The Health Journal - February 2016 Issue

FEBRUARY 2016 | WILLIAMSBURG EDITION

CELEBRATE VALENTINE'S DAY WITH

Chili Chocolate dipped

Strawberries The Effects of

Could this Device Perspectives c on d Firefighting c Help d on the Heart Heart Disease To Replace Stents?

THEHEALTHJOURNALS.COM

OSC Patient Success Stories SHOULDER REPLACEMENT “Over 50 years of training and competing had totally damaged my left shoulder. I was referred to Doctor Coleman as “the best” shoulder doctor and surgeon in Hampton Roads. I had major concerns about the ability to continue my life style of training and competing. After several consultations and appointments, Doctor Coleman highly recommended total reverse shoulder replacement.

The surgery was performed on October 18, 2013. Only 10 days after surgery, I cycled 20-miles, after 16 days I swam 1,000 meters and continued to train for the 2014 season.

Over the course of 2014, I swam 131,550 meters. Shoulder replacement is an enhancement to your life style, not a disability.”

en

tend t i r C ” e onni L “ o z Alon

ARE YOU SUFFERING FROM SHOULDER PAIN AND CONSIDERING SURGERY? LEARN ABOUT YOUR OPTIONS AT OUR UPCOMING LECTURE.

Effective Treatments for Relief of Shoulder Pain Join Dr. Marty Coleman as he discusses treatment options for painful conditions of the shoulder. Learn how almost every shoulder problem can be successfully addressed, relieving pain and restoring function. Bring your specific questions for Dr. Coleman.

OSC

COMMUNITY LECTURE SERIES

Bring a friend, have some refreshments and get informed!

Tuesday, February 16th, AT 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd. Newport News 23606 Call Shannon Woods to Register: 1-757-596-1900 ext.368

Speaker: Martin R. Coleman, M.D.

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

OSC

ORTHOPAEDIC & SPINE CENTER Open MRI Center

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

Jason Andre, MD Vascular Surgeon Dr. Jason Andre is a board-certified general surgeon who specializes in vascular surgery. After receiving his medical degree from Howard University College of Medicine, he served his general surgery residency at Albert Einstein Medical Center in Philadelphia and his fellowship at the Southern Illinois University School of Medicine. He has contributed to many publications and presentations and is a welcome addition to our team. Dr. Andre will be practicing on the Bon Secours Mary Immaculate campus and is accepting new patients.

MEET YOUR NEW NEIGHBOR

Bon Secours Vein and Vascular Specialists 12720 McManus Blvd., Suite 203, Newport News, VA 23602

757-397-2383 goodhelpdocs.com/vascular YOUR HOME FOR GOOD HEALTH

thehealthjournals.com | 1

bits & Pieces | My health

Bill Pollard Heart Disease

by Bill Pollard

I

n March 2014, at the age of 50, I had three stents put in the coronary artery in my heart. I had no idea my heart had potentially fatal issues. I was in the best physical shape I’d been in in over 25 years, and I had lost and kept off over 30 pounds for the last two years.

I had made exercising frequently and eating smarter a priority.

Luckily, a month earlier, in February, I was handed a flyer about a Heart Care Package. Despite my healthy lifestyle, I knew I had a family history of heart disease and my cholesterol was always on the high side, so I thought it was worth the $59 to get my heart checked out.

The heart scan indicated I had an unbelievably high calcium score of 1,100. To put this in perspective, a calcium score of 400 means plaque in the arteries is extensive and there would be more

than a 90 percent chance plaque is blocking my coronary arteries, resulting in a high risk of heart attack. When I called my cardiologist and friend, Jun Chung, about my calcium score, he felt there was a strong probability of a blockage and suggested a catheterization be done immediately. During the catheterization, Dr. Chung saw that my artery was 80 percent blocked and needed three stents. After Dr. Chung put in the stents, I was back to my normal routine and was running just one week after the procedure. He told me that if I had not found out about the blockage, I could have had a heart attack within a year.

Every year, 1 in 4 deaths are caused by heart disease. However, heart disease can often be

prevented when people make healthy choices and manage their health conditions.

Risk factors include a family history of heart disease, high blood pressure and/ or high cholesterol, being overweight, high stress levels, inactivity, having diabetes, being over 35 years old and a history of smoking.

I am thankful that I now have a healthier heart and can enjoy being active with my 14-year-old daughter, wife and my friends. On November 14, 2015, I ran my second half-marathon since getting the stents. I have continued to share my story on Facebook and in conversations with friends in hopes it will encourage others with heart risk factors to get a heart scan and possibly avoid a heart attack.

“I could have had a heart attack within a year.”

If I had not found out about the blockage,

2 | thehealthjournals.com

contents | bits & Pieces

FEBRUARY DID YOU

KNOW? A Visit to the Dentist

20 Yoga for Seniors Fennel

26 16

Nicole Smith

Firefighters & Heart Disease

54

More than 200,000 U.S. women die each year from heart attacks— claiming five times as many lives as breast cancer.

DIGITAL ISSUE

34

FEBRUARY 2016 | WILLIAMSBURG EDITION

CELEBRATE VALENTINE'S DAY WITH

Chili Chocolate

dipped Strawberries The Effects of cof d Firefighting Perspectives

Could this Device

c Help d

on the Heart Heart Disease To Replace Stents?

THEHEALTHJOURNALS.COM

DEPARTMENTS BITS AND PIECES 02 04 06 08 08

10 13 14 16 18

FEATURES

My Health Out & About Editor's Note DIY In My Own Words

20

26

IN THE KNOW

31 32 34 35 38

Calendar Second Opinion Profile Q&A Advances in Medicine

Where's the Fire?

Firefighters and Heart Disease A Visit to the Dentist

FOOD Vine and Dine Food & Nutrition Flavor Taste Appeal Herb-N-Garden

YOUR HEALTH 42 Fitness 44 Family 46 Women’s Health

48 50 52 53 54 56

Men’s Health Outdoors Money Your Financial Health Aging Well Mind Matters

STAYING WELL 58 60 61 64

Accepting New Patients One Last Thought Health Directory Brain Teasers

Don’t forget our digital edition is free, easy to download and supported on a variety of tablets and digital devices.

Download your copy at thehealthjournals.com/ digital-edition

ON THE WEB @ THEHEALTHJOURNALS.COM

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

ON OUR COVER:

Strawberries courtesy of Edible Arrangements.

thehealthjournals.com | 3

Bits & Pieces | Out and about

Check out what we’ve been up to at The Health Journal.

 Editor Chris Jones spent the morning speaking to eighth graders at the Achievable Dream Academy in Newport News on January 18th.

 Newport News Family YMCA's Membership Director Theresa Beal welcomed Client Liaison Christie Davenport during their open house.

5 Chris Jones with Publisher Brian Freer at Chris's book launch party on January 9.

5 Body by D owner D’Shawn Wright is named the 2015 Citizen Hero of the Year by the York County Republican Committee.

4 | thehealthjournals.com

5 Kiwanians Christie Davenport and Vickie Noel ring the bell to raise donations for The Salvation Army.

VOL. 11, NO. 08 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia. Magazines are distributed via direct mail, racks and hand delivery.

For more information, visit thehealthjournals.com.

PUBLISHERS

Brian Freer brian@thehealthjournals.com Page Bishop Freer page@thehealthjournals.com EXECUTIVE DIRECTOR

• Six Super-sized Animatronic Bugs • Live Insect Exhibits • Weekend Live Animal Programs • Large Invertebrate Photography

Rita L. Kikoen rita@thehealthjournals.com EDITOR IN CHIEF

Chris Jones chris@thehealthjournals.com MEDICAL EDITOR

Ravi V. Shamaiengar, M.D.

A 50th Anniversary Exhibit

CLIENT LIAISON/ BUSINESS DEVELOPER

Christie Davenport christie@thehealthjournals.com ART DIRECTOR

Maria Candelaria Daugs maria@thehealthjournals.com GRAPHIC DESIGNER

Michael Saunders michael@thehealthjournals.com VIDEO PRODUCTION MANAGER

Brandon Freer brandon@thehealthjournals.com CIRCULATION

Ryan Bishop circulation@thehealthjournals.com PHOTOGRAPHY

Brian Freer Brandon Freer Michael Saunders Maria Candelaria Daugs CONTRIBUTORS

Brandy Centolanza, Marie Albiges Kim O'Brien Root, A.E. Bayne Shawn Radcliffe, Bridgit Kin-Charlton Jill Weisenberger, Kelsey Hinton Alison Johnson, Natalie Miller Moore Beth Shamaiengar, Joseph Ash Shannon Crow, Meltoya Jones Kimberley Cuachon Haugh Kimberly Blaker, Bill Pollard ADVERTISE

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

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Bits & Pieces | editor’s publisherʼs note note

photography by Allan Harvie

WHEN LIFE HAPPENS

T

he one thing that I’ve learned in life is that those who are persistent and consistent achieve more. But life happens—and it can be discouraging and hang over you like fog in a Stephen King novel. It’s moments like these that your "why" is tested.

Interruptions reveal a lot about your character, and whether or not your goals are authentic and congruent with who you are and who you want to be.

My wife and I welcomed our first daughter in mid-November. She was 19 inches long and just over 9 pounds. It was cuteness overload. We took her home and snuggled with her, kissed her cheeks, and dressed her up in pink from head to toe. At the beginning of December, I went to work on my 2016 goals, resumed recording podcasts and started promoting my book.

6 | thehealthjournals.com

“THERE ARE ALWAYS DISTRACTIONS, IF YOU ALLOW THEM.” —Tony La Russa

Then the bottom fell out—colic struck.

My baby girl was wailing like an air raid siren. From 7 p.m. until nearly midnight, and then sometimes throughout the night, she was inconsolable. Still is. But as a father, it’s pushed me to my edge many evenings. I’ve cried. I’ve stewed.

I’ve sulked. I’ve lashed out at those I love out of my frustration and sleep deprivation. If anyone ever tells you that men don’t get postpartum depression, call their bluff. I’m awash in it.

The disruptive weeping of my daughter left me discouraged. I have goals, I said. I have a book to promote, a podcast to host, stories to write,... I vented.

It hurts when you’re a high achiever to be brought to your knees by someone who had only been alive for 30 days at the time. I talked to my friends. I wrote in my journal. Neither moved my heart. It wasn’t until I read some of my old writing that led me to look to nature.

That’s where I found the teacher I needed—the snail.

British researchers documented that snails move at a pace of one meter per hour (3.2 feet) and travel about 25 meters (just over 49 feet!) in 24 hours. While it seems like a trivial distance, it’s huge progress for a creature synonymous for its slowness. When I thought about this again, I took the time to recalibrate my goals, lower my expectations (How much can I do with a newborn really?), and make better use of time available to me. If you’re wrestling with the interrupted life like I am and need encouragement, remember the snail.

“If anyone ever

tells you that men don’t get postpartum depression, call their bluff.

I’m awash in it.”

It travels slowly, but never stops making progress. That pattern interruption I experienced helped me to see which of my objectives was most important to me. I kissed my little crier for teaching her daddy a lesson through her pain.

I hope that you are off to a good start this year. February is always the first test of our resolve. Things will compete for our attention.

Those old habits that die hard will fight back.

Negative self-talk enters into our minds the moment our two feet hit the floor. Even then, crawl at your own pace. Be the snail. Stay purposeful, adjusting your goals as needed, and find a way to stay consistent amidst the challenges.

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM

Forty Years of Good Health for Chesapeake.

4

th

1976-2016

You First.

736 Battlefield Boulevard, North Chesapeake, VA 23320 • 757-312-8121 www.chesapeakeregional.com

bits and pieces | IN MY OWN WORDS & DIY

“

IN MY

OWN

Do it

CHOCOLATE-COVERED

words

Hello

my name is

You Will Need

4 ounces of semi-sweet chocolate • 1 pound of fresh strawberries • wax paper • baking sheet •

Coarsely chop 4 ounces of semi-sweet chocolate, then wash and dry 1 pound of strawberries (about 20).

Darley M. Richard, Esq. I am the owner and principal attorney of Richard Law Group, PLLC, a mental health law firm in Williamsburg. I represent people with mental illnesses and their families in the areas of criminal defense, special education law, civil commitment, and estate and special needs planning (including guardianship and conservatorship). I also serve as the secretary on the board of directors for the Williamsburg Affiliate of National Alliance on Mental Illness (NAMI Williamsburg).

I love The Health Journal because it addresses mental health as a part of whole health and doesn't shy away from giving mental health the importance it deserves. I also love the monthly calendar in the front of every issue and the health directory at the end of every issue.

8 | thehealthjournals.com

Yourself

Place the chocolate in a glass bowl and microwave in 30-second intervals, stirring, until melted and smooth.

Transfer the dipped strawberries onto a baking sheet lined with wax paper. As you set each berry down, slide it ½ inch to the side to prevent the formation of a chocolate “foot.”

Refrigerate the strawberries until the chocolate is firm, at least 30 minutes.

They will keep for up to 3 days, covered, in the refrigerator.

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in the know | calendar

FEBRUARY CALENDAR 4 INFANT MASSAGE CLASS

VCE Family Focus hosts this infant massage class to soothe and calm babies.

WHEN: 10 a.m. to 11:30 a.m.

Thursdays through March 24 WHERE: St. Mark Lutheran Church, Yorktown $$: some fees may apply for materials CONTACT: 757-898-2945

5 HEARTBEAT GALA

Raise funds and awareness for heart disease.

WHEN: 7 to 11 p.m.

WHERE: Slover Library, Norfolk $$: $31.74–$257.24 CONTACT: Eventbrite.com

7 GAME DAY 10K & 5K

Kick off Super Bowl Sunday with this race.

WHEN: 8 a.m.

WHERE: City Center at Oyster Point $$: 10K, $55; 5K, $45 CONTACT: gameday10k.com

8 PARENTING YOUR CHILD WITH SPECIAL NEEDS

Learn skills and strategies to raising a child with special needs.

WHEN: 6:30 to 8 p.m. Mondays through February 29 WHERE: Children’s Hospital of The King’s Daughters, Norfolk $$: free CONTACT: chkd.org

5 BACCHUS WINE & FOOD FESTIVAL

Festival supports Virginia Living Museum.

WHEN: 7 to 10 p.m.

WHERE: Virginia Living Museum $$: $70 CONTACT: 757-595-1900

5-6 POLAR PLUNGE FESTIVAL

Go for a run and then take a dip in the ocean to benefit the Special Olympics.

WHEN: all day Friday and Saturday WHERE: Virginia Beach oceanfront $$: fees vary depending on event CONTACT: polarplunge.com

9 JUICING 101

Learn the basics and the health benefits of juicing.

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

WHERE: Norfolk Botanical Garden $$: $35 members; $45 non-members CONTACT: norfolkbotanicalgarden.org

10 THE ROAD TO A NEW BEGINNING

If you are an amputee or caregiver, join the HR Amputee Support Group.

WHEN: 4 p.m.

WHERE: Norfolk Sentara Heart Hospital, First Floor Conference Room $$: free CONTACT: Belinda at 757-395-1672

13 THE GREAT CHOCOLATE RACE

Run a 10K or 5K with chocolate at the finish line.

WHEN: 7 a.m.

WHERE: Settlers Landing Road, downtown Hampton $$: see website for specific race fees CONTACT: crucibleracing.com

13 CHKD LOVE RUN

Valentine’s Day race supports Children’s Hospital of The King’s Daughters.

WHEN: 9 a.m.

WHERE: Thalia Elementary School, Virginia Beach $$: $15 CONTACT: chkdloverun.jimdo.com

15 THYROID SEMINAR

Learn natural approaches to treating thyroid disease.

WHEN: 6:15 p.m. February 15 and 22; 10 a.m. February 20 WHERE: Total Health Center, Virginia Beach $$: free CONTACT: 757-363-8571

20 FOR THE CURE 5K

This race benefits Susan G. Komen breast cancer research.

WHEN: 9 a.m.

WHERE: Mt. Trashmore $$: $40 CONTACT: roadrageevents.com

23 DEAD OF WINTER WALK & TALK

Explore what’s happening in the garden this winter on this walk.

WHEN: 9:30 to 11:30 a.m.

WHERE: Norfolk Botanical Garden $$: $10, members; $15, non-members CONTACT: norfolkbotanicalgarden.org

25 HROSM LECTURE SERIES

Dr. Daniel Cavazos will discuss hip and knee replacements.

WHEN: 5:30 p.m.

WHERE: Gloucester County Library $$: free CONTACT: 757-873-1554

16 OSC COMMUNITY LECTURE

Dr. Martin Coleman will discuss effective treatments for shoulder pain.

WHEN: 7 p.m.

WHERE: Orthopaedic & Spine Center, Newport News $$: free CONTACT: 757-596-1900

GET MORE EVENTS AT: THEHEALTHJOURNALS.COM/CALENDAR

10 | thehealthjournals.com

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special advertising section

second opinion What is the shingles vaccine and should I get it?

Many patients ask this question and for good reason. A current TV commercial does a pretty good job of demonstrating what shingles looks like when it affects the face— and it’s not easy to watch!

Shingles (herpes zoster) is a painful rash affecting one side of the body. It is caused by a reactivation of the chickenpox virus (varicella-zoster virus) that has lain dormant in your nerve cells (on one side or the other) since your original infection. The rash resolves within two to four weeks, but is uncomfortable and can lead to prolonged pain at the site of the rash called postherpetic neuralgia.

The shingles vaccine, Zostavax, is indicated for those 50 years and older. It can be given to those who have or have not had chickenpox, shingles or the chickenpox (varicella) vaccine. It should not be given to those who are immunosuppressed (ask your doctor about that).

So generally speaking, if you are healthy and getting up there (born before 1966), receiving the shingles vaccine is a good idea since it significantly reduces the incidence of shingles and postherpetic neuralgia.

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

I have heard that gum disease is contagious.

Is this true?

Yes, in fact, both tooth decay and periodontal disease are bacterial infections and are highly contagious. In fact, the American Academy of Periodontology urges that if one member of the family has periodontal disease, the entire family be evaluated for the disease.

When one member is infected, the family becomes like a pod of infection simply because of the intimate nature of living under one roof. Family members share food, drink, and yes, kisses. And we want them to continue to do so, but in order to do it safely, we want to make sure everyone is doing their part to get healthy and remain healthy.

Babies are born without the bacteria that cause cavities and gum (periodontal) disease. Parents or caregivers, (usually moms), are the first to infect their children early in life. But before baby is conceived, there is the kiss. Yes, periodontal disease, in particular, is truly a “kissing disease”. A scary thought, I know, but timely, especially as springtime rolls around and romance is in the air.

Be sure you are certified kissable and as importantly, make sure the one you are kissing is, also!

Lisa Marie Samaha, DDS Port Warwick Dental Arts 757-223-9270 pwdentalarts.com

My husband wakes up multiple times at night to urinate. What could be the problem?

your health care questions answered

Voiding complaints can be found in both sexes, all age groups, and can be the result of a multitude of causes. Non-urologic causes of frequent urination such as diabetes and other conditions should be excluded before assuming it a primary urology problem.

Although not the only reason, often as men age, progressive prostate enlargement can lead to urinary complaints. As the urinary channel through the prostate narrows, the stream slows, it may take longer to initiate urination (hesitancy), and the man may not be able to empty the bladder fully. Other symptoms such as frequent day and nighttime urination or dribbling at the end of the stream can also occur.

If the problem is likely prostate related, a stepwise progression of treatments can be pursued, moving from least aggressive to most aggressive. These include the medication class of alpha blockers such as tamsulosin (Flomax) which “relax” constriction of the prostate channel. Other medicines can be used to actually shrink the prostate.

Lastly, surgical treatments, primarily outpatient, could be pursued.

Your husband should see a urologist to better determine the cause and the treatment options.

Lawrence R. Volz, M.D., F.A.C.S. Urology of Virginia 757-345-5554 thehealthjournals.com | 13

special advertising section

second opinion I’ve noticed lines between my eyes and on my forehead. What can I do for them?

Wrinkles, or lines on our faces are characterized as dynamic or static. The dynamic lines give us our facial expression, but as we get older, the repetition of muscle movement begins to leave permanent impressions in the skin called static lines. It is these lines that we see in the mirror when we are not making facial expressions. So how can you reduce the formation of these lines? The most ideal way to prevent or reduce the prominence of these wrinkles is by weakening or paralyzing the muscles causing them.

This can be done using a paralytic, one of which is named Botox. An anti-aging specialist injects this compound directly into the muscle.

Once paralyzed, the muscles relax for two to four months.

The cost of this procedure is based on the amount of the compound used, which varies based on the location and strength of the targeted muscles. Most specialists charge a per unit price or by the vial, so it is important to know what you are paying for.

The most common concern regarding the procedure is the discomfort of the needle. Most clients find that there is very little discomfort due to the small needle size. Bruising is a side effect, but can be minimized by reducing the use of anti-inflammatory medications and some herbal supplements and fish oils. For more information, contact your local anti-aging specialist.

Steven C. Mares, M.D. Erase the Canvas 757-532-9390

I love kissing my valentine, but he has periodontal disease. Should I be concerned about catching it?

My husband has to wake up multiple times every night to urinate. What could be the problem?

Periodontal disease (gum disease) is caused by a mixture of bacteria that secrete destructive toxins called plaque. We are not born with these bacteria. We catch it from others. Unremoved plaque causes inflammation and breaks down gum tissue around the tooth causing gum and bone loss.

So how do you know if your valentine may have periodontal disease? If his gums bleed while brushing, if he has bad breath and if he hasn’t had a checkup recently, those are basic indicators.

Fortunately, you do not have to stop kissing your valentine!

Encourage him to visit his dentist.

Seeing a dentist for regular cleanings every 3-6 months will treat the bacteria, remove harmful buildup and catch any problems before they become difficult to treat. Brushing two to three times a day with proper flossing and water picking will help, too. Using an antibacterial rinse will also decrease the negative effects of bacteria.

So don’t worry. Just keep on brushing and you can keep on kissing!

Voiding complaints can be found in both sexes, all age groups, and can be the result of a multitude of causes. Non-urologic causes of frequent urination, such as diabetes and other conditions, should be excluded before assuming it a primary urology problem.

Although not the only reason, often as men age, progressive prostate enlargement can lead to urinary complaints. As the urinary channel through the prostate narrows, the stream slows, it may take longer to initiate urination (hesitancy), and the man may not be able to empty the bladder fully.

Other symptoms such as frequent day and nighttime urination or dribbling at the end of the stream, can also occur.

If the problem is likely prostate related, a stepwise progression of treatments can be pursued, moving from least aggressive to most aggressive. These include the medication class of alpha blockers such as tamsulosin (Flomax) which “relax” constriction of the prostate channel. Other medicines can be used to actually shrink the prostate.

Lastly, surgical treatments, primarily outpatient, could be pursued.

Your husband should see a urologist to better determine the cause and the treatment options.

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

your health care questions answered

Lawrence R. Volz, M.D., F.A.C.S. Urology of Virginia 757-345-5554 thehealthjournals.com | 13

in the know | profile

NICOLE SMITH

by CHRIS JONES

N

icole Smith thought she had the flu.

“I went to the ER at Sentara Norfolk General. When the doctor looked at my X-rays, he said that my heart was bigger than it was supposed to be,” says Smith.

Early the next morning, she saw cardiologist Dr. John Herre who performed an echocardiogram on her heart. While awaiting the results, something on the nurse’s clipboard caught her eye. A note that read, “‘her heart is huge’ with three exclamation points,” recalls Smith. “I’m a nice person, but I didn’t know how she knew,” Smith chuckles.

Dr. Herre diagnosed Smith with congestive heart failure and cardiomyopathy. And given the severity of her condition, she needed a transplant. Smith was stunned. “He said that my heart was functioning at 10-15 percent.

I knew that I was struggling physically, but I ignored the signs,” admits Smith. “So I asked the doctor how long a transplant would take because I needed to go back to work.”

Sensing that Smith didn’t grasp the gravity of her situation, Dr. Herre parked his chair next to hers, took her by the hand and told her that she

14 | thehealthjournals.com

“Rebuilding a life is hard” would not be returning to work now, if ever.

That’s when Smith felt the weight of the diagnosis.

“I had no idea what to expect,” she says. “I liked my job as sales rep for Canon. I’m 33. I’m a single mom of four kids. I’m a team mom for my sons’ football teams. I coach cheerleading.

And now they gave me two years to live.”

Smith was immediately admitted to Sentara Norfolk General Hospital, while her doctor developed a care plan. That same day, she suffered two strokes.

“It was a blessing that it happened while I was there because had they sent me home, it would have been catastrophic,” she remembers.

Told that she was too sick to get a transplant, her only option was to wait.

Smith never received a heart, but with the help of medicine therapies, she’s outlived her diagnosis—thriving 11 years later— and her heart functions normally again. Smith has a defibrillator in her chest and sports a pacemaker. “When I got it I was worried if it would match my other accessories,” she jokes.

Her doctor told her it was better for her to have

it and not need it than the reverse scenario.

She’s learned a lot from the situation.

The biggest takeaway, which she advocates for through the American Heart Association, was financial planning.

“Rebuilding a life is hard,” she says. “In the last 10 years I’ve had to change my life, my diet and rebuild financially. No one tells you about the financial devastation that happens with an illness. My kids weren’t able to go to the colleges they wanted to because I couldn’t afford their dreams any longer and as a parent you carry that guilt.”

She’s looking to return to the workforce after a decade-long absence.

“I’m applying for jobs now, but I have this 10-year hole in my resume which is a little difficult to explain,” she says. “I want to find something that will allow me to be in the community and still volunteer for American Heart Association. I’d also like to make it a ministry. When you wake up in the morning and you have four kids and no job, God is your best friend. You talk to him all of the time.”

This story originally ran on thehealthjournals.com on Feburary 14, 2015

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in the know | Q&A

TOMMY BEYER Toano

by Chris Jones

F

ebruary is American Heart Month. Nearly one in every 100 babies (40,000 annually, or 1 percent) is born in the United States with a congenital heart defect, according to the Centers for Disease Control and Prevention. One such child is 3-year-old Christian Beyer of Toano. His father, Tommy Beyer, shares his story.

When did you discover that your son, Christian, had heart disease? Which form did he have?

He was delivered via an emergency cesarean section and everything seemed to be OK. I remember the first nurse explaining to a trainee that his heart sounded like a washing machine, but it was probably a PFO valve that will close on its own in a few days. We took him back to the room like a normal baby. He looked a little blue, but we didn’t really know what to expect as we had never had a baby before. He was also very sleepy. Our pediatrician came in the next day and checked him over. She explained that she wanted a cardiologist to listen to his heart, but she didn’t let on as to why. The cardiologist came in and listened to him and then they took him back for an echocardiogram. He was gone for a few hours and we

16 | thehealthjournals.com

realized there may be an issue.

He was diagnosed with Tetralogy of Fallot, which is the most common congenital heart defect. It is a combination of four defects (hence tetralogy). One is a VSD (ventricular septal defect) which is a hole between two chambers.

Another is stenosis of some of the arteries (narrow arteries leading to the heart/lungs). The third is right ventricular hypertrophy (muscle build up in the right ventricle). The last is an overriding aorta (an abnormality in the way the aorta is attached to the right ventricle).

How did that news fall on your ears? Who or where did you turn to for support?

We were informed of his heart defect by a cardiologist and the nurse that had been treating Christian. My wife broke down and I had to listen to the doctor explain the situation. The nurse comforted Brittany. We turned to our family, friends and most of all God for our support.

Christian was taken to Atlanta for treatment just hours after we received the news. We leaned on the families we met at the hospital in Atlanta for support as they were going through a similar situation.

What did your cardiologist recommend as a treatment plan for Christian?

The plan was for Christian to have surgery within a week’s time at the Children’s Hospital of Atlanta.

How did Christian respond to treatment?

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Christian had open-heart surgery at just 1 week old. He did fantastic and showed improvement every day. The doctors pushed him too hard on some of his feedings and he did aspirate once, so they had to give him a feeding tube, but we took him home just a week after the surgery.

What is Christian like now?

Christian is just like a normal healthy little 3-yearold. He runs around and keeps up with the kids his age. He was a little delayed in his development early on, but has more than caught up. He sees the cardiologist once a year now for check-ups. He has had two visits to the catheterization lab for procedures since the initial surgery. He had a stent placed in one artery to open it up and the second visit was to check him out internally.

Are there adjustments he will have to make or precautions he will have to take as he grows up?

He will have to have another open-heart surgery sometime before he is an adult. He only has three valves in his heart right now and he will need to have a valve put in. The doctors will monitor his progress and decide when he needs it. He will always have annual visits with a cardiologist no matter how old he is. He should stay away from playing football, but he could technically play.

What advice do you have for families facing the same diagnosis you received with Christian?

The best advice I have is to educate yourself on the condition your child has, be an advocate for your child, get them sent to the best hospital you can and rely on God to pull you through it. The success rate of surgery is increasing every day for children with congenital heart defects. Know that you are not alone and that people would love to support and help you through this tough time in your life.

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in the know | advances in medicine

Heart of the Matter

DIAMONDBACK 360 CORONARY ORBITAL ATHERECTOMY SYSTEM (OAS) BREAKS DOWN CALCIUM BUILD-UP IN ARTERIES

By Kim O’Brien Root

A

new procedure being performed by a Hampton Roads cardiologist could mean the difference between having a stent placed to open up an artery and having open-heart surgery.

Only a few hospitals in the United States are using the Diamondback 360 Coronary Orbital Atherectomy System (OAS), which allows doctors to deploy a tiny device into an artery to reduce built-up calcium. Bon Secours Maryview Medical Center in Portsmouth, Virginia, is the first hospital in the area to use the new cutting-edge technology.

“If it’s used right and it’s used carefully, it could make a big difference,” says Dr. Jayaraman Venkatesan, a cardiologist with Cardiology Associates, a Bon Secours Medical Group specialty practice.

The OAS, created by medical device company Cardiovascular Systems, Inc., was approved by the Federal Drug Administration in October 2013. It treats calcified plaque in arterial vessels throughout the leg and heart in a few minutes of treatment time. The company says its system addresses “many of the limitations” associated with the treatment of vascular and coronary disease.

According to the American Heart Association, some 16.3 million people in the

18 | thehealthjournals.com

U.S. have been diagnosed with coronary artery disease, or CAD, which is the most common form of heart disease. CAD claims the lives of more than 600,000 Americans each year.

The disease occurs when the arteries that supply oxygen-rich blood and nutrients to the heart muscle become narrowed or blocked by a gradual build-up of what’s called plaque.

Plaque is made up of fatty deposits along with calcium, white blood cells and scar tissue. Over time, the plaque collects in the coronary artery walls. Calcium build-up causes blockages to harden and narrow the openings. Conditions such as hypertension and diabetes can accelerate the process.

Treatment is necessary to improve the blood flow through the arteries and increase the supply of oxygen to the heart. After a diagnostic angiogram—an imaging test that deploys dye via a catheter, doctors typically perform an angioplasty—a procedure to restore blood flow through the artery.

During an angioplasty, the doctor uses a small balloon to push the calcium outward to widen the artery. A stent can then be placed to hold open and strengthen the artery to allow for regular blood flow to the heart.

That’s when the OAS procedure may come in. If the calcified plaque is very severe, it can

advances in medicine | in the know

be challenging to safely navigate through the artery in order to deploy the stent, Venkatesan says. The Diamondback 360 device can be used to sand the calcium down, rather than push it away. It uses a rotating 1.25-millimeter diamond-coated crown to clear away the buildup through centrifugal force. The particles are absorbed harmlessly into the bloodstream.

The procedure is intended for those who have severe arterial calcium build-up. Sanding the calcium away allows for better movement through the artery and better placement of a stent. If a stent isn’t inserted correctly, the chance of an artery clogging up is higher.

“This procedure helps to open up the blood vessel a little bit more,” Venkatesan says.

Severe coronary arterial calcium is a vastly underestimated problem in medicine, says David L. Martin, the president of Cardiovascular Systems. It’s a common occurrence and can lead to significant complications—including a substantially higher occurrence of death and major adverse cardiac events.

Patients agree to the OAS procedure knowing that if a stent can’t successfully be placed, it could mean immediate bypass surgery. Having the Diamondback device will enable doctors to more effectively treat calcified arteries, Venkatesan says, and hopefully reduce the chance of more invasive procedures.

Rose Mary Ball, the first (and, so far, only) patient to undergo the new treatment went to Maryview hospital in September with severe chest pains. The 73-year-old Portsmouth woman was having a heart attack. Venkatesan told her about the procedure he was going to try.

“But I didn’t know it was new,” Ball says.

If it didn’t work, the doctor warned, he might have to do a bypass. Fortunately, the procedure was successful, and Venkatesan was able to place two stents. Ball’s artery had been 98 percent blocked. The procedure opened it up, and medication is helping with another blockage.

“I guess I lucked out,” Ball says. “They fixed the problem, and made me all better.”

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features | Where's the fire?

Where’s the Fire?

THE MOST DANGEROUS PART OF FIREFIGHTING MIGHT BE THE EFFECTS ON THE HEART

By Natalie Miller Moore

20 | thehealthjournals.com

where's the fire | features

I

n 2010, a Virginia firefighter responded to a wildfire. He stretched the fire hose out 300 feet and sprayed the fire. But after about a half hour, he reported not feeling well and collapsed at his truck. Even though his team performed CPR and used an automated external defibrillator, he was pronounced dead at the hospital.

thehealthjournals.com | 21

features | Where's the fire?

According to the firefighter fatality investigation, his death was caused by underlying heart disease, triggered by the physical exertion involved in responding to the call.

Firefighting is perceived as a dangerous job—and it is, but not for the reasons people think. The heart health of firefighters, plus the stresses of their job, make them much more likely to die from a heart attack or stroke. Their chances of dying fighting a fire due to burns or falling debris is much smaller in comparison.

In Virginia’s history of firefighting deaths, sudden cardiac death on the job takes many forms. In 2012, a firefighter was found dead in his bunk after a ladder training drill; In 2008, a firefighter died during maze training from sudden cardiac death; In 2006, a firefighter suffered cardiac death during an extrication demonstration; In 1997, a firefighter died of a heart attack after a fire at a log cabin.

The National Institute for Occupational Safety and Health (NIOSH) released a 2007 report called “Preventing Firefighter Fatalities Due to Heart Attacks and Other Sudden Cardiovascular Events” because they identified that 44 percent of on-duty firefighter fatalities were due to sudden cardiac death and underlying heart disease was the most common cause.

It’s believed that this is as a result of responding to calls or training exercises, which raise heart rates, elevate blood pressure and add physical demands.

healthiest food. Sometimes at busy stations, it’s easier to serve hamburgers on the grill. But I think that eating habits are getting better,” says Reynolds.

But over a long time of unhealthy diet choices, blockages can build up. Heart disease includes atherosclerosis, which is plaque building up in the arteries of your body—and that plaque is mostly made up of fat and cholesterol.

Besides lifestyle, there’s family history to consider, and the stress of being a firefighter.

“It’s not just physical stress. It’s also the mental/emotional stress of the job—we see a lot of death. There are fires that we see people perish in. It’s important to find a way to channel that. Talking to other firefighters who understand, talking to your family or using a counseling network if things affect you,” says Reynolds.

Another benefit of exercise is that it can also help reduce stress.

FROM ZERO TO HERO Firefighting by nature includes lengthy bouts of sedentary time separated by intense periods of very strenuous activities.

The classic fire alarm bell has been mostly phased out of fire houses for middle of the night calls, replaced with a more gradual tone and changes in the lighting of the bunk room to make the call less startling.

“When you get a call in the middle of the night, and you know it’s a fire, people are

heart health of firefighters, plus the stresses “ The of their job, make them much more likely to die from a heart attack or stroke.”

FIREHOUSE CULTURE Battalion Chief William Reynolds from the Virginia Beach Fire Department says that awareness of cardiovascular disease is improving, and the culture of fire houses is changing.

“It’s a lot of stress on the heart. Most firefighters come into the academy in good shape, but maintaining that fitness throughout your whole career is very important. Over time, it might not be as much of a priority,” Reynolds says.

Firehouse cooking has a reputation for being very tasty. Look at the Firehouse Subs franchise, promoting large meat and cheese sub sandwiches, with the iconography of “what firefighters want to eat.”

“Most firefighters are good cooks or become very good, but that's not always cook the 22 | thehealthjournals.com

trapped, your heart goes from 70 or 80 beats a minute to 150 a minute. It can affect the structure of the heart— to go from zero to hero so fast,” says Reynolds.

Even if the fast wake-up call doesn’t damage their heart, firefighting is by nature a high intensity, short duration job. Putting on 80 pounds of gear and going into a hot environment is a major stress event for any body. Ideally, the body of a firefighter would be ready to bounce back from the stress of any call because their natural state is fit and strong.

A busy urban fire station might get 15 calls a day, spread throughout the shift, while a slower rural station might get only one or two.

Firefighters are called for medical emergencies, gas leaks, wildfires, traffic accidents and more—so the intensity of the call varies wildly.

where's the fire? | features

The perception of some firefighters that “the next call will be my work out” can prevent them from regular, structured work outs.

RAISING THE ALARM So what are firefighters and their colleagues doing to prevent this?

First, they are raising awareness of the problem and encouraging fitness. In 2003, the National Volunteer Fire Council (NVFC) launched the Heart-Healthy Firefighter Program to reduce the number of firefighter and EMS deaths from heart attack. They produced the Heart-Healthy Firefighter Resource Guide, the Heart-Healthy Firefighter Cookbook and a number of other educational resources promoting a healthier lifestyle. The NVFC calls firefighters, both professional and volunteer, to “Minimize your risks so you can be there for those who depend on you—your family, your department and your community.

By staying heart strong, you will maximize your abilities as a first responder and be ready for the next call.”

Second, they are including volunteers, as well as paid staff, in their efforts.

Most professional firefighters have annual physicals that including an electrocardiogram

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features | Where's the fire?

Heart Disease IT ISN’T JUST THE NUMBER ONE KILLER OF FIREFIGHTERS

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HERE ARE SOME HEART-HEALTHY TIPS:

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24 | thehealthjournals.com

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(EKG) to check their heart. But departments that use volunteer staff have a variety of different guidelines and not all members are regularly assessed.

Lawrence Hajek, a James City-Bruton volunteer firefighter, is working on creating a gym for Fire Station 1.

“We know from the fire academy photos that many people were in shape when they started—they were running several miles a day or able to do 200 plus pushups. We need to get that motivation back and keep it going,” Hajek says.

Hajek, a former Coast Guard DSF member, says that he sees the benefits of making running and lifting part of the shift duties, but understands that some days it is not feasible because of call volume.

“If you were in New York, you’d be training to run up to the 40th floor with your high rise pack on. Here in this part of Virginia, it’s much more likely just to be the back bedroom upstairs,” he says. “We need to shift the culture to include physical fitness for our duties, and to make a conscious effort eat healthier. ” Third, they are encouraging fitness—gyms and working out. Reynolds says that in Virginia Beach, the younger firefighters motivate older firefighters to work out with them, and that the fire chief sets the tone by running half-marathons to be a good example of fitness.

“The younger generation motivates us, and we see it from the top down. We don’t go to fires by ourselves, so we should work out together,” says Reynolds.

“This profession embodies selflessness and service, and we do lots of medical calls, and we see lots of diseases caused by lifestyle choices like end stage renal disease, diabetes, and heart failure. We need to change the culture of firefighting to a healthier lifestyle so we can be there to help,” says Hajek.

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features |A Visit to the dentist

A Visit to

the Dentist: Parents’ Rights

and What to Expect

by Kimberly blaker

C

hildren’s visits to the dentist are often fraught with anxiety for parents and kids alike. As a child, a negative experience at the dentist may result in continued anxiety over routine dental care even into adulthood. Know what to expect, your rights as a parent, how to prepare or help your child, and how to evaluate dental practitioners to reduce anxiety and prevent traumatic childhood experiences.

26 | thehealthjournals.com

A Visit to the Dentist | features

Your child and the dentist— behind closed doors Anxiety over a child’s first visit to the dentist leads many parents to worry needlessly when they are asked to remain in the lobby during their child’s checkup. Though negative experiences can occur at this stage, it is not the norm, and separating a child from parents

usually results in fuller cooperation.When your child is placed in the care of the dental staff, they’ll try to make this first experience fun and informative. The dentist will explain and demonstrate routine procedures to your child, and then perform these procedures as discussed. Your child soon learns the dentist is someone to trust. When your child has nonroutine dental work done, the dentist will work

“

with your child in a similar manner to help alleviate fears.

“For a lot of kids, it’s comforting to have a parent in the room,” says Dr. Sebastiana Springmann, DDS, of New Town Dental Arts in Williamsburg. “We tailor visits to whatever will make the child comfortable. We have TVs and cable in every room so the kids can watch Disney Channel, SpongeBob or Nick.”

Your dentist should use the communication techniques he or she learned in dental school, including positive reinforcement, distraction, voice control, nonverbal communication, and the tell-show-do approach.

These all help to reassure patients and gain their trust.

”

thehealthjournals.com | 27

features | A Visit to the Dentist

“

A child who arrives unprepared or senses a parent’s own fears may develop undue worry.

Approaching scared or uncooperative children

”

There are many reasons children may become fearful or uncooperative during a visit to the dentist. A child who arrives unprepared or senses a parent’s own fears may develop undue worry. A past experience could also cause anxiety. Children who are ill, have a physical or mental disability, a behavioral disorder, or developmental delay may also be difficult to treat. Whatever the reason, how your dentist handles your child’s fears and behavior is important to your child’s emotional well being and his ability to cope with future visits. The American Academy of Pediatric Dentistry has developed guidelines for behavior management that dentists should follow.

Your dentist should use the communication techniques she learned in dental school, including positive reinforcement, distraction, voice control, non-verbal communication and the tell-show-do approach.

These approaches all help to reassure patients and gain their trust, and in most cases are effective, leading to visits that end on a positive note. Springmann notes that the best way to prevent anxieties is to introduce the child to the dentist early.

“Every child should have a dental home by age 1 do that they have an established relationship with a dentist,” Springmann says. “At that age, it’s more about how their teeth are looking, how they’re coming in, and that they’re developing normally.”

Child restraint and other non-routine approaches

Unfortunately, some children will require approaches beyond specialized communicative skills.

The AAPD recommends several approaches when communication isn’t enough. Such approaches include nitrous oxide, conscious sedation, or general anesthesia. The circumstances under which any of these methods are used depends on several factors including the necessity of the dental work, the particular procedure, and the reason the child isn’t able to cooperate.

Nitrous Oxide or conscious sedation is sometimes used to calm children and to prevent injurious movement. These relatively safe procedures may be indicated under several conditions. In some instances, however, they should not be used.

Restraint or immobilization is another option. This can be used to prevent injury and gain cooperation as well, though some practitioners express concern with the use of this method.

28 | thehealthjournals.com

Dr. Kimberly A. Loos, D.D.S. of San Jose, California, explains at ParentsPlace.com, “I believe that because restraint might be viewed as some type of punishment by the child, it should be used exceedingly sparingly. . . . While some think that the wrap may help the patient to feel secure, it may also serve to increase and intensify any feelings of helplessness the child might have.”

Dr. Loos reports she has treated hundreds of children and has only opted for the method on one occasion and with the parent’s consent, but acknowledges it may be appropriate for use with a child who is not apprehensive yet is unable to remain still for the procedure.

Finally, general anesthesia is occasionally necessary. This is usually used only when necessary dental services otherwise could not be rendered.

“If your child neeeds to be sedated, that’s an appropriate time for us to refer them out to a pediatric dentist,” says Springmann.

Preventing an experience that heightens your child’s fears

Contact your state’s board of dentistry when choosing a practitioner to make sure no disciplinary actions have been taken.

Inform your dentist of any medical, behavior, or other conditions that might affect your child’s visit so the dentist can communicate with your child accordingly.

Pediatric dentists have specialized training for dealing with situations that can arise with children. Seek a pediatric dentist if you suspect your child may have difficulty with dental visits.

TIPS FOR EASING YOUR CHILD’S FEARS • Read to your child before her first visit to the dentist. Try one of the following: Going to the Dentist by Helen Frost, Open Wide: A Visit to the Dentist by Cecile Schoberle and Barry Goldberg, Freddie Visits the Dentist by Nicola Smee, or The Berenstain Bears Visit the Dentist by Stan and Jan Berenstain.

• Share a DVD with your child such as “A Trip to the Dentist Through Pinatta’s View” from Amazon.com.

• Express positive feelings about your own dental experiences.

• Explain to your child the procedures he will undergo, but avoid frightening terminology.

• Don’t try to sooth your child by lying about a procedure or possible pain. Instead, try to alleviate fears that may be out of proportion to the situation.

• Offer coping strategies to your child. Have her practice taking long deep breaths, and if you know you’ll be attending your child throughout the procedure, offer your hand to squeeze.

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hocolate CStrawberries Chili

Chili Chocolate Covered Strawberries

covered

by Chris Jones

Total Time: 50 min Prep: 10 min Inactive: 30 min Cook: 10 min Yield: 2 to 4 servings Level: Easy Ingredients 6 ounces bittersweet chocolate, chopped

C

ozy up next to the fire and enjoy an evening remembering what you love about each other with this classic dessert and wine pairing. The bitterness and the bite of the chocolate combined with the chili powder interacts tastfully with the sweetness of the white wine and the strawberries.

3 tablespoons heavy whipping cream 1 tablespoon butter 1/8 teaspoon ground pure chili powder, such as ancho 10 large strawberries Directions In a heat-proof mixing bowl, add the chocolate, heavy whipping cream, and butter. Place over a smaller pot of simmering water. Be sure the water does not touch the bottom of the bowl.

Stir until chocolate is melted. Stir in the chili powder and mix until fully incorporated.

Dip strawberries into the chocolate allowing the excess to drizzle back into the pan. Place chocolate covered strawberries on a parchment or waxed paper lined sheet tray. Once chocolate is cool, chill until fully set, about 30 minutes.

thehealthjournals.com | 31

Food | food & Nutrition

WHAT ARE

ANTIOXIDANTS?

by Jill Weisenberger, MS, RDN, CDE, FAND, CHWC

A

dvertisements for foods and supplements may have you believing that antioxidants are the elixir of life with the ability to prevent cancer, heart disease, dementia, wrinkles and more. But what are antioxidants anyway, and where can you find them?

To understand how antioxidants work, think about what happens when you cut an apple. The fruit’s flesh browns when oxygen from the air reacts with

32 | thehealthjournals.com

compounds under the apple skin. An antioxidant, like vitamin C in orange juice, can slow the browning process. Vitamin C inhibits oxidative damage when the juice is sprinkled over the cut fruit. Antioxidants in the body react much the same way, protecting cells from oxidative damage caused by aging, pollution, toxins and even normal metabolism.

food & Nutrition | Food

may or may not be absorbed. Since each person has a different makeup of bacteria in the colon, it’s impossible to know if identical foods supply the same absorbable compounds to each person.

PHYTOCHEMICAL COMPOUNDS

Nature gave us a treasure trove of health boosters in fruits, vegetables, grains, nuts, legumes and other plant foods. In addition to vitamins, minerals, fiber, protein and unsaturated fats, plant foods provide thousands of phytochemicals. Phytochemicals, which means plant chemicals, provide the plant with color, aroma and flavor.

Their function is to protect the plant from infection. In the diet, they work together and with other nutrients to fend off heart disease, cancer and other chronic health problems.

Some phytochemicals—like lutein in corn, peas, broccoli and kale, and lycopene in tomatoes and watermelon—have antioxidant activity. Others may protect health in different ways, such as stimulating the immune system, slowing the growth of cancer cells or tamping down insulin resistance.

Regardless of how phytochemicals protect health, the guideline to fill your plates with more plants than foods of animal origin is a smart one. And go for variety—lots of variety. Each fruit, vegetable, nut, et cetera provides a unique array of phytochemicals. Just like eating more of one vitamin to make up for a lack of another won’t help you, eating lots of foods rich in carotenoids won’t make up for the lack of phytochemicals uniquely found in broccoli, cauliflower and other cruciferous vegetables.

ANTIOXIDANT SUPPLEMENTS

ANTIOXIDANT NUTRIENTS

A few years ago, scientists and health care professionals gave antioxidant status to quite a number of natural plant compounds. Today, we know that what looks like an antioxidant in the laboratory doesn’t necessarily act like an antioxidant in the body. Very few nutrients are accurately called antioxidants today. They are vitamins C and E, the minerals selenium and zinc, and the carotenoids such as beta-carotene, lycopene and lutein. Many of the compounds that we used to call antioxidants don’t even get absorbed into the body. Some of them, however, are broken down by gut bacteria. The new smaller compounds

It may seem logical that if antioxidants and phytochemicals in foods protect health, then more in the form of supplements will be even better. Not so.

Studies of antioxidant supplements consistently show no benefit and frequently show increased risk of harm, possibly because they overwhelm the body’s natural defense systems.

BOTTOM LINE

Eat more fruits, vegetables and other plant foods.

Go for variety. Sprinkle herbs and spices on foods and slip leafy herbs into sandwiches and salads. This bathes your body in a host of nutrients, antioxidants and phytochemicals such as flavonoids, indoles, allyl sulfides, anthocyanidins and more. It doesn’t matter what they’re called. Just focus on bringing in more nutrient-dense foods and worry less about the individual nutrients.

thehealthjournals.com | 33

Food | flavor

Fennel

by Kimberley Cuachon Haugh

I

hated the taste of licorice as a child. And then there was a long evening involving Jägermeister when I was 18—enough said. I was licorice ruined forever—or so I thought.

In 2014, I spent many days breastfeeding and watching Giada De Laurentiis on Food Network in the middle of the day. De Laurentiis uses fennel in a lot in her cooking—in salads, as a side dish, in main dishes and even in dessert! While dealing with baby blues for a number of reasons (one being missing out on some of the things that I loved to do), this daily De Laurentiis dose made me feel like I was missing out on another thing—this beautiful flavor in my cooking.

So with my baby conked out as she always does when "Giada at Home" finishes, I explored my pantry, which had a surprising abundance of root vegetables. My husband must have collected some from the neighbors again, and as luck would have had it, there was one big fennel bulb in the mix. I thinly sliced the fennel like De Laurentiis did to add to a side of roasted veggies for dinner. By roasting the fennel, it really tamed the licorice flavor. I have to say that the added fennel made my go-to side dish taste more elegant. There was a certain je ne sais quoi going on.

I later discovered that fennel pairs beautifully with seafood, especially scallops, which I finished with lemon-caper vinaigrette. While waiting for my Mother’s Milk tea to boil, I noticed that fennel was its first ingredient. I experimented with making fennel tea by boiling its seeds and sweetening it with a touch of honey. I’ve even made fennel scones, which went well with my tea.

34 34 || thehealthjournals.com thehealthjournals.com

FLAVOR & taste appeal | Food

Chopped Kale Salad

There are four things that make fennel such an incredibly healthy food: 1. It contains a shockingly high amount of phytochemicals. These provide protection against health-related illnesses like arterial damage, heart disease and certain types of cancer.

2. It’s loaded with antioxidant protection. Fennel bulb is full of vitamin C, which as you may already know helps protects your body from free radical damage caused by elements like air pollution and viral infections. Vitamin C is also an antimicrobial and helps keep your immune system functioning well.

3. It’s a great source of fiber that not only keeps you regular, but it also helps remove some of those cancer-causing toxins from your colon.

4. It’s also a good source of folate also known as folic acid. For those pregnant, or trying to get pregnant, folic acid is recommended to reduce birth defects and is good for the baby’s brain and spine development.

Studies show that many people in the U.S. don’t get enough folic acid. Those with folic acid deficiencies are typically those with digestive problems, kidney or liver disease.

I may have gone a bit overboard on the fennel for about a month, which led to a sabbatical from it, but not nearly as long as before. Now that I’ve added fennel to my syllabus of ingredients, I’m coincidently trying to grow my daughter’s food list by having her give second chances to the foods she rejected as a baby. Sometimes it takes a little convincing from someone to give things a second chance. A special thanks goes to Giada De Laurentiis for nudging me to give fennel a second taste.

Recipe courtesy of Chef Jalil Lindsey-Lowe

INGREDIENTS

MAKES 4-6 SERVINGS

• 1 teaspoon chili powder • 1/2 teaspoon sea salt or kosher salt • 1/4 cup extra virgin olive oil • 2 bunch kale leaves, very finely chopped • 1/4 cup fat free buttermilk • 1 bunch of chives, fresh or dried • 1/4 cup dried cranberries • 1/4 cup slivered almonds or pine nuts

PREPARATION 1. Place the chopped kale leaves and dried cranberries in a serving bowl.

2. In a small bowl, whisk olive oil, buttermilk, chili powder, chives and salt.

3. Pour the dressing on top and toss until mixed thoroughly.

When mixed top with nuts and serve.

Chef's Note: The key to this recipe is finely chopping the kale leaves. The finer they are, the more they will absorb the dressing and the easier and tastier they will be to eat.

Food | taste appeal

Black Bean Quinoa Burgers Recipe courtesy of Karen Endsley

INGREDIENTS

MAKES 6 SERVINGS

• One can black beans drained and rinsed • 1/2 cup onion, diced • 1/2 cup red pepper, diced • 1/2 cup shredded cheese – choose your favorite variety • 1/4 teaspoon cumin • 1/2 teaspoon garlic powder • 2 cups of cooked white quinoa • 1 egg • 1–1 1/2 cups of breadcrumb

PREPARATION 1. Sauté pepper and onions in approximately 2 tablespoons of olive oil until soft.

2. Put beans, sautéed veggies, and cheese in a food processor and pulse until well blended, but not overly processed -you should be able to identify large chunks of beans and bright red peppers as these give texture and color.

3. Add cumin and garlic powder to the mixture and pulse just once or twice to incorporate.

4. Turn a grill pan on medium high and spray with non-stick spray or wipe with olive oil. If you don’t have a grill pan you can use a frying pan. While the pan is heating up, pour your veggie and cheese mixture into a large bowl.

5. Add quinoa, egg and 1 cup of the breadcrumbs.

Mix thoroughly. Get your hands in it and get a little messy, you need to feel the consistency of the mixture.

It should feel similar to the consistency of ground beef.

If the mixture is too loose add the remainder of the breadcrumbs. Mold into six or seven patties, depending on size.

6. At this point, preheat oven to 350F. 7. Sear burgers on a hot grill pan for about four minutes per side. Place in the oven for about 10 minutes to finish them off.

8. Serve them on a nice whole-grain bun with crisp lettuce and tomato and try Smoky Cumin Mayonnaise (see right) for an extra WoW! factor.

36 | thehealthjournals.com

Smokey Cumin Mayonnaise

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Recipe courtesy of Karen Endsley

INGREDIENTS • 3 heaping tablespoons mayonnaise

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• 1 tablespoon whole-grain mustard • 1/2 teaspoon Worcestershire sauce • 1/2 tablespoon white vinegar • a dash of cumin • 1/2 teaspoon honey

PREPARATION

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1. Whisk all ingredients together until well blended. This will be a bit loose compared to the typical mayonnaise and should be a light honey color.

2. Serve on top of your favorite burger.

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Food | herb-n-garden Photography By Maria Candelaria Daugs

LIKE YOU WOULDN'T BELIEVE

By Maria Candelaria Daugs

E

aten whole, bay leaves have a sharp, bitter taste. If simmered in a stew for a while, however, more complex tea-like aromas will come forward. In Europe, Asia and the Americas, it is used to flavor soups, stews, meat, vegetable dishes, and sauces.

A staple in Philippine Cuisine, Adobong Manok (Chicken Adobo) involves the Spanish process of chicken marinated and simmered in vinegar, soy sauce and garlic, and features the aromatic spirit of bay leaf. Colonized by Spain for 300 years, this stew represents those roots, combined with the Chinese influence in the use of soy sauce on lieu of salt. This is a lighter adaptation of my mother's simple recipe.

FILIPINO CHICKEN ADOBO Makes 6 to 8 servings 4 to 5 pounds chicken thighs, bone-in 1/2 cup white vinegar 1/3 cup soy sauce 4 cloves garlic, crushed 1 teaspoon black peppercorns, crushed 3 bay leaves (dry works as well as fresh) Salt, to taste Pepper, to taste Steamed rice, for serving

Remove skin and trim fat from chicken thighs. Combine the thighs, vinegar, soy sauce, garlic, peppercorns and bay leaves in a large pot. Cover and marinate the chicken in the refrigerator for 1 hour.

Bring the chicken to a boil over high heat. Lower the heat, cover and let simmer for 30 minutes, stirring occasionally. Remove the lid, simmering until the sauce is reduced and thickened and the chicken is tender (about 20 more minutes). Salt and pepper to taste.

Serve with steamed rice and/or steamed vegetables.

38 | thehealthjournals.com

DID YOU KNOW? Bay leaf was highly praised by the Greeks and the Romans, who deeply believed that the herb symbolizes wisdom, peace and protection. It is a rich source in vitamin C, vitamin A and folic acid.

Quinoa with Nuts and Sautéed Apples

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Recipe courtesy of n1health Williamsburg

INGREDIENTS

MAKES 4 SERVINGS

• 1 cup uncooked quinoa • 2 teaspoon grapeseed oil, divided • 3/4 cup onion, diced • 2 carrots, finely diced • 2 garlic cloves, minced • 2 cups vegetable broth • 1/4 teaspoon salt • 1/4 teaspoon ground cinnamon • 1 Granny Smith apple, finely diced • 3 tablespoon sliced almonds or pecans, toasted • 1/8 teaspoon ground black pepper

PREPARATION 1. Place quinoa in a fine sieve, then place the sieve in a large bowl.

Cover quinoa with water and rub grains together for 30 seconds.

Rinse and drain. Set aside.

2. Heat 1 teaspoon grapeseed oil in a saucepan over medium-high heat. Add diced onion, carrots, and garlic to the pan, and sauté for 5 minutes or until onion is tender.

3. Stir in vegetable broth, rinsed quinoa, salt, and cinnamon. Bring to a boil, then cover, reduce heat, and let simmer for 20 minutes (or until liquid is absorbed). Remove from heat. Fluff with a fork and keep warm.

4. Heat remaining grapeseed oil in a skillet over medium-high heat.

Add apple to pan and sauté until apple begins to brown (about 7 minutes). Add apple, almonds, and black pepper to quinoa, and toss gently to combine. Serve warm.

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taste appeal | Food

Three-Bean, Escarole, and Roasted Garlic Soup

Devil's Food Cupcakes with Almond-Mocha Topping

Recipe courtesy of American Heart Assocation

INGREDIENTS Cupcakes Recipe courtesy of n1health Williamsburg

INGREDIENTS

MAKES 4 SERVINGS

• 1 garlic bulb • 15 1/2-ounce can Great Northern beans (rinsed, drained, and divided)

MAKES 24 SERVINGS

• 18.25 ounces devil’s food cake mix (1 box) • 2.5 ounces jarred, puree baby food prunes • 1 cup strong coffee OR • 1 cup water PLUS • 2 teaspoon instant coffee granules

• 1/2 teaspoon fresh sage, chopped

• 3 large egg whites

• 1 tablespoon grapeseed oil

• 2 Tablespoon canola or corn oil

• 8 cups (about 1 lb.) escarole, chopped

Sauce

• 4 cups vegetable broth

• 24 ounces packaged, frozen, unsweetened raspberries, thawed

• 2 cups marinara sauce

• 1/2 cup sugar

• 1 teaspoon ground black pepper

• 1 1/2 Tablespoon cornstarch

• 1 15-ounces can kidney beans (rinsed and drained)

• 1 teaspoon vanilla extract

• 1 15-ounces can pink beans (rinsed and drained)

Topping

• 6 tablespoon fresh Parmesan cheese, grated (optional)

• 2 teaspoon instant coffee granules

• Sage springs (optional)

• 2 teaspoon water

PREPARATION 1. Preheat oven to 350F. 2. Remove papery skin from garlic bulb without peeling or separating the cloves. Wrap the bulb in folk. Bake for 45 minutes, then cool for 10 minutes. Separate the cloves and squeeze to extract the pulp. Discard skins.

3. Combine garlic pulp and ¼ cup Great Northern beans. Mash with a fork until the mixture is paste-like. Stir in chopped sage and set aside.

4. Heat grapeseed oil in a Dutch oven over medium heat. Add escarole to the pan and cook, stirring frequently, until escarole wilts (about 3 minutes). Add remaining Great Northern beans, vegetable broth, and next 4 ingredients (through pink beans).

Bring to a simmer, then reduce heat and allow to simmer until escarole is tender (about 20 minutes). Stir in mashed garlic-bean mixture and remove the pan from heat. Cover and let stand 10 minutes.

5. Serve and sprinkle with grated Parmesan, if desired. Garnish with sage sprigs, if desired.

• 8 ounces frozen, fat-free whipped topping, thawed in refrigerator • 2/3 cup sliced almonds, dry-roasted

PREPARATION 1. Preheat the oven to 325F, or as directed on the package. Lightly spray two 12-cup muffin pans with cooking spray.

2. In a large mixing bowl, combine the cupcake ingredients. Follow the package directions for beating the batter and baking and cooling the cupcakes.

3. Meanwhile, in a medium saucepan, stir together the raspberries, sugar, and cornstarch until the cornstarch is dissolved. Bring to a boil over medium-high heat. Boil for 1 to 1 1/2 minutes, or until thickened, stirring frequently. Remove from the heat. Let cool completely, about 20 minutes. Stir in the vanilla.

4. In a medium bowl, stir together the coffee granules and water until the coffee is dissolved. Fold in the whipped topping until well blended. Cover and refrigerate until needed.

5. For each serving, spread 1 tablespoon plus 2 teaspoons raspberry sauce on a dessert plate, top with a cupcake, spoon 1 tablespoon plus 2 teaspoons whipped topping mixture over the cupcake, and sprinkle with about 1 1/2 teaspoons almonds.

your health | fitness

Two Heads

Are Better Than One: 5 moves For Balanced

Biceps

by Bridgit Kin-Charlton photography by maria daugs

STANDING BARBELL CURL

Four sets of 6, 6, 8, 8 reps, alternating grip width on each set Stand with your torso upright, holding a barbell at a shoulder-width grip. The palm of your hands should be facing out and the elbows should be close to the torso.

This will be your starting position.

While holding the upper arms stationary, curl the weights forward while contracting the biceps as you breathe out.

Tip: Only the forearms should move.

B

iceps are the original two-headed beast. Make sure you’re feeding both halves with a complete array of curls. The biceps brachii has two heads running parallel along the upper arm.

The short head runs on the inside of the arm, closest to the chest, and adds to the thickness when viewed from the front.

The long head runs along the outside of the arm and forms the peak when flexed.

Here are five classic biceps movements that should be enough to get you two tickets to the gun show.

42 | thehealthjournals.com

Continue the movement until your biceps are fully contracted and the bar is at shoulder level. Hold the contracted position for a second and squeeze the biceps hard.

Slowly begin to bring the bar back to starting position as you breathe in.

Repeat for the recommended amount of repetitions.

Variations: • You can also perform this movement using a straight bar attachment hooked to a low pulley. This variation seems to really provide a good contraction at the top of the movement.

• You may also use the closer grip for a variety of purposes.

CONCENTRATED CURL Three sets of 10 reps

Start out by setting a bench at an incline.

Move to the back side of the bench and position yourself at a 45 degree slant with your underarm pressed against the back of the bench.

Make sure that your feet (especially the toes) are well positioned on the floor in a split stance.

Use your arms to grab the dumbbell with a supinated grip (palms facing up).

Slowly lift the dumbbell upwards and exhale. Hold the contracted position for a second as you squeeze the biceps.

Slowly bring the dumbbell back to the starting position as you breathe in.

Repeat for the recommended amount of repetitions.

fitness | your health

ROPE HAMMER CURL

INCLINE BENCH DUMBBELL CURL

Attach a rope attachment to a low pulley and stand facing the machine about 12 inches away from it.

Grasp the rope with a neutral (palms in) grip and stand straight up keeping the natural arch of the back and your torso.

Put your elbows in by your side and keep them stationary during the entire movement, Tip: Only the forearms should move, not your upper arm. This will be your starting position.

Using your biceps, pull your arms as you exhale until your biceps touch your forearms.

Sit back on an incline bench with a dumbbell in each hand held at arms length. Keep your elbows close to your torso and rotate the palms of your hands until they are facing forward. This will be your starting position.

While holding the upper arm stationary, curl the weights forward while concentrating the biceps as you breathe in out. Only the forearm should move.

Continue the movement until your biceps are fully contracted and the dumbbells are at shoulder level. Hold the contracted position for a second.

Slowly begin to bring the dumbbells back to starting position as you breath in.

Repeat for the recommended amount of repetitions.

Three sets of 10-12 reps

Tip: Remember to keep the elbows in and your upper arms stationary.

After a 1 second contraction where you squeeze your biceps, slowly start to bring the weight back to the original position.

Repeat for the recommended amount of repetitions.

Variations: • You can perform this exercise with dumbbells.

Three sets of 8 reps

REVERSE BARBELL CURL (USE E-Z BAR CURL) Four sets of 12, 12, 20, 20

Stand up with your torso upright while holding a barbell at shoulder width with the elbows close to the torso. The palm of your hands should be facing down (pronated grip). This will be your starting position.

While holding the upper arms stationary, curl the weights while contracting the biceps as you breathe out.

Only the forearms should move. Continue the movement until your biceps are fully contracted and the bar is at shoulder level. Hold the contracted position for a second as you squeeze the muscle.

Slowly begin to bring the bar back to starting position as you breathe in.

Repeat for the recommended amount of repetitions.

Variations: • You can also perform this movement using an E-Z attachment hooked to a low pulley. This variation seems to really provide a good contraction at the top of the movement.

thehealthjournals.com | 43

your health | family

RAISING the Next Generation

OF LEADERS

by Joseph B. Ash

A

s parents, we’re tasked with helping our children become the next generation of leaders, influencers and positive role models in our community, nation and world.

However, the longer we wait to instill these values, the harder it will become.

Many of us grew up with the mindset passed on from our parents. That mantra was that the goal of parenting is about working to create a better life for our children. Aside from situations of abuse, neglect and extreme poverty, the childhood most of us grew up in was the perfect mix of structure, free range and humanity.

men look at things the way “Some they are and ask why? I dream of things

that are not and ask why not?”

—Robert Kennedy

44 | thehealthjournals.com

With creativity, these “old school” values help grow tomorrow’s leaders: 1. Be the example you want to set. Children’s decisions are based on the information they acquire watching their parents and through observing life. So when new circumstances arise, they will be looking for leadership from parents, guardians, friends and coaches. By demonstrating the proper character, composure and resolve during life’s teaching moments, you will show them how to be a better person.

2. Be present and grow with them. With both parents working, it’s easy to say you’re too busy or even too tired. Although this reason may be true, children with parents that are actively involved their have better social skills, make better decisions and have stronger bonds. Make the time, so they will learn the same.

3. Encourage work and service. Work and service go hand-inhand with leadership. While sitting on the couch playing video games may be fun, instilling a strong work ethic work and encouraging volunteerism is a great way to sew a positive character into your child. Serving others also helps develop compassion and empathy, traits that celebrated leaders like Abraham Lincoln, Mother Teresa and Dr. Martin Luther King Jr. were known for.

4. Provide structure. Structure and discipline are building blocks for cultivating future leaders. Outlining clear expectations and consequences provides an understanding of what is need to be done and why it’s important. Without structure, there can be no framework for success. Be sure to also take the time to teach your child how to create his or her own schedule. This helps them to learn how to manage and respect time.

It is impossible to live without failing at “something, unless you live so cautiously

that you might as well not have lived at all, in which case you have failed by default.” ­­—J. K. Rowling

5. Encourage creativity. Creativity allows for expression. Expose your children to new ideas, new sports, new activities and new technology. At age 9, Moziah Bridges was taught to sew by his grandmother. The result? He created Mo’s Bows, and by age 13, has sold $200,000 in bow ties and was featured on Shark Tank where he got a deal with Daymond John.

6. Allow them to fail or fall even. Leaders fail or fall often. The act of failing is a form of learning, much like learning how to walk. When your child falters, use that as a tool for teaching and training rather than magnifying the mistake. In doing so, you help your child to learn how to progress from failure through inward reflection. They can in turn encourage others in the same way.

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your health | women's health

PELVIC HEALTH CHALLENGES Pelvic floor physiotherapists are trained to help patients with pelvic health challenges. These can affect both your physical health and emotional well-being. Some of the most common ones are:

WHAT’S UP ‘DOWN THERE’?

 Urinary urgency/ frequency  Incontinence, both urinary and fecal

THE IMPORTANCE OF PAYING ATTENTION TO YOUR PELVIC HEALTH

 Constipation

By Shannon Crow, RPYT, E-RYT500

 Painful intercourse  Interstitial cystitis: bladder pain syndrome (BPS)  Chronic prostatitis: inflammation of the prostate  Issues with pregnancy or postpartum recovery  Scar tissue  Prolapse of the bladder, bowel or uterus  Fertility  Back pain  Diastasis of the rectus abdominus: separation of the abdominal muscles

I

f you think you should be suffering in silence with pelvic pain, incontinence, constipation or painful intercourse…think again.

None of these “down there” issues are normal. And they are often highly treatable and preventable.

Even as women grow older, give birth or exercise, they should not be leaking urine.

But there is help. Pelvic floor physiotherapists work with people facing these kinds of pelvic health challenges.

Carolyn Campbell, a women’s health physiotherapist (another name for this profession) at Comber Physical Therapy in Williamsburg, Virginia, says that she is amazed by how people can improve their pelvic health “with just a little bit of education, postural awareness, core strengthening and a lot of knowledge.”

A mother of four, Campbell is passionate about helping women with pelvic floor health challenges.

And it’s never too late to think about your pelvic health.

Campbell recently saw a 70-year-old woman who had scar tissue from a birth 40 years earlier. After Campbell released the scar tissue, the woman became free of pain for the first time in decades.

“Muscles of the pelvic floor are just muscles and they can hurt just like a muscle anywhere else in the body,” says Campbell.

WHAT IS THE PELVIC FLOOR?

We often associate the pelvic floor with women’s health. But everyone has a pelvic floor, including men.

The pelvic floor is made up of muscles, nerves, tendons, blood vessels, ligaments and connective tissue. There are actually three layers of muscles.

They stretch from the pubic bone to the tailbone and reach out to the bony parts of the pelvis that you sit on.

While often ignored, the pelvic floor does a lot for your health.

It supports the bladder, bowel and, in women, the uterus. It helps to hold in urine and feces and then releases them when you are ready. It stabilizes your back and pelvic girdle, and it assists in moving blood and lymph back to the center of your body.

The pelvic floor also plays a large role in your sexual health.

IMPROVING PELVIC HEALTH Maintaining your pelvic health is a lot about being more mindful of how you move and using the ‘Core Four’ to support those movements.

Here are some that can help:  Improve your posture by keeping a natural curve in your low back and a neutral pelvis while sitting or standing.  Move around more by taking frequent breaks when sitting or standing for long periods.

46 | thehealthjournals.com

 Breathe more fully by expanding your belly on your inhale, and bringing your navel up and back toward the spine as you exhale.

 Learn ‘The Knack,’ an isometric contraction of the abdominal muscles, the pelvic floor and the back muscles before lifting or coughing.

 Avoid high-impact activities, such as running or jumping jacks, if you are leaking urine.

 Visit a pelvic floor physiotherapist if you experience pelvic pain, incontinence or any other pelvic health challenges.

women's health | your health

STRENGTHENING AND RELAXING THE PELVIC FLOOR Just as some people hold tension in the shoulders, Campbell says that others can hold too much tension in the pelvic floor muscles.

Optimal function of the pelvic floor, though, requires a balance of relaxation and strengthening. One of the most common strengthening exercises for the pelvic floor is kegels.

Often, when people think about the core, they focus on the “six pack” abs. But for pelvic health, you need to strengthen the deep core—also known as the “core four”: • diaphragm: the dome-shaped muscle attached to the base of the ribs that moves with respiration

“

• transverse abdominus: the muscles that form a girdle around your midsection and are activated during movement of limbs • multifidus: a series of muscles attached to the spinal column • pelvic floor A large part of what pelvic floor physiotherapists do is educate people.

For example, if a patient is experiencing painful intercourse the physiotherapist will talk about options for lubrication, stretches, relaxation and breathing techniques to practice at home.

They will also teach you other techniques and exercises, including how to do kegels properly.

When it comes to pelvic health, silence is not the answer.

Pelvic floor physiotherapists have heard all the questions before.

A visit to one—sooner, rather than later—is a great gift to your physical and emotional health.

Muscles of the pelvic floor are just muscles and they can hurt just like a muscle anywhere else in the body.”

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your health | MeN's Health

EATING DISORDERS

NOT JUST A PROBLEM FOR WOMEN

by Shawn Radcliffe

C

onversations about eating disorders often focus on the struggles faced by women. But millions of men suffer from this illness, more than previously thought.

Even so, many men don’t get the help they need, for a variety of reasons.

“I think that it’s less likely to be diagnosed in men, because it’s not on doctors’ radars the same way it would be with women,” says Natalie Wingfield, a counselor at Virginia Beach Counseling and Wellness in Virginia Beach.

According to the non-profit National Eating Disorders Association,10 million men in the United States will be seriously affected by an eating disorder at some point in their life, compared to 20 million women.

Men are affected by the same forms of the illness as are women, including anorexia, bulimia and binge eating.

In fact, a 2012 study in the International Journal of Eating Disorders found that binge eating is just as common in men as in women.

But eating disorders can also show up differently in men versus women, which may be part of the reason they go undiagnosed in many men.

“Eating disorders present a little bit differently in males. There’s more of a focus on a muscular, ‘ideal’ male body,” says Wingman, “which is different from the female ‘ideal’ body that we might see, with a focus on being thin.”

A 2013 study in the medical journal JAMA Pediatrics found that of 5,527 adolescent males, 17.9 percent reported feeling extremely concerned about their weight and physique.

But almost 10 percent of the teenage boys were more interested in increasing their muscle size than in being thin. Compare this to just 2.5 percent who were focused mainly on thinness.

48 48 || thehealthjournals.com thehealthjournals.com

men's Health| your health

Many of the tools that doctors use to diagnose eating disorders were designed with a desire for thinness in mind. These assessments may overlook men and boys who are concerned about their weight, but more focused on

protein, creatine and L-carnitine.

More than 40 percent reported that their use of these supplements increased over time. And 22 percent indicated that they were swapping regular meals for dietary supplements not meant to be used

around it,” says Wingfield.

Men may also view seeking psychological help as a sign of weakness. And even if they do go to therapy, they are often the only male in a group session, which can make them more likely to drop out.

“Men may also view seeking psychological help as a sign of weakness. And even if they do go to therapy, they are often the only male in a group session, which can make them more likely to drop out.” gaining muscle mass.

The muscle-obsessed culture among men may also be driving them to develop their own male brand of eating disorder.

At an American Psychological Association meeting last year, researchers presented results from a survey of 195 men aged 18 to 65.

They asked men about their use of legal workout supplements used to build muscle mass, such as whey

as meal replacements.

Even more alarming, says the researchers, is that 29 percent of the men were concerned about their own use of supplements.

Although some men are aware that they have an eating problem, they may be reluctant to seek help.

“Males tend to seek treatment less often because of the stigma that this is kind of a women’s thing and there’s a lot of shame

However, once men do show up, there are many good treatment options to help them.

“There’s still the same evidence-based treatments,” says Wingfield. “It’s typically cognitive behavioral therapy, but it’s also important to factor in the gender differences to make it feel more inclusive for males.”

your health | outdoors

Birding THE ORIGINAL TWITTER

by A.E. Bayne

Follow these tweets for stimulation, rejuvenation and fun

F

or years, studies have shown that spending time in communion with nature provides life-changing opportunities to de-stress and get active. In fact, the Journal of Environmental Psychology cited a group of five studies in 2010 showing that people gain a sense of vitality that outweighs even the physical effects of exercise when involved in activities in a natural outdoor setting. From the casual observer to the avid enthusiast, one way people are making room for nature is through bird watching.

Dave Youker, president of the Hampton Roads Bird Club, has experienced the positive effects of bird watching firsthand.

He says, “The health benefits are obvious: fresh air, walking, socializing and mental exercise.

Most people are exposed to too many noise and visual stimulants on a daily basis. Spending time observing the natural world helps us relax and heightens our visual acuity. Birding is an excellent reason to get off the couch and out from in front of the TV.”

50 | thehealthjournals.com

While the mention of birding might evoke images of quiet, solitary walks in the woods, it doesn’t have to be done that way.

Birding through history has always included opportunities to bond with other enthusiasts in clubs and organizations, many of which have missions of conserving and preserving natural environments in the face of increasing public encroachment. The Virginia Society

“Spending time observing the natural world helps us relax and heightens our visual acuity.” of Ornithology suggests on its website, “All you need to become a birder is a field guide, a good pair of binoculars, and your fascination with birds.” The organization notes that birders are contributors to “citizen science” and that birding is deeply rooted in nature conservancy.

Geoff Giles, president of the Williamsburg Bird Club, says, “Clubs are welcoming of new birders, and interest and varying degrees of experience are not unique to any age group. Old and young from all walks of life are welcomed and find others who are eager to take them ‘under the wing.’ Everyone has memories of the first good look through binoculars at a stunning bluebird, goldfinch

or cardinal, and is happy to relive those moments vicariously when a new birder has his or her first ‘wow’ moment with one of those birds.”

Youker adds, “Club members usually have other equipment like spotting scopes and cameras that help stimulate interest of new birders. Attending presentations at monthly club meetings is another way to learn about local and more distant birds. Joining bird clubs also helps our local bird populations. Many clubs are involved with conservation efforts from maintaining bluebird trails to adopting local habitats.”

A number of birding clubs in the Hampton Roads area provide resources for bird lovers on their websites. The Williamsburg Bird Club includes a detailed list of backyard and migratory birds that one might observe locally, while other area bird clubs supply resources to help novice and experienced birders alike to navigate identification of visiting and native species.

Getting started in birding is a breeze, and the health benefits speak for themselves. From the causal observer to the lifelong aficionado, birding helps us connect and appreciate our natural world.

OUTDOORS | your health

Eager to Try It? The following area bird clubs are members of the wider Virginia Society of Ornithology. www.virginiabirds.net

Hampton Roads Bird Club, Newport News (757) 344-9385 www.hamptonroadsbirdclub.org Meets the second Thursday of each month at Sandy Bottom Nature Park (1255 Big Bethel Road, Hampton), 7 p.m. The group conducts bird walks that are open to the public at Newport News Park starting at 7 a.m. on the first and third Sundays of each month.

Williamsburg Bird Club, Williamsburg www.williamsburgbirdclub.org Meetings are held once a month at 7 p.m. in room 1127 of the Integrated Science Center at The College of William and Mary.

Dates are posted on its website. This group holds bird walks twice a month.

Virginia Beach Audubon Society, Virginia Beach (757) 495-7775 www.vbaudubon.org Meets the second Monday of each month at Eastern Shore Chapel (2020 Laskin Road, Virginia Beach), 7 p.m.

Back Bay Birding Club, Virginia Beach (757) 437-8432 www.awhm.org

Meets four times a year in January, April, July and October on the second Tuesday of the month at the Atlantic Wildfowl Heritage Museum (12th Street & Atlantic Avenue, Virginia Beach), 7 p.m.

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your health | money

Health Savings Accounts

An effective method to offset high deductibles

by KELSEY HINTON

W

ith rising health care costs, you may not know about the benefits of starting a health savings account, but you should.

Formed under the Medicare Prescription Drug Improvement and Modernization Act of 2003, HSAs are tax-advantaged savings accounts intended to be used in conjunction with high-deductible health care plans. As of 2016, HSAs must be used with plans with deductibles of at least $1,300 for individuals and $2,600 for families.

HSAs share some traits with other tax-favored plans, like IRAs and 401ks, such as annual contribution limitations. For 2016, yearly contributions are capped

52 | thehealthjournals.com

at $3,350 for individuals and $6,750 for families; an additional $1,000 catch-up contribution is permitted for those ages 55 and older. Unique to HSAs is the “triple tax advantage” they offer. Contributions, gains and qualified withdrawals for medical expenses are all tax-free. The tax savings HSAs offer are one of the top reasons for their popularity, according Nick Coiner, vice president of TFA Benefits - A TowneBank Company.

HSAs are intended to cover medical expenses, but they may be used for non-medical expenses with tax implications. For those ages 65 and younger, non-qualified expenses constitute taxable income

and a 20 percent penalty tax is assessed. After age 65, non-qualified expenses are still taxed as income, but the 20-percent penalty tax is waived, and according to Coiner, “you have the best retirement account with no minimum required distribution and the ability to use it tax free.”

“The tax savings HSAs offer are one of the top reasons for their popularity” The list of qualified medical expenses, outlined in detail in IRS Publication 502, is exhaustive and includes things traditional health care plans typically don’t cover, says Coiner. Examples include

MONEY & YOUR FINANCIAL HEALTH | YOUR HEALTH

your financial health helping to ease your personal finance concerns

stop-smoking programs, pregnancy tests, hearing aids, eye exams, acupuncture, fertility enhancement, vision correction surgery and weight-loss programs. HSA funds may also be used for the medical expenses of the account holder’s spouse and tax dependents.

The popularity of HSA plans is rising, according to an annual census conducted by America’s Health Insurance Plans (AHIP)—a national trade association representing about 1,300 health insurance agencies. Census responses from 64 insurance companies that sell HSA-eligible highdeductible health plans show a 13 percent increase in HSA enrollees from January 2014 to January 2015, with more than 19 million utilizing HSAs. Coiner attributes the trend to mandates imposed on employers by the Affordable Care Act, the rising premiums of traditional health care plans and the tax savings HSAs offer.

People are also realizing, Coiner says, to view HSAs as “shadow” IRAs/401Ks. “[HSAs] can be used the same way as a traditional 401K and IRA post-65 without any required distributions or penalties,” he says, adding that funds from an IRA may be transferred to an HSA once in a person’s lifetime, up to the annual maximum. “That saves a few thousand in taxes post-retirement and makes the money available today for eligible medical expenses without any penalty for early withdrawal, says Coiner.”

Financial Life Stages

Our Changing Financial Focus:

While not entirely predictable, our financial needs and objectives do tend to change over time. As they age, most Our Changing Financial Focus: individuals pass through three financial While not entirely predictable, our financial needs and objectives do tend to change over time. As they age, life stages: most individuals pass through three financial life stages:

First Financial Life Stage:

Life Events

Financial Focus

New to the workforce

In this earliest stage of our adult lives, financial needs tend to focus on:

Newly married Starting a family

 Laying a sound financial foundation by establishing a budget, starting a savings plan, making proper use of credit and taking full advantage of employee benefits.  Purchasing a home.  Building an emergency fund.  Implementing an insurance program.  Drawing up or updating a will.

Second Financial Life Stage:

Increasing income

This second stage of our adult lives tends to represent our prime earning years, a time when financial plans should focus on:

Possible inheritance

 Saving for college.

Growing family

 Taking full advantage of all retirement savings opportunities.  Implementing a wealth accumulation program.  Protecting wealth through an adequate insurance program.  Developing an estate plan.

Third Financial Life Stage:

Nearing retirement Retired Grandchildren Death of a spouse

This last stage of our adult lives can be a rewarding and fulfilling time, assuming important financial issues are addressed:  Implementing a retirement income plan, including a distribution strategy and asset allocation suitable for retirement.  Having adequate health and long-term care insurance.  Updating an estate plan to reflect changing family situations.

Rusty Woods Advisory Representative

Lincoln Financial Securities Corporation 757-461-1539, ext. 207 a VSA, LP The information, generalof principles and conclusions in this services report arethrough subject to local, LFG Rusty 2A1.04 Woods is registered representative and offers securitiespresented and advisory ed. 09-12 state and federal laws and regulations, court cases and any revisions of same. While every care has been Financial Corporation, Member SIPC. Lincoln Securities Corporation PageLincoln 1 of 1 takenSecurities in the preparation of this report, neither VSA, L.P. norFinancial The National Underwriter is engaged in legal, accounting, financial or other professional services. This report should not be used as a is a member ofproviding the Lincoln Financial Group which is the marketing name for Lincoln National substitute for the professional advice of an attorney, accountant, or other qualified professional.

Corporation and its affiliates.

Lincoln Financial Securities and its representatives do not offer tax or legal advice.

Individuals should consult their tac or legal professionals regarding their specific circumstances.

LFS-1389401-011116

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your health | aging well

THE BENEFITS OF

YOGA FOR

SENIORS

by Marie Albiges

A

t what age do we become afraid of the floor, believing if we get down, we might never get up?

Many senior citizens, at age 65 and older, have reached that point. They think that yoga—with all its crazy inversions, intimidating balancing poses and toughlooking twists—is unattainable. The fear of falling often outweighs their interest in trying yoga.

But once past the intimidation factor often created by what is seen in media and in their young, fit grandchildren showing off their headstands, older folks will see the myriad of benefits that come with practicing yoga at any age, albeit with a few modifications.

If you’re a senior interested in yoga, try a personalized, one-on-one yoga class with an experienced instructor, a gentle yoga class or a chair yoga class. That will eliminate the intimidation of walking into a full class with all levels of practitioners, and it’ll make yoga seem a lot more doable.

Chair yoga allows people to move into poses they otherwise wouldn’t be able to do with the help of, well, a chair. Whether you’re using the chair to help with balance during tree pose, or you’re moving your arms during sun salutations, you’ll still feel the benefits even if you don’t look like the yogis on the pages of Yoga Journal.

54 | thehealthjournals.com

HERE ARE A FEW BENEFITS THAT COME WITH PRACTICING YOGA AT ANY AGE:

Increases flexibility

Flexibility is something that should be worked on over time, and at any age. If you’re not working on your flexibility, you’re not going to achieve the results you want, whether that’s being able to tie your shoes or lift your arms over your head during a foreword fold.

We increase our flexibility through stretching, which is a huge part of any yoga asana. When stretching, listen to your body. Know the difference between discomfort and pain. Find the modifications that work for you. Know that it could take weeks or months to touch your toes, and that the key to stretching is patience and perseverance.

Strengthens muscles you haven’t used in a while

Despite what many people think, you don’t have to hit the weight room in order to strengthen muscles. A yoga practice is full of exercises that help you build muscle, thereby making daily activities easier. During practice, you’re strengthening your core muscles—your legs, hips, abdominals, pectorals, shoulders, spine and neck—which help keep you active, longer.

Improves balance

Cindy Crace, a certified yoga instructor and yoga therapist, says balance is one of the first things older adults lose. That’s why certain yoga poses, such as tree pose and standing pulling bow, are beneficial and can improve balance, which leads to less falls, an increased focus and better stability.

Creates mindfulness

Meditation and yoga go hand in hand, and when we pause (at any age) and reflect on our practice, our day, the present moment, we become more mindful and are able to take in more. With seniors, it can create a sense of connectedness, a feeling of empowerment; it can improve sleep, reduce signs of depression, improve the way we breathe and many more benefits.

For 65-year-old Kathie Seitz, she noticed improvements in her mind, body and spirit after finding yoga through her daughter.

She said she’s noticed a difference in her flexibility and strength, her patience, focus and her self-esteem, and even her bone density.

“It just feels good,” she says. “There’s been a lot of positive feedback.”

Her advice to other seniors curious about yoga: “Go for it. Don’t be discouraged. Everybody has to start at the beginning.”

Like Seitz, 76-year-old Alice Callahan was introduced to yoga through her daughter.

“I practice because that mind body spirit connection is good for me,” Callahan says. “It keeps me centered and focused, and I can tell I become much more peaceful and relaxed and let go

of those things that are bothering me.”

Callahan stressed the importance of new students letting go of expectations as they explore yoga. “I think a lot of people see yoga and think you go in and you’re going to turn yourself into a pretzel.

But it’s not about that, it’s about doing what you can do. It’s not about how perfectly you do the poses, it’s about how you’re feeling and what you’re getting from it.”

So find a teacher, a class, a workshop for your level, and start reaping the benefits of yoga today.

Some resources for seniors looking to try yoga: The Laughing Buddha Williamsburg, VA Offers gentle classes and a gentle class for healthy aging

James City County Recreation Center Williamsburg, VA Offers gentle yoga

Body Balance by Phisioflow Williamsburg, VA Offers gentle yoga

Williamsburg Landing Williamsburg, VA Offers gentle yoga for seniors

APM Spine & Sports Physicians Virginia Beach, VA Offers chair yoga

Yoga Nook Chesapeake, VA Offers gentle yoga for seniors

Hot or Not Yoga and Massage Newport News, VA Offers gentle yoga

Hampton Yoga Hampton, VA Offers gentle yoga for seniors

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your health | mind matters

In the first article in this four-part series, we discussed how addictive substances can wreak chemical havoc on the brain’s normal modus operandi. In this article, we examine how a variety of factors can determine how strongly drug abuse impacts a user’s life and behavior.

The Power of Addiction

By Beth Shamaiengar

W

hen a drug addiction seizes control of a person’s decision-making, it may seem like an endless series of bad choices, each a collapse of sound judgment, like a row of dominoes toppling inexorably, one by one by one.

Yet in the medical field, addiction has for decades been primarily viewed as a disease, with chemical causes and effects in the brain, and it’s been included in the Diagnostic and Statistical Manual of Mental Disorders, the main reference book that physicians use to diagnose mental health disorders. True addiction, experts say, encompasses not only a keen physical urgency to use the drug and feel its desired after-effect, but a psychological effect as well. In the most severe cases, the addicted brain and its owner are robbed of the power of choice. According to one counselor who treats addicts, many would say that their predicament “doesn’t have anything to do with willpower; you’re incapable of choosing to use or not.”

56 | thehealthjournals.com

When an addictive substance is used, the feel-good neurotransmitter dopamine (that the brain produces on its own) is released, flooding the brain’s prefrontal cortex, which normally helps us to filter out reckless impulses and make sound decisions. With repeated drug use, however, the brain soon adapts, producing less dopamine by itself and becoming singularly focused on one goal—to get more dopamine generated by the drug of choice. In this way the drug usurps the brain’s normal role as overseer of behavior.

MANY FACTORS DETERMINE A DRUG’S POWER OVER THE USER

Among those who treat addiction, however, there is growing awareness that many factors can increase or decrease the power of an addictive substance over a user’s behavior, that addiction is not a matter of black and white. Ben Newman, the clinical director at Newport News Behavioral Health Center, which provides

both short-term and long-term residential treatment for teens who struggle with separate mental health disorders and substance abuse, asserts: “Addiction has long been thought of in a binary manner [based on the disease model]—either I’m addicted or I’m not—but the modern thinking is that it’s more of a continuum.”

He even cautions against broad use of the word “addiction,” which traditionally has been used among addiction counselors as it is defined in the 12-step recovery programs like Narcotics Anonymous. Based on the disease model, those programs define addiction as a condition that is “progressive, chronic and fatal,” warning that patients must never let down their guard with their drug of choice and think they are completely out of the woods.

But in many cases, Newman says, substance abuse may not exactly fit that definition.

Laura Townsend, a family therapist at Bacon Street Youth and Family Services, a Williamsburg outpatient treatment center for teens and young adults, echoes Newman’s belief that there’s a broad spectrum of gray area in how addiction is manifested.

“It’s not like someone just [makes a poor choice] and says, ‘I’m going to become an addict,’ she says. “It’s way more complex than that.”

Among the factors that can influence the likelihood of addiction is genetics; if a child has a parent who’s addicted, the child has a higher than normal chance of becoming an addict as well. But Townsend still emphasizes: “It’s not a given that because it’s in your gene pool, you’re going to have an addiction.

It just predisposes you.”

In addition, environmental factors such as childhood trauma or a dysfunctional family can also play a role. When a child is less likely to be taught necessary coping skills, the quick fix, Townsend says, is to self-medicate. And, children with an addicted parent might try drugs because drug use seems to be the norm in their family. Teenagers, who are more susceptible to peer influence, are more likely to try drugs or use them regularly if that’s what their peers are doing.

On the positive side, Townsend says her program works closely with families to develop support for a drug-using teen. Other positive role models, like a coach or spiritual leader, can also be “resilience factors” against a teen’s likelihood of abusing drugs.

Frequency of drug use also helps determine the degree of a user’s addiction. Perhaps most important, though, is how early a person’s drug use begins. The earlier an individual starts to abuse drugs, the more dire his or her situation can become. As Townsend says: “If you interrupt the developmental process early [by starting to abuse drugs], and slow down your academic and social development, you’re going to be behind where you could have been. If you started early, you will have closed a lot of doors, given yourself fewer and fewer options for later in life.”

The next article in this series will feature personal stories from a few people who have struggled with addiction. For more information about treatment for drug addiction, Newport News Behavioral Health Center can be reached at (757) 888-0400, and Bacon Street Youth and Family Services can be reached at (757) 253-0111.

This ad is sponsored by the Health Planning Region V Prevention Council and is funded by the Department of Behavioral Health and Developmental Services.

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PERSONAL TRAINING Brian Cole, CPFT, CMT

special advertising section

ACCEPTING NEW PATIENTS are you looking for a provider?

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

GENERAL SURGERY Steven B. Hopson, M.D., F.A.C.S.

Personal Training Associates For over 20 years Brian has been building his personal training practice to serve not only those who want to improve their overall health and fitness but also those in need of postrehab conditioning following physical therapy, injury and/or surgery.

Brian is certified as a personal fitness trainer by the American Council on Exercise (ACE), a massage therapist by the Virginia Department of Health Professions, a post-rehab conditioning specialist by the American Academy of Fitness Professionals and a weight management consultant by ACE. Brian is also the co-inventor of The Back Unit for low back strengthening and injury prevention.

His trainers have college degrees in exercise science or fitness management, national certification by ACSM, ACE, or NASM, and in addition, they regularly earn advanced specialty certifications in a vatriety of disciplines.

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

TPMG General Surgery & Hernia Center Steven B. Hopson, M.D., F.A.C.S. received his undergraduate degree from Temple University and earned his Doctor of Medicine at the Medical College of Pennsylvania. He completed a residency in General Surgery and served as Chief Resident at East Carolina University’s Pitt County Memorial Hospital. Dr. Hopson is board certified in General Surgery and a Fellow of the American College of Surgeons. He has been practicing in the area since 1995.

Dr. Hopson is the Director of The Hernia Center and member of the Amerian Hernia Society. He is currently conducting a research study involving hernia repair. If you are 18 years or older and in need of hernia repair, we welcome you to call to see if you qualify to receive at no cost: study-related procedures and hernia repair surgery, medication and laboratory testing.

Personal Training Associates - Private Studios

Oyster Point Port Warwick 738 City Center Blvd.

210 Nat Turner Blvd.

Newport News, VA 23606 Newport News, VA 23606

TPMG General Surgery & Hernia Center

(757) 599-5999

860 Omni Boulevard, Suite 108 Newport News, VA 23606 (757) 874-1077

www.briancoleandassociates.com

www.mytpmg.com

ALLERGY & ASTHMA Stephen Shield, M.D. Allergy Partners of Hampton Roads Dr. Stephen Shield knows allergies and asthma. As a child growing up in Newport News, Virginia, he suffered from both problems. As the parent of children with allergies, he’s aware of the impact allergies can have on a child’s educational and social development; and as a board-certified, fellowship-trained specialist who’s been in practice for over 20 years, he has the knowledge and experience that can help you and your children with your quest for better health. He knows that allergies and asthma don’t have to control you. He helps you control them.

Practicing locally since 1993, Dr. Shield joined with Allergy Partners, the nation’s largest medical practice dedicated to treating allergies, in 2010. This partnership allows patients on the Peninsula to receive some of the most advanced care available from a local physician who cares about his community. Dr. Shield sees children and adults, and is accepting new patients in his Williamsburg and Newport News offices.

Allergy Partners of Hampton Roads

SKINCARE & AESTHETICS Izabela Padurariu Beauty Therapy

by Iza Iza is a master aesthetician, wax technician, threading specialist and massage therapist practicing in Williamsburg, Virginia. She is originally from Romania, and has worked as a master aesthetician in a variety of settings including in London where she graduated from the West Thames College with a license in aesthetics. She has been working in skin care and beauty therapy industry for over seven years.

Upon moving to the United States, Iza continued her education and training at the American Spirit Institute in Williamsburg, Virginia. She is dedicated to helping men and women improve and maintain their skin care regimen. At her Williamsburg location, she’s created a place of tranquility and serenity where clients can come to restore the mind, body and spirit.

Beauty Therapy by Iza offers a wide menu of therapeutic skin care treatments including facials, microdermabrasion, microcurrant, Epiblade, chemical peels, Derma Roller, waxing, threading, eyebrow and lash tint, make-up consultations and massage.

Beauty Therapy by Iza

1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443

161 C John Jefferson Road Williamsburg, VA 23185 757-634-4044

www.allergypartners.com/hamptonroads

www.beautytherapybyiza.com

ONCOLOGY/HEMATOLOGY

PHYSICAL THERAPY

Ranjit K. Goudar, M.D.

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

Virginia Oncology Associates

Dominion Physical Therapy & Associates, Inc.

A Virginia Beach, Virginia native, Dr. Ranjit Goudar received his bachelor of science in chemistry from the University of Virginia, where he was a Jefferson Scholar. He earned his doctorate in medicine and completed both his residency in internal medicine and fellowship in hematology/oncology at Duke University. He is a graduate of the City of Hope Intensive Course in Cancer Risk Assessment.

Dr. Goudar is board-certified in medical oncology, hematology and internal medicine.

Dr. Goudar’s particular clinical interests include the care of patients with breast cancer, precancerous breast biopsies and comprehensive genetic risk assessment for patients at higher risk of cancer due to family history or deleterious mutations. He serves as the director of the Hereditary Cancer Program for Virginia Oncology Associates at the Lake Wright location.

Virginia Oncology Associates 5900 Lake Wright Dr. Norfolk, Virginia 23502 (757) 466-8683 www.VirginiaCancer.com

NUTRITION SERVICES

Dr. Allen R. Jones is pleased to announce the opening of his Virginia Beach, Virginia office. The practice specializes in the treatment of neck and back pain, sports and personal injury and other musculoskeletal conditions. Dominion has six locations throughout Hampton Roads and is celebrating its 25th year in business.

Dr. Jones earned degrees in physical therapy from the University of Connecticut and from Rocky Mountain University School of Health Professions where he received his Doctor of Physical Therapy.

Governor McAuliffe appointed Dr. Jones to the Virginia board of health professions and Virginia board of physical therapy.

Dominion offers an Annual Doctorate of Physical Therapy Scholarship to second year students enrolled in the Physical Therapy program at Old Dominion and Hampton University.

Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton, VA 23666 (757) 825-9446 www.dompt.com *See Health Directory for additional locations

ORTHOPAEDICS Loel Z. Payne, M.D.

Gale Pearson, MS, RD, CDE TPMG Nutrition Services Gale Pearson is a Registered Dietitian and Certified Diabetes Educator with over 25 years of experience. She received her undergraduate degree from Hampton University and her Master degree from Howard University.

Gale is an active member of the Academy of Foods and Nutrition and the American Association of Diabetes Educators.

Services Available: • Diabetes classes • Pre-diabetes classes • Cholesterol classes • Weight control classes • Grocery store tours • Individual counseling for nutrition related illnesses • Meal planning • Cooking classes TPMG Nutrition Services

860 Omni Boulevard, Suite 106 Newport News, VA 23606 (757) 232-8768 Tidewater Medical Center at New Town 5424 Discovery Park Boulevard, Bldg. B, Suite 102 Williamsburg, VA 23188 (757) 232-8768 www.mytpmg.com

Tidewater Orthopaedics Dr. Loel Payne has been with Tidewater Orthopaedics since 1995 and has built a superior reputation for his care of shoulder and knee problems.

Dr. Payne attended undergraduate school at Duke University and medical school at the University of North Carolina, Chapel Hill. He completed his residency and internship at Yale University before completing his fellowship training in shoulder surgery and sports medicine at The Hospital for Special Surgery in New York, New York.

While completing his fellowship training, Dr. Payne had the opportunity to work with the New York Mets and currently is one of the team physicians for the Apprentice School. He performs surgeries at Sentara Williamsburg Regional Medical Center and the Orthopaedic Hospital at Sentara CarePlex, the only dedicated orthopaedic hospital on the Peninsula.

His outpatient surgeries are performed at CarePlex Orthopaedic Ambulatory Surgery Center, where staff and facility are specialized in treating orthopaedic patients.

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

5208 Monticello Avenue Suite 180 Williamsburg, VA 23188

www.tidewaterortho.com

DERMATOLOGY Tanja Nunnold, P.A. Associates in Dermatology Born in Wurzburg Germany, Tanja graduated with honors from Old Dominion University in Norfolk, Virginia. She then went on to earn her Masters of Physician Assistant at Eastern Virginia Medical School.

Although Tanja began her career in Cardiology, the field of Dermatology was always special to her and soon became her passion. Tanja has worked in both adult and pediatric dermatology for the past 9 years.

In her spare time, Tanja enjoys spending quality time with her family, friends, and dogs. Tanja is involved in her church and many women’s groups.

She enjoys reading, yoga/pilates, antiquing, ballroom dancing, and trying new things.

Tanja is passionate about building relationships with her patients. Having had acne as a teenager, she understands the importance of a compassionate patient and provider relationship. We are delighted to have Tanja join our team of dedicated providers!

Associates in Dermatology 17 Manhattan Square Hampton, VA 23666 757-838-8030 www.aiderm.com

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

Dr. Lisa Marie Samaha has created beautiful, healthy smiles for Hampton Roads since opening her Newport News practice in 1982.

She and her exceptional team have created a practice of comprehensive, individualized and holistic dental care. They partner with their patients to achieve “BEST” dental health and overall wellness.

Dr. Samaha is internationally published and esteemed as an educator and top clinician. She offers a wide range of advanced cosmetic and mercury-free dental care. She also maintains focus on a leadingedge protocol for the diagnosis, prevention and non-surgical treatment of periodontal disease.

As an enthusiastic supporter of the arts, Dr. Samaha is also an award-winning watercolorist. Her most compelling contribution to the arts of Hampton Roads is her tranquil Port Warwick Dental Arts venue where she often hosts a rich and diversified array of musical talent and artistic exhibitions.

Port Warwick Dental Arts

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

OPTOMETRY special advertising section

ACCEPTING NEW PATIENTS are you looking for a provider?

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

Brent Segeleon, O.D. Colonial Eye Care Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005.

He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. Dr. Segeleon has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas.

Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association current board member and Tidewater Optometric Society President from 2014-2016. In 2013, the Virginia Optometric Association named him Young Optometrist of the Year.

Originally from Pittsburgh, Pennsylvania, Dr. Segeleon calls Williamsburg home. He lives here with his wife, Brooke, and daughter, Gwen. He enjoys sponsoring the Williamsburg Youth Baseball League and working with William & Mary athletes. When not in the office, you can find him training for an upcoming triathlon or mountain biking on Williamsburg’s fantastic trails.

Colonial Eye Care

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

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

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

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

Williamsburg Center for Dental Health

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

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

www.colonialeyecare.com

www.williamsburgdentalhealth.com

BEAUTY & AESTHETICS Steven C. Mares, M.D. Erase the Canvas, LLC

SKINCARE & AESTHETICS Izabela Padurariu Beauty Therapy

by Iza

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

Iza is a master aesthetician, wax technician, threading specialist and massage therapist practicing in Williamsburg, Virginia. She is originally from Romania, and has worked as a master aesthetician in a variety of settings including in London where she graduated from the West Thames College with a license in aesthetics. She has been working in skin care and beauty therapy industry for over seven years.

Upon moving to the United States, Iza continued her education and training at the American Spirit Institute in Williamsburg, Virginia. She is dedicated to helping men and women improve and maintain their skin care regimen. At her Williamsburg location, she’s created a place of tranquility and serenity where clients can come to restore the mind, body and spirit.

Beauty Therapy by Iza offers a wide menu of therapeutic skin care treatments including facials, microdermabrasion, microcurrant, Epiblade, chemical peels, Derma Roller, waxing, threading, eyebrow and lash tint, make-up consultations and massage.

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

161 C John Jefferson Road Williamsburg, VA 23185 757-634-4044

www.erasethecanvas.com

www.beautytherapybyiza.com

Beauty Therapy by Iza

ONCOLOGY/HEMATOLOGY Ligeng Tian, M.D., Ph.D. Virginia Oncology Associates Dr. Ligeng Tian is boardcertified in medical oncology, hematology and internal medicine. She received her medical degree from Beijing Medical University in China and her doctor of philosophy in molecular biology and genetics from Weill Graduate School of Cornell University in New York, New York. Tian completed her internal medicine residency at Long Island Jewish Medical Center of Albert Einstein College of Medicine in Bronx, New York, and her medical oncology/hematology fellowship at Yale Medical School in New Haven, Connecticut.

Dr. Tian is a member of several professional organizations including the American Society of Clinical Oncology and American Society of Hematology. Dr. Tian’s particular clinical interests include providing personalized cancer care to patients with lung cancer and hematology.

(757) 873-9400 Newport News 1051 Loftis Blvd., Ste. 100 Newport News, VA 23606

PEDIATRIC DENTISTRY

Pediatric Dental Specialists of Williamsburg A native of West Point, Virginia, Dr. Rana GrahamMontaque has returned home to serve the area’s youth and patients with special needs by providing specialty care.

She completed her undergraduate and master’s degree at Hampton University. She graduated from VCU/MCVs School of Dentistry in 2006. After practicing in private practice and public health, Dr. Graham-Montaque returned to VCU to complete a residency in pediatric dentistry, where she was awarded an additional master’s degree. As Williamsburg’s full-service pediatric dental practice, she provides one-year-old first dental visits, oral sedation, nitrous oxide, dental trauma management, growth and development checkups as well as general anesthesia cases at a local hospital. She is a member of the American Academy of Pediatric Dentistry and the American Dental Association. She was awarded the public service award at VCU School of Dentistry. She serves as adjunct faculty in the dental programs at VCU and serves on the Board of Advisors for TNCC. She establishes a “dental home” for patients by reaching them by age one. Dr. Graham-Montaque is board certified.

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

www.virginiacancer.com

www.williamsburgpediatricdentist.com

Janae Johnson, M.D. TPMG Imaging and Breast Center

JOINT REPLACEMENT

Tidewater Medical Center 860 Omni Blvd., Suite 109 Newport News, VA 23606 • (757) 873-0848

Tidewater Orthopaedics

Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 102 Williamsburg, VA 23188 • (757) 707-3510 www.mytpmg.com

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

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

Colonial Center for Hearing

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

www.williamsburghears.com

UROLOGY Joseph R. Habibi, M.D.

Tidewater Orthopaedics

TPMG Imaging and Breast Center

Schedule your annual mammogram today!

Colonial Center for Hearing

Michael E. Higgins, M.D. Dr. Higgins, a fellowship trained orthopaedic surgeon specializing in hip and knee replacement surgery joined Tidewater Ortho in 2006. He obtained his medical degree from Upstate Medical University in Syracuse, New York, and did his internship and residency in orthopaedic surgery at State University of New York-Buffalo. He went on to complete a one-year fellowship in total joint replacement surgery at the Roanoke Orthopaedic Center in Roanoke, Virginia. Dr. Higgins has written many articles and lectured on hip and knee replacements. He has been named a Top Doctor by U.S. News & World Report. Dr. Higgins is performing computer navigated knee replacements and direct anterior hip replacements (“jiffy hip”), as well as revision hip and knee replacement at the only dedicated orthopaedic hospital on the peninsula, The Orthopaedic Hospital at Sentara CarePlex.

Dr. A. Janae Johnson earned her undergraduate degree from The College of William & Mary, and her medical degree from the Medical College of Virginia at VCU in Richmond, Virginia.

She completed her internship at Riverside Regional Medical Center and her residency in diagnostic radiology at MCV. She is board-certified in radiology and completed her subspecialty fellowship in breast imaging, with special interest in breast MRI and non-surgical breast biopsy techniques.

Jude Liptak, Au.D.

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

Hampton 3000 Coliseum Dr., Ste. 104 Hampton, VA 23666

BREAST CENTER

AUDIOLOGY

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

5208 Monticello Avenue Suite 180 Williamsburg, VA 23188

www.tidewaterortho.com

TPMG Williamsburg Urology Joseph R. Habibi, M.D., received his undergraduate degree in Chemistry at University of Virginia, Charlottesville, Virginia, and his Doctorate of Medicine at Virginia Commonwealth University in 2010. He completed an internship in general surgery and residency in urology through Virginia Commonwealth University.

NOW OFFERING ROBOTIC SURGERY Services include: • Bladder disorders • Cystoscopy • Incontinence • Interstim testing • Kidney disorders

• Kidney stones • Overactive bladder • Prostate care and biopsy • Sexual dysfunction • Vasectomy

TPMG Williamsburg Urology

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

STAYING WELL | ONE LAST THOUGHT

Eating China MY CULINARY ADVENTURE ON THE MAINLAND

By Karen Endsley

“N

ot at all what I expected” is the phrase I typically use when describing my visit to China. But then again, I’m not quite sure what I expected when my friend and I embarked on our month-long journey. The food in China had been one of my main concerns (Bathrooms was the other, but that’s a totally different story!).

Let me first say that as a cook, I’m a very adventurous eater; I love trying out new, exotic foods and learning about different cultures through cuisine. While I’d often heard about the culinary creativity of the Chinese, I certainly didn’t expect the sensory attack of the Beijing night market with its rows of food vendors each with carts brimming with everything (and I mean everything) from cocoons to tiny birds with beaks intact on a stick. I wandered through the market looking for something that would sit well in my jet-lagged stomach.

Therein laid the challenge. After thoroughly perusing rows of interesting offerings, including what I’m pretty sure were actual chicken “fingers” and 1,000-year-old eggs, I settled on something that looked like a holeless donut called a bing. It was hot, delicious and filled all the right spots.

Eating our way through China was simply fantastic.

Like all tourists, we made sure to do the China musts like hiking the Great Wall, checking out the terracotta

soldiers and, of course, fighting a goat for bananas.

But some of our fondest memories are of the food.

We had the luxury of eating paper-thin crepes made on an outdoor grill and stuffed with strawberries and bananas in Lijiang. We ate fresh Lychees right off the branch at a beautiful, humble birthday party in Guilin, and we even drank yak butter tea in Tibet (Not gonna lie, not my favorite!).

I’ll never forget one particular visit to a restaurant with a surprisingly varied menu. After about a month of eating food that I struggled to pronounce and identify, I craved something familiar, so I ordered lasagna. As I was savoring the rich flavors, I noticed the well-dressed gentleman seated next to me. A quick glance at his dish revealed a bowl full of small white worms. Yes...worms.

I remember thinking, “He could have had the lasagna, yet he prefers the worms?” Then I instantly understood the difference in body size between the average American and the average Chinese.

My Chinese adventure was exciting, scary, fun and delicious. I would highly recommend this trip to anyone. When it comes to eating, try it all, but here’s a tip to keep in mind when choosing your dishes, especially when it comes to street food: make sure the food is hot, faceless and most importantly, don’t ask what it is until after you’ve eaten!

Karen Endsley is the host of the popular nationally syndicated program “Cooking from the Heart.” Watch her show on Cox channel 11 or CookingFromtheHeart.tv.

60 | thehealthjournals.com

HEALTH DIRECTORY | STAYING WELL

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

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

National Suicide Prevention Hotline

Toll-Free: (800) 273-8255

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

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

Williamsburg Plastic Surgery

Poison Control Center

Toll-Free: (800) 222-1222

333 McLaws Circle Williamsburg (757) 345-2275

ADDICTION TREATMENT

DENTISTRY

The Farley Center

New Town Dental Arts

5477 Mooretown Road Williamsburg (877) 389-4968

ALLERGY & ENT Hampton Roads ENT & Allergy

Sebastiana G. Springmann, D.D.S

4939 Courthouse Street Williamsburg (757) 259-0741

Williamsburg Center for Dental Health

5408 Discovery Park Drive Williamsburg (757) 253-8722

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

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

Wyatt Orthodontics

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

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

Riverside Williamsburg Family Medicine

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

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

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

606 West 29th St. Norfolk (757) 446-7756

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

DERMATOLOGY Associates In Dermatology, Inc.

17 Manhattan Square Hampton (757) 838-8030

Schumann Dermatology Group 5309 Discovery Park Blvd.

Williamsburg (757) 564-1200

Dermatology Center of Williamsburg

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

Dermatology Specialists

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

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

DIAGNOSTIC IMAGING

CHIROPRACTIC & ACUPUNCTURE

250 Nat Turner Blvd.

Newport News (757) 596-1444

Integrative Chiropractic, Acupuncture & Laser

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

Pinto Chiropractic & Rehabilitation

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

Orthopaedic & Spine Center

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

ENDOCRINOLOGY Riverside Endocrinology & Diabetes Center

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

Digestive Disease Center of Virginia, PC

Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190

Riverside Williamsburg Gastroenterology

GENERAL SURGERY

4801 Courthouse St., Ste. 122 Williamsburg (757) 345-6801

Riverside Ear, Nose & Throat Physicians & Surgeons

895 Middle Ground Blvd., Suite 152 Newport News (757) 599-5505

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

B-defined Innovative Personal Training & Wellness

FREE CLINICS

134 Professional Circle Williamsburg (757) 903-2527

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

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

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

Historic Triangle Dental Care Michael J. Whyte, DDS

Colonial Gastroenterology

FITNESS

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

120 Kings Way, Suite 2900 Williamsburg (757) 345-2600

GASTROENTEROLOGY

American Red Cross Adult Dental Clinic

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

Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2600 Williamsburg (757) 345-0141

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

Mellette PC

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

HEALTH SPAS/ ESTHETICIANS Beauty Therapy By Iza

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

Spa of Colonial Williamsburg 307 South England Street Williamsburg (757) 220-7720

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

HERNIA SPECIALISTS

H.E.L.P. Free Clinic

The Hernia Center at Mary Immaculate Hospital

1320 LaSalle Ave. Hampton (757) 727-2577

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

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

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

Western Tidewater Free Clinic

2019 Meade Parkway Suffolk (757) 923-1060

HOME CARE

Bon Secours Maryview Medical Center

3636 High St. Portsmouth (757) 398-2200

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

Suffolk (757) 673-5800

Bon Secours Surgery Center at Harbour View

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

Chesapeake Regional Medical Center

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

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

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

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

Riverside Doctors’ Hospital 1500 Commonwealth Ave. Williamsburg (757) 585-2200

Riverside Regional Medical Center

500 J. Clyde Morris Blvd.

Newport News (757) 594-2000

Sentara Independence

800 Independence Blvd.

Virginia Beach (757) 363-6100

Sentara CarePlex Hospital 3000 Coliseum Drive Hampton (757) 736-1000

Sentara Heart Hospital 600 Gresham Drive Norfolk (757) 388-8000

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

Agapé Home Care

Sentara Norfolk General Hospital

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

600 Gresham Drive Norfolk (757) 388-3000

Visiting Angels

Sentara Obici Hospital

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

HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital

2 Bernardine Drive Newport News (757) 886-6000

Bon Secours DePaul Medical Center

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

2800 Godwin Blvd.

Suffolk (757) 934-4000

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

STAYING WELL | HEALTH DIRECTORY Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000

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

Massage By David

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

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

NEUROSURGERY Riverside Neurosurgical & Spine Specialists

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

NON-PROFIT ORGANIZATIONS Access AIDS Support

218 S. Armistead Ave. Hampton (757) 722-5511 222 W. 21st St., Suite F-308 Norfolk (757) 622-2989

Alzheimer’s Association

6350 Center Drive, Suite 102 Norfolk (757) 459-2405 213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900

American Cancer Society

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

American Diabetes Association 870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662

American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610

American Parkinson’s Disease Association

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

American Red Cross

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

The Arc of Greater Williamsburg

202 Packets Court Williamsburg (757) 229-0643

The Arthritis Foundation

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

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

62 | thehealthjournals.com

AWARE Worldwide, Inc.

Leukemia & Lymphoma Society

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

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

Beacon House Clubhouse for Brain Injury Survivors

National MS Society

3808-C Virginia Beach Blvd.

Virginia Beach (757) 631-0222

Beyond Boobs! Inc.

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

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

Center for Excellence in Aging & Lifelong Health

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

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

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

Citizens’ Committee to Protect the Elderly

PO Box 10100 Virginia Beach (757) 518-8500

Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200

Denbigh Clubhouse for Brain Injury Survivors

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

Dream Catchers Therapeutic Riding

10120 Fire Tower Road Toano (757) 566-1775

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

Endependence Center, Inc. 6300 E. Virginia Beach Blvd.

Norfolk (757) 461-8007

Faith in Action

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

Food Bank of the Virginia Peninsula

2401 Aluminum Ave. Hampton (757) 596-7188

Food Bank of SEVA

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

The Needs Network, Inc.

9905 Warwick Blvd.

Newport News (757) 251-0600

National Alliance on Mental Illness-Williamsburg Area P.O. Box 89 Williamsburg (757) 220-8535

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

Norfolk Community Services Board

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

Peninsula Agency on Aging

739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541

The Up Center

1805 Airline Blvd.

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

VersAbility Resources

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

Vets Advocating for Vets

Hampton (757) 722-9961, ext. 3009

We Promise Foundation

160 Newtown Road Virginia Beach (757) 233-7111

OBSTETRICS & GYNECOLOGY Riverside Partners In Women’s Health

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

Williamsburg Obstetrics & Gynecology

1115 Professional Drive Williamsburg (757) 253-5653

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

ONCOLOGY

Peninsula Institute for Community Health

Riverside Peninsula Cancer Institute

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

Peninsula Pastoral Counseling Center

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

Protect Our Kids

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

Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771

Ronald McDonald House

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 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403

404 Colley Ave. Norfolk (757) 627-5386

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

RSVP: Retired Senior Volunteers

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

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

800 Tidewater Drive Norfolk (757) 627-6599

1 Singleton Drive Hampton (757) 827-8757

Hope House Foundation

Senior Center of York

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

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

Hospice House & Support Care of Williamsburg

Susan G. Komen Tidewater

4445 Powhatan Parkway Williamsburg (757) 253-1220

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

Jewish Family Service

United Way

2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670 5900 Lake Wright Drive Norfolk (757) 466-8683

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

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

ORTHODONTICS Wyatt Orthodontics

260 Grayson Road Virginia Beach (757) 321-2223

739 Thimble Shoals Blvd., Suite 400 Newport News (757) 873-9328

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

Lee’s Friends: Helping People Live with Cancer

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

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

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

ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine

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

Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1900

Riverside Orthopaedics & Sports Medicine

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

Riverside Orthopedic Specialists

12200 Warwick Blvd., Suite 310 Newport News (757) 234-7882 850 Enterprise Parkway, Suite 2000 Hampton (757) 234-7882

Tidewater Orthopaedic Associates

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

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

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy

5838 Harbour View Blvd.

Suffolk (757) 673-5971 2012 Meade Parkway Suffolk (757) 934-3366 5553 Portsmouth Blvd.

Portsmouth (757) 465-7906 3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 2 Bernardine Drive Newport News (757) 886-64å80 13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651 1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 828 Healthy Way Virginia Beach (757) 463-2540

HEALTH DIRECTORY | STAYING WELL 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 729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932 301 Riverview Ave. Norfolk (757) 963-5588 5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700 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

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

250 Nat Turner Blvd.

Newport News (757) 596-1900

7190 Chapman Drive Hayes (804) 642-3028

Tidewater Orthopaedic Associates

204 Gumwood Drive Smithfield (757) 357-7762

5208 Monticello Ave. Williamsburg (757) 206-1004

Pulmonary & Sleep Consultants of Williamsburg

Riverside Hampton Roads Urology

Williamsburg Neurology and Sleep Disorders Center

VASCULAR SURGERY

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

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

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

Tidewater Physical Therapy

UROLOGY

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

2007 Meade Pkwy.

Suffolk (757) 539-6300

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

SLEEP MEDICINE

Riverside Peninsula Vascular Surgery

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

URGENT CARE

2106 Executive Drive Hampton (757) 838-6678

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

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

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

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

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

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

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

12997 Warwick Blvd.

Newport News (757) 369-9446

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

3321 West Mercury Blvd.

Hampton (757) 224-0056

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

Riverside Williamsburg Family Practice & Extended Care

751 J. Clyde Morris Blvd.

Newport News (757) 873-2123 12655 Warwick Blvd., Suite B Newport News (757) 599-5551 156-B Strawberry Plains Road Williamsburg (757) 565-3400

MD Express

Riverside Weight Loss Specialists

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

5231 John Tyler Highway Williamsburg (757) 220-8300

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

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

WEIGHT LOSS

120 Monticello Ave. Williamsburg (757) 564-3627

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

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