers, pesticides, or other artificial agents – consider these foods to be safer, more nutritious, better tasting, and better for the planet.

farmers markets, you may also wish »to Beyond consider joining a Community Supported Agriculture (CSA) program.

Through a CSA, farmers offer shares to the public: In exchange for a membership, farmers supply patrons with a box of seasonal produce or sometimes even farm products like meats 56 and cheeses each week during the season.

“When buying directly from a farmer or food producer, you have the opportunity to ask them about their growing practices,” says Kim Hutchinson, Executive Director of the Virginia Farmers Market Association. “If choosing meat from animals that are grassfed or raised in a particular manner is important to you, talk to the farmers about how they raise their animals. There

are also certifications you can look for such as Animal Welfare Approved, Certified Naturally Grown, and Certified Organic.”

WHEN BEST TO BUY

In Virginia, food is grown year-round, allowing consumers to enjoy various fruits, vegetables, and other products throughout the year.

The Virginia Department of Agriculture and Consumer Services offers a produce availability chart on its website at www.vdacs.virginia.gov/ pdf/producechart.pdf.

“When you eat with the season, buying from local farms, you learn which fruits and vegetables are available each season and enjoy them fresh at their peak: strawberries and asparagus in the spring; tomatoes, corn, and watermelon in the summer; and apples, pumpkins, and sweet potatoes in the fall,” Hutchinson says. “You can also preserve food at its peak through canning, freezing, or dehydrating, so you can enjoy summer flavor throughout the winter. There is also wonderful produce that keeps well like butternut squashes, sweet potatoes, and apples. These are excellent to buy in bulk when they are in season.”

When you are shopping for fresh fruits and vegetables, be sure to pick produce that is firm, colorful, the proper temperature, and is free of any bruising or signs of pests.

Be sure to thoroughly wash items before consuming.

EXPERT CONTRIBUTERS Kim Hutchinson is the Executive Director of Virginia Farmers Market Association.

Elaine Lidholm is the Director of Communications for the Virginia Department of Agriculture and Consumer Services (VDACS).

“You can also preserve food at its peak through canning, freezing, or dehydrating, so you can enjoy summer flavor throughout the winter.”

Kim Hutchinson

Executive Director of Virginia Farmers Market Association

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