Dr. Yassar Youssef General Surgeon Dr. Yassar Youssef is a board-certified general surgeon who specializes in both minimally invasive and robotic-assisted surgeries. He has extensive experience in surgical procedures that deal with the thyroid and parathyroid, breast, gallbladder, intestine and hernia. Dr. Youssef completed fellowships at the University of Maryland and Vanderbilt University and has trained more than 400 surgeons on robotic surgery techniques.
MEET YOUR NEW NEIGHBOR
bshr.com/bsss 757-278-2220 155 Kingsley Lane, Suite 405, Norfolk, VA 23505 YOUR HOME FOR GOOD HEALTH
BON SECOURS SURGICAL SPECIALISTS Bon Secours DePaul Medical Center
Delivering Complete Obstetric and Gynological Care
LAURA R. CORDES, MD
CATHERINE JONES, CNM
JEFFREY D. MORRISON, DO
MARYANN CHEUVRONT, CNM
TERESA X. TAN, MD
BARBARA GARNER, NP-BC, MSN
GLOUCESTER
NEWPORT NEWS
WILLIAMSBURG
7685 Meredith Drive Gloucester, VA 23061 (804) 693-4410
860 Omni Boulevard, Ste. 110 Newport News, VA 23606 (757) 223-9794
5424 Discovery Park Boulevard Building B, Ste. 203 Williamsburg, VA 23188 (757) 223-9794
CHERYL L. SHARP, WHNP/CNM
mytpmg.com
MAY 2015 | CONTENTS
AIM PG.18
FOOD & NUTRITION PG.38
BITS & PIECES
FOOD
04 / Contributors
33 / Flavor / The Real Cinco De Mayo
06 / Editor’s Note
34 / Taste Appeal
07 / Page’s Picks 08 / D.I.Y. / Toothpaste 08 / Inbox 09 / In My Own Words IN THE KNOW 10 / Calendar
38 / Food & Nutrition / Superfoods 40 / Vine & Dine / Wine for Newbies YOUR HEALTH 42 / Family / Explaining Memory Loss To Kids 44 / Fitness / Improving Bone Health
14 / Profile / Alexis Perkins
50 / Outdoors / Biking as a Family
16 / Q&A / Denise Haddaway
52 / Mind Matters / Managing Post Pardum
18 / Advances in Medicine / Music to Heal
54 / Money / Virginia's 529 Plans
22 / Feature / Autoimmune Disorders 25 / Feature / Vaccinations 26 / Feature / Cystic Fibrosis Awareness
Don’t forget our digital edition is free, easy to download and supported on a variety of tablets and digital devices. Download your copy at thehealthjournals.com/digital-edition
46 / Yoganatomy / Standing Bow 48 / Aging Well / Plastic Surgery
20 / Feature / Obesity in Latinas
DIGITAL ISSUE
37 / Herb-N-Garden / Cilantro
13 / Second Opinion
FEATURES
OUTDOORS PG.50
ON THE WEB @ THEHEALTHJOURNALS.COM
Check out our website for even more articles about fitness, health and wellness.
56 / Healthy Commute / Stop Light Fitness STAYING WELL 58 / Accepting New Patients ON OUR COVER: CRISTINA SWINK
61 / Health Directory 64 / Brain Teasers
Cristina Swink is a Williamsburg resident and a personal trainer at AnyTime Fitness. thehealthjournals.com | 3
BITS & PIECES | CONTRIBUTORS
NATALIE MILLER MOORE
KELSEY HINTON
Natalie is a freelance journalist, with experience as a reporter, editor and columnist. She also works in marketing, as a health care communication consultant, and is active in local health care and community organizations. She lives in Williamsburg, Virginia.
Kelsey 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.
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.
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.
CATHY WELCH BRANDY CENTOLANZA Brandy is a freelance writer who covers health, parenting, education, travel and community issues for various publications in Hampton Roads and Richmond, Virginia. She has contributed to The Health Journal since 2005.
SHAWN RADCLIFFE 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.
Cathy, a freelance contributor, writes for five Hampton Roads media outlets. She is a ghostwriter, editor and photographer who lives in Newport News, Virginia, with her husband, Keith. She is also a mother of three adult daughters and is a part-time bookseller.
JIM WHITE Jim is a registered dietitian, ACSM Health fitness specialist, national spokesman for the Academy of Nutrition and Dietetics and owner of three fitness facilities. In his free time, White enjoys giving back by helping the homeless get back on their feet through fitness, nutrition and motivation.
BRIDGIT KIN CHARLTON ALISON JOHNSON Alison is a freelance writer who lives in Yorktown, Virginia, with her husband, two sons and a rescue dog and cat. A former fulltime newspaper reporter, she specializes in feature stories on health and parenting.
Bridgit Kin-Charlton, M.S., Ed., C.P.T., is a certified personal trainer and owner of B-defined Innovative Personal Training and Wellness.
JOSH ANDERSON 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.
BETH SHAMAIENGAR Beth Shamaiengar was a writer and editor in Richmond, Richmond for 11 years and then moved to Williamsburg, helping her family launch The Health Journal by serving as its first associate editor.
Josh Anderson, M.S., AFAA Personal Trainer, is the founder of Always Active Athletics: “Your #1 Source For At-Home Fitness”. He loves blending science with gentle, sustainable practices that can be implemented by anyone in order to start living a healthier life!
SUSAN SMIGIELSKI ACKER Susan Smigielski Acker is a freelance journalist and editor. Previously, she was a newspaper reporter in Georgia, a feature writer on the U.S. Army Kwajalein Atoll, Marshall Islands, and worked at NASA Langley Research Center. She resides in Newport News, Virginia, with her husband and two daughters.
VOL. 10, NO. 11 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia. Magazines are distributed via direct mail, racks and hand delivery. For more information, visit thehealthjournals.com.
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BITS & PIECES | EDITOR’S NOTE
I
sat under the ironing board in the living room in a puddle of tears. I didn’t know I had done something so offensive and wrong in the eyes of my grandfather. His tone crushed my heart. It was the first time of only a few times in my entire life that I recall him being upset with anything I had done. Earlier that evening, I had slipped on my grandmother’s dress, slid my tiny feet into her shoes, and slung her purse on my arm. I strutted into my grandparents bedroom to greet them. They weren’t amused. From their perspective, they saw budding homosexuality. Growing up, I learned that we had relatives who are gay. And while they weren’t ostracised from the family, they were certainly made to feel uncomfortable. I used to overhear my relatives during Saturday night card games or while playing horseshoes at family gatherings refer to our gay cousins as being “funny.” Not funny ha-ha, but funny as in synonymous for gay. It was the 1980s. That was the prevailing attitude of the day in America. My family wasn’t the exception. But that’s what I was asked as I stood looking like a 36-inch clone of my grandmother. “Take those clothes off. Are you funny?”
INFLUENCE I wept because I just didn’t understand the reaction. From my perspective, I was just trying to be like my grandmother—the person I loved the deepest and who I spent the most time with. I was just 4. I was expressing admiration. I wanted to be like her. From that point, I didn’t realize how influential women would become in my life. From my aunts to my teachers, these women took me under their wings and sowed things into my character and being that are still blossoming today. Things like how to decorate and take care of a house, how to care for children at every stage, books they thought would shape my mind, how to talk to and respect women and—most important—which direction to walk in to discover my gifts. In the past six months, I’ve reconnected with those teachers and thanked them for investing their time in me and believeing in me. I hadn’t spoken to one of them, my 7th grade English teacher, in over 20 years. The other was my Art History 1 and Drawing 1 instructor. She took a special interest in my love for art history and in my sketchbook. She recommended that I pursue a creative career instead of becoming a physical education teacher, which was the direction I was headed in from my admiration of my Aunt Sheila.
PHOTOGRAPHY BY ALEXIS KIKOEN
“A TEACHER AFFECTS ETERNITY; HE CAN NEVER TELL WHERE HIS INFLUENCE STOPS.” — HENRY ADAMS
Don’t get me wrong, I had male influences. But I spoke the language of women growing up—most of the men in my family are quiet men and men who focused on providing and not on nurturing children, save my Uncle Mike, who did both—and I was a chatty little sponge who absorbed everything they were willing to pour into me. I’m a better man because of these women and I will always love and admire them for it. In this issue, we focus on women. You’ll meet Denise Haddaway and Alexis Perkins, passionate women leading the way in business. You’ll read about health issues that plague segments of our women—autoimmune diseases, post-partum depression, osteoporosis and obesity. This month’s special breast health update shares more insight on 3D mammograms and how they’re changing the game for early detection. I would love to hear your thoughts on this issue, or any issue. As the editor in chief of this magazine, I aim to represent what interests you. That makes you my biggest influence.
CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM
6 | thehealthjournals.com
PAGE’S PICKS | BITS & PIECES
PHOTOGRAPHY BY ALEXIS KIKOEN
Mother's Day Gift Ideas in Full Bloom Belle De Jour Earrings in “Pink Light”
Gardenia Lily Bubble Bath & Scented Soap Petals
Charming Charlie
World Market
Punctuate Essential Journal & “Blossoms Alight” Handcrafted Scented Candles Barnes & Noble
6 Cotton Linen Napkins, Mary Lake-Thompson Ltd. Primrose Gallery (Hilton Village, Newport News)
Page Freer is co-publisher of The Health Journal and once served as the magazine’s editor in chief. 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
Toothpaste WRITTEN BY HALEY HERRINTON
PHOTOGRAPHY BY ALEXIS KIKOEN
Creating your own toothpaste saves you money and allows you to eliminate extra ingredients found in commercial toothpaste. Bonus: it takes less than 5 minutes to make.
You Will Need: 1/2 cup water
To Make: 1. Mix all ingredients, except
clay, in a food processor until smooth. Or mix thoroughly with utensils.
1/4 cup bentonite clay 2 tablespoons calcium carbonate powder 3 tablespoons coconut oil 1/4 teaspoon salt 1/4 teaspoon baking soda
2.
Mix in clay, and store in a mason jar or squeeze tube.
Lasts up to three months.
10 drops peppermint or lemon essential oils Stevia, for taste
"Beautiful front cover...worthy of being framed! (March 2015)”
BRA
IN TEASERS
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"It's an honor to be featured (“PROFiles” by Chris Jones and Page Freer, March 2015)! Thank you Health Journal.” — Bridgit Kin Charlton, Williamsburg 8 | thehealthjournals.com
APRIL WINNER LAURA LANE
Chesapeake, Virginia
Challenge your brain with our puzzles! UP FOR THE CHALLENGE? Turn to page 64 to find out how you can win a gift card!
IN MY OWN WORDS & VERSUS | BITS & PIECES
MARYLIN COPELAND
IN MY
OWN
Hi, my name is Marylin Copeland. I am president of the Norfolk Chapter of the National Alliance on Mental Illness. My husband, Howard, is an attorney and a special justice for mental health. We have two grown sons. As the parent of a son living with mental illness, I am passionate about finding ways to reduce the stigma of mental illness. I inform families about the education available through the National Alliance on Mental Health. Healthy to me is having good mental health along with good physical health. I like the Health Journal because it is a great resource and a delight to read.
WORDS
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IN THE KNOW | CALENDAR
may 2-3
9
9TH ANNUAL TOWN POINT WINE FESTIVAL Feast on gourmet food and more than 200 wines from more than 20 of the best wineries in Virginia WHEN: 11 a.m. to 6 p.m. WHERE: Town Point Park, Downtown Norfolk $$: $20, May 2; $15, May 3 CONTACT: festevents.org
5 TREATMENT OPTIONS FOR SHOULDER PAIN Join Loel Payne, M.D. in this community lecture presented by Tidewater Orthopaedics. WHEN: 6:30 p.m. WHERE: Sentara, Gloucester $$: free CONTACT: 757-827-2480 x 332
6 FREE YOGA CLASS Grab your yoga mat and come out for this free class. WHEN: 6 to 7:15 p.m. first and third Wednesdays each month WHERE: Chizzled Nutrition, Virginia Beach $$: free CONTACT: 757-506-4248
7 BIKE NIGHTS Bring the family out and pedal through the petals at Norfolk Botanical Gardens. WHEN: 4 to 7 p.m. Mondays, Wednesdays and Thursdays WHERE: Norfolk Botanical Garden, Norfolk $$: $11, adults; $9, children CONTACT: 757-441-5830
FITNESS MARKET Step out for this special fitness market at Yorktown Market Days. WHEN: 9 a.m. to 1 p.m. WHERE: Riverwalk Landing, Yorktown $$: free CONTACT: yorktownmarketdays.com
BREAST FEST This festival benefits Beyond Boobs. WHEN: noon to 5 p.m. WHERE: Hunt Club Farm, Virginia Beach $$: free CONTACT: beyondboobs.org
11 THYROID SEMINAR Learn natural approaches to dealing with thyroid conditions. WHEN: 6:15 p.m., May 11, 18, and 25; 10 a.m. May 23 WHERE: Total Health Center, Virginia Beach $$: free CONTACT: 757-363-8571
ZOOFARI GOLF TOURNAMENT Participate in this golf tournament to benefit the Virginia Zoo. WHEN: 11:30 a.m. to 7 p.m. WHERE: Greenbrier Country Club, Chesapeake $$: $500 per team of four; $125 per person CONTACT: zoofari@cox.net
11-17 KINGSMILL CHAMPIONSHIP LPGAs annual tour stop in Williamsburg. WHEN: Variable (see website for details) WHERE: Kingsmill Resort, Williamsburg $$: Various starting at $25 (Free options for active duty military, police, fire, EMT) CONTACT: TheKingsmillChampionship.com
ARTHRITIS AND MINIMALLY INVASIVE JOINT REPLACEMENTS Join Adrian Baddar, M.D., at this community lecture from Hampton Roads Orthopaedics & Sports Medicine. WHEN: 6 p.m. WHERE: 730 Thimble Shoals Blvd., Ste. 103, Newport News $$: free
GET MORE EVENTS AT:
10 10| |thehealthjournals.com thehealthjournals.com
12
12
9
EVENTS POSITIVE DISCIPLINE: FOR PARENTS OF CHILDREN AGES 5-12 Learn positive discipline techniques in this workshop. WHEN: 6:30 to 8:30 p.m. WHERE: Children’s Hospital of The King’s Daughters, Norfolk $$: free CONTACT: chkd.org
16 RED, WHITE AND BLUE 5K RUN This race to honor the military includes a one-mile fun run and a 5K run/walk. WHEN: 8 a.m. WHERE: Naval Weapons Station Yorktown, Cheatham Annex $$: military, $10; general public, $25 CONTACT: 757-229-6511
HAMPTON ROADS KIDNEY WALK Come out for this 5K Walk to support the National Kidney Foundation. WHEN: 10:30 a.m. WHERE: 24th Street Park, Virginia Beach $$: free CONTACT: kidneywalk.org
WILDERNESS SURVIVAL Learn how to start a fire, purify water and build shelter if you are lost in the woods. WHEN: 10 to 11 a.m. WHERE: Sandy Bottom Nature Park, Hampton $$: $2 CONTACT: 757-825-4657
18 CPR CLASS Learn basic CPR and First Aid skills in this course. WHEN: 8 a.m. to 4 p.m. WHERE: Bon Secours Mary Immaculate Hospital, Newport News $$: $50 CONTACT: 757-889-2273
20 COMPUTER ASSISTED KNEE REPLACEMENTS Join Colin Kingston, M.D., in this community lecture presented by Tidewater Orthopaedics. WHEN: 6:30 p.m. WHERE: 901 Enterprise Pkwy., Ste. 900, Hampton $$: free CONTACT: 757-827-2480 x 332
21 GUIDED KAYAK TOUR— SUNSET PADDLE Take guided kayak tour along the shores and waters of Lake Whitehurst. No experience necessary. WHEN: 7:00 to 8:30 p.m. WHERE: Norfolk Botanical Garden, Norfolk $$: free CONTACT: 757-441-5830
23 CHICK-FIL-A 5K AND 10K Kick off Memorial Day weekend by participating in this race. WHEN: 8:30 a.m. WHERE: The Mariners’ Museum $$: 5K, $45; 10K, $55 CONTACT: cfa5k.com
29-31 THE PATRIOT RUNNING FESTIVAL Run in various races during this event, including the Run for the Dream half marathon. WHEN: 5K, 6:30 p.m. Friday; 8K, 7 a.m. Saturday; Half Marathon, 7 a.m. Sunday WHERE: Colonial Williamsburg $$: 5K, $35; 8K, $60; Half Marathon, $90 CONTACT: runforachievabledream.com
30 CARING & SHARING EXPO This expo includes information, activities and pampering for parents of children with disabilities. WHEN: 11 a.m. to 2 p.m. WHERE: Sarah Bonswell Hudgins Gymnasium, Hampton $$: free CONTACT: 757-827-8757
THEHEALTHJOURNALS.COM/CALENDAR
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second opinion What should I do to protect I don’t have health my skin this spring? insurance. What options do I have? It’s the time of year again where many people enjoy more time outdoors pursuing their favorite activities—boating, golf, and biking to name a few. One of my favorite sports is running. Regular exercise contributes greatly to my sense of well-being and also positively impacts my physical health. However, sun protection should not be overlooked. Sunburns, as well as chronic sun damage, greatly increase the risk of skin cancer in addition to aging the skin. To prevent damage, try to avoid or limit outdoor activities during peak sun exposure times, even if it is cloudy. A good rule of thumb is that peak sun exposure occurs when your shadow is shorter than you. This can be from 10 a.m. to 4 p.m. Sun protective clothing—hats, sunglasses and specialty clothing with high UPF (ultraviolet protection factor)—are a great second line of defense. Outdoor sports retailers usually carry a selection of sun protective gear. Your last line of protection is sunscreen with an SPF of 30 or higher with UVA protection. Remember to reapply every few hours.
Keith Schumann, M.D. Ageless Dermatology 757.564.1200
Fortunately, there are resources available for those with no insurance. Uninsured patients with incomes at or below 200 percent of the Federal Poverty Level ($23,520 for individuals and $48,500 for a family of four) are able to receive care at free clinics and community health care centers (some on a sliding scale based on income). Many, but not all, free clinics provide primary care, specialty care, behavioral health, medication assistance, vision and dental services to those in need. Clinics such as Lackey Free Clinic in Yorktown, H.O.P.E.S Free Clinic in Norfolk, and Beach Free Clinic in Virginia Beach are primarily volunteer driven. Many of these volunteers are medical practitioners in the community who come to these and many other free clinics to share their expertise and see patients on site. More often than not, there is some type of screening process where potentials patients must qualify based on various factors. To find a free clinic in your area or to ask about volunteering, please visit www.vafreeclinics.org.
Ralph Robertson, MD Medical Director of Lackey Free Clinic 757-886-0608
Why should physicians use “Ultrasound First” when imaging the female pelvis?
Ultrasound technology has evolved dramatically in recent years. Ultrasound is more costeffective and safer than other imaging modalities — such as MRI or CT scan for many anatomic sites including imaging the female pelvis. Along with colleagues from the American Institute of Ultrasound in Medicine, we are recommending the use of ultrasound first for female patients with pelvis symptoms, such as pelvic pain, evaluation of uterine bleeding and abnormalities and ovarian masses. For many other appropriate clinical conditions, ultrasound offers clear safety and economic advantages over radiographic exams, and yet evidence suggests that ultrasound is underutilized. Many clinicians are unaware of the range of conditions for which ultrasound first is an established guideline, and the gap only grows larger as research extends ultrasound’s diagnostic value. The use of handheld ultrasound has been incorporated into medical training curriculums. The goal is to empower future healthcare workers to feel comfortable with the ultrasound technology and thus expand its appropriate use in their future careers.
Alfred Abuhamad, MD
The Mason C. Andrews Chair of Gynecology and Obstetrics Chair and Professor of EVMS Obstetrics and Gynecology
your health care questions answered
IN THE KNOW | PROFILE
ALEXIS PERKINS
“I
WRITTEN BY CHRIS JONES
f Zumba is a fad, let’s enjoy it now—and then move on to what’s next,” exclaims Alexis Perkins, certified Zumba instructor and host and co-producer of Fusion Fitness. But it’s not a fad. Neither is dance fitness, which has a rich history dating back to the late-60s with Jazzercise. Zumba exploded on the scene in the mid-90s and shows no sign of slowing down. It’s practiced by 5 million people in 200,000 locations worldwide. In Hampton Roads, there are 300 certified Zumba instructors. “I’ve noticed (in my class) that Zumba is a gateway towards a fitness lifestyle. My students have gone on to become Zumba instructors, do Insanity, CrossFit and have run marathons,” says Perkins. “But it all started with Zumba.” Perkins highlights the diversity of Zumba as its biggest draw for people looking to lose weight, get fit and have fun doing it. “I have a 93-year-old, a student who is blind and whose nurse helps her out and a student who is deaf. I have had every gender— including transgender—and I’ve had every nationality. I get to teach every age, color and ability,” she states. “Zumba gives everyone a starting point.”
14 | thehealthjournals.com
Her starting point in Zumba came when she was a young mother at the YMCA looking to shed her baby weight. After watching “a group of ladies shaking their booties in a group fitness class,” she knew she had found her thing. “I went every week,” she says, “and then I got my Zumba license in 2009.” She taught at a different YMCA before branching out to OneLife Fitness. She was teaching and having fun, but an interview on Sports Highlights changed everything. “After the interview I was approached about having my own show. I went to college for journalism and was working at channel 3 and teaching Zumba part time. So when the two came together, I was like, ‘Wow! I get to use my degree and my certifications together.’ That’s how I became the co-producer of my show,” shares Perkins. Her show, Fitness Fusion, has been on the air for five years and has gone from local programming to Cox 11 where she’s
PROFILE | IN THE KNOW
broadcast daily. Shortly after getting her show, she was invited to teach Zumba on the coveted EuroTour. This year marks her fourth time being invited. “I love to travel and I love dance fitness, so I was able to travel and do Zumba and thought, ‘That’s a blessing there,’” she says. “Since 2011, I’ve taught in France, Italy, Serbia, Switzerland, Romania, Sweden, Hungary, Greece and Belgium.” And while there are language barriers to overcome, she says that dance becomes the tool by which everyone communicates. Perkins credits Zumba for providing her with a platform to give back to her community, too. Her Zumba LOVE Fest draws over 1,000 people from the region to spend the afternoon in the area’s largest group fitness class. The event, held at the
WHERE WILL
SPRING
TA K E Y O U ? DID YOU KNOW? You can be evaluated and treated by a Physical Therapist without a prescription from a physician. We provide status reports to your physician, communicate your progress, and are happy to coordinate coverage requirements with your insurance carrier. Choose Tidewater Physical Therapy and make your own appointment for an assessment today!
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Hampton Roads Convention Center in Hampton, Virginia, has supported four well-know organizations. “We’ve donated thousands and thousands of dollars to HUPTI (Hampton University Proton Therapy Institute), The Achievable Dream, Susan G. Komen and the Virginia Peninsula Food Bank,” points out Perkins. With her magnetic personality and her contagious smile, Perkins still has her sights set on more and she’s likely to achieve it. She dreams of being broadcast nationally, helping people reach their fitness goals to become happier and continuing to be a great mom to her son. Says Perkins: “All of my dream came together through fitness. I pray a lot. I have a strong sense of faith and I work really, really hard.”
IN THE KNOW | Q&A
DENISE HADDAWAY Spa Director, The Spa of Colonial Williamsburg INTERVIEWED BY BRANDY CENTOLANZA PHOTOGRAPHED BY ALEXIS KIKOEN
What are your duties as spa director at Colonial Williamsburg? Colonial Williamsburg is a unique and amazing destination with one of the best full-service spas on the East Coast. I oversee all areas of the spa, but in a nutshell, it’s my duty to ensure that each guest has a positive, memorable experience. There is nothing greater than the power of touch to heal, calm and sooth the body, mind and spirit.
What are your future goals for the spa? Immediate goals include enhancing the fitness center with new equipment, aesthetic upgrades and more classes. Long-term goals include gaining recognition as a lifestyle destination spa and resort where guests can come to not only enjoy spa services, but also workshops and classes while still enjoying all that Colonial Williamsburg has to offer.
Why did you decide to become a massage therapist? There were two reasons. In 1991, my son suffered a stroke at birth. He went through three years of physical therapy that included massage. I often gave him massages after I bathed him and noticed that he would sleep much better after having one. Several years later, as I went through a significant life change, I found myself wanting to change careers. I wanted to work in a less stressful environment. A colleague suggested I go to massage school.
16 | thehealthjournals.com
Q&A | IN THE KNOW
What are the health benefits of massage?
What do you do to stay in shape?
Today, massage is one of the leading options for treating stress, anxiety and pain by physicians and consumers alike. Massage also helps promote better quality of sleep, as well as flushing toxins from the lymphatic system. Massage also increases the production of the hormone Oxytocin. Oxytocin is linked to compassion, empathy, maternal affection and social connection.
Although I enjoy a good workout in the gym, I love the outdoors: skiing, cycling, fishing, swimming, gardening, scuba diving; these are my passions.
I hear you have some interesting hobbies including scuba diving and bee keeping. Tell us about them? I spent my childhood at the beach, on my parents’ boat or in our pool. I love the water, and always had a fascination with the undersea world. I decided to take the scuba program about 30 years ago, and I’ve really enjoyed it. I love diving in the clear waters of the Caribbean. At my previous job, we raised bees and utilized the honey in our treatments. I was invited to help the beekeeper one day. At first it was a little daunting, but I found it amazing to have hundreds of bees buzzing all over me. I could feel their energy and watching them was quite intriguing. Beekeeping is gaining popularity as the bee population is in danger. Most people do not realize that if we lose our bees, we will lose more than half of the produce in our grocery stores. I’d love to see a program for beekeeping at Colonial Williamsburg.
How do you relax? What advice do you have for people for reducing stress? For me, the perfect relaxation strategy would be a good workout to alleviate my stress followed by a soak in my outdoor hot tub under the stars. Today, most people don’t think to take time out for themselves. It doesn’t have to be in the form of a vacation, but even 20 minutes of silence, meditation, stretching and just reconnecting with oneself can help to reduce stress. Our society is one of 12-15 hour work days, squeezing time in for life’s other necessities and making time for family. We rarely take time for ourselves, and when we do, most of us still carry our lifeline: a smartphone or tablet. Taking time away from our daily routine helps us to decompress and set aside those daily stressors that eventually affect our overall health.
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IN THE KNOW | ADVANCES IN MEDICINE
Mind, Memory WRITTEN BY KIM O’BRIEN ROOT
Music
Victims of neurological trauma accelerate recovery with music
T
hree years after suffering a stroke, Jim Bob Rodriguez could barely speak, except to say his name. Then he met music therapist Tracy Bowdish. By the end of their first session, Bowdish had him saying hello. Within a few months, he was saying “I love you” to his wife, Sandy. Nearly a year later, he’s singing and asking for Dr. Pepper. “From nothing to that in less than a year is amazing to me,” says Sandy Rodriguez, her voice full of emotion after watching her husband sing “Swing Low, Sweet Chariot” in a weekly therapy session. She says she owes it all to Bowdish, a music therapist at the Sentara Music and Medicine Center. The center, located at the Sentara Heart Hospital in Norfolk, Virginia, is just over two years old but already making enormous strides in helping patients in the hospital. Music therapy is just one part of the music medicine program, which uses music in various ways throughout the hospital to help patients. There are piano concerts held in the lobby, musicians who play to patients on the floors and even an artist in residence program. 18 | thehealthjournals.com
“The arts play a big factor in improving the outcome of disease,” says Dr. Kamal Chémali, the Cleveland Clinic-trained neurologist who runs the music medicine program. “We want to transform this place into a place where people can find as much normalcy as possible in a high-stress environment.” For Bowdish’s patients, who usually have suffered some neurological trauma, normalcy is about re-learning to communicate with others. During her sessions, she uses music and rhythm to teach words and phrases—and songs. A stroke patient who could hardly speak can come out of one session singing. The science behind music therapy is simple: When you sing, you use more of your brain than when you speak. The brain processes the music in a unique way, creating novel neuronal networks and rewiring the brain. A stroke patient, when prompted, might not be able to find the words to simply speak. But play part of an old familiar song, like “Twinkle, Twinkle Little Star” or “Take Me out to the Ball Game,” and the words will come tumbling out, Bowdish says. “Music affects emotions, which affect our memories,” Bowdish says. “It’s such a trigger for our long-term memories.” Patients who have shown little improvement with other types of therapy often make strides with music therapy. Bowdish, who holds sessions at Sentara hospitals, will soon be expanding the program to a Virginia Beach, Virginia, nursing home to help dementia patients.
ADVANCES IN MEDICINE | IN THE KNOW
During a recent music therapy session, Bowdish sat close to Rodriguez—who is hard-of-hearing—in his wheelchair. Holding her guitar, she asked him to choose between two songs: “I Walk the Line” by Johnny Cash or “Amazing Grace.” Rodriguez chose the former, and Bowdish began to play and sing. His eyes on Bowdish as she sang, Rodriguez joined in as she reached the refrain, clearly singing, “Because you’re mine, I walk the line.” Before his stroke, Rodriguez loved to sing. He was in a men’s quartet and a men’s choral group, and sang every week at Fairmont Park United Methodist Church in Norfolk. After the stroke, he stopped singing. But after working with Bowdish, he now sings along in church again. At home, Rodriguez can communicate so much better with his wife, using phrases like “I’m hungry,” “I’m cold,” and “I would like a Dr. Pepper.” Bowdish taught him to say “I love you, Sandy,” and is working on “Happy Anniversary” with him as the pair approaches their 45th wedding anniversary. Singing helps with the phrases, too—Bowdish first sings, then speaks phrases rhythmically, tapping the words on a patient’s hand. Repetition is key—caretakers are asked to continue at home, and Bowdish supplies them with CDs or digital files to speak and sing along with. She can even help patients walk.
Stroke victim Dorothy Andrews was slowly recovering, relearning to talk as a patient of Bowdish’s, when her daughter asked for help with walking. Bowdish supplied two upbeat, instrumental ragtime songs to practice walking to—and it works, says Andrews’ daughter, Debra Livelli. Her 80-year-old mother, who a year ago was given a bleak diagnosis after her stroke, now struts up and down the hallway of their Virginia Beach home walking with hardly a limp. “I can’t say enough about Tracy,” says Livelli. “She has a magic gift.”
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HEALTHJOURNAL EXPIRES MAY 31, 2015
FEATURES | THE INCREASING EPIDEMIC OF OBESITY IN LATINAS
WRITTEN BY CATHY WELCH
The Increasing Epidemic of
OBESITY IN
LATINAS O
besity is on the rise in America. Latinas—females of Latin-American origin living in the United States—are at an increased risk. Washington, D.C., physician and former Chief Medical Expert for The Discovery Channel, John Whyte, M.D., MPH, has done a large amount of work in the fields of obesity and disparity. “Latinas are a growing and influential constituency in the United States,” he says. “The Latina share of the female population in the United States will increase from 16.4 percent today to 25.7 percent in 2050.” According to The U.S. Department of Health and Human Services’ Department of Women’s Health, Mexican-American women make up the majority of Latinas and 75 percent of them are overweight or obese. Until recently, Jennie Kramer, MSW, LCSW, founder and executive director of Metro Behavioral Health Associates Eating Disorder Treatment Centers in New York and co-author of “Overcoming Binge Eating for Dummies,” saw few Latinas seeking assistance for weight management. “Thank God we’re seeing them now,” she says. “There’s more data and more people who are coming forth which allows us to address this more specifically.” Anthony Terracina, M.D., has been a Hampton Roads weight loss surgeon for 17 years. He trained in Texas and previously lived in Florida. He says. “There are fairly sizable Latina populations in all locations and my standpoint is we are dealing with significant obesity.” Many factors contribute to the obesity epidemic in Latinas. Peruvian-born Jesus Lizarzaburu, M.D., FAAFP, with Tidewater Physicians Multispecialty Group, Grafton Family Medicine, conducted his doctoral research on “Immigration, Acculturation and Risk Factors for Obesity and Cardiovascular Disease: A Comparison of Latinos of Peruvian Descent in Peru and in the United States.” “I looked at all these issues with cardiovascular disease, obesity, immigration, culture and depression and it all seemed to tie together,” he explains.
20 | thehealthjournals.com
THE INCREASING EPIDEMIC OF OBESITY IN LATINAS | FEATURES
WHAT IS CAUSING THIS RISE IN OBESITY AMONG LATINAS? Dr. Terracina is seeing a rise in significant obesity and notes growing concerns ethnicitybased diets. “The Latina diet is heavy on corn products, flour products, rice and beans,” he says. “Those are significant carbs.” He tells his patients this may be the way they were raised, but it doesn’t mean they have to continue that lifestyle. As an Italian, Dr. Terracina grew up eating four major meals a week that incorporated carbohydrate-laden pasta and bread.
“I eat pasta once every two to three months now,” he says. “And bread doesn’t even cross my plate anymore. We have to tighten up on our diets.” Kramer cites the Latina culture’s focus on family and the use of food as an expression of love. “Food has a special meaning, but it can be overdone,” she explains. “It can be abused. You don’t have to feed everybody every hour on the hour and you can offer some healthier choices for those very important family meals.” Dr. Lizarzaburu’s research supports the fact that when Peruvians came to the U.S., the increase in obesity was more of a socioeconomic issue. “When you look at worldwide distributions in developing nations, only the rich have heart disease,” he explains. “It’s only the well-to-do people in third world countries who were able to afford becoming obese. In the U.S., if you have low socioeconomic status and a low education level, you tend to be more obese.” Terracina agrees. “It’s a disease of our affluent, western society, which is: bigger is better and more is even better than that.” Dr. Lizarzaburu believes that the Latinas’ lack of accessible, quality grocery stores contribute to poor eating habits. “From my point of view, as an immigrant I live in the place I can afford which is going to be sort of a low income neighborhood,” he says. “Then I’m going to find that the best place to buy food for my money is a bakery outlet where I can load up on pastries for $5 and sustain my family. That is exactly what gives us diabetes and our obesity epidemic.” Kramer points to eating disorders as another contributor to the increased rate of obesity. “It’s eating that has nothing to do with the response to hunger and satiety cues,” she says of eating disorders. “We see that the largest majority of people who use food in this way have had some history of trauma.”
Kramer breaks down trauma into categories such as: having to immigrate; going through divorce; changing/blending families; etc. But she hones in on the trauma resulting from physical, emotional, verbal or sexual abuse. According to the National Crime Victimization Survey (Bureau of Justice Statistics, 2004), one in six females who are 13 or older, are victims of rape, attempted rape, or sexual assault. Based on The U.S. Census, projections for the Hispanic female population in the future, and the 1 in 6 victimization calculation, by the year 2050, the number of females of Hispanic origin who
The heightened health risk due to everincreasing obesity can cost an individual the ability to earn their living and can cost the health care system a great deal of money. “There’s a lot of concern in the Latina community with higher blood pressure,” Kramer says. “Over time the blood pressure rates have been much higher. Obesity, in general, is going to lead to things like: insomnia, joint and body aches; a host of digestive issues including acid reflux; heartburn; very fluctuating blood sugars; high blood fat levels; gall bladder disease; and heart disease. It can affect mobility and can even
have experienced some form of sexual violence could reach 10.8 million. Kramer says. “Addictive behaviors, and I do include disorder eating in that group, serve many functions most of which are to distract, self-soothe or numb.” “Another problem is that nearly 6 in 10 Latinas are not physically active,” Dr. Whyte says.5 “Physical activity is important for maintaining a healthy energy balance. Studies have found trends showing Latinos [in general] often have less access to safe places to be active.” “There are undiagnosed hormonal conditions that can also contribute to obesity,” Kramer says. “For instance, there’s polycystic ovarian syndrome in women that causes hormonal dysregulation which leads to a lot of obesity.”
bring about structural changes like herniated discs, arthritis, etc.”
WHAT ARE THE HEALTH RISKS? “From a health standpoint, we live in a region in Hampton Roads where we’re one of the country’s leaders in diabetics aged 25 to 50 years,” he explains. “The other issue is not only are we obese as a society and less active, the medical problems that are piling up and there’s no end in sight. People with hypertension live a shorter life. People with diabetes live a shorter life. People with high cholesterol don’t live to their life expectancy. It’s all diet- and obesityrelated, so what we have to do is cure obesity and by curing obesity, we cure health issues.” Dr. Terracina is seeing a higher proportion of obese patients with complications of gallbladder disease, high cholesterol and heart disease. “Once you reach a certain weight, everybody’s going to have less ability to fight off heart disease,” he says. “There’s all sorts of things that are going on with the body that create health issues as you become more obese, especially for women.”
WHAT CAN BE DONE? “There is an urgent need for effective and accessible culturally-sensitive weight-loss interventions for the Mexican-American population,” Dr. Whyte says. “Behavioral interventions must provide culturally-centered behavioral strategies addressing some of the difficulties.” “In centers like ours, we are trying to approach this with all cultures from a very comprehensive, no-stones-unturned approach,” Kramer says. “It really does require attention to psychological, nutritional, physical and environmental factors.” “Advocates should avoid stereotypical assumptions about Latinas, avoiding a onesize-fits-all approach,” Dr. Whyte explains. “Language, education, and levels of cultural assimilation can vary greatly between and within Latin American groups. While twothirds of Latina/Latino U.S. residents are of Mexican origin, the remaining groups identify with various national origins and subcultures from North, South and Central America and the Caribbean.” Dr. Whyte also recommends that agency leaders and directors should ensure that staffing patterns adequately reflect the demographics of the groups being served. “Bilingual personnel are crucial for eliminating access barriers at every stage of the help-seeking process,” he says, adding that Latino/Latina organizations and grassroots groups that already have bilingual/bicultural components can be valuable allies and agents of change.
thehealthjournals.com | 21
FEATURES | DON’T BE ON AUTOPILOT
WRITTEN BY NATALIE MILLER MOORE
DON’T BE ON
AUTOIMMUNE AUTOPILOT PAY ATTENTION TO YOUR SYMPTOMS
22 | thehealthjournals.com
DON’T BE ON AUTOPILOT | FEATURES
W
omen in their 20s and 30s are busy—they’ve got kids and jobs and stress. So when they feel tired, or achy, they tend not to think much about it. Too many times, women write off these symptoms as unimportant. But autoimmune (AI) diseases affect twice as many women as men, and they often begin to show up mid-life. “When I was seven months postpartum with my son, things starting getting weird. I had headaches, I’d get dizzy. When I had really bad pains in my hands and wrists— I thought they were carpal tunnel from holding him,” said Betsy Lavin, 43, from Williamsburg, Virginia. In Betsy’s case, it was more than that. Her symptoms of fatigue and joint pain piled up, but she thought it was normal new mother stress. “People said, ‘you’re just worn out’ and ‘hang in there, it’ll get better.’ It sounded like what other people were going through,” Lavin says. A few months after having another baby, she went to the store by herself and lost her vision in one eye. She needed to find out what was really going on. She went to an ophthalmologist, who couldn’t find any reason for her temporary vision loss, so he referred her to a neurologist. Some of her symptoms seemed like multiple sclerosis. “Everyone was hesitant to say that’s what it could be. Even after [seeing the] neurologist, there was a long lag time. I had a lot of symptoms, some fit with MS and some don’t,” Lavin says. Lavin suggests that anyone experiencing unusual symptoms keep a journal. “Write everything down. ‘This happened, at this time.’ Write how long it lasted and where in the body it happened. Note all the weird stuff. You may not know if anything is related, but it helps to tell your doctor ‘this is what’s going on,’” she says. She shares her notebook with her doctors, who now include a neurologist and rheumatologist, and it helps her remember the details. Over the years, doctors have told Lavin she has MS, but also rheumatoid arthritis, fibromyalgia and Crohn’s disease. According to the National Institutes of Health, AI diseases include more than 80 diagnoses, and affect more than 25 million people in the United States. There is evidence of a genetic link, with AI diagnoses clustered in family groups.
than one autoimmune disorder, which makes recording symptoms even more valuable. The intermittent symptoms can make understanding what is happening even more challenging. “I have a constellation of autoimmune disorders. RA and MS can cause pain. A lot of them coexist—Crohn’s and RA happen a lot together,” Lavin says. “What I have doesn’t fit in a box…which is so frustrating.” Dr. John Dye, a rheumatologist at Sentara Rheumatology Specialists, agrees that the diagnosis process for autoimmune diseases can be tricky. “There are lots of reasons for fatigue and achiness. That’s why we always do a thorough
history and physical exam with our patients. We have to be good listeners,” he says. “To put together a potential diagnosis takes a lot of time and patience.” Dye says it’s always worth talking to your physician about your symptoms—even if it’s not an autoimmune disorder, it could be postpartum depression or fibromyalgia. “Management with a health care professional will give you better outcomes than on your own. Certainly if there are classic symptoms—like a rash, chest pain or joint pain, come in and discuss your symptoms,” Dye says. Although autoimmune disorders can be harder to diagnose because there are not a lot of
“Write everything down. ‘This happened, at this time.’ Write how long it lasted and where in the body it happened. Note all the weird stuff. You may not know if anything is related, but it helps to tell your doctor ‘this is what’s going on,’”
AUTOIMMUNE SYMPTOMS OFTEN “DON’T FIT IN A BOX”
Characterized by an over-exuberant response when the immune system begins attacking the body, it’s not uncommon for people to have more
According to the National Institutes of Health, AI diseases include more than 80 diagnoses, and affect more than 25 million people in the United States. There is evidence of a genetic link, with AI diagnoses clustered in family groups.
thehealthjournals.com | 23
FEATURES | DON’T BE ON AUTOPILOT
definitive tests, there are continuing strides in the diagnostic and therapeutic developments. “There may not be a firm diagnosis after the first visit. But you should come in sooner rather than later. The field has changed dramatically— therapies have improved and outcomes are better,” Dye says. Dye specializes in rheumatology, and says that rheumatoid arthritis is characterized by a pattern of pain in the joints of hands and wrists, usually symmetrical. “Patients who end up with an RA diagnosis often tell me that they have morning pain and stiffness—it lasts maybe an hour,” Dye says. WHAT IS IT? UNTIL A DIAGNOSIS, HARD TO SAY
Knowing the signs that are beyond everyday symptoms are helpful, especially for people with a family history of autoimmune diseases, such as the butterfly-shaped face rash that often is a sign of lupus. The rash didn’t appear for Ramie Lodwick, 40, the founder of the Faces of Lupus support group, so it took several years for her to be diagnosed. She had three kids—and she was tired all the time. She thought she had carpal tunnel from her job as a nurse. But after surgery on her wrist, it didn’t get better. The pain spread to her head, hips and legs, which she found strange. One day, she had a tonic-clonic seizure.
“Kudos to my primary care physician. In a flare, you don’t know what’s going on. They help you through that, but it still took more than three years of testing to figure out what it was,” she says. For Lodwick, finally having a diagnosis helped her begin to ask for help, and she says it makes it easier to ask for support. Besides stretching, eating well and getting enough fluids, Lodwick says it’s important to “find your people.” She started the support group to help talk about lupus, educate others and to give family and friends ways to help support people with lupus. She also had Raynaud’s syndrome, another autoimmune disorder, and fibromyalgia. JUST LIFE? OR SOMETHING MORE?
Jae White, 57, was once the “queen of denial” but today she’s “queen of the workaround.” More than 30 years ago, she had her first exacerbation of MS. After a road trip, she figured her stiff fingers were a result of whiteknuckled driving in bad weather. But it lasted for weeks and she grew concerned. “I could feel things with my fingers but they felt numb inside. Friends convinced me to go to urgent care and they suggested that I had the traditional symptoms of carpal tunnel,” White says. She saw an orthopedist, who poked her
fingers with a paper clip to see if she could feel it. After weeks of this, she quit going and tried to shake it off. “I was so frustrated…I should have gone somewhere else. MS never entered my brain. I just dealt with the pain. I still have numbness and tingling to this day but I can live with it,” she says. White continued at a busy pace, working more than one job and ignoring her fatigue and other symptoms. Her actual diagnosis didn’t come until 12 years ago, after most of her right side went numb. She had a spinal tap and then a swift confirmation of the diagnosis of MS. “My advice to others is don’t be afraid to ask questions. If you don’t feel the doctor is giving you the answers, find another one,” she says. She also cautions people to be careful about what they are reading about their disease, because it’s important to make sure it’s from reliable sources. One of the largest challenges for people living with autoimmune disorders is that their disease involves many different systems of their body, and specialists must coordinate with a variety of different symptoms. Given the layering of diseases and symptoms that can be a result of stress, it can be a complicated and tangled process. “’Is it life, or is it MS?’ I ask myself that a lot,” says White.
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VACCINE PREVENTABLE DISEASE | FEATURES
Vaccine Preventable Diseases WRITTEN BY MICHELE SHIRLEY, PHARMD AND DEBORAH HUDSON, MPH
I
REMEMBER GOING TO A chickenpox party when I was a child. It used to be that when a child in the neighborhood came down with chickenpox, everyone gathered in hopes of exposing their children to build immunity. These parties are no longer needed because children today receive the chickenpox vaccine and a case of the chickenpox is, or at least was, a thing of the past. The life expectancy in the United States increased substantially in the 20th century largely due to improvements in the survival rate of children. These improvements are directly related to the diseases that are prevented due to high vaccination rates. Vaccines are the most effective preventative option available against many diseases. The United States currently targets 17 vaccinepreventable diseases across a person’s lifespan. These include: 1. VARICELLA (CHICKENPOX) 2. TETANUS (LOCKJAW) 3. PERTUSSIS (WHOOPING COUGH) 4. POLIOMYELITIS (POLIO) 5. RUBEOLA (MEASLES) 6. MUMPS 7. RUBELLA (GERMAN MEASLES) 8. DIPTHERIA 9. MENINGITIS 10. PNEUMONIA 11. HAEMOPHILUS INFLUENZA A 12. HAEMOPHILUS INFLUENZA B 13. HEPATITIS A 14. HEPATITIS B 15. SHINGLES 16. ROTAVIRUS 17. HUMAN PAPILLOMAVIRUS (HPV)
The World Health Organization (WHO) estimated that vaccination prevents 2.5 million deaths each year. In 2012, the WHO estimated that there were four diseases responsible for 98 percent of deaths that could have been prevented if the person had been probably vaccinated. The four diseases were: measles, Haemophilus influenza B, pertussis and neonatal tetanus. Although there has been enormous progress in eradicating many of the vaccine-preventable diseases, there is still cause for concern. Communities with pockets of unvaccinated and/or under-vaccinated populations are at an increased risk for an outbreak. Because of fears of side effects, some parents are now opting out of vaccinating their children. Furthermore, newborns and toddlers are at the highest risk because they are either not old enough to be vaccinated or have not completed the full sequence of recommended vaccinations. The recent measles outbreak in the Unites States is a prime example of such a community. One infected person at Disneyland infected more than three dozen people. These thirtysix people exposed countless others. As a result more than 145 measles cases have been confirmed in fourteen states. The Center for Disease Control (CDC) has reported that the recent measles outbreak will be the largest outbreak in the United States since the measles were declared eliminated in 2000. Perhaps a bigger concern is the recent resurgence of pertussis, or whooping cough. The pertussis vaccine was introduced in the 1940s. During this time there were over 100,000 cases reported per year. As a result of the vaccine, the number of cases dramatically declined and in 1975, the country only reported 1,010 cases. The CDC as of December 31, 2014, stated there were 28,660 cases of pertussis reported during 2014. This is an 18 percent increase compared to the number of cases reported in 2013. Some states in 2014 experienced widespread outbreaks. California reported a whooping cough epidemic in June 2014 with more than 800 new cases in two weeks along with two infant deaths. Most of these outbreaks are contributed to a failure to vaccinate completely, failure to vaccinate in a timely manner, or a failure to fully vaccinated with scheduled doses. Infectious and preventable diseases are still a major concern due to the illness, disability and death that can occur with an outbreak. Many of these vaccine-preventable diseases have nearly been eradicated over the years. Unfortunately, this does not mean they have disappeared. As recent history has shown us, these diseases are only one vacation, plane ride or visitor away. thehealthjournals.com | 25
FEATURES | CYSTIC FIBROSIS AWARENESS
CYSTIC FIBROSIS AWARENESS MONTH
INTERVIEWED BY CHRIS JONES
JOSHUA SAMMS Age: 39 • City: Bealeton, Virginia
M
ay is Cystic Fibrosis Awareness Month. Cystic fibrosis is an inherited, life-threatening genetic disorder that causes severe damage to the lungs and digestive system. It affects the cells that produce mucus, sweat and digestive juices. Instead of lubricating, the secretions clog tubes, ducts and passageways, particularly in the lungs and pancreas. What are some of the overarching health problems caused by cystic fibrosis (CF)? Setting the lung issue aside, the pancreatic and digestive issues are the second largest with CF. If you can’t break down food, you can’t get proper nutrition and that effects growth. The lack of nutrition can lead to neurological disorders. How has CF affected your quality of life? I have been blessed. I’m a mild CF case. At 39, my lung function is at 40 percent. Like many chronic diseases and illnesses, though, it ends up being ‘I can’t do this,’ or ‘I cant do that’. I like to play basketball. Aside from not being athletic at all, I can’t run a basketball court. I would like to do many things, but I can’t. As with any chronic illness, you have to be aware of what you push yourself to do. What was your childhood like with CF? I was in and out of hospitals. The doctor wants to see you every three months to make sure that there isn’t something that they’re missing. It becomes a part of your routine and you get used to it. It becomes your normal. Your younger brother also lives with CF. Is it common or an anomaly? It’s a recessive gene. If both parents carry, they have one copy. They have a 1 in 25 chance in having a child with CF. That child will be affected by CF somehow because they will be at least a carrier. If someone has CF and they marry or have a child with a carrier, those odds will be huge. You have a 50 or 75 percent chance that the child will have CF and if nothing else, they will be a carrier. It’s not uncommon for a family to have multiple kids with CF. It’s like winning the lottery—a terrible, terrible lottery. 26 | thehealthjournals.com
How has treatment of CF changed in the past 35 years? A person born now with CF has a vastly different outlook than someone born [before 1980]. If you were a person with CF in the 1950s, you weren’t going to make it to middle school before you died. The life expectancy was between 5-15. Now, with common medications that are available over-thecounter or easily in the pharmacy, there is no reason to think that a person with CF today can’t live into their 40s and 50s. It seems young, but it’s better than 5. Every year we’re adding about three-quarters of a year to life expectancy. With some of the drugs in the pipeline, I don’t see why a person born with CF now couldn’t live to 60 or 65 easily. Now we’re talking about CF treatment as a whole. People still do die at 5, which is why the campaigns and awareness are so important. You’re 39. Do you have concerns about the next 10 years of your life? At this point, being classified as disabled and meeting all of the criteria, and being at the edge of ‘If I am sick, I’m really sick,’ I am thinking about the next 10 years of my life. And, as a younger person, it’s an issue to look at life and look at my children and wonder when we talk about the future, will I be a part of that future. I’m trying to be realistic. There are only so many things scientifically that can be done to improve my health. Reality is reality. I have tried to be emotionless about it, and that doesn’t always work. I think that people with CF learn to deal with their illness early on. This isn’t new. This is something you look forward to. What concerns do you have for your family? My stepdaughter has CF. She’s 16 going on 17. Her lung function is good. She’s active and that’s what we’ve tried to do to—keep her healthy. They have found out that the more lung function you can carry into your early 20s, the more likely you can keep that lung function long-term. I think a lot of times she will say things to me about her health because she does have someone there who has experienced it. I think that’s good for her. We do have things we have to avoid. We don’t eat after each other
or drink after each other. My germs are more developed and drug-resistent compared to what she has. Conversely, I am a little harder on her than I should be. She’ll say, ‘I scraped my knee’ and I don’t coddle her. I’ll be a little harder on her because I know she will deal with more difficult things. Whether that hurts or benefits her, I don’t know. You’re involved in raising awareness for cystic fibrosis. Talk about that. Generally, its a Caucasian disorder, but it is a worldwide problem. It is something that can affect every race. The issue is that there are so very few people with CF that many people have never heard of it. One of the things I’m trying to do is use social media to grow a global awareness where everyone is doing the same thing at the same time. There are 70,000 people with CF worldwide. In the U.S. alone there are about 10 million people who carry the faulty gene that could cause CF in their child. So with our campaign, it’s about letting people know its an issue. We can’t cure it, but we can all take a second to spread the awareness. [In last year’s Silent for 65 campaign] I want to say that 10,000 people acknowledged it. I’m hoping to get the same commitment this year. We reached 30 countries. Between Instagram and Facebook, about 500 people submitted pictures with their finger over their mouth. Who Can help and how? Anyone can help by getting the buy-in that we are a single community. Getting people to buy-in to ideas is difficult, especially with social media, since everyone can put their opinion out there—good or bad. The best thing you can do if you cross a campaign is to pass it on.
CYSTIC FIBROSIS AWARENESS | FEATURES
CYSTIC FIBROSIS AWARENESS MONTH
IAN PETTIGREW Age: 46 • City: Hamilton, Ontario
You have CF, but your case is different. You decided to do something about it. You created a book—Just Breathe. What went in to that? I was diagnosed [with CF] later in life at 38 years old. So mine is very, very mild compared to those diagnosed at birth. A lot of people think it’s a childhood disease, but it’s not anymore. Males who are born with CF are sterile. So that’s the marker. It’s been eight years since I was diagnosed. I was married and we were trying to conceive and couldn’t figure out why. I bounced around from doctor to doctor and then one identified CF as why. One of the most common signs of CF is salty skin; our sweat is really, really salty. I had salty skin my whole life, but no one really paid attention to it. I didn’t have the lung issues that most CF people do. You decided to do something about it. You created a book. Yes. As a photographer, I wanted to know what I could do to spread awareness. I decided to go out and have adults tell their story with a portrait. The goal is to raise awareness. There are 92 people in the book. Half are from the U.S., and half from Canada. I did two separate trips around the States. I drove from Hamilton, Ontario, to Florida and took 44 portraits along the way. I wanted a good cross-section of people to show all of the different issues we deal with. The oldest is 59. A study came out recently that said over half of the sufferers now are over 18. Thirty years ago, you were dead by the time you were 21.
There are a lot of major issues I wanted to address focused on adults living with this. The cost of the mediation is huge. Some of the people in my book had to decide between grocery money and medication. Kalydeco is $1,000 a day, but it is helping people. What was the buzz from the CF community about your project? They were excited about it. They said, “Thank God someone is talking about this because people think only little kids have this.” How did you find people to profile? Strictly through social media: Instagram, Facebook, Twitter and CF forums. Friends would tell friends. Some would tell five friends. I found these little clusters. I had a map. I saw that I had seven people here and then another five people here. I planned a route. I went to Chicago, Minneapolis and Iowa. Then my second route I did Connecticut, Baltimore and Florida. On my way back, I did Memphis and Nashville. What did you learn? People are so positive and hopeful. There is so much positivity in people trying to beat this thing. But what they didn’t tell me is that once you know you’re going to live a shorter life, you tend to pack a little more in to it. One guy whose photo I took died three days after I took his photo. It brings it home. One girl in the book has been in a coma since New Years Eve. We have people in here married with kids, and they want to have the resemblance of a normal life. They adapt, they live. It’s also
a very white disease and you’ll see that when you read the book. The origins trace back to northern Europe. The book has 90 white people, a Hispanic girl and a black guy. He’s a body builder and he has CF. So what’s next? My second project, Salty Girls, is all women who have CF and their issues as women with it. Some of these women are completely covered in scars from operations throughout the years. When you have a lung transplant, it’s not a little scar. Some of these girls have feeding tubes. This stemmed from when I was taking portraits and they were telling me a lot of similar stories. Dating and meeting people are really hard. Try getting a second date when you have to take meds or you’re coughing up phlegm. These girls said that it’s been a long time since since they felt good about themselves. So I decided to start a book on them. It’s a little racier, but that’s what these girls wanted. They wanted to be seen in a sexier light. This disease is quite a weight on these girls.
Get a copy of “Just Breath” by visiting Ian’s site: http://bit.ly/ianpettigrew.
thehealthjournals.com | 27
Special Section
Breast Health Update SPRING 2015
ince 2002, the Sentara Williamsburg Comprehensive Breast Center: Women’s Imaging Pavilion has offered the Health, Hope and Healing retreat for breast cancer survivors. The retreat is a daylong event held once a year and is meant to help heal the emotional effects of a breast cancer diagnosis and its treatment. We asked local survivor and 2014 retreat attendee, Cindy Sarko, to share her experience with you. HOW DID THE DIAGNOSIS, AND TREATMENT, OF BREAST CANCER CHANGE YOUR LIFE?
The day that shook me to my core was November 25, 2013, at 12:40 p.m., was when I learned I had breast cancer. Call it woman’s intuition, but when I went in for my annual mammogram on November 13, I knew something would be found. Don’t ask me how I knew. I just knew. I also knew I would beat it. I had a strong team of doctors and cancer supporters surrounding me. The exhaustion from the radiation made me angry. I had to tell myself to relax and admit I couldn’t be the person I had always been—strong and independent—during the five weeks of treatment. I had to rely on others and let them take care of me when I wasn’t feeling 100 percent. I also was thankful I did not have to go through chemotherapy as a treatment. I’m grateful for my outcome and always think of those who are still fighting the fight daily. No matter your personal
cancer story, we’re now all part of a forever family. WHEN YOU HEARD ABOUT THE RETREAT, WHAT WERE YOUR EXPECTATIONS?
I had, for whatever reason, tried to suppress my breast cancer experience. Going through two lumpectomies and five weeks of radiation was enough and I wanted to be done with it all, so I thought. When I learned about the retreat, I hesitated to sign up, however knew it would be healthy to share my story with other women who had gone through this life-changing experience. I was right. I didn’t know what to anticipate, but whatever it was, my expectations were exceeded. We laughed together, cried, shared stories and learned from medical professionals. It was a fabulous day and one I will never forget. WERE YOU NERVOUS, EXCITED OR SCARED TO ATTEND?
I believe all these feelings were running through my head. Cancer is such a personal experience, but at the same time an experience that is so prevalent in today’s world. I found that sharing with others, who are in the same boat so to speak, was cathartic. HOW DID YOU FEEL BY THE END OF THE RETREAT?
I lived through so many emotions that day. I was literally exhausted at the end of the session. But let me be clear; it was a good type of exhaustion.
WOULD YOU RECOMMEND THE RETREAT TO OTHERS?
I would recommend this retreat or others like it to other cancer survivors or those who are in the midst of healing. It is wonderful to share stories and hear from medical professionals about treatments and preventive care. I came away from the retreat with hope and a better understanding. ANYTHING YOU WOULD LIKE TO ADD?
I’m still astonished by the number of people who have been diagnosed with cancer. That’s probably the one thing that was such an eye-opener for me. Another was, and still is to this day, how my cancer team made me feel like I was the only one in the world who had the “c” word. I could ask a thousand questions, call whenever I needed, or cry and laugh as hard as I wanted. It was all about me, and my team never let me forget that. It meant so much and I will always be grateful. I love this quote and hope it will help others going through tough times: “You can’t change the direction of the wind, but you can always adjust your sails.” Stay positive. Stay strong. Fight your fight. You are worth it. The 2015 Health, Hope, and Healing retreat is planned for Saturday, September 26. For more information, or to be added to the invitation list, please contact our office at 757.345.4011.
thehealthjournals.com | 29
Special Section
The future of breast cancer screening DR. KELLEY Z. ALLISON Director of Breast Imaging Dorothy G. Hoefer Comprehensive Breast Center
It is well known that screening mammography saves lives. Women who begin yearly mammograms starting at age 40 decrease their chances of dying from breast cancer by 30 percent. Although mammography is the best screening tool for breast cancer used today, it is not perfect. A major limitation of mammography is that it depicts a 3D object (normal breast) as a 2D image. The resulting overlap of normal breast tissue can thus obscure cancers making them difficult or impossible to detect. Recent advances in technology have sought to alleviate this problem through the development of 3D mammography, also known as tomosynthesis. During a 3D mammogram, the camera takes multiple images at different angles allowing the radiologist to view the breast “layer by layer.” This displays greater detail and reduces tissue overlap allowing the radiologist to detect cancers that might otherwise be obscured. Recent studies have shown that 3D mammography increases cancer detection by 35 percent and also significantly reduces the chance of a woman being called back for additional testing. This technology is highly beneficial for women with dense breast tissue and those at high risk for breast cancer. However, experts believe that 3D mammography can benefit all women and over time will become the gold standard in breast cancer screening and detection.
30% Creative and
WOMEN WHO BEGIN YEARLY MAMMOGRAMS STARTING AT AGE 40 DECREASE THEIR CHANCES OF DYING FROM BREAST CANCER.
Healthy Oatmeal Cookies
FREQUENTLY ASKED QUESTIONS WHO SHOULD HAVE A 3D MAMMOGRAM?
It is approved for all women undergoing screening or diagnostic mammography. IS IT A SEPARATE EXAM OR PART OF MY REGULAR MAMMOGRAM?
3D mammography is used in conjunction with your regular (2D) mammogram. HOW LONG DOES IT TAKE?
The exam will only take a few extra seconds per view.
WILL MY INSURANCE COVER THE TEST?
Currently, Medicare and Medicaid cover the cost of 3D mammography. For other insurances there is a small fee to have this included as part of your mammogram screening. WHERE CAN I HAVE THIS EXAM?
Dorothy G. Hoefer Comprehensive Breast Center, Sentara Port Warwick, Newport News, 757-594-1899. Sentara Williamsburg Comprehensive Breast Center, Women’s Imaging Pavilion, Williamsburg, 757-345-4024. Any Sentara Comprehensive Breast Center in Hampton Roads, www. sentara.com or 1-800-SENTARA.
main ingredients :
add any of the following :
1 cup dry oatmeal 3-4 very ripe bananas
Raisins Cranberries Peanut Butter Almonds Walnuts Chocolate Chips
1. Preheat the oven to 350 F. 2. Mash bananas and mix with oatmeal until combined. 3. Add in any additional ingredients and spoon dollops of the cookie dough onto a greased cookie sheet, allowing 1.5" to 2" of space between cookies.
4. Bake for 12-14 minutes or until cookies are beginning 30 | thehealthjournals.com
to brown on the edges.
Special Section
The words “You have cancer” are among the most feared by women and men. What follows can include a combination of more tests, surgery, chemotherapy, radiation therapy, anti-hormonal therapy, physical therapy and even reconstruction. WOW! That’s a lot to digest and if you are having chemotherapy, they throw in that you will most likely lose your hair as a result of the treatment. That’s like someone else blowing out the candles on your birthday cake. The loss of hair is often among, if not the most, upsetting factor. Losing your crowning glory is often seen as adding insult to injury. Hair is a woman’s protection and often a part of defining her look and how she sees herself. Losing your hair can make it difficult to deny, “This is really happening, I’m taking chemotherapy.” There is an understandable desire to still look the same and not let the cancer diagnosis or the treatment change you. My name is Carolyn Collins, but everyone calls me CC and I am the coordinator for the Unique Boutique at Sentara Williamsburg Regional Medical Center, and a 4-year survivor of ovarian cancer. To me, losing my hair was not a big deal but surviving was everything. I was excited when they told me my hair might come back curly, thicker, or a different shade or color. I was ecstatic. I was going to look like one of those girls in those hair commercials on TV with long, thick hair that looked like a sheet of silk blowing in the wind. I did get a wig, which I hardly ever wore. I wore hats, learned to wrap
scarves, and mastered the art of “bling.” I made sure everything matched from my head to my shoes and I never had a bad hair day. No pun intended. I kept myself going by being with friends and family, worked out every day to keep fit, kept a journal from beginning to end, and learned not to sweat the small stuff. Two-and-a-half months after my chemo ended, I started to sprout hair. I was so excited and it did look pretty dark. I could already feel my hands running through that long thick mane. My hair did grow back a beautiful short, curly salt-and-pepper. I was happy it grew back. I love it and people frequently ask me who does my hair. With a smile I answer, “You wouldn’t want to go through what I did to get this color.” My feelings on hair loss? My hair is just a fraction of who I am. As with a cover to a book there is a greater story within those many pages, and I know there is more to me than just my hair. My hair loss could never change who I am.
CC’s Tips – Unique Boutique Check with your doctor first and ask if your treatment will cause you to lose your hair as well as when to expect the loss to start. If your doctor tells you that you will lose your hair, believe it. These aren’t the easiest words to hear, but know that there is help. Since the Unique Boutique opened in January 2013, over 140 women have come through
our doors to select wigs and various head coverings. Most women find the following tips helpful: Tip #1 My first tip is to have your hair cut into a short style before it begins falling out. It will be less devastating when it does start to fall out, an easier clean up and a cost-saver for not having to call the plumber to unclog your drain. It will also make wig fitting easier. A wig that fits over a full head of hair is not likely to fit properly after the hair has fallen out. Tip #2 My second tip is to try something new. This is your time. It is all about you. I cannot begin to tell you how many women tell me their hair color and style and walk out with a wig that is completely different. It is like being a Tressy doll (you know, the one that had a key in her back and you could make her hair long or short?). You’ll never get the chance to do that with your own hair. Some ladies actually take their wigs to their hairdressers and tell them when their hair grows back, “This is the style and color I want.” Amazing! It’s like ordering your own personal pan pizza. Tip #3 It is not carved in stone that you need to wear a wig. You can create your own style with scarves, pins, flowers, hats and headbands. What I like to call “bling!” If you make an appointment with us at the Unique Boutique, we can show you! We have lots of scarves and other headwear to choose from. Tip #4 Ever had sunburn? Not the best feeling in the world. Your head, which is usually covered by hair, can easily burn in minutes to hours when exposed to sun. If that happens, you will not be able to wear a wig, scarf or hat until it heals. If you aren’t wearing a wig, you should always wear sunscreen and a cotton scarf and maybe even a straw hat when stepping outdoors. Some types of chemotherapy can even make it easier for your skin to burn. Be sure to check with your doctor. Tip #5 Please sign up for the American Cancer Society’s “Look Good, Feel Better” program. It is so much fun and it’s free! You’ll also get a free bag of name-brand makeup and meet a lot of nice ladies. They teach you how to apply makeup by using double-ended swabs, cotton balls and sponges; and if, like me, you lose your brows and eyelashes, they will teach you how to draw them in so that they look natural. I know this is very hard to take in, hence the levity, but that is what it takes— ATTITUDE! Remember this is just a glitch in your journey.
For more information about the “Look Good, Feel Better” sessions offered at Sentara Williamsburg, please contact volunteer June Harlow at 757.984.8210. Registration is required for attendance. The session is free. The Unique Boutique is open by appointment only. To schedule a fitting, please call 757.345.4439. All services provided free of charge.
Special Section
Reminder #1 Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health.
1
American Cancer Society
Screening Guidelines 2
Reminder #2 Clinical breast exam (CBE) about every three years for women in their 20s and 30s and every year for women 40 and over.
Reminder #4
Reminder #3
Women should know how their breasts normally look and feel and report any breast change promptly to their health care provider. Breast self-exam (BSE) is an option for women starting in their 20s.
Some women–because of their family history, a genetic tendency or certain other factors—should be screened with MRI in addition to mammograms. (The number of women who fall into this category is small: less than 2 percent of all the women in the U.S.) Talk with your doctor about your history and whether you should have additional tests at an earlier age.
COMPREHENSIVE BREAST CENTERS
SATELLITE OFFICES
Sentara Williamsburg Comprehensive Breast Center | Women’s Imaging Pavilion 400 Sentara Circle Williamsburg, VA 23188
Women’s Imaging Pavilion at New Town
Phone: (757) 345-4024
Dorothy G. Hoefer Comprehensive Breast Center | Sentara Port Warwick 11803 Jefferson Avenue, Suite 130 Newport News, VA 23606 Phone: (757) 594-1899
4
3
(SCREENING MAMMOGRAMS ONLY)
4374 New Town Avenue Williamsburg, VA 23185 Phone: (757) 345-4024
Gloucester Imaging Center 5659 Parkway Drive Suite 130 Gloucester, VA 23061 Phone: (804) 210-1070
Sentara CarePlex Hospital 3000 Coliseum Drive Hampton, VA 23666 Phone: (757) 594-1899
FLAVOR | FOOD
CINCO DE
T
— O YIT’S NOT WHAT A M
hank goodness for Cinco de Mayo. Now Americans have an excuse to break out all the Mexican tchotchkes while going all out on Mexican recipes. But how many Americans actually know what Cinco de Mayo is? While writing this article, I sought some inspiration by purchasing a taco at my local taco truck and asked others in line if they knew. Three out of 5 people said Mexican Independence Day. One woman said it was when America freed Mexico, but she didn’t know from what. And the other guy was honest and said he had no idea, but it gave him an excuse to drink margaritas all day. Cinco de Mayo is not Mexican Independence Day. That is on September 16. The highly marketed holiday that is celebrated more in the U.S. than in Mexico commemorates the Battle of Puebla—a state located in East-Central Mexico— during the Franco-Mexican War (1861-1867). No, the Americans had nothing to do with it. We were in the middle of the Civil War. When Mexican president Benito Juárez declared that the country was too poor to pay its debts, France tried to invade it with the hopes of turning Mexico into a French state. Despite being outnumbered 2-to-1, Mexico won the battle and it was a symbol of Mexican strength. This victory inspired Americans and the first celebration of Cinco de Mayo took place in Southern California in 1863. While gringos across America have been striving for Mexican food, for the most part, the only authenticity is through the ingredients. Thanks to our North American Free Trade Agreement, 49 percent of our avocados come from Mexico—along with the limes we sprinkle on them to keep them from browning—thus making our guacamole more “authentic” than we may realize. And while we’re in the middle
YOU THINK
WRITTEN BY KIMBERLEY CUACHON HAUGH
of a declared craft beer revolution, in 2013, we imported about 2 million tons of Coronas and Modelos. Beer is Mexico’s largest agricultural export into the U.S. The truth is Mexican food in America isn’t Mexican. Dishes—like chili, fajitas, quesadillas, burritos and nachos—are delicious American inventions. To translate the words of the abuela, Spanish for grandmother, whose restaurant I dined at in Tulum, south of the popular Playa del Carmen tourist destination in Quintana Roo, Mexico, “We don’t know real Mexican food.” For instance, chilies are used as a condiment; Mexican dishes aren’t meant to be spicy. And the prodigious amounts of cheese that we use on, well, everything, is a rarity in Mexico beyond a light crumbling of queso fresco—a creamy, soft, and mild unaged white cheese. Also, guacamole is meant to be chunky because it is traditionally made in a mortar and pestle. Mole pablano sauce, or mole, is Mexico’s national dish and something American’s left out when we hijacked Mexican cuisine. This thick, nutty, chocolatey, concoction made sometimes with 30 ingredients is laborious and timeconsuming—probably the reason why we left this one out. As you can imagine, there are legends surrounding this sauce, some dating back to pre-Hispanic times. Mexican food spans much wider than refried beans and salsa. For instance, Northern Mexico is known for beef as it echoes the ranching culture of Texas. Veracruz and the Gulf of Mexico are known for delicious seafood. Seafood there is done with tomatoes, olives and capers. The influence of the ancient Maya is prevalent in the Yucatan area. Achiote—a sweet, slightly peppery red sauce made from the seed of the tropical annatto plant—is a distinct flavor in these parts. Turkey, chicken and pork are the main proteins. And Oaxaca, the birthplace of the mole, is a region known throughout the country as “The Land of the Seven Moles.” Oaxaca also produces the delicious mozzarella-like cheese that is named after the region. What about the authenticity of the margarita? There are four commonly repeated tales, according to Mission Margarita, a website dedicated to finding the best margaritas anywhere. The oldest tale dates back to 1936 in at the Garcia Crispo Hotel in Tehuachán, Puebla, Mexico, where the bar owner, Daniel Negrete, concocted the drink with hand-crushed ice. Americans love Mexican food! We’ve even streamlined it into fast food chains like Chipotle and Taco Bell. We’re just a bunch of gringos in search for some exotic flavor. And even though we’ve Americanized and reinvented Mexican food, we still carry forth the same foundation as the abuelas cooking their hearts out in Mexican kitchens; that the food is meant for sharing and meant for celebrations. Buen Provecho. thehealthjournals.com | 33
FOOD | TASTE APPEAL
RECIPE BY THE WAYPOINT CULINARY TEAM PHOTOGRAPHY BY ALEXIS KIKOEN A cool and tasty, traditional British soup as served for the Queen of England. INGREDIENTS 2 tablespoons unsalted butter 2 leeks, white and light parts only, well rinsed and coarsely chopped 2 shallots, peeled and coarsely chopped 8 ounces fresh spring peas blanched till tender and shocked in Ice water. (Pat dry) or 5 ounces of Frouncesen peas 8 ounces Yukon Gold potatoes, peeled and diced 3 cups vegetable stock or store bought broth 1 1/2 cup heavy cream (1 cup for soup, 1/2 cup lightly [soft whip] whipped for garnish) 2 tablespoons sour cream 2 sprigs fresh mint Kosher salt and pepper to taste 1 tablespoon unsalted butter Dash Worcestershire sauce A pinch cayenne pepper A few drops Lemon juice 1 tablespoon fresh chervil or chives leaves to garnish
34 | thehealthjournals.com
MAKES 4 SERVINGS
PREPARATION • In a medium sauce pan, heat the butter, add shallots and sauté until translucent, then add leeks, peas and potatoes. Cook for 10 minutes, constantly stirring. • Add the vegetable broth little by little, constantly whisking. • Cook soup over low heat for approximate 15 minutes. Season the soup while it is simmering. • Add mint and let steep until soup is tepid (10 minutes)
SNIP-SNIP! CUT ALONG THE LINE TO KEEP THIS RECIPE.
Chilled English Pea Soup
Grilled Asparagus Salad RECIPE BY PRIME46FORTY PHOTOGRAPHY BY BRIAN FREER Enjoy this unique take on a grilled asparagus salad with the added creaminess of a poached egg and the savory addition of anchovy crumbs. INGREDIENTS 2 pounds pencil thin asparagus, stems removed 2 Meyer lemons, zest and juice 4 tablespoon extras virgin olive oil, divided 4 large organic eggs 1 tablespoon champagne vinegar 2 ounces pea shoots
• Transfer to a food processor or blender, slowly add ½ cup of the cream and sour cream.
2 ounces Parmesan Reggiano, shaved
• Blend soup carefully until very smooth.
2 Calabrian chili’s, sliced thin
• Pour into glass bowl, whisk in the remaining butter and additional seasonings. Adjust seasoning and refrigerate until well chilled. • Divide soup into four bowls and garnish with a dollop of the whipped cream and a sprig of the chervil or chive. • If soup is too thick, adjust with more vegetable stock and/or cream. Texture should be very velvety, silky and smooth
1/2 cup panko bread crumbs 1 anchovy filet, rinsed 1 clove garlic, minced Kosher salt to taste Fresh ground black pepper to taste
MAKES 4 SERVINGS
PREPARATION • Preheat grill on high heat. Combine asparagus, zest and juice of 1 Meyer lemon and 1 tablespoon of olive oil. Season asparagus lightly with salt and pepper and allow to marinate while the grill heats. • Bring 4 quarts of water to a simmer, add vinegar and 1 tablespoon of kosher salt. Carefully crack eggs into a large ramekin, 1 at a time, and drop into simmering water. Cook until desired doneness, about 90 seconds for a soft yolk, and remove to a plate with a slotted spoon, season lightly with salt and pepper, reserve. • Heat 1 tablespoon of olive oil in a small saute pan over medium heat. Add garlic and anchovy and saute, stirring constantly, until garlic turns golden and anchovy melts, about 2 minutes. Add bread crumbs and stir until toasted, about 2 more minutes. Remove from heat and reserve. • Grill asparagus until tender and lightly charred, turning once, about 2 minutes. Divide onto 4 plates. Top each plate of asparagus with a poached egg. Divide the pea shoots, Parmesan and chili’s onto each plate. Drizzle each plate with the remaining olive oil and Meyer lemon zest and juice. Sprinkle the anchovy crumbs over each plate to garnish.
Our Women’s Pelvic Health Program is designed with You in Mind Urinary incontinence, overactive bladder symptoms, and pelvic health issues may affect your quality-of-life. Our Fellowship-trained Physicians offer comprehensive evaluation, surgical and non-surgical treatment options and will help you choose the treatment option that is best for you.
RECIPE BY DEL. GLENN & CHELLE DAVIS A killer recipe using skinless breasts makes it a healthy, yet flavorful option for any busy weeknight. INGREDIENTS 4 large chicken breasts (fresh or thawed) 2 lemons
MAKES 4 SERVINGS
PREPARATION • Preheat oven to 400° F.
1 teaspoon oregano
• Place all skinless chicken breasts in a shallow baking dish.
1/2 teaspoon pepper
• Warm 1/3 cup olive oil and 3 cloves minced garlic.
1/2 cup olive oil 1/3 cup White wine 3 cloves of garlic, minced
• Add 1/3 cup white wine. • Add teaspoon oregano, 1/2 teaspoon pepper. • Add the juice and zest of one lemon. • Pour mixture over chicken. • Cut second lemon into quarters and place in baking dish. • Cover with aluminum foil. • Bake 35 minutes, take foil off for the last 5 minutes.
Dedicated to Compassionate and Quality Care Appointments can be made by calling (757) 457-5110 SNIP-SNIP! CUT ALONG THE LINE TO KEEP THIS RECIPE.
Skinless Lemon Chicken Breasts
Jessica M. DeLong, M.D. Kurt A. McCammon, M.D., FACS, FPM-RS Jennifer Miles-Thomas, M.D., FPM-RS Jeremy B. Tonkin, M.D. Ramon Virasoro, M.D.
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225 Clearfield Avenue • Virginia Beach, VA 23462
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Cauliflower Steaks RECIPE BY DEL. GLENN & CHELLE DAVIS Enjoy this tasty, unique way to prepare cauliflower as a side dish to any entree. Serve these steaks with the lemon chicken recipe found on page 35. INGREDIENTS 1 head of cauliflower 1/4 cup olive oil Pepper, to taste Parsley, to taste Fat free non-stick spray
MAKES 4 SERVINGS
PREPARATION • Heat oven to 400° F. • Rinse cauliflower. • Cut cauliflower into 1/2 inch "steaks." • Lightly spray baking dish with non stick spray. • Place cauliflower in dish and lightly sprinkle with olive oil. • Add pepper and parsley to taste. • Turn over and repeat. • Roast cauliflower 30 minutes, turning halfway.
Newport News 12706 McManus Blvd. (Next to Mary Immaculate Hospital)
Hampton 101 Eaton Street, Suite 300 (Across from Mill Point Park)
757.874.BABY (2229) www.CenterForWomen.com Abby Ford Anderson, MD • Cheri Coyle, MD Timothy O’Connell, MD • Douglas Thom, MD • Cindee Hawkins, PA
Viva Cilantro! HERB-N-GARDEN | FOOD
Cilantro-Lime Salsa PHOTOGRAPHY BY ALEXIS KIKOEN
1 bunch fresh cilantro 6 tomatoes of your choice, we used hothouse 1/3 of a sweet or red onion, roughly chopped 1 jalapeño or Serrano pepper 3 garlic cloves 1 lime salt & cayenne pepper to taste
• Roughly chop the tomatoes • Add tomatoes, onion, cilantro & garlic to a food processor or blender • Pulse a few times • Add salt, cayenne, jalapeño or Serrano pepper and the juice from one lime • Blend until desired consistency and serve with your favorite tortilla chips For chunkier salsa, do just a few quick pulses. thehealthjournals.com | 37
6
FOOD | FOOD & NUTRITION
oatmeal
quinoa
SUPERFOODS that boost endurance WRITTEN BY BRIDGIT KIN CHARLTON
A
s a former endurance athlete, I know that low energy is not an option. Whether a triathlete, runner, cyclist or swimmer, you’ve probably spent the night before a big race or long run consuming large amounts of pasta at your favorite Italian restaurant. But is there a better way to fuel your body and provide it with the proper nutrients to aid in recovery and effectively fight the free radical damage from which endurance athletes suffer? Consider adding to your grocery list these six superfoods that will boost your endurance.
OATMEAL
SWEET POTATOES Sweet potatoes are a starchy vegetable, rich in vitamins A and C, which are both powerful antioxidants that work in removing free radicals from your body. They help lower blood pressure and are a powerful food for endurance athletes because of their high vitamin and mineral content. The potassium, iron, manganese and copper are all minerals that many athletes lack; manganese and copper being crucial in healthy muscle function. QUINOA Quinoa is an ancient high-energy grain from South America. The Incas used it to increase the stamina of their warriors and allow them to run long distances at high altitudes. It’s a complete protein, meaning is has all nine essential amino acids. It’s also a good source of manganese, magnesium, iron, zinc, potassium and calcium. Because it is gluten free, it is very easy to digest, a good thing when you’re headed out for a long run. 38 | thehealthjournals.com
Oatmeal has a high soluble fiber content, is high in complex carbohydrates, is a good source of protein and has a low glycemic index, which provides a sustained release of energy into the bloodstream— imperative for endurance athletes. Oatmeal offers your body a regular dose of Vitamin B and is rich in minerals and antioxidants. It’s credited for maintaining a good level of cholesterol in the body and is known as one of the most nourishing foods for the body, especially for athletes.
Kale is a member of the cabbage family and contains high levels of vitamins A, K, B6, calcium and iron. It’s an antioxidantrich vegetable that helps regulate the body’s inflammatory process. Kale also contains carotenoids and flavonoids, two powerful antioxidants that protect cells from free radicals that cause oxidative stress, as well as a high fiber content that helps lower cholesterol.
WHEY
CHIA SEEDS
Whey protein isolate is the purest form of whey protein and is a complete protein that contains all of the essential amino acids. It’s absorbed quickly and efficiently into the body, making it an athletes dream. It doesn’t contain any fat or cholesterol. The protein and array of amino acids are essential in muscle re-building, especially after a strenuous workout or race. For athletes, it’s a great fast recovery method because it helps prevent muscle breakdown and is the fastest digesting protein.
KALE
Chia seeds are a nutrient-dense super food that contain a high amount of fiber, three times the amount of antioxidants than blueberries, and are loaded with calcium, iron and protein. They also contain a high amount of omega-3 fatty acids and hydrophilic properties, which means that the seeds have the ability to absorb more than twelve times their weight in water, thus allowing prolonged hydration. The seeds help in retaining moisture and regulate the body’s absorption of nutrients.
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FOOD | VINE & DINE
F
or someone who has never been to a wine tasting, it can make you feel like a square peg in a round hole. There’s a connoisseur culture of people who enjoy learning about, locating and trying the best available wines. While you may not be on that level, this quick guide will keep you from feeling like a complete newbie during your first wine-tasting. And with some practice, you can join the ranks of the wine snobs who enjoy good vino with good friends.
1. See It. Examine the wine’s color and clarity by holding up your glass or viewing it against a white background in a welllit room. Then ask yourself: • Is the wine clear and brilliant—or cloudy and dull? • Is your glass of wine watery and pale—or deep and dark? • Can you see to the bottom when you look straight into your glass? • Is the color the same at the rim as it is in the middle of the glass? • Whites will vary on this visual scale as white wines gain color with age. Red wines also vary in their depth of color, and lose color, browning as they age. Wine color is affected most by its age, variety of grape and type of barrel.
2. Swirl It. Swirling your wine gently exposes it to a larger surface area while increasing its contact with air and intensifying its aroma. Grip your glass by its base or its stem and make small circles. Be careful not to hold the glass by its bowl so you aren’t warming the wine with your hand.
3. Smell It. That initial smell you observe from the wine is called its nose, aroma or bouquet. Common aromas include spices, herbs, fruit and flowers, but different people will smell different things in the same bottle of wine. Certain varieties of wine have their own distinct scents. Smell the wine several times. Some wines are so complex offering many different aromas and scents. As your senses mature, you’ll be able to identify multiple aromas in a single glass. Common white wine aromas:
• Chardonnay: apple, peach, apricot, pear, lemon, melon, vanilla • Sauvignon Blanc: grass, herbs, lime, lemon, grapefruit, pear • Riesling: grapefruit, melon, apricot, peach, lime, mint, jasmine Common red wine aromas: • Merlot and Cabernet Sauvignon: plum, cherry, blackberry, raspberry, mint, coffee, tea, tobacco, cedar • Pinot Noir: rose, raspberry, strawberry, cranberry • Zinfandel and Syrah: plum, lavender, blackberry, pomegranate, black peppercorn
40 | thehealthjournals.com
4. Sip It. A wine’s taste is a partnership of its flavor and its smell. This is why smelling the wine is an important part of the overall tasting experience. Don’t bypass it. Your tongue is designed to taste different things at varying positions: the tip identifies sweetness; the inner sides recognize sour; the outer sides taste saltiness; and the back discerns bitterness. Carry the wine across your taste buds looking for the following characteristics: • Body Fullness or Thinness: A function of alcohol and glycerol • Acidity: Gives the wine its crisp freshness (without acidity, the wine will taste flat and sour) • Tannin: This ‘bitter’ taste comes from grape skins and seeds. Tannin is essential to the finish of a fine wine and is most obvious in red wines creating an astringent, hard, dry or soft taste • Sweetness: Comes from fruit flavors and fermented grape sugars in the wine. (If there’s no perceived sweetness, the wine is considered ‘dry’.) • Fruitiness: Intensity WRITTEN BY CHRIS JONES depends on the variety, growing conditions and winemaking techniques
5. Spit It, Swallow It. After swallowing, notice the aftertaste, commonly known as its finish. The better the wine, the more defined. Good finishes linger. What was your overall impression of the wine: Do you like it? Why or why not? What do you notice about its body? How long does its flavor last? Is it sweet, fruity, acidic or tannic? Spitting out the wine is an acceptable practice at wine tastings. If you don’t like it, you don’t have to swallow it. Clean your palate and try another wine; eat a plain cracker and drink some water to do this. You may also want to rinse your mouth with water before tasting another wine.
Have Fun! Wine tasting is a fun way to learn about the many varieties of wine while enjoying a socially fulfilling atmosphere. During the spring and summer, tour some of the areas wineries and begin to practice these five techniques and before long you’ll be a wine connoisseur!
KEEPING YOU ACTIVE TPMG Hernia Center is the region’s only comprehensive hernia center. Led by STEVEN B. HOPSON, M.D., the TPMG Hernia Center specializes in developing hernia treatments based on each patient’s individual needs using the newest innovations including lightweight, high-strength meshes that are customtailored for each patient to create tension-free hernia repairs. If you’ve been diagnosed with a hernia, we invite you to learn more about our program. For more information, please call:
(757) 874-1077
Now Accepting New Patients • Inguinal • Incisional • Sports Hernia • Umbilical • Laparoscopic and Single Lumen (SILS)
STEVEN B. HOPSON, M.D., F.A.C.S, Director
860 Omni Blvd., Suite 108 Newport News, VA 23606 757-874-1077
mytpmg.com
YOUR HEALTH | FAMILY
U
nderstanding Alzheimer’s disease and other forms of dementia is complicated enough for adults. For children, watching the diseases progress can be overwhelming. No matter what a child’s age, a few educational messages can help. Perhaps most important is that the person with dementia still loves that child, says Patricia Lacey, chief operating officer of the Alzheimer’s Association Southeastern Virginia Chapter. “The same person is still in there, even if they can’t communicate with you the way they used to or maybe don’t even remember your name,” Lacey says. “And although they might be forgetful and say or do strange things, they can still feel your love and kindness in the moment.” Kids also need guidance on how to stay connected with a loved one, says Dr. Paul Evans, medical director of Riverside PACE, a long-term care program for the elderly. “Children really can play an important role, because people with dementia often respond to them in a more positive way than they do to adults,” Evans notes. Here’s what kids need to know:
Explaining Memory Loss to Children WRITTEN BY ALISON JOHNSON
Dementia is a real, physical disease of the brain. Patients aren’t “acting crazy”—even though they might not look sick, they have an illness attacking their brains, just like someone who has a heart or kidney disorder. The Alzheimer’s Association offers explanatory videos and pictures online at alz.org, under the “Kids & Teens” section (click on the “Life with ALZ” tab on the home page). It’s not contagious. You can’t “catch” dementia like a virus; hugging and kissing are safe. Many kids also worry that their parents might get the same disease. In that case, point out relatives who don’t have it and focus on positives such as ways to keep themselves healthy, new medications and ongoing research into a cure. Memory is a very complex process. Younger kids might understand it like a tape recorder, Evans suggests: “Alzheimer’s means the person’s tape recorder isn’t working, first for recent memories and later for other information. So saying things like, ‘I already told you that’ or ‘Try hard to remember’ won’t work.” Older kids can discuss or read about the billions of brain cells that rely on chemical and electrical signals to stay healthy and connect with each other. “You can tell a child, ‘Your name is still in Grandma’s brain, but she just can’t get to that memory to pull it out,’” Evans says. While nobody can “fix” dementia, we’re not helpless. A loved one still might find great joy in activities such as looking at old photos, listening to music, planting flowers or taking a walk. “Kids feel empowered if they’re given positive things to do,” Lacey says. She suggests having several pre-planned activities on hand during visits should conversation stall. Things will get worse. In an age-appropriate way, explain that this is a progressive disease and the brain will gradually lose its power to tell the body what to do. Prepare kids for behaviors they might see as the person gets sicker: forgetting names, asking the same questions, crying, getting frustrated or angry or soiling themselves.
42 | thehealthjournals.com
FAMILY | YOUR HEALTH
“Grandma still loves you. She is still the same person.” Nothing is your fault. Some kids worry a loved one has fallen ill or is deteriorating because they were mean or misbehaved. You’re not alone. More than five million Americans are living with Alzheimer’s disease, so lots of other kids are in similar situations. It’s normal to feel angry, sad, confused or embarrassed. If you think a family support group would help, check with your doctor or local hospital for any nearby. Be respectful, kind and calm. Kids learn how to treat the elderly from their parents. “You can tell a child, ‘Grandma still loves you. She’s still the same person.’ But if you’re always angry at her, then the child is asking, ‘If Grandma still loves us and we love her, why are you yelling at her?’” Evans notes. “Actions carry more weight than words.”
Life at Williamsburg Landing…
embrace it
It’s about what’s important to you. Maintain your lifestyle and feel secure about your future. Enjoy life among friends knowing you have:
• A choice of diverse home styles in a beautiful residential setting • Superb dining and resort-style health club and spa • Resident representation on the local Board of Directors • Independent living with assisted living and memory care available if you need it Welcome to Williamsburg Landing, a Continuing Care Retirement Community. It’s life at its best. Call today for a tour
(757) 585-4436 www.WilliamsburgLanding.com/hj
Williamsburg’s only accredited Continuing Care Retirement Community
YOUR HEALTH | FITNESS
WRITTEN BY JOSH ANDERSON
A
lmost everyone has heard about the incredible benefits of strength training. For instance, many people know that it helps you burn calories, lose weight, build muscle, add strength and improves your heart health and overall quality of life. But there also is another valuable, commonly overlooked benefit of strength training—it helps improve our bone health and thus fights osteoporosis.
STRENGTH TRAINING BUILDS BONES Improving bone strength is important to all of us as we age—especially women. Research shows that living a constantly sedentary lifestyle causes us to lose bone mass. One of the best ways to increase your activity level and bone mass is strength training, and a little goes a long way! In 2005, researchers outlined the importance of strength training in the book “Prescription Alternatives” by saying, “In a recent study on bone density and exercise, older women who did high-intensity weight training two days per week for a year were able to increase their bone density by 1 percent, while a control group of women who did not exercise had a bone density decrease of 1.8 to 2.5 percent.” That’s a 3.5 percent difference in bone density over a year— all simply due to picking up the weights two times a week. Just for the sake of comparison with all other factors aside, if you hypothetically didn’t strength train for five years (which is a reality as we get older) that could be a 12.5 percent decrease in bone density compared to a 5 percent improvement via strength training or a 17.5 percent difference. See how it can add up?
IMPROVING BONE HEALTH Weight bearing activities like hiking and strength training help improve our bone mass because they put an impact on our bones. This causes our bones to reinforce themselves—making them stronger. A great way to start training is to simply start with 2–3 full-body workout sessions a week of 3 sets for 8–10 controlled repetitions (make sure you are cleared by your physician). This can include: supported bodyweight squats, bicep curl into tricep extensions and front presses. 44 | thehealthjournals.com
Supported bodyweight squat: Start by holding onto a sturdy chair or wall for balance and to reduce the difficulty. With your feet slightly wider than shoulder width apart, lean back as if sitting in a chair. Lower yourself down until you are almost in a seated position before returning to the starting position. Repeat for 3 sets of 8–10 controlled repetitions.
FITNESS | YOUR HEALTH
Bicep curl into tricep extension: Start by standing with your feet shoulder-width apart and your dumbbells at your side. Perform a bicep curl making sure to concentrate on the bicep contraction, and then bring the weights together behind your head in one fluid motion. Then perform a normal tricep extension. Make sure to keep the weights together and your elbows in by your head during the tricep extension. Repeat for 3 sets of 8–10 controlled repetitions.
Front press: Standing with a sturdy base beneath you, start by having your dumbbells held together near your chest. Using your front deltoids raise the weights straight up until your arms are extended and then return to the starting position. Repeat for 3 sets of 8–10 controlled repetitions.
LIFE WITHOUT LIMITS LECTURE SERIES Join us on May 5th in Gloucester as Loel Payne, MD, discusses treatment options for shoulder pain and then on May 20th in Hampton as Colin Kingston, MD, speaks about computer assisted knee replacements. Please call to RSVP 757-827-2480 ext. 332
Computer Assisted Knee Replacements
Loel Z. Payne, MD COASC ~ Tidewater Orthopaedics
Treatment Options
May 20 at 6:30pm
Hampton Office 901 Enterprise Pkwy, Ste 900 Hampton
for Shoulder Pain
May 5 at 6:30pm
Sentara Gloucester 5659 Parkway Dr., Ste 100 Gloucester
MD Colin Kin gs ton, er Or th opae dics COASC ~ Tid ewat
• Colin M. Kingston, M.D. • Robert M. Campolattaro, M.D. • Michael E. Higgins, M.D. • Nicholas A. Smerlis, M.D. • Nicholas K. Sablan, M.D. • Paul B. Maloof, M.D. • Jonathan R. Mason, M.D. • Loel Z. Payne, M.D. 3000 Coliseum Drive | Hampton, VA 23666
YOUR HEALTH | YOGANATOMY
Standing Bow
sanskrit: Dandayamana Dhanurasana â?Ľ WRITTEN BY SAPTA YIN, ACSM, RYT 200
Grip Open palm catches the inside of the foot
â?Ľ PHOTO BY BRIAN FREER
ready? Start standing with knees softly bent, abdominals engaged, shoulder blades rolled up and down into place down the back with palms open by your sides. With an inhale, bend your right elbow as if you are holding a book by your side. With an exhale, raise your left arm overhead, palm facing inward. With an inhale, shift your weight into your softly bent left leg to raise your right heel towards your right glute. To create the grip on the foot, let your right forearm extend down so that your palm is open to the side with fingers towards the ground. Keep the palm open as you catch the inside of your right foot. Breathe into any tension found in this point of the pose. Settle with a soft knee into the left side of your body. Breathing deeply, begin to extend that sense of balance by equally reaching forward with your left hand as you kick your right foot into the grip of your hand. When ready, switch sides.
Left Fingers Fingers reaching as the back foot kicks into your grip
Abdominals Hugging up and underneath the ribcage
Balancing Knee The knee remains softly bent
46 | thehealthjournals.com
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York County Public Library – Yorktown/Tabb York County YMCA Yorktown Family Medicine NORFOLK Alzheimer’s Association Anthony & Company Hair Design Anytime Fitness – Colley Ave. Anytime Fitness – Little Creek Rd. Azar’s Natural Foods Bon Secours DePaul Medical Center Bon Secours InMotion PT Constant Convocation Center - ODU Dominion Physical Therapy Dumbbells Personal Training EVMS - Brickell Medical Sciences Library Harbour Pointe Healthcare & Rehab Center Health Food Center Hot House Yoga - Ghent Plaza del Sol Mexican Restaurant Prime Plus Norfolk Senior Center Running Etc. Sentara Comprehensive - Weight Loss Solutions Sentara Leigh Hospital Sentara Norfolk General St. John Lutheran Church St. Mary’s Home for Disabled Children Starbucks Coffee - Colley Ave. Starbucks Coffee -21st Street/Ghent The Mambo Room Dance Studio The Up Center The Vitamin Shoppe - 21st Street/Ghent The Yoga Room Total Wine - 21st Street/Ghent Y Not Pizza & Italian Cuisine - Colley Ave. VIRGINIA BEACH Adult Learning Center Beach Eye Care Bon Secours Health Center - of Virginia Beach CHKD Health & Surgery Center Cosmetic and Family Dentistry Dr. William Grant Foot & Ankle Center DSD Supplements First Colonial Family Practice/Urgent Care First Colonial Medical Center Founder’s Inn - Flowering Almond Spa Glasson Sports Medicine Holland Road Family Medicine Learning Rx LWS&S Family Dentistry NowCare Urgent Care – First Colonial OneLife Fitness – Princess Anne Rite Aid Pharmacy Riverside Cancer Infusion Center Romero Family Practice Sentara Cardiovascular Associates Sentara Independence - Bayside Medical Plaza Sentara Princess Anne Hospital Sentara Virginia Beach General Hospital
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YOUR HEALTH | AGING WELL
Am I Still That Girl?
Middle-aged women cite self-esteem when choosing to undergo plastic surgery WRITTEN BY SUSAN SMIGIELSKI ACKER
A
middle-aged woman has years of experience. It can be an asset and as a curse when it shows on her face and on her body. Plastic surgery can lessen worry lines and uplift sagging breasts, however, before undergoing any type of procedure, area plastic surgeons say expectations of the results must be reasonable. “I won’t operate unless I know there will be good results or if the patient’s goal is unrealistic,” says Dr. Adam Billet, a board-certified plastic surgeon with Plastic Surgery Associates of Tidewater in Chesapeake, Virginia. For instance, someone who is in her 50s and wants her teenage body back, he says.
Determining Candidacy A poor candidate is also someone who is having the surgery to please another person. “If they come to me and say their boyfriend wants them to have bigger breasts, but they think their breasts are fine, then they are not a good candidate. A woman should only do it if she wants to have the work done,” says Dr. Johnstuart Guarnieri, a boardcertified plastic surgeon with Williamsburg Plastic Surgery in Williamsburg, Virginia. For those who are good candidates, a stomach bulge combined with sagging breasts are troubled spots due to child-bearing and child caring. “This is when a mommy makeover is often recommended. It reduces the belly and lifts the breasts,” Guarnieri says. Billet recommends liposuction in the stomach because it removes the fat and tightens the stomach muscles. But if a woman is considered obese, Billet says it is best to lose weight prior to surgery because of health concerns and risk of disappointment with the aftermath.
48 | thehealthjournals.com
“If a woman is 5-foot-2-inches and 200 pounds, I tell her she needs to lose weight first because she is not going to have good results,” he says. Some women opt for breast implants when having a breast lift, but Billet cautions that it takes more care because it is a medical device. While weight loss is a good thing if needed, when a middle-aged woman does so, it can result in sagging skin. Guarnieri says tightening loose skin, such as on the neck, is possible. A facelift is a surgical procedure that reduces the signs of aging by tightening the muscles and removing excess skin to give a more youthful appearance. Billet says most women do not want to change their overall appearance but rather improve what they have. Many times, a woman can have a mini facelift which can be done in the office with a local anesthesia, he says. “We can pull things up and tighten. The idea is to get a more youthful look without looking like a different person. Most women do not want to look like a different person,” Billet says.
AGING WELL | YOUR HEALTH
He cites actress Renee Zellweger, whose recent plastic surgery came under fire in the media remarking that her overall appearance changed. “She looks like a different person and it is not natural,” he says. Guarnieri says some women opt not to do an entire facelift but instead receive Botox injections. Adding filler to the face is also an option. “Putting volume to a face that has fallen is like putting a pole on a tent that has fallen down,” Guarnieri says. In some cases, plastic surgery can be covered by medical insurance. Billet says that if vision is impaired by sagging upper eye lids or brows, insurance should pay for it. This can improve vision as well as looks. Women with large breasts that are beginning to sag can have breast reduction surgery. “If they have such problems as backaches,
chafing, and the bra straps are cutting into their shoulders, then it can be justified for insurance to cover,” Guarnieri says.
Boosting Self-Esteem Both doctors agree that selfesteem increases after having plastic surgery. “It is because they look better, they feel better. They become more outgoing and are able to do things like land that special job because their self-esteem has increased. It is not the flat tummy that got them the job, but that they are more confident because they have a flat tummy,” Billet says. Guarnieri says that many times a spouse or partner tries to talk a woman out of plastic surgery. “A husband might say you look good to me. But it is not just about looking good to her husband but rather looking good overall that she wants,” he says.
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YOUR HEALTH | OUTDOORS
TIPS FOR
BICYCLING WRITTEN BY SHAWN RADCLIFFE
WITH THE FAMILY
T
he family that bikes together, gets healthy together. But biking with children can be challenging, especially when you’re navigating a crowded bike path or dealing with mid-trip meltdowns.
GET KIDS INTO BICYCLING EARLY Kids are naturally drawn to bikes. You don’t even need to wait until they can pedal to share your enthusiasm for biking with them. Connect a child bike seat or a bike trailer to your own bike, and take your child with you whenever you ride. When your child is old enough to sit on a bike seat, try using a trailer bike. This half-bike is attached to the back of your own, but lets your child pedal and hold onto their own handlebars. But don’t expect much help climbing the big hills. Around age 5—although it can range from 3 to 8 years—kids can learn to ride a bike on
50 | thehealthjournals.com
The physical and mental benefits of biking, though, are worth it. And once you are safely on the trail, all these worries slip away. To make the most of your next family biking adventure, keep these tips in mind before you head out on the road.
their own. Look for a good smooth surface for them to practice on, the fewer obstacles the better. Pavement is good, but short grass is also a great option.
CHOOSE A BIKE FOR YOUR CHILD An ill-fitting bike can turn your child off from bicycling. Even worse, a bike that is too big or small will be harder to control. This may increase the risk of your child having an accident. Research several bikes before buying. And as tempting as it is to buy online, you’ll do better if your child can try out the bike first. Look for a bike shop or store that has
a wide selection of children’s bikes and staff trained to help you find the right size bike. In general, your child should be able to touch his or her toes to the ground when sitting on the bike seat. If the feet are flat on the ground, though, consider buying the next size up. Your child should also be able to easily hold the handlebars and use the breaks.
MAKE EVERY RIDE A SAFE RIDE The most important piece of safety equipment for biking is a helmet. Get your child in the habit early of wearing a bike helmet on every ride. Your local bike shop
can show you how to properly adjust a child’s bike helmet. Have your child’s bike tuned every year and frequently check for signs of damage or loose parts, especially the brakes and handlebars. To improve visibility when riding in the evening or at night, the bike should be equipped with reflectors and lights. Children should also learn how to ride safely. This includes knowing the rules of the road, such as using arm signals, making turns safely and riding with the flow of traffic. You should also lead by example. This means wearing your own bike helmet, even if it’s just for a short ride to the corner store.
MINIMIZE THE MELTDOWNS Children love biking, but they may tire a lot sooner than you do. To catch meltdowns before they happen, tune into your child’s cues. Keep an eye out for them falling behind, complaining or overheating. It may be time for a break. But even if they appear to have a lot of energy, check in with them frequently. Ask how much further they want to ride, or if they want more or less of a challenge. Be ready to adjust your itinerary, if needed. And stay positive. Praise their new-found bike skills.
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YOUR HEALTH | MIND MATTERS
WRITTEN BY BETH SHAMAIENGAR
THE ROLE OF
DADS IN POSTPARTUM
W
hen a new baby comes home, a host of new questions arrive like how to nurse successfully, how to secure a diaper and how to get the baby to burp. But for some moms, darker, desperate questions can arise, too: “Why am I so miserable when we have this beautiful baby?” and, more to the point, “Will I ever sleep again?” And fed-up dads wonder: “Who is this irritable woman, and what has she done with my wife?” These questions aren’t always spoken, but they require answers. That’s because powerful anxiety or depression assails many expectant and postpartum women, sometimes pushing them to the emotional brink and wreaking havoc on once-happy marriages. Yet there are numerous resources that can provide support, and partners in particular can help new moms navigate potentially treacherous territory. Dr. Christine Truman, a Virginia Beach psychiatrist with Finney-Zimmerman Psychiatric Associates, specializes in these conditions, which she says in her field are increasingly referred to as “perinatal mood and anxiety disorders,” generally not labeled as postpartum depression. They can develop during pregnancy, not just postpartum, and may resemble anxiety more than depression, but require prompt treatment either way. Expectant couples will do better if they recognize that such disorders are “a very normal thing that could happen,” affecting as many as 1 in 5 women, according to Diana McSpadden, a postpartum depression survivor and leader of a Williamsburg support group offered by Postpartum Support Virginia (PSVa). It’s equally important, she says, for men to understand that “a supportive partner can really shorten the time [that women experience such disorders].” 52 | thehealthjournals.com
Partner support is key to managing anxiety, depression Pregnant or postpartum women with depression typically exhibit the symptoms of any episode of major depression, including: sadness, reduced interest in formerly enjoyable activities, decreased appetite, feelings of worthlessness and/or guilt, and difficulties with concentrating or sleeping. Quite commonly, however, Truman says her patients instead exhibit signs more like anxiety, such as insomnia, irritability and physical restlessness. Depression or anxiety requiring treatment can sometimes be confused with what’s known as “baby blues,” a milder postpartum condition that affects up to 85 percent of women, Truman says. Normally indicated by mood swings, irritability and tearfulness that develop in the first one to two weeks postpartum, baby blues often dissipate within a week or two if a mom is able to get adequate sleep and receive early support from family, friends and her obstetrician. Disorders that require treatment, in contrast, can plague a woman for weeks, months or even longer, and they often develop in women with a history of such disorders, Truman says. Women with so-called “type A” personalities, who seem “very, very capable” prior to motherhood, are more prone to developing depression or anxiety during or after pregnancy, says Dr. Natasha Sriraman, an associate professor of pediatrics at Eastern Virginia Medical School who sees patients at Children’s Hospital of The King’s Daughters, a PSVa board member and a postpartum depression survivor. Yet because of the stigma still attached to mental illness, she says, these women try hard to seem in control. But if such a disorder takes hold, she says, “You feel completely out of control and have no idea what you’re doing.”
In this daunting scenario, new dads can do much to support their partner, according to Jodie Dolci, a Williamsburg postpartum doula (trained to help couples adjust to the arrival of a new baby). A new dad can: encourage his partner to talk about her feelings; help with the baby; assure his partner that it’s not her fault and that she will get better, and help her to find supportive resources. Finding ways to preserve a new mom’s sleep, according to Christine Truman, “gives you the most bang for your buck” as a way to help resolve anxiety or depression symptoms early. A dad can sleep in alternate shifts with his partner, changing diapers and feeding the baby bottles with breast milk that a mom has pumped earlier, or with formula. An important sign that more than sleep is needed, Truman asserts, is if a new mom is unable to sleep even when her baby is. Medication and/or talk therapy with a counselor may be needed, and dads can help by identifying therapists or psychiatrists that a mom can interview. In addition, the support of other moms can be a lifesaver, many survivors say, and new dads can help locate area support groups. Dads who feel overwhelmed themselves may benefit from recruiting family members, friends or babysitters to assist. Also, the Postpartum Support International website (postpartum.net) enables moms and dads to call in for anonymous phone chats with their peers in similar situations. Says Chris Harper, a Toano, Virginia, father whose wife Jenna experienced postpartum depression, “Men don’t want to talk to people other than other men, and they may not want to admit that there’s anything wrong with their relationship, much less ask for help.”
MIND MATTERS | YOUR HEALTH
BABY BLUES SYMPTOMS
POSTPARTUM DEPRESSION SYMPTOMS
Signs and symptoms of the baby blues—which last only a few days to a week or two—may include:
Postpartum depression may appear to be the baby blues
at first—but the signs and symptoms are more intense and longer lasting, eventually interfering with your ability to care for your baby and handle other daily tasks. Postpartum depression symptoms may include:
• Mood swings • Anxiety
• Loss of appetite
• Sadness
• Insomnia
• Irritability
• Intense irritability and anger
• Crying
• Overwhelming fatigue
• Decreased concentration
• Loss of interest in sex
• Trouble sleeping
• Lack of joy in life • Feelings of shame, guilt or inadequacy • Severe mood swings • Difficulty bonding with your baby • Withdrawal from family and friends • Thoughts of harming yourself or your baby Untreated, postpartum depression may last for many months or longer.
Courtesy of the Mayo Clinic Harper says his wife is an extremely capable woman and that their marriage prior to her depression was one that many admired. When her depression set in, he knew early on that something was off, even if he couldn’t name it. He remembers, “Everything I did seemed to be wrong.” Searching for help, he went online and Googled “walking on eggshells.” To his relief, the phrase brought up a website with surprisingly familiar stories from other new
dads. Harper and his wife eventually got help through a PSVa support group, counseling and medication for his wife, but he urges other new fathers to trust their gut and take action, if needed. “If you notice anything with your partner that’s completely out of character,” he says, “keep an eye on it…Those [inexplicable] things that are happening in front of you really are happening.” Support group leader Diana McSpadden sums up simply how new dads can help:
he waS Given
6 monthS to Live. See how he beat it in one minute and 37 SecondS. See James’s story at EvmS.edu/myStory
The knowledge to treat you better.
“You don’t need to believe in mental illness, or believe that [disorders like] postpartum depression are real,” she says. “You just need to support the mom.” For help, support and resources on postpartum depression and anxiety, consult Postpartum Support International at postpartum. net, or its Virginia affiliate chapter, Postpartum Support Virginia at postpartumva.org.
YOUR HEALTH | MONEY
S
tudents who entered a four-year university in Virginia last fall can expect to pay more than $75,000 for their degrees, according to the latest annual report released by the State Council of Higher Education for Virginia. The figure includes room and board and a 5.3 percent increase in tuition and fees, which average $10,937 among Virginia’s four-year universities.
College Prep for Parents
A LOOK AT VIRGINIA’S 529 PLANS WRITTEN BY KELSEY HINTON
With 2.3 million accounts at the end of fiscal year 2013, Virginia boasts the country’s largest 529 plan program. Named for section 529 of Internal Revenue Code 26, U.S.C., 529 plans are tax-advantaged investment vehicles intended to encourage saving for higher education. “We can’t do anything about what the cost of college is,” says Virginia529 College Savings Plan CEO Mary Morris, “But we can help with education, with information, with plans that work, plans that are as low-cost as we can make them.” Virginia currently offers four investment options: the prePAID contract, which guarantees coverage of in-state tuition and mandatory fees at Virginia’s public two- and four-year colleges and universities; inVEST, a defined-contribution plan with age-based evolving and static investment options; CollegeWealth, an FDIC-insured savings
54 | thehealthjournals.com
account; and CollegeAmerica, an advisor-sold investment program. Here we take a look at some of the advantages of disadvantages of Virginia’s 529 plans.
ADVANTAGES TAX ADVANTAGES Assets in 529 accounts grow tax-free, and withdrawals used for qualified educational expenses are also exempt from federal and state tax. On the state level, account owners in Virginia can deduct contributions up to $4,000 per account per year from their taxable income with an unlimited carry-forward of excess contributions to future tax years, while
account owners age 70 or older can deduct the full amount of their contributions. FLEXIBILITY The ability to change beneficiaries, lack of income restrictions, significant maximum contribution limits of $350,000, and variety of investment options, which Morris explains “can fit any family’s risk tolerance and their college-saving time horizon,” make 529 plans considerably flexible. Furthermore, account owners may transfer 529 accounts to another state, and with the exception of the prePAID contract (which requires either the beneficiary or account owner to be a Virginia resident when the account is opened), the plans do not impose state residency restrictions. 529 assets may be used at eligible institutions, private and public,
around the world, though prePAID contract payouts differ depending on where and how they are used. CHANGE OF CIRCUMSTANCES “The one thing that people worry about sometimes is ‘What if I don’t need it?’” says Morris. Students have between 10 and 30 years after high school graduation to use 529 funds for qualified educational expenses, and the account owner may also change a beneficiary designation to another family member or use it for themselves. COST ADVANTAGES Initial investment costs range from $25 to $250, there are no maintenance fees, and management fees are competitive. A variety of options, such as purchasing semesters instead of whole academic years in the prePAID contract, offer investment options for diverse budgets.
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ACCEPTING NEW PATIENTS ESTATE AND GIFT TAX BENEFITS Thomas Duffany, grant program director for the Association for Financial Counseling & Planning Education, points to gift-tax possibilities as a big advantage of 529 plans. Though contributions count toward an individual’s $14,000 annual gift-tax exclusion, one can “front-load” up to $70,000, which is treated as a contribution made over a five-year period. The contributed funds then enjoy taxsheltered growth and tax-free distribution. For estate-tax purposes, 529 plan assets are excluded from the donor’s gross estate.
AHMED
DISADVANTAGES PENALTIES FOR NON-QUALIFIED WITHDRAWALS If used for non-qualified expenses, earnings on 529 assets are subject to federal and state income tax as well as an additional 10 percent federal penalty. The 10 percent penalty and Virginia income tax liability are waived in the event of the death, disability or receipt of scholarship of a beneficiary.
HOFFMIER
STATE INCOME DEDUCTIONS LIMITED TO ACCOUNT OWNERS While account owners are able to deduct contributions from their taxable state income, non-owners are not. So if grandma wants to contribute to her granddaughter’s college savings while also reaping the tax benefits, she will have to open her own account, a potential disincentive.
Heart and Vascular Center Mary Immaculate Medical Pavilion 12720 McManus Blvd., Suite 201 Newport News, VA 23602 (757) 875-5332 Masood Ahmed, M.D., F.A.C.C. Thomas J. Hoffmier, M.D., F.A.C.C.
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Cardiovascular Diagnostic Center Tidewater Medical Center at New Town 5424 Discovery Park Blvd. Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 565-0600 Hugh B. McCormick, Jr., M.D., F.A.C.C., F.A.H.A.
FINANCIAL AID CONSEQUENCES According to virginia529.com, “Any non-retirement investment or savings account may affect eligibility.” While FAFSA assesses a maximum of 5.64 percent of the value of 529 assets as part of the Expected Family Contribution for financial-aid eligibility, schoolsponsored and other private need-based scholarships may consider the full value of 529 assets.
mytpmg.com
YOUR HEALTH | HEALTHY COMMUTE
TRAFFIC LIGHT TUN WRITTEN BY JIM WHITE
YOU’LL DEFINITELY WANT TO REMEMBER THESE EXERCISES— IF YOU’RE LIKE MANY AMERICANS, THERE’S A GOOD CHANCE YOU SPEND SEVERAL HOURS AT THE WHEEL EACH DAY. SO THE NEXT TIME YOU FIND YOURSELF SPENDING SOME OF THOSE PRECIOUS HOURS IN A TRAFFIC JAM OR WAITING AT WHAT SEEMS TO BE EVERY REDLIGHT ON YOUR ROUTE HOME, TRY THESE SEVEN EXERCISES TO INVIGORATE YOUR COMMUTE.
GLUTES SEAT LIFT
WITH A FIRM GRIP ON THE STEERING WHEEL, TIGHTEN YOUR UPPER LEG MUSCLES. HOLD FOR FIVE SECONDS AND RELEASE. 10 REPS.
56 | thehealthjournals.com
INNER THIGHS
LEG SQUEEZE PLACE A WATER BOTTLE BETWEEN YOUR LEGS. KEEP ABS CONTRACTED. SQUEEZE THE BOTTLE GENTLY. HOLD FOR FIVE SECONDS AND RELEASE. EIGHT REPS.
ILLUSTRATED BY LIZ LY
E-UP
UPPER BODY ABS SQUEEZE
PUT YOUR ARMS BEHIND YOUR HEAD AND LEAN FORWARD, CONTRACTING YOUR ABS AND STOMACH. HOLD EIGHT SECONDS. RELEASE. 12 TO 15 REPS.
GO AHEAD. SLIP OUT OF YOUR SHOES FOR THIS ONE. YOU’LL GET A BONUS STRETCH FOR THE ARCHES OF YOUR FEET.
SHOULDERS ARM CIRCLE
EXTEND YOUR ARMS STRAIGHT OUT AND ROTATE IN CIRCLES. REPEAT 12 TO 15 TIMES, AND THEN REVERSE DIRECTIONS.
CALF MUSCLES TOE RAISE
PUT YOUR FEET FLAT ON THE FLOOR, LIFT YOUR HEELS, AND HOLD FOR FIVE SECONDS. 12 TO 15 REPS.
FOREARMS & GRIP STRENGTH STEERING WHEEL GRIP
WHEN FULLY STOPPED, GRAB STEERING WHEEL AND TIGHTEN YOUR GRIP FOR 10 SECONDS AND RELEASE. FIVE REPS.
OBLIQUES
SIDE CRUNCHES PLACE ONE HAND ON YOUR STOMACH. PUT YOUR OTHER HAND BEHIND YOUR HEAD. USING THE ARM THAT IS BEHIND YOUR HEAD, BRING YOUR ELBOW TO THE OPPOSITE KNEE. HOLD FOR FIVE SECONDS. SWITCH HANDS AND KNEES AND REPEAT. 10 TO 15 REPS. thehealthjournals.com | 57
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ALLERGY & ASTHMA Stephen Shield, M.D.
Kelly Barriault was a Richmond, Virginia native prior to her acceptance into the physician assistant program at Eastern Virginia Medical School, Norfolk Virginia. Kelly received her master’s degree from EVMS in 2005 and it was during her clinical rotations, she found her passion for dermatology. She enjoys educating patients about their skin and performing skin cancer screenings. “I am lucky to work in a field that I love. I am a people person, and I can’t imagine doing anything else. Nothing makes me happier than seeing patients improve and achieve their healthcare goals.” Kelly has worked exclusively in the field of dermatology for over 8 ½ years and now calls the Hampton Roads, Virginia area her home. Kelly resides in Chesapeake, Virginia with her husband and two girls. When Kelly is not at work, she enjoys spending time with her family. Some of her pasttimes include bike riding, going to the beach, listening to music and singing, gardening, baking, and doing arts and crafts with her girls.
Allergy Partners of Hampton Roads
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HAND SURGERY
Timothy A. O’Connell, M.D.
Timothy A. O’Connell, M.D., received a B.S. degree in Biology from the University of New York at Albany, before obtaining his medical degree from the Medical College of Virginia in Richmond, Virginia. He completed his internship in Family Practice followed by his residency in Obstetrics and Gynecology at Riverside Regional Medical Center. He has been in private practice in Newport News since 1989. Dr. O’Connell has had extensive training in laser and pelviscope surgery and is Board certified through the American College of Obstetrics and Gynecology.
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Associates in Dermatology, Inc.
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.
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Center for Women’s Health
Kelly Barriault, PA
Allergy Partners of Hampton Roads
1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443
OB/GYN
DERMATOLOGY
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WEIGHT MANAGEMENT Caroline Fornshell, M.S., R.D., C.P.T.
Nicholas A. Smerlis, M.D.
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Tidewater Ortho Dr. Smerlis, an expert in the field of hand surgery, joined Tidewater Ortho in 2007 after completing his fellowship training in hand surgery at Wake Forest University. Prior to his fellowship experience, Dr. Smerlis attended University of Rochester School of Medicine and Dentistry for his residency and internship and the University of Maryland for medical school. Upon completion of fellowship training, he moved his family to Hampton Roads to join Tidewater Ortho to build a subspecialty practice in hand surgery. Tidewater Ortho serves the Peninsula with the only two board-certified orthopaedic surgeons with further subspecialty certification in hand surgery. The hand specialists at Tidewater Ortho rely on the knowledge, training and skill of the board certified hand therapists who complete the team at Tidewater Ortho. Dr. Smerlis takes his patients to the only dedicated orthopaedic outpatient surgery center in the region, the CarePlex Orthopaedic Ambulatory Surgery Center, when performing surgery.
Caroline is an integrative nutritionist who opened LWell, a modern health club for real people. By incorporating all the components of weight loss into one warm and friendly hospitality-oriented fitness and wellness facility, she guides people towards better health by improving nutrition, fitness, fun, stress, sleep and support. Caroline works to support you and your physician in improving your health through wellness. Caroline enjoys working with a wide range of nutrition-related conditions and concerns. She graduated from Virginia Tech with a bachelor’s degree, then worked as a personal trainer for many years before becoming a registered dietitian and earning a master’s degree in nutrition from State University of New York (Oneonta). She is a member of the academy of Nutrition and Dietetics (AND), the American Association of Diabetic Educators (AADE), the American Diabetes Association (ADA), IDEA and the Physician’s Committee for Responsible Medicine (PCRM). She is certified in Adult Weight Management (AND) and is a Certified Personal Trainer (NASM).
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901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 637-7016
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301-A Village Ave. Yorktown, VA 23693 (757) 585-3441
PERSONAL TRAINING
OB/GYN
Brian Cole, CPFT, CMT
PHYSICAL THERAPY
Abby F. Anderson, M.D.
Personal Training Associates
Allen R. Jones Jr., D.P.T., P.T.
Center for Women’s Health
For over 20 years Brian has been building his personal training practice to serve not only those who want to improve their overall health and fitness but also those in need of postrehab conditioning following physical therapy, injury and/or surgery. Brian is certified as a personal fitness trainer by the American Council on Exercise (ACE), a massage therapist by the Virginia Deptartment of Health Professions, a post-rehab conditioning specialist by the American Academy of Fitness Professionals and a weight management consultant by ACE. Brian is also the co-inventor of The Back Unit for low back strengthening and injury prevention. His trainers have college degrees in exercise science or fitness management, national certification by ACSM, ACE, or NASM, and in addition, they regularly earn advanced specialty certifications in a vatriety of disciplines. They are knowledgeable and experienced working with hip/knee replacements, ACL tears, spinal and shoulder surgeries, mastectomies, rheumatoid and osteoarthritis, scoliosis, etc.
Abby F. Anderson, M.D., received her undergraduate degree from University of California, where she earned a B.A. in biology. She received her Doctor of Medicine from Hahnemann University Medical School in Philadelphia, Pennsylvania. Dr. Anderson received the Lemon Award for Academic Excellence in Obstetrics and Gynecology. She completed her internship and residency at the Medical Center of Delaware in Newark, Del. Dr. Anderson is board certified in Obstetrics/Gynecology. She has been in practice on the Peninsula since 1993. Dr. Anderson enjoys all aspects of Women’s Health including family based obstetrics, treatment of gynecologic abnormalities with minimally invasive techniques, and providing woman care for all ages and phases of life.
Personal Training Associates - Private Studios
101 Eaton Street, Suite 300 Hampton, VA 23669
Port Warwick Hilton Village 210 Nat Turner Blvd. 97 Main Street Newport News, VA 23606 Newport News, VA 23601 (757) 599-5999 www.briancoleandassociates.com
ORTHOPEDICS
Center for Women’s Health
Dominion Physical Therapy Associates, Inc. 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446
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FOOT AND ANKLE
860 Omni Blvd., Suite 113 Newport News, VA 23606 (757) 327-0657
Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 204 Williamsburg, VA 23188 (757) 345-5870 www.mytpmg.com
JASON D. MDERMATOLOGY AZZURCO, DO
Matthew A. Hopson, D.P.M.
Jason D. Mazzurco, D.O.
TPMG Orthopedics, Spine & Sports Medicine
TPMG Orthopedics, Spine & Sports Medicine
Tidewater Medical Center
Dr. Allen R. Jones, Jr. is a Licensed Physical Therapist and owner of Dominion Physical Therapy, earned his degree in Physical Therapy from the University of Connecticut in 1987 and holds a postgraduate certification in Clinical Management of Head, Facial and Neck Pain and TMJ Disorders from the American Academy of Head, Facial and Neck Pain and TMJ Orthopedics. Jones has been a member of the American Physical Therapy Association since 1988. He is also certified in ergonomics and holds a number of other certifications. Dominion Physical Therapy offices, one of which is dedicated exclusively to the rehabilitative needs of pediatric patients, are now located in Hampton, Newport News, Williamsburg, Portsmouth, and Norfolk. Jones is a father of four and married to Hampton native Gail Boyd Jones, who is a physical therapy assistant and works in the practice.
12706 McManus Blvd. Newport News, VA 23602 (757) 874-2229
Thomas C. Durbin, M.D.
Thomas C. Durbin, M.D., received his medical degree from The Ohio State University, Columbus, Ohio. He completed his Orthopaedic Surgery residency at Mount Carmel Health System in Columbus, Ohio, and a fellowship in Orthopaedic Sports Medicine at the University of Kentucky, Lexington, Kentucky. Dr. Durbin has a special interest in knee and shoulder surgery, including anatomic ACL reconstruction, arthroscopic rotator cuff repair, shoulder instability procedures, meniscal repair and revision procedures. He also performs general orthopaedics. Dr. Durbin is a member of the American Academy of Orthopaedic Surgeons, the Arthroscopy Association of North America and the American Orthopaedic Society for Sports Medicine.
Dominion Physical Therapy & Associates, Inc.
Dermatology Specialists Dr. Jason D. Mazzurco is a
Dr. Matthew A. Hopson board certified Dermatologist graduated Magna Cum Laude and fellowship trained from Washington College and Mohs Surgeon. He earned received his medical degree his Bachelor of Science and from Barry University School Master of Science degrees from The Ohio State of Podiatric Medicine, Miami, Florida. AfterwardsDr. he Jason D. Mazzurco is a Board Certified Dermatologist University, where he was a two time Big Ten and Fellowship trained Mohs Surgeon. He earned his completed a three-year surgical residency, specializing in Champion He continued his education Bachelor of Science and MasterGymnast. of Science degrees from reconstructive and trauma foot/ankle surgery at Highlands Ohio State University, whereUniversity he was a two Heritage time Big TenCollege of Osteopathic at Ohio Presbyterian/St. Luke’s Hospital in Denver, Colorado. Champion Gymnast. He continued his education at Ohio Medicine he earned medical degree. University Heritage College ofwhere Osteopathic Medicinehis where His clinical expertise includes treatment of complex completed a residency in Dermatology and he earned his medicalHe degree. deformities, lateral ankle instability, sports injuries, foot a fellowship in Mohs micrographic surgery at St. and ankle fractures, arthritis and other lower extremity Dr. Mazzurco completed a residency in Dermatology and a Joseph Mercy Hospital through Michigan State ailments. Dr. Hopson has extensive experience inFellowship ankle in Mohs Micrographic Surgery at St. Joseph Michigan University where he resident. Mercy Hospital through University andState served as the chief arthroscopy, total ankle replacement surgery, posterior served as the Chief Resident. He is published in numerous Dr. Mazzurco practices surgical dermatology tibialis tendon dysfunction, external fixation and limb peer-reviewed journals and has presented both nationally treating both benign and malignant lesions of the skin. and internationally on cutaneous oncology. salvage procedures.
He specializes in the diagnosis and treatment of skin
Tidewater Medical Center 860 Omni Blvd., Suite 113 Newport News, VA 23606 (757) 327-0657
Tidewater Medical Center at New 5424 Discovery Park Blvd. Bldg. B, Suite 204 Williamsburg, VA 23188 (757) 345-5870 www.mytpmg.com
Dr. Mazzurco practices primarily surgical dermatology treating cancer, Mohs surgery and reconstructive surgery. both benign and malignant lesions of the skin. He specializes Mazzurco joined Dermatology Specialists in the diagnosis and Dr. treatment of skin cancer, Mohs Surgery and reconstructive insurgery. 2014. In 2014, Dr. Mazzurco joined Dermatology Specialists and relocated to the Peninsula with his wife and daughter. In his Townleisure time, he enjoys outdoor activities and spending time with his family and friends. Dermatology Specialists
11844new Rock Landing Drive, inSuite Dr. Mazzurco welcomes patients to his practice the B Newport News, VA 23606 Newport News office. (757) 873-0161
www.opderm.net
11844 Rock Landing Drive, Suite B
•
Newport News, VA 23606
60 | thehealthjournals.com
HEALTH DIRECTORY | STAYING WELL
HEALTH DIRECTORY EMERGENCY NUMBERS
AUDIOLOGY & HEARING
National Response Center
Colonial Center For Hearing
Toll-Free: (800) 424-8802
National Suicide Crisis Hotline Toll-Free: (800) 784-2433
National Suicide Prevention Hotline
Toll-Free: (800) 273-8255
430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004
BEHAVIORAL HEALTH & PSYCHIATRY
COSMETIC & PLASTIC SURGERY Reneau Medical Center for Age Management & Aesthetic Medicine
120 Kings Way, Suite 2550 Williamsburg (757) 345-3064
Williamsburg Plastic Surgery
The Pavilion at Williamsburg Place
Poison Control Center Toll-Free: (800) 222-1222
5483 Mooretown Road Williamsburg (800) 582-6066
333 McLaws Circle Williamsburg (757) 345-2275
ALLERGY & ENT
CARDIOLOGY
DENTISTRY
Hampton Roads ENT & Allergy
Riverside Cardiovascular Health
New Town Dental Arts
5408 Discovery Park Drive Williamsburg (757) 253-8722
11842 Rock Landing Drive, Suite 100 Newport News (757) 873-0338 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500
Riverside Ear, Nose & Throat Physicians & Surgeons 120 Kings Way, Suite 2900 Williamsburg (757) 345-2600
895 Middle Ground Blvd., Suite 152 Newport News (757) 599-5505
117 Bulifants Blvd., Suite B Williamsburg (757) 259-9540
5408 Discovery Park Blvd., Ste. 200 Williamsburg (757) 645-9353
Wade Quinn, DC
Sebastiana G. Springmann, DDS 4939 Courthouse Street Williamsburg (757) 259-0741 Loretta Rubenstein, DDS 12725 McManus Blvd., Suite 1B Newport News (757) 874-0990
Pinto Chiropractic & Rehabilitation
1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900
DIAGNOSTIC IMAGING
729 Thimble Shoals Blvd. Bldg. 7E Newport News (757) 873-3322
250 Nat Turner Blvd. Newport News (757) 596-1444
Patrick R. Wyatt, DDS Orthodontics
Tidewater Diagnostic Imaging
12528 Warwick Blvd., Suite F Newport News (757) 595-7990 7151 Richmond Road Williamsburg (757) 565-3737
DERMATOLOGY
Rubenstein Orthodontics
CHIROPRACTIC & ACUPUNCTURE
Benjamin T. Watson, DDS, PLC Family, Cosmetic, & Sedation Dentistry
Williamsburg Center for Dental Health
Stacey Sparkman Hall, DDS 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303
Associates In Dermatology, Inc.
17 Manhattan Square Hampton (757) 838-8030
Schumann Dermatology Group 5309 Discovery Park Blvd. Williamsburg (757) 564-1200
Dermatology Center of Williamsburg
Donna M. Corvette, MD 5535 Discovery Park Blvd. Williamsburg (757) 645-3787
Orthopaedic & Spine Center
100 Sentara Circle Williamsburg (757) 984-6000
ENDOCRINOLOGY Riverside Endocrinology & Diabetes Center
120 Kings Way, Suite 2550 Williamsburg (757) 534-5909
FAMILY PRACTICE Riverside Family Practice & Extended Care 5231 John Tyer Highway Williamsburg (757) 220-8300
Riverside Norge Internal Medicine & Pediatrics Center 7364 Richmond Road Williamsburg (757) 345-0011
Riverside Williamsburg Family Medicine
120 Kings Way, Suite 1400 Williamsburg (757) 345-2555
7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478
Oncology and Hematology Designed to Fit Your Needs.
CANCER CARE CLOSER TO HOME Guy W. Tillinghast, M.D., is board certified in oncology and internal medicine, is a member of the American Society for Clinical Oncology, the American Society for Hematology, and has served on three FDA committees investigating the implementation of microarray and sequencing technology in personalized medicine. Dr. Tillinghast has been a principal investigator for over 50 cancer clinical trials and has been practicing in Newport News since 2005.
Guy W. Tillinghast, M.D.
Accepting New Patients
mytpmg.com
TPMG Cancer Care Mary Immaculate Medical Pavilion 12720 McManus Blvd., Suite 307 Newport News, VA 23602 757-234-6970 thehealthjournals.com | 61
STAYING WELL | HEALTH DIRECTORY FITNESS
HEALTH CARE ATTORNEYS
B-defined Innovative Personal Training & Wellness
Brain Injury Law Center
4801 Courthouse St., Ste. 122 Williamsburg (757) 345-6801
LWell - Longevity Wellness 301-A Village Ave. Yorktown (757) 585-3441
FREE CLINICS American Red Cross Adult Dental Clinic 606 West 29th St. Norfolk (757) 446-7756
Angels of Mercy Medical Clinic
7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700
Beach Health Clinic
3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601
Chesapeake Care
2100 Kecoughtan Road Hampton (877) 840-3431
Mellette PC
428 McLaws Circle, Suite 200 Williamsburg (757) 259-9200
860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077
HOME CARE Agapé Home Care
350 McLaws Circle, Suite 2 Williamsburg (757) 229-6115
Visiting Angels
12388 Warwick Blvd., Suite 206 Newport News (757) 599-4145
727 25th St. Newport News (757) 594-4060
2 Bernardine Drive Newport News (757) 886-6000
H.E.L.P. Free Clinic
Bon Secours DePaul Medical Center
1620 Old Williamsburg Road Yorktown (757) 886-0608
Olde Towne Medical and Dental Center
5249 Olde Towne Road Williamsburg (757) 259-3258
Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132
Western Tidewater Free Clinic
2019 Meade Parkway Suffolk (757) 923-1060
GASTROENTEROLOGY Colonial Gastroenterology 400 Sentara Circle, Suite 103 Williamsburg (757) 534-7701
11803 Jefferson Ave., Suite 230 Newport News (757) 534-7701
Digestive Disease Center of Virginia, PC
Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190
Riverside Williamsburg Gastroenterology
457 McLaws Circle, Suite 1 Williamsburg (757) 221-0750
GENERAL SURGERY Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2600 Williamsburg (757) 345-0141
62 | thehealthjournals.com
Sentara Heart Hospital
American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610
Endependence Center, Inc.
600 Gresham Drive Norfolk (757) 388-8000
Sentara Leigh Hospital
American Parkinson’s Disease Association
Faith in Action
Sentara Norfolk General Hospital
Bon Secours Mary Immaculate Hospital
Lackey Free Clinic
Edmarc Hospice for Children
The Hernia Center at Mary Immaculate Hospital
The Community Free Clinic of Newport News
1325 LaSalle Ave. Hampton (757) 727-2577
870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662
HERNIA SPECIALISTS
2145 South Military Highway Chesapeake (757) 545-5700
H.E.L.P. Free Dental Clinic
American Diabetes Association
3000 Coliseum Drive Hampton (757) 736-1000
830 Kempsville Road Norfolk (757) 261-6000
HOSPITALS & MEDICAL CENTERS
1320 LaSalle Ave. Hampton (757) 727-2577
Sentara CarePlex Hospital
Granby St. & Kingsley Lane Norfolk (757) 889-5310
Bon Secours Maryview Medical Center
3636 High St. Portsmouth (757) 398-2200
Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800
Bon Secours Surgery Center at Harbour View
5818 Harbour View Blvd., Ste. 102 Suffolk (757) 215-0499
Chesapeake Regional Medical Center
1323 W. Pembroke Ave. Hampton (757) 838-7320
Sentara Obici Hospital
1317 Jamestown Road, Suite 105 Williamsburg (757) 253-0228
2800 Godwin Blvd. Suffolk (757) 934-4000
Sentara Port Warwick
1031 Loftis Blvd. Newport News (757) 736-9898
Sentara Princess Anne
2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000
Sentara Virginia Beach General Hospital
1060 First Colonial Road Virginia Beach (757) 395-8000
Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000
INDEPENDENT SENIOR LIVING Greenfield Senior Living of Williamsburg
251 Patriot Lane Williamsburg (757) 220-4014
Williamsburg Landing
5700 Williamsburg Landing Drive Williamsburg (757) 585-4436
120 Kings Way, Suite 3500 Williamsburg (757) 220-6823
NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511
222 W. 21st St., Suite F-308 Norfolk (757) 622-2989
Riverside Doctors’ Hospital
Alzheimer’s Association
Riverside Regional Medical Center
500 J. Clyde Morris Blvd. Newport News (757) 594-2000
Sentara Independence
800 Independence Blvd. Virginia Beach (757) 363-6100
The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-1700
Avalon: A Center for Women & Children
Williamsburg (757) 258-9362
AWARE Worldwide, Inc.
6350 Center Drive, Bldg. 5, Ste. 228 Norfolk (757) 965-8373
Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222
Beyond Boobs! Inc.
1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649
Cancer Care Foundation of Tidewater
Center for Excellence in Aging & Lifelong Health
120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
120 Kings Way, Suite 2800 Williamsburg (757) 345-0141 1500 Commonwealth Ave. Williamsburg (757) 585-2200
202 Packets Court Williamsburg (757) 229-0643
Williamsburg Neurology & Sleep Disorders Center
Riverside Neurosurgical & Spine Specialists
Riverside Hampton Roads Surgical Specialists
The Arc of Greater Williamsburg
5900 Lake Wright Drive Norfolk (757) 461-8488
Children’s Hospital of The King’s Daughters
11803 Jefferson Ave., Suite 130 Newport News (757) 594-1899
6912 George Washington Memorial Highway Yorktown (757) 898-3090
NEUROLOGY
NEUROSURGERY
Dorothy G. Hoefer Comprehensive Breast Center
American Red Cross
600 Gresham Drive Norfolk (757) 388-3000
736 Battlefield Blvd. North Chesapeake (757) 312-8121
601 Children’s Lane Norfolk (757) 668-7098
4560 Princess Anne Road Virginia Beach (757) 495-3062
6350 Center Drive, Suite 102 Norfolk (757) 459-2405
213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900
American Cancer Society
11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330
3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751
CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Drive, Suite 1100 Norfolk (757) 388-6229
Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300
Citizens’ Committee to Protect the Elderly
PO Box 10100 Virginia Beach (757) 518-8500
Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200
Denbigh Clubhouse for Brain Injury Survivors
12725 McManus Blvd, Suite 2E Newport News (757) 833-7845
Dream Catchers Therapeutic Riding
10120 Fire Tower Road Toano (757) 566-1775
516 London St. Portsmouth (757) 967-9251 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007
354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890
Food Bank of the Virginia Peninsula
2401 Aluminum Ave. Hampton (757) 596-7188
Food Bank of SEVA
800 Tidewater Drive Norfolk (757) 627-6599
Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161
Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220
Jewish Family Service
260 Grayson Road Virginia Beach (757) 321-2223
Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501
Leukemia & Lymphoma Society 6350 Center Drive, Suite 216 Norfolk (757) 459-4670
National MS Society
760 Lynnhaven Parkway., Suite 201 Virginia Beach (757) 490-9627
The Needs Network, Inc.
9905 Warwick Blvd. Newport News (757) 251-0600
National Alliance on Mental Illness-Williamsburg Area P.O. Box 89 Williamsburg (757) 220-8535
National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298
Norfolk Community Services Board
229 W. Olney Road, Room 1 Norfolk (757) 664-6670
Peninsula Agency on Aging
739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541
Peninsula Institute for Community Health
1033 28th St. Newport News (757) 591-0643
Peninsula Pastoral Counseling Center
707 Gum Rock Court Newport News (757) 873-2273
Protect Our Kids
P.O. Box 561 Hampton (757) 727-0651
Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771
HEALTH DIRECTORY | STAYING WELL Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386
RSVP: Retired Senior Volunteers
12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037
St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208
The Sarah Bonwell Hudgins Foundation
1 Singleton Drive Hampton (757) 827-8757
Senior Center of York
5314 George Washington Hwy. Yorktown (757) 898-3807
Senior Services Coalition
3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-3480
United Way
739 Thimble Shoals Blvd., Suite 400 Newport News (757) 873-9328 5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264
The Up Center
1805 Airline Blvd. Portsmouth (757) 397-2121
ORTHODONTICS Rubenstein Orthodontics
Loretta Rubenstein, DDS 12725 McManus Blvd., Suite 1B Newport News (757) 874-0990
Patrick R. Wyatt, DDS Orthodontics
12528 Warwick Blvd., Suite F Newport News (757) 595-7990 7151 Richmond Road Williamsburg (757) 565-3737
ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 4374 New Town Road, Suite 102 Williamsburg (757) 873-1554
Orthopaedic & Spine Center
120 Kings Way, Suite 2800 Williamsburg (757) 534-9988
Riverside Orthopedic Specialists
Tidewater Orthopaedic Associates
901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480
160 Newtown Road Virginia Beach (757) 233-7111
5208 Monticello Ave. Williamsburg (757) 206-1004
OBSTETRICS & GYNECOLOGY
PAIN MANAGEMENT
Riverside Partners In Women’s Health
120 Kings Way, Suite 3400 Williamsburg (757) 253-5600
Williamsburg Obstetrics & Gynecology
1115 Professional Drive Williamsburg (757) 253-5653
ONCOLOGY Riverside Peninsula Cancer Institute
2007 Meade Pkwy. Suffolk (757) 539-6300
120 Monticello Ave. Williamsburg (757) 564-3627
4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651
204 Gumwood Drive Smithfield (757) 357-7762
1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676
2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316
5 Armistead Pointe Parkway Hampton (757) 224-4601
100 Winters St., Ste. 106 West Point (757) 843-9033
828 Healthy Way Virginia Beach (757) 463-2540
1745 Camelot Drive, Ste. 100 Virginia Beach (757) 961-4800
1817 Laskin Road, Ste. 100 Virginia Beach (757) 437-0471
4020 Raintree Road, Suite D Chesapeake (757) 484-4241
1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060
135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512
101 Long Green Blvd. Yorktown (757) 952-1900
927 N. Battlefield Blvd., Ste. 200 Chesapeake (757) 436.3350
Dominion Physical Therapy & Associates, Inc.
6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890
120 Kings Way, Suite 3200 Williamsburg (757) 253-0051
1580 Armory Drive, Ste. B Franklin (757) 562-0990
VASCULAR SURGERY
SLEEP MEDICINE
Riverside Peninsula Vascular Surgery
Riverside Orthopaedics & Sports Medicine
850 Enterprise Parkway, Suite 2000 Hampton (757) 534-9988
We Promise Foundation
235 Hanbury Road East Chesapeake (757) 391-7660
466 Denbigh Blvd. Newport News (757) 875-0861
VersAbility Resources
Hampton (757) 722-9961, ext. 3009
URGENT CARE
304 Marcella Road, Suite E Hampton (757) 825-9446
12200 Warwick Blvd., Suite 310 Newport News (757) 534-9988
Vets Advocating for Vets
7190 Chapman Drive Hayes (804) 642-3028
250 Nat Turner Blvd. Newport News (757) 596-1900
222 W. 19th St. Norfolk (757) 622-7017 2520 58th St. Hampton (757) 896-6461
13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690
Riverside Pain Medicine & Rehabilitation Specialists 120 Kings Way, Suite 2550 Williamsburg (757) 345-3050
PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy 5838 Harbour View Blvd. Suffolk (757) 673-5971 2012 Meade Parkway Suffolk (757) 934-3366
301 Riverview Ave. Norfolk (757) 963-5588 729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932
120 Kings Way, Suite 2200 Williamsburg (757) 645-3460
243 McLaws Circle, Suite 102 Williamsburg (757) 564-9628
Williamsburg Neurology and Sleep Disorders Center
500 Rodman Ave., Suite 4 Portsmouth (757) 393-6119
Hampton Roads Orthopaedics & Sports Medicine
5231 John Tyler Highway Williamsburg (757) 220-8300
UROLOGY Riverside Hampton Roads Urology
156-A Strawberry Plains Road Williamsburg (757) 229-7939
WEIGHT LOSS LWell - Longevity Wellness 301-A Village Ave. Yorktown (757) 585-3441
Riverside Weight Loss Specialists
850 Enterprise Parkway, Suite 1300 Hampton (757) 637-7637
901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Ave. Williamsburg (757) 206-1004
Tidewater Physical Therapy 2106 Executive Drive Hampton (757) 838-6678
9 Manhattan Square, Suite B Hampton (757) 825-3400
3300 High St., Suite 1-A Portsmouth (757) 673-5689
751 J. Clyde Morris Blvd. Newport News (757) 873-2123
4900 High St. West Portsmouth (757) 483-4518
12655 Warwick Blvd., Suite B Newport News (757) 599-5551
7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333
156-B Strawberry Plains Road Williamsburg (757) 565-3400
885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800
7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753
14703 Warwick Blvd., Ste. B Newport News (757) 947-1230
4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383
2 Bernardine Drive Newport News (757) 886-6480
6970 Fox Hunt Lane, Gloucester (804) 694-8111
120 Kings Way, Suite 1300 Williamsburg (757) 345-3001
Riverside Williamsburg Family Practice & Extended Care
Tidewater Orthopaedic Associates
12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555
Riverside Hampton Roads Eye Associates
3321 West Mercury Blvd. Hampton (757) 224-0056
250 Nat Turner Blvd. Newport News (757) 596-1900
2695 McManus Blvd., Building 6, Suite B Newport News (757)223-5612
113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375
12997 Warwick Blvd. Newport News (757) 369-9446
Orthopaedic & Spine Center Physical Therapy
5553 Portsmouth Blvd. Portsmouth (757) 465-7906
Retina & Glaucoma Associates
120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
4740 George Washington Memorial Highway Yorktown (757) 890-6339
730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554
120 Kings Way, Suite 3100 Williamsburg (757) 345-5724
OPTOMETRY & OPHTHALMOLOGY
Pulmonary & Sleep Consultants of Williamsburg
MD Express
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