APRIL 2014 — THEHEALTHJOURNALS.COM
HAMPTON ROADS EDITION
Fitness Apps for
Every Level p. 36
Sleep Disorders in Teens p. 38
Decoding the Autism Spectrum p. 18
Reversing Obesity in Children p. 24
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Brain Teasers
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CONTENTS
features
6 / INBOX & FEATURED READER 7 / TALKING ABOUT 8 / EDITOR'S NOTE 10 / TAGGED 12 / PROFILE & BOOKSHELF 14 / CALENDAR
departments 16 / ADVANCES IN MEDICINE Using proton therapy to sting cancer
28 / FLAVOR Changing your mind about Riesling
24
29/ TASTE APPEAL
LEARNED HEALTHFULNESS There’s a lot of finger pointing when it comes to childhood obesity. So how do we solve it?
Getting spicy with Chicken Korma
30 / LOOKING GOOD Spring fragrances that turn heads
18
SPECTRUM OF CONFUSION
21
BEATING THE ODDS
32 / SECOND OPINION What to do about back pain
33 / FITNESS Four fitness apps to take with you
With changing definitions, what does it really mean when a child is “on the spectrum?”
Chronic illnessonce signaled low life expectancy. Find out how that’s changed.
34 / OVER 50 How beta blockers affect exercise
36 / OUTDOORS 38 / FAMILY Does your child have a sleep disorder?
42 / ON THE WEB & TECH TALK 43 / HEALTH DIRECTORY 46 / BRAIN TEASERS
{
RECIPES AT A GLANCE
} Yum!
31 / CHICKEN KORMA
31
THEHEALTHJOURNALS.COM | APRIL 2014
Serve up your best tennis game this spring
5
INBOX & FEATURED READER
Featured Reader KAREN REINTHALER, 57
{ Williamsburg, Va • Reader since: 2005 } Occupation: Commercial Realtor with Liz Moore and Associates What Readers Would Be Surprised to Know About Me…
I want to become a female “Jerry Maguire” sports agent! With my passion for sports, law and business negotiations, it’s a natural fit for me. Anything is possible! What She Likes Best About The Health Journal?
Love the coverage of medical current issues with the personal twist to your stories. Also, monthly local professionals with a call-to-action on how to make that change now!
INBOX
A “ Good piece, Natalie. I haven't seen this issue aired elsewhere (“Frozen,” by Natalie Miller Moore, March 2014.)”
INTRODUCING:
What’s the weirdest (or cutest) thing you’ve come across on a bike ride?
BRA
IN TEASERS
- Ellen Graham, Williamsburg, Va. B “My husband was treated [at Hampton Institute] for a recurrence of cancer in 2006. We still see those docs for checkups. Love those people! (“CyberKnife,” by Kim O’Brien Root, March 2014)”
LIBBEY DUNHAM I saw a bear and a copperhead!
MARCH WINNER Bill Gallagher
Williamsburg, Va.
Challenge your brain with our puzzles! UP FOR THE CHALLENGE? Turn to page 46 to find out how you can win a $20 gift card!
- Loretta Lovitt Wheeler, Siberia, Ind.
6
APRIL 2014 | THEHEALTHJOURNALS.COM
C “I can related very much...glad he is doing well now. I’m a mom of a 6-month-old boy with Tetralogy of Fallot with pulmonary artersia waiting on his second surgery for full repair. Spent almost 5 months at CHKD. (“All Heart: Keaton Puffenbarger,” by Chris Jones, March Web Extra)
JOIN THE CONVERSATION: FACEBOOK.COM/THEHEALTHJOURNAL
POPULAR ONLINE READS CYBERKNIFE
- Erin Nicole Ferguson, Chesapeake, Va.
364 LIKES • 12 TWEETS HTTP://BIT.LY/CYBERKNIFE
STRETCH LIKE A CAT 72 LIKES • 2 TWEETS
HTTP://BIT.LY/CHILDRENSYOGA
HOME STRETCH 40 LIKES • 10 TWEETS HTTP://BIT.LY/HOMESTRETCHES
READ MORE STORIES: TheHealthJournals.com
Q:
PUBLISHERS
Brian & Page Freer brian@thehealthjournals.com
ABOUT
What’s your favorite experience at the farmers’ market?
TALKING ABOUT
TALKING
VOL. 9, NO. 10 The Health Journal is a monthly consumer health magazine serving southeastern Virginia. Magazines are distributed via direct mail, racks and hand delivery. For more information, visit thehealthjournals.com.
EXECUTIVE DIRECTOR
Rita L. Kikoen rita@thehealthjournals.com
ALEXIS:
EDITOR-IN-CHIEF
I love everything about the farmers’ market from the free-range meats and cheeses to the fresh produce and flowers. But mostly I love knowing where my food is coming from and getting the chance to help out local farmers.
Chris Jones chris@thehealthjournals.com MEDICAL EDITOR
Ravi V. Shamaiengar, M.D. CLIENT LIAISON
Jenna Rich jenna@thehealthjournals.com ART DIRECTOR
JENNA:
Liz Lane liz@thehealthjournals.com
Seeing all of the local bakeries, farms and wineries coming together and creating that local, family-owned business feeling.
DESIGNER
Susan Thompson susan@thehealthjournals.com VIDEO PRODUCTION MANAGER
Alexis Kikoen alexis@thehealthjournals.com PHOTOGRAPHY
Brian M. Freer Liz Lane CIRCULATION
Ryan Bishop circulation@thehealthjournals.com
LIZ:
CONTRIBUTORS
Shawn Radcliffe Morgan Barker Kim O’Brien Root Alison Johnson Teresa Bergen John Struzzo, PT
Christopher Bifano Natalie Miller Moore Renee Midgette, PT, DPT Brittany DeLong Kimberley Cauchon Haugh
The stuff in jars– jams, jellies and preserves. Yum!
ADVERTISE Email advertise@thehealthjournals.com, or call (757) 645-4475 for rates.
CHRIS:
e
e This cycl M ag Re ine az
SUSAN:
I enjoy the lively atmosphere, talking with local farmers and asking questions. My husband and I want to have a farm some day, so it’s a great place to find inspiration and learn.
ANSWER ON
FACEBOOK! We want to hear from you, too! Log on to Facebook and tell us what farmers’ market you frequently visit and your favorite things about that market!
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THEHEALTHJOURNALS.COM | APRIL 2014
Pastries and baked goods!
CONTRIBUTE Email editorial@thehealthjournals.com for editorial and contributor guidelines.
EDITOR'S NOTE
ON THE PORCH “WHEN IT MATTERS MOST, GOOD PEOPLE STEP UP...”
8
APRIL 2014 | THEHEALTHJOURNALS.COM
— ROB GROGAN, PUBLISHER, FRONT PORCH FREDERICKSBURG
i met rob grogan three years ago in the fall of 2011. His hair was kept beneath what I would learn was his signature, faded New York Yankees ball cap. I’m sure at one time it was navy blue, but now it was gray, much like the hair it hid. And although Rob had a grandfatherly appearance with his wire rim glasses and white, full beard, he had the heart of a man half his 59 years. I learned that day that Rob was the editor and publisher of The Front Porch Fredericksburg. I was writing independently at the time and we struck up a friendship. Six months later, I took a position editing a magazine in town, Fredericksburg Parent, and even though we were in a similar market, it was never a competition between publications, or even two editors, but a brotherhood between men. Men who loved writing, a good drink and who could trace each other back to the campus of Duquesne University in Pittsburgh, Pa. I loved Rob Grogan. I still do. And even though we lost him on February 23 to carcinoid cancer, he impressed a lot of things on me. There wasn’t a conversation where his adoration for his wife, Virginia, and his love for his daughter, Lexi, weren’t expressed. He created his magazine as a family business—something he was proud of—because he wanted to prove that good news existed and that people would receive it. And they did. In February, just a few weeks before his passing, he celebrated his 200th issue. I’ve met a lot of good men, a few great men and one Rob Grogan.
This month, I invite you to read about some amazing people here in Hampton Roads. I’m sure some of you know our Featured Reader, Karen Reinthaler, Liz Moore’s superstar commercial relator. She’s truly a remarkable woman full of life and energy. Her life aspiration will tickle you. I giggled when I read it. It’s so Karen. And what can I say about Darrell Wood, who at age 17 faced and beat testicular cancer using theatre as inspiration? He returned to our local children’s hospital to spread joy and hope to children fighting for their lives. In him, Rob’s quote above rings true. I hope you have someone in your life who inspires you and helps you see the good in everything. And if you don’t have that person, become that person. We need you.
CHRIS JONES /EDITOR-IN-CHIEF CHRIS@THEHEALTHJOURNALS.COM
❥ PHOTO BY LIZ LANE
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TAGGED 10 APRIL 2014 | THEHEALTHJOURNALS.COM
SEAFORD Students and teachers at Seaford Elementary mark the 100th day of school. Mrs. Foret’s second grade class dressed up as centenarians. From L to R: Marissa Dahl, Sarah Langston, Corbin Auby, Caleb Hogge, Skyler Olberg and Mia Thornton.
YORKTOWN Melissa Errett of Booz-Allen Hamilton presented the Cyber Patriot Team from Tabb High School with a Chapter STEM donation. The team competed in the regional Cyber Patriot competition in February.
PORTSMOUTH On March 10, Governor Terry McAuliffe spoke at a roundtable at Bon Secours Maryview Medical Center about healthcare coverage and expanding Medicaid coverage.
NEWPORT NEWS Allen R. Jones Jr., CEO of Dominion Physical Therapy & Associates Inc, presents the 2nd Annual Dominion Physical Therapy Scholarship to Desiree Williams, a student in Hampton University’s Physical Therapy doctorate program and Miss Virginia 2014.
WILLIAMSBURG Christy Jensen, chair of the 2013 Williamsburg Walk to End Alzheimer’s, and Barbara Monteith, development associate, hold an award received by The Southeastern Virginia Chapter of the Alzheimer’s Association. The chapter received a STAR recognition award for its outstanding achievement in meeting and exceeding its goals for all six of the Chapter’s Walk to End Alzheimer’s events in 2013.
WILLIAMSBURG R.F. Wilkinson Family YMCA hosted a Valentine’s Day Appreciation Program for local veterans. YMCA members distributed homemade Valentine’s cards, served refreshments and learned about service members’ unique memories. Pictured, L-R, Megan Leach (YMCA’s social responsibility coordinator), John Cuper , Gean and Lorie Rockhill, Angela Dereix, Boots Wilson, Mark and Judith Maggio and Dave Harris.
Doing something good for the community? Send your photos to tagged@TheHealthJournals.com
WILLIAMSBURG Bree, daughter of New Town Dental Arts dental assistant Jessica Luchard, recently donated 13 inches of hair to Locks of Love.
WILLIAMSBURG Students in the Spring 2014 class at Buddha Balance Yoga School (held at Body Balance Studio) participated in an Acro Yoga class led by guest instructor Katie Capano.
24th Annual
5K By The Bay RUN • WALK • WHEEL
Hurry! Register at
riversideonline.com/RRI
Friday, May 2nd from noon - 7pm Riverside Rehabilitation Institute 245 Chesapeake Avenue, Newport News, VA 23607
RiVeRside
Scenic Chesapeake Avenue in Newport News, VA
ABiLiTATiON eH
sTiTUTe iN
Saturday May 3, 2014
Early packet pick-up will be held
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T-Shirt * availability and size are not guaranteed unless you pre-register.
Make A Difference Fund
Proceeds to benefit the Riverside Rehabilitation Make A difference Fund.
PROFILE & BOOKSHELF APRIL 2014 | THEHEALTHJOURNALS.COM 12
TAKING CENTER STAGE Darrell Wood Beats Cancer at CHKD, Gives Back ❥ WRITTEN BY ALISON JOHNSON
through two chemotherapy rounds and two surgeries, one to remove lymph nodes that left a 16-inch scar from his breastbone to groin, Darrell Wood kept pushing past his exhaustion. Battling testicular cancer, the disease that struck his older brother at the exact same age (18 years, 4 months), Wood finished his senior year at Peninsula Catholic High
School in Newport News, Va. He lost his long blonde hair and his appetite but performed the lead in the school’s musical, “Beauty and the Beast,” and appeared in shows at Busch Gardens. In his first semester at Virginia Wesleyan College in Norfolk, Va., Wood earned a 3.2 GPA as a music and theater major. He also found extra energy to give back to Children’s Hospital of The King’s Daughters, which he credits with saving his life. Wood has visited hospitalized kids in show costume, shared his story at hospital fundraisers and now hopes to create theater workshops for children. “Cancer took a lot out of me, but I also learned how much I could still do,” says Wood, currently cancerfree. “I had ‘Why me?’ moments, but my message is to never let
“CANCER TOOK A LOT OUT OF ME, BUT I ALSO LEARNED HOW MUCH I COULD STILL DO” anything hold you back from pursuing your dreams.” Doctors originally suspected appendicitis or a hernia when Wood went to an urgent care center complaining of abdominal pain in February 2013. Instead, he was shocked when they found a testicular mixed germ cell tumor— just what his older brother had faced about a year earlier. The family had no prior history of the disease. A week later, Wood had surgery to remove the mass. In October, doctors found traces of cancerous cells in two lymph nodes and took out more than 25 as a precaution. Wood was bald when he and the “Beauty” cast came to sing, play, draw and make friendship bracelets with CHKD patients, whose faces lit up at the prince and princess costumes. “Darrell showed those kids, ‘I’m making it through. I’m doing what I love. I’m proud of my bald head,’” says Lauren Babashanian, a child life assistant at CHKD. “That’s empowering.” Dreaming of a New York City musical theater career, Wood undergoes regular checkups (as do Robert and their younger brother Dillan, 17). Cancer has changed him in countless ways: his straight hair grew back curly, for one, and he suddenly loves spicy foods. He focuses on the positives and the big picture. “If this hadn’t happened,” he says, “I wouldn’t have gotten to meet so many amazing people.”
THE GO-GIVER ❥ REVIEWED BY CHRIS JONES
in the go-giver, the underlying lesson is “the more successful [people] are, the more willing they are to share their secrets with others.” Joe, an ambitious salesman is looking for success when he’s on the verge of losing a critical sale at the end of a challenging business quarter. While discussing his quandary with his aloof but kind coworker, Gus, he is advised to connect with a legendary Pindar. Joe’s excitement is dampened when Pindar tells him that the secret to success isn’t being a go-getter, but a go-giver; that great people focus on adding value to others and not themselves. Though disheartened, Joe decides to take Pindar up on his offer to meet other go-givers and to test his theory. The stipulation being that each law be tested the same day it’s learned. Over the next week, Joe meets five “go-givers:” a restaurateur, a CEO, a financial adviser, a real estate broker and the “Connector,” who brought them all together. Each helps Joe by imparting the one of the laws they learned in the Five Laws of Stratospheric Success that opened them up to giving. Joe learns that changing his focus from receiving to giving ultimately leads to unexpected returns and more satisfaction and fulfillment for himself and his clients.
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CANCERS TREATED:
Prostate Head and neck Pancreatic Brain Breast Pediatric and other cancers Jenica Harrison Oral Cancer Survivor Richmond, VA
Join us for a FREE informational seminar on proton therapy. Tuesday, Apr. 22 6:00 p.m.
Tuesday, May 20 6:00 p.m.
Hampton University Proton Therapy Institute
Williamsburg Regional Library
40 Enterprise Parkway Hampton, VA 23666
REGISTER NOW hamptonproton.org/seminars 877.251.6838
515 Scotland St. Williamsburg, VA 23185
If you or a loved one have been diagnosed with cancer, you may be interested in joining us for a brief informational seminar to learn more about proton therapy. Hear from the physicians of Hampton University Proton Therapy Institute, and speak with real patients about their experience. Proton therapy is an effective, FDA-approved treatment for breast, prostate, brain, pediatric and many other cancers. Find out if proton therapy may be a viable treatment option for you. © 2014 Hampton University Proton Therapy Institute SE0324 E Each patient’s experience with cancer and proton therapy treatment may be different. Talk with one of our HUPTI clinicians about whether proton therapy is right for your cancer.
CALENDAR
APRIL 5TH
WALK A MILE IN HER SHOES
EVENTS
OSC COMMUNITY LECTURE
Men walk to raise funds and awareness for sexual assault survivors.
Dr. Jenny Andrus discusses treatments for peripheral neuropathy in this lecture.
When: 10:00 a.m. to 12:00/noon Where: Peninsula Town Center Price: $20 Contact: 757-596-1900
5TH
When: 7:00 p.m. Where: Orthopaedic & Spine Center at Newport News Price: Free Contact: 757-596-1900
BON SECOURS 5K FOR COLON CANCER
Participate in this run to raise funds and awareness for colon cancer.
When: 8:00 a.m. Where: Bon Secours Health Center - Harbor View Price: $30 Contact: bshr.com
5TH
RAIN BARREL WORKSHOP
When: 12:30 p.m. to 2:00 p.m. Where: Norfolk Botanical Garden Price: $58 members or $75 non-members Contact: norfolkbotanicalgarden.org
When: 8:00 a.m. Where: Sentara CarePlex Hospital Price: Free Contact: 800-736-8272
APRIL 2014 | THEHEALTHJOURNALS.COM 14
Come on out to this food and wine event to raise funds for the local food banks.
When: 6:00 p.m. to 9:30 p.m. Where: Hampton Roads Convention Center Price: $35 in advance or $50 at the door Contact: hrfoodbank.org
21ST
When: 6:00 p.m. to 7:00 p.m. Where: Newport News Pediatrics Price: Free Contact: 757-668-6300
WEIGHT LOSS & DIABETES SEMINAR
EARTH DAY CELEBRATION
21ST
Bring the family out for special activities in honor of Earth Day.
When: 9:00 a.m. to 5:00 p.m. Where: The Virginia Living Museum Price: Free for members; $17/Adults, $13/Children Contact: thevlm.org
PARENTING ON THE SAME PAGE
Learn discipline and cooperation in raising children in this seminar.
When: 6:30 p.m. to 8:30 p.m. Where: CHKD Health & Surgery Center at Oyster Point Price: Free Contact: chkd.org
17TH
Meet the pediatricians and staff and find out which services are available during this event.
Dr. John Newman discusses ways to help in your struggle with weight loss and diabetes.
10TH
TASTEFULLY YOURS
NEWPORT NEWS PEDIATRIC MEET & GREET
Learn how to make your own rain barrel.
9TH
15TH
FAMILY & FRIENDS CPR CLASS
28TH
Learn CPR basics that could help save your family and friends in this course.
When: 6:30 p.m. Where: Bon Secours Mary Immaculate Hospital Price: $25 per person or $35 per couple Contact: 757-889-2273
GET MORE EVENTS AT: THEHEALTHJOURNALS.COM/CALENDAR
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ftixr DEDICATED TPMG PHYSICIAN RETIRING TPMG congratulates Carlos Acosta, MD on his retirement from Hartford Family Medicine on March 31, 2014. Dr. Acosta has been in practice since 1969 and joined TPMG in 2013.
WELCOME WILLIAM E. BROWN III, MD TPMG welcomes William E. Brown III, MD. He replaces Carlos Acosta, MD at Hartford Internal Medicine. In addition to serving Dr. Acosta’s current patients, Dr. Brown will begin accepting new patients April 1, 2014.
SCHEDULE AN APPOINTMENT TODAY!
HARTFORD INTERNAL MEDICINE 2100 Hartford Road Hampton, VA 23666
(757) 826-2102 Carlos F. Acosta, MD
William E. Brown III, MD
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Simply visit our website TPTI.com to find a location nearest you!
ADVANCES IN MEDICINE
PINPOINT PRECISION PROTON THERAPY STINGS CANCER | ADVANCED CANCER TREATMENTS PART 2 OF 2
16 APRIL 2014 | THEHEALTHJOURNALS.COM
❥ WRITTEN BY KIM O’BRIEN ROOT
tucked inside a building at a quiet office park in Hampton, Va., is a 200-ton machine called a cyclotron. A cyclotron is used in the world of physics to accelerate charged particles. Using magnets, it spins protons at 60 percent of the speed of light, or at over 402 million miles per hour. Science-babble aside, what the cyclotron does is create another way to fight cancer. The Hampton University Proton Therapy Institute is one of only nine facilities in the country to offer the cutting-edge treatment that combines physics with medicine. The institute opened in August 2010 as the world’s largest free-standing proton therapy facility. Since then, it has treated about 800 people with a variety of cancers, from prostrate to pediatric. More than half of all cancers require radiation treatment, says Dr. Christopher Sinesi, a radiation oncologist and the institute’s medical director. Traditional radiation therapy uses X-rays—the type that come from a linear accelerator like that used with Sentara’s Cyberknife. Proton therapy uses protons, which are found inside the nucleus of atoms. Spun inside the cyclotron, the proton beams are directed through tubes and into one of five
THE NATIONAL CANCER INSTITUTE
ESTIMATES THAT ONE-THIRD OF ALL MEN OVER THE AGE OF 50 HAVE MICROSCOPIC SIGNS OF PROSTATE CANCER
treatment rooms at the Hampton institute. Heavy brass plates adjust the size of the beam, while a sophisticated computer system directs the protons to their destination. Both proton therapy and traditional radiation treat tumors the same way, damaging the DNA and inhibiting the growth of cancer cells. Traditional radiation, however, usually affects tissue along the entire treatment path. With proton therapy, the radiated beam drops the bulk of its energy right at a tumor, limiting damage
to surrounding healthy tissue and organs. “Once you give radiation, you can’t take it back,” says Keith Gregory, the institute’s executive director. “So you want it to be right.” Proton therapy has proven especially effective in treating prostate cancer by keeping the radiation-sensitive body parts surrounding the prostate from becoming radiated and irreversibly damaged. In fact, the prevalence of prostate cancer in Hampton Roads—where more
rotating gantries. “It wasn’t unpleasant at all,” says Jones, who is 81. Cancer patients usually aren’t considered cured until they remain cancer-free for at least five years, but so far, Jones’s PSA levels are microscopic. “I was very thankful someone told me about this place, and I was able to go here,” he says. Although the institute at first focused on prostate cancer, it has branched out to treat other tumors, including those from lung, head and neck, skin, pancreatic and types of pediatric cancers. Patients have come from all over the world for treatment. The center’s first pediatric patient traveled from Ohio in 2010 for treatment of a brain tumor.
Dr. Allan Thornton, another of the center’s five radiation oncologists, says proton therapy is becoming a mainstay for treating pediatric tumors. By sparing still-growing tissue in children, proton therapy can reduce growth defects and secondary tumors caused by traditional radiation. The St. Jude Children’s Research Hospital in Memphis, Tenn., is currently building a proton therapy center dedicated solely to the treatment of children. “And we have this here in Hampton Roads,” Gregory says. “It’s pretty incredible.”
ADVANCES IN MEDICINE
men die from it than anywhere else in the country—is one factor that led Hampton University to build a proton therapy institute. Newport News resident Robert Jones’ prostate cancer was diagnosed shortly after a December 2010 physical. His prostate-specific antigen (or PSA) levels indicated aggressive, fast-growing prostate cancer. Jones wasn’t interested in traditional radiation therapy after hearing a friend’s experience. He knew he wanted proton therapy before he even walked through the institute’s doors. Jones’ treatment took place in early 2012, lasting just minutes a day for the prescribed 44 days. Patients receive treatment while immobilized in large,
For more information about the institute, visit hamptonproton.org, or call 877-251-6838.
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FEATURES
Spectrum of Confusion
What does it mean when a child is “on the spectrum?” ❥ WRITTEN BY NATALIE MILLER MOORE
one in 50 schoolchildren has been diagnosed with autism, so chances are, you know someone (or someone who knows someone) with it. The confusing part is—what kind of autism do they have? Is Asperger’s a kind of autism? What’s the spectrum?
What is Autism?
18 APRIL 2014 | THEHEALTHJOURNALS.COM
Autism is a brain disorder where different areas of the brain fail to work together, often resulting in challenges in communicating with and relating to others. In May 2013, the official guide to mental disorders, the DSM-5, merged all autism disorders into one umbrella diagnosis of autism spectrum disorder (ASD). Previously, they were separated into types, and now they are not. The change to a spectrum is meant to recognize the variety of symptoms a person might have. The spectrum starts with “classic autism,” or lower-functioning autism, with people showing a clear disability in most of their interactions. The other end of the autism spectrum is people with high-functioning autism, characterized by above average language skills and high
IQs, typical of Asperger’s syndrome.
Early Diagnosis
Lesley Henderson, Ed.S., a school psychologist for Williamsburg-James City County schools, often leads and participates in school screenings for autism. “There are more people professionally trained to identify autism spectrum disorders, and it’s looked for as early as preschool. But, some people with higher functioning autism may be harder to identify until they are older, particularly if they don’t have a language delay,” Henderson says. It can be caught early, with many pediatricians screening for it around 18 months old, but Henderson says it’s not uncommon for school staff to broach the subject because it may have been missed and is now impacting a student’s education. Dr. Christine Houlihan, a developmental pediatrician from Children’s Hospital of The King’s Daughters, says that early diagnosis, screening and services have improved outcomes for children with ASD. In order to benefit from an early diagnosis, Houlihan suggests that parents address any concerns with their
pediatrician. Many early signs related to autism are isolating, such as not responding to people talking to them or avoiding eye contact. But they may also be obsessive or repetitive, such as repeating words or focusing intensely on certain things. But, with the spectrum, just some of those symptoms may lead to an ASD diagnosis.
Sarah Kenner’s Case Sarah Kenner was relieved to get a diagnosis for her son Reed when he was 5 years old. Every visit to the pediatrician for her concerns resulted in the doctor saying “he’s fine.” But Kenner continued to feel uneasy and wondered if he was hyperactive, or if he had a hearing problem. “It wasn’t till years later that I learned he wasn’t really hyperactive; he was hyposensitive and needed near constant sensory input to tell where he was oriented in space and to feel ‘normal,’” Kenner says. The breakthrough came when Reed went to kindergarten. “At school, he was rolling back and forth in the back of the room during circle time, hiding in the coats, rocking his head back and forth,
but he could answer all the questions the teacher posed and was keeping up with the curriculum,” Kenner says. Within a month, a psychologist and a neurologist gave Reed a diagnosis of autism. “Since then, we’ve had the help of a lot of solid professionals. The diagnosis was a huge relief,” she says. Today, Kenner also teaches in a program for kids with autism in Chesterfield County, and strongly suggests that parents use available resources like The Autism Center for Excellence at VCU. She also recommends finding other local parents, even using meetup.com, to help with insurance, services and educational plans. With a diagnosis and services, the spectrum doesn’t need to be confusing– many more resources exist and the variety of symptoms is now reflected in this new designation.
Misconceptions about Autism: • Autism is caused by vaccines
This incorrect and disproven theory continues to persist. The cause of autism is unknown, and it’s likely there is more than one cause, including a genetic component.
• Autism behaviors can’t be changed
Many kids with autism can learn appropriate social skills and improve communication with guidance.
• All kids with autism avoid eye contact
Some do, but some kids with autism have normal eye contact.
• Kids with autism can’t make friends
They may need special help to make friends, including supervised and guided play or social interaction, until they learn some of those skills.
• Kids with autism don’t lie
Although some kids with autism won’t communicate something they don’t believe to be true, many children with autism hit this normal childhood milestone late.
• That kid is acting weird–it must be bad parenting
• Autism doesn’t look like that
Autistic behaviors vary widely, and sometimes mimic other disorders, so it’s hard for anyone who is not a trained professional to judge it. As is often said, “One kid with autism is one kid with autism.”
THEHEALTHJOURNALS.COM | APRIL 2014
Kids with autism may not be aware of people in public observing them, and may continue their interest in small details, like the grocery cart wheels and how they roll, or wearing headphones to avoid getting overstimulated.
19
Susan G. Komen Tidewater Affiliate invites you to
2
Join us for a night of merriment and music, cocktails and canapes, fun and philanthropy.
Friday,
MAY
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Tickets are $50 by May 1st or $75 at the door. Tickets are available for purchase online at www.komentidewater.org or at the Komen Tidewater Office: 420 N. Center Dr. Building 11, Suite 143 Norfolk, VA 23502
20 APRIL 2014 | THEHEALTHJOURNALS.COM
For more information please call, (757) 490-7794
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❥ WRITTEN BY NATALIE MILLER MOORE
THEHEALTHJOURNALS.COM | APRIL 2014
making it to adulthood with chronic illness
FEATURES
BEATING THE ODDS:
many children used to die before reaching adulthood. Today, modern medicine has increased the lifespan for many people living with illnesses such as congenital heart conditions, cystic fibrosis and sickle cell anemia. A bright future can now be had in what was previously a poor prognosis. Dr. Joseph Adinaro, a cardiologist with Riverside Cardiology Specialists in Williamsburg, Va., mainly sees older patients with heart issues they’ve developed over their lifetime. But he says that he is now inheriting patients who were born with heart defects due to improvements in screening and surgical advances. He sees young adults who have heart issues but are managing well. “A large part of this is prenatal ultrasounds that screen for heart defects even before birth,” Adinaro says. Prenatal care is a key factor to identify and diagnose, as well as numerous postbirth screenings. Sharon Patrick’s twins, Jalen and Kaylen, were born prematurely and struggled with numerous medical conditions and surgeries. “The technology that they have today, the different medicines, monitoring systems, it made a difference. I feel as if I was in the hands of people who’d done this before and knew exactly what to do,” Patrick says. Programs that help these young adults make the transition to adulthood are becoming more common. Mitzi Glass is the sickle cell transition coordinator for Norfolk-based Children’s Hospital of The King’s Daughters Transition Intervention program. Today, sickle cell anemia is diagnosed at birth through consistent newborn screenings, a huge change from the past, when children with it died early from bacterial infections that overwhelmed their systems. “That’s why a transition program is so important. My job is to help young people and their parents get the skills to move past pediatrics into adult care,” Glass says. The transition team begins working with children at age 15, aiming to make sure each teenager understands the
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22 APRIL 2014 | THEHEALTHJOURNALS.COM
disease, and what they need to do to take care of themselves by age 21. “We want them to be ready to answer questions about their disease with their health care providers, and know enough to be fluent. Things like knowing medications and dosages,” she says. Young adults don’t want to feel different from their peers, but have to balance that with needs determined by their disease, for example, knowing when to be seen by a doctor for an illness. Patrick’s children are now teenagers and have overcome many medical challenges. “They are very aware of what they’ve gone through and that we are blessed. They participate in lots of March of Dimes activities. We talk about the importance of ‘taking care of yourself ’ all the time, and I stress that yearly exams are very important,” Patrick says. Today, more than 45 percent of all people with cystic fibrosis in this country are 18 years or older. The Cystic Fibrosis Foundation created a guide for adults living with cystic fibrosis, including lung care, diabetes screening and how to travel with CF. It includes practical tips including coping and avoiding anxiety and depression. Another huge issue for making the leap from childhood to adulthood is insurance coverage, and transition programs try to address that as well. Besides ensuring that they are doing well in school, and planning for their lives after school, young adults with chronic illness can to learn to advocate for themselves and develop a support system when they are ill or need someone to listen. “You teach the same skills you teach any young adults, but they have a chronic illness and you need to factor that in. You have potential, you have a future, and it’s our job to figure out what that’s going to look like,” Glass says.
CONGENITAL HEART DEFECTS Congenital heart defects are he most common type of birth defect. Studies estimate that a decade ago, between 650,000 to 1.3 million adults in the United States were living with a congenital heart defect. Currently, 40,000 infants per year are born with a heart defect.
SICKLE CELL ANEMIA Sickle cell anemia affects 90,000 to 100,000 Americans. Sickle cell-related death among children younger than 3 years of age fell by 68 percent within the last decade, possibly due to a vaccine that protects against invasive pneumococcal disease.
PREMATURE BIRTH Nearly half a million premature babies are born each year, defined as before 37 weeks of gestation. Survival statistics are correlated with the level of prematurity, as well as birth weight, lung development and other concurrent medical conditions. According to the March of Dimes, a baby born at 23 weeks has a 17 percent chance of survival, a baby born at 27 weeks a 90 percent chance and after 34 weeks, a rate similar to a full-term baby.
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FEATURES 24 APRIL 2014 | THEHEALTHJOURNALS.COM
Offering creative foods in their favorite colors can be a great way to diversify your child’s diet.
Learned Healthfulness: Modeling a food conscious lifestyle for children to follow
❥ WRITTEN BY SHAWN RADCLIFFE
change will be made if we don’t focus their parents and educate them on making better choices as well.”
Childhood Obesity Epidemic
Childhood obesity is often described as an epidemic, but is the rise in the number of overweight and obese children severe enough to warrant that term? “I would say absolutely it is,” says Dr. Trey Wickham, an endocrinologist and pediatrician at Virginia Commonwealth University Medical Center in Richmond, Va. “Based on our most current data, on average over 30 percent of children and adolescents in the United States would meet the classification for overweight or obese. Those rates are even higher in certain racial and ethnic groups, such as African American and Hispanic families.” According to the Centers for Disease Control and Prevention, the prevalence of obese children and teenagers has tripled since 1980. As a result, 17 percent— or 12.5 million—children between the ages of two and 19 are carrying excess weight that puts their health at risk, both now and in the future. “Although we certainly know that obesity in childhood is associated with increased risk of health problems later in life,” says Wickham, “the unfortunate reality is that we already can see health problems such as type 2 diabetes, high cholesterol, and high blood pressure in the pediatric population because of weight gain and obesity.”
THEHEALTHJOURNALS.COM | APRIL 2014 25
as a child, desiree williams did what many children do—follow their parents’ example when it comes to eating and exercise. The healthy habits that she developed early on stuck with her and helped her survive the challenges of the Miss Virginia pageant, which she won in 2013. “My mom used to get up each and every morning and do a Jazzercise VHS” she says, “and I would get up and do that VHS, as well. So even at the age of three, I had already fallen in love with exercise.” Still, like many children today who are inundated with advertisements for high-sugar and high-fat junk foods, Williams ate a typical American diet when she was younger—something that changed as she became more aware of the importance of healthy food. “I didn’t grow up eating all that healthfully,” she says. “Both my parents worked full time and so we ate fast food most days of the week. As I got older, I realized how harmful that was for our bodies and for our health…so something that I’ve changed over the years is incorporating more fruits and vegetables.” As reigning Miss Virginia, she hopes to share her passion for healthy living with others—especially children—choosing as her platform “Fighting Childhood Obesity—Let’s Move.” “The obesity epidemic is running rampant in our society,” she says, “so it’s my goal to educate children, as well as their families, on eating healthy and being active—because as much as we focus on children, no
The increased health problems later in life stem from the fact that children who are overweight and obese are more likely to be obese as adults. Researchers are also finding that the scales can tip toward obesity very early in life. A 2014 study in the New England Journal of Medicine showed that children who are overweight by the start of kindergarten are four times more likely to be obese by eighth grade. There’s even some evidence that children who are heavier at birth may be more at risk of developing obesity later in life.
26 APRIL 2014 | THEHEALTHJOURNALS.COM
Obesity Blame Game At its foundation, childhood obesity is simply a matter of balance—children (or adults) who eat more calories than they burn off through the body’s metabolism and physical activity will gain weight. In reality, though, obesity depends on multiple factors interacting in a complex fashion. “The way that I really think about the obesity epidemic,” says Wickham, “and particularly in the pediatric population—it sounds like a cliché—but it really is the result of a perfect storm.” Then, the obesity epidemic is a hurricane fueled by many factors. Beneath it lies our genes—including those that affect the hormones that control appetite and fullness. “The genes that helped us survive eons ago,” says Dr. Caroline Apovian, a professor of medicine and pediatrics at the Boston University School of Medicine, “when we had to forage for food, we had to go and kill an animal to get protein, and then we found berries and plants—those genes helped us survive by arranging fat oxidation so we could store as much fat as possible.” In our current environment, we no longer need to hunt or gather food. We simply drive to the nearest fast food restaurant, or order a pizza without moving from our sofa. And much of the food that we do eat is leading us slowly toward obesity. “We have created very highly palatable foods made of a lot of sugar and a lot of fat,” says Apovian, “and they taste so good that we altered our pathways to appetite and satiety. So, we’ve got this highly palatable food readily available all around us that is devoid of nutrients, and we’ve created a situation where we’re storing too much fat.” On top of that, our communities and families are structured to not only allow easy access to high-caloric foods, but also to limit our physical activity—creating what scientists call an obesogenic environment, or one that promotes obesity.
Targeting Lifestyle Habits As pointed out in the New England Journal of Medicine study, some of the seeds of obesity are planted by age five. This implies that earlier interventions may be needed to give kids the best chance to lead healthy lives. One of the challenges, though, is that so many
Kids learn from role modeling...so if they don’t have that role model to look up to, the chances of them developing that healthy behavior is going to diminish.”
factors contribute to childhood obesity. Still, health professionals tend to agree on part of the solution. “One of the key messages, and one of the things that we’re finding,” says Wickham, “is the importance of prevention. There’s a lot of data supporting the benefits of a healthy diet and regular physical activity. And I would emphasize that those are important regardless of what someone’s body weight or body habitus [shape] is.” Most parents realize that eating better and exercising more are good for them and their children— reducing the risk of chronic diseases like heart disease, stroke, type 2 diabetes and some types of cancer— but convincing children to make changes can often be difficult. One thing, however, that’s often overlooked is that what parents do has a big impact on their children. “Kids learn from role modeling,” says Kristi King, a registered dietitian at Texas Children’s Hospital, “so if they don’t have that role model to look up to, the chances of them developing that healthy behavior is going to diminish.” King illustrates this with a story of a father who asked her to convince his child to eat more vegetables. When the father admitted that he doesn’t eat vegetables himself, she told him, “You know, the chance of your child eating them if he’s not seeing you eat them is going to be slim to none.” That’s why many interventions for obese children also involve the parents and siblings, because the family that eats healthier and exercises more together, succeeds together. “Most of our programs revolve around the whole family,” says King. “That’s because their rate of compliance is going to be better when everybody is involved, versus just one person.”
namaste!
The New England Journal of Medicine points out that some of the seeds of obesity are planted by age 5.
It Takes a Village If children never left their house, parents could easily control their environment. But the truth is that the home is only one small corner of the greater village that influences the behaviors of children. “Kids spend a significant amount of time at school,” says Wickham. “I think that there’s opportunities there for promoting healthy changes.” Many schools, he adds, are already making those changes—from improving school snacks and meals, to promoting physical activity, to starting after-school programs and community gardens. “I think all of those things play important roles,” he says. “One of the things that I think is really important as we look at the obesity epidemic…is that, although there
The health behaviors students were learning and practicing during school hours stuck with them outside of school.
Inspiring Healthy Changes In addition to promoting a healthier lifestyle, doctors can sometime use medications and drugs to treat childhood obesity. Given the sheer size of the epidemic, others favor a broader approach along the lines of the successful anti-smoking and seatbelt campaigns. “That has to be a public health effort,” says Apovian, “with government, with the media, with industry all gathering together with academia to make a change.” Those changes, though, may take several years. In the meantime, health professionals continue to promote healthier living through diet and physical activity. For kids, it helps that they have role models like Williams to show them the way. In the end, what they pick up from her just might nudge them toward a better life. “Seeing one person turn their life around and get active,” says Williams, “really does inspire a change for other people as well.”
THEHEALTHJOURNALS.COM | APRIL 2014 27
are lots of great ideas out there, that we are actively tracking what works and doesn’t work.” One program that is showing some success with these types of changes is APPLE Schools—which stands for the Alberta Project Promoting active Living and healthy Eating—an initiative in Canada that hopes to create healthy schools by connecting the pieces that form the larger school community. This type of comprehensive school health project includes students, teachers, principals, parents and local community members. To ensure success, the APPLE Schools program added a feature that was absent from similar efforts in other school systems. “We had a full-time person in the
school,” says Kerry Vander Ploeg, a postdoctoral fellow in the School of Public Health at the University of Alberta, where the APPLE Schools program was developed, “where this was their job, to work with the school community to promote healthy eating and active living.” The results of the program, some of which were published in a 2014 article in the journal Pediatrics, are promising. Students attending APPLE Schools increased their physical activity, which was recorded using pedometers worn by the students. While the number of steps taken increased throughout the week, the improvement was even more drastic on non-school days—when students tended to be more inactive. This shows that the health behaviors students were learning and practicing during school hours stuck with them outside of school. According to Vander Ploeg, diet quality also improved in the APPLE Schools, while the number of overweight and obese children decreased, both of which are impressive changes. “Being able to show that we changed behaviors is really positive,” says Vander Ploeg, “and hopefully those behaviors will continue and carry with them throughout their lifetime.”
FLAVOR
standing up for
Riesling ❥ WRITTEN BY KIMBERLEY HAUGH
28 APRIL 2014 | THEHEALTHJOURNALS.COM
it’s time to get rid of the notion that riesling is just too sweet. A couple of months ago I went to a German and Austrian Riesling tasting in Washington, D.C., with my husband and it redefined Riesling for me. This tasting put me in front of the wine makers from Reuscher-Haart, Bründlmayer, Gysler and Hirsch, just to name a few—wineries with utterly beautiful portfolios of Riesling.
If you are not familiar, Riesling tends to be on the fruiter and sweeter side of the wine spectrum. It’s is one of the most aromatic grape varietals in the world with its primary aromas being lime, meyer lemon, pineapple, apricot and pear. You may also get a bit of honey or even a petrol smell— something winos go gaga over believe it or not because it’s a surprise to the nostrils. Riesling is also one of the fastest growing varietals in the wine market because of its versatility. Its ability to pair with a wide variety of ethnic dishes—cuisines with a lot of heat tame the sweetness in the wine—has made Riesling a favorite amongst sommeliers and restaurateurs. I met Vincent Bründlmayer of Weingut Bründlmayer in Langenlois, one of Austria’s
leading wineries. His father, Willi Bründlmayer, is regarded as one of Austria’s top winemakers. He poured me his 2012 Riesling Zöbinger Heiligenstein. And it surprised me with its minerality and fuller-bodied flavor. Its wonderful and refreshing acidity, with a distinct taste of peaches and pineapple, made me realize that Riesling in America has been mislabeled. It turns out Riesling is not the sweet, ho-hum, white wine that I thought. It’s multidimensional, gripping and makes you say danke schön in your best German accent. As I did the four S’s: swirl, sip, swish and spit—for some it’s swallow—I could hear the Viennese waltz and I could see royalty dancing. Riesling is a wine of medieval times. And this made me think, as more of a New
World wine drinker—which is wine from outside of Europe—I now feel obliged to look at Old World wines again. Sometimes you have to look at the originators to give your taste buds an accurate flavor—kind of like looking at old family recipes. It amazes me that our more modern interpretation of Riesling is so sweet and gay—a far cry from the original acidic, petroleum perfumed, hardknock juice out of Germany and Austria. Ironically this Old World wine can pair very well with the fusion dishes that are growing in popularity today, which can be more of a challenge to pair wine with sometimes, especially when it comes to Asian food with strong spices. And please don’t let the petroleum tasting note turn you off. That was was antifreeze in Austria in the mid-1980s, not gasoline.
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SNIP-SNIP! CUT ALONG THE LINE TO KEEP THIS RECIPE.
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NOW OPEN
Chicken Korma ❥ WRITTEN BY CHEF CHRISTOPHER BIFANO
A traditional and popular Indian dish, chicken korma is flavorful, hearty and sure to become a favorite in your home.
INGREDIENTS 8 oz chicken thighs 1/2 tsp cumin 1 cinnamon stick 10 cardamon seeds 1 tsp lemon juice 1/2 tsp salt 1 tbsp salad oil 1 oz ginger 2 cloves garlic 1/2 cup tomato puree
PREP: 15 MINUTES
COOK: 20 MINUTES
• In a medium sauce pot, saute cinnamon sticks, cardamon seed, garam masala and Kasturi in salad oil over medium heat until lightly toasted • Stir in ginger and garlic and cook for about 3 to 4 minutes or until tender • Cut chicken breasts into fours and add to pan and cook for 6 to 8 minutes
1 sliced red onion 1/2 cup cream 1 tsp garam masala
• Season with salt, chili powder, lemon juice and cumin then add in tomato puree • Continue cooking for 10 more minutes then add in yogurt and cream
1 oz mango chutney
Calories (kcal) 444 Fat (g) 15 Carbohydrates (g) 55 Dietary Fiber (g) 5 Total Sugars (g) 15 Protein (g) 17 Sodium (mg) 900
• Continue cooking for 10 minutes or until tender • Serve over rice and garnish with cilantro, sliced red onion and mango chutney
THEHEALTHJOURNALS.COM | APRIL 2014 29
4 oz cilantro
PER SERVING
11143 Warwick Boulevard / Newport News, VA www.thehuntingtonatthenewport.com
PREPARATION
1/2 tsp chili powder
NUTRITION
The Huntington at The Newport
TOTAL TIME: 35 MINUTES
1/2 cup yogurt
1 tbsp kasturi menthi
Call 757.223.0888 today to learn more.
SERVINGS: 1
LOOKING GOOD
GETTING
SCENTUAL
TURN HEADS THIS SPRING WITH THESE F R AG R A N C E S
❥ WRITTEN BY MORGAN BARKER
Budget ACQUA DI GIO BY GIORGIO ARMANI Capture her with a trail of musk, jasmine, rosemary and persimmon. A bottle can last a year and retails for under $50.
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GUILTY BY GUCCI You might feel a bit sinful after a night out with this cologne. With a base of cedar notes and hints of lavender and lemon, the verdict is in for this olfactory explosion.
GENTLEMEN ONLY BY GIVENCHY This is an update on a Givenchy classic and features a woody base with hints of mandarin, pepper and nutmeg. The woody tones suggest masculinity while the spices speak of adventure.
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30 APRIL 2014 | THEHEALTHJOURNALS.COM
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Classic CHANEL NO 5 First released in the 1920s to symbolize the modern woman, Chanel’s base of sandalwood and amber and notes of jasmine, rose and lily of the valley keep heads turning nearly a century later.
For Her Sexy EUPHORIA BY CALVIN KLEIN This sensual fragrance is a floral smelling perfume and boasts hints of pomegranate, persimmon, lotus flower and black orchid.
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31
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THEHEALTHJOURNALS.COM | APRIL 2014
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SECOND OPINION
Q:
I have back pain.
What should I do about it?
cfa5k.com
A:
back pain is often the result of poor posture, poor flexibility and improper sitting and lifting mechanics. There are other causes, but these are the most common.
Pain from Sitting Sitting all day at work adds stress to the back by creating tightness in the muscles surrounding the pelvis and legs. Prolonged sitting can shorten hamstrings and restrict hip flexors. This can create back pain. Stretching these muscles can often alleviate your problem. Proper sitting posture means sitting with your knees and hips level, with a small arch in your low back. Lower your chair or place a small box or book under your feet. Place a small towel under the back half of your buttocks to prevent your pelvis from rolling and losing your low back arch.
32 APRIL 2014 | THEHEALTHJOURNALS.COM
Pain from Lifting Assess the weight of the object you are planning to move. Consider assistance when necessary, but once you have established that the weight is appropriate for you, be sure to lift with your legs. Proper lifting involves bending your knees and hips while sticking your buttocks out as you reach forward. Keep the object close to your center of gravity while keeping an arch in your low back. Renee Midgett, PT, DPT graduated from Virginia Commonwealth University’s Medical College of Virginia and is the clinical director of Tidewater Physical Therapy’s Battlefield clinic in Chesapeake, Va.
may 24, 2014 the mariners' museum, newport news
FITNESS
fitness apps make it easier than ever for users to create their own workouts and eating regimens tailored to their individual preferences and needs. “It can be quite motivating to see daily and weekly improvements in your diet and increased frequency in your workouts,” says Bridgit KinCharlton, personal trainer and owner of B-defined Innovative Personal Training and Wellness in Williamsburg, Va. “Fitness apps help bring awareness to your diet and exercise program, or lack thereof, and will help encourage behavior modifications that can lead to a healthier lifestyle.”
tHESE fitness apps ARE FOR PEOPLE of all fitness levels:
NIKE TRAINING CLUB >>> Nike professional trainers have put together more than 100 full-body workouts for the Nike Training Club app. Users choose whether they want to focus on getting leaner, more toned, or stronger with 15, 30-or 45-minute workout options. The app features workouts from some of the highest profile athletes in the world, like Hope Solo’s muscle defining workout or Maria Sharapova’s stability routine.
<<<
MYWOD
Matt Midnight, a CrossFit Level 1 Trainer and owner of CrossFit 1607, suggests trying myWOD, a fitness app dedicated to CrossFit workouts. Within the program, users can generate their own WOD (or workout out of the day), track personal records and time how long it takes to complete a circuit. “An app like myWOD gives you a way to track your progress,” Midnight explains. “In general, when you’re not taking the time to track workouts, you tend to get a little stale.”
TEMPO RUN >>> The TempoRun app takes the music you already have loaded into your phone and categorizes the songs based on their tempo. These categories translate into levels of intensity for your run or walk. This means that you will walk for level 1 songs, jog for level 5 songs and sprint for level 10 songs. Varying run intensity this way will ultimately help you improve your pace and endurance.
MY FITNESS PAL
MyFitnessPal does double duty as a free calorie counter and food and exercise journal. The searchable food database boasts more than 3 million items and users can build their own bank of preferred foods and recipes. Kin-Charlton uses the MyFitnessPal app with her own clients. “It’s one of my favorites because the library is so extensive,” she says. “Once you start making regular entries, the app begins to recognize your preferences and it becomes even easier to use.”
THEHEALTHJOURNALS.COM | APRIL 2014 33
<<<
OVER 50
❥ WRITTEN BY TERESA BERGEN
Beta Blockers &
Exercise
tens of millions americans take beta-blocking drugs for many conditions, with high blood pressure or other heart-related trouble topping list. But beta blockers change your response to exercise. “A good exercise program is tailored to the individual patient,” says Amy Doneen, nurse practitioner and co-founder of the Heart Attack and Stroke Prevention Center in Spokane, Wash. Those on beta blockers should adapt their exercise routines to work around the effects of their medication.
What Beta Blockers Do These medications block the hormone epinephrine, also known as adrenaline, from your beta receptors. Since beta receptors control heart rate and the strength of its contractions, your blood pressure decreases. This helps prevent heart failure or future heart attacks and regulates your heartbeat. Common side effects of beta blockers include fatigue, cold extremities, dizziness or weakness.
34 APRIL 2014 | THEHEALTHJOURNALS.COM
Beta Blockers & Heart Rate Beta blockers affect your workouts in several ways. Go too hard, too fast, and you’ll get winded. You might also experience orthostatic hypotension, which means when you stand up, your blood pressure suddenly drops leading to dizziness and faintness. Minimize possible side effects with a longer, more gradual warm-up and cool-down. Remember that beta blockers fight hypertension by slowing your heart rate. This means your maximum heart rate will be lower than it was before you started your medication, or for a healthy person of comparable age. “Many people place value on heart rate when determining the effectiveness of an exercise program,” says Doneen. “If you’re on a beta blocker, heart rate should not be your goal point.” People taking beta blockers are at higher risk for dehydration. Watch for symptoms such as thirst, fatigue, increased heart rate and body temperature and decreased sweating, reminds Doneen. Keep refilling that water bottle, especially if you’re also taking diuretics.
YOUR
Every day, your heart beats about 100,000 times
10oz 8oz
AMAZING HEART
average man’s
heart weight
20%
average woman’s
heart weight
A good belly laugh can send
20 percent more blood flowing through your entire body
You have nearly 60,000 miles of blood vessels in your body-enough to wrap the world more than twice.
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Level of Perceived Exertion Doneen suggests that cardiac patients get a baseline stress test to determine their new target heart rates. But many on beta blockers will do fine using their bodies as their guides. She says, “You should be able to exercise to the point where you’re tired and slightly winded, but still able to carry on a conversation.” Instead of using a heart rate monitor, try a simple rating of perceived exertion. On a scale of 1 to 10, aim to exercise at 3 to 5.
Other Considerations Since exercise lowers blood pressure. Try to be active at least four days per week. Walk, cycle, swim and do low-impact aerobics. Other modalities, such as yoga and tai chi, might also be beneficial. Exercise is for everybody, says Doneen, whether you’re on beta blocker or not. But make sure your workout complements your health status and medications.
OUTDOORS
VIDEO FEATURE
Snapping
ut Faster Serves
❥ WRITTEN BY JOHN STRUZZO |
PHOTO BY LIZ LANE
With some simple tweaks, you’ll be able to accelerate your service speed. Begin by relaxing, breathing deeply and loosening up your muscles. If you are trying to muscle your serve in, the resulting tightness will slow you down. STANCE Stand at the baseline with
your chest facing the side fence, not the net. Relax your racket, wrist, arm and body.
GRIP Use a continental grip. This
means most of your hand is directly on top of the racket handle while the face of the racket is parallel to the side fence. Imagine holding a hammer.
LOB Begin your serve using a motion similar to lobbing a tennis ball up the sky with your palm facing upward. SWING Be sure to take a full swinging
motion to allow your racket to drop behind your back before launching it upward to meet the ball. Now move racket upward on its edge, rotate your wrist and forearm so the strings face the ball.
SNAP With contact almost directly overhead, straighten (snap) your wrist to meet the ball and then relax the racket, wrist and arm to finish the follow through. This wrist snap, along with a relaxed and full swing, is key to creating a faster serve.
36 APRIL 2014 | THEHEALTHJOURNALS.COM
JOHN STRUZZO, PTR, TTI HEAD TENNIS PROFESSIONAL VIRGINIA BEACH, VA.
SERVING ACTION Watch John in our online video demonstrate winning serve techniques. Use your phone or tablet to scan the QR code, or go to bit.ly/StrongServe
LOOKING GOOD
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THEHEALTHJOURNALS.COM | APRIL 2014 37
Benefiting
FAMILY
lazy unfocused depressed
I’m Not I’m Sleepy.
,
Sleeping disorders in children and teens are common and problematic
38 APRIL 2014 | THEHEALTHJOURNALS.COM
❥ WRITTEN BY ALISON JOHNSON
Children’s Hospital of The King’s Daughlazy, disrespectful teenager. that was the first assumption of many people in ters, in Norfolk, Va. While medication Snow White’s life when she began napping has helped, Snow still endures bouts of in class and constantly dozing off at home, extreme daytime fatigue and struggles to keep her grades up. on car rides, mid-homework and even “At least knowing what is wrong with mid-conversation. me makes me feel a little better,” Snow Her mother, Alfreda Williams of says. “It changes your life. It changes Hampton, Va., also worried Snow—her how you hang out with real name–might be depressed your friends, and teachers after losing her grandparBehavioral at school are mean because ents and father in a short they don’t understand and time period. But then Snow’s therapy, don’t try to. Sometimes it’s symptoms grew more extreme, adjusted sleep sad knowing that I will deal and stranger. She couldn’t stay schedules, with this for the rest of my awake even at loud parties with life.” her friends and had vivid hallu- medication or Parents have long dealt cinations, such as seeing spiders surgery can with bedtime issues, from with human heads crawling up transform a sleepless the walls at school. child’s life. toddlers All were signs of narcolepto sluggish sy, a chronic brain disorder teenagers. What’s changing marked by poor control of sleep-wake is a growing awareness of cycles. Doctors diagnosed Snow, 16, last the many medical, behavApril after an overnight sleep study at
TIPS TO HELP KIDS
SLEEP
Follow a sleep schedule. Ideally, kids should go to bed and wake up at the same time every day, including weekends. If they have trouble falling asleep at night, try cutting out naps.
ioral and emotional consequences of truly abnormal sleep, says Dr. Michael Strunc, a pediatric neurologist at CHKD. Along with narcolepsy, disorders such as insomnia, restless leg syndrome and sleep apnea–pauses in breathing that interrupt rest–all can hit children and their families hard, says Strunc, who is board-certified in pediatric sleep medicine. “Sleep medicine is becoming more and more a part of what we do in children’s hospitals,” he says. “Primary care doctors are now much more commonly asking about how kids sleep, when they sleep and if their sleep is ‘normal’, or if kids snore, gasp, wake, wet the bed or have any other unusual episodes.” Sleep is critical for body and brain
Limit light and noise at bedtime. Use nightlights and relaxing “white noise,” such as a fan, and wind down by reading–with an actual book, not an eReader or tablet–for 15 minutes.
We’re All About Family Time!
Retina & Glaucoma Associates specializes in the diagnosis and treatment of retinal diseases and glaucoma. • Macular Degeneration • Diabetic Retinopathy • Glaucoma
FAMILY MEDICINE IS OUR FOUNDATION TPMG doctors have been caring for Hampton Roads families for over 50 years. We’re committed to providing outstanding care for all ages. With over 50 family physicians and other medical professionals, TPMG is the leading choice for complete family care. CHESAPEAKE
Dr. Nordlund was on faculty at UVA Medical School, and is a current clinical faculty member at VCU Medical Center. John R. Nordlund, MD, PhD
Member, American Society of Retina Specialists Member, American Glaucoma Society
• Retina fellowship at the Mayo Clinic • Glaucoma fellowship at Johns Hopkins
© Lisa W. Cumming Photography
Office hours:
Monday-Friday 8:00-5:00 www.rgava.com
Atlantic Coast Family Medicine Holland Road Family Medicine Romero Family Practice
NEWPORT NEWS
Grafton Family Medicine Yorktown Family Medicine
Denbigh Family Medicine
YORKTOWN
mytpmg.com
breathing and brain wave patterns that may appear differently in younger patients. Behavioral therapy, adjusted sleep schedules, medication or surgery can transform a child’s life. Removing tonsils and adenoids, for example, can permanently fix sleep apnea by opening up patients’ airways. Snow, an aspiring singer and art student, takes medicine to help with nighttime sleep and daytime alertness. As doctors tweak her dosages, the 10th grader is fighting to get back on track academically. “She’s so smart,” Williams says. “This is a person who taught herself Japanese, but she just started to think she was stupid, so why try? Luckily, she has a lot more better days than before we knew what this was.”
Don’t watch the clock. If kids get anxious about falling asleep easily, hide their clock from sight or let them read until they feel sleepy. Just maintain a regular wake time.
Get a professional opinion. If kids have trouble falling asleep for several months, see a sleep specialist.
THEHEALTHJOURNALS.COM | APRIL 2014 39
Turn off electronics. Stay away from phones, social media, television and video games in the 45 minutes before scheduled bedtime.
VIRGINIA BEACH
HAMPTON
Statistics vary by disorder. Between one third and half of children who snore regularly–8 to 10 percent of kids do–turn out to have sleep apnea, Strunc says. Narcolepsy, which can first surface in young kids, affects an estimated one in 2,000 Americans, according to the National Sleep Foundation. CHKD has established a Center for Pediatric Sleep Medicine and plans to open two new, larger sleep laboratories by year’s end in Norfolk and Chesapeake, Va. Specialized equipment can detect abnormal
Exercise daily. Aim for at least 30 minutes of vigorous aerobic exercise a day–just not within two hours of bedtime. Late afternoon, after school, is a great time.
Hidenwood Family Medicine Kiln Creek Family Medicine Newport News Internal Medicine Patrick Henry Family Medicine Peninsula Internal & Geriatric Medicine Peninsula Internal Medicine
Family Practice of Hampton Roads Hampton Family Medicine Hartford Internal Medicine Tidewater Family Medicine
Visit mytpmg.com for the addresses and phone numbers of our locations.
113 Bulifants Boulevard, Suite A Williamsburg, VA 23188 757-220-3375
health, hormone balances and immune system function. Disorders can cause hyperactivity or lethargy and disrupt focus, mood, school performance, growth, metabolism and appetite, which can lead to obesity. Many children go undiagnosed or are misdiagnosed with depression or attention deficit disorder. Still others have treatable sleep disorders mixed in with complex medical issues such as autism, epilepsy and Down syndrome.
Coastal Internal Medicine Greenbrier Family Medicine Walk-in Express Care Indian River Family Practice Tidewater Sports & Osteopathic Medicine
AUDIOLOGY
G N I T P E ACC ew
Jude Liptak, Au.D. Colonial Center for Hearing
Dr. Jude Liptak holds a doctorate degree from Salus University Audiology. He completed his undergraduate and masterâ&#x20AC;&#x2122;s programs at Kent State University in Kent, Ohio. He is a fellow of the American Academy of Audiology and a member of the Academy of Doctors of Audiology. Dr. Liptak has been practicing audiology since 2000. As a board-certified audiologist and expert, he has helped thousands of people rediscover the joys of healthy hearing. In 2003, he founded Colonial Center for Hearing, a state-of-the-art audiology practice, located in McLaws Circle in Williamsburg. Dr. Liptak is passionate about patient care and believes in educating patients about his findings so that they understand their hearing loss and his course of treatment. To Dr. Liptak, you are not just a patientâ&#x20AC;&#x201D;you are an individual with a hearing situation that requires prompt attention.
n
Colonial Center for Hearing 430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004
www.williamsburghears.com
ONCOLOGY Guy W. Tillinghast, M.D.
40 APRIL 2014 | THEHEALTHJOURNALS.COM
TPMG Cancer Care
Guy W. Tillinghast, M.D., received his undergraduate and his Doctor of Medicine degrees from Brown University. He completed his residency in internal medicine at the University of Massachusetts in Worcester, Mass., followed by a hematology/oncology Fellowship at the National Institutes of Health. Dr. Tillinghast 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 authored a review in Nature Biotechnology, as well as other scientific articles. He has been a principal investigator for over 50 cancer clinical trials and has been practicing in Newport News since 2005.
TPMG Cancer Care Mary Immaculate Pavilion 12720 McManus Boulevard, Suite 307 Newport News, Virginia 23602 (757) 234-6970
www.mytpmg.com
SPORTS MEDICINE Nicholas K. Sablan, M.D. Tidewater Ortho
Dr. Nick Sablan, an expert in the field of sport medicine, joined Tidewater Ortho in the fall of 2011 after having completed his residency in orthopaedic surgery at the University of Connecticut, and a fellowship in orthopaedic sports medicine in the Kerlan Jobe clinic in Los Angeles. In Los Angeles, Dr. Sablan served as assistant team physician to the Lakers, LA Kings, Anaheim Ducks, Los Angeles Dodgers and PGA Tour as well as college and high school sports teams. He joined Tidewater Ortho because he shares their same commitment to providing excellent subspecialty care. His goal is to help relieve the pain and improve joint conditions of the weekend warrior to the serious athlete and get them back in the game. Dr. Sablan provides expert care to athletes from Hampton University to Hampton High School teams as well as the casual athlete who wants to continue to be active after an injury.
Tidewater Ortho 5208 Monitcello Avenue, Suite 180 Williamsburg, VA 23188 (757) 206-1004
www.tidewaterortho.com
DERMATOLOGY Keith W. Schumann, M.D.
Schumann Dermatology Group Dr. Keith Schumann is a board-certified, Cleveland Clinic-trained Dermatologist. He completed his undergraduate B.S. in chemistry at the University of Richmond. Following medical school at the Medical College of Virginia/Virginia Commonwealth University, he completed both an internship in internal medicine and residency training in dermatology at the Cleveland Clinic Foundation. His professional interests include skin cancer screening and surgery, light therapy and lasers, and the specific treatment of general skin conditions. With 15 years of experience in anti-aging skin care, he employs and develops state-of-the-art medical technology that provides solutions for damaged skin. Dr. Schumann lives in Williamsburg, Va., with his two sons. In his free time he enjoys spending time with his family and friends, long distance running, playing lacrosse and soccer, and piloting his own plane. Schumann Dermatology Group 5309 Discover Park Blvd. Williamsburg, VA 23188 (757) 564-1200
www.agelessderm.com
SPECIAL ADVERTISING SECTION
PHYSICAL THERAPY Allen R. Jones Jr., P.T.
Dominion Physical Therapy Allen R. Jones Jr., a Licensed Physical Therapist, is the owner and CEO of Dominion Physical Therapy. He earned his degree in physical therapy from the University of Connecticut in 1987 and holds a postgraduate certification in Clinical Management of Head, Facial, Neck Pain and TMJ Disorders. He has been a member of the American Physical Therapy Association since 1988. He started Dominion Physical Therapy with one office and a goal of combining high-quality therapy with superior customer service in a friendly environment. Over the last two decades, Jones expanded the practice to include six locations—one of which is dedicated to the rehabilitative needs of children—located in Hampton, Newport News, Williamsburg, Portsmouth and Norfolk, Va.
Each location is staffed by highly-trained and licensed therapists.
Jones remains active in the Hampton Roads community by awarding an annual doctorate PT scholarship to a deserving student as well as serving on several boards including Virginia Company Bank, Hampton Roads Academy, Business Advisory Board of CNU and the Advisory Board of Health Science at ODU. Dominion Physical Therapy 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446
WEIGHT MANAGEMENT Caroline Fornshell, MS, RD, CPT LWell
Caroline is an integrative nutritionist who opened LWell, a modern health club for real people. By incorporating all the components of weight loss into one warm and friendly hospitality-oriented fitness and wellness facility, she guides people towards better health by improving nutrition, fitness, fun, stress, sleep and support. Caroline works to support you and your physician in improving your health through wellness. Caroline enjoys working with a wide range of nutrition-related conditions and concerns. She graduated from Virginia Tech with a bachelor’s degree, then worked as a personal trainer for many years before becoming a registered dietitian and earning a master’s degree in nutrition from State University of New York (Oneonta). She is a member of the academy of Nutrition and Dietetics (AND), the American Association of Diabetic Educators (AADE), the American Diabetes Association (ADA), IDEA and the Physician’s Committee for Responsible Medicine (PCRM). She is certified in Adult Weight Management (AND) and is a Certified Personal Trainer (NASM). LWell 301-A Village Ave. Yorktown, VA 23693 (757) 585-3441
FOOT & ANKLE Sara M. Bouraee, D.P.M. Tidewater Ortho
Dr. Sara Bouraee, an expert in the field of foot & ankle surgery, was born and raised in Brooklyn, New York, and was influenced most in her life by her father who is a vascular surgeon. She attended New York College of Podiatric Medicine in New York and then relocated to Philadelphia to complete her surgical residency. She joined Tidewater Ortho in 2009 as their foot and ankle specialist. Dr. Bouraee’s expertise in foot conditions is sought after by a wide range of clientele from worker’s comp injuries to professional women who love high heels. If surgery is needed she takes her patients to the only dedicated orthopaedic outpatient surgery center in the region, the CarePlex Orthopaedic Ambulatory Surgery Center.
Tidewater Ortho 901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 827-2480
www.dompt.com
www.lwell.com
www.tidewaterortho.com
MEDICAL ONCOLOGY/HEMATOLOGY
BREAST CENTER
INTERNAL MEDICINE
J. Christopher Paschold, M.D.
Virginia Oncology Associates
Williamsburg 500 Sentara Circle, Suite 203 Williamsburg, VA 23188 (757) 229-2236
www.virginiacancer.com
Dr. A. Janae Johnson earned her undergraduate degree from The College of William & Mary, and her medical degree from the Medical College of Virginia at VCU in Richmond, Virginia. She completed her internship at Riverside Hospital and her residency in Diagnostic Radiology at MCV. She is board certified in Radiology and has fellowship training in Breast Imaging, with special interest in breast MRI and non-surgical breast biopsy techniques.
Hartford Internal Medicine Dr. William E. Brown III is known for his bedside manner, active listening skills as well as his clear and accurate care explanations; all characteristics that are dying arts in the field of medicine. Born and raised in Hampton Roads, he attended the University of Virginia, trained at the Medical College of Virginia at VCU and brings to you a wealth of experience in internal medicine. After serving a decade in the Air Force, Dr. Brown is excited to be practicing medicine in his home town of Hampton Roads. Dr. Brown joins TPMG Hartford Internal Medicine on April 1, 2014, and will be enrolling new patients to fill a limited number of slots. If you, an associate or a loved one is seeking a new physician, he would be delighted to hear from you so do not hesitate to call to schedule an appointment!
Imaging and Breast Center Tidewater Medical Center 860 Omni Boulevard - Suite 109 Newport News, VA 23606 • (757) 873-0848 Tidewater Medical Center at New Town 5424 Discovery Park Boulevard - Suite 203 Williamsburg, VA 23188 • (757) 873-0848
www.mytpmg.com
Hartford Internal Medicine 2100 Hartford Road Hampton, VA 23666 (757) 826-2102
www.mytpmg.com
41
Newport News (Port Warwick III) 1051 Loftis Boulevard, Suite 100 Newport News, VA 23606 (757) 873-9400
Imaging and Breast Center
William E. Brown III, M.D.
THEHEALTHJOURNALS.COM | APRIL 2014
Dr. Paschold graduated from Wake Forest School of Medicine in Winston-Salem, N.C. He then completed a residency in internal medicine and a fellowship in hematology and medical oncology at the University of Virginia. Dr. Paschold has been involved in various research studies and publications. He has held multiple hospital leadership positions and is a graduate of the Medical Society of Virginia’s Claude Moore Leadership Institute. Dr. Paschold has received a variety of awards, including being invited into the Life Sciences Honors Program at North Carolina State University, and is a member of the Alpha Omega Alpha medical honor society. He is a Fellow of the American College of Physicians, and member of the American Society of Clinical Oncology, American Society of Hematology and the Society of Integrative Oncology.
Janae Johnson, M.D.
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Dance-a-Thon raises money for pediatric cancer patients.
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42 APRIL 2014 | THEHEALTHJOURNALS.COM
FOODUCATE Platform: iPhone, Android
Developer: Fooducate, Ltd.
❥ WRITTEN BY CHRIS JONES
Price: Free ($1.99 Pro; has in-app purchases for add’l features)
Fooducate is like having an accountability partner and a network of peers in your pocket. The app is easy to set up. Just create a login and password, or login using Facebook. From there you enter your profile and goals. The app tells you the amount of calories necessary to achieve your goal and food points to keep you on track. Pro version features allow you to set health conditions (heart healthy eating, lowering cholesterol, pregnancy nutrition) dietary restrictions (vegan, vegetarian, no GMO) and allergy warnings. The app sends push notifications to remind you to use it when you set foot in a grocery store. Location must be turned on and you need to select your local stores. Getting started is as simple as scanning a bar code. Fooducate then shows a thumbnail of the food, gives it a grade (uses the academic grading scale of A-F), shows the amount of calories, number of users who like the product, nutritional values, recipes, and comments from users. The app also recommends healthier alternatives and tells you what’s wrong or missing from the product. If you’re a conscious eater, learning to eat smarter, or have dietary restrictions, this app is well worth the download.
EMERGENCY NUMBERS NATIONAL RESPONSE CENTER Toll-Free: (800) 424-8802 NATIONAL SUICIDE CRISIS HOTLINE
Toll-Free: (800) 784-2433 NATIONAL SUICIDE PREVENTION HOTLINE Toll-Free: (800) 273-8255 POISON CONTROL CENTER Toll-Free: (800) 222-1222
ALLERGY & ENT HAMPTON ROADS ENT & ALLERGY 5408 Discovery Park Drive Williamsburg (757) 253-8722 11842 Rock Landing Dr., Suite 100 Newport News (757) 873-9579 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
7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478
WADE QUINN, DC 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900
AUDIOLOGY & HEARING
COSMETIC & PLASTIC SURGERY
COLONIAL CENTER FOR HEARING 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004
BEHAVIORAL HEALTH & PSYCHIATRY THE PAVILION AT WILLIAMSBURG PLACE 5483 Mooretown Rd. Williamsburg (800) 582-6066
WILLIAMSBURG PLASTIC SURGERY 333 McLaws Circle Williamsburg (757) 345-2275
CARDIOLOGY
DENTISTRY
RIVERSIDE CARDIOVASCULAR HEALTH 117 Bulifants Blvd., Suite B Williamsburg (757) 259-9540
NEW TOWN DENTAL ARTS SEBASTIANA G. SPRINGMANN, DDS 4939 Courthouse Street Williamsburg (757) 259-0741
CHIROPRACTIC & ACUPUNCTURE
RUBENSTEIN ORTHODONTICS LORETTA RUBENSTEIN, DDS 12725 McManus Blvd., Suite 1B Newport News (757)874-0990 WILLIAMSBURG CENTER FOR DENTAL HEALTH STACEY SPARKMAN HALL, DDS 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303
ASSOCIATES IN DERMATOLOGY, INC. 17 Manhattan Square Hampton (757) 838-8030 SCHUMANN DERMATOLOGY GROUP 5309 Discovery Park Blvd. Williamsburg (757) 564-1200
RENEAU MEDICAL CENTER FOR AGE MANAGEMENT & AESTHETIC MEDICINE 120 Kings Way, Suite 2550 Williamsburg (757) 345-3064
PINTO CHIROPRACTIC & REHABILITATION 5408 Discovery Park Blvd., Ste. 200 Williamsburg (757) 645-9353
DERMATOLOGY
DIAGNOSTIC IMAGING ORTHOPAEDIC & SPINE CENTER 250 Nat Turner Boulevard Newport News (757) 596-1444 TIDEWATER DIAGNOSTIC IMAGING 100 Sentara Circle Williamsburg (757) 984-6000
ENDOCRINOLOGY RIVERSIDE ENDOCRINOLOGY & DIABETES CENTER 120 Kings Way, Suite 2550 Williamsburg (757) 534-5909
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
HEALTH DIRECTORY
health directory FITNESS B-DEFINED INNOVATIVE PERSONAL TRAINING & WELLNESS 4801 Courthouse Street Williamsburg (757) 345-6801 BODY BALANCE STUDIO 370 McLaws Circle Williamsburg (757) 221-0774 445 Prince George Street Williamsburg (757) 221-0774 LWELL - LONGEVITY WELLNESS 301-A Village Avenue Yorktown (757) 585-3441
FAMILY PRACTICE RIVERSIDE FAMILY PRACTICE & EXTENDED CARE 5231 John Tyer Highway Williamsburg (757) 220-8300
FREE CLINICS AMERICAN RED CROSS ADULT DENTAL CLINIC 606 West 29th Street Norfolk (757) 446-7756
TPMG OB/GYN Welcomes Cheryl L. Sharp, WHNP/CNM Cheryl has been caring for women, babies and families for more than 20 years. She graduated from the University of Alabama at Birmingham in 1991 with her Master’s in Women’s Health, continuing on to become a women’s health nurse practitioner. She most recently graduated from Shenandoah University in 2013 with a Post Graduate Certificate in Nurse Midwifery. Cheryl is a published author and serves as part-time faculty for the nurse midwifery program at Shenandoah University. She serves as the Tidewater Regional Coordinator of the American College of Nurse-Midwives.
(757)599-4145
NEWPORT NEWS
TIDEWATER MEDICAL CENTER CHERYL L. SHARP, WHNP/CNM
MARY IMMACULATE MEDICAL PAVILION
12720 McManus Blvd., Suite 203 Newport News, VA 23602 (757) 223-9794
GLOUCESTER
MIDDLE PENINSULA WOMEN’S CARE
7685 Meredith Drive Gloucester, VA 23061 (804) 693-4410
MARYANN CHEUVRONT, CNM
mytpmg.com
KAREN CARROLL, CNM
Serving Hampton Roads, Williamsburg & Smithfield
THEHEALTHJOURNALS.COM | APRIL 2014 43
860 Omni Blvd., Suite 110 Newport News, VA 23606 (757) 223-9794
HEALTH DIRECTORY
ANGELS OF MERCY MEDICAL CLINIC 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700 BEACH HEALTH CLINIC 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601 CHESAPEAKE CARE 2145 South Military Highway Chesapeake (757) 545-5700 THE COMMUNITY FREE CLINIC OF NEWPORT NEWS 727 25th Street Newport News (757) 594-4060 H.E.L.P. FREE CLINIC 1320 LaSalle Avenue Hampton (757) 727-2577 H.E.L.P. FREE DENTAL CLINIC 1325 LaSalle Avenue Hampton (757) 727-2577 LACKEY FREE CLINIC 1620 Old Williamsburg Road Yorktown (757) 886-0608 OLDE TOWNE MEDICAL 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, P.C. RICHARD J. HARTLE, MD 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190 RIVERSIDE WILLIAMSBURG GASTROENTEROLOGY 457 McLaws Circle, Suite 1 Williamsburg (757) 221-0750
GENERAL SURGERY
44 APRIL 2014 | THEHEALTHJOURNALS.COM
RIVERSIDE HAMPTON ROADS SURGICAL SPECAILISTS 120 Kings Way, Suite 2600 Williamsburg (757) 345-0141
HEALTH CARE ATTORNEYS MELLETTE PC 428 McLaws Circle, Suite 200 Williamsburg (757) 259-9200
HEALTH SPAS THE SPA OF COLONIAL WILLIAMSBURG 307 South England Street Williamsburg (757) 220-7720
HEALTH FOOD STORES VIRGINIA GOURMET MARKET, CAFE & CATERING 264 McLaws Circle, Suite K Williamsburg (757) 645-2970
HERNIA SPECIALISTS THE HERNIA CENTER AT MARY IMMACULATE HOSPITAL 860 Omni Boulevard, Suite 204 Williamsburg (757) 874-1077
HOSPITALS & MEDICAL CENTERS BON SECOURS MARY IMMACULATE HOSPITAL 2 Bernardine Drive Newport News (757) 886-6000 BON SECOURS DEPAUL MEDICAL CENTER Granby Street & Kingsley Lane Norfolk (757) 889-5310 BON SECOURS MARYVIEW MEDICAL CENTER 3636 High Street Portsmouth (757) 398-2200 BON SECOURS HEALTH CENTER AT HARBOUR VIEW 5818 Harbour View Boulevard 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 736 Battlefield Boulevard North Chesapeake (757) 312-8121 CHILDREN’S HOSPITAL OF THE KING’S DAUGHTERS 601 Children’s Lane Norfolk (757) 668-7098 DOROTHY G. HOEFER COMPREHENSIVE BREAST CENTER 11803 Jefferson Avenue, Suite 130 Newport News (757) 594-1899 RIVERSIDE HAMPTON ROADS SURGICAL SPECIALISTS 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141 RIVERSIDE DOCTORS’ HOSPITAL 1500 Commonwealth Ave. Williamsburg (757) 585-2200 RIVERSIDE REGIONAL MEDICAL CENTER 500 J. Clyde Morris Boulevard Newport News (757) 594-2000 SENTARA INDEPENDENCE 800 Independence Boulevard Virginia Beach (757) 363-6100 SENTARA BELLE HARBOUR 3920 Bridge Road, Suite A Suffolk (757) 983-2200 SENTARA CAREPLEX HOSPITAL 3000 Coliseum Drive Hampton (757) 736-1000 SENTARA BELLE HARBOUR 3920-A Bridge Rd. Suffolk (757) 983-0000
SENTARA HEART HOSPITAL 600 Gresham Drive Norfolk (757) 388-8000
AMERICAN HEART ASSOCIATION 500 Plume Street East, Suite 110 Norfolk (757) 628-2610
EDMARC HOSPICE FOR CHILDREN 516 London Street Portsmouth (757) 967-9251
SENTARA LEIGH HOSPITAL 830 Kempsville Road Norfolk (757) 261-6000
AMERICAN PARKINSON’S DISEASE ASSOCIATION 4560 Princess Anne Road Virginia Beach (757) 495-3062
ENDEPENDENCE CENTER, INC. 6300 E. Virginia Beach Boulevard Norfolk (757) 461-8007
SENTARA NORFOLK GENERAL HOSPITAL 600 Gresham Drive Norfolk (757) 388-3000 SENTARA OBICI HOSPITAL 2800 Godwin Boulevard 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 VIRGINIA HEALTH SERVICES 540 Aberthaw Avenue Newport News (757) 595-2273 WILLIAMSBURG LANDING 5700 Williamsburg Landing Dr. Williamsburg (757) 585-4436
NEUROLOGY WILLIAMSBURG NEUROLOGY & SLEEP DISORDERS CENTER 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
NEUROSURGERY RIVERSIDE NEUROSURGICAL & SPINE SPECIALISTS 120 Kings Way, Suite 3500 Williamsburg (757) 220-6823
NON-PROFIT ORGANIZATIONS ACCESS AIDS SUPPORT 218 S. Armistead Avenue Hampton (757) 722-5511 222 W. 21st Street, Suite F-308 Norfolk (757) 622-2989 ALZHEIMER’S ASSOCIATION 6350 Center Drive, Suite 102 Norfolk (757) 459-2405 213-B McLaws Circle Williamsburg (757) 221-7272 24/hour Helpline: (800) 272-3900
AMERICAN RED CROSS 1323 W. Pembroke Avenue Hampton (757) 838-7320 1317 Jamestown Road, Suite 105 Williamsburg (757) 253-0228 6912 George Washington Memorial Highway Yorktown (757) 898-3090 VERSABILITY RESOURCES 2520 58th Street Hampton (757) 896-6461
FAITH IN ACTION 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890 FOOD BANK OF THE VA. PENINSULA 2401 Aluminum Avenue Hampton (757) 596-7188 FOOD BANK OF SEVA 800 Tidewater Drive Norfolk (757) 627-6599 HOPE HOUSE FOUNDATION 801 Boush Street, Suite 302 Norfolk (757) 625-6161
THE ARC OF GREATER WILLIAMSBURG 202 Packets Court Williamsburg (757) 229-0643
JEWISH FAMILY SERVICE 260 Grayson Road Virginia Beach (757) 321-2223
THE ARTHRITIS FOUNDATION 2201 W. Broad Street, Suite 100 Richmond (804) 359-1700
LEE’S FRIENDS: HELPING PEOPLE LIVE WITH CANCER 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501
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 Boulevard Virginia Beach (757) 631-0222 BEYOND BOOBS! INC. 1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649 CANCER CARE FOUNDATION OF TIDEWATER 5900 Lake Wright Dr. Norfolk (757) 461-8488
LEUKEMIA & LYMPHOMA SOCIETY 6350 Center Drive, Suite 216 Norfolk (757) 459-4670 NATIONAL MS SOCIETY 760 Lynnhaven Pkwy., 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 NORFOLK COMMUNITY SERVICES BOARD 229 W. Olney Rd., Room 1 Norfolk (757) 664-6670
CENTER FOR EXCELLENCE IN AGING & LIFELONG HEALTH 3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751
PENINSULA AGENCY ON AGING 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541
CHEAR, INC. C/O DEPARTMENT OF OTOLARYNGOLOGY, EVMS 600 Gresham Drive, Suite 1100 Norfolk (757) 388-6229
PENINSULA INSTITUTE FOR COMMUNITY HEALTH 1033 28th Street Newport News (757) 591-0643
CHILD DEVELOPMENT RESOURCES 150 Point O’ Woods Road Norge (757) 566-3300
PENINSULA PASTORAL COUNSELING CENTER 707 Gum Rock Court Newport News (757) 873-2273
CITIZENS’ COMMITTEE TO PROTECT THE ELDERLY PO Box 10100 Virginia Beach (757) 518-8500
PROTECT OUR KIDS P.O. Box 561 Hampton (757) 727-0651
COLONIAL BEHAVIORAL HEALTH 473 McLaws Circle Williamsburg (757) 220-3200
RESPITE CARE CENTER FOR ADULTS WITH SPECIAL NEEDS 500 Jamestown Road Williamsburg (757) 229-1771
AMERICAN CANCER SOCIETY 11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330
DENBIGH CLUBHOUSE FOR BRAIN INJURY SURVIVORS 12725 McManus Boulevard, Suite 2E Newport News (757) 833-7845
AMERICAN DIABETES ASSOCIATION 870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662
DREAM CATCHERS 10120 Fire Tower Road Toano (757) 566-1775
RONALD MCDONALD HOUSE 404 Colley Avenue Norfolk (757) 627-5386 RSVP: RETIRED SENIOR VOLUNTEERS 12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037
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 Boulevard Portsmouth (757) 397-2121
825 Fairfax Ave., 3rd Floor Norfolk (757) 466-8683
OPTOMETRY & OPHTHALMOLOGY RETINA & GLAUCOMA ASSOCIATES 113 Bulifants Boulevard, Suite A Williamsburg (757) 220-3375 RIVERSIDE HAMPTON ROADS EYE ASSOCIATES 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001
ORTHOPEDICS & SPORTS MEDICINE
WE PROMISE FOUNDATION 160 Newtown Road Virginia Beach (757) 233-7111
ORTHOPAEDIC & SPINE CENTER 250 Nat Turner Blvd Newport News (757) 596-1900
OBSTETRICS & GYNECOLOGY
RIVERSIDE ORTHOPAEDICS & SPORTS MEDICINE 120 Kings Way, Suite 2800 Williamsburg (757) 534-9988 TIDEWATER ORTHOPAEDIC ASSOCIATES 901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Avenue Williamsburg (757) 206-1004
PAIN MANAGEMENT RIVERSIDE PAIN MEDICINE & REHABILITATION SPECIALISTS 120 Kings Way, Suite 2550 Williamsburg 9757) 345-3050
PHYSICAL THERAPY & REHABILITATION
VIRGINIA ONCOLOGY ASSOCIATES 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400
BON SECOURS IN MOTION PHYSICAL THERAPY 5838 Harbour View Blvd. Suffolk (757) 673-5971
1051 Loftis Boulevard, Suite 100 Newport News (757) 873-9400
2012 Meade Parkway Suffolk (757) 934-3366
500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236
5553 Portsmouth Blvd. Portsmouth (757) 465-7906
725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403
3300 High Street, Suite 1-A Portsmouth (757) 673-5689 4900 High Street West Portsmouth (757) 483-4518
5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 150 Burnett’s Way, Suite 310 Suffolk (757) 539-0670 5900 Lake Wright Drive Norfolk (757) 466-8683
5 Armistead Pointe Parkway Hampton (757) 224-4601 828 Healthy Way Virginia Beach (757) 463-2540 1817 Laskin Rd., Ste. 100 Virginia Beach (757) 437-0471
7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 885 Kempsville Rd., Ste. 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230
DOMINION PHYSICAL THERAPY & ASSOCIATES, INC. 304 Marcella Road, Suite E Hampton (757) 825-9446 466 Denbigh Boulevard Newport News (757) 875-0861 301 Riverview Avenue Norfolk (757) 963-5588 729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932 243 McLaws Circle, Suite 102 Williamsburg (757) 564-9628 500 Rodman Avenue, Suite 4 Portsmouth (757) 393-6119 HAMPTON ROADS ORTHOPAEDICS & SPORTS MEDICINE 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 ORTHOPAEDIC & SPINE CENTER PHYSICAL THERAPY 250 Nat Turner Boulevard Newport News (757) 596-1900 TIDEWATER PHYSICAL THERAPY 2106 Executive Drive Hampton (757) 838-6678 9 Manhattan Square, Suite B Hampton (757) 825-3400 12695 McManus Blvd., Building 6, Suite B Newport News (757) 874-0032 771 Pilot House Drive Newport News (757) 873-2123 12655 Warwick Boulevard, Suite B Newport News (757) 599-5551 156-B Strawberry Plains Road Williamsburg (757) 565-3400
PROSTHETICS & ORTHOTICS REACH ORTHOTIC & PROSTHETIC SERVICES 11747 Jefferson Ave., Ste. 5-A Newport News (757) 595-9800 SILHOUETTE MASTECTOMY BOUTIQUE 12715-V Warwick Boulevard Newport News (757) 930-0139
SLEEP MEDICINE PULMONARY & SLEEP CONSULTANTS OF WILLIAMSBURG 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460 WILLIAMSBURG NEUROLOGY AND SLEEP DISORDERS CENTER 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
URGENT CARE MD EXPRESS 120 Monticello Avenue Williamsburg (757) 564-3627 4740 George Washington Memorial Highway Yorktown (757) 890-6339 12997 Warwick Boulevard Newport News (757) 369-9446 3321 West Mercury Boulevard Hampton (757) 224-0056 RIVERSIDE WILLIAMSBURG FAMILY PRACTICE & EXTENDED CARE 5231 John Tyler Highway Williamsburg (757) 220-8300
UROLOGY RIVERSIDE HAMPTON ROADS UROLOGY 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051
VASCULAR SURGERY RIVERSIDE PENINSULA VASCULAR SURGERY 156-A Strawberry Plains Road Williamsburg (757) 229-7939
7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 6965 Fox Hunt Lane, Suite 201 Gloucester (804) 694-8111 7190 Chapman Drive Hayes (804) 642-3028 204 Gumwood Drive Smithfield (757) 357-7762 2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316
2 Bernardine Drive Newport News (757) 886-6480
4020 Raintree Road, Suite D Chesapeake (757) 484-4241
13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690
131 W. Hanbury Road, Suite C-1 Chesapeake (757) 819-6512
THEHEALTHJOURNALS.COM | APRIL 2014 45
12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555
1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437
1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676
101 Long Green Blvd. Yorktown (757) 952-1900
4374 New Town Rd., Suite 102 Williamsburg (757) 873-1554
RIVERSIDE PENINSULA CANCER INSTITUTE 120 Kings Way, Suite 3100 Williamsburg (757) 345-5724
VIRGINIA HEALTH REHAB 204 Nat Turner Boulevard Newport News (757) 594-0330
RUBENSTEIN ORTHODONTICS LORETTA RUBENSTEIN, DDS 12725 McManus Blvd., Suite 1B Newport News (757)874-0990
VETS ADVOCATING FOR VETS Hampton (757) 722-9961, ext. 3009
ONCOLOGY
4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651
1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060
222 W. 19th Street Norfolk (757) 622-7017
WILLIAMSBURG OBSTETRICS & GYNECOLOGY 1115 Professional Drive Williamsburg (757) 253-5653
6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890
ORTHODONTICS
HAMPTON ROADS ORTHOPAEDICS & SPORTS MEDICINE 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554
RIVERSIDE PARTNERS IN WOMEN’S HEALTH 120 Kings Way, Suite 3400 Williamsburg (757) 253-5600
235 Hanbury Road East Chesapeake (757) 391-7660
HEALTH DIRECTORY
ST. MARY’S HOME FOR DISABLED CHILDREN 6171 Kempsville Circle Norfolk (757) 622-2208
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Help Within Your Grasp
With its two board-certified hand surgeonsâ&#x20AC;&#x201D;the only two on the Peninsulaâ&#x20AC;&#x201D;certified hand therapists, extremity MRI and partnership with Sentara CarePlex Ambulatory Surgery Center, its easy to see why patients prefer Drs. Campolattaro and Smerlis for the best and most comprehensive hand care in Hampton Roads. Schedule your appointment today to put the treatment of your hands into ours.
TIDEWATER ORTHOPAEDICS Serving all of your orthopaedic needs from hip & knee replacements, to problems with spine, shoulders, hands, foot & ankle, and sports medicine. Colin M. Kingston, MD Robert M. Campolattaro, MD Michael E. Higgins, MD Nicholas A. Smerlis, MD John J. McCarthy III, MD Nicholas K. Sablan, MD Sara M. Bouraee, DPM Melissa M. Erickson, MD Paul B. Maloof, M.D.
Dr. Campolattaro has been with Tidewater Ortho since September 2004. Dr. Campolattaro began his career attending the College of William & Mary for undergraduate school and University of Medicine and Dentistry of New Jersey for medical school. Afterward, Dr. Campolattaro completed his residency at University of Rochester School of Medicine and Dentistry before completing his fellowship training in hand surgery at Wake Forest University.
williamsburg | 5208 Monticello Avenue, Suite 180 | Williamsburg, VA 23188 hampton | 901 Enterprise Parkway, Suite 900 | Hampton, VA 23666
Dr. Smerlis 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. Dr. Smerlis takes his patients to the CarePlex Orthopaedic Ambulatory Surgery, the only dedicated orthopaedic outpatient surgery center in the region.
(757) 637-7016 www.tidewaterortho.com
Calm and Caring Watch Dr. Drapach explain his passion for patient care.
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Dmitry Drapach, D.O. I was raised in a family of doctors, so a career in medicine was a natural fit for me. I look at the full picture of a patient’s health and share that information so that the patient can understand his or her situation and treatment path. As a doctor, you have to spend time with your patients and feel a
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Partners In Women’s Mercury West MedicalHealth Center 2148 West Mercury Boulevard Hampton, VA 23666
Newport News
Lisa A. Casanova, M.D. Monilla M. Dent, M.D. Barry Gross, M.D. Jeffrey L. Henke, M.D. Leslie Hurt, M.D. Diane A. Maddela, D.O. Welcome. Maya Tyler, N.P.
To select Dr. Drapach as your physician, call (757) 827-1940 or visit us online at www.riversideonline.com/drapach Appointments Available Now. Medicare Patients
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