The Health Journal - October 2015 by The Health Journal

HAMPTON ROADS EDITION | YOUR WELLNESS AND LIFESTYLE MAGAZINE

k c a l B Amy

ing o o t t a T y m o t c e st & The Art of Ma

Breast Health Update Non-Browning Apples? Fall Hiking Essentials ALZHEIMER’s Stories

Do you have

painful hip arthritis? Are you considering

hip

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Overcoming Arthritis Pain: Effective Treatments for the Hips and Knees Learn about treatment options for painful arthritis of the hip and knee. Learn about the latest non-surgical and surgical treatment options for relieving pain and restoring function, including Makoplasty and Computer-

OSC

COMMUNITY LECTURE SERIES Speaker: John D. Burrow, D.O.

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

Tuesday, October 20th, AT 7PM Orthopaedic and Spine Center

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

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Your Hearing to a Professional

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Jodi Ritchie, M.Ed., CCC-A

Mavis W. Garrett, Au.D., CCC-A

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OCTOBER 2015 | CONTENTS

MASTECTOMY TATTOOS PG. 20 BITS & PIECES 04 / Contributors 06 / Editor’s Note 07 / Page's Picks 08 / D.I.Y. / Granola Bars 08 / Inbox 09 / In My Own Words IN THE KNOW 10 / Calendar 13 / Second Opinion 14 / Profile / Boo Williams

RECIPES PG. 37 FOOD

SEEING EYE DOGS PG.56 DIGITAL ISSUE

32 / Food & Nutrition / Healthy Fall Meals 34 / Flavor / Apples WILLIAMSBURG EDITION | YOUR WELLNESS AND LIFESTYLE MAGAZINE

36 / Herb-N-Garden / Italian Flat-Leaf Parsley

Amy Black

ctomy Tattooing

37 / Taste Appeal

& The Art of Maste

YOUR HEALTH

Breast Health Update Non-Browning Apples? Fall Hiking Esssentials Biozorb: Small Device

40 / Yoganatomy / Tree Pose 42 / Fitness / Recalibrating with Pilates 44 / Family / Overprotective Parenting 46 / Outdoors / Ultimate Frisbee 48 / Aging Well / Chiropractic Care & Aging 50 / Money / Life Insurance 51 / Your Financial Health

OCTOBER 2015 — THEHEALTHJOURNALS.COM

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

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

52 / Mind Matters / Online Health Support Groups 16 / Q&A / Jalil Lindsey-Lowe 18 / Advances in Medicine / BioZorb FEATURES 20 / Feature / Restoring Femininity 25 / Extra / Barbara Monteith 27 / Breast Health Update

54 / Extra / Seeing Eye Dogs 56 / Extra / Marjorie Hilkert STAYING WELL 58 / Accepting New Patients 60 / One Last Thought 61 / Health Directory 64 / Brain Teasers

ON OUR COVER: TATTOO ARTIST AMY BLACK

Amy Black is an award-winning tattoo artist in Richmond, Virginia. Photo Credit: Jamie Betts thehealthjournals.com | 3

BITS & PIECES | CONTRIBUTORS

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

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

A. E. BAYNE

SHAWN RADCLIFFE

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

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

KELSEY HINTON 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.

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.

KIMBERLEY CUACHON HAUGH

SUSAN SMIGIELSKI ACKER

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.

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

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

SAPTA YIN, ASCM, RYT 200 Sapta is currently teaching yoga at Body Balance in Williamsburg, Virginia. She holds an ACSM Personal Trainer Certification and is certified as a Yoga instructor underneath Yoga Alliance.

NATALIE MILLER MOORE

ALONA L. CASANAVE

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

Alona Casanave is certified in Stott Pilates, Body Arts and Sciences International and Barre Instruction. She emphasize her practice on post-injury and rehabilitation, and also administers special management for scoliosis and osteoporosis.

MARIE ALBIGES Marie Albiges is a writer and aspiring yoga teacher who prefers literary classics over Netflix, cats over dogs and coffee over anything else in the world.

4 | thehealthjournals.com

VOL. 11, NO. 05 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia. Magazines are distributed via direct mail, racks and hand delivery. For more information, visit thehealthjournals.com. PUBLISHERS

Brian Freer brian@thehealthjournals.com

Early Diagnosis Early Starts EarlyDiagnosis Diagnosis Starts Starts With Reading With This WithReading Reading This This Reminder. Reminder. Reminder. Have No Doubt. Annual Mammograms Save Lives. Have Doubt.Annual Annual Mammograms Mammograms Save Lives. Have NoNo Doubt. Save Lives. As a Breast Imaging Center of Excellence, we offer women the very latest in breast including and 3D a Breast Imaging Centerimaging of Excellence, we2D offer women As aAsBreast Center of Excellence, we women mammography, and cancer treatment a the veryImaging latest indiagnostics breast imaging including 2Doffer and in 3D setting that as comfortable as it istreatment discreet. themammography, very latest in is breast imaging including 2D and diagnostics and cancer in a3D mammography, and cancer setting thatdiagnostics is as comfortable as it is treatment discreet. in a Extended hours

Page Freer page@thehealthjournals.com EXECUTIVE DIRECTOR

Rita L. Kikoen

setting is as comfortable as it is discreet. Mammogram for that mammography

EDITOR IN CHIEF

Walk-in Hours*: Mammogram Walk-in Hours*: Mammogram Monday - Thursday Walk-in Hours*: from 4:30 p.m. to 6:30 p.m. Monday - Thursday Friday from Saturdays from from 7:30 a.m. to 7 p.m. from 4:30 p.m. to 6:30 p.m. 7:30 a.m. to 4 p.m. 8 a.m. to noon Monday - Thursday Monday - Thursday Friday from Saturdays from only *Screening mammography from 7:30 a.m.toto4 7p.m. p.m. from 84:30 to 6:30 p.m. 7:30 a.m. a.m.p.m. to noon Call (757)from 312-6137 to schedule*Screening your appointment. Friday Saturdays from mammography only Extended hours screenings:

Chris Jones chris@thehealthjournals.com

for mammography Extended hours screenings: - Thursday forMonday mammography from 7:30 a.m. to 7 p.m. screenings: Monday - Thursday

MEDICAL EDITOR

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

7:30 4 p.m. to schedule your 8 appointment. a.m. to noon Calla.m. (757)to312-6137

Christie Davenport christie@thehealthjournals.com

*Screening mammography only

Call (757) 312-6137 to schedule your appointment. 2014 & 2015

WOMEN’S CHOICE AWARD®

ART DIRECTOR

AMERICA’S BEST BREAST CENTERS

Maria Candelaria Daugs maria@thehealthjournals.com

BREAST CENTER

844 Battlefield Blvd., NorthBREAST • Chesapeake, CENTER VA 23320 www.chesapeakeregional.com/breastcenter 844 Battlefield Blvd., North • Chesapeake, VA 23320 W C A www.chesapeakeregional.com/breastcenter BREAST CENTER 2014 & 2015

WOMEN’S CHOICE AWARD® AMERICA’S BEST BREAST CENTERS

2014 & 2015

OMEN’S

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AMERICA’S BEST BREAST CENTERS

GRAPHIC DESIGNER

Michael Saunders michael@thehealthjournals.com

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844 Battlefield Blvd., North • Chesapeake, VA 23320 www.chesapeakeregional.com/breastcenter

9/16/15 5:00 PM

VIDEO PRODUCTION MANAGER

Brandon Freer brandon@thehealthjournals.com

CRH-045-15-10.38X10.5.indd 1

9/16/15

Run the Race or Walk the Plank!

CIRCULATION

Ryan Bishop circulation@thehealthjournals.com PHOTOGRAPHY

Brian Freer Brandon Freer

SATURDAY,

OCTOBER 17 The Mariners’

ADVERTISE

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

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

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

e This cycl M ag Re ine az

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

Ple as

THE HEALTH JOURNAL

10K on the Noland Trail, 5K in The Park & Kids Fun Run Kids Fun Run - 8:00 AM • 10K - 8:45 AM • 5K - 9:15 AM Stay after the race to enjoy music, food & drinks!

MarinersMuseum.org/PirateRun

BITS & PIECES | EDITOR’S NOTE

n May, I ran the Chick-fil-A 5K for the third time. Last year was an amazing experience as my then 7-year-old and I donned our Superman T-shirts and hit the course together. It was his first race and he started strong, pushing through the first mile with relative ease. About halfway through the second mile, he got tired. Instinctively, I threw him onto my shoulders and we ran the next mile with him hoisted high. I finally let him down at his request and he dashed the last halfmile and crossed the finish line. This year, I brought my entire family—my wife, my 8-year-old and my 3-year-old. I ran the race with TeamRWB and she jogged the course with the boys. As they were closing in on the finish, I got a text from my wife to PHOTOGRAPHY BY ALEXIS KIKOEN

SPRINTING TO THE FINISH come towards the final leg. I found a grassy patch where my teammates were waving flags and cheering on the other members of the pack. I joined in encouraging our crew to push through to the end. That’s when I saw my family. I lit up with joy watching them come around the corner, and when the boys saw me, I called to them to finish strong. They smiled and took off towards the finish line running the last quarter-mile as hard and as fast as they could. I teared up as I watched them cross the finish line. If 2015 were a race, we’d be on that same last mile that my teammates and my family were digging deep to finish. We all set goals in January and despite it being late in the year, I want to encourage you finish what you started. Don’t be ashamed to walk when you can’t run, be lifted up when you can’t walk or look to the sidelines for your cheering section. I’ve needed all three this year to achieve the

“I’M RACING AGAINST ME. AS LONG AS I COME ACROSS THE FINISH, I’LL BE OKAY.” — RUBEN STUDDARD

things I set out to do. You probably have, too. In the pages of this issue, you’ll read about people who have found their calling doing the things they love. From Boo Williams and Jalil Lindsey-Lowe, to Diane Teel and Amy Black, you’ll be inspired by people who took hold of their dreams and now share them with others. You’ll also read about women who have faced breast cancer head on and have artfully created beauty from ruin. I hope you’ll enjoy this issue. Let it rekindle the goals you may have slowed in pursuing this year. You have about 90 days left to cross the finish line strong. Keep your head up, your feet moving and finish your race.

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM

6 | thehealthjournals.com

PAGE’S PICKS | BITS & PIECES

Fall hiking favorites

Rain jacket

PHOTOGRAPHY BY BRANDON FREER

In case of sudden showers, keep a lightweight packable jacket in your bag.

Polarized sunglasses Protect your eyes with a good pair of glasses. I like these from Ray Ban — worth the investment.

Walking sticks

Sunscreen!

Good for longer or more strenuous hikes, these sticks help distribute weight out of the legs and into the arms.

Cooler temps don't mean you can forget the sunscreen. Opt for a zinc-based lotion that dries clear.

Mini first aid kit

SPF lip balm Wind, sun and dehydration can leave lips dry and scaly. I like this SPF 25 stick from Alba Botanicals.

Just the essentials will do for a day hike. If you are camping out, carry a more complete kit.

Lightweight gloves If outdoor temps drop or rain falls, you'll be glad you packed them.

Simple snacks Natural jerky bars like these from Epic (they come in four fun flavors) or homemade granola bars (see. pg. 8 for my recipe) are perfect for packing.

Headlamp You'll be glad you brought this if conditions are foggy or you get turned around on the trail and have to hike after sundown.

Wide-brimmed hat Sun can be intense; look for one with a chin strap in case of wind

A good backpack Page Freer is the publisher of The Health Journal. 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, Virginia 23188

Look for a backpack with a built-in bladder for easy water access. Some also come with cross-body straps that help distribute weight more evenly.

thehealthjournals.com | 7

MAKE YOUR OWN

GRANOLA Bars

You Will Need • 3 cups rolled oats • 1 cup slivered almonds • 3/4 cup unsweetened coconut flakes • 1/2 cup walnuts, chopped • 1/2 cup almond flour • 2 tablespoon flax seeds • 1 cup pure maple syrup • 1/2 cup coconut oil • 1/3 cup honey • 1/4 cup cacao nibs • 2/3 cup dried cranberries

DIRECTIONS BY PAGE FREER PHOTOGRAPHY BY BRANDON FREER

To Make: 1. Preheat oven to 350 F. Lightly toast first four ingredients on a cookie sheet, top rack. Set aside to cool.

Line a standard cookie sheet with parchment paper, enough to hang off edges of pan. Lightly grease with coconut oil.

3. Combine first seven ingredients in a large bowl; mix thoroughly. 4. Combine coconut oil, syrup and honey in a saucepan over medium heat for 5 minutes. Stir and pour over dry ingredients until well-combined. Add in cacao nibs and cranberries.

Pour mixture into lined baking pan and press down evenly into a large rectangle.

6. Bake for 35 to 40 minutes or until golden brown. Remove from oven and allow to cool before cutting into bars.

SEPTEMBER SUDOKU SEPTEMBER WORD SEARCH

BRA

IN TEASERS

SEPTEMBER WINNER KATHERINE WORCESTER Virginia Beach, Virginia

8 | thehealthjournals.com

3 8

6 1

4 5

3 9 5

4 7

2 3

6 1

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

SEPTEMBER CRYPTOGRAM My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style ― Maya Angelou

IN MY OWN WORDS | BITS & PIECES

Hi, I'm Diane Teel

IN MY

OWN WORDS

I’m a NASCAR Hall of Fame Honoree and the first woman in America to ever win a NASCAR sanctioned race in 1978, and then I went on to become the first woman to start an Xfinity Series race. I’m passionate about my family. People are often surprised that I turned down a huge opportunity from a race sponsor, but that meant that I would have to leave my family behind. I supported their dreams and they’ve given me more than I could ask for. We’re still a close and supportive family. Health to me is feeling good and doing good, which have always been important to me. I don’t just work on my health for me; I want to be here for my family. When I was diagnosed with triple negative breast cancer, I knew I had to beat it, not just for me, but for my family. I love The Health Journal because it’s a magazine about being your best self. Usually a magazine wants the reader’s attention just to boost readership, but The Health Journal is a magazine that’s gotten better and better because it gives its full attention to the reader.

SAVE THE DATE

5th Annual Gala of Hope HAMPTON UNIVERSITY PROTON THERAPY

INSTITUTE

Join us for a night of hope, fun, great food and entertainment. Hampton University Proton Therapy Institute’s

5th Annual

Friday, October 23, 2015 Hampton Roads Convention Center

hamptonproton.org/events 757.728.4012

Raising funds to ensure that all cancer patients have access to life-saving cancer care. Black Tie • Plated Dinner • Live Entertainment • Silent Auction | For sponsorship and ticket information, please visit hamptonproton.org.

IN THE KNOW | CALENDAR

OCTOber 6

PILATES IN THE GARDEN Enjoy this outdoor Pilates class.

HALLOWEEN BEACH MONSTER DASH 5K Get in the spirit with this fun family run.

WHEN: 6 to 7 p.m. Tuesdays through November 10 WHERE: Norfolk Botanical Garden $$: $55, members; $75, non-members CONTACT: norfolkbotanicalgarden.org

WHEN: 10 a.m. to 2 p.m. WHERE: 17th Street Park, Virginia Beach $$: 5K, $40; Fun Run, $25 CONTACT: roadrageevents.com

12 THYROID SEMINAR Learn natural approaches to dealing with thyroid issues.

8-11 DRISHTI FEST YOGA FESTIVAL Learn yoga and more. WHEN: Times vary WHERE: Sheraton Oceanfront Resort Hotel, Virginia Beach $$: see website for details CONTACT: drishtifest.com

10 YORKTOWN MARKET DAYS Last day of the season. WHEN: 9 a.m. to 1 p.m. WHERE: Riverwalk Landing, Yorktown $$: free CONTACT: yorktownmarketdays.com

SENIOR DRIVER SAFETY Learn to drive safely as you age. WHEN: 10 a.m. to 2 p.m. WHERE: AAA Tidewater Virginia Corporate Office, Virginia Beach $$: free CONTACT: 757-233-3889

CHESAPEAKE WINE FESTIVAL Sample various wines and craft brews. WHEN: noon to 6 p.m. WHERE: Chesapeake City Park $$: $35 in advance or $40 at the door CONTACT: cheswine.com

WHEN: 6:15 p.m. October 12, 19 and 26; 10:15 a.m. October 24 WHERE: Total Health Center, Virginia Beach $$: free CONTACT: 757-363-8571

14 HELPING YOUNG CHILDREN MANAGE EMOTION Learn how to help your child manage their emotions. WHEN: 6:30 to 8:30 p.m. WHERE: CHKD Health and Surgery Center at Oyster Point $$: free CONTACT: chkd.org

15 GARDEN GOURMET: FALL SOUPS Learn to make a variety of soups. WHEN: 7 to 9 p.m. WHERE: Norfolk Botanical Garden $$: $35, members; $45, non-members CONTACT: norfolkbotanicalgarden.org

17 WALK TO END ALZHEIMER’S Come support the fight against Alzheimer’s. WHEN: 8:30 a.m. WHERE: Port Warwick $$: free CONTACT: 757.459.2405

GET MORE EVENTS AT:

10 | thehealthjournals.com

EVENTS

THE MARINERS’ PIRATE RUN Bring the family out for this fun 10K or 5K run on the Noland Trail WHEN: 8 a.m. WHERE: The Mariners’ Museum and Park $$: 10K, $50; 5K, $40; Fun Run, $10 CONTACT: marinersmuseum.org/ piraterun

17-18 VIRGINIA FALL WINE FESTIVAL Featuring over 200 of Virginia’s finest wines. WHEN: 11 a.m. to 6 p.m. Saturday and Sunday WHERE: Town Point Park, Norfolk $$: Sat., $35 in advance or $40 at the door; Sun., $30 in advance or $35 at the door CONTACT: festevents.org

18 RACE 13.1 This inaugural racing event includes a 5K, 10K and half marathon. WHEN: 7 a.m. WHERE: City Center at Oyster Point $$: see website for specific race fees CONTACT: race131.com

23 OYSTER ROAST Seafood festival including family activities, music, food and more. WHEN: 5 to 10 p.m. WHERE: City Center at Oyster Point $$: free CONTACT: citycenteroysterpoint.com

24 HAMPTON ROADS PROSTATE HEALTH 5K RUN Run and join the fight against prostate cancer. WHEN: 8:30 a.m. WHERE: Hampton University $$: 5K, $25; Fun Run, $10 CONTACT: runsignup.com

25 FAMILY FITNESS WITH FIDO Bring your dog out for a stroll in the garden. WHEN: 10 a.m. to 4 p.m. WHERE: Norfolk Botanical Garden $$: $5, members; $11, non-members CONTACT: norfolkbotanicalgarden.org

OSC COMMUNITY LECTURE Dr. Mark McFarland will discuss minimallyinvasive treatments for spine conditions.

PREVENTING PROSTATE CANCER Learn ways to prevent prostate cancer.

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

WHEN: 6 to 7 p.m. WHERE: Riverside Regional Medical Center $$: free CONTACT: 757-772-0042

22 COOKING WITH FALL VEGGIES Join cook Andrea Hueherfhoff and learn how to cook with fall veggies. WHEN: 1 to 3 p.m. WHERE: Norfolk Botanical Garden $$: $35, members; $45, non-members CONTACT: norfolkbotanicalgarden.org

TOA LECTURE SERIES Learn about knee replacement and emerging technologies with Dr. Kingston. WHEN: 6:30 pm WHERE: Tidewater Orthopaedics, Hampton $$: Free CONTACT: 757-827-2480, ext. 332

THEHEALTHJOURNALS.COM/CALENDAR

he waS Given

6 monthS to Live. See how he beat it in one minute and 37 SecondS. See Jamesâ&#x20AC;&#x2122;s story at EvmS.edu/myStory

The knowledge to treat you better.

thehealthjournals.com | 11

special advertising section

second opinion What is the difference between Type 1 and Type 2 diabetes? In 2012, 29 million Americans had diabetes; 1.25 million had Type 1. The difference is huge! With Type 1, your pancreas produces no insulin, and so, it is impossible to live without insulin injections. The Type 2 diabetic makes insulin, but it would be best to say that they don’t make and release enough—soon enough—into the blood stream when needed. Type 1 diabetics are more frequently diagnosed earlier in life. This form is classified as an autoimmune disease because antibodies made by the body attack the insulin producing cells of the pancreas. The cause is not clearly understood but genetic and environmental triggers both seem to play a role. Type 2 diabetes is much different. There is also a genetic component to its development but it is more likely to occur in older, heavier people. Type 2 diabetes doesn’t always require insulin injections but tends to become more difficult to treat over time as the pancreas gradually produces less insulin and the body develops increasing insulin resistance associated with weight gain.

Ralph Robertson, M.D. Medical Director of Lackey Free Clinic 757-886-0608

Now that summer is over, I have noticed the pigment in my skin is irregular and uneven. Is there anything that I can do about it? With summertime comes increased sun exposure as we spend more time outside. This leads to increased pigmentation (tanning). We minimize the sun exposure by using clothing and sunscreens but despite this diligence, as we age, the uneven pigment becomes bothersome and we seek ways to minimize it. What are the options? Creams. Two types of creams are glycolic acid and retinol. Glycolic acid creams help to exfoliate the skin leading to mild improvement in pigment irregularity. Retinol creams can vary in effectiveness based on concentration of the active ingredient retinoic acid. The higher the concentration, the more effective and usually the more costly. Some improvement is seen over 8 – 12 weeks. Facial peels. Chemicals are used to remove the top layers of skin and as the skin heals, imperfections are softened and pigment is often lightened but there is significant down time of up to several weeks. Laser treatment. Laser light energy targets the pigmentproducing cells causing it to flake off in a couple of weeks. The downtime is minimal except for darkening of the spots and the result is excellent. Clients can maintain their normal face-cleansing regimen and make up use.

Steven C. Mares, M.D. Erase the Canvas 757-532-9390 10 | thehealthjournals.com

I was told I snore. What can I do for this that is non-invasive? If you snore, you are one in 45 percent of the population that does so. It typically disturbs those around you more than it does you. Snoring is caused by an obstruction of the soft tissue in the throat that creates a vibration and harsh sounds. It can be caused by weight gain, alcohol use, congestion, smoking, and/or enlarged tonsils. Therefore, snoring can be treated by changing any of these circumstances or habits. There are also several designs of oral appliances that help prevent snoring. These appliances are custom-fit and position the lower jaw and tongue forward, preventing the tissues from contacting and creating noises. Before getting fit by your dentist for an appliance, it is important that you are tested for sleep apnea. This is when there are moments the airway is shut off and your breathing stops. If you do have sleep apnea, this is more serious and needs to be addressed.

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

your health care questions answered

Charles Southall Chief Engineer, Newport News Shipbuilding

S E N T A R A

H E A R T

O N

T H E

P E N I N S U L A

“This can’t be a heart attack...” These were the words 48-year-old Sentara Heart patient Charles Southall kept repeating to himself when a dull ache between his shoulder blades became more and more persistent. “It didn’t fit the classic signs, so I ignored it,” he says, but just three hours after first experiencing symptoms, Charles arrived at Sentara CarePlex Hospital where our cardiology team quickly performed an emergency heart catherization through the wrist to save his life. The procedure remarkably enabled Charles, and most patients like him, to leave the hospital in a couple of days. He enrolled in our cardiac rehabilitation program where he participated in supervised exercise programs three times a week and received nutrition counseling. “My stubbornness about seeking heart attack care could have cost me my life.” said Charles. “Thankfully, the team at Sentara Heart has given me the confidence to live every day without constantly worrying about another one, and today, I’m healthier for it.

Warning Signs of Heart Attack •

Discomfort, numbness or pain in your upper body including arms, shoulders, back, neck, jaw or stomach

•

Cold sweats

•

Nausea and/or vomiting

•

Dizziness

•

Shortness of breath

•

Unusual fatigue, typically for several days before the attack

If these signs are present, CALL 9-1-1

After nine months, Charles says, “I’ve now lost 83 pounds, run 20+ miles per week and live my life to the fullest at work and at home; and, I continue to maintain contact with (and receive support from) the fantastic folks who run the cardiac rehab program at Sentara Therapy Center.”

Looking for a Cardiologist?

Visit SentaraHeart.com to schedule a cardiologist appointment or call Sentara Cardiology Specialists: Gloucester (757) 345-4800 | Newport News (757) 736-9860 | Williamsburg (757) 345-4800

SentaraHeart.com

Your community, not-for-profit health partner

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Ralph Robertson, M.D. Medical Director of Lackey Free Clinic 757-886-0608

I keep seeing computer controlled knee prostheses in the news. What does this technology do and will my insurance cover it? A computer controlled prosthesis responds to the many different conditions an amputee encounters while walking throughout the day. Many non-amputees take for granted their ability to maneuver changing conditions of the ground surface while walking. For an amputee, things like carpet, steps, slopes, grass, crowds, et can present significant challenges. Conventional prosthetic devices do not provide adjusted stability needed to accommodate these variables. Stability when weight bearing, and efficiency with which the knee swings through are critically important to an amputee. The computer, analyzing data in the knee in real time, will predict what is going to happen on the next step and adjusts the knee resistances accordingly. This means increased trust in the prosthesis to perform correctly when an amputee needs it, providing a substantial difference in the life of an amputee who walks regularly. A challenge with microprocessor controlled knees is that they are expensive. Because of the cost and moniker “advanced technology”, most insurances have cornered these devices, making them available to only the most functional and active amputees.

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What is the link between hearing loss and dementia? Seniors with hearing loss are significantly more likely to develop dementia over time than those who retain their hearing, a study by Johns Hopkins and National Institute on Aging researchers suggests. Although the reason for the link between the two conditions is unknown, the investigators suggest that a common pathology may underlie both or that the strain of decoding sounds over the years may overwhelm the brains of people with hearing loss, leaving them more vulnerable to dementia. They also speculate that hearing loss could lead to dementia by making individuals more socially isolated, a known risk factor for dementia and other cognitive disorders. Whatever the cause, scientists report that their findings may offer a starting point for interventions— even as simple as hearing aids—that could delay or prevent dementia by improving seniors’ hearing. “A lot of people ignore hearing loss because it’s such a slow and insidious process as we age,” study leader, Dr. Frank Lin says. “Even if people feel as if they are not affected, we’re showing that it may well be a more serious problem.” For more information, go to: hopkinsmedicine.org/otolaryngology/our_team/faculty/lin_frank.html

your health care questions answered

Jodi Ritchie, M.Ed., CCC-A

Maico Audiological Services maicoaudio.com 757-873-8794 thehealthjournals.com | 13

IN THE KNOW | PROFILE

BOO Williams WRITTEN BY SUSAN SMIGIELSKI ACKER

arcellus “Boo” Williams knew the power of basketball having been a standout at Phoebus High School in Hampton,Virginia, in the 1970s. It allowed him to be a student-athlete at Philadelphia’s Saint Joseph’s University and play professionally in Europe. To show the power the game has on life, Williams started the Boo Williams Nike Invitational more than 30 years ago. The program has athletically, emotionally and intellectually helped youth grow in Virginia. Williams started a summer basketball league with just four teams. Now it has grown to 250 teams. The program aided more than 700 basketball scholarships for players. It also launched many NBA careers including Chesapeake’s Alonzo Mourning and Hampton’s Allen Iverson. Mourning is also known for his community contributions, which is an added benefit, Williams says. Williams is quick to point out “[basketball] also helped all players in the game of life.” Noting amongst them, North Carolina physician, Dr. Raymond Washington, who played many years while a youth in the league. Thousands of children have come through the program. Williams feels it is important for children to be in good physical condition for health reasons. “If you feel good, you have confidence,” he says. That confidence spurs players to do well in school and among their peers, Williams adds. He admits there could be more emphasis on nutrition. That is why he enlisted the help of Bon Secours to teach nutrition classes to players.

14 | thehealthjournals.com

VIRGINIA HOSPITALS:

OURVIRGINIA LIFELINE HOSPITALS: OUR LIFELINE Just as important for youth is learning teamwork and competition. The ability and opportunity to compete develops self-esteem. Even the act of losing gives a self-esteem lesson because it teaches about the different stages. It schools players on how to cope with a loss and move on, he says. “And some of the best players develop late because they finally developed confidence,” Williams says. He points to Joe Smith who was cut from the team when he was 11 or 12 years old. Smith went on to be a top player for the University of Maryland. Williams says that the basketball program helps with discipline and a strong work ethic on the court and off. And while very few youth players will make it to the NBA, they learn that hard work pays off. Learning teamwork and competition are all important lessons to learn early on. It helps in the game of life, he reiterates. Another important part of team sports is long-lasting relationship development. “It teaches how to work alongside other kids. To learn to deal with the ups and downs of winning and losing,” he adds. Williams says his program encourages academics because they stress that no college scholarships are awarded on sports ability alone. “We teach them to be concerned with their math and reading. About how it is important to pick up a book as much as it is to make a good shot on the court. We talk about how it is important to learn more than one language,” he says. During the past three decades, Williams has seen a change in families. “Families are more involved in the sports than in the past, whether that be good or bad. Sometimes parents can be more competitive than their kids and expect more. It is harder to deal with parents if their message is different. I’ve also seen a change in the family structure, now instead of a mom and dad, it could be a grandmother or guardian raising the child,” he adds. In addition to the league, the Boo Williams Sportplex is a separate for-profit program. It houses several basketball and volleyball courts, an indoor track and gymnastics. It recently hosted several Junior Olympic Games.

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IN THE KNOW | Q&A

Jalil Lindsey-Lowe

The Fit Chef

WRITTEN BY CHRIS JONES PHTOGRAPHY BY BRANDON FREER

alil Lindsey-Lowe, Known as The Fit Chef, is a Los Angeles, California, native who has set her roots in Hampton Roads. Lindsey-Lowe preaches a message of complete wellness that starts from the kitchen, flows through the gym and permeates through the rest of each day. Lindsey-Lowe, a graduate of Johnson and Wales University, is a certified chef and personal trainer who is currently working on her first book, shares her fitness journey and tells why nutrition and fitness can’t be separated.

What’s your story? How did fitness become your lifestyle? (Laughs) I knew nothing about fitness. I was overweight in high school. So I did research on how to lose weight so that I could join the military. I realized that chips were bad, soda has a lot of sugar, and I’m not going to eat fast food. So I lost weight and got into the military. When I got out, I let myself go since there was no longer accountability to remain fit. I remember getting my car serviced. I was walking through the shopping center and saw a weight loss clinic. I don’t know what possessed me to go in. They asked me step on the scale. I was shocked that I was at 200 pounds. I said, “Oh, God! I have to do something.” So I signed up. I wanted to lose 30 pounds and I lost 50 pounds. I took the time to learn to eat properly. It started with weight loss. It wasn’t about exercise at first. I just lost weight. I ate, kept a journal and they counseled me. I started training in the gym, and I did all of the Beachbody programs. Then I decided to enter a fitness competition. It all took off from there.

What led to you becoming a personal trainer? I became a certified personal trainer because it connected with the nutrition—which I started first [in becoming a chef]. I wanted to design programs. I originally didn’t want to train people, but I realized that I did have a passion to help people get fit.

16 | thehealthjournals.com

Q&A | IN THE KNOW

Why is it important to pair training with nutrition?

Now that in mind, you also teach people to cook healthy. What does that entail?

Nutrition is the key to getting the results you want. Most people won’t have a problem going to the gym or a group exercise class. That may increase your fitness, energy and focus. But people get discouraged when they don’t see results and they need that to stay motivated. Nutrition helps them to see results in the physical realm. It takes discipline and, depending on what your goal is, you have to maintain your diet.

I do cooking demonstrations on meal planning and I’ll prepare the meal to show them how. It depends on the request and what people what to learn. I tell them the nutritional benefits of all of the ingredients and I’ll help them with healthier versions of foods they like.

How true are those Internet memes that say, “You can’t outrun your fork”? It is true. You can’t out train a bad diet. People can exercise and still gain weight. That is predominantly because they have not changed their diet, they’re consuming too many calories, and they’re getting calories from the wrong place. Twentyfive hundred calories predominately from cookies, snacks and prepackaged foods are not equal in nutrients as the same 2,500 calories coming from whole clean foods. The average person could hardly consume 2,500 calories of whole clean foods in a day, but could exceed that in one fast food value meal. That is because all calories are not created equal. Most of the nutrients that are naturally occurring in whole foods are not present in processed food so they are added back in. In turn, they are not properly absorbed during digestion and this is how someone can easily consume three-times their recommended calories and not be satisfied.

What roles do mindset and moderation play in adopting dietary changes? It’s perspective. Everyone has a complicated relationship with food. Studies say that changing one thing at a time creates [lasting] change. If you cut soda out, you can lose pounds. Once a week, take a bag lunch. Change to a whole-wheat loaf. Just do little things. If you change everything at one time, you’re going to fail. It’s overwhelming and you haven’t given yourself chance to acclimate. Gradually grow and then have a support system to hold you accountable. With no accountability, you can go back. It can be a friend, if you can’t afford a coach. It’s about living a healthy life, not torture or feeling deprived.

What’s the rewarding part about helping change lives through nutrition and fitness? It helps build confidence and self-esteem and that translates into success in other areas.

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IN THE KNOW | ADVANCES IN MEDICINE

BIOZORB leaves its mark on

Breast Cancer WRITTEN BY KIM O’BRIEN ROOT

here’s always a constant search going on for new and better ways to treat breast cancer. Since the 1980s, radiation therapy has revolutionized breast cancer treatment, many times allowing women with early-stage cancer to keep their breasts. Such treatments involve surgery to remove the tumor, followed up with radiation to kill any stray cancer cells. About 60 percent of the more than 200,000 women in the United States diagnosed with early-stage breast cancer each year undergo lumpectomy (also called breast-conserving) surgery with radiation. Now, there’s a new device intended to improve the precision of those radiation treatments. BioZorb, created by California company Focal Therapeutics, is a small, three-dimensional marker used in women with earlystage breast cancer. It provides a target for aiming radiation therapy at the tumor site, which helps minimize damage to healthy tissue.

The device, which was cleared for use by the U.S. Food and Drug Administration in 2012, was recently used for the first time in Hampton Roads at Bon Secours Cancer Institute at DePaul Medical Center in Norfolk, Virginia. Dr. Charles E. Ives, the Bon Secours surgeon who implanted BioZorb, believes it’s a device that will have significant benefits for women with breast cancer. “It’s a simple device,” Ives says. “A simple idea. This is just one other thing we want the radiologist to have when deciding what’s most appropriate for a patient. The primary goal is to destroy the cancer.” When a woman is diagnosed with breast cancer, there’s a team approach to treatment— involving an oncologist and a radiologist— to determine the best method of treatment depending on the stage of disease. Some women aren’t interested in anything beyond surgery. They want the breast—and 18 | thehealthjournals.com

“the marker provides a structure for the breast tissue that helps preserve the natural contour of the breast’’

the cancer—gone. But breast-conserving therapy, which is the surgical removal of the cancerous tissue via lumpectomy followed by radiation therapy and sometimes also chemotherapy, has proven to be an effective treatment for women with early-stage breast cancer, according to Ives. It’s estimated that 75 to 80 percent of patients can be treated with breast-conservation therapy rather than mastectomy with excellent results, according to the Radiological Society of North America. Radiation therapy is used after surgery to destroy any microscopic cells that might be left behind, to reduce the chance of reoccurrence. However, finding the exact spot where the lumpectomy was can be difficult. Once a tumor is removed, the area often fills up with fluid. While a radiation therapist can use the location of the fluid to know where to train a radiation beam, it still usually means treating the whole breast.

Enter BioZorb The device is a walnut-sized coil that features six titanium clips arranged in a precise array. At the time of the lumpectomy, BioZorb is placed where the tumor was. A radiation oncologist later uses the location of those clips to know exactly where to direct the radiation beam. The device is eventually absorbed by the body over the course of about a year, but the clips remain. That makes it easier do followups using routine mammograms. There’s an extra benefit, too: surgeons have reported that the marker provides a structure for the breast tissue that helps preserve the natural contour of the breast, which historically can show some disfigurement after breast-conservation therapy. “The new markers more clearly define the treatment area, allowing the radiation

ADVANCES IN MEDICINE | IN THE KNOW

therapy team to confidently focus the treatments and safely reduce the amount of radiation needed to prevent reoccurrence,” says Dr. Bradley Prestidge, a radiation oncologist and regional medical director for radiation oncology with the Bon Secours Cancer Institute. BioZorb isn’t considered a good option for women with late-stage breast cancer, or cancer that’s metastatic. Norfolk resident Annie Heichel’s breast cancer was caught very early when her doctor suggested trying the BioZorb device. Heichel, who is 71, admittedly hadn’t been to a doctor in a while when she broke her ankle earlier this year. Because she had a different insurance company than the last time she had seen a doctor, she had to see a new provider for a physical. She was subsequently sent for a routine mammogram. The mammogram found a lump in one breast and a shadow in the other. As it turned out, Heichel had cancer in both breasts. Once she heard the news,

she figured she’d need mastectomies. She was surprised. “They told me it was so early, I didn’t even need to consider that,” says Heichel, a mother, grandmother and great-grandmother who plans on staying around for her family for a good long while. So in one breast, Heichel had a lumpectomy and a BioZorb placed. In the other, she had brachytherapy, in which little seeds of radiation were implanted to treat from within. Following surgery, the radiation procedures were easy to deal with, without any pain or after-effects, Heichel says. After she finished one round of treatment, she rested just a few days before returning to her job as a front desk clerk at a Norfolk Howard Johnson’s. “Everything they did was very exact,” Heichel says. “You didn’t have time to get distracted or worry. I’m very fortunate.”

BioZorb

3D marker helps identify the surgical site after removal of tissue for breast cancer BioZorb™ is placed by the surgeon in an area of the breast where tissue has been surgically removed. Its unique 3D spiral shape contains titanium marker clips that mark the site where the tumor was removed. By providing a clear, three-dimensional marker for medical imaging, it can help physicians during patient follow-up and future medical procedures such as radiation treatment following surgery for breast cancer.1

Dissolves over time As the breast heals, the body slowly resorbs the spiral material over the course of a year or more.

3D Shape

Mammogram view Titanium clips

Clips remain

The small marker clips remain permanently at the surgical site for follow-up imaging.

1 Kuske R, et al. Utility of a Novel 3-D Marker in Treatment Planning for Breast Cancer. Presented at the American Society of Radiation Oncology annual meeting, September 2013

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RESTORING FEMINITY | FEATURES

“When I see what others’ sufferings are, any troubles I have are very unimportant. I lead a very blessed life with good health. I thank everything every day for it.” – Amy Black

Restoring

Femininity Amy Black finds her calling inking mastectomy tattoos WRITTEN BY ALISON JOHNSON PHOTOGRAPHY BY JAMIE BETTS

hen Roberta Zelenko looks at herself in the mirror without a shirt on, she doesn’t see cancer’s scars anymore. She sees two breasts that look just like her old ones—the breasts she lost in a double mastectomy in 2012—thanks to two very special tattoos in the middle of each. They are her new nipples and areolas, inked permanently and in painstaking detail by Richmond-based tattoo artist Amy Black. About two years after Zelenko’s surgery and breast reconstruction, Black worked from pre-operative pictures of her breasts to help make her feel whole again. “I thought I was OK without them, but I can’t believe how powerful it is to just see myself again, to feel healed,” says Zelenko, 55. “I can change clothes at the YMCA and people don’t even notice. They look so real.” She also shows her tattoos to other women about how to undergo mastectomies, who can’t imagine what their bodies will look like afterward: “That unknown is so scary. When they see me and my body, I see this little look of hope in their eyes, like, ‘Oh, it’s going to be OK.’”

thehealthjournals.com | 21

FEATURES | RESTORING FEMINITY

Since 2011, Black has worked with hundreds of women who have had cancer or had their breasts removed after testing positive for a gene that raises the risk of the disease. Using complex layers of colors, mostly pinks, reds and browns, she creates textured, threedimensional images to match a woman’s remaining breast or put a finishing touch on reconstructed breasts. Each tattoo takes an average 30 to 45 minutes; she does about one or two a month. The work gives Black both joy and a healthy perspective on life. “It teaches me to appreciate everything,” she says. “When I see what others’ sufferings are, any troubles I have are very unimportant. I lead a very blessed life with good health. I thank everything every day for it.”

HelpING as many as she can Black does mastectomy tattoos at her studio in the Carytown section of Richmond, Virginia, or at a local plastic surgery office. Medical insurance doesn’t always cover the $250 per-breast charge, so she has created the nonprofit Pink Ink Fund (pinkinkfund.org) to offset fees and travel expenses and educate more patients and

doctors about mastectomy tattoos. Since military insurance generally doesn’t absorb the cost, she also offers a 20 percent military discount. And with women calling her from across the country and even abroad, Black says she’s willing to travel worldwide. Each client comes to Black with different needs. Women share what they’d like in terms of nipple shape, size and color via in-person, phone or email interviews; they can choose if they want to share preoperative photos. On appointment days, many bring a family member or friend for support. Some like to talk as Black works—about life, family, cancer, or anything but cancer—and some are quiet. Some laugh. Some cry. Many do both. Black doesn’t get nervous, but she does have to keep her energy levels high. “To give them the service and results they deserve, I have to make sure I am healthy, well-rested and focused,” she says. “It’s really not challenging, but I do sacrifice a lot of personal, social time outside of work to make sure I get enough rest and down time to decompress to be fully energized for everyone.” Women who have mastectomies have several options for preserving or recreating their nipples. Some qualify for nipple-sparing surgery, but nipples can lose sensation due to nerve damage and may become deformed over time if their blood supply is disrupted. Others choose

custom-made prostheses or undergo nipple reconstruction surgery, an outpatient procedure using their own tissue or donor skin products, which is usually done after reconstructed breasts have had several months to heal. For many cancer survivors, though, the thought of another surgery or medical procedure isn’t appealing. Lisa Jones, a 41-year-old Chesapeake, Virginia, resident diagnosed with invasive ductal carcinoma in

It Makes total sense. PWDentalArts.com

RESTORING FEMINITY | FEATURES

August 2014, knew she wanted tattoos rather than nipple reconstruction as soon as she saw online videos of artists at work. “It looked simple, but the 3-D results were just amazing,” she says. With a friend by her side, Jones had her reconstructed breasts tattooed by Black the following June. “I just wanted to look normal again—not blank,” she says. “After Amy did the first one, I went to the restroom to look in the mirror. I couldn’t believe it. I was so happy.” The first tattoo didn’t hurt; when the second did, Black used a numbing cream to ease the pain. After two weeks of care with antibacterial soap, petroleum jelly, lotion and bandages, Jones’ tattoos were fully healed and she was back to her busy life as the working mother of a 3-year-old boy. While her insurance company denied coverage for what it deemed a cosmetic procedure, $500 was a small price to pay for another triumph over cancer, Jones says: “Amy gave me back what was taken from me.”

Combining art and wellness Born in Seoul, Korea, Black, 40, is an adopted child who grew up mainly in Ohio. She graduated from high school at age 16 and studied for two years at the Columbus College of Art & Design, where she specialized in anatomy and figure drawings. Both were natural focuses for someone who once considered a career as a medical illustrator. After leaving school, Black did some drawing for corporate clients, including Bath & Body Works, Hard Rock Café, Victoria’s Secret and Walt Disney Co., as well as interior design and mural work in private homes. When she relocated to Richmond in 1998, she took an administrative position at a tattoo studio. Interested in the art of ink, Black completed an apprenticeship with one of the artists, began tattooing in 2000 and eventually took

over ownership of the studio in 2005. After seeing the portfolio of a Maryland tattoo artist who works with mastectomy patients, Black had found her calling. “I felt blessed that I had a way to help others,” she says. She plans out details of each tattoo down to tiny skin bumps and veins; if needed, she will schedule several sessions to gradually perfect colors. Cancer survivors say Black’s efforts have rebuilt their self-confidence and a sense of femininity that some didn’t even realize they were missing. Zelenko, a Richmond resident with two daughters, had declined nipple reconstruction surgery after enduring a double mastectomy, eight grueling rounds of chemotherapy and reconstructive surgeries. She had been diagnosed with triple negative breast cancer, a type that can be aggressive and difficult to treat, after a screening mammogram in January 2012 uncovered a golf-ball sized tumor in her left breast. She had no family history of the disease.

Be f o re

“To deservgeive them the s well re , I have to m ervice and r a sted an d focuske sure I am heesults they ed,” - AM a y Blacklthy,

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“I didn’t miss having nipples,” Zelenko remembers. “I had an awesome plastic surgeon, and I was just kind of glad I was here—you know, alive.” But during a shift at her job at a J. Crew store, a customer who was also a friend and fellow cancer survivor took her into a fitting room and showed off her nipple tattoos. “I walked out of that fitting room and called Amy,” she says. In September 2014, Zelenko and her husband, Rich, went in for an hour-long session with Black, which her health insurance agreed to cover. “I have a pretty high tolerance for pain, and I’m not sure I have a lot of sensation in the reconstructed areas,” she notes. “It felt like a little pin prick at first, but then it didn’t feel like anything.” Over the next 10 days, the tattoos gradually lightened in color, scabbed up and healed as expected and turned out even better than she’d hoped. “I always say, ‘I have a Picasso, but I can’t really show it to anyone,’” she says. She cracks jokes about her new nipples, too: “You don’t care if you’re cold anymore.” Zelenko later returned to Black’s studio to have a snowdrop flower—a symbol of hope—tattooed over the scar from her chemotherapy port. CONTINUED ON PG. 57

BARBARA MONTEITH | EXTRA

Barbara Monteith B

Alzheimer’s Caregiver WRITTEN BY MARIE ALBIGES

arbara Monteith got over the stigma of Alzheimer’s a long time ago. “I don’t have time for that,” she says with a smile while nursing a coffee, explaining it wasn’t hard for her to admit her mother was slowly losing her mind. As the primary caregiver for her 88-year-old mother Lavina Gresham—and the mother of two teenagers—Monteith says she is part of the “sandwich generation.” “I constantly juggle, ‘Should I quit my job and spend every day with mom? Should I convert my house so that she can come and live with me?’ There’s always that struggle between ‘Am I spending enough time with my mom, am I spending enough time with my kids?’” she says. The Williamsburg, Virginia, resident

began hearing stories about her mother’s odd behaviors—like buying two or three jars of tomato sauce every time she went to the store or forgetting how to turn on the car—from her father about two years before the official diagnosis. “Things my dad would tell me would set up red flags,” she says. When her mother was diagnosed with the most common form of dementia eight years ago, Monteith began doing research. She and her father didn’t know much about Aricept, the drug Gresham was prescribed by her doctor, so Monteith reached out to her local chapter of the Alzheimer’s Association, where she was offered literature, advice and support. When her father died suddenly in 2010, Monteith became the sole caregiver for her mother, who still lived in Richmond, Virginia, at the time.

“I suddenly was in charge,” she says, explaining her three siblings—although sympathetic—did not take on as many of the caregiving responsibilities. “We see that over and over again in families that there’s usually one sibling, one child that steps up to the plate,” she says. When the responsibilities became overwhelming, Monteith quit her job at a local nonprofit to care for her mother full-time. “Unfortunately that happens a lot,” she says, explaining many caregivers have to cut back on hours or quit working completely. After finding support with the Williamsburg chapter of the Alzheimer’s Association, she took on a part-time job with the local chapter, which eventually led to a full-time job as a development specialist for the organization. Monteith says the job has worked out well, as her superiors understood when emergencies with her mother forced her to miss work. In December 2012, after her mother sprained her ankle and received a third-degree burn from spilling hot tea on herself, Monteith realized it was no longer safe for her mother to live at home by herself with limited care, so she moved her to an assisted living community in Williamsburg. “We realized she had come to the point where she needed 24/7 care,” Monteith says. Monteith now visits her mother once or twice a week in her assisted living home, talking to her, playing music—hits from “her era,” like Frank Sinatra and Perry Como—and taking her for walks outside. Her mother doesn’t recognize her as a daughter, but knows her as a friendly face, a companion. Despite the stress and the emotional toll that comes with being a caregiver, Monteith says sharing her story has brought her insight and helped other Alzheimer’s patients and caregivers. “People with Alzheimer’s lose the ability to speak for themselves,” she says, explaining someone has to become an advocate for them. Monteith recognizes the most important part of being a caregiver—making sure to care for herself. She credits her husband as a great support system for her, and said speaking with other caregivers has helped her realize she is not alone. “Educating myself was huge,” she says. “Do as much research as you can. Use support groups, talk to other caregivers. You have to take care of yourself.”

thehealthjournals.com | 25

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Breast Health

Update FALL 2015

Death rates from breast cancer have been declining since about 1990, in part due to better screening and early detection. Belinda Risher, RN, BSN, MS Breast Cancer Nurse Navigator

ccording to the American Cancer Society there are over 2.8 million breast cancer survivors in the United States. What you should know, too, is that breast cancer is not the death sentence that it used to be. When caught early, it can be treatable.

What is Breast Cancer? As with most cancer, breast cancer starts with one genetically abnormal cell, which divides and multiplies to become a mass of abnormal cells. About 5-10 percent are caused by a gene mutation that is inherited from a parent. The other 85-90 percent are acquired gene mutations that may result from chemicals or high dose radiation, but the cause is mostly unknown. We do know that getting older and being female are the two biggest risk factors— two things that unfortunately we can’t change. A healthy female breast is made up of 12–20 sections called lobes. Each of these lobes is made up of many smaller lobules, the gland that produces milk in nursing women. Both the lobes and lobules are connected by milk ducts, which act as stems or tubes to carry the milk to the nipple. These breast structures are generally where cancer begins to form. About 80 percent of breast cancers begin in a milk duct and 10 percent begin in the lobules. The other 10 percent originate from mucinous, medullary, papillary or tubular tissue. There are two main types of breast cancer, noninvasive and invasive. Noninvasive breast cancers are those that are confined inside the milk duct

or lobule. While not life threatening, these types increase the risk of later developing an invasive breast cancer. Invasive breast cancers have spread beyond the duct or lobule and have the potential to spread away from the breast. Breast cancers are further classified by unique receptors, particularly estrogen, progesterone and a protein called Her-2 neu. Normally these healthy chemicals of the body serve important functions, but when a cell becomes cancerous these chemicals can accelerate the growth of breast cancer tumors.

How is Breast Cancer Treated? Treatment for breast cancer involves a combination approach involving surgery, medicine and radiation therapy. Some people may receive only one or two of those treatments, depending on several factors specific to their particular cancer. In the early 20th century, the standard surgical approach to therapy for breast cancer was removing the breast tissue, the underlying muscle and a bulk of the lymph nodes in the armpit. This procedure severely disfigured the chest, weakened the arm and led to other troublesome side effects. Today, surgery continues to be one of the mainstays of treatment and fortunately has become much less disfiguring. Most women with breast cancer now have the primary tumor removed with a lumpectomy, an outpatient surgery where mainly the cancerous tissue is removed, leaving the remainder of the breast intact. If a lumpectomy is performed, some type of radiation therapy is almost always offered to help decrease the

chance of a local recurrence. In addition to surgery and radiation, medicines play a huge role in breast cancer treatment. Chemotherapy drugs are very useful against some breast cancers. Large tumors, lymph node involvement and tumors that are not receptive to hormones, will most likely receive intravenous chemotherapy. Targeted therapy is a newer type of cancer treatment that more precisely identifies and attacks cancer cells, usually while doing little damage to normal cells. Breast cancers that are receptive to estrogen may be treated with edocrine therapy, oral medications that block either the uptake or the production of estrogen in the body. Without estrogen, a cancer cell’s growth may be controlled and the risk that the cancer will return may be reduced. It may be given before surgery to shrink a large tumor, or it may be given after surgery to prevent the cancer from coming back. This type of therapy is a long-term commitment, it’s taken for 5-10 years, but results are so promising that it is worth the endeavour. In recent years we have seen a gradual reduction in female breast cancer incidence rates among women aged 50 and older. And death rates from breast cancer have been declining since about 1990, in part due to better screening and early detection, increased awareness and continually improving treatment options. There is still work to be done to conquer this disease, but thankfully progress is being made!

thehealthjournals.com | 27

Special Section

Coconut Almond Energy Bites Ingredients The Dish: 1/2 cup almond butter (or nut butter) 1/2 cup protein powder 3 tablespoons maple syrup or honey 1/8 teaspoon salt Optional: 1/2 cup coconut flakes, nuts, or cocoa nibs

Directions YIELDS 18–24 BITES

1. Add almond butter, protein powder, maple syrup, and salt to mixing bowl. 2. Stir ingredients until combined and come together to form a large ball. 3. Portion and roll into small bite-sized balls with your hands. 4. Optional: Roll in crumb-size coconut flakes or topping and press into dough, to get crumb-size topping, first chop or grind in food processor. 5. Place in freezer for 15–30 minutes. 6. Serve and enjoy immediately! *Note: Choose ingredients that are organic, no sugar added, natural, and without artificial additives, colors or flavoring

American Cancer Society

Screening Guidelines Reminder #1

Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health.

Reminder #2

Clinical breast exam (CBE) about every three years for women in their 20s and 30s and every year for women 40 and over. 28 | thehealthjournals.com

7. Seal and store in fridge for up to 1 month. Enjoy!

Reminder #3

Women should know how their breasts normally look and feel and report any breast change promptly to their health care provider. Breast self-exam (BSE) is an option for women starting in their 20s.

Reminder #4

Some women–because of their family history, a genetic tendency or certain other factors—should be screened with MRI in addition to mammograms. (The number of women who fall into this category is small: less than 2 percent of all the women in the U.S.) Talk with your doctor about your history and whether you should have additional tests at an earlier age.

Special Section

MALE

understanding

BREAST CANCER When hearing about breast cancer most people immediately think about women, but men can and do get breast cancer. It’s pretty rare, less than 1 percent of all breast cancers diagnosed are in men. And although it can occur at any age, it is typically seen between the ages of 60-70.

How Does Breast Cancer Begin in Men? Everyone is born with a small amount of breast tissue. Breast tissue is made up of fat, milk-producing glands (lobules) and ducts that carry milk to the nipples. Women begin developing more breast tissue during puberty and men do not. Because men are born with a small amount of breast tissue, they can develop breast cancer. Although certain risk factors may increase a man’s chances of developing breast cancer, the cause of most breast cancers in men is unknown. Some men inherit mutated genes from their parents that increase the risk of breast cancer. Mutations in one of several genes, especially a gene called BRCA2, increase the risk of developing breast and prostate cancers. The normal function of these genes is to help prevent cancer by making proteins that keep cells from growing abnormally. But if they have a mutation, the genes aren’t as effective at protecting you from cancer. Meeting with a genetic counselor and undergoing genetic testing may determine whether you carry gene mutations that increase your risk of breast cancer.

Know the Symptoms Signs and symptoms of male breast cancer can include: • A painless lump or thickening in your breast tissue • Changes to the skin covering your breast, such as dimpling, puckering, redness or scaling • Changes to your nipple, such as redness or scaling, or a nipple that begins to turn inward • Discharge from your nipple

Can Male Breast Cancer Be Prevented? Maintaining an ideal body weight and limiting or restricting alcohol intake are two proactive steps to decreasing breast cancer risk. But since the causes of breast cancer are really unknown, there is no sure fire way to prevent it.

Treatment for Male Breast Cancer Treatment for males is generally the same as for women with breast cancer. Surgery and radiation are local therapies that treat the tumor at the site without affecting the rest of the body. Systemic therapies, such as hormone therapy and chemotherapy, are medications that are taken by mouth or directly into the blood stream to reach cancer cells in any area of the body. A combination of local and systemic therapies are chosen based on the stage of disease, tumor characteristics and overall health of the individual. As with women, men diagnosed with breast cancer at an early stage have a good chance for cure! Unfortunately, many men do not know that they can develop breast cancer and delay seeking medical care when they notice unusual symptoms. They may not think a change is important or may be embarrassed to say anything. For this reason, many men are diagnosed with more advanced disease.

Do Men get Mammograms? The rate of male breast cancer is so low that routine screening with mammograms is not recommended for men. It is important for men to seek a medical consult if they notice any of the signs and symptoms of breast cancer. Then, a mammogram and ultrasound of the breast may be ordered for evaluation. So, be aware of your body. The majority of men with breast cancer present with a lump they can feel. Look and feel for any changes and report them right away. Early detection is the key to survival!

thehealthjournals.com | 29

Special Section

Breast Health at Every Age

A woman’s lifetime risk of breast cancer is approximately 1 in 8. Early detection through screening mammography has been proven to decrease a women’s chance of dying from breast cancer by 30 percent. Along with annual mammograms, there are many healthy habits you can start which will help reduce your risk of breast cancer.

In your 60s

In your 70s

You’re not done with screening! The average age of a woman who receives a breast cancer diagnosis is 62, which is why these women need to be extra diligent about annual screening mammograms, clinical breast exams and maintaining a healthy lifestyle. Report any changes in appearance or feel of your breasts to your doctor.

Mammograms should be continued regardless of age, according to the American Cancer Society, as long as you don’t have serious chronic health concerns such as congestive heart failure, end stage renal disease, COPD and moderate or severe dementia. Your risk of breast cancer continues to rise each decade, so now is NOT the time to stop screening if you are in good overall health.

Risk of developing an Invasive Breast Cancer is 1 in 29.

Risk of developing an Invasive Breast Cancer is 1 in 26.

In Your 20s & 30s This is the time to become familiar with the look and feel of your breasts. Start performing monthly self-breast exams. Watch for new lumps, swelling, nipple retraction (turning inward) or dimpling of the skin. Report any changes to your doctor immediately. Find out about your family history of breast and ovarian cancer. Women are at higher risk of breast cancer if they have one or more first-degree relatives with these diseases. If you have a strong family history of the disease, then you should talk to your doctor about genetic screening and breast MRIs. No family history? All women are still at risk. Seventy-five percent of all breast cancers are diagnosed in women without any family history of the disease. Risk of developing an Invasive Breast Cancer is 1 in 228.

In Your 40s Now is the time to start with yearly mammograms. The American Cancer Society recommends that women at age 40 should begin to have yearly mammograms. 1 in 6 breast cancers will occur in women aged 40-49. So this is not the time to delay that mammogram appointment. Continue to stay familiar with your body and report any changes to your doctor who should now be performing a yearly clinical exam. Risk of developing an Invasive Breast Cancer is 1 in 69.

Since your risk of breast cancer rises as you get older, maintaining a healthy diet and active lifestyle is important throughout your life. In fact, this is not only good for overall breast health, but will also reduce the risk of other cancers and chronic diseases.

Sentara Williamsburg Comprehensive Breast Center | Women’s Imaging Pavilion 400 Sentara Circle Williamsburg, VA 23188

Women’s Imaging Pavilion at New Town

Phone: (757) 594-1899

Risk of developing an Invasive Breast Cancer is 1 in 43.

Although there is nothing that will prevent breast cancer, there are things that you can do to decrease your risk. • Begin annual mammograms at age 40. • Maintain a healthy weight. • Eat a diet of whole grains, fruit and vegetables. • Stay away from fat and refined sugars. • Limit alcohol consumption to less than one drink per day. • Quit smoking. • Engage in regular physical activity.

SATELLITE OFFICES

Dorothy G. Hoefer Comprehensive Breast Center | Sentara Port Warwick 11803 Jefferson Avenue, Suite 130 Newport News, VA 23606

Keep it up! Continue annual screening mammograms and clinical breast exams. As menopause hits, the risk of developing breast cancer rises. Report any changes in appearance or feel of your breasts to your doctor. Some good news: since your breast are fattier now, mammography is better at detecting breast cancer.

At every age

COMPREHENSIVE BREAST CENTERS

Phone: (757) 345-4024

In Your 50s

(SCREENING MAMMOGRAMS ONLY)

4374 New Town Avenue Williamsburg, VA 23185 Phone: (757) 345-4024

Gloucester Imaging Center 5659 Parkway Drive Suite 130 Gloucester, VA 23061 Phone: (804) 210-1070

Sentara CarePlex Hospital 3000 Coliseum Drive Hampton, VA 23666 Phone: (757) 594-1899

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.

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METTLE EVENTS PRESENTS A GREAT HOLIDAY TRADITION

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FOOD | FOOD & NUTRITION

HEARTY & HEALTHY

FALL MEALS

WRITTEN BY SHAWN RADCLIFFE

hen the first brisk fall morning arrives, your body starts craving warm and hearty meals to get you ready for winter. And at this time of year, there’s no shortage of healthy comfort foods, even for vegetarians. Think seasonal—potatoes and sweet potatoes, squash, carrots and other root vegetables. But also earthy greens like kale and collards. All mixed together with warming spices and served hot on your plate or deep in your bowl. The possibilities for vegetarian comfort foods are endless. But two of our Health Journal regulars offer their own delicious meals to enjoy by a warm fire with a cup of spiced apple cider.

Toasted Tempeh and Succulent Fall Vegetables BY CAROLINE FORNSHELL, REGISTERED DIETITIAN AND FOUNDER OF LWELL IN YORKTOWN, VIRGINIA

Ingredients

Marinade for tempeh 1. Whisk together the liquid aminos (or soy sauce) and half the garlic and ginger. 2. Add the tempeh strips and marinade for 30 minutes.

Roast cauliflower 1. Preheat oven to 375 F.

1 package of tempeh, sliced in 1- to 2-inch strips

2. Spray cauliflower steaks on both sides with coconut oil. Sprinkle both sides with smoked paprika. Arrange in a single layer on baking sheet.

1 bunch of fresh spinach or chard

3. Bake for about 30 minutes or until tender.

4 teaspoon minced garlic 4 teaspoon minced ginger 1 tablespoon sesame seeds 3 tablespoon liquid aminos or low-sodium soy sauce 1 head of fresh cauliflower, sliced into 1-inch “steaks” 2 carrots, cut into spirals with a julienne peeler 1 tablespoon chopped green onions, for garnish Coconut oil spray Smoked paprika

Roast tempeh 1. Lightly spray baking sheet with coconut oil. 2. Arrange marinated tempeh in single layer on sheet and sprinkle with sesame seeds. 3. Bake for about 30 minutes, turning tempeh over halfway through.

Prepare greens 1. Add 1/4 cup of water to a stock pot with the rest of the ginger and garlic. Whisk together and heat over medium. 2. Remove the large veins and stems from the washed greens. Put greens and carrot spirals in the pot. 3. Stir frequently. Take care not to let leaves sit on the bottom of a dry pot, adding a splash of water as needed. 4. Cook for 3 to 5 minutes. Leaves should still have some firmness, but will be warm and moist.

Assemble meal 1. Place a cauliflower steak on a plate and layer greens on top. 2. Assemble tempeh on top of greens and garnish with green onions.

32 | thehealthjournals.com

White Bean and Kale Stew BY JILL WEISENBERGER, REGISTERED DIETITIAN AND AUTHOR OF THE OVERWORKED PERSONâ&#x20AC;&#x2122;S GUIDE TO BETTER NUTRITION

Ingredients 2 tablespoon olive oil 1 large onion, diced 6 medium to large carrots, chopped 3 garlic cloves, crushed or chopped 1 teaspoon paprika 1/2 teaspoon cumin 1/2 teaspoon coarse black pepper

1. Heat the oil in a large pot over medium heat. Cook the onions and carrots until soft, about 5 minutes. Stir to prevent sticking. Add the garlic and stir about 30 seconds. 2. Add the paprika, cumin, black pepper and red pepper flakes. Stir. Add 4 cups broth and the beans. Cover and bring to a boil. Reduce the heat and simmer 10 minutes. 3. Add the kale. Return to a boil. Reduce the heat and simmer uncovered for 15 minutes.

1/4 teaspoon red pepper flakes

4. Remove from the heat. Add the lemon juice and stir. Add the additional cup of broth for a thinner stew if desired.

2 15-ounce cans Great Northern beans, drained and rinsed

5. Pour into individual bowls. Top each bowl with a large dollop of Greek yogurt.

4-5 cups vegetable broth 6 ounces kale, washed and chopped 1 large lemon, juiced Nonfat Greek yogurt

FOOD | FLAVOR

HOW DO YOU LIKE

THEM

APPLES?

WRITTEN BY KIMBERLEY CUACHON HAUGH

THE FDA HAS APPROVED TWO TYPES OF APPLES THAT WILL NOT BROWN. AND YOU CAN EXPECT THEM IN YOUR GROCERY STORE NEXT YEAR.

or years, lemon juice has been my saving grace to keep sliced apples from oxidizing. Up until recently that is, when my 1-year-old deemed its taste unacceptable. Sucking all the air out of zip-lock bags manually with a straw has been my newest solution. According to Canadian-based fruit company Okanagan Specialty Fruits (OSF), they have a solution: nonbrowning apples, specifically Granny Smith and Golden Delicious, called Arctic apples.

34 | thehealthjournals.com

Crock-pot Ratatouille

OSF discovered that apples brown when the fruit’s phenolic compounds react with oxygen. This oxidation process is driven by polyphenol oxidase (PPO), an enzyme. When the apple’s cells are ruptured—for example, by bruising, biting or cutting—the browning reaction begins when PPO found in one part of the cell is able to react with phenolic compounds found elsewhere in the cell. Through genetic engineering, OSF was able to produce an apple with little or no PPO enzyme. In short, OSF apples won’t brown. But what does a genetically modified Arctic apple mean for our health? Are they safe? After two decades in the making, Arctic apples may be among the most researched fruits. The truth is, Arctic apples are no different from any other apple—that is until they are cut into or bruised. While Arctic apples’ non-browning trait may seem superfluous at a glance, it actually presents many advantages. According to USDA Economic Research Service, around 50 percent of consumers’ food dollars are spent in the food service arena, which requires products that are low-maintenance, are ready when needed and provide bang for the buck. And apples are hardly represented there. Few fresh cut apples are available on fruit plates, in salads, in cafeterias and on airplanes primarily because of their browning issue. Anti-browning treatments are costly and often add an aftertaste to the apples. Arctic apples will now allow apples to be conveniently available to consumers. Through years of surveying, OSF has found that apples are the No.1 produce item consumers would like to see more packaged versions of— namely bagged apple slices. Take the simple convenience of baby carrots. It doubled carrot consumption. While bagged apples wouldn’t be new to the market, ones without any tastealtering preservatives would be. And think of the waste. Apples are among the most wasted foods on the planet, with around 40 percent of what’s produced never being consumed. That’s largely due to bruising and browning. Additional research on Arctic apples shows that since Arctic apples don’t brown, their antioxidants aren’t consumed like they are by apples’ browning reaction—meaning possibly a healthier apple. So, in a time where the demand for convenient and healthier foods has reached exponential growth, perhaps Arctic apples will cause us to no longer ignore the saying of an apple a day.

RECIPE BY RELAY FOODS This season’s top crop of colorful vegetables come together in a deconstructed ratatouille. It is simmered in a tomato sauce, and finished by smoothing over a crusty heel of bread, with melted Parmesan cheese.

INGREDIENTS 3 cups eggplant, cubed 1 small yellow squash, diced 1 small zucchini, diced 1 cup coarsely chopped tomato 1/2 cup coarsely chopped red or green sweet pepper 1/2 cup onion, diced 1 clove garlic, minced 8-ounce can no-salt-added tomato sauce 1/2 teaspoon salt 1/4 teaspoon ground black pepper 1 bay leaf 1 sprig thyme 8 slices baguette, 1/2-inch thick slices 2 teaspoons olive oil 6 tablespoons parmesan cheese, finely shredded

MAKES 6 SERVIINGS • PREP: 15 MINS

PREPARATION • In the crock-pot add, cubed eggplant, dicedyellow squash, diced zucchini, choppedtomato, diced bell pepper, diced onion, minced garlic, tomato sauce, salt, black pepper, bay leaf, and thyme. Stir to combine ingredients. • Secure the crock-pot lid and set to cook on high for 2 to 2 1/2 hours, or low for 4 to 5 hours. • Before serving slice baguette, sprinkle with shredded Parmesan cheese and broil on high for 2 minutes, until the bread is golden brown and the cheese has melted. • Stir chopped basil into the cooked vegetable, and top the toasted baguette slices with the vegetable mixture as desired. Add extra shredded Parmesan cheese on top. Kid-Friendly Prep Suggestions • Boil up some pasta and stir in the vegetable mixture for a vegetable and spaghetti night. Leftover Suggestions • Mix the leftover vegetable mixture in with pasta or whip up a minestrone soup.

2 tablespoons fresh basil, chopped

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FOOD | HERB-N-GARDEN

Quinoa Tabbouleh

with cinnamon

Ingredients 1 cup red quinoa, rinsed well 1/2 teaspoon kosher salt (add to taste) 2 tablespoons fresh lemon juice 1/2 cup extra-virgin olive oil Freshly ground black pepper 1/2 teaspoon ground allspice 1/2 teaspoon ground cinnamon 1 pint cherry tomatoes, halved 2.5 cups chopped flat-leaf parsley 1 cup chopped fresh mint 3 scallions, thinly sliced

Preparation Cook quinoa according to package instructions. Fluff with a fork and allow to cool in a large glass bowl. Whisk lemon juice and olive oil in a small bowl to make a dressing. Add tomatoes, mint, parsley and scallions to bowl with quinoa; toss with dressing. Season to taste with cinnamon, allspice, salt and pepper. 36 | thehealthjournals.com

Italian

F lat-Leaf

Parsley

Innovative treatment equals hope. Your urologic cancer resource. As urologic oncologists, we aim first to give you access to the most advanced care available. Dedicated to cancer research, the latest in clinical trials and minimally invasive laparoscopic surgeries, Urology of Virginia’s Paul F. Schellhammer Cancer Center specializes in the most innovative and comprehensive treatment in the areas of prostate, kidney, bladder and testicular cancers, because we know that when faced with oncology care, there’s no one type of cancer that is more personal than yours.

RECIPE COURTESY OF THE AMBER LANTERN RESTAURANT Spruce up your dinner with this wonderful vegetable dish as a hearty side or a colorful entrée. INGREDIENTS 4 ounces Bok Choy (Chinese Cabbage), cut vertically into quarters

MAKES 4 SERVINGS

PREPARATION

4 ounces baby carrots, cut julienne

• Fill a large bowl with ice water. In a stock pot, blanch carrots, asparagus, greenbeens and bell peppers in boiling water for 1 minute, then cool down in ice water.

4 ounces asparagus, cut julienne

• In a pan, sauté garlic in olive oil on medium high for 30 seconds.

4 ounces Haricot Verts (French green beans)

• Then add the tarragon, thyme, rosemary, basil, soy sauce, salt and pepper to the sauté.

2 ounces red or yellow bell pepper, cut julienne

• Add blanched vegetables and Bok Choy and sauté on medium high for 1 1/2 minutes,

1/2 ounce fresh chopped garlic 1/2 ounce olive oil 1/4 ounce fresh chopped tarragon 1/4 ounce fresh chopped thyme 1/4 ounce fresh chopped rosemary 1/4 ounce fresh chopped basil 1/2 ounce soy sauce 1/4 teaspon salt 1/2 teaspon black pepper

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

Super Vegetable Sauté

To make an appointment, call 757.457.5177 225 Clearfield Ave. | Virginia Beach, VA 23462 | www.urologyofva.net

Saving Saving lives lives is is Saving lives is why we walk. why we walk. Saving lives is why we walk. Saving lives is why we walk. why we walk. HAMPTON ROADS HEART WALKS HAMPTON ROADS HEART WALKS

Virginia Beach Hampton Help fight the #1 and Hampton Virginia Beach Help fight the #1 and Mt. Trashmore Park Peninsula Town Center #5 killers – heart Trashmore Town Center #5 killers – heart O N Mt. RO A D S 10 HPark E9am A R T W A LSaturday, K S Peninsula October at October 17 at 8am disease and stroke. H A M P TSaturday, Saturday, October 10 at 9am Saturday, October 17 at 8am disease and stroke. HAMPTON ROADS HEART WALKS Virginia Beach Hampton Help fight the #1 and Visit www.hamptonroadsheartwalk.org to join or start a team or call (757) 628-2610! Mt. Trashmore Park Town Center Virginia Beach Hampton Help the #1 and www.hamptonroadsheartwalk.org to join or start a team or callPeninsula (757) 628-2610! #5 Visit killers –fight heart Trashmore Peninsula Town Center Saturday,Mt. October 10 Park at 9am Saturday, October 17 at 8am #5 killers – heart disease and stroke. Saturday, October 10 at 9am Saturday, October 17 at 8am disease and stroke. HAMPTON ROAD H or EA R T aW A Lor KS Visit www.hamptonroadsheartwalk.org toSjoin start team call (757) 628-2610! Visit www.hamptonroadsheartwalk.org to join or start a team or call (757) 628-2610!

Help fight the #1 and #5 killers – heart disease and stroke.

Virginia Beach

Mt. Trashmore Park Saturday, October 10 at 9am

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8/12/15 8:41 AM 8/12/15 8:41 AM 8/12/15 8:41 AM

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FOOD | TASTE APPEAL

VEGAN

RECIPE AND PHOTOGRAPHY COURTESY OF CHEF KEYVAN BEHNAM OF LULU BIRDS KITCHEN, GLOUCESTER, VIRGINIA This fresh, creamy slaw has the right amount of crunch and kick—serving as a great accompaniment to any main dish, grilled or fried. INGREDIENTS 3 cups matchstick potatoes, fried

MAKES 4–6 SERVINGS

PREPARATION

7 1/2 cups napa cabbage, shredded loosely, packed

• For the sauce: in a small bowl, combine the mayonnaise, Sriracha, and Mae Ploy sauce. Mix and set aside.

6 tablespoons toasted cashews, crushed

• In a large bowl, combine the matchstick potatoes, cabbage, cashews, apples and sauce from above. Toss all ingredients by hand.

10 tablespoons small, diced apples 3/4 cup sauce (see below)

Sauce 3/4 cup mayonnaise 2 tablespoons Sriracha sauce 1/4 cup Mae Ploy sweet hot chili sauce

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

Keyvan's Coleslaw

Grilled Chicken with Vegetables RECIPE BY THE AMERICAN HEART ASSOCIATION Enjoy this heart-healthy main dish for a weeknight dinner. INGREDIENTS 1 1/2 teaspoons dried basil, crumbled 1 1/2 teaspoons garlic powder 1/4 teaspoon salt 1/4 teaspoon pepper 1 teaspoon grated lemon zest 1 tablespoon fresh lemon juice 2 teaspoons olive oil 4 boneless, skinless chicken breast halves (about 4 ounces each), all visible fat discarded 1 small zucchini, cut lengthwise into slices 1/4 inch wide 1 small red bell pepper, cut crosswise into 4 rings 1/4 small eggplant (about 4 ounces), cut crosswise into 1/2-inch slices Cooking spray

38 | thehealthjournals.com

MAKES 4 SERVINGS

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

RECIPE BY THE AMERICAN HEART ASSOCIATION Here is a heart-friendly option for the everyday meatlover. INGREDIENTS 1 pound flank steak, silver skin and all visible fat discarded Cooking spray Sprigs of fresh cilantro

Marinade 1 medium onion, grated 1/4 cup plus 1 tablespoon fresh lemon juice 2 tablespoons chopped fresh parsley 2 tablespoons grated peeled gingerroot (about 1 1/2 ounces) 2 tablespoons soy sauce (lowest sodium available) 1 tablespoon ground cumin 1 tablespoon chili powder 2 teaspoons olive oil 2 large garlic cloves, crushed or minced 2 teaspoons dry sherry (optional) 1 teaspoon ground turmeric

MAKES 4 SERVINGS

PREPARATION • In a shallow glass baking dish, stir together all the marinade ingredients. Add the beef, turning to coat. Cover and refrigerate for 12 to 24 hours, turning occasionally. • Lightly spray the grill rack or broiler pan and rack with cooking spray. Preheat the grill on medium high or preheat the broiler. • Drain the beef, reserving the marinade. Grill the beef or broil about 4 inches from the heat for about 5 minutes on each side for medium, or to the desired doneness. Transfer to a cutting board and let stand for about 5 minutes. Cut the beef diagonally across the grain into thin slices and arrange on a platter. • Meanwhile, strain the marinade into a small saucepan, discarding the solids. Bring to a boil over high heat. Boil for 5 minutes. Pour the desired amount of sauce over the beef, discarding any extra. Garnish with the cilantro.

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

Sizzling Flank Steak

Mellette PC AT T O R N E Y S AT L AW

Serving Health Care Providers

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

Nathan Mortier Nathan Mortier concentrates on advising clients with regulatory compliance, licensure and certification, investigations, enforcement and litigation,COPNs, and state board licensing and credentialing. Mr. Mortier also has extensive experience in successfully advising and representing individual clients who are being investigated by the licensing boards under the Virginia Department of Health Professions, including the Board of Medicine, Board of Nursing, Board of Dentistry, Board of Long-Term Care Administrators, and other boards. He is a regular contributor of articles to leading health industry periodicals and legal publications. Outside the legal community, Mr. Mortier actively serves on the Board of Directors of Literacy for Life at the Rita Welsh Adult Literacy Center. He is also a member of the LEAD Historic Triangle Class of 2015. Mr. Mortier lives in Williamsburg with his wife, Jennifer, and his three children.

1 teaspoon dried oregano, crumbled 1 teaspoon pepper

428 McLaws Circle, Suite 200 Williamsburg, VA 23185

(757) 259-9200

www.mellettepc.com

YOUR HEALTH | YOGANATOMY

Tree Pose

sanskrit: Vrksasana ❥ WRITTEN BY SAPTA YIN, ACSM, RYT 200

❥ PHOTO BY BRIAN FREER

ready? Begin standing, palms open by side. With shoulders rolled back, breath into an open heart. With an exhale, shift your weight into your left foot and spread five toes evenly. With an inhale, raise both hands to the sky— palms facing one another. Feel all 10 fingers spread wide with an inhale to gather the breath into the core. With an exhale, raise your right foot to the inside of your left leg. Your toes can tiptoe on the ground—heel resting on the inside of the calf or if it feels available let the heel travel to above the knee joint or the inside of the upper thigh. You can use your hand to help the foot find a resting place, if needed. Take deep breaths here, find a focal point for the gaze and begin to rest into the rooting of the ground foot as you reach into the hands a little bit more. When ready, slowly rest the right foot back to the ground—palms open by side.

Core Activate the abdominal muscles up and underneath the ribcage.

Hands Reach through the palms into the fingers as you root through your ground foot.

Knee

Shoulders

Keep the knee softly bent.

Rolled back and relaxed as hands reach to the sky.

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YOUR HEALTH | FITNESS

Recalibrating Your Body with WRITTEN BY ALONA CASANAVE PHOTOGRAPHY BY BRIAN FREER

ow often do listen to your body? Is it trying to tell you that something is amiss and needs to be addressed? With Pilates, you will learn to listen to and respect your body before those warning signs shout out your discomfort! Pilates is all about moving efficiently while learning correct posture. Good alignment allows the head and neck to move freely with relaxed shoulders and relieves stress on the hips, legs and feet.

Neck Roll This is a very good exercise to release any tension in the neck muscles.

Establish position: Set a neutral spine position. • Inhale: Take a deep breath • Exhale: Gently roll head to the side • Inhale: Repeat on the other side • Exhale: Return to center Repeat 3-5 times

Head Nod This exercise demonstrates how to find the correct position for the head and neck so there is no straining the neck when curling up off the floor.

Establish position: Set a neutral spine position. • Inhale: Take a deep breath • Exhale: Lengthening through the back of the neck, slightly dropping the chin • Inhale: Take a deep breath and return to neutral position • Exhale: Tilt the head back in a small move • Inhale: Return to center Repeat 3-5 times

42 | thehealthjournals.com

FITNESS | YOUR HEALTH

PILATES Single Leg Stretch/ Hands on the Knee

Criss Cross

This is the most basic torso stability exercise of the Pilates method. The challenge begins when reaching out one leg at a time without moving the torso. This is an abdominal exercise not a neck exercise. Do not lose abdominals engagement, and a maintain stable position with the feet at the same height throughout.

This exercise builds abdominal strength with emphasis on the obliques. It also teaches how to rotate the trunk through the waist area. Keep feet at the same height throughout. Maintain a stable position with the height of the feet eye-level throughout.

Establish position:

Lying supine, place legs in the table top position (90 degree knees and hips), knees bent, with one hand on the knee and the other on the heel. Keep the lower back on the mat and gently roll your head and shoulders up so you are looking at the thighs. • Inhale: No movement • Exhale: Straighten one leg, hand on the bended knee

Lying supine, place legs in the table top position (90 degree knees and hips). Interlace the fingers and place behind the head without pulling. Keep the lower back on the mat and gently roll your head and shoulders up so you are looking at the thighs. • Exhale: Rotate on the side with wide open elbows toward the bent knee, other leg straightens • Inhale: Return to center and change the leg

• Inhale: Switch the leg

• Exhale: Rotate on opposite side with wide open elbows toward the bent knee, other leg straightens

• Exhale: Straighten the other leg

• Inhale: Return to center and change the leg

Repeat 5-8 times on each leg.

Repeat 5-8 times on each leg. thehealthjournals.com | 43

YOUR HEALTH | FAMILY

OVERPROTECTIVE

PARENTING

arents protecting their child from harm is a natural instinct. But how much is too much that it stifles the child’s emotional and intellectual growth? The term helicopter parent was coined several years ago. It refers to a parent who constantly hovers over their child physically, emotionally and mentally. Another term is overprotective parent, says Dr. James Paulson, a clinical psychologist and associate professor at Old Dominion University. While these parents may think they are helping their child, Paulson warns an overprotective parent can squash their child’s autonomy. In the case of a young child or toddler, Paulson says it is OK to let them explore a bit, get a bruise even, as long as they are not in extreme danger. “It can be stressful for both the parent and child when the child is not allowed to explore their world. If they don’t get to then they don’t learn,” Paulson says. A parent can be considered overprotective if they constantly give directions to the child

44 | thehealthjournals.com

How much is too much? WRITTEN BY SUSAN SMIGIELSKI ACKER

on how to handle situations. Dr. Velma Bacak, child and adolescent psychiatrist with Churchland Psychiatry Associates in Portsmouth, Virginia, says it is excellent for parents to be involved in their children’s lives and provide structure, but being too involved can cause many problems. “There is such a thing as being involved too much. Parents should not feel that if they don’t protect them or always remind them then something will happen,” Bacak says. For instance in the case of a school-aged child, they should be allowed to schedule their social life within certain guidelines, Bacak says. Once a child is older, around age 8, it is important for parents to back off a bit and allow them to do more on their own, Paulson says. “This is a time to provide support when needed, such having trouble with homework. But don’t give help if they don’t need it,” Paulson says. Bacak agrees. “Overall if the child is thriving then parents should only help if the child needs it,” she says. Children need to learn to deal with stress

and painful situations, if a parent is always doing for them or handling their schedule and social life, then they will not be able to handle those situations as adults, Bacak says. “That will also cause them to lack self-confidence both as an older child and an adult. Parents who keep their kids in a bubble end up with adult children who may harbor some underlying resentment,” Bacak says. However, Paulson cautions that parents should not be neglectful. He recommends letting children know you are there if they need help. Another way parents can be overprotective is in dealing with the real world and outside influences such as never having a child ride the school bus to school. “Children need to learn how to handle the outside world. If they are shielded all the time, then they never really know how to handle the outside world as adults. This doesn’t mean they shouldn’t take precautions, but they will never learn those precautions if not given the chance to explore on their own,” Paulson says. Exploring situations on their own is an important part of child development, Bacak says.

FAMILY | YOUR HEALTH

“Children need to learn that they can take care of themselves in certain situations or they will always think someone will take care of them.” Bacak says for instance, giving children certain household chores is a way for them to learn on their own and develop living skills. “Helping with mowing the lawn and helping with the laundry actually increases self-esteem, even if they complain about it. If they don’t have access to doing chores, then that can be problematic in adult life,” Bacak says. Michelle Pryon, a parent educator at Children’s Hospital of The King’s Daughters, says if a parent is always swooping in to fix their child’s problems, they could be setting their children up to be very vulnerable as teens and adults. “Children need to learn that they can take care of themselves in certain situations or they will always think someone will take care of them. There is a difference from normal protection, such as giving them shelter, versus not ever letting them experience failure or stress,” Pryon says. One way parents—who might feel as though they’re being overprotective—can ease their anxiety is to slowly step back from certain situations involving their child, Paulson says.

Bacak adds it is important “not to swing back and forth on the child” when it comes to protecting them. Bacak suggests that parents should instead provide a certain amount of quality family time. “Making small changes is easier for both parent and child,” Paulson says. “In preschool years, parents might allow children to make smaller decisions, such as meal choices and some activities. They should move to giving school aged children more responsibilities such as taking care of some of their own needs, like decisions around play. Finally, letting preteens and teens more completely take the lead. The key with all of this is knowing the child and parenting according to that child’s needs and strengths.” Fostering autonomy in children is more about being sensitive to where they are developmentally and responding accordingly, Paulson says.

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YOUR HEALTH | OUTDOORS

Frisbee Anyone? WRITTEN BY STEPHEN SOWULEWSKI

re you ready to turn up the volume on a game of Frisbee? According to the Wall Street Journal, “Ultimate Frisbee combines speed, grace and powerful hurling with a grueling pace.” The sport spawned from a college student named Joel Silver who proposed a school Frisbee team in 1968. Then Silver and fellow students got together to play what is claimed to be the “ultimate game experience.”

How to play

Known simply as Ultimate, this game is played with a disc on an outdoor field. As stated on the Disc Ace website, two teams are comprised of seven players and play commences when one team throws or “pulls” the disc to the other team standing at the opposite end of the field. The player with possession of the disc cannot run (they have two steps to stop). The disc is then passed from one teammate to the next in order to progress down the field. If a defender knocks down the disc and it touches the ground, the possession of the disc is turned over to the opposing team and they play it from where the disc landed on the field. As in American football, an opponent can intercept a pass whereby the defensive team immediately becomes the offense and tries to progress the disc down the field in the opposite direction of their opponent in an attempt to score.

46 | thehealthjournals.com

A point is earned once a player catches the disc in the end zone. The scoring team then pulls the disc to the opposing team, now on the opposite end of the field.

Where to play Tidewater Ultimate (tidewaterultimate.org) is an ultimate league with games connecting players in Norfolk, Virginia Beach, Suffolk, Chesapeake, Portsmouth, Hampton, Newport News, York County and Williamsburg. MeetUp (meetup.com) is an online community that allows players to connect with and join other teams and clubs in the area.

OUTDOORS | YOUR HEALTH

TOP 10

Top 10 Basic Rules of the Game from USAUltimate.org

• The Field — a rectangular shape with two end zones. • Initiate Play — each point begins with both teams lining up on the front of their end zone line. The defense throws (“pulls”) the disc to the offense. A game has seven players per team. • Scoring — a point is earned each time the offense completes a pass in the defense’s end zone; play then resumes after each score. • Movement of the Disc — the disc may be advanced in any direction by completing a pass to a teammate. Players may not run with the disc. The person with the disc (“thrower”) has ten seconds to throw the disc • Change of possession — when a pass is incomplete (i.e. out of bounds, disc is dropped or blocked) • Substitutions — Players not in the game may replace active players after a score and during an injury or timeout. • Non-contact — No physical contact is allowed between players. A foul occurs when contact is made. • Fouls — when a player initiates contact on another player. When a foul disrupts possession, the play resumes as if the possession was retained. If the player committing the foul disagrees with the foul call, the play is redone. • Self-Refereeing — Players are responsible for their own foul and line calls. Players resolve their own disputes. • Spirit of the Game — Ultimate stresses sportsmanship and fair play.

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YOUR HEALTH | AGING WELL

“I

Chiropractic Care Healthy Aging WRITTEN BY DR. DANIEL SHAYE

’m waiting for someone to call these my Golden Years, so I can beat the stuffing out of them,” a senior recently told me. Aches, pains and disability can suck the joy out of life. Chiropractors serve an important role in helping seniors stay active, without over-reliance on medication or surgical intervention. The Centers for Disease Control and Prevention (CDC) links impaired mobility and physical decline to depression, heart disease, several cancers and injuries. One survey showed 14 percent of men and 23 percent of women with Medicare could not walk to to three blocks. Difficulty kneeling, reaching overhead or lifting 10 pounds are also common. Impaired mobility is linked to: • Arthritic joint changes. Arthritis is analogous to rust, and rusty or worn-out joints are painful. Pain inhibits function, which accelerates disuse and misuse arthritis. • Obesity. Excess weight overloads joints, accelerating arthritic joint changes. • Weakness and muscle atrophy. Though some seniors avoid stairs due to pain, many seniors are also weak. Age and disuse-related muscle loss means less ability to move, walk and lift. • Loss of proprioception. Proprioception is the ability to coordinate the body’s motion through sensing the body’s parts and their proper, interrelated function. A loss of strength, balance and control is typical as our proprioception declines. Many people still think of chiropractors as spine specialists, though doctors of chiropractic (D.C.) are thoroughly trained in spinal mechanics and spinal manipulation (chiropractors prefer the term “adjusting”). These doctors are trained in diagnosis, treatment and prevention of diseases of the entire neuromusculoskeletal system. They are also trained in lifestyle interventions (diet, exercise, ergonomics). This means that for many conditions involving spines, knees, hips, shoulders, muscles, ligaments and tendons, a D.C. is a valid option. While providerdependent models clearly aren’t producing the quality of life that American seniors deserve and demand, chiropractors are stepping up to fill the needs of an aging population. A 2014 study suggested that for seniors, chiropractic care provides a “protective effect” against 1-year declines in function and self-reported health. Consistent with other studies, these seniors had high satisfaction with the care and education they received from the chiropractic doctor. As our population ages, we would be wise to integrate chiropractic care into a central role in promoting quality and quantity of life for all.

48 | thehealthjournals.com

AGING WELL | YOUR HEALTH

Case Study:

Unsteady Senior

A senior presents with low back pain. She walks with a widened, unsteady gait and is fearful of falling. Her chiropractor performs a physical examination and takes a complete history, including requesting prior X-rays and an MRI from her doctor. The chiropractor determines that there are joints in the low back that are not moving properly, and adjusts them by hand. The chiropractor begins doing in-office and home-based balance and stability training to improve proprioception, strength and control; and also provides home-based suggestions and exercises. Three acupuncture sessions are added for the right knee, which has X-ray documented arthritic changes. The patient also learns about non-drug, dietary ways to minimize inflammation. After four weeks of care, the patient is walking with more confidence, and generally moves with more poise and grace. She reports improved ability to walk up to a half mile, and is more confident getting up from a chair. She also reports her back pain is minimal, and she has not taken ibuprofen or Tylenol in three weeks.

Fellowship Trained Specialty Surgeons Dr. Paul Maloof finished his undergraduate work at Tufts University. He attended New Jersey Medical School, where he served as Administrative Chief Resident in one of the busiest level one trauma centers. He completed his fellowship training in Foot & Ankle Surgery at Duke University. Dr. Maloof brings innovative treatments to Hampton Roads as the only full-time orthopaedic surgeon in the region specializing in comprehensive complex foot and ankle care. Dr. Jonathan Mason completed his residency training at the University of Virginia and fellowship training at Twin Cities Spine Center in Minneapolis, MN. He brings minimally invasive outpatient spine surgery to Tidewater Orthopaedics and treats spine problems including cervical herniated disc, cervical stenosis, lumbar herniated disc, lumbar stenosis, lumbar spondylolithesis, and degenerative scoliosis.

Colin M. Kingston, M.D. • Robert M. Campolattaro, M.D. • Michael E. Higgins, M.D. Nicholas A. Smerlis, M.D. • Nicholas K. Sablan, M.D. • Paul B. Maloof, M.D. Jonathan R. Mason, M.D. • Loel Z. Payne, M.D.

3000 Coliseum Drive | Hampton, VA 23666

(757) 736-4100

Paul Ma loo f, M.D.

Jonathan Mason, M.D.

YOUR HEALTH | MONEY

Determining Life Insurance

Needs R

obert Bradshaw Jr., understands talking about life insurance makes many people uncomfortable. Although life is priceless, he stresses the importance of talking numbers. “You need to be honest with yourself and do an assessment of who depends on you if you are no longer able to provide for them,” says Bradshaw, president of Independent Insurance Agents of America, an insurance trade organization that has operated in Virginia for more than 100 years.

Even those who already maintain life insurance should reevaluate whether they have enough, based on the findings of a 2013 study by New York Life Insurance Company. Sixty percent of respondents believed they had enough life insurance while only 20 percent actually did, highlighting a vast disparity in perception versus reality amongst policy holders. The facts prompt a difficult question: how much is your life “worth”? That answer, at least for purposes of life insurance, is a combination of your personal financial goals and a balance between need and budget, according to Newport News-based life insurance agent Karen Kennedy. “The amount of insurance could be as simple as enough to cover the burial expenses to providing income for a spouse and any children they leave behind,” she says. “You may discover that the need is greater than your budget will allow.”

50 | thehealthjournals.com

“Many don’t realize that you are insuring your ability to earn a living and support your family’’

How Much Do I Need? According to LIMRA, a trade association that provides research to financial services companies, industry experts suggest households maintain seven to 10 times the primary wage earner’s income. “Many don’t realize that you are insuring your ability to earn a living and support your family, not to mention pay off debts,” says Juli McNeely, president of National Association of Insurance and Financial Advisors, adding that too many policy holders believe a small policy is sufficient.

MONEY & YOUR FINANCIAL HEALTH | YOUR HEALTH

Common Misconceptions I’m single, so it’s unnecessary. “If you are single, don’t think that you are exempt. Your family will have to deal with expenses you may have left after you are gone,” says Kennedy. I’m covered by my employer. “Employersponsored life insurance coverage is often inadequate to protect your family,” says LIMRA. Since employers control such policies, Kennedy adds, “they could easily decide to cut and/or limit benefits, leaving you and your family with very limited financial protection.” Often, she says, these plans are very limited term policies. I’m young and healthy; I don’t need it. “People don’t realize buying life insurance at a young age saves money,” says LIMRA. “The cost will be lower for a young healthy adult. If one buys permanent life insurance, that low rate is locked in for the rest of their lives, even if they become ill.” It’s expensive. “Some don’t realize that term insurance can be more affordable than you might think, especially if you buy when you are young,” says McNeely. Kennedy adds that term life insurance tends to be an affordable option to secure a large debt, such as a mortgage, for a specified period of time. I don’t have an income to protect. “We often find consumers believe that stay-at-home parents don’t need life insurance because they don’t collect a salary,” says LIMRA. “It’s important that people recognize it’s not just income you’re replacing.” In 2014, salary.com calculated the annual cost of a stay-at-home parent’s duties to be just shy of $119,000. While life insurance benefits young, healthy homemakers, Bradshaw strongly recommends life insurance to those with dependents. “The saying, ‘life insurance isn’t for the one who dies, it’s for those who are left behind’ is really a true statement,” he says.

your financial health easing your personal finance concerns How Are Social Security Benefits Taxed? Some people who receive Social Security benefits will have to pay federal income taxes on their benefits: Lump Sum Death Benefit: Income tax free

Photo Credit: Odd Moxie

Retirement, Survivor and Disability Benefits: Income tax free, unless income exceeds a specified base amount.

The base amounts are: • $25,000 if you are single or head of household. • $32,000 if you are married filing jointly. • $25,000 if you are married filing separately and lived apart from your spouse for all of the year. • $-0- if you are married filing separately and lived with your spouse at any time during the year. To find out whether any of your benefits may be taxable, compare the base amount for your filing status with the total of (1) one-half of your Social Security benefits, plus (2) all your other income, including tax-exempt interest. If you are married and file a joint return, you and your spouse must combine your incomes and your benefits to figure whether any of your combined benefits are taxable. Even if your spouse did not receive any benefits, you must add your spouse’s income to yours to figure whether any of your benefits are taxable. If the total is more than your base amount, part of your benefits may be taxable. How much is taxable depends on the total amount of your benefits and other income...the higher that total amount, the greater the taxable part of your benefits. Generally, up to 50% of your benefits will be taxable. However, up to 85% of your benefits can be taxable if either of the following situations applies to you: • The total of one-half of your benefits and all your other income is more than $34,000 ($44,000 if you are married filing jointly). • You are married filing separately and lived with your spouse at any time during the year.

Rusty Woods Advisory Representative

Lincoln Financial Securities Corporation 757-461-1539, ext. 207 Rusty Woods is a registered representative of and offers securities and advisory services through Lincoln Financial Securities Corporation, Member SIPC. Lincoln Financial Securities Corporation is a member of the Lincoln Financial Group which is the marketing name for Lincoln National Corporation and its affiliates. Lincoln Financial Securities and its representatives do not offer task or legal advice. Individuals should consult their tac or legal professionals regarding their specific circumstances. LFS-1298978-091115

specialthehealthjournals.com advertising section | 51

YOUR HEALTH | MIND MATTERS

Using Care

When Participating in

Online Health Support Groups

ast year, I was diagnosed with trigeminal neuralgia (TN), a rare nerve disorder that causes severe facial pain. Like most people in today’s society, I went to the Internet to seek information and treatment options. Somewhere along the way, a Facebook page for TN sufferers came to my attention and I joined. Soon, posts were appearing from others who suffer like I do. However, instead of finding words of wisdom I read posts from people who simply complained. People wrote of a hard night of excruciating pain or an unsympathetic mate. Some posts provided guidance on how to obtain disability payments. One woman laid out plans to surrender custody of her children to her parents. As a wife, mother and working professional I became terrified. I quickly changed the setting so the posts would not appear on my page. Then I finally decided not to have a Facebook page anymore. I found a neurologist who specializes in TN and got relief. However, there are those with long-term and chronic conditions that find online support groups to be helpful. Meg Lubas, MSW, is a social worker at Sentara

52 | thehealthjournals.com

WRITTEN BY SUSAN SMIGIELSKI ACKER

Norfolk General Hospital and a doctoral candidate in health services at Old Dominion University. She conducted research related to online support groups and their effectiveness. Her overall recommendation for an effective online health support group is to be sure a medical professional is monitoring it. During her research, Lubas monitored an online grief support group that ran for eight weeks. She said it was helpful to those who participated, especially if they live a long distance from a facility, she says. Belinda Risher, RN, an oncology nurse navigator with Sentara Health Systems, currently runs an online support group for breast cancer victims. Working moms are a major component of her group. “Unfortunately, we are seeing younger women with breast cancer. Many are trying to work and raise children. It is hard for them to get to a face-to-face support group. It is easier to get on (the Internet) anytime and post a question or scroll down to see an answer to an old question that is similar to theirs. This is easier than to stick to a 7 p.m. weekly meeting time,” Risher says. Questions range from medical to cosmetic such as how quickly hair grows back following treatment, she says. Risher said it is understandable that there are patients who do not like the online group. “With cancer, sometimes people die and that can be especially hard if you are new to the group. And we are going to have some who want to complain and that can bring people down,” Risher says. She recommends that if you are turned off by a group early on, to try it few more times before leaving. Since the posts come at different times of the day, Risher cannot always monitor in real time. “That can pose a potential danger. I have taken down a few posts that try to sell products. I take them down, but they may have been up there for a little while,” Risher says. “The group is closed, so not everyone can get on. If

MIND MATTERS | YOUR HEALTH

I see something or someone that appears shady, such a man wanting to participate, I always ask if they have breast cancer or if a family member has it. I have done that several times and they never answer back,” she says. Debbie Ward, of Nova Scotia, Canada, is a long way from Sentara Healthcare in Virginia Beach, Virginia, but she participates in the Sentara Burn Survivors online group through Skype. She says her group has a professional monitor. Participants are in Virginia Beach, North Carolina and Western Virginia, she says. Ward, who is in her late 50s, was burned as a child. Her goal is to help others who were recently burned. “I understand what they are going through,” she says. A good portion of the time is spent talking about skin graph option and other skin repair techniques. “We have one man who just got a bionic arm. He demonstrated it to us. That was encouraging to see,” says Ward.

There are several ways online support groups help victims of chronic and severe illnesses. Risher offered the following tips for an online support group to be successful. • Do not type in all capital letters. “Many people don’t realize that means that you are yelling. It can come off wrong,” Risher says. • Be respectful and compassionate. • Do not made disparaging comments about another participant’s treatment plan or physician. • Do not try to sell anything. • Always keep what is discussed in the group confidential. • Do not write anything that you would not say to someone in person. • Do not write offensive remarks or words. • Do not make any personal attacks. • Read what you write before you post it. Risher warns sometimes sarcastic remarks do not come across well because the tone of voice is not available with written words.

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EXTRA | SEEING EYE DOGS

Guiding Eyes Competent canines offer comfort and control to sight impaired companions WRITTEN BY A.E. BAYNE

54 | thehealthjournals.com

eAnna Moore has had vision problems for most of her life, but today she faces a terrifying prospect. Moore is legally blind, and doctors say she will lose her sight entirely within the next few years. A former veterinarian, Moore decided to take control of her uncertain future by volunteering with guide dogs while she still retained some eyesight. She and her husband, Andrew, contacted Guiding Eyes for the Blind, a nonprofit organization located

in New York state with program trainers in the Virginia Beach, Virginia area. Moore elaborates, â&#x20AC;&#x153;I was interested in learning about this puzzle from the inside out before I needed a dog. It was a way to get involved and pay it forward before I was on the receiving end.â&#x20AC;? Moore and her husband have raised two dogs for Guiding Eyes, Bradley and Peppy. Guide dogs are socialized in two stages, with some volunteers choosing to raise a dog for the first months of puppyhood, while others raise puppies between 12 and 18 months of age. These socialization stages are crucial in helping dogs become comfortable with people and stimulating situations. Dogs are returned to Guiding Eyes

SEEING EYE DOGS | EXTRA

“A service dog has to be able to think and make independent decisions. That’s a very different trait than simply being a people pleaser.” between 18 months and 2 years of age for a final intensive training session and to work with their recipients. Moore met fellow volunteer Eva Klenner when they were both in New York relinquishing their dogs. Klenner believes one obstacle for volunteers is their inability to bring dogs to work, a requirement for socialization. The doctors and staff at Tidewater Orthopaedics, where Klenner serves as CEO, were supportive of Klenner and her dog, Denim. “From the beginning,” says managing partner Dr. Robert Campolattaro, “the physicians at Tidewater Orthopaedics embraced sponsorship of this program as part of a greater commitment to public health in our community. Service animals

deeply enrich the lives of many of our patients. Denim will be among the finest.” Staff member Pamela Neff concurs, saying, “Denim…kept a smile on my face every day and helped me over the loss of my 13 year old dog that passed.” Similarly, staff member Sarah Minor remembers, “It was impossible not to love Denim. While it was bittersweet knowing she’d move on and leave us one day, knowing her greater purpose and being fortunate enough to experience firsthand all the love she will give is a reward like no other.” Much commitment and cost goes into raising and training guide dogs. Klenner estimates that a serviceready dog has had roughly $50,000 worth of care and training by the time it is donated to a blind person. Klenner describes the perfect guide: “When the blind person is ready

to step in front of that bus, the dog has to stand and say, ‘No.’ A service dog has to be able to think and make independent decisions. That’s a very different trait than simply being a people pleaser.” While relinquishing a mature dog is difficult, Klenner says, “The other end of it is heart-opening. You see that the dog gives the recipient much more mobility and independence.” Moore echoes Klenner’s sentiment with even more poignancy, “It’s a very unique thing to be a part of. I think when I get my own dog, my experience will give me a fuller understanding of the work and sacrifice that went into the gift. Raising Bradley and Peppy helped me to embrace the idea that there’s a great life, with or without sight. The thought of facing it with a dog, as opposed to with a cane alone, makes all the difference.” For more information, check out Guiding Eyes for the Blind at guidingeyes.org.

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EXTRA | ART AND ALZHEIMER’S

Art and Alzheimer’s: M a r j o r i e H i l k e r t ’ S S TOR Y WRITTEN BY MARIE ALBIGES

hen Marjorie Hilkert’s mother called her to let her know her father had painted a picture, Hilkert wasn’t fazed. “I said something like, ‘Oh that’s nice mom,” Hilkert recalls. Her father was in his 80s, living in Florida and suffering from Alzheimer’s disease. While in Florida, he attended an adult daycare program where he was exposed to Memories in the Making, an Alzheimer’s Association program that allows people with Alzheimer’s disease or other dementia to express themselves through art. A few months after her mother’s phone call, Hilkert went to visit her father and saw his creations for herself. “It was incredible. I’ve never worked with somebody who had quite the dramatic results that my father had,” Hilkert said. Her father had grown up in poverty, had a 10th grade education and worked in a factory for much of his life; he had no formal arts education, yet the flowers that he painted—which looked like the ones in his wife’s garden—were beautiful. It was then that Hilkert, who was living in Williamsburg, Virginia, and was at the time a long-distance caregiver for her father, turned to art as a means of helping Alzheimer’s patients feel more alive in their battle against the disease, gain more self-esteem, find a productive outlet for emotions, tune in to lost memories and socialize with others. “It’s taken a very sad thing, a terrible disease, and for our family, it’s turned it into a passion and a legacy that my dad left,” Hilkert explains. Her father, who has since passed away, created 12 paintings in all, and Hilkert’s family had them made into cards which they gave away in exchange for donations to the Alzheimer’s Association. To date, they have raised about $8,000 that way. Hilkert began educating others about her father’s artwork and was eventually invited to be a keynote speaker at an assisted living and memory care center in Richmond, Virginia, by a woman that started Memories in the Making in California.

56 | thehealthjournals.com

Hilkert was then trained to be a certified Memories in the Making facilitator, and shortly after her training, she began going to assistant memory care units in Williamsburg and facilitating six-week programs. She, along with several volunteers, comes into the care unit for an hour each week laden with all kinds of art supplies, from crayons and watercolors to magazines and clay. She often pays for these herself, receives art supply donations or the facilities provide materials. She begins with a theme—travel, childhood or perhaps holidays—and she asks the residents, most of whom are in the early to middle stages of Alzheimer’s, when they are still able to perform daily functions unassisted—about times in their lives where they can relate to the topic. Each week, they work in different mediums: collages, watercolors, clay and more, and at the end of six weeks, Hilkert holds an art show, invites the residents’ families and displays the artwork in the care unit. She asks each of the residents to share the story of their creation, and when they’re finished, everyone claps. “This sometimes gives me chills,” says Hilkert. “For that moment, they’ve created something they never thought they would have created and they’re getting accolades for this. It never ceases to give me such a warm feeling.” She spends her days doing this to give people suffering with memory loss a chance to feel successful at something, to maintain their dignity, their sense of importance, when everything else has been stripped away. “We’d like to give them a chance to feel pride and accomplishment in something and a sense of belonging in a group,” she says. There’s even science to back up the idea that art is good for the Alzheimer’s soul: studies show the right side of the brain, the one responsible for creativity, is the last area to be affected by the disease, which means even if Alzheimer’s patients have lost their verbal skills, they are still able to express themselves creatively in other ways. After holding programs for three years, Hilkert started holding trainings to teach others how to facilitate programs. She now holds a few one-day trainings each year at the Williamsburg Regional Library.

RESTORING FEMINITY | FEATURES CONTINUED FROM PG. 25

Spreading the word Zelenko and Jones encourage other breast cancer survivors to ask their plastic surgeons about tattoos as they consider reconstructive options, although the number of tattoo artists offering them remains limited. Zelenko shares her story as a volunteer at a Richmond hospital, while Jones hands out Black’s brochures to women in her cancer support group. “A lot of young women are being diagnosed now,” Jones notes. “I feel like so many people could do this and feel better.” Black just wants to help people enjoy life. She is even more passionate about that goal after a tough year in which she learned a family member had metastatic breast cancer and a good friend died in a motorcycle accident at age 39. “I say it all the time, but never take your life

for granted,” she says. “Enjoy every single moment of it—the good and the bad—and tell the people you care about that you love them every time you can. Our time here is so short, and so many people lose perspective on that.” No wonder she wants breast cancer survivors to look in the mirror and see themselves again, healthy and strong.

“That unknown is so scary. When they see me and my body, I see this little look of hope in their eyes, like, ‘Oh, it’s going to be OK.’” - Roberta Zelenko For more information on mastectomy tattoos and The Pink Ink Fund, visit www.amyblacktattoos.com or pinkinkfund.org.

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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.

Timothy J. Campbell, M.D.

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.

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SKINCARE & AESTHETICS THERAPEUTIC MASSAGE Beauty Therapy by Iza

Iza is a master aesthetician, wax technician, threading specialist and massage therapist practicing in Williamsburg, Virginia. She is originally from Romania, and has worked as a master aesthetician in a variety of settings including in London where she graduated from the West Thames College with a license in aesthetics. She has been working in skin care and beauty therapy industry for over seven years. Upon moving to the United States, Iza continued her education and training at the American Spirit Institute in Williamsburg, Virginia. She is dedicated to helping men and women improve and maintain their skin care regimen. At her Williamsburg location, sheâ&#x20AC;&#x2122;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

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Bethany Magee, Au.D. Colonial Center for Hearing

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AUDIOLOGY

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

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FAMILY MEDICINE Lonna S. Krout-Cole, CFNP

Tom Batir

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

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TPMG Norge Family Medicine Lonna S. Krout-Cole, CFNP received her Bachelor of Science degree in Nursing from York College of Pennsylvania. She is a graduate of the Medical College of Virginia with a Master of Science degree in Nursing Administration and Family Nurse Practitioner. Lonna accepts new patients and offers same day appointments. She treats patients with acute and chronic illness, pediatric wellness and sick care, womenâ&#x20AC;&#x2122;s health, physical exams and more. She remains dedicated to traveling to Honduras for missionary health work. Lonna is a Certified Family Nurse Practitioner and has been practicing at TPMG Norge Family Medicine since 1994.

TPMG Norge Family Medicine 7151 Richmond Road, Suite 405 Williamsburg, VA 23188 (757) 564-3700 www.mytpmg.com

JASON D. MDERMATOLOGY AZZURCO, DO

DENTISTRY

Jason D. Mazzurco, D.O.

Kasey Petersen, D.M.D.

Dermatology Specialists

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

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

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

(757) 873-0161

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UROLOGY

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OPTOMETRY

Joseph R. Habibi, M.D. TPMG Williamsburg Urology

Joseph R. Habibi, M.D., received his undergraduate degree in Chemistry at University of Virginia, Charlottesville, Virginia, and his Doctorate of Medicine at Virginia Commonwealth University in 2010. He completed an internship in general surgery and residency in urology through Virginia Commonwealth University. Dr. Habibi provides general urologic care including robotic surgery. Dr. Habibi was born in Richmond, Virginia, and enjoys spending time with family, traveling, golfing and running. TPMG welcomed Dr. Habibi to TPMG Williamsburg Urology in September 2015. He is accepting new patients and welcomes them to call today and reserve an appointment with him.

TPMG Williamsburg Urology

Rana GrahamMontaque, D.D.S., M.S., M.S.D.

Williamsburg Center for Dental Health

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

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

PEDIATRIC DENTISTRY

Pediatric Dental Specialists of Williamsburg

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

SPORTS MEDICINE Nicholas K. Sablan, M.D.

Brent Segeleon, O.D. Colonial Eye Care

Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005. He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. Dr. Segeleon has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas. Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association 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.

Tidewater Ortho Dr. Nick Sablan, an expert in the field of sport medicine, joined Tidewater Ortho in the fall of 2011 after having completed his residency in orthopaedic surgery at the University of Connecticut, and a fellowship in orthopaedic sports medicine in the Kerlan Jobe clinic in Los Angeles, California. In Los Angeles, Dr. Sablan served as assistant team physician to the Kings, Lakers, Dodgers, Anaheim Ducks and PGA Tour, as well as college and high school sports teams. He joined Tidewater Ortho because he shares the same commitment to providing excellent subspecialty care. His goal is to help relieve the pain and improve the joint conditions of the weekend warrior to the serious athlete and get them back in the game. Dr. Sablan provides expert care to athletes from Hampton University to Hampton high school teams, as well as the casual athlete who wants to continue to be active after an injury. Tidewater Ortho

901 Enterprise Pkwy, Suite 900 Hampton, VA 23666 (757) 637-7008

Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 345-6223

Colonial Eye Care

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

5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 206-1004

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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.

PERSONAL TRAINING

Timothy J. Campbell, M.D.

Brian Cole, CPFT, CMT

Allergy Partners of Hampton Roads

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

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

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

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OBSTETRICS/GYNECOLOGY Kregan N. W. Brault, MSN, RN, CNM TPMG OB/GYN

Kregan has always been intrigued by the miracle of pregnancy and childbirth. She provides comprehensive midwifery care that includes providing women with the knowledge needed to make positive decisions regarding their health, while empowering them to have the childbirth experience they envision. Kregan earned her Master of Nursing from Frontier Nursing University in 2012 and Certification in Nurse Midwifery by the American Midwifery Certification Board. TPMG Obstetrics and Gynecology welcomed Kregan in August 2015. TPMG OB/GYN Tidewater Medical Center 860 Omni Blvd., Suite 110 Newport News, VA 23606 (757) 223-9794 TPMG Middle Peninsula Womenâ&#x20AC;&#x2122;s Care 7685 Meredith Drive Gloucester, VA 23061 (804) 693-4410 www.mytpmg.com

JASON D. MDERMATOLOGY AZZURCO, DO

PHYSICAL THERAPY

Jason D. Mazzurco, D.O.

Allen R. Jones Jr., D.P.T., P.T.

Dermatology Specialists

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

Dominion Physical Therapy & Associates, Inc.

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

SLEEP HEALTH

1844 Rock Landing Drive, Suite B • Newport News, VA 23606 (757) 873-0161 • www.opderm.net

ORTHOPAEDICS

Francisco Vega, M.D., Ph.D.

Colin M. Kingston, M.D. Tidewater Ortho

TPMG Sleep Health Francisco Vega, M.D., Ph.D. received his Doctor of Medicine and Doctor of Philosophy (Neurophysiology) from Johns Hopkins University School of Medicine in 1993. He completed his internship at Johns Hopkins Bayview Medical Center in 1994 and a residency in Neurology at Johns Hopkins Hospital in 1997 in Baltimore, Maryland. Dr. Vega completed a fellowship in Sleep Medicine, Clinical Neurophysiology and Epilepsy at the National Institute of Health in Bethesda, Maryland in 1999. Dr. Vega is board certified in Sleep Medicine, Neurology and Clinical Neurophysiology. Treatment provided for sleep apnea, insomnia, daytime sleepiness and restless leg syndrome. TPMG Sleep Health - Newport News 11832 Canon Blvd., Suite E Newport News, VA 23606 (757) 706-3481 TPMG Sleep Health - Williamsburg 5424 Discovery Park Blvd., Bldg. B, Suite 102 Williamsburg, VA 23188 (757) 706-3481 www.mytpmg.com

WEIGHT MANAGEMENT

Dr. Kingston, a sports medicine and joint replacement specialist, has been with Tidewater Ortho since 2003. A proud former member of the United States Air Force, Dr. Kingston was a flight surgeon and orthopaedic surgeon during operations Desert Storm, Enduring Freedom and Iraqi Freedom. During his years in the military, he attended medical school at the Uniformed Services University of the Health Sciences in Bethesda, Md., and residency at the Uniformed Services Health Consortium in San Antonio, Texas. While in medical school and in the USAF, he played rugby and was selected for Top Knife Fighter Surgeon Schools I and II. Dr. Kingston has completed a Certification of Added Qualification in Sports Medicine, providing expert care for any sports injury. Dr. Kingston is the medical director of the Orthopaedic Hospital at Sentara CarePlex Hospital, the only dedicated orthopaedic hospital on the Peninsula. He takes the majority of his patients to this center of orthopaedic excellence. Tidewater Ortho

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

Caroline is an integrative nutritionist who opened LWell, a modern health club for real people. By incorporating all the components of weight loss into one warm and friendly hospitality-oriented fitness and wellness facility, she guides people towards better health by improving nutrition, fitness, fun, stress, sleep and support. Caroline works to support you and your physician in improving your health through wellness. Caroline enjoys working with a wide range of nutrition-related conditions and concerns. She graduated from Virginia Tech with a bachelor’s degree, then worked as a personal trainer for many years before becoming a registered dietitian and earning a master’s degree in nutrition from State University of New York (Oneonta). She is a member of the academy of Nutrition and Dietetics (AND), the American Association of Diabetic Educators (AADE), the American Diabetes Association (ADA), IDEA and the Physician’s Committee for Responsible Medicine (PCRM). She is certified in Adult Weight Management (AND) and is a Certified Personal Trainer (NASM). LWell

301-A Village Ave. Yorktown, VA 23693 (757) 585-3441 www.lwell.com

COSMETIC DENTAL Lisa Marie Samaha, D.D.S. 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. Port Warwick Dental Arts

901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 637-7008

251 Nat Turner Blvd S Newport News, VA 23606 (757) 223-9270

www.tidewaterortho.com

www.pwdentalarts.com

STAYING WELL | ONE LAST THOUGHT

Once I overcame breast cancer, I wasn’t afraid of anything anymore.

—Melissa Etheridge

HEALTH DIRECTORY | STAYING WELL

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

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

National Suicide Prevention Hotline

Toll-Free: (800) 273-8255

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

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

AUDIOLOGY & HEARING Colonial Center For Hearing

CHIROPRACTIC & ACUPUNCTURE Integrative Chiropractic, Acupuncture & Laser

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

Pinto Chiropractic & Rehabilitation

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

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

COSMETIC & PLASTIC SURGERY

5477 Mooretown Road Williamsburg (877) 389-4968

BEHAVIORAL HEALTH & PSYCHIATRY

Reneau Medical Center for Age Management & Aesthetic Medicine

ALLERGY & ENT

The Pavilion at Williamsburg Place

ADDICTION TREATMENT The Farley Center

Hampton Roads ENT & Allergy 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

5483 Mooretown Road Williamsburg (800) 582-6066

CARDIOLOGY Riverside Cardiovascular Health

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

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

Williamsburg Plastic Surgery

333 McLaws Circle Williamsburg (757) 345-2275

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

Williamsburg Center for Dental Health

Dermatology Specialists

Wyatt Orthodontics

DIAGNOSTIC IMAGING

Stacey Sparkman Hall, DDS 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303 Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-1908 12528 Warwick Blvd. F Newport News 757-595-7990

Historic Triangle Dental Care Michael J. Whyte, DDS

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

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444

Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000

134 Professional Circle Williamsburg (757) 903-2527

ENDOCRINOLOGY

DERMATOLOGY

Riverside Endocrinology & Diabetes Center

Associates In Dermatology, Inc.

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

17 Manhattan Square Hampton (757) 838-8030

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

Dermatology Center of Williamsburg

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

Life at Williamsburg Landing…

embrace it

It’s about what’s important to you. Maintain your lifestyle and feel secure about your future. Enjoy life among friends knowing you have:

• A choice of diverse home styles in a beautiful residential setting • Superb dining and resort-style health club and spa • Resident representation on the local Board of Directors • Independent living with assisted living and memory care available if you need it Welcome to Williamsburg Landing, a Continuing Care Retirement Community. It’s life at its best. Call today for a tour

(757) 585-4436 www.WilliamsburgLanding.com/hj

Williamsburg’s only accredited Continuing Care Retirement Community

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

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

Angels of Mercy Medical Clinic

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

Beach Health Clinic

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

Chesapeake Care

Digestive Disease Center of Virginia, PC

Richard J. Hartle, M.D. 5424 Discovery Park Blvd., 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

HEALTH SPAS/ ESTHETICIANS Beauty Therapy By Iza

1325 LaSalle Ave. Hampton (757) 727-2577

Lackey Free Clinic

1620 Old Williamsburg Road Yorktown (757) 886-0608

Olde Towne Medical and Dental Center

5249 Olde Towne Road Williamsburg (757) 259-3258

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

Western Tidewater Free Clinic

2019 Meade Parkway Suffolk (757) 923-1060

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

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

62 | thehealthjournals.com

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

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

Riverside Doctors’ Hospital

HERNIA SPECIALISTS The Hernia Center at Mary Immaculate Hospital

Agapé Home Care

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

Visiting Angels

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

HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital

2 Bernardine Drive Newport News (757) 886-6000

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

Bon Secours Maryview Medical Center

3636 High St. Portsmouth (757) 398-2200

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

Bon Secours Surgery Center at Harbour View

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

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

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

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

1500 Commonwealth Ave. Williamsburg (757) 585-2200

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

Riverside Regional Medical Center

Alzheimer’s Association

Sentara Independence

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

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

Sentara Heart Hospital

307 South England Street Williamsburg 757) 220-7720

HOME CARE

H.E.L.P. Free Dental Clinic

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

Spa of Colonial Williamsburg

The Community Free Clinic of Newport News

1320 LaSalle Ave. Hampton (757) 727-2577

Children’s Hospital of The King’s Daughters

Sentara CarePlex Hospital

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

H.E.L.P. Free Clinic

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

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

2145 South Military Highway Chesapeake (757) 545-5700

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

Chesapeake Regional Medical Center

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

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

Sentara Norfolk General Hospital

600 Gresham Drive Norfolk (757) 388-3000

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

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

American Cancer Society

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

American Diabetes Association 870 Greenbrier Circle, 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

Sentara Port Warwick

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

Sentara Princess Anne

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

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

Sentara Virginia Beach General Hospital

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

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

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

Massage By David

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

The Arc of Greater Williamsburg

202 Packets Court Williamsburg (757) 229-0643

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

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

AWARE Worldwide, Inc.

6350 Center Drive, Bldg. 5, 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

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

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

Norfolk Community Services Board

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

Peninsula Agency on Aging

739 Thimble Shoals Blvd., 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

OBSTETRICS & GYNECOLOGY Riverside Partners In Women’s Health

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

Williamsburg Obstetrics & Gynecology

1115 Professional Drive Williamsburg (757) 253-5653

ONCOLOGY Riverside Peninsula Cancer Institute

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

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

St. Mary’s Home for Disabled Children

OPTOMETRY & OPHTHALMOLOGY

1 Singleton Drive Hampton (757) 827-8757

Senior Center of York

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

Senior Services Coalition

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

United Way

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

The Up Center

1805 Airline Blvd. Portsmouth (757) 397-2121

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

Virginia Oncology Associates

5900 Lake Wright Drive Norfolk (757) 466-8683

The Sarah Bonwell Hudgins Foundation

Tidewater Orthopaedic Associates

Riverside Pain Medicine & Rehabilitation Specialists

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

6171 Kempsville Circle Norfolk (757) 622-2208

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

PAIN MANAGEMENT

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

RSVP: Retired Senior Volunteers

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

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

Respite Care Center for Adults with Special Needs

404 Colley Ave. Norfolk (757) 627-5386

Riverside Orthopedic Specialists

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

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

Ronald McDonald House

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

5208 Monticello Ave. Williamsburg (757) 206-1004

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

500 Jamestown Road Williamsburg (757) 229-1771

Riverside Orthopaedics & Sports Medicine

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

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

ORTHODONTICS Wyatt Orthodontics

Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-1908 12528 Warwick Blvd. F Newport News 757-595-7990

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

PHYSICAL THERAPY & REHABILITATION

SLEEP MEDICINE Pulmonary & Sleep Consultants of Williamsburg

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

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

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

Williamsburg Neurology and Sleep Disorders Center

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

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

Tidewater Orthopaedic Associates

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

URGENT CARE MD Express

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

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

2012 Meade Parkway Suffolk (757) 934-3366

Tidewater Physical Therapy

Riverside Williamsburg Family Practice & Extended Care

5553 Portsmouth Blvd. Portsmouth (757) 465-7906 3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 7300 Newport Ave., 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

Hampton Roads Orthopaedics & Sports Medicine

828 Healthy Way Virginia Beach (757) 463-2540

VersAbility Resources

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

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

Orthopaedic & Spine Center

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

We Promise Foundation

301 Riverview Ave. Norfolk (757) 963-5588

5208 Monticello Ave. Williamsburg (757) 206-1004

ORTHOPEDICS & SPORTS MEDICINE

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

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

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

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

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

Hampton (757) 722-9961, ext. 3009

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

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

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

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

Vets Advocating for Vets

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

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

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

Bon Secours In Motion Physical Therapy

222 W. 19th St. Norfolk (757) 622-7017 2520 58th St. Hampton (757) 896-6461

Dominion Physical Therapy & Associates, Inc.

2106 Executive Drive Hampton (757) 838-6678

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

5231 John Tyler Highway Williamsburg (757) 220-8300

UROLOGY Riverside Hampton Roads Urology

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

VASCULAR SURGERY Riverside Peninsula Vascular Surgery

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

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

Riverside Weight Loss Specialists

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

204 Gumwood Drive Smithfield (757) 357-7762 2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316 100 Winters St., 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

160 Newtown Road Virginia Beach (757) 233-7111

thehealthjournals.com | 63

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Adopt-a-Dog Apples Autumn Breast Cancer Awareness

Calendula Candy Columbus Day Costumes Halloween

Jack-O-Lantern John Adams Libra Opal Poetry

Pumpkins Scorpio Theodore Roosevelt Tourmaline Trick-or-treat

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FOR YOUR BACK OR JOINT PAIN. Let the specialists at Tidewater Orthopaedics get you ready for all of your fall activities.

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October 13 at 6:30pm

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Williamsburg Library 515 Scotland Street Williamsburg

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To RSVP 757-827-2480 ext. 332

TIDEWATER ORTHOPAEDICS Serving all of your orthopaedic needs from hip & knee replacements to problems with spine, shoulders, hands, foot & ankle, and sports medicine.

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

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

Loel Z. Payne, MD John J. McCarthy III, MD Jonathan R. Mason, MD Amanda K. Watkins, PA-C Lindsey Townsend, PA-C Susan Walkley, FNP

757-637-7016

www.tidewaterortho.com

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