The Health Journal February 2015

Page 1



TPMG Diagnostic Cardiology Doesn’t Miss a Beat.

Cardiology Consults • Preopertive Clearance • EKG • Echocardiography • Nuclear Cardiology • Stress Testing • Continuous Heart Rhythm Monitoring • Pacemaker Checks

WE’D LOVE TO CARE FOR YOUR HEART! Heart disease is the leading cause of death in the U.S. At TPMG Cardiovascular Diagnostic Center, we know that proper treatment begins with proper diagnosis. We offer our patients prompt scheduling and provide your family physician with cardiac test results quickly.

Hugh McCormick, Jr., MD

TPMG CARDIOVASCULAR DIAGNOSTIC CENTER Tidewater Medical Center at New Town 5424 Discovery Park Boulevard, Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 565-0600

Tidewater Medical Center 860 Omni Boulevard, Suite 114 Newport News, VA 23606 (757) 565-0600

mytpmg.com


His Experience with a Scalpel Gives Him the Edge In The Court Room.

Of the thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room. If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options.

BrainInjuryLawCenter.com | 877.840.3431 | 757.650.9818 ssmith@BrainInjuryLawCenter.com

Stephen M. Smith, Esq.


FEBRUARY 2015 | CONTENTS

AIM PG.18

Q&A PG.15

OUTDOORS PG.48

BITS & PIECES

FOOD

STAYING WELL

04 / Contributors

31 / Taste Appeal

58 / Accepting New Patients

06 / Editor’s Note

33 / Herb-N-Garden / Basil

60 / One Last Thought

07 / Page’s Picks

35 / Vine & Dine / Loco For Cocoa

61 / Health Directory

08 / DIY / Sugar Scrub 08 / Inbox

36 / Food & Nutrition / Food For The Heart 38 / Flavor / Chocolate and Your Health

09 / In My Own Words 09 / Versus IN THE KNOW

40 / Fitness / Couples Band Workouts 42 / Yoganatomy / Happy Baby

12 / Out and About

44 / Family / Destination: Relaxation

15 / Q&A / Trusten Hamilton

DIGITAL ISSUE

YOUR HEALTH

10 / Calendar

13 / Second Opinion

64 / Brain Teasers

46 / Extra / John Randolph's Memorial 47 / Aging Well / Sex and The Sixties

17 / Profile / Rick Small

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 digitalissue.thehealthjournals.com

48 / Outdoors / Bountiful Harvest 18 / Advances in Medicine / RoboDoc FEATURES

IN THIS ISSUE 50 / Mind Matters / Practicing Mindfulness

20 / Do African Americans Suffer More?

52 / Money / Examining Trusts

25 / Serious As A Heart Attack

56 / Extra / Essential Oils & Romance

Try three delicious recipes from Diane Morgan's book, "Skinny Dips," in our Taste Appeal section on pg. 31 and pg. 32. thehealthjournals.com | 3


BITS & PIECES | CONTRIBUTORS

NATALIE MILLER MOORE

KELSEY HINTON

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

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

KIMBERLEY CUACHON HAUGH

JILL WEISENBERGER, MS, RDN, CDE, FAND

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

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

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

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

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

As a nutrition counselor and diabetes educator, Jill is on a mission to help people improve their diets, lose weight and live healthier. She has a private practice in Newport News, Virginia and is the author of Diabetes Weight Loss – Week by Week, The Overworked Person's Guide to Better Nutrition and the forthcoming 21 Things You Need to Know about Diabetes and Your Heart.

SONJA STRUZZO Sonja is a fitness lecturer, personal trainer and Pilates instructor at the Founders Inn and Spa in Virginia Beach, Virginia. She is a Fellow of Applied Functional Science, Nike Golf Performance Specialist, Peak Pilates and Pilates for Golf Instructor. Originally from California, Sonja lives in Norfolk, Virginia.

CATHY WELCH Cathy, a freelance contributor, writes for five Hampton Roads media outlets. She is a ghostwriter, editor and photographer who lives in Newport News, Virginia, with her husband, Keith. She is also a mother of three adult daughters and is a part-time bookseller. Cathy visited India twice in the last three years and has a passion for world travel.

DEBBI DUNN Debbi has studied many diverse cultures, foods, lifestyles and ways of life. Drawing on her knowledge and experiences, she helps her clients create a completely personalized “roadmap to health” that suits every body, every lifestyle, every preference and every goal. Debbi also teaches nutrition and meditation classes.


VOL. 10, NO. 8 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. PUBLISHERS

Brian Freer Page Freer page@thehealthjournals.com EXECUTIVE DIRECTOR

Rita L. Kikoen rita@thehealthjournals.com EDITOR IN CHIEF

d i cs , MD h o pa e i g g ins t H r O l e a t er M i c ha Ti de w ~ C COAS

Chris Jones chris@thehealthjournals.com

MEDICAL EDITOR

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

Christie Davenport christie@thehealthjournals.com

Community Lecture

ART DIRECTOR

Susan Thompson susan@thehealthjournals.com

THE LATEST TREATMENT OPTIONS FOR HIP ARTHRITIS

JR. ART DIRECTOR

Maria Candelaria Daugs maria@thehealthjournals.com VIDEO PRODUCTION MANAGER

Alexis Kikoen alexis@thehealthjournals.com PHOTOGRAPHY

Brian Freer

Join Michael Higgins, MD, for an informative talk on

Feb. 19 at 6:30pm

Alexis Kikoen

901 Enterprise Pkwy., Suite 900, Hampton

CIRCULATION

Ryan Bishop circulation@thehealthjournals.com

or Feb. 26 at 6:30pm

PRODUCTION AND MARKETING ASSISTANT

Haley Herrinton haley@thehealthjournals.com

Legacy Hall, 4301 New Town Ave., Williamsburg

PHOTOGRAPHY

Magali deVulpillieres

RSVP 757-827-2480 ext. 332

ILLUSTRATION

Liz Ly

CHOCOLATE EXTRAVAGANZA

ADVERTISE

Email advertise@thehealthjournals.com, or call (757) 645-4475 for rates.

FREE AND OPEN TO THE PUBLIC

CONTRIBUTE

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

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

COASC

CarePlex Orthopaedic Ambulatory Surgery Center

The Peninsula’s Only Dedicated Orthopaedic ASC 3000 Coliseum Drive | Hampton, VA 23666

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Ple as

THE HEALTH JOURNAL

• 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.


BITS & PIECES | EDITOR’S NOTE

"FOR ALL OF THE MOST IMPORTANT THINGS, THE TIMING ALWAYS SUCKS. WAITING FOR A GOOD TIME TO QUIT YOUR JOB? THE STARS WILL NEVER ALIGN AND THE TRAFFIC LIGHTS OF LIFE WILL NEVER ALL BE GREEN AT THE SAME TIME… ‘SOMEDAY’ IS A DISEASE THAT WILL TAKE YOUR DREAMS TO THE GRAVE WITH YOU.”  — TIM FERRISS, “THE 4-HOUR WORKWEEK”

I

t hit like an uppercut. I sat stunned in my black, 2004 Saturn Ion. I replayed the track on “The 4-Hour Work Week” CD over and again while sitting in the parking lot of my client’s office. “Tim Ferriss is right. There is honor in quitting and correcting course if it’s for something greater,” I thought. But I felt trapped. The design studio I created—my baby—had become my biggest headache. Gone were the days of sticking my chest out with pride when mentioning my

INSTEAD OF "SOMEDAY/MAYBE" HOW ABOUT "NOW/TODAY" self-employed status. The truth was that my studio owned me. I hadn’t built a business, I created a job— and I hated it. How did that happen? Well, I had recently been fired from a copywriting job that bored me silly. Writing search and fulfillment letters to high school students on behalf of colleges and universities isn’t the dream job for a writer. My copy chief pulled me into human resources citing that a change should be made since I seemed disengaged with my work. I didn’t fight it. I felt liberated. I spent five of the next seven years running my studio. I listened to audiobooks and read title after title about business, networking, sales and marketing. I took in a few seminars, too. My rationale was that I had spent $30,000 on an art school education, maybe it was time to put it to work. As the years passed, though, I grew irritated and disgruntled with being a designer. It just wasn’t my calling. I preferred writing and realized in that moment that I had to find the kill switch and put down my Frankenstein monster. Following a major loss I immediately began searching for writing jobs exclusively, and within three days interviewed with The Health Journal. I was offered the managing editor position within two weeks and then I phased out my business and referred my remaining clients to trusted partners who could take care of my former clients with the same enthusiasm that I did. I’m celebrating my second anniversary with The Health Journal this month and it’s a reminder of that decision to take control of my life and do things that make me happy. And you know what, I have zero regrets. I’m doing what I love, and I’m grateful that I made the decision to do it.

Darren Hardy, founder of Success magazine, quoted motivational speaker Jim Rohn as saying that we should turn our wishes into our study—and that has merit. He says whatever it is we want out of life should be at the top of our reading list. If we want to be better parents, we should be reading more parenting books. If we want to change careers, we should read about the vocation that excites us. If we want to be healthy and fit, we should spend our time learning how to exercise and how to cook with whole ingredients. You get the point. It’s time we chose ourselves—turning our backs to the crowd—and gave our dreams a chance. Bill Gates, Tom Hanks and Frank Lloyd Wright all left college when dealt a perfect opportunity to reach their dreams. And it doesn't matter that you're not doing anything related. James Cameron was a truck driver, Kurt Warner was bagging groceries and Kurt Vonnegut worked at General Electric. Yes, change is scary—and risky—but you can do it in baby steps. Make the decision today to change something you’re unhappy with for a dream you’ve longed for and take your first step immediately—call an academic adviser, buy that book on digital photography, sign up for your life coaching course, buy a canvas and some oil paint, run that first mile. As the late General Douglas MacArthur said, “We are not retreating—we are advancing in another direction.”

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM

6 | thehealthjournals.com


PAGE’S PICKS | BITS & PIECES

PHOTOGRAPHY BY ALEXIS KIKOEN

Get your chocolate fix with these diet-friendly delights. Oven Roasted Dark Chocolate Almonds

Cacao Raw Chocolate Nibs

Blue Diamond $10, most grocery stores

Navitas Naturals $9.99, Harris Teeter

Only 160 calories per 24 nuts. A super-healthy grab-and-go snack.

On the bitter side, but sugarfree. Great for baking or as a topping.

Choco-Coconut Macaroons Hail Merry $4.99, Whole Foods

Red Velvet Chocolate Tea

Melt-in-your mouth raw coconut; glutenfree and dairy-free.

Republic of Tea $9.99, Whole Foods

Caffeine-free blend of rooibos, chocolate, vanilla and beet root.

Dark Chocolate Cherry Cashew Bar Kind $2, stores vary

Sweet and salty and full of antioxidants; gluten-free.

Splurge! Vosges Chocolate Bars $6.99/ea., Fresh Market

Mo’s Dark

These decadent dark chocolate bars come in adventurous varieties such as Smoke & Stout Caramel (made with Rogue Ale Chocolate Stout—yum!), Mo’s Dark (uncured smoked bacon and Alderwood salt) and Red Fire (infused with cinnamon and chipotle). Smoke & Stout Caramel

Red Fire

thehealthjournals.com | 7


BITS & PIECES | DIY & INBOX

Sugar Scrub MAKE YOUR OWN

WRITTEN BY HALEY HERRINTON

PHOTOGRAPHY BY ALEXIS KIKOEN

Ingredients 2 tablespoons coconut oil 2-3 tablespoons honey 2 cups granulated sugar A few drops of essential oils

Preparation Mix the coconut oil and honey until blended. Add the sugar in slowly, mixing until it reaches the consistency of damp sand. Stir in essential oils as desired.

Viola! To use, rub gently over damp hands for 30 seconds and then rinse with warm water.

BRA I really enjoy your magazine and the variety and richness of the articles. From your editorial perspectives, to Page's picks, to the diversity of the articles. For example, my husband passed away in 2009, when our son was at the tender age of 10. So, seeing the article about bereavement resources in your January 2015 edition (“Medical Diagnosis: How to Tell The Kids” by Christa Hines) touched my heart. There's a Misouri-based resource, called "Annie's Hope for Kids". It is a wonderful bereavement camp that my son was blessed to attend in July 2009. Since then, I've been able to refer grieving families with children, to the camp. — Andrea Partee

IN TEASERS

JANUARY WINNER BEA GALLAGHER Williamsburg, Virginia

Challenge your brain with our puzzles! UP FOR THE CHALLENGE? Turn to page 64 to find out how you can win a $20 gift card! 8 | thehealthjournals.com


IN MY OWN WORDS & VERSUS | BITS & PIECES

ROBERT SHOOP, BS, CSCS, USAW Hi, my name is Robert Shoop and I am a certified personal trainer and owner of RMS Wellness in Williamsburg, Virginia. My wife, Sara, and I have two children and have lived in Williamsburg for nine years.

IN MY

OWN WORDS

I am interested in functional fitness in regards to how it affects our lives. Whether it’s golf, gardening or hiking, having clients achieve better movement through fitness is my goal. Health to me is the physical, mental and emotional well-being that allows us to live life to its fullest. I like reading The Health Journal for its broad scope of health information. Whether it’s a recent report on the health industry, or a new health product, The Health Journal keeps me connected to my community and all its health offerings.

Which burns MORE calories?

27 minutes of

SEX

or

27 minutes on the

TREADMILL

According to a University of Montreal study, men burn an average 240 calories on the treadmill and 100 calories during 27 minutes of sex. Women burn 213 calories on the treadmill and 67 calories during 27 minutes of sex.

ANSWER: 27 minutes on the treadmill. thehealthjournals.com | 01 thehealthjournals.com | 9


IN THE KNOW | CALENDAR

february 6th BACCHUS WINE & FOOD FESTIVAL Support this annual event.

WHEN: 6 p.m., reception; 7 to 10 p.m., main event WHERE: The Virginia Living Museum $$: $60; $120 for both CONTACT: thevlm.org

TEN THOUSAND STEPS WALKING PROGRAM Get fit during this four-week program.

WHEN: 9:30 to 10:30 a.m. Fridays WHERE: Norfolk Botanical Garden $$: $40; free for members CONTACT: norfolkbotanicalgarden.org

6th-8th COASTAL VIRGINIA HOME & GARDEN SHOW WHEN: 10 a.m. to 8 p.m., Friday and Saturday; 10 a.m. to 6 p.m., Sunday WHERE: Hampton Roads Convention Center $$: $10; $8 military & seniors; 12 & under free CONTACT: bit.ly/covahgs

7th POLAR PLUNGE WINTER FESTIVAL

5K run followed by a dip in the ocean. WHEN: All day WHERE: Virginia Beach $$: $40 CONTACT: 757-962-1575

WOMEN’S MOUNTAIN BIKE RIDE

Learn the ins and outs of mountain biking. WHEN: 10 a.m. to noon WHERE: Freedom Park, Williamsburg $$: free CONTACT: jamescitycountyva.gov/ recreation

7th

10 10| |thehealthjournals.com thehealthjournals.com

14th

RAIN BARREL WORKSHOP

Learn the importance of storm water, how to garden with it, and take home a rain barrel. WHEN: 10 a.m. WHERE: Great Neck Recreation Center, Virginia Beach $$: $75 per barrel CONTACT: 757-385-4461

WILDERNESS SURVIVAL Learn how to survive in the wilderness.

WHEN: 10 a.m. WHERE: Sandy Bottom Nature Center, Hampton $$: $2 per person CONTACT: 757-825-4657

18TH ANNUAL BONNIE HARRELL PARROT HEAD CHARITY BEACH BALL Event to support the Alzheimer’s Association. WHEN: 7 p.m. WHERE: Wyndham Virginia Beach Oceanfront Hotel $$: $75 CONTACT: 800-272-3900

9th THYROID SEMINAR

Learn natural approaches to dealing with thyroid issues. WHEN: 6:15 p.m., February 9, 16 and 23; 10 a.m. February 21 WHERE: Total Health Center, Virginia Beach $$: free CONTACT: 757-363-8571

10th BARIATRIC AND SURGICAL WEIGHT LOSS SEMINAR Learn about weight loss options.

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

NTS AT: GET MORE EVE

EVENTS 21st

WILLIAMSBURG FARMERS MARKET

2ND ANNUAL FOR THE CURE 5K RUN

WHEN: 8:30 a.m. to 12:30 p.m. WHERE: Merchants Square $$: free CONTACT:

WHEN: 9 a.m. WHERE: Mt. Trashmore, Virginia Beach $$: $45 CONTACT: roadrageeventscom

A winter market featuring seasonal produce.

williamsburgfarmersmarket.com

Race benefits breast cancer research.

DESTINATION RECREATION EXPO

14th-15th WORLD OF PETS EXPO

Learn about the programs James City’s Parks and Recreation offers during this event.

WHEN: 10 a.m. to 7 p.m., Saturday; 10 a.m. to 6 p.m., Sunday WHERE: Hampton Roads Convention Center $$: $9 adults, $5 children CONTACT: worldofpets.org

WHEN: 9 a.m. to noon WHERE: James City County Recreation Center $$: free CONTACT: jamescitycountyva.gov/ recreation

17th

22nd

Learn how to keep your pets safe and healthy.

OSC COMMUNITY LECTURE

SENTARA COLONIAL HALF MARATHON AND 5K

WHEN: 7 p.m. WHERE: Orthopaedic & Spine Center, Newport News $$: free CONTACT: 757-596-1900

WHEN: 1 p.m. WHERE: College of William & Mary $$: Fun Run, $5; 5K, $30; Half Marathon, $55 CONTACT: runreg.com/ colonial-half-marathon

Enjoy this annual run through the campus of College of William & Mary.

Dr. Mark McFarland will discuss minimallyinvasive treatments to spine conditions.

17th-22nd

25th

VIRGINIA WINE EXPO

This nationally-recognized event features Virginia wine and food.

GETTING YOUR LIFE BACK: AN OVERVIEW OF PAIN MANAGEMENT

WHEN: Days and times vary WHERE: Greater Richmond Convention Center and nearby venues $$: $15-$199 CONTACT: virginiawineexpo.com

Dr. Tushar Gajjar will discuss pain management in this The Doctor Is In lecture.

19th & 26th

WHEN: 6:30 p.m. WHERE: Riverside Doctors’ Hospital Williamsburg $$: free CONTACT: 757-585-2209

26th

THE LATEST TREATMENT OPTIONS FOR HIP ARTHRITIS

POSITIVE DISCIPLINE WORKSHOP

Come spend an evening with Dr. Michael Higgins as he discusses the latest treatment options.

Parents of children ages 5-12 will learn positive discipline techniques.

WHEN: 6:30 p.m. WHERE: 19th: Tidewater Orthopaedic, Hampton; 26th: Legacy Hall, Williamsburg $$: free CONTACT: RSVP 757-827-2480 ext. 332

THEHEALTHJOURNALS.COM/CA

WHEN: 6:30 to 8:30 p.m. WHERE: CHKD Health and Surgery Center at Oyster Point $$: free CONTACT: chkd.org

LENDAR


The lab you trust is in your neighborhood. When your doctor orders a blood test, choose Quest Diagnostics because we are your trusted partner on your journey to staying healthy. With convenient locations and skilled, professional staff, we are dedicated to making your testing experience as pleasant as possible. Because we know it’s more than just a blood test.

Visit QuestDiagnostics.com to: • Find additional patient services in your area • Learn about lab tests in our Patient Health Library • Sign up to receive email reminders about important tests or exams • Learn how to get your results on your smartphone*

Make an appointment by visiting QuestDiagnostics.com, by calling 1-888-277-8772 (24 hours a day, 7 days a week) or simply downloading our mobile app.

Visit our Williamsburg Patient Service Center 115 Bulifants Boulevard, Suite A Williamsburg, VA 23188 Tel: 757-253-7877 Hours M-F: 8:00am - 12:30pm, 1:00pm - 4:30pm

*Patient lab results available in select states. See website below for full listing. QuestDiagnostics.com/patient-results-by-state

QuestDiagnostics.com

Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third party marks - ® and ™ - are the property of their respective owners. © 2014 Quest Diagnostics Incorporated. All rights reserved.


IN THE KNOW | OUT & ABOUT

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

5Some behind-the-scenes shots of a recent video shoot featuring the Double Robotic robot. See the story and video on page 18!

5Video team Alexis Kikoen & Brian Freer scrub up to film a hip replacement surgery.

5Chris Jones and Tommy Beyer man the scoreboard at an Upward basketball game.

5Page Freer checks out the latest cancer treatment at the new Bon Secours Cancer Institute at DePaul Medical Center.

5Kiwanis President Mike Rock and Christie Davenport ring the bell for the Salvation Army. They loved this shopper’s cute hat!

12 | thehealthjournals.com


special advertising section

second opinion Should I still get a flu vaccine in light of the most common strain this year being one that’s not in the vaccine?

This flu season has seen widespread activity throughout much of the United States, including Hampton Roads. Flu season typically runs from October to early May, so it’s not too late to get vaccinated. There has been some confusion this year about the effectiveness of the vaccine. Scientists formulate a new vaccine each year. Because it takes months to produce enough vaccine, they are forced to make an educated guess about which influenza strains will dominate. In 2014, the preseason educated guess did not predict the predominant strain for the season. Consequently, the vaccine is only somewhat effective this year (23 percent according to the latest CDC estimate). However, it still makes sense to get the vaccine. The vaccine can reduce severity of the disease and may prevent hospitalization or worse. The flu can be dangerous and even deadly. Vaccines are particularly important for children, pregnant women, older adults, people with underlying chronic illnesses and anyone whose immune system is compromised by medications or disease. And remember that there are vaccines available for everyone, even those with egg allergies.

Nancy Khardori, M.D.

Director, Division of Infectious Disease at EVMS Eastern Virginia Medical School

I heard there is a link between dementia and hearing loss. Is this true?

Why have my teeth broken?

Dementia is often a scary topic; its prevalence is expected to double every 20 years. Multiple studies by Dr. Frank Lin of John Hopkins and the National Institute on Aging have shown that hearing loss is independently associated with dementia. The risk of developing dementia increases with the severity of hearing loss. This correlation held true even when age, diabetes, and hypertension were ruled out. When hearing loss is present, the brain is working overtime decoding sounds, thus taking away energy from cognition, listening, understanding, and memory. Hearing loss can also cause social isolation and that is another risk factor for dementia and other cognitive disorders. People find it much easier to “fake” following a conversation rather than constantly asking for repetition. Over time, this can lead to avoiding social situations altogether. If you or someone you know starts to experience memory problems, schedule a hearing evaluation with an audiologist to find out if there is another issue at hand that could be treated. Monitoring of hearing loss is crucial when memory issues are present.

Stresses over time can weaken the tooth, causing it to break. If you have large silver and mercury fillings, these can expand and contract with temperature changes ,weakening tooth structure by creating small fractures. It’s important to restore these areas with a crown or onlay (a bonded porcelain filling) before they break. Waiting until your tooth breaks can cause an excessive amount of tooth structure to break. You can lose more tooth structure or possibly need a root canal. Grinding and clenching is another stress that causes teeth to break, especially when most of the back teeth rub against each other. The excessive side forces on the cusps, or bumps, on the back teeth create fractures in the teeth that eventually give way. A bite adjustment and/or a custom professionally made bite guard can prevent this. A dentist trained to spot TMJ problems can diagnose before it’s a problem. Tooth pain is uncomfortable and tooth wear can be an expensive problem to fix. A regular six-month scheduled check-up can help you to be sure that potential problems are caught before it they become inconvenient, painful and expensive.

Bethany Magee Au.D.

Stacey Sparkman Hall, D.D.S.

Colonial Center for Hearing 757 229-4004

your health care questions answered

Williamsburg Center for Dental Health 757-565-6303

thehealthjournals.com | 13


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Trusten Hamilton Parents: Jon & Holly Hamilton

Trusten was born with hypoplastic left heart syndrome (HLHS). Was his condition diagnosed during a prenatal ultrasound?

We had some miscarriages before that were genetic issues. When we found out we were pregnant this time, our doctor thought we should go in for genetic testing to make sure all was good for Trusten. So we brought the whole family since it was going to be a 3-D ultrasound. When the technician got the doctor, he looked at the ultrasound and asked if we have a history of heart problems. I told him that we did. It didn’t hit me at first that he saw something wrong, but my husband asked if he saw something wrong. The doctor saw that he had HLHS and started showing on the ultrasound what he saw and what that meant. He told us in layman’s’ terms that he had half a heart.

Q&A | IN THE KNOW

INTERVIEWED BY CHRIS JONES

wouldn’t survive a third. He got an infection. His heart failed before the third. The docs said breathing was too much for his heart. On January 31, 2014, my husband and I stepped out of the hospital and we left him with my husband’s mom and we got a call that his new heart was ready. It was a roller coaster of emotions because someone had to suffer a tragedy so that he could live. That’s hard to accept and process. It was bittersweet. How old is Trusten now and how has he adjusted?

Two. The first year he was in the hospital the whole time. He as sedated and tied down a lot so he wouldn’t pull out his tubes. So he was limited

As a mother, how does that news touch you?

It was devastating. As a mom, you’re hopeful and believing all will be fine for your baby. Then to learn that he may not survive an hour after delivery, that’s devastating. I had to accept my diagnosis and cling to my faith in God and know that there was a purpose for this. You named him Trusten. Tell us about the name and its significance to you.

We named him after Proverbs 3:5, which says “Trust in the Lord with all your heart and lean not on your own understanding.” I didn’t have the strength to deal with such devastating news. I had to break down and call out to God. We named him after that verse. The verse fit perfectly with what God was telling us to do.

How has having Trusten added value to your life?

I feel like him having to endure such hardship at such a young age was inspiring to me. It’s a hard reminder of what Jesus Christ endured for us. I feel like we’ve all learned that from his experience.

How does a trial of that magnitude challenge (or stimulate) your faith?

I basically stayed as close God as I could to get through. I stayed in my Bible and listened to uplifting songs and did a lot of soul searching. I asked God why we had to go through it, and why Trusten had to suffer? He’s an innocent baby that shouldn’t have to go through that, but I had to go back to the Bible and know that God’s ways are not my ways and I just had to trust. I had to give up control. I think he wanted me to share with the world how I was getting through; the closeness that we had—my hurts, my pains and my struggles and that you can go through something so painful and still find joy and happiness. Trusten was able to get a heart transplant. What was that like for you?

He had two open heart surgeries originally. After the second one, they were worried he

on all he learned his first year. Survival came first. When he got his new heart, he took off. He is happy and full of energy. He does therapy six times per week (physical therapy, speech therapy, occupational therapy, developmental therapy) and he’s trying to get stronger. You would never know anything is wrong with him until you raised up his shirt. What are his hobbies? Is he an active child?

He absolutely loves to run around and act like he’s just as big as his brothers and sisters. He loves playing with trucks and cars. He asked Santa for a truck and got a Power Wheels truck that his brother drives him around in. He likes playing at his grandparents house and loves cartoons. His favorite is Paw Patrol.

How do you share that value with other families with children wrestling with similar heart-related diseases?

We’re starting an outreach center in our community in honor of the donor family, since it was such a selfless gift that they gave a heart to us. It’s called Restored Community Outreach (restoredcommunityoutreach.com). We want to help others find abundant life in God and to help them in their faith when they go through trials. We feel like Trusten’s heart was restored physically and I feel like my heart was restored spiritually. So our tagline is restore hope, restore healing and restore life.

thehealthjournals.com | 15


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PROFILE | IN THE KNOW

RICK

SMALL

WRITTEN BY ALISON JOHNSON PHOTOGRAPHY BY MAGALI DEVULPILLIERES

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OTHING THAT LIFE HAS THROWN AT 56-YEAR-OLD Rick Small has been stronger than his love for baseball. Not the Type 1 diabetes that Small has battled since age 16, which can drain his energy and has damaged his eyesight. Not three mild strokes that have slowed his gait and stolen his ability to hit balls for fielding drills, pitch batting practice or run well enough to teach his players to slide. Not the fact that he never had children of his own to groom from the dugout. Each spring, Small adds another dozen-or-so kids to his baseball family for a new season of York County Little League, where he has been a volunteer coach since 1986. He knows the game. He loves the lessons it can teach about sportsmanship and resilience. And he gets to honor his father, a longtime coach who taught his players the same lessons. “Baseball is ingrained in me,” Small says. “What I most want to pass on is my attitude about the game. If something doesn’t go right, you take what you’re dealt and go on with it. It’s like life, but it’s also just a game. So come back and try again the next game, the next season. Laugh. Have fun.” Small aims to stay calm even when his young players inevitably make mistakes. “I always tell them, ‘Just be you. Be the best you. Don’t try to be better than anyone else,’” he says. “And don’t ever think you’re the best, because I don’t care who you are, somebody out there is better.” One of four brothers born in Florida into an Air Force family, Small played baseball but logged plenty of bench time. He remembers a game when he was 12 and hurled his bat in anger after striking out to seal a loss. As the field emptied, his father made him walk back to the plate, take a final swing and leave with his bat properly in hand. “It was humiliating, but I really learned from it,” he notes. “I used that once on one of my players.” He also insists his kids leave any disagreements with umpires to their coaches: “To me, anger isn’t part of baseball. I’ve never been thrown out of a game.” Small began helping his father coach at age 15 and has managed many ages and skill levels in York, where he lives with his wife, Janet. The three years he took off following his strokes, which hit in 1996, 1997 and 1998, were tough on him mentally. “The strokes took a lot out of me, but it was better for me to get back out there,” he says. Assistant coaches could handle most of the job’s physical demands, he realized, while he could still play ball with his brain. In 2011, Small won his first spring championship with a squad of 9- to 11-year-old boys who scored an upset over the tournament’s top-seeded team. Small gives himself four to five daily insulin injections to manage his blood sugar and takes medicine to guard against another stroke. He fits practices and games around his job as a licensed land surveyor; his office is full of framed pictures of past teams. “I can get pretty attached to these kids,” he says. “I’ll do this as long as I can.”

thehealthjournals.com | 17


IN THE KNOW | ADVANCES IN MEDICINE

ROBOTIC TECHNOLOGY VIRTUALLY CONNECTS PHYSICANS TO PATIENTS WRITTEN BY KIM O’BRIEN ROOT

S

ilently, it wheels down the hall, hardly making even a hum in the quiet hospital corridor. “Dr. Lancey, you’re going to hit the wall,” warns nurse Michelle Sims as she glances up from a nurses’ station at the Bon Secours Maryview Medical Center in Portsmouth, Virginia. Bump. Dr. Robert Lancey—that is, the robot Dr. Lancey—sideswipes the wall, recovers, then smoothly cruises by the nurses to say hello before heading back to the real Dr. Lancey’s office. “Shut up,” comments visiting family member Chelse Brown, catching sight of the robot while coming out of her mother’s hospital room. “That’s a doctor? Oh, my gosh. That’s so cool.” Meet the “other” Dr. Lancey—a sleek, 15-pound robot that’s really an iPad attached to self-balancing, motorized wheels. (Think of a cross between a Segway and an iPad.) It’s one of the latest advancements in today’s technology fueled world that allows people to have a telepresence without actually being there. Using his own iPhone, Lancey can control the robot, maneuvering it around the hospital to visit patients. And it doesn’t matter where he is when he’s using it. He can be at home, or in his office. The robot being used at Bon Secours is by California-based Double Robotics, which launched the device in 2013. 18 | thehealthjournals.com

Popular with telecommuters, the robots have been slowly finding their way into hospitals, allowing doctors an opportunity to “visit” with their patients more frequently than their physical presence might allow. Another telemedicine robot on the market—RP-VITA—is made by the same company that makes Roomba vacuum cleaners. The Heart & Vascular Institute at Maryview Medicial Center in Portsmouth, where Lancey is a cardiothoracic surgeon, acquired the robot last summer. There’s also one at Bon Secours’ hospitals in Newport News—Mary Immaculate—and Richmond—St. Mary’s. Bon Secours hopes to eventually bring the robots to all its seven hospitals in Virginia. Lancey admits he was at first hesitant to use the robot since he prefers to be very hands-on in the care he gives his patients. Then, he says, he realized using the robot allowed him to simply supplement his care. And he hasn’t had a patient who hasn’t gotten a grin on his face at the sight of it. “It gives them a degree of confidence that we’re here,” he says. Cardiothoracic patients need frequent monitoring once they come out of surgery. Lancey finds the robot useful if he wants to check in on a patient late at night, or do an extra check once he’s already gone home. Using the controls on his iPhone, Lancey can angle the iPad to look at the

Follow this link to watch Dr. Lancey, the Double Robotic, in action!

bitly.com/robodoc

patient’s face, checking his color in real time. He can ask a nurse to go over vital statistics, or to hold up an EKG for him to see. Lancey also found the robot came in handy recently when he had a cold and didn’t want to get too close to his patients. He used the robot to make his rounds, standing in the hallway while controlling the device. Hampton resident Ronald Lewis was in his hospital bed in December, recovering from having an aortic heart valve replaced, when an iPad on a stick came rolling through his door. “It was a strange sight when it came through,” says Lewis, who is 66. “I realized Dr. Lancey’s face was


5Dr. Robert Lancey poses with his virtual self.

5Dr. Lancey controls the

5The technology allows

robot using his iPhone.

doctors the ability to be present when they otherwise cannot be.

in it. I thought, ‘Isn’t this a trip!’ He was just checking up on me to make sure I was OK.” Lewis says he was impressed by the robot and how Lancey is using it with his patients. “It’s a great idea,” Lewis says. “It gives you that almost personal touch, without him being there. You had direct communication face to face, without being right there.” So far, the hospital’s robot doesn’t have a nickname, although Lancey has been encouraged to name it. “It’s mostly called, ‘Oooh!’ ” he jokes.


FEATURES | DO AFRICAN AMERICANS SUFFER MORE?

“We aren’t in a post-racial society. Don’t let anyone tell you that...” 20 | thehealthjournals.com


DO AFRICAN AMERICANS SUFFER MORE? | FEATURES

DO AFRICAN AMERICANS

SUFFER MORE? WRITTEN BY NATALIE MILLER MOORE

10 STEPS TO UNDERSTANDING BLACK HEALTH DISPARITIES

W

ould it surprise you to know that African Americans are, in general, faced with more chronic illness and more likely to die early? No? Well, the reasons why may surprise you. Our assumptions about race and health are intertwined, but factors related to genetics, culture and environment are currently under vigorous study by health care professionals. It’s a long twisty road, but here’s what you need to know to get started. #1 Admit that Racial Health Disparities Exist

The World Health Organization calls them “health injustices,” but in the United States we call them health disparities. The difference may be whether we believe as a society whether those differences are avoidable or not. According to U.S. Census data, African Americans have shorter lives and a higher disease burden. According to CDC reports in the 1990s, simply being born black meant that you could expect to live seven years less than your white counterparts. Today, that life expectancy has increased but the gap is still more than three years. A 2002 report from the Institute of Medicine concludes that, “Evidence of racial and ethnic disparities in healthcare is, with few exceptions, remarkably consistent across a range of illnesses and healthcare services.” Dr. Raymond Samuel, the principal investigator of the Minority Men’s Health Initiative at Hampton University in Hampton, Virginia, says many health outcomes for African Americans are stark. “Infant mortality for African Americans looks like a Third World country. And HIV/AIDS in the U.S. kills African Americans like a sub-Saharan African country, while for many whites it’s a chronic condition.” He’s right: the Centers for Disease Control’s 2010 report cites “16.5 percent of deaths from HIV for Black or African American men compared to 2.3 percent for white men. For women, it’s 7.5 percent and .5 percent.” Infant mortality rates are also shocking: black infants are 230 percent more likely than white infants to die before their first birthday. (For more information about infant mortality, see our website.)

Dr. John Anderson, a physician, lawyer and executive in Williamsburg, Virginia, says, “Don’t get sidetracked on process. Outcomes are what’s killing us. Cardiovascular outcomes are 29 percent higher than white, stroke 40 percent higher, diabetes twice as frequent, and (African Americans) make up 80 percent of TB cases. These are significant differences between races and communities.” #2 What Kills African Americans vs.

What Kills Everyone Else

Life expectancy has gone up overall but there are large variations. The leading causes of death in the United States, according to the CDC are heart disease, cancer, chronic respiratory diseases, stroke, accidents, Alzheimer’s disease and diabetes, in that order. While many people of all races share these conditions, African Americans are much more likely to die from them sooner. Health care experts compare health care in the Mississippi Delta as similar to conditions in Latin America—basically, living in Mississippi (where 38 percent of the population is black) is comparable to living in Honduras. Does this support the common refrain of the United States having “the best health care system in the world?” Local journalist Wil LaVeist and his brother Thomas LaVeist are working on a documentary called “The Skin You’re In,” a film about African American health disparities. The movie trailer points out that African Americans “live sicker and die younger.” #3 C’mon…isn’t There Another Reason?

Poverty? Bad Choices? Genetics?

Thomas LaVeist, Ph.D. is a professor at Johns Hopkins University and the director of the Hopkins Center for Health Disparities Solutions, and has extensively studied some of the commonly cited alternate reasons for health disparities.

thehealthjournals.com | 21


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outcomes remain. It means that in a direct comparison of people with similar income and education, being Black tips health outcomes in a negative direction. Isn’t it lack of insurance or access to health care? “Most of how long a person lives is not determined by health care. Environment and health behavior you engaged in, where you live, what you are exposed to,” LaVeist states. Both Anderson and Thom LaVeist point to disparity studies in universal health care programs: such as the Veterans Administration, Medicare and Medicaid. “If this is an access issue, then there would be no disparities in these systems,” declares Thom LaVeist. “There are disparities across all diseases, life expectancy, infections, chronic, injuries and accidents. For any manner of death, African Americans have a higher rate than anyone else. The question is, why is that?” wonders Thom LaVeist. Isn’t it genetic? “That’s not true—there are no biological/difference between race groups to account for these disparities. None of the biggest killers (cancer, heart disease, stroke) linked to genetics. For diseases that are gene-related, very few deaths from Sickle cell anemia, Tay-Sachs disease or hemophilia,” Thom LaVeist points out. Isn’t it poverty? The Institute of Medicine report concludes “The majority of studies, however, find that racial and ethnic disparities remain even after adjustment for socioeconomic differences and other healthcare access-related factors.” Even when taking socioeconomics into account, the differences in 22 | thehealthjournals.com

#4 A Neighborhood Full of Soot is Not

a Healthy Neighborhood

“Your zip code has more to do with your health than your genetic code,” says Thom LaVeist. According to the 2000 Census, African Americans are 79 percent more likely to live near an environmental health threat—particularly industrial air pollution. “The environments that we live in are not conducive to good health incomes. For example, in Newport News, most African Americans live at the foot of the tunnel, near a highway, with a giant coal pile. It’s a stunning thing to see,” says LaVeist. Rates of asthma in southeastern Newport News are twice as high than other parts of the city, according to the Peninsula Health District. In addition, housing that’s substandard or not well-

mytpmg.com


REVIEWING A FEW

OF THE FACTS FACT #2 The leading causes of death in the United States, according to the CDC are heart disease, cancer, chronic respiratory diseases, stroke, accidents, Alzheimer’s disease and diabetes, in that order. FACT #2 16.5 percent of deaths

from HIV for Black or African American men compared to 2.3 percent for white men. For women, it’s 7.5 percent and .5 percent.” FACT #3 Infant mortality rates are also shocking: black infants are 230 percent more likely than white infants to die before their first birthday.

If there are sidewalks, safe parks, working streetlights and green space, that benefits the health of the community. #4

maintained can lead to mold or rodent infestation. Beyond individual homes, the built environment of a place where people live can be healthy or unhealthy. If there are sidewalks, safe parks, working streetlights and green space, that benefits the health of the community. #5 Stress, Eating, Coping

“Black culture is young compared to the cultures of the world. Our main goal was ‘How do we survive this?’” LaVeist says. “Turning organ meats into soul food—it’s part of a creative and resilient culture. We learned to use what is available. But…maybe that’s not conducive to life in the 21st century. It’s increased our risk of hypertension.” Wil LaVeist notes these historical factors were very stressful and many ways of coping are unhealthy. “Obesity is directly tied to nutrition and mental health— food has the same stimulation of the brain as sex. You want to comfort yourself, consciously or unconsciously— this is also part of the high rates of drug addiction. People want to feel better,” Wil LaVeist explains. Stress comes from many places, including racism, caregiving, economics and violence. “We live in risky social environments, too. Living in a more violent area, you have more risk of being victimized. There’s the stress of knowing that, with your body constantly in flight/fight mode. These are all positive hormones to survive but are only supposed to be in your body for short-term responses. Longterm, they erode the functioning of your organs, and you get chronic diseases sooner,” LaVeist says. A public health term coined “weathering” is the theory that Blacks experience early health deterioration because of repeated exposure and adaptation to stressors. A 2006 study in the American Journal of Public Health concluded that Blacks had higher scores that were not explained by poverty, but may be more likely the effects of living in a race-conscious society. Dr. Arlene Geronimus, who coined the term, points to the early onset of chronic disease for African-American women in particular.

A Neighborhood Full of Soot is Not a Healthy Neighborhood

#6 Racism–it’s Not Just History

African Americans experience more race-related stress, and research documents how that affects physiological responses. “We aren’t in a post-racial society. Don’t let anyone tell you that,” advises Anderson. “There’s residual segregation—and that affects health.” Thom LaVeist points out that there are several types of racism, and says that interpersonal racism is the least of them. “People talk about bigotry, where someone doesn’t like people from a group. But what’s really damaging is institutional racism: where no one person has to behave

#4

in a racist manner, but where the system is set up to create disparities. It doesn’t matter who is the mayor or governor—unless the system changes, there will be racially differential outcomes,” says LaVeist. He goes further, to say that internalized racism is a serious concern, maybe the most alarming. “If you are a member of a group, you may begin to believe that you deserve this. So you don’t worry about competing with others. You may be more likely to use drugs. If you don’t value yourself, you may victimize others. Or not take care of yourself or your family if you don’t love yourself. This might be the most damaging,” explains Thom LaVeist says. #7 We Need Better Health Education—

Not Just at School

As part of the push for health, education is a big concern—particularly how communities share information about health. “We know what’s needed, but how to disseminate it? We need to share best practices today, not tomorrow. For example, education on nutrition and exercise — what’s the best way to share that?” asks Samuel. Prevention is a critical factor, along with factual health education—which means avoiding bad health information and “old wives tales.” “There’s all this great information out there in academic journals but it’s not getting to people who really need to benefit from it. Like Grandma, or parents trying to find nutrition information for their child. People don’t always get the info. Media needs to disseminate it,” Wil LaVeist says. #8 Show Us the Money… Economics, Jobs and Insurance

Besides knowing healthy behaviors, access to health insurance in the United States has long been tied to employment—full-time employment. Health insurance reform has changed this, to a degree. “I’m glad to see more emphasis on prevention. The Affordable Care Act has changed this. Everyone can get some insurance in order to survive in a healthy way. And previously, insurance companies wouldn’t provide prevention coverage, like vaccines, screenings, monitoring blood pressure and diabetes,” says Anderson. Even with that access, people with private health insurance still have deductibles and copays to consider. People who have health insurance but aren’t paid a salary may have to take unpaid time off to go to doctor’s visits. Income also provides better nutrition, housing, recreation and school options. Education adds not only the better likelihood of a solid future occupation, but also the ability to find and understand health information. CONTINUED ON PG. 54

“The environments that we live in are not conducive to good health incomes. For example, in Newport News, most African Americans live at the foot of the tunnel, near a highway, with a giant coal pile...”

thehealthjournals.com | 23


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SERIOUS AS A HEART ATTACK | FEATURES

SERIOUS AS A

Heart Attack Breast cancer is more feared, but

heart disease

kills more women. WRITTEN BY ALISON JOHNSON

N

o crushing chest pain came with Lani Barao’s 2008 heart attack. When a doctor asked her to rate her dull pain on a scale of one to 10, she called it a four—well below the 10 of labor contractions. Barao was in her late 30s, a runner and a busy stay-at-home mother of two when she began experiencing tingling in her arm, heavy sweating and a stomachache while driving with her young daughter. The Virginia Beach, Virginia, resident pulled over and called her mother, a former nurse who convinced her to go to a hospital just to be safe. “I was thinking maybe I ate something weird,” says Barao, now 45. “When a doctor told me I was having a heart attack, I said, ‘Are you serious?’ My symptoms were nothing like what I would put with a heart attack.” thehealthjournals.com | 25


FEATURES | SERIOUS AS A HEART ATTACK

The stereotypical male clutching his chest is much more prominent in people’s minds. 3

Lani Barao Virginia Beach, VA

4

Teri Arnold Chesapeake, VA

In fact, Barao was a perfect example of one major reason why heart disease has been the leading killer of American women for decades. Many women—and even many physicians—aren’t aware that symptoms often differ from the classic chest and arm pain seen in men. They tend to be slower to seek help or, when they do, to receive potentially life-saving diagnoses, medications and surgeries. Barao was lucky to have her mom’s advice and doctors who inserted two stents to restore blood flow, sparing her heart any damage. Her previously healthy lifestyle also aided her recovery. Coronary heart disease is responsible for one in every three women’s deaths each year in the United States—more than 290,000 people, which tops all forms of cancer combined, according to the American Heart Association and the Centers for Disease Control and Prevention. A nearly equal number of women and men die, but heart attacks are more often fatal in women (who

generally are older and frailer when they strike). And while overall death rates from heart disease have fallen with better prevention and treatments, they are falling more slowly in women. Awareness that heart disease is not a “man’s problem” is growing: 56 percent of women now know it is their number one killer, compared to 30 percent in the late 1990s, AHA surveys show. Yet many women remain far more fearful of cancer, especially breast cancer (which kills about 40,000 women annually). “The stereotypical male clutching his chest is much more prominent in people’s minds,” says Dr. Robert Lancey, medical director of Cardiovascular and Thoracic Services of the Heart and Vascular Institute at Maryview Medical Center in Portsmouth, Virginia. “That bias might have fallen off some in the last 15 years, but it’s not gone. Too often, women’s symptoms are discounted as something other than heart disease.”

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SERIOUS AS A HEART ATTACK | FEATURES

Although two in three women recognize chest pain as a heart attack symptom, just one in 10 realize shortness of breath and nausea are potential signs, Lancey says. Women also may suffer from vomiting, dizziness, profuse sweating, unexplained fatigue and neck, jaw, back, or abdominal pain. Many have no symptoms before a heart attack. Even if they do, they may get an incorrect diagnosis, especially since heart function tests can be less accurate in women. Some risk factors are identical in both sexes, including high blood pressure and cholesterol, diabetes, smoking, obesity, inactivity, poor diet, stress and heavy alcohol use. Others are unique to women, such as combining cigarettes and birth control pills or developing high blood pressure, diabetes or increased obesity during pregnancy. Depression seems to take a heavier toll on women’s hearts, and they apparently need higher levels of “good” cholesterol to protect their arteries (Barao, for one, didn’t have enough of that type of cholesterol). On the plus side, estrogen seems to have a protective effect; more women develop heart disease after menopause, an average of five to 10 years later than men, says Dr. Dilip Sarkar, who retired as a vascular surgeon and Associate Professor of Surgery at Eastern Virginia Medical School after a heart attack and bypass surgery in 2001. But younger women are by no means immune—and they’re often the worst at seeking quick medical attention. “We notice all the time that women are so busy taking care of everyone else that they don’t take care of themselves,” Sarkar says. “If you’re feeling symptoms, don’t try to fix your husband dinner or put your kids to bed before you go for help.” Quick action is what saved Teri Arnold, a 43-year-old Chesapeake, Virginia, resident.

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FEATURES | SERIOUS AS A HEART ATTACK

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56 Arnold is a vegan, exercises regularly and has normal blood pressure and cholesterol and no strong family history of heart disease. She smoked sporadically after college but quit for good six years ago. She also happens to be director of marketing and communications for the American Heart Association’s Mid-Atlantic affiliate. Early one morning last October, Arnold woke up with chest pain. When she stood up,

28 | thehealthjournals.com

percent of women now know it is their number one killer... she felt lightheaded and sweaty. “Then I felt the nausea,” she remembers. “I said right then, ‘I’m having a heart attack.’” Her partner called 911 and she chewed two aspirin before an ambulance arrived. “If I didn’t know the signs so well, I probably would have gone back to bed,” she says. Doctors are unsure what caused her attack, which left her with minimal heart damage, but lingering fatigue, chest discomfort and shortness

of breath. “It’s scary,” she says. “It really has shown me how much more research we need, because doctors often don’t know what to do to help women.” As the nation’s population ages and the percentage of women increases, heart disease could exact an even more devastating statistical toll. Yet campaigns such as the AHA’s Go Red for Women campaign (goredforwomen.org)


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yet many women remain far more fearful of cancer, especially breast cancer. are gaining steam, and many Baby Boomers are determined to stay healthy and active, Lancey says. Research also is advancing on better gender-specific treatments. Women can protect themselves by watching portion sizes, limiting processed foods, exercising for 30 minutes most days of the week, managing stress, aiming for seven to eight hours of sleep a night, avoiding cigarettes, keeping alcohol use

to a drink a day, learning their family history and getting annual checks of blood pressure, cholesterol and blood sugar levels. “This is a preventable disease,” Lancey notes. “We have the power to tell a different story, because we know what causes it.” Lani Barao, who survived a second heart attack just before turning 40, also prefers to focus on the positive. With proper medication and stents,

she is now strong enough to run half-marathons and strives to be a role model on fitness, nutrition and proper rest for her family. “I emphasize hope,” she says. “Every woman needs to be her own best advocate.”

thehealthjournals.com | 29


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TASTE APPEAL | FOOD

VEGAN

❥ Recipe by Jeffrey A. Hartenberg, RCP, MBA Administrative Director, Bon Secours Hampton Roads Heart and Vascular Institute

Who doesn't love a healthy twist on a taste bud favorite? All the flavors of a traditional eggplant parmesan without the unnecessary additions. INGREDIENTS 2 medium eggplants 1 cup egg substitute 1/2 cup skim milk 1 cup all-purpose flour 2 cups Panko bread crumbs 1/8 cup of grated fresh low fat ParmigianoReggiano cheese

MAKES 6-8 SERVINGS

PREPARATION • Preheat oven to 425°F. • Wash and slice eggplant into 1/8 to 1/4 inch slices. Leave skin on for best nutrient capture. • Lightly dust with all-purpose flour. • Submerge in a mixture of egg substitute and skim milk.

olive oil cooking spray

• Combine seasoned Panko bread crumbs and Parmesan cheese. Apply bread crumb mixture to eggplant pieces.

2 cups Italian tomato sauce

• Place on flat large cookie sheet that has been lightly sprayed with olive oil.

1 cup fat free mozzarella cheese

• Lightly spray olive oil on tops of all pieces laid out on the cookie sheet. • Bake until outside is crisp and inside is tender (About 20 minutes, flipping them over after the first 10 minutes). • When initial baking is complete, separate the larger slices from the smaller slices as the larger ones serve as the base when stacking. • Place large slices back on baking pan and cover with Italian sauce and lightly apply fat free mozzarella cheese. • Stack the next largest slice and repeat the process (Usually stacked 3-4 layers high). • On the top slice add ample sauce and fat free cheese. Bake until cheese begins to bubble and brown slightly.

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

Healthy Eggplant Parmesan

Light Romesco Spread ❥ Recipe & description by Diane Morgan ❥ Photography by Sheri Giblin (dianemorgancooks.com)

It may seem a bit brazen to take a classic Catalan sauce, remove most of the olive oil to lighten it up, and declare it addictively delicious. But that’s what my dinner-party guests called this romesco sauce. INGREDIENTS 2 medium ancho chiles (see Cook’s Note) 4 large cloves garlic 1 large roasted red bell pepper/capsicum coarsely chopped 1 cup blanched almonds toasted 1 can (14.5 oz) diced tomatoes drained 2 tablespoon red wine vinegar 1 1/4 teaspoon kosher or sea salt 1 teaspoon pimentón (Spanish smoked paprika) 1/4 teaspoon sugar 1/8 teaspoon cayenne pepper 3 tablespoon extra-virgin olive oil

MAKES 3 CUPS (SERVING SIZE: 2 TABLESPOON)

PREPARATION • Cook's Note: To prepare the ancho chiles, remove the stems and seeds, then soak the chiles in hot water to cover until softened, about 45 minutes. Drain well and tear into small pieces. • In the workbowl of a food processor fitted with the metal blade, process the garlic until finely minced. Add the chiles, roasted pepper, almonds, tomatoes, vinegar, salt, pimentón, sugar and cayenne. Pulse until uniformly minced, scraping down the sides of the bowl once or twice. With the machine running, slowly add the olive oil and process just until combined. Taste and adjust the seasoning. (Feel free to add more cayenne if you desire a spicier sauce.) Transfer to a serving bowl, cover, and set aside for at least 1 hour to allow the flavors to meld. Dip Do-ahead: This sauce keeps, tightly covered, in the refrigerator for up to 3 months. Remove from the refrigerator 45 minutes before serving. Serve at room temperature.

Skinny Dippers: Roasted Cauliflower, Poached Shrimp, Roasted Fingerling Potatoes, Crostini, Herbed Cheddar Cheese Straws

thehealthjournals.com | 31


FOOD | TASTE APPEAL

VEGAN

❥ Recipe & description by Diane Morgan ❥ Photography by Sheri Giblin (dianemorgancooks.com)

Let’s commingle cultural traditions by turning classic Mexican salsa ingredients—tomatoes, peppers and onions—into an Italian affair with the addition of roasted garlic, fresh basil and oregano. INGREDIENTS 1 head garlic roasted * 2 tablespoon fresh lemon juice 1 tablespoon red wine vinegar 1 teaspoon kosher or sea salt 1/2 teaspoon crushed red peppers 1 teaspoon extra-virgin olive oil 2 cups cherry tomatoes, stemmed and quartered 1 (about 1 cup) yellow bell pepper/capsicum seeded, deribbed, and cut into 1/2-in dice 1/2 cup red onion, diced 1/4 cup fresh basil leaves, chopped 2 tablespoon fresh oregano leaves, chopped

Skinny Dippers: Bruschetta, Crostini, Poached Shrimp

32 | thehealthjournals.com

MAKES ABOUT 3 CUPS (SERVING SIZE: 1/4 CUP)

PREPARATION • Preheat the oven to 375°F. Roast the head of garlic as directed in the recipe below.* (While the garlic is roasting, chop the vegetables and herbs.) • In a medium bowl, whisk together the lemon juice, vinegar, salt and crushed red pepper until the salt is dissolved. Remove the warm cloves of garlic from their skins and add to the vinegar mixture. Using a fork, mash the roasted cloves until puréed and smooth. Whisk in the olive oil. • Add the tomatoes, peppers/capsicums and onions, and gently mix to coat with the dressing. Fold in the basil and oregano. Taste and adjust the seasoning. Transfer to a serving bowl, cover, and set aside for at least 1 hour to allow the flavors to meld. Dip Do-ahead: This salsa can be prepared up to 8 hours in advance. Cover and refrigerate. Remove from the refrigerator 45 minutes before serving. Serve at room temperature. * For Roasted Garlic Recipe, visit our website at thehealthjournals.com.

Roasted Garlic Preparation

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

Salsa Italiana

Chorizo Chili Con Queso ❥ Recipe & description by Diane Morgan ❥ Photography by Sheri Giblin (dianemorgancooks.com)

This dip is packed with chunks of spicy-hot chorizo, punctuated with fire-roasted chiles and speckled with bits of fresh tomato. INGREDIENTS 1/4 pound bulk pork chorizo

MAKES 4 CUPS

PREPARATION

2 tomatoes, cored, halved, seeded, and cut into 1/4-inch dice

• In a 4-quart saucepan over medium heat, warm the olive oil and swirl to coat the pan. Add the chorizo and sauté, stirring constantly and using the side of a spatula to break up the chunks, until cooked through, about 3 minutes. Add the onion, chiles and tomatoes and sauté, stirring frequently, until the onion softens, about 3 minutes. Turn the heat to medium-low and add both cheeses, stirring constantly, until the cheeses melt, about 2 minutes. Add the cream and stir until heated through.

2 cups (8 ounces) pepper jack cheese, shredded

• Transfer to a fondue pot set over an alcohol or sterno flame to keep warm. Serve immediately.

2 cups (8 ounces) sharp cheddar cheese, shredded

Dip Do-Ahead: This dip can be prepared 1 day in advance. Allow the mixture to cool, transfer it to a covered container and refrigerate. Reheat in a saucepan over low heat and then transfer to a fondue pot for serving.

1/2 medium white onion cut into 1/4-inch dice 2 poblano chiles, roasted and cut into 1/4-inch dice 2 chipotle chiles in adobo sauce, diced

1/2 cup heavy (whipping) cream

Dippables: Tortilla Chips, either store-bought or homemade; Corn Chips; Crusty-hard peasant bread cut into 1-inch cubes; Potato or Yuca Chips; Taro Root Chips; Pita Chips


HERB-N-GARDEN | FOOD

Cooking with

Basil

Classic Pesto 3 cups fresh basil 2/3 cup extra virgin olive oil 1/3 cup pine nuts 2 garlic cloves 1/2 cup grated Parmesan cheese salt & pepper to taste

• Add ingredients to a food processor or blender. • Blend on low, stopping often to push down the sides.

• Continue blending until smooth. • Transfer to a small container. Lasts 5-7 days in the refigerator Freezes up to 4 months

PHOTOGRAPHY BY ALEXIS KIKOEN thehealthjournals.com | 33


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VINE & DINE | FOOD

Loco for cocoa WRITTEN BY SUSAN THOMPSON

C

hocolate. The first thing that comes to mind is probably the mass produced chocolate treats you see at the grocery store. Some are ultra-sweet while others leave something to be desired. The complexity and flavor profiles of premium chocolate is comparable to that of specialty coffees, fine wines and craft beers. Small-batch production, artful roasting and careful crafting produce an end result worth savoring. Why not leave the candle-lit dinner for two behind this Valentine's Day and

dark CHOCOLATE To be considered “dark,” the content of cocoa solids in dark chocolate must be greater than 35 percent. That may not seem like much, but when compared to the 10 percent of standard milk chocolate, 35 percent is a noticeable taste difference. Generally speaking, the higher cocoa content the stronger the flavors, nutty or bitter for example. WINE PAIRING • Vin Santo • Port • Late Harvest Zinfandels

enjoy a foodie adventure immersing your taste buds in the juxtaposition of wine and chocolate? Albeit a little challenging, pairing wine and chocolate isn't impossible and the options for desert wines are far from limiting. To start though, let's cover a few basics; dry wines of any nature don't marry their flavors well with the sweet and creamy of milk chocolate or the bold tenacity of dark chocolate. In this particular instance, sweet pairs best with sweet.

Milk CHOCOLATE Milk chocolate often contains more fat through the use of milk solids and sweeteners and this fat actually helps to accentuate the flavors of both the wine and the chocolate— similar to that of cheese and wine pairing. But don't let the cocoa content fool you, some chocolate manufacturers use higher cocoa content along with the addition of milk solids and sweeteners to create a rich flavor profile.

WHITE CHOCOLATE A flavorful imposter, white chocolate doesn't actually contain any cocoa. Instead, white chocolate is made of cocoa butter, a vegetable fat derived as an end product in chocolate production. This fat isn't very tasty on its own so milk solids, milk fats, vanilla and sweeteners are added to make this treat more tantalizing.

WINE PAIRING

• Muscat • Orange Muscat • Moscato d'Asti • Vintage Ports • Rosé Ports

• PX Sherry • Creamy Sherry • Aged Vintage Port

WINE PAIRING

n you p' whe d 'sna r bar l u o y h d s e ou de bar emper t a m r e l el he bett e, a w und t colat the so y cho n r a e p h r a P! Wit he sh OH SNA into pieces. T to be. to ate in s it n k e hocol pp brea melt e of c te ha c a o l t ie o p e c o at oss a wine of ch hocol just t sip of the c Don't ake a : l lo w t e a , d t d n a a a l e choco chewing. Inst hen swallow T o eat How t uth and begin the flavors. mo E n j oy your . ngue. tead ience ur to is ins exper e on yo h e but nt it e h t w h ig ting. ually to he selec 't act when te isn a n l ig o s c cho tale tellwhite : True ok for this LIES WHITE y color so lo or an iv

thehealthjournals.com | 35


FOOD | FOOD & NUTRITION

I

Foods

Your Heart Will Love WRITTEN BY JILL WEISENBERGER, MS, RDN, CDE, FAND

t’s fitting that February—the month THAT we celebrate love and Valentine’s Day— is American Heart Month. So now is the perfect time to make heart-healthy eating a priority. Here’s a lineup of foods to choose—and those to lose. Your heart will love you for it.

SKIP THIS: BUTTER ON TOAST You may have seen some headlines calling butter back to the table, but the American Heart Association (AHA) and other national and international organizations still strongly recommend limiting saturated fat to control cholesterol levels and reduce the risk of heart disease. One tablespoon of butter contains 7 grams of saturated fat, about one-third of the recommended daily limit for a healthy individual.

PEANUT BUTTER OR

ENJOY THIS: ALMOND BUTTER ON TOAST

You’ll save 5 grams of saturated fat per tablespoon. Plus nuts and nut butters are rich in unsaturated fats. Research shows that replacing some saturated fats with unsaturated fats lowers the risk of heart disease.

SKIP THIS: WHITE PASTA Pasta made of refined wheat flour has been stripped of some vitamins, minerals and other health-boosting compounds.

ENJOY THIS: BARLEY Whole grain pasta has more to offer than white pasta, but barley has something extra special. It contains beta-glucan, a fiber that acts like a sponge, sopping up cholesterol from your digestive tract and preventing it from entering your bloodstream. Beta-glucan helps control blood glucose, too. Oats are another great source of this fiber.

SKIP THIS: PRETZELS Many believe this fat-free snack to be a heart-loving food, but the refined flour does the heart no good.

ENJOY THIS: NUTS SKIP THIS: BROCCOLI CHEESE SOUP This bowl is brimming with saturated fats and calories.

ENJOY THIS: BEAN SOUP Beans are nutrient powerhouses with ample fiber, potassium, magnesium, B vitamins and other disease-fighters. Eating at least four servings of beans each week significantly lowers the risk of heart disease.

36 | thehealthjournals.com

The unsaturated fats and other compounds in nuts are truly friends to the heart. Studies find that eating nuts helps to improve blood cholesterol and triglyceride levels. Since they all have different nutrient profiles, choose a variety of nuts just like you seek out a variety of fruits and vegetables. Unless you’re trying to pack on the pounds, stick to a daily limit of about ¼-cup.


FOOD & NUTRITION | FOOD

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SKIP THIS: CHEESE ON A SANDWICH More saturated fats here, which raises cholestorol.

ENJOY THIS: AVOCADO ON A SANDWICH Add creaminess and heart-healthy unsaturated fats with a few slices of avocado.

SKIP THIS: COOKIES Cookies and other baked goods weigh us down with refined flours, added sugars and unhealthy fats.

ENJOY THIS: DARK CHOCOLATE Treat yourself to a few bites of dark chocolate, which also contains flavonoids. Some studies suggest that dark chocolate and cocoa improve cholesterol levels, blood pressure, markers of inflammation and more.

SKIP THIS: LEMONADE The AHA recommends limiting added sugars because they’re linked to obesity, which raises the risk for high blood pressure, elevated cholesterol and heart disease.

ENJOY THIS: UNSWEETENED TEA This is a great beverage choice because of what it lacks—added sugars— and because of what it contains—flavonoids, a class of phytochemical health boosters also found in fruits and vegetables. Drinking tea is associated with a lowered risk of heart attack, reduced blood pressure and improved cholesterol levels.

thehealthjournals.com | 37


FOOD | FLAVOR

CHOCOLATE & YOUR HEALTH

T

homas Jefferson recorded his first purchase of chocolate in 1775, and later wrote to John Adams from Paris, France, on November 27, 1785, that chocolate’s superiority “both of health and nourishment will soon give it the same preference over tea and coffee in America.” It was a clairvoyant statement because the United States today purchases more than 58 million pounds of chocolate candy during Valentine’s week. “That’s $345 million in sales in just one week and it makes up more than 5 percent of chocolate candy’s sales for the year,” according to Nielsen research. But what about the “health and nourishment” part? The latest research on cocoa beans have been on flavinols, a plant-based nutrient potently found in cocoa. After 20 years of research, Mars Inc. has shown that flavinols help improve heart health. “It is very important to maintain a healthy cardiovascular system because the whole body really depends on normal and healthy blood flow,” explains Dr. Marc Merx, professor and attending physician at HeinrichHeine University in Düsseldorf, Germany. As we age, our blood vessels become less elastic and elasticity is essential to healthy blood vessels and in turn healthy blood flow, which will affect the entire body, says Harold Schmitz, Ph.D., chief science officer for Mars Inc. In 2013 the Flaviola project, a Pan-European collaboration with Mars Inc. dedicated to state of the art research into flavonoids, was completed. One of its many findings is that flavonols increase

38 | thehealthjournals.com

WRITTEN BY KIMBERLY CUACHON HAUGH

nitric oxide, which helps maintain a healthy blood flow and healthy endothelium—the lining of your blood vessels—which tells your blood vessel walls whether to expand or contract, explains Schmitz. The Flaviola project examines new approaches to nutrition when it comes to heart health. Flavinols can be found in wine, tea, grapes, blueberries and many more, but cocoa is the richest source of flavinols known to be most biologically active. When we consume (-)-epicatechin, pronounced minus epicatechin, from a food source like cocoa, most of it is transformed in metabolites. It has been observed that metabolites can maintain healthy blood flow. Scientific American writes “raw cocoa may be packed with brain-boosting compounds.” A study conducted by Mars Inc. showed that a daily consumption of cocoa by patients showing early signs of Alzheimer’s “demonstrated greater cognitive function.” So, start the cocoa binge? Not so fast. A food’s origin, storage and processing will almost always alter its chemical composition. For cocoa, that starts at the farm with the fermenting process, according to Gary Guittard. Guittard is the president and CEO of Guittard Chocolate, a fourth generation member of a family that has been making chocolate in America since 1868. He explains that the fermenting process is where the nutrients are lost, however it is a critical process that lowers the cocoa’s astringency creating that chocolate flavor that we all expect to come through. But Guittard believes in a happy medium that still

allows for fermentation without compromising the cocoa bean entirely. “We tend to under ferment as a part of our style. If a chocolate tastes a little bit astringent then that means that it wasn’t over fermented.” When Guittard described astringency, he compares it to how tannins in wine give your palate and cheeks that sensation, “That’s when you know you’ve got good chocolate.” While there is a “raw chocolate” movement that skips the fermentation and roasting process, Guittard cautions that customers could face the risk of being exposed to pathogens like salmonella or E. coli. He also says that the roasting process is critical in the removal of the cocoa bean shell. So, what are you looking for in “healthy” chocolate? Researchers are only beginning to establish standards for measuring flavanol content in chocolate. While dark chocolate touts to be a healthier option than milk chocolate, Guittard recommends that the higher percentage of cocoa the better. He does caution customers that while certain companies produce dark chocolate claiming such high cocoa content, many will use cocoa butter, not pure cocoa. And how does that affect you? Well if a typical 1 1/2-ounce chocolate bar were to contain 50 grams of flavanols for example, you would need to consume 10-20 chocolate bars a daily to receive the recommended dosage and by that point the sugars and fat would outweigh any possible health benefits.


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YOUR HEALTH | FITNESS

TUBING TOGETHER WRITTEN BY SONJA ANDERSON-STRUZZO, CPT, FAFS

COUPLES BAND WORKOUTS

ILLUSTRATIONS BY LIZ LY

C

onnect exercise tubing or bands to push and pull against a buddy’s resistance, work muscles in two directions and help each other stretch. Tip: Maintain consistent tension without over or under-powering each other and match your partner’s speed. Use equal strength bands or mix and match stronger or weaker bands as needed. Do some repetitions moving in the same direction and some moving the opposite way for a unique and fun training effect.

Chest flys with pec stretches

LOW ROWS WITH UPPER BACK ROWS

1. Stand or sit back-to-back far enough apart to feel tension on

1. Facing each other, arms extended with tension on the tubing, pull tubing back,

tubing, arms opened to sides at shoulder level. Keeping elbows bent as though hugging a tree, move arms forward and back against each other’s tension. Repeat 10 times. 2. Opposite movement: one partner presses forward while the other is pulled into a chest stretch. Repeat 10 times.

Starting position

elbows bending to your sides. Alternate with upper back rows by pulling elbows horizontally at shoulder level. 1 low row + 1 high row = 1 rep. 2. Next, one person rows low with elbows in while the other rows high with elbows out. Repeat 10 times.

Starting position

A - PULL BACK WITH ELBOWS CLOSE TO YOUR SIDES. RETURN TO STARTING POSITION, 10X A - Ending Position, pressing out together

B - PULL BACK WITH ELBOWS LIFTED HIGH AND OUT TO THE SIDES, 10X B - Alternate, 10x

+

VISIT OUR WEBSITE TO FIND MORE WORKOUT VARIATIONS. C - ONE PERSON ROWS LOW, WHILE OTHER ROWS HIGH. RETURN TO START BETWEEN EACH DIRECTION CHANGE, 10X

40 | thehealthjournals.com


FITNESS | YOUR HEALTH

ab roll down with bicep curls 1. Begin seated on floor, facing each other, arms extended with

slight tension on the bands. Bend your elbows and roll down away from one another. Once lying down, extend and bend your arms again before rolling back up. Extend and bend your arms at the top and bottom of each rep. Repeat 10 times. 2. Alternate one person rolling back while the other rolls upright. Continue to do a biceps curl before rolling back and rolling up. Repeat 10 times.

A1 - Bend arms, roll back together

A2 - EXTEND ARMS

Starting position

LAT PULLOVERS WITH HIP LIFTS AND TRICEPS EXTENSIONS 1. Lie down head-to-head. Extend arms straight up and reposition to be sure there is tension on tubing. Pull arms down in front of body until they are by your sides while lifting hips into a bridge. Repeat 10 times. 2. Do 10 more reps alternating on one leg during each bridge. 3. For triceps, keep arms straight at sides, bend and straighten only at the elbows. Do 10 reps away from one another, then alternate so one person bends while the other straightens. Repeat 10 times.

A3 - Bend arms to prepare to roll up together, 10x

LEG PRESSES WITH CRUNCHES 1. Lie down with tubing handles secured on feet. Do not lift shins higher than parallel to ground to prevent slipping. Move knees in toward chest and adjust distance so tension is felt on tubes. With hands behind head, lift heads and shoulders off the mat. Return head back as legs extend out. Repeat 10 times. 2. Next, lift head and shoulders up when legs are pressed out and down when legs are in. Repeat 10 times. 3. Finish with 10 reps each of exercises 1 and 2 above with one person pressing legs out while the other brings legs in, getting and giving a lower back stretch.

Starting position

Starting position

A1 - END POSITION. ARMS DOWN, HIPS LIFTED HIGH, 10X.

A - HEADS UP, KNEES UP

B - HEADS DOWN, KNEES UP

A2 - alternating, one person lowers arms, lifts hips, 10X.

TRICEP EXTENSION - STARTING POSITION A1 - HEADS DOWN, LEGS OUT, 10X

B1 - BEND AT ELBOW ONLY. EXTEND USING BACK OF ARMS, 10X

B2 - one person bends arms while other straightens, 10X

B1 - HEADS UP, LEGS OUT, 10X

thehealthjournals.com | 41


YOUR HEALTH | YOGANATOMY

Happy Baby

sanskrit: Ananda Balasana â?Ľ WRITTEN BY SAPTA YIN, ACSM, RYT 200

â?Ľ PHOTO BY BRIAN FREER

Feet Ankles directly over knees as you flex your heels

Knees Let the knees hang wide on either side of the torso as you draw them towards your armpits

Shoulders Draw your shoulders onto your back, tone your arms as you leverage the flexing your feet with your grip

Lower Back Lengthen your lower back down to the ground, trying to touch the tip of your tailbone to the floor.

ready? Recline on your back. Take a long inhale and exhale to relax into the ground beneath you. With your next breath out, bend your knees into your belly. Drawing your ankles directly over your knees, grip the inside of your feet with your hands. You can also play with an outside grip as well- key is to feel which grip is best for you. If it is difficult to find to reach your feet, you can grip a belt looped over the soles of your feet. Let the knees hang to either side of the torso as your grip draws your knees up toward your armpits. Relax into the pose, making sure to flex through the heels as you let the grip or belt gently release the knees a little more towards the earth. Breathe deeply in and out, observing where the tension is in the body and letting the body surrender a little more tension each time with the exhale. Breathing in deeply the calming space of the breath, Breathing out gratitude for this moment of life and health you are in.

42 | thehealthjournals.com


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YOUR HEALTH | FAMILY

DESTINATION: RELAXATION Sneak off together at one of these relaxing escapes

R

WRITTEN BY BRANDY CENTOLANZA

omance is in the air, and it’s a perfect time to escape with your significant other. Leave your worries behind and enjoy a day or two at one of these spa destinations for couples.

OMNI HOMESTEAD

THE BOAR’S HEAD

LANSDOWNE RESORT

The Omni Homestead in Hot Springs, Virginia, is home to one of America’s oldest spas. Relax with three different massage packages or two different sensual bathing treatments. You can also “keep each other warm as you ice skate under the stars at the resort’s outdoor ice rink, ski on the slopes or go snow tubing,” says Laura Lopez, a spokesperson for the resort. Or, “Head to the spa’s adults-only spa garden and immerse yourself in a year-round oasis complete with tranquil gardens featuring historic hot springs, a naturally-pressurized deluge shower, river reflexology walk, co-ed Finnish sauna, spring-fed pool and whirlpool, and private poolside cabanas.” Be sure to check out Jefferson Pools, which Thomas Jefferson visited, and dine at Sam Snead’s Tavern.

Choose from four different Valentine’s Day dining or spa packages for couples at this resort in Charlottesville, Virginia. The Boar’s Head offers “services not found anywhere else like Jefferson-inspired services such as the Signature Monticello Full Body Facial, or Sacagawea’s Aromatherapy Journey to promote whole body wellness and preventative healing through plants and herbs,” says Pat Fleshman Burnette, the resort’s marketing and communications manager. At The Boar’s Head, you and your partner can also cozy up by the fireplace, enjoy a romantic stroll along the hiking trails or take a hot air balloon ride.

At Lansdowne Resort in Leesburg, Virginia, the two of you can enjoy a wine tour or making s’mores by the fire. For Valentine’s Day, the resort’s spa, Spa Minerale, will offer the Lovers Rock Gemstone Massage, which will include gemstone-infused oils and amethyst stones to massage the body. “It is a very introspective treatment, a very unique, life-changing service,” shares Amanda Vassar, spa director. “Couples can relax side-by-side and enjoy the quiet time together.” The Suite Retreat package includes room, dining and either a professional massage or enrollment in a massage class so couples can learn how to massage each other at home. Plus, the resort is close to Washington, D.C., if couples want to take in the city. “It is very quiet and serene here, but we are very convenient to everything,” Vassar says.

$: Room rates starting at $224/night. THE OMNI HOMESTEAD RESORT 7696 Sam Snead Highway Hot Springs, Virginia 800-838-1766 omnihotels.com/hotels/homestead-virginia

44 | thehealthjournals.com

$: Room rates starting at $225/night. THE BOAR’S HEAD 200 Ednam Drive Charlottesville, Virginia 434-972-6011 boardsheadinn.com

$: Room rates starting at $189/night. LANSDOWNE RESORT 44050 Woodbridge Parkway Leesburg, Virginia 703-729-8400 lansdowneresort.com


FAMILY | YOUR HEALTH

THE FOUNDERS INN Closer to home, “The Flowering Almond Spa is a fabulous couples get-away,” says Pennie Watson, director of spa and fitness at The Founders Inn in Virginia Beach, Virginia. In addition to an aromatherapy massage and sacred stone massage or side-by-side manicure and pedicures, “This year [for Valentine’s Day], we will be offering a chocolate strawberry seasonal scent that can be used in our services,” says Watson. “The Flowering Almond Spa team is devoted to making each guest who visits the spa feel special. From the moment they walk through the door, our goal is to pamper them, make their spa services memorable and send them off with a peaceful and relaxed spirit.” $: Room rates starting at $109/night. THE FOUNDERS INN 5641 Indian River Road Virginia Beach, Virginia 757.424.5511 foundersinn.com

THE SPA OF COLONIAL WILLIAMSBURG Enjoy a staycation at The Spa of Colonial Williamsburg for the holiday. “The Spa of Colonial Williamsburg has two dedicated couple’s suites with side-by-side heated massage tables for couples to enjoy services together,” says Denise Haddaway, spa director. “In addition, both suites have large soaking tubs to enjoy a romantic, relaxing bath by candlelight.” Here, couples can enjoy “massages as well as signature ‘Century-inspired’ body treatments that can be experienced side-by-side,” Haddaway says. Afterward, enjoy a walk along Duke of Gloucester Street, or dine in one of Colonial Williamsburg’s taverns. $: Package and room rates vary. THE SPA OF COLONIAL WILLIAMSBURG 307 S England Street Williamsburg, Virginia 800-447-8679 colonialwilliamsburg.com/do/wellness-and-recreation/spa/ services

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YOUR HEALTH | EXTRA

JOHN RANDOLPH’S MEMORABLE

FIGHT AGAINST CANCER FORMER MARINE AND W&M ATHLETIC DIRECTOR LEFT A LASTING IMPRESSION ON PEERS

H

e was a Marine captain, a Vietnam veteran whose never-quit energy and strength made fellow cancer patients request chemotherapy sessions at the same time as him. He also was a lighthearted man, a jokester who wore a pig snout to a medical appointment after surgery to remove a lung and hired a belly dancer to give his oncologist an in-office birthday performance. When John Randolph died of lung cancer in 1995, at age 53, his family and friends were determined to continue his fight. So they organized an annual fundraising dinner in his memory for the American Cancer Society, a cause he had championed. Now celebrating its 20th anniversary, the event—scheduled for March— also honors Randolph’s oncologist, Mark Ellis, who lost his own battle with cancer in 2010. “Without question, John helped me beat cancer,” says Charles Crone, a survivor of nonHodgkin’s lymphoma and part of Randolph’s

WRITTEN BY ALISON JOHNSON

patient support group, dubbed the POSSE. “He got me through the miserable points. I would tell him I didn’t feel well enough to go to lunch, and he’d tell me to be ready at 11 a.m. sharp. He had a really tough kind of cancer, but he was the one picking us up.” Randolph, a former athletic director at the College of William and Mary, was a lifelong nonsmoker, dedicated runner and devoted husband and father of two when cancer struck. During three years of treatments, his effervescent attitude spread throughout Ellis’ office, remembers Lynn Ellis, Dr. Ellis’ widow and office administrator. “John was famous for dragging his IV pole around and visiting patients in other rooms, bringing with him his smile, his fun and his great outlook on life,” Lynn Ellis says. “We all became an extended family.” After Randolph passed away, his friend and then-assistant athletic director, Bobby Dwyer—

now senior associate athletics director for development at William and Mary—created the first ACS dinner in his name. Since then, the event, which features foods prepared by top local chefs, has raised more than $200,000. For the past five years, the dinner also has recognized Mark Ellis, who helped countless local patients. “Mark could have gotten a job at one of the top cancer centers in the country,” says Crone, now 72. “Williamsburg really had no idea how lucky it was to have such a doctor. He cared so much about his patients—not just their physical health but their whole life and spirit.” Both men would have loved to know the POSSE’s optimistic spirit has outlived them, says Randolph’s widow, Maynard. “Even in the last week of his life, John was concerned about helping fight cancer,” she recalls. “He said, ‘Have they learned as much as possible from my case? It’s time for this to be finished.’”

The John Randolph/Dr. Mark Ellis Annual Memorial Dinner will take place at 6 p.m. Sunday, March 1, at Two Rivers Country Club at Governor’s Land. For more information, contact Lynn Ellis at Lhellis75@gmail.com. 46 | thehealthjournals.com


AGING WELL | YOUR HEALTH

SEX AND THE 60s How Important is intimacy for Seniors? WRITTEN BY CATHY WELCH

ohn Wilder, marriage relationship and sexual coach, and member of the American Association of Sexuality Educators (AASECT) is in his 60s. “Sex is still important to me,” he says. “I don’t have it as often, but it is still the glue that holds a relationship together. I still want my woman to wear lacy, frilly lingerie.” “If [sexual intimacy] was important to you before 60, it’s going to be important to you after 60,” Daniel Watter, Ed.D., clinical psychologist, says. Watter is president elect of the Society for Sex Therapy and Research and specializes in the treatment of individuals and couples experiencing relationship and sexual problems. Dr. Stan Tatkin, PsyD, MFT, couples therapist and UCLA professor, agrees. “Probably the biggest factor for people over 60 is when their health declines their interest in sex will decline as well, likely.” This decline can be caused by the loss of a partner, a partner’s inability to function sexually, intimidation, performance pressure and personal physical complications.

Tatkin explains. “The biggest killer, regardless of age, for sexual intimacy is our brain. It’s our tendency to feel demands to perform that will cause the equipment to not work well.” “As you and I mature, we look at sex and relationship hopefully through a different lens,” Dr. Tatkin says. “Not in terms of performance, but in terms of love and tenderness.” “People aren’t gazing into each other’s eyes— at least for a few moments of the day—and fully there,” he continues. “Excitement is always there as long as people would just pay attention. A statement I use with my students is, ‘Love is up close and lust is at a distance’.” Watter teaches his patients ways to adapt to sexual changes in their lives. “One of the things that I think has been somewhat of a disservice to people as they get older is we only are really interested in selling them the sexuality of youth,” he says. “Viagra commercials try to make you believe that you can function sexually like you did when you were 30.”

Watter believes everyone would be better off adjusting to the natural changes that go along with aging bodies. “There are many good ways to have sex besides intercourse,” he says. “There is oral stimulation and manual stimulation and you always have control over those things. You can maintain an active and satisfying sexual life without intercourse.” “Intimacy is about not feeling alone in the world,” Tatkin explains. “It’s always been about the ability to remain present for a certain length of time with the partner you chose. It allows us to feel excited and feel in love.” Watter says, “While there are exceptions, the happiest people tend to be those who are in good relationships. They have a good life partner that they enjoy and have fun with. Sex is one way of maintaining that connection.” There are also many physical and psychological benefits to our health when we have emotional and physical intimacy in our lives. “It’s good for our health and our immune system,” Tatkin explains. “The degree to which we don’t get it actually tends to lead to disease. Touching and close eye contact, even for a little bit, is enormously important.” Tatkin cites several health benefits to having orgasms: pain relief, anxiety relief, mood stabilization, sleep aid and it can help relieve restless leg syndrome. “At any age, it really has to do with paying attention, being in our partner’s eyes and physical contact doesn’t have to be sexual contact,” Tatkin says. “In later life, instead of sex for procreation, sex serves as more of a pair-bonding, security/ safety, warmth and tenderness issue.”

“Touching and close eye contact, even for a little bit, is enormously important.” thehealthjournals.com | 47


YOUR HEALTH | OUTDOORS

BOUNTIFUL HARVEST

How to prepare your garden for better returns

S

pring is around the corner, and now is the perfect time to start prepping flower and vegetable gardens for the new season. To begin, “clear out any leaves and debris from beds and cut back last year’s foliage from perennials,” says Grace Chapman, horticulture director at Lewis Ginter Botanical Garden in Richmond, Virginia. “If you didn’t remove last year’s annuals, remove them to make room for new plantings. Take note if any plants are showing signs of disease and remove them promptly.” Ensuring soil is fit for planting is vital. “Soil health is a very important factor in both ornamental and vegetable gardens,” Chapman says. “Before planting, it is best to perform a soil test to determine if your soil is lacking any essential nutrients, if organic matter needs to be increased, if drainage needs to be addressed and if the pH needs to be adjusted.” Care for the ground where you want to plant by adding compost and mulch. “Compost will help to feed the soil and improve its structure,” says Chapman. “After compost, add a two to three inch layer of mulch. Mulching early will give you a jump start on the weeds by smothering out any weed seeds before they are able to germinate. Also, start getting your stakes and structures prepared and placed in the garden. Try using natural materials, such as bamboo or limbs, that resulted from your winter pruning.” Jim Word, a master gardener in Williamsburg, Virginia, suggests now is also a good time to decide what to plant.

48 | thehealthjournals.com

WRITTEN BY BRANDY CENTOLANZA

“Decide what you want to grow and grow only what you want to eat,” he says. “Plot your vegetable garden. Consider the size of the plant at maturity. Squash need 5 square-feet; tomatoes, 3; peppers, 2. Consider also the height of plants at maturity. Some tomato plants reach more than 5 feet. Paths are needed as you walk among the plants weeding, watering and harvesting, at least 1 foot wide. Record your plan on paper and retain to reflect success and failure of the growing season.” Some plant seeds, such as tomato, pepper and eggplant, can be started indoors under fluorescent lights. “The use of a special heating pad under a container with starting mix and seed will hasten germination,” says Word. Cool weather vegetables, such as radishes, spinach, lettuce, turnips, garlic and carrots, can be planted outside in early spring, but most vegetables will have to wait for warmer weather. “Do not be in a rush to start seeds outdoors or to set out started plants,” says Suzie Kilgore, a master gardener intern in Hampton, Virginia. “As a general rule, delay sowing seeds of warmweather annuals outdoors or setting out started plants until after the last frost date. Most such seeds will not germinate well in soils below 60 degrees. If the soil is too cold when seed is sown, seeds will remain dormant until the soil warms, and may rot instead of germinating.”

Soil preparation Soil health is important to ensure proper growth of plants and produce. Word suggests testing the pH in soil every three years. The soil in vegetable gardens should have a pH of 6.5 to 6.8. Soil test kits can be found at local garden shops, as well as through the Virginia Cooperative Extension. “Add soil amendments to the vegetable beds to obtain proper pH,” says Word. “If pH is too low, dolomitic lime is added. If it is too high on the pH scale, add small amounts of ammonium sulfate.” In addition, add organic material to the soil such as compost, manure, sphagnum peat moss or shredded leaves. Doing this in the fall allows these materials to decompose over the winter and spring leaving spaces for plant roots to grow and water to penetrate, according to Word.


OUTDOORS | YOUR HEALTH

“Decide what you want to grow and grow only what you want to eat” seasonal PLANTING timeline Here’s a seasonal timeline for planting vegetables provided by the Virginia Master Gardeners. Keep in mind that the last frost in the Tidewater Area is April 10-21 and the first frost is November 8-28.

Late Winter/Early Spring

Asparagus, beets, broccoli, Brussels sprouts, cabbage, carrots, cauliflower, kale, lettuce, onion, peas, potatoes, radishes, spinach, turnips

Late Spring/Early Summer

Beans, corn, eggplant, okra, peppers, pumpkins, summer squash, sweet potato, tomato, watermelon

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YOUR HEALTH | MIND MATTERS

PRACTICING MINDFULNESS

through meditation WRITTEN BY MORGAN BARKER

W

inter doldrums leaving you feeling cooped up and stressed out? “Meditation is a way to get some control over your life, paradoxically, by letting go of trying to control everything. Strange, but it works,” says Benjamin ThackerGwaltney, who hosts a local meet-up for meditation practitioners. “I don’t know anyone who couldn’t benefit from that.” Thacker-Gwaltney has used a variety of meditation methods since beginning to practice in 2002, including mindfulnessbased stress reduction method, yoga-based meditation, Theravada Buddhist, Tibetan Buddhist and Zen. His group draws 15 to 35 people for its weekly meet-ups at 7:00 p.m. at the Unitarian Universalists Church on Ironbound Road, in Williamsburg, Virginia. Thacker-Gwaltney credits meditation to improving his physical and mental health. “My asthma is much improved, my patience has deepened and developed, and frankly I’m more kind to the people in my life. And I’m more compassionate with myself.” And it’s not just a placebo effect. “There’s some great research now that validates our intuitive sense that meditation enhances serenity, peacefulness and calm. Mindfulness practice of ‘present moment awareness’ builds new gray matter (new brain cells) in the left prefrontal cortex after eight weeks of practice 30 minutes per day,” Dr. Pamela Cappetta says. Cappetta—a licensed professional counselor and a marriage and family therapist with a practice in Williamsburg—is also a stress and mindfulness coach who teaches throughout the country. “I have

50 | thehealthjournals.com

been meditating since 1997,” Cappetta says. “And I have been teaching mindfulness meditation since 2001 at the William J. Farley Center here in Williamsburg for folks with chronic pain. I have been offering eight-week mindfulness groups here in Williamsburg since 2010.” So how do you get started? “Most of us start with sitting 5-10 minutes at a time focusing on our breath. Ideally, sitting for 15-45 minutes is beneficial. If sitting is too uncomfortable, you can start with noticing the sensation of water touching your body as you shower, listening to sounds and noticing the sensations you experience. Mindfulness is not about emptying your mind, which for most of us is impossible. Mindfulness is about noticing thoughts in our minds, sensations in our body and our present moment emotions through a lens of non-judgment and acceptance,” Cappetta explains. It’s easy to set a goal to practice meditation, but harder to follow through. Cappetta recommends beginning to practice with short periods of time. “I like to meditate after I feed the animals when I first get up in the morning. I make a cup of tea and hold the cup as I focus on my breath and the sensation of the cup in my hand, feeling the warmth of the cup, noticing the taste of the tea and the sensation of swallowing. Then putting the cup down and noticing the sensations in my body leaning against the pillow, noticing the sounds in the room. This is a simple way to start. And over time the benefits of that simple practice begins to yield a more peaceful day.”

brain cell benefits

WITH eight weeks of practice, 30 minutes a day, ‘present moment awareness’ built new gray matter in the left prefrontal cortex

There are numerous instructional YouTube videos to get you started including one by Dr. Cappetta. Give it a try!

bit.ly/hjmeditation


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120 Kings Way | Suite 1300 | Williamsburg, VA 23185 | (757) 209-2481 | CullomEyeCenter.com


YOUR HEALTH | MONEY

EXAMINING TRUST$ WRITTEN BY KELSEY HINTON

O

ne of the most common misconceptions is that estate planning is only for people who have “millions and millions of dollars,” says to attorney John Midgett, a 35-year veteran in the estate-planning business. “Estate planning really is for everybody.” In addition to instruments, like advance medical directives, power of attorneys and last will and testaments, trusts are frequently utilized devices included in estate plans, according to Charles Robinson, president of the Hampton Roads Estate Planning Council, who says 95 percent of his clients opt for them. Midgett, too, says the majority of his clients create trusts, which he attributes to the asset protection they can provide from bankruptcy, divorce and lawsuits.

52 | thehealthjournals.com

Steve Hartnett, associate director of education for the American Academy of Estate Planning Attorneys, says for many a trust’s primary benefit is avoidance of probate, the process through which a decedent’s assets are re-titled to heirs. Assets titled in a trust avoid this process, which Hartnett says can be a significant advantage depending on where a person owns property and/or lives at the time of their death. “In some jurisdictions, the probate process is quite simple; in other jurisdictions, like California, the probate process is very cumbersome and time-consuming and expensive,” he explains.

Trusts may not be necessary for everyone, though. Robinson recommends wills for estates less than $500,000 that involve simple distribution—i.e., in which most assets are left to a spouse or children from a single marriage. In his experience, a trust can help address potential familial discord, beneficiaries incapable of managing an inheritance outright and issues arising from blended family structures, but absent these considerations, a will might be sufficient. Whether deciding on a trust or just a will, Robinson says at least minimal estate planning is important to avoid unintended results and expense.


MONEY | YOUR HEALTH

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“Estate planning really is for everybody.” BENEFITS OF A TRUST

TYPES OF TRUSTS AVAILABLE

Hartnett, Robinson and Midgett each cite avoidance of the probate process as a major benefit of trusts; assets titled to a trust do not need to be re-titled when the grantor dies, saving time and money. Also achieved through the avoidance of probate is the benefit of privacy. Instruments that pass through probate become matters of public record, whereas the contents of a trust, such as beneficiaries and distribution of assets, remain private. Privacy is important if, for example, you were to leave something to one sibling or child, but not include another. Harnett considers lifetime management another major benefit to trusts. Unlike a will, which Midgett explains “only speaks at death,” a trust can address the handling of an estate in the event of the grantor’s mental or physical incapacity by naming a successor trustee to act on his or her behalf. This avoids the cost and hassle associated with the appointment of a court-supervised guardianship. A trust can also help protect inheritances to beneficiaries incapable of managing money and beneficiaries susceptible to creditors’ claims. “Asset protection is critical,” Midgett says, explaining that a spendthrift provision included in a trust can prevent a beneficiary from assigning their ownership interest to a creditor.

Trusts fall under two main categories: revocable and irrevocable. A revocable trust, also known as a “living” or “inter vivos” trust, can be amended, modified, or revoked entirely during the grantor’s lifetime, whereas, with very limited exception, an irrevocable trust cannot be changed once executed. A revocable trust may be thought of as “borrowing” assets while an irrevocable trust “owns” them; since the irrevocable trust owns the assets, rather than the grantor, these assets are not included in the grantor’s taxable estate at death, which Robinson says is an important consideration for estates that exceed the federal estate tax exemption ($10.86 million for a married couple in 2015). “In those instances, we would typically use a special-purpose irrevocable trust to own assets,” he explains. Gift-tax avoidance and asset protection are other reasons a grantor might choose an irrevocable trust, says Midgett. An irrevocable trust can serve as a wealth-transfer vehicle for assets not gifted during the grantor’s lifetime because of gift-tax limitations, and assets owned by an irrevocable trust are not susceptible to the grantor’s creditors.

WHAT GOES INTO A TRUST Everything can go into a trust, with the exception of ownership of an IRA, 401K,

or other qualified retirement plan,” says Midgett. For income-tax purposes, transferring such funds into a trust is treated as a complete withdrawal of the account. “Generally, one only makes a trust the beneficiary of retirement plans,” Midgett explains, the funds of which may then be distributed as set forth in the trust. In addition to real estate, personal property, stocks, bonds, and other financial assets, intangible property such as rights to books or songs can be placed in a trust, Robinson says. Other items one might include in a trust include ownership of a business, licenses and patents, and partnership interests. As a matter of practicality, including dealing with insurance and title companies, Midgett advises against putting automobiles into trusts.

WHAT TO LOOK FOR (AND AVOID) IN AN EXECUTOR An executor cannot be a minor, a non-U.S. citizen, or a convicted felon. As fiduciaries, executors are bound by law to carry out the grantor’s wishes, so, at minimum, the role requires a person able to follow directions set forth in a will or trust, Midgett says. A grantor should seek someone honest, fair, and impartial, he advises, and someone who will be responsive and communicative with beneficiaries. Robinson adds that an executor should have “sufficient knowledge of business matters” to properly administer an estate.

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CONTINUED FROM PG. 23 #9 What You Do and What You Think Matters

Anderson lists a number of cultural restrictions and false beliefs: that a larger body size indicates strength, that no one wants to take shots, that people don’t like drinking water, or that avoiding medication shows that you are a tough person. “I think that more involvement of nurses would help—they can often get closer to people than doctor and dispel some of these myths,” Anderson believes. Health literacy, or the ability to understand health-related information, is a growing area of focus for the health care community. “These skills are needed to manage our own health, make decisions and get information. What you see is that people who are challenged by health literacy incur medical expenses four times greater than those with adequate health literacy, including unnecessary visits to doctors and hospitals,” he says. #10 Open Doors…Health Care Access

Once patients are able to access the health care system by seeing their primary care doctor, going to an urgent care center or using the emergency room for professional help, there can still be communication issues. The Institute of Medicine report lists a number of concerns, including physician’s bias, stereotyping and uncertainty, combined with patient’s mistrust and refusal to comply with the prescribed care.

#1

“There are communication problems, and diagnosis issues. The paternalistic style continues. Patients may feel they aren’t being cared for; the physicians are under too many demands. This can short circuit the process—if he feels the patient won’t do it, he may provide less explanation of the problem,” Anderson says. Stereotypes about African Americans include: that they are more likely to abuse drugs/alcohol, less likely to follow advice, less likely to go to rehab, less educated, decreased expectation of benefits of care, less likely to follow instructions. In order to have a successful society that includes all Americans, health disparities will have to be addresses, or they will continue to grow.

+

FEATURE SIDE BAR: EXPANDING CONTENT

Addressing a Disparity with Social Marketing Health disparities have complex causes, and it can be overwhelming to narrow down what to do and where to start. Here’s a case study of a social marketing project in Richmond, Virginia, that attempted to decrease infant mortality rates by decreasing smoking during pregnancy. Social marketing is applying commercial marketing principles to the goal of changing a health behavior. The Virginia Commonwealth University Center on Health Disparities in Richmond, Virginia, created the “One Tiny Reason to Quit” campaign, to encourage African American women to call 1-800-QUIT-NOW for free smoking cessation

“...And HIV/AIDS in U.S. kills African Americans like a sub-Saharan African country, while for many whites it’s a chronic condition.” He’s right: the Centers for Disease Control’s 2010 report cites “16.5 percent of deaths from HIV for Black or African American men compared to 2.3 percent for white men. For women it’s 7.5 percent and .5 percent.”

We’re All About Family Time!

Migraines Hurt. TPMG Can Help.

FAMILY MEDICINE IS OUR FOUNDATION TPMG doctors have been caring for Hampton Roads families for over 50 years. We’re committed to providing outstanding care for all ages. With over 140 physicians and advanced practice clinicians, TPMG is the leading choice for complete family care.

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counseling and support. The quitline, already in existence before this project, is funded through the Virginia Department of Health and provides specialized cessation services for pregnant women. Smoking is a leading contributor of low birth weight and prematurity. At the time, the African American infant mortality rate in Richmond (18.9/1000) was more than double the United States rate of 7.2. The project, part of a National Institute of Health Research Center grant, needed to focus on one of nine modifiable risk behaviors for infant mortality. The group decided to focus on low income African American women in three zip codes, specifically women who smoke. The goal was to encourage calls to the quitline and for women to tell a friend about the quitline. Susan Dubuque, a principal at creative agency Neathawk, Dubuque and Packett, was engaged to develop creative tools, including messaging and promotional materials. In order to find the right message, they held community roundtables to talk to African American women and find out what would make them call the quitline. The response was a bit surprising—women didn’t want a bossy older woman perspective about what they should do. The message needed to come from the perspective of the infant or sibling who would be affected. “It was important to get that input up front. We tested the message and then engaged individuals from the target audience in the implementation whenever possible. It gave us a richer, better, more successful program,” said Dubuque. After that process, the group tested “soft soundings” in waiting rooms to ensure that their plan resonated. The ways they got the message out on a small budget was to be highly targeted and creative. They aired radio ads, put ads on buses and billboards, which are less expensive than print or TV ads. They put up posters in laundromats, beauty parlors, schools, clinics and the health department. They found out how to put narrow printed flier in as bill stuffers for utility bills. “It’s imperative to have partnerships—you can maximize resources, have better synergy and touchpoints that already exist that you can use so much more effective than going alone,” says Dubuque. Many organizations participated in this campaign, including Richmond Healthy Start Initiative, Richmond City Health District, Virginia Department of Health, Virginia Premier Health Plan, VCU Health System and the VCU library. “That’s the importance of focus: we can’t solve every problem. Better to take on a narrow problem, focus on a specific behavior that you want to change. Pick one thing, do it well, get measurable results. Then you can decide whether to replicate it or make changes,” said Dubuque. Infant mortality is one of the most complicated health issues. Black women are about 60 percent more likely than white women to deliver babies early. Black infants are about more than twice as likely to die before their first birthdays. “Why is the rate consistently doubled? No one can tell you. All the hypotheses have been tested,” says Thom LaVeist. “Black women with a college degree have a higher infant mortality rate than white women with less than a high school degree.” The campaign ran in 2009 and again in 2011, with a significant increase in calls from pregnant women to the quitline. Is this enough to shift the doubly high infant mortality rate for African American infants? Unlikely, but it is an example of how focusing on improving one thing can have an impact if you work together, ask for feedback and get creative in the approach.

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

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

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


YOUR HEALTH | EXTRA

GETTING IN THE MOOD WITH

ESSENTIAL OILS WRITTEN BY DEBBI DUNN

SET THE STAGE Apply a few drops of ylang ylang (pronounced ee-lang ee-lang) into a diffuser to release a sweet and fragrant, yet gentle aroma to scent your home. It’s good for the heart and proclaimed to relieve stress and anxiety.

COZY UP ON THE COUCH Drizzle basil oil over an appetizer to stimulate the mind and heighten each other’s focus.

DIY MASSAGE OIL You will need a carrier oil, such as almond oil or jojoba (pronounced ho-Ho-ba). This will act as a lubricant for the massage. 1 ounce of carrier oil 8 drops of sandalwood

ENJOY THE BEDROOM Nothing stimulates like massage. Make it more fun by mixing your own massage oils together. After you enjoy your romantic moments, draw a candle-lit scented bath.

DRAW A HOT BATH

4 drops of jasmine Mix oils together in an airtight dark glass jar. All you need is 1/2 to 1 teaspoon of the massage oil per person.

Continue with the scent from the aromatic massage, surrounding the tub with candles and adding 10-15 drops of blended oils for a sensual connection. Sandalwood blended with jasmine creates the perfect aphrodisiac helping dissipate physical, psychological or emotional ailments that may interfere with sexual desire or arousal. Sandalwood is woody, yet sweet, and is a versatile oil that is calming and grounding instilling inner peace for lovers.

SNUGGLE UP The scent of lavender is one of the most easily recognized scents. Lavender is known for its sedative properties and for its ability to calm stress. After your bath, prior to sleeping, you can rub a few drops of lavender to the bottoms of each other’s feet to enjoy a long, relaxing night of sleep.

56 | thehealthjournals.com


Caring for Women

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

Come see our extensive selection of NOW essential oils and aromatherapy products and

Daniel G. Jenkins, M.D.

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off your NOW products purchase.

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special advertising section

ACCEPTING NEW PATIENTS

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

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

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

www.williamsburghears.com

DENTISTRY

Brent Segeleon, O.D. Colonial Eye Care

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

Colonial Eye Care

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

ORTHOPEDICS Thomas C. Durbin, M.D.

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

58 | thehealthjournals.com

OPTOMETRY

TPMG Orthopedics Thomas C. Durbin, M.D., received his medical degree from The Ohio State University, Columbus, Ohio. He completed his Orthopaedic Surgery residency at Mount Carmel Health System in Columbus, Ohio, and a fellowship in Orthopaedic Sports Medicine at the University of Kentucky, Lexington, Kentucky. Dr. Durbin has a special interest in knee and shoulder surgery, including anatomic ACL reconstruction, arthroscopic rotator cuff repair, shoulder instability procedures, meniscal repair and revision procedures. He also performs general orthopaedics. Dr. Durbin is a member of the American Academy of Orthopaedic Surgeons, the Arthroscopy Association of North America and the American Orthopaedic Society for Sports Medicine. Tidewater Medical Center 860 Omni Blvd., Suite 113 Newport News, VA 23606 (757) 327-0657

Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 204 Williamsburg, VA 23188 (757) 345-5870 www.mytpmg.com


ENT / ALLERGY Michael J. Jacobson, M.D. Hampton Roads ENT-Allergy

Dr. Michael J. Jacobson is board-certified through the American Board of Otolaryngology–Head & Neck Surgery, and is a fellow of the American Academy of Otolaryngology–Head & Neck Surgery. He earned his medical degree from the University of Colorado Health Sciences Center in Denver, Colorado. He completed his residency in Otolaryngology Head & Neck Surgery at University of Rochester Medical Center, New York, where he served as chief resident. He is a member of the American Medical Association, American Academy of Otolaryngology – Head & Neck Surgery, American Academy of Otolaryngic Allergy and the American Academy of Facial Plastic & Reconstructive Surgery. Dr. Jacobson enjoys playing the violin, singing, golf, tennis and weight-lifting. He’s proud of the strong family life that he and his wife have built for their two children.

Hampton Roads ENT-Allergy 5408 Discovery Park Blvd #300 Williamsburg, VA 23188 (757) 253-8722 www.hamptonroadsent.com

FAMILY MEDICINE Elena T. Viterbo-Noble, M.D.

Norge Family Medicine

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

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

ORTHOPAEDICS Loel Z. Payne, M.D.

Tidewater Orthopaedics

NUTRITION & WELLNESS 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.

Sage Holistic Health and Wellness Center 103 Stratford Drive, Suite A Williamsburg, VA 23185 (757) 585-9481

www.sage-holistichealth.com

DERMATOLOGY Keith W. Schumann, M.D.

Schumann Dermatology Group

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.

Dr. Keith Schumann is a board-certified, Cleveland Clinic-trained dermatologist. He completed his undergraduate B.S. in chemistry at the University of Richmond. Following medical school at the Medical College of Virginia/Virginia Commonwealth University, he completed both an internship in internal medicine and residency training in dermatology at the Cleveland Clinic Foundation. His professional interests include skin cancer screening and surgery, light therapy and lasers, and the specific treatment of general skin conditions. With 15 years of experience in anti-aging skin care, he employs and develops state-of-the-art medical technology that provides solutions for damaged skin. Dr. Schumann lives in Williamsburg, Virginia, with his two sons. In his free time, he enjoys spending time with his family and friends, long distance running, playing lacrosse and soccer, and piloting his own plane.

TPMG Norge Family Medicine

Tidewater Orthopaedics

Schumann Dermatology Group

www.mytpmg.com

www.tidewaterortho.com

www.agelessderm.com

Elena T. Viterbo-Noble, M.D., received her Medical Degree from University of the East, Ramon Magsaysay Memorial Medical Center in Metro Manila, Philippines. She completed her internship at the University of the Philippines in Manila and residency in family medicine at Carilion Health System in Roanoke, Virginia. Dr. Viterbo Noble also completed a fellowship in geriatric medicine at the Carilion Health System in Roanoke, Virginia. Dr. Viterbo Noble is board certified in Family Medicine and joined TPMG Norge Family Medicine in June 2009. She is currently accepting new patients of all ages and offers same day appointments.

7151 Richmond Road, Suite 405 Williamsburg, VA 23188 (757) 564-3700

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

5309 Discovery Park Blvd. Williamsburg, VA 23188 (757) 564-1200


STAYING WELL | ONE LAST THOUGHT

Love

is composed

a single soul

of inhabiting

two bodies . –Aristotle

60 | thehealthjournals.com


HEALTH DIRECTORY | STAYING WELL

HEALTH DIRECTORY EMERGENCY NUMBERS

AUDIOLOGY & HEARING

National Response Center

Colonial Center For Hearing

Toll-Free: (800) 424-8802

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

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

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

BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place

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

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

Williamsburg Plastic Surgery

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

5483 Mooretown Road Williamsburg (800) 582-6066

333 McLaws Circle Williamsburg (757) 345-2275

ALLERGY & ENT

CARDIOLOGY

DENTISTRY

Hampton Roads ENT & Allergy

Riverside Cardiovascular Health

New Town Dental Arts

5408 Discovery Park Drive Williamsburg (757) 253-8722

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

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

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

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

CHIROPRACTIC & ACUPUNCTURE Pinto Chiropractic & Rehabilitation

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

Wade Quinn, DC

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

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

Rubenstein Orthodontics

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

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

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

DIAGNOSTIC IMAGING

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

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

Patrick R. Wyatt, DDS Orthodontics

Tidewater Diagnostic Imaging

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

100 Sentara Circle Williamsburg (757) 984-6000

ENDOCRINOLOGY Riverside Endocrinology & Diabetes Center

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

DERMATOLOGY Associates In Dermatology, Inc.

FAMILY PRACTICE

17 Manhattan Square Hampton (757) 838-8030

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

Dermatology Center of Williamsburg

Orthopaedic & Spine Center

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

Riverside Norge Internal Medicine & Pediatrics Center

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

7364 Richmond Road Williamsburg (757) 345-0011

Riverside Williamsburg Family Medicine

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

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

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STAYING WELL | HEALTH DIRECTORY FITNESS

HEALTH CARE ATTORNEYS

B-Defined Innovative Personal Training & Wellness

Brain Injury Law Center

4801 Courthouse St Williamsburg (757) 345-6801

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

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

Angels of Mercy Medical Clinic

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

Beach Health Clinic

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

Chesapeake Care

2145 South Military Highway Chesapeake (757) 545-5700

The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060

H.E.L.P. Free Clinic

1320 LaSalle Ave. Hampton (757) 727-2577

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

Lackey Free Clinic

2100 Kecoughtan Road Hampton (877) 840-3431

Mellette PC

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

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

HOME CARE Agapé Home Care

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

Bayada Nurses

263 McLaws Circle, Suite 103 Williamsburg (757) 229-0019 428 McLaws Circle, Suite 203 Williamsburg (757) 565-5400

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

5249 Olde Towne Road Williamsburg (757) 259-3258

3636 High St. Portsmouth (757) 398-2200

Surry Area Free Clinic

Bon Secours Health Center at Harbour View

Colonial Gastroenterology

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

Bon Secours Surgery Center at Harbour View

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

Chesapeake Regional Medical Center

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

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

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

Children’s Hospital of The King’s Daughters

Digestive Disease Center of Virginia, PC

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

Riverside Williamsburg Gastroenterology

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

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

62 | thehealthjournals.com

Sentara Careplex Hospital

Sentara Heart Hospital

Bon Secours Maryview Medical Center

GASTROENTEROLOGY

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

The Hernia Center at Mary Immaculate Hospital

Olde Towne Medical and Dental Center

2019 Meade Parkway Suffolk (757) 923-1060

Sentara Independence

3000 Coliseum Drive Hampton (757) 736-1000

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

Western Tidewater Free Clinic

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

HERNIA SPECIALISTS

1620 Old Williamsburg Road Yorktown (757) 886-0608

474 Colonial Trail West Surry (757) 294-0132

Riverside Regional Medical Center

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

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

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

Riverside Doctors’ Hospital 1500 Commonwealth Ave. Williamsburg (757) 585-2200

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

Alzheimer’s Association 6350 Center Drive, Suite 102 Norfolk (757) 459-2405

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

American Cancer Society

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

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

American Heart Association 500 Plume Street 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

The Arc of Greater Williamsburg

202 Packets Court Williamsburg (757) 229-0643

The Arthritis Foundation

2201 W. Broad Street, Suite 100 Richmond (804) 359-1700

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 Street 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 Street, 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

100 Sentara Circle (757) 984-6000

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

INDEPENDENT SENIOR LIVING

7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501

AWARE Worldwide, Inc.

Leukemia & Lymphoma Society

Greenfield Senior Living of Williamsburg

251 Patriot Lane Williamsburg (757) 220-4014

Virginia Health Services

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

Williamsburg Landing

5700 Williamsburg Landing Drive Williamsburg (757) 585-4436

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

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

Beyond Boobs! Inc.

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

Cancer Care Foundation of Tidewater

NEUROLOGY

5900 Lake Wright Drive Norfolk (757) 461-8488

Williamsburg Neurology & Sleep Disorders Center

Center for Excellence in Aging & Lifelong Health

NEUROSURGERY

CHEAR, Inc. c/o Department of Otolaryngology, EVMS

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

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

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

3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751

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

6350 Center Drive, Suite 216 Norfolk (757) 459-4670

National MS Society

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

The Needs Network, Inc.

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

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

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

Norfolk Community Services Board

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

Peninsula Agency on Aging

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

Peninsula Institute for Community Health

1033 28th Street Newport News (757) 591-0643

Peninsula Pastoral Counseling Center

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


HEALTH DIRECTORY | STAYING WELL Protect Our Kids

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

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

Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386

RSVP: Retired Senior Volunteers

Virginia Oncology Associates 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403 1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437

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

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

St. Mary’s Home for Disabled Children

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

6171 Kempsville Circle Norfolk (757) 622-2208

5900 Lake Wright Drive Norfolk (757) 466-8683

The Sarah Bonwell Hudgins Foundation

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

1 Singleton Drive Hampton (757) 827-8757

Senior Center of York

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

Senior Services Coalition

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

United Way

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

The Up Center

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

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

Vets Advocating for Vets

Hampton (757) 722-9961, ext. 3009

We Promise Foundation

160 Newtown Road Virginia Beach (757) 233-7111

OBSTETRICS & GYNECOLOGY Riverside Partners In Women’s Health

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

Williamsburg Obstetrics & Gynecology

1115 Professional Drive Williamsburg (757) 253-5653

ONCOLOGY Riverside Peninsula Cancer Institute

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

PAIN MANAGEMENT

Newport News (757) 873-1554

URGENT CARE

Riverside Pain Medicine & Rehabilitation Specialists

Orthopaedic & Spine Center Physical Therapy

MD Express

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

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy 5838 Harbour View Blvd. Suffolk (757) 673-5971 2012 Meade Parkway Suffolk (757) 934-3366 5553 Portsmouth Blvd. Portsmouth (757) 465-7906 3300 High Street, Suite 1-A Portsmouth (757) 673-5689 4900 High Street West Portsmouth (757) 483-4518

OPTOMETRY & OPHTHALMOLOGY

7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333

Retina & Glaucoma Associates

885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800

113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

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

ORTHODONTICS Rubenstein Orthodontics

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

Patrick R. Wyatt, DDS Orthodontics

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

14703 Warwick Blvd., Ste. B Newport News (757) 947-1230
 2 Bernardine Drive Newport News (757) 886-6480 13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651 1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 828 Healthy Way Virginia Beach (757) 463-2540

ORTHOPEDICS & SPORTS MEDICINE

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

Hampton Roads Orthopaedics & Sports medicine

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

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

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

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

Dominion Physical Therapy & Associates, Inc.

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

Riverside Orthopaedics & Sports Medicine

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

Riverside Orthopedic Specialists

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

466 Denbigh Blvd. Newport News (757) 875-0861 301 Riverview Ave. Norfolk (757) 963-5588 729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932

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

243 McLaws Circle, Suite 102 Williamsburg (757) 564-9628

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

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

Tidewater Orthopaedic Associates

Hampton Roads Orthopaedics & Sports Medicine

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

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

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

9 Manhattan Square, Suite B Hampton (757) 825-3400 2695 McManus Blvd., Building 6, Suite B Newport News (757)223-5612 751 J. Clyde Morris Blvd. Newport News (757) 873-2123

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

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

12655 Warwick Blvd., Suite B Newport News (757) 599-5551

UROLOGY

156-B Strawberry Plains Road Williamsburg (757) 565-3400

Riverside Hampton Roads Urology

7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 6970 Fox Hunt Lane, Gloucester (804) 694-8111 7190 Chapman Drive Hayes (804) 642-3028 2007 Meade Pkwy. Suffolk (757) 539-6300 204 Gumwood Drive Smithfield (757) 357-7762 2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316 100 Winters Street, Ste. 106 West Point (757) 843-9033

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

1745 Camelot Drive, Ste. 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 108 Knells Ridge Blvd., Ste. 200 Chesapeake (757) 436-3350 6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890 1580 Armory Drive, Ste. B Franklin (757) 562-0990

Virginia Health Rehab

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

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

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

730 Thimble Shoals Blvd., Suite 130

5208 Monticello Ave. Williamsburg (757) 206-1004

thehealthjournals.com | 63


STAYING WELL | BRAIN TEASERS

B

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E L E

E L

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E S S

S

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UGD BDMDB QE QXY VXIIDVV OV BOSOUDP QHBC FC Q X Y O S R L O H R U O Q H R H P H Q R I U Q E N O H P H D V V, G Q J D M D Y V S R B B, O V D M D Y J R V U D P. –R D V Q Z

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