The Health Journal October 2014

OCTOBER 2014 — THEHEALTHJOURNALS.COM

DIGITAL EDITION

HOW TO USE THE WHOLE PUMPKIN ARE WE ALL PINKED OUT? | 2015 FOOD TRENDS | BREAST HEALTH UPDATE | WHAT HOSPITAL CHAPLAINS DO

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OSC COMMUNITY LECTURE SERIES Effective Treatments for Pinched Nerves, Slipped Discs and Spinal Stenosis Join Dr. Jeffrey R. Carlson as he discusses both non-surgical and surgical treatment options for the some of the more commonly seen conditions of the Spine. Learn about the latest medical advances and bring your specific questions for Dr. Carlson to answer.

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TUESDAY, OCTOBER 21ST, AT 7PM Jeffrey R. Carlson, MD

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CONTENTS

features

6 / INBOX & FEATURED READER

32

8 / EDITOR’S NOTE 12 / PROFILE 14 / CALENDAR

departments 16 / ADVANCES IN MEDICINE Banking on Breast Milk

32 / VINE AND DINE How to Use the Whole Pumpkin

18

Three Atlantic Shores residents put down past lives and pick up brushes.

33 / TASTE APPEAL Warm up with Pumpkin Bisque

21

36 / OUTDOORS Three Family-Friendly Excursions

38 / FAMILY Home Remedies for Common Ailments

PINK POWER, PINK PROBLEMS Is pink marketing overshadowing the pink cause?

35 / FLAVOR Food Trends for 2015

BRUSHING UP

30

URGENT (SPIRITUAL) CARE Being a hospital chaplain isn't about religion, it's about relationships.

WEB EXTRAS

Staying Fit throughout Pregnancy

WHO’S HUNGRY?

43 / OVER 50 End-of-Life Planning Tips

47 / HEALTH DIRECTORY 50 / BRAIN TEASERS

VISIT SURVEY.THEHEALTHJOURNALS.COM, COMPLETE OUR READERSHIP SURVEY AND YOU’LL BE AUTOMATICALLY ENTERED TO WIN A $50 PANERA GIFT CARD. YUM! ALL ENTRIES MUST BE RECEIVED BY 12/31/2014

THEHEALTHJOURNALS.COM | OCTOBER 2014

40 / FITNESS

5

INBOX & FEATURED READER

Featured Reader CHARITY STROTHERS, 24 { Suffolk • Reader since: 2012 } Occupation: Pharmacy Student

Hobbies...

My hobbies include freelance writing, photography and reading. I enjoy spending quality time with my daughter. I like to give back to my community through volunteering and mentoring young people.

What She Likes Best About The Health Journal?

I enjoy the articles! They are always informative and timely. I also enjoy the local aspect of the magazine. The magazine does an amazing job of covering a broad range of health and wellness issues.

INBOX “Great article, Dr Harry Lee Kraus, and it’s my pleasure to be one these young African/Somali doctors who learned a lot from you. Wish we can meet once again and wish you and your family long life and happiness (“The Choices that Shape Us” by Alison Johnson, September 2014). ”

— Adam I. Gawracdid, Somalia “He is a great surgeon (“The Choices that Shape Us” by Alison Johnson, September 2014). I’m glad that I was one of the young Somali doctors who trained by him.”

— Layla Hashi, Somalia

“Dr. Harry Lee Kraus, you are great doctor and it is my pleasure to be one these young Somali doctors who you trained. We miss you, hope see you once again (“The Choices that Shape Us” by Alison Johnson, September 2014).

BRA

— Shugri Dahir, Somalia “Ah, thanks for these tips, Sonja (“Breathe, Bend, Stretch”

by Sonja Anderson-Struzzo, September 2014). I need to get up from my desk and stretch and breathe on a regular basis!”

SEPTEMBER WINNER KEVIN TOPP

— Hazel Thornton, Albuquerque, New Mexico

Yorktown, Virginia

“Wow! This is wonderful (“Breathe, Bend, Stretch” by Sonja Anderson-Struzzo, September 2014)! So thrilled you shared this Sonja! Love you and everything you do for this world!

Challenge your brain with our puzzles!

UP FOR THE CHALLENGE? Turn to page 46 to find out how you can win a $25 gift card!

— Cathy Rogers, Malibu, California

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OCTOBER 2014 | THEHEALTHJOURNALS.COM

“Kudos to Dr. Kraus (“The Choices that Shape Us” by Alison Johnson, September 2014). It has been humbling and inspiring to follow his travels over the years.”

— Julie Tyson, Harrisonburg, Virginia “Great article, Sonja (“Breathe, Bend, Stretch”

by Sonja Anderson-Struzzo, September 2014).

I have been taking your advice and have noticed a big improvement in my flexibility and stress levels. Keep up the good work.”

— Rise Flenner, Norfolk, Virginia

IN TEASERS

POPULAR ONLINE READS THE CHOICES THAT SHAPE US 435 READS • 144 LIKES BIT.LY/CHOICES-SHAPE-US

EATING MINDFULLY 227 READS • 4 LIKES BIT.LY/EATING-MINDFULLY

NOT YOUR PARENT'S SCHOOL LUNCH 158 READS • 45 LIKES BIT.LY/NOT-YOUR-PARENTS-SCHOOL-LUNCH

VOL. 10, NO. 5 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia.

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Brian Freer Liz Lane

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rehabilitation or other medical attention is needed

EDITOR’S NOTE

INSPECTIONS “THE UNEXAMINED LIFE IS NOT WORTH LIVING.”

8

OCTOBER 2014 | THEHEALTHJOURNALS.COM

— SOCRATES

i opened the glass door and walked into the service shop.

“I’m over here,” a female voice spoke.

I turned around and gestured towards the state inspection sign, “Do you inspect on Sundays?” I asked.

“No. And I’ve had about 12 people call in about tomorrow, too, so you might want to be here before I open the doors,” she recommended.

“Really,” I replied with shock.

“Ok. I’ll be here by 6:30 tomorrow morning.”

I arrived as promised. Shortly after, a cheery woman in a white Volvo station wagon pulled in beside me.

“I’m surprised more people haven’t come,” she said. I agreed. The lot was eerily empty given it being the first day for inspections. I was a late bird as was she; we had August stickers on September 1. We continued chatting.

Ten minutes later, the doors popped open and the attendant that I had spoken to yesterday motioned for me to come inside.

“You’re the only one I can take today,” she said. “We had so many night drops. I hadn’t counted on that.”

My new friend from the parking lot tapped me on the shoulder and wished me luck on my inspection.

While I was being checked in, I glanced up at the inspection checklist on the wall. There were probably 24 inspection points with subpoints beneath them. Despite my frustration with state inspections, I understand the importance of

maintaining a safe vehicle on the road, not just for me and my family, but for other motorists, as well. It got me to thinking: How often do I conduct internal safety inspections?

When was the last time I inspected my thoughts? My relationships?

My marriage? My parenting? My direction? My ambitions?

If I took an honest inventory, would I pass or would I get a pink sticker and checklist of repairs to make?

Inspections aren’t just for cars, are they?

In this issue, you’ll learn how hospital chaplains help people find comfort, healing, and in some cases, help them to examine and reconcile their lives. You’ll also find out how cancer survivors feel about the pink movement. We reflect back to the beginning and ask whether the popularity of pink products and apparel are overshadowing their cause.

With October also comes the fourth quarter of the year. You know what that means. It’s time to inspect your goals, review your dreams and finish strong.

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM

❥ PHOTO BY LIZ LANE

Give the gift of hope.

4th Annual Gala of Hope October 24, 2014

Join us for the 4th Annual Gala of Hope at the Hampton Roads Convention Center in Hampton, VA on Friday, October 24 from 6:30pm–11:00pm. Together, we can provide support for those who cannot afford medical care for cancer treatment.

This black tie event includes a plated dinner, silent auction and live entertainment featuring the internationally renowned band, Party on the Moon.

For more information or to RSVP: www.hamptonproton.org/galaofhope 757.728.4012

Meet Dr. Paul Maloof Exclusive Provider of Foot & Ankle Surgery at CarePlex Orthopaedic ASC Dr. Paul Maloof belongs to the team of skilled subspecialists at Tidewater Orthopaedics, the exclusive provider of orthopaedic surgeries at CarePlex Orthopaedic ASC. Dr. Maloof completed his residency at New Jersey Medical School, where he served as Administrative Chief Resident in one of the busiest Level-One trauma centers on the east coast. He performed his fellowship training in Foot & Ankle Surgery at Duke University, a pioneer in ankle replacement surgery. He has brought advanced procedures to Hampton Roads for a range of foot and ankle disorders.

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second opinion Should I have a flu shot?

How can I prevent memory loss as I age?

The CDC recommends that everyone 6 months of age and older While we don’t want to think receive a flu vaccination as early as about it, as we all age, we can all likely possible once the vaccine becomes expect to experience some memory available. Healthy children ages 2 to 8 loss. Forgetting where we placed our may be better protected by receiving keys, for example, or a birthday. the nasal spray vaccine rather than a However, there is a difference flu shot. between that normal level of Because the body’s antibodies to forgetfulness and the types of the influenza virus decrease over memory loss that comes with time, you should get vaccinated diseases like Alzheimer’s, amnesia, this year even if you received a flu medication side effects, depression shot last year. or head trauma.

The following populations are at The same healthy living habits greater risk of flu-related compli- that help you live longer and cations and should be vaccinated: maintain physical vitality are the • Children younger than 5 same activities that will help promote • Adults 65 and older a healthy memory as you age.

• Pregnant women 1. Exercise regularly. This • American Indian and Alaskan doesn’t just increase your muscle Natives size. It boosts brain power.

• Those with chronic health Whether you like to walk, run conditions including asthma, or Tai Chi, stay active. All of this neurological conditions, chronic movement helps increase blood lung disease, blood disorders, and oxygen flow to the brain. heart disease, kidney, liver or 2. Drink alcohol in moderation metabolic disorders, weakened and don’t smoke. immune system from disease or 3. If you have a chronic medication, and those who have condition, like high blood a BMI greater than 40. pressure, be sure to keep up with Do not get a flu shot if: your regular check ups. A better • You have allergies to any part pumping heart means more of that of the vaccine or have had an blood and oxygen is getting to the allergic reaction to the vaccine brain. in the past.

4. Be social. Being engaged with • You have ever had Guilpeople and conversation helps lain-Barré Syndrome. exercise the mind.

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My son is very involved in sports. How much is too much?

Overuse injuries are on the rise. Rather than playing a variety of sports, more children are specializing in a single sport, and even single positions within that sport. Performing the same motions repetitively can injure still-growing muscles and bones.

Additionally, year-round play and increasingly competitive atmospheres can make young athletes more susceptible to physical and psychological harm.

To help prevent overuse injuries and burn out, young athletes should play a variety of sports. Time off can also benefit children in the long run. Studies show that children involved in intense competition within a sport for a decade are more likely to experience burn out by the time they reach college. I recommend children take at least two months off from their main sport of interest to explore other activities and hobbies. Research even shows that those who take up a sport in their late teens can catch up very quickly to those who started playing years earlier.

And don’t forget to keep it fun by taking the focus off of winning and performing.

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your health care questions answered

PROFILE

FOOT SOLDIER ❥ WRITTEN BY ALISON JOHNSON

12

OCTOBER 2014 | THEHEALTHJOURNALS.COM

Sheryl Mays walked 100 miles to preserve African elephants a future africa with no elephants: that was the image that kept Sheryl Mays walking— through heat and blisters—along paths cleared by wild animals in northern Kenya, until she’d covered 100 miles.

For a week in early February, Mays and her partner, Peter Ordonez, walked between 10 and 15 miles a day to raise $5,400 to pay for anti-poaching scouts in the region. As part of an international team of 10 trekkers supported by local guides and 22 camels, Mays returned to Williamsburg, Virginia, temporarily exhausted but physically and mentally stronger—and determined to continue her efforts.

“The last day, we got to meet some community scouts who told us, ‘We don’t want to have to tell our grandchildren about these amazing creatures called elephants that are no longer here,’” Mays says. “It moved everyone to tears. I would do it all again.”

Mays, director of operations and public programs for Historic

Jamestowne, has long donated money to wild animal causes.

She has a special affection for elephants—intelligent and family-oriented creatures hunted for their ivory tusks. She took action when she read a Facebook post about the “100 Miles for Elephants” trek organized by two groups — Space for Giants and the Earth Elephant Initiative in partnership with African community leaders and a walking safari company.

Mays, 51, also realized she’d fallen into a physical rut following several injuries, including surgery for a ruptured Achilles tendon and bursitis in one heel. “I didn’t exercise a lot, so I wanted a challenge to motivate me,” she says. She began working with a personal trainer and taking fiveto seven-mile walks.

In Africa, her group slept in tents and hiked from 6 a.m. to 12 p.m. along dusty trails, took a break from the sun and 90-degree temperatures for a meal prepared by guides—food included fresh

fruits and vegetables, oatmeal, eggs and homemade rolls—and got moving again after 4 p.m. tea.

The trekkers passed footprints of large animals, including lions, elephants and notoriously aggressive cape buffalo, but thankfully never had any close encounters (just one guide carried a gun; the rest had spears, machetes and clubs). Mays later visited a rehabilitation program for orphaned baby elephants, but the highlight was talking to people passionate about reporting poachers to wildlife officials.

Mays now hopes to raise more awareness through school presentations and is contemplating two new adventures: a trek in Rwanda to help protect mountain gorillas or an excursion to Borneo Rainforest to see the orangutans in their habitat and learn about what’s being done to save these species.

“I came home in a better place,” she says. “I don’t want to stop here.”

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CALENDAR

OCTOBER EVENTS THE MARINERS’ PIRATE RUN

6TH

Participate in a Fun Run, 5K or 10K. Event includes an after party with music and food.

BIKE NIGHT

Last chance to bring the family out and pedal through the petals.

When: 4:00 to 7:00 p.m., Mon., Wed., and Thu. through Oct. 16 Where: Norfolk Botanical Garden Price: $11 adults; $9 children Contact: 757-441-5830

9TH

YOUR CHILD AND SPORTS

Learn how to keep your child safe during participation in sports programs.

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

Where: CHKD Health & Surgery Center at Princess Anne Price: Free Contact: chkd.org

OCTOBER 2014 | THEHEALTHJOURNALS.COM

OSC COMMUNITY LECTURE

21ST

Dr. Jeffrey Carlson will discuss treatments for neck, back and limb pain in this lecture.

When: 7:00 p.m.

Where: Orthopaedic & Spine Center, Newport News Price: Free Contact: 757-596-1900

24TH

Sentara medical pain experts present this lecture.

Participate in this race to help raise money for breast cancer research.

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When: TBA Where: Peninsula Town Center Price: monetary donation Contact: peninsulatowncenter.com

LOWER BACK PAIN: CAUSES AND TREATMENTS

SUSAN G. KOMEN RACE FOR THE CURE

When: 7:00 a.m.

Where: 31st Street Park, Virginia Beach Price: $35 before race, $40 day of; Children $10 before race, $15 day of Contact: 757-490-7794

18TH

Participate in this event to raise awareness and funds for American Heart Association.

TASTE OF THE TOWN

When: 6:00 to 9:00 p.m.

Where: Peninsula Town Center Price: $15 military; $20 in advance for general public or $25 at the door Contact: peninsulatowncenter.com

11TH

When: 8:45 a.m.

Where: Noland Trail, Newport News Price: 10K, $50 through Oct. 16, $55 afterward; 5K, $40, $45; Fun Run, $10, $15 Contact: marinersmuseum.org/piraterun

HEART WALK

Enjoy entertainment and food from the best restaurants on the Peninsula.

9TH

18TH

When: Noon Where: Sentara CarePlex Hospital Price: Free Contact: 800-736-8272

FAMILY FITNESS WITH FIDO

25TH

Bring your family and pets out for a two-mile walk during this event.

When: 10:00 a.m. to 4:00 p.m.

Where: Norfolk Botanical Garden Price: $5 per dog for members; $11 per person for non-members Contact: 757-441-5830

GET MORE EVENTS AT: THEHEALTHJOURNALS.COM/CALENDAR

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ADVANCES IN MEDICINE

Banking On It ❥ WRITTEN BY KIM O’BRIEN ROOT

two years ago, the american academy of Pediatrics released a statement saying that all preterm infants should receive breast milk, whether it was a mother’s own milk or donor milk.

The neonatal intensive care unit, or NICU, at Children’s Hospital of The King’s Daughters in Norfolk, Virginia, took that to heart, starting a program a few months later. The hospital began bringing in donor milk from milk banks, paying $5 an ounce.

“We took that [statement] as a gold standard,” says Ashlynn Baker, who at the time was a NICU nurse. “It was something that we believed in. We know how valuable this is to the babies.”

This year, CHKD took the program one step further, opening its own milk bank, which allows women to donate their own breast milk. The milk bank— funded through a grant from The King’s Daughters, the charitable arm of the hospital—is the first in Virginia and one of only 18 in North America.

Only a handful of NICUs in Virginia are using donor milk, although many are working on starting programs, Baker says.

CHKD’s 70-bed NICU is a Level IV unit, meaning it provides the highest level of neonatal care available, treating the sickest babies in Hampton Roads. It uses 400 to 700 ounces of donor milk a week. Since The King’s Daughters Milk Bank opened in June, more than 100 women have donated nearly 20,000 ounces of milk, all of which is used to treat preterm babies at the Norfolk children’s hospital. The bank is receiving so much milk that it hopes to provide some to other hospitals in the near future, says

Baker, who is now the milk bank’s manager.

Right now in the NICU, breast milk is used to feed very low-weight babies, those born at less than 32 weeks gestation or under 3 pounds—those considered most medically at-risk.

“We value it as a medication,” Baker says.

“Human milk is that important.”

Among breast milk’s benefits, it provides human growth hormone, supplies fats and proteins, and prevents necrotizing enterocolitis, a serious intestinal disease that can affect preemies.

At the milk bank—located in the Medical Tower building across from Sentara Norfolk General Hospital—the milk is treated very carefully, starting with the strict screening of donors to find out lifestyle and medical history, much like Red Cross screenings before donating blood.

To donate, the milk bank ensures that both mother and child are healthy through blood tests to screen for diseases such as HIV, Hepatitis B and C, and syphilis. Only then is the mother cleared to donate and provided with bags in which breast milk can be frozen.

Once the milk arrives at the milk bank, it’s thawed, homogenized, sealed in BPAfree bottles and pasteurized—sterilized to kill any potential bacteria or viruses.

After pasteurization (which allows the milk to retain 75 percent of anti-infective properties), the milk is again tested to be sure no bacteria is present.

So far, the response from the community has been wonderful, Baker says. Some donors are first-time mothers; some are grieving mothers who lost their babies and

Women wishing to donate their breast milk can call 757-668-6455 or email KDMilkBank@chkd.org.

want to donate their breast milk as a legacy to their child.

Stephanie Matson of Norfolk is a secondtime mom who realized she was producing so much milk, she wanted to help others.

She made her first donation in June, and has since donated about 2,900 ounces.

“I know how important breast feeding is, and I hate that not everybody gets the opportunity to breast feed,” says Matson, 26, who has two sons, ages 9 months and 2.

“This is my way of giving back.”

Matson, who is in the Navy and a fulltime student, will be soon be getting stationed in Jacksonville, Florida, but plans to keep on donating to CHKD. For women outside Hampton Roads who want to donate, the milk bank provides them with a cooler and supplies and pays for shipping, Baker says.

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FEATURE

Brushing “I missed teaching”

Dorothy Stott

Picked up his brushes again and star ted taking Stott’s classes.

18 OCTOBER 2014 | THEHEALTHJOURNALS.COM

George Ikonen

Still in disbelief at how well she paints considering that she never did it before.

Jane Webster

Up Retirees find joy and meaning in fine arts ❥ WRITTEN BY CHRIS JONES

as a girl but had no interest in creating art. It wasn’t until after retiring in 2000 and volunteering as a docent at the Chrysler Museum of Art in Norfolk, Virginia, that Webster’s mind changed.

“I realized that if I was going to be a docent and talk about art, I needed to try it,” Webster admits.

She thumbed through art books painting the things she saw—Raphael, Monet, Vermeer and Hopper. She was swept away by the feeling that painting gave her. “It transports me,” she says.

“The world that I’m living in disappears.

It’s marvelous therapy.”

Her home now has become a gallery to her paintings, which spans from her kitchen and living room down the halls and into her bedrooms. She loves to experiment with different mediums in her work.

“I like the intensity of oils. I stay away from acrylics because they dry too fast and you can’t poke around. I’ve tried some watercolors, too. I think I’ll just stick with oils,” Webster says.

She encourages all new artists to visit galleries and take lessons. “Even if you think you don’t have the slightest amount of talent, but like to look at a decent picture, try it!” she says.

Webster is still in disbelief at how well she paints considering that she never did it before.

“I’m stunned,” she says. “I didn’t have any talent as far as I thought.”

19

started teaching in Coronado and the recreation department paid me.”

In that same charming southern California city, fellow resident and Stott’s student George Ikonen met his beautiful wife, Aiko, while stationed there between tours in Vietnam.

“I came back from Vietnam and was stationed in Coronado. That’s where I met Aiko. She worked at the exchange...and that’s where I picked up oil painting,” he remembers. Ikonen was sent back overseas for 13 months between 1974 and 1978.

He retired in 2008 and Aiko suggested that the couple move into a retirement community. They’ve lived at Atlantic Shores for five years, where Ikonen picked up his brushes again and started taking Stott’s classes.

“I paint on my own primarily, but I talk with the other artists in the community.

We discuss color schemes, techniques and how to get unstuck when we get stuck,” smiles Ikonen, who likes to work in watercolors these days.

Ikonen won Honorable Mention in the May 2013 Virginia Museum of Fine Arts nonprofit Homes for the Aging annual show. His watercolor, “Gazebo,” depicts Aiko in a gazebo on Red Wing Lake in Virginia Beach.

Around the corner from that same lake—and a few streets down from Stott and Ikonen—resides 75-year-old Jane Webster, a former New Yorker.

The former English teacher remembers visiting the Metropolitan Museum of Art

THEHEALTHJOURNALS.COM | OCTOBER 2014

dorothy stott moved into the Atlantic Shores Retirement Community in Virginia Beach, Virginia, nine years ago.

The vibrant 94-year-old art teacher lives alone and continues to paint and to instruct a group of students —all residents—each week at the campus.

“There were no art programs when I got here,” says Stott. “ So I put up a little notice on the bulletin board in the mailroom.”

Since then, she’s taught over 80 students, and her classes go on throughout the year. She even takes her students on field trips around the community to critique paintings on the walls in an effort to add to their creative experience.

Stott graduated from Ashland University in her native Ohio. She got married and her husband, in the United States Navy at the time, was sent off to World War II. She and her children stayed in her parents’ home and she taught art to her kids and other children in the neighborhood in her parents’ basement.

Since her husband was an engineer by trade, the couple moved every seven years, living in Ohio, Texas, California, Mississippi, Pennsylvania and finally Virginia. And everywhere Stott went, she taught art.

“I missed teaching,” she explains. “So I would start up classes everywhere we went.”

Her fondest memories are of Coronado, California, a small beach community west of San Diego, California. “That was heaven on earth,” she says blissfully. “I

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PinkPower, PINK PROBLEMS Are tendy pink products trumping breast cancer education and awareness? ❥ WRITTEN BY ALISON JOHNSON

these days, most people who spot a looped pink ribbon know exactly what it symbolizes. Even young kids aren’t surprised to see hulking football players sporting bright pink shoes in October, designated as Breast Cancer Awareness Month.

There’s not much that hasn’t turned pink in recent years: stuffed animals, clothes,

jewelry, makeup cases, cereal boxes, candy, toasters, vacuum cleaners, car accessories, cell phone cases, nail clippers, tattoo art, pet collars and more.

The pink movement, which grew up during the 1990s to focus attention on a frighteningly common but once rarely-discussed disease, is undeniably powerful. It’s also

THEHEALTHJOURNALS.COM | OCTOBER 2014 21

22 OCTOBER 2014 | THEHEALTHJOURNALS.COM

undeniably successful. Compared to just a few decades ago, educational initiatives and research funding have skyrocketed. Today’s patients also have access to a community of support that can bolster their spirits throughout treatment.

But the story of the pink movement isn’t so simple—or entirely rosy.

For many women and their families, pink products are an important source of comfort, power and pride. Others, however, see them differently: as more commercial than inspiring, as a too-pretty cover for an ugly disease, or as an obstacle in their drive to continue defining themselves as individuals, not just cancer patients.

The rest are somewhere in the middle.

Take Mary Beth Gibson of James City County, Virginia, who was 41 and busy raising three young boys when she was diagnosed with breast cancer in 2006. Immediately, Gibson, now executive director and co-founder of Beyond Boobs!—a nonprofit that provides breast education and supports

“

young women with cancer—began to notice pink everywhere.

She was touched by her husband’s vow to wear a pink plastic bracelet until she was cancer-free, and when a friend put a pink ribbon decal on the back of her car. But soon, a barrage of pink gifts from well-meaning loved ones—mostly stuffed bears, jewelry and clothes—was overwhelming. Gibson also never wanted to wear pink herself; it made her feel as if breast cancer had taken over too much of her life.

Eight years later, Gibson’s concern is that the pink ribbon movement has become so sprawling and unregulated that too many people have become immune to its message, while too little is happening to better prevent and treat cancer.

“The campaign has done an incredible job of bringing breast cancer to the forefront,” Gibson says. “For that, of course we should all be grateful. But at this point, is it prompting anyone to modify their behavior? When a woman sees a pink ribbon, she should

think, ‘Did I do my self-exam this month?

Did I schedule my mammogram?’ Not just, ‘Oh, yeah, breast cancer.’ That’s not going to help us go forward.”

A History of Success

These days, ribbons of seemingly every color have sprouted up to support various causes. Such campaigns, however, are relatively new.

By the 1980s, yellow ribbons had become a statement for bringing home soldiers and prisoners of war. By the early 1990s, AIDS activists had introduced red ribbons to focus attention on that disease. And in the fall of 1991, the Susan G. Komen foundation, which works to end breast cancer worldwide, handed out pink ribbons to every participant in its New York City race.

In 1992, Self Magazine and the Estée Lauder cosmetics company teamed up on a national awareness campaign featuring a pink ribbon. The two originally wanted to incorporate a grassroots effort by a Califor-

The campaign has done an incredible job of bringing breast cancer to the forefront.”

nia woman named Charlotte Haley, who had several relatives with breast cancer and was calling for more federal money for prevention.

Haley had made a peach-colored ribbon that Self and Estée Lauder wanted to use, but she refused, fearing the campaign’s commercial side—selling cosmetics adorned with a ribbon —would overshadow her message. So the magazine tweaked the color to pink.

The pink movement took off quickly. The cause was a worthy one: breast cancer is so common—today, one in eight women will be diagnosed during her lifetime, according to the American Cancer Society—that almost everyone knows someone who has struggled with it. The illness also attacks an important part of a woman’s sense of femininity.

In addition, survival rates are high compared to other cancers, giving the movement a hopeful air. A report from the ACS and National Cancer Institute released earlier this year found breast cancer survivors made up 41 percent of all cancer survivors in the United States in 2014. Today, the five-year survival rate for women diagnosed with early stage breast cancer tops 99 percent, according to Komen.

Effective marketing, particularly by

apy. “Anything that gets people to talk and raise money for research is inherently a good thing,” she says. “We need to win this fight no matter what. I mean, I have a daughter. I’m terrified this is a gene I’ve given her.”

The Flip Side

No single entity is in charge of all the pink ribbon campaigns in the U.S. Put simply, that means anyone can put a pink ribbon on anything. And that chaos inevitably means some of those products are scams, or that only a tiny percentage of proceeds might actually go to fund breast cancer initiatives.

In 2002, a national watchdog group called Breast Cancer Action launched a campaign called “Think Before You Pink” in response to a flood of pink ribbon products on the market.

The campaign pushes for accountability and transparency in fundraising, helps consumers evaluate products and lobbies corporations to avoid ingredients that may raise the risk of cancer.

Breast Cancer Action urges people to ask four questions before buying pink. First, does money go to support a breast cancer program and if so, how much of the purchase price (it could be pennies)? Second, what organization gets the money, and how do they spend it? Third, is there a maximum total amount a company will donate and if so, how are consumers notified if the cap has already been met? Finally, does a product contain toxins with known or suspected links to cancer?

“We’re not saying, ‘Don’t buy anything,’” says Karuna Jaggar, executive director of Breast Cancer Action. “If you feel satisfied that you will be making a difference, then by all means go ahead. We just want consumers to see beyond the ribbon—to realize that a product may not be all they assume it to be.”

If there’s any doubt, Jaggar recommends giving money directly to a breast cancer organization doing the work the donor most believes in, whether that’s research or patient support such as help with transportation and medical expenses.

THEHEALTHJOURNALS.COM | OCTOBER 2014 23

Komen, has had a major impact. The federal government now devotes more than $850 million a year to research, treatment and prevention, compared to $30 million when Komen was founded in 1982. Komen, which organizes Race for the Cure runs and collects a percentage of proceeds from certain pink ribbon products, has invested more than $2.5 billion.

The pink movement has transformed the way people talk about breast cancer, says Lisa Chacon, a Virginia Beach, Virginia, resident diagnosed eight years ago at age 42.

As a teenager, Chacon remembers watching her grandmother battle a disease that no one outside close family members would discuss.

The word “cancer” was rarely uttered, much less “breast.”

Twenty-five years later, when Chacon learned she had the same type of cancer, she had many sources for support and answers to her questions. That was tremendously reassuring: she knew she wasn’t in the fight alone, and she could celebrate survival, thanks to advances in diagnostics, treatment and education. Pink became a staple of Chacon’s wardrobe; family members in New Mexico also wore pink when they ran as a team in a Race for the Cure event.

“Pink was about camaraderie, connectedness, hope for me,” she says. “I saw women had survived this, and I was encouraged that I could survive it, too.” And even before she got sick, she adds, the campaign had driven home the importance of annual mammograms at age 40, which led to her early diagnosis. Grateful, Chacon began volunteering for Komen after her diagnosis and now works as development/special events director for its Tidewater affiliate.

Michele Yepez, a 33-year-old Norfolk , Virginia, woman diagnosed with breast cancer just last December, agrees that the pink campaign has helped many women. Yepez, mother to an 11-year-old son and a 2-year-old daughter, has undergone a double mastectomy and four grueling rounds of chemother-

24 OCTOBER 2014 | THEHEALTHJOURNALS.COM

A Division Of Mid-Atlantic Women’s Care, P.L.C.

Sharon Laderberg, executive director of Komen’s Tidewater Affiliate, says buyers looking to support her organization should look for the Komen logo (on Yoplait yogurt lids, for example). That means a company has a third-party agreement with Komen to donate a set percent of proceeds from sales. “And people are always welcome to call us even if our logo is there, to make sure,” she says.

Of money donated to a Komen affiliate, 75 percent stays in the local community for services such as patient education, mammograms, transportation to appointments and wigs, Laderberg says. The other 25 percent goes into a pool at Komen’s national headquarters designated exclusively for research.

If people are looking for gifts, they should realize that some cancer patients feel alienated by pink, Jaggar reminds. “It can be complicated,” she says. “Some women feel it oversimplifies their disease and obscures the really scary, painful, nauseous reality of breast cancer.

They feel that it silences them.”

Yepez, like Mary Beth Gibson, had mixed feelings about her mailbox full of pink. What she really wanted was hands-on support: care for her children, home-cooked meals and conversations with friends to feel as normal as possible. “I don’t want to sound ungrateful, because I understand people’s motivation,” she says. “It’s just that I’m trying to get away from making my life about cancer, and it’s kind of thrust on you. All of a sudden, it was like everyone saw me as a cancer patient—not Michele.”

During chemotherapy, Yepez also bonded with people battling all types of cancer; she wishes their diseases got the same amount of attention. Komen leaders reply that the pink campaign has reached beyond breast cancer. “In October, I know some people say, ‘All you see is pink,’” Laderberg says. “Well, that gives us an opportunity to talk about other cancers. We opened the door to that.”

What everyone can agree on is that much remains to be done to figure out what causes breast cancer—and what people can do to prevent it—help women with limited access to care and develop even more effective therapies. All of that will require more than pink ribbons. As Jaggar puts it, “We’re not just going to shop our way out of breast cancer.”

Gibson, a third-generation breast cancer patient, knows the stakes are high. While her grandmother survived the disease, her mother died after a recurrence at age 55. Gibson, whose boys are now 11, 14 and 16, is grateful to be cancer-free after a bilateral mastectomy, chemotherapy, radiation and hormonal therapy. As an advocate, though, she is well aware that not everyone is so lucky.

“My feeling is that the awareness part of the pink ribbon campaign—which was so important—is done,” she says. “So the question is: What do we do next?”

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Special Section

Breast Health

Update FALL 2014

rishia Madrid isn’t one to mope and feel sorry for herself. Her infectious smile lights up the room and you can feel the positive energy around her.

Breast cancer won’t keep her down.

Trishia’s journey with breast cancer began in 2013 with her annual screening mammogram.

She opted for the 3-D mammogram, a decision that changed her life. At first she wasn’t worried.

She once had a call back with benign results and assumed that this time would be “no big deal” as well. Instead, a suspicious mass was found in her left breast and it was recommended that she have a biopsy. “Never in a million years did I think this would happen to me,” she says. In fact, she was so sure that the biopsy results would be benign that she went for a pedicure while waiting for the call back with her results. With her husband of 35 years by her side, Trishia was shocked to hear the radiologist confirm that she had breast cancer.

Thanks to 3-D mammography (tomosynthesis), the cancerous mass was found very early, measuring about the size of a pea.

“This would not have been detected on 2-D mammography alone,” states Dr. Kelley Allison,

co-medical director of the Dorothy G. Hoefer Comprehensive Breast Center in Newport News.

“3-D mammography is allowing us to find cancers earlier when treatment options are most effective.” Trishia underwent a lumpectomy followed by 33 radiation therapy treatments that ended in December 2013. Because Trishia’s cancer was detected early, she did not need conventional chemotherapy treatment.

Sharing the information with her friends and family was important. “It was such a relief to know that I wasn’t alone. Someone offered to go with me every day to my treatments, which was very comforting,” Trishia remembers. She felt tired at the end of radiation, but overall had very few side effects. She has experienced some side effects from the aromatase inhibitor that she was prescribed after radiation and has had to switch to a different drug. Aromatase inhibitors are pills taken once a day that stop the production of estrogen in post-menopausal women. This means that less estrogen is available to stimulate the growth of hormone-receptor-positive breast cancer cells, and therefore reduces the risk of the breast cancer coming back.

One of Trishia’s passions is sewing and she is a member of a local Quilting Bee that works on special projects each year. When Trishia shared her story with the group, they decided to create something special for breast cancer survivors.

They came up with a heart-shaped pattern and made pillows that they donated to the Dorothy G. Hoefer Comprehensive Breast Center. The pillows are given to women undergoing mastectomies and they provide support to the arm after surgery, as well as protection from the seat belt in the car.

“When I hand these pillows to women the day after their surgery, their eyes light up and I get the biggest smiles,” says Belinda Risher, RN, MS, a breast cancer nurse navigator who works at the Dorothy G. Hoefer Breast Center. “The pillows are such a small thing, but when someone has just gone through a major disfiguring surgery it lets them know they are loved and they are not alone.”

Because she feels so fortunate to have caught her breast cancer early, Trishia tells eveyone who will listen about her experience and encourages women to get their yearly mammogram.

“Especially the 3-D mammogram, because it probably saved my life.”

Special Section

Applesauce Pumpkin Muffins Ingredients The Muffins: 1 cup old fashioned oatmeal, not instant ½ cup unsweetened applesauce ½ cup canned pumpkin 2 large egg whites + 1 yolk, lightly beaten 2 tablespoons + 1 teaspoon canola oil 1 tablespoon double acting baking powder ½ teaspoon baking soda 1 teaspoon cinnamon ¼ teaspoon ground nutmeg 1 teaspoon pumpkin pie spice ½ cup milk, milk alternative or apple juice ½ cup amaranth or quinoa flour (or flour of choice) ¼ cup whole wheat flour ¼ cup maple sugar flakes * ½ cup dried cranberries or raisins (optional)

* This delicious recipe is borrowed from Tosca Reno’s Eat Clean Cookbook

Enjoy the flavors of the season with these delectable treats.

Directions

YIELDS 12 MUFFINS

1. Preheat oven to 375 F (190 C). Line muffin pan with paper or silicon liners or coat with non-fat cooking spray.

2. Combine oatmeal, pumpkin, applesauce, juice or milk, eggs and oil. Mix until all ingredients are blended.

3. Measure and mix all dry ingredients. Make a well in the center of dry ingredients and pour wet ingredients into dry. Add dried fruit if desired.

4. Fill muffin cups 2/3 full. Bake 15-20 minutes or until lightly browned on top.

Special Section

SUPPORTING CANCER

RESEARCH In the early morning on Sunday, August 17, an all-lady angler team left the dock at Rudee Inlet on the 52-foot Viking sport fishing boat Sea Rounds in search of big fish. The team (pictured below) included Sherry McFadden, Leslie Hoock and Charlene Cramer—three surgical techs who work in the operating room at Sentara CarePlex in Hampton—as well as Anna Nizinski, a nurse practitioner with the surgical oncology service

, Leslie Hoock, Sherry McFadden na Nizinski, NP An er, am Cr Charlene Tylman. thy Ka .

Dr d an

at MCV in Richmond, and Dr. Kathy Tylman, a physician with Sentara Medical Group. Along with their captain, Dr. Richard Hoefer, co-director of the Dorothy G. Hoefer Comprehensive Breast Center, the women were embarking on a fundraising fishing adventure in the Chesapeake Bay Wine Classic Foundation’s Virginia Beach Fishing Tournament supporting breast cancer research at Eastern Virginia Medical School (EVMS).

Dr. Hoefer covered the 64 miles to the Norfolk Canyon before 8:30 a.m. Shortly after the lines were in the water, a white marlin crashed the baits, but no hook-up. After lots of trolling and encounters with small black-fin tuna, the crew was rewarded with a gaffer dolphin, which Dr. Tylman wrestled into the boat after a nice fight. The gaffer dolphin, weighing 19.5 pounds, was one of a few caught that day by the crew of Sea Rounds.

The crew aboard Sniper caught the winner—a 30 pounder. Jubilee’s team won first place with three white marlin and one blue marlin. Thirty-five boats participated in the annual tournament, raising over $100,000 for breast cancer research.

The Dorothy G. Hoefer Foundation at the Comprehensive Breast Center supports a number of ongoing research projects at EVMS. These include two

Dr. Richard Hoefer and Associate Professor Amy Tang

major grants to Dr. Amy Tang’s lab at the Canoles Cancer Center at EVMS. Dr. Tang (pictured with Dr. Hoefer at the tournament) and her colleagues are studying a novel pathway in breast cancer’s growth. The Foundation is also supporting research at Canoles Cancer Center investigating the utility of breast-specific gamma imaging (BSGI) in defining response of breast cancers to neoadjuvant chemotherapy. This led EVMS researchers to a recent national radiology meeting in San Diego, California, where they reported their initial findings. Another study underway with researchers at the DGH Comprehensive Breast Center and EVMS is investigating the utility of radioiodine seed localization of non-palpable breast cancers.

The DGH Comprehensive Breast Center is the first in Virginia to adopt this technique.

FIVE MAMMOGRAM Good Reasons to Get a

By Kelley Z. Allison, M.D.

It is that time of year again when pink is everywhere, from illuminated buildings and NFL football teams to the countless walks and runs across America. And despite all the media attention surrounding Breast Cancer Awareness Month, women may still be asking themselves, “Do I really need to have a mammogram?” Consider the following reasons why this could be the single most important test you get this year.

1. Mammography saves lives. Women who get screened decrease their chance of dying from breast cancer by 30 percent. Despite the recent debate over guidelines for screening mammograms, there is universal agreement in the medical community

that mammography saves lives. It is the single most important thing a woman can do to lessen her chances of dying from breast cancer.

2. Early detection is the key to the cure.

Mammography can detect cancer at early stages before a woman can feel a lump. When breast cancer is detected early, before it has a chance to spread, the survival rate is 98 percent. Once breast cancer has metastasized and spread throughout the body, the five-year survival rate drops to 25 percent.

3. Risk of breast cancer increases with age.

The American Cancer Society advises all women beginning at age 40 to schedule annual mammograms as long as they do not have serious or

chronic health problems. Age alone should not be the reason to stop having mammograms.

4. It’s fast. Mammograms take about 20 minutes.

5. Set the example. Encourage the women in your life to get an annual mammogram by having yours. Do it for yourself and for those you love.

Remember, this test may save your life.

The American Cancer Society estimates that in 2014, nearly 232,000 more women will be diagnosed with breast cancer and 40,000 women will die from the disease. Early detection is the key to the cure. No more excuses. Go get your mammogram today!

Special Section

The Dreaded

Mammogram Callback

By Belinda Risher RN, MS / Breast Cancer Nurse Navigator

You just had your annual screening mammogram and checked off that box on your never-ending to-do list. Then you get the dreaded phone call. They need you back for additional testing. Panic sets in. But what does getting “called back” really mean?

Sometimes our worst fear is a fear of the unknown.

Being asked to return for additional imaging can be frightening. It is important to remember that the majority of women who are asked to have additional imaging turn out to have benign (noncancerous) findings. There are many reasons a radiologist may request additional imaging following a screening mammogram. Calcifications that have formed in the breast tissue, asymmetry, a suspicious mass or an architectural distortion are among the most common abnormal findings that can bring you back.

Calcifications are deposits of calcium in breast tissue. While they can be associated with cancer, they are more often associated with non-cancerous findings. Large calcium deposits are common with aging.

Additional imaging can help determine if the calcifications appear benign or indicative of breast cancer. Further action may include a follow-up mammogram in six months or other tests such as ultrasound or biopsy.

Calcium in the diet does not create calcium deposits in the breasts.

The odds are in your favor, and you should not worry until you have something to worry about. Easier said than done though, right?

Asymmetry simply means that an area of breast tissue in one breast looks different than the tissue in the same area of the other breast. Sometimes this is just how the breast tissue has formed. If it is a change from a prior mammogram or the woman’s first mammogram, additional views and/or ultrasound can help determine the cause.

Mass is used to describe an area of denser tissue that can be seen in two views. It appears different from the surrounding tissue and has well-defined borders. A biopsy may be recommended depending on the appearance of the mass. For benign appearing masses, repeat ultrasounds at 6, 12 and 24 months may be recommended to make sure the mass is not increasing in size.

Architectural distortion means the appearance of the breast tissue has a distorted appearance. It may be associated with a mass, calcifications, asymmetry or can be the only finding. Trauma or previous surgery to the breast can be the cause, but if there is no history of either to the area, a biopsy may be recommended.

1/3

Studies suggest that 3-D mammography can reduce callback rates by a third.

4 out of 5 If the callback results in the need for a biopsy, know that 4 out of 5 breast biopsies are negative.

90%

90 percent of callbacks will be given the “all-clear” with additional imaging, and in some cases, an ultrasound.

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FEATURE

Urgent + CARE (SPIRITUAL)

❥ WRITTEN BY NATALIE MILLER MOORE

30 OCTOBER 2014 | THEHEALTHJOURNALS.COM

H

You know what a hospital is. You may know what a chaplain is…but do you know what a hospital chaplain does?

hospitals are places of change, and often, places of crisis. In a hospital, a person experiencing a medical crisis may need support and their families may need help coping. One of the most common misconceptions is that hospital chaplains are there to evangelize—they are not.

They are trained specifically to give patients and families what they need, in the way that they need it.

Chaplain Roy Foster is part of a rotating team of chaplains at Riverside Tappahannock Hospital, in Tappahannock, Virginia, and he says that he often introduces himself by saying “I’m here to support you in whatever you need, faith or no faith.”

“We are trained to personally connect with the patient.

Doctors and nurses don’t have the training or the time for some of these matters. We are there to be present to the specific needs of the person,” he says.

To become a hospital chaplain, four units of Clinical Pastoral Education are required, including peer feedback groups and residency. This training prepares people who already have a master's in divinity or a seminary degree for the specifics of working in a hospital.

Patients often wrestle with questions like “Why is this happening?” and “What did I do to deserve this?” in the hospital and it can be a place of high anxiety. Chaplains offer a confidential person to talk with, and sometimes their objectivity is reassuring.

But many people don’t know they can ask for a chaplain or when they should do so. Chaplains are available to be present for patients and family members in the hospital in all kinds of situations, including death, receiving bad news, stress over making decisions, family issues and unfinished business.

“People in crisis are more willing to talk, especially to a chaplain,” says Foster. “It’s our job to be present, and to offer compassion and awareness of the critical life event they are experiencing.”

Often people who have a sudden illness, such as a heart attack or stroke, have a hard time coping.

“It’s a surprise and your head is swirling with fear and terror. Those things you worry about in the back of

your head, you are suddenly experiencing it now,” says Chaplain Barbara Shefelton, staff chaplain at Bon Secours Mary Immaculate Hospital in Newport News, Virgnia.

Another reason people may be reluctant to call for a hospital chaplain is that they may not be religious or worried about proselytization from the chaplain.

Although chaplains may have backgrounds as congregational pastors, or act as one when they are not at the hospital, these are very different roles.

“We meet them where they are. Whether Wiccan, Baha’i, Jewish or Muslim, we are available,” says Shefelton, an ordained Presbyterian minister.

“It’s not about evangelism. It’s about being present and helping them talk about what they really need,” Foster says.

Chaplains also act as a liaison for other faith leaders, calling them if one of their congregants is admitted, if they want to receive a visit or receive a sacrament.

Although people admitted to the hospital are asked about their religious affiliation, the label on their medical chart after religion is only a starting point for chaplains.

Particularly with the growing number of people who consider themselves “non-religious,” chaplains may enter a patient room not knowing what to expect. But they contend that people in crisis are in need of spiritual care and listening, so they are there to meet those needs and are trained to be open to what the patient or family needs.

In addition, hospital chaplains help people working in the high stress environment of hospitals. Foster says that more than half of his job is to be present for the staff, who experience loss and emotional stress frequently in their jobs.

Shefelton said that at first, the shift from a congregation to the hospital was a big change.

“I was worried about having no sense of congregation, but the staff becomes that,” she says.

Acting as a chaplain varies from place to place. Foster says that in a rural hospital in a small town, one of the differences is that everyone knows each other. “It’s not uncommon that people being treated are known by the hospital staff. This can be both a stress and a comfort,” he says.

TALKING ABOUT IT NOW END OF LIFE CONVERSATIONS It would make chaplain's jobs so much easier if everyone arriving at the hospital had already written down their wishes.

Chaplain Shefelton says, “It’s absolutely one of the most important conversations we can have with anyone: our parent, spouse or children. It’s so difficult, but it’s a gift to give your children.”

Allison DeLaney, chaplain for Hospice House and Support Care of Williamsburg, Virginia, says it’s never too early to have this conversation. “You honor your life by talking about end of life wishes with your family,” she says.

DeLaney suggests using a workbook or guide that covers three topics: your wishes for medical care near the end of your life (often called your advanced directive), your wishes for your funeral and burial or cremation and your will. Your advanced directive and will should be legal documents, including designating someone you trust to make decisions for you if you can’t. An advanced directive includes deciding who will speak for you if there are medical decisions to be made, and what kind of medical treatment you want if you are not expected to recover.

Before you document it, spend time thinking about what it is that you want. Think about your values, your favorite music, who you’d like to get your precious items or to care for your pets. “You don’t have to talk about it all the time. Just have one concentrated conversation about it and keep it updated,” DeLaney says.

Even if you feel uncomfortable, think of your loved ones and how it may help them. DeLaney recommends everyone do something to acknowledge life has changed after a loved one dies.

“Admitting you might die doesn’t make you die sooner. We are all going to die—there’s a 100 percent mortality rate—so we might as well deal with it,” says DeLaney.

• Put documents with the right people—your doctor, your friends, your children and your spouse. If you put items in a safety deposit box or safe, make sure the right people know where the keys are.

• If you own a business, consider creating a letter of instruction for your family on who to call upon your death such as your accountant, colleagues and clients.

• Don’t forget that you are more than your stuff.

Write down stories to share with your loved ones about your life and your values. What do you want them to remember about you?

THEHEALTHJOURNALS.COM | OCTOBER 2014

“IT’S ABOUT BEING PRESENT AND HELPING THEM TALK ABOUT WHAT THEY REALLY NEED”

• Don’t forget about your digital assets. Do you want your Facebook and Twitter accounts deleted immediately? Who has passwords for your online accounts?

31

VINE AND DINE

Orange

CRUSH ❥ WRITTEN BY PAGE FREER

from pancakes to pastries, to coffees, microbrews and more, America’s penchant for pumpkin is back with a vengeance. Call it an obsession, call it an “orange crush.”

Whatever you call it, pumpkin has us by the gourds.

You know it’s yummy, but pumpkin—the real kind, from the source—is also packed with healthy antioxidants and vitamins A and C, iron, fiber, potassium and other essential nutrients. One cup of fresh pumpkin weighs in at just 50 calories with zero fat.

You can easily make your own fresh, pumpkin puree and incorporate it into a variety of recipes in place of canned pumpkin, as well as roast and eat the seeds. And it’s easier than you might think.

Ready to carve up some fun? Here are step-by-step instructions on how to use a whole pumpkin—tried and tested by The Health Journal staff.

Choose your pumpkins.

Mid-sized pie pumpkins work best for baking.

Using a knife or pumpkin carving tool, vertically cut around the stem so it can be easily removed.

Lay the pumpkin on its side and, using a large knife, cut it in half lengthwise.

Scoop out the stringy pulp and seeds and place in separate bowl.

Turn the two halves cut side down on a foil-lined baking sheet. Bake at 350 degrees F for about 1 hour. Remove from oven and let cool.

Scoop the pumpkin from the rind, place in bowl and allow to cool completely.

Meanwhile, separate the pumpkin seeds from the pulp. This can be tricky, so try running them under water in a colander and massaging out the seeds from the large sections and discard the pulp.

ROAST THOSE PUMPKIN SEEDS 32 OCTOBER 2014 | THEHEALTHJOURNALS.COM

Preheat the oven to 350° degrees and cover a cookie sheet with aluminum foil.

In a bowl, mix pumpkin seeds with olive oil and spices, tossing well to coat.

Spread seeds into a single layer on cookie sheet and bake for 30 minutes, stirring frequently until seeds are crispy and dry - remove from oven and allow to cool before eating.

chili lime roasted pumpkin seeds 1 cup raw pumpkin seeds 1 teaspoon olive oil 1/2 teaspoon Chili Powder 1/2 teaspoon Ground Cumin 1/4 teaspoon Cayenne Pepper 1 teaspoon salt 1/2 fresh lime

Watch how to cook a whole pumpkin, from start to finish.

WATCH NOW ] bit.ly/pumpkin-orange-crush

Place seeds and leftover bits of pulp in a bowl of cold water and let sit 1 minute. Using a large slotted spoon, skim the seeds off the top and place on a paper towel lined plate to dry, picking out any last remaining bits of pulp.

Season the seeds to your taste (see our suggestions below) and then bake them on a greased cookie sheet and bake at 250 degrees F for about 1 hour, tossing every 20 minutes.

Place cooked pumpkin in a food processor and puree until smooth. Use this cup for cup in place of canned pumpkin in all of your favorite fall recipes.

You can easily make soups, baked goods, smoothies, side dishes and more—the possibilities are endless.

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Curried Pumpkin Bisque ❥ PREPARED BY CHEF DUSI BAGBY COVE TAVERN

❥ PHOTO BY BRIAN FREER

Enjoy the seasonal flavors of pumpkin and corn married with curry in this delightful and warming soup. Discovered at epicurious.com

INGREDIENTS 2 T olive oil 2 cups finely chopped onions 1 t curry powder 5 cups chicken broth 15 oz can pure pumpkin

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PREPARATION • Heat oil in heavy large pot over medium heat.

• Add onions and bell pepper; sauté until vegetables begin to soften, about 8 minutes.

• Add curry powder and stir 1 minute.

• Add 5 cups broth and next 4 ingredients and bring to boil.

• Reduce heat and simmer 15 minutes to blend flavors, stirring frequently.

• Season with salt and pepper.

• Ladle soup into bowls. Top with grated cheese. * Can be made 1 day ahead. Cool slightly. Chill until cold, then cover and keep chilled. Rewarm over medium heat,

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THEHEALTHJOURNALS.COM | OCTOBER 2014 33

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FLAVOR

FOOD & BEVERAGE TRENDS TO WATCH FOR

crab

infused oils pork

after a year of food and beverage shows, I have eaten and drank enough to make some educated predictions for 2015. Collaborating with my good friend, Christopher Bifano, director of operations at Bon Appétit Management Company at Yahoo, we’re pointing you in the right direction when Yelping nearby restaurants for trendy bites or how to impress your friends with some new ingredients to work into your next dinner party.

1. For refreshing your palates, keep an eye out for mezcal, the cousin of tequila.

This Mexican spirit, unlike tequila, is made from other species of the agave plant, while tequila is made only from the blue. Brilliantly, bartenders are infusing them into ice cubes with citrus juice and agave nectar.

2. Ramen is everywhere and doesn’t seem to be going away anytime soon. We recommend you embrace it. Don’t have a ramen noodle shop nearby yet? Hack a gourmet ramen dish simply by adding Asian vegetables, thinly sliced meat or tofu, fish sauce and chilies; top with bean sprouts, cilantro and fresh lime.

3. With veganism on the rise, and at only 60 calories per serving, almond milk is what’s up. Add it to your smoothies, or as a substitute base for cream-based sauces like Alfredo or for a guilt-free cream of mushroom soup. By stepping up the other herbs and seasonings, almond milk is a terrific substitution for heavy cream.

4. Todd Jurich’s Bistro in Norfolk, Virginia, does a clever take on a Hampton Roads staple: crab cakes. Served with a peanut fennel slaw, a sweet pickle tartar sauce, and Old Bay chips—because it wouldn’t be a crab cake without Old

teas

almond milk

ramen

mezcal

❥ WRITTEN BY KIMBERLEY CUACHON HAUGH

Bay—beloved dishes like these are being reinvented into higher-end dishes worthy of Instagram and the price mark-up.

5. Look for new fun flavors of infused olive oils like avocado, blood orange and jalapeño. Use them just as you would regular olive oil and pair with complementing dishes, like an Asian chicken dish with the blood orange olive oil topped with toasted cashews. Or if you’re still experimenting, there’s nothing wrong with breaking a fresh loaf of bread and using the oils for dipping. Have fun with some innovative wine pairings—a great and informal first course with friends, for sure.

6. The rise of “the other white meat”.

In years past, it was bacon. I did a birthday last year which revolved around bacon—it was ridiculously sinful. However, our obsession with pork hasn’t veered completely away from the belly, as pulled-pork anything is everywhere. It’s in sliders, dumplings, spring rolls, used as a garnish, all over flatbreads and at Subway.

7. Lastly, look out for tea. Hot or cold, it’s converting coffee drinkers rapidly. I just spent $100 dollars at Teavana because I was memorized by the possibilities. It isn’t limited to a cup these days either. Use it to flavor desserts, or to add a bit of je ne sais quoi to a refreshing cocktail. If Starbucks is banking on it, I’m confident this trend is going to explode.

OUTDOORS

Outdoor adventures

family friendly ❥ WRITTEN BY CHRIS JONES

Fall is great for getting into the great outdoors with the kids. Make some great memories with one or more of these inexpensive and fun excursions. And if you don’t have kids and want to venture solo, or take a friend or mate, these activities will get you in touch with your primitive inner spirit.

Treetop Adventures

Dash through the treetops at Go Ape in Williamsburg, Virginia, located in Patriot Park, which is also known for its bike trails and natural setting. Go Ape offers two to three hours of wooded fun and adventure in five sections from ropes and crossings to tunnels and bridges, and concludes with a 600foot, adrenaline-enducing zip line finish. There is also a junior course for younger adventurers 3 feet 3 inches tall and over for $25. Go Ape encourages reservations due to its high volume of customers and reservations.

Go Ape

Open through mid-December, every day except for Tuesdays and Wednesdays.

Adults $55, children age 10-17 $35.

5537 Centerville Road, Williamsburg, Virginia contact: 800-971-8271 ▲▲ goape.com

White Water Rafting

Located in Richmond, Virginia, River City Adventures offers exciting outdoor adventures on the James River. “We offer three different options: whitewater rafting, inflatable kayaking trips and tubing on two different sections of the river, the upper and lower. The upper section has class II rapids and the lower section has class IV. The minimum age for the lower section is 12,” says Travis Bayes of River City Adventures.

People ages 9 years and older can rip through class I and II rapids, perfect for beginners, while thrill seekers and the more experienced can navigate tougher waters in class III and IV rapids.

River City Adventures is open as long as the weather permits, says Bayes, who encourages those wishing to ride the rapids to reserve by phone or online to guarantee space.

36 OCTOBER 2014 | THEHEALTHJOURNALS.COM

River City Adventures

Kayak Touring

Open year-round, prices vary.

100 Stockton Street, Richmond, Virginia 804-233-4000 ▲ rivercityadventure.com

Adventure Kayak Tours lets you experience and explore some of coastal Virginia’s most scenic waterways. If you’ve never kayaked, or you’re taking the family for their first aquatic adventure, all you have to do is snap on your lifejacket, grab your oars and hop in. “It requires zero skill level really,” says Kevin Fonda of Adventure Kayak Tours. “We’ve taken people from Atlantic Shores [Retirement Community] out and we’ve taken 3-year-olds out. The ocean tour bring kayakers in close proximity with marine life, like dolphins, while the inland tours buzz past owls and otters. Open year-round as long as the weather permits. Reservation in advance recommended.

Adventure Kayak Tours

Open year-round. $50 for a 2-1/2 hour tour, $100 for a full day of paddling Chesapeake, Virginia 757-237-8776 ▲ adventurekayaktours.net

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FAMILY

NATURAL HEA + Finding remedies for common ailments in your fridge or pantry +

whether you have heartburn or a headache, here’s a list of natural home remedies you may want to try before giving the doctor a call.

Aches and Pains

38 OCTOBER 2014 | THEHEALTHJOURNALS.COM

Proper hydration prevents most body aches and pains.

Try drinking plenty of water or snacking on a slice of watermelon if you have headaches.

“Foods that decrease inflammation include fruits, vegetables, whole grains, red wine, dark chocolate, olive oil, nuts and coffee because of the phytochemicals they contain,” says Gale Pearson, a registered dietician with Tidewater Physicians Multispecialty Group (TPMG).

“Foods that increase inflammation include processed meats, high-fat meats, snack foods with trans fats and high sugar beverages.”

Studies show that consuming tart cherries may aid with pain relief. Ginger and turmeric may also be used to treat minor arthritis pain.

“Using curcumin, which is the active ingredient in turmeric, has been known to ease pain,” says Tina Shiver, a registered dietician with Lighten Up in Richmond, Virginia. “It’s also known to decrease infection and bring down inflammation when used topically.”

Allergies/Colds Battling a cold or seasonal allergies? Take zinc or add some parsley to your salad to boost your immune system.

Zinc aids in strengthening the immune system while the antioxidants in parsley help reduce the release of histamines.

“Perilla seed, which is an herb, can help promote healthy respiratory and immune function,” says Shiver.

Adds Debbi Dunn, a certified holistic health consultant with SAGE Holistic Health: “Many foods help with alleviating pain, but your best defense is whole foods from the earth, colorful foods, foods of the rainbow. White foods, like onions and cauliflower, help strengthen the immune system. Green foods—bell peppers, green apples, kale, spinach—purify with detoxification.”

Skin Ailments Have sunburn, poison ivy or an insect bite? Oatmeal may help.

“Grind it in a blender or food processor and add to a cool bath and soak,” Shiver recommends. “Green tea’s catechin compounds [also] help with the damage sun has done on your skin. Its tannic acid helps to soothe sunburn pain.”

White vinegar, strawberries, cucumbers and aloe can also be used to treat sunburned skin. Dab vinegar on a cotton ball and rub on the infected area or mash strawberries or cucumbers and apply to the skin for natural relief. “You can break off a leaf of aloe and apply the juice of it to your sunburned skin,” Shiver adds.

Rubbing the inside of a banana peel on your skin may aid with bug bites while lemon juice may help fade sun or age spots.

“Yellow foods [like] bananas, lemons and spaghetti squash fortify skin elasticity,” says Dunn.

Try using honey on blemishes or using yogurt as a face mask, or even washing your face with milk to alleviate puffy eyes.

ALING ❥ WRITTEN BY BRANDY CENTOLANZA

Heartburn Enzymes in papaya and pineapple may assist with minor bouts of heartburn or indigestion.

“They are both helpful with digestion issues, which can decrease heartburn,” says Shiver.

Drinking papaya, mango, guava, pineapple, pear or even juiced cabbage, juiced raw potatoes or buttermilk may soothe symptoms. You can also try chewing on fennel seeds, ginger, almonds or soda crackers to alleviate heartburn.

YOUR

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You can be evaluated and treated by a Physical Therapist without a prescription from a physician.

COORDINATION WITH YOUR PHYSICIAN AND INSURANCE COMPANY

We provide status reports to your physician, communicating your progress throughout treatment and are happy to coordinate coverage requirements with your insurance carrier.

Troubles Sleeping Having trouble with your slumber? Try noshing on fish, jasmine rice, bananas or chickpeas, or downing a glass of tart cherry juice or rooibus tea. Nutrients in these foods may aid with falling asleep.

“Drinking coconut water, which is full of calcium, magnesium and potassium, can also help with a more restful sleep,” says Shiver.

If symptoms for any of these conditions persist or worsen, call your physician. But with any minor condition, changing your diet or using simple ingredients at home may help.

“I do feel eating a healthy diet impacts our health greatly,” says Megan Cordova, a registered dietitian with Sentara Williamsburg Regional Medical Center. “And in many ways food is our medicine. I see every day how my patients’ health improves when they change their diet— their blood sugars come down, blood pressure improves, and they lose weight.”

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FITNESS

Fitfor Motherhood ❥ WRITTEN BY BRIDGIT KIN-CHARLTON

Why Work Out Now

Consistent exercise during pregnancy helps you as you prepare for childbirth and, later, as you return to prepregnancy activity levels. Benefits of exercise during pregnancy and after giving birth include: reduced incidence of back pain, boosted energy, fewer problems with constipation, increased muscle strength and a superior cardiovascular condition, which can facilitate labor and delivery and improve endurance. This prepares you for the possibility of a longer labor.

It also improves your mood reducing postpartum recovery time.

40 OCTOBER 2014 | THEHEALTHJOURNALS.COM

Modes and Intensity of Exercise

The appropriate mode of exercise for you greatly depends on how fit you were before your pregnancy. If you have not been exercising, begin slowly and progress gradually, and always check with your doctor before you begin.

Your body will change more in 9 months of pregnancy than a man’s will in his lifetime, and you need an exercise program to match the transformation. The biomechanics of motherhood are unique and specific. A mom-to-be will need to master strength, agility, balance, speed, acceleration, deceleration, directional change and rotation . . . all with load that increases every day.

For these reasons, I like to design a “functional” fitness plan for an expectant client. “Functional training” means exercise designed to increase an individual’s ability to carry out everyday tasks— that is, movement that mimics the real-life tasks someone must carry out in an average day. In general, most functional exercises a woman can perform prior to getting pregnant can be performed during pregnancy. Here’s how things break down by trimester.

Pregnant? Congratulations! If you are curious about whether or not you’ll be able to exercise during pregnancy, there’s good news: research suggests that during pregnancy, women can continue to derive health benefits from regular exercise.

What to prepare for through each trimester

First Trimester

The goal for the first trimester is to help you ease into the tremendous shifts occurring in your body and prepare for the challenge the growing baby will put on your musculoskeletal system. Core loading, hip loading, scapular loading and pectoral loading are important.

Strengthen vital muscle groups with these workouts Add hip-opening poses, such as pigeon. Include light stretches, add thoracic mobilizations with a foam roller, and stretch the abdominal area if needed.

TRX Squats

Seated Row

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Second Trimester

The second trimester is when you will find that your energy level is returning and your “baby bump” is starting to show. This is the time to build strength and endurance in preparation for baby weight gain.

Pay close attention to how an exercise feels on the spine, abdomen and groin. If you feel pulling or tightness, or if the exercise just doesn’t feel comfortable anymore, you should discontinue that particular exercise. Areas of importance include the core, the upper back and the arms.

Second Trimester

The third trimester is all about exercising comfortably while maintaining fitness. You will have high levels of relaxin in your system by now. For this reason, avoid quick changes of direction, especially laterally (e.g., side lunges, wood chops), because the risk of a ligament sprain increases.

Late-trimester functional fitness should also address the upcoming birth event and anticipated postpartum activities of daily living (ADLs), think of how often you will be lifting your baby in and out of the crib!

THEHEALTHJOURNALS.COM | OCTOBER 2014

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Swiss Wall Sumo Squat

Static Lunge

41

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Leaving It All

Behind 4 Estate Planning Tips

❥ WRITTEN BY TERESA BERGEN

brian fraser, an attorney at carrell Blanton Ferris’ Williamsburg, Virginia, office conducts seminars on estate planning. He has heard many success and failure stories regarding those who plan and those who don’t. And while most people realize estate planning is important, they put it off. After all, picturing a time when the world rolls on without us is not likely to be a favorite subject.

But not making a plan leads to problems.

He offers the following considerations.

Put Yourself First

Your Heirs

You probably know whom you want to leave your possessions to, but how you leave assets can be almost as important. If you’re leaving money to a child or grandchild, that money could be fully accessible when the child turns 18. “When you point that out [to [those planning their estates,” says Fraser, “They say, ‘No, that’s not what I meant to do. I never met an 18 year old who can handle that kind of money.’”

You also have to be careful leaving money to family members or friends with special needs who are on Medicaid or SSI. “The assets you leave behind could bump them off benefits,” says Fraser.

Your Legacy

Planning your estate is the perfect time to revisit your values and contemplate intangibles. In addition to legal documents, many people like to write letters or make videos sharing their wisdom and perspective with

grandkids or future generations. “These are the things we find of great value in life,” Fraser says, “what we want to leave our kids even more than money, more than a house.”

He recently worked with a married couple, both professors. Their children were doing well professionally and had plenty of money, so the couple decided to pass on the value of education to future generations.

They opened a trust to pay for post-secondary education for their descendants.

Depending on number of future grandkids and great-grandkids, and education costs, their trust might fund five or six generations.

Taxes

Estate planning is about more than taxes, but taxes are important to consider.

Research the estate tax in your state, and the potential income task burden you may place on your heirs.

The amount of tax exemptions varies from state to state. Virginia has no state death or estate tax, says Fraser. But you’ll still have to factor in federal taxes. The current exemption amount is 5.34 million, or 10.68 million for a married couple.

THEHEALTHJOURNALS.COM | OCTOBER 2014 43

You are at the center of estate planning: your life, possessions and the values and legacy you aim to pass on. The more you plan and clarify your wishes, the easier you make things for your heirs.

“Everyone deals with some of the same issues as we age. We worry about our kids, our grandkids, how we’ll take care of ourself and our spouse, but our goals within those general ideas can be very different,” says Fraser, who recommends meeting with an estate planner to sort these things out.

In addition to having a will, you should plan for potential end of life problems.

“Sometimes they’re so focused on the death

aspect of planning they never consider what could happen if they became disabled,” Fraser says. Designating an agent to make decisions for you can preempt putting your loved ones through a court proceeding.

ACCEPwTING ne

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

Find out how you can become a featured provider in upcoming issues of The Health Journal:

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44 OCTOBER 2014 | THEHEALTHJOURNALS.COM

Virginia Oncology Associates

Dr. Kenneth F. More, graduated from, Jefferson Medical College, in Philadelphia, Pennsylvania, and completed his internship and residency at the National Naval Medical Center in Bethesda, Maryland. His hematology and oncology fellowship was completed at the National Capital Consortium, National Naval Medical Center in Maryland and Walter Reed Army Hospital in Washington, D.C. He is board-certified in medical oncology, hematology and internal medicine. Dr. More has served the Hampton Roads military community since 2009.

Prior to joining the Virginia Oncology Associates team, Dr. More was the staff medical officer for Hematology and Oncology at Portsmouth Naval Medical Center, Portsmouth, Virginia. He also served as the medical director of Palliative Care Services at Naval Medical Center in Bethesda, Maryland.

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WEIGHT MANAGEMENT ALLERGY & ASTHMA 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

Timothy J. Campbell, M.D.

Allergy Partners of Hampton Roads Timothy Campbell completed his undergraduate education in psychology and neuroscience at Miami University in Oxford, Ohio, and attended medical school at Northeast Ohio Medical University. Dr. Campbell completed his internal medicine residency at Summa Health System in Akron, Ohio. He completed his fellowship in adult pediatric allergy and immunology at the world renowned Cleveland Clinic in Cleveland, Ohio.

In his free time, Dr. Campbell enjoys traveling, playing soccer, volunteering at Camp Promise West, all things culinary and watching foreign and independent films. He is very excited to explore the Hampton Roads area and provide excellent allergy relief to the Peninsula.

Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443 895 Middle Ground Blvd., Suite 302 Newport News, VA 23606 (757) 596-8025

www.lwell.com

www.allergypartners.com/hamptonroads

AUDIOLOGY

NEUROLOGY

Jude Liptak, Au.D.

Ugur Yilmaz, M.D.

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

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

Ugur Yilmaz, M.D., earned his medical degree at Hacettepe University Medical Faculty, Ankara, Turkey, and his postgraduate training in urology at Erciyes University Medical Faculty, Kayseri, Turkey.

He completed his neurourology fellowship, internship in medicine, residency training in neurology and clinical neurophysiology fellowship at the University of Washington.

Dr. Yilmaz is a member of the American Medical Association, American Academy of Neurology, corresponding member of the American Urological Association and Turkish Urological Society. He is committed to providing excellent care for his patients with neurological diseases based on his training in neurology, clinical neurophysiology (EEG, EMG), epilepsy, botox injections and neurourology.

TPMG and Dr. Rajinder Singh welcomed Dr. Yilmaz to Peninsula Neurology in August 2014.

Colonial Center for Hearing

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

www.williamsburghears.com

TPMG Peninsula Neurology

TPMG Peninsula Neurology 820 Lockwood Ave., Suite A Newport News, VA 23602 (757) 872-9797

www.mytpmg.com

ACCEPTING NEW PATIENTS / SPECIAL ADVERTISING SECTION

PERSONAL TRAINING Brian Cole, CPFT, CMT

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 post-rehab 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 variety of disciplines.

They are knowledgeable and experienced working with hip/ knee replacements, ACL tears, spinal and shoulder surgeries, mastectomies, rheumatoid and osteoarthritis, scoliosis, etc.

Personal Training Associates - Private Studios Port Warwick 210 Nat Turner Blvd.

Newport News, VA 23606 Hilton Village 97 Main Street Newport News, VA 23601 (757) 599-5999

PAIN TREATMENT Kevin F. Costello, M.D. TPMG Pain Treatment Center

Dr. Kevin F. Costello completed his undergraduate degree at University of Virginia in 2004 and pursued his graduate degree at Eastern Virginia Medical School, earning his master of science in biomedical sciences in 2005. He continued his education at Eastern Virginia Medical School, where he received his doctor of medicine in 2009.

He completed his residency in anesthesiology at West Virginia University School of Medicine, and his ACGME accredited fellowship in Pain Medicine at University of Pittsburgh Medical Center.

Dr. Costello is a member of the American Society of Anesthesiology, American Society of Interventional Pain Physicians and American Academy of Pain Medicine. He is a board certified diplomate of the American Board of Anesthesiology.

TPMG welcomes Dr. Costello and the opening of our newest Pain Treatment Center, located in Newport News.

TPMG Pain Treatment Center 860 Omni Boulevard, Suite 115 Newport News, VA 23606 (757) 232-8844

PHYSICAL THERAPY Allen R. Jones Jr., D.P.T., P.T. Dominion Physical Therapy & Associates, Inc.

Dr. Allen R. Jones, Jr. is a Licensed Physical Therapist and owner of Dominion Physical Therapy, earned his degree in Physical Therapy from the University of Connecticut in 1987 and holds a postgraduate certification in Clinical Management of Head, Facial and Neck Pain and TMJ Disorders from the American Academy of Head, Facial and Neck Pain and TMJ Orthopedics.

Jones has been a member of the American Physical Therapy Association since 1988. He is also certified in ergonomics and holds a number of other certifications.

Dominion Physical Therapy offices, one of which is dedicated exclusively to the rehabilitative needs of pediatric patients, are now located in Hampton, Newport News, Williamsburg, Portsmouth, and Norfolk.

Jones is a father of four and married to Hampton native Gail Boyd Jones, who is a physical therapy assistant and works in the practice.

Dominion Physical Therapy Associates, Inc. 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446

www.briancoleandassociates.com

www.mytpmg.com

www.dompt.com

SPORTS MEDICINE

AUDIOLOGY

OPTOMETRY

Nicholas K. Sablan, M.D.

Tidewater Ortho

Tidewater Ortho 901 Enterprise Pkwy, Suite 900 Hampton, VA 23666 (757) 637-7016

www.tidewaterortho.com

Maico Audiological Services Sandy received her undergraduate degree in speech and hearing science from Ohio University and her Masters in Audiology from Emory University in Atlanta. She is a member of the American Speech and Hearing Association, Academy of Doctors of Audiology, American Academy of Audiology, Educational Audiology Association, and Speech and Hearing Association of Virginia. She practiced in an ENT physician’s office in Massachusetts and in Speech & Hearing clinics before coming to private practice at Maico in 1992. Sandy has been a practicing Audiologist for 35 years and her life’s work has been focused on improving the lives of hearing impaired children and adults.

Maico Audiological Services 703 Thimble Shoals Blvd., Suite C-3 Newport News, VA 23606 (757) 873-8794 1021 Eden Way North, Suite 110 Chesapeake, VA 23320 (757) 547-3560

maicoaudio.com

Gregory M. Schultz, O.D.

Ocular Disease & Medical Optometry Dr. Schultz has made patient education the cornerstone of his practice. He received his undergraduate degree at Ursinus College in Pennsylvania, then attended the Pennsylvania College of Optometry in Philadelphia, graduating with honors.

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

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

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

Gregory M. Schultz, O.D.

101 Tewning Road Williamsburg, VA 23188 (757) 229-1131

www.eyecenterofvirginia.com

THEHEALTHJOURNALS.COM | OCTOBER 2014 45

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.

Sandy BurkesCampbell, M.S. CCC-A

Project CARE recognizes these practitioners for their exceptional service to the Hampton Roads Community.

Riverside Gastroenterology Specialists Retina & Glaucoma Associates specializes in the diagnosis and treatment of retinal diseases and glaucoma.

• Macular Degeneration • Diabetic Retinopathy • Glaucoma Dr. Nordlund was on faculty at UVA Medical School, and is a current clinical faculty member at VCU Medical Center.

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

John R. Nordlund, MD, PhD

Mark Titus M.D., John Boyd M.D., Frederick Gessner M.D., William Hackworth M.D., Ray James Jr. M.D., Ashutosh Naniwadekar M.D., Crystal Mann P.A., Brittany Fields P.A., Brittany Morris, N.P. (not pictured).

Member, American Society of Retina Specialists Member, American Glaucoma Society © Lisa W. Cumming Photography

Office hours:

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

Newport News 101 Philip Roth Street - Suite 5A Newport News, VA 23606 • (757) 599-6333

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

We’re All About Family Time!

FAMILY MEDICINE IS OUR FOUNDATION

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

CHESAPEAKE Coastal Internal Medicine Greenbrier Family Medicine Walk-in Express Care Indian River Family Practice Tidewater Sports & Osteopathic Medicine

HAMPTON

Hidenwood Family Medicine Kiln Creek Family Medicine Newport News Internal Medicine Patrick Henry Family Medicine Peninsula Internal & Geriatric Medicine Peninsula Internal Medicine

VIRGINIA BEACH

Family Practice of Hampton Roads Hampton Family Medicine Hartford Internal Medicine Tidewater Family Medicine

Atlantic Coast Family Medicine Holland Road Family Medicine Romero Family Practice

NEWPORT NEWS

Grafton Family Medicine Yorktown Family Medicine

Denbigh Family Medicine

YORKTOWN

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

mytpmg.com

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

ALLERGY & ENT 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 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

COSMETIC & PLASTIC SURGERY

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

AUDIOLOGY & HEARING COLONIAL CENTER FOR HEARING 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004

BEHAVIORAL HEALTH & PSYCHIATRY THE PAVILION AT WILLIAMSBURG PLACE 5483 Mooretown Road Williamsburg (800) 582-6066

CARDIOLOGY RIVERSIDE CARDIOVASCULAR HEALTH 117 Bulifants Blvd., Suite B Williamsburg (757) 259-9540

CHIROPRACTIC & ACUPUNCTURE PINTO CHIROPRACTIC & REHABILITATION 5408 Discovery Park Blvd., Ste. 200 Williamsburg (757) 645-9353 WADE QUINN, DC 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900

RENEAU MEDICAL CENTER FOR AGE MANAGEMENT & AESTHETIC MEDICINE 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 RUBENSTEIN ORTHODONTICS LORETTA RUBENSTEIN, DDS 12725 McManus Blvd., Suite 1B Newport News (757)874-0990 WILLIAMSBURG CENTER FOR DENTAL HEALTH STACEY SPARKMAN HALL, DDS 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303 BENJAMIN T. WATSON, DDS, PLC 729 Thimble Shoals Blvd. Bldg. 7E Newport News (757) 873-3322

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

DERMATOLOGY ASSOCIATES IN DERMATOLOGY, INC. 17 Manhattan Square Hampton (757) 838-8030

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

SCHUMANN DERMATOLOGY GROUP 5309 Discovery Park Blvd.

Williamsburg (757) 564-1200

RIVERSIDE WILLIAMSBURG FAMILY MEDICINE 120 Kings Way, Suite 1400 Williamsburg (757) 345-2555

DIAGNOSTIC IMAGING

FITNESS

ORTHOPAEDIC & SPINE CENTER 250 Nat Turner Blvd.

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

ENDOCRINOLOGY RIVERSIDE ENDOCRINOLOGY & DIABETES CENTER 120 Kings Way, Suite 2550 Williamsburg (757) 534-5909

DECEMBER 7, 2014

BUSCH GARDENS WILLIAMSBURG

B-DEFINED INNOVATIVE PERSONAL TRAINING & WELLNESS 4801 Courthouse Street 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

HEALTH DIRECTORY

health directory

HEALTH DIRECTORY

ANGELS OF MERCY MEDICAL CLINIC 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700 BEACH HEALTH CLINIC 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601 CHESAPEAKE CARE 2145 South Military Highway Chesapeake (757) 545-5700 THE COMMUNITY FREE CLINIC OF NEWPORT NEWS 727 25th St. Newport News (757) 594-4060 H.E.L.P. FREE CLINIC 1320 LaSalle Ave. Hampton (757) 727-2577 H.E.L.P. FREE DENTAL CLINIC 1325 LaSalle Ave. Hampton (757) 727-2577 LACKEY FREE CLINIC 1620 Old Williamsburg Road Yorktown (757) 886-0608 OLDE TOWNE MEDICAL AND DENTAL CENTER 5249 Olde Towne Road Williamsburg (757) 259-3258

VIRGINIA GOURMET MARKET, CAFE & CATERING 264 McLaws Circle, Suite K Williamsburg (757) 645-2970

HERNIA SPECIALISTS THE HERNIA CENTER AT MARY IMMACULATE HOSPITAL 860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077

AMERICAN DIABETES ASSOCIATION 870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662

BAYADA 263 McClaws Circle, Suite 103 Williamsburg (757) 229-0019

SENTARA LEIGH HOSPITAL 830 Kempsville Road Norfolk (757) 261-6000

AMERICAN HEART ASSOCIATION 500 Plume Street East, Suite 110 Norfolk (757) 628-2610

428 McClaws Circle, Suite 203 Williamsburg (757) 565-5400

SENTARA NORFOLK GENERAL HOSPITAL 600 Gresham Drive Norfolk (757) 388-3000

AMERICAN PARKINSON’S DISEASE ASSOCIATION 4560 Princess Anne Road Virginia Beach (757) 495-3062

SENTARA OBICI HOSPITAL 2800 Godwin Blvd.

Suffolk (757) 934-4000

AMERICAN RED CROSS 1323 W. Pembroke Ave. Hampton (757) 838-7320

VISITING ANGELS 12388 Warwick Blvd., Suite 206 Newport News (757) 596-2168

HOSPITALS & MEDICAL CENTERS

BON SECOURS MARYVIEW MEDICAL CENTER 3636 High St. Portsmouth (757) 398-2200

RIVERSIDE HAMPTON ROADS SURGICAL SPECAILISTS 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 THE SPA OF COLONIAL WILLIAMSBURG 307 South England St. Williamsburg (757) 220-7720

24-hour Helpline: (800) 272-3900

SENTARA HEART HOSPITAL 600 Gresham Drive Norfolk (757) 388-8000

GASTROENTEROLOGY

GENERAL SURGERY

213-B McLaws Circle Williamsburg (757) 221-7272

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

BON SECOURS DEPAUL MEDICAL CENTER Granby St. & Kingsley Lane Norfolk (757) 889-5310

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

SENTARA CAREPLEX HOSPITAL 3000 Coliseum Drive Hampton (757) 736-1000

ALZHEIMER’S ASSOCIATION 6350 Center Drive, Suite 102 Norfolk (757) 459-2405

HOME CARE

WESTERN TIDEWATER FREE CLINIC 2019 Meade Parkway Suffolk (757) 923-1060

DIGESTIVE DISEASE CENTER OF VIRGINIA, P.C. RICHARD J. HARTLE, M.D. 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190

SENTARA BELLE HARBOUR 3920 Bridge Road, Suite A Suffolk (757) 983-2200

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

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

BON SECOURS MARY IMMACULATE HOSPITAL 2 Bernardine Drive Newport News (757) 886-6000

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

SENTARA INDEPENDENCE 800 Independence Blvd.

Virginia Beach (757) 363-6100

SENTARA BELLE HARBOUR 3920-A Bridge Road Suffolk (757) 983-0000

SURRY AREA FREE CLINIC 474 Colonial Trail West Surry (757) 294-0132

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

48 OCTOBER 2014 | THEHEALTHJOURNALS.COM

HEALTH FOOD STORES

BON SECOURS HEALTH CENTER AT HARBOUR VIEW 5818 Harbour View Blvd.

Suffolk (757)673-5800

SENTARA PORT WARWICK 1031 Loftis Blvd.

Newport News (757) 736-9898 SENTARA PRINCESS ANNE 2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000 SENTARA VIRGINIA BEACH GENERAL HOSPITAL 1060 First Colonial Road Virginia Beach (757) 395-8000 SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER 100 Sentara Circle (757) 984-6000

INDEPENDENT SENIOR LIVING

BON SECOURS SURGERY CENTER AT HARBOUR VIEW 5818 Harbour View Blvd., Ste. 102 Suffolk (757) 215-0499

GREENFIELD SENIOR LIVING OF WILLIAMSBURG 251 Patriot Lane Williamsburg (757) 220-4014

CHESAPEAKE REGIONAL MEDICAL CENTER 736 Battlefield Blvd. North Chesapeake (757) 312-8121

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

CHILDREN’S HOSPITAL OF THE KING’S DAUGHTERS 601 Children’s Lane Norfolk (757) 668-7098

WILLIAMSBURG LANDING 5700 Williamsburg Landing Drive Williamsburg (757) 585-4436

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

EDMARC HOSPICE FOR CHILDREN 516 London Street Portsmouth (757) 967-9251 ENDEPENDENCE CENTER, INC. 6300 E. Virginia Beach Blvd.

Norfolk (757) 461-8007 FAITH IN ACTION 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890

THE ARC OF GREATER WILLIAMSBURG 202 Packets Court Williamsburg (757) 229-0643

HOPE HOUSE FOUNDATION 801 Boush Street, Suite 302 Norfolk (757) 625-6161

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

JEWISH FAMILY SERVICE 260 Grayson Road Virginia Beach (757) 321-2223

AVALON: A CENTER FOR WOMEN & CHILDREN Williamsburg (757) 258-9362

LEE’S FRIENDS: HELPING PEOPLE LIVE WITH CANCER 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501

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

LEUKEMIA & LYMPHOMA SOCIETY 6350 Center Drive, Suite 216 Norfolk (757) 459-4670

BEACON HOUSE CLUBHOUSE FOR BRAIN INJURY SURVIVORS 3808-C Virginia Beach Blvd.

Virginia Beach (757) 631-0222

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

CANCER CARE FOUNDATION OF TIDEWATER 5900 Lake Wright Drive Norfolk (757) 461-8488

RIVERSIDE HAMPTON ROADS SURGICAL SPECIALISTS 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141

NEUROSURGERY

CENTER FOR EXCELLENCE IN AGING & LIFELONG HEALTH 3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751

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

DREAM CATCHERS 10120 Fire Tower Road Toano (757) 566-1775

FOOD BANK OF SEVA 800 Tidewater Drive Norfolk (757) 627-6599

WILLIAMSBURG NEUROLOGY & SLEEP DISORDERS CENTER 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

RIVERSIDE REGIONAL MEDICAL CENTER 500 J. Clyde Morris Blvd.

Newport News (757) 594-2000

DENBIGH CLUBHOUSE FOR BRAIN INJURY SURVIVORS 12725 McManus Blvd, Suite 2E Newport News (757) 833-7845

VERSABILITY RESOURCES 2520 58th Street Hampton (757) 896-6461

DOROTHY G. HOEFER COMPREHENSIVE BREAST CENTER 11803 Jefferson Ave., Suite 130 Newport News (757) 594-1899

NON-PROFIT ORGANIZATIONS

COLONIAL BEHAVIORAL HEALTH 1657 Merrimac Trail Williamsburg (757) 220-3200

FOOD BANK OF THE VIRGINIA PENINSULA 2401 Aluminum Ave. Hampton (757) 596-7188

NEUROLOGY

RIVERSIDE DOCTORS’ HOSPITAL 1500 Commonwealth Ave. Williamsburg (757) 585-2200

CITIZENS’ COMMITTEE TO PROTECT THE ELDERLY PO Box 10100 Virginia Beach (757) 518-8500

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

BEYOND BOOBS! INC. 1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649

RIVERSIDE NEUROSURGICAL & SPINE SPECIALISTS 120 Kings Way, Suite 3500 Williamsburg (757) 220-6823

CHILD DEVELOPMENT RESOURCES 150 Point O’ Woods Road Norge (757) 566-3300

CHEAR, INC. C/O DEPARTMENT OF OTOLARYNGOLOGY, EVMS 600 Gresham Drive, Suite 1100 Norfolk (757) 388-6229 HOSPICE HOUSE & SUPPORT CARE OF WILLIAMSBURG 4445 Powhatan Parkway Williamsburg (757) 253-1220

THE NEEDS NETWORK, INC.

9905 Warwick Blvd.

Newport News (757) 251-0600 NATIONAL ALLIANCE ON MENTAL ILLNESS-WILLIAMSBURG AREA P.O. Box 89 Williamsburg (757) 220-8535 NORFOLK COMMUNITY SERVICES BOARD 229 W. Olney Road, Room 1 Norfolk (757) 664-6670 PENINSULA AGENCY ON AGING 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541 PENINSULA INSTITUTE FOR COMMUNITY HEALTH 1033 28th Street Newport News (757) 591-0643

PROTECT OUR KIDS P.O. Box 561 Hampton (757) 727-0651 RESPITE CARE CENTER FOR ADULTS WITH SPECIAL NEEDS 500 Jamestown Road Williamsburg (757) 229-1771 RONALD MCDONALD HOUSE 404 Colley Ave. Norfolk (757) 627-5386 RSVP: RETIRED SENIOR VOLUNTEERS 12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037 ST. MARY’S HOME FOR DISABLED CHILDREN 6171 Kempsville Circle Norfolk (757) 622-2208 THE SARAH BONWELL HUDGINS FOUNDATION 1 Singleton Drive Hampton (757) 827-8757 SENIOR CENTER OF YORK 5314 George Washington Hwy. Yorktown (757) 898-3807 SENIOR SERVICES COALITION 3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-3480 UNITED WAY 739 Thimble Shoals Blvd., Suite 400 Newport News (757) 873-9328 5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264 THE UP CENTER 1805 Airline Blvd.

Portsmouth (757) 397-2121 222 W. 19th Street Norfolk (757) 622-7017 VETS ADVOCATING FOR VETS Hampton (757) 722-9961, ext. 3009 WE PROMISE FOUNDATION 160 Newtown Road Virginia Beach (757) 233-7111

OBSTETRICS & GYNECOLOGY

WILLIAMSBURG OBSTETRICS & GYNECOLOGY 1115 Professional Drive Williamsburg (757) 253-5653

ONCOLOGY RIVERSIDE PENINSULA CANCER INSTITUTE 120 Kings Way, Suite 3100 Williamsburg (757) 345-5724 12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555 VIRGINIA ONCOLOGY ASSOCIATES 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400

PHYSICAL THERAPY & REHABILITATION

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

BON SECOURS IN MOTION PHYSICAL THERAPY 5838 Harbour View Blvd.

Suffolk (757) 673-5971

725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403 1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437 5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 150 Burnett’s Way, Suite 310 Suffolk (757) 539-0670 5900 Lake Wright Drive Norfolk (757) 466-8683 825 Fairfax Ave., 3rd Floor Norfolk (757) 466-8683

OPTOMETRY & OPHTHALMOLOGY RETINA & GLAUCOMA ASSOCIATES 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

2012 Meade Parkway Suffolk (757) 934-3366 5553 Portsmouth Blvd.

Portsmouth (757) 465-7906 3300 High Street, Suite 1-A Portsmouth (757) 673-5689 4900 High Street West Portsmouth (757) 483-4518

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

VASCULAR SURGERY

2695 McManus Blvd., Building 6, Suite B Newport News (757)223-5612

RIVERSIDE PENINSULA VASCULAR SURGERY 156-A Strawberry Plains Road Williamsburg (757) 229-7939

751 J. Clyde Morris Blvd.

Newport News (757) 873-2123

WEIGHT LOSS

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

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

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

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

7190 Chapman Drive Hayes (804) 642-3028

14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 2 Bernardine Drive Newport News (757) 886-6480

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

13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690

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

235 Hanbury Road East Chesapeake (757) 391-7660

135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512

ORTHODONTICS

4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651

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

ORTHOPEDICS & SPORTS MEDICINE HAMPTON ROADS ORTHOPAEDICS & SPORTS MEDICINE 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 4374 New Town Road, Suite 102 Williamsburg (757) 873-1554 ORTHOPAEDIC & SPINE CENTER 250 Nat Turner Blvd.

Newport News (757) 596-1900 RIVERSIDE ORTHOPAEDICS & SPORTS MEDICINE 120 Kings Way, Suite 2800 Williamsburg (757) 534-9988 RIVERSIDE ORTHOPEDIC SPECIALISTS 12200 Warwick Blvd., Suite 310 Newport News (757) 534-9988 850 Enterprise Parkway, Suite 2000 Hampton (757) 534-9988 TIDEWATER ORTHOPAEDIC ASSOCIATES 901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 5208 Monticello Ave. Williamsburg (757) 206-1004

PAIN MANAGEMENT RIVERSIDE PAIN MEDICINE & REHABILITATION SPECIALISTS 120 Kings Way, Suite 2550 Williamsburg 9757) 345-3050

1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 828 Healthy Way Virginia Beach (757) 463-2540 1817 Laskin Road, Ste. 100 Virginia Beach (757) 437-0471 1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060 101 Long Green Blvd.

Yorktown (757) 952-1900 DOMINION PHYSICAL THERAPY & ASSOCIATES, INC. 304 Marcella Road, Suite E Hampton (757) 825-9446 466 Denbigh Blvd.

Newport News (757) 875-0861

VIRGINIA HEALTH REHAB 204 Nat Turner Boulevard Newport News (757) 594-0330

SLEEP MEDICINE PULMONARY & SLEEP CONSULTANTS OF WILLIAMSBURG 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460 WILLIAMSBURG NEUROLOGY AND SLEEP DISORDERS CENTER 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

URGENT CARE MD EXPRESS 120 Monticello Ave. Williamsburg (757) 564-3627

301 Riverview Ave. Norfolk (757) 963-5588

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

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

12997 Warwick Blvd.

Newport News (757) 369-9446

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

3321 West Mercury Blvd.

Hampton (757) 224-0056

500 Rodman Ave., Suite 4 Portsmouth (757) 393-6119 HAMPTON ROADS ORTHOPAEDICS & SPORTS MEDICINE 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 ORTHOPAEDIC & SPINE CENTER PHYSICAL THERAPY 250 Nat Turner Blvd.

Newport News (757) 596-1900 TIDEWATER PHYSICAL THERAPY 2106 Executive Drive Hampton (757) 838-6678

RIVERSIDE WEIGHT LOSS SPECIALISTS 850 Enterprise Parkway, Suite 1300 Hampton (757) 637-7637

204 Gumwood Drive Smithfield (757) 357-7762

RIVERSIDE HAMPTON ROADS EYE ASSOCIATES 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001

RUBENSTEIN ORTHODONTICS LORETTA RUBENSTEIN, DDS 12725 McManus Blvd., Suite 1B Newport News (757)874-0990

LWELL - LONGEVITY WELLNESS 301-A Village Ave. Yorktown (757) 585-3441

RIVERSIDE WILLIAMSBURG FAMILY PRACTICE & EXTENDED CARE 5231 John Tyler Highway Williamsburg (757) 220-8300

UROLOGY RIVERSIDE HAMPTON ROADS UROLOGY 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051

THEHEALTHJOURNALS.COM | OCTOBER 2014 49

RIVERSIDE PARTNERS IN WOMEN’S HEALTH 120 Kings Way, Suite 3400 Williamsburg (757) 253-5600

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

HEALTH DIRECTORY

PENINSULA PASTORAL COUNSELING CENTER 707 Gum Rock Court Newport News (757) 873-2273

BRAIN TEASERS

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STRETCH YOUR MENTAL MUSCLES AND WIN!

Complete all three puzzles correctly for a chance to win* a $25 The Cove Tavern/ Roger Brown's gift card! Snap a photo of this page and email it to contest@thehealthjournals.com, or tear this page out and send it by mail to: The Health Journal 4808 Courthouse St., Ste. 204 Williamsburg, VA 23188 Winner announced in our next issue on pg. 6 in the Inbox. See bottom of page for submission deadlines and details.

CRYPTOGRAM

Clue: I=A, S=L, Y =R

Use the above clues to uncover words and decipher the hidden quote. The first line has been started for you.

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Acorns Apple Cider Bonfire Candy Carving Cinnamon Columbus Day

Corn Maze Costume Full Moon Gourd Halloween Harvest Haunted House

Hayride Leaves Mask Pumpkin Scarecrow Smores

Get Back to Your Active Life!

Tidewater Orthopaedics

“The SpecialiSTS Group”

Michael E. Higgins, MD

Community Lecture LATEST DEVELOPMENTS IN HIP & KNEE REPLACEMENTS Join Michael Higgins, MD, at one of two convenient locations for an informative talk.

Oct. 21, 2014 - 6:30pm

HAMPTON 901 Enterprise Pkwy., Suite 900

WILLIAMSBURG

Williamsburg Library, 515 Scotland St.

RSVP 757-827-2480 ext. 332 Light refreshments served Free and open to the public

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

(757) 637-7016 www.tidewaterortho.com

51

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

John J. McCarthy III, MD Paul B. Maloof, MD Jonathan R. Mason, MD Loel Z. Payne, MD

THEHEALTHJOURNALS.COM | OCTOBER 2014

Oct. 28, 2014 - 6:30pm

Get back to your active life without the debilitating restrictions from your hip or knee pain. Come see Dr. Michael Higgins and get the treatment options you need to fit your life.

Friends Remind Friends to Get Mammograms.

Schedule your mammogram and encourage your friends to do the same.

Just go to riversideonline.com/friend or call 1-855-280-2554, option 2.