The Health Journal August 2015 by The Health Journal

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Pick up a FREE CHESAPEAKE Barnes & Noble –Starbucks Cafe Bobby’s BBQ and Country Buffet Bon Secours In Motion Physical Therapy - Greenbrier Bon Secours Western Branch Family Practice Chanellos Pizza – Volvo Parkway Chesapeake Community Centers Chilled Ponds Skating Rink Coastal Vision Golf Headquarters Great Clips Greenbrier Dental Center Greenbrier North YMCA Greenbrier Public Library Greenbrier YMCA Imaging Services (TPMG) Indian River Family Practice (TPMG) Internists at Western Branch Michelle T. Curry Dentistry MRI-CT Diagnostics Natural Elements Spa NowCare Urgent Care OneLife Fitness - Greenbrier OneLife Fitness- Western Branch Patient First Taylor Road Medical Center Russell Memorial Library Sage Organics Sentara Greenbrier HealthPlex Sentara Internal Medicine Specialists The Spine Center At Chesapeake Sports Clips - Greenbrier Starbucks at Chesapeake Square Subway Restaurant Sweet Frog Frozen Yogurt - Volvo Pkwy Taylor Bend YMCA The Skinny Dip Tidewater Medical Center - Greenbrier Family Practice Tidewater Physical Therapy - Western Branch Tidewater Sports & Osteopathic Medicine Virginia Oncology Associates Walgreens – select locations Western Branch Family Practice Y-NOT Pizza Yoga Nook (Knell’s Ridge Commons) Your Time 24-Hour Gym -Chesapeake Square HAMPTON Associates In Dermatology Bayview Chiropractic Clinic Center for Women’s Health CHKD Health Center Coliseum Park Nursing Home Dental Care of Hampton Dominion Physical Therapy Farm Fresh – select locations GNC – select locations Hampton City Schools Building Hampton Family Medicine Hampton Family Practice Hampton Family YMCA Hampton Health Mart Pharmacy Hampton Professional Park Hampton University / School of Nursing Hampton University Proton Therapy Hampton-Newport News Community Services Board Jen Care Neighborhood Medical Center M.D. Express Urgent Care Mercury West Discount Pharmacy Panera Bread – select locations Patient Advocate Foundation Riverside Behavioral Health Riverside Healthcare Center Riverside Medical Care Center

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copy of The Health Journal at any of these Hampton Roads locations.

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NORFOLK Alzheimer’s Association Anthony & Company Hair Design Anytime Fitness – Colley Ave. Anytime Fitness – Little Creek Rd. Azar’s Natural Foods Blocker Norfolk Family YMCA Bon Secours DePaul Medical Center Bon Secours InMotion PT Constant Convocation Center - ODU Dominion Physical Therapy Dumbbells Personal Training EVMS - Brickell Medical Sciences Library Gray’s Pharmacy Harbour Pointe Healthcare & Rehab Center Health Food Center Hot House Yoga - Ghent NowCare Urgent Care Plaza del Sol Mexican Restaurant Prime Plus Norfolk Senior Center Running Etc. Sentara Comprehensive - Weight Loss Solutions Sentara Leigh Hospital Sentara Norfolk General St. John Lutheran Church St. Mary’s Home for Disabled Children Starbucks Coffee - Colley Ave. Starbucks Coffee -21st Street/Ghent Studio East Salon The Mambo Room Dance Studio The Up Center The Vitamin Shoppe - 21st Street/Ghent The Yoga Room Virginia Oncology Associates Y Not Pizza & Italian Cuisine - Colley Ave. VIRGINIA BEACH Adult Learning Center Beach Eye Care Bon Secours Health Center - of Virginia Beach CHKD Health & Surgery Center Coastal Vision Cosmetic and Family Dentistry Dr. William Grant Foot & Ankle Center DSD Supplements First Colonial Family Practice/Urgent Care First Colonial Medical Center Founder’s Inn - Flowering Almond Spa Glasson Sports Medicine Heritage Natural Market Holland Road Family Medicine Learning Rx LWS&S Family Dentistry NowCare Urgent Care – First Colonial NowCare Urgent Care – Indian River OneLife Fitness – Princess Anne Rite Aid Pharmacy Riverside Cancer Infusion Center Romero Family Practice Sentara Cardiovascular Associates Sentara Independence - Bayside Medical Plaza Sentara Princess Anne Hospital Sentara Virginia Beach General Hospital

Tidewater Physical Therapy & Aquatic Center Tropical Smoothie Café – Great Neck Rd. Urology of Virginia VA Institute For Sports Medicine & Physical Therapy Va. Beach Obstetrics & Gynecology Virginia Oncology Associates POQUOSON Poquoson Farm Fresh Hair Cuttery Poquoson Library Snap Fitness Subway Supercuts Tropical Smoothie Café PORTSMOUTH Bobby’s BBQ and Country Buffet Bon Secours In Motion Physical Therapy/ Churchland YMCA Bon Secours In Motion Portsmouth - High Street Bon Secours Virginia Orthopedic and Spine Specialists at High Street City of Portsmouth Department of Social Services Dominion Physical Therapy Portsmouth Effingham Street Family YMCA Fleming’s Gym Holistic Farmacy Maryview Heart Center and Birth Center Maryview Medical Center Front Entrance Planet Fitness Portsmouth Municipal Building Portsmouth Public Library - Churchland Portsmouth Public Library – Main Branch Portsmouth Public Schools’ - School Board Office Portsmouth YMCA – Churchland Roger Brown’s The Bier Garden The Coffee Shoppe SUFFOLK Anytime Fitness - Harbour View Bombshells Salon and Spa – Harbour View Bon Secours Health Center -Harbour View Bon Secours In Motion Physical Therapy - Harbour View Bon Secours Surgery Center - Harbour View Cold Stone Creamery Harbour View Eastern Virginia Ear, Nose & Throat Specialists Emporia Radiology Massage Envy SPA – Harbour View Starbucks - Harbour View Super Cuts - Harbour View SweetFrog Frozen Yogurt - Harbour View Tropical Smoothie Café - Harbour View Virginia Oncology Associates - Harbour View VOSS at Harbour View Medical Arts Building

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

AUGUST 2015 | CONTENTS

HEALTHY COMMUTE PG.56 BITS & PIECES 04 / Contributors 06 / Editor’s Note 08 / D.I.Y. / 52 I Love You Cards 08 / Inbox 09 / In My Own Words IN THE KNOW 10 / Calendar 12 / Out & About

FAMILY PG.46 FOOD

32 / Food & Nutrition / Summer Salads 34 / Herb-N-Garden / Chives 35 / Taste Appeal 38 / Flavor / Iced Coffees YOUR HEALTH 40 / Yoganatomy / Bridge 42 / Fitness / Masters Running

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

44 / Family / First Tee Program 48 / Outdoors / Junior Rowing Club 50 / Aging Well / Aging & Sleep

14 / Profile / Jenny Joyner

52 / Mind Matters / Counseling Expectations

16 / Q&A / Matt & Michelle Midnight

54 / Money / Best Credit Cards

18 / Advances in Medicine / ACL Repair

56 / Healthy Commute / Best Podcasts

20 / Feature / Breastfeeding

DIGITAL ISSUE

30 / Vine & Dine / Wine Consumption

13 / Second Opinion

FEATURES

FLAVOR PG.38

ON THE WEB @ THEHEALTHJOURNALS.COM

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

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

24 / Feature / Masters Athletes 26 / Feature / Service Dogs Part III

61 / Health Directory 64 / Brain Teasers

thehealthjournals.com | 3

BITS & PIECES | CONTRIBUTORS

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

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

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

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

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

SAPTA YIN, ASCM, RYT 200 Sapta instructs yoga at Body Balance Williamsburg. She is an ACSM certified personal trainer and is certified as a yoga instructor underneath Yoga Alliance. Her passion is the practice of mindfulness in movement and music. On and off the mat her goal is to work from the strengths of gratitude, acceptance and appreciation in each moment to thrive all the more in life.

DANIEL SHAYE Dr. Shaye is a chiropractor, certified chiropractic sports physician and acupuncture fellow (FIAMA) with Performance Chiropractic in Williamsburg, Virginia. A competitor at heart, he regularly runs, swims and lifts weights. He trains to run fast and age as slowly as possible. 4 | thehealthjournals.com

A.E. Bayne is a writer and visual artist who lives in Fredericksburg, Virginia. She has been a frequent contributor to Front Porch Magazine and the Fredericksburg Literary Review since 2011.

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

STEPH HEINATZ Steph is a freelance writer based in Gloucester, Virginia, and owner of Consociate Media. Following more than a decade of reporting and writing across various media, Steph founded a writing and communications firm and continues to share stories related to health care trends, hospitality, fitness, military training and business.

RAY GOLD Ray had been in the wine business since the early 1980s when he served as vice president of operations and finance for a large wine and spirits wholesaler in Washington D.C. As part of the position, he traveled to many wine producing regions importing wine from around the world for D.C. distribution. He moved to Williamsburg, Virginia, in 1999 and worked for a Richmond distributor as a wine buyer and then became involved in the retail wine business, opening a store in New Town.

ASHLEY WROTON ED.S., LPC, RPT Ashley is a licensed professional counselor and registered play therapist with Genesis Counseling Center in Hampton, Virginia. She received her Master of Science in education degree and taught middle school prior to continuing her education to receive an education specialist degree in mental health and school counseling.

NEW

Chesapeake’s Community Centers—CityofChesapeake.net/Cente

VOL. 11, NO. 03 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia. Magazines are distributed via direct mail, racks and hand delivery. For more information, visit thehealthjournals.com.

FITNESS CLASSES

Chesapeake, VA

Chesapeake’s Community Centers • Chesapeake, VA CityofChesapeake.net/Centers

Great Bridge Community Center

Tuesday, 11am-12noon, $25/session  $7/drop

Mid-Morning Aerobics

Evening Aerobics

Great Bridge Community Center

River Crest Community Center

River Crest Community Center, Tuesday / Thursday, 6 -7pm, $35/session  $7/dro

Chesapeake’s Community Centers—CityofChesapeake.net/Centers

Chesapeake, VA

PUBLISHERS

Brian Freer & Page Freer

Deep Creek Community Tuesday/Thursday, Center, Monday, 6:30 - 7:30pm, $35/session  $7/drop-in Tuesday, 11am–12noon 6–7pm Tuesday, 11am-12noon, $25/session  $7/drop-in Deep Creek Community $35/session Center, Wednesday, - 7:30pm, $35/session $7/drop-in $25/session • $7/drop-in • 6:30 $7/drop-in

EXECUTIVE DIRECTOR

Great Bridge Community Center

EDITOR IN CHIEF

River Crest Community Center, Tuesday / Thursday, 6 -7pm, $35/session  $7/drop-in

Rita L. Kikoen

Western Branch Community Center, Thursday, 6:45 - 7:45pm, $35/session $7/drop-

Chris Jones chris@thehealthjournals.com

Deep Creek Community Center, Monday, 6:30 - 7:30pm, $35/session  $7/drop-in

Indian River Community Center, & Wednesday, 7-8pm, $35/session  $7/dro Deep Creek Community Center Indian Monday River Community Center

MEDICAL EDITOR

Deep Creek Community Center, Wednesday, 6:30 - 7:30pm, $35/session $7/drop-in

Monday, 6:30–7:30pm Monday/Wednesday, 7–8pm Tuesday & Thursday, 7-8pm , $35/session  $7/dropWednesday, 6:30–7:30pm Dr. C.V. Cuffee Community Center, Tuesday, 5:45-6:45pm Camelot Community Center , $35/session  $7/drop

Western Branch Community Center, Thursday, 6:45 - Camelot 7:45pm, $35/session $7/drop-in Community Center,

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

Tuesday/Thursday, 7–8pm Western Branch Community Center Register early for class sessions at any City community center, Thursday, 6:45–7:45pm Dr. C.V. Cuffee Community Center Chesapeake Parks, Recreation and Tourism, 1224 Progressive Drive, Chesapeake 23320.

Indian River Community Center, Monday & Wednesday, 7-8pm, $35/session  $7/drop-in

Christie Davenport christie@thehealthjournals.com

online www.CityofChesapeake.net/Guide or mail registration forms to Camelot Community Center, Tuesday & Thursday, 7-8pmat , $35/session  $7/drop-in

Tuesday, 5:45–6:45pm

Dr. C.V. Cuffee Community Center, Tuesday, 5:45-6:45pm , $35/session  $7/drop-in

$35/session • $7/drop-in

ART DIRECTOR

Register early for class sessions at any City community center, online at www.CityofChesapeake.net/Guide or mail registration forms to Chesapeake Parks, Recreation and Tourism, 1224 Progressive Drive, Chesapeake 23320.

Susan Thompson susan@thehealthjournals.com

$35/session • $7/drop-in

JR. ART DIRECTOR

• IN PERSON at any City community center, • ONLINE at www.CityofChesapeake.net/Guide • THRU MAIL by mailing registration forms to: Chesapeake Parks, Recreation and Tourism 1224 Progressive Drive, Chesapeake 23320

Maria Candelaria Daugs maria@thehealthjournals.com VIDEO PRODUCTION MANAGER

Brandon Freer brandon@thehealthjournals.com CIRCULATION

For class availability or more information:

(757) 382-6411

Your Perfect Travel

Ryan Bishop circulation@thehealthjournals.com

Companion

PHOTOGRAPHY

Brian Freer Alexis Kikoen

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BITS & PIECES | EDITOR’S NOTE

aturday night card games were a fairly common occurrence at my grandparent’s house when I was a boy. Along with my aunts and uncles, my grandparents and their friends would gather around the dinner table to play Tonk, Pokeno and Gin Rummy under the haze of cigarette smoke and the cackling of laughter. I loved buzzing around the adults at the table and watching them play their games. They would fan their newly dealt cards in their hands, arrange them strategically and prepare their bids. If I were in the vicinity of their open hands, they would lower their cards to the table, or if I saw their hands, I would be sworn to silence—money was at stake. On one such Saturday night, I was floating around the card table. My Uncle Butch, was sifting through his cards, when he summoned. He leaned over in his chair, covered his mouth with his fanned cards and whispered into my ear. I walked over to my grandmother, said “Hey!” and addressed her with a 12-letter curse word (Yeah, there’s only one of those!). Everything stopped. My grandmother put her cards on the table and rose from her chair. Her reaction caught me completely off guard and it wasn’t what I expected. She wrapped her fingers around my bony 4-year-old arm and led me to the bathroom. “Don’t ever let me hear you say that again,” she exclaimed, prying open my mouth. In went

I SWEAR

“WE NEED DISCERNMENT IN WHAT WE SEE AND WHAT WE HEAR AND WHAT WE BELIEVE.” — CHARLES R. SWINDOLL

a small sliver of soap; I wept. I didn’t know that I had said something so horrible to her. I trusted my uncle because as a child, trust comes standard. Discernment is one of the toughest attributes to mold into our characters. It’s in the family of wisdom meaning that it takes time and many positive and negative experiences to cultivate it. Throughout the course of my life, I’ve had people whispering in my ear and, as young adult, I was easily swayed and influenced by those people. Some approached me out of pure intentions while others veiled their motivations. I learned in time—and through successes, setbacks and disappointments—that if I didn’t develop my own convictions, learn to make my own decisions and trust the lessons from my own experiences, I would always have my life governed by another. I had to weigh the advice of family and friends against my values, my goals and my experiences. This isn’t to say that I don’t lean on trusted friends, I certainly do. There is a proverb that states: Plans fail for lack of counsel, but with many advisers they succeed. So, I’ve had the pleasure of being coached and mentored. I have invited friends into my life that I trust and their wisdom is such that I can see the good fruits of it in their lives. Yet, despite the culture of openness we’ve shared, it’s my job to run every word of advice through my filter of purpose. I have to pull my ear back 6 | thehealthjournals.com

PHOTOGRAPHY BY ALEXIS KIKOEN

from behind the playing cards and ask myself: Will this instruction be beneficial to me or my situation? Does the advice align with my life’s purpose? How will following this guidance affect my family? Is the person speaking from a place of love or self-interest? What fits is implemented and what does not is discarded, or even shelved for a time when it may fit me in a different season of life. I’ve had those moments when something planted in one stage of my life was harvested in another. To paraphrase Stephen Covey, life mimics the law of the farm. I celebrated my 39th birthday last month which means I’ll be reflecting a lot in the next year, and I’ll have conversations with past versions of myself within the pages of my journal. And I’ll ask my sudsy-mouthed, 4-year-old self his advice for being in my 40s and he’ll probably go Teddy Roosevelt on me and say, “Speak softly, carry a big stick and leave those four-syllable, 12-letter words to Samuel L. Jackson.”

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM

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BITS & PIECES | DIY & INBOX

MAKE YOUR OWN 52 Things I Love About You

Cards

DIRECTIONS & PHOTOGRAPHY BY NICOLE PHILLIPS, heartvisual.com

This is the perfect gift for any person in your life. It’s an ideal gift for birthdays, anniversaries, Christmas, weddings or just because. You can also use this same concept to create perpetual calendars using 31 cards and typing motivational quotes.

You’ll need: • Playing cards • Mod-Podge or rubber cement • Binder rings • One-hole punch • Scissors

Instructions 1. I created a template using Adobe Illustrator, but you can do this using Microsoft Word.

I printed my 52 things on card stock and cut out each square by hand. I then glued each square to the playing cards using a thin layer of basic Mod-Podge, but you could also use rubber cement for a faster drying time.

Once the cards were dry, I took one card (the Joker or an extra card you don’t plan on including in your booklet) and practiced punching some holes in it. Try your best to punch holes in the same place on each card, but it doesn’t have to be perfect, because the metal binder rings are large enough to give some flexibility to the booklet. Thread each card onto the rings in your desired order and spread the love!

JULY SUDOKU

RAIN TEASER

8 7

JULY WINNER JO-ANNE WEAKLEY Williamsburg, Virginia

8 | thehealthjournals.com

4 7 6

5 9

8 1 5 9

6 2

2 6

JULY WORD SEARCH

3 7

8 2

8 7 9 6 2 4 5

2 9

9 7

6 1

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

JULY CRYPTOGRAM I learned never to empty the well of my writing, but always to stop when there was still something there in the deep part of the well, and let it refill at night from the springs that fed it. Ernest Hemingway

IN MY OWN WORDS | BITS & PIECES

LEE DAVENPORT Hi, I’m Lee Davenport. I have dedicated my life to the integration of body, mind and spirit. As a former guidance counselor, a physical education teacher, clergy wife and now grandmother, I look for ways to live a healthy, fulfilled life staying as active as my body will let me. In my retirement, I enjoy yoga, swimming, gardening, kayaking, grandparenting, traveling and hiking with my husband. Now in my leisure time, my principles of life center around simplicity and clarity—trying to live a balanced life.

IN MY

OWN WORDS

The Health Journal helps me do that every month. I especially appreciate the holistic focus, as well as the sensitivity to diversity throughout the journal's pages—something I dedicated my professional work to during my years with Norfolk Public Schools.

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IN THE KNOW | CALENDAR

August 6

EVENTS 15

BIKE NIGHTS Pedal through the petals at Norfolk Botanical Gardens.

WILDERNESS SURVIVAL SCHOOL Learn basic wilderness survival techniques.

SMART SMILES 5K Race benefits the Boys & Girls Clubs of the Virginia Peninsula.

WHEN: 4 to 7 p.m. Mondays, Wednesdays and Thursdays through October WHERE: Norfolk Botanical Garden $$: $11, adults; $9, children CONTACT: 757-441-5830

WHEN: noon to 1 p.m. Saturdays WHERE: First Landing State Park $$: $5 parking fee CONTACT: 757-412-2300

WHEN: 8 a.m. WHERE: The Mariners’ Museum $$: $20 in advance or $25 race day CONTACT: bagclub.com/smartsmiles5k

CITY CENTER FARMERS MARKET Shop for fresh local produce and more. WHEN: 10 a.m. to 2 p.m. Thursdays WHERE: City Center at Oyster Point $$: free CONTACT: citycenteratoysterpoint.com

8 YOGA ON TAP One-hour Vinyasa flow yoga class. Bring a mat and water. WHEN: 10 a.m. Saturdays WHERE: St. George Brewing Company, Hampton $$: $10 per class or $25 for three classes CONTACT: 757-303-1232

5K BEGINNER TRAINING Learn how to train for your first 5K. WHEN: 10 a.m. to noon Saturdays through September 5 WHERE: Northampton Community Center, Hampton $$: free CONTACT: 757-825-4805

YORKTOWN MARKET DAYS Fresh local produce and more. WHEN: 9 a.m. to 1 p.m. Saturdays through October WHERE: Riverwalk Landing, Yorktown $$: free CONTACT: yorktownmarketdays.com

YOGA AT BUCKROE BEACH Enjoy free outdoor yoga. WHEN: 8 to 9 a.m. WHERE: Buckroe Beach $$: free CONTACT: 757-825-4805

10 THYROID SEMINAR Learn natural approaches to dealing with thyroid issues. WHEN: 6:15 p.m. August 10, 17 and 24; 10:15 a.m. August 22 WHERE: Total Health Center, Virginia Beach $$: free CONTACT: 757-363-8571

11 NATURAL HOME CLEANING PRODUCTS WORKSHOP Make effective and environmentally-safe cleaning products. WHEN: 1 to 3 p.m. WHERE: Norfolk Botanical Garden $$: $25 members; $35, non-members CONTACT: norfolkbotanicalgarden.org

13 KIDNEY SMART Learn to take control of your kidney health. WHEN: 2 to 4 p.m. WHERE: Bon Secours Mary Immaculate Hospital $$: free CONTACT: 757-886-6100

GET MORE EVENTS AT:

THEHEALTHJOURNALS.COM/CALENDAR

10 | thehealthjournals.com

OSC COMMUNITY LECTURE Dr. John Burrow will discuss treatments for arthritis pain. WHEN: 7 p.m. WHERE: Orthopaedic & Spine Center, Newport News $$: free CONTACT: 757-596-1900

19 HELPING YOUNG CHILDREN MANAGE EMOTIONS Learn how to help children up to age 6 manage their emotions. WHEN: 6:30 to 8:30 p.m. WHERE: Children’s Hospital of The King’s Daughters, Norfolk $$: free CONTACT: chkd.org

20-22 EAST COAST HEALTHY LIFESTYLE EXPO Learn tips for a heathier lifestyle. WHEN: 6 to 9 p.m., Thursday; 8 a.m. to 9 p.m., Friday; 8 a.m. to 4 p.m., Saturday WHERE: Fort Magruder Hotel & Conference Center, Williamsburg $$: $15 for all three days CONTACT: 804-543-3245

21 BABY YOGA Learn yoga techniques to help your baby develop strength and movement. Bring a mat. WHEN: 11 a.m. August 21, 28 and September 4 WHERE: CHKD Health & Surgery Center at Oyster Point $$: free CONTACT: chkd.org

22 KAYAK QUICK START Learn kayaking basics. WHEN: 10 a.m. to noon WHERE: Sandy Bottom Nature Park $$: $8 CONTACT: 757-825-4657

23 SUNDAY FUNDAY Family event includes music, food and other activities. WHEN: noon to 3 p.m. WHERE: Mt. Trashmore $$: free CONTACT: vbgov.com

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IN THE KNOW | OUT & ABOUT

Check out what we’ve been up to at The Health Journal. 6 Dr. Michael Higgins; John Mitrovic, PT; Wayne MacMasters, PT and Dr. Colin Kingston get geared up for the Brisket BBQ Challenge between Tidewater Orthopaedics and Tidewater Physical Therapy.

5Client Liaison Christie Davenport joins Marcia Miller from Tidewater Physical Therapy and Lindsay Gray from Tidewater Orthopaedics at the kickoff event for the Brisket BBQ Challenge in September.

5Body By D owner D’Shawn Wright (center) is joined by Editor in Chief Chris

5Gerome Meminger, who painted our March cover, is joined by

Jones and York County Circuit Court Clerk candidate Stacy White at a family fun day hosted by Wright on July 4.

Christie Davenport and Chris Jones. Meminger recently showed some of his paintings—along with a copy of the issue—at Aromas in Williamsburg, Virginia.

12 | thehealthjournals.com

special advertising section

second opinion When is the right time to have joint replacement surgery?

What is medication reconciliation and is it important?

When your joint pain is keeping you from enjoying the active lifestyle you want, it’s time to explore treatment options, both non-surgical and surgical. Oral medication, injections, physical therapy and activity modification are less invasive options. Surgery should be considered if these less invasive options do not provide adequate relief. The goal of treatment is always to decrease pain and increase function. However, I encourage setting a personal goal. It can be as simple as doing your own grocery shopping or engaging in your favorite sports activity. This is your treatment, so understand your personal goals, risks and benefits. Patients frequently say, “Why did I wait so long!” I say it’s normal to be afraid of the unknown. When researching, look for a skilled surgeon, a specialized care team and a dedicated unit with the ability to guide you through your complete care plan from start to finish.

Medication reconciliation should happen each time you have a health care visit. It is the process of identifying the most accurate list of all your medications including their names, dosages, frequency and route of administration. It is a reconciliation of what you think you’re taking and what your physician or health care facility thinks you’re taking. Sounds simple, right? I wish it were so. “Med Rec,” as physicians call it, is an important starting point from which all medical care is delivered. Providing your doctor with specific and accurate information regarding what you’re taking is important and requires teamwork. So what are you to do? My recommendation is that you bring “ALL” of your medication bottles with you when you seek medical care any place, any time. The bottles tell your physician which medicines you’re taking, how they were prescribed, who prescribed them, when they were prescribed, how many refills were granted, and where they were filled. And if you bring all of your bottles, including the nonprescription ones, your medical provider will be well informed. That’s the best place to start.

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your health care questions answered

Yes, there is reason for concern. The popping comes from the Temporomandibular Joint (TMJ), which is made up of the muscles and bone of the fossa and condyle with a disc that cushions and separates them. When the jaw muscles are working overtime there is extra stress pulling on the disc. This continuous tension will cause the disc to stay out of place. When you open your mouth, the disc pops back into place and when you close your mouth, the disc slips back out. Therefore, over a long period of time, the disc will wear down enough that the popping can stop. It does not stop because it is better, but because it is so broken down it will not go back. Eventually, with no cushion, there will be wear on the bone which leads to more breakdown of the joint. As the TMJ breaks down, the bite changes even more causing breakdown of teeth and bone surrounding the teeth. It is important to catch this in the early phase to prevent a more expensive and painful problem.

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

thehealthjournals.com | 13

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When is the right time to have joint replacement surgery?

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thehealthjournals.com | 13

IN THE KNOW | PROFILE

Jenny Joyner WRITTEN BY ALISON JOHNSON

ne day in March 2011, Jenny Joyner went shopping for the baggiest clothes she could find. She was desperate to hide her post-divorce weight gain from her father, who was battling stage 4 colon cancer that would kill him the following year. “I didn’t want to disappoint my dad with how bad I had gotten, and I didn’t want him to comment on it either,” Joyner remembers. “I was very alone. My marriage breakup was very ugly, and while I realize I was not blameless, it left me feeling absolutely worthless, unwanted and confused.” Then Joyner’s boss told her it was time to lay off the cookies. That was her rock bottom. Joyner had done Weight Watchers twice before and lost 50 pounds each time but, without exercise built into her plan, she gained it all back. This time, she joined Body By D, a fitness center not far from her York County home that offers tough, boot camp-style workouts. The cardiovascular and weight-training elements and caring trainers transformed her body and spirit. Since then, Joyner has lost about 100 pounds and toned her body from a size 20 to an 8/10. Full of energy and optimism, the 39-yearold mother of three now is developing an online-based business to offer motivation, exercise tips, meal plans and recipes from a “normal girl”—one who still has a few issues with her own body, specifically her arms and stomach. 14 | thehealthjournals.com

PHOTOS BY COSTA PHOTOGRAPHY

“I am not super fit without any body fat, and I never will be,” she notes. “What I have done has required hard work, but it is attainable. You just have to never give up on yourself. I want to help people avoid my mistakes and show them that life on the other side is so much better and happier.” Joyner has created a Facebook page (Jenny Joyner—Stronger Every Day) and will launch a website to grow her following on social media. She also is working toward certifications in both Nutrition & Wellness and Weight Management from American Fitness Professionals & Associates, a national organization that helps train people for careers in the health and fitness industry. Although never thin, the 5-foot-8-inch Joyner was a size 14 through high school and didn’t really struggle with her weight until after she got married. When her 12-year union ended in divorce, the pounds piled on as she ate out of stress and boredom, often filling up on fast food. She hit a high of 261 pounds and found herself easily short of breath. Change had to come slowly, Joyner finally realized. Exercise had to become a habit, almost like another job; at the same time, poor food choices could negate even the most intense workouts. Joyner stopped underestimating her body’s abilities and looking for fad diets or magic pills that didn’t exist. “If you search the Internet for nutrition or workout advice, find it in at least three different places before you

« Jenny Before

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Jenny today » even think about putting it to use,” she counsels today. For Joyner, the mental transformation of weight loss has been greater than the physical. “I have confidence, I am fearless, outgoing and having a blast,” she says. “I am a better mom because I am more active. I’ve done things I never thought I would do.” She has entered road races and endurance events and usually hits the gym six days a week. Her three kids—Audrey, 17; Ethan, 9; and Will, 8—all work out at Body By D, too. Joyner also has returned to a goal she set years ago: a bachelor’s degree. She was a third-year student at George Mason University when she left college to move with her now-ex-husband to Hampton Roads. She hopes to finish an accounting degree at Old Dominion University by the end of 2016, fitting one class a semester into her busy schedule. As for her ex-husband, the two have become good friends and own a utility contracting company together, which Joyner pairs with a full-time job as an office manager for a commercial electrical contractor—and, of course, plenty of exercise time. “I want to keep getting better and stronger,” she says. “People who are closest to me say that I am just now becoming the person they have always seen in me. What a fantastic compliment.”

What I have done has required hard work, but it is attainable. You just have to never give up on yourself.

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IN THE KNOW | Q&A

What is CrossFit? Michelle Midnight: CrossFit is a combination of weight lifting, gymnastics and mono-structural movements—running, rowing or what people typically do as cardio. The premise of CrossFit is you want to be good at everything and not great at any one thing. So regardless of what challenge that is put in front of you, you can complete it adequately.

Who should do CrossFit? Michelle Midnight: Anyone can do it. That’s the awesome thing about CrossFit. The workout of the day can be tailored to meet your level of fitness.

What’s up with the CrossFit lingo? Matt Midnight (laughs): It’s a lot of abbreviations. WOD is workout of the day. Rx is a prescribed workout. We write a workout and then we scale it backwards from there. I’ll write a workout for the strongest and fastest and then we make it appropriate for others. We abbreviate almost everything. Michelle Midnight: And the box is what we call the gym. When people join, I give them a cheat sheet with all of the abbreviations.

What is the CrossFit culture?

MATT & MICHELLE

MIDNIGHT M

att & Michelle Midnight own CrossFit 1607 in Williamsburg, Virginia’s New Town. The couple, along with Matt Midnight’s brother, Garrett, conceptualized the business from the Midnight’s garage. The trio connected with Scott Grafton of Iron-Bound Gym where he provided them space and “the box” was born. CrossFit enthusiasts and those curious flock from around the area for the intense, but fun workouts. INTERVIEWED BY CHRIS JONES PHOTO BY ALLAN HARVIE

16 | thehealthjournals.com

Matt Midnight: It’s getting people together who want to improve their lifestyle—it’s the social component, it’s the fitness component and it’s the nutritional component. The atmosphere comes together to support this. If you’re doing workouts with people and sweating with one another, those barriers get brought down. People here become friends. They start to hang out and it’s really cool to see. Michelle Midnight: You’ll come to class and see an 18-year-old girl, a 25-year-old guy and a 45-year-old woman and you forget about your differences and you have fun. Everyone works to their potential and everyone supports everyone else.

The Paleo Diet seems synonymous with CrossFit? Is it required? Matt Midnight: It’s not required at all. Eighty percent, if not more, of improving your performance should be focused on nutrition. It just so happens that Paleo aligns with what we’re doing. Michelle Midnight. It’s not a diet; it’s a lifestyle. We choose to eat this way. We eat whole foods, fruits, vegetables and fats. Eating this way, we have more energy; we feel better. If you focus on what you can have, it doesn’t feel like you’re missing out on anything.

Q&A | IN THE KNOW

CrossFit has a high concentration of women. Why?

Why did you choose to create a CrossFit business?

Matt Midnight: I feel like women are more likely to step outside of their comfort zone and try something new first. Speaking for me, I know I need some other motivation along the way. I think in general, women are more willing to be open, and then guys follow. Michelle Midnight: I think women like the group atmosphere. In [the box] it’s social and you chit-chat. We tend to be vocal and get our friends to come because women like to do things in groups, right? It’s a social outlet.

Matt Midnight: I was trying to figure out what was right for me. I understood exercise philosophy and the movements, but I couldn’t find something to put it all together. My brother started talking to me about CrossFit. I did more research and started doing it in my garage. Then Michelle started doing it with me. My brother would come over and eventually my garage got tight on space. We realized it was fun. I was getting stronger and it was challenging me. Michelle Midnight: We just loved it so much that we wanted to share it with others. That was a huge motivation, to come to work and do something you are truly excited about and to help people. That’s truly amazing.

Our female readers will probably want to know: Will CrossFit make them bulky? Michelle Midnight: No. There is a very prescribed way to lift if you want to get bulked up. We tend to lift heavy weights quickly which does not result in that. Matt Midnight: I think the only exposure people have to CrossFit is the CrossFit Games and they associate everyone with being that way. Those are pro athletes and they workout for their job. Most people who come here workout 3-5 days a week and you won’t get bulky that way.

ANYONE CAN DO IT.

THAT’S THE AWESOME THING ABOUT CROSSFIT.

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IN THE KNOW | ADVANCES IN MEDICINE

Motion Is Life WRITTEN BY STEPH HEINATZ

Key advances in ACL-related surgeries and rehabilitation focus on getting people moving quickly after their procedures

here’s no doubt about it. People are busy: Busy with work; Busy with kids and family; Busy with life. When something happens, like damaging the anterior cruciate ligament, one of the four major ligaments of the knee that prevents people from moving freely around those busy lives, it impacts everything. “Motion is life,” says Dr. Boyd Haynes, a sports medicine fellowship-trained surgeon with the Orthopaedic & Spine Center in Newport News, Virginia. “If I can get you back to feeling better sooner, I can get you back to work and life activities sooner.” That treatment philosophy, Haynes says, has helped define advances made in ACL-related treatments, surgeries and rehabilitation in the last decade. Prevent people from getting hurt in the first place, and then get them moving as quickly as possible after surgery. That starts in the operating room, Haynes says, with advances that allow surgeons to make smaller incisions when going in to repair or replace an ACL. “Decades ago, the reconstruction in knees were not done anatomically,” Haynes says. “They were done on the outside of the knee. They didn’t go in and fix the problem. Now, if we need to repair the ACL, we go in and repair the ACL.” And when they are done, the surgeons are getting their patients into rehabilitation faster than ever. “Everybody wants to get back to their sports and their life,” Haynes says. “They don’t want to sit for months.” So they get them moving. 18 | thehealthjournals.com

GET MOVING QUICKLY

A benefit of surgeons operating on a knee using smaller incisions is that “they cause less trauma than ever to fix a torn ACL. The surgery itself is damaging less of the surrounding areas of the knee,” says Steve Howell, PT, M.Ed., vice president and Peninsula regional director with Tidewater Physical Therapy. Howell treats patients in the practice’s Oyster Point Clinic in Newport News. What does that mean for patients? That they can get moving quickly after surgery. “By getting into rehab early, you are limiting the effects of immobilization including muscle atrophy, stiffness in the joint, swelling and pain,” Howell says. “Years ago, physical therapy was not initiated until four weeks or more postsurgery to protect the repair. Now the repairs are so stable that the surgeon isn’t as worried about the repair getting damaged.” Today, patients are coming to physical therapy three to five days after their operations. “Motion and strength are the two most important factors in your knee,” Haynes says. “Early initiation of physical therapy is critical in helping the patient gain the confidence to begin to use the leg again,” says Howell. “The goal in the first weeks of therapy is to control swelling and pain and get the patient back to normal weight bearing.” Early comfortable weight bearing is the first step to return to normal life activities.

ADVANCES IN MEDICINE | IN THE KNOW

Once incisions are healed, Howell and the physical therapists at his clinic use aquatic therapy to allow more comfortable weight bearing and range of motion activities due to the bouyancy effects of water relieving pressure on the knee. The aquatic therapy pool at Howell’s clinic includes a submerged treadmill, used for early gait training activities and endurance training. “Our facility allows us to do a combination of aquatic and land-based therapy. They really complement each other and help to speed recovery.” LOOKING BEYOND THE KNEE

A decade ago, if a patient had surgery on their knee, physical therapists treated the knee. “Now the focus is more global,” says Howell. “We take a whole body approach to rehabilitation including posture and body mechanics training, core, hip and ankle strengthening, as well as endurance training.” All are critical in returning the patient to pre-injury levels of participation, Howell says. FOSTERING A CULTURE OF PREVENTION

When it comes to injured knees, one of the key populations both surgeons and physical therapists have long treated are athletes.

Today, a heavier emphasis has gone into prevention programs. “About eight years ago, I reconstructed about half of the Old Dominion University’s basketball team,” says Hayes. “They tore them right and left and sometimes in both knees. Today, there is more understanding in how they jump and how they land and how to strengthen and train.” Samantha Davis, PT, DPT, a doctor of physical therapy who treats patients alongside Howell in Newport News with Tidewater Physical Therapy, was once one of those basketball players who needed surgery. Davis, who played for Christopher Newport University, ruptured her ACL in 2006. In 2008, she experienced another ACL injury to the opposite knee. Today, she runs an ACL injury prevention program at Tidewater that helps screen players for weaknesses in their movement and identifies how to better train and strengthen the muscles around the knee to help prevent injury. “The push at the college level are these prevention programs,” Howell says. “It’s a heavy emphasis on preseason training and prevention screening. The goal is to identify certain risk factors in athletes and determine training programs for them that are more customized.”

CATCHING IT ON VIDEO

Video analysis is perhaps one of the most interesting advancements in the last decade, Howell says, giving immediate feedback to patients and identifies areas of weakness for early correction and progression of rehabilitation activities. It has to do with showing them exactly how they move. Before, physical therapists and physicians could watch with their eyes how an athlete, for example, jumped and landed or how an older adult limped across a room, and tell them what they saw. “But if people are walking with a limp but feel as if they are walking correctly, they may not understand what we are seeing,” Howell says. “Now we can video it and show them.”

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FEATURES | EXCUSE ME, I’M BREASTFEEDING HERE

Excuse Me.

I’m trying to feed my baby here. WRITTEN BY NATALIE MILLER MOORE

“Please cover up. I can see your breast.”

“Could you go to the bathroom or somewhere else to do that?” “Wouldn’t you like some privacy for that?

“We don’t allow breastfeeding in our store.”

elena Carlson-Hagstrom, a mother of four from Newport News, Virginia, has been repeatedly asked to go elsewhere, or has heard mean comments (like “disgusting!”) from strangers. What was she doing? Breastfeeding. “Anytime I nurse, I’m looking for a place to comfortably feed my baby, not a debate. My response to anyone who spoke negatively was usually ‘I’m feeding a hungry baby, why do you care?’” she says. CONTINUED ON PG. 22

20 | thehealthjournals.com

Maybe go to the bathroom.”

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FEATURES | EXCUSE ME, I’M BREASTFEEDING HERE CONTINUED FROM PG. 20

If you are not pregnant or breastfeeding, you may not know that the law in Virginia changed in 2015 to affirm a woman’s right to breastfeed in public. This issue has some controversy around it—especially since breastfeeding rates have significantly increased over the past few decades. Today, the awareness of the health benefits of breastfeeding for the child and the mother have increased, and more women are breastfeeding their newborns, babies and sometimes, toddlers. In Virginia, 80 percent of women have breastfed at some point; with 27 percent still breastfeeding at 12 months, according the Centers for Disease Control. “Most moms know the benefits for babies, and the CDC and Office of Women’s Health have pushed to increase public awareness. Breastfed babies have fewer infections, which can lead to less medication and hospitalization,” says Dr. Michelle Brenner, pediatrician, lactation consultant and medical director of The King’s Daughters Milk Bank at Children’s Hospital of The King’s Daughters in Norfolk, Virginia.

The law was silent on this before. But now, this law is saying affirmatively that

CHKD and Easter Virginia Medical School participate in the “Breastfeeding Welcome Here Project,” a campaign to increase public acceptance, with signs displaying a breastfeeding icon that say “Breastfeeding Welcome Here.” Many breastfeeding advocates claim that “if you don’t support breastfeeding in public, you don’t support breastfeeding,” so making it clear that it’s not just legal, but welcome helps.

22 | thehealthjournals.com

When traveling by car across several states, Carlson-Hagstrom made sure to check the laws about breastfeeding as they crossed state lines. “Honestly, the states we’ve traveled through on our way to see family in Minnesota seemed breastfeeding-friendly, but we always double check. I find it sad we need a law to protect nursing, but I am glad it’s there. I hope it encourages educational supportive dialogue for those who are ignorant of the normalcy of breastfeeding,” Carlson-Hagstrom says. Virginia law (House Bill 1499) now says it’s legal to breastfeed on private property that is open to the public or “any place where the mother is lawfully present.” Although the bill was proposed several years in a row, the General Assembly passed it in the 2015 session with Delegate Dave Albo (R-Springfield) as the sponsor. “It wasn’t illegal but people could be told not to do it. Think of this as an anti-discrimination law. It’s the same idea. The owner can’t say ‘get out’ to a mother feeding a hungry baby,” says Albo.

Stacy Kern-Scheerer, a law lecturer at The College of William & Mary, says that there was no law saying women couldn’t breastfeed in public, so there was no enforcement. “The law was silent on this before. But now, this law is saying affirmatively that you have the right to do it. This is a real shift, under the broad umbrella of health,” Kern-Scheerer says. Another benefit of the law is that a business owner who has a patron complain about a breastfeeding mother can now say “she has the right to do that,” and it may diffuse the situation. “There has been a change in perception, and the health benefits for mother and baby are more well-known, but there were also a few moms who championed the cause to make it happen,” Kern-Scheerer says. For women who are struggling to breastfeed or reluctant to do so in public, knowing that they cannot be asked to move, leave or stop breastfeeding may strengthen their resolve to do so wherever and whenever needed.

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FEATURES | NOTHING BUT A NUMBER

NOTHING BUT A

NUMBER I

EDITED BY CHRIS JONES

MASTERS ATHLETES DEFY AGE AND CONTINUE TO STRIVE FOR EXCELLENCE

sn’t it refreshing to know that not all men buy into the limiting vision of getting old and fat and rocking on the front porch? These four men show no sign of stopping and want to encourage you to get off the couch and step up your game.

MASTERS MEN’S BODYBUILDING 01

Rodney Tucker Age: 44 I’ve always been into weight training and power lifting. I’ve trained several people for shows and one day, after everyone kept asking me, I decided to challenge myself and [I competed]. That was over five years ago, and I haven’t stopped since. I’ve competed and been fortunate to place top 5 in all shows but one, and in over 12 shows in four different states. I took first place in The Lenda Murray Bodybuilding Show in 2014 and second place in 2015 in Men’s Master 40-49. I believe that you should always stay competitive in something, and for me, bodybuilding is a discipline that not only keeps my body strong, but also keeps my mind and soul strong. I am driven by the belief that I can always be better every hour, every day, every week and every year. Self-evaluation is an important step in growth and success. I strive for both.

24 | thehealthjournals.com

ICE HOCKEY 02

Allan Harvey Age: 69 I’m Canadian...need I say more. I lived on Prince Edward Island on Canada’s east coast. It seemed like 10 months of winter and two months of bad dog sledding, so hockey filled all that cold time. I started playing hockey around 2. I played in organized leagues at 3. We played all our games outdoors; at times in well below zero temperatures. I never played indoors until I was 11. Playing is an addiction, but a good kind. You meet some great people both on and off the ice. Hopefully the ones I meet off the ice aren’t working in a hospital emergency room. Today’s generation doesn’t get anywhere near the exercise that we did. With the advent of smartphones, statistically they get less exercise than any generation in history. Playing a sport keeps the mind and body fit and provides a great avenue for learning how to make quick decisions. The average person will add years to their life by playing sports and being competitive.

GOING STRONG TOM RANDOLPH “If you had been overweight, or a smoker, you would not be here to have this conversation” said Dr. John Parker, Cardiologist at Cardiology Specialists. “Your fitness saved you.” Despite being in top condition, I had a heart attack in November 2000. Three cardiologists advised me, “your running days are over, you can walk.” Dr. Parker took me as a patient and, over the course of nine months, got me to the point where I could “participate” in endurance sports. Ten years of participating paved the way to reduced restraints on my exertion level, and I have enjoyed winning or placing in numerous local and regional running and triathlon events since. If I had retired to the couch, as originally directed, I probably would not be here today; so in light of turning 60 this year, I am attempting to complete 60 individually timed running, swimming or biking events in 2015. I hit 30 at the end of June! I do not “race” every event to win, but I am proud to report I did win my age group at the inaugural One City Marathon in Newport News last March.

ALLAN HARVEY In 2007 at age 61, Harvey became the oldest person this century to play in a professional hockey game to help raise money for charity. In recorded hockey history, he is the second oldest player. During the 1997-98 season Gordie Howe appeared for one shift with the Detroit Vipers of the IHL near age 70. I have a tremendous appreciation and admiration for Gordie Howe. I have met him on several occasions both on and off the ice; although I never played against him. Gordie was 69 1/2 when he played for the Detroit Vipers in 1997 setting the record as the oldest player to ever appear in a professional hockey game. I currently am the second oldest. I have mixed feelings about breaking the record this fall or winter because of the respect I have for Gordie. But it would be a blast, and I suggest you stay tuned for updates. You can be sure that, if I am to do it, I would do it to benefit a charity.

NOTHING BUT A NUMBER | FEATURES

TRIATHLETE & RUNNER

TAE KWON DO

Tom Randolph Age: 60 Swimming, biking and running are healthy physical activities I choose to participate in as part of a healthy lifestyle. As we age, we will all face increasing medical issues that accompany aging. Choosing a physically active lifestyle helps improve the overall quality of our lives. Physically fit people suffer fewer diseases and recover faster when they do get ill.

Lorenzo Modeste Age: 53 I have been a student of Master Joseph Ash in the art of Tae Kwon Do since 2000. I received my 3rd-degree black belt in 2013. It’s never been about the belts. We all need a sense of reward, but the journey has been my true reward. Over the years of my training, I’ve competed in contact sparring, which is a true physical challenge. I enjoy the adrenaline rush. I’ve always considered myself to be driven and Tae Kwon Do allows me another means to express that drive. Tae Kwon Do challenges me physically, mentally and spiritually.

FEATURES | LIKE A ROCK

WRITTEN BY ALISON JOHNSON

PHOTOGRAPHY BY PATRICK PERKINS

PART III OF III

Like A Rock 10-year-old finds comfort, support

and peace with a service dog 26 | thehealthjournals.com

LIKE A ROCK | FEATURES

here’s a special skin pad on the bottom of Tiger the golden retriever’s paws that Lilly Bohan has named “The Rock”.

Lilly rubs The Rock for support, whether she’s stressed, overwhelmed, sad or just in relaxation mode. The slender 10-year-old girl gently runs her fingers across its spongy black surface and strokes the rust-colored fur around it during transitions that her severe autism make difficult, such as morning wakeups, bedtime and long car rides. Tiger sits under Lilly’s chair during snacks and meals at her Virginia Beach, Virginia, home, often letting her rest her feet against his back. He goes with her to restaurants, the zoo, the park and the beach, or anywhere that crowds and noises can trigger meltdowns. He helps her to meet people for the first time, wait more patiently for tables at restaurants and not dart off at the beach, where before this summer her parents never brought chairs. They didn’t expect to stay long enough to really sit down. Tiger is Lilly’s rock. “He is very comforting to her,” says her father, Tommy Bohan. “He brings her down a level, so she can handle more things that are outside her own world. He draws her out of her room. She seeks him out and asks for him. He has made a tremendous difference not by entertaining her, but just by being at her side. He’s somebody who is just…there.” Tiger, 2, has lived with the family since November. The 65-pound dog—roughly the same size as Lilly—went through extensive training through Saint Francis Service Dogs, a Roanoke, Virginia-based organization that places dogs with families coping with a wide range of disabilities, including multiple sclerosis, paralysis, stroke, arthritis, brain injury and post-traumatic stress disorder. The Bohans’ story reflects a truth for many families: for all the amazing tasks the dogs can do—turn lights on and off, pick up objects, summon medical help and even load grocery carts—their steady and quiet yet friendly presence is just as important. “He’s made Lilly

happier, all of us happier,” says her mother, Saunders Bohan. “It’s hard not to smile when you see Tiger with her.”

Lilly’s journey

Lilly and her twin sister, Sarah, were happy and playful babies who knew their alphabet, numbers, colors and animal names by age 2. When they went to preschool, however, their parents realized the girls didn’t have the same attention span or basic social skills as other children. Over the next two years, signs of trouble increased, especially for Lilly. “Something clicked in her brain,” Tommy Bohan recalls. “Sounds became irritating to her. She’d stick her fingers in her ears all the time.

and basic hygiene and is not fully potty trained. She tends to be reclusive and can become upset or distracted so quickly that her parents are constantly on high alert. “She may just decide to run,” Tommy Bohan says. “When she’s ready to go, there’s no stopping her. Or she could be oblivious and just start walking, and next thing you know she’s a half mile away without realizing it.” Sarah is also on the autism spectrum, but her symptoms are not as severe; she is in a special education classroom at a local public school rather than a regional school for children with special needs, where Lilly is a fourth-grader. The Bohans’ youngest child, 7-year-old Carolyn, is neurotypical. Determined to help his daughters, Tommy Bohan began researching service dogs online about 2½ years ago. He and Saunders Bohan were nervous—they hadn’t had a dog since before they were married—but committed to extensive, exhausting training through Saint Francis, including 10 straight days in Roanoke, Virginia, for Tommy Bohan, from 9 a.m. to 5 p.m., and multiple sessions with trainers who

“He brings her down a level, so she can

handle more things that are outside her own world... She seeks him out and asks for him. He has made a tremendous difference not by entertaining her, but just by being at her side. —Tommy bohan

She began shying away from the group and doing her own thing. She lost the skills she had in a gradual way.” At age 4, Lilly was diagnosed with autism spectrum disorder, a complex neurodevelopmental condition that interferes with communication and social interaction. Today, Lilly speaks simple words and phrases to express her needs but isn’t conversational. She needs help with dressing

”

came to Virginia Beach. They learned the 40odd commands that Tiger responds to, how to correct their dog, their legal rights and how to navigate all kinds of public settings. They will continue to have annual training tests and visits to Roanoke to keep Tiger’s skills up to date. In Roanoke, Tommy Bohan and Lilly “interviewed” three dogs, two black Labs plus

thehealthjournals.com | 27

FEATURES | LIKE A ROCK

Tiger, as a handful of Saint Francis representatives watched. “There were a lot of people in the room, which upset her,” Tommy Bohan recalls. Her disposition changed dramatically when the dogs came into the room, especially Tiger: “He was definitely the one she responded to the best.” (Children with autism often prefer the feel of soft versus wiry coats, according to Saint Francis). The bond between human and dog takes time to deepen. A year after meeting Tiger, Lilly now counts on him at wakeups and bedtime, when she gets on and off the school bus and during meals, when he helps her sit still longer. He can’t go with her to school—she isn’t trained to handle him solo—but travels on other outings that will last more than about 30 minutes. He’s been to the grocery store, Home Depot and the Virginia Zoo, and he rode at Lilly and Sarah’s feet during a road trip to Atlanta, Georgia. On a recent Saturday, the family went to a local pizzeria and found it packed with kids who had just finished playing baseball games. Before Tiger, the Bohans probably wouldn’t have risked a meltdown by waiting for a table. Instead, Lilly buried her toes in the dog’s fur and stroked The Rock, and by the time the family got a table and ate, they’d been at the restaurant for 90 minutes. “That is unheard of,” Saunders Bohan says. “If we had been there for half that time, it would have shattered a record for us.” She pauses. “It’s a small thing for other families, but not for us.” A few days later, Lilly was at home, buried in silence on her iPad, when her parents asked her to greet an unfamiliar visitor. She balked. “Just pet Tiger,” Tommy Bohan prompted. Lilly, gripping a red Popsicle, peeked around the corner, her dark hair falling across her pale cheeks. “Come see Tiger,” her dad encouraged. And then Lilly was in the room, nestled on her father’s lap, reaching behind her to rest a hand on Tiger’s neck. She didn’t make eye contact or speak, but for a few minutes, she was there.

Mental and physical benefits

Children with autism often have a heightened sense of touch and find comfort from petting dogs, pressing against them or getting licked, according to Cabell Youell, executive director of Saint Francis. The goal is to prevent major tantrums and reduce repetitive behaviors, such as arm flapping, rocking or self-injury, when kids get over-stimulated; dogs are taught to give subtle body bumps to interrupt such movements. Dogs also can ease loneliness, depression and anxiety, boost confidence and even model some life skills. “We want to see Lilly bloom—to interact and smile and laugh more,” Youell says. Tiger is trained to play hide-and-seek, a simple yet therapeutic game that can bring Lilly out of her solitary world. He can clean up his toys on command—“get it” and “put it in” a bin—a skill that Lilly can begin to copy. He’s used to walking on two leashes, so a parent can hold one and Lilly the other, in hopes of keeping her from wandering (if she does bolt, Tiger will freeze in place with a single command so an adult can chase her.). He’s educating her on empathy and patience as she learns how to handle him gently and watches how calmly he waits (he won’t even eat his own food without a verbal cue). In public, a dog wearing a service vest also can impact perceptions of Lilly and others with an unseen disability. “It alerts people that something is going on—that a child isn’t just acting out or being a ‘brat,’” Youell says. “It gives the parents a little more room and consideration.” If someone is in 28 | thehealthjournals.com

“Tiger is affectionate with everyone in the family; in fact, he insists on checking on all three girls at bedtime and has helped Sarah deal with her autism as well.

”

LIKE A ROCK | FEATURES

a wheelchair, people tend to engage with a dog rather than quickly look away to avoid staring, she adds: “The person in the wheelchair stops feeling invisible.” Saint Francis dogs, which cost about $25,000 to train but come free to families, perform specific tasks for each person. For a young veteran with a brain injury and balance issues: open doors, carry grocery bags, tug laundry to the washer and pick up car keys or a cane, so he feels more independent. For an 18-year-old woman in a wheelchair: retrieve a phone and tug the chair to an outlet if needed, so she never gets trapped somewhere without battery power again. For a man with Lou Gehrig’s disease: know how to get help so he’s not terrified of venturing out alone and growing exhausted.

“He reaches her in a way that we —and maybe any person—can’t

”

—Saunders bohan

Like most dogs, Tiger behaves differently with his red service vest on. “He knows he’s working. He’s more reserved,” Tommy Bohan says. When the vest comes off at home, he loves playing fetch and running around the yard, especially with Carolyn. Tiger is affectionate with everyone in the family; in fact, he insists on checking on all three girls at bedtime and has helped Sarah deal with her autism as well. But the Bohans see how his gentle brown eyes seek out Lilly, how he won’t move when she needs The Rock. “He reaches her in a way that we—and maybe any person—can’t,” Saunders Bohan says. One dog can’t work miracles. Or maybe he can: this summer, the Bohans are packing beach chairs.

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FOOD | VINE & DINE

WRITTEN BY RAY GOLD

Better Off

Red U.S. versus Europe

Consumption by Comparison World Ranking in Longevity in Wine Consumption

One way to assess this is to compare life expectancy and wine consumption by country. Italy is number four in the world for longevity and France is number six. The United States is number 34. Both France and Italy are known for lifestyles that include wine at most evening meals. London, England-based Professor Roger Corder has spent many years researching the benefits of red wine. He noted that the French eat a diet rich in fats, yet they have a death rate much lower than the U.S. He labeled this the â&#x20AC;&#x153;French Paradoxâ&#x20AC;? but smaller portions attributes the longevity to the consumption of red wine heavy in flavonoids, along with eating at a leisurely pace.

When broken down into consumption per capita, nine out of the top 10 wineconsuming counties are European. These countries averaged between 65 and 74 liters of wine per person (averaging out to 1 to 1 1/3 glasses per day). The U.S. ranked number 56 with an average of 10 liters per person (averaging out to less than 1/4 a glass per day).

30 | thehealthjournals.com

Glasses of Wine Per Day

oes wine consumption increase life expectancy? Researchers have found that red wine, rich in flavonoids, is good for our health. Red wines also contain antioxidants, like resveratrol, which helps prevent cancer, blood vessel damage, clots and cardiovascular disease.

U.S. versus Europe

Purchasing Habits Numbers in Wine Purchases 15%

15% White

75% Red

Other Varieties

35%

30% White 35% Red

VINE & DINE | FOOD

I Heart Reds Is there a difference in the amount of flavonoids in each red grape varietal? Cabernet Sauvignon, Petit Syrah, Sangiovese, Malbec and Pinot Noir contain the highest concentration of flavonoids. Merlot and Zinfandel contain fewer flavonoids, but more than white wine.

How much wine should I have to reap the benefits? Adding a daily glass of wine (4-6 ounces) can make a difference to your health. Resveratrol has properties that prevent the wasting of muscles by disease. It's not something to replace exercises, but it certainly helps. Paracelsus, the noted 16th-century Swiss physician wrote “Wine is a food, a medicine and a poison— it’s just a question of dose.”

So let’s raise a toast to red wine and enjoy the benefits.

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thehealthjournals.com | 31

FOOD | FOOD & NUTRITION

5 splendid

Building the perect afternood salad

summer salads Recipes courtesy The Food Network

Greek Cucumber Salad Mix red onion slices, chopped cucumber, kalamata olive halves, dill and feta. Dress with olive oil and lemon juice; season with salt and pepper.

tomato-peach salad Toss tomato and peach wedges with red onion slices. Drizzle with cider vinegar and olive oil; season with sugar, salt and pepper.

watermelon-feta salad Whisk 1 part white wine vinegar with 3 parts olive oil, and salt and pepper. Toss with baby arugula, red onion slices, watermelon cubes, crumbled feta, niรงoise olives and fresh oregano. 32 | thehealthjournals.com

FOOD & NUTRITION | FOOD

yellow trio

corn; sautĂŠ in olive of r ea an f of s el Cut the kern ices. Toss with yellow sl sh ua sq ow ll ye h oil wit l, salt and pepper. si ba s, oe at m to e ap gr

Cantaloupe Carpaccio Slice cantaloupe extra-thin (a mandoline works best). Drizzle with olive oil and lemon juice; top with pepper and ricotta.

Oranges with Mozzarella

Stack mozzarella and or ange slices with ba sil. Drizzl e with olive oil; season with salt and pe pper.

Itâ&#x20AC;&#x2122;ll make you smIle. PWDentalArts.com

thehealthjournals.com | 33

FOOD | HERB-N-GARDEN

Holy Chives Alive! PHOTOGRAPHY BY ALEXIS KIKOEN

Sour Cream & Chive Crackers 4 teaspoons fresh chives, roughly chopped 2 cups almond flour or meal 5 tablespoons sour cream 1 teaspoon sea salt 1 teaspoon garlic powder

• Preheat oven to 250 F • Add all ingredients to a bowl and mix • Knead the mixture for about 1 minute, until smooth • Put dough on a baking sheet lined with parchment paper • Top with another sheet of paper and roll out dough • Remove top sheet and lightly cut dough into squares with a knife or pizza cutter • Bake for 50-60 minutes, careful not to burn • Let cool completely, then break into squares These crackers are low-carb and gluten-free!

34 | thehealthjournals.com

Sweet Potato Nachos RECIPE BY THE AMERICAN HEART ASSOCIATION What child won’t want to try orange nachos? The seasoned sweet potatoes with the mellow cheese create a wonderful combination for a snack or healthier game-day appetizer! INGREDIENTS 3 medium sweet potatoes (about 2 pounds), makes about 6 cups of rounds 1 Tbsp. olive oil 1 tsp. chili powder 1 tsp. garlic powder 1 1/2 tsp. paprika 1/3 cup black beans, drained, rinsed 1/3 cup reduced-fat shredded Cheddar cheese 1/3 cup chopped tomato (1 plum tomato) OR 1/3 cup no-saltadded, canned, diced tomatoes, drained, rinsed

MAKES 6 SERVINGS

PREPARATION • Preheat the oven to 425°F. Cover the baking pans with foil and coat with nonstick cooking spray. • Peel and slice the sweet potatoes thinly (about quarter-inch rounds). In a bowl, toss the rounds with olive oil, chili powder, garlic powder and paprika. Spread evenly on prepared pan (might need two pans). Bake for 10 minutes and use a spatula to flip the sweet potato rounds. Bake for another 5-10 minutes or until crisp. • Remove the pan from the oven and sprinkle beans and cheese over the sweet potatoes. Return to oven until cheese melts, about 2 minutes. Sprinkle with tomato and avocado. Serve.

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FOOD | TASTE APPEAL

RECIPE BY THE AMERICAN HEART ASSOCIATION This salmon recipe is a tasty weeknight dinner and is heart-health-concious to boot! INGREDIENTS

MAKES 4 SERVINGS

4 salmon fillets (about 4 ounces each), rinsed and patted dry

• Preheat the oven to 350 F.

1 teaspoon dried thyme, crumbled

• In a medium bowl, gently stir together the salsa ingredients and set aside.

1/4 teaspoon salt

• Line a baking sheet with aluminum foil and lightly coat it with cooking spray.

1/4 teaspoon pepper (coarsely ground preferred)

PREPARATION

For the salsa:

• Place the fish on the foil and sprinkle with thyme and salt and pepper and gently massage the spices into the salmon using your fingertips.

1/2 medium cucumber, seeded and chopped

• Bake in the oven for 20 minutes or until the salmon is fork-tender and gently flaking.

1/4 cup quartered or chopped grape tomatoes (about 2 ounces)

• Transfer the fish to plates and spoon the salsa and its accumulated juices over the fish.

1/2 medium green bell pepper, chopped 1/4 cup finely chopped radishes 2 tablespoons snipped fresh cilantro 2 tablespoons finely chopped red onion 1 teaspoon grated lime zest 2 tablespoons fresh lime juice 1 teaspoon olive oil (extra virgin preferred) 1/4 teaspoon salt

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

Thyme-Roasted Salmon with Crunchy Veggie Salsa

Quinoa-Stuffed Peppers RECIPE FROM DIABETES WEIGHT LOSS – WEEK BY WEEK JILL WEISENBERGER, MS, RDN, CDE, FAND This recipe comes from Jill Weisenberger's first book, Diabetes Weight Loss--Week by Week, published by the American Diabetes Association. It can be purchased online at www.shopdiabetes.org or at any of your local bookstores. INGREDIENTS 4 bell peppers, use a variety of colors 1 tablespoon canola oil 1 cup yellow onion, chopped 6 baby bella mushrooms or other medium-sized mushrooms, sliced 1 10-ounce package cooked frozen spinach, thawed and squeezed of excess water 2 cups cooked red quinoa or other quinoa if you cannot find red 1 cup garbanzo beans 1 cup low-sodium pasta sauce, tomato basil or other favorite variety, divided 1/4 teaspoon black pepper 4 tablespoons shredded Parmesan cheese

MAKES 4 SERVINGS

PREPARATION • Preheat oven to 400 F. Cut the peppers in half lengthwise and discard the seeds and membranes. Place peppers cut-side down, single-layer in a large microwave-safe casserole dish or plate. Cover with a lid or wax paper. Microwave on high for 5 minutes to soften the peppers. Remove the peppers and dry the casserole dish and return the peppers to it or move the peppers to a fresh oven-safe pan. • Meanwhile heat the oil in a skillet over mediumhigh heat and sauté the onions for 5 minutes. Then add the mushrooms and sauté until the vegetables are soft. Lower the heat if necessary to prevent scorching. Remove the pan from the heat, and add the spinach. Mix. Then add the cooked quinoa, garbanzo beans, ½-cup pasta sauce, and black pepper. • Fill each half pepper with 1/8 quinoa mixture and top with the remaining pasta sauce. • Cover. Bake for 20 minutes. Remove the cover and sprinkle evenly with the Parmesan cheese. Broil 2 – 3 minutes or until the cheese is melted.

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Artichoke Hummus RECIPE BY CHEF JALIL LINDSEY-LOWE The creamy, nutty, earthy and slightly bitter taste is from the key ingredient— tahini. Tahini is ground sesame paste made from sesame seeds and is rich in heart-healthy monounsaturated fats. INGREDIENTS 14 ounce can of artichoke hearts rinsed and drained (I love the brininess the juice lends, so I don’t rinse.) 15 ounce can of chickpeas rinsed and drained 2 tablespoons tahini 2 tablespoons fresh lemon juice 1 tablespoon fresh garlic, minced

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PREPARATION • Combine everything in a food processor except basil and pulse until smooth! Garnish top with basil. • This goes great with warm pita bread or pita chips, on top of salads instead of meat, as a dip with raw veggies, in sandwiches and wraps. For a fun appetizer, fill hard boiled egg whites with this yummy hummus instead your traditional “deviled” egg filling! Chef Tips • Always hand cut basil. Kitchen shears would be ideal but a sharp knife will do.

1/2 teaspoon cumin

• Let it run in the processor for a minute or two until it's smooth and fully combined.

1 cup of fresh basil, chopped

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1 tablespoon extra virgin olive oil

1/2 teaspoon hot paprika or cayenne pepper

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• Lastly, drizzle just a little extra virgin olive oil over the top and a sprinkle of sea salt before serving!

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FOOD | FLAVOR

WRITTEN BY KIMBERLEY CUACHON HAUGH

A JAV How Do you like your

NOW?

38 | thehealthjournals.com

ith my latest health kick, I’ve deemed coffee to be a treat more than a staple in my diet. After a couple of days of withdrawals composed of migraines that surpassed pharmaceutical capabilities, it’s been working out well—and I’m feeling great. When I make the exception, my cup of java is spectacular. After all, if I’m going to break the rules, it’d better be worth it! So (drumroll please!) I’d like to introduce you to caffé tonic. It’s finally been brought

to my attention that tonic isn’t just for gin. It’s the superlative partner of espresso. It sounds complicated. It’s not; pour a long shot of espresso over tonic water on ice. You’ll have the most angelically frothy, sweet, creamy, yet slightly tangy concoction that your mouth has ever experienced. And like any true coffee aficionado, you’ll be posting selfies with this more than worthy cup of joe using the hashtag #wherehaveyoubeenallmylife.

FLAVOR | FOOD

Feeling ballsy? vietnamese coffee Have you ever had a Vietnamese coffee? It’s a strong cup of coffee—sometimes called bubble coffee—that’s mixed with sweetened condensed milk served over ice and tapioca pearls. Vietnamese coffee is like dessert in a glass. You’ll be trying to fish for the tapioca pearls with every sip to squish with your teeth; it’s just fun.

How to make the perfect bubble coffee Cook tapioca pearls in boiling water for 15 minutes. Make a simple syrup using one part brown sugar, one part white sugar, to two parts water. Bring to a boil and reduce the mixture to half. Then turn off the heat. Once the tapioca pearls are cooked, drain the water and add the pearls to the simple syrup to marinate for at least 10 minutes. Make a shot (or two) of espresso. In a blender, add 2 cups of ice, espresso and 2 teaspoons of sweetened condensed milk. Pour your iced coffee over your tapioca pearls in a tall glass.

Tip Tapioca (also known as “boba”) pearls don’t hold well over night, so you want to make just enough.

caffé tonic

How to make the perfect espresso tonic

frothy, sweet,

Pour 6 ounces of tonic water over ice Pour 2 ounces of espresso

creamy, slightly tangy #wherehaveyoubeenallmylife

How to make the perfect “Iced” Coffee Tip Do so in this order otherwise you’ll experience an overflow resembling that nostalgic baking soda and vinegar experiment from elementary school.

Tired of watered down iced coffee? Enjoying iced coffee is all about timing and doesn’t that just take all the enjoyment out of it? If you’re like me, sometime I tend to milk (no pun intended) my iced coffee, especially since it’s a breaking-the-rules treat. The solution? Coffee cubes. And I’ll bet you a cup of coffee that your drink will be good until the very last drop.

what EXACTLY is ESPRESSO? ESPRESSO is hot water, under extreme pressure, forced through finely ground and tightly compacted coffee beans. Yum!

Brew a pot of coffee. Let it cool (in case you’re clumsy) and pour it into ice cube molds. Warm 6 ounces of your milk of choice and mix it with 4 teaspoons of cocoa powder. Once your ice cubes are ready, plop them into your cocoa milk mix. about them beans Both Robusta and Arabica beans are suitable for espresso or brewed coffee and did you know, the lighter the roast, the more caffeine! Who knew!

I’M ALL ABOUT THAT roasty-toasty light city cinnamon light roast

city

BREAKFAST FULL CITY medium

high

medium-dark

french

ITALIAN dark

I hope you try these recipes. Somewhere there’s a pretty sad, watered-down iced coffee that is pretty envious right about now. thehealthjournals.com | 39

YOUR HEALTH | YOGANATOMY

Crescent Bridge

sanskrit: Setu Bandha Sarvangasana ❥ WRITTEN BY SAPTA YIN, ACSM, RYT 200

❥ PHOTO BY BRIAN FREER

ready? Lay down, placing arms at your sides, observing the current of your breath. When ready, bend both knees placing the feet flat on the floor, hip width apart. Turn palms to face the mat. With an inhale, ground down through your feet and as you exhale, send the hips to the ceiling, lifting the spine off the floor. Press down firmly through the palms engaging the core. To deepen, if it’s available to you, slide the arms beneath your body interlacing the fingers under the glutes. With your next exhale, press down into the arms and shoulders to lift the chest up. Engage the quadriceps, glutes and abdominals to open further. Breathe deeply and hold for three or four breaths, then release the grip if it’s under you. Slide arms out to the side, palms facing down and slowly lower hips back to the mat.

Chin Keep the chin slightly tucked

Lower Body

Feet

Keep the glutes and legs engaged, lifting energetically at the hips

Feet are hip width apart, all ten toes spread and pressing into the ground

Arms Press arms and shoulders into the ground to lift the heart higher

40 | thehealthjournals.com

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YOUR HEALTH | FITNESS

Masters and Grand Masters: TIPS FOR BETTER, HEALTHIER RUNNING IN YOUR 40s, 50s AND BEYOND WRITTEN BY DR. DANIEL SHAYE

“The older I get, the faster I was”

— Unknown

ime is not always kind to athletes. Age erodes power, coordination, cardiac output and ability to maintain high-level athletic performance. What can you do to slow the ravages of time?

g Decrease high-intensity sessions.

High school and collegiate runners often train hard every other day. It’s not unusual for youngsters to race twice in one day! Masters runners typically need more recovery to avoid flat performances and injury. “Back in the day” I’d run hard two to four times weekly. Now that I’m over 45, that’s down to one to two sessions weekly. Find a formula that respects your limits while pushing against them.

g Rest and recover. Like regular exercise, proper sleep may decrease your risk for Alzheimer’s disease and dementia. Consider sleep an integral part of a complete training and recovery program. For most runners, eight hours is the bare-bones minimum. For some, nine or more hours will be needed to recover and stay healthy. g Fuel wisely. Masters runners need

to ensure a balance of protein, complex carbohydrates and healthy fats (fish, avocado and other oils). Micronutrients (vitamins and minerals) need to be

42 | thehealthjournals.com

abundant, with a focus on nutrition to support muscles, ligaments, tendons and aerobic function (vitamin C, magnesium, potassium, selenium and iron come to mind). If you’ve got a soft spot for pizza and ice cream, excessive calorie intake is a concern for aging runners with a sense of entitlement (“I work plenty hard, I deserve this!”). Reframe each meal as an opportunity to sit down at a “training table” of quality fuel.

g Drink. No, not alcohol—which is

a diuretic—but water. One of my instructors once said, “The elderly are by definition dehydrated.” Older tissues tend to be stiffer and don’t hold water as well. You can’t afford to be dehydrated, which decreases performance while increasing injury risk. Hydrate wisely and regularly, and use urine color as a general guide: clear urine means you’re probably well hydrated, or possibly mildly overhydrated. If your urine is orangy or dark, drink up! If water bores you, add a little (healthy) juice or flavoring and drink up— especially during warmer months.

FITNESS | YOUR HEALTH

DEFINITIONS Master: A competitive class for runners ages 40 or older. This is in contrast to swimming, where masters swimmers are a class of non-collegiate athlete ages 25-plus. Grand Master: A competitive class for runners ages 50-plus. Kick: The final sprint in a distance race.

g Stay flexible and strong.

Strength isn’t just a matter of muscular size. It also requires proper joint function and exquisite control. Masters runners are well advised to take a yoga class that focuses on balance and quality motion (rather than just extremes). If yoga is not your thing, consider doing drills to practice balance, to optimize powerranges and to maintain core control and proper posture when you run.

g Align it all. Get regular massages to

work out aches and tightness. Visit the chiropractor long before you’re limping to keep joints moving properly and to ensure muscles are working along optimal vectors rather than fighting each other. Have a coach critique your form. A body in motion may tend to stay in motion, but a well-aligned body will do it longer before it breaks down.

g Train your mind. Younger runners

make training and racing errors all the time, but they also heal faster. Masters runners need to be smart. Learn your thresholds for effort, and train your mind to hold form and pace. Though you may not have the blistering kick you once did over the final straight, your endurance may still be very sound. Use what you’ve got. Be the Wile E. Coyote.

Father Time may eventually catch us, but we can put up a very good fight. For my part, I’m going to make Father Time put up a fierce effort before he catches me for good. Won’t you join me for the adventure?

Introducing our

Fellowship Trained Hand Surgeons Dr. Smerlis was born in Damascus, Maryland. As a child, he developed a passion for working with his hands. During medical school, he worked with a hand surgeon and loved the anatomy and technical demands of hand surgery. Upon completing fellowship training, he moved his family to Hampton Roads and joined Tidewater Orthopaedics to build a subspecialty practice in hand surgery. Dr. Campolattaro has been with Tidewater Orthopaedics since September 2004. He began his career at the College of William and Mary and attended the University of Medicine and Dentistry of New Jersey for medical school. He completed his residency at the University of Rochester School of Medicine and Dentistry, and fellowship training in hand surgery at Wake Forest University. He is currently the President of Tidewater Orthopaedics and the Chair of the Board of Directors of the Careplex Orthopaedic Ambulatory Surgery Center.

Nicholas A. Sm erlis, M.D.

Rob ert M. Cam polattaro, M.D.

• Colin M. Kingston, M.D. • Robert M. Campolattaro, M.D. • Michael E. Higgins, M.D. • Nicholas A. Smerlis, M.D. • Nicholas K. Sablan, M.D. • Paul B. Maloof, M.D. • Jonathan R. Mason, M.D. • Loel Z. Payne, M.D. 3000 Coliseum Drive | Hampton, Virginia 23666 thehealthjournals.com | 43

YOUR HEALTH | FAMILY

GAME

THAN A JUST First Tee Golf Program instills commitment

to character and health habits into youths WRITTEN BY ALEXANDRIA GRYDER

here are many great youth programs all working towards a common goal but none quite like The First Tee program. The First Tee of the Virginia Peninsula is one of 180 chapter locations in the United States that helps young people gain valuable life skills through the game of golf. The First Tee of the Virginia Peninsula serves local youths ages 5-17 and partners with six program sites including The Hamptons Golf Course, Colonial Heritage Golf Club, Two Rivers Country Club, The Pines Golf Course at Fort Eustis and Newport News Golf Club. The First Tee also offers equipment and training to local physical education teachers and partners with communities to aid disadvantaged youths. Over 11,000 children have been introduced to the program since its start in 2011. It’s not all about tee times and birdies, however. The members of the program follow a strict curriculum, which consist of 10-week sessions in each level of the program. Participants must pass each level and become certified before they can move up to the next tier in the program. There are four levels of The First Tee Certification process: PLAYer, Par, Birdie and Eagle. The entrance level for all participants begins with PLAYer, and it introduces participants to playing golf and appreciating the etiquette of the game. “The First Tee’s mission is to impact the lives of young people by providing educational programs that build character, instill life-enhancing values and promote healthy choices through the game of golf,” says Brent Schneider, executive director of The First Tee of Richmond and Chesterfield. Brent says the program trains all young people to internalize The First Tee’s Core Values and Healthy Habits and apply them in classrooms, in their community and even in their classrooms; “Long-term studies on the program’s impact conclude that the model works.” The program educates participants on its Nine Core Values and Nine Healthy Habits. It teaches kids about

44 | thehealthjournals.com

honesty and integrity and the importance of good sportsmanship. Members learn to respect each other and take responsibility for their actions. The First Tee promotes confidence, perseverance, courtesy and judgment. “My personal interaction with participants shows me something is different about these kids,” says Brent. “They are trained to shake my hand, look others in the eye and believe in themselves and their abilities.” Lauren Clark, an 11-year-old on the cusp of 12, is one of those kids Brent Schneider is talking about; she has been playing golf since she was 5. “As soon as she could walk she was playing in the backyard with plastic clubs,” says Lauren’s mom, Tracey Clark. “It’s hard to think of a time when Lauren wasn’t in the program. We live on the golf course.” Clark says she and her husband were drawn to The First Tee program because of the leadership and life skills it offered for both of their children. Their son, Ethan, is 8 and also in the program. “We teach both of our kids these skills in our home.” The program has helped Lauren enhance her love for the game but also teach her about the importance of giving back to her community. “I had two wonderful role models who took the time to encourage me, and it’s great having the little kids come up to me and ask, ‘Lauren, can you help me with my swing?’” Lauren says she does not mind when fellow participants ask her for advice, “It would just be wrong for me to not give back after what others have done for me.” Clark says that Lauren has grown in ways that she could not have even imagined, especially in her sportsmanship and integrity, and in 2013, Lauren was selected to compete in the National Drive, Chip & Putt championship. “To go and see her handle that kind of pressure was pretty amazing,” Clark says, “but when she went to qualify the second year, she didn’t perform the way she

FAMILY | YOUR HEALTH

wanted to, and she woke up with a bad cold the last day. She knew she wasn’t going to qualify.” Clark says she worried how Lauren was going to handle the loss, holding back tears when talking about Lauren’s reaction at the end of the competition. “I watched a girl stomp off after she performed poorly,” says Clark. Lauren quickly interjects, “She won 3rd place, too.” “But Lauren kept a smile on her face, and she gave the winner a handshake.” Clark says, “And when we went to find Lauren at the car I asked if she was upset and she said, ‘Mom, I have to act this way because this is who I represent,’ and she pointed down at her First Tee T-shirt that she was wearing.” Lauren says her coach, Paul Sargent, has helped her realize what is important off the golf course. “Coach Paul says, ‘No one will remember the score you shoot when you’re out there, but they will remember how you acted’.” And it’s not just Lauren who has been affected by the program. Clark says she loves to see the young boys and girls in the program after they finish a round together. “The boys take off their hats,” she says, “and some grown men don’t even do that.” To promote healthy, active lifestyles for young people, The First Tee, ANNIKA Foundation and Florida Hospital for Children created The

First Tee Nine Healthy Habits, which helps grow physical, emotional and social skills, and Lauren and her mother agree that Healthy Habits has been one of their favorite aspects of the program. “My coach has really been helping me,” Lauren says, “and I’ve been encouraging my family to be healthier.” Clark says Lauren has been making her get more involved in her own healthy habits, and Lauren’s golf swing has dramatically changed because of her focus on health. The First Tee reaches out to public school to get more kids involved and to get them to get out and get active. “They want well-balanced, healthy kids.” Clark says. Brent Schneider says The First Tee is much more than simply a place to learn the game of golf. The First Tee provides opportunities for young people to experience a positive, safe place surrounded by caring adults. “They learn the value of giving back to their community and the meaning of responsibility and respect,” he says. Programs like The First Tee do more than just get youths and teens active and involved in their community, it also gives them tools to help them succeed in their future endeavors. These young men and women learn that how they act on and off the golf course is far more important than their score on the back nine.

thehealthjournals.com | 45

YOUR HEALTH | FAMILY

The First Tee Nine Healthy Habits Physical:

Emotional:

Social:

ENERGY

VISION

FRIENDS

It is important to understand and make healthy choices about when to eat, how much to eat, and the types of food and drinks to provide the body with the most useful energy.

In order to make the most of one’s unique gifts—talents, characteristics and abilities— an individual needs to learn from the past, value the present, create their vision and future to ultimately “leave a footprint.”

Maintaining healthy relationships includes surrounding one’s self with friends and supportive people, while effectively handling challenging situations, including bullying and navigating the digital age with social media.

PLAY A variety of energizing play can help the body stay strong, lean and fit, and be fun in the process. Sleep and other forms of “re-charging” allow one to engage in play on a daily basis.

SAFETY Physical safety includes playing in a safe environment and by the rules, protecting the body with proper equipment, warm-up and cool-down and wearing sun protection.

MIND

SCHOOL

The mind is a powerful tool for health. One’s mind influences his/her emotions and behaviors and can be utilized for selfimprovement, building confidence and maintaining perspective.

Success in school—learning, building relationships and contributing to the school environment—leads to success in other areas of life.

FAMILY When family members participate in activities together—share meals, communicate and establish roles and responsibilities—they are more likely to be successful in achieving their health-related goals.

COMMUNITY Like the health of one’s body, it is important to also explore the health of one’s community and discover how one can give back and care for its environment and safety.

Courtesy: The First Tee

FAMILY | YOUR HEALTH

The First Tee Nine Core Values HONESTY

RESPECT

PERSEVERANCE

Golf is unique from other sports in that players regularly call penalties on themselves and report their own score.

In golf it is important to show respect for oneself, playing partners, fellow competitors, the golf course, and for the honor and traditions of the game.

To succeed in golf, players must continue through bad breaks and their own mistakes, while learning from past experiences.

INTEGRITY Golf is a game of etiquette and composure. Players are responsible for their actions and personal conduct on the golf course even at times when others may not be looking.

SPORTSMANSHIP Players must know and abide by the rules of golf and be able to conduct themselves in a kind and respectful manner towards others even in a competitive game.

CONFIDENCE Confidence plays a key role in the level of play that one achieves. Players can increase confidence in their abilities by being positive and focusing on something they are doing well regardless of the outcome.

RESPONSIBILITY Players are responsible for their actions on the golf course. It is up to them to keep score, repair divots, rake bunkers, repair ball marks on the green and keep up with the pace of play.

COURTESY A round of golf should begin and end with a handshake between fellow competitors. Players also should be still and quiet while others are preparing and performing a shot.

JUDGMENT Using good judgment is very important in golf. It comes into play when deciding on strategy, club selection, when to play safe and when to take a chance, the type of shot players consider executing, as well as making healthy choices on and off the golf course.

Courtesy: The First Tee

TPMG Hidenwood Family Medicine

announces the retirement of Dr. Brad Carmines and welcomes Dr. David Deeley TPMG thanks Dr. Brad Carmines for his years of providing care to our patients. BRAD CARMINES, M.D.

On July 31, 2015, Dr. Carmines passed the torch to Dr. Deeley, who will continue the tradition of providing compassionate and personable care to patients.

DAVID DEELEY, M.D.

ACCEPTING NEW PATIENTS

TPMG HIDENWOOD FAMILY MEDICINE 12655 Warwick Boulevard, Suite A Newport News, VA 23606-2501

(757) 595-9880 (757) 595-0362 fax

mytpmg.com

YOUR HEALTH | OUTDOORS

STROKE WATER WRITTEN BY BRANDY CENTOLANZA

ON THE

WILLIAMSBURG BOAT CLUB OPENS DOORS TO JUNIOR ROWERS

igh school students looking for a new sport involving concentration, teamwork and being outdoors should try their hand at rowing. Williamsburg Boat Club offers a juniors program for students in ninth through 12th grades attending public and private schools, or homeschooling, in the Williamsburg, Virginia area. The program began last September with 15 participants and quickly doubled in size. Junior members practice, travel and compete in long races during the fall session, which runs September through November, or sprints during the spring session, which runs March through June. Students compete as a team in sprint races in the spring and longer races in the fall. No experience is necessary to join. Tom Rooks, an avid rower, is the Williamsburg Boat Club’s vice president and an assistant coach for the juniors program. He says the boat club added this program to allow younger rowers more freedom to row on their own for a longer stretch of the year, and give them more opportunities to compete. Junior members practice for two hours daily five days a week at Chickahominy Riverfront Park. Competitions have been held throughout Virginia, mostly in Richmond or at the Norfolk Botanical Gardens. A few of the members who joined the program last year had never rowed before. They quickly picked

48 | thehealthjournals.com

up the basics during the first two weeks of each session—a trial period where coaches show participants the ropes. “It’s been a pleasant surprise how fast they’ve taken to it,” says Rooks. “Some of them have never been in a boat before. It is fun watching them learn a new sport; learn a new skill. It is a fun thing to be a part of. It’s been a tremendous experience.” While it may appear that rowing only strengthens the upper body, the sport actually works the entire body. A person can burn up to 600 calories an hour while rowing, as they are using not only their arms but also muscles in the core and legs. In addition to its physical health benefits, this low-impact exercise also aids with mental health. Rowers must learn to work in sync with each other to develop a rhythm on the water and many find a sense of peace while out there. Teamwork is also a big factor in rowing, since rowers compete in either a four-person or eight-person boat. Mitchell de Jager, a sophomore at Bruton High School, is an avid swimmer who decided to give the rowing program a try thanks to a friend. “It’s definitely the most team-oriented sport I’ve ever been a part of,” he says. “Everybody has to work together in order to be successful. Mentally, it helps build you as a person, since you have to put your faith in others to be successful and you

OUTDOORS | YOUR HEALTH

have others who must put their faith in you.” Sarah Wells, a sophomore at Jamestown High School, loves to row. “It’s made me stronger,” she says. “It’s made me eat better because when you eat better, you work better. I love how we are able to move through the water so quickly. It’s very rhythmic. It’s definitely one of the most enjoyable and rewarding sports I’ve ever been involved in.” Whether you want to row for competition or recreationally, Rooks encourages anyone who is interested to give it a try. “In the Williamsburg Boat Club, we have young people and we have retired people,” he says. “Our goal is to get as many people as we can get to take as many strokes on the water as they can take.”

For more information on the Williamsburg Boat Club and the juniors program,

visit www.williamsburgboatclub.org.

We work hard because you play hard.

Visit our convenient walk-in clinic for acute sports-related injuries. Monday through Friday, 8:30am to 10:30am • No appointment necessary • No chronic conditions or concussions

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YOUR HEALTH | AGING WELL

Understanding how the biology of sleep helps seniors control disruptive patterns WRITTEN BY A.E. BAYNE

e’ve all had sleepless nights. You know the ones. You wake for no reason with your mind in overdrive, or you find yourself sleeping fewer hours and wonder why. Sleep deprivation develops to varying degrees throughout life, mostly during times of stress or illness, but the phenomenon happens more frequently with age. In turn, we experience increased concern over conditions associated with fatigue and failing memory, as well as a desire to optimize sleep in order to lead healthy, active senior lives. To understand why sleep deprivation increases as we grow older, it’s important to appreciate the factors that cause us to sleep. Dr. Gerard Santos of Bon Secours Sleep Disorder Centers in Richmond, Virginia, explains, “Our bodies work hard all day long, and they require rest each day. Our cells burn more calories if they are involved with a lot of activity. We call that sleep homeostasis and building it helps us sleep. The second is sleep’s rhythm. Despite how tired we are, despite whether we got a lot of sleep the night before, there’s always a time in a 24-hour period where our minds say we have to sleep. The third factor is our sleep behavior. There are certain things in our environment that tell us when to wake up and when to sleep. We can condition these to elicit a sleep response—let’s say the sun going down, or sight of the bed, or soothing music or just calm wakefulness. With conditioning, these can put us to sleep.” Two common conditions which senior patients are referred to sleep study for are sleep apnea and memory issues; for which doctors sometimes find sleep deprivation to be a cause. Another is simple biology. Dr. Daniel Cohen

50 | thehealthjournals.com

with Sentara Norfolk General Hospital and Eastern Virginia Medical School in Norfolk, Virginia, elaborates, “A common pattern with elderly patients is that they develop advanced sleep phase, a condition where their internal rhythm for both falling asleep and waking is shifted to an earlier time, so they may struggle to stay awake early in the evening, and then in the morning it’s hard to sleep past 4 or 5 a.m.” In this case, natural sleep patterns are being reestablished. Gone are the days of the 6 a.m. alarm, and the body’s natural tendency is to find a rhythm conducive to its unique biology. Dr. Cohen again, “We find that being a night owl or a morning person is a biological trait, rather than a psychological preference, that has to do with how our internal clock synchronizes with 24-hour time cues.” While some seniors may find themselves enjoying the “early bird special” at their favorite restaurant and lights out at 8, others might find it difficult to sleep until well past midnight and rise quite late in the morning, though this scenario is less common. Seniors are often at a disadvantage when it comes to uninterrupted sleep due to the side effects of prescription

AGING WELL | YOUR HEALTH

Contributed Photos: Raymond Ferguson, 71, prepares for a sleep study with Sleep Technologist Abdelmoaty Wahba at the Sentara Princess Anne campus in Virginia Beach.

medicines. Common medications that disrupt sound sleep include cardiovascular drugs, which can cause drowsiness, but also light or fragmented sleep; drugs used to treat memory disorders, which can disturb sleep patterns; cold and allergy remedies, which can both stimulate and cause sedation; and anti-depressants and antianxiety medications, which often cause a disruption in the REM or deep sleep cycle. According to Dr. Cohen, all of these medications can cause situations where “sleep doesn’t have the same orderly process of brain activity that it normally would, and people don’t experience the restorative properties sleep is meant to provide.” With these biological and medical influences in place, it may seem like disrupted sleep is simply a condition of aging, but Drs. Santos and Cohen suggest a few simple parameters that can assist people who are having a difficult time getting some shut-eye. • Provide ample natural daytime light and a dark environment when sleeping. • After retirement, attempt to stay on a consistent wake/sleep schedule throughout the week, and create an active daytime routine to build what Dr. Santos refers to as sleep homeostasis. • Aerobic exercise during the day may help you sleep at night, but not close to bedtime. • Avoid caffeine or alcohol in the later part of the day, as both can deprive you of sleep. • If you are experiencing insomnia, leave the bedroom to complete a restful activity in dim light, and then return to the bed when you are drowsy. Just like Pavlov’s dog, we experience a conditioned response to our sleep environment; if we’re not using it for sleep, our brains won’t see it as such. Finally, listen to your body’s unique biology. “Contrary to popular belief,” says Dr. Cohen, “healthy seniors actually need about an hour less sleep than young adults, and the obsession over needing eight hours of sleep each night may actually impair sleep quality.”

thehealthjournals.com | 51

YOUR HEALTH | MIND MATTERS

WRITTEN BY ASHLEY WROTON, ED.S., LPC, RPT

Behind Closed Doors What to Expect When You (or Your Child) Go to Counseling

he decision to begin counseling for yourself or a child can be a very intimidating and challenging one to make. But, now that you have made that decision, what can you expect to happen? While there is not a one-size-fits-all approach, as everyoneâ&#x20AC;&#x2122;s needs and time frame is individual, there are general stages of the counseling a process. The six stages include: Diagnostic Interview: This is the first

session with your counselor or your childâ&#x20AC;&#x2122;s counselor. During this session, you will be asked questions about what brought you in to counseling, history of concerns, how you are or your child is currently functioning, and (for children) early development (i.e., any birth complications, meeting developmental milestones, significant life changes, etc.). Depending on the presenting concern and/or severity of symptoms, the therapist may conduct an assessment. This can be as simple as having you complete some rating scales and/or your child completing questionnaires and drawings. It may also be beneficial to complete a more formal psychological or educational evaluation. If this is the case, the therapist will refer you to a psychologist. These assessments and evaluations can coincide with the actual counseling sessions. Introduction: During these first several sessions, you or your child will begin building rapport with the therapistâ&#x20AC;&#x201D;getting to know them getting comfortable in the space and learning the counseling process. For children, especially those who are shy or anxious, it can be an awkward period of time. Help your child by giving lots of encouragement for them to give counseling a chance. Give your child a safe place with you to express their worries or concerns and feel free to discuss worries or concerns with the therapist. 52 | thehealthjournals.com

Tentative Acceptance: This stage begins after one to several sessions and is the period when you or your child feels eager to go to counseling. You are noticing some positive changes and are feeling better. Your child is excited about interacting with their counselor and looks forward to entering the room Negative Reaction: This is when the work begins and the deeper concerns, emotions and stories are coming to the surface. During this stage, you (or you and your child) are working to make necessary but sometimes difficult changes, and this is uncomfortable. Attitudes toward these changes can fluctuate between wholehearted attempts to engage in healthy new behaviors to persistent efforts to retreat back to more comfortable and familiar approaches. Some individuals pass through this stage without any problems; however, others experience their concerns getting worse. In these cases, it is common to resist coming to sessions. For adults, be open with your therapist during this time. For children, provide them with support and confidence that the process will help them be healthier and happier.

MIND MATTERS | YOUR HEALTH

Growing: This stage can start as early as the fourth or fifth session, or it may come after several months. Whenever this stage begins for you or your child, it is the longest and most important stage. It is when you learn how to best resolve struggles, cope with stressors and come to better understand yourself. This time is a period of significant advances and positive strides towards your goals. Despite these strides, there will be setbacks, or the reemergence of those old problem behaviors or symptoms. Whether for you, or for you and your child, these regressions can be frustrating. Remember to trust the therapy process, rejoice over what you or your child has accomplished and discuss feelings and concerns with the therapist.

Graduation: The final stage of therapy begins when you and the therapist (or you, your child and the therapist) are confident that behavioral and emotional functioning are stable enough to maintain what you and/or your child has accomplished. This can be both an exciting and difficult time. While the end of therapy is a sign of success, it is also the ending of the therapeutic relationship. It is important to process any concerns with your therapist. Continue to remind yourself and/or your child of what has been accomplished, the healthier ways of coping that have been learned and the successes achieved. This is a time of celebration.

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YOUR HEALTH | MONEY

Preeminent Plastic THE BEST CREDIT CARDS OF 2015 WRITTEN BY KELSEY HINTON

redit card companies judge you based on your credit score—are you judging them? They hope not. With thousands of cards vying for today’s credit card user, there is plenty of room for selectivity on the consumer end, but in an industry driven by marketing, preapproved credit cards and the instant gratification of introductory offers, the right investment vehicle can be (intentionally) difficult to spot. “When marketing drives decision-making, you can’t be sure that the product you’ve selected is actually right for you,” says Lindsay Konsko, a credit card analyst for NerdWallet, a website that aggregates information to help consumers make financial decisions for things like credit cards, loans and insurance. The U. S. credit card industry generated more than

$161 billion in top-line revenue from fees and interest in 2014, according to bank card advisory firm R. K. Hammer, though such fees are increasingly tempered by fierce competition amongst issuers, creating a constantly shifting middle ground between profit and pleasing the customer. “So far in 2015, the trend seems to be towards dropping certain nuisance fees and charges,” says Konsko. “When one issuer introduces a hot product, others know that they will need to improve the value of their cards to compete.” This year’s best credit cards highlight a trend toward simplicity and flexibility, which Konsko says issuers are incorporating into reward programs, in an effort to win customers. Here are my picks from this year’s credit crop:

BEST FLAT-RATE CASH BACK:

BEST CASH BACK:

BEST 0 PERCENT APR:

Capital One Quicksilver Cash Rewards, Citi Double Cash Card (tie)

Blue Cash Preferred Card (American Express)

Citi Simplicity Card

Capital One’s Quicksilver Cash Rewards card offers a flat 1.5 percent back on all purchases. Making this card unique is the lack of limit on reward-earning potential and the ability to redeem rewards for any amount as a statement credit, gift card or good old-fashioned check. Boasting free credit score tracking, there are no annual or foreign transaction fees, and after spending $500 within three months of opening the account, a $100 sign-up bonus generously sweetens the deal. The Citi Double Cash Card features a flat 1 percent cash back on all purchases and an additional 1 percent cash back as you make payments. There are no limits on rewards and no annual fee. Also offered is a 15-month 0 percent APR on balance transfers (though a balance transfer fee of the greater of $5 or 3 percent applies). An added bonus: Citi waives its charge on your first late payment. 54 | thehealthjournals.com

For anyone who eats, drives a car or wears clothes—American Express’ Blue Cash Preferred Card offers an industry-topping 6 percent cash back on groceries (up to $6,000 in purchases per year), 3 percent on gas and select department stores (Macy’s, Kohl’s, Nordstrom and more) and 1 percent on everything else. Balance transfer and purchases made within 30 days of the opening account enjoy 0 percent APR for 15 months, and users earn a $150 statement credit after spending $1,000 within three months of opening the account. As with most AmEx cards, there is an annual fee— $75—for this one.

What’s in a name? In this case, everything. There are no late fees, penalty rates or annual fees on the Citi Simplicity Card, and its 21-month 0 percent APR on balance transfers and purchases cannot be beat, making it ideal for those planning large purchases or who need extra time to pay off an existing balance. There is a three percent balance transfer fee, which should be factored into savings considerations.

Mellette PC

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

AT T O R N E Y S AT L AW

Serving Health Care Providers

NICOLE HARTZ Nicole Hartz joined Mellette, P.C. as an associate in September 2014, after serving as a law clerk for the firm for two years during her legal education at William & Mary Law School, where she graduated cum laude. Ms. Hartzâ&#x20AC;&#x2122;s practice focuses primarily on health care provider regulatory compliance and business transactions, including nursing facility contracts, sales agreements and closings, and physician contracts. Ms. Hartz has handled a variety of employment law issues, including employee complaints, confidentiality agreements, non-complete arrangements, and severance agreements. While at Mellette, P.C., Ms. Hartz has worked with hospital clients and a variety of long term care providers and health professionals. Ms. Hartz lives in Norfolk with her fiancĂŠ, John.

BEST BALANCE TRANSFER: Chase Slate While a 0 percent APR period has almost become common stock, so have balance transfer fees. The Chase Slate card waives its 3 percent balance transfer fee during the first 60 days of opening an account, which is good news for anyone looking to save on existing balances. There is no annual fee, and a monthly FICO score is provided free of charge.

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BEST TRAVEL: Chase Sapphire Preferred Twice the points on travel and dining and no foreign transaction fee, combined with the simplicity of a 1:1 points transfer for leading frequent travel programs, such as Southwest Airlines RapidRewards and Marriott Rewards, make the Chase Sapphire stand out in an industry overbooked with complicated travel cards. While other airline/hotel-specific cards make more financial sense to certain travelers, Chase Sapphire is a winner for the general and/or international traveler, even considering the $95 annual fee. New users earn 40,000 bonus points after spending $4,000 within three months of opening their account.

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YOUR HEALTH | HEALTHY COMMUTE

NPR’s TED Radio Hour bit.ly/TedRadio

LISTEN LEARN &LOVE WRITTEN BY CHRIS JONES

Recommended podcasts for your commute, trip or trek.

— Kelsey Hinton

The rich roll podcast

ON BEING

bit.ly/OnBeingPodcast

bit.ly/richrollpodcast

Each week host Krista Tippett interviews spiritual leaders, philosophers, physicists, musicians and more. Her guests provide their unique perspective on how to find joy or help others do the same in a world that’s constantly changing.

— ralph charlton

Wait, Wait, Don’t Tell Me!

bit.ly/waitwaitpodcast It’s NPR’s weekly current events quiz.

— Shawn Radcliffe

— Allison Brody

y now you’ve either heard about podcasts, listened to a few or have become addicted to them. I first fell in love with podcasts last year to the point of not listening to music when in my car, or when I go for walks or runs. If you’re not familiar, a podcast is a recorded digital broadcast, much like satellite radio by comparison. The novelty is that you can choose your audio based on topic, and then stream it through your phone or computer. If you like an episode you can download and save it, even if you can’t finish an episode, stop it and listen to it later. It’s a flexible, listener-focused medium. I’ve asked a few of our writers, clients and people in the Twitterverse about their favorite podcasts to listen to and enjoy. Entertain yourself—and your passengers— with these recommendations.

I love NPR’s TED Radio Hour because it makes me think about what it means to be human. This week, I listened to a piece about growing up, which explored how and to what extent parenting informs a child’s disposition. Socrates said the unexamined life is not worth living, and this series does good work in supporting that belief.

JOEL OSTEEN podcast bit.ly/JOELOSTEENPODCAST — christie davenport The Gimlet Media podcasts all strike a great balance—funny, engaging and very human. — NATE BEATTY

STARTUP

bit.ly/startuppodcast

MYSTERy SHOW bit.ly/MYSTERSHOW

reply all

bit.ly/replyallpodcast

THE Tim Ferriss Show

bit.ly/timferrissSHOWPODCAST — Stephanie Heinatz

DAN CARLIN’S HARDCORE HISTORY

bit.ly/HARDCOREHISTORYPODCAST — PAULA LUMSDEN

It is a podcast that finally showcases women in social media and business—which is refreshing! — KATE DICKMAN 56 | thehealthjournals.com

ALL THE SOCIAL LADIES bit.ly/SOCIALLADIES

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This is Your Life with Michael Hyatt

Prx remix

bit.ly/ThisIsYourLifePodcast

prx.org

If your goal is to achieve greatness through being well-rounded, this podcast will get you there. You can learn how to become a best-selling author, start and run a profitable business, become an influential leader and take care of your health and family. Hyatt’s advice is practical and easily applicable.

Love short story productions? Enter the PRX Remix app. In a nutshell, the app offers a curated source of short-length audio-journalism stories, produced by podcasters or independent radio groups. The nearly endless flow of fresh stories encompasses subjects ranging from nonfiction narrative, human interest, science, short audio documentaries and more. Each segment is thoughtprovoking, inspiring and deeply intimate; you’ll feel like you’re there in the story with the narrator speaking directly to you. It’s the sort of stuff that you’ll find yourself listening to in your driveway, waiting for the story to wrapup before you get out of the car.

—chris jones

—susan thompson

MAYO CLINIC TALKS bit.ly/MAYOCLINICPODCAST

The Mayo Clinic is always looking for ways to better serve it’s patients. When they discover something noteworthy, they happily share that information with other health care providers to educate and inspire. — shannon woods thehealthjournals.com | 57

ONCOLOGY/HEMATOLOGY special advertising section

ACCEPTING NEW PATIENTS are you looking for a provider? Our featured providers are committed to serving the community with the highest-quality health care. Flip to pg. 60 for more providers!

Ligeng Tian, M.D., Ph.D.

Virginia Oncology Associates Dr. Ligeng Tian is boardcertified in medical oncology, hematology and internal medicine. She received her medical degree from Beijing Medical University in China and her doctor of philosophy in molecular biology and genetics from Weill Graduate School of Cornell University in New York, New York. Tian completed her internal medicine residency at Long Island Jewish Medical Center of Albert Einstein College of Medicine in Bronx, New York, and her medical oncology/hematology fellowship at Yale Medical School in New Haven, Connecticut. Dr. Tian is a member of several professional organizations including the American Society of Clinical Oncology and American Society of Hematology. Dr. Tian’s particular clinical interests include providing personalized cancer care to patients with lung cancer and hematology. (757) 873-9400 Newport News 1051 Loftis Blvd., Ste. 100 Newport News, VA 23606 Hampton 3000 Coliseum Dr., Ste. 104 Hampton, VA 23666 www.virginiacancer.com

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

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

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

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

SKINCARE & AESTHETICS Izabela Padurariu BEAUTY THERAPY BY IZA

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

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

www.beautytherapybyiza.com

DENTISTRY Kasey Petersen, D.M.D.

Williamsburg Center for Dental Health Dr. Petersen shares Dr. Stacey Hall’s dedication to providing patients with personalized care and the best treatment possible. She feels blessed that God has provided her with the opportunity to practice with a team that shares a common vision of serving the community. Dr. Petersen received her undergraduate degree from the University of North Carolina at Chapel Hill in 2003 and then graduated from the University of Louisville School of Dentistry in 2007. She received a scholarship in dental school through the U.S. Army and was stationed at Fort Eustis from 2007-2010. She worked in private practice for two years and began working at Williamsburg Center for Dental Health in November 2012. Dr. Petersen is a member of the American Dental Association and Virginia Dental Association and is currently training with the Dawson Academy. She and her husband John live in Newport News, Virginia, and recently celebrated their one-year anniversary. They enjoy spending time with their friends, traveling and cheering on their favorite sports teams. Williamsburg Center for Dental Health 5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303

www.williamsburgdentalhealth.com

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

Dr. Bethany Magee graduated Summa Cum Laude from James Madison University, as the first Junior in the country to be accepted early to an accredited Doctor of Audiology Program. After completing her externship at the Virginia Commonwealth University Medical Center, Dr. Magee practiced audiology in St. Petersburg, Florida. She joined Colonial Center for Hearing in March 2014. Dr. Magee is a board-certified audiologist and holds accreditation by the American Speech-Language-Hearing Association. She undergoes extensive new product training on a monthly basis to ensure the highest quality of care provided to her patients. Bethany was born in the Philippines, but raised in the Richmond, Virginia-area, and is happy to be back in an area that carries happy memories. When not wedding planning or house hunting, she enjoys reading, cooking, running and spending time with family and friends. Colonial Center for Hearing 430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004

www.williamsburghears.com

CARDIOLOGY

OB/GYN MaryAnn Cheuvront, CNM

Masood Ahmed, M.D., F.A.C.C.

TPMG Obstetrics & Gynecology

TPMG Heart and Vascular Center

Dr. Ahmed completed a Postdoctoral Cardiology Research Fellowship, as well as completing a Nuclear Cardiology Fellowship at Yale University School of Medicine, Connecticut. He went on to complete an additional Cardiology Fellowship at Sinai and St. Luke’s Medical Center at University of Wisconsin and an Interventional Cardiology Fellowship at Tulane University Heart and Vascular Institute, New Orleans, Louisiana. Dr. Ahmed specializes in coronary and peripheral interventional cardiology and cardiovascular imaging. He has attained board certification in internal medicine, nuclear cardiology, echocardiography, general cardiology and interventional cardiology. He is a member of the American College of Cardiology, American Society of Nuclear Cardiology, American Society of Echocardiography, American Heart Association, American Medical Association and American College of Physicians. TPMG welcomed Dr. Masood Ahmed in May 2015 and the opening of TPMG Heart and Vascular Center in Newport News. TPMG Heart and Vascular Center

12720 McManus Blvd., Suite 201 Newport News, VA 23602 (757) 875-5332 www.mytpmg.com

MaryAnn attended Riverside School of Professional Nursing in Newport News, Virginia, and received her diploma as a registered nurse in 1998. In 2010, she earned her Bachelor of Science degree in Nursing from Virginia Commonwealth University in Richmond, Virginia. After completion of her undergraduate degree, MaryAnn furthered her education and earned a Master of Science degree in nursing/midwifery at Frontier Nursing University in Hyden, Kentucky in 2012. After receiving her degree in nursing/midwifery, MaryAnn completed her clinical rotation at Maryview Medical Center in Portsmouth, Virginia. She is a member of the American College of Nurse-Midwives. MaryAnn is a long-time resident of Hampton Roads, and joined TPMG OB/GYN in April 2013. She welcomes new, as well as established patients, and looks forward to providing excellent, compassionate care to all of her patients.

Obstetrics & Gynecology

860 Omni Boulevard, Suite 110 Newport News, VA 23606 (757) 223-9794

Middle Peninsula Women’s Care 7685 Meredith Drive Gloucester, VA 23061 (804) 693-4410

Jason D. Mazzurco, D.O.

Dermatology Specialists

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

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

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

ALLERGY & ASTHMA

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

www.opderm.net

www.allergypartners.com/hamptonroads

Newport News, VA 23606

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

PERSONAL TRAINING Brian Cole, CPFT, CMT

Personal Training Associates

Allergy Partners of Hampton Roads

(757) 873-0161

•

LWell

Timothy J. Campbell, M.D.

895 Middle Ground Blvd., Suite 302 Newport News, VA 23606 (757) 596-8025

1844 Rock Landing Drive, Suite B

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

www.lwell.com

www.mytpmg.com

JASON D. MDERMATOLOGY AZZURCO, DO

WEIGHT MANAGEMENT

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

Port Warwick Hilton Village 210 Nat Turner Blvd. 97 Main St. Newport News, VA 23606 Newport News, VA 23601 (757) 599-5999 www.briancoleandassociates.com

ONCOLOGY/HEMATOLOGY special advertising section

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

ORTHOPAEDICS Loel Z. Payne, M.D.

Ranjit K. Goudar, M.D. Virginia Oncology Associates

A Virginia Beach, Virginia native, Dr. Ranjit Goudar received his bachelor of science in chemistry from the University of Virginia, where he was a Jefferson Scholar. He earned his doctorate in medicine and completed both his residency in internal medicine and fellowship in hematology/oncology at Duke University. He is a graduate of the City of Hope Intensive Course in Cancer Risk Assessment. Dr. Goudar is board-certified in medical oncology, hematology and internal medicine. Dr. Goudarâ&#x20AC;&#x2122;s particular clinical interests include the care of patients with breast cancer, precancerous breast biopsies and comprehensive genetic risk assessment for patients at higher risk of cancer due to family history or deleterious mutations. He serves as the director of the Hereditary Cancer Program for Virginia Oncology Associates at the Lake Wright location.

Virginia Oncology Associates 5900 Lake Wright Dr. Norfolk, Virginia 23502 (757) 466-8683 www.VirginiaCancer.com

Tidewater Orthopaedics Dr. Loel Payne has been with Tidewater Orthopaedics since 1995 and has built a superior reputation for his care of shoulder and knee problems. Dr. Payne attended undergraduate school at Duke University and medical school at the University of North Carolina, Chapel Hill. He completed his residency and internship at Yale University before completing his fellowship training in shoulder surgery and sports medicine at The Hospital for Special Surgery in New York, New York. While completing his fellowship training, Dr. Payne had the opportunity to work with the New York Mets and currently is one of the team physicians for the Apprentice School. He performs surgeries at Sentara Williamsburg Regional Medical Center and the Orthopaedic Hospital at Sentara CarePlex, the only dedicated orthopaedic hospital on the Peninsula. His outpatient surgeries are performed at CarePlex Orthopaedic Ambulatory Surgery Center, where staff and facility are specialized in treating orthopaedic patients. Tidewater Orthopaedics

901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 637-7008 www.tidewaterortho.com

PHYSICAL THERAPY Allen R. Jones Jr., D.P.T., P.T. Dominion Physical Therapy & Associates, Inc.

Dr. Allen R. Jones is pleased to announce the opening of his Virginia Beach, Virginia office. The practice specializes in the treatment of neck and back pain, sports and personal injury and other musculoskeletal conditions. Dominion has six locations throughout Hampton Roads and is celebrating its 25th year in business. Dr. Jones earned degrees in physical therapy from the University of Connecticut and from Rocky Mountain University School of Health Professions where he received his Doctor of Physical Therapy. Governor McAuliffe appointed Dr. Jones to the Virginia board of health professions and Virginia board of physical therapy. Dominion offers an Annual Doctorate of Physical Therapy Scholarship to second year students enrolled in the Physical Therapy program at Old Dominion and Hampton University. Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446 www.dompt.com

58 | thehealthjournals.com

*See Health Directory for additional locations

ENDOCRINOLOGY

BEHAVIORAL MEDICINE Brad Skelding, MSW, LCSW

SPINE SURGEON Jonathan Mason, M.D.

Karen L. Knudsen, M.D., FACE, ECNU

TPMG Psychiatry, Behavioral and Addiction Medicine

Tidewater Ortho

TPMG Endocrinology

Brad Skelding, MSW, LCSW received his Bachelor of Science in Social Work with a Minor in Psychology from Edinboro University of Pennsylvania in 1985. He completed his Master degree in Social Work with a specialty in Mental Health from Virginia Commonwealth University in 1987. He worked as a clinician in direct counseling at Community Mental Health in Farmville, Virginia before receiving his license in Clinical Social Work in 1991. Mr. Skelding has been in private practice for 21 years providing direct therapy for depression, anxiety, bipolar disorder, substance abuse, stress management, anger management and other life issues. He offers behavioral health and counseling services at TPMG West Point Family Medicine and Yorktown Family Medicine, and aligns these services with your primary care physician.

Karen L. Knudsen, MD, FACE, ECNU is a graduate of Yale University with a Bachelor of Science degree. She earned her Doctor of Medicine degree at the University of Connecticut School of Medicine in Farmington, Connecticut. Dr. Knudsen completed her internship and residency in Internal Medicine at the University of Connecticut Health System, and completed an Endocrine Fellowship at the University of Virginia. Dr. Knudsen is board certified in Endocrinology and Internal Medicine, as well as receiving her Endocrine Certification in Neck Ultrasound (ECNU) by the American Association of Clinical Endocrinologists. Dr. Knudsen performs thyroid biopsies and ultrasounds at both office locations. She joined TPMG Endocrinology on August 1, 2010. Accepting new patients by physicianonly referral.

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

West Point Family Medicine 408 16th St. West Point, VA 23181 (804) 843-3131

Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 595-4300

Tidewater Ortho

Yorktown Family Medicine 307 Cook Road Yorktown, VA 23690 (757) 898-7261

11751 Rock Landing Drive, Suite 1 Newport News, VA 23606 (757) 595-4300

5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 637-7008

www.mytpmg.com

OPTOMETRY

www.tidewaterortho.com

JASON D. MDERMATOLOGY AZZURCO, DO Jason D. Mazzurco, D.O.

Brent Segeleon, O.D. Colonial Eye Care

Dermatology Specialists

Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate Dr. Jason D. Mazzurco is a of Gannon University and board-certified dermatologist received his doctor of optometry and fellowship trained degree from the Pennsylvania Mohs Surgeon. He earned College of Optometry in 2005. his Bachelor of Science and He is proficient in comprehensive Master of Science degrees from The Ohio State optometry, including the diagnosis and managementDr.ofJason D. Mazzurco is a Board Certified Dermatologist University, where he was a two-time Big Ten and Fellowship trained Mohs Surgeon. He earned his ocular diseases, as well as low vision. Dr. Segeleon has Champion He continued his education Bachelor of Science and MasterGymnast. of Science degrees from experience in fitting simple and complex contact lenses for Ohio State University, whereUniversity he was a two Heritage time Big TenCollege of Osteopathic at Ohio complicated, diseased and post-surgical corneas. Champion Gymnast. He continued his education at Ohio Medicine, he earned medical degree. University Heritage College of where Osteopathic Medicine his where Dr. Segeleon is a member of the American Optometric completed a residency in dermatology and he earned his medicalHe degree. Association, Virginia Optometric Association and vice a fellowship in Mohs micrographic surgery at St. president of the Tidewater Optometric Society. In 2013, Dr. Mazzurco completed a residency in Dermatology and a Joseph MercySurgery Hospital Fellowship in Mohs Micrographic at St.through Joseph Michigan State the Virginia Optometric Association named him Young Michigan University where he resident. Mercy Hospital through University andState served as the chief Optometrist of the Year. served as the Chief Resident. He is published in numerous Dr. Mazzurco practices surgical dermatology Originally from Pittsburgh, Pennsylvania, Dr. Segeleon peer-reviewed journals and has presented both nationally treating both oncology. benign and malignant lesions of the skin. and internationally on cutaneous calls Williamsburg home. He lives here with his wife, He specializes in the diagnosis and treatment of skin Brooke, and daughter, Gwen. He enjoys sponsoring the Dr. Mazzurco practices primarily surgical dermatology treating Mohs surgery and reconstructive surgery. Williamsburg Youth Baseball League and working both withbenign and cancer, malignant lesions of the skin. He specializes Mazzurco joined Dermatology Specialists in the diagnosis and Dr. treatment of skin cancer, Mohs Surgery William & Mary athletes. When not in the office, you can and reconstructive insurgery. 2014. find him training for an upcoming triathlon or mountain biking on Williamsburg’s fantastic trails. In 2014, Dr. Mazzurco joined Dermatology Specialists and

Colonial Eye Care

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

relocated to the Peninsula with his wife and daughter. In his leisure time, he enjoys outdoor activities and spending time with his family and friends. Dermatology Specialists

11844new Rock Landing Drive, inSuite Dr. Mazzurco welcomes patients to his practice the B Newport News, VA 23606 Newport News office. (757) 873-0161

www.opderm.net

11844 Rock Landing Drive, Suite B

•

901 Enterprise Parkway, Suite 900 Hampton, VA 23666

Newport News, VA 23606

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

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

THERAPEUTIC MASSAGE NUTRITION & WELLNESS special advertising section

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

Tom Batir

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

Debbi Dunn, CHHC, AADP

Sage Holistic Health and Wellness Center Debbi Dunn entered culinary school in San Francisco, California, successfully graduated in 1991 and found herself in the hospitality industry for 30 years. Dunn has studied many diverse cultures, foods, lifestyles and “ways of life.” Dunn received her Bachelor of Science in Holistic Nutrition from Clayton College of Natural Health in March 2011 and then additional studies led to her to Holistic Health Coach Certification from the Institute for Integrative Nutrition in New York City, New York. Most recently, Dunn has continued her education on the “Energetics of Food,” at Maryland University of Integrated Health, with ongoing studies at Sacred Plant Traditions on Traditional Western Herbalism in Charlottesville, Virginia. Drawing on this knowledge, as well as her personal experiences, she helps her clients create a completely personalized “roadmap to health” that suits everybody, every lifestyle, every preference and every goal.

Russian Therapeutic & Sports Massage

Sage Holistic Health and Wellness Center

www.russiantherapeuticsportsmassage.com

www.sage-holistichealth.com

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

103 Stratford Drive, Suite A Williamsburg, VA 23185 (757) 585-9481

“ Running is the greatest metaphor for

life,

because you get out of it what you put into it.

—Oprah Winfrey 60 | thehealthjournals.com

â&#x20AC;&#x153; Running is the greatest metaphor for

life,

because you get out of it what you put into it.

â&#x20AC;&#x201D;Oprah Winfrey

HEALTH DIRECTORY | STAYING WELL

HEALTH DIRECTORY EMERGENCY NUMBERS

AUDIOLOGY & HEARING

National Response Center

Colonial Center For Hearing

Toll-Free: (800) 424-8802

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

National Suicide Prevention Hotline

Toll-Free: (800) 273-8255

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

BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place

COSMETIC & PLASTIC SURGERY

Patrick R. Wyatt, DDS Orthodontics

Reneau Medical Center for Age Management & Aesthetic Medicine

7151 Richmond Road Williamsburg (757) 565-3737

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

Williamsburg Plastic Surgery

5483 Mooretown Road Williamsburg (800) 582-6066

333 McLaws Circle Williamsburg (757) 345-2275

ALLERGY & ENT

CARDIOLOGY

DENTISTRY

Hampton Roads ENT & Allergy

Riverside Cardiovascular Health

New Town Dental Arts

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

5408 Discovery Park Drive Williamsburg (757) 253-8722

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

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

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

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

CHIROPRACTIC & ACUPUNCTURE Pinto Chiropractic & Rehabilitation

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

Wade Quinn, DC

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

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

Williamsburg Center for Dental Health

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

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

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

Historic Triangle Dental Care Michael J. Whyte, DDS 134 Professional Circle Williamsburg (757) 903-2527

DERMATOLOGY Associates In Dermatology, Inc.

17 Manhattan Square Hampton (757) 838-8030

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

Dermatology Specialists

Jason D. Mazzurco, DO 11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161

DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd. 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

Dermatology Center of Williamsburg

Donna M. Corvette, MD 5335 Discovery Park Blvd., Suite A Williamsburg (757) 645-3787

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

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

thehealthjournals.com | 61

STAYING WELL | HEALTH DIRECTORY FAMILY PRACTICE Riverside Family Practice & Extended Care 5231 John Tyer Highway Williamsburg (757) 220-8300

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

Riverside Williamsburg Family Medicine

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

FITNESS B-defined Innovative Personal Training & Wellness 4801 Courthouse St., Suite 122 Williamsburg (757) 345-6801

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

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

Angels of Mercy Medical Clinic

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

Beach Health Clinic

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

Chesapeake Care

Digestive Disease Center of Virginia, PC

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

Riverside Williamsburg Gastroenterology

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

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

HEALTH CARE ATTORNEYS Brain Injury Law Center 2100 Kecoughtan Road Hampton (877) 840-3431

Mellette PC

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

HEALTH SPAS/ ESTHETICIANS Beauty Therapy By Iza

1325 LaSalle Ave. Hampton (757) 727-2577

Lackey Free Clinic

1620 Old Williamsburg Road Yorktown (757) 886-0608

Olde Towne Medical and Dental Center

5249 Olde Towne Road Williamsburg (757) 259-3258

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

Western Tidewater Free Clinic

2019 Meade Parkway Suffolk (757) 923-1060

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

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

62 | thehealthjournals.com

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

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

Riverside Doctors’ Hospital

HERNIA SPECIALISTS The Hernia Center at Mary Immaculate Hospital

Agapé Home Care

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

Visiting Angels

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

HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital

2 Bernardine Drive Newport News (757) 886-6000

Bon Secours DePaul Medical Center Granby St. & Kingsley Lane Norfolk (757) 889-5310

Bon Secours Maryview Medical Center

3636 High St. Portsmouth (757) 398-2200

Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800

Bon Secours Surgery Center at Harbour View

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

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

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

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

1500 Commonwealth Ave. Williamsburg (757) 585-2200

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

Riverside Regional Medical Center

Alzheimer’s Association

Sentara Independence

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

500 J. Clyde Morris Blvd. Newport News (757) 594-2000 800 Independence Blvd. Virginia Beach (757) 363-6100

Sentara Heart Hospital

307 South England Street Williamsburg 757) 220-7720

HOME CARE

H.E.L.P. Free Dental Clinic

601 Children’s Lane Norfolk (757) 668-7098

Spa of Colonial Williamsburg

The Community Free Clinic of Newport News

1320 LaSalle Ave. Hampton (757) 727-2577

Children’s Hospital of The King’s Daughters

Sentara CarePlex Hospital

860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077

H.E.L.P. Free Clinic

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

161-C John Jefferson Road Williamsburg, VA 23185 (757) 634-4004

2145 South Military Highway Chesapeake (757) 545-5700

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

Chesapeake Regional Medical Center

3000 Coliseum Drive Hampton (757) 736-1000 600 Gresham Drive Norfolk (757) 388-8000

Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000

Sentara Norfolk General Hospital

600 Gresham Drive Norfolk (757) 388-3000

Sentara Obici Hospital 2800 Godwin Blvd. Suffolk (757) 934-4000

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

American Cancer Society

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

American Diabetes Association 870 Greenbrier Circle, Suite 404 Chesapeake (757) 424-6662

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

American Parkinson’s Disease Association

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

American Red Cross

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

Sentara Port Warwick

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

Sentara Princess Anne

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

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

Sentara Virginia Beach General Hospital

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

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

MASSAGE THERAPY Beauty Therapy By Iza

161-C John Jefferson Road Williamsburg, VA 23185 (757) 634-4004

Massage By David

David Presnesll, CMT Yorktown/Newport News/ Williamsburg (860) 449-3156

The Arc of Greater Williamsburg

202 Packets Court Williamsburg (757) 229-0643

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

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

AWARE Worldwide, Inc.

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

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

Beyond Boobs! Inc.

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

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

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

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

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

Citizens’ Committee to Protect the Elderly

PO Box 10100 Virginia Beach (757) 518-8500

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

Denbigh Clubhouse for Brain Injury Survivors

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

Dream Catchers Therapeutic Riding

10120 Fire Tower Road Toano (757) 566-1775

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

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

Faith in Action

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

Food Bank of the Virginia Peninsula

2401 Aluminum Ave. Hampton (757) 596-7188

Food Bank of SEVA

800 Tidewater Drive Norfolk (757) 627-6599

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

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

Jewish Family Service

260 Grayson Road Virginia Beach (757) 321-2223

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

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

National MS Society

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

The Needs Network, Inc.

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

HEALTH DIRECTORY | STAYING WELL National Alliance on Mental Illness-Williamsburg Area P.O. Box 89 Williamsburg (757) 220-8535

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

Norfolk Community Services Board

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

Peninsula Agency on Aging

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

Peninsula Institute for Community Health

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

Peninsula Pastoral Counseling Center

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

Protect Our Kids

OBSTETRICS & GYNECOLOGY Riverside Partners In Women’s Health

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

Williamsburg Obstetrics & Gynecology

1115 Professional Drive Williamsburg (757) 253-5653

ONCOLOGY Riverside Peninsula Cancer Institute

3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400

1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437 5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670

St. Mary’s Home for Disabled Children

OPTOMETRY & OPHTHALMOLOGY

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., Suite 104 Williamsburg (757) 253-2264

The Up Center

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

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

Vets Advocating for Vets

Hampton (757) 722-9961, ext. 3009

We Promise Foundation

901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480

Virginia Oncology Associates

5900 Lake Wright Drive Norfolk (757) 466-8683

The Sarah Bonwell Hudgins Foundation

Tidewater Orthopaedic Associates

Riverside Pain Medicine & Rehabilitation Specialists

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

6171 Kempsville Circle Norfolk (757) 622-2208

850 Enterprise Parkway, Suite 2000 Hampton (757) 534-9988

PAIN MANAGEMENT

725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403

RSVP: Retired Senior Volunteers

12200 Warwick Blvd., Suite 310 Newport News (757) 534-9988

12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555

Respite Care Center for Adults with Special Needs

404 Colley Ave. Norfolk (757) 627-5386

Riverside Orthopedic Specialists

120 Kings Way, Suite 3100 Williamsburg (757) 345-5724

500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

Ronald McDonald House

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

5208 Monticello Ave. Williamsburg (757) 206-1004

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

500 Jamestown Road Williamsburg (757) 229-1771

Riverside Orthopaedics & Sports Medicine

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

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

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

PHYSICAL THERAPY & REHABILITATION

SLEEP MEDICINE Pulmonary & Sleep Consultants of Williamsburg

5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700

120 Kings Way, Suite 2200 Williamsburg (757) 645-3460

500 Rodman Ave., Suite 4 Portsmouth (757) 393-6119

Williamsburg Neurology and Sleep Disorders Center

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

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

Tidewater Orthopaedic Associates

120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

URGENT CARE MD Express

120 Monticello Ave. Williamsburg (757) 564-3627 4740 George Washington Memorial Highway Yorktown (757) 890-6339

3321 West Mercury Blvd. Hampton (757) 224-0056

2012 Meade Parkway Suffolk (757) 934-3366

Tidewater Physical Therapy

Riverside Williamsburg Family Practice & Extended Care

5553 Portsmouth Blvd. Portsmouth (757) 465-7906 3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 7300 Newport Ave., Suite 300 Norfolk (757) 217-0333 885 Kempsville Road, Suite 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Suite B Newport News (757) 947-1230  2 Bernardine Drive Newport News (757) 886-6480

4300 Portsmouth Blvd., Suite 220 Chesapeake (757) 465-7651 1416 Stephanie Way, Suite A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 828 Healthy Way Virginia Beach (757) 463-2540

730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554

1817 Laskin Road, Suite 100  Virginia Beach (757) 437-0471

4374 New Town Road, Suite 102 Williamsburg (757) 873-1554

1253 Nimmo Parkway, Suite 105 Virginia Beach (757) 943-3060

Orthopaedic & Spine Center

101 Long Green Blvd. Yorktown (757) 952-1900

250 Nat Turner Blvd. Newport News (757) 596-1900

301 Riverview Ave. Norfolk (757) 963-5588

5208 Monticello Ave. Williamsburg (757) 206-1004

Patrick R. Wyatt, DDS Orthodontics

Hampton Roads Orthopaedics & Sports Medicine

729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932

1580 Armory Drive, Suite B Franklin (757) 562-0990

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

235 Hanbury Road East Chesapeake (757) 391-7660

ORTHOPEDICS & SPORTS MEDICINE

466 Denbigh Blvd. Newport News (757) 875-0861

6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890

12997 Warwick Blvd. Newport News (757) 369-9446

13609 Carrollton Blvd., Suite 15 Carrollton (757) 238-2690

7151 Richmond Road Williamsburg (757) 565-3737

304 Marcella Road, Suite E Hampton (757) 825-9446

927 N. Battlefield Blvd., Suite 200 Chesapeake (757) 436.3350

901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480

Bon Secours In Motion Physical Therapy

ORTHODONTICS

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

Dominion Physical Therapy & Associates, Inc.

2106 Executive Drive Hampton (757) 838-6678

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

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

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

Riverside Weight Loss Specialists

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

204 Gumwood Drive Smithfield (757) 357-7762 2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316 100 Winters St., Suite 106 West Point (757) 843-9033 1745 Camelot Drive, Suite 100 Virginia Beach (757) 961-4800 4020 Raintree Road, Suite D Chesapeake (757) 484-4241 135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512

160 Newtown Road Virginia Beach (757) 233-7111

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