The Health Journal | July 2015 by The Health Journal

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Pick up a FREE copy of The Health Journal at any of these Williamsburg locations. 4808 Courthouse Street Agape Home Care, LLC Ageless Dermatology & Laser Center Allergy Partners of Eastern Virginia Alzheimer’s Association American Family Fitness Aromas Coffeehouse B-Defined BAEPLEX Family Martial Arts Center Barnes & Noble Booksellers – New Town Benefits Personal Training Berrybody Frozen Yogurt Bike Beat Body Balance Studio Books-A-Million / Joe Muggs Coffee Buggy Bathe Auto Wash Cardiovascular Health CEALH Chambrel Child Development Resources CHKD - Pediatric Associates of Williamsburg City of Williamsburg Municipal Building Cloud 9 Bodywork Cogan’s Deli & Sports Pub College of William & Mary Bookstore College of William & Mary Health Clinic College of William & Mary Recreation Center Colonial Behavioral Health Colonial Center for Hearing Colonial Family Medicine Colonial Sports Comber Physical Therapy Comfort Keepers Conte’s Bike Shop CORE FITNESS / PEAK Physical Therapy Cullom Eye & Laser Center Dominion Village Eye Center of Virginia Family Living Institute Food Lion – select locations GNC - Monticello Marketplace Great Clips Hampton Roads Neuromuscular & Aesthetic Dentistry Heritage Commons Historic Triangle Dental Care Hospice House and Support Care Integrative Chiropractic Ironbound Gym James A. Burden DDS James City County Public Library

James City County Recreation Center M.D. Express Urgent Care Martin’s Pharmacy Morningside of Williamsburg New Town Dental Arts Norge Family Medicine Olde Towne Medical Center Pediatric Dental Specialists Performance Chiropractic Pinto Chiropractic & Rehabilitation Quarterpath Recreation Center R.F. Wilkinson Family YMCA Retina and Glaucoma Associates Rite Aid Pharmacy (Colony Square Shopping Center) Riverside Doctor’s Hospital Riverside Medical Complex - Kings Way Riverside Williamsburg Medical Arts Urgent Care & Family Practice Ruff Eyes Russian Therapeutic & Sports Massage Sentara Urgent Care Sentara Williamsburg Regional Medical Center Sticks Kebob Shop Studio A Fitness Studio South Subway – Monticello Marketplace SunTrust Building - New Town The Cove Tavern The Imperial Olive The Pavilion at Williamsburg Place The Spine Center of Williamsburg The Vitamin Shoppe Tidewater Physical Therapy - Norge Towne Bank – New Town TPMG Gastroenterology TPMG Sleep Health Clinic Verena at the Reserve Virginia Gourmet Virginia Orthopedics & Sports Medicine Walgreens Pharmacy Williamsburg Center for Dental Health Williamsburg Dermatology Center Williamsburg Ear, Nose and Throat Williamsburg Family Medicine Williamsburg Ford Williamsburg Indoor Sports Complex (WISC) Williamsburg OB/GYN Williamsburg Place WindsorMeade

In addition to hand delivery and rack distribution, The Health Journal is direct-mailed to thousands of homeowners and medical offices in Williamsburg. Questions? circulation@thehealthjournals.com

JULY 2015 | CONTENTS

PROFILE PG.14 BITS & PIECES

PATIO DINING PG.23 FOOD

04 / Contributors

33 / Flavor / Ways to Use OLD BAY Seasoning

06 / Editor’s Note

36 / Food & Nutrition / The Paleo Diet

07 / Page’s Picks 08 / D.I.Y. / Cork Coasters 08 / Inbox 09 / In My Own Words

10 / Calendar

40 / Herb-N-Garden / Lavender 41 / Taste Appeal YOUR HEALTH

44 / Yoganatomy / Lunge

48 / Outdoors / Ticks & Lyme

13 / Second Opinion

50 / Aging Well / Silver Sneakers

14 / Profile / Kinja Dixon

52 / Mind Matters / Video Games

16 / Q&A / Peggy Caister

54 / Money / Banks vs. Credit Unions

18 / Advances in Medicine / Hearing Aids

56 / Healthy Commute / Healthy Air Travel

20 / Feature / Corneal Molds

28 / Feature / Ekko the Facility Dog

ON THE WEB @ THEHEALTHJOURNALS.COM

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

STAYING WELL 58 / Accepting New Patients 60 / One Last Thought

23 / Feature / Patio Dining Guide

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 / Family / Your Romantic Temperature

12 / Out & About

FEATURES

DIGITAL ISSUE

38 / Vine & Dine / Brew Ridge Trail

42 / Fitness / Balance IN THE KNOW

THERAPY DOGS PG.28

61 / Health Directory 64 / Brain Teasers

ON OUR COVER: The Amber Lantern

The Amber Lantern is one of our favorite patio dining experiences this summer! Find more great patios to visit on pg. 23. thehealthjournals.com | 3

BITS & PIECES | CONTRIBUTORS

SHAWN RADCLIFFE

KELSEY HINTON

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.

Kelsey 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.

BRANDY CENTOLANZA KIMBERLEY CUACHON HAUGH 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.

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.

MORGAN BARKER

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.

THOMAS RICE Thomas is an American Council on Exercise certified personal trainer. He currently works as a fitness coach at B-Defined Innovative Personal Training & Wellness. He is also a coach with the Williamsburg Lacrosse Club. Thomas's passion for fitness comes from his desire to live and perform at a high standard. He enjoys helping others achieve the physical and emotional benefits of an active lifestyle, and believes that anyone can find happiness in physical activity.

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.

4 | thehealthjournals.com

Morgan is a graduate of the College of William & Mary. Her writing has been published by The Pulitzer Center on Crisis Reporting, Washington Exec, Farm Bureau News, Cultivate, Williamsburg’s Next Door Neighbors and history.org.

BRITTANY DELONG Brittany is a health enthusiast, freelance writer and full-time editor based in Sterling, Virginia. She recently earned her master's degree in publishing from The George Washington University. You can read more of her work on her website at brittanydelong.com.

AMANDA DEVERLICH Amanda Deverich is licensed marriage and family therapist, DivorceBusting coach, Calmer Easier Happier Parenting practioner, Collaborative Divorce Professional, reader, writer and runner in Williamsburg, Virginia. Now widowed, Amanda is raising two daughters on her own. You can learn more about Amanda at williamsburgcounseling.com.

ALEXANDRIA GRYDER Alexandria is a freelance writer and blogger who studied English Literature and Cinema Studies at The University of Mississippi. Her work has appeared in The Daily Mississippian, Emerge the Magazine and Fredericksburg Parent. She lives in Williamsburg, Virginia.

Caring for Women

Through all Stages of Life.

VOL. 11, NO. 02 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.

Since 1976 our team of experts has been supporting women through adolescence, the reproductive years, pregnancy, menopause and beyond. Williamsburg Obstetrics & Gynecology is the exclusive provider of obstetric (OB) care at Sentara Williamsburg Regional Medical Center.

PUBLISHERS

Brian Freer & Page Freer EXECUTIVE DIRECTOR

Rita L. Kikoen EDITOR IN CHIEF

Chris Jones chris@thehealthjournals.com MEDICAL EDITOR

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

Daniel G. Jenkins, M.D.

Christie Davenport christie@thehealthjournals.com

David C. Pearce, M.D.

Emily F. Roberson, M.D.

ART DIRECTOR

Susan Thompson susan@thehealthjournals.com JR. ART DIRECTOR

Maria Candelaria Daugs maria@thehealthjournals.com VIDEO PRODUCTION MANAGER

Alexis Kikoen

Benjamin T. Isbell, M.D.

Kristy A. Keller, M.D.

Karen McNamara, N.P.

Erin Wilkey, M.D.

CIRCULATION

Ryan Bishop circulation@thehealthjournals.com PHOTOGRAPHY

Brian Freer Alexis Kikoen

Williamsburg Obstetrics & Gynecology

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Email editorial@thehealthjournals.com for editorial and contributor guidelines. SUBSCRIBE

Subscribe for $16/year. Send a check or money order, payable to RIAN Enterprises, LLC to the address below. Include mailing address and contact information. Notify us of any change in address.

e This cycl M ag Re ine az

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Ple as

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BITS & PIECES | EDITOR’S NOTE

hen my wife and I decided in February that we wanted to add to our family, there were a lot of costs to count. Aside from the medical expenses incurred during pregnancy, we had to consider the impact on our present family dynamic. We tackled questions about sleeping arrangements, if we would need to get a new car since we drive a small SUV and have two occupants in the back seat already, and would we need to house shop next spring? Despite knowing the answers to some questions and not others, we were comfortable with going forward because of the thought of sharing another child outweighed the fear of the unknown. We didn’t have all of the answers nearly four years ago and Hayden has brought us immeasurable joy— and everything worked out. The same was true of our

PHOTOGRAPHY BY ALEXIS KIKOEN

PROGRESS, NOT PERFECTION marriage. We didn’t have an apartment leased until five days after we exchanged vows. We moved forward in faith because our desire to be wed was stronger than the material uncertainties that seem to always come together at the appropriate time. Things don’t have to be perfect to be right. You just have to take a step forward. But even I forget that sometimes. I was recently reminded about this by my friend, Jason. I was sharing my thoughts with him about his podcast. Then he asked about my passion project. I led on that I was trying to get it done right the first time through. Jason called me out on it—asked me why I just haven’t released it. I had nothing to say other than to concede that he was right. What’s funny was that he was called out on his perfectionism not that long ago, too. He explained that his business partner, Eddie, told him to stop focusing on being perfect and to launch their podcast and adjust along the way. When he did, opportunities and interest surfaced almost immediately.

“STEP BY STEP AND THE THING IS DONE.” — CHARLES ATLAS

If you need another example, take our beloved country. The founding fathers believed that they could frame and build a new nation independent of British rule and resources. So they drew up a plan and believed in it so intensely that they were willing to die for it. They didn’t have all of the answers, but it didn’t stop them from executing it. Is there something you really want in life? Develop a plan, count the cost of what it will take to realize it and then take action. Progress over perfection, remember? Our baby is due November 1 and I still don’t have all of the answers. We’ve solved for X with regards to family dynamic and living space, but not the vehicle. My passion project is now in an actionable phase—I’ll share more in a future note!—and despite it being a little scary, I’m excited that Jason nudged me and encouraged me to just take that next step. If you’re stuck on perfection, which is veiled fear sometimes, I hope you’ll join me. Take a step and then another. Your dreams deserve it.

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM

6 | thehealthjournals.com

PAGE’S PICKS | BITS & PIECES

Wines of Summer: Venture beyond your standard chardonnay with these light and refreshing varietals. ALBARINO

PINOT GRIGIO

Pairs well with: seafood, sushi and spicy foods (Indian, Thai, Mexican)

Pairs well with: fish, shellfish, chicken and goat cheese

MY PICK: Rias Baixas "Do Zoe" (Spain)

PROSECCO Pairs well with: fresh fruit, almonds, cashews, seafood creamy/buttery flavors MY PICK: LaMarca (Italy)

DRY ROSÉ

PHOTOGRAPHY BY ALEXIS KIKOEN

MY PICK: Trader Joe's Petit Reserve (Monterey)

SAUVIGNON BLANC Pairs well with: fish, asparagus, sweet peppers, citrusy dressings and marinades

MY PICK: Starborough (New Zealand)

Pairs well with: Spanish cheeses, charcuterie, fresh fruit, honey, ham and spicy foods

MY PICK: Chateau Montaud (France)

Page Freer is the co-publisher of The Health Journal. She’s always trying new products and trends and loves sharing the scoop with readers. • Have a suggestion? Email page@thehealthjournals.com • Want her to try your product? Mail samples to 4808 Courthouse Street, Suite 204, Williamsburg, VA 23188

thehealthjournals.com | 7

BITS & PIECES | DIY & INBOX

MAKE YOUR OWN

Cork Coasters DIRECTIONS AND PHOTOGRAPHY BY ALEXIS KIKOEN

You Will Need: • 12 x 12 cork sheets • ruler • pen • masking tape • acrylic paint • paintbrush • scissors or craft knife

To Make: 1. Using a ruler and pen, divide cork board into 4x4 inch squares

2. Using the masking tape, make diagonal stripes across your board

3. Paint the remaining cork board any color(s) you like 4. After paint has dried, pull up masking tape 5. Using scissors or an craft knife, cut along your lines to make nine coasters

BRA

IN TEASERS

“Thanks for attending the Inaugural Symposium during the Kingsmill Championship. Your article (“Powering Up Women: Kingsmill Kicks Off 2015 LPGA Championship with Inaugural Women’s Symposium” by Chris Jones, May 2015) was a wonderful recap of a great day of guest speakers, great food and great company. You have been fun to work with and I can’t thank you enough for your support. I look forward to working with you in the future.” — Kelly McAnally, Partnership Manager, Kingsmill

JUNE WINNER JADE CHIN

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! 8 | thehealthjournals.com

IN MY OWN WORDS | BITS & PIECES

DENISE WILLIAMS Hello! My name is Denise Williams. I am the property management bookkeeper for Liz Moore & Associates in Williamsburg, Virginia. I hold a license as a mortgage consultant as well. My husband, Rob, and I live in Williamsburg and have a dog named Bailey and three cats. I’m passionate about animal welfare and have volunteered on the board of the Friends of the Norfolk Animal Care Center and at Heritage Humane Society.

IN MY

OWN WORDS

Health to me is learning how to find balance and creating a life that brings joy to you and those around you.

I love The Health Journal because I always find encouragement from editor Chris Jones to look at things in a different way.

Why Choose CarePlex Orthopaedic Ambulatory Surgery Center? COASC is the Peninsula’s only dedicated orthopaedic ambulatory surgery center. Our surgeons are fellowship trained, receiving an additional year of sub-specialty training in orthopaedic surgery. At COASC, we do not operate on patients with active infections, allowing us a much lower infection rate than the national average. We work with a highly skilled team of anesthesiologists, who COA SC C perform regional blocks and A m bula to ar ePlex Ort h opae d ic ry S ur g er moderate sedation, which helps y Cen ter control pain after your surgery. COASC is conveniently located within the Sentara CarePlex Hospital campus. For more information, call 757-736-4100.

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IN THE KNOW | CALENDAR

July

EVENTS

PEDIATRIC ASSOCIATES OF WILLIAMSBURG OPEN HOUSE Parents seeking a pediatrician are invited to this open house.

PARK TO PARK BICYCLE TOUR Bike 15, 30 or 50 miles during this cycling event.

BIRTH CIRCLE Pregnant women and new moms to share their experiences.

WHEN: 8 a.m. to 2 p.m. WHERE: Chickahominy Riverfront Park $$: 15-mile, $10; 30-mile, $15; 50-mile, $20 CONTACT: jamescitycountyva.gov/ recreation

WHEN: 6:30 p.m. WHERE: Williamsburg Regional Library $$: free CONTACT: bmva.williamsburg@gmail.com

WHEN: 5:30 to 6:30 p.m. WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: 757-564-7337

9 SUMMER TAI CHI IN THE PARK Learn to improve balance through stretching. WHEN: 7:30 a.m. Thursdays through August 13 WHERE: Quarterpath Recreation Center $$: free CONTACT: 757-566-0040

ROOKIE DADS First time dads receive information and support during this course. WHEN: 7 to 9 p.m. WHERE: Sentara Williamsburg Regional Medical Center $$: free CONTACT: 800-736-8272

11 WILLIAMSBURG FARMERS MARKET Fresh local produce and more. WHEN: 8 a.m. to noon Saturdays through October WHERE: Merchants Square $$: free CONTACT: williamsburgfarmersmarket.com

TOANO FARMERS MARKET Fresh local produce; open year-round. WHEN: 8 a.m. to noon Saturdays WHERE: Corner of Forge and Richmond Roads $$: free CONTACT: 757-566-1905

WINE, WIT & WISDOM: A CLOSER LOOK AT VIRGINIA WINE Learn about Virginia wines. WHEN: 2 to 4 p.m. WHERE: Williamsburg Lodge $$: $45.50 CONTACT: colonialwilliamsburg.com

RAD BASIC PHYSICAL DEFENSE Women’s self-defense offered by the James City Police Department. WHEN: 2-5 p.m. July 11 and 18; 6-9 p.m. July 15 and 22 WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4176

DIABETES RISK ASSESSMENT SCREENING & BLOOD PRESSURE CHECK Learn the risk factors for diabetes. WHEN: 9 a.m. to noon WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4200

12 SUNSET PADDLE Bring the family out for an evening canoe or kayak ride. WHEN: 5 to 7 p.m. Sundays WHERE: York River State Park $$: Canoes, $9 per person; Kayaks, $16 solo or $11 tandem CONTACT: 757-566-3036

GET MORE EVENTS AT:

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RUNNING 101 Become a more efficient runner. WHEN: 8 a.m. July 16 and 30 WHERE: James City County Recreation Center $$: $20 CONTACT: 757-259-4200

18 BRING YOUR OWN KAYAK Paddle along the Queen’s Creek with New Quarter Park staff. WHEN: 9 a.m. WHERE: New Quarter Park $$: free with own kayak; $30 rental CONTACT: 757-890-5840

NIGHT HIKE Experience nature after dark. WHEN: 8:30 to 10 p.m. WHERE: York River State Park $$: $3 parking fee CONTACT: 757-566-3036

18 WCP SPLASH & DASH Celebrate 60 years of WCP at this familyfriendly event, WHEN: 8 a.m. to noon WHERE: Williamsburg Community Pool $$: adults, $45; children 5-8, $20 and 9-12, $40 CONTACT: 757-229-7791

A CHEF’S GARDEN TOUR & TASTING: MASTER OF THE BLUESBERRIES, THAT IS! Learn different recipes featuring blueberries during this program. WHEN: 10 a.m. to noon WHERE: Taste Studio, Colonial Williamsburg $$: $33.50 CONTACT: colonialwilliamsburg.com

WHAT’S WRONG WITH MY TREE? Learn to prevent tree damage, care for new shrubs, and control pests and diseases. WHEN: 10 a.m. WHERE: Williamsburg Botanical Garden $$: $5 suggested donation CONTACT: 757-234-0403

21 KIDNEY SMART Take charge of your kidney health. WHEN: 2 to 4 p.m. WHERE: Sentara Williamsburg Regional Hospital $$: free CONTACT: 757-375-4191

25 FAMILY SPLASH PARTY Bring the family. Event includes games, prizes and more. WHEN: 6 to 9 p.m. WHERE: Chickahominy Riverfront Park $$: free CONTACT: 757-603-1114

August 1 MAD DASH 5K & FUN RUN Participate in this race to benefit Child Development Resources WHEN: 7:30 a.m. WHERE: WISC $$: Fun Run, $15; 5K, $25 before July 17, $30 afterward CONTACT: 757-253-1947

THEHEALTHJOURNALS.COM/CALENDAR

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IN THE KNOW | OUT & ABOUT

Check out what we’ve been up to at The Health Journal.

5Christie Davenport and Publisher Brian Freer at the 2015 AHA Go Red for Women Luncheon.

4 5Client Liaison Christie Davenport at the 2015 Run for the Dream Patriot Running Festival Expo.

5Editor in Chief Chris Jones with Barbara Monteith of the Alzheimer’s Association at Second Sunday Williamsburg.

Chris Jones poses with Thomas Rice, a trainer from B-defined, after they completed “The Murph” at CrossFit 1607.

4Chris Jones with his son, Quincy, after finishing the Chick-fil-A 5K in Newport News.

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Also enjoy special pricing on our Williamsburg Custom facial. Weekend rates available.

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SUGAR-COCONUT MANICURE & PEDICURE ~ $70 Monday – Thursday

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To book your service, call 757-220-7720. All offers are subject to availability and cannot be combined with any other offers or discounts. Please make reservations. Prices do not include gratuities. Packages with multiple services may not be split, and all services must be enjoyed on same day. Weekend rates also available. Sales of Spa products and services support the preservation, research, and educational programs of The Colonial Williamsburg Foundation. © 2015 The Colonial Williamsburg Foundation

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When your teeth are worn it is something to be concerned about. If left untreated your teeth can wear nine times faster without the enamel covering on the outside of your tooth. Your first concern should be what is causing it. Your second concern should be how to fix it. Finally, your third concern is how to prevent it from happening again. The main cause of tooth wear is grinding your teeth, but it can also be caused by sleep apnea. When repairing worn teeth it is important to use the least amount of dentistry that can completely fix the problem. Depending on the severity of the wear and how many teeth are involved, treatment can include fillings, crowns, partial crowns called onlays, and/or porcelain veneers. Each avenue of treatment varies in strength, therefore, how long it will last, and cost. By repairing your teeth to their normal form and making sure the bite is perfect you can prevent the wear from happening again in the future. You may also need a bite guard or even a sleep apnea device to prevent damage. It is very important to see a dentist who is focused on this type of treatment to prevent any future problems.

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thehealthjournals.com | 13

IN THE KNOW | PROFILE

KINJADIXON WRITTEN BY CHRIS JONES

ould you walk away from a $652,000 sales job? Kinja Dixon did—with enthusiasm. “I remember going [to work] and my manager saying, ‘Your W-2 says 652,000, Kinja, and there’s two months left in the year and you’re going to resign because of a book?’” recalls Dixon, motivational speaker and author of “Universal Talk Laws.” It was a legitimate question. After all, Dixon had become the only person to win the prestigious Gold Stevie Award and American Resort Development Association Award for Top In-House Salesperson in the same year. That year, he closed an eye-popping $4.5 million in sales in just over eight months. But Dixon wasn’t motivated by money. He was driven by purpose—and purpose led him to bet on himself and tender his resignation. But this is the middle of his story. To fully appreciate his decision, you’ll have to go back a few years.

The Picture on the Wall In 2009, as a member of the President’s Club—an exclusive hive for top sales performers—Dixon earned a trip to Puerto Rico. When he and a young lady he was traveling with returned, he found himself glancing at photographs in her home. That’s when Dixon came face-to-face with the reality—at 305 pounds, he had neglected his health. “[Her friends] were showing pictures from a trip they went on and we were looking at our pictures and in my mind everyone was basically in shape except me,” he says. “I realized then that I had a lot of habits that went crazy because of the success that I was having, but not with the emotional control that needs to come with that success.” Dixon turned to Carl Frady, a nutritionist and bodybuilder, who designed an eating program for him. “He said you can’t eat out for two years. He said you have to eat this, this and this. He designed a process for me that I lived by … where I ate fish, broccoli and quinoa,” recounts Dixon. “But that design and discipline changed everything. In that first year I lost 50 to 60 pounds. Later that year, I stopped drinking alcohol. With a dedicated health plan, my entire life started rebuilding from the inside out.”

Taking Inventory Dixon set a target—200 pounds. He quickly realized after hitting his goal, and then fluctuating in weight, that a goal wasn’t enough. He needed health to be central to his lifestyle redesign. “I realized … health, like success, can’t be about hitting one goal. This has to be a lifestyle,” he says. 14 | thehealthjournals.com

That’s when Dixon began changing other areas of his life. He evaluated his entire life from his upbringing and environment to his friendships and associations and used what he learned to create a new set of values. “We have to have the courage to revisit the first 18 years and what we were around,” shares Dixon. “But it needs to be from an objective standpoint. We can take the good, but anything not on track for [helping to achieve] greatness needs to be left behind.”

Living the Change Since resigning from his six-figure job, Dixon has taken his book across the region and country. He’s speaking in public schools, has rocked the TEDx stage and hosts Universal Talk Laws Radio. Dixon believes our lives should be about finding our purpose, which leads to fulfillment. He admonished his audiences that success isn’t about money—which is why his resignation didn’t make sense to his employer. In his book, he breaks success into mastering four key areas: your health, your mind, your emotional control and finding your purpose. “If we can design our lives to go towards those things, that leads to a life of fulfillment. If you find a purpose you’re happy. It all starts with getting your heart and mind in tune. It’s going to take changing your associations, controlling your emotions, redefining what you know as healthy and then committing to a process.” Dixon still carries the photo of his 305 pound self as a reminder to not be complacent. “What sales taught me is that if you want to maintain your performance and increase your level, you can’t be a flatliner. You can’t get success and just coast.”

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IN THE KNOW | Q&A

PEGGY CAISTER

eggy Caister is a doula—also known as a

birth attendant, one who offers physical and emotional support and assistance to women and their partners during childbirth—and the new executive director of Birth Matters, a statewide organization providing resources and support for pregnant women in five active chapters in Virginia. Birth Matters, which celebrates its 10th anniversary this year, has three local chapters: Williamsburg, Peninsula and Tidewater.

INTERVIEWED BY BRANDY CENTOLANZA PHOTOGRAPHY BY ALEXIS KIKOEN

Q. Why should women consider a midwife or doula as part of their birth plan?

Birthing is such a memorable experience for women, one that we will remember forever, and having a plan in place where you are supported is invaluable to creating a positive memory. What I hear from Birth Circle are women who express more satisfaction with their birth experience when they are surrounded by safety and trust in the people who they are with. A sense of safety is very vital for the birth experience. The decision that will impact your birth experience Q. What can you tell me about Birth Matters? What the most is your choice of a health care provider. If you choose a does the organization entail? provider that doesn’t believe in the same philosophies as you, you The mission of Birth Matters is to improve birth outcomes may be disappointed but if you have a provider who resonates with and lower socioeconomic costs for all pregnant women through you, you will be more satisfied no matter what the outcome. My best education and dissemination of information. What is different advice is to know what options are available, know what you want about Birth Matters is that we have something called a Birth Circle to have happen, and take steps to make that happen. I encourage all where all women can come and share their birth stories. We honor pregnant women to educate themselves. Be confident. Knowledge everybody’s story. We think there is no one right way to have a baby. is power. The more information you have, the more safe and secure We believe we can learn something from every single birth. We offer you will feel. nonjudgmental support and encourage everyone to share their story and educate themselves about their options. We want to increase Q. What advice do you have for new mothers, the awareness of birthing options, whether a woman is looking for especially when it comes to breastfeeding? a mid-wife or is planning a scheduled Cesarean section. Birth Matters provides resources to new moms, including information about breastfeeding. Q. Why should pregnant women seek out an Pregnant women might want to take breastfeeding classes in organization like Birth Matters? advance. The method you choose for your birth experience can have For those who want a normal birth or an unmedicated birth, it an impact on breastfeeding challenges and difficulties. The first hour helps to hear from people who have been there, to alleviate the fears. after birth is so critical in the newborn stage, and it should just be If you hear positive stories, you will look forward to the experience, the mom and baby, skin-to-skin, if at all possible. Offer the breast as so you want to surround yourself with people who understand soon as the baby is ready, and know and trust that the baby knows because that can really make a difference in your birth experience. what he or she is doing. Moms should be present in that moment with the baby. The photos and the visits with the family can wait. Q. How did you get involved with Birth Matters? That connection with mom and baby during that first hour will do I was a participant in a Birth Circle in Charlottesville in 2009 when wanders for the breastfeeding relationship. I was pregnant with my daughter, and then I joined the local chapter of Birth Matters when I moved to Newport News in 2010. I then decided to become a doula. I had a doula with my son, and it was such an empowering experience. My doula was very supportive. During my birth experience, I also felt that it created a cohesiveness with my husband. I felt more bonded to him when I had a doula, and that is why I decided to become a doula. In talking to women, I have found they want the experience of a doula, but there aren’t many available to serve them here. There is a great need for doulas in this area. Birth Matters encourages doulas and midwives for low risk pregnant women because research shows interventions are decreased for moms and babies who have doulas.

Q. What are your future goals as executive director? It is my dream to see Medicaid reimbursement of doulas, and doulas available to women who can’t otherwise afford them through the implementation of community-based doula programs throughout the state. I intend to network with statewide and national organizations to offer Birth Matters as a resource to women in their childbearing years. 16 | thehealthjournals.com

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IN THE KNOW | ADVANCES IN MEDICINE

Within Earshot Hearing aid technology make pristine hearing a reality

WRITTEN BY KIM O’BRIEN ROOT

hortly after he got his new hearing

aids, Tom Sawyer heard a strange pinging coming from his car tires. The 65-year-old Elizabeth City, North Carolina, man realized it was the sound of rocks hitting the treads as he drove. He hadn’t noticed it before. Actually, he hadn’t been able to hear that before. But thanks to his new hearing aids, he could. Previous hearing aids couldn’t do that. But the technology is getting better all the time—gone are the bulky hearing aids of old that were little more than amplifiers that fitted clumsily on the ear. Today’s hearing

18 | thehealthjournals.com

aids are digital, wireless, nearly invisible and some even work off iPhones. The change in the industry “has been unreal,” says Dr. Mavis Garrett, an audiologist and owner of Maico Audiological Services, which has offices in Newport News, Chesapeake and Smithfield, Virginia. “It’s absolutely a different world.” Almost 50 million Americans have hearing loss in at least one ear, estimates the Hearing Health Foundation, a New York-based research organization. That number includes 29 million people between the ages of 20 and 69 with hearing loss due to exposure to loud noises at work

ADVANCES IN MEDICINE | IN THE KNOW

or from noisy settings such as nightclubs, bars, concerts and sporting events. Hearing loss affects all ages: 1 in 5 teenagers are believed to have hearing loss, and three out of every 1,000 children are born deaf or hard-of-hearing. Loss of hearing becomes more prevalent with age, affecting 30 percent of adults ages 65 to 74 and 47 percent of adults over 75. More and more, hearing loss is being considered a health threat and not just a sign of aging. Newer studies have shown a link between hearing loss and the development of dementia. One study done at Johns Hopkins found that cognitive abilities (including memory and concentration) of those with hearing loss declined 30 to 40 percent faster than in people with normal hearing. Why? Theories range from “cognitive load,” meaning the brain has to work overtime to cope with degraded sounds, leaving it less time to process memory and thinking, to social isolation—people who can’t hear well might be more likely to withdraw from others because they can’t communicate. Further studies plan to look at whether treating hearing loss could reduce dementia. But it means that something as simple as hearing aids could end up having a big effect on keeping the brain healthy. Not all people who could benefit from

hearing aids use them, however—fewer than 1 in 3 over the age of 70 use them. For some, it’s because of the stigma of wearing one. For others, the cost—$1,000 to $3,000 per ear— scares people away. Insurance will sometimes pay for some of the cost, but not always. With today’s technology, audiologists say, there are devices out there that can help almost anyone. Unlike older analog hearing aids, which basically made everything louder, today’s hearing aids are digital with clean sound. Wireless connectivity means they can be connected to other technology, such as televisions and cell phones (just the iPhone for now, although Android versions are in the works). In school settings, teachers can wear microphones that connect right into the hearing aids of a child. One key thing newer hearing aids do is better change higher frequencies to lower ones, which greatly helps people who don’t respond to conventional amplification, says Dr. Jude Liptak, the founder and director of audiology at Colonial Center for Hearing in Williamsburg, Virginia. There are also waterproof hearing aids on the market, as well as rechargeable ones, Liptak says. Rather than constantly needing battery changes, these hearing aids can be worn all day, then put

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in a charger overnight. There are thousands of hearing aids out there, which is where audiologists come in. They find the best aid based on the amount of hearing loss. Hearing aids are programmable and can be changed to respond to different listening environments, such as quiet rooms vs. crowded restaurants. Some hearing aids automatically adjust for the change. “If something’s going to be able to help you, we’re going to find it,” Liptak says. “What’s best for one person isn’t going to be best for others. There’s no way everyone needs the same hearing aid.” Sawyer, whose hearing loss resulted from more than 40 years of working as a marine pipefitter back when hearing protection wasn’t used, has gone through several hearing aids over the past seven years. His newest, which he got fitted for at Maico, features the latest in technology. They connect by Bluetooth to his iPhone 6. Any calls he gets go right to his hearing aids, which fit neatly behind his ears with thin wires that run into the ear canal. He can adjust the hearing aids on the phone. “It’s an amazing bit of technology,” Sawyer says. “It’s got more computing power than the Apollo mission. There’s just no comparison.”

FEATURES | OVERNIGHT CONTACTS RISK

Overnight Contacts Carry

Unforeseen

Eye Risks WRITTEN BY SHAWN RADCLIFFE

Even if you wear glasses day in and day out, the promise of better vision while you sleep seems almost too good to be true. For decades, though, eye clinics around the country have been selling rigid contact lenses that shape your cornea overnight. One of the biggest draws of this procedure— known as orthokeratology or corneal refractive therapy—is that in the morning, you can remove the lenses and still see great all day, with nothing in your eyes. But for one woman from Williamsburg, Virginia, the near-perfect sales pitch quickly turned sour. She had taken her son, then age 9, to a local optometrist for the treatment. For a while, everything went as their eye specialist had explained. “It sounded like a really amazing thing,” says the woman, who asked that her name not be given to protect her son. “He was in

20 | thehealthjournals.com

them for about six months. Then he just woke up one morning and said his eye hurt.” After visits to several doctors, her son was finally diagnosed correctly with a fungal infection that was eating through his cornea, threatening to destroy his eyesight. This prompted an emergency cornea transplant at Wills Eye Hospital in Philadelphia, Pennsylvania, a week after the pain had started in her son’s eye. Now 10, he will need to use eye drops daily to avoid rejection of the new cornea. And because the cornea is not completely attached, he will no longer be able to play team sports. According to the mother, the optometrist that prescribed the lenses never gave any indication that there were risks involved with the procedure. “He reassured us that it was perfectly safe,” she says.

OVERNIGHT CONTACTS RISKS | FEATURES

Eye

Keep an

Out For…

If you develop any of the following symptoms in your eyes, take out your contact lenses. These signs might indicate eye irritation or infection. If the symptoms persist for more than two hours or get worse, call your eye doctor. blurry vision

increased sensitivity to light

burning, itching or gritty feeling

irritated, red eyes

discomfort

pain in or around the eyes

excess tearing or discharge

swelling

feeling of a foreign body in the eye

whitish halo around the edge of the eye

Marketing Targets Children With Nearsightedness Orthokeratology has been around in some form since the 1960s. But developments in the 1990s made it possible for people to start wearing the lenses overnight to correct their vision during the day. This included changes to the materials used to build the lenses, such as to make them permeable to gas. Doctors also improved how well they measured a patient’s cornea, which allowed them to shape it more accurately. The first lenses for shaping the cornea overnight were approved by the Food and Drug Administration in 2002. The effects of the lenses, though, are temporary, which means they must be worn every night. If you stop wearing the lenses, your eyes will lose any improvements in vision gained. Depending upon how rigid the cornea is, some people may be able to get away with wearing the lenses every two to four nights. The lenses work in people of all ages. Some of the marketing for these products, though, directly targets parents whose children have myopia, or nearsightedness. This is based on the belief that the lenses can slow the progression of nearsightedness in children. This is not supported by any strong research studies.

The cost of the lenses is another big draw for people, especially parents hoping to help their children see better without glasses. The price for the lenses runs between $800 and $2,000, which is much less than laser surgery. The procedure and the lenses, however, are not usually covered by insurance.

Research Highlights Risks of Overnight Contact Lenses As with traditional contact lenses, proper hygiene and care of the lenses can reduce the risk of eye infections. But wearing contact lenses overnight may increase these potential problems. A 2008 study by the American Academy of Ophthalmology, published in the journal Ophthalmology, identified over 100 cases of vision-threatening eye infections documented in other research reports. These infections were caused by cornea-shaping lenses worn overnight. The authors called for more research into the safety and effectiveness of orthokeratology, especially in children. More recent research, including a 2014 study in the American Journal of Ophthalmology, found similar eye infections in children and teens wearing contact lenses, including overnight orthokeratology. They also noted that the number of eye infections had increased between 1998 and 2012.

In addition to medical studies, information provided by contact lens manufacturers to the FDA also lists the potential risks of wearing the lenses overnight. This includes corneal ulcers and infiltrates. The latter is caused by the migration of inflammatory cells into the corneal tissue. Left untreated, infiltrates can lead to ulcers. The FDA also requested a review of the safety of that manufacturer’s product, the results of which were presented in a 2013 study in the journal Optometry and Vision Science. The researchers found that out of 677 children who were using overnight contact lenses, six developed corneal infiltrates along with a painful red eye. Two of these cases were caused by bacterial infection in the eye, although neither child experienced loss of vision.

Balancing Risks and Benefits of Contact Lenses in Children Unlike laser eye surgery, overnight contact lenses provide a nonsurgical option for improving vision. But like all contact lenses, those worn to shape the cornea come with certain risks, especially when worn overnight. Because any improvements in vision are temporary, children will need to wear the lenses every night. This frequent use of the lenses will also increase the chance of developing eye problems.

thehealthjournals.com | 21

FEATURES | OVERNIGHT CONTACTS RISKS

The Studies Safety of Overnight Orthokeratology for Myopia OTA

The risk of microbial keratitis with overnight corneal reshaping lenses

Eye Infections in Children & Teens

Patient Information Booklet For Potential Users of Rigid Gas Permeable Contact Lenses for Orthokeratology

bit.ly/SafetyForMyopia bit.ly/ChildrenTeens Safety Warnings

bit.ly/SafetyWarnings

bit.ly/lensinfections

bit.ly/FDAcornealstudy

Parents considering overnight contact lenses for their child need to carefully weigh the risks and benefits. If your doctor doesnâ&#x20AC;&#x2122;t explain them to you right away, ask to see the safety information that comes with the lenses. According to the FDA, the most common side effects of wearing rigid contact lenses are staining or swelling of the cornea. Other side effects are similar to those experienced by other contact lens users, such as redness, irritation, abrasion or pain in the eye. All of these can lead to blurred vision. More serious problems can happen, although they are much less common. These include scarring of the cornea, partial or complete loss of vision, eye infections or ulcers in the cornea. You can reduce the risk of many of these problems by

following the instructions on handling and wearing the lenses properly. Because of the severity of these potential problems, though, some doctors only recommended overnight contact lenses for children if they are mature enough to handle the lenses correctly and keep up with the cleaning schedule. If you decide to try out overnight contact lenses, for you or your child, it is important to stay alert for signs of any eye problems. If you notice anything unusual, stop using the lenses immediately and contact your doctor. Also, be sure to keep any regularly scheduled follow-up eye visits. Even minor eye problems can quickly turn into something more serious.

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DINING OUT(DOORS) | FEATURES

dining

outdoors A Quick Guide to Good Patios in

williamsburg WRITTEN BY ALEXANDRIA GRYDER

thehealthjournals.com | 23

FEATURES | DINING OUT(DOORS)

estaurants are finally opening their windows, and patio dining is officially back in Williamsburg for the summer. Bring your sunglasses, pups and game faces to these local restaurants to wine and dine your family and friends under the sun, or moon.

Fat Canary

410 W Duke of Gloucester St. 757.229.3333

fatcanarywilliamsburg.com

AMERICAN

24 | thehealthjournals.com

Praised in June of 2009 in the Travel section of the New York Times, the Fat Canary is the quintessential dining experience in the heart of Colonial Williamsburg. The rich red brick patio is full of sturdy metal tables, which are large enough for a small gathering of friends or family. Snack on an appetizer of House-made Mozzarella with Edwardsâ&#x20AC;&#x2122; Ham, Basil Pesto and Heirloom Tomatoes drizzled with Balsamic while visitors and locals walk the streets and disappear into Wytheâ&#x20AC;&#x2122;s Candy Shop. Table umbrellas are essential during midday; however, they can be closed at night to enjoy the darkened sky and twinkling shop lights that line the street.

DINING OUT(DOORS) | FEATURES

La Tienda

1325 Jamestown Road 757.253.1925

tienda.com Don’t let this moss covered restaurant fool you, it has even more to offer than its 3,600 square feet of dining space. Every Saturday from 1:00 to 4:00 p.m. you can enjoy Spanish wine and artisan food for free. La Tienda also supports Spanish food banks, and in 2012 they teamed up with Penelope Cruz and raised money for struggling families in Spain. This immense space has an organic and fresh menu and an even bigger heart. And don’t forget to bring home Paella.

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TIPS FOR CHOOSING THE PERFECT GRILL.

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Ask any grill master, and they’ll tell you that grilling is an art. But, it doesn’t become an art overnight – it all starts with choosing the right grill. So how do you do that? Here’s some top tips, courtesy of the esteemed Chef Hans Schadler of Waypoint Seafood and Grill in Williamsburg, Va. First and foremost, do your research and set your budget. Grills can cost anywhere between $150 to more than $1,000. When exploring your grilling options, pop into Phillips Energy showrooms in Gloucester, Mathews today or New Kent (starting in the fall of 2015) with any questions you may have.

Then, pick the type of grill you want - propane & natural gas grills or charcoal & wood burning grills. Each type comes with its own pros and cons and depending on your flavor and grilling style preferences, you will likely sway more towards one over the other.

PROPANE AND NATURAL GAS GRILLS: • Provide an easier start up when grilling. They also require less time spent on clean up. • They’re easier to maintain at a constant temperature because of thermostat controls. • They provide a cleaner grilled-food taste, but still have the option to use a smoking box to achieve a smoked flavor. CHARCOAL AND WOOD-BURNING GRILLS (like the Primo smoker): • Generally burn hotter and need more time to burn and get ash/charcoal ready for cooking. • Require more attention and time to achieve desired flavor, but provides more depth of a smoked flavor than a gas grill. In the end, it comes down to preference. Take into consideration your skill set as a grill master, personal taste and how much time you have to devote on the grill and your purchase will be an easy one. For more information about choosing the right grill visit www.phillipsoilandgas.com.

FEATURES | DINING OUT(DOORS)

Berret’s Seafood Restaurant and Taphouse Grill 199 S. Boundary St. 757.253.1847

berrets.com Take advantage of this fun and boisterous outdoor dining experience located in Merchants Square this summer. Berret’s offers fresh seasonal catches and shellfish yearround. Feel free to take up a game of cornhole with friends and family while waiting for your table or food. The patio is spacious and offers longer tables for large groups. Live music fills the air without interfering with good conversation. Berret’s offers a delicious Oyster Happy Hour from 3:30 until 7:00 p.m. for those on a smaller budget. Enjoy oysters on the half shell, or steamed, for only $1 and draft beer for only $3.

SEAFOOD

Second Street American Bistro 140 2nd St. 757.220.2286

secondst.com

AMERICAN

26 | thehealthjournals.com

This alfresco dining experience is every bit warm and sedative. With a beautiful fire pit centerpiece and the soft trickle of a Koi pond, Second Street offers locals and visitors a place to unwind after a long day. Lunch goers can grab a Fresh Baked Quiche or the signature House Made Mortadella Sandwich for under $12. Late night customers can bask in the warm lamplight glow while dining on the Ancho Rubbed Ahi Tuna with a Chipotle-Roasted Pepper Cream. Don’t forget to try the owner’s own Napa Valley grown Petite Sirah, which won a gold medal at the San Francisco Chronicle wine competition.

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FEATURES | CANINE CAREGIVER PART II OF III

Canine Caregiver

The role of a facility dog in rehabilitative patient care WRITTEN BY KIM O’BRIEN ROOT

28 | thehealthjournals.com

PHOTOGRAPHY BY ALEXIS KIKOEN

CANINE CAREGIVER | FEATURES

One of the most noticeable staff members at Riverside Rehabilitation Institute isn’t a nurse, therapist or even a doctor. She doesn’t even speak English. Instead, she walks on four legs, wags her tail and has a fondness for Milk-Bones. Meet Ekko, the 6-year-old service dog who has been bringing joy to countless patients at the Newport News, Virginia, rehab center for the past four years. For some, the medicine Ekko doles out is priceless. “She just has a way of making you feel better,” says Jerry Williams, a 79-year-old Carrollton, Virginia, man who spent several weeks at the center in May after having a stroke. “She has a tendency to make you happy, to brighten your day.” Ekko came to the Riverside facility four years ago by way of Saint Francis Service Dogs, a Roanoke-based organization that places dogs with people who are living with disabilities, including multiple sclerosis, paralysis, stroke, arthritis and brain injuries. Initially trained as a service dog, Ekko switched gears after a few years and received further training as a facility dog. Unlike service dogs, which are placed with a specific person needing assistance, facility dogs are partnered with a professional working in a health care, courtroom or educational setting. In a school setting, a facility dog can help in special education classes with social interaction. In a courtroom, a dog can be a comfort to sexually abused children while they’re being interviewed, or help those recovering from psychological trauma. In a hospital, dogs help with physical and mental rehabilitation, motivating patients and doing tasks that help with mobility. They also help increase morale among the staff.

Riverside Health System, which operates five hospitals and a number of rehab, behavioral and retirement facilities in Hampton Roads, was the first health facility in Virginia to receive a service dog when Ekko arrived at the rehab center in 2011. Riverside Rehabilitation Institute, located off the Chesapeake Avenue waterfront, is a 50-bed, fullservice physical rehabilitation center and the only stroke-certified rehab hospital on the Peninsula. Ekko joined the center’s staff after Wendy Bunting, director of inpatient therapy services, submitted an application to Saint Francis. Ekko lives with Bunting and her family in Hampton, Virginia, but at Riverside she works with recreational therapist Liz Faulls. The two women affectionately refer to each other as “work mom” and “home mom,” and both love Ekko dearly. They are both trained to work with service dogs. A golden retriever mix with black and tan fur, Ekko was part of a litter of three puppies donated to Saint Francis as potential service dogs. She spent her first year in the Prison Pup Program at Bland Correctional Center, where puppies are raised by inmates and learn basic obedience and socialization. An inmate named Mike named her Ekko, although no one is quite sure where the name comes from. There are several theories, says Bunting—her 10-year-old son is convinced it’s because Ekko’s bark is so loud it creates an echo. Both Ekko and her sister were brought to Riverside to see who would work better with the patients. Ekko’s laidback personality won out, and her

thehealthjournals.com | 29

FEATURES | CANINE CAREGIVER

“

sister, Jigsaw, was given to a little boy with seizures. The third pup in the litter, a boy, was adopted by people who run an equine therapy program. Ekko works at the Riverside center Monday through Friday. Her day starts at home when Bunting calls for her to get dressed—the signal for Ekko to put on her special vest that identifies her as a service dog. The vest includes zippers, snaps and buttons on which recovering stroke patients can practice. Another mode of therapy allows patients to dress Ekko or put bows in her fur (for Cinco de Mayo, she wore a green tutu and a tissue paper flower)— it’s all part of range-of-motion, mobility and strength exercises. Plus, it’s just plain fun. “It improves their mood as well as meets their functional goals,” Bunting explains. At one point, Ekko knew some 100 commands. At the Riverside Rehabilitation Institute, she primarily uses 20 to 30 commands regularly that are tailored to working with rehab patients. Patients are generally a mixture of those recovering from brain injuries, strokes and broken bones. But the benefits of having Ekko around go far beyond the physical, say those who work with her. Just the sight of Ekko, whose furry snout naturally seems to stay in a mischievous grin, is enough to make the gruffest of people soften. Patients often return to the center long after they’ve left to bring Ekko treats, like a box of her beloved Milk-Bones or a scarf embroidered with her name.

“Patients absolutely light up when they see Ekko in the hallway,” Faulls says. “Patients and staff are happier when she’s around.” Take 20-year-old Taren Burkett. The Newport News man was recovering from injuries he received in a serious car accident—a broken femur and arm— when he met Ekko during one of his rehab sessions. The tattooed Burkett, slumped in a wheelchair when he rolled into the therapy room, couldn’t help but smile when Ekko came prancing in. Burkett began learning some of what Ekko can help with—actions such as simply holding a rope bone while Ekko tugs on it can help patients get their strength back. Faulls teaches patients the commands they need get Ekko to do actions such as sit, tug, wait and drop. For someone like Burkett, Ekko can serve as a walking companion as he begins to reuse his leg. The same goes for stroke patients—during patient Keith Wilhelm’s therapy session, he practiced walking Ekko around the therapy room and getting her to heel by his side. When Wilhelm arrived at the rehab center after his stroke, he couldn’t move his right leg. Two weeks later and a day away from being discharged, the 51-year-old Gloucester, Virginia, man proudly strutted back and forth with barely a limp while holding Ekko’s leash. During one busy morning, Ekko moved seamlessly from appointment to appointment, changing up tasks at Faulls’ request with only occasional drops to the

Patients often return to the center long after they’ve left to bring Ekko treats, like a box of her beloved Milk-Bones or a scarf embroidered with her name. ”

30 | thehealthjournals.com

CANINE CAREGIVER | FEATURES

floor for belly rubs or hopeful sniffs at Faulls’ pocket for a treat. Her session with Williams, a stroke patient, found her stretched out on a table while Williams sat in his wheelchair next to her. Carefully, he groomed her silky black fur, working his partially paralyzed left arm. “You look in her eyes and she looks back at you like she has a question for you, ‘What can I do for you?’ ” Williams says. “It’s a real nice therapy for anybody, especially an old country boy like me. She has a way of making you feel better.” It’s true, say Bunting and Faulls: Ekko has a knack for reading people. She’s especially good with patients who get agitated, which sometimes happens when someone is recovering from a brain injury. “She knows how you feel,” Faulls says. “She picks up so well not only how the patients feel, but how others feel. She’s very attentive to giving you the attention you need at that moment.” For those going through a rough recovery, or those simply having a bad day, Ekko is the perfect medicine, Faulls adds. The sight of Ekko’s funny tan eyebrows, or a nuzzle of her soft head, brings a bit of home into the sometimes bleak, institutional setting of a hospital. “An animal is something that makes you feel happy and makes you feel comfortable,” Faulls says. “This is already a hard enough setting for most people coming in. If we can provide that comfort level and that way to feel at home, then we’re doing something right already.”

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FLAVOR | FOOD

WRITTEN BY KIMBERLEY CUACHON HAUGH

Great on

everything Add some flair to your fare

with Old Bay Seasoning

n the early spring in Pittsburgh, when it felt more like winter, I attended a wine and spirits show. As soon as I took a sip of their vodka I was reacquainted with a familiar flavor. “It’s OLD BAY seasoning, isn’t it?” The man behind the table quickly corrects, “No. It’s Bay seasoning; we can’t say the other. Licensing thing, you know?” I’ve used Bay seasoning on many different things, but I’ve never thought of infusing it into a spirit. The Bay vodka, if you’re not familiar, isn’t meant to drink straight up. Its sole purpose is to make the most kick-butt Bloody Mary—by adding a few dashes in the drink and rimming the glass with it. But if you’re Canadian, like me, a pretty wicked Caesar, eh?—made with clam juice along with the Bloody Mary usuals. OLD BAY has a cult following like Sriracha sauce and The Rocky Horror Picture Show. This might be attributed to our aberrant need to photograph our food and share it. That said, I thought I’d share with you some of my tried and tested ways to use OLD BAY. After all, OLD BAY’s motto is: “1) It’s great on seafood and 2) it’s great on everything else.”

Pasta sauces For a twist on a seafood marinara or Alfredo sauce, toss in some OLD BAY for an extra zing. This also works for poultry. Tip: Much like I would when making jambalaya, I recommend marinating your meat for at least an hour—this is especially true when using chicken breast.

Roasted potatoes or vegetables Toss cut vegetables in olive oil, OLD BAY, and salt and pepper to taste. Then roast in a 450-degree oven until tender. Tip: I marinated my potatoes and vegetables for 30 minutes. This technique worked especially well for the potatoes.

3 Stir-fries Somehow the celery salt and paprika in the OLD BAY works well with soy sauce. It will certainly add flavor if you’re using tofu with your vegetables.

thehealthjournals.com | 33

FOOD | FLAVOR

4 Coleslaw A couple of teaspoons of OLD BAY on your traditional mayonnaise-based coleslaw and a couple of hours for the whole thing to marinate in the fridge, and you’ve got some oomph. Tip: If you normally use caraway seeds, hold off. The flavors compete.

Barbecue sauce Take tomato or ketchup-based barbecue sauce up a few notches with a couple of teaspoons of OLD BAY. This works for more than seafood barbecue. OLD BAY has been a “secret ingredient” in grilling for years. Tip: The ratio I used was 1 cup of ketchup to 3 teaspoons of OLD BAY.

6 Dredging mix Mix a few tablespoons with the flour for anything you’re dredging to make favorites like fried chicken (marinate first with plain yogurt and OLD BAY) or schnitzel.

7 Burgers Don’t just get flavor from your burger fixings, add a couple of tablespoons to your ground meat or veggies and beans for a truly flavorful burger.

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FLAVOR | FOOD

8 Eggs all ways All you need is a couple of dashes. Tip: If you’re looking for an excuse to make crab cakes in the morning, use them for eggs Benedict, and finish the dish off with a dusting of OLD BAY.

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9 Butter compound Get unsalted butter to room temperature, mix in a few teaspoons of OLD BAY, whip it up and roll it into parchment paper. Now you’ve got a flavorful topping for corn, popcorn, biscuits, fish and anything you’d put butter on.

Kale chips Cut the ribs off and lightly toss in olive oil and OLD BAY and you’ve got something healthy and special. Tip: Don’t drench the kale in oil otherwise it won’t crisp. Cook the kale on low heat until it is crisp yet still tender—there’s a fine line between done and overdone.

Meet Dr. Colin M. Kingston Originally from Long Island, Dr. Kingston has been with Tidewater Orthopaedics since 2003. Dr. Kingston was a flight and orthopaedic surgeon during operation Desert Storm, Enduring Freedom and Iraqi Freedom while in the United States Air Force. In the military, Dr. Kingston attended medical school at the Uniformed Services University of the Health Sciences in Bethesda and completed his residency at the Uniformed Services Health Consortium in San Antonio. Dr. Kingston enjoys spending time with his wife and children and is interested in sports, including wrestling, golf, rugby, football, kayaking, and scuba diving. He volunteers as team physician for the Apprentice School and the Virginia Duals and enjoys mentoring youth who have an interest in pursuing medicine as a career.

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FOOD | FOOD & NUTRITION

CAVEMAN, EAT LIKE A

IMPROVE YOUR

HEALTH

WRITTEN BY BR

ITTANY DELONG

o improve your health, eat like a caveman. This is the philosophy of the Paleo diet, a regimen that its proponents claim can help improve Crohn’s disease, diabetes, obesity and indigestion. It entails returning to the way our ancestors ate—which mainly encompassed meat, fish, nuts, seeds, vegetables and fruits—and cutting out processed foods and carbohydrates for health and weight loss. In 2013, the paleo diet was the most searched weight loss method on Google, but its origins start much earlier—between 2.5 million and 10,000 years ago, to be precise. Beginning in the 1970s, a number of people tried to revive hunter-gatherer eating. The father of the movement was gastroenterologist Walter Voegtlin. Voegtlin believed that “modern humans could achieve optimal health only if they ate exclusively the same foods their Stone Age progenitors ate,” writes Matt Fitzgerald in his book, “Diet Cults.” He continues, “In contrast, many staples of the modern diet, such as grains and dairy products, were so new to our DNA (on an evolutionary timescale) that the body scarcely knew what to do with them.” The paleo diet continued to grow in popularity, reaching an apex in the 2000s. One of its earliest and most vocal advocates, scientist Loren Cordain, has authored numerous publications on the topic. He suggests one way to increase your chances of success with the diet is to follow the 85:15 rule: Stick to paleo foods 85 percent of the time and 15 percent of the time you can indulge in what you like. This way you’re more likely to still reap the rewards without feeling restricted. Many paleo fans suggest looking at the plan not as a diet, but as shifting your daily habits. Making small changes over time can also help make the transition easier. For example, incorporate more fruits, vegetables and lean meat sources into your diet. After you’ve become comfortable with this, then start cutting back on sugar. Once you’ve acclimated to cutting out sugar,

36 | thehealthjournals.com

then start cutting back on wheat and gluten products. Tweaking your diet in accordance with paleo principles, and seeing how your body responds, will ensure greater long-term success than an abrupt change. Cordain gives examples of what a typical day might look like on the paleo diet. To start, make an omelet with various vegetables sautéed in olive oil. You can add diced turkey or chicken breast to up your protein intake. For lunch, prepare early in the week by making a very large salad with mixed greens, vegetables, avocadoes and nuts. Grab from this stockpile each day, top with your choice of meat or seafood, and toss with olive oil and lemon juice. For dinner, swap out typical carbohydrates with vegetarian options. Try spaghetti squash rather than pasta, or grill salmon and pair it with steamed broccoli and spinach. It’s important to note that the paleo diet is not without its limitations. Most studies on the diet are small and more conclusive evidence is needed to determine whether the food plan is as effective as some followers claim. In addition, some critics consider the diet restrictive and short-sighted. By eliminating certain food groups, like dairy and whole grains, you risk overlooking beneficial nutrients. Ultimately, it is up to you to determine what diet works best for you and your lifestyle. The beauty of the paleo diet is that you can determine how strict you want to be, whether that means adopting the plan completely or incorporating certain rules into your existing routine.

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EAT

Grass-fed meats Fish/seafood Fresh fruits and vegetables Eggs

DON'T EAT

Cereal grains Legumes (including peanuts) Dairy Refined sugar

Nuts and seeds

Potatoes

Healthy oils (olive, walnut, flaxseed, macadamia, avocado and coconut)

Processed foods Salt Refined vegetable oils

thehealthjournals.com | 37

FOOD | VINE & DINE

Exploring the

Brew Ridge Trail WRITTEN BY MORGAN BARKER

irginia’s beverage industry is exploding with over 100 microbreweries and an anticipated 150 more to open by the end of 2015. What’s the best part about this trend? Touring, of course! Highway 151—which streaks through the Blue Ridge Mountains just past Charlottesville, Virginia, and through Nelson County—serves up prime beer tourism. It even has its own app for iPhone and Android called Nelson 151 with details about events, local attractions, places to stay and directions to the breweries, wineries, cideries and a distillery that are scattered along the scenic mountain highway. Now that you’re sold on the Brew Ridge Trail as the best weekend trip in Virginia, let’s plot your course. Here’s a roundup of the must-stop locations: 1. Blue Mountain Brewery

Blue Mountain Brewery in Afton, Virginia, captures everything you’re looking for from a Brew Ridge Trip: breathtaking views, good brews and food! They offer tours daily and you can order

Numbered to correspond with the map at right. flights—several small samples of different beers—while sitting on the patio in the middle of a hops field. Blue Mountain has more than ten beers on tap. Bring a notebook to keep track of your favorites. 2. Silverback Distillery

Silverback Distillery crafts vodka, gin, whisky and bourbon from local grains. If you’re looking for a taste of moonshine and old-fashioned spirits, this is a must stop; they offer tastings every Wednesday through Saturday. 3. Berry Hill Winery

For a unique taste, Berry Hill Winery concocts exclusively non-grape wines. You might find such oddities as cantaloupe wine and peach wine, if you attend a tasting. 4. Wild Wolf Brewing Company

Wild Wolf Brewing Company in Nellysford, Virginia, often hosts live music events, so you may want to plan to finish

If your summer schedule is already too full to add one more trip, you can create your own tasting at home. Invite over friends and throw some burgers on the grill for a great summer bash. Here’s a menu of Virginia Brews to sample at your shindig!

38 | thehealthjournals.com

{

your day at their farm-to fork restaurant. Local brews, music and food are the perfect way to cap off a day in the Blue Ridge. 5. Bold Rock Hard Cider

Cleanse your palate with some fresh and crisp Bold Rock Hard Cider in their brand new tasting room. Founded by a Virginia native and a world famous ciderist from New Zealand, their crisp apple cider is sure to quench your thirst on a hot summer day. 6. Devils Backbone

Devils Backbone is a few miles up the road. This little brewery took home several awards from the 2014 Great American Beer Festival including Best of Show at the Virginia Craft Brewers Fest. Brewery tours are offered on Saturday. As a bonus, they also have wine by the glass and bottle for members of your party who don’t quite have a taste for hops. Happy tasting and be sure to bring along a designated driver!

1. Drake Tail by Alewerks Brewing Company 2. Primal Instinct IPA by Wild Wolf Brewing Company 3. Classic Lager by Blue Mountain Brewery 4. Azrael by Devils Backbone 5. Virginia Apple by Bold Rock Hard Cider

5 6 thehealthjournals.com | 39

FOOD | HERB-N-GARDEN

Honey-Lavender Popsicles 1 tablespoon dried lavender flowers 3/4 cup whole milk 5 tablespoons pure honey 2 teaspoons vanilla extract 1 1/2 cups plain greek yogurt

• Over low heat, warm milk, honey, vanilla and lavender • When mixture begins to scald, remove from heat and let sit one hour • For milder lavender flavor, strain out the lavender buds • Stir in yogurt and mix until smooth • Pour into six popsicle molds • Freeze for at least five hours, preferably overnight At only 75 calories a pop, these are a perfect summer treat!

f o p o P A

r e d n e Lav KOEN

Y BY ALEXIS KI PHOTOGRAPH

40 | thehealthjournals.com

Lemon Pesto Pasta with Edamame

Grilled Jerk Chicken Citrus Mango Salad RECIPE COURTESY OF THE WAYPOINT TEAM Enjoy this refreshing sald as a satisfying summer mekal, topped with flavorful grilled jerk chicken, bright oranges and mangos. INGREDIENTS 4 small (4-6 oz.) boneless chicken breasts 1 red onion quartered and roasted 1 mango, peeled and julienne 2 oranges, peeled and cut into segments 2 small tomatoes, cut in wedges (8ths) 1 avocado, 1-inch diced

MAKES 4–6 SERVINGS

PREPARATION • Marinate boneless chicken breast with jerk seasoning and a touch of olive oil in a plastic container; cover and refrigerate for 2-3 hours. • Grill chicken breast evenly on both sides and finish in 325 F oven until an internal temperature of 150 F is reached. • Chill and cut into strips to the desired size. • Mix all other ingredients together and season to taste.

With only a handful of ingredients, this dish packs high-five-worthy flavor. Al Dente spaghetti is tossed with protein packed edamame, watercress, Parmesan cheese, and aromatic basil. Hints of citrus and fresh pesto elevate and complete this casual pasta dish.

INGREDIENTS 10 ounces frozen edamame 1 pound whole wheat spaghetti 1 tablespoon olive oil 2 garlic cloves, minced 6 ounces pesto juice of 1 lemon zest of 1/2 lemon 1 1/2 tablespoons fresh basil, chopped 1/4 -1/2 bunch watercress 1/4 teaspoon salt 1/2 cup parmesan cheese, grated (optional)

2 ounces chives, 1 inch long

1 pound shrimp (shellfish option)

1 ounce cilantro, chopped

1 pound chicken (poultry option)

1 clove of garlic , mashed

MAKES 6 SERVIINGS • PREP: 10 MIN • COOK: 15 MIN

PREPARATION Cook and Prepare the Pasta and Toppings • Bring water to a boil in a medium pot over high heat. Add pasta and wait for the water to reboil. Cook uncovered, stirring occasionally, 7-9 minutes, or until desired tenderness. Remove from heat and drain. • While pasta is cooking, in a separate, medium-sized pot, over high heat, bring 6 cups of water to a boil. Add edamame and bring to a second boil. Cook for 5-7 minutes, until just tender. • While waiting for the pasta and edamame to cook, shred Parmesan cheese, chop basil, zest lemon, mince garlic, rinse and dry watercress. Assemble Pasta Dish • In a large skillet, over medium heat, add olive oil and minced garlic. Sauté about 3 minutes, until fragrant. • Add drained pasta and edamame, Parmesan cheese, basil, lemon zest, freshly squeezed lemon juice, and pesto to the skillet. Toss to combine. • Remove skillet from heat and evenly distribute into bowls. Generously garnish with watercress..

Jerk seasoning

Visit relayfoods.com for the chicken, shrimp, gluten-free, or dairy-free options of this recipe, plus suggestions for kids and leftovers.

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YOUR HEALTH | FITNESS

WRITTEN BY THOMAS RICE PHOTOGRAPHY BY ALEXIS KIKOEN

Exercises for a

Solid Stance

e all require balance. Consider one common activity: walking. When walking, your weight constantly shifts from one leg to the other. Despite this constant balancing act, many would say that they have poor balance. So, how do you fix that? Balance doesn’t just happen. To balance effectively, challenge the limits of your balance without pushing yourself too far and risking injury. The American Council on Exercise (ACE) describes balance as, “the ability to maintain the body’s position over its base of support within stability limits.” Let’s examine those components.

BASE OF SUPPORT Your base of support is the area between your points of contact with the ground. When standing, your feet act as the points of contact. The wider your feet are apart, the more area between them, and the greater the base of support. Conversely, the closer your feet are together, the less area between them, and the smaller the base of support. Challenging your base of support is as simple as changing your stance during the exercises you already do. Start by trying a dumb-bell bicep curl with your feet shoulder width apart with one leg in front of the other (staggered stance). Next, bring your feet together so that one is in front of the other, but they are about a foot apart heel-to-toe (split stance). 42 | thehealthjournals.com

Then, move the heel of your front foot to the toe of your back foot to give tandem stance a try. Finally, try performing your curls on one leg. As you progress through these stances, your base of support decreases, challenging your balance. When applying these stances to your workouts, get comfortable with staggered before moving to split, and with split before moving to tandem.

*PRO TIP: Try challenging your base of support during standing resistance exercises. Keep in mind that as your base of support decreases, you should also decrease the weight you are using until you are comfortable in your new stance. STABILITY In order to balance effectively, you must be able to stabilize certain muscles, primarily your core. With each resistance exercise you perform, you should get in the habit of “bracing,” or drawing in your breath and pulling your belly button to your spine. This tightens your transverse abdominis, which is one of the foundational muscles of the core. Bracing is especially important when it comes to balance exercises. After all, the more effectively you can stabilize your body, the less of a challenge balance will be. So, let’s look at three exercises you can perform to increase your core stability.

BALANCE IS

“

the ability to maintain the body’s position over its base of support within stability limits.

”

HOW TO/BIRD DOGS • Start on your hands and knees • Maintain a neutral spine • Inhale to brace your core • Raise your right hand/left leg until they form a straight line with your torso • Hold 3-5 seconds • Switch sides

HOW TO/Single leg glute bridge bent 90 degrees • Lie on your back, knees the air • Raise one leg straight in e • Inhale to brace your cor g through the vin dri • Raise your hips by ground heel that is contacting the and tightening your glutes until your • Your hips should raise up from body forms a straight line your knees to shoulders • Switch legs

TRY ADDING THESE EXERCISES TO YOUR WORKOUTS. START WITH 2-3 SETS OF EACH AT 8-10 REPS ON EACH SIDE.

HOW TO/SINGLE LEG DEADLIFTS • Begin standing upright • Bend at the hips, while pushing one foot straight back, keeping the other firmly planted • Slightly bend the knee of the leg that is contacting the ground • Keeping your back straight, lower yourself until your shoulders and raised foot form a straight line • Tighten your glutes to return to the starting position while maintaining a neutral spine • Switch legs

thehealthjournals.com | 43

YOUR HEALTH | YOGANATOMY

Crescent Lunge

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

❥ PHOTO BY BRIAN FREER

Hips

Arms

Right hip rolls forward, left hip rolls back to create alignment in the torso

Biceps hug toward the ears and fingers reach toward the sky

ready? Start in downward dog, observing your breath. With an exhale, step your left foot to your left thumb and allow your left knee to align over the ankle—four feet from heel to heel. With your next exhale, come onto the ball of your right foot, lifting your heel to lengthen the back leg. Inhale as you roll your right hip forward, your left hip rolling back to square the hips. Exhale, sweeping the arms high as you settle into your lunge, allowing your shoulders to rest lightly on the spine. Inhale and without shrugging the shoulders, extend both arms overhead, reaching high with the fingertips. Press back through your raised right heel and lift your torso by engaging the core. To deepen the pose, clasp both hands together and reach your chest toward the sky, coming softly into a backbend.

Front Knee Keep aligned over the ankle and rolled towards the pinky toe

Back Heel Raised and pulls towards the back of the mat to activate and lengthen the quadriceps

44 | thehealthjournals.com

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YOUR HEALTH | FAMILY

What’s Your

Romantic

temperature? WRITTEN BY AMANDA DEVERICH, LMFT

ant to bring some sizzle to your relationship this summer? Take a temperature check first. If your relationship is cool, you don’t want to come on too strong or your partner will reject your advance. If you are too hot, you can build a tolerance to the physical and emotional high making it more difficult to connect over time and to deal with life’s natural routine.

lukewarm If your love life is lukewarm, try taking it to the next level. All relations should be consensual. If traditionally you are the low desire spouse and want more, start by taking control of your own emotional energy and sexuality. Up your own happiness level by getting excited about something positive (not politics!) Spend some time stoking romantic feelings. Avoid surrendering your life to drudgery, overwhelm and tiredness. Understand that your partner needs your emotional

Cool

positivity as well as your physical attention. A tepid romance

If your relationship is cool, but not iced over, get a little more love by warming up the

spouse with high physical desire, start by telling your partner

connection. Start by speaking your partner’s love language—loudly. Love language is

you would like to talk at a non-pressured time. Have the talk

the way a person feels and expresses love. If they feel loved when chores are done,

on a short commute, or mid-afternoon, where nothing physical

mow the lawn or do the dishes. If they like thoughtful gestures or flowers, bring them

is expected. Keep the discussion short. Express what physical

home. Put a smile on their face, and then make a gentle advance. The key is to love

closeness means to you emotionally. Ask if there is anything

them the way they like to be loved, not they way you like to love. Figure out what they

you can do to encourage your partner. Your low desire spouse

like and pour it on.

will need support and affirmation.

46 | thehealthjournals.com

can slowly drain the life out of a relationship. If you are the

FAMILY | YOUR HEALTH

the five love languages words of affirmation One way to express love emotionally is to use words that build up. Verbal compliments, or words of appreciation, are powerful communicators of love. They are best expressed in simple, straightforward statements of affirmation.

ACTS OF SERVICE

Acts of service are doing things that you know your spouse would like you to do. Such actions as cooking a meal, setting the table, washing the dishes, vacuuming, changing the baby’s diaper, walking the dog and keeping the car in operating condition are all acts of service.

receiving gifts

The gift itself is a symbol of thought. It doesn’t matter whether it has cost money. What is important is that you thought of your spouse. And it is not the thought implanted only in the mind that counts, but the thought expressed in actually securing the gift and giving it as the expression of love.

quality time Give your undivided attention; don’t sit on the couch watching television together, but look at each other and talk. Taking a walk together, just the two of you, or go out to eat and look at each other and talk.

physical touch For some individuals, physical touch is their primary love language. Without it, they feel unloved. With it, their emotional tank is filled, and they feel secure in the love of their spouse. Holding hands, kissing, embracing and sexual intercourse are all ways of communicating emotional love to one’s spouse. * Excerpts from “The Five Love Languages” by Gary Chapman

FROZEN

warm If you two are warm and ready for adventure, work on seducing

Finally, if your relationship is frozen, start with communication.

your partner. Make them feel extra special—the center of your world.

Try chipping away by doing what works. What works is usually

Keep it romantic, playful and add an element of (welcomed only!)

addressing what your partner has been complaining about forever.

surprise. Do some research for new ideas.

You have power to change things. Common requests include: controlling anger, finding a job, helping with the kids, saying nice things, losing weight and stopping video game play. Simply honoring their request will often get a partner to thaw a little. Don’t forget to get happy and attractive yourself. Nobody wants to get closer to a bitter, sad, depressed person.

WHITE HOT

need help?

If you get stuck at any of these levels and want to take it higher,

If you are already white hot, try pulling back. Work in a little tease or

consider getting some professional help. A licensed marriage

pledge a period of abstinence. Consider sensate focus exercises that

and family therapist can provide a safe place and help navigate

begin with silent touching fully clothed; seek intensity via emotional

a sensitive subject. You both should leave the room feeling like you

closeness versus physical stimulation.

have been heard, understood and equipped with some fresh ideas to turn up the heat. thehealthjournals.com | 47

YOUR HEALTH | OUTDOORS

Pin-Sized Predators What You Need to Know About Ticks and Lyme Disease WRITTEN BY BRITTANY DELONG

n 2010, my father

experienced an abrupt and mysterious transformation. Almost overnight, he went from walking seven miles a day to struggling to get out of bed. His joints became extremely sore and an overwhelming fatigue made it hard for him to get through his daily routine. Then, my brother began experiencing the same symptoms. The culprit was smaller than a grain of rice: a tick. My father and brother joined an estimated 300,000 people in the United States diagnosed with Lyme disease, according to the most recent reports from the U.S. Centers for Disease Control and Prevention. Timing for their infection was prime. In 2011, Virginia health officials warned residents to be aware of the increase in cases of Lyme disease spreading southward and westward from the northern regions of Virginia. While there are a number of different types of ticks, only one can transmit Lyme: the blacklegged tick. The cycle for Lyme transmission actually starts with young nymph ticks; adult blacklegged ticks seldom bite people. Adult blacklegged ticks, looking to acquire nutrition for their eggs, will feed on the blood of deer. “Adult ticks will congregate and it becomes kind of like a Carnival cruise on the deer,” explains David Gaines, state public health entomologist with the Virginia Department of Health. “However, deer are

not a reservoir of Lyme. Their blood actually destroys the Lyme agent.” Lyme comes into play when larval ticks hatch and feed on infected white-footed mice. Infected larvae become nymphs which go on to infect people or other animals, typically during spring and early summer. “A lot of people have the misconception that you get tick bites in grassy areas, but the danger is grass in shaded areas, like a forest, not in sunny fields,” Gaines says. He adds that ticks do not drop out of trees. They are most likely found on sticks or tree stumps at foot level, where bites often occur. Symptoms of infection can vary. Often present is an erythema multiforme, or EM, rash with a characteristic red bull’seye sore. Other symptoms might include fever, joint swelling, fatigue, headache, and dizziness, and can in some cases manifest to arthritis and neurological or cardiac problems. A Lyme diagnosis typically includes a combination of laboratory work and description of symptoms. Doctors might prescribe a 14-day period of antibiotics. IV antibiotics might be administered for more serious cases. Some people never have symptoms from an infected tick bite whereas others go on to have chronic, longterm issues. Myra Holt, a nurse, was diagnosed with Lyme about six years ago and travels

Black legged Tick

Lone Star Tick

Ixodes scapularis

Nymph

Male

48 | thehealthjournals.com

Female

Amblyomma Americanum Nymph

Male

Female

to Pennsylvania every four to six months for treatment. She now leads the Hampton Roads chapter of the National Capital Lyme Association, which provides support for those affected with the disease. “For some people, it’s a constant battle. You have to be your own advocate,” Holt says. “We try to give those people that come to the support group hope. We discuss our stories and things like treatments that worked for one another.” Holt is an advocate of education and staying positive emphasizing, “The more you learn, the more it’ll help you.” NatCapLyme support group meetings are held on the second Tuesday of every month at the New Life Providence Church in Virginia Beach. Luckily, there are ways to protect yourself from tick bites. Gaines suggests dressing properly, wearing repellant treated clothes, and using repellant on your skin. If you anticipate being in moist, shaded areas where ticks thrive, tuck your pants into your socks; or, make sure to apply a band of skin insect repellant along each leg if you’re wearing shorts. You can pre-treat clothing with permethrin-based sprays (not to be applied to skin) which actually kill ticks. Even if you’ve taken all precautions, Gaines suggests that, “After one has been in these environments, it’s always good to do a once over tick check.”

American Dog Tick Dermacentor Variabilis

Nymph

Male

Female

Outlook Recent estimates show around 300,000 people diagnosed with Lyme disease in the United States. The majority of reported cases are in the Northeast and Midwest regions of the country, with 96 percent of reported cases occurring in 13 states— Virginia being one of them.

Retina & Glaucoma Associates specializes in the diagnosis and treatment of retinal diseases and glaucoma.

Things to Know

+ Animals can get Lyme, too. Dogs are

50 percent more likely to get the disease than people. + Children ages 5-14 are at the highest risk of acquiring Lyme disease. + Symptoms of Lyme can occur days or months after an infected bite. + Peak season for Lyme transmission is May through July, when nymphal deer ticks are feeding. If + you do find a tick on yourself, remove it with tweezers and store it in a vial of alcohol for future identification should you become sick.

Protect Yourself

+ Try to avoid prolonged periods in

tick habitats. + Wear repellents, like DEET or picaridin on exposed skin, and permethrin on clothing and shoes. + Wear light colored clothing to make identifying ticks easier. + Do a clothing and body tick check after spending time in shaded areas. + Remove ticks as soon as possible when found—transmission of disease may require hours or days of feeding, so prompt tick removal can reduce the chance of infection.

“

A lot of people have the misconception that you get tick bites in grassy areas, but the danger is grass in shaded areas, like a forest, not in sunny fields.

• Macular Degeneration • Diabetic Retinopathy • Glaucoma Dr. Nordlund was on faculty at UVA Medical School, and is a current clinical faculty member at VCU Medical Center. • Retina fellowship at the Mayo Clinic • Glaucoma fellowship at Johns Hopkins

John R. Nordlund, MD, PhD

Office hours:

Monday-Friday 8:00-5:00 www.rgava.com 113 Bulifants Boulevard, Suite A Williamsburg, VA 23188 757-220-3375

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YOUR HEALTH | AGING WELL

SILVER SNEAKERS

Fitness Program Keeps Seniors Energetic and Active

WRITTEN BY BRANDY CENTOLANZA

enior citizens throughout Hampton Roads can get in shape for free thanks to the Healthways Silver Sneakers fitness program. Healthways pays for fitness center memberships for people ages 65 and older with an eligible Medicare or other health insurance plan. There are 13,000 locations nationwide that offer the program, including several recreation centers in Hampton Roads. The first Silver Sneakers program in Virginia Beach, Virginia, began in 2006. Today, all of the city’s recreation centers have it. “There are many programs and activities a Silver Sneakers member can participate in if they join the recreation center facilities,” says Tracey Gauthier, programming and operations manager for Virginia Beach’s Parks & Recreation department. “They can swim laps, participate in our Forever Young Center programs for older adults, or use the cardio and strength training equipment in the weight room. Or they can join any fitness classes that are offered.” Ninety-two-year-old George Kays has been a Silver Sneakers participant for nearly a decade. He works out at the Great Neck Recreation Center in Virginia Beach at least twice a week. “I had recently been widowed when I first heard about it,” he says. “I needed to get out and exercise. I hadn’t been doing anything for a while, and my poor body was getting desperate, so I decided to give it a try.”

50 | thehealthjournals.com

Kays enjoys the program not only for the physical activity but also for the social aspect. “I really enjoy it. I like the activity. It’s good for me. But I also like the people. Everyone is so friendly. I like the instructors. The instructors keep an eye on everyone and encourage everyone. Sometimes you need all the encouragement you can get. Silver Sneakers keeps me on the ball and keeps me moving.” The program has been growing in popularity in James City County in part because of the county’s retired population. There are roughly 575 Silver Sneakers pass holders at the James City County Recreation Center. In March, the center began offering additional Silver Sneakers classes due to demand. “With their membership, patrons have access to all our facility has to offer: the fitness center, track, racquetball court, pool and ten special Silver Sneakers classes per week for a range of fitness levels,” says Carla Brittle, recreation centers administrator for James City County. “The exercise benefits include reduced risk of

AGING WELL | YOUR HEALTH

cardiovascular disease, strength training for bones and muscles, improved balance to help prevent falls and improved mental health.” Gail Peck, an instructor, helped implement Silver Sneakers at the James City County Recreation Center eight years ago. She has been teaching the classes ever since. Up to three dozen people join her afternoon classes, and she takes a personal interest in her class participants. “The camaraderie here is huge,” Peck says. “Everyone looks out for everybody. I have everyone’s email address and check in with them. The motto for Silver Sneakers is ‘fitness, friends, and fun.’” Olivia Sala has been involved with Silver Sneakers in James City County for four years and works out at the recreation center multiple times a week. “I think it is a terrific program,” she says. “Gail is very inspiring. I like that there is variety. We do yoga, cardio, aerobics, weights and stretching. It’s fun and motivating. It’s a good way to workout, have fun, build up your strength and keep fit.” Hampton recently added Silver Sneakers to three of its community centers: West Hampton, Northampton and the Senior Center.

“We have seen tremendous success for both our programs and our members,” says Elizabeth Linthicum, recreation manager for Hampton Parks & Recreation Department. “We have over 60 Silver Sneakers members.” According to Linthicum, there are plans to offer a Silver Sneakers yoga course in the future and expand the program to include the Fort Monroe and North Phoebus Community Centers. The goal in Hampton is “to help everyone of every age achieve their fitness goals,” Linthicum says.

For more information, visit silversneakers.com.

YOUR HEALTH | MIND MATTERS

No, M m. WRITTEN BY KIM O’BRIEN ROOT

His Brain Won’t Rot. New research shows the benefits of

hirteen years ago, a teenager named Lee Boyd Malvo and his older accomplice went on a weekslong shooting spree in the Washington, D.C. area that left 10 people dead and three injured. When Malvo went to trial, his attorneys argued that he had been brainwashed and molded into somewhat of a child soldier, in part by repeated exposure to violent videos and computer games. Ten years later, in 2012, a young man walked into an elementary school in Newtown, Connecticut, and opened fire, killing 20 children and six adults. Media outlets were quick to report that the shooter, Adam Lanza, had been an avid video game player.

52 | thehealthjournals.com

video game play

Events like the D.C. sniper killings and the Sandy Hook school shootings only seemed to reinforce long-standing beliefs by parents and psychologists alike that too much time playing video games had negative effects on children, desensitizing them to the world around them. But newer research has shown that video games aren’t as bad as once feared. In fact, they can be beneficial. As video games have changed over the years (think Minecraft vs. Asteroids), so have the effects. One study done at Michigan State University found that kids who play video games—vs. kids who don’t play—scored higher on tests judging their creativity.

MIND MATTERS | YOUR HEALTH

A study published last year in Pediatrics: The Official Journal of the American Academy of Pediatrics found that games can even be healthy. Author Andrew Przybylski, Ph.D., conducted a study of more than 5,000 children between the ages of 10 and 15. He found that compared with non-players, children who played video games “showed higher levels of prosocial behavior and life satisfaction and lower levels of conduct problems, hyperactivity, peer problems and emotional symptoms.” Video games, Przybylski found, showed benefits that were comparable to other kinds of imaginative play—“they present opportunities for identity development as well as cognitive and social challenges.” In Minecraft, players build their own 3D-generated worlds out of textured cubes. Within those worlds, they can explore, gather resources and craft.

Studies that show playing violent video games can lead to aggression can’t be disregarded, but experts suggest there’s usually more going on than just playing a game. An analysis of research by Common Sense Media after the Sandy Hook shootings suggested that media violence was more of a risk factor than a cause of violence. “Just as not all children raised in violent homes will become violent, not all children who play violent video games will become violent,” the report states. “But there is a greater chance that they will, especially if there are multiple risk factors operating at the same time.” Children are often likely to modify their real behavior based on what they’ve seen, says Gayle Dow, an associate professor of psychology at Christopher Newport University in Newport News, Virginia.

Even a simple game, such as Angry Birds, can improve players’ moods, promote relaxation and ward off anxiety, according to research published in American Psychologist last year. “Video games are a lot different now than they were 10 years ago,” says Peter Vishton, a psychology professor at the College of William & Mary in Williamsburg, Virginia. “They’re solving puzzles, building … they don’t just give you a racecar and you drive as fast as you can.” First-person shooter games aren’t as bad as once thought, either. According to the American Psychological Association, a 2013 analysis found that playing those types of games improved a player’s capacity to think about objects in three dimensions just as well as academic courses designed to enhance the same skills. Playing video games may also help children develop problemsolving skills—one long-term study published in 2013 found that playing strategic video games, such as role-playing games, helped improve problem solving and school grades, according to the APA. Video games can also help strengthen cognitive skills such as spatial navigation, reasoning, memory and perception. Even failing at games can be healthy. By learning to cope with ongoing failure in games, children build emotional resilience they can use in their daily lives, say the authors of the American Psychologist study. But parents continue to worry that if kids are spending hours on video games, that’s less time they’re spending reading, doing homework and playing outside, Vishton says. Those are valid concerns. Higher rates of obesity have been linked to sedentary activities such as watching TV and playing video games.

“It doesn’t mean they’re going to go murder somebody, but it might make someone a little more aggressive,” Dow says. “It might be a subtle change, but it is there.” But that’s where limits and the types of video games come into play. Computers and tablets can be set up with parental controls. Parents can check out games before their children play. The website commonsensemedia.org provides hundreds of expert and parent reviews. Parents should pay attention to the types of games—are they violent, or do they encourage problem-solving?—as well as the age recommendations for the games, Vishton says. One of the most popular war games is the Call of Duty series. Most are rated “not for kids” because of any combination of violence, profanity, drug use and sexual themes. Instead of Call of Duty: Black Ops III for a 10-year-old, the website recommends a game called Portal 2—described as a first-person action game but not a violent shooter. Vishton also suggests that parents play games with their children to see for themselves, or at the very least have children play within a parent’s earshot, not holed up in their room. “If there’s something bad in the game and you’re playing with them, or hanging around near them, you’re going to know what’s going on,” Vishton says. Common Sense Media’s website also provides ratings and reviews for movies, apps, TV shows, books, websites and music. There are parent blogs on the website where parents can discuss media content with each other, and peruse endless lists of media recommendations. “Achieving a healthy approach to media and technology can make a big difference in kids’ lives today,” the website states. “Kids who learn to use digital media wisely can accomplish amazing things—learn new skills, explore new worlds, build new ideas and change the world.”

thehealthjournals.com | 53

YOUR HEALTH | MONEY

CREDIT UNION

BANK

MORE BANK Your Buck WRITTEN BY KELSEY HINTON

“I

t’s not what credit unions do that makes them different from banks,” says Jim Nussle, president and CEO of the Credit Union National Association (CUNA). “It’s how we do it.” Banks and credit unions offer many of the same services—such as auto loans, savings and checking accounts and mortgages— but that does not mean they offer the same return on your investment.

OWNERSHIP

ACCESS

Credit unions are non-profit organizations owned equally by their members, regardless of the size of their account; as institutions run for profit, banks prioritize their own financial gain, while credit unions are by and for the people. Whereas bank customers have no ownership in their institutions nor the ability to select the board of directors paid to govern them, members of a credit union elect their board of directors, which serves without compensation. “[A credit union’s] main interest is providing valuable services to their clients without regard to profits,” says John Noffsinger, financial advisor and president of Noffsinger Financial Group in Newport News, Virginia.

Anyone can become a bank customer, but some credit unions limit membership to certain groups such as educators, military personnel, employees of a specific company or residents of a particular community.

COST Due to their self-serving nature, credit unions are able to return surplus income to members in a number of ways, translating to a more affordable banking experience. “Unlike banks, credit unions don’t issue stock or pay dividends to outside stockholders,” explains Nussle. “Instead, earnings are returned to members through lower fees and better rates on loans and accounts.” 54 | thehealthjournals.com

CONVENIENCE Banking powerhouses, like Wells Fargo and Bank of America, have advantageous brand recognition that credit unions tend to lack. Online services, mobile apps and ubiquitous ATMs are some reasons some opt for a bank over a credit union. “You may choose a big bank over credit unions due to accessibility. This is in the form of more bank branches and more ATMS,” says Noffsinger. “Access means a lot.” However, according to Jamie Asciolla, chief operating officer at 1st Advantage Credit Union in Newport News, credit unions have made big gains in the convenience sector. “Most credit unions offer online banking, mobile banking and access to free ATMs,” he says. “For example, at 1st Advantage Federal Credit Union, we provide access to over 65,000 free ATMs nationwide.”

INTEGRATIVE

CHIROPRACTIC & ACUPUNCTURE “Serving Williamsburg for over 30 years.” CHIROPRACTIC • ACUPUNCTURE • COLD LASER THERAPY • MASSAGE THERAPY Traditional spinal manipulation • Low impact instrument adjusting • Acupuncture (needle, electric and laser) • Class IV Cold Laser Therapy • Computerized Spinal Decompression • Cox Flexion Distraction Decompression • Spinal Rehabilitation • Kinesiotaping • Massage Therapy

Wade G. Quinn, DC, CCSP, Dipl.Ac. Diplomat International Academy of Medical Accupuncture

CREDIT UNIONS & BANKS DEAL IN DIFFERENT CURRENCIES The doctors and staff of Integrative Chiropractic & Acupuncture are dedicated to the alleviation of pain, the restoration of nerve, muscle, and spine function, and the preservation and enhancement of health and wellness. 1318 Jamestown Rd., Williamsburg, Ste 102

757-253-1900

www.integrativechiropractic.com

Comprehensive Kidney Care CULTURE Credit union members tend to be more satisfied with customer service than bank customers, according to the most recent findings of the American Customer Satisfaction Index. Based on questions such as staff courtesy, interest rate competitiveness and variety of financial services, in 2014, credit unions earned a score of 85 while banks earned a score of 76. Nussle attributes the popularity of credit unions to their smaller size and more personal service. “Credit unions focus on Main Street, not Wall Street,” he says.

CHALLENGES AHEAD According to Nussle, credit unions are facing “crushing regulations” imposed in response to big-bank practices that caused the latest recession. The undue burden of broad and unnecessary regulations, he says, is proving difficult to bear by “punishing” credit unions for what he considers big-bank mistakes. Of course, banks face the same regulations, and the question comes down to which of the two is the better option. Nussle is confident the popularity of credit unions, with a current membership of more than 100 million, will continue to rise.

TPMG—NEPHROLOGY At TPMG Nephrology we provide comprehensive care including home dialysis and transplant care. We take special interest in electrolyte disturbances and hypertension. We believe in continuity of care, so you can live life to the fullest. PENINSULA 555 Denbigh Blvd., Ste C Newport News, VA 23608 (757) 599-3436 WHITE MARSH 4844 George Washington Highway, Ste 8 White Marsh, VA 23183 (757) 599-3436 WILLIAMSBURG 5424 Discovery Park Blvd. Bldg. B, Ste. 203 Williamsburg, VA 23188 (757) 599-3436

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YOUR HEALTH | HEALTHY COMMUTE

Cabin Fever How to Stay Healthy When Flying WRITTEN BY BRANDY CENTOLANZA

id you know that bacteria on an airplane could linger for a week if the cabin isn’t properly cleaned? As you prepare for vacation travel, it is wise to take precautions to remain as healthy as possible while on a plane, or you may bring home the common cold or worse as a souvenir. Being confined to such a small space on a plane for a prolonged period may make you more prone to sickness since you are exposed to more germs. “The most common type of illnesses that people are susceptible to on airplanes are colds and respiratory illnesses like flu and pneumonia,” says Dr. Randy Fedro, a family practice physician with Bon Secours Monarch Medical Associates in Norfolk, Virginia. “Viruses and bacteria can survive for hours— on tray tables, on backs of seats, in seatback pockets and on armrests—and can be contracted by contact. The influenza virus is an airborne virus and can be caught when an infected person coughs, even from several seats over. This is particularly more likely when the air in the plane isn’t circulating; for example, if the plane is sitting at the gate not running.” Throw a bottle of hand sanitizer (no more than 3.4 fluid ounces per TSA regulations) and a travel-size package of disinfectant wipes into your carry-on and use them on anything you may come in contact with while at the airport or on a plane. Use a paper towel or tissue instead of your bare hand to touch the bathroom doorknob and toilet handle. It is also a good idea to bring your own pillow and blanket. “To stay healthy at the airport and on planes, first of all stay hydrated and get rest,” says Fedro. “This boosts immunity and keeps the mucous membranes moist, lessening the chance of getting sick. Hand sanitizers are helpful, as is using disinfectant wipes on your armrests and tray tables. Avoid the seatback pockets, or sanitize your hands after going into the pockets.

56 | thehealthjournals.com

If there are epidemic levels of influenza around at the time of your travel, a mask can prevent catching the flu.” Dr. O.T. Adcock Jr., who practices family medicine with Riverside Medical Care Center-Mercury West in Hampton, Virginia, is more concerned with the potential development of blood clots in the legs, particularly on flights lasting more than four hours. “Deep venous thrombosis (a blood clot that forms in a vein deep inside a part of the body) is more common and a lot more worrisome,” says Adcock. He suggests wearing loose, comfortable clothing and slip-on shoes; avoid tight socks or belts. Since the air on an airplane tends to be drier, staying well hydrated is also vital. Blood tends to clot more in an arid atmosphere. Drinking more fluids leads to using the bathroom more often, providing an opportunity to get up and move about the cabin. “You want to walk up and down the aisle every half-hour to an hour,” Adcock suggests. “You can also exercise your ankles, calves and feet while in your chair. Rotate your ankles. Keep moving. Exercising your lower extremities can reduce the chance of blood clots.” Peter Glagola, director of brand management and public relations for Riverside Health System in Newport News, Virginia, developed a blood clot in his leg during an eight-hour flight to Italy two years ago. “I was very uncomfortable and I did not get out of my seat,” he says. “About three days in [to the trip], my right calf had a slight ache. There was slight swelling, but it was not warm to the touch so I did not think it was a clot. We went on daily trips and walked extensively. During these trips, my leg felt better. It was in the morning when the ache was most pronounced.”

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Glagola went to his doctor when he returned home and learned that he indeed had a clot, which had broken off and traveled to his lungs, leading to a pulmonary embolism. Glagola is more cautious now about being on an airplane. “What I do now is I wear the support hose on both legs when I fly,” Glagola says. “I do leg exercises in my seat every hour and when possible walk the aisle of the plane. Walking is not as easy as you think so I do the leg exercises to assist with leg circulation. I also start hydrating two days before I fly and during the flight. The key is moving and hydration when flying.” And after the flight? “The most important advice after you get to your destination is to get plenty of rest,” says Fedro. “Your immune system should keep you healthy if you treat it right. If you are going to a tropical desitnation or developing nation, make sure you leave with your immunizations up-to-date, and always practice strict food, water and insect precautions. If you are going to a destination where medical care isn’t going to be easy to find, your doctor may send you with some medications and specific instructions on when and how to use them.”

THERAPEUTIC MASSAGE Tom Batir

Russian Therapeutic & Sports Massage Tom Batir is a Certified Massage Therapist with a vast knowledge of Russian therapeutic and sport massage, having been a massage therapist in his native country. He attended Soma Institute of Clinical Massage in Chicago, Illinois, thereafter working with chiropractors and physical therapists before moving to Williamsburg, Virginia. He is accredited by the National Certification Board for Therapeutic Massage & Bodywork. Batir is an expert in pain management and recovery specializing in therapeutic massage, deep tissue, myofascial, trigger point release, sports and Swedish massage.

Russian Therapeutic & Sports Massage

1761 Jamestown Road, Suite 103 A Williamsburg, VA 23185 (434) 229-1855

www.russiantherapeuticsportsmassage.com

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PEDIATRIC DENTISTRY Rana GrahamMontaque, D.D.S., M.S., M.S.D. Pediatric Dental Specialists of Williamsburg

A native of West Point, Va., Dr. Rana Graham-Montaque has returned home to serve the area’s youth and patients with special needs by providing specialty care. She completed her undergraduate and Master’s degree at Hampton University. She graduated from VCU/MCVs School of Dentistry in 2006. After practicing in private practice and public health, Dr. Graham-Montaque returned to VCU to complete a residency in Pediatric Dentistry, where she was awarded an additional Master’s degree. As Williamsburg’s full-service pediatric dental practice, she provides one-year-old first dental visits, oral sedation, nitrous oxide, dental trauma management, growth and development checkups as well as general anesthesia cases at a local hospital. She is a member of the American Academy of Pediatric Dentistry and the American Dental Association. She was awarded the public service award at VCU School of Dentistry. She serves as adjunct faculty in the dental programs at VCU and TNCC. She establishes a “dental home” for patients by reaching them by age one. Dr. Graham-Mantaque is board certified. Pediatric Dental Specialists of Williamsburg 213 Bulifants Boulevard, Suite B Williamsburg, VA 23188 (757) 903-4525 www.williamsburgpediatricdentist.com

DENTISTRY Stacey Sparkman Hall, D.D.S.

Jude Liptak, Au.D. Colonial Center for Hearing

Dr. Jude Liptak holds a doctorate degree in Audiology from Salus University. He completed his undergraduate and master’s programs at Kent State University in Kent, Ohio. He is a fellow of the American Academy of Audiology and a member of the Academy of Doctors of Audiology. Dr. Liptak has been practicing audiology since 2000. As a board-certified audiologist and expert, he has helped thousands of people rediscover the joys of healthy hearing. In 2003, he founded Colonial Center for Hearing, a state-of-the-art audiology practice, located in McLaws Circle in Williamsburg, Virginia. Dr. Liptak is passionate about patient care and believes in educating patients about his findings so that they understand their hearing loss and his course of treatment. To Dr. Liptak, you are not just a patient— you are an individual with a hearing situation that requires prompt attention.

Williamsburg Center for Dental Health Dr. Stacey Hall brings her unique outlook on dental care and her personable optimism to the Williamsburg Center for Dental Health. With 12 years of solid dental expertise in the area, she decided in early 2011 to branch out and open her own local practice. After completing her undergraduate degree from Virginia Tech in 1998, Dr. Hall graduated from VCU’s MCV School of Dentistry in 2002, receiving her D.D.S. She is a member of the Academy of General Dentistry, the American Dental Association, and was awarded member fellowship to the International Congress of Oral Implantology in 2008. Dr. Hall is a co-leader of the Tidewater Dawson Study Club and is passionate about pursuing the highest levels of continuing education. She was also voted “Reader’s Choice Best Dentist 2010” by The Health Journal. Stacey and her husband Michael have been blessed with three beautiful girls: Lanie, Gracie and Abbie. She is a loyal Virginia Tech Football fan and enjoys Bible study and missions work.

Colonial Center for Hearing

Williamsburg Center for Dental Health

www.williamsburghears.com

www.williamsburgdentalhealth.com

430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004

ALLERGY & ASTHMA

5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303

OPHTHALMOLOGY Anthony J. DeRosa, M.D.

Stephen Shield, M.D. Allergy Partners of Hampton Roads

Dr. Stephen Shield knows allergies and asthma. As a child growing up in Newport News, Virginia he suffered from both problems. As the parent of children with allergies, he’s aware of the impact allergies can have on a child’s educational and social development; and as a board-certified, fellowshiptrained specialist who’s been in practice for over 20 years, he has the knowledge and experience that can help you and your children with your quest for better health. He knows that allergies and asthma don’t have to control you. He helps you control them. Practicing locally since 1993, Dr. Shield joined with Allergy Partners, the nation’s largest medical practice dedicated to treating allergies, in 2010. This partnership allows patients on the Peninsula to receive some of the most advanced care available from a local physician who cares about his community. Dr. Shield sees children and adults, and is accepting new patients in his Williamsburg and Newport News offices.

TPMG Ophthalmology

Anthony J. DeRosa, M.D. received his undergraduate degree from Dartmouth College, and earned his Doctor of Medicine at Dartmouth Medical School. He completed an internship in Internal Medicine at UCLA, and a residency in Ophthalmology at the University of South Florida. Dr. DeRosa completed a fellowship in Cornea, External Disease, Uveitis and Refractive Surgery at the University of California, San Francisco and the Frances I. Proctor Foundation. He is board certified in Ophthalmology, and a Diplomate of the American Board of Ophthalmology. Dr. DeRosa’s interests include dry eye treatment, refractive surgery, glaucoma and corneal disease. He is published in several medical journals. Dr. DeRosa has been in practice in the Tidewater area since 1997, and he joined TPMG Ophthalmology in 2006.

TPMG Ophthalmology

101 Bulifants Boulevard, Unit A Williamsburg, VA 23188 (757) 223-5321

Allergy Partners of Hampton Roads

Tidewater Medical Center 860 Omni Blvd., Suite 202 Newport News, VA 23606 (757) 223-5321

www.allergypartners.com/hamptonroads

www.mytpmg.com

1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443

JASON D. MDERMATOLOGY AZZURCO, DO

OPTOMETRY

Jason D. Mazzurco, D.O.

Dermatology Specialists

Dr. Jason D. Mazzurco is a board certified Dermatologist and fellowship trained Mohs Surgeon. He earned his Bachelor of Science and Master of Science degrees from The Ohio State r. Jason D. Mazzurco is a Board Certified Dermatologist University, where he was a two time Big Ten nd Fellowship trained Mohs Surgeon. He earned his Champion He continued his education achelor of Science and MasterGymnast. of Science degrees from hio State University, whereUniversity he was a two Heritage time Big TenCollege of Osteopathic at Ohio hampion Gymnast. He continued his education at Ohio Medicine he earned medical degree. niversity Heritage College ofwhere Osteopathic Medicinehis where completed a residency in Dermatology and e earned his medicalHe degree. a fellowship in Mohs micrographic surgery at St. r. Mazzurco completed a residency in Dermatology and a Joseph MercySurgery Hospital ellowship in Mohs Micrographic at St.through Joseph Michigan State Michigan University where he resident. ercy Hospital through University andState served as the chief rved as the Chief Resident. He is published in numerous Dr. Mazzurco practices surgical dermatology eer-reviewed journals and has presented both nationally treating both oncology. benign and malignant lesions of the skin. nd internationally on cutaneous He specializes in the diagnosis and treatment of skin r. Mazzurco practices primarily surgical dermatology treating cancer, Mohs surgery and reconstructive surgery. oth benign and malignant lesions of the skin. He specializes Mazzurco joined Dermatology Specialists the diagnosis and Dr. treatment of skin cancer, Mohs Surgery nd reconstructive insurgery. 2014.

2014, Dr. Mazzurco joined Dermatology Specialists and located to the Peninsula with his wife and daughter. In his isure time, he enjoys outdoor activities and spending time ith his family and friends. Dermatology Specialists

Brent Segeleon, O.D. Colonial Eye Care

Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005. He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. Dr. Segeleon has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas. Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association and vice president of the Tidewater Optometric Society. In 2013, the Virginia Optometric Association named him Young Optometrist of the Year. Originally from Pittsburgh, Pennsylvania, Dr. Segeleon calls Williamsburg home. He lives here with his wife, Brooke, and daughter, Gwen. He enjoys sponsoring the Williamsburg Youth Baseball League and working with William & Mary athletes. When not in the office, you can find him training for an upcoming triathlon or mountain biking on Williamsburg’s fantastic trails.

AUDIOLOGY Bethany Magee, Au.D. Colonial Center for Hearing

Dr. Bethany Magee graduated Summa Cum Laude from James Madison University, as the first Junior in the country to be accepted early to an accredited Doctor of Audiology Program. After completing her externship at the Virginia Commonwealth University Medical Center, Dr. Magee practiced Audiology in St. Petersburg, Florida. She joined Colonial Center for Hearing in March 2014. Dr. Magee is a Board Certified Audiologist and holds accreditation by the American Speech-Language-Hearing Association. She undergoes extensive new product training on a monthly basis to ensure the highest quality of care provided to her patients. Bethany was born in the Philippines, but raised in the Richmond area and is happy to be back in an area that carries happy memories. When not wedding planning or house hunting, she enjoys reading, cooking, running and spending time with family and friends.

Colonial Eye Care

Colonial Center for Hearing

(757) 873-0161

5121 Center St., Suite 102 Williamsburg, VA 23188 (757) 903-2633

www.opderm.net

www.colonialeyecare.com

www.williamsburghears.com

11844new Rock Landing Drive, inSuite r. Mazzurco welcomes patients to his practice the B Newport News, VA 23606 ewport News office.

SPINE SURGEON

1844 Rock Landing Drive, Suite B • Newport News, VA 23606 (757) 873-0161 • www.opderm.net

CARDIOLOGY Hugh McCormick, Jr., M.D.

Jonathan Mason, M.D.

TPMG Cardiovascular Diagnostic Center

Tidewater Ortho

901 Enterprise Parkway, Suite 900 Hampton, VA 23666

Dr. Hugh McCormick, Jr. graduated from the University of Medicine and Dentistry of New Jersey. He completed his internship, residency and fellowship training at the National Naval Medical Center in Bethesda, Maryland, and the Children’s National Medical Center in Washington, DC. He is board certified in Internal Medicine and Cardiovascular Diseases. He served in the U.S. Navy Medical Corps as an assistant to the Attending Physician, U.S. Congress as a member of the teaching staff of Bethesda Naval Hospital and as the Chief, Division of Cardiology Naval Regional Medical Center, Portsmouth, Virginia. Dr. McCormick came to TPMG with more than 45 years of experience and a long history of community service. He was presented with a Certificate of Appreciation in recognition of 39 years of Academic Contribution with Eastern Virginia Medical School as a member of the EVMS community faculty. Dr. McCormick has also been honored with several yearly Top Doctors awards presented by Coastal Virginia Magazine. He is a Fellow in both the American College of Cardiology and the American Heart Association, and has been active with the Heart Association on the Peninsula as a past president, and as a board member. Now offering diagnostic testing and cardiac evaluation exclusively in Williamsburg.

5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 637-7016

5424 Discovery Park Boulevard, Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 565-0600

Dr. Jonathan Mason, a Norfolk, Virginia native, returns to Hampton Roads and joins the team of subspecialists at Tidewater Orthopaedics. He completed his residency training at the University of Virginia and his fellowship training at Twin Cities Spine Center in Minneapolis, Minnesota. Dr. Mason will be seeing patients in both office locations and performing surgery at the Orthopaedic Hospital at Sentara CarePlex. Dr. Mason will bring minimally invasive outpatient spine surgery to Tidewater Orthopaedics and will be treating spine problems including cervical herniated disc, cervical stenosis, lumbar herniated disc, lumbar stenosis, lumbar spondylolithesis and degenerative scoliosis. In his spare time he enjoys running and has completed several marathons. He also enjoys golf, playing basketball, and wakeboarding. Tidewater Ortho

www.tidewaterortho.com

Tidewater Medical Center at New Town

www.mytpmg.com

430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004

SKINCARE & AESTHETICS Izabela Padurariu BEAUTY THERAPY BY IZA

Iza is a Master Aesthetician, Wax Technician, Threading Specialist and Massage Therapist practicing in Williamsburg, Virginia. She is originally from Romania, Eastern Europe, and has worked as a master aesthetician in a variety of settings including in London where she graduated from the West Thames College with a license in Aesthetics. She has been working in skin care and beauty therapy industry for over seven years. Upon moving to the United States, Iza continued her education and training at the American Spirit Institute in Williamsburg. She is dedicated to helping men and women improve and maintain their skin care regimen. At her Williamsburg location, she’s created a place of tranquility and serenity where clients can come to restore the mind, body and spirit. Beauty Therapy by Iza offers a wide menu of therapeutic skin care treatments including facials, microdermabrasion, microcurrant, Epiblade, chemical peels, Derma Roller, waxing, threading, eyebrow and lash tint, make-up consultations and massage. BEAUTY THERAPY BY IZA

161 C John Jefferson Rd. Williamsburg, VA 23185 757-634-4044

www.beautytherapybyiza.com

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