The Health Journal April 2015

Page 1



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RICHARD ACKART, MD • NATALIE ADAMS, MD • KRYSTAL AINSLEY, MD • JOHN ALDRIDGE, MD • DONNA ALLEN-PEEBLES, NP • JAVIER AMADEO, MD • AHMED RESHAD AMINI, DO • PETER B. ANDERSON, MD • IFEANYI ANI, MD • JOELLE AOUN, MD • SHARON APPERSON, NP • SHAHWALI AREZO, MD • FREDRICK S. ARNOLD, MD • CONCEPCION ASPILI, MD • JUAN ASTRUC JR., MD • NICHOLAS AUDEH, MD • MARK AUSTIN, MD • OLAYIWOLA AYODEJI, MD • GEOFFREY BACON, MD • ADRIAN BADDAR, MD • JASON BAIN, NP • BRYAN N. BAINES, MD • AMY BALKA, MD • MARY BANKS, NP • SCOTT J. BANNING, MD • JEWELL BARNETT, MD • NATALIE A. BARRON, MD • THOMAS BASCO, MD • ERIC BASHKOFF, MD • MACHELL BEACH, DO • THOMAS BEAZLIE, MD • KAMEL BEN-OTHMANE, MD • HUGH BERCKMUELLER, MD • ARNOLD BERESH, DPM • MARY BERRY, NP • BRIAN BILLINGS, MD • MELISHA BISSRAM, MD • SUSAN BOENAU, MD • D. THOMPSON BOND, PSY.D • SARAH BOTT, PA • ADEL BOULOS-MIKHAIEL, MD • JOHN W. BOYD, MD • DEBRA BOYER, MD • MICHELLE BOZARTH, PA • LAURA BRADLEY, NP • JEANNE BROOKS, MD • SUSAN BROWN, MD • HUGH BRYAN III, MD • SCOTT BURGESS, MD • ALBERT BURTON, MD • SARAH M. BUSHEY, MD • JEREMIAH BUSHMAKER, DPM • ALLISON BUTLER, NP • EALENA CALLENDER, MD • GLENN CAMPBELL, MD • AMY CAMPBELL, MD • RUSSELL CAMPBELL, MD • PAMELA CAPPS, MD • KRYSTYNA CARATACHEA, DNP • HENRY B. CARMINES, MD • ANTHONY CARTER, MD • DONALD CARVER, MD • LISA CASANOVA, MD • LISA CASH, MD • DANIEL CAVAZOS, MD • MICHAEL CHATTERSON, MD • NAGA CHIGURUPATI, MD • LIND W. CHINNERY, MD • MARK CHISAM , MD • ERIC CHOU, MD • JOANNE CHRISTIE, MD • EDWARD CHU, MD • MARK W. CLARK, MD • ANASTASIA CLEARY, MD • CHRISTINE CONLEY, MD • DAVID CONNITO, MD • JOSEPH CONVERSE, MD • ELIZABETH COOPER, MD • CHERI COYLE, MD • ROBERT D. CROSS, MD • MARSHALL CROSS, MD • DENNIS CRUFF, MD • MARY ELLEN CULLOM, MD • ROBERT D. CULLOM, MD • ELISABETH CURTIS, MD • WALTER CURTIS, MD • JOSEPH CUTCHIN, MD • CHRISTINE DALEY, NP • ERIC DARBY, MD • SURJYA DAS, MD • GLYNIS DAVIS, FNP • MICHAEL DAVIS, MD • WYNDLE DAY, PA • HELEN DENNIE, AUD • MONILLA DENT, MD • DEEPAK DESHMUKH, MD • ROBIN DILLARD, MD • MARY KAY DINEEN, MD • PHILIP DING, MD • JOHN DONOHUE, MD • EMILY DUDLEY, PA • TODD DUGGAN, MD • DENISE DUHON, MD • MEENAL DWYER, MD • JAY EACKLES, AUD • RICHARD EDWARDS, MD • JAMES T. EDWARDS, JR., MD • VERONICA EISEN, MD • ROBERT ELGIN, MD • JOY ELLIOTT, DO • LYNN ELLIS, NP • BADER EL-SAFADI, MD • WILLIAM ERVINE, JR., DO • PAUL EVANS, MD • PAUL L. EVANS JR., MD • JOE FENN, MD • BRITTANY FIELDS, PA • THOMAS FITHIAN, MD • GREGORY FITZHARRIS, MD • SHAWN FLANAGAN, MD • JAY FORMAN, PA • DONNA FORREST, NP • PAULAMI GUHA, MD • WILLIAM DAVID FORSYTHE, MD • VERNON FRANCIS, HACKWORTH, MD • PATRICK HAGGERTY, MD • JOHN FRANTZ, MD • CHARLES MD • KNUD HARALDSTED, MD • DENISE FRAZIER, MD • GARY W. FREDERICKSEN, HARBIN, NP • PATRICK N. HARDING, OD • KATHLEEN FREEMAN, MD • ELISE MD • WILLIAM HARRIS, III, MD • FRENCH, NP • JENNIFER GADAMS, OD DAVID HARTKE, MD • EMILY HAYNES, • PETER GALANTICH, MD • WALLACE MD • ERIC HECKER, AUD • JEFFREY GARNER, MD • TODD GEISERT, MD • HENKE, MD • DWIGHT HERBERT, MD • TODD GENSLER, MD • FREDERICK M. TRACEY HERRIN, AUD • SEAN HIX, MD GESSNER, MD • RAOUF GHARBO, DO • RICHARD A. HOEFER JR., DO • ALEXIS • DANIEL GIANTURCO, MD • MONIQUE HOLMAN, CFNP • MICHAEL HOOKER, MD GIBBS, DNP • WILLIAM GILLEN, MD • LORI • STEVEN HOPSON, MD • HALL HOWARD, GILLESPIE, MD • DELP GIVENS JR., MD • MD • JOHN HOWARD II, MD • WILLIAM HARRY GLEN, MD • MARC GLICKMAN, MD IRVIN , MD • MICHAEL JACOBSON, MD • • JENNIFER GODBOUT, MD • LAURA GOGIA, NAVED JAFRI, MD • OBAID JAFRI, MD • MD • ALAN GOLDBERG, MD • HELENE RAY L. JAMES, JR., MD • TODD JENKINS, MD • JILL JERTSON, MD • ANDREW GOLDSMAN, MD • DAVID GORE JR., MD • JOHANSSON, PA • SHONNA J. JOHNSON, TERESA GRAHAM, AUD • JON GRAMMES, MD • GAYLE JOHNSON, FNP • JACOB DO • JOHN GRETES, MD • ROBERT JONES, MD • KENDALL C. JONES, JR., MD GRZONKA, MD • ROBERT GUERZON, MD • • EMERSON JOSLYN, MD • MICHAEL JOYNES, MD • JON KAMINER, MD • GEORGE KANNARKAT, MD • BRIAN KEEL, MD • NELSON KELLER, DPM • LAURA KERBIN, MD • CHARLES KERSH, MD • MAGI KHALIL, MD • CALVIN KIBWE IV, DPM • CONNIE KIM, PA • GREGORY KIM, MD • JOSEPH KING, MD • CINDY KIRKLAND, NP • STEVEN KITAY, MD • MARTHA KLINGER, NP • DEAN KOSTOV, MD • FLAVIA KOSTOV, MD • HARRY KRAUS JR., MD • CHRISTIAN LAFALCE, MD • ALEXANDER LAMBERT II, MD • MICHAEL LANDIS, MD • PAUL LANFRANCHI, PA • DANIEL LANGDON, MD • JACOB LANTRY, MD • JOHN LARSON, PA • JOHN LASATER, MD • R. BLAND LAWSON, MD • JOSEPH LAYSER, MD • STEVEN LEBLANG, MD • VONETTA LEE, MD • WOLFGANG LEESCH, MD • KEITH LEIBOWITZ, MD • JAMES LESNICK, MD • RICHARD LEWIS, MD • LIANRUI LI, NP • KIM LIEBOLD, NP • FRED LINDSAY, DO • EUGENE M. LINK, MD • CATHERINE LINTZENICH, MD • R JUDE LIPTAK, AUD • JOHN LIVINGSTONE II, MD • KERMIT LLOYD, MD • REBECCA LOFGREN, MD • ANTHONY LOMBARDO, MD • LEANA S. LONG, MD • JOHN LONG, MD • DAVID LORENZO, MD • CAROLINE LUCAS, NP • SUSAN LUNDGREN, NP • MICHAEL LUSTIG, MD • VIKAS MAAN, MD • MARK MACDONALD, MD • THOMAS MACKENZIE, MD • DIANE MADDELA, DO • BETHANY MAGEE, AUD • KEVIN MAHONEY, MD • SOHINI MAJUMDAR, MD • CRYSTAL MANN, PA • STEVEN MARKS, MD • HOWARD MARSTELLER, MD • PIERRE MARTIN, MD • EARNEST MAWUSI, DPM • PATRICIA MAYES, MD • WILLIAM MCALLISTER IV, MD • CATHERINE MCCANN-SHELTON, PA • TERESA MCCONAUGHY, MD • BRENDAN MCCONNELL, DPM • HARRIET MCCOY, NP • C.SCOTT MCENROE, MD • JOHN MCGEE, MD • MICHAEL MCMULLIN, MD • VINCENT MERTZ, FNP • PAUL MICALE, MD • JENNIFER MILES-THOMAS, MD • CHERYL LOUISE MILLER, PA • JOHN MILLER, MD • GAIL MINER, NP • ELLEN MONTGOMERY, PA • JEFFREY MOORE, MD • BRITTANY MORRIS, NP • JASON MORVANT, MD • PETER MOY, MD • JAMES MULLINS III, MD • DANIEL MUNN, MD • THOMAS MUNZEL, MD • DAVID MURON, MD • ALLAN MURPHY, MBBS • PATRICIA A. NAHORMEK, MD • ASHUTOSH NANIWADEKAR, MD • WILLIAM NEWCOMB, MD • JOHN NEWMAN, MD • COURTNEY NEWSOME, DNP • HOANG-HAI NGUYEN, MD • ROBERT NOCHIMSON, OD • KATHY O`CONNELL, MD • ELIZABETH O`NEIL, MD • LISA ODABASI, MD • WILLIAM OLD III, MD • SETH OPPENHEIM, MD • TAHANIE OSMAN, MD • NIELS OSTER, MD • AMUDHA PALANI, MD • MELVIN PALMER, PA • NOEL PARENT, MD • MICHAEL PARSON, MD • MARSHA PASCUAL, NP • BEVERLY PATTERSON, MD • FREDERICK PATTERSON, MD • BRIAN PEAK, NP • BARBARO PEREZ, MD • JOHN PERRY, MD • CHARLES K. PHILLIPS, MD • MELVA PINN-BINGHAM, MD • JOSEPH PIOTROWSKI, MD • MARK POMERANZ, DO • RONALD POST, MD • PAMELA PRIEST, NP • HENRY PRILLAMAN, MD • ROBERT PUSATERI, MD • TIMOTHY QUEEN, MD • GURSHARN RAKHRA, MD • BRYANT RAMIREZ, MD • ERIKA RANELLONE, PA • KIMBERLY RATCLIFFE, MD • QUENTIN RAY, MD • DAVID L. RAYL, MD • THOMAS REAGAN, MD • MATTHEW REED, MD • SCOTT REED, MD • ERIC REISINGER, PA • RICHARD RENTO, MD • MELVIN RESSLER, MD • LAURA RIPLEY, PA • MARK A. ROSS, MD • CANDACE ROSS-CLEARY, NP • HAZEL RUFF, DNP • JACKSON SALVANT JR., MD • ARNOLD SALZBERG, DO • KEVIN SANDERS, MD • SUSAN SATCHWELL, MD • JENNIE SAVAGE, MD • TIFFANY SCHAEFER, PA • BETH SCHARLOP, MD • KIMBERLY SCHLESINGER, MD • CRYSTAN SCHNEIDER, MD • CHRIS SCHULTZ, PA • ROGER SCHULTZ, MD • MELVIN SCHURSKY JR., MD • ELIZABETH SCOTT, PA • STEVEN S. SCOTT, MD • MERFAKE SEMRET, MD • MONIQUE SESSLER, MD • ALI SHARIFIAN, MD • JENNIFER L. SHARP-WARTHAN, MD • KAREN SHELTON, MD • ERIC SIMKO, MD • CLAY SINGLETON, MD • JOANNE SIU, MD • KELLI SMITH, AUD • JASON SMITH, DO • JONATHAN SNYDER, MD • DONALD SOLES , MD • SHAWKE A. SOUEIDAN, MD • MARK SOUTHER, MD • STEVEN SPELLMAN, MD • JOHN R. STEPHENS, MD • JACQUELYN STEPHENSON, CNM • DALE WILLIAM STOVAL, MD • VIJAY SUBRAMANIAM, MD • THADDEUS G. SUTTON, MD • JON SWENSON, MD • GLINDA SYKES, FNP • GARY TANNER, MD • KEITH E. TAYLOR, MD • NZINGA TEULE-HEKIMA, MD • DOUGLAS THOM, MD • GENEVIEVE THOMAS, PA • GUY TILLINGHAST, MD • MICHAEL TISO, DC • MARK A. TITUS, MD • BRADLEY TOUCHET, MD • ROBERT TREHERNE, MD • SHARITA TRIMUEL, MD • MAYA C. TYLER, NP • CHARLES E. UMSTOTT, MD • REBECCA VANDERSTOUWE, NP • ROBYN VARGO, DO • CHARLES VAUGHAN, MD • KARANVIR VIRK, MD • LAWRENCE VOLZ, MD • JOHN WAITE, NP • LARRRY WASHBURN, PA • JAMES WASSUM, MD • ELIZABETH WEBSTER, MD • ERIN WEIDEMANN, PA • ERIC WEINER, MD • PATRICIA WESSLER, MD • STEWART WETCHLER, MD • VICTORIOUS WHITE, NP • IRENE WHITE, NP • CHARLES WILHELM, MD • ANGELA WILLIAMS, NP • KAREN WILLIAMS, MD • RYAN G. WILLIAMS, DO • VERNEETA WILLIAMS, MD • KENT WILLYARD, MD • JOSEPH WILSON, MD • JASON WILSON, MD • ROBERT WINFIELD, MD • WILLIAM H. WOESSNER, MD • ALISA WOLNER, DO • ROBERT WOO, MD • MARK WOODWARD, OD • STANLEY YEATTS, MD • MASHOUR YOUSEF, MD • RAFIC ZAITOUN, MD • JIN ZHANG, MD • JUN ZHAO, MD • ERNEST ZICHAL, DO •

Medical Providers of the Greater Virginia Peninsula don’t just believe in saving the lives of the uninsured.

They’re doing something about it.

Since 2008, Project CARE has been helping low-income uninsured adults get health care they can afford through our partnerships with the area safety net clinics, hospitals, and medical providers. These 405 providers have agreed to care for eligible patients at no charge. We are truly grateful to them for making Project CARE possible. For information about supporting this vital non-profit organization through donations of funds or services, please visit our website or call us. THANK YOU!

416 J. CLYDE MORRIS BOULEVARD • NEWPORT NEWS, VA 23601 (757) 933-2355 • WWW.PROJECTCAREVA.ORG


APRIL 2015 | CONTENTS

PROFILE PG.14

EXTRA: PETS PG.28

BITS & PIECES

FOOD

04 / Contributors

30 / Flavor / Weddings for Foodies

06 / Editor’s Note

33 / Taste Appeal

07 / Page’s Picks

35 / Herb-N-Garden / Rosemary

08 / D.I.Y. / Terrariums 08 / Inbox 09 / In My Own Words 09 / Versus / Energy Drink Vs. Coffee IN THE KNOW 10 / Calendar

14 / Profile / Dave McGillivray

DIGITAL ISSUE

36 / Food & Nutrition / Edible Gardens 38 / Vine & Dine / Sangria YOUR HEALTH 40 / Family / Healthy Foster Homes 44 / Fitness / Martial Arts Studios

Don’t forget our digital edition is free, easy to download and supported on a variety of tablets and digital devices. Download your copy at thehealthjournals.com/digital-edition

46 / Yoganatomy / Eagle 48 / Aging Well / Beautiful Skin As You Age

13 / Second Opinion

VINE & DINE PG.38

50 / Outdoors / Golf Trends

ON THE WEB @ THEHEALTHJOURNALS.COM

Check out our website for even more articles about fitness, health and wellness.

52 / Mind Matters / Kids & Boredom 54 / Money / Financial Apps

16 / Q&A / Rhys Lewis 18 / Advances in Medicine / Tommy Johns FEATURES

56 / Healthy Commute / Driving Ergonomics STAYING WELL 58 / Accepting New Patients

20 / Feature / Youth & Beauty

60 / One Last Thought

24 / Feature / September Foster

61 / Health Directory

28 / Extra / 10 Foods Dogs Should Avoid

64 / Brain Teasers

thehealthjournals.com | 3


BITS & PIECES | CONTRIBUTORS

NATALIE MILLER MOORE

KELSEY HINTON

Natalie is a freelance journalist, with experience as a reporter, editor and columnist. She also works in marketing, as a health care communication consultant, and is active in local health care and community organizations. She lives in Williamsburg, Virginia.

Kelsey recently completed her master's degree in creative writing at The New School in New York City, New York. Her published work has appeared in the Central Florida Future, Orlando Magazine, the Orlando Business Journal and the Orlando Sentinel. She is currently working on a novel and living in downtown Norfolk, Virginia.

KIMBERLEY CUACHON HAUGH

JOE ASH

Kimberley has a passion for fashion and food; “Look good. Eat well.” is her philosophy. She is the owner of Kimberley Ashlee Catering where she uses seasonal and sustainable ingredients. Follow her on Twitter @kimberleyhaugh.

Joseph B. Ash began his martial arts journey in 1981. He is a Master Instructor and owner of BAEPLEX where he teaches classes for children, families and adults. In 2013, Joseph published the book “Martial Arts Unlocked, A Parents’ Guide to Choosing a Martial Arts School.”

BRANDY CENTOLANZA Brandy is a freelance writer who covers health, parenting, education, travel and community issues for various publications in Hampton Roads and Richmond, Virginia. She has contributed to The Health Journal since 2005.

BETH SHAMAIENGAR Beth Shamaiengar was a writer and editor in Richmond for 11 years and then moved to Williamsburg, helping her family launch The Health Journal by serving as its first associate editor. Since then she’s enjoyed volunteering at her children’s schools, writing poetry, and spending time with her husband, two sons, and two cats.

SHAWN RADCLIFFE

BRENDA HENDERSON

Shawn is a science writer and yoga instructor with over 15 years’ experience writing about science, health and medicine. In addition to The Health Journal, his work has appeared on Healthline, Men’s Fitness, and other consumer health and medical websites.

Brenda L. Henderson is a writer, marketer and motivational speaker. She is the owner at Health Boss, specializing in inspirational, educational and health and wellness speaking. She is the authored several books and host of internet radio show, Health Boss Talks.

GINGER OGREN, MS, PT, OCS ALISON JOHNSON Alison is a freelance writer who lives in Yorktown, Virginia, with her husband, two sons and a rescue dog and cat. A former fulltime newspaper reporter, she specializes in feature stories on health and parenting.

KIM O'BRIEN ROOT Kim has been a reporter for 20 years and previously worked for the Daily Press and The Roanoke Times. She's been a freelance journalist since 2010, balancing writing with being a chronic volunteer. She lives in Hampton, Virginia, with her husband— a fellow journalist—two children and a dog. 4 | thehealthjournals.com

Ginger Ogren, MS, PT, OCS, a Virginia native, earned a bachelor of science in kinesiology from the College of William & Mary and a Master of Science in physical therapy from the Medical College of Virginia. She is an orthopedic clinical specialist and has served as adjunct faculty for the Kinesiology Department at the College of William & Mary.

SAPTA YIN, ASCM, RYT 200 Sapta Yin trains for TPMG Strive Fitness and Performance Training. She holds an ACSM Personal Trainer Certification and is certified as a Yoga instructor underneath Yoga Alliance. When not at the training facility, she enjoys pursuing martial arts, dancing, running, planning flash mobs for charity and playing music with friends.


QUALITY

VOL. 10, NO. 10 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia. Magazines are distributed via direct mail, racks and hand delivery. For more information, visit thehealthjournals.com.

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MEDICAL EDITOR

Ravi V. Shamaiengar, M.D. CLIENT LIAISON/ BUSINESS DEVELOPER

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JR. ART DIRECTOR

Call or Text 719-9779 or 879-8654

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BITS & PIECES | EDITOR’S NOTE

I

’ve always loved spring for the reason I love Sundays—its beauty and tranquility. I love hearing the breeze rush through the treetops when I’m walking on a trail. I love feeling the water splashing against my skin when I’m paddling a kayak. And I love to smell the air blowing off the James when I’m sitting on the sand with an open notebook and a blue pen. Solitude is nurturing. But I haven’t always seen it as such. As an extrovert, learning to appreciate solitude took time. I draw energy from crowds, enjoy people and live for engagement. I learned that from my upbringing. My house was the hub for all family activity—Sunday dinners, holiday meals, family gatherings and Super Bowls. We had an open door policy. From a young age, I was entertaining cousins and serving my aunts and uncles. There was no such thing as “down time” unless you were going to bed. As an adult, that carried over. I’ve always bounced between activities—school, work, church, family time, client meetings, networking, happy hours, playing sports, and am ready to roll at a moment's notice should I get a text or a call. When I landed in Hampton Roads two years ago, that all changed. There was just me—and my thoughts.

PHOTOGRAPHY BY BRIAN FREER

THE SILENT TREATMENT I felt lonely, and a little bit bored by it. Funny thing happened, though. I learned to enjoy my quiet inner dialogue on the long drives between Norfolk and Williamsburg, and I looked forward to my strolls on the Chesapeake Bay each day. And by the time I relocated to Williamsburg and moved my family here, my silent meditations had reshaped my perception of family, too. I was present, attentive and engaged. The way I built relationships also changed. I walked with quieter, older men who were centered, yet well loved and respected—men who found reflection as necessary as breathing. Peaceful men. I’m happier now than I’ve been at any stage in my life. Sure, I have the day-to-day struggles of life, which are character building, but I’m focused. I know what I want. And I’m doing things that make a difference with people who matter to me. Silence is golden. It offered me many ideas, many changes of heart and many opportunities. What’s best is when I thumb through my notebooks and I see the evolution of man who went from being about his busyness to a man now about his business. In our Mind Matters department this month, you’ll read about the benefits of boredom. Studies show that allowing children room for boredom boosts creativity. Even adults can benefit a break from activity and with 6 | thehealthjournals.com

“I NEVER FOUND A COMPANION THAT WAS SO COMPASSIONATE AS SOLITUDE.” — HENRY DAVID THOREAU

technology from time-to-time. If you want a mind-body connection to help ground you, Joe Ash explains how to choose a martial arts studio in the Family department. Martial arts aren’t just about learning to fight, Ash shares; they're about learning to think and learning to lead. And our Food & Nutrition department focuses on urban gardening. Shawn Radcliff explores the health perks of growing your own food. Gardening is a creative activity with celebrated mental health benefits. I’m not sure what your synonyms for solitude are— mine were boredom and loneliness—but let’s change them. It’s healthy to do activities alone, or to have quiet times. It’s stimulating, which is the opposite of what we’re taught to believe. But remember what Pablo Picasso said, “Without great solitude, no serious work is possible.”

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM


PAGE’S PICKS | BITS & PIECES

PHOTOGRAPHY BY ALEXIS KIKOEN

Spring is all about renewal; and for many women, that means renewing ourselves, too. These products will help you look and feel your best as you step out into spring. Tracy Anderson Dance & Cardio DVD $7.99, Costco (or amazon.com)

Nexxus “Youth Renewal” Shampoo and Conditioner

“Another great Costco find! These 30-minute cardio dance workouts energize and tone.”

$15/$20, Target “Corrects the ‘8 signs of aging hair,’ plus it smells great.”

Butter London Cheeky Cream Blush in “Tiddly” $20, Ulta “Cream-based color that will light up your face.”

Christian Dior “Rouge Dior” Lipstick in “Rose Songe” $35, Nordstrom “A perfect pop of color, and universally flattering.”

Sarah McNamara Miracle Body Transformer SPF 20 Tinted Beauty Balm $22, Costco (or amazon.com) “Mix it with regular body lotion to get just the right tint, and then apply it all over for a natural-looking glow.” thehealthjournals.com | 7


BITS & PIECES | DIY & INBOX

MAKE YOUR OWN

Terrarium

WRITTEN BY HALEY HERRINTON

PHOTOGRAPHY BY ALEXIS KIKOEN

Add a touch of green to your home with these simple potted center pieces. Extremely simple and fun to do with kids, you can make it your own by choosing plants, containers and decorations that suit your taste.

You Will Need: Container Fine gravel or activated charcoal pieces Planting soil Terrarium plants Moss (optional)

To Make: • In a clean, glass container, layer 1-2 inches of gravel

or charcoal. This is an important draining layer that keeps moisture levels even.

Combine remaining gravel or charcoal with some soil, and add 2 inches on top of the base layer.

Carefully remove plants from their original pots and arrange in the container. Make sure there is space to fit more soil between them, and each has room to grow.

Place more soil between the plants, and pat down to remove air pockets.

Carefully layer the moss around the plants, and decoratively arrange rocks, shells or statues as you desire.

Place in an area that is well-lit but away from direct light. Maintenance is minimal in a terrarium; trim the plants as they grow and keep in a well ventilated space. Water them according to the plants you have, and check the moisture level of the soil beforehand.

Decorative stones or shells Watering can Gloves Trowel

Great Terrarium Plants: Look out for these varieties of ferns, grasses and mosses, which thrive in small spaces: Variegated spider fern Golden club moss Starfish plant Aquamarine Variegata Black mondo grass

BRA

IN TEASERS

“I would like to make a suggestion: could a future article be on the Paleo Diet? I’ve been on since October and lost 29 pounds and feel great. It’s a lifestyle that I’ll be doing forever. I really love it. I believe each person needs to find their own weight loss strategy, but this really is healthy. You have a great mag that I look forward to each month. Keep it up!”

— Bea Gallagher "I would like to thank the Health Journal magazine for feeling my story ("Gerome Meminger” by Chris Jones, March 2015) is worthy enough to let other's know about.”

— Gerome Meminger, Hampton "Big thank you to the Health Journal for my feature in their magazine (“PROfiles” by Chris Jones and Page Freer, March 2015). Thrilled to be featured along with so many great fitness experts in the 757 area.”

— D’Shawn Wright, Newport News

8 | thehealthjournals.com

MARCH WINNER KAREN KOKOLSKI Williamsburg, Virginia

Challenge your brain with our puzzles! UP FOR THE CHALLENGE? Turn to page 64 to find out how you can win a gift card!


IN MY OWN WORDS & VERSUS | BITS & PIECES

ANTOINE ST. LAWRENCE, MG, HHC, HMP Hi, I’m Antoine. I own Holistic Farmacy (wehavetheherbs.com). We offer over 500 medicinal herbs, TCM and more. I became interested in health and wellness while witnessing firsthand the gradual decline in quality of life and the premature death that often results from treating chronic illness with conventional medicine alone. Instead, I show people how to develop a healthy spirit, soul and body naturally.

IN MY

OWN

I’m grateful for The Health Journal because it helps bridge the gaps between conventional and alternative perspectives, and between the medically astute and those just scanning the magazines in the waiting room.

WORDS

Which has MORE caffeine?

or 24 oz. of

MONSTER

24 oz. of

VENTI DARK ROAST

ANSWER: 24 oz. Venti Dark Roast: 415 mg (Monster: 240 mg) thehealthjournals.com | 01 thehealthjournals.com | 9


IN THE KNOW | CALENDAR

7

april

EVENTS

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BARIATRIC AND SURGICAL WEIGHT LOSS SEMINAR Learn more about weight loss surgery options.

“BREAST” BALL GOLF TOURNAMENT Grab your golf clubs and participate in this tournament to benefit Beyond Boobs!

CLARA BYRD BAKER RELAY FOR LIFE 5K RUN/WALK Participate to help support cancer research.

WHEN: 4 p.m. Tuesdays WHERE: Center for Weight Loss Success, Newport News $$: free CONTACT: 800-736-8272

WHEN: 1 p.m. WHERE: Ford’s Colony Country Club, Williamsburg $$: $125 per person/$500 team of four CONTACT: 757-645-2649

WHEN: 8 a.m. WHERE: 3131 Iron Bound Road, Williamsburg 23185 $$: $20 before 4/1; $25 after 4/1 CONTACT: james.goggin@wjccschools.org

TRIATHLON TRAINING TIPS LECTURE Get g\ready for race day and gain the competitive edge. Learn how to incorporate brick training into your workouts and transition faster. WHEN 6:15 to 7:15 p.m. WHERE Tidewater Physical Therapy - Gloucester Point 7190 Chapman Drive, Hayes $$ free CONTACT kbivens@tpti.com, or call 804.642.3028

8 PARENTING ON THE SAME PAGE Learn strategies to create cooperation between parents and children. WHEN: 6:30 to 8:30 p.m. WHERE: CHKD Health & Surgery Center at Oyster Point $$: free CONTACT: chkd.org

11 DISMAL SWAMP STOMP HALF MARATHON Includes a family fun run, 5K & half marathon. WHEN: 8 a.m. WHERE: Dismal Swamp Canal Trail, Chesapeake $$: Fun Run, $15; 5K, $40; Half Marathon, $80 CONTACT: dismalswampstomp. mettleevents.com/

13 IBS SEMINAR Learn natural approaches to dealing with irritable bowel syndrome. WHEN: 6:15 p.m., April 13, 20, and 27; 10 a.m., April 25 WHERE: Total Health Center, Virginia Beach $$: free CONTACT: 757-363-8571

CHESAPEAKE SPRING WINE FESTIVAL Sample various wines and craft beers from Virginia during this event. WHEN: 5 p.m. WHERE: Chesapeake Conference Center $$: $40 CONTACT: cheswinespring.com

18 KETTLE KRUSH 5K This family fun run and 5K benefits the Salvation Army. WHEN: 8 a.m. WHERE: Harbor Park, Norfolk $$: $10 - $39 CONTACT: kettlekrush5k.com

EARTH DAY CELEBRATION Celebrate Earth Day with various exhibits and activities. WHEN: 11 a.m. to 4 p.m. WHERE: Mt. Trashmore $$: free CONTACT: vbgov.com

EARTH DAY AT VLM Learn to live greener during this Earth Day event. WHEN: 9 a.m. to 5 p.m. WHERE: Virginia Living Museum $$: $17, adults; $13, children CONTACT: thevlm.org

JUICING BOOT CAMP Learn to juice and take control of your health naturally. WHEN: 9 a.m. WHERE: Sentara CarePlex, Hampton $$: $499 w/juicer; $179.99 w/o juicer; $134.99 early bird; $44.75/mo. CONTACT: visityorktown.org

NTS AT: GET MORE EVE

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20 BALANCING ACT: MAKING LIFE WORK AS A CAREGIVER Balance your life and work while caring for loved ones. WHEN: 7 p.m. WHERE: 3051 Ironbound Rd., Williamsburg $$: $15 CONTACT: 757-220-9975

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SUMMER CAMP FAIR Learn about summer camp offerings. WHEN: 3 p.m. to 7 p.m. Friday; 11 a.m. to 3 p.m. Saturday WHERE: James City County Recreation Center $$: free CONTACT: jamescitycountyva.gov/ recreation

25 MAMBA ROOM DANCE-A-THON Enjoy 12 hours of Latin dancing and Zumba at this event to benefit CHKD. WHEN: 11 a.m. WHERE: Mamba Room, Norfolk $$: $10 per hour; $20 from 6 p.m.-midnight; $75 all day CONTACT: mamboroomdance.com/ danceathon

HIKE FOR HOSPICE Benefits Hospice House of Williamsburg

OSC COMMUNITY LECTURE Dr. Robert Snyder will discuss patient specific knee replacements. WHEN: 7 p.m. WHERE: Orthopaedic & Spine Center, Newport News $$: free CONTACT: 757-596-1900

22 HEART DISEASE: A NEED FOR INCREASED AWARENESS Dr. Joseph Adinaro will present this lecture as part of The Doctor Is In series. WHEN: 6:30 p.m. WHERE: Riverside Doctors’ Hospital Williamsburg $$: free CONTACT: 757-585-2209

23 RIVERSIDE WINE & CHEESE SILENT AUCTION This event benefits Relay for Life. WHEN: 6 p.m. WHERE: Riverside Doctors’ Hospital Williamsburg $$: $5 CONTACT: riversidesilentauction.com

THEHEALTHJOURNALS.COM/CA

WHEN: 12:15 to 4 p.m. WHERE: Governor’s Land, Williamsburg $$: $35 CONTACT: 757-253-1220

RUN THE D.O.G. 5K CHALLENGE Grab your running shoes and race along Duke of Gloucester Street. WHEN: 7:30 a.m. WHERE: Duke of Gloucester Street $$: Fun Run, $15; 5K, $30 CONTACT: thecolonialsports. com/events

26 JOAN LUNDEN: MY JOURNEY Joan Lunden shares her experience with breast cancer. WHEN: 2 p.m. WHERE: Norfolk Academy $$: free CONTACT: 757-461-6236

HAMPTON ROADS VISIONWALK Walk to raise funds and awareness for those with retinal diseases. WHEN: 1 p.m. WHERE: Virginia Beach oceanfront $$: free CONTACT: 410-423-0645

LENDAR


Jewish Family Service of Tidewater presents

Joan Lunden: My Journey Sunday, April 26, 2015 2:00 PM

Norfolk Academy Johnson Theater 1585 Wesleyan Drive, Norfolk

Free & open to the public but pre-registration required.

Register for both events at

www.jfsrunrollorstroll.org

11th Annual

Run, Roll or Stroll Spring Into Healthy Living Sponsors

Spring Into

EALTHY LIVING

Sunday, May 3 @ 24th Street Park, Virginia Beach 8K Run, 5K Run, 5K Walk, and 1 Mile Run/Walk Registration opens at 6:45 AM on race day.

Presenting Sponsor: TowneBank Lead Sponsor: Lee & Bernard Jaffe* Family Fund of the Tidewater Jewish Foundation *Of blessed memory Diamond Sponsor: Copeland & Klebanoff Families


12 | thehealthjournals.com


special advertising section

second opinion What should I drink since I hate the taste of water? Rest assured that you do not need to drink the often recommended 8 cups of water daily. In 2004, the Institute for Medicine issued new fluid guidelines stating that average healthy Americans should let thirst be their guide and that even caffeinated beverages count toward our fluid requirements. This doesn’t mean, of course, that water isn’t your best choice for hydrating. It’s free of calories, colorings and sweeteners. I have seen patients trim calories and lose weight once they ditched sugary drinks in favor of water. You might be surprised how a simple water filter can brighten the taste of water. If that’s not enough, use your imagination to flavor water. Add any of following to a pitcher of water and refrigerate. Even the combinations that sound odd are delicious. Before adding herbs, gently crush them in your hand to release their flavors. • Cucumber slices with mint • Lemon slices with grated ginger root • Grapefruit, orange and lime slices with mint • Peach slices with basil • Blackberries and lime slices with mint Unsweetened tea is another excellent choice. Skip the bottled teas, however, because they lack the health-boosting, diseasefighting flavonoids found in freshly brewed teas.

Jill Weisenberger, MS, RDN, CDE, FAND Jill Weisenberger Food and Nutrition Solutions 757-969-8385 www.jillweisenberger.com

I was told I need a “deep cleaning” by my dentist. Is this necessary? When someone is told they need a “deep cleaning” they are referring to treatment of periodontal disease. Periodontal disease starts out as just inflammation of the gums caused by bacteria, plaque and the hardened plaque, called tartar, leading to gingivitis. When it is not treated simply at this stage it creates more gum inflammation and bone loss leading to periodontal disease. The toxins released by the bacteria break down the gum attachment leading to deeper pocketing around the teeth and eventual bone loss. At this stage, no tooth brushing, flossing or simple cleaning will treat the disease. It takes a skilled hygienist to use specific instruments to scale off the debris from the tooth and irrigate the bacteria and toxins out of the deeper pockets for healing to occur. Once complete, the gum can attach back to the tooth and inflammation will resolve. This has to occur with good home care to include brushing, flossing, soft picking and water picking. The earlier the disease process is caught and treated, the better the long-term prognosis. Therefore, getting the “deep cleaning” done when it is needed is the best option to decrease the risk of losing your teeth due to bone loss in the future.

Stacey Sparkman Hall, D.D.S. Williamsburg Center for Dental Health 757-565-6303

What is Central Auditory Processing? Auditory processing refers to the brain’s ability to understand speech in noisy situations/background noise, understand rapid or degraded speech, detect subtle differences between sounds/pattern recognition (i.e. understanding people with foreign accents) and understand competing acoustic signals. In other words, we detect sound with our ears but listen and process speech with our brains. By the time men reach their mid-40s they may experience increasing difficulty hearing in noisy situations. For women the similar age-related decline doesn’t occur until after age 50. For some people, auditory processing is a lifelong weakness, but most will notice a decline by age 60. Knowing how to compensate for this decline as we age will contribute to more successful communication in difficult listening environments. Beneficial strategies to improve understanding include: • Minimize background noise (i.e. TV, dishwasher, fan.) • Ask family members, coworkers to get your attention before they begin a conversation, and to finish what they are saying before they walk away. • Sit with your back against the wall at meetings or in restaurants, so that no one is talking behind you.

your health care questions answered

Sandy Burkes-Campbell, M.S., CCC-A Maico Audiological Services maicoaudio.com 757.873.8794

thehealthjournals.com | 13


IN THE KNOW | PROFILE

The Conductor

He’s run over 150,000 miles, completed eight IRONMAN triathlons and once finished the Boston Marathon blindfolded for charity. Dave McGillivray may be one of the most passionate athletes in any sport. WRITTEN BY CHRIS JONES

“Once you do one [marathon], it’s infectious. It becomes a lifestyle. Once you taste it, it’s life-changing.”

“P

eople used to ask me what I do and I would say ‘I’m a race director,’” tells Dave McGillivray, race director for the Boston Marathon. ‘You’re a race director?’ ‘I’m a race director.’ ‘You mean you mark chalk on the road and say, ‘Ready, set, go!’’’ He grins, leaning forward in his chair which is positioned next to the One City Marathon meter board, the race he was in town to help direct, on March 15, 2015 “Now I tell people that I help raise the level of self-confidence and self-esteem in tens of thousands of people in America,” he says, elevating his voice. And there’s no confusion about that.

From Last to First Prior to becoming an inspirational endurance athlete, McGillivray was a small kid from Boston. Growing up in Red Sox, Celtics, Bruins and Patriots country, he loved to compete in sports, but was often chosen last by his peers. It hurt. In his book, “The Last Pick: The Boston Marathon Race Director’s Road to Success,” McGillivray recounts being 11 years old and watching his peers grow taller and while the increased height put physical distance between them, it also created emotional distance. Bitterness. The years passed and he hungered to become an athlete, but was met with the chilling sting of disappointment when he was cut after trying out for baseball and basketball. He finally found a sport where height didn’t matter— soccer. And he made the team. 14 | thehealthjournals.com

Joe Orpin, the high school cross-country coach, noticed one day that McGillivray was outrunning his teammates during soccer practice. Though apprehensive at first when Orpin suggested that he run cross-country, he eventually conceded and unbeknownst to him, found his sport. McGillivray started to run and hasn’t stopped since. He’s logged 137 marathons, run across the United States, finished eight IRONMAN triathlons, and has run up and down the entire East Coast. And that’s just scratching the surface of his achievements.

The Making of Marathons Last month, McGillivray was in Newport News, Virginia, to run in the One City Marathon, a race he helped to direct. At the request of Newport News city manager Jim Bourey, the two met in Williamsburg, Virginia, to kick around a race idea of Bourey’s that would become the One City Marathon, the first race of its magnitude in Newport News. “The town manager wanted to create a race in Newport News. I met him in Williamsburg and we decided to do this race,” says McGillivray whose company, Dave McGillivray Sports Enterprises, has produced over 1,000 races. The One City Marathon is one of 32 events the company is helping with in 2015. “I’ve been doing this for 35 years. This was the career path I wanted.” This wasn’t the first time he was summoned to Williamsburg to talk about a race, though. The late Walter Segaloff, who founded An Achievable Dream Academy, worked with McGillivray to start the Run for the

Dream, now in its fourth year. “It’s like giving birth. What’s cool about creating a new event is you can let your creative juices run wild. You have to think about objectives and goals. Today there are such a proliferation of events,” he says. “But it has to be unique. What makes it different from everyone else’s [event]? The cause; is there a unique cause? Community goodwill; getting the community involved so they can take ownership. Health benefits; the essence of what we do is help people set goals and not limits and raising their level of self esteem and confidence. There are tremendous benefits to events like this.” Unlike planning smaller events that may disrupt a smaller radius of a city, like the Run for the Dream, a marathon is highly disruptive. This is why advanced planning in needed. McGillivray says that to plan the Boston Marathon, he spends 15 months figuring out how things will come together. “First it’s conceptualization. What is it? Where is it? Once you have a concept, then course design is a challenge. A marathon, 26.2 miles, has a significant impact [on a city]. Once you design it, you have to get permission to hold it. One of the beauties of [the One City Marathon] is that it’s the brainchild of the town manager. So if you have the town manager, that aspect of permission gets resolved quickly. Then it’s on to sponsorship and financial support. Marathons can cost money. Then it’s all the marketing and promotion, recruiting participants and then the volunteers. It’s labor intensive,” he emphasizes, but smiles. “But I help make a lot of dreams come true.” He credits his ability to organize, mobilize and motivate people to the success of the events he’s helped to direct. “My strength is surrounding myself with experienced, quality people. You have to know


what you need, slot the right people, let them take ownership of their jobs, and you have to keep people motivated, getting along and inspired. And then it all comes together harmoniously. Even if I didn’t show up on event day, if I did my job right, no one would miss me,” McGillivray adds.

The Infectious Nature of Running McGillivray believes that anyone can run a marathon. His philosophy about running runs counterculture to what most people think about running. We typically see it as a process of signing up, training, running the event and winning the medal, with the latter being the reward. Not McGillivray. “The toughest part about the concept of running a marathon is signing the commitment. I look at these races as goals. It’s not as much about getting to the finish line. It’s about getting to the starting line,” he says, leaning forward in his chair pressing his palms together.

“To get there, you have to do the work. It’s almost like the race is the reward. The training is the work. The real reward is the residual benefits of doing it. Nothing is more important than your health—mentally, emotionally, physically, spiritually. “Once you do one [marathon], it’s infectious. It becomes a lifestyle. Once you taste it, it’s life-changing.”

Walking Tall Comedian Steve Martin said, “Be so good they can’t ignore you.” McGillivray grew up short statured was consistently the last pick on the playground, was cut from his favorite sports over and again, and didn’t consider runners athletes. Now he has become one of the most celebrated runners in the country. He’s an IRONMAN. He directs the most coveted race in the world, has directed U.S. Olympic trials and was inducted in the Running USA Hall of Fame in 2005 and the USA Triathlons Hall of Fame in 2011.

McGillivray proved that becoming an athlete is about heart and not height. “People tell me, ‘Oh, I can’t run a marathon’ and I tell them, ‘If you want to then you can.’ I started running because no one could cut you, you just run...and I’m always challenging myself. My best accomplishment is my next one. There is always something to go after. You’re always motivated, always psyched. “The benefits [to running] are so great. Why doesn’t everyone want to do this?”


IN THE KNOW | Q&A

show how food pairings complement the wine. It’s very fun. People never tire of it. How did you become a chef and how did you end up at Colonial Williamsburg? As a youth, I worked as a Boy Scout camp counselor, and was required to do a cooking demo once a week. I also worked in the restaurant business in high school, and there was always something exciting happening in the kitchen. Those experiences influenced my decision to pursue cooking as a profession and I enrolled at the Culinary Institute of America, one of the top culinary schools in the world. I worked at resorts and in Europe and joined Colonial Williamsburg from

Rhys Lewis

Executive Chef, Colonial Williamsburg INTERVIEWED BY BRANDY CENTOLANZA PHOTOGRAPHY BY BRIAN FREER

Tell us about Colonial Williamsburg’s Taste Studio, which includes A Chef’s Garden Tour & Tasting. At Taste Studio, guests see what we make from start to finish. They see it, smell it, talk about it and taste it. It’s the full experience. What we are demonstrating is something new and innovative. A lot of our dishes are vegetable-driven and come from the gardens here. When we do our garden tours as part of A Chef’s Garden Tour & Tasting, we may pull up a carrot or a turnip or some herbs and bring it to the studio. Sometimes we use vegetables people don’t know about, like leafy greens or root vegetables, or we use edible flowers. Since we are in the garden first, guests are mentally oriented to the food, so they are ready. This came about in mid-2013 when executive chef Travis Brust and I were out in the gardens learning how to grow and care for things in the gardens and bringing them back to our kitchen. The way people responded to us on the street got me thinking about how we could give people the whole food experience. What do you like about working in the Taste Studio? What is different about the Taste Studio is that our most experienced chefs are the ones 16 | thehealthjournals.com

executing the program, which gives guests the opportunity to talk to the top talent, our higher level chefs, including Travis Brust, Williamsburg Inn Executive Chef; Anthony Frank, Williamsburg Lodge Executive Chef; and Rodney Diehl, Colonial Williamsburg Pastry Chef. It’s very intimate. When I am in the Taste Studio as the chef, I am talking, cooking and interacting with the audience. I like it. I like that I am making someone’s day. I like making the guests who are there happy. There is some value in that. Overall, the response has been really good. We have guests who are local and from out of town. One guest from North Carolina visits every weekend. Early Americans ate from gardens, an experience you try to replicate. Do you think our ancestors had better eating habits than we do? I believe that our American ancestors ate less sugar and refined or processed food products in their diets. The foods were organic and sourced locally in most cases. What can you tell me about the Wine, Wit and Wisdom program? Wine is mysterious to people, so we try to unlock its secrets. We examine a range of topics and varietals such as cabernet and introduce samples of that wine from Chile, California or New Zealand to demonstrate that they taste completely different. We take a look at different wines around the world. It’s information-based and interactive, and we pair the wines with food or cheese to

1984-1989, when I left to become executive chef at the American Club Resort in Kohler, Wisconsin. In 2006, I had the opportunity to return to the Williamsburg Lodge following its renovation. We’ve been working to strengthen Colonial Williamsburg as a destination not only for history, but for food and beverage, too, providing guests another reason to visit. I want Williamsburg to be a food and wine destination; history supported by cuisine. In what ways has being a chef changed your relationship with food? It has made me seek comfort food from all over the globe. It has increased my appreciation for the source of food and the effort involved in farm fresh products. We discussed social dining. Do you think there is an added health benefit to eating in a social atmosphere? I believe that eating food with family and friends is far better for you than eating alone. We all have memories of meals shared with others at special times or on a daily basis, providing a sense of belonging and well-being. These positive emotions may contribute to improved health. What are your tips for people who cook at home? Pick simple recipes. Gather your friends. Put out some wine and cheese and bring the party into the kitchen. Give everyone an apron and put your guests to work helping prepare the meal. When you come to my house for dinner, we all work together and it’s so much fun. I love it.


Faster Recovery Times

Steven B. Hopson, MD, FACS Director of Hernia Center

General Surgery & Hernia Center

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mytpmg.com


THROWN

OFF

IN THE KNOW | ADVANCES IN MEDICINE

WRITTEN BY KIM O’BRIEN ROOT

Younger pitchers are logging in more innings, and more injuries

F

or a baseball pitcher, the arm is gold. But the arm is also susceptible to overuse injuries. Once, a serious injury to the elbow or shoulder was career-ending for a baseball player. That changed in the 1970s after the emergence of “Tommy John” surgery—a ligament replacement procedure named for the former major league pitcher. The surgery changed the game for pitchers. After surgery and rehabilitation, players could return to the field—some seemingly stronger than before. John pitched for 14 more seasons after his surgery before he retired. But the surgeries have been on the rise. In 2014, more pitchers had the surgery than in all of the 1990s. It’s estimated that 25 percent of active major leaguer pitchers, and 15 percent of current minor league pitchers, have had Tommy John surgery. “The numbers are getting ridiculous,” says Dr. Martin Coleman, an orthopedic surgeon at the Orthopaedic & Spine Center in Newport News, Virginia. “It’s being done in younger and younger throwers.” The news is distressing to those in the medical field, who say injuries leading to the surgery can and should be prevented. Arm overuse has become a big issue in the baseball world, even among young players. The youngest player Dr. Nick Sablan, an orthopedic surgeon with Tidewater Orthopaedic Associates, has done a Tommy John surgery on is 17. But he’s heard of 14- and 15-year-olds getting the procedure.

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Doctors believe that the increase in surgeries is in no small part linked to the ongoing trend of year-round baseball in youth. Young pitchers who pitch year-round and don’t rest their arms are three times more likely to incur a serious injury, according to the American Sports Medicine Institute. And the injuries might not come until later. “In many cases, the injury leading to Tommy John surgery in today’s young pro pitchers actually began while they were adolescent amateurs,” the ASMI said last year in addressing what they called an “epidemic rise” in surgery. Many players who make it to the college level are “baseball-only guys,” says Brian Murphy, the head baseball coach at The College of William & Mary. They may not be as wellrounded as multi-sport athletes, but they are excellent pitchers. But wear and tear is usually already evident. The ligament in question is the ulnar collateral ligament (UCL), a small ligament located on the inside of the elbow. When a player pitches, rotational force puts stress on the UCL. Over time, it can tear. Tommy John surgery uses a ligament from another part of the body to replace the torn one. At the Little League level, kids haven’t gone through puberty yet, so they don’t have as much strength as adults. The growth plates are still open, leaving the joints and ligaments susceptible to injury, says Sablan, who consults for college and high school baseball teams in Hampton Roads.


ADVANCES IN MEDICINE | IN THE KNOW

How to reduce the risk of arm injuries Optimize pitching mechanics to ensure the proper form is being used. Vary speeds for pitch types. Be watchful of fatigue on the mound. Be wary of pitching in winter league baseball. Do less full-effort pitching and more practice throwing, playing other positions and playing other sports. Ensure proper exercise, rest and nutrition. Youth baseball players (under 18) should take at least two months off per year.

Source: Little League International, American Sports Medicine Institute

Players ages 7-8 should throw no more than 50 pitches a day; ages 9-10, no more than 75 pitches; ages 11-12, 85; ages 13-16, 95; and ages 17-18, no more than 105. Observe rest days based on number of pitches.

In many cases, the injury leading to Tommy John surgery in today’s young pro pitchers actually began while they were adolescent amateurs.”

There is, however, hope. It comes through prevention and education, Sablan says. Proper training, conditioning and resting— all play a part in keeping the arm in shape. For players at all levels, there are guidelines for how many pitches can be thrown a week, depending on age. In 2013, the Virginia High School League adopted new, more-stringent pitching regulations. Little League has had pitching guidelines and counts in place since 2006, according to Chris Downs, spokesman for Pennsylvania-based Little League International. Youth baseball players are advised to take at least two months off per year, with no overhead pitching for three months a year.

“Little League continues to stress the need to put the ball down,” Downs says. “Pitching a baseball too much has been proven to be physically detrimental to young players.” Steve Howell, a physical therapist and partner at Tidewater Physical Therapy Inc., which has locations in Hampton Roads and the Richmond area, says he sees a fair number of Little Leaguers and high school students with elbow injuries. With strengthening and conditioning, as well as adherence to recovery time, surgery can often be avoided, says Howell. The baseball community seems to be getting better educated, Howell says, and there are programs to help make sure players are pitching the correct way. Coaches,

parents and the general public are gaining better understanding that every child’s arm has a limited number of pitches it is capable of throwing, adds the Little League’s Downs. Parents need to advocate for their children, know when to say no to a coach or manager and make sure their players are using proper baseball mechanics. If a player has talent, health and a love for the game, Downs says, high school coaches and college and pro scouts will find him. “We still have the overzealous parent who has their kid doing the same sport yearround—those are the ones most at risk,” Howell says. “We’ve got to keep these kids healthy for the future of the game.”

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FEATURES FEATURES| |YOUTH SOCIALAND MEDIA BEAUTY AND BEAUTY IMAGE

— s t c e p s a e v i t There are posihe power of we can use t hare images s o t a i d e m l a soci d.” e t a r b e l e c e b to

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How Do I Look? Social Media and Beauty Image

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MILLER MO


A

SOCIAL MEDIA AND BEAUTY IMAGE | FEATURES

decade ago, it was easy to point to fashion magazines as the source of discontent with how you looked—everyone in the photographs looked so effortlessly glamorous. Today, we still have those magazines, but we also have another source of comparison that’s much more pervasive and intimate: social media. The always-with-you cell phone camera, the constant posting of photos and videos online and the rise of supervisual apps like Pinterest and Instagram have changed how we perceive ourselves and others. Meghan Sinton, psychology lecturer at the College of William and Mary, leads a freshman seminar about body image. “We all have early self-awareness. Around 2 years old we realize things like ‘I have blue eyes.’ ‘I’m tall.’ ‘I have brown hair.’ As we grow older, we begin social comparison and have more abstract discussions. It’s an unfolding process,” Sinton says.

Tethering Identity to Social Media

Sinton says that the ability to see what’s different about ourselves is part of the maturing process, but that there’s a big change in our feedback loop. “One of the most interesting shifts is the ability to comment and “like” on social media. Magazines didn’t have that interactivity,” Sinton says. And it’s not just people who know you in real life providing that feedback. The Internet is full of people willing to tell you what they think—and many people who want to be told. Beauty contests or rate me requests on Instagram are now in the thousands—taking judgment and competition global instead of just among yearbook photos. A research brief done by Common Sense Media indicates that 41 percent of teen girls said that they use social media “to make themselves look cooler.” The pressure to be “camera-ready” all the time is growing for adolescents and young adults. The 2015 report “Children, Teens, Body Image and the Media” confirmed that how young people look and how they feel about how they look is a concern on social media. “Among the teens active on social networks, 35 percent reported having worried about people tagging them in unattractive photos; 27 percent reported feeling stressed out about how they look when they post pictures; and 22 percent reported feeling bad about themselves when nobody comments on or “likes” the photos they post.”

An Inaccurate Portrayal

One of the most deceptive parts of social media images is that they are so touched-up and filtered that they are nearly art instead of realism. “A lot of images are products. We don’t see the lighting, the makeup artists and the stylist—which most people don’t have. It’s a business to create these images. These are people who don’t exist,” Sinton says. “It’s important to see it for what it is. There’s a disconnect between how we see and internalize [these images] and the intentions of who make [them].”

The effects of seeing these images on our body perceptions are still being researched, but it’s not limited to young women and girls. “Men are still vulnerable to thoughts about strength and masculinity. They see images of men who are muscular and cut and have six pack abs. It’s just another kind of pressure,” Sinton says. Betty Eastman, a licensed clinical social worker in Poquoson, Virginia, who specializes in working with adolescents, sees the effects of social media with many of her clients. “While most adults think of social media as an enhancement to our lives, many adolescents see it as essential. They have computer access sooner and the applications they are using are always changing,” Eastman says. “There’s a lot of pressure for teenagers to perform at their best and look their best,” Eastman says. “They gauge their popularity on how many followers they have or retweeted or reblogged.” Many teenagers have unrealistic ideas that can get in the way of real life relationships. “Do boys think Victoria’s Secret models go to their school? Do they realize how photoshopped some of these images are? There’s lighting and filters and the best scenario portrayed,” she says. Eastman expressed concern about teenagers relying too much on social media interaction and then having difficulty in face-to-face interactions. “Anyone can create a seemingly perfect life on Facebook or Instagram, but it’s the real conversations and dealing with feelings that teenagers need to learn how to negotiate appropriately,” she says.

Going From Affirmation to Inspiration

While there are many detriments to substituting online life for real life, social media can also help boost the spread of positive messages. There are campaigns like Dove’s #speakbeautiful campaign to avoid negative body talk online and the Always “Run like a Girl” campaign. And because of social media, young adults and teens can more easily connect and find people like them, because it’s not limited to a small town or your own social circle. Online, people who are less likely to see positive images of people of their same race or physical characteristics may find them more easily. People dealing with chronic illness may connect with others with the same obstacles and hear advice. Teenagers struggling with gender identity or sexual orientation may find resources and safe places to discuss their feelings. The vastness of the Internet makes it easy to find people who are interested in whatever you are, whether thehealthjournals.com | 21


FEATURES | SOCIAL MEDIA AND BEAUTY IMAGE

that’s writing fan fiction, learning how to do a fishtail braid or needlepointing rebellious slogans onto pillows. “There are positive aspects—we can use the power of social media to share images to be celebrated. We talk about behaviors that make you feel beautiful, like community service or spending time with friends. We can use the power of social media to create empowering images. I see people moving more towards recognizing that,” said Sinton.

And hidden within the negative influences on the Internet, there may also be methods for prevention and assistance. For example, alarming Twitter photos of emaciated women tagged #thinspiration have been identified by professionals as promoting eating disorders— but the best prevention method may be to use the same channels to promote positive body images and offer help.

An Ever-Evolving Medium

Research on the effects of “beauty image” and social media are ongoing, and it’s hard

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to keep up. Each social media channel has its own specific features, including rating systems, photo and video uploads and the currently trendy “evaporating” posts. Developing a healthy body image is part of healthy development, and many other aspects of an individual’s life depend on being positive. So, in spite of the increasing pressure to be “camera-ready” all the time, we may need to just see it for what it is—a platform to curate beautiful pictures, rather than a reflection of our own shortcomings.

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kids' healthy development and the influential power of media — and parents — to shape attitudes and behaviors, beginning when kids are very young.

SOCIAL MEDIA AND BEAUTY IMAGE | FEATURES

Youth Body Image Infographic (Courtesy of Common Sense Media)

Many kids are dissatisfied with their bodies, and society's body appearance ideals are highly unrealistic. Body image is really important for self-esteem, which is crucial to a young person's development, and disorders linked to poor body image can result in serious mental and physical health issues.

Get involved

Children as young as 5 express dissatisfaction with their bodies.

• Tune into kids’ lives (ask about friends, school, and feelings). • Nurture a positive self-image. • Step in when kids need support

You are your child's first teacher. You have a lot of power to shape their attitudes, values, and behavior.

• Say why you appreciate your own body.

• Be active and eat well for health, not size.

Start early 5- to 8-year-olds who think their moms are dissatisfied with their bodies are more likely to feel dissatisfied with their own bodies.

Boys have issues with body image too. Boys' own body concerns and risky behaviors can go unnoticed, and their role in supporting healthy attitudes among girls is vital.

• Look for dramatic weight loss or gain. • Check the messages from coaches, peers, and online forums about weight, exercise, and muscle-building.

87%

• Teach appreciation for all types of people. • Focus on talents and strengths.

Media is influential — if all your child sees are unrealistic body types she’ll come to believe they’re the ideal.

Immunize your child • Choose quality media with diverse characters.

of female TV characters aged 10 to 17 are below average in weight.

41% Measurements of toy male action figures exceed even that of the biggest bodybuilders.

• Emphasize health not weight.

Unrealistic, sexualized, and stereotypical images and messages about bodies and gender are rampant on the media your kid consumes.

Pay attention to your son, too • Listen for negative body talk.

Body image concerns start earlier than you think; even preschoolers learn that society judges people by how they look. Ideas and habits formed young last a lifetime.

Ban "fat talk" • Watch your comments about other people's bodies and appearance.

More than half of girls and 1/3 of boys as young as 6 to 8 feel their ideal body is thinner than their current body size.

of teen girls say they use social media to "make themselves look cooler.”

• Question assumptions about appearance. • Challenge stereotypes about gender, body types, abilities.

Teens feel pressure to look good and cool online, but also feel social media helps their friendships and connections. Kids live in a constant feedback loop of criticism and connection that moves quickly and is difficult to escape.

Be a social media supporter • Help teens find supportive online communities. • Encourage social media breaks when online drama heats up. • Ask teens how online feedback makes them feel.

Methodology: For this report, we conducted a review of the published research literature on body image in relation to various types of media, among children and teens. We also included relevant research among young adults, and related topics such as gender roles and sexualization. We also scanned popular culture for exemplars and trends on this topic and developed case studies or examples as pointers for intervention. For more details on methods, studies reviewed, and key findings, see the full report at www.commonsensemedia.org/research/children-teens-media-and-body-image.

© Common Sense 2015.

thehealthjournals.com Common Sense is committed to helping kids, families, and educators thrive in a world of media and technology. Join us on Facebook

| 23


FEATURES | SEPTEMBER FOSTER

WRITTEN BY CHRIS JONES PHOTOGRAPHY BY ALEXIS KIKOEN

THE HEALTH & HARMONY OF SEPTEMBER FOSTER

On the heels of an upcoming tour, the vintage pop vocalist dishes on her roots, her health habits and what she’s up to next.

24 | thehealthjournals.com


“I

would have to say I seriously began to sing when I was around 4 or 5,” says September Foster, who remembers Reba McEntire’s “The Night the Lights Went Out in Georgia” as the first song she ever belted out. “It’s not a tune you’d necessarily think a toddler would love, but I was very passionate about it— and I still am.”

The Making of a Singer Described as having a voice beyond her years, Foster says that singing always felt organic. Her mother was a vocalist who performed at community events along the west coast of the United States and on Christian television. As a child, her mother, grandmother and great grandmother nurtured that same creativity into Foster. Her mother encouraged her to grow her voice while her elders taught her not to fear performing before crowds. As a young vocalist, did you sing throughout your school years? Music was part of my curriculum from kindergarten through high school. Because I was home-schooled, I was also involved in several performing arts programs that helped me hone my singing skills when I was young. What was your first public performance and how did it go? I believe my first performance was around age 6 when I was invited to sing at the Hollywood Brown Derby in Disney’s Hollywood Studios. I sang “Over the Rainbow” from the Wizard of Oz, and the audience was great and very welcoming! Tell us about your training. I received a great performing arts education through private teachers, including alumni of the Metropolitan Opera and the College of William and Mary. From a very early age, they gave me university-level music theory, advanced operatic training and musicianship. I’m grateful for the head start I was given with that level of material, and I’m still continuing to pursue my performing arts education.

The Shaping of a Singer Foster aspires to be like one of her favorite vocalists: Billie Holiday. She notes Holiday’s ability to deliver a song that can make you “feel heartache and happiness in the same breath” as her source of inspiration from the late jazz vocalist’s style.

Foster possesses an authentic vintage beauty akin to Holiday and reminiscent of the performers of the 1930s and 1940s from which her shtick was derived. “I think it’s easy to be influenced by artists you like,” says Foster, “and I try to put that influence into a positive place.” Her presentation and showmanship are a small portion the collective elements it takes to shape a vocalist. In private, after the practices and voice training, stands the unseen and less glamorous part of the profession—a deliberate health regimen that helps to keep Foster performing at the top of her game. As a vocal performer, do you adhere to a strict nutritional regimen? What is it? I’ve read that even some of the most seasoned of music acts have steered away from the stereotypical “rock star” lifestyles in order to have longevity in their performing careers. That’s something that I do think about quite a bit in regards to my health. I usually have four to five small meals a day, depending on how long of a day I’m going to have. I incorporate mostly organic fruits and vegetables into my nutritional plan, along with plenty of salmon and grilled chicken. Substituting meats for protein-alternative foods like lentils, quinoa, farro and hummus help with my energy levels; however I do avoid eating red meat and dairy products. To me, it doesn’t feel restrictive and my nutritional plan always contains varieties of locally grown produce and healthy alternatives to “normal” foods. By making different dietary choices, I’m more readily able to perform to the best of my ability, and that always translates to a better show! How does a singer’s health effect musicianship? That’s a great question that not many touch on. Just like an athlete can’t be as agile if they are eating poorly, or are not following their

practice regimen, so it can be with musicians and their ability to express their music. Our voices in particular can’t move as smoothly from note to note or have a lot of resonance if they aren’t taken care of. It requires a lot of pre-planning to be health-conscious and musically conscious at the same time, but in the end it’s definitely worth the extra effort. Just imagine someone like

Placido Domingo [of Three Tenors fame] having poor diaphragmatic control! It’s essential to treat our bodies well to power our voices. Lengthy performances must affect your body. How do you prepare for those? Sleep, rest and hydration! Over the years, I’ve come to realize how important sleep can be to recover from long rehearsals and/or performances. Even when I want to continue rehearsing for several hours, I know that I need to take a break at a certain point to allow for recovery time. Stretching and warming up my body periodically throughout a long day are also very helpful. Nutrition-wise, I like to eat a rice or vegetable pasta tossed with a little sunflower oil the night before a show. After a performance, a typical dinner for me is grilled salmon, kale and a baked potato. I try to sleep at least seven hours that night so I can feel rested and ready to go again the next day. Which foods should a vocalist avoid before a performance and for how long? There are quite a few, but the main one is dairy. This includes milk, cheese, whey, yogurt, ice cream, milkshakes and so on. This is because it creates a type of mucus-production that causes our vocal chords to feel sluggish and unstable. Usually you’d want to avoid them for at least 24 hours before a performance. Interesting. So which foods inhibit vocal performance? In my experience, I’ve found that hot sauce, coffee, black tea, barbecue sauce, anything that contains dairy and heavy foods really inhibit your voice. In a lot of ways they are harsh to the throat, especially right before you’re set to sing. If you do accidentally have something that you think might affect your voice, drink lots of water, and eat a fruit with

thehealthjournals.com | 25


pectin in it, like an apple. Usually that can clear up almost anything. What role does hydration play in performance? Are there types of drinks to avoid? Hydration plays a huge role! If a singer is dehydrated, it’s like trying to drive a Ferrari with very little oil in the car. There will be significant damage to the engine. Drinking several cups of room temperature water at least two hours before a performance is usually sufficient, but everyone is different when it comes to their hydration levels. I drink homemade chicken broth an hour before and keep drinking water until I step on stage. I generally steer clear of black teas, sodas or any drink that might cause dehydration on the day of a show. How do you protect your voice from strain? Before a performance, whether it is a single song appearance or a 45-minute set, I gently warm my voice up by doing scales and cool them down by humming for a few minutes after the performance. Like an athlete, warming up and cooling down is key. Also having good voice teachers instill the values of breath control, tonal quality, resonance and proper posture have helped me gain a richer quality in my voice over the years. In everyday conversations, I like listening to people and their stories, so it helps that I don’t put unnecessary stress on my vocal chords by talking too much. How does regular exercise benefit voice performance? I’m not a physician in any way, but from what I’ve experienced and researched, singing is so great for your heart, brain and lungs collectively. Exercise should be used as something in a vocalist’s toolkit for staying in tiptop performance shape, and the results really pay off if you are using your muscles and getting a good amount of oxygen into your system. Mild to moderate exercise is wonderful to keep up your lung capacity for singing, and my favorite ways to exercise are walking, skipping and tap-dancing.

26 | thehealthjournals.com

what’s next? Foster loves performing, calling it exhilarating. She loves the energy, the audience and enjoys seeing how her music touches people. She’s performed at sporting events, Walt Disney World, Colonial Downs, the Hampton Coliseum, Kaplan Arena, for the military and at events for Fortune 500 companies. She owns her slice of the American Dream and calls herself blessed. This summer, she’s kicking off her “I’ll Be Seeing You” Tour to benefit childhood literacy, youth athletics and military veterans. She has a GoFundMe campaign in place to help with costs and her tour dates will be released this spring on her ReverbNation page as they are confirmed. Called “a powerful young talent” by the Daily Press, Foster’s old soul, classic look and gentle demeanor are infectious. Coupled with her vocal talent, it all encompasses her goal. Concludes Foster, “I want to make my audiences feel the way my favorite artists make me feel—filled to the brim with life.”

Connect Twitter twitter.com/septemberfoster Instagram instagram.com/septemberfoster About.Me aboutme.com/septemberfoster ReverbNation reverbnation.com/septemberfoster

Support “I’ll Be Seeing You Tour” gofundme.com/septemberfoster



EXTRA | 10 FOODS YOUR DOG SHOULD AVOID

WRITTEN BY ALISON JOHNSON

10 Foods Your Dog Should Avoid D

ogs would gobble up just about any “people food” tossed their way. Trouble is certain foods can be dangerous, even deadly—and some surprising items make the list. Many pet owners know chocolate is a nono, but who’d have thought of avocados? What about grapes, onions, macadamia nuts or the artificial sweetener xylitol? “It’s just not always true that what is good for a person is good for a dog,” says Dr. Robb Murphie, a veterinarian at Anderson’s Corner Animal Hospital in Toano, Virginia. “Often, we don’t know why certain foods are toxic, or why some pets are super-sensitive while others can eat the same things and do fine.”

Chocolate tends to be the most common culprit. Generally, the darker the chocolate, the more dangerous (baking chocolate is the worst). Substances in cacao beans can cause vomiting and diarrhea, panting, excessive thirst, hyperactivity, abnormal heart rhythms, seizures and even death. “Basically, it’s too much of a stimulant, and their hearts just can’t keep up,” Murphie says. Treatment depends on how much of a food the animal ate, and its size. Concerned owners should always consult their vet or a poison control center. The American Society for the Prevention of Cruelty to Animals (ASPCA) runs a 24-hour line staffed by veterinarians and toxicologists—

(888) 426-4435—for a potential $65 fee. “Since certain foods can be more harmful than others, like dark chocolate or alcohol, it’s better to be safe than sorry,” says Gina DiNardo, vice president of the American Kennel Club. Dogs shouldn’t howl in despair, though: with a vet’s clearance, some “people foods” are safe, albeit nothing too greasy, fatty, sugary or salty. DiNardo lists apple slices, cottage cheese, yogurt, liver, ground chuck, string cheese, carrots and boneless chicken, while Murphie suggests boiled (not fried) chicken, rice or lean hamburger. Just don’t let them wolf down too much. “Like anything,” DiNardo says, “your dog should enjoy these foods in moderation.”

TEN ITEMS TO WATCH, ACCORDING TO LOCAL VETS AND THE AMERICAN KENNEL CLUB

Xylitol {

GRAPES AND RAISINS Vets aren’t sure why, but both can lead to

kidney failure.

Avocado

Oni ns Alcohol

Any beverages or foods containing alcohol can be fatal or cause breathing difficulties, diarrhea and decreased coordination.

Be careful if feeding a raw food. Bacteria lurk in uncooked animal products; bones are a choking hazard and can splinter into pieces that obstruct or puncture the digestive tract (note: swallowed fruit pits can do the same).

This is Milo, one of the Health Journal office dogs and this lovely photo is by his dog-mom, Alexis Kikoen.

28 | thehealthjournals.com

chives garlic

All contain substances that can damage red blood cells, causing bloody urine, anemia and weakness. While cats are particularly susceptible, dogs are at risk if they consume large enough quantities.

A toxin in the fruit can cause vomiting and diarrhea (and life-threatening breathing problems in birds and rodents).

Salt

}

Found in many sugar-free gums, candies, baked goods and toothpastes, xylitol can cause liver damage and low blood sugar.

Raw Meat

Eggs

Bones

Some dogs are allergic to other nuts, too, but vets single out macadamias for a risk of vomiting, tremors, lethargy and elevated body temperature.

Too many salty snacks can interfere with the body’s balance of water and oxygen, triggering excessive thirst, urination and seizures.

Macadamia Nuts

Milk

Yeast Dough

Pets don’t produce much lactase, an enzyme needed to break down milk sugars and avoid digestive upset. Some are more sensitive, but servings should be small for dogs—and even cats. A build-up of gas can rupture the stomach or intestines. Even with fully-cooked bread, vets don’t recommend more than a few small bits daily as treats.


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FOOD | FLAVOR

30 | thehealthjournals.com

WRITTEN BY KIMBERLEY CUACHON HAUGH

Y

ou may notice the tide changing in the James River as soon-to-be brides are franticly ticking off items from their wedding to-do lists. If you are fortuitous enough to partake in such a climate changing celebration, you’re thinking about what you’ll wear and what you’ll give. As a bridesmaid to one of my dearest friends this month, I will be practicing my due diligence and maiden responsibilities to help this party-girl become domesticated—something she’s been working on since she said “yes.” Any of these gifts are sure to inspire the new couple to concoct healthy and delicious, homemade meals together. Because when the honeymoon is over, and the looming question of “what’s for dinner?” is asked by the new bride and groom, the response should not be a painstaking duty, but a labor of love.

Give the gift of good food and wine to the newlyweds. CHEF’S KNIFE: 7” Wüsthof Classic Ikon Hollow-Edge Santoku Knife.

This knife’s weight and feel is remarkable. Most importantly, it provides effortless precision and control. For me, a chef’s knife can make or break a cooking experience. The blade must be sharp and have enough weight to glide through whatever it is you’re cutting. The knife does all the work. Unfortunately, it’s an investment that novice cooks take for granted because they can be pricey. There aren’t many deals on this product per se—but you get what you pay for. Added bonus: If you purchase the knife from Williams Sonoma, you can opint to have the blade monogramed. Where to buy: williams-sonoma.com, amazon.com REFERENCE BOOKS: The Joy of Cooking (Irma S. Rombauer, Marion Rombauer Becker, Ethan Becker), Tools and Techniques (Williams-Sonoma), How to Cook Everything Vegetarian (Mark Bittman)

"The Joy of Cooking" is one of the most published books in America and has been in print continuously since 1936. It is hands-down the cook’s bible to the most popular dishes made in American kitchens. My husband gave me "Tools and Techniques" for my first birthday that we celebrated together as a married couple. I love it not only for that reason, but also because of how visual the entire book is. The book covers step-by-step guides for topics like: how to cut fresh herbs, how to butterfly a chop, how to make your own pasta dough, and more. I love how the book also goes through the basic kitchen tools. Kudos to Williams-Sonoma for such a nonchalant marketing tool, but this is an excellent book for any home cook.

"How to Cook Everything Vegetarian" is so well written that it appeals to everyone from health-conscious omnivores to die-hard vegetarians. The Washington Post called it “a more hip Joy of Cooking.” As a non-vegetarian myself, this book has made vegetarian cooking much more approachable and has instilled healthier cooking practices in some instances allowing me to splurge guiltlessly on dessert. Where to buy: amazon.com, barnesandnoble.com WINE CLUB: WSJ Wine from Wall Street Journal

I’ve been quite pleased with all of the wines I’ve received from this club. Every time the shipment arrives it’s like Christmas. Apart from trying new wines and paving the way for romantic evenings for two, your newlyweds will enjoy the tasting notes and food pairing notes that come along with each package. It will also inspire them to create some of the recommended dishes to pair with their wine. Where to buy: wsjwine.com FOOD SUBSCRIPTION: Hampton’s Lane

I love this particular subscription right now because of the option to opint in or out of the monthly box based on its theme. So your newlyweds will only get the collections that they choose. Some of their previous box themes were “50 Shades of Chicken,” “The Pasta Box,” and “Coastal Italy.” All of the boxes include swank foods, kitchen tools and serveware for recipe lovers. Where to buy: hamptonslane.com


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TASTE APPEAL | FOOD

Cool off this spring with a parfait composed of tangy fruit and decadent cream. Topped off with a crunchy ginger cookie, this refreshing concoction hits the spot for those with a serious sweet tooth.

Ginger Cookies

Recipe by Melissa Shaffer INGREDIENTS 3 oz unsalted butter, softened 3 oz shortening 1 1/3 cup granulated sugar 1/4 cup molasses 1 each large egg 1 teaspoon baking powder ¾ teaspoon cloves, ground 1 teaspoon ginger, ground 1 teaspoon cinnamon, ground 2 cup all-purpose flour Additional granulated sugar for rolling

MAKES 4 DOZEN

PREPARATION • Preheat oven to 350F. • In a mixer, cream together butter, shortening, granulated sugar, and molasses until mixture becomes light and airy. Add egg and thoroughly mix. • Combine all dry ingredients in a separate bowl. Combine dry ingredients with butter mixture and mix until everything is incorporated. Be careful not to over mix. • Scoop dough into teaspoon-sized balls and roll in additional granulated sugar. Place cookies on greased sheet tray or lined with a silicone mat 2 inches apart. • Bake in oven for 5 minutes and then rotate tray to promote even cooking. Then finish for an additional 5-7 minutes until cookies are done.

Strawberry and Rhubarb Fool

Recipe by the Waypoint Culinary Team INGREDIENTS 1.5 pound rhubarb, peeled and sliced 1/2 inch thick 1.5 cup honey 1 each orange, zested and juiced 2 tablespoons candied ginger, chopped fine 1/2 each vanilla bean, split Pinch kosher salt 3/4 cup heavy cream 1 tablespoon granulated sugar 1 pint strawberries, top removed and quartered 1/4 cup granulated sugar 1 fluid ounce citrus vodka (optional)

MAKES 6 SERVINGS

PREPARATION • To make the fool, put the rhubarb, honey, orange zest and juice, candied ginger, vanilla bean, and salt in a saucepan over medium heat. • Stir to combine, then cover and cook, stirring every few minutes, for 10 minutes, until the mixture has come to a boil and the rhubarb has softened. • Remove from the heat and allow to cool, then remove the vanilla bean. Transfer the compote to a bowl, and refrigerate, uncovered, for at least 30 minutes, until very cold. • While compote is cooling marinate Strawberries with citrus vodka and sugar • Whip the cream and sugar until soft peaks form. • Set aside 1/3 cup of the compote to garnish the dessert, then fold the remaining compote into the whipped cream. • Spoon the fool into six 1/2-cup glasses or dishes and chill for 1 hour before serving topped with the remaining compote and marinated strawberries. • Serve with ginger cookie.

PHOTOGRAPHY BY BRIAN FREER & ALEXIS KIKOEN thehealthjournals.com | 33


FOOD | TASTE APPEAL

VEGAN

Recipe and Photography courtesy of Feast at Home (feastathome.com) Take a break from the ham this spring, and be bold with a delicious roasted lamb's leg. INGREDIENTS 3 1/2–5 pound leg of lamb, boneless, butterflied 1/2 teaspoon salt and cracked pepper 1 cup herbs; rosemary, thyme, sage 1 cup flat-leaf parsley 10 cloves of garlic 1 tablespoon lemon zest 5 teaspoons olive oil

For the Mint Gremolita 1/2 cup olive oil 1/3 cup mint leaves, finely chopped 1/3 cup Italian parsley, finely chopped 1 tablespoon lemon juice 1 tablespoon lemon zest 1 tablespoon capers 1 garlic clove, minced 2 tablespoons onion, ºfinely chopped Salt to taste

34 | thehealthjournals.com

MAKES 4-6 SERVINGS

PREPARATION • Preheat the oven to 425 F. • Pat dry the lamb and butterfly it so it lies flat and will roll evenly. Trim off any fat as desired. Generously sprinkle with salt and pepper. • Make the herb paste: Pulse herbs with the garlic and lemon zest in a food processor, until coarsely chopped. Add olive oil and blend until a dry paste forms. • Spread 2/3 of the herb paste into the inside of the lamb. Carefully roll the lamb up and around itself, making sure the sides are even and the paste faces inward. • Tightly wrap the lamb with kitchen twine, in one inch intervals. • Rub the outside with the remaining herb paste. • Place the lamb on an a roasting rack, over a pan. Roast for 15 minutes, then turn the oven down to 325 F. Continue cooking for another 50-75 minutes, or until the inside temperature registers between 125-135 F. Remove the lamb from the oven and let it rest for 20 minutes. • Make the gremolata: combine all the ingredients into a small bowl. • Slice the lamb leg in thin slices, against the grain, and serve with gremolita.

SNIP-SNIP! CUT ALONG THE LINE TO KEEP THIS RECIPE.

Herb Crusted Leg of Lamb with Mint Gremolata

Roasted Asparagus with Lemon Recipe and Photography courtesy of The Hungry Hounds (thehungryhounds.com) As an early-season veggie, grilled or roasted asparagus is perfect for early spring. Add a splash of lemon to enhance the flavor of this wonderful side-dish. INGREDIENTS 1 pound asparagus 1 teaspoon olive oil 1/2 teaspoon kosher salt 1/8 teaspoon black pepper juice of half a lemon

SERVES 2 FOR A LIGHT LUNCH

PREPARATION • Heat the oven to 425 F. • Wash the asparagus and trim off the tough, woody ends. • Toss the asparagus in a large bowl with the olive oil, salt, pepper and lemon juice. Spread the asparagus evenly on a baking pan (use a silicon baking mat or parchment to make clean up easier). • Roast the asparagus for 12-15 minutes until the asparagus is slightly wrinkled and the tips look crispy. • Serve hot or at room temperature with an additional twist of lemon juice.


HERB-N-GARDEN | FOOD

, y r a m e Ros ! Y B BA

PHOTOGRAPHY BY ALEXIS KIKOEN

Garlic-Rosemary Roasted Potatoes 2 tablespoons rosemary, fresh or dried 1 1/2 - 2 pounds yukon or red potatoes 1/4 cup olive oil 3 garlic cloves, finely minced salt & pepper to taste

• Preheat the oven to 375 F • Quarter the potatoes • Toss potatoes with the remaining ingredients in a large bowl • Spread the coated potatoes in a single layer on a baking sheet • Cook at 375 F for about one hour, turning occasionally, until evenly browned

thehealthjournals.com | 35


FOOD | FOOD & NUTRITION

DESIGNING WRITTEN BY SHAWN RADCLIFFE

A YARD THAT’S GOOD ENOUGH TO EAT

T

he average American eats only three servings of fruits and vegetables a day. That’s well below the five to 13 servings recommended by the latest dietary guidelines. One of the easiest ways to increase your intake of these healthy foods, though, is to grow your own fruits and vegetables right at home. But don’t worry, this doesn’t mean you have to set aside a dedicated “vegetable garden.” Take a look around your yard, patio or deck and you’ll find plenty of underutilized spaces waiting to welcome your tomatoes, raspberries and greens. Here are a few tips to help you create your own attractive and edible landscape, one that will feed your family for many seasons to come. Identify the Outdoor Spaces The size and shape of your edible garden is determined in large part by the outdoor spaces available to you. But even if you live on a tiny lot or have just a porch or patio, you are only limited by your creativity. When space is at a premium, increase your growing potential by adding containers, vertical structures or raised beds. 36 | thehealthjournals.com

On the other hand, if you live on a large lot, don’t fall into the trap of rigid rows. Look for ways to create curved lines and smaller spaces from plantings of fruit trees, vegetable plants and herbs. Choose Your Garden Style Designing an edible garden is a lot like shopping for clothes. You have to choose something that fits your style. Think about whether you prefer well-ordered spaces or something more free-form and casual. When designing your garden, you can always start from scratch. But also take a look at the existing plants and structures, like patios and fences, to see how you can enhance their visual appeal with edible plants. Decide on Edible Plants There are so many edible plants available that it can be overwhelming. One of the best ways to narrow down the list is to look at the available light. Plants like eggplant and tomatoes love the sun, while kale and broccoli raab will tolerate

a bit of shade. Lettuces, on the other hand, are happy growing in the shade of other plants or even a large oak tree along the street. You can also create a permanent backdrop for your annual vegetable plants by including a few perennials in your garden. Look for long-blooming perennials that attract pollinators and other beneficial insects. Create Living Garden Spaces One of the most challenging, but ultimately the most satisfying, aspects of designing your edible garden is creating something that is part of your outdoor living space. This can be as simple as shaping your garden around paths that flow across your yard, including vertical elements like trellises, or using attractive containers or raised beds. And don’t forget to create a quiet space among your garden for sitting and relaxing, one within easy reach of those soon-to-be ripe blueberries or tomatoes.


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FOOD | VINE & DINE

out our website for + check two tasty sangria recipes!

SANGRIA WRITTEN BY HALEY HERRINTON

I

FRUIT PUNCH WITH A KICK

t’s hard not to love sangria. This zesty punch is a combination of wine, liqueur and sliced fruit, and is sure to liven up any occasion. It’s informal and refreshing, and the best part about sangria is that there is truly no wrong way to make it. With an alcohol content ranging between 4-11 percent, this punch is as variable as it is fun. Named for its dark red color, sangria comes from the Spanish word for blood, sangre. This concoction of wine, fruit and spirits has grown in popularity in the United States over the last 50 years, since it was first introduced to the U.S. at the 1964 World’s Fair in New York City. But the drink, which hails from Spain and Portugal, has a much older history. It is speculated that sangria was first created during the Roman occupation of the Iberian peninsula, as early as 200 BC. While the Romans occupied what is now modern Spain and Portugal, they planted vineyards which produced some of the first Spanish wine. At the time water was dangerous to drink, and the blend of wine, water and spices was a necessity for Roman and Spanish citizens alike. Over the centuries, sangria made its way across the empire and into a growing Europe. Accounts from the Middle Ages speak of hippocras, a fruity beverage that may be very similar to its Spanish predecessor. Today, the culture of sangria transforms wherever it is served. In Spain, sangria remains 38 | thehealthjournals.com

a popular drink in bars and pubs, celebrated with locals as with tourists. Ready-made, bottled sangria has also become extremely popular. Recently the national drink has become regionally protected within the European union; only sangria made within Spain or Portugal can be sold as such. In the United States, anything goes; from a traditional red wine with oranges and apples, to Asian influences of lychee and Thai basil, to rose champagnes and strawberries. Cool and easily enjoyable, sangria has become a darling of large spring and summer gatherings. When making sangria, it's important to give it plenty of time for the flavors to steep and develop. After mixing, the cocktail should be stored in the fridge for at least 2 to 4 hours. This allows the fruit juices to infuse into the wine, and to soak up the complex flavors of the wine and liqueur. Time and a little tinkering can make this a personalized, and fun party go-to. Make sure to slice extra fruit, so you'll be ready for a second batch! The Wine When choosing the wine for sangria, look out for a good quality, well-priced red wine. You want to choose one you’d drink on its own, but won’t break the bank. A dry, medium bodied wine with fruity tones will accent the added sweeteners. Garnacha, Tempranillo, Zinfandel, Bonarda, Nero d'Avola

The Spirits Liqueurs and cordials add depth and zing to the mix. Look out for orange or raspberry flavored cordials, or honey flavored liqueurs. Fruit can also be soaked in the spirits prior to adding the wine. Brandy, Cognac, Orange Cordials, Honey Vodka, Marsala The Fruit Traditionally apples and oranges are always found in sangria, but they aren't the only fruits out there for this drink! Anything from citrus to berries work wonderfully. Slice or chop the fruit with the peels on, and serve with a wooden spoon to dish out. Oranges, apples, lemons, limes, mangos, peaches, grapes, strawberries, raspberries, lychee The Sweeteners Some believe that fruit should be the only sweeteners in sangria. But you can make sangria to suit your tastes, and adding club soda or ginger ale also provides a pop of carbonation. Sugar, honey, syrup, sparkling water, tonic, citrus juices, club soda, ginger ale The Spices For an added touch, stir in some spices. Cinnamon, cloves, anise, pepper, basil


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YOUR HEALTH | FAMILY

SAVING CHILDREN

THROUGH THERAPEUTIC FOSTER CARE Area agency takes a hands-on approach to rehabilitating the lives of Hampton Roads children WRITTEN BY CHRIS JONES

S

ince 1979, Braley & Thompson has provided the children of the Commonwealth of Virginia safe and supportive foster homes while helping to restore their natural home environment. The company started off as a foster care agency providing residential services. They were bought out by ResCare a little under a decade ago, which enabled them to expand their aid to offer more services, like helping the families with outpatient therapy, mental health services and therapeutic mentoring on-site. Shannon Chappell, the child planning supervisor for the Chesapeake, Virginia branch, is the liaison who receives the foster care alerts as they come in. She helps to make the best fits for children who need rapid placement. “To make the best fit you really have to know your foster parents, know what they can handle, know what their strengths are, what the flexibility in their schedules are, because everything plays a part when you’re trying to place a therapeutic foster child in a home,” she says. “We don’t tend to stick kids anywhere.” The company does its best to make sure that every situation is a great fit by doing a preplacement visit, but since they get a large influx of emergency care needs, they don’t always possess that luxury. So they work with the Department of Social Services to find the best suitable environment. “We take as much information about a family as we can, try to keep the kids in the same cities because that is what the DSS wants, but we give them all of our available options so that they can make a decision on what they feel is the right fit as well.” says Chappell.

40 | thehealthjournals.com


FAMILY | YOUR HEALTH

How Foster Families are Determined When a family makes the decision to serve the community by becoming a foster family, there is a process that they must undergo. Many families find the opportunity through an advertisement, Christie Westlund, regional director for the Eastern Region of Chesapeake and Richmond, says, “Many people call in, they’ve seen our ads in Valpak, we’ve been to vendor events, we’ve got people though word-of-mouth and they call in saying they want to be a foster parent.” Once they’ve engaged Braley & Thompson, they’re brought in for an orientation, they apply, and then it’s reviewed to see if they would be a good fit for the organization and if they would be a good fit for a foster parent. “They come through our training, a home study has to be completed, background checks have to be completed on everyone in the family, TB testing and physicals have to be done. It depends on what the foster family is willing to do. We can get families certified in as little as two months,” says Chappell. “We get a lot of calls from people who say they have been thinking about it for months or years but it’s a lifetime commitment.”

In a home visit, eligibility is determined by the past of the family. For instance, if a foster parent has experienced a lot of sexual trauma, Braley & Thompson is unlikely to place a child who has experienced sexual trauma in that home, unless the foster parent has dealt with and overcome the trauma, to which it may be a therapeutic relationship for the child. Other factors are the size of the home, number of bedrooms and where they live. “We want to make sure that we’re not moving them next door to where they live, but we want to put them in a safer environment,” says Chappell. Location is also a huge piece. What the state looks for is to have kids placed in their same localities since the goal is to have the child placed back into their home when the appropriate time arrives. So if a child lives in Virginia Beach, it’s the goal of DSS and Braley & Thompson to ensure that the child remains in Virginia Beach. Virginia’s regulations also state that a parent must be mentally and physically able to foster. So they can’t be terminally ill or have any ailments that prohibit a parent from fostering. This isn’t usually a problem for their applicants. The biggest challenge is a shortage of foster families. In the Hampton Roads area, there are only 13 foster families serving with the organization. “The matching piece is so hard,” says Westlund. “Social Services could call and let’s say we have 20 families available, if the children need to be placed in certain school zones, we may not have that.”

How Treatment Foster Care Works Treatment foster care differs from typical foster care as it provides a safe and stable environment for young people in foster care to manage the social, emotional and educational challenges resulting from the complex trauma of abuse, neglect and dysfunctional home lives. Treatment foster care creates the structured setting necessary for growth and development and helps to overcome developmental delays. Foster families collaborate with a team of professionals to develop unique approaches to the individualized needs of each child and to build healthy family relationships, according the Braley & Thompson website. Here is how the training works. “If you have a foster kid and you need more training we help with that. Let’s say they have a kid who has autism, we go out to their house and do it one-on-one. But the training [for treatment care] as a whole is an eightsession process,” says Westlund. “We’re starting a trauma training with all of our old foster parents and our new ones. It helps them to help kids when they have difficult times when their big feelings are coming out everywhere, you know, when they’re exploding on and hitting people, this training will help them.”

National Foster Care Month is coming up in May. It’s a time to recognize the role each of us plays in the lives of children and youth in foster care. thehealthjournals.com | 41


YOUR HEALTH | FAMILY

Another difference in the therapeutic model is that every person at the agency knows what’s going on with every child in the program. This helps parents when they need access to someone in difficult times because anyone can help them. “We have an on-call phone that gives families 24-hour access,” says Chappell. “They can talk to any one of us and we can help them or give them more training.”

How Children Enter Into Foster Care Children come in to the agency after being removed from their primary care givers by Child Protective Services, through home-to-home transfers and from other care agencies. The challenging aspect is the trauma that it adds to their young lives. “They’ve all had trauma in one way or another; the beginning trauma being an abuse and neglect case. That can be emotional, physical, mental, sexual or whatever CPS has deemed needing removal. So they have that trauma. If they are moved through another agency, that adds more trauma,” says Westlund. Adds Chappell, “Sometimes we get kids whose parents just drop them off at DSS and their parents have relinquished custody. Or we get kids whose family life seemed to be okay, but they ended up in juvenile detention for stealing or fighting. So before they go home they have to enter into the step down process of therapeutic foster care because we find that they’re just not ready for the independence of going home.”

Family Integration & Lifestyle A typical challenge with foster care is home integration. The new child has to learn to live with a new family, function within its rules and possibly take on foster siblings. “For each kid it’s different,” says Westlund. “So we look at the matching and try to get as much information as we can from the social worker so that we can look and see if they would be good with a couple of other kids in the home, or no, they need more attention. They may need a mom and a dad in the home. Some kids can’t handle pets.”

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FAMILY | YOUR HEALTH

“Some people ask for a strong male role model in the home or someone with a military background. We’ve also been asked to place kids in the home of same sex parents if a child is gay, or with parents who will understand and accept them. So we really do look at everything when placing a kid,” says Chappell. “And we have to really educate the parents. Some are just so excited and want a kid, but we have to ask them if they’re really OK with how a transgendered child will dress, if a child doesn’t want to go to church or the foods they like to eat.” During the training of their foster parents, Westlund and Chappell talk to the families about their expectations and how to make a kid feel safe and comfortable in their new home environments. “Sometimes you have to get a nightlight, or an ADT system to help them feel safe. We might not know what has happened to the kids so we teach them to comfort those fears,” says Westlund. “Then we have them talk about what aspects of their culture make them feel comfortable, like incorporating the holiday traditions they had at home into the foster home. This helps the kids to feel like it’s their home and when they do, they thrive.”

Aging Out and Ongoing Relationships It’s an inherent trait of Americans to love the comeback story. We see it in inspirational films like “The Pursuit of Happyness.” It’s no different in day-to-day lives of the people in our communities. With therapeutic foster care, the children who graduate out of the foster care environment—which happens at age 21—aren’t left to fend for themselves. They are given the tools to overcome the hands they were dealt and in some cases, their foster families still assist them.

“Since our kids don’t age out of the program until 21, a lot of our foster parents will teach the kids how to use public transportation to go to college or go to work,” says Chappell. “Kids can sign themselves out at 18, but if they’re trying to go to college and get a job, DSS will pay for them to go to school until they’re 21 and they can stay with the same families if they choose.” In some localities, like in their Roanoke, Virginia program, the agency will help kids find apartments and then assign a case worker to check in on them and help them if they choose. This option isn’t available yet in Hampton Roads. Chappell says the agency has had many success stories due to the resiliency of the kids they’ve had. Some have gone on to have careers, start successful families and lead good lives. “These kids really try. We coach our families to focus on the little successes and those create the big ones that makes them want more success,” says Westlund. “We teach the kids to set goals. We ask the foster parents to help them set up bank accounts and teach them the value of money and how to save.” The greatest success and strength of the program are the bonds built between the children who age out and their foster families. In many cases, it extends into adulthood, which helps to keep the young adults grounded. “We still hear from some of the kids from time-to-time and that someof the foster families still maintain relationships with the kids because they’ve created that bond—an attachment with someone they can celebrate holidays with, or get help from,” Chappel says. “They marry, have kids of their own and they find you on Facebook,” laughs Westlund.

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YOUR HEALTH | FITNESS

More than Kicking and Master’s Punching—A Way of Life Top Ten: How Martial Arts Benefits Children WRITTEN BY JOSEPH B. ASH

T

here are countless forms of martial arts in the world. Many people select their type of martial arts at random—they base it on what’s popular or what people they know are doing. But what type is less important than the overall benefits of martial arts education. Martial arts can be a way to increase personal development, reinforce positive character skills and to build goal-setting skills. It’s also a tangible way to learn how to bounce back from mistakes or challenges. How can it do this? • Martial arts involve both physical and mental strength. • They include tangible tools of measurement—skills that must be mastered to advance belt levels. All forms of martial arts have benchmarks that show progress. • Flexibility and stretching are physical benefits, but also the learning process aids in “thinking flexibly.” • There are both team and individual benefits.

When to Introduce Children to Martial Arts There are a number of times when an introduction to martial arts could benefit your child: • Toddler programs begin around age 2 with most students around ages 3 and 4. Students learn basics, including following instruction, knowing left from right and fundamentals. They do it in a positive environment often with their siblings, which is great for bonding and building social skills. • Students ages 4-9 build independence and learn boundaries, they increase their ability to focus and to adapt to a structured learning environment. They grow their confidence, increase body awareness and learn how their bodies work. • At ages 10-14 they gain a positive peer group, that increases confidence, promotes good decision-making and helps them identify their strengths. They begin to see themselves as leaders and the spatial awareness helps them grow into their changing physicality. • Being a good role model is a focus for the older teens, ages 15-19. They assume intermediate levels of leadership, work on commitment and follow through and contribute to the community.

Where to Find a School Finding a martial arts school these days doesn’t take a lot of effort. However, if you are sincere about finding the perfect school for your child, try not to just select the one nearest you. It may take some extra effort, maybe even some trial and error, but when you find the right school you, it’s like finding another family. Do your research, whether it’s searching the Internet, reading books, talking to friends or all of the above. Find out 44 | thehealthjournals.com

Great questions to ask when interviewing a potential martial arts school. 1. What is your organizational focus? 2. Who are your teachers? 3. Do you have a curriculum and/or lesson plan

for students to follow? 4. Do you have a trial program? If so, explain. 5. What commitment level can I expect after the trial? 6. What is the general price structure I can expect

after the trial? 7. What other necessary fees can I expect

to incur along the way? 8. Do you require students to compete

in tournaments? 9. Is the school involved in the community?

If so, explain. 10. What references do you have?


more about what and whom you are getting involved with. In most cases, if a school has been around for a while, you’re in pretty good shape. In such cases, a respectable school would have several local supporters. Perhaps instead of trophies and medals all over the walls, there would be signs of service, community and leadership. Remember, just because someone has a 10th degree black belt or has won a prestigious-sounding championship doesn’t mean they can teach. Perhaps watch a class or two to see how the instructors with students. Ask around and if you still don’t get a warm fuzzy feeling, give it a try for a day or month. You’ll have a better idea then.

Why Choose Martial Arts for Children Although physical fitness can be obtained in most any sport, or simply by running, a well-designed martial arts program can capture and retain a child’s interest. Confidence is the key to being successful in any endeavor and in order to build that, you must find a program that has the right balance of education, motivation, structure, challenge and reward. Self-defense is a natural byproduct of any martial arts program and it’s actually not that hard with a little guidance. So it comes down to character, leadership and mindset. A school’s goal should be to train better leaders, not just better fighters. So if we are to truly minimize the need for self-defense, mental or physical, then we must start with building better people.

A school’s goal should be to

train better

leaders,

not just better fighters.


YOUR HEALTH | YOGANATOMY

Eagle

sanskrit: Garudasana ❥ WRITTEN BY SAPTA YIN, ACSM, RYT 200

❥ PHOTO BY BRIAN FREER

Gaze Pick a focal point to direct your gaze toward and keep your concentration fixed on your chosen object.

ready? In a standing position, take an inhale and raise your arms above your head, palms facing each other—shoulders relaxed. Feel your abdominal muscles draw up and in, thinking of moving from an activated center. With an exhale, bend your knees softly and begin to balance on your left side as you cross your right thigh over your left. Your right toes can tiptoe on the ground beside your balancing foot or rest against the left calf. With your next inhale, reach through your fingertips as you root and sit a little deeper into the legs. On the exhale, circle your arms downward to let the right arm wrap underneath the left—elbows bent, palms facing each other. If wrapping the arms is difficult, you can also cross your arms mummy-style over your chest, palms cupping relaxed shoulders. Breathe deeply in the pose, pressing the thighs and, the arms together even more to create activation and stability in the body. Come out of the pose when ready.

Core Keep abdominal muscles engaged— hugging towards your spine and up underneath your ribcage.

Hips Right hip pulls back as left hip pushes forward to keep squared in shoulder and hip joints.

Balancing Knee Keep your balancing leg softly bent.

46 | thehealthjournals.com


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YOUR HEALTH | AGING WELL

WRITTEN BY BRENDA L. HENDERSON

12 Tips for Keeping Skin

BEAUTIFUL AND HEALTHY A

ging changes the body, and skin is not exempt. It becomes thinner, loses fats and no longer appears plump and smooth. Veins and bones become prominent and scratches and bruises heal slower. One of the main culprits of aging skin is sugar. A diet, which contains large amounts of refined sugars, may cause skin to age prematurely through the formation of advanced glycation ends products (AGEs). To limit inflammation and control skin aging, it is important to avoid refined sugars. When all types of sugar, fructose or glucose clinches onto fats and proteins, it begins a process called glycation. This causes the collagen to become inflexible and abnormal, as well as lose elasticity, causing wrinkles and accelerated aging. A good basic skin care regiment can prevent some of the side effects of aging skin. To maintain healthy skin try these twelve tips: Monitor Sun Exposure. Avoid the sun and wear UVA and UVB protective sunscreen daily—rain or shine, summer or winter. Always apply sun protective creams and lotions to all skin that is exposed. It is recommended to use a SPF 30 whether you are walking, lying out in the sun or driving. UVA rays can penetrate glass so it’s important to be protected. Apply sunscreens at least 20 minutes prior to being in the sun. Even delicate areas, such as the eyes and lips, need added protection, so look for lip balm and makeup products that have sunscreens in them Eat Well. A healthy diet can keep skin looking and feeling good. Continuous hydration improves blood circulation. A diet complete with fruits and vegetables contributes to skin health, especially foods high in vitamins A, C, and E, omega-3-fatty acids and selenium. Examples of those foods are sweet potatoes, bell peppers, citrus fruits, tuna, salmon, avocados and nuts. Regulate Sugar Intake. Too much sugar over long periods causes skin to dull and wrinkle prematurely. Limiting sugar intake is not only good for your waistline, but great for your skin.

48 | thehealthjournals.com

Decrease Alcohol Consumption. Alcohol dilates blood vessels in the skin and increases the blood flow near the skin’s surface. Blood vessels can become permanently damaged over a period of time resulting in a blotchy, uneven and red skin. Alcohol dehydrates the body resulting in unhealthy looking skin.

Exfoliating. This is a good way to keep skin soft and looking young. Buffing the dead skin away keeps pores from clogging. Exfoliating accelerates the skins natural rejuvenation and regular exfoliation keeps fine lines and wrinkles to a minimum. Go Natural. Minimize your usage of makeup. It’s not necessary to be fully made up all the time. No matter how expensive the brands are your skin may become damaged. Let your skin breathe.

Moisturize. Protect your skin from weather to keep it soft and smooth. When temperatures take a dip below freezing, the skin needs special care against chapping and dehydration. Creams made with minimal amounts of water and maximum amounts of emollients keep skin well moisturized on the coldest days.

Manage your stress. Uncontrolled stress can make the skin more sensitive and cause acne breakouts and other skin problems.

Hydration. Staying hydrated is essential to skin protection. Hydration helps retain elasticity and prevent dry, scaly, flaky skin. The key to skin hydration is drinking lots of water. The skin cells are made of water, which renews skin.

Don’t smoke. Smoking makes the skin look older by causes sagging, uneven tones, age spots, crow’s feet and loose skin under the eyes, and contributes to wrinkles. It also damages the collagen and elastin.

Face Washing. Washing your face twice a day with a mild cleanser to remove dirt, oil and dead cells is important. Remember when washing to gently massage in a circular motion rather than scrubbing, which can cause skin irritation. Don’t forget to rinse thoroughly afterwards to remove soap and soap residue.

Sanitize your smartphone. According to a recent study at Stanford University, your phones can have more germs than a toilet. The germs land on your cheek and jawline causing spots and irritation. Wipe down your phone with an antibacterial wipe a few times a day to keep it bacteria-free.


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YOUR HEALTH | OUTDOORS

WRITTEN BY CHRIS JONES

TRENDSPOTTING: WHAT’S GOOD ON

THE GREEN Titleist 915D3 Driver

The Titleist 915D3 Driver delivers distance with trajectory control while producing lower flight and less spin. “They’ve added a chamber at the bottom of the head for more impact,” says Ed Collins, head golf professional at Kiln Creek Golf Club & Resort in Newport News, Virginia. The club uses ARC technology designed to produce more speed and less spin. “With a lower center of gravity you get less ballooning and more of a line drive,” confirms Collins, who says it's one of the best clubs available.

Titleist Pro V1 Golf Balls

The 2015 Pro V1 and Pro V1x golf balls offer better short game spin and improved control. The balls come with the new, patented thermoset urethane elastomer cover designed to also improve feel and sound. The technology gives golfers the added confidence to hit it closer to the hole.

Garmin Approach S3 GPS Watch Black/Gray

A growing trend in golf technology is the use of GPS watches. The Garmin Approach S3 GPS Watch marches golfers from the tee box to the green.

The convenient and easy-to-use touchscreen is simple and glove friendly. The high-resolution display has high reflectivity much like a Kindle Paperwhite, making it readable anywhere. The watch shows the true shapes of the greens, manages distances and offers precise yardages, and comes preloaded with 25,000-plus worldwide courses (free updates available; no subscription required). Says Collins: “They’re programmed by satellite with all of the courses so you never have to figure out yardages anymore. You can see the whole course.”

Adidas Men’s adipower Boost Golf Shoes

“Adidas did the same thing to their golf shoes that they did to their basketball shoes,” says Collins.”It’s amazing.” What Collins is referring to is the FitFoam cushioning system used by Adidas to make golf shoes comfortable for indoor and outdoor use. The shoe offers comfort, stability and lateral support. Adidas has also placed gripmore spikes of varying sizes, strategically locating them on the outsole to deliver improved and more efficient traction and stability where it’s needed most— the swingplane.

STRENGTHENING CORE WRITTEN BY JAKE WAREING

1) Plank

Doing exercises like a plank is a whole lot better for your lower back and research has shown you will get more abdominal contraction with a plank than if you do a crunch. Get your body nice and flat. You should be able to lie a stick down your spine and have it touching your lower back, between shoulder blades and back of the head all at the same time. Make sure that you are not arching your lower back. To prevent this, try to roll your hips underneath and squeeze your glutes, 50 | thehealthjournals.com

quads and compress your abs and rib cage. Upper body position is equally important. Your elbows should be directly underneath your shoulders and your hands should be directly underneath your eyes. Chin should be tucked slightly. Pretend that you are trying to hold a grapefruit between your chin and the top of your chest. Make sure that your lower back stays stable and does not shift from side to side. Pretend that there is a glass of water (or wine) resting on your low back.


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2) Limited Rotations

One of the most important factors for a healthy golf game is a stable lower back. What is equally important is the ability to stabilize your spine to resist over rotation when the upper body is moving side to side. Which is exactly what we see when hitting a golf ball. If your core is not strong enough to resist rotation you will eventually feel pain in your lower back. The lumber (lower) spine is not meant for rotation the same way as your thoracic (midback) spine is. For this one we are going to need a band attached to a wall or a cable machine. To start you want to step a couple feet away and turn 90 degrees from the attachment point. Start with your feet shoulder-width apart and your knees slightly bent. Extend your arms to full extension. What you typically see when working rotation is turning as far as you can one direction and then turning as far to the other without rotating your hips with your shoulders. Although this is good for your core, it is also really bad for your lower back. So instead we work rotation by moving our hands slightly beyond one shoulder and then to the other. So move your hands through a limiting range of motion while stabilizing hips from moving side to side.

3) Battling Ropes

The battling ropes are actually a great core exercise. Because the ropes are move around and you have to stabilize your body and core from moving around with them. Not only that, but to get the ropes moving you have to activate your core in a quick, explosive manner similar to how your core works when swinging a golf club. There is no perfect form when it comes to battling ropes but you should stand with your feet shoulder width apart and maintain good posture. Single Rope Whip. For this, grab one rope handle and whip it up and down. Alternating Rope Pattern. Grab two rope handles, ofne in each hand, and alternate rope hits. One comes up while the other goes down. Double Rope Whip. Whip two ropes at the same time up and down. This is going to give you your best bang for your buck. Keep in mind that the battling ropes are going to get your heart rate through the roof, which is great for your metabolism and burning calories. We like to use this at the end of our workouts as a finisher. Start with a 1:1 work to rest ratio if you are new to the ropes. We recommend going :30 working then :30 rest for 3-5 sets. If you want to push yourself, a 2:1 work to rest ratio works best. We recommend: 20 working then: 10 rest for 6-8 sets.

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Duke of Gloucester Street Challenge Proceeds BeneďŹ t - Angels of Mercy Medical Clinic whose mission is to provide Free, Compassionate, Quality Health Care to the uninsured residents of the Greater Williamsburg Area, Charles City and New Kent Counties.

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SPONSORED BY: Colonial Sports • The Angels of Mercy &RORQLDO 6SRUWV Board of Directors &RORQLDO 6SRUWV ., Comber Physical Therapy • Casey Toyota Middleburg Bank • Sentara Hospital

Health Care to the uninsured residents of the Greater Williamsburg Area, Charles City and New Kent Counties.

Online Registration Available: Online Registration Available: www.RunSignUp.com www.RunSignUp.com

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Proceeds BeneďŹ t - Angels of Mercy Medical Clinic whose mission is to provide Free, Compassionate, Quality Health Care to the uninsured residents of the Greater Williamsburg Area, Charles City and New Kent Counties.

The race benefits the Angels of Mercy Medical Clinic whose mission is to provide free, compassionate quality health care to the uninsured residents of the greater Williamsburg area, Charles City and New Kent Counties.


YOUR HEALTH | MIND MATTERS

don’t let your kids be

afraid of the “B” word

I

Take time to discover the gift of boredom

f you’ve got kids, you’ve been there—those times when the wait at the doctor’s office drags on longer than planned, or the chicken tenders your kids ordered take forever to arrive, or that longed-for Spring Break turns into day after day of rain. Your toddler is whining, your third-grader is ready to climb the walls, your teen is rolling her eyes (again), thinking your suggestion of a crossword puzzle is so 2012. They’re coming, you know it—those dreaded words... “I’m bored!” But these days, many kids and their parents have a ready solution. It’s a LeapPad, a Nintendo, an Xbox, an iPad or the ever-useful smartphone, loaded with a few apps for those crisis moments. Is there any reason, really, not to let the kids power up? > The importance of boredom The truth may be surprising, but many professionals who work daily with children agree—when parents resist allowing electronics and, instead, require their kids to be “bored,” it can be enormously beneficial, building imagination, social skills and self-reliance. Elsa Beck, a licensed professional counselor and a registered play therapist with Williamsburg’s Family Living Institute, says free play during such times enables children to grow cognitively, physically, emotionally and socially, and especially for young children, is “their natural means to express themselves.” Molly Gareis has seen these benefits manifested during her years teaching third-, sixth- and eighth-graders and in her current role as director of the Williamsburg Parent Cooperative Preschool. “Time that’s quiet and unstructured is when kids are really allowed to be creative, to start to pursue their own interests,” she says. And if kids seem at a loss for what to do? “It forces them to go inward a little bit. It teaches them problem-solving, because they have to figure out what to do and how to do it.” Beck notes that even when parents want to get involved in their kids’ play, children still need some time when they lead the play and can think on their own. “With children, a car might not necessarily be a car; it might be a space shuttle, it could be an alien, it could be anything…We [adults] come into their play with all these logical things,” she says, which can unintentionally quash kids’ imaginations. She adds that children who experience free play with peers become better able to take turns, negotiate conflict and work together as a team, 52 | thehealthjournals.com

whether they’re deciding the best way to build a backyard fort, or establishing rules for a game of capture the flag. Gareis notes that in school settings it’s easy to tell which children have been allowed too much technology during their free time at home. “Their attention spans are very short, and there’s a need for instant gratification,” she says. “It’s harder for [those] kids to sit and attend to things.” In her experience with older children and teens, who may text rather than talk to friends during their free time, Gareis has observed that “they don’t know how to talk on the phone with someone, and it’s harder for them to read social cues.” And Jodie Newman, a guidance counseling director at a York County Middle School, says many conflicts she deals with daily could be avoided if young people spent more time interacting in person rather than on social media. “It’s amazing to see [how quickly disputes are resolved] when they actually talk to each other.” > Finding open time for kids While free time can be beneficial for children, it’s in short supply in many families’ schedules. Gareis says the trend even at her preschool is many parents “filling their kids’ time completely” with extracurricular activities, in addition to technology. Such choices by parents may be due partly to fear of the “b” word, Beck says, but she emphasizes, “boredom is not a negative thing.” Children’s overloaded schedules may also result from many parents feeling pressured to raise a “super-child,” according to Beck, but early exposure to music or sports won’t necessarily spark interest or develop talent at a young age. Gareis observes, “If kids are not [ready] developmentally, [learning a new skill] is not going to be a positive experience, and it’s not going to be genuine.” As a result of too much activity and pressure to achieve and too little down time, kids and teens are increasingly struggling with anxiety, depression and perfectionism and are not learning how to manage their emotions. “They are missing the opportunity to unwind, to process what’s happened in their day,” says Gareis. While some sources interviewed for this article say their own children’s desire to fill time with technology presents a regular parenting challenge, others who have set firm limits on screen time and/or extracurricular activities are enjoying welcome effects on their children’s behavior and their family life. One York County mother of 18-year-old twins says, “The worst thing I ever did was buy them an

WRITTEN BY BETH SHAMAIENGAR

iPod,” adding that it led eventually to cell phones; today, she says ruefully, an eye-to-eye conversation with her children is hard to come by. On the other hand, Laurie Hager, a Williamsburg mother of a 9- and a 12-year-old, says she and her husband established a family policy limiting screen time (four hours on the weekend, one afternoon weekly after school during the school year) after her family took part years ago in a national screen-free week promoted by their daughter’s school. “That week made us think very intentionally about … what we wanted for our kids’ growing up experience,” she recalls. And though the policy is “not terribly popular” with her children, she admits, she has noticed that on days when they come home and curl up with a book at a sunny window, or run around the house playing together, there’s “a totally different vibe” than when they come home once a week after school and can turn on electronics. Hager says she and her husband have also limited extracurricular activities, offering their children choices, and “they’re becoming aware of their quality of life management.” > Parents must model how to use free time Sometimes a child’s complaint about boredom masks the real need—for more quality time with their parents. Research shows, Beck says, that giving kids just 15 minutes a day of undivided attention benefits children in many ways. In addition to expressing love and validating children’s emotions, it can also help promote higher levels of thinking such as logic, empathy and an understanding of rules and consequences, which continue to develop until young adults are well into their 20s. But if parents do want to teach their children how to use time constructively on their own, the best strategy is deceptively simple— parents must model for their kids how to disconnect from technology, take a break amidst a hectic schedule, and be creative with their own free time. “A lot of people don’t realize,” Elsa Beck asserts, “that children learn from what they see sometimes more than from what they hear.”


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YOUR HEALTH | MONEY

MOBILE MONEY DAILY BUDGET

W

hile your bank account may be short on funds, there is no shortage of personal finance apps to help manage your cash flow. Like personal finance, app preference is based on individual choice and need. But the best of all finance apps—regardless of the user’s financial goals—are simple, intuitive and powerful, making our money (and lives) easier to manage. Here are some of my favorites.

Mint (Free; iOS, Android)

For: the Hands-off Budgeter

MINT

Industry favorite Mint, owned by financial heavyweight Intuit, is an app financial advisor Stephanie Baker says many of her clients use for automated budgeting and tracking. Unlike most personal finance apps which require the user to manually input transactions, Mint connects directly to the user’s financial institutions for a lowmaintenance look at budget status, spending trends and net worth. Other features include free credit score monitoring and personalized spending advice. Pros: • Minimal maintenance • Easy set up and streamlined user interface • Frequent updates that address issues and add features • Combines many options found in various finance apps Cons: • Mobile app lacks many full-site features • Somewhat unintuitive in categorization of transactions • Inability to split transactions into multiple categories

MINT 54 | thehealthjournals.com

A look at the best personal finance apps WRITTEN BY KELSEY HINTON

Pocket Expense (Free-$4.99; iOS, Android) For: the No-Frills Privacy Seeker

Bare-bones Pocket Expense helps budgeters track cash flow with an attractive, straightforward user interface. Manually entered transactions ease worries of users hesitant to connect bank accounts while creating a more interactive budgeting experience. A pro version ($4.99) removes ads and allows syncing across devices. Pros: • Attractive, user-friendly interface • Excels at what it does: budgeting • Syncing option available (helpful for multi-user budgets) Cons: • Manual transactions may become high-maintenance • Limited reporting features • Limited customization

Daily Budget (Free-$3.99; iOS)

For: the Money-Managing Minimalist As its name suggests, Daily Budget focuses on dayby-day budgeting. A few quick questions about income and expenses and the app spits out a hard-and-fast daily spending limit down to the penny. Rather than budgeting individual line items, Daily Budget lumps expenses into ‘fixed’ and ‘variable’ categories and deducts the total from income, leaving a figure which may be spent at the user’s daily discretion. The app also offers a handy goal-setting feature that helps the user save a fixed amount over a specified period of time for big-ticket items. The pro version, which gets rid of ads and includes additional analysis graphs, expanded customization and PIN protection, is worth the splurge.


Pros: • Elegant, powerful user interface • Unique daily budgeting may be more digestible for some • Discretionary spending system offers flexibility, eases budgeting experience Cons: • Does not sync with other devices • Long-term budgeting not a focus • Manual entry of transactions required

Personal Capital (Free; iOS, Android) For: the In-Depth Investor

Personal Capital is a top-rated app for users wanting a more complete financial picture. In addition to cashflow reporting, Personal Capital tracks investment allocation and performance and offers a comprehensive “Investment Checkup” tailored to the user’s portfolio. Like Mint, users link investment and banking accounts for automated, real-time information. Pros: • Well-rounded financial outlook • Minimal maintenance • Personalized investment reporting

Our goal is to help you pursue yours. It’s that simple. At Merrill Lynch, you’re at the center of every conversation. Your Merrill Lynch financial advisor will take the time to understand what’s most important to you: your family, your work, your hopes and dreams. Together, we’ll create an investment strategy that’s uniquely yours. Merrill Lynch 11742 Jefferson Avenue Suite 320 Newport News, VA 23606

Melissa K. Holloman Financial Advisor

Cons: • Solicitation for investment services with no opt-out feature • Lacks daily budgeting feature • Lag in updating recent transactions

melissa.holloman@ml.com 757.599.2336

Life’s better when we’re connected®

Merrill Lynch Wealth Management makes available products and services offered by Merrill Lynch, Pierce, Fenner & Smith Incorporated (“MLPF&S”), a registered broker-dealer and member SIPC, and other subsidiaries of Bank of America Corporation. (“BofA Corp.”). Investment products: Are Not FDIC Insured Are Not Bank Guaranteed May Lose Value The Bull Symbol, Merrill Lynch Personal Investment Advisory, Merrill Lynch and Life’s better when we’re connected are trademarks of Bank of America Corporation. © 2015 Bank of America Corporation. All rights reserved. AR4BR4GK | MLWM-102-AD | 470948PM-0314 | 03/2014

Mellette PC AT T O R N E Y S AT L AW

Serving Health Care Providers

Mellette PC serves the legal needs of health care clients so that they can focus on their primary mission of delivering high-quality patient care.

Call Peter Mellette, Harrison Gibbs, Nathan Mortier or Nicole Hartz for a consultation today. 428 McLaws Circle, Suite 200 Williamsburg, VA 23185

(757) 259-9200 www.mellettepc.com


HEALTHY COMMUTE | DRIVING ERGONOMICS

DRIVING ERGONOMICS Seven Steps for Being Good To Your Body When Driving WRITTEN BY GINGER OGREN, MS, PT, OCS

H

ave you thought about how much you drive? There’s the day-to-day just getting to and from work, weekend excursions, family vacations and day trips. It adds up to lots of time in the car. Our bodies are designed to move, so being stuck in one position for several hours can cause strain that our bodies aren’t ready for. There are also strains associated with the physical act of driving. Those strains increase with higher speeds and more aggressive cornering, but the principles apply to everyone. The next time you’re behind the wheel, remember these seven pointers on safety and comfort.

➜ SET YOUR SEAT UP PROPERLY. When sitting all

the way back in the seat, if you extend your arm forward over the steering wheel, the steering wheel should hit at your wrist. If you’re too close, your air bag won’t be able to deploy properly, but if you’re too far away, you won’t have as much driving control, and you’ll put excess strain on your shoulders and neck.

➜ BRAKE AND SHIFT COMFORTABLY. You should be able to fully brake and fully depress the clutch and still have a little bit of bend in your knee. You may need to adjust the seat angle to get both your arms and legs in the correct position for your car.

56 56 || thehealthjournals.com thehealthjournals.com

➜ LUMBAR SUPPORT. Now that you’re in the correct

position, see if your low back is well supported, or if your seat puts you in a slightly slumped position. If you’re slumped, there will be a lot of strain on your low back. Many cars have adjustable lumbar supports, and most people can benefit from using that feature. If you don’t have adjustable lumbar support, though, you can still improvise. There are lumbar rolls that serve the same purpose that attach with an elastic strap around the seat—the half-round ones are perfect for use in cars! They fill in that little gap in the small of your back. In a pinch, you can roll up a towel and use that, but the springiness of the foam of a lumbar roll is really nice.


Is Your Commute a Pain in the Neck?

➜ STABILITY. Most seats and seatbelts don’t provide

much in the way of support side to side. Sports cars tend to have somewhat better support along the sides of the seatback and sometimes along the seat bottom, but there’s still a lot of opportunity for sliding around. That forces us to use a lot more muscle contro and can lead to driving fatigue. This tendency is exaggerated when zipping around curves in a spirited fashion. If you’re lucky enough to have adjustable side bolsters in your seat back, take advantage of them. If you want to get some extra stability but aren’t interested in a full racing seat and harness, a nice product to try is a CG Lock (cg-lock.com).This device attaches to your existing seatbelt, but locks the lap belt portion to keep your hips from shifting around.

➜ HAND POSITION. Years ago, we were taught to

drive with our hands at the 10:00 and 2:00 positions on the steering wheel, and to cross our arms when going around turns. Now that air bags are in all vehicles, the safest position is with the hands on the lower half of the steering wheel. For performance driving, the hands can be a little higher, and the best control is right at the cross spokes of the steering wheel. Even in performance driving, however, you still don’t want to let your arms cross as you turn, because you can be seriously injured if the air bag deploys with your arms in front of it.

We Can Provide Relief! Chiropractic & Massage treating: • Back Pain • Neck Pain • Headaches • Joint Pain • Sciatica • Fatigue Medicare and most Insurance accepted.

➜ YOUR VEHICLE. Once your body is in a good

position, pay a little bit of attention to your vehicle itself. Worn suspension parts can transmit a lot of vibration through to the passengers, and our bodies aren’t suited to resist vibrational forces. Is your car pulling one way or the other? If so, an alignment will help decrease stress on your shoulders.

➜ TAKE BREAKS! Don’t forget this simple thing.

AL

A quick stop can be a great chance to do some stretches and walk around a bit before you get going.


special advertising section

ACCEPTING NEW PATIENTS are you looking for a provider? Our featured providers are committed to serving the community with the highest-quality health care.

DERMATOLOGY Kelly Barriault, PA Associates in Dermatology, Inc.

Kelly Barriault was a Richmond, Virginia native prior to her acceptance into the physician assistant program at Eastern Virginia Medical School, Norfolk Virginia. Kelly received her master’s degree from EVMS in 2005 and it was during her clinical rotations, she found her passion for dermatology. She enjoys educating patients about their skin and performing skin cancer screenings. “I am lucky to work in a field that I love. I am a people person, and I can’t imagine doing anything else. Nothing makes me happier than seeing patients improve and achieve their healthcare goals.” Kelly has worked exclusively in the field of dermatology for over 8 ½ years and now calls the Hampton Roads, Virginia area her home. Kelly resides in Chesapeake, Virginia with her husband and two girls. When Kelly is not at work, she enjoys spending time with her family. Some of her pasttimes include bike riding, going to the beach, listening to music and singing, gardening, baking, and doing arts and crafts with her girls. Associates in Dermatology, Inc. 17 Manhattan Square Hampton, VA 23666 Phone: (757) 838-8030 www.aiderm.com

ALLERGY & ASTHMA Timothy J. Campbell, M.D. Allergy Partners of Hampton Roads

Timothy Campbell completed his undergraduate education in psychology and neuroscience at Miami University in Oxford, Ohio, and attended medical school at Northeast Ohio Medical University. Dr. Campbell completed his internal medicine residency at Summa Health System in Akron, Ohio. He completed his fellowship in adult pediatric allergy and immunology at the world renowned Cleveland Clinic in Cleveland, Ohio. In his free time, Dr. Campbell enjoys traveling, playing soccer, volunteering at Camp Promise West, all things culinary and watching foreign and independent films. He is very excited to explore the Hampton Roads area and provide excellent allergy relief to the Peninsula.

Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443

895 Middle Ground Blvd., Suite 302 Newport News, VA 23606 (757) 596-8025 www.allergypartners.com/hamptonroads


PERSONAL TRAINING

PHYSICAL THERAPY

Brian Cole, CPFT, CMT

Caroline Fornshell, M.S., R.D., C.P.T.

Allen R. Jones Jr., D.P.T., P.T.

Personal Training Associates For over 20 years Brian has been building his personal training practice to serve not only those who want to improve their overall health and fitness but also those in need of postrehab conditioning following physical therapy, injury and/or surgery. Brian is certified as a personal fitness trainer by the American Council on Exercise (ACE), a massage therapist by the Virginia Deptartment of Health Professions, a post-rehab conditioning specialist by the American Academy of Fitness Professionals and a weight management consultant by ACE. Brian is also the co-inventor of The Back Unit for low back strengthening and injury prevention. His trainers have college degrees in exercise science or fitness management, national certification by ACSM, ACE, or NASM, and in addition, they regularly earn advanced specialty certifications in a vatriety of disciplines. They are knowledgeable and experienced working with hip/knee replacements, ACL tears, spinal and shoulder surgeries, mastectomies, rheumatoid and osteoarthritis, scoliosis, etc.

WEIGHT MANAGEMENT

Dominion Physical Therapy & Associates, Inc.

LWell

Caroline is an integrative nutritionist who opened LWell, a modern health club for real people. By incorporating all the components of weight loss into one warm and friendly hospitality-oriented fitness and wellness facility, she guides people towards better health by improving nutrition, fitness, fun, stress, sleep and support. Caroline works to support you and your physician in improving your health through wellness. Caroline enjoys working with a wide range of nutrition-related conditions and concerns. She graduated from Virginia Tech with a bachelor’s degree, then worked as a personal trainer for many years before becoming a registered dietitian and earning a master’s degree in nutrition from State University of New York (Oneonta). She is a member of the academy of Nutrition and Dietetics (AND), the American Association of Diabetic Educators (AADE), the American Diabetes Association (ADA), IDEA and the Physician’s Committee for Responsible Medicine (PCRM). She is certified in Adult Weight Management (AND) and is a Certified Personal Trainer (NASM).

Personal Training Associates - Private Studios

Dr. Allen R. Jones, Jr. is a Licensed Physical Therapist and owner of Dominion Physical Therapy, earned his degree in Physical Therapy from the University of Connecticut in 1987 and holds a postgraduate certification in Clinical Management of Head, Facial and Neck Pain and TMJ Disorders from the American Academy of Head, Facial and Neck Pain and TMJ Orthopedics. Jones has been a member of the American Physical Therapy Association since 1988. He is also certified in ergonomics and holds a number of other certifications. Dominion Physical Therapy offices, one of which is dedicated exclusively to the rehabilitative needs of pediatric patients, are now located in Hampton, Newport News, Williamsburg, Portsmouth, and Norfolk. Jones is a father of four and married to Hampton native Gail Boyd Jones, who is a physical therapy assistant and works in the practice.

LWell

(757) 599-5999

Dominion Physical Therapy Associates, Inc. 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446 www.dompt.com

www.lwell.com

Port Warwick Hilton Village 210 Nat Turner Blvd. 97 Main Street Newport News, VA 23606 Newport News, VA 23601

www.briancoleandassociates.com

EAR, NOSE & THROAT

GENERAL SURGERY

TPMG Ear, Nose and Throat Specialists

TPMG Ear, Nose and Throat Specialists

SPORTS MEDICINE

Steven B. Hopson, M.D., F.A.C.S.

Pierre T. Martin, M.D.

Pierre T. Martin, M.D. earned his medical degree and completed residencies in general surgery and otolaryngology at State University of New York. He completed his fellowship in head and neck surgery/plastic and reconstruction at Methodist Hospital in Indianapolis, Indiana. Dr. Martin has been in practice since 1994. He serves on numerous professional and community organizations and currently holds membership in professional societies including American Association of Physician and Surgeons, American College Surgeon’s-Fellow, American Academy of Otolaryngology/Head & Neck Surgery-Fellow, Virginia Medical Society and Newport News Medical Society. Dr. Martin provides comprehensive ENT diagnosis, treatment and surgery, including thyroid and parathyroid disorders, sinus and allergy, pediatric ENT disorders and audiology services. TPMG welcomed Dr. Martin on September 29, 2014 and the opening of Ear, Nose and Throat Specialists. We welcome current and new patients to our Suffolk location.

301-A Village Ave. Yorktown, VA 23693 (757) 585-3441

General Surgery & Hernia Center

Steven B. Hopson, M.D., F.A.C.S. received his undergraduate degree from Temple University and earned his Doctor of Medicine at the Medical College of Pennsylvania. He completed a residency in General Surgery and served as Chief Resident at East Carolina University’s Pitt County Memorial Hospital. Dr. Hopson is board certified in General Surgery and a Fellow of the American College of Surgeons. He has been practicing in the area since 1995. Dr. Hopson is the Director of The Hernia Center and a member of the American Hernia Society. If you have been diagnosed with a hernia, we invite you to schedule an appointment with Dr. Hopson and begin your journey to better health today. In addition to his Newport News location, he also sees patients in Hampton. Please call for additional information and to reserve your appointment at either location. General Surgery & Hernia Center

Nicholas K. Sablan, M.D.

Tidewater Ortho Dr. Nick Sablan, an expert in the field of sport medicine, joined Tidewater Ortho in the fall of 2011 after having completed his residency in orthopaedic surgery at the University of Connecticut, and a fellowship in orthopaedic sports medicine in the Kerlan Jobe clinic in Los Angeles, California. In Los Angeles, Dr. Sablan served as assistant team physician to the Kings, Lakers, Dodgers, Anaheim Ducks and PGA Tour, as well as college and high school sports teams. He joined Tidewater Ortho because he shares the same commitment to providing excellent subspecialty care. His goal is to help relieve the pain and improve the joint conditions of the weekend warrior to the serious athlete and get them back in the game. Dr. Sablan provides expert care to athletes from Hampton University to Hampton high school teams, as well as the casual athlete who wants to continue to be active after an injury. Tidewater Ortho

901 Enterprise Pkwy, Suite 900 Hampton, VA 23666 (757) 637-7016

5818-D Harbour View Boulevard, Suite 230 Suffolk, VA 23435 (757) 673-6118

860 Omni Boulevard, Suite 108 Newport News, VA 23606 (757) 874-1077

5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 206-1004

www.mytpmg.com

www.mytpmg.com

www.tidewaterortho.com


STAYING WELL | ONE LAST THOUGHT

Everything has beauty, but not everyone sees it.

—Confucius

CARING FOR VIRGINIA FAMILIES Since 1986

DID YOU KNOW? You can be evaluated and treated by a Physical Therapist without a prescription from a physician. COORDINATION WITH YOUR PHYSICIAN AND INSURANCE COMPANY We provide status reports to your physician, communicating your progress throughout treatment and are happy to coordinate coverage requirements with your insurance carrier.

To learn more, visit www.TPTI.com/Direct-Access

33 LOCATIONS THROUGHOUT RICHMOND, WILLIAMSBURG & SOUTH HAMPTON ROADS.

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HEALTH DIRECTORY | STAYING WELL

HEALTH DIRECTORY EMERGENCY NUMBERS

AUDIOLOGY & HEARING

National Response Center

Colonial Center For Hearing

Toll-Free: (800) 424-8802

National Suicide Crisis Hotline Toll-Free: (800) 784-2433

National Suicide Prevention Hotline Toll-Free: (800) 273-8255

430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004

BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place

COSMETIC & PLASTIC SURGERY Reneau Medical Center for Age Management & Aesthetic Medicine

120 Kings Way, Suite 2550 Williamsburg (757) 345-3064

Williamsburg Plastic Surgery

Poison Control Center Toll-Free: (800) 222-1222

5483 Mooretown Road Williamsburg (800) 582-6066

333 McLaws Circle Williamsburg (757) 345-2275

ALLERGY & ENT

CARDIOLOGY

DENTISTRY

Hampton Roads ENT & Allergy

Riverside Cardiovascular Health

New Town Dental Arts

5408 Discovery Park Drive Williamsburg (757) 253-8722

11842 Rock Landing Drive, Suite 100 Newport News (757) 873-0338 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500

Riverside Ear, Nose & Throat Physicians & Surgeons 120 Kings Way, Suite 2900 Williamsburg (757) 345-2600

895 Middle Ground Blvd., Suite 152 Newport News (757) 599-5505

117 Bulifants Blvd., Suite B Williamsburg (757) 259-9540

CHIROPRACTIC & ACUPUNCTURE Pinto Chiropractic & Rehabilitation

5408 Discovery Park Blvd., Ste. 200 Williamsburg (757) 645-9353

Wade Quinn, DC

1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900

Sebastiana G. Springmann, DDS 4939 Courthouse Street Williamsburg (757) 259-0741

Rubenstein Orthodontics

Loretta Rubenstein, DDS 12725 McManus Blvd., Suite 1B Newport News (757) 874-0990

Williamsburg Center for Dental Health

Stacey Sparkman Hall, DDS 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303

Benjamin T. Watson, DDS, PLC Family, Cosmetic, & Sedation Dentistry

DIAGNOSTIC IMAGING

729 Thimble Shoals Blvd. Bldg. 7E Newport News (757) 873-3322

250 Nat Turner Blvd. Newport News (757) 596-1444

Patrick R. Wyatt, DDS Orthodontics

Tidewater Diagnostic Imaging

12528 Warwick Blvd., Suite F Newport News (757) 595-7990 7151 Richmond Road Williamsburg (757) 565-3737

DERMATOLOGY Associates In Dermatology, Inc.

17 Manhattan Square Hampton (757) 838-8030

Schumann Dermatology Group 5309 Discovery Park Blvd. Williamsburg (757) 564-1200

Dermatology Center of Williamsburg

Donna M. Corvette, M.D. 5535 Discovery Park Blvd. Williamsburg (757) 645-3787

Orthopaedic & Spine Center

100 Sentara Circle Williamsburg (757) 984-6000

ENDOCRINOLOGY Riverside Endocrinology & Diabetes Center

120 Kings Way, Suite 2550 Williamsburg (757) 534-5909

FAMILY PRACTICE Riverside Family Practice & Extended Care 5231 John Tyer Highway Williamsburg (757) 220-8300

Riverside Norge Internal Medicine & Pediatrics Center 7364 Richmond Road Williamsburg (757) 345-0011

Riverside Williamsburg Family Medicine

120 Kings Way, Suite 1400 Williamsburg (757) 345-2555

7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478

Life at Williamsburg Landing…

embrace it

It’s about what’s important to you. Maintain your lifestyle and feel secure about your future. Enjoy life among friends knowing you have:

• A choice of diverse home styles in a beautiful residential setting • Superb dining and resort-style health club and spa • Resident representation on the local Board of Directors • Independent living with assisted living and memory care available if you need it Welcome to Williamsburg Landing, a Continuing Care Retirement Community. It’s life at its best. Call today for a tour

(757) 585-4436 www.WilliamsburgLanding.com/hj

Williamsburg’s only accredited Continuing Care Retirement Community


STAYING WELL | HEALTH DIRECTORY FITNESS

HEALTH CARE ATTORNEYS

B-defined Innovative Personal Training & Wellness

Brain Injury Law Center

4801 Courthouse St., Ste. 122 Williamsburg (757) 345-6801

LWell - Longevity Wellness 301-A Village Ave. Yorktown (757) 585-3441

FREE CLINICS American Red Cross Adult Dental Clinic 606 West 29th St. Norfolk (757) 446-7756

Angels of Mercy Medical Clinic

7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700

Beach Health Clinic

3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601

Chesapeake Care

2145 South Military Highway Chesapeake (757) 545-5700

The Community Free Clinic of Newport News

2100 Kecoughtan Road Hampton (877) 840-3431

Mellette PC

428 McLaws Circle, Suite 200 Williamsburg (757) 259-9200

HERNIA SPECIALISTS The Hernia Center at Mary Immaculate Hospital 860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077

HOME CARE Agapé Home Care

350 McLaws Circle, Suite 2 Williamsburg (757) 229-6115

Visiting Angels

12388 Warwick Blvd., Suite 206 Newport News (757) 599-4145

HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital

727 25th St. Newport News (757) 594-4060

2 Bernardine Drive Newport News (757) 886-6000

H.E.L.P. Free Clinic

Bon Secours DePaul Medical Center

1320 LaSalle Ave. Hampton (757) 727-2577

H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577

Lackey Free Clinic

1620 Old Williamsburg Road Yorktown (757) 886-0608

Olde Towne Medical and Dental Center

5249 Olde Towne Road Williamsburg (757) 259-3258

Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132

Western Tidewater Free Clinic

2019 Meade Parkway Suffolk (757) 923-1060

GASTROENTEROLOGY Colonial Gastroenterology 400 Sentara Circle, Suite 103 Williamsburg (757) 534-7701

11803 Jefferson Ave., Suite 230 Newport News (757) 534-7701

Digestive Disease Center of Virginia, PC

Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190

Riverside Williamsburg Gastroenterology

457 McLaws Circle, Suite 1 Williamsburg (757) 221-0750

GENERAL SURGERY Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2600 Williamsburg (757) 345-0141

62 | thehealthjournals.com

Granby St. & Kingsley Lane Norfolk (757) 889-5310

Bon Secours Maryview Medical Center

3636 High St. Portsmouth (757) 398-2200

Bon Secours Health Center at Harbour View

Sentara CarePlex Hospital

11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330

Sentara Heart Hospital

American Diabetes Association

600 Gresham Drive Norfolk (757) 388-8000

870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662

Sentara Leigh Hospital

American Heart Association

830 Kempsville Road Norfolk (757) 261-6000

500 Plume St. East, Suite 110 Norfolk (757) 628-2610

Sentara Norfolk General Hospital

American Parkinson’s Disease Association

600 Gresham Drive Norfolk (757) 388-3000

4560 Princess Anne Road Virginia Beach (757) 495-3062

Sentara Obici Hospital

American Red Cross

2800 Godwin Blvd. Suffolk (757) 934-4000

1323 W. Pembroke Ave. Hampton (757) 838-7320

Sentara Port Warwick

1317 Jamestown Road, Suite 105 Williamsburg (757) 253-0228

Sentara Princess Anne

6912 George Washington Memorial Highway Yorktown (757) 898-3090

1031 Loftis Blvd. Newport News (757) 736-9898 2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000

Sentara Virginia Beach General Hospital

1060 First Colonial Road Virginia Beach (757) 395-8000

Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000

INDEPENDENT SENIOR LIVING Greenfield Senior Living of Williamsburg

251 Patriot Lane Williamsburg (757) 220-4014

Virginia Health Services

5818 Harbour View Blvd. Suffolk (757) 673-5800

540 Aberthaw Ave. Newport News (757) 595-2273

Bon Secours Surgery Center at Harbour View

Williamsburg Landing

5818 Harbour View Blvd., Ste. 102 Suffolk (757) 215-0499

Chesapeake Regional Medical Center

736 Battlefield Blvd. North Chesapeake (757) 312-8121

Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098

Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Suite 130 Newport News (757) 594-1899

Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141

Riverside Doctors’ Hospital

5700 Williamsburg Landing Drive Williamsburg (757) 585-4436

NEUROLOGY Williamsburg Neurology & Sleep Disorders Center 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

NEUROSURGERY Riverside Neurosurgical & Spine Specialists 120 Kings Way, Suite 3500 Williamsburg (757) 220-6823

NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511

1500 Commonwealth Ave. Williamsburg (757) 585-2200

222 W. 21st St., Suite F-308 Norfolk (757) 622-2989

Riverside Regional Medical Center

Alzheimer’s Association

500 J. Clyde Morris Blvd. Newport News (757) 594-2000

Sentara Independence

800 Independence Blvd. Virginia Beach (757) 363-6100

American Cancer Society

3000 Coliseum Drive Hampton (757) 736-1000

6350 Center Drive, Suite 102 Norfolk (757) 459-2405

213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900

The Arc of Greater Williamsburg

202 Packets Court Williamsburg (757) 229-0643

The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-1700

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

AWARE Worldwide, Inc.

6350 Center Drive, Bldg. 5, Ste. 228 Norfolk (757) 965-8373

Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222

Beyond Boobs! Inc.

1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649

Cancer Care Foundation of Tidewater 5900 Lake Wright Drive Norfolk (757) 461-8488

Center for Excellence in Aging & Lifelong Health 3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751

CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Drive, Suite 1100 Norfolk (757) 388-6229

Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300

Citizens’ Committee to Protect the Elderly

PO Box 10100 Virginia Beach (757) 518-8500

Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200

Denbigh Clubhouse for Brain Injury Survivors

12725 McManus Blvd, Suite 2E Newport News (757) 833-7845

Dream Catchers Therapeutic Riding

10120 Fire Tower Road Toano (757) 566-1775

Edmarc Hospice for Children 516 London St. Portsmouth (757) 967-9251

Endependence Center, Inc. 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007

Faith in Action

354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890

Food Bank of the Virginia Peninsula

2401 Aluminum Ave. Hampton (757) 596-7188

Food Bank of SEVA

800 Tidewater Drive Norfolk (757) 627-6599

Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161

Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220

Jewish Family Service

260 Grayson Road Virginia Beach (757) 321-2223

Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501

Leukemia & Lymphoma Society 6350 Center Drive, Suite 216 Norfolk (757) 459-4670

National MS Society

760 Lynnhaven Parkway., Suite 201 Virginia Beach (757) 490-9627

The Needs Network, Inc.

9905 Warwick Blvd. Newport News (757) 251-0600

National Alliance on Mental Illness-Williamsburg Area P.O. Box 89 Williamsburg (757) 220-8535

National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298

Norfolk Community Services Board

229 W. Olney Road, Room 1 Norfolk (757) 664-6670

Peninsula Agency on Aging

739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541

Peninsula Institute for Community Health

1033 28th St. Newport News (757) 591-0643

Peninsula Pastoral Counseling Center

707 Gum Rock Court Newport News (757) 873-2273

Protect Our Kids

P.O. Box 561 Hampton (757) 727-0651

Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771


HEALTH DIRECTORY | STAYING WELL Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386

RSVP: Retired Senior Volunteers

725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403 1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy

5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215

5838 Harbour View Blvd. Suffolk (757) 673-5971

150 Burnett’s Way, Suite 310 Suffolk (757) 539-0670

2012 Meade Parkway Suffolk (757) 934-3366

6171 Kempsville Circle Norfolk (757) 622-2208

5900 Lake Wright Drive Norfolk (757) 466-8683

5553 Portsmouth Blvd. Portsmouth (757) 465-7906

The Sarah Bonwell Hudgins Foundation

825 Fairfax Ave., 3rd Floor Norfolk (757) 466-8683

3300 High St., Suite 1-A Portsmouth (757) 673-5689

12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037

St. Mary’s Home for Disabled Children

1 Singleton Drive Hampton (757) 827-8757

Senior Center of York

5314 George Washington Hwy. Yorktown (757) 898-3807

Senior Services Coalition

3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-3480

United Way

739 Thimble Shoals Blvd., Suite 400 Newport News (757) 873-9328 5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264

The Up Center

1805 Airline Blvd. Portsmouth (757) 397-2121 222 W. 19th St. Norfolk (757) 622-7017

VersAbility Resources 2520 58th St. Hampton (757) 896-6461

Vets Advocating for Vets

Hampton (757) 722-9961, ext. 3009

We Promise Foundation

160 Newtown Road Virginia Beach (757) 233-7111

OBSTETRICS & GYNECOLOGY Riverside Partners In Women’s Health

120 Kings Way, Suite 3400 Williamsburg (757) 253-5600

Williamsburg Obstetrics & Gynecology

1115 Professional Drive Williamsburg (757) 253-5653

ONCOLOGY Riverside Peninsula Cancer Institute

120 Kings Way, Suite 3100 Williamsburg (757) 345-5724 12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555

Virginia Oncology Associates 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

OPTOMETRY & OPHTHALMOLOGY Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

Riverside Hampton Roads Eye Associates 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001

ORTHODONTICS Rubenstein Orthodontics

Loretta Rubenstein, DDS 12725 McManus Blvd., Suite 1B Newport News (757) 874-0990

Patrick R. Wyatt, DDS Orthodontics

4900 High St. West Portsmouth (757) 483-4518 7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230
 2 Bernardine Drive Newport News (757) 886-6480 13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651

12528 Warwick Blvd., Suite F Newport News (757) 595-7990

1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676

7151 Richmond Road Williamsburg (757) 565-3737

5 Armistead Pointe Parkway Hampton (757) 224-4601

ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 4374 New Town Road, Suite 102 Williamsburg (757) 873-1554

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900

Riverside Orthopaedics & Sports Medicine

120 Kings Way, Suite 2800 Williamsburg (757) 534-9988

Riverside Orthopedic Specialists

12200 Warwick Blvd., Suite 310 Newport News (757) 534-9988 850 Enterprise Parkway, Suite 2000 Hampton 
(757) 534-9988

Tidewater Orthopaedic Associates

901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Ave. Williamsburg (757) 206-1004

PAIN MANAGEMENT Riverside Pain Medicine & Rehabilitation Specialists

828 Healthy Way Virginia Beach (757) 463-2540
 1817 Laskin Road, Ste. 100
 Virginia Beach (757) 437-0471 1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060 101 Long Green Blvd. Yorktown (757) 952-1900

Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton (757) 825-9446

466 Denbigh Blvd. Newport News (757) 875-0861 301 Riverview Ave. Norfolk (757) 963-5588 729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932 243 McLaws Circle, Suite 102 Williamsburg (757) 564-9628 500 Rodman Ave., Suite 4 Portsmouth (757) 393-6119

Tidewater Physical Therapy 2106 Executive Drive Hampton (757) 838-6678

9 Manhattan Square, Suite B Hampton (757) 825-3400 2695 McManus Blvd., Building 6, Suite B Newport News (757)223-5612 751 J. Clyde Morris Blvd. Newport News (757) 873-2123 12655 Warwick Blvd., Suite B Newport News (757) 599-5551 156-B Strawberry Plains Road Williamsburg (757) 565-3400 7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 6970 Fox Hunt Lane, Gloucester (804) 694-8111 7190 Chapman Drive Hayes (804) 642-3028 2007 Meade Pkwy. Suffolk (757) 539-6300

URGENT CARE MD Express

120 Monticello Ave. Williamsburg (757) 564-3627 4740 George Washington Memorial Highway Yorktown (757) 890-6339 12997 Warwick Blvd. Newport News (757) 369-9446 3321 West Mercury Blvd. Hampton (757) 224-0056

Riverside Williamsburg Family Practice & Extended Care 5231 John Tyler Highway Williamsburg (757) 220-8300

UROLOGY Riverside Hampton Roads Urology

120 Kings Way, Suite 3200 Williamsburg (757) 253-0051

VASCULAR SURGERY Riverside Peninsula Vascular Surgery

204 Gumwood Drive Smithfield (757) 357-7762

156-A Strawberry Plains Road Williamsburg (757) 229-7939

2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316

WEIGHT LOSS

100 Winters St., Ste. 106 West Point (757) 843-9033 1745 Camelot Drive, Ste. 100 Virginia Beach (757) 961-4800 4020 Raintree Road, Suite D Chesapeake (757) 484-4241

LWell - Longevity Wellness 301-A Village Ave. Yorktown (757) 585-3441

Riverside Weight Loss Specialists

850 Enterprise Parkway, Suite 1300 Hampton 
(757) 637-7637

135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512 108 Knells Ridge Blvd., Ste. 200 Chesapeake (757) 436-3350 6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890 1580 Armory Drive, Ste. B Franklin (757) 562-0990

Virginia Health Rehab

204 Nat Turner Blvd. Newport News (757) 594-0330

SLEEP MEDICINE Pulmonary & Sleep Consultants of Williamsburg 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460

Williamsburg Neurology and Sleep Disorders Center 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554

Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900

120 Kings Way, Suite 2550 Williamsburg (757) 345-3050

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