special advertising section
GOOD THINGS ARE HAPPENING AT DEPAUL
The Future of Minimally Invasive Brain Surgery is at Bon Secours DePaul Medical Center Bon Secours DePaul Medical Center
Typically, brain surgery is a lengthy
Dr. Koen has seen firsthand the
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Joseph Koen, M.D., board-certified
through healthy brain matter to
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JUNE 2015 | CONTENTS
MEN & DOCTORS PG.20 BITS & PIECES
THERAPY DOGS PG.24 FOOD
04 / Contributors
32 / Flavor / Goat!
06 / Editor’s Note
34 / Food & Nutrition / Protein Shakes
07 / Page’s Picks 08 / D.I.Y. / Sidewalk Chalk 08 / Inbox 09 / In My Own Words IN THE KNOW
38 / Herb-N-Garden / Dill 39 / Taste Appeal 40 / Vine & Dine / Grilled Meat & Beer YOUR HEALTH 42 / Healthy Commute / Eye Fatigue 44 / Fitness / Fitness While on Vacation
12 / Out & About
46 / Family / Camping as a Family
13 / Second Opinion
48 / Outdoors / Scuba Diving & Snorkling
14 / Profile / Mike Dunphy
50 / Aging Well / Seniors and STDs
16 / Q&A / Deborah Hudson
52 / Mind Matters / ADHD & Teen Drivers
18 / Advances in Medicine / Shoulders
54 / Money / Financial Planning Books
20 / Feature / Men & Doctors 24 / Feature / Therapy Dogs 30 / Feature / Powering Up Women
DIGITAL ISSUE
37 / Yoganatomy / Boat
10 / Calendar
FEATURES
VINE & DINE PG.40
STAYING WELL 58 / Accepting New Patients 61 / One Last Thought 61 / Health Directory 64 / Brain Teasers
Don’t forget our digital edition is free, easy to download and supported on a variety of tablets and digital devices. Download your copy at thehealthjournals.com/digital-edition ON THE WEB @ THEHEALTHJOURNALS.COM
ON OUR COVER: Smoke BBQ Restaurant
PHOTOGRAPHY BY BRIAN FREER A delicious barbecue brisket and sides, perfect for a summer dinner, provided and prepared by Smoke BBQ Restaurant & Bar in Newport News, Virginia. thehealthjournals.com | 3
BITS & PIECES | CONTRIBUTORS
SHAWN RADCLIFFE
KELSEY HINTON
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, Men’s Fitness, and other consumer health and medical websites.
Kelsey completed her master’s degree in creative writing at The New School in New York City, New York. Her published work has appeared in the Central Florida Future, Orlando Magazine, the Orlando Business Journal and the Orlando Sentinel.
KIMBERLEY CUACHON HAUGH
SAPTA YIN, ASCM, RYT 200
Kimberley has a passion for fashion and food; “Look good. Eat well.” is her philosophy. She is the owner of Kimberley Ashlee Catering where she uses seasonal and sustainable ingredients. Follow her on Twitter @kimberleyhaugh.
Sapta Yin trains for TPMG Strive Fitness and Performance Training. She holds an ACSM Personal Trainer Certification and is certified as a Yoga instructor underneath Yoga Alliance.
AMY HORVATH KIM O'BRIEN ROOT Kim has been a reporter for 20 years and previously worked for the Daily Press and The Roanoke Times. She’s been a freelance journalist since 2010, balancing writing with being a chronic volunteer. She lives in Hampton, Virginia, with her husband— a fellow journalist—two children and a dog.
Amy is a certified personal trainer, a certified massage therapist, a national level NPC figure competitor, an active online health and fitness content contributor to multiple sites and a married mother of four daughters. Her passion is health and fitness and along her quest to provide a healthier lifestyle for not only her but her family, she developed a passion for bodybuilding and is actively competing in the Figure Division.
THOMAS RICE ALISON JOHNSON Alison is a freelance writer who lives in Yorktown, Virginia, with her husband, two sons and a rescue dog and cat. A former fulltime newspaper reporter, she specializes in feature stories on health and parenting.
Thomas is an American Council on Exercise certified personal trainer. He currently works as a fitness coach at B-Defined Innovative Personal Training & Wellness. He is also a coach with the Williamsburg Lacrosse Club. Thomas's passion for fitness comes from his desire to live and perform at a high standard. He enjoys helping others achieve the physical and emotional benefits of an active lifestyle, and believes that anyone can find happiness in physical activity.
STEPH HEINATZ Steph Heinatz is a freelance writer based in Gloucester, Virginia, and owner of Consociate Media. Following more than a decade of reporting and writing across various media, Stephanie founded the writing and communications firm and continues to share stories related to healthcare trends, hospitality, fitness, military training and business.
4 | thehealthjournals.com
TERESA BERGEN 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. Her articles and internet content appear in many periodicals. She holds a degree in journalism and an MFA in fiction writing.
Your Perfect Travel
Companion
VOL. 11, NO. 01 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.
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THE HEALTH JOURNAL
NEW EXHIBITION May 16 - Sept. 7 Dive into the ocean depths this summer! Discover the wonders at the bottom of the sea using hands-on technology in this exhibition all about deep-sea exploration. Special thanks to community partners:
During your visit, catch a showing of James Cameron's Deepsea Challenge 3D Additional fee applies for movies.
MarinersMuseum.org/ExtremeDeep
BITS & PIECES | EDITOR’S NOTE
I
was terrified of the dark until I was 14. To make matters worse, we lived in a split level house and my bedroom was on the lower floor positioned directly below my grandparents’ room. Once the sun set, I would watch the clock with growing anxiety about bed time. At 9:00 p.m., I would flip the light switch that illuminated the landing and upper stairs. Then I would tiptoe down towards the door and flip the switch for the lower stairs. I was careful to not turn the first light off before turning on the second. Then I would repeat the process to the bottom of the stairs, with my right hand securely on the wooden guide rail and my left hand dragging the side of the wall. I looked both ways down the hallway. The bathroom and storage closet were always problematic for me. I didn’t know who—or what—was waiting for me in either. So I would dash to my bedroom, sometimes letting out a gasp under my breath. Once my bedroom light was on, I would run out with my arm fully extended to turn off the hall light. In my bedroom, I looked under my bed and in my closet for unwanted intruders. Once cleared, I would turn off my light and pull the covers over my head— heart racing. I shared a room with my cousin. He found amusement in my fear. He would make frightening sounds causing me to panic. When I would scream, he would chuckle. My grandmother would yell down the stairs for us to knock it off. His antics perpetuated my fear. Then he would get out of his bed and touch my foot. Another scream. My grandfather shuffled into the
IN THE DARK room telling my cousin to stop explaining that the room is no different with the lights off than it is with the lights on. Then he made me look around the room to confirm that my fears and paranoia were misplaced. That tie between fear and darkness would, however, take shape in many other areas of my life where I’ve had to “examine the room with the lights on.” In today’s world, every issue of the day is akin to being placed into either a dimly lit or a pitch black bedroom. The topics of fair compensation, racism, gender biases and marriage equality explode from within our Facebook and Twitter newsfeeds. It then leaves us to either hide with the lights off beneath the blanket of “I don’t understand, therefore I don’t like this,” or open the blinds by educating ourselves and extending grace towards those whose struggles we don’t relate to. They may not be real to us, but they are real to those who live them. So we have to learn to break our cycles of fear. We have to start by asking ourselves what about an issue makes us uneasy or afraid. We need to talk to people who feel connected to the subject and who can shed more light on it. Challenging our fears doesn’t mean we’ll agree with the issues, it just means we come to understand someone’s fight—it opens conversation, makes us human. And that’s what people want to be seen as, fellow men and women, not objects of our contempt, wrath and stereotypes.
PHOTOGRAPHY BY ALEXIS KIKOEN
“DARKNESS CANNOT DRIVE OUT DARKNESS, ONLY LIGHT CAN DO THAT.” — DR. MARTIN LUTHER KING JR.
Eventually, my fear of the dark diminished and then finally disappeared. I later understood that I was just afraid of my own ignorance—the unknown and unexamined. The closet is full of clothes, there’s nothing under the bed and the storage closet is packed with boxes and knick knacks. In this issue, our primary feature takes aim at a fear that needs exposure—men and our disdain for doctors. Boys are taught from a young age to “suck it up” and to just “rub a little dirt on it,” but does that false doctrine of masculinity cause us to refuse to seek medical care, downplay symptoms and make us succeptible to preventable conditions and suffer untimely deaths? It’s something to think about. I hope this month you’ll commit to facing one fear you have. Don’t allow fear to hold your heart hostage and don’t worry about what others think. Just turn on the light. Said Plato, “We can easily forgive a child who is afraid of the dark; the real tragedy of life is when men are afraid of the light.”
CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM
6 | thehealthjournals.com
PAGE’S PICKS | BITS & PIECES
PHOTOGRAPHY BY ALEXIS KIKOEN
My Summer Beach Bag: What’s Inside ALOE VERA GEL Contains a high concentration of pure aloe—like a plant in a bottle! Great for soothing sunburns. $2.99, Trader Joe’s
CHI RUNNING: A Revolutionary Approach to Effortless, Injury-Free Running Poolside or beachside, everyone needs a good read. If walking is more your speed, check out “Chi Walking” by the same authors. $12, Amazon.com
WIDE-BRIMMED HAT Create your own shade with a wide-brimmed hat! I like this one because it's large enough to shield my face, neck, shoulders, and chest from the sun. $ varies by style, Amazon.com
BOOM SWIMMER BLUETOOTH WATERPROOF SPEAKER Love this portable speaker! Bluetooth it to your phone and play your favorite songs anywhere. ZINC OXIDE SUNSCREENS Zinc-based sunscreens are highly effective at UVA/ UVB protection and a more natural option. I like CeraVe Invisible Zinc lotions. If you prefer a spray, try Bare Republic’s Mineral Sunscreen. $ varies, found at most drugstores
$69, boommovement.com
Page Freer is the publisher of The Health Journal and once served as the magazine’s editor in chief. She’s always trying new products and trends and loves sharing the scoop with readers. • Have a suggestion? Email page@thehealthjournals.com • Want her to try your product? Mail samples to 4808 Courthouse Street, Suite 204, Williamsburg, VA 23188 thehealthjournals.com | 7
BITS & PIECES | DIY & INBOX
MAKE YOUR OWN
Sidewalk Chalk RECIPE AND PHOTOGRAPHY BY ALEXIS KIKOEN
Keep your kids busy for hours this summer with homemade sidewalk chalk!
For Each Color You Will Need: • 1 cup Plaster of Paris, powder form (found at Michaels)
• • • •
3/4 cup water 1/4 cup tempera paint Silicon mold(s) Plastic cups and spoons
*Each color will make 6-10 pieces of chalk
To Make: 1. For each color you will need a separate cup 2. In each cup, mix together Plaster of Paris, water and paint until smooth
3. Pour mixtures into molds 4. Let dry in molds for 24 hours 5. Carefully pop the chalk out of molds (it will still be soft) and let dry an additional 24 hours before use
I look forward to reading The Health Journal because of the interesting articles. In the May issue, I enjoyed "Tips for Bicycling” (“Tips for Bicycling with the Family” by Shawn Radcliffe, May 2015) but was disappointed with the photos that you selected. For safety reasons no child/adult should bike without a helmet and their shoes should be closed toe with a heel strap. From personal experience, I have seen young children rip the nail off the big toe…. painful! The child on the orange bike is properly dressed. Safety must always be FIRST! — Paige Sturdifen
Will you have some information on Virginia Beach local stories? I realize you are in Williamsburg, but I am in Virginia Beach and the magazine is here, so I would like to see articles on this area also. I do love the Daniel Diet article (“Faith-Based Diets” by Stephen Sowulewski, March 2015). Wish there was more information on it. Thank you for the magazine. I think it is great! — Gloria L. Riga 8 | thehealthjournals.com
BRA
IN TEASERS
MAY WINNER KATHY NASH Toano, Virginia
Challenge your brain with our puzzles! UP FOR THE CHALLENGE? Turn to page 64 to find out how you can win a gift card!
IN MY OWN WORDS | BITS & PIECES
HI, I'M KENDALL GALANTE I’m the associate marketing producer at Arnold Worldwide. I’m passionate about the local food movement and environmental conservation. It’s so important that individuals realize they have a civic duty to minimize their impact on the environment. I love talking to people about the environment, the green revolution and how to make little everyday choices more eco-friendly. I am also passionate about reading and playing music on my guitar and violin. Playing music is my favorite way to unwind!
IN MY
OWN WORDS
Health to me is the holistic good condition of the mind and body. Since the mind and body are inextricable, it’s important to take good care of both for great health! I love The Health Journal because the articles are intelligent, well-written and locally focused! THJ knows their audience well and delivers articles relevant to their readers’ lives.
Go eyeball to eyeball with 70 live frogs. Interactive displays. TOAD-ally cool!
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IN THE KNOW | CALENDAR
June 6
7
RUN FOR THE BACON 5K A 5K to benefit Bacon Street. WHEN: 7:30 a.m. WHERE: Eastern State Hospital $$: Fun Run, $10; 5K, $25 CONTACT: baconstreet.org
TAILS ON THE TRAIL Celebrate National Trails Day with your dog. WHEN: 9 a.m. til noon WHERE: Freedom Park $$: free CONTACT: heritagehumanesociety.org
BEGINNERS’ MOUNTAIN BIKE RIDE Learn the ins and outs of mountain biking during this event. WHEN: 9 til 11 a.m. WHERE: Freedom Park $$: free CONTACT: jamescitycountyva.gov/ recreation
WILLIAMSBURG FARMERS MARKET Come out for fresh local produce and more. WHEN: 8 a.m. til noon, Saturdays WHERE: Merchants Square $$: free CONTACT: williamsburgfarmersmarket.com
PICKLEBALL CLINIC Learn to play pickleball. WHEN: 3 p.m. WHERE: Mid-County Park $$: free CONTACT: jamescitycountyva.gov/ recreation
NATIONAL TRAILS DAY Celebrate National Trails Day at York River State Park. WHEN: 8 a.m. WHERE: York River State Park $$: $3 parking fee CONTACT: 757-566-3036
10 10| |thehealthjournals.com thehealthjournals.com
19
JAMESTOWN INTERNATIONAL TRIATHLON Join in or cheering on others. WHEN: 7 a.m. WHERE: Anniversary Park $$: $130, individual; $180, relay CONTACT: vtsmts.com/ jamestowninternational/
10 MOVING FREE AND EASY: AN UPDATE ON JOINT HEALTH Dr. John McGee presents this lecture as part of The Doctor Is In series. WHEN: 6:30 p.m. WHERE: Riverside Doctors’ Hospital Williamsburg $$: free CONTACT: 757-585-2209
11 CHRONIC DISEASE SELF-MANAGEMENT PROGRAM Learn to manage chronic diseases at home. WHEN: 9:30 a.m. to noon, Thursdays WHERE: Williamsburg Landing $$: free CONTACT: 757-220-4751
14 KAYAK CLASS Learn the ins and outs of kayaking. WHEN: 8 a.m. til 2 p.m. June 14, 20, 21 WHERE: Waller Mill Park $$: $65; $50 if you bring your own kayak CONTACT: 757-259-3778
18 BABY CARE 101 Learn baby basics including bathing, sleeping, belly button care and car seat safety. WHEN: 6 p.m. WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: chkd.org
GET MORE EVENTS AT:
EVENTS THE FINANCIAL IMPLICATIONS OF AGING Learn about Medicare, Medicaid, and other health insurance plans. WHEN: 10 to 11:30 a.m. WHERE: Sentara Williamsburg Regional Medical Center $$: free CONTACT: 800-736-8272
GLOW RUN 5K Enjoy this unique run after the sun goes down. WHEN: 8:30 p.m. WHERE: Legacy Hall $$: One-mile fun run, $30; 5K, $40 CONTACT: rev3glow.com
20 NEW TOWN SUMMER FEST This annual festival features craft beers, food, music and entertainment. WHEN: 1:30 to 5 p.m. WHERE: Sullivan Square, New Town $$: $20 for beer tasting in advance or $25 at the door CONTACT: newtownwilliamsburg.com
BRING YOUR OWN KAYAK Come out and paddle along the Queen’s Creek with New Quarter Park staff. WHEN: 9 a.m. WHERE: New Quarter Park $$: $30; free if you bring your own kayak CONTACT: 757-890-5840
20 GRANDPARENTS CLASS Learn more about grandparenting. WHEN: 10 to 11:30 a.m. WHERE: Sentara Williamsburg Regional Medical Center $$: free CONTACT: 800-736-8272
21 FATHER’S DAY SURF & TURF Treat dad to a day on the water and fossil hunting. WHEN: 1 to 4 p.m. WHERE: York River State Park $$: Canoes, $9 per person; kayaks, $16 single or $11 tandem CONTACT: 757-566-3036
24 FEMALE ISSUES AS WE AGE Dr. Beth Scharlop presents this lecture as part of The Doctor Is In series. WHEN: 6:30 p.m. WHERE: Riverside Doctors’ Hospital Williamsburg $$: free CONTACT: 757-585-2209
25 RUNNING 101 Become a more efficient runner. WHEN: 8 a.m. WHERE: James City County Recreation Center $$: $20 CONTACT: 757-259-4200
BARRELS & BINS Learn how to make a rain barrel, a composter and more. WHEN: 10 a.m. WHERE: Williamsburg Botanical Garden $$: free CONTACT: Dennis Wool, wool@cox.net
THEHEALTHJOURNALS.COM/CALENDAR
WE DON’T JUST TREAT CANCER, WE MANAGE THE RISK.
At Virginia Oncology Associates, our Hereditary Cancer Program provides patients who are concerned about their personal and family history an opportunity to meet with one of our medical oncologists and a certified genetic counselor to discuss their risk of developing cancer.
Who should be referred? • Individuals with a cancer diagnosis at an unusually young age
Tifany Lewis, MS, CGC
• Patients with a personal and family history of the same type of cancer • Individuals with multiple primary cancers or bilateral disease • Anyone with a family history of a known inherited mutation that causes cancer • Individuals of certain backgrounds (Ashkenazi Jewish) and a family history of cancer • Individuals with an unusual cancer presentation (male breast cancer)
Call us for more information or to refer a patient to our Hereditary Cancer Program. Peninsula (757) 873-9400 Southside/North Carolina (757) 466-8683
Nicole Wood, MS, CGC
VirginiaCancer.com
The US Oncology Network is supported by McKesson Specialty Health. © 2015 McKesson Specialty Health. All rights reserved.
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IN THE KNOW | OUT & ABOUT
Check out what we’ve been up to at The Health Journal.
5Client Liaison Christie Davenport and Publisher Brian Freer enjoyed a delicious meal prepared by Chef Forrest Warren of Smoke BBQ in Newport News.
5Health Journal dogs Milo and Preacher working the Run the D.O.G. 5K in Colonial Williamsburg.
5 Look who Christie Davenport ran into at the JFS 11th Annual Run, Roll or Stroll...the TowneBank bear! Gotta love that guy!
5 Editor in Chief, Chris Jones, hands out Health Journal swag and takes a photo with Diamond Resorts at the LPGA at Kingsmill.
4Jr. Art Director Maria Daugs representing The Health Journal at the Yorktown Health and Fitness Market at Riverwalk Landing.
5Kelly McAnally poses for a photo with Chris Jones at the 12 | thehealthjournals.com
Inaugural Women’s Symposium at Kingsmill.
special advertising section
second opinion How do I make healthy meals easier to prepare during weeknights? It’s easy to make enough healthy food to last all week and reduce your weeknight cooking time. Before your weekly shopping trip, make sure you’ve got your meals planned for the week. That’s a crucial step to ensure you choose doable recipes, healthy carbs, lean proteins and plenty of veggies. 1. Pick a healthy carb to prepare. Make enough whole grains like quinoa or chop up enough starchy veggies like sweet potatoes for the week on Sunday. Reconstitute grains with water and season to suit your recipe during the week for quick healthy meals. 2. Pick one or two proteins for dinners and prepare in advance, too. For example, grill enough lean chicken to get through the first few weeknights and reuse in your recipes for the week. Choose easier proteins for Thursday. Think eggs, tempeh or BPA-free canned light tuna or salmon on Thursday for simplicity and variety. 3. Clean and store veggies like leafy greens, carrots, cabbage and green beans on Sunday to last until the weekend. Enjoy simple masterpieces all week long by planning and prepping in advance.
Caroline Fornshell, MS, RD, CPT
L-Well - Lifestyle Wellness Center lwell.com 757-585-3441
As an athlete, how can I prevent an ACL injury? Athletes involved in high impact activities are at risk for tearing their anterior cruciate ligament (ACL), a ligament that stabilizes the knee during anterior translation and rotation. Common mechanisms that cause ACL tears include collisions into the side of the knee, overextension, and/or a quick pivot where the knee does not follow the path of the body. Athletes that are involved in a single year-round sport are much more likely to be injured. Preseason strengthening and agility programs have shown the ability to reduce ACL injuries. This implies that the athlete participates in a “seasonal” sport and has not only the ability to rest from that sport in the offseason, but is able to work on specific coordinated muscle groups for that sport in the preseason. Coaches often overlook resting the muscles as a critical preventive strategy to injury. A strong preseason training program should be constructed to improve the athlete’s strength, coordination, agility, and balance unique to that individual sport. Braces do not help prevent ACL tears, and not all ACL tears can be avoided. However, with proper training and rest many athletes may be able to avoid this injury as well as other musculoskeletal injuries.
Colin Kingston, MD
Tidewater Orthopaedic Associates tidewaterortho.com 757-637-7008
I was told I need a lot of dental work. I can’t afford all of it. What do I do?
your health care questions answered
Needing extensive dental work can be very overwhelming. Usually it is due to lack of dental care over a long period of time. The other reason may be signs and/or symptoms that make your dentist aware of new and potential problems. Treatment should be prioritized in the following way: 1. Emergencies/pain, 2. Bone and gum health, 3. Decay, 4. Bite stability, 5. Final restorations and/or optional work. First, you can budget what your portion would be by phasing your care in such a way that is financially manageable. This could mean that your treatment takes more time. Secondly, you can utilize dental credit companies that have interest free loans. This would allow you to get all the work done immediately and spread your payments over a long period of time. Dental insurance will help in either scenario, but when extensive work needs to be done you may not have the time to wait for your benefits to renew each year because the problems can get worse. It is important to go to your dentist regularly and catch things early; it will save you both time and money.
Stacey Sparkman Hall, D.D.S. Williamsburg Center for Dental Health 757-565-6303
thehealthjournals.com | 13
IN THE KNOW | PROFILE
Mike Dunphy Professional Surfer virginia beach, va WRITTEN BY ALISON JOHNSON PHOTOGRAPHY BY JOE FOSTER
T
he life of a pro surfer is pretty sweet, but it’s not easy. Michael Dunphy has worked hard at his sport—now his full-time job—since he was in elementary school. To compete with the top surfers in the world, Dunphy, 25, practices at least two hours every day in the ocean, sometimes at the crack of dawn. The Virginia Beach, Virginia native also hits the gym three or four times a week, partnering with a personal trainer to build leg power, core strength and flexibility for wave-riding and lean, muscular arms for paddling through choppy waters. “You have to stay persistent,” he says. “If you get lazy, there are people coming up all over the world who want to beat you. A lot of people would be surprised at the amount of effort that we actually put into it.” Dunphy, who had landed his first sponsor by age 9, had a highlight year in 2014. In August, he won the professional division of the prestigious East Coast Surfing Championship in Virginia Beach, becoming the first hometown victor in 33 years. Eastern Surf Magazine later named him the East Coast Surfer of the Year, and he narrowly missed qualifying for a world championship tour for the most elite professional surfers around the globe. Growing up with a father who surfed, Dunphy traded his boogie board for a surf board when he was a “little grom”— that’s surf-speak for “kid”—of 7 or 8 and began competing about a year later. “I was in awe of it from the start,” he recalls. “Riding waves was the coolest feeling ever. You can go so fast and feel so free. It’s like an art form for me. I get to express myself however I want.” By age 14, Dunphy had given up his other favorite sport, hockey—ice and floor—to concentrate on surfing. After graduating from Cox High School, he decided to forgo college to try to make a living as a pro surfer. His parents were initially nervous for their only child. “They supported me, but it was a pretty big risk,” he says. “Now they’re very proud of what I’ve done.” Dunphy spends eight or nine months a year traveling to events with backing from several sponsors, including the well-known sportswear company Hurley. Stateside, he splits time between Virginia Beach and a home his mother owns in New Smyrna Beach, Florida. “It’s a pretty nonstop life, kind of crazy,” he says. “All the travel definitely wears on you a little bit, but I know how lucky I am. We go to such beautiful places.” Waves are different everywhere, he notes; some of his favorite spots to surf are Indonesia, Australia and Mexico.
14 | thehealthjournals.com
“
While Dunphy has had plenty of spectacular wipeouts, he’s never suffered a major injury while surfing. His worst setback was a car accident last year that sidelined him for about a month with a deep thigh contusion.
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A large part of that “luck” is constant preparation. Dunphy recently incorporated more weight-lifting into his fitness regimen, adding 12 pounds of muscle for more explosive power. “Surfers in general are some of the fittest people in the world,” he says. “You have to riding a big moving object, and then you have to paddle back out to get the next wave. There’s tons of conditioning involved.” The sport also is great for mental health, he adds: “I can get away from everything when I’m in the water. It’s so relaxing and freeing.” Nutrition-wise, Dunphy tries to eat clean and has cut out all sugars that don’t come from fruit sources. On the road, almonds and Brazil nuts are his go-to snacks. Each year, Dunphy’s overall goal is to get better at surfing. This year he’d also like to accumulate enough points to qualify for the next World Championship Tour, a 12-event series run by the World Surf League. When he stops surfing professionally, he may consider a career in real estate. As for beginning surfers, Dunphy advises them to start on a longer board, which provides more stability for a straight ride to shore, and gradually move to shorter performance boards. “It’s fine if it takes a while,” he notes. “Just be psyched to be out there. It’s you and nature—enjoying that connection is what it’s all about.”
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IN THE KNOW | Q&A
DEBORAH HUDSON, MPH Assistant Professor, Department of Pharmacy Practice Hampton University School of Pharmacy • Hampton, VA INTERVIEWED BY CHRIS JONES PHOTOGRAPHY BY ALEXIS KIKOEN
Q. Why did you choose a health career? When I was in school, my mother always encouraged me to volunteer during summer break. One summer, I volunteered at a local hospital. The experience was so gratifying that one summer turned into many and I volunteered every summer until graduating high school. I volunteered so much that some days I would eat both lunch and dinner at the hospital. Working with patients made me want to make a difference. That experience led me to pursue a career in public health.
Q. Prior to teaching, you worked at a pharmacy. What are some of the rewards and challenges of working in public health? Immediately prior to teaching, I was a project director of a community health center pharmacy. The pharmacy provided low-cost medications for people who would otherwise not be able to afford their medications. The rewards were immediate—providing medications to clients at little cost who would otherwise be unable to afford their medications and who would go without pharmacy care. Providing low-cost medications to people who cannot otherwise afford them helps to diminish some of the issues related to medication non-adherence, such as sharing of medications or splitting pills in order to make the medication last until patients can afford their next refill. The challenges with such a pharmacy is having a formulary broad enough that would meet the medication needs of all of those who need them. Pharmacies of that type often rely on grants, as well as donations from pharmaceutical companies, which can limit the types of medications that are provided to their clients.
Q. What inspired you to become a health educator? As a health care administrator, I knew the experience I gained in the field could be applied to the classroom. Throughout my health care career, I often worked with clinicians who were also educators; we discussed ways to expand services for and improve the lives of the patients we served. Those initiatives inspired me to pursue education. In addition to teaching, I am involved in research and community service. Being an educator is the most rewarding career I have had. I tell my students that if I were to win the lottery, I would continue to teach.
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Q. Are you involved with any community health projects? If so, which ones and what role do you play? Yes. I am currently working with the Olde Towne Medical Center in Williamsburg, Virginia, on a project related to their patients’ experiences as well as a quality project on diabetes care. As a researcher, I am responsible for the biostatistical data analysis and interpretation. Students who work with me via an elective public health rotation also work with me on those projects. Throughout the school year, I conduct health fairs in the community and at local churches where my students apply what they’ve learned in the classroom. Students provide health information to attendees on pertinent health issues. Blood pressure checks, cholesterol screenings and medication brown bag reviews are among some of the activities that students perform. I also annually coordinate a flu clinic at Hampton University in conjunction with the student health center and the
Hampton health department. Clinical faculty certified in immunizations, as well as health clinic nurses, provide flu immunizations to the Hampton University community at no charge.
Q. Which aspects of health care are you most passionate about? Why? Health disparities are an area of health care that I am most passionate about. Due to inequities in quality health care access, health status, morbidity and mortality, those who are most vulnerable are those in low-income communities, underserved rural and urban areas and populations of color. It is important to recognize the impact that specific determinants have on health outcomes of vulnerable and at-risk populations and to examine ways in which to close the gap and ultimately eliminate those disparities one disease at a time.
IN THE KNOW | ADVANCES IN MEDICINE
Advancements in Shoulder Surgeries and Rehab Despite the complexity of the shoulder, surgeons and physical therapists report great gains in treatments over the last decade. WRITTEN BY STEPHANIE HEINATZ
I
t’s not uncommon for Kevin Bonner, M.D., of the Jordan-Young Institute in Virginia Beach, Virginia, to have a full conversation with someone while performing shoulder surgery. Surgery, that is, that he’s performing on them.
“Some of them really like to get the play-by-play,” Bonner says. It’s interesting and a sign of the times, Bonner says of advancements like this that allow patients to be conscious for surgical procedures. In the last decade, surgeons, therapists and medical implant providers have made strides and advancements in the options available for the treatment of shoulder diagnoses. They’ve had to. Patients are seeking and requesting treatments that are minimally invasive and allow them to get back to living their active lives at work and play quickly. It’s not been an easy evolution. The shoulder is a complex joint that involves multiple planes of motion, several muscles including the rotator cuff and the dynamics of the scapula commonly referred to as the shoulder blade. “It is all these moving parts that make the shoulder a challenging joint to rehabilitate,” 18 | thehealthjournals.com
says Brian Beaulieu, PT, MPT, OCS of Tidewater Physical Therapy and who is also the regional director of the clinic’s South Hampton Roads locations. “Both surgical techniques and physical therapy treatment strategies have improved outcomes in the last 10 years.” REVERSE SHOULDERS Think a shoulder that gets replaced has to go in just as it came out? Wrong. For Martin Coleman, M.D., of the Orthopaedic and Spine Center in Newport News, Virginia, the biggest advancement he’s seen is in reverse shoulder replacements. “It just wasn’t available 12 years ago,” Coleman says. “It gives us capabilities to handle cases we haven’t been able to handle before.” A regular shoulder has a ball and socket, Coleman says. The ball is round and the socket is flat.
Sometimes that cuff doesn’t work, though, when there is a chronic tear or arthritis built up. Enter the reverse shoulder where, Coleman says, “you replace the ball with the socket and the socket with the ball. By doing that you can eliminate the need for the cuff.” Coleman has “literally had people who have not been able to lift their arms for years finally be able to.” “The only challenge,” Coleman says, “is that this technology is only 10 years old, so we are still looking to see the long-term effect.” Keeping It Closed By far, the biggest evolution Bonner has seen over the last decade is avoiding open surgery for many common shoulder problems requiring surgery. “When I started 16 years ago, we were still doing open or doing mini-open procedures,”
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“Relieving pain is one
thing but making
Bonner says. “By far, most common problems involving the shoulder now are performed arthroscopically.” Bonner primarily focuses on sports and arthroscopic surgery and his specialty includes surgeries prior to complete joint replacements, like rotator cuff repairs. “You can’t do a shoulder replacement arthroscopically,” Bonner says. “The reason we do it for most other problems is it’s clearly less invasive, visualization and appreciation of abnormalities is enhanced, contemporary repair techniques for even large rotator cuff tears can be done just as well if not better in my opinion. There is also certainly less pain initially.” The biology of the tissue doesn’t heal faster from an arthroscopic procedure, Bonner says. “If you look at the long term, the healing rates are about the same,” Bonner says. “The short-term benefits are it is less painful,
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sure it doesn’t return
is the real goal.”
which is a big deal because people want to get back to work as quickly as possible and get off pain medication.” Recovery and Rehabilitation Recovering from shoulder surgery is no small task, says Beaulieu. “It can be a long road back,” Beaulieu says. In fact, Bonner says, “The therapy is just as important as the surgery.” Beaulieu says they are starting to look beyond the shoulder itself and to the shoulder blade in the rehabilitative process. “I’ve been practicing for 13 years,” Beaulieu says. “When I first began they were just starting to talk about the role of the shoulder blade and its involvement in returning normal shoulder function.” Beaulieu maintains that a team approach is always the best option for resolving
shoulder limitations. It takes proper diagnosis, consistent treatment and communication and plenty of education. “Relieving pain is one thing but making sure it doesn’t return is the real goal.” That involves education; learning to understand how the complex shoulder moves and making regular exercise a habit not just for overall health, but also for the health of the shoulder joint. “Many patients say they want to be able to reduce pain to a level they can live with.” Beaulieu says. “I say why not eliminate pain and return to the lifestyle you want.”
thehealthjournals.com | 19
FEATURES | IS MANHOOD KILLING MEN?
I
f you’re a guy, chances are at some point in your life someone—probably another man—has said to you: ‘walk it off’ or ‘suck up and deal.’ This kind of full-throttle macho attitude may help you get back on the soccer or football field after a few minor scrapes and bruises. But for serious medical problems, especially those common in men as they age, downplaying symptoms will only end up getting you cut from the game sooner—the game of life, that is. So what is it about men that makes them so reluctant to take care of their own health? It’s certainly not a question of understanding the need to deal with problems early.
WRITTEN BY SHAWN RADCLIFFE
20 | thehealthjournals.com
IS MANHOOD KILLING MEN? | FEATURES
“We all take our cars to be repaired, we do oil changes. We know the roof needs to be fixed, the gutters need to be taken care of,” said Dr. John Verheul, a family doctor in a private practice in the Richmond, Virginia, area affiliated with SignatureMD. “We all know the importance of prevention, but when it comes to ourselves, we’re somewhat more reticent.” In a very real way, the reluctance of men to take their own health seriously is killing them. Some of the most common illnesses affecting men can be caught early with screenings, like blood pressure and cholesterol for heart disease, and checks for colon or skin cancer. “But doctors can’t do screenings if men aren’t in their offices,” said Dr. Will Courtenay, a psychotherapist, researcher and author of the book “Dying to Be Men” “So men don’t get screened—and don’t get diagnosed.” While not all men live up to the ‘real men don’t need a doctor’ adage, there’s a very macho grain of truth lurking beneath it. Courtenay’s own research clearly tells the score: u Twice
as many men as women have no regular source of health care
u More than twice as many men as women
have not visited a doctor in two to five years adults aged 18 to 64 years, women make over one-and-a-half times more doctor visits than men
u Among
And not only do men visit the doctor less frequently than women, but they also put it off even when concerned about their health. According to Courtenay, 1 in 4 men surveyed nationally admitted to waiting as long as possible to see a doctor if he was sick or in pain.
Why Do Men Avoid the Doctor? Understanding the male psyche has never been easy. The same is true when it comes to figuring out why men avoid the doctor—and how to encourage them to treat their bodies with the same respect they give their car or truck. “There are so many factors that undermine men getting to the doctor,” said Courtenay, but “being a ‘real man’ is probably the biggest barrier between a man and his doctor.” This macho attitude comes to the forefront when a man brags about not going to the doctor in years. Or when he ignores physical symptoms and goes to work just like any other day. “There’s no doubt that the macho syndrome is a big issue,” said Verheul. “Maybe that goes all the way down into our DNA as guys.” As Verheul describes it, men can be very primitive in the way they approach their health. Like animals defending their territory, men are sometimes afraid to show any sign of weakness. So for men, admitting that they need help is the same as admitting defeat. There’s also a strong cultural myth in our society that men are the “stronger sex.” This has led to a sense of invincibility among men, even when it comes to common physical issues like diabetes or heart disease. Over time, the belief that ‘men don’t go to the doctor’ has simply ended up reinforcing this kind of behavior in men. “The problem with this belief,” said Courtenay, “is that many men take it as gospel as to what they’re supposed to do—and it discourages men from seeking help.” But while men are often concerned about following what society says they should or shouldn’t do, they still care about being healthy—even if they don’t always show it. “Most men are concerned about their health, but they think that most other men aren’t,” said Courtenay. “That leaves men feeling like they shouldn’t be concerned about their own health.” And as men age—and their body starts to show signs of wear and tear—some of these attitudes may also shift. “Younger guys will wait until there’s something wrong, and even then come in a lot of times unwillingly,” said Dr. Frederick Lennon, who has a concierge practice in Fairfax, Virginia, through Concierge Choice Physicians. “But the older we get, we reach a point in life where we sort of realize we’re not going to last forever.”
“We all take our cars to be repaired, we do oil changes. We know the roof needs to be fixed, the gutters need to be taken care of. We all know the importance of prevention, but when it comes to ourselves, we’re somewhat more reticent.” thehealthjournals.com | 21
FEATURES | IS MANHOOD KILLING MEN?
Breaking Free of Manly Attitudes In order for men to take charge of their own health, they need to break free of some of the personal and societal beliefs that have been instilled in them since childhood. “It’s critical that men learn that others are concerned about their health, and that they’re seeing doctors,” said Courtenay. “As men increasingly recognize this, they’ll be getting to the doctor sooner because it will be seen as what men do.” This means letting go of ‘traditional’ beliefs about manhood, but it also means men need to face their own fears. “We may think guys are tough,” said Courtenay, “but nearly half of American men say that doctor visits make them nervous, anxious or scared—and their biggest fear is finding out they have a serious health problem.” Doctors may never be able to convince
yourself
a guy to show up for a visit, but a spouse can certainly help. In fact, some research has shown that married men are healthier and live longer than single men. This could be the result of a spouse doing things like making sure a man takes his meds or shows up for a follow-up appointment, cooking healthy meals or encouraging him to exercise regularly. Or just educating him about the importance of seeing a doctor regularly. This approach is never easy. Women need to avoid pressuring him to visit the doctor before he’s ready. “If a man doesn’t want to see a doctor, don’t give him an ultimatum,” said April Masini, author of the “Ask April” advice column. Masini also suggests women get creative with how they handle the subject of their man’s health. “I advise women who are concerned about health issues their men possess to back away
from being the mother figure, and instead, make it a dual appointment,” she said. “Get joint physical exams and go have a nice dinner afterwards.” But men shouldn’t wait until they are really sick to find a primary care doctor. You only take your car to a mechanic you trust, so you want a doctor you are comfortable talking to about your most personal health problems. “Doctors build a relationship with a patient,” said Lennon, “which makes patients more likely to come in for something that they might not otherwise come in for.” It may take a long time before men no longer have to ‘walk it off,’ but already there are signs that male culture is changing. “Thirty years ago this whole machismo thing was so much more important,” said Verheul. “I think society is slowly changing and understanding that guys are allowed to be human beings.”
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thehealthjournals.com | 23
FEATURES | BRED WINNERS
WRITTEN BY CHRIS JONES
PHOTOGRAPHY BY ALEXIS KIKOEN & SUSAN THOMPSON
PART I OF III
Bred Winners How Saint Francis uses therapy dogs to
rehabilitate inmates and serve the community.
F
our jet black Labrador retrievers in red collars chase a red ball across a patch of freshly mowed grass. Connie Kniseley, their trainer, calls out to them. “Puppies! Puppies!” she exclaims, clapping her hands.
24 | thehealthjournals.com
01
BRED WINNERS | FEATURES
One of the young dogs returns with the ball, tail rapidly wagging. She rubs the dog’s head. “Good girl,” Kniseley annunciates, dislodging the ball from the puppy’s jaws. She whips the ball across the lawn and the four puppies dash towards it again. “Out here, this is socialization,” she explains, gesturing with an open hand outlining the length of a busy Interstate 81 behind Saint Francis Service Dogs Foundation. “In prison, [the dogs] don’t hear cars.”
In prison? Since 2002, Saint Francis has maintained a partnership with the Bland Correctional Center in Bland, Virginia, a little over an hour away from the Foundation’s Roanoke, Virginia, facility. There 24 inmates help with the training and socialization of the dogs over much of their first two years of development. The program, called the PUPS program, carefully screens inmates to match with puppies. The puppies live with the inmates at the correctional facility and are raised and obedience-trained under strict guidelines. Once trained, the puppies are transferred back to Saint Francis where they complete additional training and socialization before being partnered with an applicant. It’s a program that Bland and Saint Francis take great pride in.
“You take a puppy
into a prison to a burly, tatted up man and they will melt in front of you. —cabell youell
”
“We work with men in the prison’s honor dorm,” tells Cabell Youell, executive director at Saint Francis. “The men selected to be in our program are the best of the beSaint They have a cell and they have a puppy who lives with them and they raise the puppy according to our protocol. One of our trainers goes in once a week to check on them. It has turned out far better than we ever expected. The dogs love prison because they get to be with their person all the time.” According to Youell, the program isn’t the first of its kind, but the only one in the Commonwealth of Virginia. “The first program of its type was started by a nun in Washington state—Sister Pauline. It was successful and grew from that. It’s being used more now. The prisons really like it," she says. For men to participate in the program at Bland, they have to already live in the honor dorm where the inmates with the best behavior live. Then they can apply and their acceptance is left to
02
03
the discretion of the prison’s administration. Another prerequisite is that the men can have no history of domestic or animal abuse. They enter the program as an alternate, helping other men with their dogs, before receiving their own. Once they learn the program and commit to adhering to the training guidelines set by Saint Francis, they get their own puppy. “Many of the men in the program train lots of dogs for us which is very helpful. And they really enjoy being part of the program because for them it’s an opportunity to do something worthwhile and it’s an opportunity to send something back into society that’s good and positive and makes an impact. I think for a lot of these men the hardest part about being in prison is that they don’t have the opportunity to help. Their efforts and their time are for naught and so through this program they actually have a positive impact on the world and they appreciate that opportunity,” says Youell.
The Nicest Men You’ll Ever Meet Inside of Bland Correctional Center, Kniseley addresses the 19 men in the PUPS program who are meeting with her for their weekly training session. They’re seated in gray plastic chairs, attentive to the instruction of Kniseley. She has a pair of facing chairs set up on the far side of the room as a training exercise for the dogs. A few of the men, like Michael Shepperson, are weaving their dogs through the chairs. His dog isn’t having a lot of success with the exercise. Kniseley encourages him to work on getting the dog to walk around a single chair. Shepperson is raising
01 From a young age, many Saint Francis dogs spend between 12 and 18 months training at the Bland Correctional Center where their foundation as a therapy dog is built. 02 Puppies in training burn off energy in one of the large fenced-in pens before they load up for the hour long trek back to the correctional center after a vet visit in town. 03 Executive Director of Saint Francis Service Dogs, Cabell Youell. 04 Rope tugs adorn door handles inside the Saint Francis building for both graduated therapy dogs and those in training.
04
FEATURES | BRED WINNERS
“
The dogs love going to prison. —cabell youell
”
a 9-month-old dog that he named Zelda. “I named her after the video game for Nintendo. It was either going to be Zelda or Sonic. So I went with Zelda since it’s a girl,” he says. Shepperson has been in the program for a year-and-a-half and says that he likes the program because it allows him to give back to the community. “Since I’ve been in the department of corrections, I’ve had a lot of jobs [where] I’m trying to help and give back. I know this will give back to the community—and someone in particular,” says Shepperson. Edward Taylor, who has been in the program for two years and who is now raising a 13-month-old chocolate lab named Kojak, echoes Shepperson’s sentiments. “I’ve been at this institution since 2008 and I’ve worked at the law library for 4-1/2 years. I’ve always enjoyed interacting with the dogs and I knew a lot of the guys in the dog program. For me, it came time for a change of pace from the law library and the only really attractive job on the compound was working with the dogs,” shares Taylor. “I get something out of working with the dogs, but for me it’s always been what the dog represents. When you look at Saint Francis and their newsletters and you see the people that they’re partnered with...and the comfort that the dog brings. I enjoy having the comfort of the dog and interacting with the dog, but for me it’s the outcome; who it’s going to bless.” At around 3 p.m., Taylor’s dog is taken off the premises for a veterinary appointment to get his leptospirosis and lyme shots, leaving him without Kojak for one week. Taylor welcomes the break and says he’ll just split time working with
07
Chance, the 7-month-old dog of one of the other men in the program. “You miss them,” he says, “but you still have the other dogs around. We interact with each other and each other’s dog. It’s good. It’s like any other profession or job, it’s good to get away every now and then.” And one of the perks of the job is how it affects the men on a heart level. Each cites that the dogs have influenced their lives, giving them something to care for beyond themselves and they love being able to give back to a society that they have taken something from. Kurt Purdue, who is raising a yellow Labrador named Gina says, “This gives us a chance to give something back to the people outside; to the people who need it. It’s a blessing. That’s what it is. It makes me feel lucky and blessed. For me, 08
26 | thehealthjournals.com
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BRED WINNERS | FEATURES
and a lot of people like me, we took so much [from others] out there that when we can get our head straight and give something back to society it makes you feel good. It warms your heart.” George Anthony Hardy, who is raising a dog he named Moses, says, “Working with the dogs teaches you to keep your mind on positive things. It makes you feel good about yourself knowing you can give something back to the community.” He hopes that Moses can live up to his namesake and lead his future partner. “I named him Moses because he was a great leader. I thought maybe it may be a good name for a dog; to be able to help people and lead them, and help them through the things that need to be done.”
10
The Making of a Service Dog Dogs come to Saint Francis by way of breeders in Virginia and North Carolina. Youell says that Labrador Retrievers typically make the best therapy dogs because of the natural mechanism within them to retrieve objects. Most puppies are donated to the program. “We are very fortunate that there are several reputable breeders around Virginia and North Carolina.” Youell says. “We are also a member of a cooperative which is a group of other service dog organizations across the country. That has been a good source for us because those dogs are bred to be service and therapy dogs.” When asked whether or not dogs from shelters like the SPCA are considered, Youell says, “We keep an eye on rescues and shelters. We’re big believers in the rescue organizations, but we have to get them early enough. If not, they have fears that keep them from qualifying. They have to be exposed to sounds, touch and people. The problem with shelter dogs is that they don’t get that training early enough and they have fears that they can’t overcome, like thunder. Our dogs have to be unflappable. But we do get shelter dogs who are unafraid and they turn out to be some of our best ones” Once in the Saint Francis network, the dogs spend time between basic training at Bland and developing advanced training on a schedule. “We have a kennel manager on site who lives here,” says Youell. “He starts at 5:30 a.m. The dogs run, get fed, get their kennels cleaned and get exercise by 8:30 a.m. Then trainers come in and start working with the dogs. They work with them on everything from retrieving items, opening doors, bumping things, turning lights on and off and getting help.” The trainers, who come weekly, push the dogs through this battery of tests to ensure that they will be serviceable dogs. Some will graduate and receive a partner while others will not. “All of our dogs have to undergo a pretty rigorous health review, so we need to make sure the dogs we are going to place have a good heart, good hips, good joints, good eyes, so we evaluate all of that. If they show a high likelihood of developing hip dysplasia for example, then we’re going to dismiss that dog from the program,” says Youell. And the dogs who don’t meet the requirements or who have health issues that disqualify them from service? “We call those dogs career change dogs. We have a long list of people who want those dogs. They apply for them. They’re
11
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05 A retired therapy dog, Bella, owned by Cabell Youell, greets visitors at Saint Francis. 06 The immaculately kept kennels at Saint Francis house many dogs, allowing them a climate controlled indoor option, as well as an outdoor run. 07 Kaia, a black Lab, acts as a service dog liason for Saint Francis, participating in demonstrations and helping new clients orient to the needs of a dog in their home. 08 The Saint Francis facility is a 5,000 square foot state-of-the-art kennel, built in 2010. 09 A storage room inside Saint Francis containing donated goods; toys, leashes, collars and more. 10 The Saint Francis facility has a full living area so the dogs can practice in a home-style environment. 11 Michael Shepperson and Zelda watch as other handlers work with their dogs on a training course. 12 Gonzo and Holland Davy show how deep the bond of trust between handler and service dog is. 13 A therapy dog in-training focuses on her handler, awaiting the next command.
thehealthjournals.com | 27
FEATURES | BRED WINNERS
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screened. A home visit is done. There is a probationary period where we make sure its a good fit for the family and the dog. And ironically those dogs cost $1,000. Our service dogs are free, but there is a charge for our career change dogs.” she says. Other disqualifying characteristics outside of physical health issues include developmental and behavioral issues, like fear of lightning or men in hats. Youell says the dogs have to be unflappable with the ability to work under great stress. In a work room next to her office, Youell has two large white boards that are sectioned off like spreadsheets. One of the boards lists the dogs that are at Bland, complete with their ages, photos and which inmate they’re being trained by. The other board displays a listing of dogs by name, who their trainers are and who they’re partnered with. Those are the graduate dogs. Two of the dogs that have successfully completed the program at Saint Francis, Lincoln and Elvis, work in the legal system. They’re in a position of privilege. They sit in on forensic interviews to help victims and witnesses. Part of their training coaches the dogs to withstand a great deal of emotional trauma given the work they do. One of the other dogs on the board, Ekko, works at Riverside Rehabilitation Institute in Newport News, Virginia, in therapy and rehabilitation. In fact, in another room within the facility, there is a treadmill where dogs like Ekko learn how to use the machine
“
for the benefit of their future patients. “The dogs are professionally trained to do their tasks repeatedly and dependably. Our dogs who are paired with autistic partners are trained to play therapeutic games to pull them out of their shells,” Youell says. “They all have work goals.” On a bookcase below the board are several thick binders. Within each binder is the complete story of the dog. “Every dogs has a binder that maintains their records,” she says. “We have their breeder information, all communication, contracts, vet information, training information, et cetera.”
Helping Hands Since Saint Francis is a small operation, they rely on the help of not just the men at Bland Correctional Center, but people in the community as well. Volunteer coordinator Ryan Read is tasked with ensuring that the facility has plenty of volunteer power from staffing events to ensuring the availability of puppy sitters— people in the community who dog sit and help with socialization between prison visits. “We have a need for volunteers here. My job is to meet with each of the staff to make sure their needs for their events. “On Monday, we have a candidate class [for those applicants looking to be paired with a service dog]. We have volunteers who make the lunches for those classes. Every day I get a
This gives us a chance to give something back to the people outside; to the people who need it. It’s a blessing.
”
—Kurt Purdue
17
28 | thehealthjournals.com
18
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couple of people who contact me looking to volunteer,” he says. Carol Downey is a volunteer with Saint Francis. Aside from being a major program donor with her husband, William, Downey donates her time to fundraising. “We have developed a team here in the area who have held two “friendraisers” to help raise money to train more dogs. No organization can survive without money. People assume because a nonprofit is successful, we don’t need them anymore. At an organization like Saint Francis, we always need the financial support. We can’t train more dogs without support,” she says, also adding how having a trained service dog adds to the quality of life of its partner. Since the dogs cost the partners nothing though program, Saint Francis relies on volunteers like Downey to help spread awareness and community support to help foot the $25,000 per dog training coSaint It’s because of the amount of attention, training and effort that goes in to raising each dog that Saint Francis practices a careful, yet rigorous screening process. CONTINUED ON PG. 56
20
14 A duo of chocolate Labs eagerly greet one of the corrections officers on duty. 15 It’s important that all of the service dogs in the Saint Francis program are comfortable being handled in any position; Frankie relaxes in her handler Chris Wright’s arms. 16 Kurt Perdue and his dog, Gina. 17 George Hardy and Moses pose during the weekly training meeting. 18 All of the therapy dogs are trained to be comfortable in a gentle leader face harness. 19 Connie Kniseley demonstrates a game used in teaching the therapy dogs. 20 Baron Goldsberry releases Cairo from a “wait” command.
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FEATURES | POWERING UP WOMEN
Powering Up
WOMEN “I
Kingsmill Kicks off 2015 LPGA Championship with Inaugural Women’s Symposium WRITTEN BY CHRIS JONES
don’t understand commercials,” says motivational speaker and empowerment coach Donna Highfill to a room full of women at the first inaugural Women’s Symposium at the LPGA Kingsmill Championship, “I don’t dance with my Swiffer.” The room erupted with laughter. Highfill took a serious tone and encouraged the room full of women at the symposium to power up and believe in the power of the stories they tell themselves. “We take in these messages because our mind is like a tape recorder,” she says, “We absorb the language. We take in the words. We weave a story around them.” Highfill spoke about the differences in commercials targeted toward men and women and how women are portrayed. She invited the audience to participate in a two-minute exercise in which they were asked to discuss and write down the images of women they saw in the commercials. Much of the feedback revealed that women are seen as delicate, weaker and in need of a gentler pathway, whereas men are seen as hulking, masculine and adventurous. “I spoke to a group of high school girls who were referring to each other as bitches, hoes and sluts. I asked the girls why they called each other that and they said it’s what the boys called them when they were joking with them. I told them that the boys weren’t kidding and when I asked the boys if they were kidding, they said, ‘No,’” says Highfill. “These young women adopted the language unwittingly.” Her challenge to the women in the symposium was to tell themselves a different story and pay attention to what their thoughts were creating. In a second exercise, Highfill asked the audience to close their eyes and imagine a walk through the woods. Then she introduced an angry bear into the equation and asked the audience how they reacted within their bodies when they realized the bear was within reach of them and the overwhelming response was tense. “Your body doesn’t know the difference between what’s imagined and what’s real.” she says. “Your brain will attach fear to every thought before you can process it.”
30 | thehealthjournals.com
She also warned about getting caught up in other people’s stories, referring to those who introduce unwanted drama into their lives as “emotional vampires.” “Live your story. Don’t take on someone else’s story. It’s called ‘idiot’s compassion’ when we take on other people’s problems. They will always want to take your power and strength,” she says. Highfill ended with a charge to attract more positive things by changing though patterns and to give off more light. Fitness expert Jan Trombly echoed the message of empowerment telling the ladies that they needed to “step up because no one will take your fight.” An Olympian at the 1984 Los Angeles games and former Old Dominion University basketball standout, Trombly challenged the women to not listen to negative mental programming and realize that the sky is the limit. She also encouraged the women to take their health seriously by drinking more water and making their fitness more fun. “You have to move your body and drink lots of water to lubricate your joints,” she says. “We’re overweight because of our conveniences—garage doors, remotes, et cetera.” For women looking to lose weight, she recommended exercising six days per week at 30 minutes per day. “Listen to your body,” she says. “Don’t push yourself if something doesn’t feel right.” And if you work in an office, she says to move around every hour. The symposium concluded with a cooking demonstration from Kingsmill chef Emily Woodruff and three-time LPGA tour champion Beatriz Ricari. The pair made crab cakes while Ricari shared about her health and nutrition habits. Ricari, who comes to the United State by way of Spain, talked about how clean eating and cooking with natural ingredients, like olive oil and fresh vegetables, has helped her maintain her body and keep it properly fueled for high performance. “It’s really important for me to have a good diet. I am gluten-free, dairy-free and I like to eat as many grains as I can. I put good carbohydrates in my body along with
fruits and vegetables. I try to not snack too much or I try to snack with the right choices,” says Ricari. “Golf is very demanding on your body. You travel a lot. Last year I played in 14 different countries. You have to be ready to perform. I exercise 5-6 days per week on core, stretching, balance, interval training and of course, I do weight lifting.” Playing golf since age 9, she says that that she finds it tough to keep her mind sharp since she is a perfectionist. “It is tough. I can get caught up in practice, practice, practice and this spot does not forgive. You have to find a balance. It’s one of the hardest challenges. Golf is not everything, and it’s not who I am. It does not define me, and it’s important to have that in perspective. You have to spend time with your family and friends and do things you love.” The event was sponsored by Pepper Oaks Farms, a California-based olive oil farm that also endorses Ricari.
POWER UP AMY CUDDY
Cataract Quiz Has your prescription changed, but not working? m Yes m No Is it difficult driving at night? m Yes m No Is it difficult to see in dim light? m Yes m No Do you see glare or halos? m Yes m No
Body language affects how others see us, but it may also change how we see ourselves. Social psychologist Amy Cuddy shows how “power posing”—standing in a posture of confidence, even when we don’t feel confident— can affect testosterone and cortisol levels in the brain, and might even have an impact on our chances for success.
bitly.com/PowerUpCuddy
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FOOD | FLAVOR
WRITTEN BY KIMBERLEY CUACHON HAUGH
I’m Gonna Get
Your Goat, And Eat It Too!
E
ager to escape the winter last February, I was lucky enough to spend some time in Jolly Harbor, Antigua. Located in the West Indies than 600 miles off the coast of Venezuela, the island is just a little over 100 square miles. As a first-time visitor I was eager to indulge in the local flavor. But staying in a tourist spot made this a bit of a challenge—all the menus were Americanized—littered with burgers, fries and pasta. The following afternoon, I strayed off the resort, past the sign advertising “Karaoke Tonight, Sing Your Favorite Hits” and I found myself at Joseph ordering none other than stewed goat—an island delicacy. Its smell was delicious. And it resembled stewed beef. It was served with rice and black beans, a vegetable medley that included pumpkin− very popular on the island−taro and a piece of lasagna−also very popular on the island of all things! The whole dish was comforting to me. I could picture little kids being spoon fed by their grandmothers. And the goat meat? Tender and fall-off-the-bone. It tasted like a lean cut of beef and I wouldn’t have known any differently if I hadn’t ordered it. The only giveaway was the small bones. Licking the sauce off my lips and carefully blotting the slight spatter on my white top, I kept thinking to myself “Why aren’t we eating this back home?” According to Wally Hudd, owner of Moving Meadows Farm in Culpeper, Virginia, supply is somewhat limited. But the biggest reason is American tradition, “It’s never been on our ancestral menu.” Hudd began raising goats for meat several years ago when a friend gave him two does, which are female goats, because of the acreage his farm boasts. After a while, Hudd thought it would be fun to have more, so he rented a buck, a male goat, and now they have 53. 32 | thehealthjournals.com
Hudd explains that there are many goat species. Some which are good for meat and some for milk. Hudd raises a breed called “kiko” which originated in New Zealand. The New Zealanders developed the breed by crossing a domestic breed with feral goats. This resulted in an extremely hardy variety. Hardiness allows Hudd to manage the goats in a more natural way. “Our goat herd is outside 24 hours a day, 7 days a week, 365 days a year. We do not need to provide shelter,” says Hudd. The genetic strength of this particular breed falls in line with the mob grazing that Hudd practices, enabling his to avoid parasites without using chemical wormers—something that can’t be done with other breeds. Hudd has been receiving a pretty good response from his customers. “We have one restaurant that absolutely loves it. The executive chef makes spring rolls from it.” He also says that most of his goat customers are glad to find it in his storefront since it is still a rare meat. “They consider it a trendy alternative to beef.” Since the 1990s, the importation and production of goat meat has been on the rise. Much of this can be attributed to the rise of immigration, as goat meat is most popular in Middle Eastern, Southeast Asian and Caribbean cuisines. Australia is still the primary exporter of goat meat into the United States. However, with more organizations like the American Meat Goat Association being instrumental in promoting the meat, there
continues to be more domestic support. Another interesting factor that is contributing to the expansion of the goat meat industry within the Southeast is financial settlements resulting from class action lawsuits against the U.S. tobacco industry. These settlements were used to pursue alternative agriculture affecting tobacco-producing states, which includes Virginia. Keep in mind that goat production, just as Hudd points out, is a sustainable livestock production. In addition, any farmer will tell you that they make great lawnmowers. While more people are exploring this alternative meat, the industry is still in its developmental stages, not to mention building awareness and spreading the knowledge about it. What may scare consumers the most is the limited information available about the standardization of the production process. Farmers like Hudd are proudly transparent about how their goats are raised and slaughtered, but consumers must do their due diligence to reach out to such establishments. Also in its infancy is the standardization of cuts of meat and how they may be used— the product lacks approachability in the broad spectrum. We also can’t usually find goat meat at our local Farm Fresh, Harris Teeter, Food Lion or Fresh Market. But we as consumers can help change all this by creating the demand. But first we have to get over eating Billy Goat Gruff.
FLAVOR | FOOD
GOAT MEAT PER 3 OZ. SERVING
2.6 g 0.79 g 63.8 mg 23 g total fat
saturated fat
cholesterol
NUTRITIONAL BREAK DOWN
CALORIES
PER 3 OZ. SERVING GOAT 122 CHICKEN 162 BEEF 179 PORK 180 LAMB 175
protein
HEALTH BENEFITS Goat meat is leaner than beef, lamb, chicken or pork. It is low in saturated fat, the type that increases your LDL cholesterol, and higher in unsaturated fats, the type that helps increase your HDL, or good cholesterol. The American Heart Association recommends you include leaner meats, such as goat, to help decrease your risk of heart disease, stroke and other serious medical conditions.
GOAT MEAT POTASSIUM is also a rich source of
HOW TO COOK
Unless you plan on using ground goat, which is a great jumping off point for newbies, keep in mind the lack of fat in goat meat. A marinade will help tenderize the meat and will keep it from drying out, and when cooking you’ll want to do so low and slow.
iron
PER 3 OZ. SERVING
GOAT 3.2 MG BEEF 2.9 MG PORK 2.7 MG LAMB 1.4 MG CHICKEN 1.5 MG
thehealthjournals.com | 33
e k a Sh Off
FOOD | FOOD & NUTRITION
I
It
CPT RVATH, Y JO HO M A N Y B N IS KIKOE WRITTE BY ALEX Y H P A R PHOTOG
ea l is to liv f your goa ow without a you kn festyle then day with healthy, fit li rtance of fueling your o p in the doubt the im n. The best way to obta ural io n it hole, at proper nutr is through w and on the n io it tr u n necessary you’re busy ever, when e you’re foods. How he next tim T . sy ea s ay g a full w go, it’s not al you’re not up to cookin an if r er o ff ach o s in a hurry, ese shakes. E e standard th f o e n o y meal, tr beyond th ional punch extra nutrit ients! protein nutr
hip C e t a l o Choc eal Cookie Oatm
Coconut Cream Pie
34 | thehealthjournals.com
Go Green
e
p p a r F e e f Cof
Chocolate Peanut Butter Ice Cream
FOOD & NUTRITION | FOOD
hake Recipes Protefuienl wiS th delicious sha Re
kes
Chocolate Chip Oatmeal Cookie
Peanut Butter Cup
Pumpkin Pie
Coffee Frappe
Protein and Carbohydrate
Protein and healthy fat
Protein and Carbohydrate
Protein and Caffeine
Ingredients: • Skim milk, almond milk or water • 20-30 grams protein powder
Ingredients: • Skim milk, almond milk or water • 20-30 grams protein powder
Ingredients: • Skim milk, almond milk or water • 20-30 grams protein powder (nutrient, not weight)
• 1/4 cup old fashioned whole
grain oats • Cinnamon, to taste • Handful of dark chocolate chips • Ice
(nutrient, not weight)
• 1-2 tbsp natural peanut butter or powder substitute • 1-2 tsp 100% natural dark cacao powder • Handful of dark chocolate chips • Ice
(nutrient, not weight)
• 1/4 - 1/2 cup pure pumpkin
puree • Pumpkin pie spices, to taste • Ice
Ingredients: • 1 cup of coffee
(room temperature or chilled)
• 20-30 grams protein powder (nutrient, not weight)
• Ice (or coffee ice cubes for extra flavor)
Flip over for more...
Blend to desired consistency and enjoy!
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FOOD | FOOD & NUTRITION
hake Recipes Protefuienl wiS th delicious sha Re
ke s
Fruit Explosion
Go Green
Chocolate Peanut Butter Ice Cream
Coconut Cream Pie
Protein and Carbohydrate
Protein and Carbohydrate
Protein, Carbohydrate and Healthy Fat
Protein, Carbohydrate and Healthy Fat
Ingredients: • 1 cup nonfat plain Greek yogurt • 20 grams protein powder (nutrient, not weight)
• Frozen banana • Handful fresh berries • 1/4 cup juice of choice
Ingredients: • 1 cup frozen spinach • 1/2 cup frozen berries • 1/2 cup nonfat Greek yogurt • 20-30 grams protein powder (nutrient, not weight)
• Splash of juice of choice
Ingredients: • 1 frozen banana • 20-30 grams protein powder (nutrient, not weight)
• 1 tbsp natural peanut butter • 1+ tsp 100% natural dark cacao • Skim milk, almond milk or water
Ingredients: • Coconut milk or coconut cream • 20-30 grams protein powder (nutrient, not weight)
• Handfull unsweetened coconut flakes
• 1 tbsp coconut oil
(optional if you used coconut cream)
• Ice
Blend to desired consistency and enjoy!
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YOGANATOMY | YOUR HEALTH
Boat Pose
sanskrit: Paripurna Navasana â?Ľ WRITTEN BY SAPTA YIN, ACSM, RYT 200
â?Ľ PHOTO BY BRIAN FREER
Crown
Chest
Lifting towards the sky as hips root into the ground to aid in keeping a lengthened spine.
Keep chest forward by keeping shoulders rolled back.
ready? Start seated on the floor, legs straight in front of you. As you inhale, place the hands a little behind your hips, fingers pointed forward. With an exhale, press into the ground through your palms as shoulders stay rolled back. Let the crown of your head reach towards the sky, your spine should feel like it is lengthening from hip to head. Keeping a lengthened spine is all about activating the abdominal muscles. Do this by hugging them towards the spine as they lift up underneath your ribcage. With your next exhale, begin to bend your knees so that your feet lift off the ground. With an inhale, feel the sense of a straight back and active core. With an exhale, begin to lift the calves to parallel above the ground. If a straight back-active core can be maintained, aim for a V-shape with the body by kicking through your heels, flexing both feet. Your hands can stay lightly on the ground for stability or raised to your sides. Breathe deeply.
Feet Think of kicking through your heels, feet flexed to activate a lock in the legs musculature.
Core Abdominals active, hugging toward spine and lifting up underneath the ribcage.
thehealthjournals.com | 37
FOOD | HERB-N-GARDEN
What's the dill-yo Greek Tzatziki Sauce 2 tablespoons fresh dill 2 cups plain greek yogurt 1/2 English cucumber, peeled and finely grated 1 tablespoon lemon juice 1 garlic clove, finely minced
• Chop the fresh dill • Peel and grate the English cucumber, discard the peel • Squeeze the juice from the grated cucumber, discard the juice • Add all ingredients to a bowl and mix well • Cool in the fridge for at least two hours before serving Serve with whole wheat pita for a fresh, nutritious snack. PHOTOGRAPHY BY ALEXIS KIKOEN
38 | thehealthjournals.com
TASTE APPEAL | FOOD
RECIPE BY CHEF JALIL LINDSEY-LOWE Enjoy this lean pork tenderloin, grilled with a zesty rub and drizzled with a peach sauce. Complete this extra special summer meal by pairing with the following Peach Salsa recipe. INGREDIENTS 1–1.5 pound pork tenderloin
MAKES 4–6 SERVINGS
PREPARATION
2 tablespoons olive oil
For the rub:
1 teaspoon cumin
Combine all dry ingredients in a small bowl.
1 tablespoon Ancho chili powder (you can use chipotle chili powder, but it will be very spicy) 1⁄2 tablespoon cinnamon 1 teaspoon garlic powder 1 teaspoon onion powder 2 tablespoons brown sugar 1⁄2 tablespoon dried oregano or marjoram 1⁄2 teaspoon salt
For the sauce: 2 tablespoons peach or apricot preserves
For the tenderloin: • At least 1 hour or the night before, drizzle pork tenderloin with olive oil and the rub, completely covering the tenderloin with all the spices. • When ready to cook, heat the oven to 400 degrees. If grilling outdoors you will need a medium-high heat on your grill. In a heavy bottom or cast iron skillet sear tenderloin on all sides and roast in the oven for 8-10 minutes. If grilling, cook 7–8 minutes on each side.
Peach Salsa RECIPE BY CHEF JALIL LINDSEY-LOWE This fresh, zippy salsa is light and fruity with a kick of lime and spice. It pairs very well with grilled meat or fish. Serve with the Chili-Rubbed Grilled Pork Tenderlion. INGREDIENTS 4 peaches cut and diced 1⁄2 bunch cilantro
MAKES 4–6 SERVINGS
PREPARATION
1⁄2 bunch fresh mint
• Combine all ingredients and toss in a bowl. Chill. Serve with pork tenderloin.
1⁄2 red onions, diced
Chef’s Notes:
1 lime
• Any summer fruit can be used in substitute of peaches and milder chiles like Anaheim and poblano can be used in place of jalapeños.
1 jalapeño, diced 1 red bell pepper, diced 1 tablespoon olive oil 1 pinch sea salt
• When it comes out of the oven or off the grill, tent cover with aluminum foil, and let it rest 10 minutes before slicing. For the sauce: • Put all ingredients in a saucepan except cilantro and simmer until the liquid is reduced by 1⁄4. Add in cilantro just before serving. To serve:
1 small can pineapple juice
• Drizzle sliced tenderloin with sauce and serve with peach salsa.
1/4 bunch of cilantro, chopped
Chef’s Notes:
1 Anaheim chile, diced
SNIP-SNIP! CUT ALONG THE LINE TO KEEP THIS RECIPE.
Chili-Rubbed Grilled Pork Tenderloin
• To insure even cooking remove tenderloin from the refrigerator 1 hour before cooking. • Do not “glaze” the tenderloin with sauce before cooking. The sugars from the juice and preserves will cause it to burn. Instead dress it after cooking.
thehealthjournals.com | 39
FOOD | VINE & DINE
&
SUMMERTIME FOOD BEER PAIRINGS WRITTEN BY KIMBERLEY CUACHON HAUGH & CHRIS JONES
FIRE. FOOD. BEER. THE THREE MAKE UP THE SUMMER TRINITY.
CHEERS!
Last year, Esquire named Virginia the food region of the year. And it makes absolute sense. It’s the biggest and oldest in the area, with mountains and coastline, how could we not be? And now our beer scene is really hopping. With over 100 craft breweries, a huge milestone for Virginia, you’re bound to find a beer that will excite your palate. According to Cassidy Rasnick of the Virginia Craft Brewers
PORK Whether you’re smoking a pork butt, throwing on country style ribs or eating pulled pork from the whole pig, pork is a summer staple in the South. If you’re looking to enhance the smokiness and sweetness of pork barbecue, try pairing it with these beers: • Twenty Knots Belgian Style Tripel Ale
(Williamsburg Alewerks) pairs really nicely with the sweetness found in BBQ pulled pork. It sits at a solid 10.00% ABV making it’s delicious fruity taste deceptively sneaky. • Stone Smoked Porter (Stone Brewing Company) connects with the smokiness of grilled pork. Tasters have described its flavor as “smoky,” and “a good beer to pair with anything smoked.” 40 | thehealthjournals.com
Guild, the state has seen an “exponential growth in the last few years, not only in the number of craft breweries, but also in the quality of the beer being produced and the cooperation and collaboration in the industry.” So, instead of reaching for a boring old Miller Light, why not celebrate summer delighting your tastes with beer brewed in your own backyard?
BRATWURST This easy-to-eat handheld grill favorite leaves you a free hand to enjoy backyard games, or clench a cold drink. Grab one of these IPAs and drop a brat on a potato bun smothered with delicious grilled veggies for a ballpark experience in your back yard: • Northern Lights IPA (Starr Hill Brewery) has a nice hoppiness that’s not overwhelming and that makes for a good starter IPA. It’s light citrusy and pine taste nicely compliments the herbs and spices found in bratwurst. • Green Flash Palate Wrecker (Green Flash Brewing Company) is an American double IPA for those who love big, hoppy beers. It’s aggressively flavorful with the taste of citrus, earth and pine, and its 9.5% ABV won’t disappoint those who love strong IPAs.
FISH
With so many varieties of fish we narrowed it down to tuna and salmon, two of the more popular grilling fish that are so thick and meaty—for lack of a better word—they sit on the grates of a grill like a steak. The next time you throw a tuna or salmon steak on the grill, be sure to pair it with one of these beers: • El Guapo IPA (O’Connor Brewing Company) has a hard citrusy flavor that has a lot of character. It also contains agave nectar, which gives it a slight sweetness. Pairing this diverse and earthy beer with fish is a winner. • Green Flash Hop Head Red Ale (Green Flash Brewing Company) is dubbed “The blissful union of Double India Pale and Red Ale,” this delightful ale pours amber red and is rich with hops and malt, giving it a finish described by one taster as, “outrageously good.”
CHICKEN Most everyone loves the sweet, smoky and charred taste of grilled chicken. Two of the best types of beer to enjoy with this white meat favorite are saisons and lagers. Try these: • Helles Lager (South Street Brewing) counterbalances the sweetness of malt with the spices found in the grilled jerk chicken or chicken brushed with other piquant sauces. • Alter Ego (Smartmouth Brewing Company) pours golden and has a fruity, carbonated zip. It also comes canned, which helps it to maintain its integrity. Those who taste it like its citrusy finish and lasting aftertaste, which enhance the flavors of barbecued chicken.
BEEF For most people, there’s nothing like a steak on the grill. The natural juices and flavors of the meat combined with the charring from fire scream all-American summer. Enjoy your next burger or Porterhouse with one or both of these: • St. George Porter (St. George Brewing Company) has a dark brown pour and hints of coffee and chocolate, so you can enjoy full porter flavor without the traditional heaviness; a good beer for a late evening barbecue. • Great Dismal Black IPA (O’Connor Brewing Company) pours deep and dark, like The Great Dismal Swamp in Southeastern Virginia that it’s named for. It’s earthy aroma and hoppy flavor complement beef well, especially the herbaceous grass-fed varieties found in Virginia.
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YOUR HEALTH | HEALTHY COMMUTE
WRITTEN BY CHRIS JONES
NAVIGATING the
highway Improve your trip or commute by helping your eyes
W
e’ve all been glazed over by long distance travel or a monotonous commute. But are there health concerns associated with driving that we need to consider? In the car, our eyes do the heavy lifting: we have to be able to keep our eyes on long distances, monitor short distances, be aware of other drivers and at times overcome drowsiness. Dr. Mark A. Lipton, O.D., of Beach Eye Care in Virginia Beach, Virginia, says that when driving, the eyes are most relaxed since they’re often looking into the distance. If your eyes feel strained, the problem isn’t the drive, it’s within your eye. “If you have eye fatigue, you may need glasses to relieve the eye strain that shouldn’t be there,” says Lipton, who recommends having your eyes examined for corrective lenses if this is the case. He also advises all drivers to wear sunglasses when driving citing that the sun’s ultraviolet rays pose the biggest threat to ocular health.
“During the day, if you’re driving without sunshade, that may cause light sensitivities. A lack of protection from the UV light puts the lens [of the eye] at risk and that can cause early cataracts,” warns Lipton. “The importance of using sunglasses extends beyond the protection of glare. It also protects the skin around the eye from cancer, as well.” He recommends good quality sunglasses, not like those purchased at discount stores or gas stations. “Whatever sunglasses you buy just have to have UV protection,” he says. “A good quality pair, like Maui Jim; just no [convenience store] glasses.” All prescription sunglasses should to be marked with their applicable density number. This number is determined by the amount of light transmission through the lens. For example, class 4 lenses—a 3-8 percent light transmission—are good for walking, but not for driving as the lenses are very dark. Class 2 lenses—an 18-43 percent light transmission—are suitable for day driving, but not night driving. This is why Lipton
recommends a good brand of prescription sunglasses. Being able to distinguish the right type of eyewear is important for your commute. Driving while wearing sunglasses with an incorrect tint density can reduce concentration, or cause drowsiness, increasing the risk of road accidents. For drivers who find themselves going in to microsleep due to drowsiness—which is usually signaled by frequent blinking or forgetting the last few miles driven—the Center for Disease Control and Prevention (CDC) says that while it is clear that falling asleep while driving is dangerous, drowsiness impairs driving skills even if drivers manage to stay awake. Drowsiness slows reaction time, makes drivers less attentive and impairs decision-making skills, all of which can contribute to motor vehicle crashes. Healthy eyes won’t need a break when on the road. By seeing your optometrist for corrective lenses, getting the right type of sunglasses or ensuring you’ve had proper rest, you can enjoy an alert commute or road trip.
* Polarized sunglasses are a common choice for drivers. These glare-reducing lenses eliminate the strain on the eyes from sunlight. * In certain parts of the country, it is even more important to wear sunglasses because of the increased UV risk. Norfolk, Virginia, is ranked 23rd in the United States for having extremely high UV with 160 days of exposure (46 percent of the year).
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YOUR HEALTH | FITNESS
4
WRITTEN BY THOMAS RICE
PHOTOGRAPHY BY ALEXIS KIKOEN
EXERCISES to Stay Fit on VACATION
Try these moves for a quick and effective workout while away this summer
S
ummer is in closing in. It’s almost time to pack the bags, load the cars and hit the road. You’ve worked all winter and spring to get in your best shape for summer. But just because summer is here doesn’t mean that the workouts end. While you may be leaving the gym behind, don’t forget to take your workout with you.
PUSHUPS Pushups have been around as long as people have been exercising, and for good reason: they work. This total body exercise targets your triceps, chest and shoulders primarily, but also involves the core as a stabilizer. Try performing pushups for a set number of reps. 1. Start in a plank position, but up on your hands instead of down on your elbows. 2. In a controlled manner, lower your body until your chest is three to five inches off the ground. 3. Push through your palms to raise your body. 4. Try to keep your body in a straight line for the entire movement. In other words, don’t let your hips rise or sag.
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PLANKS Planks are one of the best core stability exercises. Your core must be fully engaged to hold a plank. This exercise has equal benefits for the novice exerciser and the seasoned enthusiast. 1. Begin on the ground with your elbows beneath your shoulders and your forearms flat on the ground. 2. Extend your feet back until your body is completely flat from your shoulders to your heels. Avoid raising or lowering your hips. 3. Engage your core and tighten your midsection to hold this position for a set amount of time. Don’t forget to breathe. 4. Once time expires, lower your body to the ground.
BURPEES Burpees are a great way to get your heart rate going. Best of all, they can be done virtually anywhere. Try performing burpees for either a predetermined number of reps or a set amount of time. 1. Start standing up. Reach down in front of you and put your palms flat on the ground. 2. Jump your feet back until you are in pushup position. 3. Pull your feet back under you and jump up. 4. Repeat for a set amount of reps or time. You should perform burpees as fast as possible.
FITNESS | YOUR HEALTH
BODY WEIGHT SQUATS
MODIFIED by using a chair
Squats are another total body exercise primarily targeting the hamstrings, glutes and quadriceps. They also involve the core. Like pushups, try to perform body weight squats for a predetermined number of reps. 1. Start standing up and drive your hips back to initiate the movement. 2. Slowly lower your body by bending your knees while keeping your hips back. 3. Your knees should not go beyond your toes (this ensures your hips are back). 4. Go as far down as you can while maintaining good form. 5. Drive through your heels on the way up, pushing your hips forward and standing tall at the top.
For a quick workout, try stringing these four exercises together, and then repeating that circuit multiple times. Here is an example of a quick 15 to 20 minute workout using the exercises above:
60 second plank 12 x push ups 15 x burpees 20 x body weight squats * Rest 1-2 min. and repeat 3 more times
Whatever you do this summer, don’t let your workouts fall behind and lose what you’ve worked so hard for. The exercises above will be more than enough to get your heart pumping and your muscles working.
His Experience with a Scalpel Gives Him the Edge In The Court Room. Stephen M. Smith, Esq.
Out of thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room. If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options.
BrainInjuryLawCenter.com | 877.840.3431 | 757.650.9818 | ssmith@BrainInjuryLawCenter.com
YOUR HEALTH | FAMILY
WRITTEN BY TERESA BERGEN
CAMPING IN
W
hether you prefer remote campgrounds with nary a flush toilet in site, or the comforts of a yurt, Virginia offers a range of camping locales and degrees of rustic. Escape the summer heat by camping in the mountains, or bring your tent to the beach. Here are a few excellent places to camp, with something to suit all types of campers. Shenandoah National Park For a big park experience, drive up to Shenandoah National Park in the Blue Ridge Mountains. Approximately 400,000 campers stayed in the park’s four campgrounds in 2014, says Karen Beck-Herzog, Shenandoah’s public affairs officer. Each campground has a different feel. Lewis Mountain, which has only 30 camping sites, is the least crowded. But Big Meadows and Loft Mountain—each with 220 sites—might be the most familyfriendly, with laundry and a camp store within walking distance. Return visitors have their favorite campgrounds. “People develop an affinity for one of them,” Beck-Herzog says. Backcountry camping is also allowed, with a free permit. Shenandoah is one of the few national parks that welcomes pets. However, keep Fido on that leash or you’ll have to answer to a ranger. Along the Appalachian Trail If you love hiking and dream of getting away from it all, try a long or short trek on
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Virginia the Appalachian Trail. Virginia lays claim to 544 miles of the trail, which runs the height of the state, offering several distinct terrain experiences. Pick up the trail in the central part of Virginia and take advantage of rustic campsites in George Washington and Jefferson National Forests. Of course, the more rustic the camping, the more gear you’re likely to need. So this is a good choice for experienced campers who don’t mind carrying their homes on their backs. Spring and early fall are good times to enjoy the central section of Virginia’s Appalachian Trail. Beachcombing at Assateague For many people, summer stirs the desire to go to the beach. And seeing wild ponies romp on the shores makes a beach trip even better. If you head for Assateague, famed home of wild ponies, the Maddox Family Campground offers 550 sites on 200 wooded acres. Campers who like lots of amenities and social activities will feel at home here, with a swimming pool, playground, shuffleboard, grocery store, volleyball and four bathhouses.
Mother, First Landing and Staunton River. Chippokes Plantation has four historic cabins that were renovated from old tenant houses. Old cabins not high-end enough for you and yours? Virginia has its share of glamping opportunities. Put the glamour in your “camping” by staying in a deluxe treehouse at Primland Resort & Spa in the Blue Ridge Mountains. With world-class golf, a spa and rates starting at $600 per night, this is on the absolute far end of the rustic-to-posh spectrum. Kids love Jellystone Some kids are plenty entertained by nature. Others require miniature golf, water slides and paddleboats. The super family-friendly Yogi Bear’s Jellystone Park Camp Resort has campgrounds in Luray, Hayes, Emporia and Natural Bridge Station. They offer tent camping, RV hookups and cabins in beautiful yet action-packed surroundings.
Legacy cabins and “glamping” Some folks are never going to enjoy sleeping on the ground. Instead, they might need a cabin to appreciate their time in the woods. Six of Virginia’s parks offer lodging in legacy log or frame cabins built by the Civilian Conservation Corps in the 1930s: Douthat, Fairy Stone, Westmoreland, Hungry
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As those legendary campers, the Boy Scouts, are known to say, “Be prepared.” Especially if you want a cabin, yurt or other structure. Reservations for camping in the Virginia state parks can be made 11 months in advance. Here are some camp planning resources.
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YOUR HEALTH | OUTDOORS
SNORKELING in Virginia WRITTEN BY TERESA BERGEN
L
ong to snorkel, but your vacation budget is more Virginia Beach than Kona? Don’t despair. You can learn or brush up on your snorkeling skills right here in Virginia. With July temperatures usually in the high 80s, the water is plenty warm for snorkeling but cool enough to be a relief from daytime highs.
SNORKELING TIPS While snorkeling is accessible for most people, it can at first be disconcerting to put your face in the water and breathe through a tube. Practice in shallow, still water, such as a lake or swimming pool, before snorkeling in moving water. If water gets in your tube, blow to clear it. You can also rent or buy a dry snorkel, which has a valve that seals shut if your snorkel goes underwater. For safety’s sake, snorkel with a buddy. Confident swimmers—at least those able to dog paddle—will be more successful. Beginning snorkelers will probably feel safer walking in from a beach than jumping from a boat. Since snorkeling is all about seeing beneath the water, it’s not so fun for people with poor vision. Invest in a custommade prescription snorkel mask (around $250), or one that approximates your prescription (starting around $65).
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If you’re ready, here are a few of the state’s best places to don a mask and breathing tube.
Lake Phoenix (formerly Lake Rawlings)
This former quarry southwest of Richmond is known for clear, spring-fed waters and warm water temperatures. Visibility is usually 30 to 60 feet, with even better visibility in winter when the lake’s algae dies. Priority is given to divers here, but snorkelers are also welcome. In addition to the usual rocks and fish, underwater attractions include a Nomad 22 airplane, two school buses and several cars and boats.
James River
Several spots along the James River near Richmond offer good snorkeling opportunities. Try the seven-mile stretch called the Fall Line. This line of waterfalls and rapids separates the Piedmont’s hard bedrock from eastern Virginia’s softer
Lemon Pesto Pasta with Edamame
coastal plane. Expect to see river clams, crayfish, stripers, big catfish, carp, smallmouth bass and possibly a long-nosed gar or American eel. At Pony Pasture Rapids Park, you can snorkel within the city of Richmond. Footwear and a life jacket are recommended here, especially for children.
Chesapeake Bay Beaches
Many seaside businesses in Virginia Beach rent snorkeling gear. If you want extra help, take a snorkeling lesson from Lynnhaven Dive Center. Scuba divers can ride Lynnhaven’s boat out to the “Graveyard of the Atlantic,” where rays and turtles have taken up residence in shipwrecks. If you like to combine snorkeling with camping, try Kiptopeke State Park, north of the Chesapeake Bay Bridge and Tunnel. This park offers beach access and a wide variety of sleeping options, from tent sites to an RV campground to yurts. Sunset Beach is known for calm waters and abundant sand dollars in mid-summer. This is a good place for newbie snorkelers to practice. Some local snorkelers favor the secluded Guard Shore Beach, which is also pet-friendly.
LEARN TO SNORKEL While snorkeling is fairly simple, learning best practices for kicking, breathing, clearing your mask and purging your snorkel will make your adventure more fun. Most dive centers can arrange a private snorkeling lesson for you, especially those that have their own pools. Here are a few that regularly teach beginners.
Lynnhaven Dive Center, Virginia Beach
Individuals, groups or families can take a two-hour private class here for $80 per person. More experienced snorkelers and would-be spear fishers can learn free diving and tricks to hold their breath while diving. Lynnhaven also offers a summer snorkel camp for children aged 5-10, and an after school kids snorkel program.
Chesapeake Bay Diving Center, Portsmouth and Virginia Beach locations
Learn your equipment inside and out with a three-hour snorkeling lesson from CBDC’s pros. Lessons are usually done in the center’s pool, with trips to Lake Phoenix also possible. The cost of $125 also covers free diving basics.
With only a handful of ingredients, this dish packs high-five-worthy flavor. Al Dente spaghetti is tossed with protein packed edamame, watercress, Parmesan cheese, and aromatic basil. Hints of citrus and fresh pesto elevate and complete this casual pasta dish.
INGREDIENTS 10 ounces frozen edamame 1 pound whole wheat spaghetti 1 tablespoon olive oil 2 garlic cloves, minced 6 ounces pesto juice of 1 lemon zest of 1/2 lemon 1 1/2 tablespoons fresh basil, chopped 1/4 -1/2 bunch watercress 1/4 teaspoon salt 1/2 cup parmesan cheese, grated (optional) 1 pound shrimp (shellfish option) 1 pound chicken (poultry option)
MAKES 6 SERVIINGS • PREP: 10 MIN • COOK: 15 MIN
PREPARATION Cook and Prepare the Pasta and Toppings • Bring water to a boil in a medium pot over high heat. Add pasta and wait for the water to reboil. Cook uncovered, stirring occasionally, 7-9 minutes, or until desired tenderness. Remove from heat and drain. • While pasta is cooking, in a separate, medium-sized pot, over high heat, bring 6 cups of water to a boil. Add edamame and bring to a second boil. Cook for 5-7 minutes, until just tender. • While waiting for the pasta and edamame to cook, shred Parmesan cheese, chop basil, zest lemon, mince garlic, rinse and dry watercress. Assemble Pasta Dish • In a large skillet, over medium heat, add olive oil and minced garlic. Sauté about 3 minutes, until fragrant. • Add drained pasta and edamame, Parmesan cheese, basil, lemon zest, freshly squeezed lemon juice, and pesto to the skillet. Toss to combine. • Remove skillet from heat and evenly distribute into bowls. Generously garnish with watercress.. Visit relayfoods.com for the chicken, shrimp, gluten-free, or dairy-free options of this recipe, plus suggestions for kids and leftovers.
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YOUR HEALTH | AGING WELL
WRITTEN BY KIM O’BRIEN ROOT
RE-EDUCATING BABY BOOMERS ON
SEX RISK Sexually transmitted diseases aren’t just for the young
S
everal studies in recent years have shown a dramatic rise in STDs among older adults—and the low-end of the age range really isn’t all that old. A 2008 study in the international health journal Sexually Transmitted Infections showed STD rates had doubled among people 45 and older in less than a decade. More recent studies have affirmed the rise, says Kevin Pearce, spokesman for the Peninsula Health District, the division of the Virginia Department of Health that serves Newport News, Poquoson, Williamsburg and James City and York Counties. “A lot of people are recognizing it’s a growing problem,” Pearce says. A big part of the reason? People are living longer and living healthier. As a result, they’re still participating in their regular activities— including sexual activities. More sex creates the potential for an increase in diagnoses of STDs, researchers say. One study showed that more than 80 percent of 50- to 90-year-olds were sexually
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active, according to a 2012 article in the international medical journal, Student BMJ. The article cited studies showing an increase in cases of syphilis, chlamydia and gonorrhea among 45- to 64-year-olds in the United Kingdom, United States and Canada. Other reasons suggested as contributing factors include the rise of erectile dysfunction medications—such as Viagra, introduced in 1998—and a lower rate of condom use among those over 50. A 2010 study done at Indiana University found that people over age 45 had the lowest rate of condom use. Rachel von Simson, a British medical student who co-authored the article in Student BMJ, suggested that baby boomers who
brought about the sexual revolution might have simply stayed sexually active. Baby boomers are considered those born between 1946 and 1964. “For a lot of individuals in the older population, their behaviors when they were teens are more dangerous now,” leading to an increased risk of STDs, says Pearce. Baby boomers, who became sexually active following the introduction of the birth control pill, but before the onset of AIDS, might not have had as much awareness about STDs, one Australian researcher suggested. Lesseffective immune systems—which come with age—can elevate the risk as well by increasing vulnerability to STDs and HIV/AIDS.
His Experience with a Scalpel Gives Him the Edge In The Court Room. Stephen M. Smith, Esq.
Out of thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room. If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options.
BrainInjuryLawCenter.com | 877.840.3431 | 757.650.9818 | ssmith@BrainInjuryLawCenter.com
The AARP projects that by the year 2030, 70 million adults in the U.S. will be age 65 or older. That’s nearly 20 percent of the U.S. population. The good news is, the number of STDs in those 45 and older is still much lower than in younger populations, especially the high-risk 15 to 24 age group. However, some researchers believe the rate could be low because older people might be less likely to seek treatment. The need for safe sex among all age groups remains. And that might mean
more of a need to get the word out to older people who aren’t as social media-savvy as their younger counterparts, Pearce says. Heightened awareness, regular screening and early diagnoses are as critical in older adults as they are in the young, according to the AARP. STD testing is free at public health departments in Virginia. “If you’re sexually active, you should be tested and protect yourself,” Pearce says. “Those messages remain.”
thehealthjournals.com | 51
YOUR HEALTH | MIND MATTERS
TEEN
DRIVERS
& ADHD Tips for helping young distractible drivers succeed WRITTEN BY ALISON JOHNSON
T
eenager-plus-car already can equal trouble. Add in attention deficit hyperactivity disorder—an increasingly common diagnosis—and the risk only accelerates. Drivers with ADHD are two to four times more likely to be in an accident, three times more likely to suffer injuries, four times more likely to be at fault for crashes and up to eight times more likely to have their licenses suspended, according to research either performed or collected by the Virginia Driver Safety Laboratory in Charlottesville, Virginia. “Focused driving isn’t staring at the white lines disappearing beneath your car,” says Dr. Wes Crenshaw, a Kansas-based psychologist who has written about living successfully with ADHD. “It’s multi-tasking all the little details that it takes to get safely down the road. And that’s exactly what’s hard for people with ADD. They tend to pick out the most interesting thing from the universe of things to notice, instead of the most important.” About 11 percent of children ages 4 to 17 in the United States have been diagnosed with ADHD, a figure that’s climbing about 52 | thehealthjournals.com
about
11%
of children ages 4 to 17
have been diagnosed with ADHD
a figure that’s climbing about 5 percent a year, based on statistics from the Centers for Disease Control and Prevention. The neurological condition causes distracted and impulsive behaviors and can delay development of some areas of brain function by two to five years. Drivers may miss or respond slowly to signs and traffic signals, drift between lanes or vary their speed unpredictably. The risk generally is highest at night—often when short-acting medication has worn off—and on highways, where “zoning out” is easier. Parents need to build extra time into the learning process, says Kayson Stoner, a Chesapeake, Virginia-based driving instructor. While younger teens are still in the passenger seat, they should practice looking about 30 seconds ahead and commenting on what they see: stoplights, road markers, merge lanes and, especially on highways, closelypacked cars that require backing off to create extra space. “You want to look into the mind of that future driver,” Stoner says. “They’ve got to be actively searching their environment and deciding what’s important, never falling into
5% a year
a passive state. That’s key for any driver, but especially one with ADHD.” Once a teen is behind the wheel, Crenshaw recommends twice the number of supervised driving hours compared to kids without ADHD: “So it’s okay to start young if the teen can handle it, but only to log hundreds of hours by the time they are about 17. If possible, delay solo driving until at least 17, or at least limit it to work and school.” Be ready to repeat lessons often and progress gradually to bigger roads, faster speeds and after-dark trips, adds Matthew Pagels, a certified driver rehabilitation specialist who lives in Hampton, Virginia. “It’s also best to pull over for in-depth conversations or instructions, if possible,” he says. “You don’t want to be talking too much when they’re driving.” (To find a local driver rehabilitation specialist, who can help anyone with a health challenge, go to aded.net.)
A few more tips:
• Work with a doctor on medication. After finding the right dose, know when stimulant medicines are in full effect and drive then. “For guys, the accident rate is really improved with meds,” Crenshaw says. • Eliminate distractions. Put cell phones in the glove compartment or trunk, or turn them off. Avoid dashboard
control to stay more engaged (although another school of thought holds that the feature will curb mindless speeding), but use helpful technology. Certain devices and GPS-based apps—some free— can block texting and other selected cell phone functions or send auto-replies to texts, while still allowing 911 calls and sometimes hands-free features. For example, the ORIGOSafe system
ADHD: Attention-deficit/hyperactivity disorder The neurological condition causes distracted and impulsive behaviors and can delay development of some areas of brain function by two to five years. apps, especially social networking sites. If listening to music, stick to a pre-set playlist or one radio station at a low volume. Don’t eat, put on makeup, etc. • Make a pre-trip checklist a habit. Put on seatbelts, adjust mirrors and seats, check gas levels and set GPS systems before hitting the road. • Limit passengers. The ideal is one adult co-pilot— or possibly one mature friend—whose job is to keep the driver focused on the road, especially on longer highway stretches. • Be extra aware of alcohol. Teenagers with ADHD are even more impaired by very low doses. • Go low-tech. Some drivers with ADHD do better with manual transmissions, which require more active focus than automatics. Teens also may want to avoid cruise
(driveorigo.com, $399 with installation) requires phones to be in a docking station before a car starts. A few apps to test are Cellcontrol, AT&T DriveMode, DriveSafe.ly and text-STAR. Investigate options with wireless carriers and car dealers. • Make driving is a privilege, not a right. Hold teens responsible for car insurance payments so they’d pay increased rates after accidents. Sign a contract on rules, such as recording when they’ve taken medication and where they’ve driven, and check cell phone records for times they were on the road. Overall, be optimistic but careful, Crenshaw says. “I have kids who drive across the country with ADD and do just fine,” he notes. “Just assume that it won’t go as easily for an ADHD kid as it does for others, and go slowly.”
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:
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YOUR HEALTH | MONEY
Personal Finance Books
WORTH THE INVESTMENT WRITTEN BY KELSEY HINTON
TOTAL MONEY MAKEOVER
THE INTELLIGENT INVESTOR BY BENJAMIN GRAHAM
BY VICKI ROBIN AND JOE DOMINGUEZ
Tough-love cheerleader Ramsey dispenses financial advice in broad, motivational strokes rather than delving into the nuts-and-bolts technicalities of investing in this cash-is-king New York Times bestseller. Debt, here, is a deadly sin—after securing a $1,000 emergency fund, debt elimination (home excepted) is the highest priority in Ramsey’s seven-step guide to financial salvation. To the criticism of some financial experts, Ramsey encourages readers to pay off smaller debts first, regardless of interest rates, in order to maintain the motivational momentum needed to reduce debt, attain financial stability and ultimately accumulate wealth. Shared stories of success using Ramsey’s plan offer hope to others on his disciplined path toward financial health; the more dire the situation, the more applicable Ramsey’s no-nonsense advice.
Minimizing risk in your investment plan, rather than maximizing profit, forms the defense-is-the-best-offense premise of this 1949 classic, which is recommended reading by Robert Topping, founder of Williamsburg, Virginia, investment management firm Covenant Wealth Advisors. Disciplined, thoroughly researched investments based on the concept of value investing supplant the temptations of market hype and the financial destruction of impulsive, emotional investment behavior. Heralded by Warren Buffet as “by far the best book on investing ever written,” The Intelligent Investor expounds the importance of a favorable “margin of safety”— the difference in a stock’s intrinsic value and its market price—to safeguard the inevitable volatility of the market.
The unexamined financial life may not be worth living, according to “Your Money or Your Life.” Springing off the idea that, if held at gunpoint, most of us would gladly hand over our wallets to save our supposedly morevalued lives, Robin and Dominguez delve into the intersecting values of life and money. Rejecting the mutual exclusivity of happiness and money, they instead suggest the possibility of an “authentic, productive, meaningful life” free of financial discomfort. Dismissing the flowchart of wealth acquisition leading to personal fulfillment and encouraging an honest reevaluation of wants and needs through a nine-step process, the dialogue here shifts from the management of money to your (likely flawed) relationship with it.
BY DAVE RAMSEY
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YOUR MONEY OR YOUR LIFE
REMINISCENCES OF A STOCK OPERATOR BY EDWIN LEFEVRE
“The markets are determined by human nature,” says Williamsburg, Virginia, financial advisor Richard Maurer III. “In order to better navigate through it all, one needs to know and learn to control their own self.” A timeless roman à clef based on famed stock speculator Jesse Livermore, “Reminiscences of a Stock Operator” discusses the the forces of the market through an examination of the attitudes and thought processes of investors which motivate their movement within it. Recounting the triumphs and travails and the lessons that go with them as Livingston wins and loses two multi-milliondollar fortunes, the novel is considered a classic in the art of trading and speculation. Livingston’s failures, as much as his successes, offer unconventional wisdom empirically obtained to the new and experienced investor alike.
D AV E R A M S E Y ’ S
SEVEN BABY STEPS
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KRISTI V. MIZELLE, M.D.
TPMG RHEUMATOLOGY Dr. Kristi V. Mizelle is board-certified in Rheumatology. After completing medical school at the University of Virginia, she trained and worked at The Johns Hopkins Hospital, ranked by U.S. News & World Report as the #1 rheumatology program in the nation. Dr. Mizelle’s sensitivity to the functional and mental impact of arthritis and other rheumatic disease is the foundation for her holistic approach to medicine.
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FEATURES | BRED WINNERS
CONTINUED FROM PG. 29
Partnering Up According to Youell, there is a wait list for service dogs. SaintFrancis screens 20 applicants per year and they have to meet stringent requirements in order to receive a dog. “If someone is interested in a service dog, the first step is that they fill out a contact information form on our website, which basically holds their place in the line. When we’re accepting applications we invite those people to apply in the order in which they’ve sent us in that form. The reason for that is that we cap our waiting list at 20 people. We’re placing 10-15 dogs per year and we don’t want people waiting too long,” she says, citing the desire of SaintFrancis to meet the demand in a reasonable length of time. Once those from the web pool are selected, they are invited to apply for a dog. They receive an in-depth questionnaire, they submit medical records, a recommendation letter and meet certain requirements like having a fenced-in yard and have no other dogs unless the dogs are service dogs or older dogs. They then are assigned to a screening committee made of community health care professionals. They take on the applicant, evaluate their homes, vet their support system and all written reports and findings are discussed at a screening committee meeting. “If the applicants are accepted, then they become a candidate. They come to Roanoke where they attend an orientation session and they attend candidate class. That’s an opportunity for them to learn the basics of how we train the dogs—socialization, manners obedience, health, grooming, exercise and games. It’s also a chance for them to meet and interact with our dogs,” explains Youell. From there, the trainers select a few of the dogs to match with a few of the newly minted candidates based on the needs of the candidate and the ability of the dog to complement the partner. “It’s like an arranged marriage,” jokes Youell. Once paired, the candidate comes to Roanoke for 10 days for an intensive crash course on handling the dog and the dog goes home with them. A trainer continues to visit and follow up weekly to help with the transition. They go with the partner to church, to work, to the store or where ever they need to go to help build
“People with disabilities
22
hold good jobs and serve our community. So if you can help them maximize their lives, then that helps. —Carol Downey
”
their confidence. The visits then go to monthly, then annually and finally the ownership is transferred.
It Ends with Companionship
One of the best by-products of having a service dog is the companionship. Youell recalls a story she heard of a family who had a wheelchair-bound daughter and how having a dog changed her life. “We paired a dog with a woman who lives in Christiansburg. She is in an electric wheelchair. Her parents would eat with her, say goodbye and go to work. One day the batteries died in her chair and she was stuck at the breakfast table. She couldn’t move, go to the bathroom or eat. No one knew. Her parents found her still there when they got home. They got her a dog. Now she can ask her dog to tug her a short distance to plug in her chair, ask him to get her things. She now has options and she is not alone. It helps her parents now to rest easy, but it also gives her more confidence. “It’s very rewarding to watch these dogs change people’s lives. It’s rewarding in so many different ways than I expected. What I’ve come to realize that’s even more incredible is what these teams are able to do together. The bond they create and how they engage again in society and how they come alive during these partnerships,” says Youell. “That’s the part that speaks to me.” 21
56 | thehealthjournals.com
BRED WINNERS | FEATURES
23
25
“I like the opportunity
to help out people in need and the partnership the dogs will have later in life and freeing someone from the ailments they have.
24
”
—Baron Goldsberry
26
21 Saint Francis Extern, Danielle Reece interacts with Sadie and handler Brian Cox. 22 Dogs and handlers mingle during the weekly training meet-up with Saint Franics trainer, Connie Kniseley. 23 It’s important that the dogs entering the training program are eager to please their handler and also that they have deeply attentive personalities. 24 Jip pays close attention to her handler, Trampus Wingo. 25 Men at the Bland Correctional Center listen as trainer Connie Kniseley updates them on the status of incoming and current dogs. 26 A candid shot of Brian Cox and Sadie, a dynamic chocolate Lab.
thehealthjournals.com | 57
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ACCEPTING NEW PATIENTS are you looking for a provider? Our featured providers are committed to serving the community with the highest-quality health care.
ALLERGY & ASTHMA
DERMATOLOGY
Timothy J. Campbell, M.D.
Keith W. Schumann, M.D.
Allergy Partners of Hampton Roads
Timothy Campbell completed his undergraduate education in psychology and neuroscience at Miami University in Oxford, Ohio, and attended medical school at Northeast Ohio Medical University. Dr. Campbell completed his internal medicine residency at Summa Health System in Akron, Ohio. He completed his fellowship in adult pediatric allergy and immunology at the world renowned Cleveland Clinic in Cleveland, Ohio. In his free time, Dr. Campbell enjoys traveling, playing soccer, volunteering at Camp Promise West, all things culinary and watching foreign and independent films. He is very excited to explore the Hampton Roads area and provide excellent allergy relief to the Peninsula.
Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443
Schumann Dermatology Group Dr. Keith Schumann is a board-certified, Cleveland Clinic-trained dermatologist. He completed his undergraduate B.S. in chemistry at the University of Richmond. Following medical school at the Medical College of Virginia/Virginia Commonwealth University, he completed both an internship in internal medicine and residency training in dermatology at the Cleveland Clinic Foundation. His professional interests include skin cancer screening and surgery, light therapy and lasers, and the specific treatment of general skin conditions. With 15 years of experience in anti-aging skin care, he employs and develops state-of-the-art medical technology that provides solutions for damaged skin. Dr. Schumann lives in Williamsburg, Virginia, with his two sons. In his free time, he enjoys spending time with his family and friends, long distance running, playing lacrosse and soccer, and piloting his own plane. Schumann Dermatology Group
895 Middle Ground Blvd., Suite 302 Newport News, VA 23606 (757) 596-8025
5309 Discovery Park Blvd. Williamsburg, VA 23188 (757) 564-1200
www.allergypartners.com/hamptonroads
www.agelessderm.com
GENETIC COUNSELING
FOOT & ANKLE Paul Maloof, M.D.
Nicole Wood, MS, CGC Virginia Oncology Associates
Nicole Wood is a certified genetic counselor at Virginia Oncology Associates. She received her Bachelor of Science in biology with a minor in psychology from University of Massachusetts, Amherst, Massachusetts and her Master of Science in genetic counseling from Virginia Commonwealth University, Richmond, Virginia. Nicole works with patients who have a family history of cancer and hereditary cancer syndromes, including Lynch syndrome, Hereditary Breast and Ovarian Cancer, and many other rare syndromes. She is an active member of the National Society of Genetic Counselors and joined the VOA team in March.
Virginia Oncology Associates
Port Warwick Office 1051 Loftis Blvd., Ste. 100 Newport News, VA 23606 Williamsburg Office 500 Sentara Cir, Ste. 203 Williamsburg, VA 23188 www.virginiacancer.com
Tidewater Ortho
Dr. Paul Maloof, originally from Bergen County, New Jersey, began his path to becoming an orthopaedic surgeon at Tufts University where he did his undergraduate work. After spending three years in Steamboat Springs, Colorado, Dr. Maloof attended New Jersey Medical School for medical school and his residency, where he served as administrative chief resident in one of the busiest level one trauma centers on the east coast. He completed his fellowship training in Foot & Ankle Surgery at Duke University, a known pioneer in ankle replacement surgery. He brings this procedure to Hampton Roads along with numerous other cutting edge treatments for various foot and ankle disorders. Dr. Maloof lives with his young family in Williamsburg where he hopes to pursue his passion for playing golf. Tidewater Ortho
5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 206-1004 901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 827-2480 www.tidewaterortho.com
JASON D. MDERMATOLOGY AZZURCO, DO THERAPEUTIC MASSAGE Jason D. Mazzurco, D.O.
Tom Batir
Russian Therapeutic & Sports Massage
1761 Jamestown Road, Suite 103 A Williamsburg, VA 23185 (434) 229-1855
In 2014, Dr. Mazzurco joined Dermatology Specialists and relocated to the Peninsula with his wife and daughter. In his leisure time, he enjoys outdoor activities and spending time with his family and friends. Dermatology Specialists Massage
11844new Rock Landing Drive, inSuite Dr. Mazzurco welcomes patients to his practice the B Newport News, VA 23606 Newport News office. (757) 873-0161
www.russiantherapeuticsportsmassage.com
www.opderm.net
•
(757) 873-0161
•
www.opderm.net
Pediatric Dental Specialists of Williamsburg 213 Bulifants Boulevard, Suite B Williamsburg, VA 23188 (757) 903-4525 www.williamsburgpediatricdentist.com
Dr. Allen R. Jones is pleased to announce the opening of his Virginia Beach office. The practice specializes in the treatment of neck and back pain, sports and personal injury and other musculoskeletal conditions. Dominion has six locations throughout Hampton Roads and is celebrating its 25th year in business. Dr. Jones earned degrees in physical therapy from the University of Connecticut and from Rocky Mountain University School of Health Professions where he received his Doctor of Physical Therapy. Governor McAuliffe appointed Dr. Jones to the Virginia board of health professions and Virginia board of physical therapy. Dominion offers an Annual Doctorate of Physical Therapy Scholarship to second year students enrolled in the Physical Therapy program at Old Dominion and Hampton University. Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446 www.dompt.com
ORTHOPEDICS Stephen Cummings, M.D.
Geoffrey B. Kostiner, M.D.
Rana GrahamMontaque, D.D.S., M.S., M.S.D.
A native of West Point, Va., Dr. Rana Graham-Montaque has returned home to serve the area’s youth and patients with special needs by providing specialty care. She completed her undergraduate and Master’s degree at Hampton University. She graduated from VCU/MCVs School of Dentistry in 2006. After practicing in private practice and public health, Dr. Graham-Montaque returned to VCU to complete a residency in Pediatric Dentistry, where she was awarded an additional Master’s degree. As Williamsburg’s full-service pediatric dental practice, she provides one-year-old first dental visits, oral sedation, nitrous oxide, dental trauma management, growth and development checkups as well as general anesthesia cases at a local hospital. She is a member of the American Academy of Pediatric Dentistry and the American Dental Association. She was awarded the public service award at VCU School of Dentistry. She serves as adjunct faculty in the dental programs at VCU and TNCC. She establishes a “dental home” for patients by reaching them by age one. Dr. Graham-Mantaque is board certified.
Dominion Physical Therapy & Associates, Inc.
*See Health Directory for additional locations
UROLOGY 11844 Rock Landing Drive, Suite B Newport News, VA 23606 PEDIATRIC DENTISTRY
Pediatric Dental Specialists of Williamsburg
Allen R. Jones Jr., D.P.T., P.T.
Dermatology Specialists
Dr. Jason D. Mazzurco is a Tom Batir is a Certified board certified Dermatologist Massage Therapist with a and fellowship trained vast knowledge of Russian Mohs Surgeon. He earned therapeutic and sport his Bachelor of Science and massage, having been a Master of Science degrees from The Ohio State massage therapist in his native country. Dr. Jason D. Mazzurco is a Board Certified Dermatologist University, where he was a two time Big Ten He attended Soma Institute of Clinical Massage and Fellowship trained Mohs Surgeon. He earned his Champion He continued his education in Chicago, Illinois, thereafter working with Bachelor of Science and MasterGymnast. of Science degrees from Ohio State University, whereUniversity he was a two Heritage time Big TenCollege of Osteopathic at Ohio chiropractors and physical therapists before moving Champion Gymnast. He continued his education at Ohio Medicine he earned medical degree. to Williamsburg, Virginia. He is accredited byUniversity Heritage College ofwhere Osteopathic Medicinehis where completed a residency in Dermatology and he earned his medicalHe degree. the National Certification Board for Therapeutic a fellowship in Mohs micrographic surgery at St. Massage & Bodywork. Dr. Mazzurco completed a residency in Dermatology and a Joseph MercySurgery Hospital Batir is an expert in pain management and Fellowship in Mohs Micrographic at St.through Joseph Michigan State Michigan University where he resident. Mercy Hospital through University andState served as the chief recovery specializing in therapeutic massage, deep served as the Chief Resident. He is published in numerous Dr. Mazzurco practices surgical dermatology tissue, myofascial, trigger point, release, sportspeer-reviewed and journals and has presented both nationally treating both oncology. benign and malignant lesions of the skin. Swedish massage. and internationally on cutaneous He specializes in the diagnosis and treatment of skin Dr. Mazzurco practices primarily surgical dermatology treating cancer, Mohs surgery and reconstructive surgery. both benign and malignant lesions of the skin. He specializes Mazzurco joined Dermatology Specialists in the diagnosis and Dr. treatment of skin cancer, Mohs Surgery and reconstructive insurgery. 2014.
Russian Therapeutic & Sports
PHYSICAL THERAPY
TPMG Williamsburg Urology
Geoffrey B. Kostiner, M.D. received his undergraduate degree in Mechanical Engineering from McGill University in Montreal, Quebec, Canada. He earned his Doctor of Medicine at the University of Colorado School of Medicine Health Sciences Center in Denver, Co. He completed a residency in General Surgery and Urology at Virginia Commonwealth University/Medical College of Virginia in Richmond, Va. Dr. Kostiner is board certified in Urology and has been dedicated to providing medical care to patients since 2001. He joined TPMG Urology in 2005. He served as the Director of Urological Services at Mary Immaculate Hospital from 2009 to 2012 and at Sentara Williamsburg Regional Medical Center from 2013 to the present. He has privileges at Sentara Williamsburg Regional Medical Center and Mary Immaculate Hospital. He is an active member of the Williamsburg/JCC Medical Society, the Tidewater Urological Society, the Virginia Urological Society, the American Urological Association, and a 20 year member of the American Medical Association.
TPMG Orthopedics, Spine and Sports Medicine Stephen H. Cummings, MD is fellowship trained in Adult Reconstruction and Joint Replacement Surgery. Dr. Cummings’ practice includes treatment of painful joints, fractures, arthritis and common conditions such as carpal tunnel syndrome and trigger finger. He specializes in primary, complex and revision total joint replacement of the hip, knee and shoulder. His specialty training includes minimally invasive hip and knee replacement, muscle sparing surgery, partial knee replacement, reverse shoulder replacement and robotic surgery. His specialty training also includes the treatment of painful, failed or infected joint replacements. Dr. Cummings joined TPMG Orthopedics, Spine and Sports Medicine in September 2014. He welcomes new patients to his practice.
TPMG Williamsburg Urology
TPMG Orthopedics, Spine and Sports Medicine
Tidewater Medical Center at New Town 5424 Discovery Park Boulevard, Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 345-6223
Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 204 Williamsburg, VA 23188 (757) 345-5870
www.mytpmg.com
www.mytpmg.com
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JASON D. MDERMATOLOGY AZZURCO, DO
ORTHOPAEDICS
Jason D. Mazzurco, D.O.
Loel Z. Payne, M.D.
Tidewater Orthopaedics
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 Dr. Jason D. Mazzurco is a Board Certified Dermatologist University, where he was a two time Big Ten and Fellowship trained Mohs Surgeon. He earned his Champion He continued his education Bachelor of Science and MasterGymnast. of Science degrees from Ohio State University, whereUniversity he was a two Heritage time Big TenCollege of Osteopathic at Ohio Champion Gymnast. He continued his education at Ohio Medicine he earned medical degree. University Heritage College ofwhere Osteopathic Medicinehis where completed a residency in Dermatology and he earned his medicalHe degree. a fellowship in Mohs micrographic surgery at St. Dr. Mazzurco completed a residency in Dermatology and a Joseph MercySurgery Hospital Fellowship in Mohs Micrographic at St.through Joseph Michigan State Michigan University where he resident. Mercy Hospital through University andState served as the chief served as the Chief Resident. He is published in numerous Dr. Mazzurco practices surgical dermatology peer-reviewed journals and has presented both nationally treating both oncology. benign and malignant lesions of the skin. and internationally on cutaneous He specializes in the diagnosis and treatment of skin Dr. Mazzurco practices primarily surgical dermatology treating cancer, Mohs surgery and reconstructive surgery. both benign and malignant lesions of the skin. He specializes Mazzurco joined Dermatology Specialists in the diagnosis and Dr. treatment of skin cancer, Mohs Surgery and reconstructive insurgery. 2014. In 2014, Dr. Mazzurco joined Dermatology Specialists and relocated to the Peninsula with his wife and daughter. In his leisure time, he enjoys outdoor activities and spending time with his family and friends. Dermatology Specialists
Dr. Loel Payne has been with Tidewater Orthopaedics since 1995 and has built a superior reputation for his care of shoulder and knee problems. Dr. Payne attended undergraduate school at Duke University and medical school at the University of North Carolina, Chapel Hill. He completed his residency and internship at Yale University before completing his fellowship training in shoulder surgery and sports medicine at The Hospital for Special Surgery in New York, New York. While completing his fellowship training, Dr. Payne had the opportunity to work with the New York Mets and currently is one of the team physicians for the Apprentice School. He performs surgeries at Sentara Williamsburg Regional Medical Center and the Orthopaedic Hospital at Sentara CarePlex, the only dedicated orthopaedic hospital on the Peninsula. His outpatient surgeries are performed at CarePlex Orthopaedic Ambulatory Surgery Center, where staff and facility are specialized in treating orthopaedic patients. Tidewater Orthopaedics
(757) 873-0161
901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 637-7016
www.opderm.net
www.tidewaterortho.com
11844new Rock Landing Drive, inSuite Dr. Mazzurco welcomes patients to his practice the B Newport News, VA 23606 Newport News office.
NEPHROLOGY
11844 Rock Landing Drive, Suite B • Newport News, VA 23606 (757) 873-0161 • www.opderm.net
CARDIOLOGY Masood Ahmed, M.D., F.A.C.C.
John T. Vengal, M.D. TPMG Nephrology
TPMG Heart and Vascular Center
John T. Vengal earned his
undergraduate degree at Columbia University, and his medical degree at The Ohio State University College of Medicine in 2004. He completed a residency in Internal Medicine at Ochsner Clinic Foundation, New Orleans, Louisiana, and a fellowship in Nephrology at University of Virginia, Charlottesville, Virginia in 2011. Dr. Vengal is board certified in Nephrology and Internal Medicine. He joins Dr. Amini in providing Nephrology care in Newport News, Williamsburg, White Marsh and the surrounding areas. Dr. Vengal welcomes new patients.
TPMG Nephrology
555 Denbigh Blvd., Suite C Newport News, VA 23608 5424 Discovery Park Blvd., Bldg. B, Suite 203 Williamsburg, VA 23188 4844 George Washington Highway, Suite 8 White Marsh, VA 23183 (757) 599-3436 www.mytpmg.com
Dr. Ahmed completed a Postdoctoral Cardiology Research Fellowship, as well as completing a Nuclear Cardiology Fellowship at Yale University School of Medicine, Connecticut. He went on to complete an additional Cardiology Fellowship at Sinai and St. Luke’s Medical Center at University of Wisconsin and an Interventional Cardiology Fellowship at Tulane University Heart and Vascular Institute, New Orleans, Louisiana. Dr. Ahmed specializes in coronary and peripheral interventional cardiology and cardiovascular imaging. He has attained board certification in internal medicine, nuclear cardiology, echocardiography, general cardiology and interventional cardiology. He is a member of the American College of Cardiology, American Society of Nuclear Cardiology, American Society of Echocardiography, American Heart Association, American Medical Association and American College of Physicians. TPMG welcomed Dr. Masood Ahmed in May 2015 and the opening of TPMG Heart and Vascular Center in Newport News. TPMG Heart and Vascular Center
12720 McManus Blvd., Suite 201 Newport News, VA 23602 (757) 875-5332 www.mytpmg.com
WEIGHT MANAGEMENT
ALLERGY & ASTHMA
Timothy Campbell completed his undergraduate education in psychology and neuroscience at Miami University in Oxford, Ohio, and attended medical school at Northeast Ohio Medical University. Dr. Campbell completed his internal medicine residency at Summa Health System in Akron, Ohio. He completed his fellowship in adult pediatric allergy and immunology at the world renowned Cleveland Clinic in Cleveland, Ohio. In his free time, Dr. Campbell enjoys traveling, playing soccer, volunteering at Camp Promise West, all things culinary and watching foreign and independent films. He is very excited to explore the Hampton Roads area and provide excellent allergy relief to the Peninsula.
Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443
301-A Village Ave. Yorktown, VA 23693 (757) 585-3441
895 Middle Ground Blvd., Suite 302 Newport News, VA 23606 (757) 596-8025
www.lwell.com
www.allergypartners.com/hamptonroads
COSMETIC DENTAL
DERMATOLOGY
Lisa Marie Samaha, DDS
Dr. Allen R. Jones is pleased to announce the opening of his Virginia Beach office. The practice specializes in the treatment of neck and back pain, sports and personal injury and other musculoskeletal conditions. Dominion has six locations throughout Hampton Roads and is celebrating its 25th year in business. Dr. Jones earned degrees in physical therapy from the University of Connecticut and from Rocky Mountain University School of Health Professions where he received his Doctor of Physical Therapy. Governor McAuliffe appointed Dr. Jones to the Virginia board of health professions and Virginia board of physical therapy. Dominion offers an Annual Doctorate of Physical Therapy Scholarship to second year students enrolled in the Physical Therapy program at Old Dominion and Hampton University. Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446 www.dompt.com *See Health Directory for additional locations
PERSONAL TRAINING Brian Cole, CPFT, CMT
Kelly Barriault, PA Associates in Dermatology, Inc.
Port Warwick Dental Arts
Dr. Lisa Marie Samaha has created beautiful, healthy smiles for Hampton Roads since opening her Newport News practice in 1982. She and her exceptional team have created a practice of comprehensive, individualized and holistic dental care. They partner with their patients to achieve “BEST” dental health and overall wellness. Dr. Samaha is internationally published and esteemed as an educator and top clinician. She offers a wide range of advanced cosmetic and mercury-free dental care. She also maintains focus on a leadingedge protocol for the diagnosis, prevention and non-surgical treatment of periodontal disease. As an enthusiastic supporter of the arts, Dr. Samaha is also an award-winning watercolorist. Her most compelling contribution to the arts of Hampton Roads is her tranquil Port Warwick Dental Arts venue where she often hosts a rich and diversified array of musical talent and artistic exhibitions.
Kelly Barriault was a Richmond, Virginia native prior to her acceptance into the physician assistant program at Eastern Virginia Medical School, Norfolk Virginia. Kelly received her master’s degree from EVMS in 2005 and it was during her clinical rotations, she found her passion for dermatology. She enjoys educating patients about their skin and performing skin cancer screenings. “I am lucky to work in a field that I love. I am a people person, and I can’t imagine doing anything else. Nothing makes me happier than seeing patients improve and achieve their healthcare goals.” Kelly has worked exclusively in the field of dermatology for over 8 ½ years and now calls the Hampton Roads, Virginia area her home. Kelly resides in Chesapeake, Virginia with her husband and two girls. When Kelly is not at work, she enjoys spending time with her family. Some of her pasttimes include bike riding, going to the beach, listening to music and singing, gardening, baking, and doing arts and crafts with her girls.
Port Warwick Dental Arts
Associates in Dermatology, Inc.
www.pwdentalarts.com
www.aiderm.com
251 Nat Turner Blvd S Newport News, VA 23606 (757) 223-9270
Dominion Physical Therapy & Associates, Inc.
Allergy Partners of Hampton Roads
LWell
LWell
Allen R. Jones Jr., D.P.T., P.T.
Timothy J. Campbell, M.D.
Caroline Fornshell, M.S., R.D., C.P.T. Caroline is an integrative nutritionist who opened LWell, a modern health club for real people. By incorporating all the components of weight loss into one warm and friendly hospitality-oriented fitness and wellness facility, she guides people towards better health by improving nutrition, fitness, fun, stress, sleep and support. Caroline works to support you and your physician in improving your health through wellness. Caroline enjoys working with a wide range of nutrition-related conditions and concerns. She graduated from Virginia Tech with a bachelor’s degree, then worked as a personal trainer for many years before becoming a registered dietitian and earning a master’s degree in nutrition from State University of New York (Oneonta). She is a member of the academy of Nutrition and Dietetics (AND), the American Association of Diabetic Educators (AADE), the American Diabetes Association (ADA), IDEA and the Physician’s Committee for Responsible Medicine (PCRM). She is certified in Adult Weight Management (AND) and is a Certified Personal Trainer (NASM).
PHYSICAL THERAPY
17 Manhattan Square Hampton, VA 23666 Phone: (757) 838-8030
Personal Training Associates For over 20 years Brian has been building his personal training practice to serve not only those who want to improve their overall health and fitness but also those in need of postrehab conditioning following physical therapy, injury and/or surgery. Brian is certified as a personal fitness trainer by the American Council on Exercise (ACE), a massage therapist by the Virginia Deptartment of Health Professions, a post-rehab conditioning specialist by the American Academy of Fitness Professionals and a weight management consultant by ACE. Brian is also the co-inventor of The Back Unit for low back strengthening and injury prevention. His trainers have college degrees in exercise science or fitness management, national certification by ACSM, ACE, or NASM, and in addition, they regularly earn advanced specialty certifications in a vatriety of disciplines. They are knowledgeable and experienced working with hip/knee replacements, ACL tears, spinal and shoulder surgeries, mastectomies, rheumatoid and osteoarthritis, scoliosis, etc. Personal Training Associates - Private Studios
Port Warwick Hilton Village 210 Nat Turner Blvd. 97 Main Street Newport News, VA 23606 Newport News, VA 23601 (757) 599-5999 www.briancoleandassociates.com
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DENTISTRY
OPTOMETRY
Kasey Petersen, D.M.D.
Williamsburg Center for Dental Health
Brent Segeleon, O.D. Colonial Eye Care
Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005. He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. Dr. Segeleon has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas. Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association and vice president of the Tidewater Optometric Society. In 2013, the Virginia Optometric Association named him Young Optometrist of the Year. Originally from Pittsburgh, Pennsylvania, Dr. Segeleon calls Williamsburg home. He lives here with his wife, Brooke, and daughter, Gwen. He enjoys sponsoring the Williamsburg Youth Baseball League and working with William & Mary athletes. When not in the office, you can find him training for an upcoming triathlon or mountain biking on Williamsburg’s fantastic trails.
Dr. Petersen shares Dr. Stacey Hall’s dedication to providing patients with personalized care and the best treatment possible. She feels blessed that God has provided her with the opportunity to practice with a team that shares a common vision of serving the community. Dr. Petersen received her undergraduate degree from the University of North Carolina at Chapel Hill in 2003 and then graduated from the University of Louisville School of Dentistry in 2007. She received a scholarship in dental school through the U.S. Army and was stationed at Fort Eustis from 2007-2010. She worked in private practice for two years and began working at Williamsburg Center for Dental Health in November 2012. Dr. Petersen is a member of the American Dental Association and Virginia Dental Association and is currently training with the Dawson Academy. She and her husband John live in Newport News, Virginia, and recently celebrated their one-year anniversary. They enjoy spending time with their friends, traveling and cheering on their favorite sports teams. Williamsburg Center for Dental Health
Colonial Eye Care
www.williamsburgdentalhealth.com
www.colonialeyecare.com
5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303
5121 Center St., Suite 102 Williamsburg, VA 23188 (757) 903-2633
SKINCARE & AESTHETICS Izabela Padurariu BEAUTY THERAPY BY IZA
Iza is a Master Aesthetician, Wax Technician, Threading Specialist and Massage Therapist practicing in Williamsburg, Virginia. She is originally from Romania, Eastern Europe, and has worked as a master aesthetician in a variety of settings including in London where she graduated from the West Thames College with a license in Aesthetics. She has been working in skin care and beauty therapy industry for over seven years. Upon moving to the United States, Iza continued her education and training at the American Spirit Institute in Williamsburg. She is dedicated to helping men and women improve and maintain their skin care regimen. At her Williamsburg location, she’s created a place of tranquility and serenity where clients can come to restore the mind, body and spirit. Beauty Therapy by Iza offers a wide menu of therapeutic skin care treatments including facials, microdermabrasion, microcurrant, Epiblade, chemical peels, Derma Roller, waxing, threading, eyebrow and lash tint, make-up consultations and massage. BEAUTY THERAPY BY IZA
161 C John Jefferson Rd. Williamsburg, VA 23185 757-634-4044
www.beautytherapybyiza.com
HEALTH DIRECTORY & ONE LAST THOUGHT | STAYING WELL
HEALTH DIRECTORY EMERGENCY NUMBERS
AUDIOLOGY & HEARING
National Response Center
Colonial Center For Hearing
Toll-Free: (800) 424-8802
National Suicide Crisis Hotline Toll-Free: (800) 784-2433
National Suicide Prevention Hotline
Toll-Free: (800) 273-8255
430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004
BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place
COSMETIC & PLASTIC SURGERY
Patrick R. Wyatt, DDS Orthodontics
Reneau Medical Center for Age Management & Aesthetic Medicine
7151 Richmond Road Williamsburg (757) 565-3737
120 Kings Way, Suite 2550 Williamsburg (757) 345-3064
Williamsburg Plastic Surgery
5483 Mooretown Road Williamsburg (800) 582-6066
333 McLaws Circle Williamsburg (757) 345-2275
ALLERGY & ENT
CARDIOLOGY
DENTISTRY
Hampton Roads ENT & Allergy
Riverside Cardiovascular Health
New Town Dental Arts
Poison Control Center Toll-Free: (800) 222-1222
5408 Discovery Park Drive Williamsburg (757) 253-8722
11842 Rock Landing Drive, Suite 100 Newport News (757) 873-0338 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500
Riverside Ear, Nose & Throat Physicians & Surgeons 120 Kings Way, Suite 2900 Williamsburg (757) 345-2600
895 Middle Ground Blvd., Suite 152 Newport News (757) 599-5505
117 Bulifants Blvd., Suite B Williamsburg (757) 259-9540
CHIROPRACTIC & ACUPUNCTURE Pinto Chiropractic & Rehabilitation
5408 Discovery Park Blvd., Ste. 200 Williamsburg (757) 645-9353
Wade Quinn, DC
1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900
12528 Warwick Blvd., Suite F Newport News (757) 595-7990
DERMATOLOGY Associates In Dermatology, Inc.
17 Manhattan Square Hampton (757) 838-8030
Schumann Dermatology Group
Sebastiana G. Springmann, DDS 4939 Courthouse Street Williamsburg (757) 259-0741
Williamsburg Center for Dental Health
Stacey Sparkman Hall, DDS 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303
5309 Discovery Park Blvd. Williamsburg (757) 564-1200
Dermatology Center of Williamsburg
Donna M. Corvette, MD 5535 Discovery Park Blvd. Williamsburg (757) 645-3787
Dermatology Specialists
Jason D. Mazzurco, DO 11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161
DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444
Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000
ENDOCRINOLOGY Riverside Endocrinology & Diabetes Center
120 Kings Way, Suite 2550 Williamsburg (757) 534-5909
Benjamin T. Watson, DDS, PLC Family, Cosmetic, & Sedation Dentistry
729 Thimble Shoals Blvd. Bldg. 7E Newport News (757) 873-3322
7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478
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STAYING WELL | HEALTH DIRECTORY FAMILY PRACTICE Riverside Family Practice & Extended Care 5231 John Tyer Highway Williamsburg (757) 220-8300
Riverside Norge Internal Medicine & Pediatrics Center 7364 Richmond Road Williamsburg (757) 345-0011
Riverside Williamsburg Family Medicine
120 Kings Way, Suite 1400 Williamsburg (757) 345-2555
FITNESS B-defined Innovative Personal Training & Wellness 4801 Courthouse St., Ste. 122 Williamsburg (757) 345-6801
LWell - Longevity Wellness 301-A Village Ave. Yorktown (757) 585-3441
Digestive Disease Center of Virginia, PC
Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190
Riverside Williamsburg Gastroenterology
457 McLaws Circle, Suite 1 Williamsburg (757) 221-0750
GENERAL SURGERY Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2600 Williamsburg (757) 345-0141
HEALTH CARE ATTORNEYS Brain Injury Law Center 2100 Kecoughtan Road Hampton (877) 840-3431
Mellette PC
428 McLaws Circle, Suite 200 Williamsburg (757) 259-9200
FREE CLINICS
HERNIA SPECIALISTS
American Red Cross Adult Dental Clinic
The Hernia Center at Mary Immaculate Hospital
606 West 29th St. Norfolk (757) 446-7756
Angels of Mercy Medical Clinic
7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700
Beach Health Clinic
3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601
Chesapeake Care
2145 South Military Highway Chesapeake (757) 545-5700
The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060
H.E.L.P. Free Clinic
1320 LaSalle Ave. Hampton (757) 727-2577
H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577
Lackey Free Clinic
860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077
Visiting Angels
12388 Warwick Blvd., Suite 206 Newport News (757) 599-4145
HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital
2 Bernardine Drive Newport News (757) 886-6000
Bon Secours DePaul Medical Center Granby St. & Kingsley Lane Norfolk (757) 889-5310
Bon Secours Maryview Medical Center
5249 Olde Towne Road Williamsburg (757) 259-3258
5818 Harbour View Blvd. Suffolk (757) 673-5800
Surry Area Free Clinic
Bon Secours Surgery Center at Harbour View
Colonial Gastroenterology 400 Sentara Circle, Suite 103 Williamsburg (757) 534-7701
11803 Jefferson Ave., Suite 230 Newport News (757) 534-7701
62 | thehealthjournals.com
Riverside Regional Medical Center
500 J. Clyde Morris Blvd. Newport News (757) 594-2000
Sentara Independence
800 Independence Blvd. Virginia Beach (757) 363-6100
Sentara CarePlex Hospital 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
Sentara Port Warwick
350 McLaws Circle, Suite 2 Williamsburg (757) 229-6115
Bon Secours Health Center at Harbour View
GASTROENTEROLOGY
1500 Commonwealth Ave. Williamsburg (757) 585-2200
Agapé Home Care
Olde Towne Medical and Dental Center
2019 Meade Parkway Suffolk (757) 923-1060
Riverside Doctors’ Hospital
HOME CARE
3636 High St. Portsmouth (757) 398-2200
Western Tidewater Free Clinic
120 Kings Way, Suite 2800 Williamsburg (757) 345-0141
2800 Godwin Blvd. Suffolk (757) 934-4000
1620 Old Williamsburg Road Yorktown (757) 886-0608
474 Colonial Trail West Surry (757) 294-0132
Riverside Hampton Roads Surgical Specialists
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
Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Suite 130 Newport News (757) 594-1899
1031 Loftis Blvd. Newport News (757) 736-9898
Sentara Princess Anne
2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000
Sentara Virginia Beach General Hospital
1060 First Colonial Road Virginia Beach (757) 395-8000
Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000
NEUROLOGY Williamsburg Neurology & Sleep Disorders Center 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
NEUROSURGERY Riverside Neurosurgical & Spine Specialists 120 Kings Way, Suite 3500 Williamsburg (757) 220-6823
NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511
222 W. 21st St., Suite F-308 Norfolk (757) 622-2989
Alzheimer’s Association 6350 Center Drive, Suite 102 Norfolk (757) 459-2405
213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900
American Cancer Society
11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330
American Diabetes Association 870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662
American Heart Association 500 Plume 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 1317 Jamestown Road, Suite 105 Williamsburg (757) 253-0228 6912 George Washington Memorial Highway Yorktown (757) 898-3090
The Arc of Greater Williamsburg
202 Packets Court Williamsburg (757) 229-0643
The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-1700
Avalon: A Center for Women & Children
Williamsburg (757) 258-9362
AWARE Worldwide, Inc.
6350 Center Drive, Bldg. 5, Ste. 228 Norfolk (757) 965-8373
Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222
Beyond Boobs! Inc.
1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649
Cancer Care Foundation of Tidewater 5900 Lake Wright Drive Norfolk (757) 461-8488
Center for Excellence in Aging & Lifelong Health 3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751
CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Drive, Suite 1100 Norfolk (757) 388-6229
Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300
Citizens’ Committee to Protect the Elderly
PO Box 10100 Virginia Beach (757) 518-8500
Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200
Denbigh Clubhouse for Brain Injury Survivors
12725 McManus Blvd, Suite 2E Newport News (757) 833-7845
Dream Catchers Therapeutic Riding
10120 Fire Tower Road Toano (757) 566-1775
Edmarc Hospice for Children 516 London St. Portsmouth (757) 967-9251
Endependence Center, Inc. 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007
Faith in Action
354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890
Food Bank of the Virginia Peninsula
2401 Aluminum Ave. Hampton (757) 596-7188
Food Bank of SEVA
800 Tidewater Drive Norfolk (757) 627-6599
Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161
Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220
Jewish Family Service
260 Grayson Road Virginia Beach (757) 321-2223
Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501
Leukemia & Lymphoma Society 6350 Center Drive, Suite 216 Norfolk (757) 459-4670
National MS Society
760 Lynnhaven Parkway., Suite 201 Virginia Beach (757) 490-9627
The Needs Network, Inc.
9905 Warwick Blvd. Newport News (757) 251-0600
National Alliance on Mental Illness-Williamsburg Area P.O. Box 89 Williamsburg (757) 220-8535
National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298
Norfolk Community Services Board
229 W. Olney Road, Room 1 Norfolk (757) 664-6670
Peninsula Agency on Aging
739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541
Peninsula Institute for Community Health
1033 28th St. Newport News (757) 591-0643
Peninsula Pastoral Counseling Center
707 Gum Rock Court Newport News (757) 873-2273
Protect Our Kids
P.O. Box 561 Hampton (757) 727-0651
HEALTH DIRECTORY | STAYING WELL Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771
Ronald McDonald House
500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403
PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy
1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437
5838 Harbour View Blvd. Suffolk (757) 673-5971
5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215
2012 Meade Parkway Suffolk (757) 934-3366
12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037
2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670
5553 Portsmouth Blvd. Portsmouth (757) 465-7906
St. Mary’s Home for Disabled Children
5900 Lake Wright Drive Norfolk (757) 466-8683
3300 High St., Suite 1-A Portsmouth (757) 673-5689
404 Colley Ave. Norfolk (757) 627-5386
RSVP: Retired Senior Volunteers
6171 Kempsville Circle Norfolk (757) 622-2208
The Sarah Bonwell Hudgins Foundation
1 Singleton Drive Hampton (757) 827-8757
Senior Center of York
5314 George Washington Hwy. Yorktown (757) 898-3807
Senior Services Coalition
OPTOMETRY & OPHTHALMOLOGY 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
3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-3480
ORTHODONTICS
United Way
Patrick R. Wyatt, DDS Orthodontics
739 Thimble Shoals Blvd., Suite 400 Newport News (757) 873-9328 5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264
The Up Center
1805 Airline Blvd. Portsmouth (757) 397-2121 222 W. 19th St. Norfolk (757) 622-7017
VersAbility Resources 2520 58th St. Hampton (757) 896-6461
Vets Advocating for Vets
Hampton (757) 722-9961, ext. 3009
We Promise Foundation
160 Newtown Road Virginia Beach (757) 233-7111
OBSTETRICS & GYNECOLOGY Riverside Partners In Women’s Health
120 Kings Way, Suite 3400 Williamsburg (757) 253-5600
Williamsburg Obstetrics & Gynecology
1115 Professional Drive Williamsburg (757) 253-5653
ONCOLOGY Riverside Peninsula Cancer Institute
120 Kings Way, Suite 3100 Williamsburg (757) 345-5724 12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555
Virginia Oncology Associates 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400
12528 Warwick Blvd., Suite F Newport News (757) 595-7990 7151 Richmond Road Williamsburg (757) 565-3737
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) 534-9988
Riverside Orthopedic Specialists
12200 Warwick Blvd., Suite 310 Newport News (757) 534-9988 850 Enterprise Parkway, Suite 2000 Hampton (757) 534-9988
Tidewater Orthopaedic Associates
901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Ave. Williamsburg (757) 206-1004
PAIN MANAGEMENT Riverside Pain Medicine & Rehabilitation Specialists 120 Kings Way, Suite 2550 Williamsburg (757) 345-3050
4900 High St. West Portsmouth (757) 483-4518 7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 2 Bernardine Drive Newport News (757) 886-6480 13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651 1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 828 Healthy Way Virginia Beach (757) 463-2540 1817 Laskin Road, Ste. 100 Virginia Beach (757) 437-0471 1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060 101 Long Green Blvd. Yorktown (757) 952-1900
Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton (757) 825-9446
466 Denbigh Blvd. Newport News (757) 875-0861 301 Riverview Ave. Norfolk (757) 963-5588 729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932 243 McLaws Circle, Suite 102 Williamsburg (757) 564-9628 500 Rodman Ave., Suite 4 Portsmouth (757) 393-6119
Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554
Tidewater Orthopaedic Associates
901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Ave. Williamsburg (757) 206-1004
Tidewater Physical Therapy 2106 Executive Drive Hampton (757) 838-6678
9 Manhattan Square, Suite B Hampton (757) 825-3400 2695 McManus Blvd., Building 6, Suite B Newport News (757)223-5612 751 J. Clyde Morris Blvd. Newport News (757) 873-2123 12655 Warwick Blvd., Suite B Newport News (757) 599-5551 156-B Strawberry Plains Road Williamsburg (757) 565-3400 7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 6970 Fox Hunt Lane, Gloucester (804) 694-8111 7190 Chapman Drive Hayes (804) 642-3028 2007 Meade Pkwy. Suffolk (757) 539-6300 204 Gumwood Drive Smithfield (757) 357-7762 2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316
URGENT CARE MD Express
120 Monticello Ave. Williamsburg (757) 564-3627 4740 George Washington Memorial Highway Yorktown (757) 890-6339 12997 Warwick Blvd. Newport News (757) 369-9446 3321 West Mercury Blvd. Hampton (757) 224-0056
Riverside Williamsburg Family Practice & Extended Care 5231 John Tyler Highway Williamsburg (757) 220-8300
UROLOGY Riverside Hampton Roads Urology
120 Kings Way, Suite 3200 Williamsburg (757) 253-0051
VASCULAR SURGERY Riverside Peninsula Vascular Surgery
156-A Strawberry Plains Road Williamsburg (757) 229-7939
WEIGHT LOSS LWell - Longevity Wellness 301-A Village Ave. Yorktown (757) 585-3441
Riverside Weight Loss Specialists
850 Enterprise Parkway, Suite 1300 Hampton (757) 637-7637
100 Winters St., Ste. 106 West Point (757) 843-9033 1745 Camelot Drive, Ste. 100 Virginia Beach (757) 961-4800 4020 Raintree Road, Suite D Chesapeake (757) 484-4241 135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512 927 N. Battlefield Blvd., Ste. 200 Chesapeake (757) 436.3350 6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890 1580 Armory Drive, Ste. B Franklin (757) 562-0990
SLEEP MEDICINE Pulmonary & Sleep Consultants of Williamsburg 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460
Williamsburg Neurology and Sleep Disorders Center 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900
1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400
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