The Health Journal - July 2016 by The Health Journal

JULY 2016 | THEHEALTHJOURNALS.COM

P U E R I F GRILL THE

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with D

Ride along with the

Volunteer Rescue Squad TIPS FOR STAYING

Healthy on Vacation

Nudging Employees

into Better

Health PERMIT # 38

WILLIAMSBURG, VA

WILLIAMSBURG EDITION

OSC Patient Success Stories Relief from 40 Years of Pain “I injured my neck 40 years ago, when I dove into shallow water. As a Tug Boat Captain, I learned to live with the pain, but any little thing would aggravate it. It finally got so bad, I couldn’t use my arm. I found Dr. Carlson at OSC, who read my MRI and found I had two large disc herniations in my neck. He gave me all of my treatment options, including surgery. I asked a thousand questions and though I was apprehensive, I opted for surgery. When I woke up after the operation, all of the tingling, pain and numbness were gone. After 40 years, it was gone.” —Capt. Herman “Skip” Gibbs

s b b i G ” p i k S “ n a m r e H Capt.

DO YOU SUFFER FROM NECK, BACK AND LIMB PAIN? LEARN ABOUT YOUR OPTIONS AT OUR UPCOMING LECTURE.

Neck, Back and Limb Pain: Pain Relief and Treatments for Pinched Nerves, Slipped Discs and Spinal Stenosis

OSC

COMMUNITY LECTURE SERIES Speaker: Jeffrey R. Carlson, M.D.

Join Dr. Jeffrey Carlson as he discusses both non-surgical & surgical treatment options for common conditions of the Spine. Learn about LES (Less Exposure) Outpatient Spine Surgery. LES involves a small incision, much less blood loss, trauma, time under anesthesia and many of the surgeries are done as outpatient. Bring your specific questions for Dr. Carlson. Bring a friend, have some refreshments and get informed. Tour our state-of-the-art facility after the lecture!

Tuesday, July 19th, 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

MEDICAL PROFESSIONALS PROGRAM For over 14 years, J. Mansisidor has been working with doctors on their lending needs. We offer programs dedicated to making home ownership easy and affordable.

• A program designed for medical professionals* including MD, DO, DDS, DMD, PHARMD and VMD • 15 & 30-Year Fixed Rates** as well as Adjustable Rate Options Available

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• Up to 100% financing available for loan amounts up to $1.5 Million • Mortgage Insurance not required • Up to 6% seller paid closing cost and prepaids allowed

For more information please contact J. today!

J. Mansisidor

Senior Loan Officer NMLS #: 354606

757.927.1961

jmansisidor@fultonmortgagecompany.com

fultonmortgagecompany.com

Fulton Bank, N.A. is a Member FDIC. Member of the Fulton Financial Family. Subject to credit approval. *Medical Doctorate degree required. Restrictions apply. **Monthly payment for a $250,000 15-year term mortgage at 3.582% Annual Percentage Rate (APR) would be $1,787.21. Monthly payment for a $250,000 30-year term mortgage at 4.414% APR would be $1,248.21.

Fulton Bank

KEEPING YOU ACTIVE TPMG Hernia Center is the region’s only comprehensive hernia center. Led by STEVEN B. HOPSON, M.D., the TPMG Hernia Center specializes in developing hernia treatments based on each patient’s individual needs using the newest innovations including lightweight, high-strength meshes that are customtailored for each patient to create tension-free hernia repairs. If you’ve been diagnosed with a hernia, we invite you to learn more about our program. For more information, please call:

(757) 874-1077

Now Accepting New Patients • Inguinal • Incisional • Sports Hernia • Umbilical • Laparoscopic and Single Lumen (SILS)

STEVEN B. HOPSON, M.D., F.A.C.S, Director

860 Omni Blvd., Suite 108 Newport News, VA 23606 757-874-1077

mytpmg.com

ANXIE

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RESULTS

BIO-NATURAL HORMONE THERAPY • • • • •

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contents | bits & Pieces

JULY How to take a Healthy Vacation

18 Monitoring Moles with Smartphones? Lechonera

22 34

Pets in Wills

Ride Along with the Virginia Beach Volunteer Rescue Squad

Nudging Employees to Better Health

16 40

DEPARTMENTS BITS AND PIECES 06 08 08 09

Contributors DIY In My Own Words Publisher's Note

FEATURES 18 22 24

YOUR HEALTH

IN THE KNOW 10 13 14 16

Calendar Second Opinion Profile Advances in Medicine

Virginia Beach Volunteer Rescue Squad Healthy Vacations Corporate Wellness

28 30 32 34 36 37

Fitness Family Women'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.

SUSAN SMIGIELSKI ACKER

JOSEPH ASH

Susan is a freelance journalist and editor. Previously, she was a newspaper reporter in Georgia, a feature writer on the U.S. Army Kwajalein Atoll, Marshall Islands, and worked at NASA Langley Research Center.

Joseph B. Ash began his martial arts journey in 1981. He is a Master Instructor and owner of BAEPLEX where he teaches classes for children, families and adults. In 2013, Joseph published the book “Martial Arts Unlocked, A Parents’ Guide to Choosing a Martial Arts School.”

We’re All About Family Time! VOL. 12, NO. 02

FAMILY MEDICINE IS OUR FOUNDATION

TPMG doctors have been caring for Hampton Roads families for over 50 years.

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.

We’re committed to providing outstanding care for all ages. With over 170 physicians and advanced practice clinicians, TPMG is the leading choice for complete family care.

PUBLISHER

Brian Freer brian@thehealthjournals.com EDITOR

Page Bishop Freer pbishop@thehealthjournals.com EXECUTIVE DIRECTOR

Rita L. Kikoen rita@thehealthjournals.com

Williamsburg

Gloucester

Colonial Family Medicine

White Marsh Family Medicine

Discovery Park Family Medicine

Urbanna

BUSINESS DEVELOPER

Norge Family Medicine

Urbanna Family Medicine

Christie Davenport christie@thehealthjournals.com

Williamsburg Family Medicine

Yorktown

Williamsburg Internal Medicine

Grafton Family Medicine

West Point

Yorktown Family Medicine

MEDICAL EDITOR

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

ART DIRECTOR

Maria Candelaria Daugs maria@thehealthjournals.com

West Point Family Medicine

VIDEO PRODUCTION MANAGER

› Visit mytpmg.com for the addresses and phone numbers of our locations.

Brandon Freer brandon@thehealthjournals.com

mytpmg.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.

Addiction is a treatable disease

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.

There is no shame, there is only the opportunity for recovery when you decide to finally get help. Our Williamsburg, Virginia campus is home to one of the most respected addiction treatment programs in the country and our experienced medical and clinical staff will work with you in a safe residential environment.

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THE HEALTH JOURNAL

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

Bits & Pieces | IN MY OWN WORDS & DIY

Do it

IN MY

“ words OWN

Yourself

ALL NATURAL, ELECTROLYTE SPORTS DRINK

Hello

my name is

Walt Miller I am an engineer by occupation, and a “Do-It-Yourself” type person for most of what I learn and the projects I take on. My health is no exception to this philosophy. As a father of three boys, all of which became athletes, I observed that their performance on the field not only depended upon the training and coaching they received, but also how they took care of themselves. I have built much of my quality of life by learning about healthy eating habits, adopting reasonable exercise habits and monitoring metrics by seeking good doctors who know the proper tests to conduct. I like The Health Journal because it contains numerous articles on nutrition, exercise and health care. I also enjoy reading about people who have increased their quality of life by changing their life styles and habits. When I go to the YMCA to work out, I always find myself checking the rack for the upcoming issue of The Health Journal.

8 | thehealthjournals.com

YOU WILL NEED • 1 – 2 cups of coconut water depending on which flavor • 1/4 teaspoons sea salt • Lemons • 1 – 4 tablespoons honey or agave syrup

• Flavor Specific add-ins • 1 cup unsweetened tart cherry juice • 3 limes • 2 cups red seedless grapes • 2 – 3 large oranges

INSTRUCTIONS

TART CHERRY:

LIME:

Mix 1 cup of coconut water, 1 cup of unsweetened tart cherry juice, 1 tablespoon honey or agave, 1/4 teaspoon sea salt and a squeeze of lemon juice.

Mix 2 cups of coconut water, juice of 3 limes, 3-4 tablespoons honey or agave, and 1/4 teaspoons of sea salt. LEMONADE: Mix 2 cups of coconut water, juice of 2 lemons, 3-4 tablespoons honey or agave, and 1/4 teaspoons of sea salt. ORANGE: Mix 1 cup of coconut water, 1 cup of juice from oranges (about 2 to 3 oranges), 1–2 tablespoons honey or agave, 1/4 teaspoons sea salt.

GRAPE: Step 1: Mix 1 cup of coconut water, 1/4 teaspoons sea salt, squeeze of lemon juice, 2 tablespoons of honey or agave and set aside. Step 2: In a blender add 2 cups of washed red seedless grapes with 3 tablespoons of water and blend until smooth. You can add this mixture directly to the coconut water, or strain through a sieve.

PUBLISHER’s note | bits and pieces

e all know that stress is bad for us, but how much thought do we give to its contagious quality? I was recently in a line at the pharmacy to buy chocolate—my daughter loves the stuff—and I noticed the woman in front of me was agitated. I don’t make a habit of paying attention to other people’s purchases at the pharmacy, but I could see through the plastic bag she held that she was also buying chocolate. She was slender and blond, probably mid-fifties, with a New Zealandish accent. Subtle cues of her stress appeared. Her arms were crossed, she began fidgeting, and as the interaction between her and the cashier unfolded, I realized why. The cashier did not have the correct change in the register. Yes, that is all it took. A line of five people, including me, was waiting. The woman buying the chocolate began muttering under her breath, “This is a waste of time….I cannot believe this.” She wasn’t speaking to anyone in particular, as muttering is a way for people to vent their feelings without having to face the consequences of an actual conversation. The cashier—a small, gentle, Indian woman whom I’d learned, through a previous conversation, has cancer— was getting stressed out as well. I could also feel the vibe of the people behind me—you know that feeling. We were all catching the stress of the agitated customer. I felt like telling her to chill-out, but instead I said in a

yawn, I’ll yawn. Smile and I’ll smile back. There have been numerous studies about this. If you want to spread any feeling this summer, try to spread joy, and in turn, others will likely spread that feeling, too. And one final thought on that woman. It’s easy for

WE ARE A PROFOUNDLY SOCIAL SPECIES. WHAT OTHERS DO AND THINK AFFECTS US. soothing voice: “It’s ok, this kind of thing happens all the time. I’m not in any hurry.” This helped. It also helped me to relax, and the cashier seemed to feel better too. On my drive home I thought about why that woman got so worked up over nothing. She’s most likely impatient by nature. Most of us presume that people think the same way we do, and she probably thought those of us behind her were becoming impatient about the situation as well. She wanted to make it clear to the people behind her that this was not her fault. But instead of remaining calm and being patient, she began to internally panic. Her stress gave the cashier stress, and she almost gave it to me, as well as the rest of the line. Stress is definitely contagious. We are a profoundly social species. What others do and think affects us. You

us to just dismiss someone like that as a common jerk, but I realize now that that chocolate bar she purchased may have been the only pleasure she experienced all day. The truth is, we often never know why people behave the way they do. There could be countless reasons and we’ll never know why, but if we can take a moment to be generous, and overlook any negative behavior, perhaps we can help them find their way to joy as well.

BRIAN FREER /PUBLISHER BRIAN@THEHEALTHJOURNALS.COM

thehealthjournals.com | 9

in the know | Calendar

JULY CALENDAR 8 THE OLD BARREL AND THE SEA: A RUM TASTING

Taste fine Caribbean rum paired with colonial-inspired bites during this course. WHEN: 5:30 to 6:30 p.m. WHERE: Taste Studio $$: $54.95 CONTACT: colonialwilliamsburg.com

9 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

WILLIAMSBURG FARMERS MARKET

Enjoy fresh local produce and more. WHEN: 8:30 a.m. to noon Saturdays through October WHERE: Merchants Square $$: free CONTACT: williamsburgfarmersmarket.com

TOANO FARMERS MARKET

This farmers market is open yearround. WHEN: 8 a.m. to noon Saturdays WHERE: Corner of Forge and Richmond Roads $$: free CONTACT: 757-566-1905

DIABETES RISK ASSESSMENT SCREENING & BLOOD PRESSURE CHECK Learn if you are at risk for Diabetes. WHEN: 9 a.m. to noon WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4200

10 | thehealthjournals.com

10 ARCHERY FOR ADULTS

Learn the basics of archery in this course. WHEN: 2 to 3 p.m. Sundays through July 31 WHERE: Warhill Sports Complex $$: $45 CONTACT: 757-259-4200

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

12 PAW OPEN HOUSE

Pediatric Associates of Williamsburg hosts this open house for new or expectant parents. WHEN: 5:30 p.m. WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: 757-564-7337

14 SUMMER T’AI CHI IN THE PARK

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

16 SUNFLOWERS: A NATIVE AMERICAN BEAUTY

Learn about the history, cultivation, and beauty of the sunflower. WHEN: 10 to 11:30 a.m. WHERE: Williamsburg Botanical Garden $$: free CONTACT: williamsburgbotanicalgarden.org

VIRGINIA REGIONAL BALLET 5K

PARK TO PARK BICYCLE TOUR

Colonial Road Runners sponsors this 5K run. WHEN: 8 a.m. WHERE: First Colony Neighborhood $$: 5K, $25; Fun Run, $10 CONTACT: 757-209-9009

Choose from a 15-, 30-, or 50-mile bike ride. WHEN: 8 a.m. to 2 p.m. WHERE: Chickahominy Riverfront Park $$: $5-$20 CONTACT: jamescitycountyva.gov/recreation

BYOK

YOGA FOR KIDS

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

21 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

BABY CARE 101

Learn baby care basics in this course. WHEN: 6 p.m. WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: 757-564-7337

22 SCARES THAT CARE 5K

Run from the zombies during this race. WHEN: 7 p.m. WHERE: Doubletree by Hilton Hotel $$: $25 CONTACT: 855-666-2275

FOURTH FRIDAYS AT JAMESTOWN BEACH

Enjoy food, drink, and live music during this summer concert festival. WHEN: 6 to 8 p.m. WHERE: Jamestown Beach Event Park $$: $20 per vehicle CONTACT: 757-253-6677

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

24 CANOEING CLASS

Learn the basics of canoeing in this course. WHEN: 10 to 11 a.m. Sundays through August 14 WHERE: Chickahominy Riverfront Park $$: $40 CONTACT: 757-259-4200

30 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

FAMILY SPLASH PARTY

Bring the family out for a swim. WHEN: 6 to 9 p.m. WHERE: Chickahominy Riverfront Park $$: free CONTACT: jamescitycountyva. gov/recreation

INTRODUCING MEDICATION CHECK-UP? MEET ONE-ON-ONE WITH OUR PHARMACIST FOR A COMPLETE MEDICATION REVIEW.

Retina & Glaucoma Associates specializes in the diagnosis and treatment of retinal diseases and glaucoma. • Macular Degeneration • Diabetic Retinopathy • Glaucoma

Save Money • Identify Nutrient Depletions Better Understand Your Medications & When to Take Them Identify Potential Drug Interactions • Feel Healthier & Happier

Dr. Nordlund was on faculty at UVA Medical School, and is a current clinical faculty member at VCU Medical Center. John R. Nordlund, MD, PhD

Member, American Society of Retina Specialists Member, American Glaucoma Society

Williamsburg

• Retina fellowship at the Mayo Clinic • Glaucoma fellowship at Johns Hopkins

DRUG CO.

Office hours:

Monday-Friday 8:00-5:00 www.rgava.com

established 1895

Schedule Your Appointment Today.

757-229-1041

113 Bulifants Boulevard, Suite A Williamsburg, VA 23188 757-220-3375

240 McLaws Circle

Route 60 near Busch Gardens in Market Place Shopping Center, (Next to Starbucks)

are

& Sweat

Destroying Your Hearing Aids?

20 PEOPLE WANTED.... To evaluate the latest wave of smart, rechargeable and water proof hearing aids suitable for active life style. These hearing aids provide exceptional hearing experience in background noise and were even proven to provide better than normal hearing capabilities in certain hearing situations. *Subject to a 30 day field trial to guarantee your satisfaction. Mention code “WATERPROOF” to participate in the trial and receive tremendous savings. *Call us for more information and to schedule your hearing evaluation and demonstration

Colonial Center for Hearing 757.229.4004

430 McLaws Circle, Suite 101, Williamsburg, VA | www.WilliamsburgHears.com

Life

CHANGING

HEARING

SOLUTIONS

yourself

TPMG Yorktown Family Medicine

FEEL LIKE ati ebr ng

cel

AG A I N !

Welcomes

Jeffrey Harris, D.0. AUGUST 2016

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.

ye a rs

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.

JEFFREY HARRIS, D.0.

Dr. Robert Pinto Dr. Anne Pinto | Dr. Kenneth Boecker Schedule a consultation today, call 757.645.9353

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.

ACCEPTING NEW PATIENTS TPMG Yorktown Family Medicine 307 Cook Road Yorktown, VA 23690

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(757) 898-7261

mytpmg.com

5408 Discovery Park Blvd | New Town, Williamsburg | pintochiro.com

Offering

State-of-the-Art Facial Vein Therapy

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

In addition to Juvederm® we now offer

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• 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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special advertising section

second opinion Why have I been hearing so much about the Zika virus lately? You’ve been hearing a lot about the Zika virus because it has just recently, for the first time, begun to spread widely in the Western Hemisphere (initially in Brazil in 2015). Illness can occur when one is bitten by an infected mosquito, the Aedes type, but only about 20 percent of those infected with the virus even develop symptoms (low grade fever, rash, joint pain, and/or red eyes). The problem is that the virus may cause microcephaly (small head and brain) in the developing fetuses of infected pregnant women. Infection during the first trimester of pregnancy creates the most risk. We know that this association exists because when Zika outbreaks have occurred in other countries around the world, the incidence of microcephalic babies born thereafter has definitely increased. In Brazil, initial data suggests that 39 percent of microcephaly births were linked to Zika. Twenty cases of Zika infection have been reported in Virginia and all were travel related, not locally acquired. However, if you are pregnant or attempting to conceive, please be mindful and take appropriate precautions to avoid contracting Zika if traveling to an area where Zika has been reported. Two examples are Puerto Rico and Brazil. Searching for “CDC/Zika Basics” on your computer will take you to a complete precautions list.

Ralph Robertson, M.D.

Medical Director of Lackey Clinic 757-886-0608

Why should I consult an audiologist? In their search for the most affordable hearing aid option, people have often asked me why they should choose an audiologist. The following are a few of my replies. Audiologists are the professionals dedicated to helping people with hearing problems. In the United States, the majority of hearing aids are dispensed by licensed audiologists. In addition to evaluating someone’s hearing loss and properly fitting hearing aids, an audiologist can provide follow up care, hearing aid accessories, and counseling for you and your family members. Audiologists are trained in the prevention, diagnosis and non-medical treatment of hearing and balance disorders. Audiologists are able to provide various services in private practices, physician’s offices, hospitals and schools. These services may include diagnostic evaluation and interpretation of hearing loss and tinnitus, hearing aid dispensing, aural rehabilitation, and tinnitus management. A qualified audiologist holds a graduate degree from an accredited university, has obtained state licenses, has completed a full-time clinical internship, and passed national competency examinations. Audiologists use the most advanced diagnostic procedures and state-ofthe-art equipment to individualize the fitting of your hearing aids. An audiologist is an invaluable resource for your hearing healthcare needs.

Lauren A. Matsko, Au.D., MPH, CCC-A Maico Audiological Services maicoaudio.com 757.547.3560

I haven’t been to the dentist in a long time and I am nervous about going back. What is the harm in waiting?

your health care questions answered

Many Americans avoid their dentist. Understanding the reasons behind missing appointments can help overcome the avoidance. • COST: A common misconception is that routine dental visits are costly. You may fear that without dental insurance, it costs too much to see the dentist. Yet, the truth is if you take good care of your teeth and mouth, bi-annual dental visits won’t end up costing a great deal. Think of it like maintenance on your car or doing yard work. The more frequently you tend to these tasks, the easier they are to handle. Also, your dentist may offer payment options to assist you. • ANXIETY: Fear of a dental visit may be a problem for some, but dentists offer ways to help curb anxiety by offering sedation methods. The best way to make the experience positive is to communicate your fears and let your dentist come up with the best type of treatment. • BEING LECTURED: Getting lectured by your dentist can be frustrating. If you’ve neglected your dental hygiene, then you may fear a lecture is in store. While in fact, reprimanding a patient isn’t on a dentist’s radar and is considered counterproductive. Instead, think of your dentist as a coach helping you obtain optimal dental health. Routine visits allow for early detection and prevention.

Aubrey Myers, D.D.S. Williamsburg Center for Dental Health 757-565-6303 thehealthjournals.com | 13

in the know | profile

Catherine Lintzenich By Brandy Centolanza

ingers and dancers in Hampton Roads looking for relief from strained vocal or performance injuries may be able to find a cure at Riverside Performing Arts Medicine (PAM). PAM provides specialized medical treatment to vocalists, dancers, actors, musicians, and other performers in need of care. Dr. Catherine Lintzenich is a trained singer and laryngologist—a doctor who treats disorders and diseases related to the vocal apparatus, particularly the larynx—who has assisted patients at PAM for the past two years. “I work with those in the performing arts, and anyone who uses their voice in front of an audience, including singers, actors, teachers, clergymen, and lawyers,” says Lintzenich. Lintzenich grew up in Newport News and currently works as an ENT-otolaryngologist there and in Williamsburg. She earned her medical degree from the Wake Forest School of Medicine in North Carolina. “I decided to go to medical school when I was in high school because I loved science, and I was intrigued by using science to help people,” she says. “I knew early on that I was drawn to the surgical fields. Watching vocal fold surgery was what drew me to the field of otolaryngology.” Roughly 25 percent of Lintzenich’s patients are individuals with conditions affecting their voice. Lintzenich treats patients with voice and swallowing problems that may be related to acid reflux, allergies, lesions, polyps, or cysts on the vocal cords. Her treatments include working with speech pathologists on voice therapy, or medical care or surgery. PAM is the only practice on the Peninsula that uses videostroboscopy, a technique using a tiny, high definition strobe camera inserted through the nose to get a close up shot of the larynx and vocal cords. It provides a magnified, slow motion view of the vocal cords in action. Through videostroboscopy, “we are able to see any subtle problems with the vocal cords,” Linzenich says, including any scarring or lesions. During the process, patients are able to watch their vocal cords on a screen.

14 | thehealthjournals.com

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“Most of them have never seen their vocal cords before,” she says. “I enjoy working with singers and educating them, and showing them how their whole body is an instrument. In order to drive your voice, the air, the breath support, you are using your whole body, your posture, your diaphragm, your lungs. It’s all important in producing a good voice.” Lintzenich knows from experience how to properly care for your voice. She’s sung most of her life in choirs, small ensembles, bands, solos in church, and in musical theater. “Singing is such a unique way for humans to express emotions, tell stories, and give praise,” she says. “Most singers consider their ability to use their voice in this way to be one of their defining characteristics. Singing is essential to their wellbeing.” PAM works with singers from Busch Gardens, College of William & Mary, Christopher Newport University, and other performance groups to educate them about the importance of voice care. She partners with trained speech pathologists on voice therapy, which helps patients with breathe support, posture, and any tension in their tongue or neck, as well as vocal hygiene. “We are trying to show them how to use their speaking voice and singing voice in the best possible way, the healthiest possible way,” she says. Vocalists can care for their voices at home through simple steps that include warming up and breathing appropriately before performing, staying fully hydrated, not smoking, and avoiding decongestants and antihistamines. But if anything is painful, or it is uncomfortable to sing or talk, she suggests seeking help immediately. “If it doesn’t feel right or sound right, you need to have it checked out,” Lintzenich says.

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in the know | advances in medicine

Monitoring Moles WITH YOUR

Smartphone? By Teresa Bergen

f you’ve ever noticed a change in a mole on your body, chances are you wondered if it was skin cancer. This most common of cancers affects about one in five people over the course of their lifetimes, according to the American Academy of Dermatology. The rate of melanoma—the potentially deadly form of skin cancer—doubled between 1982 and 2011. Could our smartphones save us? At least a dozen companies have launched apps that enable customers to take high quality photos of their moles, organize and archive them. “It’s a huge, exciting field to be able to monitor, track, and follow all of these types of lesions,” says Dr. Z. Christine Marcuson, a dermatologist and Mohs surgeon at Dermatology Specialists in Williamsburg, Virginia. “The most challenging patients that we have, regarding following people for melanoma, are the patients that have multiple atypical moles. And the best predictor, of course, is change. So having serial photographs is fantastic from a provider’s standpoint.” Marcuson is excited about the possibilities of aiding underserved populations through tele-dermatology, as well as monitoring patients who have hundreds of

16 | thehealthjournals.com

moles. “I think it has a tremendous potential as far as reducing anxiety and reducing unnecessary biopsies,” she says. But some apps go farther than photographing and archiving. Several attempt to diagnose whether a skin spot is cancerous or benign. Dr. Joel A. Wolf published a study in JAMA Dermatology in 2013 testing four of these diagnostic apps. He and his colleagues submitted 188 photos of pre-diagnosed skin lesions to smartphone apps. Sixty were bona fide melanomas; the other 128 were benign. Three of the apps used automated algorithms to assess lesions. The fourth forwarded the photos to an unidentified dermatologist. Results varied, but even the one that used a real dermatologist, not an algorithm, pronounced 30 percent of the known melanomas benign. Marcuson warns that these diagnostic apps could give users a false sense of security, causing them to defer a much-needed dermatology appointment. People would rather believe it when an app says they’re okay than be inconvenienced by a doctor’s appointment, she says. “And if it’s accurate, that’s great. But if it’s a 30 percent error rate and you’re in

advances in medicine | in the know

Obviously, not everybody is getting diagnosed soon enough. And relying on a smartphone app for accurate diagnosis may increase the death toll. that 30 percent, it’s 100 percent for you. And you’ve delayed your diagnosis.” For people who catch a melanoma before it spreads into their lymph nodes, the five-year survival rate is 98 percent. Experts expect melanoma to cause about 10,130 deaths this year. Obviously, not everybody is getting diagnosed soon enough. And relying on a smartphone app for accurate diagnosis may increase the death toll. Marcuson recommends combining technology with older ways of charting changes in moles. Get a

close companion to examine moles in places you can’t see, such as your scalp, back and behind your ears. Note especially what’s called the ABCD and Es of melanoma detection: asymmetrical shape, irregular border, more than one color, diameter bigger than a pencil eraser and evolution, or changes in the mole. Take mole selfies, or have your partner do it. And for now, use skin cancer apps for archiving photos to share with your dermatologist. But don’t trust an app for diagnosis.

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features | virginia beach volunteer rescue squad

RIDING ALONG WITH THE

VOLUNTEER RESCUE SQUAD OF VIRGINIA BEACH

By Susan Smigielski Acker

18 | thehealthjournals.com

virginia beach volunteer rescue squad | features

very Wednesday for nearly 10 years, Ellen McBride steps away from her profession as a marketing communications director with Red Chalk Media to don the white uniform of a volunteer emergency medical technician (EMT) with Rescue Station 14 of the Volunteer Rescue Squad of Virginia Beach. With 14 volunteer rescue squads and more than 1,000 volunteers, the resort city has the largest volunteer-based emergency medical systems (EMS) in the nation. They respond to more than 44 thousand calls a year. McBride and her partner for the day, Adam Juma, responded to an early morning call. They are back at Station 14, near the oceanfront, for barely 30 minutes when there is another call for help. The dispatcher describes it as a fall. With that information, they quickly climb into the ambulance, flip on the lights and hit the siren. They are followed by the nearby Virginia Beach Fire Department crew, to a small apartment. Once in the apartment, they find a man with an amputated leg, bleeding from the head. He describes his fall. While McBride bandages his head, she questions him about his injury. He says his neck hurts. The crew attaches a neck brace. The man goes from telling how grateful he is for their help to cursing because he considers the neck brace too tight. Together with the fire crew, he is placed on a stretcher, taken downstairs and into the ambulance. Once in the ambulance, he is asked a series of health questions. He says he has Type 2 diabetes. After he is taken to the emergency room at Sentara Virginia Beach General Hospital, they quickly refill medical supplies. Then another call comes in. It is a woman with severe abdomen pains at an oceanfront hotel. Again: lights, siren, drive. Juma says the lights and sirens are always turned on when going to a call. â&#x20AC;&#x153;Because we do not know how serious it is until we get there. When we are heading to a call, it is a priority,â&#x20AC;? he says. Asked about how traffic responds to a lighted siren blazing ambulance on roads such as congested First Colonial Road, which they frequently travel, Juma sighs.

thehealthjournals.com | 19

features | virginia beach volunteer rescue squad “It is tough because many people do not know what to do, they just stop where they are which causes everyone else to stop. So we are stopped. It is like they form a barricade. It is important that they move over, move to one side or the other. And if they can’t, to keep moving forward until they get to a spot, like a parking lot, where they can get out of the way,” he says. Juma notes that 97 percent of people transported to the hospital do not require the lights and sirens. Once at the oceanfront hotel, the manager escorts McBride and Juma to the room where the woman, a hotel employee, is bent over an ottoman in pain. They carefully get her on the stretcher and wheel her out. While in the ambulance, she discloses she is 12 weeks pregnant and suffered from cysts in her fallopian tubes in the past. She believes that is the cause. At the hospital, she is placed in a room and the emergency room staff takes over. The pair get back to the station, only to be there for about five minutes when another call comes in. They rush off again. It is barely noon. Being a rescue squad volunteer takes commitment. Each volunteer works at least one 12-hour shift once a week. They are asked to commit for two years. Prior to going on the road to help others, they go through five months of training conducted twice a week. Recently some parts have been offered online. The 157 members of the oceanfront’s Virginia Beach Volunteer Squad handle everything from responding to emergencies to support services. Ambulance runs are not their only job. Volunteers work, with equipment ready, at Virginia Beach events such as the Shamrock Marathon in March and the Rock and Roll Marathon. Volunteering as an EMT is just part of the job. They also dedicate time to help raise money for equipment, vehicles and uniforms along with the Virginia Beach Rescue Squad Foundation—the fund-

20 | thehealthjournals.com

raising arm. The Virginia Beach Volunteer Squad’s equipment rivals that of any emergency services team. Their equipment includes the Jaws of Life, which is able to unhinge the toughest mangled car. Recently added was an oxygen mask for pets that may experience smoke inhalation due to a fire. The all-volunteer squads save the city an estimated $24 million a year. It also saves residents and tourists because they are not charged for the help or the ambulance ride. One ambulance ride costs about $475. A fully equipped ambulance costs $300,000. The portable computer allows EMTs to write detailed reports. “We try to do the reports as soon as possible. They need to be accurate for the medical team and possibly if there is a legal issue, which is rare,” McBride says. Volunteers do all the laundry associated with the ambulance onsite. This includes hazardous material cleaning if needed. Every volunteer has a story on how they came to help. For McBride it started while a member of a local garden club. The club presented a check to the Virginia Beach Rescue Squad Foundation. During the check presentation, McBride started asking questions about the equipment. With every answer, she got further bitten by the bug. Unlike McBride whose job is something totally different, Juma is emergency vehicle dispatcher. He usually works with his girlfriend, Danielle Sullivan, who is a medical technician. They both just felt a need to volunteer. Dale Drescher is a retired Virginia Beach school teacher who was encouraged by a friend and fellow volunteer to attempt it. “The first class was difficult. I did not think I was going to go again,” she said. Kitty Schaum, executive director of the Virginia Beach Rescue Squad Foundation, is quick to point

THE CUTTING EDGE:

A series of articles about Stem Cell Therapy and other Treatment Options

out that volunteers come from every walk of life and occupation. They range from homemakers to a retired shipping line president. Many are former military. In addition to responding to emergencies, the squad helps the occasional walk-up patient. “The Lighthouse, [a nearby rehabilitation day center for the homeless] is nearby. It is not uncommon for someone to come here and simply request a bandage,” Drescher said. She added there are times someone needs a ride to get medical attention, but it is not an emergency. “Some people have no means of transportation. All we can do is take them to the emergency room,” Dale said. It is no question that the squads handle many more calls in the summer. They range from a tourist getting a surprise knock down in the surf to heart attacks. If an EMT saves a person from a heart attack, they are awarded with a heart pin. McBride is unable to wear all her pins because she has so many. If a baby is delivered by a squad member, a stork pin is awarded. McBride proudly shows off her pink one from delivering a little girl last year. “This [volunteer] work is very rewarding,” she said smiling.

In this second article of the series, I will discuss the different types of stem cells, which will help you understand how stem cell therapy works. What are stem cells? D. Colin M. Kings ton, M. Stem cells are cells boa rd -cert ifie d on that can be turned or th opa ed ic sur ge into specialized cells. These cells perform specialized functions in multicellular organisms (in this case, humans). The process is called differentiation, and can divide into more stem cells through mitosis. There are three different types of stem cells: totipotent, pluripotent (embryonic), and mutipotent (adult). Totipotent stem cells are the first cells that occur after the sperm fertilizes the egg and can be turned into anything. These are the cells used when animals are cloned into another genetically identical being. Research is limited because of the ethical implications associated with totipotent cells. Pluripotent cells are found in the embryo and can develop into any type of cells or tissues, but cannot clone another being. Mutipotent or adult stem cells are the cells found in our blood, fat and bone marrow. They can develop into more specific cells with the capability of replacing our skin, hair, red blood cells, etc. The bottom line is that stem cells offer a great deal of promise for future therapies. In the next article of the series, I will go over different types of stem cell therapy.”

—Colin M. Kingston, MD For more information about Dr. Colin M. Kingston or to set an appointment for consultation, please call 757-827-2480.

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features | stay healthy during summer travels

Stay Healthy During Summer Travels By Brandy Centolanza

oes your summer include travel plans, or will you be traveling for business? Hitting the road doesn’t necessarily mean you will do damage to your diet or exercise regimen. “Traveling does not have to be an excuse to stray from your healthy lifestyle,” says Lauren Barkan, a registered dietitian with Bon Secours In Motion Physical Therapy and Sports Performance. “It does, however, require more planning and organization if you want to be consistent with your diet and exercise routines.” Start off your trip by packing your own snacks or meals for the plane ride and hotel room. “Pack healthy snacks like fruit, nuts, trail mix in small snack bags to take along if you’re touring or attending a business conference so you can snack when needed,” suggests Gale Pearson, a registered dietician with Tidewater Physicians Multispecialty Group. Staying hydrated is also important. Bring along your own water bottle to refill daily. “We often confuse thirst for hunger, so staying hydrated can help refrain from snacking on empty calories throughout the day,” says Barkan. At a restaurant, stick to healthy options whenever possible. “When dining out for fast food, a kid’s meal with water and fruit instead of fries is a good idea, or a grilled chicken sandwich with fruit or a side salad will also work,” says Pearson. “Avoid mayonnaise, cheese, breaded foods, and sugary drinks.” Barkan agrees. “It is a good idea to limit the amount of fried

22 22 || thehealthjournals.com thehealthjournals.com

foods in your diet,” Barkan says. “Most fast food restaurants now offer baked or grilled options as a healthier alternative.” Barkan recommends turning to your mobile device for help deciding where and what to eat. “Food journal apps and nutrition information listed on various websites may provide the calorie, macronutrient, and micronutrient content of the meals offered at a restaurant. Glance over it and make your choice before arriving to avoid making an impulsive unhealthy choice.” Squeezing in exercise during your trip is also possible. “Wear comfortable shoes while traveling so that you can walk during wait times at the airport and train stations,” suggests Holly Hicks, a registered dietitian and Wellness Programming manager for Riverside Wellness and Fitness Center-Peninsula. Most hotels have fitness rooms or an affiliation

DINING OUT

ON THE ROAD? HERE ARE SOME TIPS: with a fitness club. Hicks also recommends asking the hotel concierge for nearby trails. You can also “pack a jump rope and resistance band and turn your room into a mini-gym,” Hicks says. “Even a twenty to thirty-minute routine that includes squats, lunges, pushups, and crunches will help maintain your fitness level while traveling.” Or, pull up a workout video on the Internet. When you are on vacation, including “excursions like rock climbing, hiking, bike tours, scuba diving or snorkeling is always a fun way to exercise,” adds Barkan. Since it is a vacation, it is okay to indulge a little. Just don’t go overboard. “Plan one nice meal, which may include a treat,” Barkan says. “If you limit your treat to one meal instead of one day or several, you will not feel as deprived and will appreciate your treat even more. If you plan ahead and make some modifications in your diet, you can even enjoy your splurge guilt-free. Remember, staying active most days during the trip will also help burn off any extra calories you take in.”

• Choose a side vegetable or salad instead of fries • Choose water with lemon instead of soda • Ask for dressing on the side • Choose foods that are grilled, baked or broiled • Limit foods that are fried, sautéed in butter or oil, or have a creamy sauce • Avoid large restaurant portions by sharing an entrée or asking for a take-home box when the meal is served.

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features | nudging employees to better health

Nudging Employees to

BETTER HEALTH By Shawn Radcliff

f credit is the lifeblood of any business—as President Herbert Hoover once said—then employees are certainly the heart. Which is why, in order for a business to survive for years —or even generations—that heart has to be strong and healthy. Many companies understand this and have long offered a wide range of benefits to keep their employees healthy and productive.

24 24| |thehealthjournals.com thehealthjournals.com

nudging employees to better health | features says McWilliams. “They were one of the first companies doing health risk assessments. Not just the survey health risk assessments, they were also doing the blood draws.”

HEALTH INCENTIVES STIR UP TROUBLE

Probably the best known benefit is employer-provided health insurance. But companies have tried many other things beyond just picking up some of the cost of insurance premiums. At KI, a Wisconsin-based contract furniture company, the wellness program includes Weight Watchers, a fitness club and health coaching—the last one either over the phone or face-to-face with a nurse. “We have all these programs available to our employees that they can go through for free—to be able to better themselves and get up into that ‘Gold’ premium level,” says Jodi McWilliams, benefits manager at KI. The ‘Gold’ level is part of KI’s efforts to motivate its employees to stay healthy. Employees are given an annual health assessment. This includes measuring several risk factors for chronic diseases—blood pressure, cholesterol, blood glucose and body fat. Employees are graded on these assessments, with ‘A’ being the healthiest score. This affects how much they have to pitch in for health insurance. Between C and D, there is not a huge difference in the cost of the premium. But the price drops significantly when employees move up into the A or B range. They can save up to $1,000 a year on their premiums—simply by being healthier. When it comes to this kind of ‘biometric screening’ as it’s called, KI is no novice. CEO Richard Resch “has been very aggressive, as far as wellness, for 20-plus years,”

For some KI employees, this kind of incentive is enough to motivate them to improve their health. “We have had a lot of people where their goal every year is to get a little bit better and to move up into those different premium levels,” says McWilliams. But as in school, not everyone is motivated by grades. And some people would rather not participate at all. “For those that don’t test, you’re going to get an ‘F’ premium, which is what we basically call it,” says McWilliams. “You’re going to pay a lot more for your premium.” According to a 2015 Kaiser Family Foundation, 31 percent of large companies offering health benefits give employees some kind of incentive for completing a health risk assessment and 28 percent for completing a biometric screening. New Jersey-based Honeywell International is one of those companies. Employees and spouses covered by the company’s health insurance were penalized if they said no to the biometric screening—which checked blood pressure, cholesterol, signs of nicotine use and waist circumference. However, Honeywell’s disincentive, as it’s called, was a little more than just a nudge in the right direction. Refusers could be penalized annually up to $4,000 each through lost health insurance contributions and surcharges. The U.S. Equal Employment Opportunity Commission, an independent agency, objected. It sued Honeywell in 2014, claiming that the screening violated the Americans with Disabilities Act and Genetic Information Nondiscrimination Act. Honeywell stood behind its program. Although the EEOC is a government agency, the Affordable Care Act—another government program—allows these kinds of incentives for wellness programs. It caps them, though, at 30 percent of the insurance premium—or 50 percent for tobaccocessation programs. The ACA is less clear about disincentives. Fast forward to late last year. A federal district judge ruled that employers can require its employees to undergo biometric screenings

features | nudging employees to better health

in order to receive health coverage provided by the employer. This is likely not the end of the battle for the EEOC. But many employers are treading carefully when they ‘encourage’ employees to participate in wellness programs. “We used to tie [the annual medical assessments] to our health savings account contribution,” says McWilliams. “If you didn’t test, you didn’t get that contribution. Now we can’t do that, per the laws.” Instead, KI offers employees who undergo the health assessment lower premiums, with bigger savings if you are healthier.

MANAGING DISEASE OFFERS BIG SAVINGS Companies that offer wellness programs often talk about wanting their employees to be healthier. But financial matters are also in the mix. Employees with chronic diseases like obesity, diabetes and heart disease cost companies big money. According to the Centers for Disease Control and Prevention, in 2012 the medical costs for diabetes alone was $176 billion. On top of that, this one disease resulted in $69 billion in decreased productivity from missed workdays or employees working less effectively. When companies invest in wellness programs, they are often hoping to save money by lowering healthcare costs and boosting their employees’ productivity. There are two basic types of wellness programs. The first is lifestyle management, designed to help employees live healthier lives—by exercising more, eating better, quitting smoking and other lifestyle 26 | thehealthjournals.com

changes. These activities are known to lower the risk of developing many chronic diseases. Lifestyle management is much more common among businesses than health risk assessments and biometric screenings. According to the Kaiser Family Foundation survey, 81 percent of large companies and 49 percent of small ones offered employees these kinds of programs. The other type of wellness program is aimed at helping employees manage their existing conditions. According to a 2014 study by the RAND Corporation, these efforts give companies a much higher return on their investment. The RAND study included 600,000 employees at seven employers. On average, wellness programs saved those employers about $30 per month for each participating employee. However, the lifestyle management component accounted for only a small part of the savings. Helping employees keep their health conditions under control—such as encouraging them to monitor their glucose levels, take their medications regularly and attend follow-up doctor visits—was responsible for 87 percent of the savings. And that’s with only 13 percent of employees participating in this component. The reason? Hospitalizations for chronic diseases like heart disease and diabetes cost a lot of money, expenses that are passed onto companies through health insurance premiums. Although helping employees control their existing conditions may save companies more money, building a culture of wellness in a company can keep employees happier over the long run.

nudging employees to better health | features And over time, the results will pay off—as KI has discovered during the decades that it has been offering wellness programs to its employees. “We track the scores every year. We want to better ourselves as a company,” says McWilliams. “When we first started these assessments—that was 20-plus years ago—our average score was below 50 [out of 100], and now we’re well over 77 as an average score.” At KI, the company’s lifestyle management offerings also give employees a chance to improve their health, and save money by moving up to the A-level insurance premium. “That’s a huge part of our wellness program now,” says McWilliams. “These programs are mandated, but if anyone is below the ‘Gold’ level in our premium level, they’re eligible for this wellness program—and it’s free to them.” Free, though, doesn’t mean widely used. Out of KI’s just under 2,000 employees, only 114 people completed this quarterly program last year. McWilliams says more people signed up this year, but not everyone makes it through each session. Motivating people to take charge of their health can be as challenging for companies as it is for public health agencies. “If anybody has that magic answer, I would love to hear it,” says McWilliams.

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your health | fitness

RUNNING SHOE CHECK-UP By Dr. Daniel Shaye

erhaps you’ve heard the line, “See your doctor before beginning an exercise program.” When’s the last time your shoes got a checkup? Here are a few key things to look for, before your shoes derail your running program with aches, pains, and injuries. Your running shoes have some basic anatomy. There’s the bottom of the shoe, which has an outsole typically made of rubber or similar material designed for traction and durability. The midsole is typically made of cushioned material designed to mitigate impact and shock. It may have an anti-pronation “plug” of denser material in the midsole designed to minimize or slow pronation (which is, roughly speaking, inward foot and ankle roll). Plastic heel counters may control the sideways (lateral) motion of the heel. The toe box is the area where the toes “live” in the shoe. The upper is precisely what it sounds like, and attaches to the base of the shoe (midsole and outsole). Add laces and a tongue, and you have a basic shoe. The most basic examination is to observe the shoe on a flat surface from behind. A shoe can be perfectly healthy despite dirt and grime, so don’t let surface appearances fool you. Look deeper. Just sitting on the

28 | thehealthjournals.com

table, does it collapse inward, or outward? If so, the shoe has worn down due to your impact patterns and it’s time to replace it. There’s no sense risking injury to save a few bucks. Pick up each shoe, one at a time, and examine the parts. Is the underside (outsole) wearing? Does it still provide traction? Has it worn all the way through? If you can see through the outsole to the midsole, it’s way past time to replace the shoe. Look at the midsole and anti-pronation plugs. Are they looking compressed? If so, and you bought them for their soft and fluffy feel, they’re getting stiffer and not performing as intended. Put a trip to the running shoe store on your “to-do” list. Look at the upper. Is a toe (such as a big toenail) peeking through? Though this isn’t a sign of a shoe that’s biomechanically unsound, unless it’s a defective shoe or you have toenails like razors, this is a sign that the shoe is beginning to break down. Check that everything is glued where it’s supposed to be. Years ago, I pushed a racing shoe past its prime and had it come apart on me in the last meters of a 5K. I’m lucky I didn’t fall on my face. Some shoes have hard plastic elements in them designed to control various foot motions, or even

fitness | your health

to “return energy.” Twist and bend the shoe in your hands, and examine plastic parts for faults. If you see or feel cracks when you stress these parts, the shoe is ready for last rites. Shoe mileage is another way to evaluate shoe health. Most shoes last roughly 300-500 miles; though this “rule” is more custom than science. Do track your shoe mileage, but don’t rely exclusively on it. Some shoes may last 600+ miles, while others may break down after 150. Minimalist shoes are shoes that are light, flexible, thin, and approximate a barefoot running experience. They may have a variety of advantages over traditional running shoes (a topic for another article). The reason why I mention minimalist shoes in the context of this discussion is that since they have minimal “parts,” they also have very few areas that can malfunction. When they tear or stitches pull lose or they develop holes, they’ll be ready for burial; otherwise, a shoe with minimal cushioning and devices has little that can break down. Here’s a simple way to evaluate shoe health: How do they feel when you run? If you’re feeling aches and pains that you’re not accustomed to, it may be time for a new pair. You might be pleasantly surprised how

wonderful and alive a new pair feels. You might even cure your own injury—or avoid one altogether. I look forward to seeing you on the roads and trails. Happy running!

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SUSTAINABILITY

AT HOME

ustainability is the green buzzword. From eco-friendly paints and flooring, to lights that turn off when they sense the room is empty. New commercial construction is increasingly LEED (Leadership in Energy and Environmental Design) certified, meaning that it has less of an impact on the environment, and is healthier for those who work and/or live in the building. There is a perception that sustainability costs a lot of money. Granted, not everyone can afford floors made of renewable hardwood from a rainforest in Brazil, and few eat only organic foods. Still, there is much that can be done on a smaller scale. According to Calandra Waters Lake, Director of Sustainability at the College of William & Mary in Williamsburg, Virginia, a good start might involve simply evaluating the choices you make for yourself and for your family on a daily basis. “Take time to pause and assess what is really important in your

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life,” she says. “Consider the resources that you use on a regular basis; you might find you can use less of them. Little changes like using dishcloths instead of paper towels, or choosing LED lighting and installing low-flow water fixtures and light sensors all add up.” With summer almost here, some might do their part by keeping the thermostat turned to a higher temperature. “Just a few degrees makes a difference,” Calandra says. “And you will save money on your electric bill.” Living sustainably can save money in other areas too. “Ditch the disposable habit. You can save resources by being a wise consumer and investing in items that last in the long run. Think ‘minimal’.” Minimalism doesn’t necessarily mean living without things; instead, it means putting those things that we own to their maximum purpose. When embracing a minimalist lifestyle, for instance, people tend to recycle more, and also be more mindful of purchasing items that are produced with an

By Lillian H. Stevens

emphasis on sustainability. Calandra encourages folks to minimalize the use of plastic products, in particular. “Many plastics contain BPA, PVC, and a slew of other acronyms for chemicals that you don’t want in your body. I try not to eat or drink from plastics that have been heated as they are especially prone to releasing toxins. I also use reusable water bottles, and store food and drinks in glass and metal containers.” Another important step to living sustainably involves considering your own health and well-being, which means eating smart and taking care of your body. “Invest in your food. It pays itself back in your health and happiness. Eat organic when you can and consider reducing your meat consumption, buy local at your farmer’s market, make cooking dinner a family event and take time to sit down and eat together.” Investing in your own fitness can be fun. Rather than driving to the gym, why not bike to work or take a walk with the kids? “Being

truly sustainable should be a win-win situation,” Calandra says. “There are lots of opportunities to get outside, get a workout, and bond with your friends and family. Don’t underestimate the value of a less stressful lifestyle. It can mean a healthier, happier you.” Naturally, when we hear the words sustainable living, we think about protecting the environment because living sustainably means being kind to the planet we call our home. However, making sustainable choices is also about taking measures—large and small—to ensure our own health and well-being. Let’s keep finding ways to make our lifestyles greener and more sustainable. It may be easier than we think.

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EASY WAYS TO BE

SUSTAINABLE:

• Spend more time reading and playing games: By reducing your reliance on electronic equipment, you not only save energy but also you bond with your family and friends.

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• Become a member of a community garden: It isn’t just about growing your own food, being a member of a community garden helps to promote sustainable living in the area. Gardens create green spaces and the garden waste can be mulched and returned to support healthy soil. • Start using natural cleaners: Vinegar and water (or baking soda) can clean most surfaces, and the saponin from quinoa is a natural laundry detergent. By using natural cleaners you are reducing the amount of plastic packaging being made, and the amount of chemicals that are being introduced to the water system. • Take off your shoes: Pesticides, herbicides, and pollens are just a few of the things that can follow you indoors. Take your shoes off at the door and reduce your prolonged exposure to these irritants. • Stop unwanted mail: Yes, you can toss that junk mail in the recycle bin but better to opt out altogether. Bonus: no “you have been preapproved for a credit card” in your recycle bin to tempt potential identify thieves.

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your your health health || WOMen's women's health Health

INFERTILITY

AFTER CANCER PART 4 IN A SERIES

By Natalie Miller Moore

hen you hear “You have cancer,” having a baby may be the last thing on your mind. For people dealing with cancer, there are many concerns, and fertility may not be one of them. It can depend on their age and how aggressive their cancer is. But many people who are dealing with cancer prior to or during their prime child-bearing years need to consider their options. Although cancer is serious, more people are living with it and past it than ever. For both men and women, fertility can be affected by cancer treatment. Women are born with a certain number of eggs, and if they are damaged, more eggs cannot be created. For men, they benefit from the process of new sperm being produced daily, except in cases where they have surgery or radiation on their reproductive system. But, given that many of the causes of infertility are unknown or combinations of issues, challenges can add up on both sides. When Crystal Silins was diagnosed with breast cancer at age 29, she and her husband had been trying to have a baby. “We had only been married about a year and a half, and were trying for a year leading up to being diagnosed with breast cancer. I even had a miscarriage six months before my diagnosis,” she says. It was challenging to put their attempts to start a family on hold. Silins says that her oncologist mentioned

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preserving eggs, but also the serious risks of waiting to have surgery and starting treatment. “Going through a cycle of fertility preservation would’ve taken additional time and drugs that my oncologist preferred me not to have to take based on the type of cancer I had. On top of all that, it was going to cost me a few thousand dollars that I didn't have at the time, or was unable to come up with quickly. We opted to focus on my cancer and hope for a family once my fight was through,” she says.

FERTILITY CONSULTS

Cancer professionals are focused on fighting the cancer, and sometimes feel awkward about the fertility conversation. Dr. Silvina Bocca, a reproductive endocrinologist with Eastern Virginia Medical School in Norfolk, Virginia, says that frustrations with these conversations are common. “It can be very gratifying to talk about it, but unfortunately, it’s often overlooked. We do acknowledge the tremendous amount of stress they are under. They may say ‘I need to go get my port in, but thanks for taking the time to talk about this,’” Bocca says. There are a number of factors that affect conception, including age, fertility before cancer, type of cancer and stage of cancer, so each person’s experience may be different. “The young adult cancer survivors group,

who are mainly in their early to mid-20s, are starting relationships and want to know what their options are. The younger the patient, the better the chances their ovaries will recover. But the length, type and dose of treatment all affect the recovery of ovarian function,” says Bocca. While it was once thought that treatment such as a bone marrow transplant or high doses of chemotherapy would automatically put a female patient into early menopause, there is now more awareness and fertility may be preserved in some cases. But it’s not just a female concern—just like in couples without cancer, male infertility is common, so having the conversation with the health care team prior to his cancer treatment is an important part of knowing what options are available, too. “Fifty to 95% of males with cancer will have persistent problems with their fertility after cancer treatment. However, it is the type of treatment rather than the type of cancer that has a greater effect on fertility,” says Dr. Victor Brugh, a male infertility specialist with Urology of Virginia. “I recommend that all reproductive-aged men be counseled for fertility preservation prior to starting cancer therapy. It’s that simple.” Fertility counseling is often as simple as a conversation with a specialist. Besides preservation of eggs or sperm, there are also options such as donor eggs or donor sperm, in addition to surrogacy and adoption.

“They should obtain a consult and not wait. Most patients with infertility are successful conceiving. Some need very little help – thyroid adjustment or IVF but the majority can conceive, even those who may have chemotherapy,” says Bocca.

CANCER CHALLENGES

Cancer brings many new experiences: managing appointments, dealing with side effects, dealing with emotional and financial concerns. The additional concerns about fertility and family planning can be stressful. For Candace Wohl, her uterine cancer made bearing a child impossible after her hysterectomy. For their family, the best option was surrogacy. “I didn’t have the experience of pregnancy, the fluttering kick, the swollen ankles or the rolling stomach—so I can’t relate to those. But when she arrived, we were so ready to be her parents,” Wohl says. For the Silins family, it was a weighing of the physical risks and benefits and cost considerations. “I didn't realize how much the chemo could affect my fertility. I was in fight mode for myself during my time of diagnosis, and felt we could always just circle back to the fertility stuff once we got chemo out of the way,” Crystal Silins says. “We really believe adoption was the way to go to start our family considering all circumstances.” Today, their daughter Brianna is 18 months old and they would love to give her a sibling.

FUTURE FEARS

Particularly for young women with breast cancer, it’s important to consider the hormones that feed their tumors may be the same ones affected by fertility treatments and pregnancy: estrogen and progesterone. The medications taken post-cancer treatment also present risks to a fetus, so would have to be discontinued. Among many tough choices, Silins says that the hardest part is accepting that they weren't able to have a baby, and still may not be able to even with the help of a fertility specialist. In addition to the stress of cancer, the long-term effects of treatment and the process of adoption, there’s another concern for parents who are cancer survivors. “The ever so popular ‘Will my cancer come back?’ I'm only 33, and although I had the bilateral mastectomy, chemo, and radiation, will it return somewhere else in my body? I try to not dwell on it and just live everyday as happily as I can. I make my moments count with Brianna, and no matter what happens, she'll always know how loved she is, and I’m thankful to be a mother. I just hope I am around long enough to see all her milestones in life, or at least to see her graduate high school,” Silins says. The challenges of infertility and cancer overlap in an intricate way, but there are advances being made in both areas, offering hope to many.

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your health | aging well

PET WILLS AND TRUSTS By Brandy Centolanza

hen it comes to preparing a will or trust, most people focus on who will look after their children, but what about their pets? “Caring for a pet in an estate is like setting up arrangements for a minor child,” explains Dan Gasink, an attorney with the law firm Johnson, Gasink, and Baxter, LLP. The Williamsburg-based law practice handles cases involving trusts, estates, and elder law. “We set up pet trusts about once per month,” Gasink shares. “The most common pets are dogs and cats, but I have set them up for horses, who have a long life expectancy and a high care cost, and even ducks and rabbits.” What needs to be considered when drawing up a will or trust for your pet is where you want your pet to live and who you want to care for it as well as money for support. “Pets have owners, not guardians, so you can designate the new owner of the pet in a will,” says Gasink. “Domestic animals have the legal standing of livestock-they are chattels (from the middle English

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word for cattle) in the same way personal effects or artwork are chattels.” The first step is to decide who will care for your pet. While each state’s laws are different regarding pet wills and trusts, it is a good idea to set one up so that you can be assured that your wishes for your furry friend are carried out. “A trust can be very specific,” shares Kim BressantKibwe, an attorney with ASPCA, on the animal protection organization’s website. “For example, if your cat only likes a particular brand of food or your dog looks forward to daily romps in the park, this can be specified in a trust agreement. If you want your pet to visit the veterinarian four times a year, this can also be included.” Money is also a factor that needs to be addressed. “Pets can be expensive, and so people will give a sum of money to provide for the pet,” says Gasink. “If the sum is modest, the gift will be ‘outright’ with no strings attached. We often see a gift of one thousand to five thousand dollars per pet to provide for its care after the death of the owner.”

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Trusts are typically drawn up when a larger amount of cash is involved, anything more than $50,000. “A pet trust is an arrangement by which a trustee, which could be a person or a trust company, is charged with managing and investing a sum of money for the benefit of one or more animals,” says Gasink. “Each trust will have a remainder provision, which states what happens to funds left over after the death of the last pet. This can be a family member, friend, or a charity.” If there is no one available to look after your pet, you may consider willing your pet to an animal shelter. “For some pets, particularly cats that need their own space, some folks will give the cat to a ‘no-kill’ shelter, such as the Best Friends sanctuary in Utah or Tabby’s Place in New Jersey,” says Gasink. “The facility agrees to care for the cat for its lifetime and the owner or decedent pays a one-time fee [around $15,000].”

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your health | money

CREATING TRUSTS FOR SPECIAL NEEDS CHILDREN By Susan Smigielski Acker

amilies with special needs children face many challenges. This includes financial planning for their future. Alex Johnson is an attorney and partner at the Virginia Beach office of Pender and Coward PC. He says the main financial goal is to ensure their private assets are available while at the same time not jeopardizing their public benefits such as Supplemental Security Income (SSI). This government benefit is available for physically, intellectually and mentally disabled people. “The mistake made, many times by a wellintended relative, is to have a special needs person inherit a large amount of money. In most cases, this inheritance disqualifies them from continuing to

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receive government benefits,” Johnson says. Before the special needs person is able to qualify for benefits again, they must spend down the inherited amount to $2,000, he says. Johnson recommends a special trust be established to provide a monthly allowance so the inheritance will not interfere with their government benefits. The amount given each month can act as a cushion to extend their supplement, he adds. The trust might give specifics as to what the money may be used for. “There can be a laundry list of supplemental needs such as dental care, physical recreation, transportation and phone service. Basically anything that improves quality of life,” he says.

YOUR FINANCIAL HEALTH | YOUR HEALTH

“BECAUSE YOU NEVER KNOW WHAT THE SPECIAL NEEDS PERSON MAY NEED IN THE FUTURE.” While it can be specific, Johnson warns that it not be too strict. “Because you never know what the special needs person may need in the future,” he says. “Overall, anything but food, shelter and clothes,” Johnson adds. The trust should be administered and managed by a third party, known as a trustee. Who to choose may depend on a variety of factors including the amount to be set aside in the trust. It should be determined by the person giving the inheritance. Johnson says it can be a family member. However, he cautions that if a relative such as a grandparent, is providing the inheritance, in some situations it may be wise to consider naming someone other than the parents of the special needs person as the trustee. “They can be a little too close to the situation. This can be an exception if there are parameters,” he says. It can also be an outside party such as a social worker or attorney. Mainly, they need to understand the legal instructions, Johnson says. It is also important to ask the person if they are willing to be the administrator. “You will be amazed how many times people are named and did not know until it was thrust on them. They may not want the job,” he says. Another downside to not establishing a trust and giving a lump sum to a special needs person outright, is that the beneficiary will then have to seek approval from the local court to establish a trust to preserve their benefits. In addition to creating a trust for the special needs person, it should specify what should happen to the remainder of money if the special needs person passes away before the money is spent, Johnson says.

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Your Child’s Identity Can Be Stolen, Too About 10 percent of all children have been the victims of identity theft. Surprised? You shouldn’t be. To identity thieves, a child’s social security number represents a blank slate, and it’s a slate most parents don’t think to check…but they should. If you are a parent of a minor child, please don’t ignore the following: 1) Debt collection calls or letters that target your child 2) Credit card offers in your child’s name 3) Notices for the IRS stating your child didn’t pay taxes If you have received any of these items, it may not necessarily mean that your child’s identity has been stolen, but consider them HUGE “red flags”. Check his or her credit report. This process is not as simple as checking your own credit, but you should go to the websites of the three major credit bureaus (Experian, Equifax and TransUnion) to find out what’s required. You may find that your child does not have a credit report, and that’s a good thing. How often should you check? You should check at least once every two years, or more often if you’re confronted with one or more of the above red flags. If you do find your child has a credit report, freeze it immediately. This will keep an identity thief from taking out credit in your child’s name. To freeze a credit report, call one of the three major credit bureaus: Equifax, 1-800-349-9960; Experian, 1-888-397-3742; and TransUnion, 1-888-909-8872. They’ll charge about $10 to do this, but it’s money well spent. For the answers to many of your questions about freezing credit reports, check out this Federal Trade Commission fact sheet: https://www.consumer.ftc.gov/articles/0497-credit-freeze-faqs:

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Food | food & Nutrition

Could the Fasting Diet Help You Lose Weight? By Jamie McAllister

asting has been around since ancient times. The concept of abstaining from food or drink during holy days is a common component of many religions, but now the practice is being embraced by a whole new group of devotees—dieters. British journalist and author Michael Mosley brought fasting into the 21st century in the 2012 documentary Eat, Fast and Live Longer. The film explored the history of fasting and marked Mosley’s progress as he set out to follow a modified fasting diet. Although the research on fasting is still slim, there is some evidence pointing to promising benefits for those looking to drop the extra weight and live a healthier lifestyle. At the end of his trial, Mosley had shed around 14 pounds and had improved his health by lowering his blood sugar and cholesterol levels. In his book, The Fast Diet, Mosley and coauthor Mimi Spencer lay out a modified fasting regimen known as the 5:2 Diet. Rather than restricting calories on a continuous basis, the 5:2 Diet limits calories on

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only two non-consecutive days of the week. During those two days women can consume 500 calories, while men are allowed 600. On the remaining five days of the week, a normal amount of calories are consumed. “The 5:2 Diet is a worthwhile alternative for individuals that find continuous calorie restriction too difficult to maintain,” says Alexandra Hetrick, a dietician at the Riverside Wellness Center in Newport News, Virginia. “It is important to note that the plan involves eating your normal diet on non-fasting days. These are not to be treated as ‘feasting’ days.” Jill Weisenberger, a Newport News-based health coach and author of The Overworked Person’s Guide to Better Nutrition, advises those who want to give the 5:2 Diet a try to be sure they have a positive relationship with food before taking the plunge. “Keep in mind that a healthful diet made of a variety of wholesome foods is the cornerstone to healthful

INTEGRATIVE

CHIROPRACTIC & ACUPUNCTURE NO MORE PAIN! Free yourself from Chronic Pain living,” she says. “This is true if you are following an intermittent fasting plan or a traditional eating plan.” Adjusting to a fasting routine may be difficult at first for some individuals. “Fasting can lead to fatigue, mood swings, and sometimes overeating,” explains Hetrick. “The focus should be on creating lasting and sustainable changes in your diet and exercise routine to avoid gaining weight back in the long term.” Both Hetrick and Weisenberger agree that fasting diets are not for everyone, including pregnant or breastfeeding women, the elderly, athletes, children and teens, those with a history of eating disorders, and people taking medication for diabetes, as well as those who are recovering from surgery or who have an impaired immune system. Always check with your doctor before starting a new diet or exercise routine. You may also want to consult and work with a registered dietitian. If you do decide to try the 5:2 Diet, here are four tips to keep in mind:

1. Pick your fasting days. Decide which two nonconsecutive days you are going to fast each week. When first starting out you might want to fast only one day a week. Choose a day where you can afford to experience a decrease in your energy levels, such as a weekend day. Once you feel comfortable with one fasting day a week, add a second. 2. Plan your meals. On fasting days you can either break up the calories you consume into two separate meals, or consume them in small portions throughout the day. On fasting days you should eat fish, lean meats and vegetables as they will be the most filling. Avoid sweets and processed foods. 3. Drink plenty of water. Water and tea do not contain any calories and will help keep you hydrated. Skip alcoholic beverages on fasting days. 4. Get moving. Exercise is a vital part of healthy living and the 5:2 Diet is no exception. Exercise on fasting days is permitted, but don’t rush into it. Start out slow and stop if you feel discomfort. Save more rigorous workouts, such as endurance training, for the non-fasting days. To learn more about the 5:2 Diet, visit https://thefastdiet.co.uk.

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Food | flavor

PUERTO RICO’S

LECHONERAS

THE COUNTRY’S FOOD SCENE BEGINS WITH WHOLE ROASTED PIG. By Kimberley Cuachon Haugh

o what is a lechonera? It is exactly what Cindy Price wrote in the New York Times, “A party with a pig.” How could it not be a party when you’ve got whole roasted pig and music? For Puerto Ricans, a day trip to Guavate is a family affair. So, I packed our family into our rented Wrangler to head to cooler temps for a two-hour roadtrip south of San Juan. The ride was scenic and winding but the anticipation of the food—let’s just say it was airing on the side of warrior-like. After winding roads through the rain forest we were on what the locals call La Ruta de Lechón (Roast Pork Highway). A handful of Spanish club songs, and one toddler nap later, we arrived at Lechonera Los Pinos, where Anthony Bourdain indulged for an episode of “No Reservations” on the Travel Channel. The restaurant was the busiest on the road, with live music, and a line-up spilling into the parking lot. Thank goodness,

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I thought to myself, this gives me enough time to figure out what I was going to order. However, in true Puerto Rican fashion the wait time was much longer, which forced me to meander over for a couple of cold Medallas—a local beer—while my husband patiently waited in line taking photos of whole pigs roasting on a spit. Again, waiting, I met a woman from San Juan who corrected my pronunciation of Medalla, where the double-L sounds like the letter J. While I took note, I gave the typical tourist spiel and added that I was on the hunt for the best food in Puerto Rico. She reassured me that I was at the right place. Looking around she said, “It doesn’t look like much.” And yes, she was right. The place looked like a public park shelter. The kitchen was pretty much outside, with a couple of guys manning the pigs on the spit, and a couple of others taking orders behind a counter like

flavor | Food

“

THE SKIN ON THE LECHON WAS AS CRISP AS THE TOPPING ON CRÈME BRÛLÉE. AND THE MEAT WAS SO TENDER AND SUCCULENT THAT MY MOUTH IS WATERING RIGHT NOW JUST WRITING ABOUT IT.” at a food court. But there was a stage, and a live band, and diners—plenty of them—happy and carefree, cleaning their plates. When I finally got my beer, I said my thanks and the lady bid her well-wishes. My husband was pretty much done ordering: 4 lbs of lechon, pigeon peas and rice, blood sausage, and plantains. I know, the order sounds kind of ridiculous, but to our defense we were also feeding two small mouths. The skin on the lechon was as crisp as the topping on crème brûlée. And the meat was so tender and succulent that my mouth is watering right now just writing about it. And the sides were the perfect complement to this pork goodness.

I looked around again, now feeling selfconscious about scarfing down all this food, but everyone else was doing the same. No apologies needed, I was doing it right. The children were dancing to the live music, as we ordered another round of Medallas, and we ate, took breaks for air, and ate. There was no concept of time. No worries. It poured for a few minutes and the wind changed direction giving us the much needed cool down spray on this humid day. Price was absolutely right when she wrote that a lechonera is a party with a pig. This was the way to enjoy a meal. This was the way to enjoy life. And these Puerto Ricans have always been doing it this way.

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Food | taste appeal

Grilled Chicken with Vegetables

Grilled Smoky Cauliflower Steak

Recipe by The American Heart Association

Recipe By Relay Foods

Ingredients

Ingredients Makes 4 Servings

Makes 4 Servings

• Cooking spray

• 2 cauliflower heads

• 1 1/2 teaspoons dried basil, crumbled

• 2 tablespoons olive oil

• 1 1/2 teaspoons garlic powder

• Zest and juice of 1 lime

• 1/4 teaspoon salt

• 2 garlic cloves, minced

• 1/4 teaspoon pepper

• 1/4 teaspoon smoked paprika

• 1 teaspoon grated lemon zest

• 1 teaspoon chili ancho

• 1 tablespoon fresh lemon juice

• Pinch of applewood smoked salt

• 2 teaspoons olive oil, extra virgin preferred

• Drizzle of honey

• 4 boneless, skinless chicken breast halves (about 4 ounces each), all visible fat discarded

• Dash cilantro, chopped to garnish

• 1 small zucchini, cut lengthwise into slices 1/4 inch wide

1. Place cauliflower, base side down, on a cutting board. Using a freshly sharpened knife, cut starting at the top center of cauliflower head, cut down the center to divide it in half. Then carefully cut each half in half to create a total of four thick slices. (Pro-tip: often times only 2-3 slices will come out intact from a single head of cauliflower. Reserve any slices that fall apart or florets for another meal or recipe.)

• 1 small red bell pepper, cut crosswise into 4 rings • 1/4 small eggplant (about 4 ounces), cut crosswise into 1/2-inch slices

Directions

1. In a small bowl, stir together the basil, garlic powder, salt, and pepper. Transfer 1 teaspoon of the mixture to a large shallow dish. Reserve the remaining mixture. 2. Stir the lemon zest, lemon juice, and oil into the basil mixture in the shallow dish. Dip the chicken in the mixture, turning to coat. Transfer to a large plate. Cover and refrigerate for 10 minutes to 8 hours. 3. Preheat the grill on medium high. 4. Put the zucchini, bell pepper, and eggplant on a flat surface. Lightly spray both sides of the vegetables with cooking spray. Sprinkle both sides with the reserved basil mixture. Using your fingertips, gently press the mixture so it adheres to the vegetables. 5. Grill the chicken for 4 to 5 minutes on each side, or until no longer pink in the center. After grilling the chicken on one side, put the zucchini, bell pepper, and eggplant on the grill. Grill the vegetables for 2 to 3 minutes on each side, or until tender. Serve the chicken with the vegetables on the side.

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Directions

2. Place cauliflower slabs on aluminum foil, rub each with even amounts of oil and rub over every surface. Rub each with lime juice and zest, garlic, paprika, chil, and smoked salt. Drizzle honey over each slab. 3. Preheat the grill and lightly oil the grill grate. Cook the cauliflower on the preheated grill over high heat for about 15 minutes, turn with tongs midway through cooking. Close the lid to the grill to help speed up the cooking time. Remove once the the cauliflower is fork tender and retains a bite, dust with cilantro to serve.

Grilled Teriyaki Pork with Pineapple

Come Dine With Us. “If you really want to make a friend, go to someone’s house and eat with him… the people who give you their food give you their heart.” -Cesar Chavez Recipe By Relay Foods

Ingredients Makes 4-5 Servings

• 1 pound pork tenderloin, thawed and cut into 1-inch chunks • 1/2 cup teriyaki sauce • 1 1/2 large red peppers, deseeded and cut into bite size chunks

Your Perfect Summer Pair

• 1/2 large red onion, cut into chunks • About 1/2 pound fresh cut pineapple • Bamboo skewers

Directions

1. In a small bowl, add pork cubes and toss with teriyaki to coat. Let sit out at room temperature to marinate for at least 20 minutes. 2. While the pork is marinating, chop the peppers and onion into bite size cubes. Thread the marinated pork onto a skewer alternating in any pattern desired until the pepper, onion, pineapple, and pork are used up. Reserve the bowl of teriyaki marinade to coat the skewers during grilling. 3. Preheat the grill and lightly oil the grill grate. Cook the skewers on the preheated grill over high heat for about 10 minutes, turning midway through to achieve nice grill marks. 4. Pour the remaining marinade over the skewers as evenly as possible. Reduce the heat to medium-high and close the lid to the grill to cook for another 8-10 minutes. The pork should be about 150ºF when removing from the grill because as it rests before serving it will continue to cook. The vegetables and fruit should be tender with bits of char marks.

SCOUT & CORKCICLE

Woo Hoo! 240 McLaws Circle, Ste. 147 (Next to Starbucks) Williamsburg, VA 23185

757-229-1041

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Expires 8/31/16

INVISALIGN ORTHODONTICS special advertising section

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

AUDIOLOGY

Jason D. Mazzurco, D.O.

Don W. Cherry, DDS, FAGD Dr. Donald Cherry has been a practicing dentist in Williamsburg, Virginia for over 25 years, and has been a proponent of the orthodontic benefits of Invisalign for over eight years. He was one of the first practicing general dentists to use Invisalign in his office. Dr. Cherry has been certified since May of 2008 in Intermediate and Advanced Clinical skills. He is expanding his practice to treat all Invisalign candidates, from teens to the most difficult adult cases. Dr. Cherry is a graduate of the Medical College of Virginia, a Fellow of the Academy of General Dentistry, a member of the Peninsula, Virginia and American Dental Associations where he has served many positions including past president of the Peninsula Dental Society. We think you will be pleased with our staff’s expertise and your Invisalign experience in our office.

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.

Dermatology Specialists

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

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

www.dwcherrydds.com

www.opderm.net

BEAUTY & AESTHETICS

ORTHOPAEDICS

Cindi Sanders, Au.D, CCC-A

Steven C. Mares, M.D.

John J. McCarthy III, M.D.

TPMG Williamsburg Audiology

Erase the Canvas, LLC

Tidewater Ortho

Dr. Cindi Sanders graduated from West Virginia University, earned her master’s degree at Western Michigan University and her doctorate from A.T. Still University. She holds her certificate of clinical competence in audiology, is a member of the American Academy of Audiology and the American Speech and Hearing Association. Services provided include: · Diagnostic hearing evaluations · Otoacoustic emissions testing · Middle ear evaluations · Hearing aid adjustments and fitting · Hearing aid repairs · Custom ear molds for iPod · Swim plugs · Musician plugs

TPMG Williamsburg Audiology Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 205 Williamsburg, VA 23188 (757) 707-3517 www.mytpmg.com

DERMATOLOGY

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.

Dr. McCarthy, an expert in the field of joint replacement surgery, is a familiar face to the Peninsula having been an orthopaedic surgeon for over 20 years before joining Tidewater Ortho in 2007. He began his career earning an undergraduate degree from College of Holy Cross in Worchester, Massachusetts, followed by his medical degree from Georgetown University. Dr. McCarthy went on to complete his internship at Mercy Hospital in Pittsburgh, Pensylvania, followed by his residency at the University of Pittsburgh. Afterward, Dr. McCarthy completed a hand surgery fellowship with the Hand Rehabilitation Center in Philadelphia, Pennsylvania. While practicing in Pittsburgh, he served as a team physician for the Pittsburgh Penguins. Dr. McCarthy practices in the Williamsburg office in New Town. He is dedicated to improving a patient’s quality of life whether it’s restoring function to an arthritic shoulder or replacing a painful hip or knee.

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

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

www.erasethecanvas.com

www.tidewaterortho.com

Tidewater Ortho

AUDIOLOGY

DENTISTRY Williamsburg Center for Dental Health

Colonial Center for Hearing

Colonial Center for Hearing 430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004

www.williamsburghears.com

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

Gregory M. Schultz, OD, FAAO, ABO

Aubrey Myers, D.D.S.

Bethany Tucker, Au.D.

Dr. Bethany Tucker graduated Summa Cum Laude from James Madison University, as the first Junior in the country to be accepted early to an accredited Doctor of Audiology Program. After completing her externship at the Virginia Commonwealth University Medical Center,Dr. Tucker practiced audiology in St. Petersburg, Florida. She joined Colonial Center for Hearing in March 2014. Dr. Tucker is a board-certified audiologist and holds accreditation by the American Speech-LanguageHearing Association. She undergoes extensive new product training on a monthly basis to ensure the highest quality of care provided to her patients. Bethany was born in the Philippines, but raised in the Richmond, Virginia area. After almost 2 years of commuting from Chester, Bethany, her husband Tyson and their German Shepard Tuck have found a home in Williamsburg. In her spare time, Bethany enjoys reading, cooking, running and spending time with family and friends.

OPTOMETRY

Dr. Aubrey Myers brings over 17 years of experience to the Williamsburg Center for Dental Health team. She received her Doctorate of Dental Surgery from Louisiana State University School of Dentistry in New Orleans in 1998 and has an extensive dental background comprised of practicing for more than 10 years throughout the Southeast as well as proudly serving for five years as a Dental Officer in the Navy, two of which were aboard the USS Theodore Roosevelt. Dr. Myers is a member of the Academy of General Dentistry, American Academy of Cosmetic Dentistry and The Dawson Alumni Association. She was past president of the Portsmouth-Suffolk Dental Study Club and is now a participating member of the Tidewater Dawson Study Club. Dr. Myers, and her husband and son, enjoy spending time together with family and friends. Her other interests outside of the office include acrylic painting, physical fitness, fishing and travel.

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.

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

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

www.williamsburgdentalhealth.com

www.eyecenterofvirginia.com

OPTOMETRY

RHEUMATOLOGY Ivan A. Marchena Mendez, M.D.

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.

TPMG Rheumatology Ivan A. Marchena Mendez, M.D. earned his Doctorate of Medicine at Universidad Nacional Pedro Henriquez Urena, Dominican Republic in 2005. He completed an internship and residency in internal medicine at Abington Memorial Hospital, Abington, Pennsylvania, in 2013, and a fellowship in Rheumatology at Upstate University Hospital, Syracuse, New York, in 2015. Dr. Marchena is board certified in Rheumatology and Internal Medicine. He is a member of the American College of Physicians, American College of Rheumatology and Dominican College of PhysiciansDominican Republic.

Now Offering Rheumatology and Infusion Services in Williamsburg! TPMG Rheumatology

Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 369-8138

Colonial Eye Care

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

Tidewater Medical Center 860 Omni Boulevard, Suite 111 Newport News, VA 23606 (757) 369-8138

www.colonialeyecare.com

www.mytpmg.com

IT’S A GREAT TIME TO BUY OR SELL

4808 Courthouse Street Williamsburg VA 23188

Page Bishop Freer Licensed REALTOR®

757. 897.1800

pagebishopfreer@me.com

SUMMER MEANS HAPPY TIMES AND GOOD SUNSHINE. IT MEANS GOING TO THE BEACH, GOING TO DISNEYLAND, HAVING FUN. —BRIAN WILSON

Now Hiring!

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

14703 Warwick Blvd., Ste. B Newport News (757) 947-1230

Bernardine Drive Puzzle 2 - 2February 2016

235 8 Hanbury 5 2 Road 3 East4 1 Chesapeake (757) 391-7660

8 5 9 3 2

9 4 6 8 1 5

13609 Carrollton Blvd., Ste. 15 Carrollton 9 4 (757) 7 238-2690 6 8 2

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

5 6

4300 Portsmouth Blvd., Ste. 220 Chesapeake 2 6 5(757)9465-7651 1 7 3 1416 3 Stephanie 7 1 Way, 8 Ste. 2A9 Chesapeake (757) 391-7676

5 Armistead Pointe Parkway Hampton 4 8 (757) 6 224-4601 7 9 5

1 8

1745 Camelot Drive, Ste. 100 Virginia Beach (757) 961-4800

Riverside Urgent Care & Family Medicine

Tidewater5Orthopaedic 4 3 Associates

4 2

5 1

901 Enterprise 2 Parkway, 7 1 Suite 9 900 8 Hampton (757) 827-2480

5208 Monticello Ave. Williamsburg 4 (757) 1 206-1004 7 3

Tidewater3Physical 8 6Therapy 5 2106 Executive Drive Hampton (757) 7 838-6678 2 4

1 8

3 6

5 9

6 8 7

6 2 7 9 4 3

4020 Raintree Road, Suite D 2 7 1(757) 484-4241 Chesapeake

Chesapeake (757) 819-6512

8 4

Norfolk (757) 965-4890

250 West Brambleton Ave. Ste. 100

6 4

9 1

2 1 8 6 9 3 RAIN TEASERS B 1 6 2 3 4 9 5 8 7 3

9 6

3 2

8 5

4 8

7 3

6 1

1 7

2 4

5 9

Puzzle 8 - August 2016

JUNE WINNER 3 6 8 2 JIM MOORE

6 7 8 2 4 9

7 4 6 1 3 8

8 9 5 3 7 6

2 WILLIAMSBURG, 4 5 3 VA9 3 8 5 4

5 6 1 7

1 4 9 2

6 7 2 5

8 5 6 1

1 9 8 3 7 4

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

6 9 3 1 2 4 8

1 6 2 4 9 8 3

120 Kings Way, Suite 3200 Williamsburg (757) 253-0051

JUNE WORD SEARCH June 2016 S W Z D O R E H T A F X W M X S E F N I

2 4 8 5 7 6 9

Puzzle 9 - September 2016

Cancer

J V V C I S Z N T Y J O H B P E T N N J

N R P K U G I Z X B X U L Y D N A C C Q

E X K I H R U V N A L Z R G A L F H Q A

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Candy

L M L G S M E S I R N U S X K L J F A S

U R C N O D E L B M I W N S X S U W N Y

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U S C N O I T A U D A R G T R W U A R Q

Dairy

U F V E S O R L P L X K X S U S O C F V

S H H J C W E D D I N G X E W O Q V Y Z

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C J E I H M E T A G E M I N I S B V C A

G D F N O I T A C A V Y U C B T M W X K

L J T P W N F A V K D C J H V I U K S L

Father

Graduation IcedTea June JUNE CRYPTOGRAM Gemini PaulBunion Pearl Rose 9 1 5 7 2 3 8 6 4 Ocean Summer sure it Sunrise Vacation happy. Wedding Whatever you decide to do, make makes you 6 3 2 4 8 5 1 7 9 —Paulo Coelho

8 1 3 5

5 6 2 9

9 7 1 4

1 3 6 2

6 5 9 3

2 4 7 8

4 9 5 7

3 8 4 1

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

Riverside Weight Loss Specialists

Riverside Urology Specialists

WEIGHT LOSS

225 Clearfield Avenue Virginia Beach (757) 457-5110

1 Norfolk 8 (757) 3 5938-6608 2

500 J. Clyde Morris Blvd. Newport News (757) 534-5340

The Devine-Jordan Center for Reconstructive Surgery & Pelvic Health — a division of Urology of Virginia

9 61615 Kempsville 8 6 Circle, Suite 250 2

156-A Strawberry Plains Road Williamsburg (757) 229-7939

UROLOGY

927 N. Battlefield Blvd., Ste. 200 Chesapeake 7 4 3(757) 436.3350

Riverside Peninsula Vascular Surgery

5231 John Tyler Highway Williamsburg (757) 220-8300

7 1359W. Hanbury 6 8 Road, Suite B

VASCULAR SURGERY

Orthopaedic & Spine Center Physical Therapy

1 4

120 Monticello Ave. Williamsburg (757) 564-3627

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

5 7

229 Clearfield Avenue Virginia Beach (757) 457-5177

MD Express

100 Winters St., Ste. 106 West Point (757) 843-9033

9 2

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

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

4 3

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

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

8 9

Williamsburg Neurology and Sleep Specialists

2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316

6 5

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

204 Gumwood Drive Smithfield (757) 357-7762

3 6

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

4740 George Washington Memorial Highway Yorktown (757) 890-6339

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

URGENT CARE

2007 Meade Pkwy. Suffolk (757) 539-6300

7 1

2000 Meade Parkway Suffolk (757) 934-9300

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

7190 Chapman Drive Hayes (804) 642-3028

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

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

Pulmonary & Sleep Consultants of Williamsburg

6970 Fox Hunt Lane, Gloucester (804) 694-8111

2 8

225 Clearfield Avenue Virginia Beach (757) 457-5100

SLEEP MEDICINE

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

SUDOKU PuzzleJUNE 6 - June 2016

Puzzle 5 - May 2016

Urology of Virginia

225 Clearfield Avenue Virginia Beach (757) 466-3406

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

Puzzle 3 - March 2016

Newport News (757) 886-64å80

612 Denbigh Blvd. Newport News (757) 874-0032

Hampton Roads Orthopaedics & Sports Medicine

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

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

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

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

Urology of Virginia Physical Therapy

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

4900 High St. West Portsmouth (757) 483-4518

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

301 Riverview Ave. Norfolk (757) 963-5588

3300 High St., Suite 1-A Portsmouth (757) 673-5689

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

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

5553 Portsmouth Blvd. Portsmouth (757) 465-7906

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

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

1417 North Main St. Suffolk (757) 934-3366

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

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

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

828 Healthy Way Virginia Beach (757) 463-2540

7 2 8 6

J C U O H E I V Z T I F N M S C T Y X R

W D V Y R I A D A L N W I S L E V I H O

G Z N A E C O E S L Q N T Z K F F V O E Flag Lunius Solstice Wimbledon

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

STAYING WELL | BRAIN TEASER

Complete all three puzzles correctly for a chance to win* a $15 gift card to Starbucks! 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: K=A, W=E ,V=S, G=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.

LEDDVW GD XD IDFW GEKM S T

S T

S E

O J V G W N H V G; L E D D V W G D Y H R W. S T

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SUDOKU

WORD SEARCH July 2016 P Z U J V A C A T I O N Y X Z N N N G L Bastille

*Entries must be received by the 17th of July. NAME: EMAIL: CITY:

PHONE:

T I J K V T U N X H P Z R E C N A C U J

Bastille HotDog Blueberry Larkspur Canada Ramadan Cancer

WaterLilly Hay

S Y C U P D Y A H Q I R J H O T D O G N

Y L W K L V P I R P S E T N E R A P E Y

T L T X L Y Z K X O V M B J P K L P C I

M I D A O E Z J Y B P M I V U K V K N K

Blueberry

V L C P R U D O R M W U J E X L X Q W E

J R I P Q A D Z R J P S K V G S I A U C

E E N C H V O Y E I C L A R K S P U R G

C T C U Z E S O B R S K C Y H B Y B S B

N A I A P Z D G E P A D A N A C B B K B

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D Q B M U F Z H L U F X W B A I C K K Q

Canada

N P G A Y T P C B Q B N B A S T I L L E

Larkspur HotDog Independence IceCream Leo IceCream Leo Parent Parent Independence RubyJulius Summer Pickle July

Picnic

E P V I J T K B R G A B N X M K Z E E Z

P U V W Y H M D E M R J D R C L I O R Y

E H C W W A R M E S T C C F B U W E R O

D P N M D X S L T Q P A W V F F U S R U

N B V H M S R A M A D A N U A O Y B U R

I M A E R C E C I J E W Q Z K B N A H X

Cancer

Hay

Julius Ramadan July Ruby Summer Pickle Picnic Vacation VacationWarmest Warmest

WaterLilly

DR. COLIN KINGSTON

DR. NICHOLAS SMERLIS

DR. ROBERT CAMPOLATTARO

DR. NICHOLAS SABLAN

DR. MICHAEL HIGGINS

DR. PAUL MALOOF

JOIN US FOR AN INFORMATIVE LECTURE WHATâ&#x20AC;&#x2122;S NEW IN KNEE REPLACEMENT SURGERY Colin M. Kingston, MD

DR. LOEL PAYNE

DR. JOHN MCCARTHY

DR. JONATHAN MASON

THE SURGEONS AT TIDEWATER ORTHOPAEDICS SAY

HAPPY BIRTHDAY AMERICA! CALL FOR AN APPOINTMENT: 757-637-7016 TIDEWATER ORTHOPAEDICS Serving all of your orthopaedic needs from hip & knee replacements to problems with spine, shoulders, hands, foot & ankle, and sports medicine.

Wednesday, July 20 at 6:30pm Hampton Office 901 Enterprise Pkwy Suite 900 Hampton, VA 23666

To RSVP Call 757-827-2480 ext. 332

Colin M. Kingston, MD Robert M. Campolattaro, MD Michael E. Higgins, MD Nicholas A. Smerlis, MD Nicholas K. Sablan, MD Paul B. Maloof, MD

Williamsburg | 5208 Monticello Avenue, Suite 180 | Williamsburg, VA 23188 Hampton | 901 Enterprise Parkway, Suite 900 | Hampton, VA 23666

Loel Z. Payne, MD John J. McCarthy III, MD Jonathan R. Mason, MD Amanda K. Watkins, PA-C Gabrielle Lanzetta, PA-C

757-637-7016

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