JANUARY 2016 | WILLIAMSBURG EDITION
EATING FOR
ENERGY Foods to Boost Your Burst Are We Sexualizing Fitness?
THEHEALTHJOURNALS.COM
THE LINK BETWEEN MOUTH AND BODY
Get Financially Fit for 2016
OSC Patient Success Stories
SPINAL STENOSIS “I literally thought I was going to die. I had muscles that weren’t working in my arm, numbness and tingling, and excruciating pain. I even began redoing my will, I was so convinced I wasn’t going to make it. When I saw Dr. McFarland, he described a procedure that would eliminate my pain: a bilateral cervical fusion. He made it sound as simple as a tonsillectomy and assured me it would take care of all my pain. And it did.”
n o m o l o H Don
ARE YOU SUFFERING FROM BACK PAIN AND CONSIDERING SURGERY? LEARN ABOUT YOUR OPTIONS AT OUR UPCOMING LECTURE.
Minimally–Invasive Treatments for Spine Conditions
OSC
COMMUNITY LECTURE SERIES Speaker: Mark W. McFarland, D.O.
Join Dr. Mark McFarland as he discusses advanced treatment options for the spine, including fusions and disc replacements. Dr. McFarland will present information on the best non-surgical and surgical therapies, including the Less Exposure Surgery (LES) techniques and instrumentation. Many surgeries can be performed on an outpatient basis. Bring a friend, have some refreshments and get informed!
Tuesday, January 19th, AT 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd. Newport News 23606 Call Shannon Woods to Register: 1-757-596-1900 ext.368
Boyd W. Haynes lll, M.D. • Robert J. Snyder, M.D. • Jeffrey R. Carlson, M.D. Martin R. Coleman, M.D. • Mark W. McFarland, D.O. • Raj N. Sureja, M.D. Jenny L. F. Andrus, M.D. • John D. Burrow, D.O. • F. Cal Robinson, PsyD, MSCP Tonia Yocum, PA-C • Erin Lee, PA-C • Kim Maigi, FNP-C • Chris Schwizer, PA-C
OSC
ORTHOPAEDIC & SPINE CENTER Open MRI Center
250 NAT TURNER BOULEVARD • NEWPORT NEWS, VA 23606 • 757-596-1900 • www.osc-ortho.com
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thehealthjournals.com | 1
430 McLaws Circle, Suite 101, Williamsburg, VA 23185 | www.WilliamsburgHears.com
Bits & Pieces | Resolutions
“TOMORROW, IS THE FIRST BLANK PAGE
OF A 365 PAGE BOOK WRITE A GOOD ONE. -Brad Paisley
2 | thehealthjournals.com
”
contents | bits & Pieces
JANUARY DID YOU
KNOW? The Systemic Link
20 Winter Fitness Blood Oranges
26 30
Gyms in the U.S. make up
Angela Reddix
The Over-Sexualization of Fitness
20 percent of health club facilities worldwide!
FASTEST
48
WORKOUT FOR
FLAT
34
ABS
DIGITAL ISSUE
JANUARY 2016 | WILLIAMSBURG EDITION
EATING FOR
ENERGY Foods to Boost Your Burst Are We Sexualizing Fitness?
THE LINK BETWEEN MOUTH AND BODY
Get Financially Fit for 2016
THEHEALTHJOURNALS.COM
DEPARTMENTS BITS AND PIECES 04 07 08 08
10 12 13 14 16 18
FEATURES
Out & About Page's Picks DIY In My Own Words
20 Fitspiration: Has Fitness Become Oversexualized? 26 The Systemic Link
IN THE KNOW
30 31 34 36 37
Calendar Extra: Art and Health Second Opinion Profile Q&A Advances in Medicine
FOOD Vine and Dine Food & Nutrition Flavor Herb-N-Garden Taste Appeal
YOUR HEALTH 40 41 42 44
46 48 50 52 54 55 56
Men's Health Women's Health Outdoors Aging Well Money Your Financial Health 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.
Looking Good Extra: Picky Eaters Fitness Family
thehealthjournals.com | 3
Bits & Pieces | Out and about
Check out what we’ve been up to at The Health Journal.
5 Team Health Journal joins Relay Foods and the Williamsburg Women's Chorus for treats and caroling.
5 Publisher Page Bishop Freer puts the finishing 5Setting up for the Blue Talon Bistro Turkey Trot to benefit Avalon.
touches on a 12-foot tree top while she and Distribution Manager Ryan Bishop volunteer at St. Mary’s Home for Disabled Children in Norfolk.
5 Team Health Journal sets up at the 2015 5Editor-in-Chief Chris Jones finishes the 8k Dash in the top 20 Busch Gardens Christmas Town Dash.
4 | thehealthjournals.com
percent of his age group.
5 Ryan Bishop talks with a Health Journal reader.
VOL. 11, NO. 07 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
TPMG ORTHOPEDICS, SPINE, SPORTS MEDICINE, FOOT AND ANKLE offers services in GLOUCESTER
EXECUTIVE DIRECTOR
Rita L. Kikoen EDITOR IN CHIEF
Chris Jones chris@thehealthjournals.com MEDICAL EDITOR
Ravi V. Shamaiengar, M.D. CLIENT LIAISON/ BUSINESS DEVELOPER
Christie Davenport christie@thehealthjournals.com
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Michael Saunders michael@thehealthjournals.com VIDEO PRODUCTION MANAGER
MCCARTHY
VISIT US IN OUR NEW LOCATION OPENING JANUARY 2016
Brandon Freer brandon@thehealthjournals.com CIRCULATION
Ryan Bishop circulation@thehealthjournals.com PHOTOGRAPHY
Sentara Gloucester Medical Arts 5659 Parkway Drive, Suite 200 Gloucester, Virginia 23061 (757) 327-0657
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 Christa Melnyk Hines, Kelsey Hinton Alison Johnson, Susan Smigielski Acker Natalie Miller Moore, Stephen Sowuleski Beth Shamaiengar, Teresa Bergen Kimberley Cuachon Haugh
TIDEWATER MEDICAL CENTER AT NEW TOWN 5424 Discovery Park Blvd. Bldg. B, Suite 105 Williamsburg, VA 23188 Phone: (757) 345-5870 Fax: (757) 345-6927
TIDEWATER MEDICAL CENTER 860 Omni Blvd. Suite 113 Newport News, VA 23606 Phone: (757) 327-0657 Fax: (757) 240-5096
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e
e This cycl M ag Re ine az
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For additional information about TPMG, please visit mytpmg.com
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Bits & Pieces | publisherʼs note
W
photography by brandon freer
e humans seem to be the only creatures concerned with resolutions. We tell ourselves: “I need to eat healthier, I’m going to give up tobacco, I’ll begin an exercise routine.” It’s a challenge to ditch the bad habits we’ve spent a lifetime creating. The good news is that we are more likely to succeed when we make resolutions; unfortunately, most of us will slip back into our old ways before the year’s end. We have a habit of making resolutions, but it takes resolve to make those new habits stick. So why bother? What will make this year any different than previous years? Why torture ourselves with the elusive prospect of change? New year, new you—really? I read that the human body, with the exception of our cerebral cortex—the portion of our brain responsible for consciousness—is entirely replaced every seven years. Although this may be an exaggeration, it’s an intriguing idea. Red blood cells are completely replaced every 120 days. Skin cells are changed out about every 4 weeks, and the surface of your lungs are only 3 weeks
IS THE JUICE WORTH THE SQUEEZE? old. Our bodies are in a constant state of rebuild. In fact, by the time you read this, millions of your cells will have died and been replaced with new ones. Perhaps we are obsessed with newness because we are constantly renewing. My daughter taught me a lesson about achieving goals. She was drawing some pictures— a common activity in our home—and said, “If I send enough art to museums, I’ll be a famous artist.” Already she is thinking about improving herself and, even at the age of 6, is grasping that hard work is the only way to get better. I’m certain she will reach her goals—if she wants them bad enough. She has the raw talent and, most importantly, she believes in herself. Maybe that is the point. A big part of achieving our resolutions is believing we can do it, believing in ourselves. But we still have to ask, do we want it bad enough? Is the juice worth the squeeze?
6 | thehealthjournals.com
We all have it in us to succeed. Believe in yourself and go for what you want. Believe in others and encourage them to meet their goals. Whether you want to start a fitness routine, improve your diet, or get more involved in our community, The Health Journal is always full of tips for achieving your goals and living life to its fullest potential.
BRIAN FREER /PUBLISHER BRIAN@THEHEALTHJOURNALS.COM
pageʼs picks | bits & Pieces
Feel inspired! YOGI TEA (Each bag delivers a positive message) Whole Foods Market
"BIG MAGIC” BY ELIZABETH GILBERT Barnes & Noble
QUOTABLES INSPIRATIONAL GREETING CARD & FRAME Williamsburg Drug Co.
NIKE INSPIRATIONAL TANK Dick’s Sporting Goods
Page Bishop Freer is the publisher of The Health Journal. She’s always trying new products and trends and loves sharing the scoop with readers. • Have a suggestion? Email page@thehealthjournals.com • Want her to try your product? Mail samples to: 4808 Courthouse Street, Suite 204, Williamsburg, Virginia 23188
thehealthjournals.com | 7
bits and pieces | IN MY OWN WORDS & DIY
“
IN MY
OWN
words
Do it
Yourself
YOGA MAT CLEANSER You Will Need
• Spray bottle • Eucalyptus
and lavender essentials oils
• Apple cider
vinegar or witch hazel
• Measuring cup • Water
Hello
my name is
Maria Cleator
Fill spray bottle to desired level in a ratio of 3/4 water and 1/4 vinegar (or witch hazel)
I’m part of the leadership team at a search firm headquartered in Williamsburg. We are hired to qualify and recruit therapists, board-certified behavior analysts and clinical directors for clinics across the country using ABA therapy to treat children and adults with autism. I love The Health Journal because it’s the only periodical that I read cover-tocover! Sometimes the content reinforces what I already know; sometimes I gain a difference perspective on a subject I thought I knew; sometime I circle a health care provider that I need to call; and sometimes I cut out a recipe that catches my attention. True story: I tell everyone who will listen that I love the DIY toothpaste recipe that was published in The Health Journal!
8 | thehealthjournals.com
Add 5-10 drops of oil, depending on bottle size. Secure lid and shake gently.
Spray mat and wipe clean with a damp cloth.
Pick up a FREE copy of The Health Journal at any of these Williamsburg locations. 4808 Courthouse Street Agape Home Care, LLC Ageless Dermatology & Laser Center Allergy Partners of Eastern Virginia Alzheimer’s Association American Family Fitness Aromas Coffeehouse B-Defined BAEPLEX Family Martial Arts Center Barnes & Noble Booksellers – New Town Benefits Personal Training Berrybody Frozen Yogurt Bike Beat Body Balance Studio Books-A-Million / Joe Muggs Coffee Buggy Bathe Auto Wash Cardiovascular Health CEALH Chambrel Child Development Resources CHKD - Pediatric Associates of Williamsburg City of Williamsburg Municipal Building Cloud 9 Bodywork Cogan’s Deli & Sports Pub College of William & Mary Bookstore College of William & Mary Health Clinic College of William & Mary Recreation Center Colonial Behavioral Health Colonial Center for Hearing Colonial Family Medicine Colonial Sports Comber Physical Therapy Comfort Keepers Conte’s Bike Shop CORE FITNESS / PEAK Physical Therapy Cullom Eye & Laser Center Dominion Village Eye Center of Virginia Family Living Institute Food Lion – select locations GNC - Monticello Marketplace Great Clips Hampton Roads Neuromuscular & Aesthetic Dentistry Heritage Commons Historic Triangle Dental Care Hospice House and Support Care Integrative Chiropractic Ironbound Gym James A. Burden DDS James City County Public Library
James City County Recreation Center M.D. Express Urgent Care Martin’s Pharmacy Morningside of Williamsburg New Town Dental Arts Norge Family Medicine Olde Towne Medical Center Pediatric Dental Specialists Performance Chiropractic Pinto Chiropractic & Rehabilitation Quarterpath Recreation Center R.F. Wilkinson Family YMCA Retina and Glaucoma Associates Rite Aid Pharmacy (Colony Square Shopping Center) Riverside Doctor’s Hospital Riverside Medical Complex - Kings Way Riverside Williamsburg Medical Arts Urgent Care & Family Practice Ruff Eyes Russian Therapeutic & Sports Massage Sentara Urgent Care Sentara Williamsburg Regional Medical Center Sticks Kebob Shop Studio A Fitness Studio South Subway – Monticello Marketplace SunTrust Building - New Town The Cove Tavern The Imperial Olive The Pavilion at Williamsburg Place The Spine Center of Williamsburg The Vitamin Shoppe Tidewater Physical Therapy - Norge Towne Bank – New Town TPMG Gastroenterology TPMG Sleep Health Clinic Verena at the Reserve Virginia Gourmet Virginia Orthopedics & Sports Medicine Walgreens Pharmacy Williamsburg Center for Dental Health Williamsburg Dermatology Center Williamsburg Ear, Nose and Throat Williamsburg Family Medicine Williamsburg Ford Williamsburg Indoor Sports Complex (WISC) Williamsburg OB/GYN Williamsburg Place WindsorMeade
In addition to hand delivery and rack distribution, The Health Journal is direct-mailed to thousands of homeowners and medical offices in Williamsburg. Questions? circulation@thehealthjournals.com
Mellette PC AT T O R N E Y S AT L AW
Serving Health Care Providers
Mellette PC serves the legal needs of health care clients so that they can focus on their primary mission of delivering high-quality patient care.
NICOLE FISHER Nicole Fisher joined Mellette, P.C. as an associate in September 2014, after serving as a law clerk for the firm for two years during her legal education at William & Mary Law School, where she graduated cum laude. Ms. Fisher’s practice focuses primarily on health care provider regulatory compliance and business transactions, including nursing facility contracts, sales agreements and closings, and physician contracts. Ms. Fisher has handled a variety of employment law issues, including employee complaints, confidentiality agreements, non-complete arrangements, and severance agreements. While at Mellette, P.C., Ms. Fisher has worked with hospital clients and a variety of long term care providers and health professionals. Ms. Fisher lives in Norfolk with her husband, John.
428 McLaws Circle, Suite 200 Williamsburg, VA 23185
(757) 259-9200
www.mellettepc.com
This ad is sponsored by the Health Planning Region V Prevention Council and is funded by the Department of Behavioral Health and Developmental Services.
in the know | calendar
JANUARY CALENDAR 1 BIG BUGS
Learn how insects are important our ecosystem. WHEN: Through April 17 WHERE: Virginia Living Museum $$: Included with Admission CONTACT: thevlm.org
9 TOANO FARMERS MARKET
Features fresh local produce; open year-round. WHEN: 8 a.m. to noon Saturdays WHERE: Corner of Forge and Richmond Roads $$: Free CONTACT: 757-566-1905
8 ICE SKATING AT “ICEBURG” Last chance this month to bring the family out for ice skating. WHEN: Days and hours vary; through January 31 WHERE: Mid-County Park $$: Adults, $7; Children, $5 CONTACT: jamescitycountyva.gov/ recreation/skaterink/
9 BOXING CLASS
Learn boxing-based techniques to improve fitness, coordination and mental focus. WHEN: 9 a.m. Saturdays WHERE: Bdefined $$: $15 drop-in or $156 for 12 classes CONTACT: bdefinedfitness.com
9 TRACK YOUR HEALTH/KNOW YOUR NUMBERS Free screenings for blood pressure, body mass index and cholesterol. WHEN: 9 a.m. to noon WHERE: James City County Recreation Center $$: Free CONTACT: 757-259-4200
9 GROUP FITNESS OPEN HOUSE
Learn about available aquatic and aerobics classes. WHEN: 9 to 11 a.m. WHERE: James City County Recreation Center $$: Free CONTACT: 757-259-4176
14-17 2016 WINTER BLUES JAZZ FESTIVAL
Enjoy food, drink and music. WHEN: All day WHERE: Merchants Square $$: prices vary depending on event CONTACT: eventbrite.com
15 BABY YOGA
Learn yoga techniques and build a better bond with your baby. WHEN: 10 a.m. Fridays through February 5. WHERE: CHKD Health and Surgery Center at Oyster Point $$: Free CONTACT: chkd.org
15 SKATING AT LIBERTY ICE PAVILION
Enjoy the winter season with ice skating in Colonial Williamsburg. WHEN: 10 a.m. to 10 p.m. Monday through Saturday, noon to 8 p.m. Sunday WHERE: Duke of Gloucester Street $$: Adults, $10; Children, $8 CONTACT: colonialwilliamsburg.com
16 MAKING THE RIGHT CUT— EARLY WINTER TREE CARE
Learn how to properly care for your trees this winter. WHEN: 10 to 11:30 a.m. WHERE: Williamsburg Botanical Garden $$: Free CONTACT: 757-229-5488
18 THREE RIVERS THREE PEOPLES HIKE
Honor the history of African, European and Native Americans on this hike. WHEN: 10 a.m. to noon WHERE: York River State Park $$: $3 parking fee CONTACT: 757-566-3036
20 GRIEVING AND GROWING
Helping children learn to cope with change. WHEN: 6:30 p.m. WHERE: CHKD Health and Surgery Center at Oyster Point $$: Free CONTACT: chkd.org
20 NEW YEAR, NEW YOU…TOP TIPS FOR HEALTHY EATING IN 2016
Tips on eating healthier in the New Year. WHEN: 5:30 p.m. WHERE: James City County Recreation Center $$: Free CONTACT: 757-259-4176
24 ELEGANT CULINARY AFFAIRE—SAVOR THE JOURNEY
Enjoy food and wine during this event to support Hospice House of Williamsburg. WHEN: 6 to 10 p.m. WHERE: Kingsmill Resort $$: $250 CONTACT: 757-253-1220
26 YOGA IN THE GARDEN
Learn basic yoga techniques. WHEN: 9 a.m. Tuesdays through March 1 WHERE: Lewis Ginter Botanical Garden, Richmond $$: $75, members; $147, non-members CONTACT: lewisginter.org
29 WARM UP WILLIAMSBURG
Support Community of Faith Mission with this soup tasting event. WHEN: 5:30 to 8:30 p.m. WHERE: Williamsburg United Methodist Church $$: $20 CONTACT: cofm.info
GET MORE EVENTS AT: THEHEALTHJOURNALS.COM/CALENDAR
10 | thehealthjournals.com
Together We Help You Achieve Your Goals! Complete Nutritional Care • Assessment of your nutrient intake and habits that prevent you from achieving your goals • Individual meal plan
Unique, personalized physician-directed expert care for special and general orthopedics and athletes. Helping you get the most of your body and life.
• Grocery store tours
• Weight Loss & Wellness
• Healthy choices when dining out
• Fitness and Sports Therapy
• Diabetes and pre-diabetes classes
• Physical Therapy
• Cholesterol classes
• Massage Therapy
• Weight control and cooking classes • Continuous follow-up and encouragement
Gale Pearson, MS, RD, CDE
Nutrition Services (757) 232-8768
Newport News | Williamsburg | West Point | Chesapeake
Newport News (757) 223-9403 860 Omni Blvd., Suite 103 Newport News, VA 23606
Williamsburg (757) 345-2512 5424 Discovery Park Blvd. Bldg. B, Suite 101 Williamsburg, VA 23188
WEIGHT LOSS MEDICINE MARLENE CAPPS, M.D. West Point Family Medicine 408 16th Street West Point, VA 23181 (804) 843-3131
KIMBERLEY GIPSON, M.D. Hampton Weight & Wellness 410 Marcella Road, Suite A Hampton, VA 23666 (757) 223-4992
MARGARET GAGLIONE, M.D. Tidewater Bariatrics 1405 Kempsville Road Chesapeake, VA 23320 (757) 644-6819
mytpmg.com mytpmg.com thehealthjournals.com | 11
in the know | extra
The health of art
PAINTING PARTIES ENCOURAGE RELAXATION, FUN AND TEAM BUILDING By Susan Smigielski Acker
W
ine and Design in Newport News’ City Center is defined by Owner Christy Clements as “a spa for the soul.” “Some people go to a salon or spa for relaxation therapy. There is also wellness in art because it allows the mind to unwind while getting lost in the painting,” she says. For two hours, people paint an outline of a selected picture as a group. All materials are included. It allows them to express their inner artist, even if they believed they never had one, she says. “This is for people who have never painted (a picture). They are usually impressed by what they are able to do,” Clements says. Sessions are held in group classes with trained artists who start the class with overall instructions. “We start with step-by-step instructions beginning with how to hold the brush,” she says. Once the paintbrush is picked up by the participants, the instructor moves about the room to provide positive tips and feedback. They are trained to read face and body language to determine if a person is feeling frustrated, Clements says. “We are in the business of happiness. We want people to leave feeling happy,” she says. “People can be their own worst critics, we want to change that. We find that as the instructor gives compliments such as ‘that looks good,’ the guests start complimenting each other. This boost self-esteem,” Clements says. While there are classes, Wine and Design offers several opportunities for team building exercises that go beyond painting.
12 | thehealthjournals.com
One option, Clements says, is that groups participate in a game where everyone picks a slip of paper from a small bucket. Each slip has a description of a person with an outstanding character trait. That is the character the participant must become. No one is aware of choices. Together the group works on an art piece. For example, there is Positive Polly, who is annoyingly positive. Silent Sam can help the group but must not speak. “It shows how they as a group can overcome limitations,” she says. Private parties are also an option. This a chance for a group or family to bond. Birthday parties for adults and children can be done. Clements also wants children to participate. “Many times kids will be amazed at what they can do,” she says. Special classes are offered on weekdays when schools maybe closed, for instance, Dr. Martin Luther King Jr. holiday in January, there will be a special session for children. “It is a chance for kids to have a creative outlet and the parents do not have to worry about the clean-up,” says the mother of four. Wine and Design also helps raise money and awareness for certain charities. A special class was conducted to raise money for Operation Christmas Child and Out of the Darkness, a support group for those who have lost a family member to suicide. While wine is only permitted during private parties (brought by the participants), Clements is working to obtain her ABC license to serve it for other classes. “That is my New Year’s resolution,” she says.
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second opinion How do I know if I have sleep apnea and how is it treated?
How can I make lasting dietary changes?
Sleep apnea is when you experience moments of sleep when you are not properly breathing. The most common type is “obstructive sleep apnea” in which your tongue and soft tissue close causing suffocation. You can know if you are at risk by asking several questions. Do I snore? Do I wake several times in the night? Do I feel sleepy very quickly just sitting quietly? Am I overweight? Do I have high blood pressure? If you answered yes to one or more of these questions, you should be screened for sleep apnea. If left untreated, sleep apnea can be detrimental to your health. Sleep apnea decreases your blood oxygen levels and increases adrenaline in your blood stream. Both of these increase your heart rate, your blood pressure, and stress on the body, which in turn increase the chances of heart attack and stroke. Sleep apnea also increases the risk of type 2 diabetes. The daytime fatigue it causes will increase the risk of falling asleep at the wheel of a car and make it hard to concentrate. Two ways sleep apnea can be treated are to use a CPAP or a dental sleep apnea device. A CPAP is best for moderate to severe sleep apnea. A dental device is a retainer that holds your mouth open to prevent the airway from closing. It is important to detect and treat sleep apnea early to decrease the stress on the body and improve your health.
Making dietary changes is a great goal, especially when you consider how to care for your overall health as you age. The ways you eat, sleep, exercise and manage stress have an important impact on your health. Unless you’ve recently started a new diet or eating plan, your dietary habits have likely taken years to develop. It can be challenging to change multiple habits at once, so consider setting a small goal such as eating one vegetable during dinner and working toward that for a few weeks. When you’re consistent in achieving that goal, then incorporate another. When setting your goals, think long term. If you set a lofty goal like avoiding dessert altogether, what do you think will happen at parties, work celebrations and holidays? You’ll likely hit a weak spot and experience failure. Instead, try setting a goal of limiting desserts to special occasions or having one dessert per week. Remind yourself of why it’s important for you to make these changes. Implementing and maintaining good daily habits will set a healthy path for years to come. Consulting a physician and health coach or dietitian before starting your diet, and having advocates to support you physically and mentally, are important parts of the process.
Stacey Sparkman Hall, D.D.S. Williamsburg Center for Dental Health 757-565-6303
Claudia Faretta, RD n1Health Williamsburg 757-818-9828
How can a man know if he has low “T” and what are the risks? Testosterone begins to decline at age 30 by 1-2 percent per year. Symptoms of low T include fatigue, irritability, depression, low sex drive, erectile dysfunction, decreased mental clarity, memory loss, poor concentration, decreased exercise tolerance, loss of vitality, joint pain, decreased muscle mass, loss of body hair, and increase in fat with increasing abdominal circumference. Medical conditions associated with low T include obesity, diabetes, hypertension, hyperlipidemia, atherosclerosis, cardiovascular disease, asthma/COPD, low bone mineral density with increased fracture risk, memory loss and cognitive decline. Testosterone replacement has been shown to benefit obesity, metabolic syndrome/diabetes, heart disease, hypertension, inflammation, sleep, muscle mass and strength. Testosterone also plays a major role in brain function; testosterone replacement therapy can improve depression, apathy, drive, motivation, focus and memory, and has shown some reversal of cognitive dysfunction in men. Although there are several methods of testosterone replacement, BioIdentical Pellet Therapy is safe and is the most effective. With pellet therapy, testosterone is automatically secreted into the bloodstream in small amounts throughout the day. Whenever the body’s testosterone requirement increases due to mental or physical stress, the pellets are always available in correct amounts.
your health care questions answered
Harriet McCoy, NP, ABAAHP Hormone Health and Weight Loss 757-298-7966 thehealthjournals.com | 13
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second opinion Should I get a flu shot? It’s interesting to hear the banter every year about flu shots. Seems like there are those who always get theirs and those who never do. So what’s the right answer? The influenza virus is always changing and so, therefore, does the vaccine. Some years the flu season is worse than others coming sooner than later, but typically the middle of the flu season is December through February (though it can extend through March). The flu vaccine is very safe (trivalent and quadrivalent) and can be given to anyone older than 6 months. If there was a shortage, then those who should be prioritized to receive it are children 6 months to 4 years and those older than 50, especially with chronic illness. The quadrivalent vaccine helps produce immunity against one more strain of flu virus in case it happens to come to town, but those strains more likely to occur are covered by both. This year, so far, the flu vaccine seems to be a good match based on analysis of flu cases studied. My recommendation? I think it’s a good idea to get the flu shot every year. It’s still not too late.
Ralph Robertson, M.D. Medical Director of Lackey Clinic 757-886-0608
I’ve got hearing devices. What else can I do to improve communication? Speechreading is very helpful regardless of the degree of hearing loss, whether you use hearing devices or not. The term speechreading includes lipreading, facial cues, body language, intonation, rhythm of speech, and word stress. Most people use speechreading without realizing it. The proof is what happens when watching a foreign film dubbed in English. You know the words you see are not the ones you are hearing. Visibility is one of the most important considerations when trying to communicate. If you can’t see the person you are talking to, it can affect how well you understand the conversation. This includes the person who talks with their hand at their mouth, the gentleman with excessive facial hair that obscures his mouth, or the person who talks without moving their mouth. Good lighting and a clear view of your communication partners’ face is the key. Visual cues from the lips, facial expressions and body language can make the difference between understanding and misunderstanding. Changing human behavior is a difficult task. Patient and consistent reminders requesting the person speak more deliberately are often needed.
D. Krystin Farrell, Au.D., CCC-A
I want to improve the appearance of my teeth. Should I only worry about the “Social Six” teeth? What does this mean?
your health care questions answered
The Social Six refers to the top front 6 teeth and implies that by treating only these teeth, a smile improvement can be achieved. Unfortunately, this can lead to an obviously artificial-looking smile, which most of us do not want. The truth is that most people show at least 8 upper teeth when they smile and at least 6 lower teeth when they talk! For the most natural-looking smile (which most of us DO want), it is usually better to treat 2, 4, 8, or 10 upper teeth and make sure the bottom teeth match. Veneers, whitening, bonding, or small movements of teeth with Invisalign can also help create a great smile. Natural and life-like options are chosen based on how well they will complement both your smile and your unique facial features. An experienced and dedicated cosmetic dentist will take many pictures and video of your face and smile to decide which options will work best to meet your goals. Your consultation should include a picture comparison of your teeth with multiple other patients, whose teeth are similar to yours, that the cosmetic dentist has personally treated.
William Harper, D.D.S. Harper Dental Care harperdentalcare.com 757-243-1960
Maico Audiological Services Maicoaudio.com 757-873-8794
thehealthjournals.com | 13
in the know | profile
Angela Reddix By Alison Johnson
A
“
It’s easy to find motivation, because nothing is more important than
14 | thehealthjournals.com
our health.”
ngela Reddix isn’t afraid of challenge or change. In fact, both inspire her—which is why she had the guts to found a health care management organization, ARDX, while pregnant with her third child in 2006. As she built her company from the ground up, Reddix’s mastery of complex Medicare and Medicaid regulations and her success on highly technical projects eventually brought in multimillion government contracts. The personal stories she’s heard, though, always meant more. “You learn about, say, a mother with cancer who couldn’t have gotten health insurance before the Affordable Care Act,” Reddix says. “Now we’re helping the nation help her, so maybe her kids can grow up with their mom. Or we’re helping the senior community get the preventive care they need to prolong their lives. Knowing we are in the eye of these things makes me want to skip to work every day.” Reddix, a Virginia Beach native and James Madison University graduate, is founder, president and CEO of ARDX, which has grown into a 125-employee operation based in Norfolk. With the federal government as its major client, ARDX supports the Department of Health and Human Services, including implementation of the ACA.
The company has helped develop data management systems, policies, and operational procedures and systems to communicate that information to insurers, often via online publications and seminars. ARDX also works with commercial businesses on information technology and new business strategies. “Our job is to solve problems to help them all reach and sustain their goals,” Reddix explains. “No day is the same.” She’s also passionate about the health of her community, where she returned after earning an undergraduate degree in business administration, a master’s in organizational development and a graduate certificate in healthcare compliance. She spent about 15 years working in the Washington, D.C., area, including at the Centers for Medicare & Medicaid Services. ARDX’s outreach programs offer literacy tutoring and fitness and nutrition education for young students, designed to fight obesity and selfesteem problems that can contribute to bullying. ARDX also works with women to improve their health and financial well-being. With children ages 9, 11 and 19, Reddix credits her husband and extended family for backing her career ambitions even during the busy diaper and toddler years. “Nurturing a business is much like nurturing a child,” she says. “It just seemed natural to me!” Frequently on the go, Reddix finds balance by reserving weekends for family and friends, leaning on her employees, strengthening her faith through prayer and using a Fitbit tracker to aim for 15,000 steps daily. These days, she likes to walk between her company’s two buildings instead of calling employees to her office. “That Fitbit is my new passion,” she says with a laugh. “It also helps that my husband is a healthy eating fanatic. I need that support.” ARDX, too, continues to evolve and thrive. “We work hard, but we also have a lot of fun,” Reddix says. “It’s easy to find motivation because nothing is more important than our health.”
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in the know | Q&A
Kathy Banfield and
Renee Collins By Brandy Centolanza PHOTOGRAPHY By MARIA CANDELARIA DAUGS
K
athy Banfield and Renee Collins are cofounders and co-presidents of Community of Faith Mission (COFM), an emergency homeless shelter ministry providing shelter for people without homes along with two meals a day throughout the winter. Thirty-two local faithbased organizations participate in the program on an 18-week rotating basis by providing food, volunteers and a facility. How did COFM begin? KB: In the fall of 2011, we attended an event for the homeless in Hampton, where they gave food, clothing and gifts to those in need. We were inspired and touched by it. We wanted to know what Williamsburg did for the homeless, so we looked at other organizations that served the homeless to see what they provided. We determined [that] there was a need for an emergency shelter program here, so we began researching other shelter programs in Virginia and developed a shelter model to meet the needs of our homeless community. Thanks to the support and financial backing of our pastor, COFM was initially conceived through Saint Bede Catholic Church, with the faith community quickly coming together to actively support the program. What are some of the misconceptions surrounding homelessness? RC: Many people believe that most of the homeless population has a substance abuse problem or mental health issue. While we certainly have individuals that meet that profile, we also have some that fall into the category of “working poor� and just need some temporary help. With a large population of service workers that support the tourism industry, many are employed in low-paying jobs and are sometimes laid off seasonally. That coupled with the fact that there is a shortage of affordable housing in Williamsburg causes some to become homeless. Homelessness does not have just one face. It is not gender, race, age or culturally specific. We have had individuals from the ages of 9 to 77 from all walks of life stay at the shelter.
16 | thehealthjournals.com
Q&A | in the know
Where does the shelter get the supplies it needs to carry out its mission? KB: COFM supplies all the sleeping mats and bed linens, and congregations supply the volunteers and meals. Since a majority of our guests do not have transportation, we also provide them with a WATA bus ticket. We also have incredible community partnerships and receive both monetary and material donations for the shelter. What types of meals are served? KB: We leave it up to the individual congregations, but there has been everything from Thanksgiving-type meals to hamburgers and fries. For breakfast, there may be elaborate meals like bacon, eggs and
pancakes, or bagels. It is an amazing food spread, and there are always seconds. Our volunteers eat with our guests, so there is also fellowship. A lot of our guests may be lonely, so this gives them a warm place to be and someone to talk to. We are giving them hope, and showing them that they are important, that they matter. How do you address health issues should patrons need care? RC: We provide each guest with a resource card that lists medical resources such as Olde Towne Medical Center, Angels of Mercy Medical Clinic and Lackey Clinic. While we do not offer case management, we do refer guests to many resources available to them in the community.
How can the community help? RC: We always welcome donations to help with shelter operating costs and encourage people to go to our website www.cofm.info to learn more about our program and see how they can volunteer.” COFM will hold its annual fundraiser, Warm-Up Williamsburg, a soup tasting event on January 29 from 5:30–8:00 p.m. at Williamsburg United Methodist Church. Tickets are $20. All proceeds will go toward shelter operating expenses. For more information on COFM, visit www.cofm.info. CO: We are giving them hope, and showing them that they are important, that they matter.
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in the know | advances in medicine
smoke screen LUNG CT CATCHES DEADLY CANCER BEFORE IT BECOMES DANGEROUS by kim o'brien root
Z
oe Kirk’s father died of lung cancer, so the 62-year-old Eastern Shore resident knew how much of a risk there was. Plus, she was a heavy smoker, and had a nagging cough for a while. So when she saw a pamphlet offering lung cancer screening in a doctor’s office, she picked it up and made an appointment. It wasn’t a big surprise when it came back positive. But fortunately, the screening caught Kirk’s cancer early. She had part of her lung removed in December 2014 and has been cancer-free ever since. The type of screening that Kirk had involved a simple CT, or low-dose computed tomography scan. Until recently, the screening test—while available—wasn’t widely done, but in 2015, Medicare agreed to start covering the cost for those at high-risk. That paved the way for private insurance companies to follow suit, making the screening more affordable. Medical professionals see the screening as an important step to tackling what’s usually the most deadly of cancers. Historically, chest X-rays have been used to diagnose patients who are already exhibiting signs of cancer, but often the disease is at an advanced stage when detected. You can’t see or feel your lungs, so tumors can grow undetected for a long time before they cause problems a patient would notice. In 2013, 60 percent of lung cancers were caught at a stage 3 or 4, according to the National Cancer Data Base. At that late stage, the prognosis is usually not very good. “For years, we’ve been doing screenings with mammograms and made great strides in detecting breast cancer,” says Vicky West,
18 | thehealthjournals.com
a nurse navigator in Chesapeake Regional Healthcare’s Thoracic and Lung Health Program. “Now it’s lung cancer’s turn.” Lung cancer is by far the leading cause of cancer death among both men and women, accounting for about 27 percent of all cancer deaths each year in the United States, according to the National Cancer Society. That’s more than the number of people who die from colon, breast and prostate cancers combined. About 220,000 new cases are diagnosed each year. Worldwide, lung cancer kills about 1 million people a year. While both smokers and non-smokers can get lung cancer, smoking is one of the leading risk factors. The cancer society believes that at least 80 percent of deaths can be attributed to smoking.That’s why anyone between the ages of 55 and 77 who is a current smoker, or has quit within the last 15 years, is considered a candidate for screening. Smokers who have a history of smoking an average of one pack a day for the past 30 years are highly recommended for screening. “This approved screening technique can find signs of lung cancer before symptoms occur and is shown to increase survival rates,” says Dr. Lynne Skaryak, a thoracic surgeon and co-medical director of Chesapeake Regional Healthcare’s Thoracic and Lung Health Program in Chesapeake. With these scans, more than 80 percent of lung cancers have a chance of being cured if detected at an early stage, Skaryak says. That number is tremendous, considering that the five-year survival rate for lung cancer is typically pretty low. The low rate is because most lung cancers are diagnosed when they are
advances in medicine | in the know either incurable or very unlikely to be cured. “The quicker we can catch lung cancer, the better we can treat it, and the better chance
Another bonus to the program—besides catching early-stage lung cancers—has been getting people to take their lung health more
“Lung cancer is a deadly disease, but it doesn’t have to be.” we have at beating it,” says Dr. Steven Scott of Riverside Thoracic and Cardiovascular Surgery in Newport News. “Lung cancer is a deadly disease, but it doesn’t have to be.” Lung cancer screening involves little more than what an X-ray would—the patient lies on a table and is asked to hold his or her breath to capture the most accurate images. The CT scan is a low-dose one, and has only about 20 percent as much radiation as a regular CT. If the results are negative, the patient is advised to get screened each year—and to quit smoking. If a screening is positive, patients are immediately recommended for additional follow-up. In Hampton Roads, all of the major health systems—Riverside Health System, Bon Secours Health System, Sentara Healthcare and Chesapeake Regional Healthcare—offer lung cancer screenings. This year alone, Sentara has screened about 300 people in Hampton Roads. The number has jumped dramatically since insurance carriers began covering the cost of the screenings, says Robin McClelland, who coordinates the CT Lung Screening Program at Sentara.
seriously, McClelland says. “The patients who have had the screenings are making sure they’re being followed by their physician,” McClelland says. “They’re staying on top of it. ”Kirk’s positive screening at Sentara Virginia Beach General Hospital led to the removal of the upper left lobe of her lung. She now has regular checkups to make sure the cancer doesn’t return. “That’s not to say I don’t worry,” says Kirk, who lives in the Eastern Shore town of Machipongo. “I think once you’ve been diagnosed with cancer, you’re always a little scared. But they made it pretty crystal clear that it was at an early stage and it was easily removed. As far as I’m concerned, I was incredibly lucky.” To find out if you’re a candidate for early lung cancer screening, talk to your doctor, or call 757-312-3012 at Chesapeake Regional; 757-534-LUNG at Riverside; 804-359-9355 at Bon Secours; and 855-327-5939 at Sentara
Are you at risk of developing lung cancer? Here are some risk factors: • History of cancer • Family history of lung cancer • Job-related exposure to asbestos • Radon exposure • COPD (emphysema) • Pulmonary fibrosis • 50 to 55 years old, depending on other risk factors Are you a candidate for lung cancer screening? You are if you’re: • 55 to 77 years old • A current or former smoker (within the last 15 years) • Have a smoking history of at least 30 “packyears.” That means 1 pack a day for 30 years, 2 packs a day for 15 years, etc. • Are asymptomatic
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features | FItspiration
4 moves
to a firmer
booty
#7daystobetterbuns 20 | thehealthjournals.com
fitspiration | features
Fitspiration
HAS FITNESS BECOME
OVER-SEXUALIZED
by Natalie miller moore
O
pen up Pinterest or Instagram, and you’ll very soon see a flexing woman in a sports bra with a slogan like “Suck it up now so you won’t have to suck it IN later” and “Earn your selfie.” Online, under tags like “fitspiration” and “workout motivation,” there are many, many photos of women who appear to have no heads, just abs. Selfies in skimpy tops. Bikini bodies. Lots of half-covered butts. Form-fitting yoga pants.
thehealthjournals.com | 21
features | FItspiration
Right next to that, there’s a poster that says: “Athletes eat and train, they don’t diet and exercise.” And one that says “I don’t want another girl’s body. I want my body, leaner, stronger and healthier.” There are practical tips on weightlifting, running and eating healthy. Charts on how many reps to do, ways to stay motivated on your run and playlists for CrossFit. These are both sides of the tension over health, fitness and diet, playing out in a highly visual and highly viral way. “Why are fitness motivation themes more popular? Ideally it’s because of a change in perspective in the broad culture, and more awareness about female fitness being a good thing,” says Leisa Meyer,
#DealingWithIdealBodies Body image includes what a woman thinks about herself, and if it’s dissatisfaction, that can be linked to more traditional health outcomes like depression and anxiety. Seeing images of ideal bodies can be difficult for an individual’s sense of self. Right now, the experts say that the ideal body for American females (the hourglass with a very slim build) has not changed that much. It’s more toned, yes, but still not with significant muscle mass. The ideal woman’s body in 2016, if these highly “favorited” images are to be believed, is one that’s tall and thin but not skinny, with washboard abs and toned muscles…oh, and
THE 5 BEST
LEG EXERCISES #SEXYLEGSIN30DAYS Professor of American Studies and History at The College of William and Mary in Williamsburg. “There are trends toward accepting different body types and not just the unattainable ones. But there will always be idealized images that for the average person are completely unattainable, no matter what diet or exercise they adopt. It will always be something unachievable, because discontent creates consumers of stuff who are unhappy,” says Catherine Sabiston, Ph.D., Canada Research Chair in Physical Activity and Mental Health, Associate Professor, Faculty of Kinesiology & Physical Education at the University of Toronto.
22 | thehealthjournals.com
curvaceous. Large breasts and a bubble butt. And tanned skin. With long, thick highlighted hair. Sound like a bunch of contradictions? It’s actually a recurring American trend. According to Meyer, who is on the college’s executive committee of the gender, sexuality and women’s studies program, the narrowing of the “ideal body” for women isn’t new.
#MorePowerMoreScrutiny “Historically, the ideal female body type changes, during moments when there are changes in society. One of the ways that there’s backlash against women gaining more power is for their body types and clothing types to be more restricted,” says Meyer.
fitspiration | features For example, the flapper of “the Roaring 20s” and the boho hippie of the counterculture 1960s were both during times of changing women’s roles in America. Both featured waifish, childish body types—and Meyer thinks this is more than coincidental. Today, many describe the ideal as a cinched waist with a Kardashian-eque full bottom but thin thighs—difficult to achieve for most body types. While images of women in popular culture have been around as long as catalogs and magazines, there’s now social media to contend with—bringing more diverse images, but also a cascade of images throughout our lives in places where we are working, connecting and reading. They arrive as part of advertising, selfies and titillation dressed as fitness. Sexiness sells, you could say.
#SexinessSells Sabiston studied body image and advertising for her thesis and looked at fitness advertising and its impact on body image changes. “We showed running shoes versus good-looking models wearing the shoes. The results were that models affected people’s body image worse,” says Sabiston. Today there is even more advertising and it’s harder to avoid.
THE GET YOUR
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features | FItspiration
One tip she has for identifying images that are likely #BeSoreTomorrowNotSorry trying to sell you something: look at the lighting, what Fitspiration has arguably more merit than her sister they are wearing and the dismembering of body parts in “thinspiration” in which women tag and post about how the shot, which is always depersonalizing and sexualizing. thin they’d like to be, often dipping into pro-anorexia “In our culture, women are sexualized. Even fitnessterritory and encouraging oriented images— radical dieting and eating we can’t get disorders. Those photos away from it. are nearly all cut into The distinctions body parts, of visible ribs, are between the jutting hipbones and intentionally obvious thigh gaps. provocative, like an And in those threads, ad for sportswear, there has also been a or a purely positive reverse trend to say, “Sexy one like women is not a size. Every calorie finishing a marathon is not a war, your body or winning the is not a battleground.” World Cup,” says Those posters say “Focus Meyer. on getting healthier, not Meredith Hurley lighter” and “The only from Manassas says bad workout is the one that she’s wary of that didn’t happen.” fitspiration. How does “Be the person “Just because they you were too lazy to be use buzzwords like yesterday” strike you? strong, healthy and Meyer says there’s a powerful doesn’t “catch-22” in these spaces. change the message “Is it the carrot or the that women are stick? Does seeing images “Sexy is not a size. Every calorie is not expected to look a war, your body is not a battleground.” of fit women motivate a certain way. All you or demoralize you?” the motivational she says. pictures I’ve seen are examples of perfection and that’s not really empowering #ExcusesDontBurnCalories to the vast majority of women who aren’t even genetically capable of attaining that.” Research on the topics says that extrinsic motivation is But Hurley still supports healthy, real live women not sustainable for long term. working out and sharing online. “I love seeing my friend’s “Maybe it gets people to start but it’s not known to help achievements and find them to be far more inspiring than people exercise for very long. Shaming and guilting people what I see on Pinterest.” into exercising and getting fit doesn’t really work. The For her though, it’s about trying to feel her best walking, key is around a person’s image and enjoyment rather than biking and doing yoga. “It lets me focus on attainable goals their weight and appearance. Competition with others is a that promote physical and mental health,” she says. negative,” Sabiston says.
24 | thehealthjournals.com
yourself
FEEL LIKE
TO GET THE
SEXIEST
ati ebr ng
25
cel
8 Exercises
AG A I N !
ye a rs
SIDE BUTT EVER #8moves4abubblebutt “With social media, there’s pressure for everyone to present themselves at their best.” One of the positive aspects of social media is that we are seeing a greater range of images than previously shown in traditional media. “In social media, there is some range of body types. It helps address more people that way, and they feel represented. That includes more muscle tone and strength, what we would have traditionally seen for me. And, that’s shifting to thinks like the covers of fitness magazines where there is more visible muscle mass,” said Sabiston.
#SocialMediaUpstheAnte Social media offers a level of surveillance in fitness that has never been present before, and how you work out used to just be between you and your gym. Now it’s being commented on a lot more. “With social media, there’s pressure for everyone to present themselves at their best,” says Sabiston. Suki Lucier, a cyclist and fitness enthusiast from Washington, D.C., says that “fitspiration” doesn’t work for her. “I can’t help but notice there are few to no fitspiration memes on Pinterest about ‘In a month, this could be your cholesterol level!’ or your resting heart rate … or your fasting blood glucose… or any other legitimate measure of health or fitness,” she says. Lucier gets to the gym four or five times a week, and runs, rides and hikes in her spare time. She stays motivated because she loves the outdoors and her group exercise classes. “I’ve learned that when I exercise regularly, ‘strong’ is the main descriptor I associate with my body, and as complicated as body image issues can be, that’s huge for me.” She doesn’t need fitspiration, clearly. “Most of them seem to focus on the abs or butt you could have in a month. And I have nothing against being proud of what you’ve got and wanting to show it off, but I’m not crazy about the conflation of ‘hotness’ and ‘fitness’ that I feel the fitspiration meme culture encourages,” she says. It appears that fitspiration may kickstart your workout, but it will take a lot more motivation to keep you moving.
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features | The systemic link
The Systemic Link By Kim O’Brien Root
IS THERE A CONNECTION BETWEEN YOUR ORAL AND PHYSICAL HEALTH
26 | thehealthjournals.com
THE SYSTEMIC LINK | features
W
hat if someone told you that your health problems might be solved by going to the dentist?
Would you believe them? It’s absolutely true, says Dr. Lisa Marie Samaha, a Newport News dentist who for decades has been urging others to understand the direct correlation between good dental health and overall wellness. She’s done it through her practice, Port Warwick Dental Arts. She’s done it through the teaching and research institute she founded. And for the past year, she’s been pushing an initiative to raise awareness across the community and to other medical practitioners. “The medical crisis is in our mouths,” says Samaha, who has published world-wide on the topic. “In the past 34 years, I’ve watched people come into my office—they’re not just sick dentally, they’re sick physically. Through proper evaluation and collaboration with their medical teams, we can literally transform their lives.” Decades of scientific research have connected periodontal disease with other diseases, including diabetes, high blood pressure, heart attacks, stroke, kidney and lung disease, dementia and Alzheimer’s disease, cancer, infertility, erectile dysfunction, preterm birth and other complications during pregnancy. Samaha has numerous patient case studies from those who had dental work done and found their overall health improved as a result. Take Ellyn Tilburg, a retired Newport News teacher.
She was supposed to have abdominal surgery last summer, but a day before surgery, she saw Samaha, who advised her against the procedure because of serious infections in her mouth. Because Tilburg’s blood was already carrying a significant level of infection from dental disease, Samaha’s concern was that surgery could cause the infection to spread. The surgeon agreed to cancel surgery, and Tilburg instead got work done on her mouth. To her surprise, after dental treatment, her whole body began feeling stronger. Over five months, she lost 25 pounds. Her looks changed—clearly evident in before and after photos. “People have remarked that my eyes look
connection in their reports on Oral Health in America, published by the U.S. Department of Health and Human Services. “The mouth can become a source of disease or pathological processes affecting other parts of the body,” former U.S. Surgeon General Dr. David Satcher wrote in his report in 2000. Medical research has made great strides over the past century in helping people improve their oral health. Once upon a time, most Americans could expect to lose their teeth by middle age. “Technology for the early diagnosis of disease and the repair of teeth, as well as bonding resins, new life-like porcelains, dental implants and dental lasers have revolutionized dentistry, making it safer, gentler and more efficient and effective than ever—even painless in most circumstances,” Samaha says. Dentists can use the face and mouth as a mirror of health, reflecting disease in other parts of the body. Oral tissues can indicate a wide range of diseases, such as chicken pox, mononucleosis, even HIV. Vitamin deficiencies often are first manifest in the mouth, where bacteria aggressively attack the delicate, soft tissue there. Basically, the mouth can serve as a warning system—that something else is going on. More than 500 bacterial strains have been identified in dental biofilm, which is basically the plaque that forms on surfaces in the mouth. Biofilms form throughout the body, but are usually sloughed off in some way. Not so in the mouth—the biofilm on the teeth only goes away with proper daily cleansing and professional care, Samaha says. If the biofilm isn’t cleaned away regularly, bacteria can grow and get into infected gum
THERE IS A DIRECT LINK BETWEEN PERIODONTAL DISEASE AND NEARLY ALL OF THE ORGAN SYSTEMS IN OUR BODY. DR. LISA MARIE SAMAHA
different, my skin tone looks different,” says Tilburg, who is 65. “I have an increase in energy. For the first time, my body is well, and it’s getting better and better.” The connection between oral health and the rest of the body isn’t just anecdotal, Samaha says— there’s hard science behind it. The connection was affirmed in 1996 by dental researchers Genco and Offenbacher, who revealed the results of their work to the American Academy of Periodontology. Since then, all of the United States surgeon generals have acknowledged the
thehealthjournals.com | 27
features | THE SYSTEMIC LINK
tissue. From there, it can migrate throughout the bloodstream, attacking every tissue in the body. More than 80 percent of the adult population in the United States has some level of periodontal disease, a chronic inflammatory, infectious disease that includes gingivitis and periodontitis, according to the Centers for Disease Control. Yet, Samaha says, the majority of all periodontal disease is undiagnosed and untreated. Left untreated, periodontal disease can encourage and complicate other diseases in the body. “There is a direct link between periodontal disease and nearly all of the organ systems in our body,” Samaha says. “Bleeding gums allow for dangerous periodontal bacteria to invade the bloodstream and set up inflammation and disease throughout the body.” Consider these statistics: • There’s a 70 percent higher incidence of heart attack if you don’t brush twice a day, according to one Scottish study. • People with gum disease are twice as likely to die from heart disease and three times as likely to die from stroke, according to the Mayo Clinic. • Ninety-three percent of diabetics have periodontal disease—in 2013, it was recommended that all diabetics be screened regularly for periodontal disease, according to the Journal of Clinical Periodontology. • Women with periodontal disease take an average of two months longer to conceive, according to a 2012 Australian study. • A 2013 study published in the Journal of Sexual Medicine showed that
28 | thehealthjournals.com
68 percent of men with periodontal disease had low or zero sperm counts and/or diminished sperm quality. • Periodontal disease is found in 100 percent of preeclampsia in pregnancy cases. • In nursing homes, there’s a 60 percent increase in pneumonia if there is no regular oral hygiene. • In 2006, a Swiss researcher concluded there was a significant connection between periodontal disease and Alzheimer’s disease after discovering more than 60 species of bacteria that originate in the mouth and are also found in the blood, spinal fluid and brains of Alzheimer’s patients.
“Bleeding gums allow for dangerous periodontal bacteria to invade the bloodstream and set up inflammation and disease throughout the body.”
• Researchers at the Harvard School of Public Health and the Dana-Farber Cancer Institute announced in 2007 that periodontal disease was associated with a 64 percent increased risk of pancreatic cancer.
80% OF
ADULTS IN THE U.S. WITH SOME LEVEL OF
PERIODONT L DISEASE WHICH CAN
COMPLICATE OTHER DISEASES
• Just six years ago, breast cancer was added to the list of cancers linked to periodontal disease, possibly connected to lymphatic drainage patterns from the lower jaw. Many times, Samaha says, the body starts to break down before anyone realizes it started from a dental issue. According to the surgeon general’s report, oral examination can reveal signs and symptoms of more than 90 percent of systemic diseases. Proper dental care can also help sleep apnea. Newport News resident Susie Wornom, a retired school nurse, had been a long-time patient of Samaha’s when Samaha noticed how tired Wornom frequently seemed.
THE SYSTEMIC LINK | features
measures both the risk of inherited disease and the quality and quantity of the bacteria that’s present. Further salivary testing is being researched to detect some cancers. Samaha, meanwhile, is taking things a step further. In 2015, she launched her Healthy Mouth, Healthy Body 2020 Initiative. Her goal is to share the mouth/body message and increase the health and wellness of 20,000 people on the Virginia Peninsula by the year 2020. She started by reaching out to medical practitioners and has teamed up with Hampton University’s biology and sociology departments. Dr. Lois Benjamin, professor emerita of sociology at Hampton University, was a patient of Samaha’s when she was asked to chair the initiative. A few years ago, Benjamin, a Newport News resident, was in pain from a cracked filling when she sought out a holistic dentist and found Samaha. “I’ve gained so much insight, phenomenal insight, between the connection of the mouth and the body,” Benjamin says. “Hopefully we can make a dent in terms of educating people.”
Learning that Wornom snored and noticing the formation of her palate, Samaha suggested she see a pulmonologist. “I praise [Samaha] for being there for me and guiding me through everything,” says Wornom, 74, who has also had laser surgery on her gums and crowns replaced. “And for bringing things to my attention. It’s all been a process and an adventure. I think my health would have been much worse if I hadn’t done it. I think it makes a difference, I really do.” But while the information sounds dire, it doesn’t have to be. With the right care, people can improve their health dramatically. When Samaha sees patients, she also suggests nutritional supplementation and a change in diet—to take care of the body from the inside out. “Before you feel hopeless, it’s important to understand that periodontal disease is both preventable and treatable,” Samaha says. “It will never get better on its own, but the sooner it is diagnosed, the better the outcome for the mouth and the entire body.” A simple dental screening exam is the first step. Beyond that, various tests are available, such as oral DNA testing—which
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Food | vine & Dine
Stew Stout AND
Recipe by Martha Stewart
INGREDIENTS
E
njoy the NFL playoffs, or a cool winter evening with this delicious beef stew paired with an O’Connor Dry Irish Stout (ODIS).
3 pounds beef chuck, trimmed of visible fat and cut into 1 1/2-inch cubes 1/3 cup tomato paste 3 tablespoons balsamic vinegar 2 tablespoons all-purpose flour Coarse salt and ground pepper 1 pound medium onions (about 2), cut into 1-inch chunks 1 pound small white or red new potatoes (about 6), well scrubbed, halved if large 1 pound carrots, cut into 1 1/2-inch lengths 6 garlic cloves, smashed 2 bay leaves
PREPARATION Preheat oven to 350 degrees. In a Dutch oven (5-quart) with a tight-fitting lid, combine beef, tomato paste, vinegar, and flour; season with salt and pepper. Add onions, potatoes, carrots, garlic, bay leaves and 3 cups water. Bring to a boil. Cover, transfer to oven, and cook until meat is fork-tender, 2 to 2 1/2 hours. Remove bay leaves and, if desired, season with salt and pepper before serving. Slow-Cooker Variation: Place beef in a 5-quart slow cooker. Distribute tomato paste, vinegar, and flour over beef; season generously with salt and pepper. Add onions, potatoes, carrots, garlic, and bay leaves. Cover slow cooker; cook on high until beef is forktender, about 5 hours (or cook on low heat 8 hours).
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food & Nutrition | Food
A proper fruit serving should fit in your palm.
1
Small apple (C&Fi) and 1 tablespoon of a nut or seed butter (F&Fi)
ENERGY BOOSTING SNACK COMBOS by Chris Jones and Caroline Fornshell, MS, RDN, CDE, NASM-CPT
L
et's face it, we're all on a quest for lasting energy throughout our day-to-day. Sitting behind a desk, it's easy to pop open a desk drawer and grab a processed snack. The result is that we get a quick spike in energy followed by a crash that leaves us more lethargic than we were prior to munching. Thankfully, the solution is simple: balanced snacks. While it does require a little planning, we'll get a steady steam of energy throughout the day that can keep us performing at an optimal level all day. Here are a 10 combinations you can whip up at home to enjoy at your desk as you go about your day.
3
2
Celery sticks (N) filled with hummus (C,F,P)
Roma tomato (C), 1/4 avocado (F&Fi) and pine nuts (F)
Strive for snacks with a carbs-fats-protein balance to sustain energy.
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Food | food & Nutrition
Tempeh, black beans and quinoa are great plant-based proteins.
5
4
Hard-boiled egg (F,P) and 4-6 dried apricots (C)
1/3 cup soy beans (C, P, Fi) mixed with fresh pico de gallo (N)—spoon it up!
8 7
Roasted chickpeas (C, F, P, Fi)
Dairy: Cucumber slices (N) with unsweetened greek yogurt and fresh dill (P,C)
Curb cravings with water.
6
32 32 || thehealthjournals.com thehealthjournals.com
Walnuts (F,Fi) and Cacao nibs (F, Fi)
food & Nutrition | Food
Fiber helps foods absorb into the body slower to burn energy longer.
9
Dairy: About 10 baby carrots (C) and a low fat cheese stick (P)
10
Dairy: Berries (C) mixed with low fat cottage cheese (P)
Labeled by dominant nutrient(s):
C- carbohydrate, P-protein, F-fat, Fi-fiber, N-Negligible
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Food | flavor
he Seaso t s i n 'T for
Blood oranges also contain folic acid, which helps forms red blood cells and prevents birth defects, something pregnant women are told to consume by their obstetricians. Remember those anthocyanins? Nutrition experts believe that anthocyanins have anti-inflammatory properties that affect collagen, are good for preventing cancer, diabetes and bacterial infections, and for reducing the risk of heart disease. Blood oranges also contain calcium and vitamin A. These keep the skin healthy and promote regular development of skeletal tissue and teeth.
Blood Oranges by Kimberley Cuachon Haugh
D
espite its gory name, blood oranges are beautifully sweet with a noticeable raspberry note. Best of all, it’s something to look forward to during the colder months from December to April.
ORIGINS Blood oranges originate from the Mediterranean where the unique climate develops an antioxidant in the fruit called anthocyanin. It's what gives the orange its deep red color. In the United States, blood oranges are cultivated in California.
NUTRITIONAL VALUE As you can imagine, blood oranges are rich in vitamin C containing up to 40 percent more than navels and other oranges. Your body needs vitamin C for a number of metabolic functions. Two blood oranges are more than enough to comply with the recommended daily intake of vitamin C.
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VARIETIES There are a number of blood oranges like the coveted Sicilian red orange which is grown only in Sicily. Another is the deeply colored, and almost seedless Moro. They are sweet and tart. There is also the quite sweet and easy-to-peel Tarocco and the Sanguinello, a sweet orange with red streaks. Other varieties include Washington, Burris, Sanguina Doble Fina, Delfino, Khanpur, Red Valencia, Ruby Blood, Sanguine and Vaccaro—each with its own unique qualities. Blood oranges are used from zest to flesh, cooked to uncooked, in both sweet and savory dishes. Delicious in cocktails, marinades and syrups, it pairs well with mint, rosemary and oregano, as well as seafood and duck. Blood oranges compliment soft cheeses, like brie, very well, along with yogurt, and even shallots—because of its delicate flavor.
COLD FEET
COOL CAUSE
BLOOD ORANGE SALAD Vinaigrette: 4 cups fresh blood orange juice 1 tablespoon of finely diced shallots 2 tablespoons Sherry vinegar 1 tablespoon Dijon mustard 2 teaspoons honey 3/4 cup extra virgin olive oil Kosher salt and ground black pepper to taste Salad: 2 tablespoons of extra virgin olive oil 1 cup oyster mushrooms 3 cups of arugula leaves or spinach 2 cups of dandelion leaves 1/4 cup of thinly sliced red onion 1 sliced blood orange *Add 1/8 cup of cottage cheese for some texture and protein
Make it: 1. Saute mushrooms in extra virgin olive oil. Season with salt and pepper. Then remove from heat. 2. In a bowl, season arugula and dandelion leaves with salt and pepper. Toss blood oranges, onion and mushrooms in vinaigrette. NOTE: Amp up this salad by topping it with duck confit, which is a phenomenal pairing with blood oranges.
TIP: As when choosing any citrus fruit, look for blood oranges that feel heavy for their size.
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FEB. 6 IN VIRGINIA BEACH
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Food | taste appeal FOOD | TASTE APPEAL
Chicken Thighs with Onions and Brussels Sprouts RECIPE COURTESY OF N1 HEALTH WILLIAMSBURG
INGREDIENTS
MAKES 4 SERVINGS
• 2 pounds chicken thighs (around 8) • 1 red onion, sliced • 1 pound Brussels sprouts, quartered • 3 tablespoon grapeseed oil, divided • 1 teaspoon salt, divided • 1 teaspoon ground black pepper, divided • 9 cloves garlic, minced • 2 sprigs fresh rosemary
PREPARATION 1. Heat oven to 425F. 2. Place the Brussels sprouts, onion slices, 2 tablespoon of the grapeseed oil, 1/2 teaspoon of salt and 1/2 teaspoon pepper on a large baking sheet. Cook until onions are golden brown and tender (about 20-25 minutes). 3. Meanwhile, heat the remaining oil in a large skillet over medium heat. Season the chicken with the remaining salt and pepper and cook, skin-side down, until the skin is crisp (about 8 minutes). 4. Turn the chicken, add the minced garlic and rosemary sprigs to the pan, and cook until the garlic is golden brown and the chicken is cooked through (about 6 minutes more). 5. Serve with the vegetables.
36 36 || thehealthjournals.com thehealthjournals.com
Wild Mushroom Spread
DIABETES CLASSES Why attend a Diabetes Class? You should attend Diabetes Classes if: • You don’t know how to count carbohydrates • You haven’t lost any weight • Your medications keep increasing • You only look at sugar on the food labels • You never check your blood sugar after eating • You believe in that protein and fat are free foods • You believe there are certain fruits you shouldn’t eat • You eat according to your blood sugar readings • You never check your feet • Your blood pressure and cholesterol is out of control • You are frustrated, confused and fed up
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INGREDIENTS
MAKES 8 SERVINGS
Williamsburg • Newport News West Point • Chesapeake
mytpmg.com
• 2 teaspoon grapeseed oil • 1/2 cup shallots, finely chopped • 3 1/2 cups wild or cultivated mushrooms (about 12 ounce), finely chopped • 1/2 cup (4 ounce) 1/3 less-fat cream cheese, softened • 2 tablespoon dry sherry • 2 tablespoon fresh flat-leaf parsley, minced • 1/2 teaspoon salt • 1/8 teaspoon fresh ground black pepper
Retina & Glaucoma Associates specializes in the diagnosis and treatment of retinal diseases and glaucoma.
PREPARATION 1. Heat oil in a large skillet over medium heat. Add shallots and cook until tender (about 3 minutes), stirring occasionally. Add mushrooms and cook until liquid evaporates (about 7 minutes), stirring occasionally.
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2. Place mixture in a medium bowl. Place half of the mixture in a food processor with cream cheese and sherry. Process until smooth.
Dr. Nordlund was on faculty at UVA Medical School, and is a current clinical faculty member at VCU Medical Center.
3. Add puréed mixture to remaining mushroom mixture; then add salt, pepper and parsley. Stir until combined. John R. Nordlund, MD, PhD
Member, American Society of Retina Specialists Member, American Glaucoma Society
• Retina fellowship at the Mayo Clinic • Glaucoma fellowship at Johns Hopkins
© Lisa W. Cumming Photography
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Monday-Friday 8:00-5:00 www.rgava.com 113 Bulifants Boulevard, Suite A Williamsburg, VA 23188 757-220-3375
Food | herb-n-garden
Let's Go, Oregano!
ROASTED SWEET POTATOES WITH CHIMICHURRI SAUCE AND BACON INGREDIENTS 4 sweet potatoes, cut lengthwise into wedges 2 tablespoons plus 1/4 cup olive oil 2 tablespoons red wine vinegar Kosher salt, freshly ground pepper 1/2 cup fresh cilantro leaves 1/2 cup fresh flat-leaf parsley leaves 1/4 cup fresh oregano leaves 1 tablespoon fresh thyme leaves 2 garlic cloves 2 ounces cooked bacon, chopped
PREPARATION Heat oven to 425F. Toss sweet potatoes and 2 tablespoons oil on a large rimmed baking sheet; season with salt and pepper. Roast, turning once, until tender, 25-30 minutes. Meanwhile, pulse cilantro, parsley, oregano, thyme and garlic in a food processor until finely chopped. With motor running, slowly add vinegar and remaining 1/4 cup oil and process until combined; season with salt and pepper. Spoon chimichurri onto a serving platter and top with sweet potatoes and crumbled bacon. Recipe adapted from Epicurious.com
38 | thehealthjournals.com
Turkey and White Bean Chili
Gentle AffordAble ContemporAry dentAl CAre
A Commitment to Providing
HeAltHy SmIleS meet Sebastiana Springmann, ddS, fAGd For 22 years, Dr. Springmann has practiced dentistry in the Williamsburg community. Through her active participation in professional and community affairs she has touched the lives of many....
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www.newtowndentalarts.net RECIPE COURTESY OF N1 HEALTH WILLIAMSBURG
INGREDIENTS
4939 Courthouse Street, Williamsburg • 757.259.0741 Located in New Town across from the theater parking lot
MAKES 6 SERVINGS
• 1 1/4 pounds ground turkey • 1 cup red onion, chopped • 1/3 cup poblano pepper, seeded and chopped • 2 garlic cloves, minced • 1 tablespoon chili powder • 2 tablespoon tomato paste • 2 teaspoon dried oregano
• 1/4 teaspoon ground black pepper • 1 19-ounce can cannellini beans, rinsed and drained
Life Happens Here!
• 1 14.5-ounce can diced tomatoes, undrained • 1 14-ounce can fat-free, less-sodium chicken broth
• 1 teaspoon ground cumin
• 1/2 cup fresh cilantro, chopped
• 1/4 teaspoon salt
• 6 lime wedges
PREPARATION 1. Heat a large saucepan over medium heat. Add first four ingredients and cook until turkey is done (about 6 minutes). Stir frequently to crumble the turkey. 2. Stir in chili powder, tomato paste, oregano, cumin, salt, pepper, cannellini beans, diced tomatoes and chicken broth. Bring to a boil, then reduce heat and let simmer for 10 minutes. 3. Stir in chopped cilantro. Serve with lime wedges.
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your health | LOOKING GOOD
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Page Freer is the publisher of The Health Journal. She’s always trying new products and trends and loves sharing the scoop with readers. • Have a suggestion? Email page@thehealthjournals.com • Want her to try your product? Mail samples to: 4808 Courthouse Street, Suite 204, Williamsburg, Virginia 23188 40 | thehealthjournals.com
EXTRA | your health
Diversifying the Plate of
PICKY EAT ERS by Christa Melnyk Hines
V
ariety is the spice of life, unless you’re a toddler demanding dinosaur-shaped chicken nuggets at every meal. Picky eating isn’t uncommon among youngsters, but that doesn’t make the issue any less frustrating for parents. Strike while the iron’s hot. Tummies growling just before dinner? Set out a plate of fresh-cut fruits and vegetables with peanut butter, a low-fat dressing or yogurt-based dip for your hungry brood to munch on while you prep dinner. Cook together. Kids can tear lettuce leaves, wash fruits and vegetables and stir ingredients. “When they’re involved in the cooking process, they’re often more likely to try what they’ve helped create,” says Lynn Kistler, RD, Children’s Hospital of The King’s Daughters’ Healthy You for Life program. Ta-da! Present food in playful ways. Cut sandwiches into stars with a cookie cutter. Offer “ants on a log” with celery, peanut butter and raisins. And, serve food on kid-sized plates and bowls featuring their favorite characters, suggests Dr. Joan Sechrist, RD, Optima Health & Sentara Healthcare. Taste test. “Hey, what’s that funny star-shaped fruit?” Take advantage of your child’s natural curiosity. Explore the produce section at the grocery store. Talk about the origin of different foods and suggest that your child choose something for the family try. “Make a game out of trying new foods. Encourage children to try at least one bite,” Kistler says. “Focus more on the color, shape, feel, texture or smell of
the new food rather than the taste.” Do as I say...and as I do. Introduce small bites of new foods with those that your kids like. When you dine out, invite them to try a bite of whatever you’re eating. “If children witness their parents eating a varied, nutrient-dense diet in a genuine way––not because they’re eating ‘diet food’ to lose weight–– children will be more likely to follow through as well,” says registered dietitian nutritionist Crystal Witte, Customized Nutrition Works, Yorktown. Offer variety. Establish a meal and snack-time routine that integrates colorful fruits and vegetables. To curb food waste, “allow children to serve themselves. It gives them some control at meal time,” Sechrist says. Be patient. Taste buds evolve over time. “Instead of expecting your child to eat all of her broccoli, ask her to try just one bite. Over time, your child is more likely to develop a taste preference for that food. Repeated exposure is key,” Witte says. Shhh....don’t tell. “As a last resort, you can sneak fruits and veggies into fun foods they like,” Kistler says. Add chopped up peppers or broccoli to quesadillas. Puree veggies like cauliflower, or squash, into mac and cheese, or spaghetti sauce. Avoid power struggles. Experts agree, kids shouldn’t be forced to eat a food or clean their plates. “Keeping the dinner table a pleasant place will teach your child to associate eating with positive feelings,” Kistler says.
ADDITIONAL RESOURCES Raising a Healthy, Happy Eater: A Parent's Handbook by Nimali Fernando, Melanie Potock Raising a Healthy, Happy Eater shows the way to lead your baby, toddler, or young child on the path to adventurous eating. Grab your passport and go!
Helping Your Child with Extreme Picky Eating by Katja Rowell MD, Jenny McGlothlin MS SLP
In Helping Your Child with Extreme Picky Eating, a family doctor specializing in childhood feeding joins forces with a speech pathologist to help you support your child’s nutrition, healthy growth, and end meal-time anxiety (for your child and you) once and for all.
ChopChop: The Kids' Guide to Cooking Real Food with Your Family by Sally Sampson
Cooking at home helps kids stay healthy, builds family relationships, and teaches math, science, and cultural and financial literacy. That’s why ChopChop is your family’s best friend—and it’s jam-packed with kitchen basics, ingenious tips and meals that taste great and are fun to make.
thehealthjournals.com | 41
your health | fitness
office fitness 10 SMART EXERCISES YOU CAN DO AT WORK by Bridgit Kin-Charlton, C.P.T. photography by MICHAEL SAUNDERS
S
itting is the new smoking. Evidence supports that our chair-oriented, sedentary lifestyle affects our health and our economic productivity. It’s probably truest for the deskbound office worker logging in nonstop hours at the computers than for the couch surfer. Between cars, couches and desks, Americans spend about half their lives sitting—and that does not include sleeping. Fortunately, it is easy to incorporate exercise at the office. All you need is 10 minutes and an office chair.
Complete the following 10 exercises for one minute each. Repeat throughout the day as your schedule permits.
1. LEG LIFTS
While seated with legs at 90 degrees, lift both feet one inch off the floor. Hold for 15 seconds and release. Repeat four times.
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2. SINGLE LEG SQUAT
Stand in front of a chair. Lift and hold up your left leg while squatting with your right. Keep your chest up and hips back. Repeat for 30 seconds, and then switch legs.
3. PLIÉ SQUATS
Stand behind a chair. Take a wide stance with your toes turned slightly out, lightly holding the top of the chair. Squat while keeping your chest up and your back straight. Repeat for 60 seconds.
fitness | your health
4. WALL SITS
Standing with your back against the wall, bend the knees and slide your back down the wall until the thighs are parallel to the floor. Sit and hold for 60 seconds.
5 CALF RAISES
Lightly holding a chair for balance, raise up onto the toes and release. Repeat for 60 seconds.
7. DESK DIPS
Begin by facing away from a desk. Position hands on the desk with fingers facing forward. Keep the elbows under the shoulders and dip down until the elbows are at 90 degrees. Repeat for 60 seconds.
6. DESK PUSH UP
Place hands on a desk slightly wider than shoulder width apart. Keeping feet together and shoulders and hips aligned. Lower into a push up. Repeat for 60 seconds.
8. SHOULDER CIRCLES
Stand with arms overhead. Circle arms clockwise for 30 seconds, and then counterclockwise for 30 seconds.
9. DESK PLANK
Come to forearm plank on desk with elbows under shoulders. Keep hips, shoulders and feet together. Hold for 60 seconds.
Isometric Contraction: Contracting or tightening the muscle without movement.
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your health | family
Making Fitness
Fun
By Lillian H. Stevens
I
t’s no secret that healthy, fit children tend to grow into healthy, fit adults. The key, according to Janet Yang, is integrating knowledge about nutrition and healthy activities–and making it fun for the long haul. For the past 14 years, Yang has served as director of the Williamsburg Campus Child Care Center (WCCC) located on the campus of The College of William & Mary. The Center’s hallmark is a high quality early childhood environment that fosters
each child’s physical, social, emotional, and cognitive growth and development, with a strong emphasis on family involvement. Therefore, the teachers and staff members at the Center are committed to making fitness a priority–not just for the sake of fun, but for the sake of establishing good habits and practices. “Society in general doesn’t understand the importance of that first five years,” Yang says. “It sets the stage for the years to come.” But first, a word about nutrition. Yang and her staff work closely with Jeff McClure, head of the Sodexo team that oversees the dining services function for William & Mary. Menus are based on the same menus designed for the college students and are developed by
the executive campus chef in conjunction with a dietitian. Healthy and delicious are not mutually exclusive terms. The children at WCCC enjoy lunches that range from chicken quesadillas to homemade soups to pizzas on whole grain flat breads (the latter made with homemade tomato sauce). There are no fried foods. “If we do grilled cheese, it’s going to be on whole grain bread; if we do sloppy joes, we will use ground turkey,” McClure
Color Me
Healthy
Color Me Healthy is a partnership between the North Carolina Cooperative Extension and the NC Division of Public Health. The program was created to get pre-K children excited about eating smart and moving their little bodies. The curriculum is available online at colormehealthy.com and is designed to stimulate all of the senses: touch, smell, sight, 44 44 || thehealthjournals.com thehealthjournals.com
sound and, of course, taste. Through the use of color, music and exploration, young children learn that healthy food and physical activity are fun. Though it was designed primarily for family day care settings, Head Start classrooms, child care centers serving 4 and 5 year olds, and some kindergarten classrooms also use the program.
family | your health
“
When children get that outdoor time, we see that their behavior and mood improves.”
says. “Burgers will be veggie burgers. Grilled chicken entrees are fresh and antibiotic-free.” There is also a push toward more fresh or frozen fruit offerings over canned fruits with a lot of hidden sugar. “And, of course, the food we provide also has to meet all USDA health requirements,” he says. Once they are fueled up, the children are ready for a variety of fun activities. Outdoor time is a regular component of the
children’s day, whether it’s spent playing on the Center’s playgrounds or taking walks in Colonial Williamsburg. “One thing that sets us apart is our close proximity to Colonial Williamsburg and the William & Mary campus,” Yang says. “When children get that outdoor time, we see that their behavior and mood improves.” There are also special physical-fitness themed days like kite-flying in the spring and sports-themed activities based on current events. Of course, when it rains the teachers plan indoor physical activities for the children. There is even yoga. “Our pre-K kids have yoga once a week and they love that class! The children read a story that
has yoga poses incorporated into it and they act them out,” shares Yang. WCCC has also participated in the Color Me Healthy initiative, a partnership between the North Carolina Cooperative Extension and the NC Division of Public Health. (See sidebar.) “We are always interested in new ways to incorporate fitness and nutrition into our busy day,” Yang says.
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your health | men's health
Top Protein Powders FOR
BULKING UP by Stephen sowulewski
P
rotein is one of three energy nutrients. But unlike carbohydrate and fat, its main purpose is to increase muscle mass while stimulating the body to make muscle protein. One gram of protein has 4 calories and is considered a trendy nutrient in the advent of high-protein, high-fat diets. The Institute of Medicine (IOM) recommends a minimum of 56 grams per day of protein for men. Protein recommendations.
“Protein powders are best recognized as a supplement in the diet, and choosing the right protein powder for you means taking any allergies, intolerances or lifestyle choices into account.”
46 | thehealthjournals.com
Depending on a person’s activity level or health status, for an average healthy, sedentary adult, the recommended dietary allowance (RDA) is 0.8 gram/kg* of body weight in order to preserve and repair tissues. For endurance athletes, the amount is considerably more—1.2-1.7 grams/kg and 1.4-1.8 grams/kg for strength athletes. A 2011 study revealed that for healthy adults, 2 grams/kg is the maximum usable amount of protein. According to Caroline Roessler, R.D., an in-store nutritionist for Martin’s Food Market in Midlothian, “Protein powders are best recognized as a supplement in the diet, and choosing the right protein powder for you means taking any allergies, intolerances or lifestyle choices into account.” For example, if you are vegetarian, then a plant-based powder may be a better choice, and if you are lactose intolerant then you would want to avoid a whey powder, says Roessler. Lastly, Roessler cautions that “while a diet adequate in calories and protein combined with strength training will show results in muscle mass, it is important to remember that too much protein may actually be harmful to our system, by putting increased stress on the kidneys and increasing our calorie and saturated fat intake.”
Men's Health | your health
Whey protein powders. Optimal to consume immediately after a workout as it is rapidly digested. Own Brands
Soy-free plant based protein powders. Easier on the digestive tract and gluten-free and lactose free. Nutiva
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Isolate protein powders. High in protein and the lactose (helpful for lactose intolerance) and fat have been removed. Body Fortress
Protein blend powders. Consists of whey concentrate and isolate and one of the most common versions of whey protein powder because of its cost advantage and purity advantage. EAS Muscle Milk Muscletech
Protein powders
Soy protein powders. Quickly digested and is a good plant-based protein rich in antioxidants. Own Brands
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* To move between kilograms and pounds, 1 kg = 2.2 pounds. Consider the protein intake for a male who weighs 170 lbs. First, convert pounds to kilograms. 170 ÷ 2.2 = 77 kg. Next, multiply 77 by 0.8 g/kg. Thus, this male would consume 62 grams.
your health | women's health
M
isinformation about cervical cancer may be putting women’s lives at risk by fueling their reluctance to talk openly about this preventable disease. “Stigma is a really big problem surrounding cervical cancer and annual Pap smears and the HPV vaccine,” says Denielle Nall, a cervical cancer survivor from Reston. Some of this stigma stems from the fact that most cervical cancers are caused by the human papillomavirus (HPV), which is spread between sexual partners. “Ninety percent of cervical cancers are associated with the HPV virus, which is considered a sexually-transmitted infection. I think that’s where the stigma comes from,” says 48 48| |thehealthjournals.com thehealthjournals.com
Dr. Christopher McCann, a gynecologic oncologist with Bon Secours Gynecologic Oncology Specialists in Newport News. In addition, many of the risk factors for cervical cancer are related to sexual activity, including having many sexual partners, sex at an early age or other sexually transmitted infections. As a result of this stigma, some women may be reluctant to talk to their doctor about their gynecological problems because that may also mean sharing their sexual history.
SURPRISING FACTS OF CERVICAL CANCER
Nall, a wife and mother of twin boys, admits that she may be in the minority when it comes to the stigma of cervical cancer. When she was diagnosed at age 34, she told anyone and everyone about her condition. “I never felt like there should be a stigma or that I should feel ashamed about it, so I count myself as very lucky when it comes to that,” she says. “But I also attribute that to being very educated on the subject.” She is also committed to empowering other women with that kind of knowledge. She is an advocate with Cervivor (cervivor. org), an online community that educates women about cervical cancer, HPV and the vaccines used to prevent HPV infections. When she talks to women in groups or one-on-one, she tries to undo some of the misinformation surrounding cervical cancer, much of which is spread by social media. “I think a lot of people are surprised when they get the facts,” says Nall. One of these facts is that HPV is so common that almost everyone who is sexually active will pick it up at some point in their lives, even those who have only one sexual partner. “People have a misunderstanding that, even though HPV is considered a sexually-transmitted infection, it’s very prevalent,” says
McCann. “And it doesn’t necessarily mean that you have these other risk factors associated with it.”
PREVENTING CERVICAL CANCER
Nall also spreads the word about HPV vaccines, which are safe and effective and can protect women from diseases caused by HPV. These are typically given to girls ages 11 or 12 years. However, even women who have been vaccinated should still have screenings for cervical cancer— a Pap smear and sometimes a newer genetic test for HPV—because the vaccine may not work against all types of HPV. “The reason we do screening is to try to pick up precancerous lesions that can be treated more conservatively,” says McCann, “rather than having a cervical cancer that may require more radical surgery or even chemotherapy and radiation.” Gynecologists now recommend that most women ages 21 to 65 have a Pap smear every three to five years rather than every year. Screening works, but may not catch aggressive, fast-growing cancers, like the type that Nall was diagnosed with. This is why annual gynecology exams are still important. “There are cases where women are screened and still develop a cervical cancer,” says McCann. “But if they are seeing their gynecologist and having exams, then we might still be able to pick even those up.” In addition to regular screenings and annual visits, Nall says that women should be more proactive about their health, something that helped in her case. After being misdiagnosed, she still felt that something wasn’t right. So she returned for her annual gynecology visit a little bit early. This is when her doctor caught the cervical cancer—in time for the cancer treatments to work. “I think being your own advocate and educating yourself and asking those questions of your doctor can really save your life,” says Nall.
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your health | outdoors
Motivation, Not Hibernation DON'T LET THE WINTER DOLDRUMS DERAIL YOUR WORKOUTS by teresa bergan
TRY SOMETHING NEW
An unfamiliar fitness format can shake you out of your winter rut. Curious about Zumba, kickboxing or yoga? “It might be a good time to try something new so you stay excited about your workout,” Webster says.
ACCOUNTABILITY
S
now, cold temperatures and long, dark nights put people into hibernation mode, which can lead to extra pounds and decreased fitness by the time the first crocuses bloom. How can we resist this natural inclination to curl up on the couch rather than going for a run? Don’t give in to inertia, advises personal trainer and wellness coach Brandyn Webster. “I think the more you hibernate, the more you want to hibernate,” she says. “The more you move, the more you want to move.” Webster, who owns training studio Wellfit Richmond, shared tips that keep her clients exercising through winter.
50 | thehealthjournals.com
One of the top reasons people work with a personal trainer is accountability. Setting up—and paying for— training sessions increase follow-through. But even if you don’t have a trainer, you can still work accountability into your workout. If you join a fitness class, soon the instructor and your peers will expect you. Find an exercise buddy and set a fitness schedule together, whether you’re walking outside or going to a gym. “That person is going to help motivate you,” Webster says. If you don’t have any friends who want to exercise with you, peruse a neighborhood association website for workout buddies, running groups or other community exercise options.
SET A GOAL
Webster’s clients set springtime goals to propel them through winter. This could be a fitness goal, such as training for a 10K run, a bike race or a Tough Mudder. Or maybe you want to look and feel terrific for a spring wedding, your 40th birthday or some other big event. “Keep your eye on the prize,” Webster says.
USE YOUR RESOURCES
Many companies now offer free wellness programs, but not all employees take advantage of them. If this resource is available to you, why not set up winter meetings with a wellness coach? A coach can help you set goals and keep you on track.
DECREASE INTENSITY
Seasonal Affective Disorder and winter blues are common maladies this time of year. “If you know that the winter months are tough for you, the goal should be maybe a little less intense,” Webster says. But do keep moving, whether it’s a 30-minute walk outside, doing your yard work or playing with your kids. “Everybody needs fresh air and sunlight to stay rejuvenated,” Webster says.
outdoors | your health
TRY OUT THESE OUTDOOR WINTER ACTIVITIES
Ice Skating
Downhill Skiing
Cross-Country Skiing
GET A TRAINER
Hiring a personal trainer is beyond many people’s budgets. In this case, Webster suggests finding a trainer who will write workouts for you and have monthly check-in calls. This scaled back model is affordable and keeps you accountable.
Snowboarding
Rucking
Snowshoeing
Snow Tubing
Snow hiking
AVOID THE RESOLUTION TRAP
Don’t let your planned New Year’s resolutions keep you from exercising during the holidays. “I think that’s a lot of people’s downfall,” Webster says. “They think, I’ll coast through now, but January 1, I’m on it. Fitness needs to be a yearround thing.”
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aging well | your health
REKINDLING
Romance DATING AGAIN AFTER THE DEATH OF A PARTNER by Susan Smigielski Acker
T
he death of a spouse is painful. For the surviving spouse, life goes on and, in time, this may include dating. Sadie Shefe, Ph.D, LSW and board-certified clinical sexologist with DQS Communications Healthcare Group in Hampton, says most widows and widowers date after the death of a spouse for companionship and fulfillment. Shefe says there is no specific time to grieve before dating again. “Some might be ready after six months while others longer. Grief can come in and out. Usually it is stimulated by something that triggers
52 | thehealthjournals.com
it,” she says. When a surviving spouse starts to date, guilt is not uncommon. They feel they are cheating on their late spouse, Shefe says. “After some time, that changes and they are able to experience the joy of getting to know someone new. But if guilt continues, it is best to take a break and try again later,” she recommends. Shefe emphasizes that widows and widowers view dating as just that, dating, not necessarily choosing a spouse; it is a way to prevent isolation. “And it doesn’t change what they had with their late spouse,” she adds.
When on a date, Shefe says it is all right to mention a late spouse, “Just don’t over do it. And don’t use a date for a therapy session.” Family members may have reservations about the situation, especially if it is a parent who has passed. “If a parent is dating, they are not trying to take away what the other parent meant to the children,” she says. Adult children should realize if their parent has companionship, they will live better and be around for them longer, she adds. When introducing a new partner to the family, Shefe advises it is best to do so gradually. If someone does
your health | aging well
not like the new partner, it is best to address it in a private conversation with the family member. She warns that widows and widowers need to be careful not to move into a relationship quickly. Eve McGrory’s husband, Richard,
“I saw him again and asked him how he would like to celebrate. I was very bold,” she says. They later celebrated over dinner. The pair live separately, but are often seen together and frequently hold hands to express affection. Their activities
And because it was so long, I was able to prepare myself,” McGrory says. Her two grown daughters and grandchildren have fully accepted O’Connor into their family. One daughter lives nearby with her husband and children. They
“I feel life is for the living.” passed away 15 years ago after 45 years of marriage and dating has meant companionship, something she believes is important for a healthy lifestyle. McGrory has been dating Bob O’Connor, who is divorced, for the past year. The pair resides at Westminster-Canterbury on the Chesapeake Bay, an active retirement community in Virginia Beach. They met on the elevator. A month later, McGrory noticed O’Connor’s name in the community’s bulletin birthday list.
together include swimming, walking, playing table tennis and dancing. “We have a lot in common,” she says. When asked about reservations on dating after her husband’s death, McGrory says, “I feel life is for the living.” She says her grief over her husband’s passing was short because he suffered nine years with liver disease and a transplant. “In the end it was a blessing.
frequently have dinner together. “They like him, too” she says. For that O’Connor, who does not have children, is grateful. “I know there could be strong emotions carried into something like this,” he says.
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Financial
fitness QUICK STEPS TO LONG-TERM FINANCIAL HEALTH By Kelsey Hinton
M
ost of our New Year’s resolutions involve physical fitness—eating less and losing some of the weight that crept on over the holidays. Debt, too, is insidious, but we love it; Americans are nearly $12 trillion in debt, according to financial research company NerdWallet. Analogous to physical fitness, financial fitness
Build a safety net Don’t let a broken air conditioner or emergency vet bill derail you financially. Depending on your obligations, such as children and whether your spouse works, aim to save three to six months’ worth of living expenses to cover unexpected expenses. Keep the funds easily accessible in a high-yield savings account.
Prioritize your debt First, set your goal. If you wish to reduce your number of outstanding debts, then minimize payments of higher-balance debts in order to more quickly eliminate lesser debts. If your priority is to pay less interest and you have the patience, tackle high-interest debts first, regardless of their size.
Look at yourself like a creditor Under the Fair and Accurate Credit Transactions Act, consumers have the right to view copies of their credit reports from each of the three major credit-reporting agencies (Experian, Equifax and TransUnion) every 12 months without penalty and free of charge. Credit reports should be monitored regularly for errors and fraudulent activity, so space the three report requests throughout the year to quickly catch and correct any problems. If any
54 | thehealthjournals.com
demands dedication and discipline. There is discomfort and disappointment, temptation, and plenty of opportunities to give up, but a commitment to meaningful changes in your money-management behavior is a priceless investment in your financial future. Here are some pointers to get you started.
erroneous or fraudulent activity occurs, you should immediately report the information to the appropriate credit-reporting agency. Pursuant to the Fair Credit Reporting Act, the agency is required to investigate the complaint within 30 days and correct any inaccurate information based on the findings of its investigation.
Use credit cards wisely The average indebted American household carries $16,000 in credit card debt, according to NerdWallet. Making minimum payments, such a debt would accrue more than $46,000 in interest in the 58 years it would take to pay off.* A balance transfer to a lower-interest card or a card with a zero-percent APR offer can lessen financial strain by reducing or eliminating interest and allowing more time to pay off a debt. Credit cards also can, and should, be used to make money. Credit card rewards, which are becoming increasingly competitive, can add up to hundreds or thousands of dollars in cash and benefits each year for items you were going to purchase regardless. Consider where you spend the most money and shop around for a credit card that fits your spending habits. International travelers can take advantage of cards, like the Chase Sapphire Preferred, which boasts 2x points on travel and has no foreign transaction fee, while families can earn 6 percent and 3 percent cash back on groceries and gas, respectively, with American Express’s Blue Cash Preferred card.
MONEY & YOUR FINANCIAL HEALTH | YOUR HEALTH
your financial health easing your personal finance concerns
Factors to Consider Before Signing a Settlement for Divorce Getting a divorce is stressful. You can hurt yourself financially if you rush through an agreement without giving careful thought
Create a budget Tracking cashflow is a tedious but critical step in reaching financial fitness. If you need help, try an app like Mint, which links to your bank account and organizes expenses into customizable categories that help track where your money is being spent. Once problem areas are identified, create a budget to deter impulsive buying and overspending.
Invest If your employer matches 401 (k) contributions, start there (hello, free money!). If possible, contribute at least as much as your employer matches. Otherwise, opt for an IRA or other tax-advantaged account to maximize longterm tax savings. Talk to a financial professional to determine how best to invest your funds. Note that the terms “financial advisor” and “financial planner” are both generic terms referring to anyone advising on finances in a professional capacity. Be sure your financial planner is certified by the Certified Financial Planner Board of Standards, Inc., which enforces strict ethical standards and ongoing education of its members.
Protect yourself Most of us need some form of insurance. Renters should consider renters insurance, which protects against theft and natural disaster and averages just $15 a month, according to the Independent Insurance Agents and Brokers of America. Those with families should maintain life and disability insurance in the event of death, illness or injury. *Based on 18 percent APR and a minimum payment formula of 2 percent.
to several considerations. Of course your agreement should cover support for your children and you if appropriate, but below are often overlooked areas to think about:
Life Insurance and Long-Term Care Insurance. Consider owning a policy on your former spouse to replace lost spousal or child support or college costs. If you remain single, a long-term care policy could be very important. You and your former spouse may be able to fund a lump sum (hybrid) policy as part of your settlement. College costs. This doesn’t have to be in a separation agreement, but often is when both parties want to help their children pay for college. Set realistic parameters in the event of a job change or loss. Tax deductions for dependents. Make sure your agreement says which spouse can take the annual child tax credit. Some couples rotate the deduction or each take a child on their returns. Pensions and retirement accounts. Understand how much in pensions and retirement assets there are. Many former spouses who have been married for 10 years or more may end up getting half of 401(k)s and guaranteed incomes. Be sure to consult with your attorney to consider all these issues and more. It can be vital to your and your children’s financial health to have a comprehensive plan in place that you can live with as life changes.
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your health | mind matters
M
aybe you’ve been there...you’ve had friends or loved ones who chronically drink a few too many, or who somehow still rely on that pain medication they were given post-surgery—and wasn’t that procedure eight months ago? You’ve heard it before—their plans to kick the habit. This time, they insist, they’ll really do it. But increasingly, you’re concerned about their long-term health, alarmed that their habit seems to dominate their life. And finally, you’ve lost your cool and demanded, “Why can’t you just get your act together and quit?”For observers, it can
N O I ICT
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be tempting to simply attribute such unhealthy habits to some moral failing, some weakness of character. But that explanation, addiction experts say, wouldn’t begin to capture the whole picture. That’s because what you’re witnessing is likely much more than a series of poor choices or weak moments. The situation may be a true battle with addiction, a chemical phenomenon that addictive substances cause in the brain, and depending on how firmly it takes hold, character strengths like willpower can be rendered all but useless.
“DISEASE MODEL” DOESN’T BLAME THE ADDICT As far back as the 1950s, the American Medical Association named addiction a disease, and this so-called “disease model” of addiction, rather than a moral view that blames the addict, is the prevailing view today, according to Rick Gressard, a professor of addictions counseling at The College of William & Mary, with 35 years’ experience in the field. He is also faculty director 56 | thehealthjournals.com
of New Leaf Clinic, a clinic for students at the college with issues related to substance abuse. “Practically speaking,” he says, “the disease model is probably our best way of looking at addiction.” Understanding the mechanism of addiction requires keeping in mind two factors, Gressard says. The first is neuroadaptation, or the adaptability of the brain, which has been shown to be constantly changing and exceedingly adaptable to new circumstances. The second is what is known as the brain’s reward pathway. As a survival mechanism, Gressard says, the brain seems to naturally draw us to substances or activities that help keep us healthy. These trigger the release of dopamine, a chemical neurotransmitter, from a part of the brain stem known as the “pleasure center.” This surge of dopamine creates a feeling of well-being. Dr. John Colaluca, medical director at The Farley Center at Williamsburg Place, which runs both outpatient and residential programs for patients struggling with drug or alcohol abuse, explains it this way: “The aim of the normally functioning human brain is to acquire food, shelter, sex, water, air—all things that, with a certain amount of dopamine release, register as being pleasurable. These things register as good, and for my survival.” What addictive substances do, however, is hijack the brain’s normal reward pathway, also acting on the brain’s pleasure center receptors and creating a comparable jolt of dopamine. The
result? That unhealthy, potentially dangerous substances create an enjoyable feeling that users want to feel as often as possible.
DOPAMINE: THE TRUE ADDICTIVE CHEMICAL That’s why, contrary to the customary thinking about substance abuse, “the main addictive chemical isn’t really the one a person is using,” Colaluca says. “It’s actually dopamine.” All addictive substances—Colaluca names examples such as alcohol, amphetamines, the anti-anxiety medication Xanax, pain medications known as opiates—create this feel-good release of dopamine. And Gressard adds that certain activities, such as gambling and sex, can become addictive because they also produce this effect. And when the brain has increased access to dopamine that outside sources help generate, it gradually adapts, producing less on its own and becoming hungry for the dopamine produced by addictive substances. The result, Gressard says, is that “first you have to keep using a drug to feel good, and then, you have to keep using the drug just to feel normal, and not feel bad. Why do people crave [what they’re addicted to]? Because their brain is screaming, ‘Give me dopamine!’ It’s a vicious cycle.” Most importantly, says Colaluca, substance abuse and its effect on brain chemistry “change the brain’s priority system, and it now becomes
mind matters | your health more important [for example] to acquire heroin, and more important to use heroin, than it is to have a place to live.” An addiction’s chemical takeover of the brain can have powerful ramifications for an addicted person’s behavior and life choices, which will be explored in the continuation of this series in next month’s issue.
For help in the Williamsburg area with substance abuse, contact one of these resources: Bacon Street Youth and Family Services (services for teens and young adults and their families) (757) 253-0111 Colonial Behavioral Health (serving Poquoson, Williamsburg, James City County and York County) (757) 220-3200 The Farley Center at Williamsburg Place (800) 582-6066 New Leaf Clinic (serving students at The College of William & Mary) (757) 221-2363
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Colonial Eye Care
Dr. Bethany Tucker graduated Summa Cum Laude from James Madison University, as the first Junior in the country to be accepted early to an accredited Doctor of Audiology Program. After completing her externship at the Virginia Commonwealth University Medical Center,Dr. Tucker practiced audiology in St. Petersburg, Florida. She joined Colonial Center for Hearing in March 2014. Dr. Tucker is a board-certified audiologist and holds accreditation by the American Speech-LanguageHearing Association. She undergoes extensive new product training on a monthly basis to ensure the highest quality of care provided to her patients. Bethany was born in the Philippines, but raised in the Richmond, Virginia area. After almost 2 years of commuting from Chester, Bethany, her husband Tyson and their German Shepard Tuck have found a home in Williamsburg. In her spare time, Bethany enjoys reading, cooking, running and spending time with family and friends.
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 Center for Hearing
Colonial Eye Care
www.williamsburghears.com
www.colonialeyecare.com
430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004
THERAPEUTIC MASSAGE
5121 Center St., Suite 102 Williamsburg, VA 23188 (757) 903-2633
FOOT & ANKLE Paul Maloof, M.D.
Tom Batir Russian Therapeutic & Sports Massage Tom Batir is a certified massage therapist with a vast knowledge of Russian therapeutic and sport massage, having been a massage therapist in his native country. He attended Soma Institute of Clinical Massage in Chicago, Illinois, thereafter working with chiropractors and physical therapists before moving to Williamsburg, Virginia. He is accredited by the National Certification Board for Therapeutic Massage & Bodywork. Batir is an expert in pain management and recovery specializing in therapeutic massage, deep tissue, myofascial, trigger point release, sports and Swedish massage.
Tidewater Ortho Dr. Paul Maloof, originally from Bergen County, New Jersey, began his path to becoming an orthopaedic surgeon at Tufts University where he did his undergraduate work. After spending three years in Steamboat Springs, Colorado, Dr. Maloof attended New Jersey Medical School for medical school and his residency, where he served as administrative chief resident in one of the busiest level one trauma centers on the east coast. He completed his fellowship training in Foot & Ankle Surgery at Duke University, a known pioneer in ankle replacement surgery. He brings this procedure to Hampton Roads along with numerous other cutting edge treatments for various foot and ankle disorders. Dr. Maloof lives with his young family in Williamsburg where he hopes to pursue his passion for playing golf.
Tidewater Ortho Russian Therapeutic & Sports Massage
5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188
1761 Jamestown Road, Suite 103 A Williamsburg, VA 23185 (434) 229-1855
901 Enterprise Parkway, Suite 900 Hampton, VA 23666
www.russiantherapeuticsportsmassage.com
www.tidewaterortho.com
(757) 637-7008
NEUROLOGY Patricia Mayes, M.D. TPMG Neurology Patricia Mayes, M.D. received her medical degree from Universidade Federal Do Espírito Santo. She completed a residency in neurology at SUNY Upstate Medical University and a fellowship in neurophysiology at Medical College of Virginia and Virginia Commonwealth University. Dr. Mayes is board-certified by the American Board of Psychiatry and Neurology. She comes from a family of physicians, including her father. She believes in instilling a serious approach to medicine with a blend of her sense of humor, which allows for a more comfortable environment for patients and their families. Originally from Vitória, Espírito Santo, Brazil, Dr. Mayes speaks both Portuguese and Spanish. She enjoys spending time with her family and the flair of a small town atmosphere. Dr. Mayes is a member of the American Academy of Neurology, American Medical Association, Medical Society of Virginia, Williamsburg and James City County Medical Society and American Headache Society. TPMG welcomed Dr. Mayes, and the addition of neurology services at West Point Family Medicine, in October 2015. TPMG Neurology
408 16th Street West Point, VA 23181 (804) 843-3131 www.mytpmg.com
AUDIOLOGY Cindi Sanders, Au.D, CCC-A TPMG Williamsburg Audiology Dr. Cindi Sanders graduated from West Virginia University, earned her master’s degree at Western Michigan University and her doctorate from A.T. Still University. She holds her certificate of clinical competence in audiology, is a member of the American Academy of Audiology and the American Speech and Hearing Association. Dr. Sanders has been providing audiology services to patients in Williamsburg and the surrounding area for over 15 years. She has over 20 years’ experience in adult and pediatric diagnostic audiology services and extensive experience fitting and dispensing the latest digital hearing aids. Her commitment to excellence in all aspects of patient care is evident and her motto has always remained to work hard, offer the very best to her patients and do what it takes to help them hear better.
New Location TPMG Williamsburg Audiology Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 205 Williamsburg, VA 23188 (757) 707-3517 www.mytpmg.com
PEDIATRIC DENTISTRY Rana GrahamMontaque, D.D.S., M.S., M.S.D. Pediatric Dental Specialists of Williamsburg A native of West Point, Virginia, Dr. Rana GrahamMontaque has returned home to serve the area’s youth and patients with special needs by providing specialty care. She completed her undergraduate and master’s degree at Hampton University. She graduated from VCU/MCVs School of Dentistry in 2006. After practicing in private practice and public health, Dr. Graham-Montaque returned to VCU to complete a residency in pediatric dentistry, where she was awarded an additional master’s degree. As Williamsburg’s full-service pediatric dental practice, she provides one-year-old first dental visits, oral sedation, nitrous oxide, dental trauma management, growth and development checkups as well as general anesthesia cases at a local hospital. She is a member of the American Academy of Pediatric Dentistry and the American Dental Association. She was awarded the public service award at VCU School of Dentistry. She serves as adjunct faculty in the dental programs at VCU and TNCC. She establishes a “dental home” for patients by reaching them by age one. Dr. Graham-Mantaque is board certified.
BEAUTY & AESTHETICS Steven C. Mares, M.D. Erase the Canvas, LLC 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.
Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg, VA 23188 (757) 903-4525
Erase the Canvas, LLC 304 Bulifants Blvd, Suite 201 Williamsburg, VA (757) 532-9390
www.williamsburgpediatricdentist.com
www.erasethecanvas.com
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 Hampton 3000 Coliseum Dr., Ste. 104 Hampton, VA 23666 www.virginiacancer.com
DENTISTRY Aubrey Myers, D.D.S. Williamsburg Center for Dental Health Dr. Aubrey Myers brings over 17 years of experience to the Williamsburg Center for Dental Health team. She received her Doctorate of Dental Surgery from Louisiana State University School of Dentistry in New Orleans in 1998 and has an extensive dental background comprised of practicing for more than 10 years throughout the Southeast as well as proudly serving for five years as a Dental Officer in the Navy, two of which were aboard the USS Theodore Roosevelt. Dr. Myers is a member of the Academy of General Dentistry, American Academy of Cosmetic Dentistry and The Dawson Alumni Association. She was past president of the Portsmouth-Suffolk Dental Study Club and is now a participating member of the Tidewater Dawson Study Club. Dr. Myers, and her husband and son, enjoy spending time together with family and friends. Her other interests outside of the office include acrylic painting, physical fitness, fishing and travel. Williamsburg Center for Dental Health 5231 Monticello Ave., Suite E Williamsburg, VA 23188 (757) 565-6303
www.williamsburgdentalhealth.com
PSYCHIATRY 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.
Vijay Subramaniam, M.D.
Pelin Duzenli, M.D. TPMG Chessen Behavioral Health Dr. Pelin Duzenli earned her medical degree at Uludag University, Bursa, Turkey and completed her postgraduate training in behavioral medicine and psychiatry at Charleston Area Medical Center (CAMC) of West Virginia University, Charleston, WV. Dr. Duzenli is a member of the American Medical Association, American Psychiatric Association and Turkish Medical Association. Dr. Duzenli brings with her a wealth of knowledge and experience as a general practitioner, research associate and coordinator, international patient liaison and clinical observer. She has a multi-cultural and bilingual skill set acquired through years of service, and offers her adult and adolescent patients exceptional care and absolute professionalism. Dr. Duzenli joined TPMG Chessen Behavioral Health on August 3, 2015 and welcomes new patients to reserve an appointment with her.
TPMG Chessen Behavioral Health 12420 Warwick Boulevard, Bldg. 7, Suite C Newport News, VA 23606 (757) 595-3900 www.mytpmg.com
TPMG Lung Specialist of Williamsburg Vijay Subramaniam, M.D. was born in Pune, India, and moved with his parents to the United States where he grew up in Logan, West Virginia. After graduating college, he traveled back to India to attend Mahadevappa Rampure Medical College and joined Overlook Hospital in Summit, New Jersey, where he completed his internship in internal medicine. He completed his residency at Mercy Hospital of Pittsburgh, Pennsylvania and an additional three years as a pulmonary and critical care fellow at Allegheny General Hospital in Pittsburgh. Dr. Subramaniam is board-certified in critical care medicine, pulmonary medicine and internal medicine. He is proficient with advance diagnostic techniques, including bronchoscopy and endobronchial ultrasound.
Now Open in Newport News TPMG Lung Specialist of Williamsburg 860 Omni Boulevard, Suite 114 Newport News, VA 23606 (757) 707-3999 121 Bulifants Boulevard, Suite A Williamsburg, VA 23188 (757) 707-3999 www.mytpmg.com
BEAUTY & AESTHETICS Steven C. Mares, M.D. Erase the Canvas, LLC
58 | thehealthjournals.com
PULMONOLOGY
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
HAND SURGERY
PHYSICAL THERAPY Dominion Physical Therapy & Associates, Inc.
Tidewater Ortho
Tidewater Ortho
901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 637-7016 www.tidewaterortho.com
FOOT & ANKLE Paul Maloof, M.D. Tidewater Ortho Dr. Paul Maloof, originally from Bergen County, New Jersey, began his path to becoming an orthopaedic surgeon at Tufts University where he did his undergraduate work. After spending three years in Steamboat Springs, Colorado, Dr. Maloof attended New Jersey Medical School for medical school and his residency, where he served as administrative chief resident in one of the busiest level one trauma centers on the east coast. He completed his fellowship training in Foot & Ankle Surgery at Duke University, a known pioneer in ankle replacement surgery. He brings this procedure to Hampton Roads along with numerous other cutting edge treatments for various foot and ankle disorders. Dr. Maloof lives with his young family in Williamsburg where he hopes to pursue his passion for playing golf.
Tidewater Ortho
5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 637-7008 www.tidewaterortho.com
Tanja Nunnold, P.A.
Allen R. Jones Jr., D.P.T., P.T.
Nicholas A. Smerlis, M.D. Dr. Smerlis, an expert in the field of hand surgery, joined Tidewater Ortho in 2007 after completing his fellowship training in hand surgery at Wake Forest University. Prior to his fellowship experience, Dr. Smerlis attended University of Rochester School of Medicine and Dentistry for his residency and internship and the University of Maryland for medical school. Upon completion of fellowship training, he moved his family to Hampton Roads to join Tidewater Ortho to build a subspecialty practice in hand surgery. Tidewater Ortho serves the Peninsula with the only two boardcertified orthopaedic surgeons with further subspecialty certification in hand surgery. The hand specialists at Tidewater Ortho rely on the knowledge, training and skill of the board certified hand therapists who complete the team at Tidewater Ortho. Dr. Smerlis takes his patients to the only dedicated orthopaedic outpatient surgery center in the region, the CarePlex Orthopaedic Ambulatory Surgery Center, when performing surgery.
DERMATOLOGY
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
COSMETIC DENTAL
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
PERSONAL TRAINING Brian Cole, CPFT, CMT
Lisa Marie Samaha, D.D.S.
Personal Training Associates
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
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. 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 (757) 599-5999 www.briancoleandassociates.com
STAYING WELL | ONE LAST THOUGHT
Confessions
OF A GYM RAT By Alexis Perkins
A
s a fitness instructor, I cannot begin to tell you how many hours of my life have been spent in the gym. So as we step into another year, I thought it would be fun to explore the most common rants about gym life. For someone just beginning his or her fitness journey, this can give some insight on what to expect. And for those who are all too familiar with what occurs at the gym, this can offer perspective on how to improve gym etiquette. I recently took a poll and these were the Top 5 Gym Rants:
5. LOUD GRUNTS “I once heard a guy weightlifting and he was grunting quite loudly and saying the name Ashley over and over again…weird.” The sounds, oh, the sounds. As much as people can’t stand the groans of men and women on the workout floor, the truth is that it is the body’s natural reaction when exerting energy. So unfortunately, my only suggestion is to pump up the volume on those headphones.
4. FLATULENCE “I don’t know what it is, but as soon as I get to the gym, I somehow have the worse case of gas. I try to walk away, but when you’re in a gym full of people where do you go?” I have to admit this one made me laugh. It also brought me to the conclusion that while at the gym, you’re either walking into someone else’s gas or releasing your own. “After a set of my chest workout, I sneezed and farted at the same time. I don’t think anyone heard, but it had to have been my protein shake.” Your body is always working on the inside and, while exercising, your body is digesting everything in an attempt to use it as fuel. This just happens to result in an occasional fart or two.
3. NUDITY “I understand there are showers, but grab a towel if you’re going to hang out a while and talk.” The gym is definitely a place with a very different standard of openness. You can expect to see people walk
around nude in the locker rooms and look you dead in the eye to start a conversation. Solution? Brace yourself for the people who may pass in the buff and when talking to others, try to cover up your privates.
2. SWEATY EQUIPMENT “I don’t want to lay on a bench that is covered in your nasty butt sweat!” It is courteous to wipe down your equipment when finished, but I challenge us all to change that idea to wiping it down before you get on it. I think it is more proficient to make sure the equipment is clean by doing it yourself. It is not uncommon for people to go from wiping their bums, and without washing their hands, go straight to using the equipment. So please, wipe it down before you use it.
1. BODY ODOR “Please wash it before you shake it!” Body odor complaints by far outweighed everything else. But it seems as though the biggest complaint was people coming to the gym musty before their workout has even begun! “When the person next to you in class is musty and the move require you to lift your arms!” My suggestion? Be prepared for the funk of other people at the gym. For personal improvement, keep a gym bag packed that contains items to freshen up with. Covering up with perfume does not work. Instead, keep a washcloth, dry towel, soap and deodorant with you.
Alexis Perkins is a zumba instructor and co-producer/ lead instructor for Cox 11’s Fuzion Fitness Follow Alexis on Facebook at: Facebook.com/BodyByAlexisPerkins 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
Williamsburg Plastic Surgery
Riverside Family Practice & Extended Care
Toll-Free: (800) 222-1222
ADDICTION TREATMENT
DENTISTRY
ALLERGY & ENT Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722
11842 Rock Landing Drive, Suite 100 Newport News (757) 873-0338 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500
Riverside Ear, Nose & Throat Physicians & Surgeons 120 Kings Way, Suite 2900 Williamsburg (757) 345-2600
895 Middle Ground Blvd., Suite 152 Newport News (757) 599-5505 7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478
AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004
BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place
5483 Mooretown Road Williamsburg (800) 582-6066
CARDIOLOGY Riverside Cardiovascular Health
117 Bulifants Blvd., Suite B Williamsburg (757) 259-9540
CHIROPRACTIC & ACUPUNCTURE Integrative Chiropractic, Acupuncture & Laser
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
120 Kings Way, Suite 2550 Williamsburg (757) 534-5909
FAMILY PRACTICE
Poison Control Center
5477 Mooretown Road Williamsburg (877) 389-4968
Riverside Endocrinology & Diabetes Center
120 Kings Way, Suite 2550 Williamsburg (757) 345-3064
333 McLaws Circle Williamsburg (757) 345-2275
The Farley Center
ENDOCRINOLOGY
New Town Dental Arts Sebastiana G. Springmann, D.D.S
4939 Courthouse Street Williamsburg (757) 259-0741
WILLIAMSBURG CENTER FOR DENTAL HEALTH Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Ste. E Williamsburg (757) 565-6303
Wyatt Orthodontics
Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-9108 12528 Warwick Blvd. F Newport News 757-595-7990
Historic Triangle Dental Care Michael J. Whyte, DDS 134 Professional Circle Williamsburg (757) 903-2527
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
DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444
Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000
Western Tidewater Free Clinic
2019 Meade Parkway Suffolk (757) 923-1060
GASTROENTEROLOGY Colonial Gastroenterology 400 Sentara Circle, Suite 103 Williamsburg (757) 534-7701
5231 John Tyer Highway Williamsburg (757) 220-8300
11803 Jefferson Ave., Suite 230 Newport News (757) 534-7701
Riverside Norge Internal Medicine & Pediatrics Center
Digestive Disease Center of Virginia, PC
7364 Richmond Road Williamsburg (757) 345-0011
Riverside Williamsburg Family Medicine
120 Kings Way, Suite 1400 Williamsburg (757) 345-2555
FITNESS B-defined Innovative Personal Training & Wellness 4801 Courthouse St., Ste. 122 Williamsburg (757) 345-6801
Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Ste. 104 Williamsburg (757) 206-1190
Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2600 Williamsburg (757) 345-0141
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
Chesapeake Care
Spa of Colonial Williamsburg
The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060
H.E.L.P. Free Clinic
1320 LaSalle Ave. Hampton (757) 727-2577
H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577
Lackey Free Clinic
1620 Old Williamsburg Road Yorktown (757) 886-0608
Olde Towne Medical and Dental Center
5249 Olde Towne Road Williamsburg (757) 259-3258
Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132
Bon Secours Surgery Center at Harbour View
5818 Harbour View Blvd., Ste. 102 Suffolk (757) 215-0499
Children’s Hospital of The King’s Daughters
3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601 2145 South Military Highway Chesapeake (757) 545-5700
5818 Harbour View Blvd. Suffolk (757) 673-5800
GENERAL SURGERY
Brain Injury Law Center
Beach Health Clinic
Bon Secours Health Center at Harbour View
736 Battlefield Blvd. North Chesapeake (757) 312-8121
FREE CLINICS
7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700
3636 High St. Portsmouth (757) 398-2200
457 McLaws Circle, Suite 1 Williamsburg (757) 221-0750
HEALTH CARE ATTORNEYS
Angels of Mercy Medical Clinic
Bon Secours Maryview Medical Center
Chesapeake Regional Medical Center
301-A Village Ave. Yorktown (757) 585-3441
606 West 29th St. Norfolk (757) 446-7756
Granby St. & Kingsley Lane Norfolk (757) 889-5310
Riverside Williamsburg Gastroenterology
LWell - Longevity Wellness
American Red Cross Adult Dental Clinic
Bon Secours DePaul Medical Center
307 South England Street Williamsburg (757) 220-7720
HERNIA SPECIALISTS The Hernia Center at Mary Immaculate Hospital
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
860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077
Sentara Leigh Hospital
HOME CARE Agapé Home Care
Sentara Norfolk General Hospital
Visiting Angels
Sentara Obici Hospital
350 McLaws Circle, Suite 2 Williamsburg (757) 229-6115 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
830 Kempsville Road Norfolk (757) 261-6000
600 Gresham Drive Norfolk (757) 388-3000 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
STAYING WELL | HEALTH DIRECTORY Sentara Virginia Beach General Hospital
1060 First Colonial Road Virginia Beach (757) 395-8000
Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000
MASSAGE THERAPY Beauty Therapy By Iza 161-C John Jefferson Rd. Williamsburg, VA 23185 (757) 634-4004
Massage By David
David Presnesll, CMT Yorktown/Newport News/ Williamsburg (860) 449-3156
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
The Arthritis Foundation
260 Grayson Road Virginia Beach (757) 321-2223
Avalon: A Center for Women & Children
Lee’s Friends: Helping People Live with Cancer
Williamsburg (757) 258-9362
AWARE Worldwide, Inc.
6350 Center Drive, Bldg. 5, Ste. 228 Norfolk (757) 965-8373
Beacon House Clubhouse for Brain Injury Survivors
Leukemia & Lymphoma Society 6350 Center Drive, Suite 216 Norfolk (757) 459-4670
National MS Society
760 Lynnhaven Parkway., Suite 201 Virginia Beach (757) 490-9627
Beyond Boobs! Inc.
The Needs Network, Inc.
1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649
9905 Warwick Blvd. Newport News (757) 251-0600
Cancer Care Foundation of Tidewater
National Alliance on Mental Illness-Williamsburg Area
5900 Lake Wright Drive Norfolk (757) 461-8488
P.O. Box 89 Williamsburg (757) 220-8535
Center for Excellence in Aging & Lifelong Health
National Alliance on Mental Illness-Norfolk
3901 Treyburn Drive, Suite 100 Williamsburg (757) 220-4751
Contact Marylin Copeland Norfolk (757) 375-5298
CHEAR, Inc. c/o Department of Otolaryngology, EVMS
Norfolk Community Services Board
600 Gresham Drive, Suite 1100 Norfolk (757) 388-6229
229 W. Olney Road, Room 1 Norfolk (757) 664-6670
Child Development Resources
Peninsula Agency on Aging
150 Point O’ Woods Road Norge (757) 566-3300
739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541
Citizens’ Committee to Protect the Elderly
312 Waller Mill Road, Suite 105 Williamsburg (757) 345-6277
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
870 Greenbrier Circle, Ste. 404 Chesapeake (757) 424-6662
516 London St. Portsmouth (757) 967-9251
American Heart Association
Endependence Center, Inc.
500 Plume St. East, Suite 110 Norfolk (757) 628-2610
6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007
American Parkinson’s Disease Association
Faith in Action
American Red Cross
7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501
3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222
American Diabetes Association
4560 Princess Anne Road Virginia Beach (757) 495-3062
Jewish Family Service
2201 W. Broad St., Suite 100 Richmond (804) 359-1700
Peninsula Institute for Community Health
1033 28th St. Newport News (757) 591-0643
P.O. Box 561 Hampton (757) 727-0651
Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771
Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386
RSVP: Retired Senior Volunteers
St. Mary’s Home for Disabled Children
2401 Aluminum Ave. Hampton (757) 596-7188
6171 Kempsville Circle Norfolk (757) 622-2208
3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228
Food Bank of SEVA
The Sarah Bonwell Hudgins Foundation
The Arc of Greater Williamsburg
202 Packets Court Williamsburg (757) 229-0643
62 | thehealthjournals.com
Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220
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
1 Singleton Drive Hampton (757) 827-8757
Senior Center of York
5314 George Washington Hwy. Yorktown (757) 898-3807
Susan G. Komen Tidewater 420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794
ORTHODONTICS Wyatt Orthodontics
Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-9108 12528 Warwick Blvd. F Newport News 757-595-7990
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
1115 Professional Drive Williamsburg (757) 253-5653
850 Enterprise Parkway, Suite 2000 Hampton (757) 234-7882
ONCOLOGY
Tidewater Orthopaedic Associates
Riverside Peninsula Cancer Institute
120 Kings Way, Suite 3100 Williamsburg (757) 345-5724 12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555
Protect Our Kids
Food Bank of the Virginia Peninsula
801 Boush St., Suite 302 Norfolk (757) 625-6161
The Up Center
1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400
12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037
Hope House Foundation
5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264
Virginia Oncology Associates
707 Gum Rock Court Newport News (757) 873-2273
1323 W. Pembroke Ave. Hampton (757) 838-7320
6912 George Washington Memorial Highway Yorktown (757) 898-3090
739 Thimble Shoals Blvd., Suite 400 Newport News (757) 873-9328
Peninsula Pastoral Counseling Center
354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890
800 Tidewater Drive Norfolk (757) 627-6599
United Way
3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400
500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403 1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437 5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 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
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
HEALTH DIRECTORY | STAYING WELL 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651 1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 828 Healthy Way Virginia Beach (757) 463-2540 1817 Laskin Road, Ste. 100 Virginia Beach (757) 437-0471 1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060 101 Long Green Blvd. Yorktown (757) 952-1900
Dominion Physical Therapy & Associates, Inc.
Hampton Roads Orthopaedics & Sports Medicine
730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554
2106 Executive Drive Hampton (757) 838-6678
2695 McManus Blvd., Building 6, Suite B Newport News (757) 223-5612
500 Rodman Ave., Suite 4 Portsmouth (757) 393-6119
751 J. Clyde Morris Blvd. Newport News (757) 873-2123
WEIGHT LOSS Riverside Weight Loss Specialists
850 Enterprise Parkway, Suite 1300 Hampton (757) 637-7637
1745 Camelot Drive, Ste. 100 Virginia Beach (757) 961-4800
4740 George Washington Memorial Highway Yorktown (757) 890-6339
4020 Raintree Road, Suite D Chesapeake (757) 484-4241
12997 Warwick Blvd. Newport News (757) 369-9446
135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512
3321 West Mercury Blvd. Hampton (757) 224-0056
927 N. Battlefield Blvd., Ste. 200 Chesapeake (757) 436.3350
Riverside Williamsburg Family Practice & Extended Care 5231 John Tyler Highway Williamsburg (757) 220-8300
UROLOGY
1580 Armory Drive, Ste. B Franklin (757) 562-0990
156-B Strawberry Plains Road Williamsburg (757) 565-3400
Williamsburg Neurology and Sleep Disorders Center
156-A Strawberry Plains Road Williamsburg (757) 229-7939
120 Monticello Ave. Williamsburg (757) 564-3627
6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890
12655 Warwick Blvd., Suite B Newport News (757) 599-5551
Riverside Peninsula Vascular Surgery
MD Express
100 Winters St., Ste. 106 West Point (757) 843-9033
Tidewater Physical Therapy
Pulmonary & Sleep Consultants of Williamsburg
URGENT CARE
2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316
5208 Monticello Ave. Williamsburg (757) 206-1004
VASCULAR SURGERY
120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
204 Gumwood Drive Smithfield (757) 357-7762
901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480
466 Denbigh Blvd. Newport News (757) 875-0861
5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700
2007 Meade Pkwy. Suffolk (757) 539-6300
Tidewater Orthopaedic Associates
SLEEP MEDICINE
120 Kings Way, Suite 2200 Williamsburg (757) 645-3460
7190 Chapman Drive Hayes (804) 642-3028
250 Nat Turner Blvd. Newport News (757) 596-1900
9 Manhattan Square, Suite B Hampton (757) 825-3400
301 Riverview Ave. Norfolk (757) 963-5588
6970 Fox Hunt Lane, Gloucester (804) 694-8111
Orthopaedic & Spine Center Physical Therapy
304 Marcella Road, Suite E Hampton (757) 825-9446
729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932
4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383
Riverside Hampton Roads Urology
7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753
120 Kings Way, Suite 3200 Williamsburg (757) 253-0051
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TIDEWATER ORTHOPAEDICS IS GROWING AGAIN IN BOTH HAMPTON AND WILLIAMSBURG LOCATIONS.
The largest independent orthopaedic group on the Peninsula has the following openings:
• CERTIFIED MEDICAL ASSISTANTS • BILLING SPECIALISTS • APPOINTMENT SCHEDULERS Entry level and advanced positions available. Full time hours; no nights or weekends; benefits package.
PLEASE BRING YOUR RESUME AND BE READY TO INTERVIEW! SATURDAY, JANUARY 30 9:00 AM – 12:00 PM 901 Enterprise Pkwy, Ste 900 Hampton, VA
For JOB FAIR Information Call
757-827-2480 EXT. 332
TIDEWATER ORTHOPAEDICS Serving all of your orthopaedic needs from hip & knee replacements to problems with spine, shoulders, hands, foot & ankle, and sports medicine.
Colin M. Kingston, MD Robert M. Campolattaro, MD Michael E. Higgins, MD Nicholas A. Smerlis, MD Nicholas K. Sablan, MD Paul B. Maloof, MD
Loel Z. Payne, MD John J. McCarthy III, MD Jonathan R. Mason, MD Amanda K. Watkins, PA-C Gabrielle Lanzetta, PA-C
Williamsburg | 5208 Monticello Avenue, Suite 180 | Williamsburg, VA 23188 Hampton | 901 Enterprise Parkway, Suite 900 | Hampton, VA 23666 www.tidewaterortho.com
Your Health Health Care Your Care Team Team in Williamsburg Williamsburg in Available When
Available When You Need Care You Need Care Enjoy same day or next day Enjoy same dayator next day appointments each practice. appointments at each practice.
Online Access
Online Securely reviewAccess your personal Securely review personal health record, your test results, health test results, requestrecord, appointments and email yourappointments Riverside physician. request and email your Riverside physician.
Medicare Always Welcome Medicare Welcome PhysiciansAlways who warmly Physicians who warmly welcome patients of any age, welcome patients of any age, including those with Medicare.
including those with Medicare.
Call 757-941-4849 to schedule your appointment
Call 757-941-4849 to schedule your appointment www.riversideonline.com Riverside Norge Internal Medicine & Pediatrics Riverside Norge Internal 7364 Richmond Road Medicine & Pediatrics Dr. Catherine Davies
7364 Richmond Road Dr. Catherine Davies
www.riversideonline.com
Riverside Williamsburg Family Medicine Riverside 120 Kings Williamsburg Way, Suite 1400 Family Medicine Dr. Richard Bagnall 120 Kings Way, Mohsin Suite 1400 Dr. Sheba Dr.Richard Daniel Muench Dr. Bagnall
Riverside Family Practice & Extended Care Riverside Practice 5231 JohnFamily Tyler Highway & Extended Care Dr. Johanna Larrazabal 5231 JohnScott-Brown Tyler Highway Dr. Itrish Suzanne Robinson, N.P. Dr. Johanna Larrazabal
Dr. Sheba Mohsin Dr. Daniel Muench
Dr. Itrish Scott-Brown Suzanne Robinson, N.P.
Riverside Partners in Women’s Health 120 Riverside Kings Way, Partners Suite 3400in Women’s Health Dr. Krystal Ainsley
120 Kings Way, Suite 3400 Dr. Krystal Ainsley
Your doctors. Your facilities. Our commitment to Williamsburg.