The Health Journal - August 2016

AUGUST 2016 | THEHEALTHJOURNALS.COM TM

How

Sun-Smart are you?

why americans

aren't taking vacation days hot careers in

health care local teen

races to rio

PERMIT # 38

WILLIAMSBURG, VA

HAMPTON ROADSEDITION WILLIAMSBURG EDITION

PR icnic fresh

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OSC Patient Success Stories

“I suffer from Spinal Stenosis. The pain started in my back, then gradually worked its way into my buttocks, thighs and legs. It was horrible and I had trouble doing anything! I was told I had 3 options: spine surgery, a spinal cord stimulator or live with it. I chose the spinal cord stimulator. I had it implanted in February. Once it was adjusted just right, the pain relief was amazing! I saw a 70% reduction in my pain and decreased my pain medication. Everyone now says “Look at you!”, when I jump out of my chair. I even scrub and wax my own floor now. I recommend this to anyone with severe pain. It will change your life!”

—Barbara Clark

DO YOU SUFFER FROM BACK PAIN?

k r a l C a r a b Bar

LEARN ABOUT YOUR OPTIONS AT OUR UPCOMING LECTURE.

Managing Pain from Peripheral Neuropathy: Treatment Options for a Better Life

OSC

COMMUNITY LECTURE SERIES Speaker: Jenny L. F. Andrus, M.D.

Peripheral Neuropathy can be caused by diabetes, viruses or auto-immune diseases. Join Dr. Jenny Andrus as she discusses how to decrease pain, tingling and numbness in the limbs and improve function, often without the use of habitforming narcotics. Learn about pain management procedures that are performed in our office, offering you pain relief and a return to the activities you enjoy.

Bring a friend, have some refreshments and get informed. Tour our state-of-the-art facility after the lecture!

Tuesday, August 16th, at 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd. Newport News 23606 Call Shannon Woods to Register: 1-757-596-1900 ext.368 or email lectures@osc-ortho.com

Boyd W. Haynes lll, M.D. • Robert J. Snyder, M.D. • Jeffrey R. Carlson, M.D. Martin R. Coleman, M.D. • Mark W. McFarland, D.O. • Raj N. Sureja, M.D. Jenny L. F. Andrus, M.D. • John D. Burrow, D.O. • F. Cal Robinson, PsyD, MSCP Tonia Yocum, PA-C • Erin Lee, PA-C • Chris Schwizer, PA-C • Monica Beckett, NP-BC

OSC

ORTHOPAEDIC & SPINE CENTER Open MRI Center

250 NAT TURNER BOULEVARD • NEWPORT NEWS, VA 23606 • 757-596-1900 • www.osc-ortho.com

Detect Lung Cancer Early With CT Lung Screening on the Peninsula

A low-dose CT Lung Screening can help find lung cancer early. And that means a Gloucester Gloucester

higher chance for survival. Even if you’re no longer smoking, you may still qualify for a low-dose CT Lung Screening. This screening is a scan of the entire chest that provides a more detailed look than a standard X-ray.

17

Williamsburg

York York

Williamsburg

I am over the age of 55

I’ve smoked a pack a day for 30 years

64

I don’t want to become a statistic

Hampton Hampton

Newport NewportNews News

Ask your physician for a referral or contact our Sentara Cancer Network Lung Screening Navigator: 855-EARLY-DX (1-855-327-5939) www.sentara.com/ScreenMyLungs

258

664 17

Isle of Wight Carrollton

Norfolk Portsmouth

460

Sentara.com/ScreenMyLungs

Your community, not-for-profit health partner

664

Franklin

460

58

Suffolk

464

Register online at 5k.cdr.org

at the Vineyards of Williamsburg

for the

th

Saturday, August 13, 2016 Location: The Vineyards of Williamsburg Clubhouse 2659 Jockeys Neck Trail, Williamsburg Time: 7:00 AM 8:00 AM 8:30 AM

Post Race 9:45 AM

Fun Run 8:00 am 5K Run/Walk 8:30 am

Packet pick up. Race day fun and games for children.

One Mile Fun Run/Walk – children receive medals!

5K Run and Walk Raffle, Food, Ben & Jerry’s ice cream!

Awards

Presented by

Registration: Registration fee includes t-shirt, food, drink, ice cream voucher. Event includes chip timing.

5K $35 $40

(No rain date; no refunds) Fun Run $20 Registration purchased July 16, 2016 through August 12, 2016 $25 Race Day Registration

Contact Information: CDR main phone 757-566-3300. Register at 5k.cdr.org.

Race Day: Critical updates will be posted at 5k.cdr.org, Facebook.com/cdr.org, and Twitter.com/566TOTS. Race Packet Pickup: We strongly encourage race packets to be picked up prior to race day at Child Development Resources, 150 Point O’Woods Road, Williamsburg, VA 23188, on: Thursday, August 11th and Friday, August 12th from 9am-4:30pm.

Your Finish.

Their Start.

CDR serves babies and toddlers to help ensure that all children, no matter what their challenges, reach their full potential. If you have questions about your infant or toddler, call (757) 566-TOTS.

4 | thehealthjournals.com

Start or join a team today at 5k.cdr.org and support the babies and toddlers of the Historic Triangle!

A Colonial Roadrunners Grand Prix Event!

contents | bits & Pieces

AUGUST Unused Vacation Days

18

24 28

Pain-Free Work Outs Work

Hot Careers in Health Care

Can Hospital Program Reverse Heart Disease?

Picnic Perfect Vegetarian Recipes

16 42

20

5th Graders and Retirees Create Lasting Memories

DEPARTMENTS BITS AND PIECES 06 08 08 09

Contributors DIY In My Own Words Publisher's Note

IN THE KNOW 10 13 14 16

Calendar Second Opinion Profile Advances in Medicine

FEATURES 18 20

22 24 26

Hot Careers in Health Care Connecting Older Adults with Low-Income Youth How Sun-Smart Are You? Unused Vacation Days Local Teen Racing to Rio

YOUR HEALTH 28 30 32 33 34 36 37

Fitness Family Women's Health Men's Health Aging Well Money Your Financial Health

FOOD 38 Food & Nutrition 40 Flavor 42 Taste Appeal

ON THE WEB @ THEHEALTHJOURNALS.COM

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

STAYING WELL 44 46 47 50

Accepting New Patients One Last Thought Health Directory Brain Teasers

thehealthjournals.com | 5

BITS & PIECES | CONTRIBUTORS

BRANDY CENTOLANZA

ALISON JOHNSON

Brandy is a freelance writer who covers health, parenting, education, travel and community issues for various publications in Hampton Roads and Richmond, Virginia.

Alison is a freelance writer who lives in Yorktown, Virginia. A former full-time newspaper reporter, she specializes in feature stories on health and parenting.

KIMBERLEY CUACHON HAUGH Kimberley has a passion for fashion and food; “Look good. Eat well,” is her philosophy.

She is the owner of Kimberley Ashlee Catering where she uses seasonal and sustainable ingredients.

Natalie is a freelance journalist with experience as a reporter, editor and columnist. She also works in marketing as a health care communication consultant.

SHAWN RADCLIFFE

JAMIE MCALLISTER

Shawn is a science writer and yoga instructor with over 15 years experience writing about science, health and medicine. In addition to The Health Journal, his work has appeared on Healthline and Men’s Fitness.

Jamie is a freelance writer in Virginia Beach, Virginia, and specializes in writing newsletters, press releases, blog posts, articles, and website copy for corporations and nonprofits.

LILLIAN STEVENS Lillian works full-time at the College of William & Mary. Since becoming an empty nester several years ago, she has dedicated much of her spare time to her hobby: writing.

Lillian lives in James City County, Virginia with her husband Sam.

6 | thehealthjournals.com

NATALIE MILLER MOORE

DR. DANIEL SHAYE Dr. Shaye is a chiropractor, Certified Chiropractic Sports Physician, and acupuncture fellow (FIAMA) with Performance Chiropractic in Williamsburg.

A competitor and nature-lover at heart, he regularly runs, swims, and lifts weights.

TERESA BERGEN

KIM O'BRIEN ROOT

Teresa Bergen lives and writes in Portland, Oregon. She’s the author of "Vegetarian Asia Travel Guide" and has penned hundreds of articles about travel, nutrition, health, fitness and yoga. She holds a degree in journalism and an MFA in fiction writing.

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.

LAURA SPROTT

PAGE BISHOP FREER

Laura Sprott is a personal sports performance trainer with Tidewater Physical Therapy Inc. She earned her Bachelor of Science in Exercise Science, with minors in psychology and health education, from Virginia Tech.

Page Bishop Freer is co-founder and publisher of the Health Journal and a practicing Licensed Real Estate Agent in Virginia. She can be reached at pagebishopfreer@me.com .

Caring for Women

VOL. 12, NO. 03 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia. Magazines are distributed via direct mail, racks and hand delivery.

For more information, visit thehealthjournals.com.

PUBLISHER

Brian Freer brian@thehealthjournals.com

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.

EDITOR

Page Bishop Freer pbishop@thehealthjournals.com EXECUTIVE DIRECTOR

Rita L. Kikoen rita@thehealthjournals.com MEDICAL EDITOR

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

Christie Davenport christie@thehealthjournals.com ART DIRECTOR

Maria Candelaria Daugs maria@thehealthjournals.com

David C. Pearce, M.D.

Emily F. Roberson, M.D.

Benjamin T. Isbell, M.D.

Kristy A. Keller, M.D.

Karen McNamara, N.P.

Erin Wilkey, M.D.

GRAPHIC DESIGNER

Shannon Slattery shannon@thehealthjournals.com VIDEO PRODUCTION MANAGER

Brandon Freer brandon@thehealthjournals.com CIRCULATION

Ryan Bishop circulation@thehealthjournals.com PHOTOGRAPHY

Brian Freer Brandon Freer Maria Candelaria Daugs

ADVERTISE

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

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.

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4808 Courthouse St., Ste. 204 Williamsburg, Virginia 23188 Phone: 757-645-4475 Fax: 757-645-4473 thehealthjournals.com

Ple as

THE HEALTH JOURNAL

Williamsburg Obstetrics & Gynecology 1115 Professional Dr. Williamsburg, VA 23185 757-253-5653

with 24-hour Emergency Answering Service

www.williamsburgobgyn.net

Bits & Pieces | IN MY OWN WORDS & DIY

Do it

IN MY

“ words OWN

Yourself

HOMEMADE BUG BITE RELIEF STICK You Will Need • 3 Tbsp regular coconut oil or herbal infused coconut oil • 2 Tbsp beeswax pastilles • 10 drops lavender essential oil • 10 drops peppermint essential oil

Hello

my name is

Charlotte Moyler The Health Journal gives equal time to all generations and it is not difficult to pick up a copy and find numerous articles of great interest and worth.

Using a double boiler, slowly melt the coconut oil and beeswax. If you don't have a double boiler, you can use an oven/microwavesafe container to hold the wax/oil and heat in the microwave in 10– second increments until melted.

1

The accessibility of reading The Health Journal is effortless, as they are displayed all around our community and the rest of Hampton Roads, the entire Peninsula and Southside.

Thank you for your ten plus years of educating our community!

Charlotte Moyler is Facilitator of grief support groups at Hospice House and Support of Williamsburg, and Spiritual Care at Lackey Free Clinic. She is a Chaplain Intern at Williamsburg Sentara Regional Medical Center.

8 | thehealthjournals.com

• Small funnel or glass eyedropper Once the beeswax/ coconut oil mixture has cooled slightly, mix in the essential oils.

As a 59-year-old woman, I appreciate the varied topics you feature on aging, nutrition and even wrinkles! Living with Juvenile Rheumatoid Arthritis for 46 years, I enjoy reading the information found on exercise and the latest advancements in joint replacements and reconstruction.

I very much appreciate reading articles on our youth and the struggles this world contributes to their emotional well-being.

This is an enormous issue and the more attention it can be given, the better!

• 4-5 empty chapstick tubes, or a small tin or ointment container

2

Pour the mixture into empty chapstick tubes, a small tin, or ointment container and allow it to harden.

3

4

Directly apply to any mosquito or insect bites as needed.

[Certain insect bites can cause more serious reactions. If you have difficulty breathing, a rash that spreads, or worsening pain, you should seek medical attention.]

PUBLISHER’s note | bits and pieces

R

ecently on a walk I came across the sweet scent of honeysuckle. This wonderful smell led to memories I hadn’t thought about in a long time. Detailed recollections of spending summers at my grandparents’ home in Dale City, Virginia, flooded my mind: Happy times of running through the neighborhood eating crab apples and plums from trees, exploring the woods nearby, getting into the occasional scuffle with neighborhood kids and feasting on my grandmother’s delicious ethnic cooking. These are cherished memories.

Memories shape us. They echo through our consciousness and guide every decision in our lives. In every task we do, every moment we share our feelings with someone, or conceptualize our next project, we are channeling our memories.

Memories also guide our personal growth, and when the past percolates in our mind, we should pay attention.

Certainly, some of these memories should be thrown into a rubbish bin and walked to the curb. I get it…we all have those. But even the painful memories are useful.

They can mean different things at different stages of our lives, but without them, the pleasurable memories are just meaningless.

THE CURIOUS THING IS THAT IT'S NEVER THE EXPENSIVE MEMORIES THAT STAND OUT, BUT THE SIMPLE ONES. Unfortunately, we don’t always have a choice as to which memories we keep. Memories fade, and disease will rob many of us of them. I have several members of my family currently suffering from memory-related illnesses. Perhaps you do as well. My grandmother is in that place—she has dementia—and it’s bad. I don’t know what she remembers of those summers we spent with her—probably nothing. She seems to remember us occasionally, but most of the time I’m convinced she only sees strangers. She’s in a room full of her children but doesn’t recognize any of them. It is a cruel fate— for her and us.

But even though Grandma may not remember, I still do. That was her gift. We created many of those summer memories together. And I intend to share as many of them as I can remember with my daughter. The curious thing too is that it's never the expensive memories that stand out, but the simple ones. They will be all that is left of us when the ashes have blown away.

BRIAN FREER /PUBLISHER BRIANFREER@THEHEALTHJOURNALS.COM

thehealthjournals.com | 9

in the know | Calendar

AUGUST CALENDAR 6 MAD DASH 5K & FAMILY FESTIVAL

Participate in this 5K and family fun run to benefit CDR. Family Festival follows race.

WHEN: 6:30 a.m. to 12:30 p.m.

WHERE: WISC $$: see website for run registration fees; festival is free CONTACT: thewisc.com

BEGINNER’S MOUNTAIN BIKE RIDE

7 SUNSET PADDLE

Enjoy an evening canoe or kayak ride.

WHEN: 5:30 to 7:30 p.m.

Sundays WHERE: York River State Park $$: rental fee, $9-$16 CONTACT: 757-566-3036

11 SUMMER T’AI CHI IN THE PARK

Learn to mountain bike during this monthly ride.

WHEN: 9 to 11 a.m.

WHERE: Freedom Park $$: free CONTACT: president@evma.org

Learn the basics of t’ai chi in this free exercise class.

WHEN: 7:30 to 8:30 a.m.

Thursdays through August 18 WHERE: Quarterpath Recreation Center $$: free CONTACT: 757-259-3760

FREE CROSSFIT CLASS

YOGA FOR KIDS

Come try out Crossfit for free at Jamestown Crossfit.

WHEN: 9 a.m. Saturdays through September 3 WHERE: Jamestown Crossfit $$: free CONTACT: jamestowncrossfit.com

BOXING CLASS

Learn boxing-based techniques to improve fitness, coordination and mental focus.

WHEN: 9 a.m. Saturdays WHERE: Bdefined $$: $15 drop in or $156 for 12 classes CONTACT: bdefinedfitness.com

6-7 BUTTERFLY FESTIVAL

Celebrate all things butterfly during this festival.

WHEN: 9 a.m. to 5 p.m.

WHERE: Williamsburg Botanical Garden $$: free CONTACT: williamsburgbotanicalgarden.org

Yoga is an excellent way for children grades K-5 to experience movement, music, breath awareness and meditation.

WHEN: Thursdays from 2-3 p.m. and Sundays from 6-7 p.m. through August WHERE: Studio South Yoga, Williamsburg $$: drop-ins $15 / monthly $50 CONTACT: 757-585-7640

13 CDR SUPER HERO 5K

This event benefiting CDR includes a 5K run, family activities, and an ice cream social.

WHEN: 8 a.m.

WHERE: The Vineyards of Williamsburg $$: $15-$40 CONTACT: cdr.org

TRACK YOUR HEALTH/ KNOW YOUR NUMBERS

Event includes screenings for blood pressure, body mass index, and cholesterol.

WHEN: 9 a.m. to noon WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4200

LIFE OF BEES

10 | thehealthjournals.com

Learn all about the honey bee during this discussion for the whole family.

WHEN: 10 a.m.

WHERE: Williamsburg Botanical Garden $$: free CONTACT: wbgkids@gmail.com

13 ALEWERKS JUBILEE 10TH ANNIVERSARY CELEBRATION

This celebration for Alewerks Brewing Company includes craft beer and live music.

WHEN: noon to 6 p.m.

WHERE: Alewerks Brewing Company $$: $20 in advance or $30 at the gate CONTACT: taproom@alewerks.com

17 OPEN HOUSE ABOUT DENTAL IMPLANTS

Dr. Stacey Hall will speak about the implant process and the different options.

WHEN: 6:30 - 8:30 p.m.

WHERE: Williamsburg Center for Dental Health beside the Fresh Market on Monticello Ave. $$: free CONTACT: 757-565-6303

18 BIRTH CIRCLE

Pregnant women and new mothers are invited to gather for support.

WHEN: 6:30 to 8:30 p.m.

WHERE: Williamsburg Regional Library $$: free CONTACT: bmva.williamsburg@gmail.com

20 BYOK

Bring your own kayak and paddle along Queen’s Creek with park staff.

WHEN: 9 a.m.

WHERE: New Quarter Park $$: free with own kayak; $30 rental fee CONTACT: 757-259-6859

LANDSCAPE YOUR GARDEN LIKE A PRO

Learn tips and tricks to having the nicest yard in the neighborhood.

WHEN: 10 to 11:30 a.m.

WHERE: Williamsburg Botanical Garden $$: free CONTACT: williamsburgbotanicalgarden.org

24 COMMUNITY RESOURCES FOR SENIORS

Edgeworth Park at New Town presents this lecture for seniors and their caretakers.

WHEN: 2 p.m.

WHERE: Edgeworth Park at New Town $$: free CONTACT: 757-663-5677

THE ABC'S OF HEPATITIS C: AN OVERVIEW FOR BABY BOOMERS

Dr. Shahwali Arezo presents this lecture as part of The Doctor Is In series.

WHEN: 6:30 p.m.

WHERE: Riverside Doctors’ Hospital $$: free CONTACT: 757-585-2010

25-27 EAST COAST HEALTHY LIFESTYLE EXPO

Participate in or attend this educational and life-changing expo.

WHEN: Times vary, visit website WHERE: Holiday Inn Patriot and Conference Center, Williamsburg $$: $5-$51 CONTACT: ECHLExpo.com

27 NATURE WALK

Learn about the various plants and wildlife of Freedom Park on this walk.

WHEN: 8 a.m.

WHERE: Freedom Park $$: free CONTACT: jamescitycountyva.gov/recreation

ESTUARIES DAY

This outdoor celebration includes a race, hiking, biking, paddling, seining, and more.

WHEN: 9 a.m. to 3 p.m.

WHERE: York River State Park $$: $4 parking fee; separate registration fee for race CONTACT: 757-566-3036

Brookdale Williamsburg & Brookdale Williamsburg ComfortKeepers

TPMG Lung and Sleep Specialists

Comfort Keepers

Welcoming you to our new location in Williamsburg

Invite to Participate Invite YouYou to Participate In Our In OurPOLICE MEMORIAL JAMES CITY COUNTY JAMES CITY CFUND OUNTY POLICE MEMORIAL FUND GOLF TOURNAMENT GOLF TOURNAMENT ON on FRIDAY, SEPTEMBER 9 Friday, September 9th at The Tradition GolfATClub at Stonehouse TH

THE TRADITION GOLF CLUB AT STONEHOUSE 9700 MILLby POND RUN25 Register August TOANO , VA 23168 757-941-9028

Vijay Subramaniam, MD, FCCP

ALLALL PROCEEDS BENEFIT THE JAMES ITY CCOUNTY OUNTY PPOLICE OLICE T OWARD PROCEEDS BENEFIT THE JAMESCCITY TOWARD CONSTRUCTING POLICE FORFFALLEN OFFICERS CONSTRUCTING A PAOLICE MMEMORIAL EMORIAL FOR ALLEN O FFICERS MEMORIAL FUND

RaeMarie Johnson Davis, PA-C

Sarah L. Rollins, NP-C

We provide customary, excellent care in pulmonology and sleep medicine, including diagnosis and management services and advanced procedures.

$100 PER GOLFER $350 PER FOURSOME

$500 PER HOLE SPONSOR & FOURSOME (Provide your own table, marketing resources and people at the hole.

You’re encouraged to offer contests at your hole to raise additional JCC Police funds.)

HOLE CONTESTS, RAFFLE TICKETS AND PRIZES WILL BE OFFERED!

SHOTGUN START AT 10:00 A.M. REGISTRATION – 8:30 A.M.

UNLIMITED RANGE BALLS – 8:30 A.M. CALL TO CARTS – 9:50 A.M. HERB-BAKED CHICKEN BUFFET & AWARDS CEREMONY FOLLOWING ROUNDS

Open in Newport News on Wednesdays and Thursdays

ACCEPTING NEW PATIENTS

mytpmg.com

Tidewater Medical Center at New Town 5424 Discovery Park Blvd.

Bldg. B, Suite 204 Williamsburg, VA 23188 (757) 707-3999 Tidewater Medical Center 860 Omni Blvd., Suite 114 Newport News, VA 23606 (757) 707-3999

Trust your care to Williamsburg's only fellowship-trained allergists 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443 895 City Center Blvd. Ste 302 Newport News, VA 23606 (757) 596-8025

www.allergypartners.com/hamptonroads

Dr. Timothy Campbell

Cleveland Clinic Foundation

Dr. Stephen Shield University of Tennessee

Do you experience hearing difficulties in restaurants, church or on the phone?

Do you experience memory problems?* Do you have ringing or buzzing in your ears?

Do you hear, but can’t understand?

If you answered yes to any of these questions, you should have your hearing evaluated by an audiologist. Today’s hearing aids not only have superb noise suppression and smart directionality, many are also waterproof and rechargeable.

Some even offer relief to tinnitus sufferers.

Colonial Center for Hearing

Jude Liptak, Au.D.

Bethany Tucker, Au.D.

Audiologists at Colonial Center for Hearing undergo extensive training on a monthly basis to ensure the highest quality of care provided to our patients.

WANTED 30 PEOPLE

Who have trouble hearing and understanding in noisy environments to evaluate the newest SMART, WATERPROOF and RECHARGEABLE hearing aids. We work with virtually all manufacturers of hearing aids in the world to match your hearing situation with the best possible hearing aid.

Call TODAY to schedule a complimentary hearing screening performed by our award winning audiologists.

Call us today to schedule your appointment!

757.229.4004

430 McLaws Circle, Suite 101 • Williamsburg, VA 23185

�

*Monitoring of hearing loss is crucial when memory issues are present.

Multiple studies have shown that hearing loss is independently associated with dementia.

Offering

�

State-of-the-Art Facial Vein Therapy

WILLIAMSBURG

Plastic Surgery 333 McLaws Circle, Suite 3 Williamsburg, VA 23185

In addition to Juvederm® we now offer

NEW Juvederm® Voluma™ XC! Facials | Botox® | ViPeel® | Latisse® Facial Vein Treatment | Kybella | Liposuction Tummy tuck | Eyelid surgery | Facelift Sculptra®aesthetic | Neck rejuvenation Breast reconstruction | Laser skin resurfacing Breast augmentation & reduction Laser hair removal for men & women

before

after

Johnstuart M. Guarnieri, M.D. Board Certified Plastic Surgeon

• Non-invasive spider vein treatment.

• A typical treatment for facial veins takes only 20-30 minutes.

• No pain and no down time!

• Better results than laser or IPL.

Dr. Guarnieri—the doctor for people who want to FEEL GOOD about themselves.

Following us on Facebook or call us at 757-345-2275

Yale University School of Medicine

"Every Body is Born Beautiful."

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follow us on facebook Formerly known as Aesthetic Center for Cosmetic and Plastic Surgery

special advertising section

second opinion What is Hepatitis?

Hepatitis refers to an inflammation of the liver. It may or may not be caused by a virus. Sometimes it can be autoimmune which means that it is caused by the body’s own immune system overreacting.

If viral, in this country, hepatitis will almost always be type A, B, or C and the difference among these three is huge.

Hepatitis A is usually transmitted from consumption of contaminated food or water. Hepatitis B and C are transmitted when blood, semen, or another body fluid from a person infected with the virus enters the body of someone who is not infected.

Viral hepatitis can be acute or chronic, the latter being an infection that remains in the body which can then lead to the development of cirrhosis and, sometimes, liver cancer.

The incidence of chronic hepatitis is 0% with type A, 10% with type B and about 80% with type C. The unfortunate reality of Chronic Hepatitis B is that it is not curable, but it can be very effectively treated thus preventing cirrhosis development. It is preventable by vaccination. On the other hand, many cases of Chronic Hepatitis C are curable without prolonged toxic therapy. No vaccine exists as yet but research is ongoing.

Ralph Robertson, M.D.

Medical Director of Lackey Clinic 757-886-0608

I have a bump on my gum that occasionally drains white fluid, but it doesn’t hurt and no teeth hurt. Should I be concerned?

What this sounds like is a draining abscess, which is an infection associated with either the root of the tooth or the gum tissue around the tooth…or both. Bacteria accumulate in the root due to decay, or a dying tooth, or in the gum due to a deep pocket that has collected debris, creating pus.

If left there, the bone and tissue break down creating a tunnel in the gum, called a draining fistula. Because the area drains into the mouth and no pressure forms, there will typically be no pain. You may get a foul taste in your mouth and only sporadic pain.

The tooth and/or gums need to be treated to remove the source of the bacteria. If caused by the root of a tooth, a root canal is necessary. If caused by the gum tissue, treatment of the tissue is required. Not taking care of these issues will cause pus to build up creating more destruction to the bone and tooth. The infection can become severe.

If the infection is on the lower jaw, it can cause swelling in the floor of the mouth, closing the airway to breathe. If it is on the upper jaw, the infection can spread to the sinus and then to the brain. Therefore, early treatment is less invasive and strongly recommended!

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

What are some of the recent technological advances in hearing aids?

Hearing aids have certainly come a long way over the recent years, and continue to develop steadily alongside other technological breakthroughs.

From the aesthetic aspect, the receiver-in-the-ear style has proven to be a great and inconspicuous solution that can fit a wide range of people with hearing loss. Completelyin-the-canal is another virtually invisible option. When selecting the style appropriate for each patient, the main considerations are the degree of hearing loss and the patient’s dexterity.

In addition to being discreet, hearing aids have become water resistant and some even entirely waterproof. Sweat and humidity are far less worrisome now. And so is the drag of battery replacement. Many models now come with an option that allows patients to charge their hearing aids overnight, right next to their phone.

Technology continues to evolve and giant steps have been taken in helping those with hearing loss, especially in challenging listening environments. One of the newest models is revolutionary and patients have been amazed by the difference in understanding conversations in noisy situations. It is truly delivering a natural sound quality that enhances speech without having to directly look at the person speaking. It breaks from the traditional directionality/beam focus and allows you to hear clearly all around you.

your health care questions answered

Bethany Tucker, Au.D. Colonial Center for Hearing 757-229-4004

thehealthjournals.com | 13

in the know | profile

Joe & Sam W

kay

hen Joe Kay retired from full-time work in 2007, he gave himself a gift: a skinny chocolate Lab puppy named Daniel, a stray that had been terribly sick with vomiting and diarrhea.

“Daniel was just so calm while he was at the vet, even though he felt horrible,” Kay recalls. “Then we brought him home and found out he wasn’t calm—not at all. But he’s still one of my best gifts ever.”

Rescuing animals has been a lifelong passion for Kay and his wife of 50 years, Sam. For 26 years, the Poquoson, Virginia, couple has helped operate or volunteered at Animal Aid Society, a no-kill dog shelter in Hampton, Virginia.

They also have taken in numerous dogs as fosters or permanent pets, many of them older or dealing with significant health issues.

In return, the animals

14 | thehealthjournals.com

by Alison johnson

have kept Joe and Sam—both in their early 70s—active and happy.

“We do a lot of walking, but they also give us such companionship,” Sam says. “It’s just very comforting.”

Both Joe and Sam had multiple pets as children. Born in New York, Joe grew up on a farm and once nursed an abandoned baby deer to adulthood; his sister raised an orphaned raccoon. Sam, a native of Bedford, England, had cats and dogs, all mutts. The two met when Joe, an Air Force veteran, was serving his first overseas tour.

The Kays settled in Virginia in 1986. Sam, who had volunteered with the SPCA when she lived in Colorado, heard about Animal Aid from a radio advertisement and took Joe to walk a few dogs one Tuesday. By the following weekend, they were regular volunteers.

Since then, Joe and Sam have held numerous board positions and still volunteer for 13 to 14 hours during a typical week. They help with everything from walks and feeding to giving medication and making vet trips. Sam, a secretary during her career, also keeps intake and adoption forms up to date.

Founded 42 years ago on a shoestring budget, Animal Aid has capacity for 41 dogs and includes strays, surrendered pets and dogs plucked from kill shelters. All undergo temperament tests to ensure they’re not aggressive. The shelter takes in all breeds and sizes, although hounds and Lab mixes tend to predominate. Animal Aid finds homes for about 150 dogs a year, carefully screening prospective adopters by requiring all family members to meet an animal and making home visits.

You work with them and then they’re adopted into a better life than they could have ever had without that help. There’s a lot of reward in it.

“Some of these dogs come in scared of people, or they won’t walk on a leash at all,” Joe says. “You work with them and then they’re adopted into a better life than they could have ever had without that help.

There’s a lot of reward in it.”

The Kays’ current personal pack has four dogs, all 8 or older: Daniel; Tristan, a hound that was recovering from hip surgery; Minnie Pearl, a beagle born with a bad heart; and Sunshine, a beagle dumped at the shelter with such bad legs that she can’t walk, only waddle. Joe and Sam—also parents of two grown human sons with multiple rescue dogs—don’t mind that their house can get pretty loud.

“Rescues are so appreciative, and if they start out shy and mistrustful it’s wonderful to watch them blossom,” Sam says. “When you think about what they may have been through, you also realize how brave they are. They’re an example to us all.”

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For information about dogs available for adoption at Animal Aid, visit animalaid-va.org or Facebook, or call (757) 865-0511.

The shelter, located at 80 Butler Farm Rd., in Hampton, is open 9 a.m. – noon daily.

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in the know | advances in medicine

New Program Could Reverse Heart Disease

By Jamie McAllister

W

ant to stop heart disease in its tracks? The Ornish Reversal Program, offered by Sentara Princess Anne Hospital in Virginia Beach, could help you do just that. Scientifically proven to halt the progression of heart disease and, in some instances, even reverse the damaging effects, the program is the first of its kind in Virginia.

Created by Dr. Dean Ornish, physician to former President Bill Clinton, the program focuses on four key areas to improve heart health: nutrition, exercise, stress management and emotional support. The program consists of 18 sessions, each lasting four hours. Participants learn how to live a heart-healthy lifestyle from a team of seven professionals, including cardiologist Dr. Gunadhar Panigrahi, program director Sharon Henley, a nurse case manager, and experts in the fields of stress management, behavioral health, fitness, and nutrition.

“Studies have shown that comprehensive lifestyle changes like those learned in this program can lead to improved heart function,” says Dr. Panigrahi. “There are immense benefits for patients who take part in this program, since reversal of symptoms can result in a higher quality of life.”

The Ornish Reversal Program is unique in its approach to care, as it addresses the causes of heart disease, rather than symptoms. Since a healthy diet is the cornerstone of wellness, nutrition is one of the four focuses of the program. Sentara Princess Anne’s executive chef prepares an Ornish-approved lunch for participants to enjoy during an educational session twice a week.

Physical activity is also vital to heart health, and a fitness expert is on hand to explain the benefits of both cardiovascular exercises and strength training. During the sessions, participants learn which activities are most beneficial for them, as well as proper techniques to avoid strain or injury.

The program also explores ways participants can get a handle on their stress levels, as limiting or avoiding stress is essential for a healthy heart. Several stress management techniques are highlighted in the sessions, including restorative yoga, which can be modified by using a chair for those who are unable to get on the floor; muscle relaxation, a process that focuses on tensing and releasing muscles in the body; and guided imagery, a way to use positive words and images to promote relaxation and create positive thoughts.

16 | thehealthjournals.com

advances in medicine | in the know

The fourth component of the program is emotional support, an aspect often overlooked in traditional treatments that only focus on the symptoms of a disease, not the whole person. Emotions play a huge role in how we process information and react to the world around us, so being aware of what we think and feel is important for achieving optimal heart health.

A licensed counselor leads group discussions for participants and provides them with an outlet to talk about the changes they are working on in their lives, as well as any obstacles they may be facing.

“Many times people turn inward after heart surgery or illness,” says Sharon Henley, program director.

“Being part of this program will help people learn how they can connect with others and reconnect with important people in their lives. The group sessions give them an outlet for talking about their experiences and their emotions.”

The Ornish Reversal Program is all about fostering connections between heart patients and the foods they eat, the activities they engage in, their emotions, and their friends and family. “Love and support make a huge difference in our lives and our health,” says Henley. To that end, she suggests participants who finish the program create alumni groups to continue providing each other with encouragement.

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The Ornish Reversal Program is covered by Medicare, as well as many commercial insurers. A referral from a cardiologist is required before a patient can take part in the sessions. Currently the sessions are only being held at Sentara Princess Anne Hospital in Virginia Beach. To qualify for the program, one of the following conditions must be met: • Acute myocardial infarction within the preceding 12 months • Coronary artery bypass surgery • Current stable angina pectoris • Heart valve repair or replacement • Percutaneous transluminal coronary angioplasty or coronary stenting • Heart or heart-lung transplant • Other conditions may be approved based on individual coverage

For more information, visit www.ornish.sentaraheart.com or call 877-888-3091.

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features | hot careers in healthcare

TOP HEALTH CAREERS FOR 2016

(AND BEYOND)

by Dr. Daniel Shaye

W

hat are great careers in health care?

Ashley Bell, Campus Director of Career Services for Virginia-based ECPI University’s Medical Careers Institute’s College of Health Science, states that beyond earning potential, “job security, flexible scheduling, and employability are definitely notable influences in the decision to enter the industry.” The best career depends on your unique goals, aptitude, ability to handle stress, and even family situation. Though medical physicians continue to be top-earners at $150K to $300K per year, medical school is not for everyone, and stress and quality of life issues are substantial. This article reviewed several lists analyzing job trends and opportunities in the health care industry.

Also included is input from local experts and 18 | thehealthjournals.com

educators from the Hampton Roads region.

Without further delay, here’s a list (in no particular order) of the top health care careers of 2016:

Audiology

Whether you’re considering becoming an audiologist, or a hearing aid specialist, this field is hot and on point. Forbes projects the demand for audiologists to grow 29 percent over 10 years (2014 -2024); and with audiologists pulling in a median salary of $73,060, it’s a financially viable career. The audiologists I know seem happy and satisfied by the work they do. Says Williamsburg, Virginia, audiologist Jude Liptak, Au.D.: “[What we do] improves quality of life.

Hearing instruments and their amazing

technology fascinate me. I really love what I do, and interacting with my patients. I also try to turn them all into hockey fans.”

Oral health professions (dental hygienist, orthodontist)

Dr. C. Donald “Don” Combs, Vice President and Dean of the School of Health Professions at Eastern Virginia Medical School, calls the oral health field a “growth opportunity.” ECPI reports continuing and strong enrollment in their dental hygienist program, driven by employer demand; and nationally, hygienists command an annual salary of $70K. On the postgraduate (doctoral) level, orthodontists are specialty-trained dentists who tend to find their work rewarding. With orthodontists earning a median salary of $187K, this

hot careers in healthcare | features

WHAT'S DRIVING CHANGES IN HEALTHCARE? growing niche (projected 10-year growth 18 percent) provides a solid career.

Optometrist

This is a postgraduate, doctorlevel position, so it’s not readily accessible to all; but the benefits are substantial. Practitioners can work as partners, in solo practice, or as employees of both small and larger chains.

WalMart is a threat to smaller practitioners, but Walmart.com notes that they pay their in-house, independent practitioners a gross median income of $155,000, “with the top 20 percent of practices averaging $345,000 in income.”

That’s better than the reported median salary of $101,410.

With relatively low physical and mental stress, this doctoral-level career can be a great option for work-life balance.

Physical therapy (physical therapist, physical therapy assistant, physical therapy aide)

All of these careers make top lists for 2016. At the top of the educational chain is D.P.T., Doctor of Physical Therapy. A strong advantage of this profession is their referral networks with medical doctors who often share a facility and “cross pollinate,” or refer patients back and forth.

Demand is strong, with good growth outlooks. Though licensed and trained as a doctor of chiropractic, Dr. J.P. Amonte notes that physical therapy positions are well-positioned for a future in which “patients are educating themselves more and looking for alternatives to drugs, injections, and surgery.”

Considering a 2016 Johns Hopkins study showing medical errors as the third leading cause of death in the United States, patients are wise to consider conservative options.

Chiropractic

Like physical therapy, Doctors of Chiropractic (D.C.) are tapping into a trend towards conservative care that sets drugs and surgery as options to be explored cautiously, and only when lower-risk options have been fully explored. These doctors are specialty-trained in spinal function and health, but they may also specialize in sports medicine or perform acupuncture. They report good alignment between their personal focus on healthy lifestyles, and their mission to bring that reality to the patients they serve. Forbes’ career-cast for 2016 lists this profession in the top 10, with a 17 percent ten-year projected growth, and a median salary of $67K (average total compensation $122K, per Chiropractic Economics).

MarketWatch lists Doctors of Chiropractic (D.C.) at number one for job security, with 0.1% unemployment. High debt loads over $200K for new graduates are common, so a chiropractic doctor needs strong business acumen and interpersonal skills, as well as skills as a diagnostician and healer.

Physician Assistant (PA)

Once a certificate-based program (PA-C), this career is now a full-fledged, masterslevel postgraduate degree. Dr. C. Donald “Don” Combs, Vice President and Dean of the School of Health Professions at Eastern Virginia Medical School, notes that in many medical settings and even in Emergency Rooms, a PA will likely be the first contact, not a physician. With the number of physicians per capita in decline, physicians will have to practice at the top of their scope of practice, and delegate more.

Says Combs, “We need to find ways of being more efficient, to minimize physician time

EVMS’ Dr. C. Donald “Don” Combs cites several major drivers, in addition to legislative changes: Increasing availability of data – and the need to analyze it EVMS has a Healthcare Delivery Science master’s program. This program aims to harness the tremendous quantity of data being captured by EMR (electronic medical records) software and surveys. The end-goal of so-called “Health Data Analytics” is to identify which therapies and ways of doing things are most effective.

Increasing prevalence of chronic disease Combs states, “Most of my aunts and uncles died of heart disease in their 60’s.” Today, the pressing challenge is chronic disease such as an epidemic of diabetes and arthritis.

The “Silver Tsunami” 70-80 million aging baby boomers are living 20+ years past retirement, bringing unique challenges and opportunities for our health care system.

A search for efficiency American healthcare is grossly inefficient. We spend $3 trillion per year (almost 20% of the US economy) on healthcare, which is almost half of all worldwide spending on health – for 5% of the world’s population.

Increasing focus on culture Combs notes, “Culture trumps strategy, every time.” He clarifies, “If your friends are overweight, you’re likely to be overweight.”

Creating healthy cultures, says Combs, is key to healthy business, healthy individuals, and a healthier world. on paperwork or routine issues. People trained to handle those jobs can pick up those tasks.” Modern PA’s are highly trained, and in many cases the patient may not even realize that their “doctor” is in fact a “physician extender” degreed as a PA, working under the doctor’s license. Says Combs, “All of our graduates have jobs by the time they graduate.”

Massage therapist

The median salary is $37,180, which is good for a certificate-level profession; and with just 3.9 percent unemployment, there’s plenty of work to go around. An estimated 18 percent of Americans get at least one massage each year. Hourly pay as an employee can vary dramatically, from $10-$15 per hour, up to $40+ per hour. Successful independent practitioners can thrive if they have marketing and business skills, in addition to the personality and hands-on skills required; but 45 percent of massage therapists also earn income working in another profession, so solo practice is not viable for all. As with any hands-on professions, physical injury (common in the wrist and rotator cuff) is a threat. If you’re considering this profession, be physically fit and consistently use leverage to accomplish your work. thehealthjournals.com | 19

features | Bocce, the bay & Best friends

Bocce, The Bay & Best Friends A PARTNERSHIP BETWEEN A VIRGINIA BEACH LIFE PLAN COMMUNITY AND LOW-INCOME AREA ELEMENTARY SCHOOL CREATES LASTING MEMORIES

W

hat do fifth graders and adults over age 62 have in common?

More than you might think.

Three years ago, Westminster-Canterbury on Chesapeake Bay (WC) formed a partnership with Seatack Elementary School in Virginia Beach, where the majority of children are on free or reduced lunch programs.

Residents from WC began visiting the school, teaching the 5th graders there how to play bocce, croquet and Ping-Pong, games that were foreign to most of the students. To celebrate their promotion to middle school and show off their new skills, the students then traveled across town to WC at the end of the academic year. The event is called “Field Day on the Bay” and this year it took place on June 10.

20 | thehealthjournals.com

In WC’s backyard, students played the three games with their new friends and ran along the shoreline, splashing in the Chesapeake Bay, a rare opportunity for most of the 11-year-olds.

Vincent Darby, principal of Seatack, explained that “many of our students are devoid of meaningful conversation. When someone takes interest in our students, it shows them that someone cares. It has a glowing effect that you can see on their faces. These students don’t have many of the experiences we take for granted.”

“Our members enjoy [living here]. And, like anything you enjoy, you want to share the beauty and the joy with others. Our members get to demonstrate the benefits of a healthy, fun lifestyle to the students,” says Emma Weddell, senior manager of Resident

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Life and Wellness. “It’s the perfect way for the residents to share their passions and teach the students unforgettable lessons in discipline, cooperation and teamwork.”

“It’s as good for the adults as it is for the students,” says WC resident Pete Bondi.

“It’s a truly unique situation to put these two groups of people together and the results couldn’t be any better. We form great relationships, and we hope to become role models in some way.”

Carol Walters, another WC resident who has participated in the event each year, says Field Day gives the students an idea of what older people do. “We still play games!” she says. “A healthy, active lifestyle is important at any age, and we couldn’t be happier that we can provide this experience for [the students] at Seatack each year.”

Peripheral Neuropathy

If you have pain, numbness, tingling or burning in your feet or legs or balance problems you may be suffering from Peripheral Neuropathy.

Common causes of neuropathic pain causing short circuit in the nerves: Reduced blood flow to legs and feet, nerve Demyelinization due to Diabetes or Pre Diabetes, Chemotherapy, Statin overuse or Spinal stenosis.

Nerves may adapt to damage by contracting. Gaps between nerves expand. Nerve impulses going to and from the brain, muscles and blood vessels become obstructed or impaired causing pain.

We treat Peripheral Neuropathy utilizing a specialized Biofeedback Circuitry which: • Relieves Pain • Improves nerve signal conductivity • Improves blood flow • Re-educates muscle

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features | How Sun-Smart are you?

Avoiding heat-related illness by lillian H. Stevens

L

hangout for the day.

Heat exhaustion was the last thing on my mind, but it shouldn’t have been, especially since I was already sunburned. Although heat exhaustion isn't as serious as heat stroke, it should not be taken lightly because it can progress to heat stroke, which can damage vital organs, and even be fatal.

On top of my sunburn, there was that August heat, thick humidity and general lack of a breeze. Two hours in I thought to

myself how incredibly hot and humid it was, then suddenly I was overtaken by a feeling of extraordinary lightheadedness. I was also sweating heavily. Feeling woozy, I slowly got up and walked to the water’s edge. The cool, wet sand felt good and the waves washing over my feet felt good too. Deciding that I’d had enough heat and sun, I bid my friends adieu and walked up to the cottage for a shower and some air conditioning.

According to Dr. Johanna Larrazabal, a physician with Riverside Internal Medicine and Family Care, a Hampton Roads,

ike many who grew up in the 1970s, I loved a sun-bronzed look so I “tanned” in the summers. By my late 20’s, lazy summer days were traded for active afternoons outdoors with my fairskinned children (and abundant sunscreen).

I’m proud to say that no one in my family ever suffered a heat-related incident. Until my own episode last summer.

It was day four of a weeklong “...early signs that you need to get beach trip with my girlfriends.

Already sunburned, I slathered on out of the heat often mirror a lot of sunscreen and donned a floppy hat before setting off with exactly what I had experienced.” my friends to stake out our beach

22 | thehealthjournals.com

How Sun-Smart are you? | features

Virginia-based practice, early signs that you need to get out of the heat often mirror exactly what I had experienced.

“Typically, there is lightheadedness, which can precede passing out,” she says. “Some people might experience changes in vision or changes in the heart rate. When the body becomes overheated, a person might also sweat profusely or feel faint.”

Inside the cottage, after my shower, the nausea hit me with astonishing force. I decided to lie down for a bit.

yourself

Every time I’d change my position, though, the room would spin.

Sitting up was out of the question. The nausea and vomiting I’d experienced were apparently signs that my condition could have become severe.

“Nausea and vomiting are symptoms that one might experience prior to heat stroke,” says Dr. Larrazabal.

Obviously, the best thing to do in a situation like this is just what I did: get out of the sun as soon as possible. If the symptoms are mild, cool and hydrate the body. Recommended strategies include drinking plenty of fluid and taking a cool shower or bath.

In hindsight, I should have seen a doctor. Mine was a happy ending but it could have easily been otherwise. “When in doubt, always be seen,” says Dr. Larrazabal. “You cannot check your own vitals. Sometimes patients hesitate but when you start feeling signs that your internal thermostat is not working properly, get to a doctor.”

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features | unused vacation days

Not Taking It AMERICANS' UNUSED VACATION DAYS by teresa bergen

I

n offices and worksites all over the U.S., employees are choosing to work rather than take vacation days. About 41 percent of workers forfeit some of their annual vacation time, according to a study commissioned by the U.S. Travel Association.

Why would workers report to their retail job rather than jetting off to Hawaii or packing their kids for a car trip to Yellowstone?

“There are mixed feelings on vacation time, and these feelings depend heavily on the company culture,” says Amy Marcum, senior human resources specialist in the McLean, Va. office of Insperity. Forfeited vacation days are most common in commission-based sales, and in the hospitality, HVAC and construction industries, Marcum says.

Matt Paddock has noted a heroic aspect to working 80 or 100 hours in a week.

“And almost regardless of results, which I think is kind of weird,” says the general manager of Norfolk, Va.based digital agency Grow, a company which is trying to

24 | thehealthjournals.com

change this attitude toward vacation. “If we see a person who’s putting in extraordinary effort and getting extraordinary results, that’s a great story. But if your work culture is just about putting in more effort regardless of the results, it’s the classic working smarter/harder equation. Why would you let somebody just kill themselves, coming in on the weekends, working nights, unless there’s a real clear ROI on it?”

The Shrinking Vacation Unlike most other countries, employment in the U.S. is predominantly at-will. Unless a worker has a contract stating otherwise—or lives in Montana, the one state with a good cause rule—an employer can terminate him or her whenever, without a reason. Wages, benefits and paid time off can also be altered at the employer’s discretion. In fact, the U.S. is one of the few countries in the world that doesn’t require employers to provide paid holidays and paid vacation. About 23 percent of American workers get zero. It’s no wonder that many Americans regard vacations as a privilege rather than a right.

From 1976 until 2000, American workers averaged 20.3 days in annual vacation. But in 2000, the number began steadily slipping.

Recession and layoffs meant that fewer workers had more responsibilities. And a huge pool of unemployed people were knocking at the door, hungry for a job.

In a recession environment with at-will employment, workers didn’t want to be seen as less than 110 percent committed. By 2014,

the average vacation days taken had slipped to just 16, according to the U.S. Travel Association study. This adds up to $52.4 billion of discarded benefits every year.

“I don't know that I’ve ever talked to somebody who said, ‘If I take the time, I’ll lose my job,’” says Paddock.

“I think it’s more death by a thousand cuts. If you take the time routinely, there could be the perception that you aren’t working as hard as other people, you’re not as committed as other people.”

Benefits However, vacationing has measurable benefits.

Studies sponsored by both the National Institutes of Health’s Heart, Lung, and Blood Institute and the Framingham Heart Study showed non-vacationers faced dramatically increased odds of dying of heart disease or heart attacks.

Other studies concluded that vacationers decreased their stress and depression, and increased their workplace productivity.

And the anecdotal evidence

unused vacation days | features

“

...accept that time off is good for you and good for your company... Put those vacation dates on the calendar and arrange your work accordingly.

is obvious. “Employees typically return to work reenergized and are able to focus and be more productive than prior to the vacation,” says Marcum. “They will also be in a happier mood, which can be contagious in the workplace.”

Companies’ Efforts to Encourage Vacations Depending on your company’s culture, you may or may not be encouraged to take vacation time. “There are still some employers that send mixed signals to staff about utilizing vacation days by saying the benefit is there for employees but then either not approving dates that are requested or making backhanded comments about the employee’s time away,” Marcum says.

Other companies want to

avoid the liability of having excessive unspent vacation hours on their books. Plus, they see the productivity benefits in workers who vacation. These employers remind workers about unused vacation time, but employees still may resist taking time off.

As a fast-paced, project-based firm, Grow had many of these resistant employees. “They basically say, ‘We’ll take that time at the end of the project,’” says Paddock. “But of course after that project there’s another one.” He admires their motivation: “People don’t want to leave their teammates in the lurch.”

So Grow decided to close shop for a week at Christmas and during the Fourth of July week. “We have to tell clients we’re shutting down for a week. That is a huge deal.” But the improved morale and employee retention are worth it.

A Vacation Plan How do you avoid being what the U.S. Travel Association terms “a work martyr?”

First, accept that time off is good for you and good for your company. Then plan ahead.

Put those vacation dates on the calendar and arrange your work accordingly. When you

“

return from vacation, share a few photos and vacation stories with your colleagues.

You might inspire them to use their vacation time, too.

Randal Houle, a family service counselor in the funeral industry, has changed his attitude about taking days off. “I have skipped vacation time in the past, but I'm unlikely to do so in future years,” he says.

“I was in a commissiononly job, so taking time off cost me money. For the last couple years, I have been very good to myself. Now I plan ahead for vacation and make it part of my business plan. I no longer see it as lost opportunity but an investment in myself and in fact why I actually work.”

thehealthjournals.com | 25

features | Alexa Halko Headed to Rio

Spunk and Skill:

ALEXA HALKO FINDS HERSELF IN ADAPTIVE SPORTS

I

By Beth Shamaiengar • Photography by Brian Freer

f you found yourself, as I did recently, sitting at a local Starbucks, chatting over strawberry smoothies with 16-year-old Alexa Halko, you would likely never guess two all-important things about her.

First, that due to cerebral palsy she’s struggled her whole life with “walking all crazy,” in spite of numerous surgeries, years of physical therapy, Botox treatments, and wearing splints every night.

And second, that she’s one of the world’s best in wheelchair racing. After becoming a U.S. Paralympic athlete in 2014, she competed last year in Qatar, last month in London, and next month she’s headed to the Paralympic Games in Rio de Janeiro as the track and field team’s youngest female, having already set two world records this summer.

A rising junior at Williamsburg’s Jamestown High School, she’s remarkably easygoing, seemingly unfazed by either the daily challenges of her cerebral palsy or the international competitions in her future.

Slightly shy, but with a ready laugh, she sounds like many teens—she says it’s harder to train in the lazy days of summer, and that watching movies and going to Barnes & Noble are favorite activities in her free time.

Given her athletic success, most surprising is her humility, as if she can’t yet imagine what one U.S. Paralympic coach already knows—that Alexa’s “going to take this sport to a whole new level.”

SPEED AND FREEDOM AT LAST ATTAINABLE

Alexa was diagnosed at 18 months with spastic diplegia, a comparatively mild form of cerebral palsy affecting her only from the waist down.

The spasticity (or constant contractions) of her leg muscles causes tightness that makes walking somewhat

26 | thehealthjournals.com

difficult, and she struggles with balance, sometimes tripping. She also “teeters” when she walks and has to hold railings when climbing stairs.

Still, she insists, “I have it a lot easier than most people.” Of her medical treatments over the years, she says, “If I didn’t do all those things, I would be walking horribly.”

She first tried wheelchair racing at age seven when her family lived in Oklahoma. A woman with a local adaptive sports program (for athletes with disabilities) noticed Alexa’s walking and asked if she’d consider trying wheelchair sports.

Alexa’s mother, Elesha, explains that for many with cerebral palsy, if they can walk at all, a wheelchair is seen as a last resort.

At that time, Alexa walked only with substantial effort, and she would soon have major surgery to improve her situation. “Our goal has always been to keep her walking,” Elesha says, but she and her husband Peter, in the end, changed their minds.

And Alexa, after her first turn in a borrowed racing chair, was hooked.

“I instantly loved it,” she says emphatically, laughing now at the memory. “See...back then I was going slow everywhere, and tripping, catching myself all the time. And whenever I was actually in the chair, it was a way to go way faster than I’d ever been able to move around.”

THIS GIRL’S “GOING TO BE GOOD”

Thus began her new chapter in adaptive sports, with wheelchair basketball every fall, and wheelchair racing every spring.

Even early on Alexa exhibited exceptional racing prowess, and Elesha says U.S. Paralympics coaches had been watching her (as an athlete with a disability) at camps

Alexa Halko Headed to Rio | features

and competitions since she was 10, when she first qualified to compete at the junior national level. Once she turned 14, she was invited to get a Paralympics license and compete internationally on the U.S. team.

She now races in 100-, 400- and 800-meter events, in the Paralympics’ T34 classification, with athletes who have similar neurological conditions.

Moving to Williamsburg around that same time, Alexa connected with Sportable (www. sportable.org), an adaptive sports program in Richmond. They had no track team, but she began playing wheelchair basketball on their Sportable Spokes team that, this past April, won a national championship. For Alexa’s wheelchair racing, Elesha found Drew Mearns, a well-known expert in American track and field who now coaches elite runners throughout Williamsburg with his Growing Runners program. He had no experience with wheelchair sports, but his regular workouts for runners have helped Alexa progress.

She now trains about three hours daily, including track or trail workouts in her racing chair, swimming, strength training, stretching and yoga. During the school year she adds wheelchair basketball to the mix.

Some observers attribute her success to her perennially positive attitude, but more important, her coaches say, has been her willingness to make changes for the better.

Teresa Skinner, a U.S. Paralympic coach in Spokane, Washington—who specializes in wheelchair racing—has worked with Alexa for years, first at various camps and more recently at international competitions. “She’s extremely coachable and has been from the beginning,” says Skinner. And she adds: “When you do what I do for many years, you can definitely spot raw talent, and I could tell that this girl was going to be really good.”

This past June, in the T34 800-meter event at the “Fast Cow” Invitational races in Indiana, Alexa set her first world record— a time of two minutes and 2.74 seconds— smashing the record held by one of her main international competitors, a British woman eight years her senior. Alexa was then qualified to compete in the U.S. Paralympic Trials in Charlotte late that month. There in the 800, she powered through what felt like “a wall of wind,” fearing she wouldn’t finish, but instead broke her own world record, punching her ticket to Rio. At a recent training session with Mearns

on a muggy afternoon, she looked the athlete part: wearing a sleek black singlet, her helmet and gloves, she knelt in her magenta racing chair. Keeping her head low, she practiced starts on the track again and again, aiming for the explosive bursts of speed that Mearns knows can shorten her race times.

After practice, though, Alexa looked like the teen that she is, her shoulder-length hair pulled back in a scrunchie, fingernails painted a bright teal, her bare feet in hot pink Crocs.

At 16, Mearns says, she has plenty of time to enjoy where she is right now, even if she seems ready to take her sport by storm. “She has a lot of growing to do [as a racer], so she can set her own pace,” says Mearns. “There’s no reason to rush it as long as she gets so much joy out of it.”

For Alexa, all the effort’s been worth it.

She’s achieved her longtime goal—going to Rio—and she’s had a blast doing it. Plus, she’s improved her health and has won many friends among more experienced athletes, whose guidance has helped in her sport, and whose company has made every competition feel like a reunion.

Succeeding in adaptive sports, says Alexa, “has changed everything for me.”

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your health | fitness

Don't Punish Yourself in the Gym

Pain-Free Workouts Work

By Laura SproTt

S

o you’re getting older—40, 50, or 60plus. You’re still active. You still make exercise a priority, and you’ve come to accept that a painful workout is just part of getting older. But it doesn’t have to be that way. Not at all. In fact, there shouldn’t be any pain while you go through the various movements of your exercise routine.

The goal is to make exercise for older adults accessible, practical and most importantly pain free. It’s about finding the best workout that maximizes comfort, while providing results.

and avoids lingering pain after the activity.

One possibility is finding ways to work the muscles without working the joints. That may be improving form, posture or running gait. It could also mean assessing a person’s pain-free range of motion and beginning exercises within that range.

The key is creating individualized therapies and exercises that meet the client where they are—not where they used to be or where they want to be—and helping them progress toward a goal of pain-free fitness.

PAIN DOES NOT ALWAYS EQUAL GAIN

FORM AND FUNCTION

“No pain, no gain.” That’s the timehonored saying of gym rats and exercise enthusiasts. But that just isn’t the case, especially for older adults.

Think about it. Who would continue doing an activity that causes ongoing pain and discomfort? Let’s face it, you’re less likely to stick with a workout or activity if it’s an unpleasant experience. The focus has to be on finding something you’re going to maintain. If you’re always hurting before, during and after a workout, you’re not going to stick with it.

What that means is finding solutions that keep older adults comfortable while in motion 28 | thehealthjournals.com

Regardless of age, exercise should always include a combination of strength training and cardiovascular exercise. The difference when working with older adults is thoroughly evaluating their fitness level based on factors including overall health, past or present injuries and chronic conditions like arthritis or osteoporosis. Then you have to consider their current level of activity: Do they exercise regularly, a few days a week or rarely.

How vigorously do they workout? Do they lift weights?

Once you’ve outlined those factors, then you can begin to assess the best exercises based on where they are and where

they want to be. Exercises may include developing functional movement strategies and techniques for targeting daily pain or mobility issues such as knee pain from getting up and down in a chair.

Form and mobility are the first things to focus on before moving on to more rigorous cardio or adding weights to strength training. Taking a step-by-step approach (and perfecting functional movements first) will ensure a more comfortable and effective workout.

What that means is instead of loading up on weight quickly, strength training for someone in their 50s or 60s may challenge them with more reps while focusing on form, before increasing weight. In terms of cardio, if someone has unstable hips or balance issues, running may not be for them. You’ve got to start off slowly and increase rigor over time to prevent injury.

The most important thing to think about in terms of exercise as we get older is the function of movement: picking something up off the floor and putting it on the shelf or walking with the grandchildren. Making exercise functional will keep older adults active and able to do the things they enjoy for longer.

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your health | FAMILY

by BRANDY Centolanza

A

s the new school year begins, students entering public school for the first time as kindergarteners as well as those beginning middle school will be required by state law to have up-to-date vaccinations. But what about a physical examination as well to ensure that they are healthy?

While Virginia mandates immunizations, it doesn’t require that students receive a checkup from a doctor each year before the start of a new school year, unless a student participates in sports. However, many local doctors throughout the Hampton Roads region feel an annual checkup for children is essential.

“It is important to have physicals prior to school entrance because school children and parents need to be counseled on promoting health, detecting disease, and preventing disease and future health problems,” says Dr. Eddie Smith, a family practitioner with Bon Secours Health System. “It is important to me because it gives me an opportunity to screen and discuss lifestyle habits such as diet, physical activity, sleep habits, dental care, and safety habits.”

During a routine exam, doctors check to ensure children are growing properly and that there are no signs of obesity. A patient’s hearing and vision are screened for any potential problems, and doctors also address any other health concerns.

30 | thehealthjournals.com

“These exams can help identify issues that may not be obvious to parents, issues that may affect their school and sports performances,” says Dr. Michelle Linkous with Pediatric Associates of Williamsburg.

Depending on the child’s age, physicians scope for developmental issues including social and emotional ones; concerns related to diet and activity; blood pressure; anemia; exposure to smoke or lead; and any chronic conditions such as asthma.

“If a child is not growing well, not receiving adequate nutrition or sleep, not taking medications appropriately, or has an undiagnosed medical issue, their performance at school will certainly be affected,” comments Dr. Linkous. Some children go for years without seeing a doctor, which poses risks.

“The physical, behavioral, and developmental health of children affect their ability to learn,” says Dr. Stacey Hinderliter with Riverside Brentwood Medical CenterPediatrics in Newport News, . “To succeed in school, all these areas need to be optimized.

A thorough wellness visit with a provider who has training in the care of children can assist parents in making sure that their child is ready for school throughout their education.”

More children have hearing problems in part because of the overuse of ear phones with music at high volumes. Poor vision is

also a concern for physicians, for without healthy hearing or eyesight a student won’t succeed in school.

Kindergarteners are the only students required to have a physical exam before school entrance, though The American Academy of Pediatrics recommends a child be seen yearly from ages three to five, and every other year thereafter through the age of 18. It is a good idea for students to be seen prior to entrance to college as well.

While there remains controversy over vaccinations, public schools still require them with very few exceptions, and doctors encourage them.

“It is beneficial to all kids because immunizations ensure that kids have less chances of getting many childhood illnesses that were common decades ago,” shares Dr. Smith. “Some of these illnesses are flaring up because kids are not getting immunized.”

Beyond inoculations, doctors encourage parents to screen for other conditions as often as possible.

“I want each child to enjoy going to school and perform at their best level,” says Dr. Hinderliter. “I want them to find something at school that they can master and become their passion in life. They need to feel good physically and mentally in order to do this.”

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your health | women's health

Common Condition Could Cause Infertility in Women

By Jamie McAllister

32 | thehealthjournals.com

M

illions of women struggle with a medical disorder they don’t even know they have. Polycystic Ovary Syndrome (PCOS) is the number one cause of infertility among women of childbearing age, and can also put a woman at greater risk of developing other serious, chronic conditions.

PCOS Challenge, Inc., a nonprofit dedicated to spreading awareness about the condition and helping women get the resources they need, estimates that 1 in 10 women have PCOS, but that half of them go undiagnosed.

Classic symptoms of PCOS include irregular menstrual cycles, acne, excess facial hair, and weight gain. Doctors are not sure what causes PCOS, but it is believed that higher levels of the male hormone androgen interfere with ovarian function. Research has also shown that women with PCOS often have low-grade inflammation in their bodies, which could be the reason the ovaries develop small, fluid-filled sacs, also known as cysts.

There are no specific medical tests for detecting PCOS. After taking into account all of a patient’s symptoms, the doctor excludes any other possible conditions before diagnosing PCOS. An ultrasound can also be done to provide an image of the ovaries, which in women with PCOS have distinct cysts, appearing like a “string of pearls.”

PCOS symptoms can begin soon after a young woman has her first menstrual period, or they can surface later on during her reproductive years. Heredity also plays a part. Women whose mothers or sisters have PCOS have a much higher chance of developing the syndrome themselves.

In many cases, PCOS manifests after substantial weight gain, which is why Dr. Jeanne Marie Busch, of Gynecology Specialists, a Division of Mid-Atlantic Women’s Care in Chesapeake, Virginia, encourages her patients to lose weight as the first course of treatment. “Weight loss is the mainstay of therapy for women diagnosed with PCOS,” she says.

Because it can be difficult for women with PCOS to shed the excess pounds, Dr. Busch also recommends patients work directly with a nutritionist who is

experienced with the syndrome. “When it comes to infertility, losing an average of 20 pounds could mean a significant reduction in a woman’s hormone levels,” she explains, which could help women regain their ovarian function and conceive a child.

If your menstrual cycles last longer than 35 days, or if you have fewer than eight menstrual cycles a year, you should consult with a medical professional, as those are symptoms of PCOS. Excess hair growth on your chin, upper lip, or neck is called hirsutism and is also a symptom of PCOS. Additional symptoms are adult acne and male pattern baldness.

If you are trying to get pregnant, but are having difficulties conceiving, discuss all of your symptoms with your doctor, including changes in weight. Your doctor will conduct a pelvic exam and will also order bloodwork. If your doctor suspects you have PCOS, he or she will recommend an ultrasound to check the ovaries, as well as the thickness of the uterine lining. Your doctor will tailor a treatment plan based on your specific needs.

For women diagnosed with PCOS, it is more than just a threat to their infertility. Women with PCOS face a greater risk of developing a host of other conditions, including Type 2 diabetes; high blood pressure; cholesterol and lipid abnormalities; cardiovascular disease; nonalcoholic steatohepatitis, a severe type of fatty liver disease; sleep apnea; depression and anxiety; abnormal uterine bleeding; gestational diabetes or pregnancy-induced high blood pressure; as well as cancer of the uterine lining.

Currently there is no cure for PCOS. In addition to adopting a healthy lifestyle through changes in diet and exercise, birth control pills are another effective treatment option for women who are not trying to get pregnant. For women who do want to become pregnant, metformin, a drug normally used to treat diabetes, could also help.

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Men's Health | your health

4 Ways for Men to Benefit from

Bio-Identical Hormone Replacement Therapy

by Dr. Richard Brandon

I

f you are a male in your 40s and have begun experiencing impaired cognitive function, decreased energy, decreased sex drive, or even weight gain, you might be looking into the potential of hormone replacement therapy—specifically, bio-identical hormone replacement therapy.

To understand the benefits of bio-identical hormone replacement therapy, you first need to understand it differs from other types of hormone replacement therapies.

WHAT IS BIO-IDENTICAL HORMONE REPLACEMENT THERAPY? Men generally begin to lose testosterone in their mid 20s to early 30s. Low levels of testosterone is called andropause, which is known as the male version of menopause.

Bio-identical hormone replacement therapy can help men restore their hormone levels to youthful ranges. The way it works is that it utilizes hormones that have a chemical structure identical to those that are naturally produced in your body. This is a big difference between bio-identical hormone replacement therapy and other hormone replacement therapies, which typically use hormones that are not identical to those produced by the human body.

WHAT ARE THE BENEFITS OF BIO-IDENTICAL HORMONE REPLACEMENT THERAPY?

There are numerous reasons to choose bioidentical hormone replacement therapy, which include:

It's a safer hormone replacement therapy.

One of the dangers of other hormone replacement therapies is that they can produce abnormal effects due to the fact that the hormones are not chemically identical to those produced by the body. Because bio-identical hormone replacement therapy uses "natural" hormones, there is a decreased risk of developing unwanted side effects.

It can improve your physical health.

Because bio-identical hormone replacement therapy will restore your hormone levels to a youthful range, you'll notice that your muscle tone will begin to increase and that your body fat will begin to decrease. The lack of muscle tone and increased body fat are two symptoms of decreasing hormone levels that can be reversed when hormone levels are restored. Additionally, it can result in cardiovascular benefits, which can help to prevent physical health issues in the future, such as heart disease or stroke.

It can improve your mental health.

There are a number of ways in which your mental health will be improved by undergoing bio-identical hormone replacement therapy. The improvement in your physical health will directly result in an improved sense of well-being. However, your mental energy can be improved as well, in part because your sleep quality can improve.

Improved sleep is a huge benefit—the quality of a person's sleep has been scientifically linked to a healthier lifestyle.

It can improve your energy levels.

Not only will bio-identical hormone replacement therapy improve your mental and physical energy, but it will help to improve your sex drive and sexual performance as well, both of which will lead to a much higher quality of life.

As you can see, bio-identical hormone replacement therapy, especially when compared to alternatives, is a safer and more effective procedure that men with lower hormone levels should strongly consider.

Regular treatments will not just restore your hormone levels from what they typically are for a man in his middle-age or senior years, but to what they were in his youthful years. By safely and effectively restoring your hormone levels, you'll increase your energy, strength, muscle tone, and sexual performance while reducing your body fat and contributing to overall cardiovascular health. thehealthjournals.com | 33

your health | aging well

PART 1 IN A 3-PART SERIES

By Alison Johnson

INDEPENDENT

LIVING

SOME SENIORS ARE CHOOSING COMMUNAL RETIREMENT HOUSING BEFORE THEIR HEALTH DECLINES

THE LONGER YOU DON’T MAKE A DECISION TO DO SOMETHING, THE MORE LIKELY YOU’LL BE FORCED TO DO SOMETHING YOU MAY NOT HAVE CHOSEN. —COREY SHENK, CHIEF EXECUTIVE OFFICER OF AGING TREE

T

om and Joan Morris’ apartment isn’t “a” home or “the” home, even though it’s on the campus of a continuing care retirement community.

It’s just home.

Tom, 83, and Joan, 78, didn’t move to Warwick Forest in Newport News, Va., last fall because of major health issues or trouble with daily activities that would make them a fit for assisted living or nursing care. Instead, they chose an option called Independent Living, turning over daily cooking, home repairs and yard maintenance to the staff of their gated community. That has given them plenty of time to eat, socialize, exercise and go on group outings with similarly active neighbors.

“We’re here because we want to be here, not because we have to be here,” says Tom Morris, a retired pediatrician, who also brought along his dachshund, Millie. “We like the security of it, and you can’t help but make friends. But it truly is ‘independent’ living. You’re your own person, with your own home and schedule and as much privacy as you’d like.”

Independent Living, sometimes located within properties that offer higher levels of care as people age, is attracting seniors who want to downsize and make decisions while they’re still healthy. They’re relocating to apartments, condos or cottages rather than trying to age at home or face having to go directly into Assisted Living or nursing care.

“It can be less of a culture shock,” says Corey Shenk, chief executive officer of Aging Tree, a senior care resource center

34 | thehealthjournals.com

in Orange City, Fla. “People often are struggling with the whole idea of moving and think the words, ‘Assisted Living’ sound scary.”

Independent Living communities don’t provide health care, although residents can contract with outside home health companies. They aren’t designed for seniors who need regular monitoring or assistance—who fall frequently, for example, or have dementia or serious complications of a chronic disease.

Yet many offer 24-hour security and emergency alert systems for peace of mind.

“Children often take the lead on this,” Shenk notes. “They like the idea of their parents not having to take care of a yard or call a plumber. They like knowing that their parents are eating regularly and can get immediate help if needed.”

And sometimes parents take the lead. As Vivian Paquette approached age 80, she opted to move from her South Carolina home to Brookdale Williamsburg, a Virginia retirement community, in 2014. She’s now near family who won’t have to fly in to assist her should her health decline.

Paquette rents a two-bedroom cottage with a small yard, garage and kitchen, where she still whips up her homemade spaghetti sauce and pound cake. She also goes to exercise classes four days a week. “I wanted to make my own plan,” she says. “The people here have become a new extended family.”

More married couples also are moving based on the assumption that at least one person will eventually need more care, says Jackie Macenas, executive director of Sunrise

THIS IS RETIREMENT IN ITS MOST

RELAXED FORM.

—TOM MORRIS, RETIRED PEDIATRICIAN

at Fountain Square, a continuing care community outside Chicago, Ill. Should one spouse relocate to a different floor or building, “frequent visits, participation in activities together or meals together is very comforting,” Macenas says.

With amenities such as restaurants, fitness centers and a calendar of daily activities, Independent Living communities tend to attract a more social set. Costs vary widely but average $1,700 a month nationwide and often include an entrance fee, according to Aging Tree. Most residents finance that with personal assets; long-term care insurance plans with home care benefits may contribute. Some communities also offer contracts that set future rates should a resident need additional care.

Seniors who might consider Independent Living need to investigate while they’re physically and cognitively healthy enough to qualify for it. “The longer you don’t make a decision to do something, the more likely you’ll be forced to do something you may not have chosen,” Shenk says.

Most communities are for people 55 and older. At Warwick Forest, a community in Newport News, Va., residents range from their early 60s into their 90s, says Andrea Staskiel, director of marketing and sales.

“Staying active and not becoming isolated really can help them stay healthy into very old age,” Staskiel says. “There’s a misconception that you’re giving up control, but I see people gaining it.”

Tom Morris agrees. “This,” he says, “is retirement in its most relaxed form.”

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your health | money

NATIONAL MEDIAN PRICE OF HOMES IN THE U.S.:

$229,000 NATIONAL AVERAGE LISTING PRICE FOR A 4BR/2BA HOME:

$302,632

3 REASONS

WHY NOW IS A GREAT TIME

TO BUY A HOME

By PAGE BISHOP FREER

A

ccording to a recent Bankrate.com poll, Americans name real estate as their top investing choice in 2016, and several economic factors are putting the ball in the home buyer’s court. Of course, the most important thing to consider is whether buying a home right now makes sense for you, personally. If it does, here are 3 reasons to feel good about making the investment.

1. MORTGAGE INTEREST RATES REMAIN LOW

Interest rates were predicted to rise in 2016 but have stayed steadily below 4%, partially due to the recent Brexit vote. Industry experts warn that rates could rise at any time, making now a great time to lock in to near-record low rates.

2. MEANWHILE... RENTAL PRICES ARE ON THE RISE

Currently, in only 8 of 50 states (and Virginia is not one of them) is renting less expensive than buying (monthly mortgage payment vs. rent, based on a 30year fixed mortgage with 20% down and factoring in property taxes and insurance).

36 | thehealthjournals.com

3. DOWN PAYMENT ASSISTANCE IS AVAILABLE

Feeling deterred by the prospect of a large down payment? Not everyone needs 20% to put down.

Veterans Administration (VA) loans (for active or retired service members) often require 0% down, and FHA loans may require as little as 3.5%. First-time homebuyer programs are popular, and many lenders are offering down payment assistance for those who qualify based on income. Regarding new homes, many builders and lenders are offering cash credits to help cover closing costs.

YOUR FINANCIAL HEALTH | YOUR HEALTH

your financial health helping to ease your personal finance concerns

Why Taking a Lump-Sum Distribution May Be a Bad Idea: While a lump-sum distribution can be tempting, it can also cost you thousands of dollars in taxes, penalties and lost growth opportunities…money that will not be available for future

use in retirement.

Let's assume that you're under age 59-1/2 and in the 28% federal income tax bracket. For each $100,000 you have in a retirement plan with a former employer, these are the hypothetical results of rolling the funds into a traditional IRA or of taking a lump-sum distribution.

Your Life. Your Style. Your Plan.

Better Fitness. In Just One Move.

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Premier Health Club and Spa • Cardio Gym Heated Indoor Pool • Personal Trainers Expert Staff • Tennis Courts • Outdoor Pool Picturesque Walking Paths At Williamsburg Landing, you have so many opportunities to stay active with no worries about future health care. Whether participating in a class led by a certified instructor or taking a relaxing stroll NOTE: The above is a hypothetical example for illustration purposes only and assumes that one of the exceptions to the premature distribution penalty tax is not available. In addition to the federal taxes illustrated above, state tax may also be payable.

This example is not indicative of any particular investment or performance and does not reflect the fees and expenses associated with any particular investment, which would reduce the performance shown above if they were included. In addition, rates of return will vary over time, particularly for long-term investments.

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Food | food and Nutrition

WHAT YOU NEED TO EAT TO IMPROVE LIFE

between the sheets

By Brandy Centolanza

D

id you know that certain foods can increase your libido, while other foods can kill it?

If you want to boost your sex drive, try noshing on foods high in zinc.

“The mineral zinc has been linked to sexual function, as without enough zinc, sexual development in children can be delayed and men may not produce adequate sperm,” shares Judy Mitnick, a registered dietitian with Bon Secours In Motion Physical Therapy & Sports Performance. “Zinc is found in foods of animal origin including seafood, thus the common association of oysters and virility. It is also found in beans, nuts, and whole grains.”

38 | thehealthjournals.com

In addition to oysters, try incorporating salmon, mackerel, or sardines into your diet.

“Eating fatty fish can raise dopamine levels in the brain, which helps to improve circulation and blood flow, triggering arousal,” says Alissa Rumsey, a registered dietitian and spokesperson for the Academy of Nutrition and Dietetics.

Other foods that may increase your libido are avocado, potatoes, sweet potatoes, nuts, chocolate, licorice, watermelon, pumpkin, and bananas.

“Avocado is a good source of vitamin E and monounsaturated fats, both of which are good for the heart and circulation, which are important for a good sex life,” Rumsey says.

“Strawberries are rich in vitamin C and antioxidants, which can also help improve circulation.”

Almonds and walnuts also contain zinc, selenium, and vitamin E, all of which are important for sexual health and reproduction, while the potassium in bananas and pumpkins helps decrease blood pressure.

High blood pressure can be a cause of erectile dysfunction.

To prevent erectile dysfunction, men should also include blueberries in their diet.

“Eating flavonoid rich foods is associated with a reduced risk of ED in men, and blueberries contain a high dose of the flavonoid anthocyanin,” says Rumsey.

Other foods to put men in the mood include oatmeal and pomegranate.

Meanwhile, red meat is good for women.

“Women’s libidos may lag if they are feeling tired, which is often a side effect of low iron levels,” points out Rumsey. “Red meat is a good source of iron.”

And what foods should you avoid?

“Refined carbs like those found in white bread or pasta, and most processed snack foods can lower testosterone levels,” says Rumsey.

While a glass of wine may seem like a good idea to put you in the mood, alcohol may actually decrease arousal.

“It is well proven that excessive alcohol intake has a negative effect on sexual function,” says Mitnick.

“Smoking also can impact libido negatively. Nicotine constricts blood flow and causes the accumulation of plaque in blood vessels.”

In general, “a healthy lifestyle incorporating nutritious foods and regular exercise will make you look and feel better, and go a long way toward improving your sex life,” Rumsey says.

Mitnick agrees.

“Maintaining a healthy sexual drive is most dependent on a healthy body and mind,” she says. “An overall healthy diet promotes energy and blood flow, two important components of libido. Maintaining a healthy weight not only improves self-confidence and attraction but also ensures an adequate energy level. Regular exercise also helps combat fatigue and depression, which are two common culprits linked to a low libido.”

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Food | flavor

Meeting the Pawpaw Fruit

ANDREW MOORE, THE AUTHOR OF PAWPAW: IN SEARCH FOR AMERICA’S FORGOTTEN FRUIT, TALKS TO US ABOUT PAWPAW AND THE CULTURE THAT SURROUNDS IT.

W

hen I received an invitation to learn about pawpaws I was extremely curious about this fruit that I'd never heard of before. Give it to Andrew Moore, a Pittsburgh writer and gardener, to write an entire book on the subject and then be nominated for the 2016 James Beard Award for Literature. When Moore learned about my connection to Virginia, he told me that the Colonial Parkway is actually lined with pawpaw trees! Moore was kind enough to take a selfie with me and answer a few questions.

When someone asks you what a pawpaw is and what it tastes like, what's your signature response?

A pawpaw is the largest edible fruit native to the United States, and tastes like a bananamango custard. It belongs to a tropical family of plants—the Annonacea, or Custard Apple family—which makes it all the more unique and interesting. It's delicious and unusual, and those merits alone make it hard to understand why this native fruit is not better known.

40 | thehealthjournals.com

by Kimberley Cuachon Haugh

When did you first learn about pawpaws?

I first learned about pawpaws at the Ohio Pawpaw Festival in Albany, Ohio. I went in blind and came back with a mission. I wanted to know everything I could about this plant, and the book was a natural progression of recording and sharing that information.

What was the most surprising thing you learned about pawpaws while writing your book?

I was delighted to meet people, and families, and even communities, that had maintained a vibrant pawpaw culture through picking, eating, growing, and celebrating pawpaws. And it proved to me once again that there's still so much to celebrate in our natural and cultural heritage, and that sometimes those things are hiding in plain sight.

Why do you think people know so little about pawpaws?

Americans of all stripes once knew the pawpaw very well, but over the past century we've experienced a radical shift in the foods

we eat, and our diets have become much more industrial and homogeneous. Wild foods like the pawpaw were increasingly neglected, and as we've stopped looking to the woods for food, we've stopped knowing the pawpaw. However, I am encouraged to see us trending back to our heritage and heirloom foods, a culinary revival that is also bringing renewed attention to the pawpaw.

You traveled all around the country for your book; where is the most memorable place you stopped?

I don't think I could pick just one most memorable place, but I will say that I had some fun times hunting pawpaws along the wild and urban rivers of the eastern US. I am especially grateful to the Quapaw Canoe Company for leading me on a canoe trip down the lower Mississippi River. It took us two days but when we found a patch of wild, riverside pawpaws, it was cause for celebration.

5 Photo Credit: Andrew Moore

flavor | Food

5 Photo Credit: Andrew Moore What is your favorite way to eat pawpaws?

To cut it in half and then eat it with a spoon. A close second is definitely ice cream. I have seen the future of ice cream and it is pawpaw ice cream.

What purpose do you hope your book serves to others?

First of all, I hope people enjoy the story. Beyond that, if they're inclined to seek out pawpaws after reading it, I hope they enjoy hunting them in the woods, or caring for trees in their own yards, or encouraging local farmers to plant a few as well. I can't be certain about the pawpaw's future, or to what extent Americans will want it, but I hope the book can be of some use as we reacquaint ourselves with this fruit.

5 More about the book: chelseagreen.com/pawpaw

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

Stephen M. Smith, Esq.

Out of 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

Food | taste appeal

Bullseye and Hummus Spiral Wraps

Mango, Avocado and Black Bean Salad

Recipes and Photography by Kathy Patalsky (creator of the food blog Healthy. Happy. Life.)

Ingredients for Micro Veggie Cream Cheese

Vegan, makes 2 cups

• 1 cup vegan cream cheese • 6 radishes

Recipe by American Heart Association

• 1 1/2 cups arugula

Ingredients

• 1 cup organic baby carrots

• 15 ounces (1 can) no-salt added black beans, drained, rinsed

• pepper to taste

• 15.25 ounces (1 can) no-salt added or low-sodium whole kernel corn, drained, rinsed

Directions

1. Clean your produce. Finely dice into tiny cubes, shreds and bits.

2. Scoop cream cheese out into a large mixing bowl.

3. Scoop all the chopped veggies into your mixing bowl and whip well. Make sure to coat all the veggies in cream cheese. The manual mixing will whip some nice fluffy texture into the cream cheese. Pepper to taste.

Ingredients for Bullseye Spiral Wraps

Makes 6 servings

Vegan, makes 6 spiral wraps

• 2 pieces of whole wheat flat bread wraps (*note: use the rectangle variety)

• 1 cup avocado (1 medium or 2 small), cut into 1/2 inch cubes • 2 mangos (about 2 cups), cut into 1/2 inch cubes • 2 green onions, cut into 1/2 inch pieces OR • 1/2 small red or white onion (about 1/4 cup), cut into 1/2 inch pieces • 1 red or green bell pepper, seeded, cut into 1/2 inch pieces

• 4 tablespoons Micro Veggie Cream Cheese (see above for recipe)

• 1 or 1/2 jalapeño pepper, stems discarded, seeded, finely chopped (optional)

• 1 large whole roasted red pepper, sliced into strips

• 1 head Romaine lettuce, chopped

• 1 tablespoon olive oil

• 3 tablespoons fresh or bottled lime juice

• 1 teaspoon lemon juice

• 1 tablespoon olive oil

• lots of fine or fresh black pepper

• 2 tablespoons fresh cilantro, chopped

Ingredients for Hummus Spiral Wraps

Vegan, makes 6 spiral wraps

• 1/2 teaspoon chili powder

• 2 pieces of whole wheat flat bread wraps (*note: use the rectangle variety)

• 1/4 teaspoon ground black pepper

• 2 – 3 tablespoons Roasted Red Pepper spread

• 1/4 teaspoon salt

• handful of shredded carrots

Directions

• handful of baby spinach • splash of lemon juice/olive oil • fresh ground pepper

1. Wash and dry lettuce, then chop or tear into 2 inch pieces and divide into 6 bowls or plates.

2. Combine the black beans, corn, mango, avocado, onions, bell pepper and jalapeño. Do not mix until dressing is added.

• avocado slices

3. Combine lime juice, olive oil, cilantro, chili powder, black pepper and salt together in a mason jar, shake together until mixed well and pour over the mango and avocado mixture.

Directions

4. Toss gently to coat and serve over the lettuce and mixed greens.

2. Add the accompanying ingredients in a thickly spread layer—distribute evenly.

Also try serving with crunchy vegetables like cucumber or jicama, cut into 1/4 inch slices and used like chips!

• edamame soy beans

1. Spread the hummus or cream cheese mixture onto your flatbread wraps.

3. Roll up your flatbread wrap—tightly.

4. Slice into 1 inch thick rounds. Chill and serve.

42 | thehealthjournals.com

Berry Mint Popsicle

Recipe and Photography by Fruits & Veggies More Matters

Ingredients Makes 12 Servings

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757-229-1041

established 1895

• 3 cups fresh blueberries • 3 cups fresh strawberries • 3 cups fresh raspberries • 3 – 5 tablespoons honey to taste

Off The Vine Market

• 2 1/4 cups fresh orange juice • 5 tablespoons fresh mint, diced • 12 Zipzicle® pouches (available at Bed Bath and Beyond or Amazon.com)

Directions

1. Wash fruit. Slice strawberries into small pieces.

2. Add all ingredients into blender.

3. Blend until fruit is in small pieces, but not entirely smooth.

4. Using a large mouth funnel, fill Zipzicle® pouches to line indicated.

5. Zip closed and freeze. Serve frozen for a refreshing icy treat!

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AUDIOLOGY

ENDOCRINOLOGY

Jude Liptak, Au.D.

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

Colonial Center for Hearing

ACCEPTING NEW PATIENTS are you looking for a provider?

Our featured providers are committed to serving the community with the highest-quality health care.

Dr. Jude Liptak holds a doctorate degree in Audiology from Salus University. He completed his undergraduate and master’s programs at Kent State University in Kent, Ohio. He is a fellow of the American Academy of Audiology and a member of the Academy of Doctors of Audiology. Dr. Liptak has been practicing audiology since 2000. As a board-certified audiologist and expert, he has helped thousands of people rediscover the joys of healthy hearing.

In 2003, he founded Colonial Center for Hearing, a state-of-the-art audiology practice, located in McLaws Circle in Williamsburg, Virginia. Dr. Liptak is passionate about patient care and believes in educating patients about his findings so that they understand their hearing loss and his course of treatment. To Dr. Liptak, you are not just a patient— you are an individual with a hearing situation that requires prompt attention.

Colonial Center for Hearing

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

www.williamsburghears.com

BEAUTY & AESTHETICS Steven C. Mares, M.D. Erase the Canvas, LLC Steven C. Mares, M.D., is the owner of Erase the Canvas, LLC, specializing in Laser Tattoo Removal and Anti-Aging Laser and Botox Treatments. He is a “Hokie,” having graduated with a degree in chemistry in 1986 from Virginia Tech. He received his medical degree from Eastern Virginia Medical School in 1992 and completed a pediatric residency at Children’s Hospital of The King’s Daughters in Norfolk, Virginia, in 1995. He went on to complete a sports medicine fellowship at the Houghston Sports Medicine Center in Columbus, Georgia in 1996, the year of the XXVI Olympics. During his time there he was involved in taking care of the Elite Olympic hopefuls at the U.S. Track and Field Championshipsb as well as the Women’s Olympic Softball Athletes at the Venue and Softball Olympic Village in Columbus. He moved to Williamsburg where he is involved with student athletes and the theater department at Lafayette High School. He did laser training at the National Laser Institute in Phoenix, Arizona, in 2010, and opened his clinic in 2013.

PEDIATRIC DENTISTRY

TPMG Williamsburg Endocrinology Karen L. Knudsen, MD, FACE, ECNU is a graduate of Yale University with a Bachelor of Science degree.

She earned her Doctor of Medicine degree at the University of Connecticut School of Medicine in Farmington, Connecticut. Dr. Knudsen completed her internship and residency in Internal Medicine at the University of Connecticut Health System, and completed an Endocrine Fellowship at the University of Virginia.

Dr. Knudsen is board certified in Endocrinology and Internal Medicine, as well as receiving her Endocrine Certification in Neck Ultrasound (ECNU) by the American Association of Clinical Endocrinologists. Dr. Knudsen performs thyroid biopsies and ultrasounds, and accepts new patients by physician-only referral.

TPMG Williamsburg Endocrinology

Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 903-4807 www.mytpmg.com

FAMILY MEDICINE

Rana GrahamMontaque, D.D.S., M.S., M.S.D. Pediatric Dental Specialists of Williamsburg A native of West Point, Virginia, Dr. Rana GrahamMontaque 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 serves on the Board of Advisors for TNCC. She establishes a “dental home” for patients by reaching them by age one. Dr. Graham-Montaque is board certified.

Jeffrey Harris, D.O. TPMG Yorktown Family Medicine Jeffrey B. Harris, D.O. completed his undergraduate degree in Biology at Roanoke College in Salem, Virginia.

He earned his Doctor of Osteopathy at Virginia College of Osteopathic Medicine in Blacksburg, Virginia, and completed a residency in Family Medicine through Riverside Family Medicine Residency in Newport News, Virginia.

Dr. Harris began his healthcare career first as a volunteer EMT and eventually a paramedic. His medical experience includes international exposure in Haiti, Honduras and the Dominican Republic.

Dr. Harris enjoys spending time with his wife, Dr. Laurie Harris (TPMG Family Practice of Hampton Roads), sharing their love of the outdoors and traveling. You may find him strumming on his guitar in his spare time, enjoying live music or practicing his amateur automobile mechanic skills.

Erase the Canvas, LLC 304 Bulifants Blvd, Suite 201 Williamsburg, VA (757) 532-9390

Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg, VA 23188 (757) 903-4525

TPMG Yorktown Family Medicine

www.erasethecanvas.com

www.williamsburgpediatricdentist.com

www.mytpmg.com

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

OPTOMETRY 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 current board member and Tidewater Optometric Society President from 2014-2016. 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.

INVISALIGN ORTHODONTICS Colonial Psychiatric COUNSELING Associates / PSYCHOTHERAPY Don W. Cherry, DDS, FAGD

Dr. Donna Haygood-Jackson, Ed.D, LPC, NBCC

Dr. Donna Haygood-Jackson, Dr. Donald has Ed.D, Cherry LPC, NBCC Colonial Psychiatric beenisa now practicing dentist affiliated within Williamsburg, Virginia for Associates Colonial Psychiatric Associates over 25 years, and has been a proponent of the orthodontic Dr. Donna Haygood-Jackson benefits of Invisalign for over is a therapist in Williamsburg, eight years. He was one of Virginia. She received her the first practicing general Psychology degree from the University of Alabama dentists to use InvisalignDr. in Haygood-Jackson his office. Dr. Cherry and her Doctorate from The College of William has been certified sinceis May of 2008 inreferrals Intermediate & Mary. She has been licensed since 1988. Dr. now accepting and Advanced Clinical skills. He is expanding his Haygood-Jackson was at William & Mary for 27 from the community. practice to treat all Invisalign candidates, from teens years, first as a therapist, and then as Acting Director to the most difficult adult cases. of the Counseling Center, and finally as Senior Dr. Cherry is a graduate of the To Medical College request additional information Assistant Dean of Students. of Virginia, a Fellow of the Academy or of make General a referral simply During her time at W&M, she made a very Dentistry, a member of the Peninsula, Virginia and call 757-645-4715 or fax 757-645-4720 heartfelt decision to return to her passion: Therapy.

American Dental Associations where he has served Her specialties include life transition issues, chronic many positions including past president of the and acute health related issues, trauma to include Peninsula Dental Society.

PTSD, disordered eating and body image concerns, We think you will be pleased with our staff’s pre-natal and postpardum depression, couples and expertise and your Invisalign experience in our office. family therapy, Traumatic Brain Injury (TBI) and substance use disorder issues.

Dr. Haygood-Jackson lives in Williamsburg with her husband Rick.

Colonial Eye Care

5273 John Tyler Highway Williamsburg, VA 23185 (757) 903-2633

Don W. Cherry, DDS, FAGD 2225 S. Henry Street, Ste. U-1 Williamsburg, VA 23185 (757) 253-2500

Colonial Psychiatric Associates 318 Jamestown Rd., Suite. 101 Williamsburg, VA 23185 (757) 645-4715

www.colonialeyecare.com

www.dwcherrydds.com

www.colonialpsychiatricassociates.com

DERMATOLOGY Jason D. Mazzurco, D.O. Dermatology Specialists Dr. Jason D. Mazzurco is a board-certified dermatologist and fellowship trained Mohs Surgeon. He earned his Bachelor of Science and Master of Science degrees from The Ohio State University, where he was a two-time Big Ten Champion Gymnast. He continued his education at Ohio University Heritage College of Osteopathic Medicine, where he earned his medical degree.

He completed a residency in dermatology and a fellowship in Mohs micrographic surgery at St. Joseph Mercy Hospital through Michigan State University and served as the chief resident.

Dr. Mazzurco practices surgical dermatology treating both benign and malignant lesions of the skin. He specializes in the diagnosis and treatment of skin cancer, Mohs surgery and reconstructive surgery.

Dr. Mazzurco joined Dermatology Specialists in 2014.

OPTOMETRY Gregory M. Schultz, OD, FAAO, ABO Eye Center of Virginia

Dr. Schultz has made patient education the cornerstone of his practice. Specializing in ocular disease and medical optometry, he received his undergraduate degree at Ursinus College in Pennsylvania, then attended the Pennsylvania College of Optometry in Philadelphia, graduating with honors.

With advanced training in medical and surgical eye care, Dr. Schultz is uniquely positioned to manage and treat complex diagnoses and eye diseases. He completed his ocular disease and surgery residency at OMNI Eye Services in New Jersey in 1994.

Dr. Schultz has practiced in some of the most prestigious eye centers in the country, first at OMNI Eye Services, then at Vision America in Memphis, Tennessee, where he was chief residency supervisor and head of student programs. He relocated to Virginia in 2004, joining Virginia Eye Consultants as clinical director. Most recently, he served at Advanced Vision Institute, directing their Hampton clinic at Sentara CarePlex.

A fellow of the American Academy of Optometry, Dr. Schultz is considered a leader in his field. He is certified by the American Board of Optometry and lectures internationally on new developments in ocular disease treatment and management.

DENTISTRY Stacey Sparkman Hall, D.D.S. Williamsburg Center for Dental Health Dr. Stacey Hall brings her unique outlook on dental care and her personable optimism to the Williamsburg Center for Dental Health. With 12 years of solid dental expertise in the area, she decided in early 2011 to branch out and open her own local practice.

After completing her undergraduate degree from Virginia Tech in 1998, Dr. Hall graduated from VCU’s MCV School of Dentistry in 2002, receiving her D.D.S. She is a member of the Academy of General Dentistry, the American Dental Association, and was awarded member fellowship to the International Congress of Oral Implantology in 2008. Dr. Hall is a co-leader of the Tidewater Dawson Study Club and is passionate about pursuing the highest levels of continuing education. She was also voted “Reader’s Choice Best Dentist 2010” by The Health Journal.

Stacey and her husband Michael have been blessed with three beautiful girls: Lanie, Gracie and Abbie.

She is a loyal Virginia Tech Football fan and enjoys Bible study and missions work.

Williamsburg Center for Dental Health

11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161

Dermatology Specialists

Eye Center of Virginia 101 Tewning Road Williamsburg, VA 23188 (757) 229-1131

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

www.opderm.net

www.eyecenterofvirginia.com

www.williamsburgdentalhealth.com

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Verify your insurance at our website and find out if your insurance covers treatment at Farley Center on our website.

FarleyCenter.com 800.582.6066

HEALTH DIRECTORY | STAYING WELL

HEALTH DIRECTORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802

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

National Suicide Prevention Hotline

Toll-Free: (800) 273-8255

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

Williamsburg Plastic Surgery

FAMILY PRACTICE

Toll-Free: (800) 222-1222

ADDICTION TREATMENT

DENTISTRY

The Farley Center

Healthy Smiles Dental Center

5477 Mooretown Road Williamsburg (877) 389-4968

664 Lincoln Street Portsmouth (757) 393-6363

ALLERGY & ENT

9581 Shore Drive Norfolk, VA (757) 393-6363

Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722

901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500

Riverside Ear, Nose & Throat Physicians & Surgeons 120 Kings Way, Suite 2550 Williamsburg (757) 345-2600

895 City Center Blvd., Suite 152 Newport News (757) 599-5505 7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478

AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004

BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place

5483 Mooretown Road Williamsburg (800) 582-6066

CARDIOLOGY Riverside Cardiovascular Health

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

CHIROPRACTIC & ACUPUNCTURE Integrative Chiropractic, Acupuncture & Laser

Historic Triangle Dental Care Michael J. Whyte, DDS

1769 Jamestown Road, Suite 2B Williamsburg (757) 903-2527

New Town Dental Arts Sebastiana G. Springmann, D.D.S 4939 Courthouse Street Williamsburg (757) 259-0741

Williamsburg Center for Dental Health

Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303

Wyatt Orthodontics

Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-9108 12528 Warwick Blvd. F Newport News 757-595-7990

DERMATOLOGY Associates In Dermatology, Inc.

17 Manhattan Square Hampton (757) 838-8030

Dermatology Center of Williamsburg

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

Dermatology Specialists

Michael C. White , M.D. Emily R. Himes, M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161 Emily R. Himes, M.D 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466

DIAGNOSTIC IMAGING

Wade Quinn, D.C. 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900

Orthopaedic & Spine Center

Pinto Chiropractic & Rehabilitation

Tidewater Diagnostic Imaging

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

120 Kings Way, Suite 2550 Williamsburg (757) 534-5909 12200 Warwick Blvd., Ste. 590B Newport News (757) 534-5901

Poison Control Center

11842 Rock Landing Drive, #100 Newport News (757) 873-0338

Riverside Endocrinology & Diabetes Center

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

333 McLaws Circle Williamsburg (757) 345-2275

Advanced ENT & Allergy

ENDOCRINOLOGY

250 Nat Turner Blvd.

Newport News (757) 596-1444 100 Sentara Circle Williamsburg (757) 984-6000

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

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

Riverside Williamsburg Family Medicine

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

FITNESS Bdefined— personal fitness & wellness defined.

5207 Center 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

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

Western Tidewater Free Clinic

2019 Meade Parkway Suffolk (757) 923-1060

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

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

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

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

Digestive Disease Center of Virginia, PC

Bon Secours Maryview Medical Center

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

109 Philip Roth Street, Newport News 757-873-6434

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

Mellette PC

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

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

Beach Health Clinic

HEALTH SPAS/ ESTHETICIANS

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

Visiting Angels

3636 High St. Portsmouth (757) 398-2200

Bon Secours Health Center at Harbour View 5818 Harbour View Blvd.

Suffolk (757) 673-5800

Bon Secours Surgery Center at Harbour View

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

Chesapeake Regional Medical Center

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

Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098

CommuniCare Family Health Center 804 Whitaker Lane Norfolk (757) 393-6363

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

Beauty Therapy By Iza

Hampton Roads Community Health Center

2145 South Military Highway Chesapeake (757) 545-5700

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

The Community Free Clinic of Newport News

Spa of Colonial Williamsburg

Ocean View Medical and Dental Center

307 South England Street Williamsburg (757) 220-7720

9581 Shore Drive Nofolk, VA (757) 393-6363

H.E.L.P. Free Clinic

HERNIA SPECIALISTS

Park Place Family Medical Center

Chesapeake Care

727 25th St. Newport News (757) 594-4060 1320 LaSalle Ave. Hampton (757) 727-2577

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

Lackey Free Clinic

1620 Old Williamsburg Road Yorktown (757) 886-0608

Olde Towne Medical and Dental Center

5249 Olde Towne Road Williamsburg (757) 259-3258

The Hernia Center at Mary Immaculate Hospital 860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077

664 Lincoln Street Portmouth (757) 393-6363

3415 Granby Street Norfolk (757) 393-6363

Riverside Hampton Roads Surgical Specialists

HOME CARE

120 Kings Way, Suite 2800 Williamsburg (757) 345-0141

Agapé Home Care

Riverside Doctors’ Hospital

Stay at Home Personal Care

Riverside Regional Medical Center

350 McLaws Circle, Suite 2 Williamsburg (757) 229-6115 651 RIver Walk Parkway Chesapeake (757) 392-1001 1030 Topping Lane Hampton (757) 825-2255

1500 Commonwealth Ave. Williamsburg (757) 585-2200

500 J. Clyde Morris Blvd.

Newport News (757) 594-2000

thehealthjournals.com | 47

STAYING WELL | HEALTH DIRECTORY Sentara Independence

American Diabetes Association

Endependence Center, Inc.

Ronald McDonald House

Sentara CarePlex Hospital

American Heart Association

Faith in Action

RSVP: Retired Senior Volunteers

800 Independence Blvd.

Virginia Beach (757) 363-6100 3000 Coliseum Drive Hampton (757) 736-1000

Sentara Heart Hospital 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

Sentara Port Warwick

870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662 500 Plume St. East, Suite 110 Norfolk (757) 628-2610

American Parkinson’s Disease Association

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

American Red Cross

1323 W. Pembroke Ave. Hampton (757) 838-7320 3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228 6912 George Washington Memorial Highway Yorktown (757) 898-3090

The Arc of Greater Williamsburg

1031 Loftis Blvd.

Newport News (757) 736-9898

202 Packets Court Williamsburg (757) 229-0643

Sentara Princess Anne

The Arthritis Foundation

2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000

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

Sentara Virginia Beach General Hospital

Avalon: A Center for Women & Children

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

Williamsburg (757) 258-9362

Sentara Williamsburg Regional Medical Center

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

100 Sentara Circle (757) 984-6000

MASSAGE THERAPY Beauty Therapy By Iza 161-C John Jefferson Rd. Williamsburg, VA 23185 (757) 634-4004

Massage By David

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

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

NEUROSURGERY Riverside Neurosurgical & Spine Specialists

120 Kings Way, Suite 3500 Williamsburg (757) 220-6823

NON-PROFIT ORGANIZATIONS Access AIDS Support

AWARE Worldwide, Inc.

Beacon House Clubhouse for Brain Injury Survivors

3808-C Virginia Beach Blvd.

Virginia Beach (757) 631-0222

Beyond Boobs! Inc.

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

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

Center for Excellence in Aging & Lifelong Health

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

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

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

Citizens’ Committee to Protect the Elderly

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

48 | thehealthjournals.com

Food Bank of SEVA

800 Tidewater Drive Norfolk (757) 627-6599

Hampton-Newport News Community Services Board 300 Medical Drive Hampton (757) 788-0300

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

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

Jewish Family Service

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

Dream Catchers Therapeutic Riding

10120 Fire Tower Road Toano (757) 566-1775

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

404 Colley Ave. Norfolk (757) 627-5386

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

St. Mary’s Home for Disabled Children

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

1 Singleton Drive Hampton (757) 827-8757

Senior Center of York

OPTOMETRY & OPHTHALMOLOGY

Susan G. Komen Tidewater

Premier Eye Health

420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794

United Way

11870 Merchants Walk, Suite 104 Newport News (757) 873.9328

1805 Airline Blvd.

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

VersAbility Resources

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

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

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

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

ORTHODONTICS Wyatt Orthodontics

We Promise Foundation

12528 Warwick Blvd. F Newport News 757-595-7990

Hampton (757) 722-9961, ext. 3009 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 401 Oyster Point Road, Suite A Newport News (757) 249-3000

Williamsburg Obstetrics & Gynecology

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

4754 George Washington Mem Hwy, Hayes (757) 229-4222

Vets Advocating for Vets

Peninsula Agency on Aging

Peninsula Pastoral Counseling Center

Jeanne I. Ruff, OD, LLC 5223 Monticello Avenue, Suite C Williamsburg (757) 229-4222

Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-9108

12200 Warwick Boulevard, Suite 510 Newport News (757) 534-5700

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

5900 Lake Wright Drive Norfolk (757) 466-8683

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

229 W. Olney Road, Room 1 Norfolk (757) 664-6670 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541

1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437

2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670

The Up Center

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

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

The Sarah Bonwell Hudgins Foundation

Lee’s Friends: Helping People Live with Cancer

Leukemia & Lymphoma Society

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

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

5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264

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

1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400

6171 Kempsville Circle Norfolk (757) 622-2208

260 Grayson Road Virginia Beach (757) 321-2223

Peninsula Institute for Community Health

Denbigh Clubhouse for Brain Injury Survivors

American Cancer Society

2401 Aluminum Ave. Hampton (757) 596-7188

Colonial Behavioral Health

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

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

Food Bank of the Virginia Peninsula

312 Waller Mill Road, Suite 105 Williamsburg (757) 345-6277

1657 Merrimac Trail Williamsburg (757) 220-3200

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

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

PO Box 10100 Virginia Beach (757) 518-8500

218 S. Armistead Ave. Hampton (757) 722-5511

Alzheimer’s Association

6300 E. Virginia Beach Blvd.

Norfolk (757) 461-8007

1115 Professional Drive Williamsburg (757) 253-5653

ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine

730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 4374 New Town Road, Suite 102 Williamsburg (757) 873-1554

Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1900

Riverside Orthopaedics & Sports Medicine

120 Kings Way, Suite 2800 Williamsburg (757) 645-0145

ONCOLOGY

Riverside Orthopedic Specialists

The Paul F. Schellhammer Cancer Center- a division of Urology of Virginia

850 Enterprise Parkway, Suite 2000 Hampton (757) 234-7882

229 Clearfield Avenue Virginia Beach (757) 457-5177

Riverside Peninsula Cancer Institute

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

Virginia Oncology Associates 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400

12200 Warwick Blvd., Suite 310 Newport News (757) 234-7882

Tidewater Orthopaedic Associates

901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Ave. Williamsburg (757) 206-1004 120 Kingsway, Suite 2800 Williamsburg (757) 645-0145

HEALTH DIRECTORY | STAYING WELL PAIN MANAGEMENT Riverside Pain Medicine & Rehabilitation Specialists 120 Kings Way, Suite 2550 Williamsburg (757) 345-3050

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy 930 W. 21st St. Suite 105 Norfolk (757) 738-1500

5838 Harbour View Blvd.

Suffolk (757) 673-5971 1417 North Main St. Suffolk (757) 934-3366 5553 Portsmouth Blvd.

Portsmouth (757) 465-7906 3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 2 Bernardine Drive Newport News (757) 886-64å80 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

9 Manhattan Square, Suite B Hampton (757) 825-3400

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

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

751 J Clyde Morris Blvd Newport News (757) 873-2123

Urology of Virginia Physical Therapy

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

612 Denbigh Blvd.

Newport News (757) 874-0032

101 Long Green Blvd.

Yorktown (757) 952-1900

12494 Warwick Blvd.

Newport News (757) 599-5551

Dominion Physical Therapy & Associates, Inc.

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

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

6970 Fox Hunt Lane, Gloucester (804) 694-8111 7190 Chapman Drive Hayes (804) 642-3028

5

7

4

3

1

6

9 2048Gumwood 2 4 Drive

5701 Cleveland 6 St., 9 Suite 4 600 2 Virginia Beach (757) 995-2700

5

7

500 Rodman Ave., Suite 4 Portsmouth7(757)3393-6119 8 9

8 1

Hampton 9 Roads 2 Orthopaedics 1 4 5 & Sports Medicine

5 Shoals 4 Blvd., 6 Suite 8 130 3 730 Thimble Newport News (757) 873-1554 4

7

3

6

9

Orthopaedic & Spine Center 2 6 5 7 4 Physical Therapy 250 Nat Turner Blvd.

8 1 9 3 Newport News (757) 596-1900

2

Tidewater Orthopaedic Puzzle 4 - April 2016 Associates

6

5

2 6Therapy 4 Tidewater8Physical 2106 Executive Drive 7 838-6678 9 4 Hampton (757)

3

5

1

4

3

7

2 6

1 8

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The Paul F. Schellhammer Cancer Center - a division of Urology of Virginia

5 Monticello 9 8 Ave. 1 3 6 120 Williamsburg (757) 564-3627

7

6

7

4740 George Washington 8 5 Highway 2 3 4 Memorial Yorktown (757) 890-6339

9

4

12997 Warwick Blvd.

2 6 News 5 (757) 9 369-9446 1 7 Newport

9

1745 Camelot Drive, Ste. 100 8 Virginia 3 Beach 1 9(757) 961-4800 3

5 4020 4 Raintree 7 6Road, Suite D 2 Chesapeake (757) 484-4241

3 9 6 8 1 5

9

4

7

6

8

2

1

3

4

2

5

8

1

3 West 7 Mercury 1 8 Blvd.

2 3321 Hampton (757) 224-0056

9

Riverside Urgent Care 8 Medicine 6 7 9 &4Family

5

7

2

3

5

6

4

5231 John Tyler Highway 6 1 9 4 7 3 Williamsburg (757) 220-8300

May 2016 135 W. Hanbury Road, Suite BPuzzle 5 - UROLOGY Chesapeake (757) 819-6512

9

8

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2

6

9

8

4

5

3

2

Riverside Peninsula 2 7 1 Vascular Surgery

9

8

6

3

4

7

3

2 4 WEIGHT7LOSS

6

8

7

5

VASCULAR 5 SURGERY 4 3 2

6

156-A Strawberry 9 5Plains 2 Road 1 Williamsburg (757) 229-7939

3 4 1 2 8

1

500 J. Clyde Morris Blvd.

Newport News 3 (757) 8 534-5340 6 5

3 Riverside 1 Weight Loss Specialists 6

5 9

8

1 6 2 7 9 4 3

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

7 8 9 4 1 2 5

9 7 5 1 8 6 4

Puzzle 6 - June 2016

1

2

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1 61617 Kempsville 2 5 Circle, Suite 250 5 9

3 Devine-Jordan 6 8 4 Center 9 5 The for Reconstructive Surgery & 6 5 9 3 2 7 Pelvic Health — a division of Urology 4 1 of 2Virginia 7 8 3

6

6

3

8

9

7

2

4

250 West Brambleton Ave. Ste. 100 6 Norfolk 2 (757) 1 938-6608 3 1

2 3 Urology 4 9 Specialists 5 8 Riverside

7

927 N. Battlefield Blvd., Ste. 200 8 Chesapeake 3 6 (757) 4 436.3350 8

3

5

7

9

Norfolk (757) 965-4890

4

2

6

4

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5

2

7

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9 6

7

229 Clearfield Avenue Puzzle 3 - March 2016 Virginia Beach (757) 457-5177

1 5 6 8 3 4 2

225 Clearfield Avenue 7 2Beach 1 (757) 8 457-5110 6 9 Virginia 120 Kings Way, Suite 3200 9 7 6(757)5253-0051 4 1 Williamsburg

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JULY Puzzle 8 -WORD August 2016SEARCH

5 1 9 8 3 7 4

1 6 4 7 8 5 2

7 3 5 2 1 9 6

4 8 7 3 6 2 1

3 2 1 9 4 8 5

8 5 6 4 9 3 7

9 7 2 6 5 1 3

Puzzle 9 - September 2016

2

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6

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1

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YORKTOWN, VA

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

5

5

JULY WINNER LISA CASHMAN

11848 Rock Landing Drive, Suite 402 Newport News (757) 873-1374

4 1

IN TEASERS

Williamsburg Neurology and Sleep Specialists

2

5

5

West Point (757) 843-9033

SUDOKU Puzzle JULY 7 - July 2016

BRA

3640 High Street, Suite 3B Portsmouth (757) 452-3400

4

7

Smithfield (757) 357-7762

2

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

MD Express

1

2 1001Winters 9 St., 7 Ste. 106

5208 Monticello Ave. 9 (757) 4 206-1004 8 3 Williamsburg

2

5

400 Sentara Circle Suite 310 Williamsburg (757) 345-5554

Pulmonary & Sleep Consultants of Williamsburg

2004 Sandbridge Road, Suite 102 7 Virginia 6 Beach 3 8(757) 301-6316 8

7

7

6

3 2007 7 Meade 5 1Pkwy.

Suffolk (757) 539-6300

5 Parkway, 6 3 Suite 2 900 4 901 Enterprise Hampton (757) 827-2480 1

9

2000 Meade Parkway Suffolk (757) 934-9300

URGENT CARE Puzzle 2 - February 2016

Puzzle 1 (Medium, difficulty rating 0.46)

301 Riverview Ave. 1 963-5588 8 2 Norfolk (757)

4000 Coliseum Drive, Suite 300 Hampton (757) 452-3441

SLEEP MEDICINE

4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383

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

225 Clearfield Avenue Virginia Beach (757) 457-5100

225 Clearfield Avenue Virginia Beach (757) 466-3406

7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753

466 Denbigh Blvd.

Newport News (757) 875-0861

Urology of Virginia

9 6 7 1 2 3 4

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JULY CRYPTOGRAM 2 4 1 7 5 8 6 3 9 Choose to do more than just exist; choose to live.

3 6 5 2 4 9 1 7 8 —Steve Maraboli 9

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UP FOR THE CHALLENGE? 2 4 3 8 7 9 6 Challenge your brain!

Turn to1page664 to7 find3out 5 4 9 how you3 can2win 1a gift6card!9 7 5

Puzzle 10 - October 2016

7

5

thehealthjournals.com | 49

8 1

7 2

STAYING WELL | BRAIN TEASER

Complete all three puzzles correctly for a chance to win* a $15 gift card to Target!

Snap a photo of this page and email it to contest@thehealthjournals.com, or tear this page out and send it by mail to:

IN TEASERS BRA

The Health Journal 4808 Courthouse St., Ste. 204 Williamsburg, VA 23188

STRETCH YOUR MENTAL MUSCLES AND WIN!

Winner announced in our next issue in the Inbox. See bottom of page for submission deadlines and details.

CRYPTOGRAM

Clue: R=A, G=E ,E=S, A=T

Use the above clues to uncover words and decipher the hidden quote. The clues have been filled in for you.

Hint: No cypher character will represent the same letter. ie: A will not equal A.

A

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—E M V F Y R K E. D F Q U U N O

SUDOKU

WORD SEARCH

*Entries must be received by the 17th of August.

NAME: EMAIL: CITY:

PHONE:

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