Y O U R L O C A L H E A LT H R E S O U R C E
September | October 2019
COMPLIMENTARY COPY
ourhealthrichmond.com
LIVING WITH CHRONIC HEALTH CONDITIONS: RICHMONDERS SHARE HOW THEY ARE DOING MORE THAN SURVIVING; THEY ARE THRIVING!
HEART HEALTHY SOUPS AND STEWS PERFECT FOR THE FALL SEASON
YOUTH TRIATHLON RAISES MONEY FOR THE VIRGINIA HOME FOR BOYS AND GIRLS
USA BMX RACE FOR LIFE SERIES RIDES INTO RICHMOND TO RAISE FUNDS FOR THE LEUKEMIA AND LYMPHOMA SOCIETY
Ladies
Taking Time for Your Own Health SHOULD BE A
TOP PRIORITY
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FEATURES
SEPTEMBER • OCTOBER 2019
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LIVING WITH CHRONIC HEALTH CONDITIONS: NOT JUST SURVIVING BUT THRIVING Thanks to advancements in technology, medicine and services, and the expertise of medical professionals available today, including here in the greater Richmond area, people are able to slow the progression of chronic illnesses and even realize improvements in their health and vitality.
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LADIES, TAKING TIME FOR YOUR OWN HEALTH SHOULD BE A TOP PRIORITY A recent survey showed almost 80 percent of women not only rank themselves last on their health to-do list, but will put off going to much-needed medical appointments because of their commitment to managing everyone else’s health, including their spouse/significant other, children, elderly relatives, grandchildren and pets.
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DEPARTMENTS SEPTEMBER • OCTOBER 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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16 – Children Run, Swim, and Bike their Way to Success During the Virginia Home for Boys and Girls Youth Triathlon
Q&A on Health | Questions. Answers. Knowledge.
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Healthy Observations | Educate. Eradicate. Victory.
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51 – SEPTEMBER 2019 | National Traumatic Brain Injury Awareness Month Prompt Care for Concussions in People of All Ages Makes a Significant Difference. The damage from traumatic brain injuries can take years to detect— which is why prompt medical care is essential after all falls, blows and accidents.
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Sponsored Content American Heart Association As our community evolves, so does the American Heart Association. We are working to make the 1.3 million hearts in Greater Richmond healthier by facing problems that impact heart and brain health head-on. Together, we can be a force for longer, healthier lives in our community.
44 – SEPTEMBER 23, 2019 | National Fall Prevention Awareness Day Fall Prevention: An Important Part of Rehabilitation. A physical therapist with Sheltering Arms Physical Rehabilitation Centers shares insight on avoiding falls once a patient moves to home recovery. 46 – SEPTEMBER 2019 | Atrial Fibrillation Awareness Month Atrial Fibrillation Awareness Month Puts Focus on Common Heart Condition. Drs. Shah and Mohanty of Virginia Arrhythmia Consultants bring years of experience to a niche in cardiology that some may not fully be aware of.
Nutrition. Exercise. Prevention. Heart Healthy Soups and Stews Perfect for the Fall Season. This fall, warm up the cool, crisp season by having delicious – and heart healthy – soups and stews headline your meal plans.
14 – USA BMX Race for Life Series Rides into Richmond to Raise Funds for the Leukemia and Lymphoma Society
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Food and Fitness
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Funny Bone
Spot the Seven Differences
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SEPTEMBER • OCTOBER 2019
OURHEALTH’S EXCLUSIVE MEDIA PARTNER
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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2019 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Richmond is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 3420 Pump Road, #314 • Richmond, VA 23233 • P: 540.387.6482 F: 540.387.6483 MAIN: ourhealthvirginia.com | ourhealthroanokenrv.com | ourhealthlynchburg.com | ourhealthrichmond.com | ourhealthcharlottesville.com | Advertising rates upon request.
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The Pulse
INFORMATION • EVENTS • AWARENESS
Community Outreach
Community Outreach
Art Exhibit Gala to Benefit Healing Arts Programming in Richmond
American Heart Association RVA Heart Walk To Be Held October 5th
If you are looking for a way to support local art programming for children and adults designed to promote positive mental health and well-being, Art for the Journey may be just for you. Art for the Journey, a local non-profit organization whose mission is to overcome barriers to the healing power of creativity and selfexpression to improve quality of life, is hosting its Fourth Annual Art Exhibit Gala. Proceeds from the benefit will help fund various art programs offered through Art for the Journey including the Veterans Art Program, dementia and Alzheimer’s programming, Paint In at VCU School of Medicine and more.
Mark your calendars to participate in the RVA Heart Walk, to be held on Saturday, October 5, 2019 at Monroe Park, 620 W Main Street, Richmond, VA 23220. Registration begins at 8:30 am with the walk starting at 10 am. Individuals and teams can register by visiting www.richmondvaheartwalk.org. The RVA Heart Walk is a non-competitive, one- and three-mile walk focused on funding groundbreaking research and community health initiatives through the passion of walking together to change lives. Additional highlights of the event will include wellness activities and education, children activities, VCU pep band, Hands-Only CPR demonstrations and a tribute wall. This year’s event is presented by the American Heart Association, along with event co-chairs Peter Buckley, MD, dean of VCU School of Medicine and Gary Thomson, retired managing partner of Dixon Hughes Goodman, LLP, and local sponsor VCU Health. More information: Visit www.richmondvaheartwalk.org.
New Facilities and Relocations
More information: Visit www.artforthejourney.org or call 804.784.5357.
Virginia Cardiovascular Specialists (VCS) Relocates Boulders Office to Stony Point Medical Office Building Virginia Cardiovascular Specialists (VCS) has relocated its Boulders location to Stony Point Medical Office Building, located at 8700 Stony Point Parkway, Suite 120, Richmond, VA 23235. The new VCS practice takes the place of its Boulders location, which had been the practice’s home for more than two decades, according to Ann Honeycutt, Executive Director of VCS. The new office opened on August 26, 2019.
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The 4th Annual Art Exhibit Gala will be held on Thursday, October 24, 2019 from 5:30 pm – 8:30 pm at Jepson Alumni Center at the University of Richmond, located at 49 Crenshaw Way, Richmond, VA 23221. Tickets are $75 each.
We [had] outgrown the Boulders location, [and] needed a place that’s more patient friendly, fits the growth of our physicians and staff, and provides easier parking and access for everyone. Ann Honeycutt, Executive Director of Virginia Cadriovascular Specialists
VCS’s new location at Stony Point is more than 9,000 square feet and is home to over ten physicians and advanced practice providers and more than 30 staff and support personnel. Its offices are located on the first floor and are completely handicap accessible. Services at the new location include comprehensive cardiovascular disease diagnosis and treatment, heart rhythm disorders, vascular disease and intervention and preventive cardiology. The practice also offers echocardiograms, stress testing (echocardiogram and exercise tests), EKGs, and event monitoring. Office hours at the Stony Point location are Monday – Friday, 8 am – 5 pm. More information: Visit www.vacardio.com or call 804.323.5011.
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New Facilities and Relocations Bon Secours Orthopedic Specialists Opens at Memorial Regional Medical Center Bon Secours has recently opened Bon Secours Orthopedic Specialists at Memorial Regional Medical Center, located at 8266 Atlee Road, MOB II, Suite 225, Mechanicsville, VA 23116. Bon Secours Orthopedic Specialists is Bon Secours’ first employed orthopedics practice. Specialties offered include joint replacement, orthopedic surgery, robotic surgery, general orthopedics and sports medicine. More information: Visit www.bonsecours.com/richmond or call 804.764.7365 or 804.764.3275.
New Services, Programs and Technologies New Henrico Doctors’ Hospital Procedure Treats Carotid Artery Disease and Prevents Stroke HCA Virginia’s Henrico Doctors’ Hospital is offering a new procedure to treat carotid artery disease and prevent future strokes through Trans Carotid Artery Revascularization (TCAR) — a clinically proven, minimally invasive, and safe approach for high surgical risk patients who need carotid artery treatment. Henrico Doctors’ was the first in the Greater Richmond area to perform the TCAR, which involves accessing the carotid artery through a small incision above the collarbone. A vascular surgeon then delivers a stent directly into the artery, which reduces the risk of stroke and other complications associated with traditional stenting or surgical methods. “Minimally invasive technologies have not been widely adopted in the field of carotid surgery because standard carotid stenting from the groin has a two-time higher risk of stroke than more conventional approaches,” says Andrew Leake, MD, vascular surgeon at Henrico Doctors’ Hospital. “We haven’t had many options for carotid disease until now.” Carotid artery disease (CAD) is a form of atherosclerosis, or a buildup of plaque, in the two main arteries in the neck that supply oxygen-rich blood to the brain. If left untreated, CAD can often lead to stroke; it is estimated to be the source of stroke in up to a third of cases, with 400,000 new diagnoses of the disease made every year in the U.S. alone.
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We’re really adopting it and seeing great results from the TCAR procedure. Patients are going home earlier with significantly less pain, smaller incisions and are able to get back into their routines relatively quickly.
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Andrew Leake, MD, vascular surgeon at Henrico Doctors’ Hospital
More information: Visit www.henricodoctors.com.
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• NEWS TO KNOW
HCA Virginia Introduces Pregnancy Skill through Amazon Alexa to Answer PregnancyRelated Questions HCA Virginia is now offering a new and interactive skill through Amazon Alexa called “Forty Weeks”, which provides answers to pregnancy questions from expecting mothers and new parents. From trying to get pregnant to coming home with a new baby, the skill provides facts, tips and answers to questions some may find too embarrassed to ask otherwise. (Note: the skill is rated “Mature”, meaning content may not be suitable for those under the age of 18. Review the description of “Mature” skills in the “Skill Details” section found on the website link on www.amazon.com). “Forty Weeks” is the first pregnancy-related Alexa skill offered by a health system. An Alexa enabled device is required to access the skill. Christie Wheeler, 33, of Henrico, has used the “Forty Weeks” skill and is currently expecting her second child. She says that while she has not been a regular user of other well-known pregnancy apps, she feels the “Forty Weeks” skill is convenient when looking for answers to common pregnancy questions or other things about the experience a person may have forgotten about.
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It’s something that is extremely easy to use when you have a quick question. It’s an additional resource to use and one that makes it easier than sitting and searching for information. Christie Wheeler, of Henrico
Some topics include trying to get pregnant and infertility, and also includes a tip of the day with pregnancy-related trivia. Users are directed to the site www.nopregnancyisperfect.com, where they have the ability to view stories from other parents on their pregnancy-related experiences. “Forty Weeks” is for educational purposes only. It does not provide medical advice, and is not a substitute for professional medical advice, treatment or diagnosis. If you think you may have a medical emergency, please dial your local emergency response phone number. More information: To enable the “Forty Weeks” skill, visit www.amazon.com and type “Forty Weeks Alexa Skill” in the search field at the top of the page.
Recognitions, Awards and Accreditations HCA Virginia Hospitals Recognized as High Performers by U.S. News & World Report HCA Virginia’s Chippenham and Parham Doctors’ Hospitals have been recognized as High Performing Hospitals for 2019 – 2020 by U.S. News & World Report. Chippenham Hospital earned “High Performing” ratings for heart failure, COPD, hip replacement, and surgery while Parham Doctors’ Hospital earned “High Performing” for knee replacement in recognition of care that was significantly better than the national average, as measured by factors such as patient outcomes. “High Performing” is the highest rating U.S. News awards for these types of care. The annual Procedures & Conditions ratings, now in their 5th year, are designed to assist patients and their doctors in making informed decisions about where to receive care for common conditions and elective procedures.
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We are honored to achieve these prestigious national recognitions, which reflect the commitment we have to our patients. I am proud of our team’s efforts and their focus on providing world-class healthcare.
William Lunn, MD, Chief Executive Officer of Chippenham & Johnston-Willis Hospitals
For the 2019 – 2020 ratings, U.S. News evaluated more than 4,500 medical centers nationwide in nine procedures and conditions. Less than a third of all hospitals received a high-performing rating. The state and metro area rankings recognize hospitals that received high performing ratings across multiple areas of care.
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Our hospital strives to ensure that we deliver the highest level of orthopedic care for our patients. I am proud of our team for being a leader in this field and for providing our patients with better outcomes and improved quality of life.
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New Services, Programs and Technologies
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The Pulse
David Donaldson, Chief Executive Officer of Parham Doctors’ Hospital
The U.S. News Procedures & Conditions methodology is based entirely on objective measures of quality such as risk-adjusted outcome rates, volume, quality of nursing, and other care-related indicators. The Procedures & Conditions ratings were produced by U.S. News analysts. More information: Visit www.hcavirginia.com.
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.
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OurHealth | The Resource for Healthy Living in Greater Richmond
Vishnu Ambur, MD
Jacob Budny, DO
Jessica Kazbour, AuD
Richard Loria, MD
Rachel Love, MD
Matthew Macey, MD
C. Taylor Richardson Jr., MD
Stephanie Sadtler, FNP-BC
Uyen Truong, MD
Vascular Surgery Associates Bon Secours Orthopedic Evolution Hearing Mechanicsville | 804.559.7634 Specialists at MRMC Richmond | 804.215.0001 www.vascularsurgeryassociates.com Mechanicsville | 804.764.7365 www.evolutionhearing.com www.bonsecours.com
Children’s Hospital of Richmond at VCU Allergy and Immunology Downtown Richmond and Chesterfield 804.828.2467 www.chrichmond.org
Richmond Gastroenterology Associates N. Chesterfield | 804.330.4021 www.richmondgastro.com
Bon Secours Richmond OB-GYN Richmond | 804.320.2483 www.bonsecours.com
Richmond Gastroenterology Associates Richmond | 804.673.2806 www.richmondgastro.com
Scott Vota, DO, FAAN
Virginia Urology Richmond | 804.330.9105 www.uro.com
Children’s Hospital of Richmond at VCU Cardiology Downtown Richmond 804.828.2467 www.chrichmond.org
Ann Winn, RN
Bon Secours Neurology Clinic Chief Nursing Officer Mechanicsville | 804.325.8720 HCA Virginia www.bonsecours.com Chippenham Hospital Richmond | 804.483.0000 www.chippenhammed.com www.OurHealthRichmond.com
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Health Scene HAPPENINGS • WHO’S WHO • TRENDING words | JENNIFER HUNGATE photos courtesy of | RICHMOND BMX
USA BMX RACE FOR LIFE SERIES RIDES INTO RICHMOND TO RAISE FUNDS FOR THE LEUKEMIA AND LYMPHOMA SOCIETY On Sunday, August 11, 2019, nearly 100 Richmond area BMX riders participated in the USA BMX Race for Life Series held at Gillies Park in Richmond to raise funds benefiting the Leukemia and Lymphoma Society, whose mission is to find cures for all bloodrelated cancers. The USA BMX Race for Life Series began in 1981 as a fundraiser to help then 12-year-old Todd Kingsbury, a young Michigan BMX rider who was diagnosed with leukemia. Since its inception, USA BMX and BMX Canada have raised over $3.6 million for the Leukemia and Lymphoma Society in honor of Kingsbury and to raise awareness of childhood leukemia. The Richmond BMX public track at Gillies Creek Park is a free BMX track open to the public during park hours. For new rider information, visit www.richmondbmx.com. For more information about the USA BMX Race for Life Series, visit www.usabmxfoundation.org.
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Local health. Anywhere you go. OurHealth magazine is Richmond’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 900 locations throughout the area or get the digital edition by visiting
ourhealthrichmond.com .
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Health Scene HAPPENINGS • WHO’S WHO • TRENDING contributor | JOAN MARABLE photos courtesy of | LIVE RED FOUNDATION
CHILDREN RUN, SWIM, AND BIKE THEIR WAY TO SUCCESS DURING THE VIRGINIA HOME FOR BOYS AND GIRLS YOUTH TRIATHLON On Saturday, August 17, 2019, Live Red Foundation and Endorphin Fitness partnered with the Virginia Home for Boys and Girls (VHBG) in Richmond to host the 8th Annual Youth Triathlon. Boys and girls ages five to 14 from around the Richmond region competed in a triathlon that included a pool swim, bike course, and run on level playing fields located on VHBG’s 30-plus acre campus in Henrico County. Additionally, Endorphin Fitness provided a four-day youth triathlon camp to help prepare kids for the triathlon experience, where participants were taught essential skills of the sport in a safe and fun environment. Triathlons are a great way to experience the benefits of a healthy lifestyle that requires daily exercise and good nutrition. Endorphin Fitness provides youth and adult triathlon coaching and Live Red Foundation provides free fitness programs that teach life skills to underserved communities. Live Red Foundation also produces several youth running and multisport races for the communities it serves. All of the proceeds raised from the Youth Triathlon are used to support VHBG’s youth with community-related recreational activities to further support their social skills and emotional well-being. For more information, visit www.livered.org, www.endorphinfitness. com or www.vhbg.org. To view the 2019 race results for each category, visit www.livered. org/vhbg-youth-triathlon.
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Questions. Answers. Knowledge.
Did you know?
IRRITABLE BOWEL SYNDROME
is more common in women, affecting approximately 15 percent of females in the U.S.
What is the most common gastrointestinal condition facing women as they age? One of the most common conditions that gastroenterologists treat is irritable bowel syndrome (IBS). IBS is more common in women, affecting approximately 15 percent of females in the U.S. Patients with this condition frequently have chronic abdominal pain or cramping in association with altered bowel habits. There are different subtypes of this condition: IBS with diarrhea, IBS with constipation, or IBS mixed constipation and diarrhea. Many patients also have accompanying bloating or distension. IBS is a diagnosis of exclusion, meaning in some circumstances, a physician will rule out other conditions such as celiac disease or colitis with blood tests or endoscopies. There is no cure to this condition, however, there are multiple treatment options to address symptoms such as recommending dietary changes and medications. Many patients have an improvement in symptoms by following a specialized diet such as the low-FODMAP diet, which eliminates gas producing foods. Krista Edelman, MD Richmond Gastroenterology Associates Richmond | 804.330.4021 www.richmondgastro.com
What is pregnancy recovery therapy? Pregnancy and childbirth are challenging for a woman’s body, having an effect on her in ways she may not always be expecting. During both pregnancy and childbirth, women may experience back and pelvic pain, core weakness (the core is a large group of muscles that attach to the trunk of the body and function to distribute forces evenly throughout the body), urine leakage, separated abdominal muscles, or constipation – all signs of pelvic floor dysfunction (the pelvic floor is a set of muscles that supports pelvic organs, such as the bladder and bowel.) Many women believe these dysfunctions are normal, and many mothers may not know where to turn for post-partum rehabilitation. Typically, six weeks after giving birth, The American College of Obstetricians and Gynecologists recommends beginning ongoing follow-up visits with a pelvic health specialist to combat symptoms of pelvic floor dysfunction. Pregnancy recovery therapy guides mothers through proper postural and body mechanics to regain function, tone, and alignment to the pelvic area. Specific core strengthening exercises assist in the closure of separated abdominals and improve lower back pain. Occasionally, and in the case of pelvic pain, further evaluation and treatment of pelvic floor muscles is required to regain proper stability, strength, and body mechanics needed for a full recovery after pregnancy and delivery. Michelle St. Onge, PT, MT Sheltering Arms Physical Rehabilitation Centers Richmond | 804.764.1000 www.shelteringarms.com
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Is pelvic floor physical therapy only used to treat incontinence conditions? That’s a great question and, unfortunately, a common misconception. Physical therapy that addresses pelvic health treats an array of pelvic floor dysfunctions in both women and men, including vaginal and vulvar pain, vaginal prolapse, erectile dysfunction, constipation, and pain with intercourse, as well as urine, fecal, and anal incontinence. While these conditions may be the result of the causes and effects of various diseases, general deconditioning (changes in the body brought about by physical inactivity and non-use) or trauma, each can be effectively treated with physical therapy for the pelvic floor. Pelvic health physical therapists are uniquely trained to examine, evaluate, and treat each of these functional limitations with the goal of helping the patient return to full health and wellness. Kiara Girkins, PT, DPT Orthopedic Physical Therapy, Inc. Richmond | 804.285.0148 www.orthopedicptinc.com
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Questions. Answers. Knowledge.
What are early warning signs of thyroid problems? There are three major issues that can affect thyroid function: hyperthyroidism, hypothyroidism and enlargement of the thyroid itself. • HYPERTHYROIDISM: when the
Major alterations
IN THYROID FUNCTION
HYPERTHYROIDISM Individuals may experience rapid heart rate, nervousness, heat intolerance, loose stools and, in some cases, unintended weight loss.
HYPOTHYROIDISM Individuals may experience fatigue, weight gain, cold intolerance, shortness of breath and constipation.
ENLARGEMENT OF THYROID GLAND Individuals may experience a generalized enlargement, or, in many cases, the formation of nodules in the gland.
thyroid gland becomes overactive, it releases too much thyroid hormone, potentially causing rapid heart rate, nervousness, heat intolerance, loose stools and, in some cases, unintended weight loss. Changes in hair and skin as well as bulging eyes can also occur. A simple laboratory blood test can detect the presence of an overactive thyroid gland. • HYPOTHYROIDISM: In the
case of an underactive thyroid, individuals may experience fatigue, weight gain, cold intolerance, shortness of breath and constipation. A simple laboratory blood test can detect the presence of an underactive thyroid gland. • ENLARGEMENT OF THE THYROID: The third major
abnormality of the thyroid is related to an enlargement of the thyroid gland itself (goiter). Individuals may experience a generalized enlargement, or, in many cases, the formation of nodules in the gland. In addition to laboratory blood tests, an ultrasound of the thyroid and potentially a biopsy of the nodule is needed to tell whether the nodule is benign or cancerous. John Clore, MD
Bon Secours Richmond Diabetes and Endocrinology Mechanicsville | 804.764.7686 www.bonsecours.com
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Should I wait until after my mastectomy to see a certified mastectomy fitter? Actually, a certified mastectomy fitter can begin the process of helping women before they have a mastectomy. A pre-surgical appointment with a certified mastectomy fitter provides women the opportunity to learn about all post-surgical options available to help them make a more educated decision on what may be best for them. A certified mastectomy fitter can also provide post-surgical bras/ camisoles for use immediately following the procedure. Once healed, women can be fitted for post-mastectomy bras and breast prosthesis that are available in a variety of types, which can be used throughout the reconstruction process or for long-term use. Many certified mastectomy fitters offer silicone breast forms and leisure and swim forms, and some certified mastectomy fitters with the latest technology are able to create custom breast prosthesis specific to a woman. Products and services provided by certified mastectomy fitters may be covered by insurance, so remember to ask about coverage options during your appointment or contact your insurance carrier to learn if your plan offers coverage. Barb van Tolingen, CMF
Pink Ribbon Boutique Henrico | 804.282.4679 www.thepinkribbonboutique.com
What is immune thrombocytopenia? Immune thrombocytopenia (ITP) is a bleeding disorder that can occur in those who have a very low platelet count. Immune thrombocytopenia can occur when the immune system attacks the platelets, thus resulting in a lower than normal platelet count, thus increasing the risk of bleeding. Platelets are necessary for normal blood clotting to prevent a hemorrhage or the loss of blood to a degree that can cause death. Some symptoms of immune thrombocytopenia may include: easy bruising, bleeding, and pinpoint sized reddish-purple spots on the lower extremities (petechiae). Patients may also notice blood in their urine or stool or markedly increased menstrual flow. Immune thrombocytopenia can be triggered by HIV, hepatitis, or H. pylori infection in adults. The condition is usually preceded by a viral illness in children, and usually does not require treatment. There are several treatment options and medications available that vary based on treatment response. For additional information, speak with your doctor.
Christina Williamson, BSN, RN Sarah Cannon Cancer Institute at Johnston-Willis Hospital Richmond | 804.330.2000 www.sarahcannon.com
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Living with
CHRONIC HEALTH CONDITIONS: NOT JUST SURVIVING
but Thriving
words | STEVE MCCLINTIC, JR. AND DYLAN ROCHE
Chronic health conditions, such as cancer, heart disease, lung disease and arthritis, to name a few, have traditionally led to a very poor quality of life and even premature death for those affected by them. Broadly defined, chronic diseases are conditions that last a year or longer, require ongoing medical attention and can limit activities of daily living or both. But thanks to advancements in technology, medicine and services, and the expertise of health experts available today, including here in the greater Richmond area, people are able to slow the progression of chronic illnesses and even realize improvements in their health and vitality. But don’t just take our word for it. Hear in their own words how people in our community are living with chronic diseases all while doing much more than just fighting to survive – they are thriving in life.
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LEFT PHOTO:
Pam Conklin
Pam’s first wig-less social event with husband Bob.
LIVING WITH
BREAST CANCER TREATING PHYSICIAN
NATHAN LANGER, MD Virginia Cancer Institute LOCATION
RICHMOND
Cancer Reminded Her of All the Positives She Still Has to Live For words | DYLAN ROCHE
Even under the best circumstances, a battle with cancer will completely turn a person’s life upside down. “For most people, being diagnosed with the disease is their first serious health event and their first brush with mortality,” says Nathan Langer, MD, a hematology oncologist with Virginia Cancer Institute in Richmond. The “C word” immediately evokes feelings of worst case scenarios, especially among those facing the condition for the first time. But advancements in the diagnosis and treatment of cancer have come a long way – even in just the past 10 years. More people are being cured today than during any time in our history, and just as importantly, many who aren’t cured of the disease are living longer, productive lives managing it than ever once was thought possible. If there is one constant in addressing cancer that hasn’t changed, it’s the importance of keeping a positive attitude, in addition to following a treatment plan and taking good care of yourself, that can truly make a significant difference. This is the exact mindset that Pam Conklin, of Richmond, had from the onset of her cancer diagnosis, and she continues to maintain it today. Conklin, who is a patient of Dr. Langer’s, learned she had stage 3 breast cancer in January 2018. Three weeks after her diagnosis, she began chemotherapy. 24
OurHealth | The Resource for Healthy Living in Greater Richmond
One of the first changes she made in her life was becoming a vegan, following a diet that consisted only of foods that would help her in her fight against the disease, not complicate it. Already dedicated to an exercise regime, Conklin didn’t waiver in keeping it up, adhering to her fitness routine throughout treatment. It’s no secret that chemotherapy and other forms of treatment can take a lot out of you, leaving you completely exhausted and only wanting to rest. It was no different for Conklin. But even when feeling her worst, she remained committed to her healthy lifestyle while focusing on what’s so good about her life, especially the people who have and continue to show her so much love and support.
“When I think about how cancer has affected me, I reflect on the positive things. One thing is for certain, I couldn’t have fought it alone. My family and friends have been by me the entire journey, lifting me up and encouraging me to keep going strong.” – PAM CONKLIN Conklin also attributes journaling and staying in touch with loved ones through a private Facebook group she used for weekly updates as a way to keep her mind on the progress she was making, no matter how difficult things got. It was a way for her to keep perspective,
RIGHT PHOTO:
LEFT PHOTO:
Pam (right) with friend Janet at the Susan G Komen More Than Pink Walk in Richmond in May 2019.
Ringing the bell to signal her final chemotherapy after five months of treatment.
especially when she would read back through what she had written and reflected on how far she had come. When dealing with cancer, focusing on both physical and emotional wellness with positivity and fortitude is something that Dr. Langer couldn’t agree with more. “A cancer diagnosis is an opportunity to refocus your life,” he says. “It’s an opportunity to focus on the things that matter, learn to rely on your friends and family and value each moment in time. It’s also an important time to think about your health habits. Patients who take care of their bodies do better with their cancer treatments, live longer and live healthier than patients that miss that opportunity.” For Conklin, her battle with cancer has not only taught her that she can do anything, it also has helped inspire others to take better care of themselves. Her friends who went years without a mammogram realized they needed to start getting them and have scheduled appointments with their doctor. People at her gym who knew her story would say to her, “You’re working out during chemo? What excuse do I have?” Conklin recognizes that every cancer battle is different. Some people have struggles that others don’t. There are many things about cancer you can’t control. But she’s proof that it’s possible to be in charge of what can make the biggest difference: your attitude and your belief in what you are capable of doing. “Eating healthy and exercising regularly are what helped me get through a challenging time in my life, and it all started with having and keeping a positive frame of mind and outlook,” she concludes. “Once you realize you can believe in yourself, anything is possible.”
“A cancer diagnosis is an opportunity to refocus your life. This is an opportunity to focus on the things that matter, learn to rely on your friends and family and value each moment in time.” Nathan Langer, MD Virginia Cancer Institute
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Ray Hernandez of Ashland with his wife, Melinda.
Ray Hernandez LIVING WITH
HIGH BLOOD PRESSURE TREATING PHYSICIAN
BARNETT GIBBS, MD Henrico Cardiology Associates LOCATION
ASHLAND
Having a Heart Attack Was the “Wake-Up Call” He Answered Before It Was Too Late words | DYLAN ROCHE
In 2014, at age 47, Ray Hernandez of Ashland received what he described as a “wake-up call”: he had a heart attack. Although he had struggled with high blood pressure since he was 30, the heart attack told him it was time to make changes in his life before it was too late. “Since then, I have been changing my diet and exercising and reducing the stress in my life,” he explains. Now 52, Hernandez follows a vegan diet and works a less stressful job. He’s down from 240 pounds to 175 pounds, and he no longer needs to take heart medications. “I feel like I’m 30 again,” he says. Taking such measures is an important part of managing heart disease, according to Hernandez’s physician, Barnett Gibbs, MD of Henrico Cardiology Associates. “Never stop attempting to alter one’s life and lifestyle for the better,” Dr. Gibbs offers as advice. “It would be best to prevent any disease but, even if a person has been diagnosed with some form of heart disease, it’s never too late to continue trying to alter the course of the disease.” Dr. Gibbs explains that cardiovascular disease — which encompasses heart attacks and strokes — is still the number one killer of people worldwide, but the field of treatment and prevention is constantly changing. “Just in the last few years, we have developed ways of
repairing heart valves without surgery,” he says. “We have better stents (tubes designed to be inserted into the coronary arteries to help keep them open) that can be used to treat coronary artery blockage. And we have new medicines that can dramatically improve a person’s cholesterol levels.” For Hernandez, he found that managing his heart health made him realize a lot about himself, particularly when it came to eliminating poor food choices such as processed fatty foods from his diet.
“Foods I felt were important to me weren’t as important as I thought. I used to do a lot of barbecuing, but what I realized is I liked the talking and chatting with people more than I actually enjoyed the food!” – RAY HERNANDEZ
He also found that getting away from a stressful job helped him reprioritize what truly mattered is important to him. “I’m concentrating more on living life by focusing on things that actually matter,” Hernandez says. “You realize quickly what’s important to you when faced with the reality that life can end without notice. For me, working and stressing all of the time were things I realized were not the keys to enjoying life. I sure am happy I learned that lesson before it was too late.”
“Never stop attempting to alter one’s life and lifestyle for the better. It would be best to prevent any disease but, even if a person has been diagnosed with some form of heart disease, it’s never too late to continue trying to alter the course of the disease.” 26
Barnett Gibbs, MD
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| Henrico Cardiology Associates
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Sam Barton LIVING WITH
HEART DISEASE TREATING PHYSICIAN
PREETI DUBE, MD JenCare Senior Medical Center LOCATION
RICHMOND
Setting Small Goals Has Led to Big Changes in Managing His Heart Health words | DYLAN ROCHE
It’s amazing how taking small steps to change the course of your health can lead to big differences in how you feel. When faced with the diagnosis of a chronic condition that in many cases is the result of making poor lifestyle choices for years, it can be difficult to realize that altering its course can take patience and time. That’s what Sam Barton of Richmond discovered two and a half years ago when he was diagnosed with heart disease following several bouts of shortness of breath. “I started to eat what I was supposed to eat and taking my medication how I was supposed to, but it wasn’t like I started feeling better five minutes after making the decision to change how I live,” says Barton.
“I had to make a commitment to my new lifestyle, and soon enough, I began breathing better. A little at a time, I could feel the effort I was putting in was paying off, and it motivated me to stay the course.” - SAM BARTON
Even though heart disease — which encompasses a wide spectrum of conditions, including heart attack, stroke, peripheral vascular disease and heart failure — is still the leading cause of death among Americans, that doesn’t mean patients can’t manage it.
Sam Barton
of Richmond
“Heart disease is treatable most of the time thanks to advancements in research,” says Barton’s cardiologist, Preeti Dube, MD with JenCare Senior Medical Center in Richmond. “But realizing a better quality of life due to heart disease still depends on how committed we are to making necessary lifestyle modifications and remaining committed to staying the course. Making small changes, like reducing fatty foods from our diet and being more active through short bouts of exercise are examples of small changes that in time will lead to a better quality of life.” Barton gave up fatty, high sodium foods, starting with the heavily seasoned rotisserie chickens he used to buy from the grocery store. He still eats steak about once every five or six weeks, and although he’ll have
“Heart disease is treatable most of the time thanks to advancements in research, but realizing a better quality of life due to heart disease still depends on how committed we are to making necessary lifestyle modifications and remaining committed to staying the course. 28
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Preeti Dube, MD
| JenCare Senior Medical Center
a bowl of corn flakes every three or four days, he has eliminated all sugary cereals from his diet. He also watches his fluid intake because fluid tends to build up in his legs. Otherwise, the changes haven’t been too difficult for him to adjust to, largely because he started with some small changes while incrementally adding new ones instead of trying to change everything all at once. Barton also says that family support has been and continues to be very important. “Affection and love from family, that’s a positive thing right there,” he explains.
“Having a family that helps motivate you can make a huge difference. Their support makes you want to work harder to get healthier for yourself, and for them, because you want to be here for them a long time.” - SAM BARTON
Dr. Dube emphasizes that getting the right education about living a healthy lifestyle, including making changes to both diet and exercise routines, are key for all patients, especially when they are starting out. “I tell my patients to not be scared,” she says. “Talk to your doctors about your concerns and your fears. I tell them it’s a treatable condition. We set up small achievable goals with our patients and help them achieve each, and we celebrate with them once achieved.”
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Teresa Browder LIVING WITH
COPD (LUNG DISEASE) TREATING PHYSICIAN
R. WES SHEPHERD, MD VCU Health System LOCATION
RICHMOND
She Understands COPD Can’t Be Reversed, But It Doesn’t Mean Life Can’t Still Be Enjoyed words | DYLAN ROCHE
Even with the decline of smoking rates in the U.S., lung disease — specifically chronic obstructive pulmonary disease (COPD) — continues to be common. “Smoking-related COPD is still a leading cause of morbidity and mortality among Americans,” explains R. Wes Shepherd, MD with VCU Health. “Once the damage is done, it can’t be reversed, and patients must learn to manage the symptoms as best they can.” That’s what Teresa Browder of Richmond, a patient of Dr. Shepherd’s, is committed to doing, even though she finds COPD limits her drastically. “I have very little energy,” she admits. “I have to think about everything I do, how I can make each task easier and each breath count.” COPD refers to two long-term lung diseases – chronic bronchitis and emphysema – that often occur together. Tubes called airways carry air into and out of your lungs. At the end of the airways are tiny air sacs, which are like little balloons that inflate and deflate when you breath in and out. With COPD, the airways can become partly blocked from swelling or build-up of mucus and the air sacs can become less flexible, causing the small airways to collapse. Collectively, the results of COPD affect a person’s ability to inhale and exhale, making breathing difficult. Everyday tasks can cause him or her to wheeze, cough or struggle for air. In some cases, it progresses to the point that you need to carry supplemental oxygen. Several years ago, through the VCU Health System Research Department, Browder became one of the first people to receive
Teresa Browder of Richmond
a Spiration Endobronchial Valve, a device that is placed using minimally invasive surgery which redirects air to healthy parts of the lung. “I’ve had very good results, and the valve has recently been approved [in December 2018] by the FDA,” she says. Dr. Shepherd explains the most important steps to staying healthy for COPD patients are quitting smoking, taking their medications, monitoring their diet – especially sodium intake – and getting regular exercise, all things that Browder has been diligent about doing. “She’s been a compliant patient who has done everything we’ve talked about, and she has done very well while realizing good improvements,” he says. Browder eats a healthy diet, paying particular attention to her sodium intake, and gets regular exercise, usually walking for 30 minutes on the treadmill or around the block. The company of family and friends makes her feel her best emotionally. “I’ve learned that I’m fiercely independent and determined,” she says.
“It’s very difficult to admit that I can’t do everything that I once did, but I’ve learned that although I have limitations and sometimes need help in my everyday life, there are still things I can do for others. It gives me a lot of satisfaction being able to do so.”– TERESA BROWDER
“Smoking-related COPD is still a leading cause of morbidity and mortality among Americans.” 30
R. Wes Shepherd, MD
OurHealth | The Resource for Healthy Living in Greater Richmond
| VCU Health System
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Has Diabetes Led Him to Live a Healthier Life? words | DYLAN ROCHE
Albert Williams LIVING WITH
TYPE 1 DIABETES TREATING PHYSICIAN
ANDREW LEAKE, MD Vascular Surgery Associates LOCATION
RICHMOND
For most of his life, Albert Williams of Richmond has dealt with type 1 diabetes. Diagnosed when he was 14, Williams, who is now 58, has never been one to allow the disease to keep him down for long, despite the challenges it can create. In the five-plus decades that he has had diabetes, Williams has seen his share of fads and false promises suggesting that managing the condition can be done with little or no effort. But instead of buying into what are often considered gimmicks, Williams says that there’s only one method that truly is effective when it comes to managing his health and feeling his best: following his doctor’s orders, watching what he eats, sticking to an exercise routine and staying positive and upbeat – the latter being a characteristic that most say he embodies the very definition of. But has diabetes – a condition that’s the seventh leading cause of death in the U.S., affecting more than 30 million people – with one in four not even aware they have it – made Williams a healthier person like he suggests? Maybe not, but it has made him take his health seriously. And taking his health seriously has undoubtedly allowed him to better control his disease, instead of it controlling him.
“Having diabetes has made me more conscious of the decisions I make everyday, especially when it comes to what I eat and my exercise routine. I’m probably a healthier person because of it, and it’s made my family healthier, too, because we don’t eat a lot of sweets or a lot of fried foods.” -ALBERT WILLIAMS
Albert Williams of Richmond
Williams believes that managing diabetes is a full-time commitment. And he knows a full-time commitment doesn’t get fulfilled if only given a part-time effort. Staying true to a healthy lifestyle is a significant part of managing diabetes. But maintaining a close connection with your medical provider is a very important part of the equation that makes a huge difference, according to one of Williams’ physicians, Andrew Leake, MD, a vascular surgeon with Vascular Surgery Associates in Richmond. “With consistent medical care, we can monitor the disease and the effect it can have on the body before the impact takes a toll,” says Dr. Leake. “Nearly all of the complications associated with diabetes can be prevented if we are able to address them early on.” Williams acknowledged his biggest struggle is maintaining his blood glucose (sugar) levels. It has required him to make small adjustments to his diet, tweaking it enough until finding the right balance that works for his body. “I eat very small portions now,” he says. “Smaller portions mean my body doesn’t have to process a lot of food and less insulin is needed.”
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Williams’ go-to meal is salad, which he describes as “the healthiest thing you can eat,” because he can fill up on it without worrying about how it will affect him. A lot has changed in what we know about diabetes since Williams was first diagnosed. While improvements in medical care allow for better control of complications today, diabetes remains a disease without a cure, which makes managing it so important. Equal attention needs to be given to consuming the right diet, engaging in the right amount of physical activity and taking the right medications. You can’t fall behind in one of these three areas of care and expect the slack to be picked up by the other two. “The general principle of tight blood sugar [glucose] control has not really changed, but options – both in medical and surgical therapies – available to practitioners are improving, allowing us to better manage the complications of diabetes,” says Dr. Leake. “There is demonstrated progress.” Until a cure for diabetes is discovered, Williams fully understands the importance of giving his health the full-time attention it needs to properly manage it. For him, it starts and ends with keeping a positive attitude. “I’m just a normally positive person. I try not to allow negativity in,” he says. “Everybody has obstacles that come into their life. It’s not the obstacle that matters; it’s what we do to get past it.”
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“With consistent medical care, we can monitor the disease and the effect it can have on the body before the impact takes a toll. Nearly all of the complications associated with diabetes can be prevented if we are able to address them early on.”
Andrew Leake, MD
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Ladies,
Taking Time for Your Own Health SHOULD BE A
TOP PRIORITY words | JENNIFER LAMONT
I was waiting in my doctor’s office recently, half-listening for my name to be called. Hunched over my phone, swiping and typing, I was returning work emails, making a grocery list, texting and looking up superhero party ideas for my grandson’s third birthday. After several minutes, the nurse opened the door and ushered me down the hall. I took a deep breath as I followed her to the exam room. I wasn’t nervous about seeing the doctor. This quarterly visit was part of my routine over the last three years to monitor my Hashimoto’s thyroid disease and fibromyalgia symptoms. I just needed more air. I had been holding my breath much of the time I was sitting there trying to get things done with the few minutes I had to ‘spare.’ Like many people, my breathing becomes shallow when I’m unconsciously stressed. And I’m stressed a lot. Just like every other woman I know. As a mother, daughter, grandmother, friend, co-worker and full-time caretaker to a 91-year-old grandparent, my plate is beyond full. I often need to remind myself to stop and breathe for a minute. Of course, I’m not alone. Roles Eighty percent may be blurring, but family health needs, nurturing and caretaking of women not only continues to fall mostly on women. Naturally, or by necessity, women rank themselves last become the family’s nutritionist, health researcher, care advocate on their health to-do list, and appointment scheduler – but for everyone else. but will put off going to
Ladies, Do You Take Better Care of your Pet Than Yourself?
much-needed doctor’s appointments because they’re too busy.
Most women will take the family’s beagle to the vet before they take themselves to the doctor. A recent survey showed almost 80 percent of women not only rank themselves last on their health to-do list, but will put off going to much-needed doctor’s appointments because they’re too busy taking children, elderly parents, spouses and pets to their appointments.
Whether it’s societal conditioning or genes, we tend to take better care of others than we do ourselves. To be honest, I had rescheduled this appointment with my primary doctor twice before when other responsibilities came up. But delaying this visit indefinitely isn’t an option.
“My doctor relies on my exam and lab results to keep my thyroid levels in optimal ranges. Without regular visits, I don’t receive my prescriptions, so that makes it easier for me to keep the appointment. But other appointments, like specialists, dentists or diagnostic tests, can sometimes feel more optional.” – JENNIFER LAMONT As a working caregiver, I’ve learned the hard way that putting off a doctor’s appointment can turn a cough into pneumonia with a three-day hospital stay, and a shoulder injury into a full-blown torn rotator cuff. The few hours I would have spent going in for initial treatment was far less than the several weeks I needed to recover from both of those health issues. More than losing time from work, I was not able to care for anyone, let alone myself. So, I know that making time for my regular doctor visits, like this, is a priority. But even while the nurse was taking my blood pressure in the exam room, I was wondering if I’d make it out of there in time to stop by the grocery store, pick up my grandmother’s prescription and have her dinner on the table by 5:30. To make my appointment productive, I did a few things to maximize my time. These tips not only help my doctor get the most out of our visit, they also help me better manage my health overall:
How to Help Your Doctor Help You: 4 Tips
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OurHealth | The Resource for Healthy Living in Greater Richmond
A
Write down any questions or concerns before the appointment on paper or a note-taking app on your phone.
B
Keep a list of all the medications with dosages and supplements you’re taking. I do this for everyone I help take care of, including myself. Keeping a list of medications, allergies and important dates right on my phone makes filling out medical forms and answering questions faster and easier.
C
If you think of a question during the visit, ask it. If there is something you don’t understand, get clarification.
D
Be honest about any symptoms or issues you’re having.
The exam went smoothly, and I left my doctor’s office that day with no changes in my lab results, which was a good thing. It’s after I walk out of her office and in between these appointments that making my health a priority is easier said than done. Finding a good balance between taking care of myself and others can be difficult while trying to get things accomplished each day. Managing my time effectively helps.
It’s Time to Be Your Own Caretaker
“To really find that balance, I need to be ‘selfish’ at times. Meaning, I need to make myself a priority for at least some small part of each day. You know that safety demonstration you watch before every flight that tells you to put on your own oxygen mask before you apply your child’s mask? It seems counterintuitive as a parent, but you must help yourself first so you can help others. You’re no good to anyone if you run out of air.”
Making yourself a priority will not only will improve your health and happiness, but you owe it to yourself and the ones you love. There are many ways to treat yourself with the same love, respect and care you give to others. They’re some of the very same things you’d want your best friend, spouse or child to do. Here are nine of my favorite ways to stay balanced, productive, happy and healthy:
1
Include Whole Foods While Meal Prepping.
2
Keep Yourself Strong.
3 4 5 6
– JENNIFER LAMONT
Nothing zaps your energy and health more than processed and fast foods. Spend a couple hours one day each week to cook up nutritious meals for the next seven days. Each Sunday, I cook up a few different recipes so my grandmother and I have healthy meals during the week. This saves us both time, money and frustration, while helping us eat a healthy diet most of the time.
Lifting weights is not only beneficial for women of all ages, it’s proven to reduce stress and boost self-esteem, while preventing aging and illnesses. It also helps you function better in your daily activities, making injuries less likely. Combine with walking or your favorite type of cardio to burn fat, get lean and increase those feel-good endorphins. Get outside to exercise whenever possible, but go to the gym if that’s what you prefer.
Keep Organized with To-Do Lists and a Calendar Schedule. To-do lists allow you to not only set priorities and stay focused, but they help motivate you when you cross off completed items. Having a central calendar in the kitchen, as well as on my phone, helps me keep track of everyone’s appointments, including mine.
Take Time to Enjoy Your Friends. Studies show the healthiest people in the world are those who have a strong support system. People who have fun on a regular basis with others – those who they like to be around – live longer and feel more purpose in life as they age. Even better, do a physical activity with your favorite friends and you get even more benefits.
Keep Your Dentist and Doctor appointments. (Especially if something is wrong.) Studies show that while women go to the doctor more frequently than men, they are just as likely to suffer from chronic conditions without getting treatment. That’s why regular checkups are so vital. You may not feel sick or be experiencing any issues, but it doesn’t always mean you are healthy.
Join a Support Group if You’re a Caregiver. There are working caregivers everywhere. In fact, over 40 million unpaid caregivers in the U.S. are taking care of at least one family member over the age of 65 right now. Support groups for caregivers are especially important because they understand your situation. Friends can support you, but they can’t relate or give you proper emotional support like other caregivers can.
I know that sometimes
PUTTING MY NEEDS FIRST IS NOT SELFISH; it’s essential.
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7
Increase the Gratitude and Positivity in Your Life.
8
Ask For Help and Then Take a Nap.
9
Do Nothing.
Keep a gratitude journal, even if you only write one line a day. Find the humor and positivity in situations and people. Surround yourself with those people who bring happiness, positivity and hope into your life.
Hire a cleaning service when you need it. Ask your kids, spouse or other family members to help with chores or errands. Get enough sleep at night so you can function at your best level during the day.
Sometimes you need a break from everything and everyone. It’s okay to say “no” to everything once in a while, and just be present with yourself. But it doesn’t count if you’re on your phone.
Sometimes, I find myself ‘in-between’ errands, family, working and projects where I realize I suddenly have a few minutes to myself. Here are some quick ways I de-stress and recalibrate:
Six Ways to Take Care of Yourself When You Only Have 5 Minutes: A
Breathe deeply, inhaling for 4 seconds and exhaling for 4 seconds. Set a timer for 5 minutes.
B
Do 20 wall push-ups, 20 squats or lunges, and 20 jumping jacks.
C D E
Stretch your legs, ankles, shoulders and neck.
F
Read a few lines from an actual book you hold in your hand, not an e-book on your phone.
Walk outside. Find a quiet corner to meditate, pray or think about something for which you’re grateful.
As a woman in the unique position of being able to take care of two young grandsons and her grandmother, I know that sometimes putting my needs first is not selfish; it’s essential. The quality of care they get from me is dependent on my own health and happiness. Putting myself first doesn’t mean I’m putting them last. It just enables me to give them the best version of myself.
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OurHealth | The Resource for Healthy Living in Greater Richmond
Commonly Overlooked CONDITIONS Who Can You Turn to in Richmond For Help? POLYCYSTIC OVARY SYNDROME
1
Polycystic Ovary Syndrome (PCOS)
What is PCOS?
What are the symptoms of PCOS?
Polycystic Ovary Syndrome (PCOS) is a condition in which the ovaries produce an abnormal amount of androgens (male sex hormones) that are usually present in women in small amounts. The name polycystic ovary syndrome describes the numerous small cysts (fluid-filled sacs) that form in the ovaries. PCOS affects seven to 10 percent of women of childbearing age and is the most common cause of infertility. In the U.S., an estimated five to six million women have the condition. PCOS is the most common hormonal disorder among women of reproductive age, but many women don’t know they have it.
Because there is such a wide range of symptoms, PCOS is defined as a syndrome, not a disease. The most common symptoms are irregular menstrual cycles, acne, weight problems, such as weight gain or upper body obesity, and abnormal hair growth. Many women also experience infertility or pregnancy loss. The ovaries often become enlarged and may contain one or more abnormal cysts. Enlarged ovaries are easily detected by transvaginal ultrasound. Many symptoms occur either early in the condition or develop gradually. Women with PCOS, especially overweight women, may have insulin resistance and have an increased risk for diabetes and high lipids.
How is PCOS diagnosed? There is no single test to diagnose PCOS. It is diagnosed in women who have irregular menstrual cycles when blood tests or physical symptoms suggest they may have elevated levels of male hormones, hirsutism (abnormal growth of hair on a person’s face and body, especially on a woman), or the typical PCOS pattern noted on ultrasound. Many women are diagnosed with PCOS after being evaluated for miscarriages and infertility. According to the American Society of Reproductive Medicine (ASRM), the criteria to diagnose this condition includes having two of the following three findings: • High androgen levels
affects seven to 10 percent of women of childbearing age and is the most common cause of infertility.
Where in Richmond Can I Get Help? * Richard Lucidi, MD VCU Health Women’s Healthcare Richmond | 804.237.6600 www.vcuhealth.org/ find-a-provider/find-aprovider/Richard-Lucidi
• Irregular menstrual cycles • Polycystic appearing ovaries on ultrasound
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Where in Richmond Can I Get Help? * Integrative Pain Specialists Richmond | 804.249.8888 www.feelbetterva.com
Integrative Regional Medical Center Mechanicsville | 804.277.4160 www.irmedicalcenter.com
Orthopedic Physical Therapy, Inc. Richmond | 804.285.0148 www.orthopedicptinc.com
Physical Medicine Center Richmond | 804.282.6953 www.physicalmedicinecenter.com
Virginia Pain Network and Clinics Richmond | 804.302.8571 www.virginiapainnetwork.com
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Fibromyalgia
What is fibromyalgia?
What are the symptoms of fibromyalgia?
For decades, medical providers misdiagnosed fibromyalgia, a condition indicated by widespread, general pain and fatigue, or simply refused to diagnose patients at all. Thankfully, physicians are more frequently – but not always – recognizing fibromyalgia for the difficult and very real issue that it is. Around five million adults, of which 80 to 90 percent are women, suffer from fibromyalgia, which affects a person’s soft tissue. The cause is unknown, but factors could include infections, physical or emotional trauma, long-term stress and genetics.
Fibromyalgia presents much like arthritis, but doesn’t cause the same sort of joint and muscle inflammation and damage as that particular condition. In addition to widespread pain and fatigue, fibromyalgia symptoms include headaches, irritable bowel syndrome, painful menstrual periods, sensitivity to heat and cold, concentration and memory issues (often referred to as “fibro-fog”) and tingling and numbness in the hands and feet.
3
Primary Health Group— Chippenham Richmond | 804.560.0490 www.phg-chippenham.com
Richmond Family Practice Richmond | 804.358.0248 www.richmondfamilypractice.com
Richmond Integrative & Functional Medicine Midlothian | 804.221.4506 www.richmondfunctionalmedicine.com
At one time, physicians diagnosed fibromyalgia by checking known trigger points and pressing on certain areas of the body to determine if they were painful. Those points included the back of the head, upper chest, knees and elbows. While painful trigger points are still standard for fibromyalgia, they’re no longer the primary way to diagnose. Instead, a doctor might determine a patient has fibromyalgia if they’ve experienced general, widespread pain for at least three months and have no other diagnosable medical condition to explain it.
Chronic Fatigue Syndrome
What is Chronic Fatigue Syndrome?
Where in Richmond Can I Get Help? *
How is fibromyalgia diagnosed?
When it comes to invisible diseases, chronic fatigue syndrome (CFS) might be the most invisible of all. Little is known about the disorder, which was only recently recognized to be a legitimate condition. CFS could be the result of a viral infection such as Epstein-Barr, but researchers have yet to find a definitive link. Healthcare professionals also point to immune system problems and hormonal imbalances as potential culprits. Life with CFS can be isolating, leading to complications such as depression, increased work absences – and, as a result, difficulty climbing the career ladder – and a restriction on daily activities that can keep a person healthy and happy.
What are the symptoms of CFS? As the name suggests, severe fatigue is the main indicator of CFS. It gets worse after physical or mental activity, but the exhaustion doesn’t get better after rest. This form of fatigue isn’t just feeling tired, but rather an all-consuming exhaustion that has lasted six month or longer. People with CFS often experience problems with thinking and memory, as well as dizziness or weakness while standing or sitting up. They might also feel muscle or joint pain and headaches, although those aren’t symptoms experienced by everyone with the condition.
How is CFS diagnosed? Diagnosing CFS isn’t easy – for the patient or the physician. There isn’t a test that can plainly tell if a person has CFS, so it’s mostly a diagnosis of elimination by testing for and ruling out other diseases, such as sleep disorders, hypothyroidism and mental health issues. However, even if CFS is diagnosed, there’s no true treatment—and there’s certainly no cure. Instead, the focus is on relieving symptoms through medications such as antidepressants, cognitive therapy and a few minutes of movement a day that’s gradually increased to help reduce hypersensitivity to exercise.
Those with
IRRITABLE BOWEL SYNDROME suffer with upset stomach, cramping and diarrhea
at least three days every month.
4
Irritable Bowel Syndrome (IBS)
What is Irritable Bowel Syndrome? The fact that irritable bowel syndrome is often overlooked in women is ironic; the condition, also known as spastic colon, affects more females than males. Although everyone deals with an upset stomach, cramping and diarrhea on occasion, those with IBS suffer from it at least three days every month (and, for the most part, much more often than that). Although the two conditions sound similar, IBS isn’t the same as inflammatory bowel disease, which is much more serious and has drastic complications.
What are the symptoms of IBS? Irritable bowel syndrome often starts with cramping and abdominal pain, then progresses to bloating, gas, and episodes of both constipation and diarrhea. The pain will likely go away after a bowel movement, but will inevitably return. Women often have more symptoms around the time of their periods, and some say IBS gets worse during pregnancy. A change in diet to avoid “trigger” foods – including cruciferous vegetables like broccoli, kale and cauliflower, and legumes such as beans and lentils – often successfully manages the worst IBS symptoms.
How is IBS diagnosed? Many doctors will diagnose irritable bowel syndrome based on symptoms, but some might want to do a few additional tests to rule out other potential conditions. For example, the symptoms could be caused by an infection or another disorder such as celiac disease, so the patient might need to provide a stool sample or undergo a blood test. If a doctor suspects the symptoms are being caused by a more severe disease, such as colitis, Crohn’s disease or cancer, they might perform a colonoscopy. Over the past five years, blood tests to help diagnose IBS have appeared on the market. However, it only has the potential to diagnose forms of IBS in which diarrhea is the prominent symptom, rather than constipation, so it’s not a catch-all for helping everyone who suffers from the condition.
Where in Richmond Can I Get Help? * Colon & Rectal Specialists Richmond and Mechanicsville 804.249.2465 www.crspecialists.com
Gastrointestinal Specialists, Inc. Eight locations in Greater Richmond 804.285.8206 www.gastrova.com
Richmond Gastroenterology Associates Eleven locations in Greater Richmond 804.330.4021 www.richmondgastro.com
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Women develop
AUTOIMMUNE DISEASES at a rate of 2:1 compared to men, with the condition typically appearing during her childbearing years.
Where in Richmond Can I Get Help? * Arthritis Specialists, LTD. Richmond | 804.323.1401 www.arthritisspecialistsltd.com
Bon Secours Rheumatology Center Richmond | 804.217.9601 www.bonsecours.com
Richmond Gastroenterology Associates Eleven locations in Greater Richmond 804.330.4021 www.richmondgastro.com
Richmond Integrative & Functional Medicine Midlothian | 804.221.4506 www.richmondfunctionalmedicine.com
Virginia Physicians, Inc. Rheumatology Division Richmond | 804.346.1551 www.vaphysicians.com/ rheumatology-division
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Autoimmune Disorders
What are Autoimmune Disorders?
What are the Symptoms of Autoimmune Disorders?
Rather than just one disease, autoimmune disorders are a cluster of individual conditions that occur when the immune system attacks the body’s own tissues rather than fighting infections from outside invaders. Women develop autoimmune diseases at a rate of 2:1 compared to men, with the condition typically appearing during her childbearing years.
Although autoimmune disorders aren’t just one disease, early symptoms are often similar. These include achy muscles, fatigue, swelling and redness, hair loss, numbness and tingling in the hands and feet, rashes and trouble concentrating. Some autoimmune diseases, particularly rheumatoid arthritis and psoriasis, have symptoms that come and go. These periods of time are known as “flare-ups;” when the symptoms go away, it’s known as “remission.”
There are more than 80 known autoimmune disorders, but common conditions include: • Rheumatoid arthritis • ●Lupus • ●Multiple sclerosis • ●Guillain-Barre • ●Hashimoto’s thyroiditis • ●Grave’s disease • ●Celiac disease
*The medical practices and providers listed in the Community Care Connection do not necessarily represent a comprehensive listing of professionals in the Richmond community who specialize in the related conditions.
How are Autoimmune Disorders Diagnosed? No matter which autoimmune disease a person is suffering from, diagnosis typically starts with an antinuclear antibody test. If the test comes back positive, it means a person might have an autoimmune condition, but it won’t indicate exactly which one. From there, a doctor will likely take symptoms into account to diagnose the specific disorder. Because symptoms are so generalized and often come and go, some doctors might not take a person’s complaints seriously. Reaching out to a specialist that has experience dealing with specific symptoms—for example, a gastroenterologist if constipation and diarrhea are a major issue—can often help increase the chance for a diagnosis.
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HEALTHY OBSERVATIONS S E P T E M B E R 2 3 RD
FALL PREVENTION AWARENESS DAY
FALL
PREVENTION: An Important Part of Rehabilitation
A Physical Therapist with Sheltering Arms Physical Rehabilitation Centers Shares Insight on Avoiding Falls Once A Patient Moves to Home Recovery
SEPTEMBER
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Sheltering Arms Physical Rehabilitation Center 804.764.1000 www.ShelteringArms.com
It’s hard to imagine that something so preventable can be such a prolific cause of tragedy: A simple fall for an older adult could mean injury or hospitalization, the loss of independence, a threat to their quality of life, or even a cause of death. This is one of the reasons that, on September 23 every year, healthcare experts across the country observe Fall Prevention Awareness Day, encouraging people everywhere — whether senior citizens or their friends and family — to know the proper steps they need to maintain their balance and, in turn, their wellbeing. Avoiding falls is especially important for people in rehabilitation, according to Rebecca Sargeant, PT, DPT, a therapist with Sheltering Arms Physical Rehabilitation Centers, which operates centers across the Greater Richmond area. “There are a lot of things they can do to decrease fall risk,” Dr. Sargeant says, citing that both a patient’s physical capabilities and their home environment play factors in their risk of falling.
Rebecca Sargeant, PT, DPT
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“There are a lot of things they can do to decrease fall risk.” – Rebecca Sargeant, PT, DPT
As for a patient’s physical capabilities, their balance is dependent on their vision, their inner ear, and how well they can feel their feet and sense where they are. “If any one of those things is affected, they have to rely more on the other two,” says Dr. Sargeant.
People with an increased risk of poor balance and falling are those with vestibular disorders, postural hypotension, poor vision, foot or ankle disorders, or diabetic neuropathy. “As multiple systems are impacted, they have less to compensate with,” Dr. Sargeant explains, noting that people with previous falls are at a higher risk of falling again. Aside from intrinsic factors, there are environmental factors that people in recovery from surgery or injury can address to make their surroundings safer and decrease their risk of falling. Dr. Sargeant and her fellow therapists at Sheltering Arms recommend putting in handrails on stairs so patients have something sturdy to hold, putting grab bars in the bathroom, adding adequate lighting (especially night lights), and removing obstacles or trip hazards like area rugs. People in recovery should also take out as much clutter as possible and rearrange their living environment so they have more space to move, especially if they are using a walker or a cane. Patients should be just as careful of the environment outside their home. If their yard has surfaces that are slippery or uneven, like grass or gravel, they should cross those surfaces with assistance from somebody, or they should try to use a different entrance and exit to their home when possible. Dr. Sargeant adds that the people who undergo either total hip replacement or total knee replacement face the greatest risk of falling within the first four days that they are up and moving.
“At first, people know they can’t get up, so they don’t try it,” she says. “Then they hit this dangerous area where they know they’re getting more strength back, which is good, but they’re not quite at the level where they can move safely on their own.” One of the goals of the team at Sheltering Arms, however, is to ensure nobody moves on to home rehab until they are ready. This is to avoid a relapse or other injury. “Usually,” says Dr. Sargeant, “if someone is sent home for home health, they are ready for that environment.”
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HEALTHY O BS ERVATI ON S SEPTEMBER
ATRIAL FIBRILLATION AWARENESS MONTH
Atrial
Fibrillation
Awareness Month
Puts Focus on Common
HEART CONDITION
Drs. Shah and Mohanty of Virginia Arrhythmia Consultants Bring Years of Experience to a Specific Area of Cardiology words | DYLAN ROCHE
Put your finger to your wrist or temple. Can you feel your heartbeat?
IS BER
NATIONAL
For Saumil Shah, MD and Guru Mohanty, MD of Virginia Arrhythmia Consultants, heartbeat is their area of expertise. As cardiologists who specialize in arrhythmia — or irregular heartbeats — they want people to be aware of disorders that affect the body’s most vital organ.
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For many people, the steady pump of their heart sends a sign of good health. For others who have either an irregular heartbeat or a heartbeat that is too fast or too slow, their pulse might be a sign that something is wrong.
M
And what better time to share their wisdom with people than National Atrial Fibrillation Awareness Month, observed in September? Also called AF or AFib, atrial fibrillation is the most common of heart rhythm disorders, affecting 2.5 to 5 million people in the United States, according to Dr. Shah. “From a risk standpoint, there are a few things we worry about,” he says. “People with AFib are at a higher risk of stroke and congestive heart failure. Atrial fibrillation increases the risk of stroke fivefold and congestive heart failure threefold compared with someone who does not have it.”
In A Heartbeat Dr. Shah explains that atrial fibrillation is characterized by irregular or rapid heartbeat in the heart’s upper chamber, known as the atria. Symptoms can be varied and could include
palpitations, chest pains, shortness of breath, and even simple fatigue and tiredness. In the short term, it can affect a patient’s quality of life, and in the long term, it carries the more serious aforementioned risks of stroke and congestive heart failure. Patients usually see Dr. Shah and Dr. Mohanty upon the referral of their primary care physician, cardiologist, or the emergency room. As the experts, Drs. Shah and Mohanty look at a detailed history of the patient to determine when the condition began, how long the patient has been affected, whether there is a family or social history, whether there is anything contributing to the condition, and whether there is anything they can do to prevent it from happening.
“One of the things we concentrate on is identifying the cause of AFib,” Dr. Shah says. “Is there anything reversible? If something is reversible, we prioritize treatment of the underlying problem prior to specific treatments for atrial fibrillation.” Such reversible related conditions include high blood pressure, sleep apnea, diabetes, excessive alcohol use, thyroid disease, anemia and lung disease. People over 60 years of age are at higher risk, as are those who have suffered heart failure or who have previously had open-heart surgery.
Not All AFibs Are Alike Atrial fibrillation can be particularly tricky because not every case is the same. In cases of paroxysmal atrial fibrillation, a rapid heart rate starts and stops suddenly, sometimes for minutes and other times for days. There’s also persistent atrial fibrillation, which is when those erratic heartbeats last for more than a week. Finally, there’s permanent atrial fibrillation, otherwise known as chronic atrial fibrillation, when the erratic heartbeats are persistent over many years. Dr. Shah explains that atrial fibrillation can be diagnosed by several methods. The first is an electrocardiogram (EKG), which picks up on electrical signals in the heart and can be done at the doctor’s office. But for people whose atrial fibrillation comes and goes, an EKG can’t be hooked to them for an extended period. Instead, those patients can be hooked up to a mobile heart monitor, which they can wear at home for a period of 24 to 48 hours or even up to 30 days. With advances in wearable health monitors, some watches and fitness trackers can also diagnose atrial fibrillation. Dr. Shah also says that part of the initial work is a risk stratification to address whether a patient is at a high risk of stroke — usually older patients, patients who have previously had a stroke or patients who have had a heart attack. Those patients might be prescribed blood thinners right away. Symptomatic patients might get a cardioversion, which delivers controlled shock to the heart to restore its normal rhythm or
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Virginia Arrhythmia Consultants BOULDERS 1001 Boulders Parkway | Suite 110 Richmond, VA 23225
undergo a different procedural option such as catheter ablation. In many cases, atrial fibrillation becomes a matter of continuing care. “Because it’s such a complicated disease, AFib becomes a condition that needs to be and can be managed,” says Dr. Shah. “We do have to monitor these patients and follow their progress to make sure their symptoms are controlled. With proper monitoring and management, patients can do well for a long time.”
The Heart Of The Matter
WEST END 7605 Forest Avenue | Suite 100 Richmond, VA 23229
Specializing specifically in heart rhythm disorders has allowed Drs. Shah and Mohanty to offer highly focused care using the most modern research and technology available.
COLONIAL HEIGHTS 1001 Boulders Parkway | Suite 110 Richmond, VA 23225
In many ways, focusing on this one niche is more efficient. “A lot of what we do is concentrated on disease prevention and minimizing the risk of stroke, and it’s much easier for us to see patients with a similar problem because we have a workflow specifically tailored to the condition,” Dr. Shah says.
804.410.9749 www.vaheartbeat.com
For some patients, they are so accustomed to feelings of fatigue, lightheadedness and their palpitations that they don’t even realize the underlying cause is a heart disorder. It’s one of the reasons Drs. Shah and Mohanty are proud they can focus their “A lot of what we do practice on these conditions and educate their patients about them — and it’s one of is concentrated on the reasons that National Atrial Fibrillation disease prevention Awareness Month is so important.
and minimizing the
Guru P. Mohanty, MD, FHRS | Saumil R. Shah, MD, FHRS
“It’s about awareness,” Dr. Shah emphasizes. risk of stroke.” “We want patients to be aware that AFib is – Saumil R. Shah, MD, FHRS a serious condition that can negatively affect quality of life and increase the risk of stroke. Most importantly though, we want patients to know that there is hope. We offer the experience, knowledge, and treatment options to get back their quality of life and enjoy the years ahead.”
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HEALTHY OBSERVATIONS SEPTEMBER
NATIONAL TRAUMATIC BRAIN INJURY AWARENESS MONTH
PROMPT CARE for Concussions in People of All Ages
MAKES A SIGNIFICANT DIFFERENCE SEPTEMBER IS NAT I
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The damage from traumatic brain injuries can take years to detect—which is why prompt medical care is essential after all falls, blows and accidents.
BR AIN
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words | STEVE MCCLINTIC, JR.
Suffering a blow to the head can be a terrifying experience. When you get up and walk away, seemingly unscathed, you may breathe a sigh of relief that you dodged a serious injury. Then, days, weeks or even years later, you might start experiencing headaches, cognitive problems and other signs of a traumatic brain injury—the very condition you thought you had previously avoided. For this reason alone, it’s vital for anyone with a head injury to seek medical attention as soon as possible. However, too few people realize the potential for long-term damage and delay visiting a doctor until symptoms show up. September marks National Traumatic Brain Injury Awareness Month, designed to raise awareness about the dangers of traumatic brain injuries. Discussion about traumatic brain injuries has been on the rise recently, due to research on sports injuries that shows playing roughly on the field or court for years may lead to not only long-term physical problems but also brain damage and behavioral changes. As a result, sports teams at all levels, from youth to professional, have taken measures to overhaul safety procedures, from mandating better equipment to improving the criteria for when injured players can return. However, traumatic brain injuries can occur from falls, car crashes and combat injuries, too. Generally, traumatic brain injuries occur when the brain tissue is bruised or damaged from a blow – or repeated blows – to the head. Some symptoms, such as dizziness and nausea, may show up immediately, but other symptoms may show up years later. Damage can occur even in mild cases, in which the brain recovers quickly; however, a more severe injury or repeated injuries could lead to behavioral changes, memory problems, chronic pain, poor coordination and problems sleeping.
2.5 million
Some emergency room visits were related to traumatic brain injuries in 2014. Those injuries resulted in more than
56,000 deaths. Children logged
812,000 of those
emergency room visits and accounted for more than
2,500 TBI-related deaths.
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Center for Neurorehabilitation Services 7401 Beufont Springs Drive, Suite 205 Richmond, VA 23225 | 804.272.0114 www.centerforneurorehabservices.org OFFICE HOURS
Monday to Friday, 8 a.m. to 5 p.m.
BRAIN INJURY MEDICINE FOR THE 21ST CENTURY Since 1991, the Center for Neurorehabilitation Services has been providing comprehensive, patient-centered, medical services for individuals who have sustained brain injury as a result of trauma, stroke, infection or other causes. Its experienced team of medical professionals offers an array of disease-modifying therapies for individuals who have sustained acquired brain injuries.
Gregory O’Shanick, MD
According to the Centers for Disease Control and Prevention, some 2.5 million emergency room visits were related to traumatic brain injuries in 2014, resulting in more than 56,000 deaths. Children logged 812,000 of those emergency room visits and accounted for more than 2,500 TBI-related deaths.
Children and young adults, particularly those ages four and younger or between ages 15 and 24, are at highest risk of traumatic brain injuries says Gregory O’Shanick, MD, of the Center for Neurorehabilitation Services in Richmond. However, people age 65 and older also have a higher number of traumatic brain injuries, with four out five concussions in this age group due to falls. Dr. O’Shanick says that he’s concerned that some doctors or emergency room personnel might not properly diagnose or address possible brain injury when treating someone with fall damage. For instance, if the only symptom that’s observed is confusion, a physician may just send the patient home to rest without exploring the possibility of traumatic brain injuries – but a closer look could reveal internal bleeding and blood clots in the skull that could cause severe problems, or even death, at a later date. As the pressure and clots build up, the patient may only be aware of pain, feeling moody, or unbalanced, which are all easy to blame on the fall or being worn out. Eventually, though, they could experience stroke-like symptoms, seizures or coordination problems. Luckily, with more attention to traumatic brain injuries, increased efforts are leading better methods for detecting these injuries. A proper diagnosis can lead to faster treatment, recovery and therapy, if needed. At the Center for Neurorehabilitation Services, the staff begins by learning a patient’s medical history and then speaking to a close friend or family member who has known the patients for years, Dr. O’Shanick says. This person will be asked to describe changes in behavior or abilities before and after the patient’s traumatic brain injury, which can help the doctor more quickly diagnose the issue. Additionally, the center now uses a more precise computer-assisted neuroimaging tool called NeuroQuant, which provides a detailed look at areas of change or tissue damage. It goes beyond traditional neural imaging which usually only spots blood clots. By accurately measuring the volume of different parts of the brain, the staff can follow the course of an injury and better assess what types of injuries could be impacting a patient’s stability and recovery. Given the statistics and health risks, medical officials and family members of those affected welcome the extra attention on traumatic brain injuries, as do advocates who hope to reduce these types of injuries – and with National Traumatic Brain Injury Month, the word can continue to spread.
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Food Fitness NUTRITION • EXERCISE • PREVENTION
Heart Healthy
Soups &Stews Perfect for the Fall Season words | OURHEALTH STAFF WRITER
This fall, warm up the cool, crisp season by having delicious – and heart healthy – soups and stews headline your meal plans. No doubt about it, backyard barbeques and burgers are the benchmarks of a scrumptious summer food season. While putting a wrap on warm weather might not mean the end of outdoor cooking for the diehard grill masters among us, it does signal the start of when savory soups and stews made with nutritious fall harvest foods can take center stage on the menu, whether it’s at your next tailgate party or quick family dinner. And with so many heart healthy and flavorful ways to prepare these hearty bowls of goodness, you can be assured of pleasing even the pickiest person’s palate on your team.
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Kale and Red Quinoa Soup This protein-packed soup is an ideal dinner for busy days. Herbes de Provence lend a flavor of the French Riviera and the smoked paprika harmonizes nicely with the pepperiness of the kale. Nutritional Information Calories: 245 | Total Fat: 6 g Saturated Fat: .5 g | Trans Fat: 0 g Polyunsaturated Fat: 1 g Monounsaturated Fat: 3 g Cholesterol: 0 mg | Sodium: 294 mg Total Carbohydrates: 40 g Dietary Fiber: 10 g | Sugars: 6 g Protein: 10 g
Slow Cooker Size/Shape: 3 to 4 ½ quart; round or oval Slow Cooking Time: 6 to 8 hours on low; 2 to 3 hours on high Ingredients | Makes 4 servings (1 1/2 cups) • • • • • • • • • • • • • • •
1 14.5-ounce can no-salt-added whole tomatoes, undrained 1 14.5-ounce can no-salt-added Great Northern beans, rinsed and drained 4 cups coarsely chopped kale (1/2 of a 5-ounce bunch), any large stems discarded 2 cups fat-free vegetable broth (low-sodium) 1/2 cup red quinoa, rinsed and drained in a fine-mesh sieve 1 medium carrot, cut into 1/2-inch slices (about 1/2 cup) 1 medium rib of celery, cut into 1/2-inch slices (about 1/2 cup) 1/2 cup chopped red onion 1 tablespoon olive oil 2 medium minced garlic cloves 3/4 teaspoon dried herbes de Provence or dried thyme, crumbled 1/2 teaspoon crushed red pepper flakes 1/2 teaspoon smoked paprika (sweet or hot) 1/4 teaspoon salt 1/4 teaspoon pepper
Directions Put all the ingredients in the slow cooker. Cook, covered, on low for 6 to 8 hours or on high for 2 to 3 hours, or until the vegetables and quinoa are tender.
Recipes courtesy of American Heart Association, Copyright © 2019
Black Bean Soup You will love this Simple Cooking with Heart Mexican recipe because it’s simple to make, it’s heart healthy and budget friendly.
Ingredients | Makes 4 servings • nonstick cooking spray • 1 medium onion (diced) • 1 tablespoon garlic (jarred, minced) • 2 teaspoon ground cumin • 1 jalapeño (chopped) • 2 16-oz canned, low-sodium black beans (undrained) • 1 15-oz canned, no-salt-added, diced tomatoes (undrained) • 1 cup low-sodium chicken broth • Chopped, fresh cilantro (optional)
Directions
SHOP LOCAL, SUPPORT LOCAL TIP Freshly picked foods like kale, onions and carrots, and even herbs, as well as locally raised meats are plentiful during the fall season, and can be found at many farmers markets in and around Richmond, including:
Brandermill Green Market Where: 4900 Market Square Lane, Midlothian, VA 23112 When: Open Saturdays from 9 am – noon through October 27th More Information: c 804.744.1035 ext. 1004 m lifestyle@brandermill.com w www.brandermill.com/?id=4570
Carytown Farmers Market Where: Located at City Stadium, 3201 Maplewood Avenue, Richmond, VA 23221
A
When: Open Sundays from 9 am – 1 pm through November 3rd
B
More Information: c 804.402.9076 w www.carytownmarket.com
Spray large pot with cooking spray, over mediumhigh heat add onion and cook until translucent (Five minutes). Add garlic, cumin and jalapeño and cook one minute more.
C
Add beans to pot and lightly mash with a potato masher or fork.
D
Add tomatoes and broth – bring to a boil and reduce to medium heat, cover and simmer for 15 minutes.
E
Serve topped with chopped fresh cilantro (optional).
Dorey Park Farmers Market Where: 2999 Darbytown Road, Henrico, VA 23231 When: Open Saturdays from 9 am – 1 pm through October More Information: c 804.314.9739 w www.doreyparkfarmersmarket.org
Nutritional Information Calories: 245 | Total Fat: .5 g Saturated Fat: 0 g | Trans Fat: 0 g Polyunsaturated Fat: 0 g Monounsaturated Fat: 0 g Cholesterol: 0 mg | Sodium: 34 mg Total Carbohydrates: 45 g Dietary Fiber: 12.9 g | Sugars: 6 g Added Sugars: 0 g Protein: 15 g
South of the James Market Where: New Kent Avenue and 42nd Street, Richmond, VA 23225
Quick Tip Serve this black bean soup as a side to a meal or warm in microwave and use as a filling for tacos!
When: Open Saturdays (May – October: 8 am – noon; November – April: 9 am – noon) More Information: m talktous@growrva.com w www.growrva.com
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Turkey Chili Warm up with this Classic American staple turkey chili that’s both savory and satisfying.
Ingredients | Makes 6 servings • Cooking spray • 1 1/2 tablespoon. canola or corn oil • 1 medium or large onion, chopped • 20 oz. ground, skinless turkey breast • 2 large garlic cloves (minced) OR • 1/2 teaspoon garlic powder • 2 teaspoon chili powder • 1/2 teaspoon pepper • 1/2 teaspoon ground cumin • 15.5 oz. canned, no-salt-added pinto beans (rinsed, drained) • 15.5 oz. canned, no-salt-added black beans (rinsed, drained) • 14.5 oz. canned, no-salt-added, diced tomatoes (undrained) • 1 3/4 cups fat-free, low-sodium chicken broth • 1 cup frozen whole kernel corn • 6 oz. canned, no-salt-added tomato paste • 4 medium green onions (green part only, sliced)
Directions A Lightly spray a Dutch oven with cooking spray. Add the oil and heat over medium-high heat, swirling to coat the bottom. Cook the onion for three (3) minutes, or until soft, stirring occasionally. B Reduce the heat to medium. Stir in the turkey. Cook for five (5) minutes, or until browned, stirring frequently to turn and break up the turkey.
Nutritional Information Calories: 347 | Total Fat: 5 g Saturated Fat: .5 g | Trans Fat: 0 g Polyunsaturated Fat: 1.5 g Monounsaturated Fat: 2.5 g Cholesterol: 64 mg | Sodium: 129 mg Total Carbohydrates: 42 g Dietary Fiber: 10 g | Sugars: 34 g Protein: 34 g
C Stir in the garlic, chili powder, pepper, and cumin. Stir in the remaining ingredients except the green onions. Cook for five (5) to seven (7) minutes, or until heated through, stirring frequently. Just before serving, sprinkle with the green onions.
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American Heart Association®
Life is Why
®
Richmond
Richmond at Heart
Life is Why SPONSOR
As our COMMUNITY EVOLVES, so does the American Heart Association. We are working to make the 1.3 million hearts in Greater Richmond healthier by facing problems that impact heart and brain health head-on.
Together, we can be a force for longer, healthier lives in our community. www.OurHealthRichmond.com
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When a person experiences cardiac arrest, survival depends on immediately receiving CPR from someone nearby. That’s why we’re out in the community teaching Hands-Only CPR so that everyone has the confidence and comfort level to perform this life-saving skill.
American Heart Association®
Life is Why
®
Richmond
HAROLD MAYFIELD AHA CPR VOLUNTEER TRAINING COORDINATOR, RICHMOND AMBULANCE AUTHORITY
American Heart Association
Volunteers Saving lives. Changing lives.
Hear directly from our dedicated volunteers about how they are working alongside staff to keep hearts beating in RVA.
As the mission head for Go Red For Women, I am passionate about making a measurable impact this year by focusing on Hands-Only CPR training, AED access and training to providers to better diagnose heart disease in women. DR. ROBERTA BOGAEV MISSION CHAIR, GO RED FOR WOMEN CHIEF OF CARDIOLOGY, BON SECOURS
Through Kids Heart Challenge, children learn about the importance of physical activity and how it helps their bodies stay healthy. It also provides them the opportunity to make a difference in their community and raise funds for the AHA.
Volunteer with Us! Interested in joining our dynamic volunteer team and being a relentless force for longer, healthier lives in RVA? Whatever your capabilities, interests or schedule may be, we can find a volunteer opportunity that’s right for you. To learn more about opportunities and to sign-up, visit heart.org/Richmond.
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KELLY AND FINN BLUMENTHAL NATIONAL AMBASSADORS, KIDS HEART CHALLENGE
Kelly and Finn Blumenthal
Chef Raymond Britt, AHA volunteer
“A healthy diet is a powerful weapon to fight heart disease. That’s why we are teaching area residents how to cook affordable, healthy meals using the AHA’s science-based guidelines and Simple Cooking with Heart recipes.” CHANDRA HURST, CHAIR, AHA MISSION COMMITTEE, VP, WELLS FARGO BANK
Skylar Doerwaldt
There’s no quick fix or one way to solve the complex health issues facing our community. That’s why we’re focused on six key areas where we can make the greatest impact: social determinants of health, tobacco use, physical activity, healthy eating, blood pressure, and cardiac care and access. SHERYL GARLAND, AHA RICHMOND BOARD PRESIDENT CHIEF OF HEALTH IMPACT, VCU HEALTH SYSTEM
Our Leadership I’m excited to be leading the Hard Hats with Heart initiative this year and building healthier lives in the construction industry, which faces a greater risk for heart disease and related risk factors like poor diets, smoking and stress. DAN SCHMITT, CHAIR, HARD HATS WITH HEART, PRESIDENT AND COO HHHUNT
Michelle Nostheide Executive Director, American Heart Association Richmond
Richmond
METRO BOARD OF DIRECTORS:
Mitch Haddon
AHA Board Chair
Building a culture of health means changing laws, systems and environments. I am excited to support and encourage advocacy work done by grassroots volunteers in Virginia for policies that improve and protect our health. NATALIE PENNYWELL, AHA ADVOCACY COMMITTEE SITE DIRECTOR, VCU HEALTH HUB AT 25TH
As a young stroke survivor, I want everyone to know that stroke can happen to anyone regardless of age. I volunteer at events to raise awareness about stroke warning signs, prevention and the importance of seeking treatment immediately.
Sheryl Garland AHA Board President
Melvin Katz David Ring Beverly Davis Dr. Lornel Tompkins Calvin “Woody” Fowler Dan Hudgens Chandra Hurst U’Kay Jackson Dr. Stacey Epps Patricia C. Lane Dr. Joe McConnell Natalie Pennywell Niki Curci Scott Zack Smith Gary Thompson
SKYLAR DOERWALDT, CO-CHAIR, AHA YOUNG PROFESSIONAL BOARD
Siva Teja Devarakonda, AHA funded researcher at VCU
“The American Heart Association is currently funding more than $9.5 million for 53 research projects at eight Virginia institutions. Right here in Richmond, we fund three times the amount we raise in the market; so, for our donors, that’s a great return on their investment!” MITCH HADDON, AHA RICHMOND BOARD CHAIR PRESIDENT, COLONIAL WEBB CONTRACTORS
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SEPTEMBER 2019 American Heart Association®
Life is Why
®
Richmond
To learn about events and activities being held throughout the year, visit our website at heart.org/Richmond and follow us on social media:
RichmondAHA | RichmondAHA
AmericanHeartVA
Why WE WALK? Thousands of walkers from the city and surrounding counties lace up their sneakers and come out to the Heart Walk for a variety of reasons. While some are raising money and awareness for research and programs or paying tribute to a loved one lost to this devastating disease, families like the Turners are celebrating another year of life for their precious Maliya. At her 15-week ultrasound appointment, Chantel Turner learned that her baby girl, Maliya, would be born with tricuspid atresia, a type of congenital heart defect. Given a grim outlook for her child’s future, Chantel hoped for the best. Two days after Maliya’s birth, she had open heart surgery. Today, she is a happy, vibrant 8-year old.
ACTION: Make a plan to keep your family healthy year-round using our recipes, food and beverage toolkit and suggested ways to work physical activity into your busy schedule. heart.org/recipe
HARD HATS WITH HEART September 17, 2019 Construction workers are disproportionately affected by heart disease. This annual event provides tools and resources for the construction industry to reduce key risk factors among the workforce.
Maliya has undergone three open heart surgeries and is not expected to have any more thanks to treatment advancements. The only thing she takes now is one aspirin a day. “Now that’s amazing,” says Chantel.
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Maliya at the Walk.
ACTION: For recipes and other practical information to help you eat smart during the holidays and year-round, join Healthy For Good at heart.org/HealthyForGood ACTION: Sign up for You’re the Cure, our grassroots network that is impacting legislation being passed at the state and federal level. yourethecure.org
DECEMBER 2019 GIVING TUESDAY Tuesday, December 3, 2019 Support the AHA by giving a personal gift on the International Day of Giving.
OCTOBER 2019 ACTION: Crochet a baby blanket or assemble a bravery bag for families in the hospital with an infant or child receiving care for a congenital heart defect.
WORLD STROKE DAY Tuesday, October 29, 2019 Stroke is a leading cause of death and disability around the world. Learn and share the warning signs of stroke and the importance of calling 9-1-1 immediately if you notice them in yourself or someone else. stroke.org
ACTION: Give a personal gift to the AHA in honor of someone you love, or in memory of someone you have lost to heart disease or stroke. heart.org/donate
JANUARY 2020 ACTION: Kick off the new year by setting wellness goals for yourself and encouraging loved ones to do the same. heart.org/HealthyForGood
FEBRUARY 2020
AMERICAN HEART MONTH
ACTION: Celebrate American Heart Month all throughout February by attending events, raising awareness and scheduling an appointment with your doctor to know your numbers.
“Looking at her now, no one would ever know what she has been through. She’s a perfectly normal little girl,” says Chantel. Every year since Maliya’s birth, Chantel and her close-knit family raise funds and participate in the Richmond Heart Walk.
NOVEMBER 2019
EAT SMART MONTH
HEART WALK
Saturday, October 5, 2019 Monroe Park | 8:30 AM – Activities start | 10 AM – Walk starts Get your heart pumping at this family-friendly fall event where we raise money together to support the AHA’s mission. 2019 Co-chairs: Peter Buckley, MD, dean of VCU School of Medicine, and Gary Thomson, Managing Partner, Dixon Hughes Goodman LLP, retired
For more information visit: www.richmondvaheartwalk.org
Go Red For Women Luncheon Friday, February 28, 2020 The Go Red For Women Luncheon celebrates our yearround efforts and includes a survivor speaker, silent auction and a heart-healthy lunch. 2020 Chair: Niki Curci Scott, EVP, Suntrust Mortgage Learn more at RichmondVaGoRedLuncheon.heart.org
SHARE YOUR STORY ACTION: Have you been personally impacted by heart disease or stroke? Or, have you taken action to improve your overall health? Give hope and inspiration to others by completing our survivor questionnaire at www.heart. org/Richmond for a chance to become a local ambassador.
MARCH 2020
NATIONAL NUTRITION MONTH
MAY 2020
NATIONAL STROKE AWARENESS MONTH BLOOD PRESSURE AWARENESS MONTH ACTION: Encourage your faith-based organization to host a Power Sunday by downloading our toolkit at empoweredtoserve.org. Our toolkit will provide you with the necessary information to raise awareness and discuss common risk factors of stroke throughout the month of May.
ACTION: Throughout the month of March, we encourage all Americans to focus on adopting healthy eating habits to reduce risk of heart disease and stroke.
WORLD HYPERTENSION DAY
APRIL 2020
ACTION: Commit to having your blood pressure checked on this day. Use our Check. Change. Control (r) tracker www.ccctracker. com/aha a free online tool to help you track and monitor your blood pressure.
MOVE MORE MONTH ACTION: Move more with us during the month of April! By committing to being active for at least 150 minutes a week, you can get healthier and raise awareness about the importance of being physically active. Download the free toolkit at heart. org/MoveMoreMonth for resources to help you plan a great event for your group or organization.
WEAR RED DAY
Friday, February 7, 2020
Support the fight against heart disease in women by wearing red or organizing an awareness event with your employees or colleagues. Share your photos with us on social media with the hashtag #GoRedRVA
Sunday, May 17, 2020 Nearly half of American adults have high blood pressure, and many don’t even know they have it.
JUNE 2020 CPR/AED AWARENESS WEEK June 1-7, 2020 Your hands have the power to save a life! Visit heart.org/ findacourse during CPR/AED Awareness Week to find a class near you or watch our 90-second instructional video on hands-only CPR at heart.org/ handsonlycpr.
Heart Ball Saturday, April 25, 2020 Encourage your company to sponsor our annual Heart Ball – a celebration of the year-round efforts of our donors and volunteers to advance our mission. Visit richmondvaheartball.heart.org for details.
Lisa and www.OurHealthRichmond.com 63 Mark Hourigan
American Heart Association®
Life is Why
®
Richmond
Building a
Culture of Health
By working with community partners, we’ve helped to establish these policy, systems and environment changes during the past year that foster equitable health for everyone in our community.
732
school systems in Virginia have banned tobacco and e-cigarette use and distribution on school buses, grounds and events.
24,000
Richmond students are eating healthier school breakfasts.
$600,000
from cigarette tax revenue in Richmond will help people quit smoking and prevent them from starting through cessation and prevention initiatives.
23,000
low-income East End residents now have better access to healthy food and care at The Market @ 25th and Hope Pharmacy.
$15 million
has been allocated by the City of Richmond to make it easier and safer for pedestrians and bicyclists to be physically active while getting around the city.
752
children in Mosby Court have more opportunities to be active with a new
playground and early learning path.
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OurHealth | The Resource for Healthy Living in Greater Richmond
ON THE WEB
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www.OurHealthRichmond.com
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Funny BONE HUMOR • SEARCH • CHECK
CONGRATULATIONS
MASON SEER of Petersburg
Can you spot the SEVEN differences between the two cartoons?
Mason Seer of Petersburg was the first person to email the correct seven differences in last issue’s Funny Bone.
Be the first reader to email us describing what the seven differences are and you will earn the satisfaction (and bragging rights) of having your name in print in the next edition. OK, START YOUR SEARCH!
For the full list of answers visit our facebook page @OurHealthRichmond.
Email info@ourhealthvirginia.com with the subject line Funny Bone Richmond.
Visit www.OurHealthRichmond.com or our Facebook page @OurHealthRichmond and sign up for our e-newsletter for more fun games, quizzes and contests to win great prizes!
OURHEALTH
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ADVERTISER DIRECTORY 54 ABC Health Care 59-64 American Heart Association 38 Carrell Blanton Ferris Attorneys-at-Law 52 Center for Neurorehabilitation Services
27 Clinical Research Partners 45 Comfort Keepers
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21
The Float Zone
11
Our Lady of Hope
17
Glenmore Yoga
21
Pink Ribbon Boutique
17
The Shepherd’s Center of Chesterfield
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HCA Virginia – Chippenham Hospital
19
Powell Orthotics
31
Vascular Surgery Associates
54
Integrative Regional Medical Center
19
Richmond Gastroenterology Associates
65
James River Cardiology
1 1
Richmond Symphony
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JenCare Senior Medical Center
13
Richmond Translator
45
Magnolias of Chesterfield
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Medical Facilities of America
50 Boomer Insurance Group
47 Christian Brothers Automotive
36 Orthopedic Physical Therapy
47 FocusMD
Commonwealth Endodontics
43 Montante Plastic Surgery and Aesthetics
49 Rosewood Village 38 Rx3 Compounding Pharmacy 29 Sheltering Arms Physical Rehabilitation Center 53 Sitter and Barfoot Veterans Care Center 7
Step Up for Downs
49 Virginia Arrhythmia Consultants 3
Virginia Cancer Institute
36 Virginia Commonwealth Bank 2
Virginia Family Dentistry
50 Virginia Prosthetics & Orthotics 4
Zacharias Ganey Health Institute
www.OurHealthRichmond.com
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