The Health Journal - June 2016

JUNE 2016 | THEHEALTHJOURNALS.COM

2016 SU M M E R

H A M P TO N ROA D S

Festival Guide the truth ab

out

ADHD

in adults

PERMIT # 38

WILLIAMSBURG, VA

WILLIAMSBURG EDITION

helping troubled youth with

gardening restoration

helpful tips for

summeR camps

or

safety tips f

open watnegr swimmi

Join us for this month’s

BUSINESS CONNECTION AFTER HOURS

Thursday, June 16, 2016 5:00 PM - 7:00 PM

Connecting business with

OPPORTUNITY

Tidewater Physical Therapy, Inc. and The Health Journal Join together for this month’s Business Connection After Hours.

Tidewater Physical Therapy—Oyster Point and Performance Center 751 J. Clyde Morris Blvd. • Newport News, VA 23601 Register online at vapeninsulachamber.com For more information, contact Jackie Shapiro at jshapiro@vpcc.org or call 757-325-8162 Food provided by:

Pick up a FREE CHESAPEAKE Anytime Fitness Barnes & Noble –Starbucks Cafe Bobby’s BBQ and Country Buffet Bon Secours In Motion Physical Therapy - Greenbrier Bon Secours Western Branch Family Practice Chanellos Pizza – Volvo Parkway Chesapeake Community Centers Chilled Ponds Skating Rink Coastal Vision Davita Golf Headquarters Great Clips Greenbrier Dental Center Greenbrier North YMCA Greenbrier Public Library Greenbrier YMCA Imaging Services (TPMG) Indian River Family Practice (TPMG) Internists at Western Branch Michelle T. Curry Dentistry MRI-CT Diagnostics Natural Elements Spa NowCare Urgent Care OneLife Fitness - Greenbrier OneLife Fitness- Western Branch Patient First Taylor Road Medical Center Reach Orthotics Russell Memorial Library Sage Organics Sentara Greenbrier HealthPlex Sentara Internal Medicine Specialists The Spine Center At Chesapeake Sports Clips - Greenbrier Starbucks at Chesapeake Square Subway Restaurant Sweet Frog Frozen Yogurt - Volvo Pkwy Taylor Bend YMCA The Skinny Dip Tidewater Kidney Associates Tidewater Medical Center - Greenbrier Family Practice Tidewater Physical Therapy - Western Branch Tidewater Sports & Osteopathic Medicine Virginia Oncology Associates Walgreens – select locations Western Branch Family Practice Y-NOT Pizza Yoga Nook (Knell’s Ridge Commons) Your Time 24-Hour Gym -Chesapeake Square HAMPTON Anytime Fitness Associates In Dermatology Bayview Chiropractic Clinic Center for Women’s Health CHKD Health Center Coliseum Park Nursing Home Dental Care of Hampton Dominion Physical Therapy Farm Fresh – select locations GNC – select locations Hampton City Schools Building Hampton Family Medicine Hampton Family Practice Hampton Family YMCA Hampton Health Mart Pharmacy Hampton Professional Park Hampton University / School of Nursing Hampton University Proton Therapy Hampton-Newport News Community Services Board Jen Care Neighborhood Medical Center M.D. Express Urgent Care Mercury West Discount Pharmacy Panera Bread – select locations Patient Advocate Foundation

Peninsula Town Center - Claiborne Building Riverside Behavioral Health Riverside Healthcare Center Riverside Medical Care Center -Mercury West Riverside PACE Sentara Careplex Hospital Sentara Family Medicine Physicians Spine Center of Tidewater Subway – select locations Thomas Nelson Community College Tidewater Chiropractic Tidewater Physical Therapy – select locations Tropical Smoothie Café - Hampton University Shoppes VA Peninsula Food Bank Virginia Peninsula Chamber of Commerce Walgreen’s Pharmacy – select locations NEWPORT NEWS & YORKTOWN Allergy & Asthma of Oyster Point Anytime Fitness Aromas Coffeehouse Back In Action Chiropractic Benjamin T. Watson, DDS Bike Beat Body by D Gym Bon Secours Mary Immaculate Hospital Breast Diagnostic Center Center for Women’s Health CHKD Surgery Center Colonial Foot Care Colonial Gastroenterology Community Free Clinic Concordia Private Care Crunch Fitness Denbigh Family Medicine Denbigh Pharmacy Dominion Pediatric Therapy Dominion Physical Therapy Dorothy G. Hoefer Breast Center Dr. L.P. Graham Family Dentistry Farm Fresh – select locations GNC – select locations Grafton Family Medicine Grafton Smile Care Granma T’s Holistic Health Center Grissom Library Hair Cuttery – select locations Hampton Roads ENT Associates Hampton Roads Neurology Center Hampton Roads Surgical Specialists Hampton Roads Urology Health Haven Health Trail Natural Foods Heartland Hospice Hi-Ho Silver – City Center Hidenwood Family Medicine Hidenwood Pharmacy HighLiner Foods Hot Yoga & Massage Studio Infectious Disease Associates James River Eye Physicians James River Family Practice K.E. Neill Dentistry Kelly’s Tavern – Port Warwick Kiln Creek Family Medicine LWell – Kiln Creek M.D. Express Urgent Care – all locations Maico Audiological Services Main Street Library Manadero Chiropractic Martin Dentistry Martin J. Menges, Jr., D.D.S. Med Emporium Med Point Urgent Care Mennowood Retirement Community My Gym Newport News Family YMCA

copy of The Health Journal at any of these Hampton Roads locations.

Newport News Public Schools - Human Resources OneLife Fitness OSC- Orthopaedic Spine Center Oyster Point Dermatology Oyster Point Family Practice Panera Bread - CNU Campus Shops Pariser Dermatology Patrick Henry Family Medicine Patrick R. Wyatt D.D.S. Orthodontics Peninsula Cancer Institute Peninsula Gastroenterology Peninsula Health Center Plastic Surgery Center of Hampton Roads Point 2 Running Company Port Warwick Dental Arts Port Warwick Internal Medicine Port Warwick Medical Associates PT Now Reach Orthotics Rite Aid Pharmacy – select locations Riverside Diagnostic Center Riverside Peninsula Surgery Center Riverside Regional Medical Center Riverside Rehabilitation Institute Riverside Rheumatology Riverside Wellness & Fitness Centers Riverside Women’s Healthcare Riverside York Healthcare Center -Patriot Primary Care Riverside-Commonwealth Family Practice Riverside-Warwick Primary Care Roberts Home Medical Rubenstein Orthodontics Salad Creations Schlotzky’s Deli – Port Warwick Sentara Port Warwick Shane’s Salon & Day Spa Snap Fitness Starbucks Coffee (Grafton Shoppes) Stonybrook Family Practice Stonybrook Physicians & Pediatrics Subway – select locations Subway - CNU Campus Shops Subway - Mary Immaculate Suntrust Mortgage Supercuts – select locations Surgical Oncology Associates Sweet Frog – select locations Tabb Family Dentistry Ted Blaney DMD Family Dentistry The Achievable Dream Schools The Caring Dentist The Chesapeake The Fresh Market – Oyster Point The Healing Place The Hidenwood The Vitamin Shoppe – Oyster Point Tidewater Physical Therapy Today’s Dentist Total Fitness Towne Bank - Port Warwick TPMG –Tidewater Medical Center TPMG Chessen Behavioral Health TPMG Endocrinology TPMG Hospitalist Division -Medical Pavilion Tropical Smoothie Café – select locations Virginia Living Museum Virginia Oncology Associates Visiting Angels Walgreen’s Pharmacy Weight Loss Surgery Center of Hampton Roads Womick Podiatry Clinic Wright Spine & Sports Health, PC York County Public Library – Yorktown/Tabb York County YMCA Yorktown Family Medicine

NORFOLK Alzheimer’s Association Anthony & Company Hair Design Anytime Fitness – Colley Ave. Anytime Fitness – Little Creek Rd. Azar’s Natural Foods Blocker Norfolk Family YMCA Bon Secours DePaul Medical Center Bon Secours InMotion PT Dominion Physical Therapy Dumbbells Personal Training EVMS - Brickell Medical Sciences Library Fairgrounds Gray’s Pharmacy Harbour Pointe Healthcare & Rehab Center Health Food Center Hot House Yoga - Ghent NowCare Urgent Care Plaza del Sol Mexican Restaurant Prime Plus Norfolk Senior Center Running Etc. Sentara Comprehensive - Weight Loss Solutions Sentara Leigh Hospital Sentara Norfolk General St. John Lutheran Church St. Mary’s Home for Disabled Children Starbucks Coffee - Colley Ave. Starbucks Coffee -21st Street/Ghent Studio East Salon The Mambo Room Dance Studio The Up Center The Vitamin Shoppe - 21st Street/Ghent The Yoga Room Virginia Oncology Associates Y Not Pizza & Italian Cuisine - Colley Ave. VIRGINIA BEACH Adult Learning Center Atlantic Orthopaedics Beach Eye Care Bon Secours Health Center - of Virginia Beach CHKD Health & Surgery Center Coastal Vision Cosmetic and Family Dentistry Cosmetic Surgery Center Dr. William Grant Foot & Ankle Center DSD Supplements Davita First Colonial Family Practice/Urgent Care First Colonial Medical Center Founder’s Inn - Flowering Almond Spa Gastroenterology, Ltd Glasson Sports Medicine Heritage Natural Market Holland Road Family Medicine Learning Rx LWS&S Family Dentistry NowCare Urgent Care – First Colonial NowCare Urgent Care – Indian River OneLife Fitness – Princess Anne Rite Aid Pharmacy Riverside Cancer Infusion Center Romero Family Practice Sentara Cardiovascular Associates Sentara Independence - Bayside Medical Plaza Sentara Princess Anne Hospital Sentara Virginia Beach General Hospital

Tidewater Physical Therapy & Aquatic Center Tropical Smoothie Café – Great Neck Rd. Urology of Virginia VA Institute For Sports Medicine & Physical Therapy Va. Beach Obstetrics & Gynecology Virginia Oncology Associates POQUOSON Poquoson Farm Fresh Hair Cuttery Harper Dentistry Poquoson Library Snap Fitness Subway Supercuts Tropical Smoothie Café PORTSMOUTH Bobby’s BBQ and Country Buffet Bon Secours In Motion Physical Therapy/ Churchland YMCA Bon Secours In Motion Portsmouth - High Street Bon Secours Virginia Orthopedic and Spine Specialists at High Street City of Portsmouth Department of Social Services Dominion Physical Therapy Portsmouth Effingham Street Family YMCA Fleming’s Gym Holistic Farmacy Maryview Heart Center and Birth Center Maryview Medical Center Front Entrance Planet Fitness Portsmouth Municipal Building Portsmouth Public Library - Churchland Portsmouth Public Library – Main Branch Portsmouth Public Schools’ - School Board Office Portsmouth YMCA – Churchland Roger Brown’s The Bier Garden The Coffee Shoppe SUFFOLK Anytime Fitness - Harbour View Bombshells Salon and Spa – Harbour View Bon Secours Health Center -Harbour View Bon Secours In Motion Physical Therapy - Harbour View Bon Secours Surgery Center - Harbour View Cold Stone Creamery Harbour View Eastern Virginia Ear, Nose & Throat Specialists Emporia Radiology Harbour View Health Center Harbour View Pharmacy Massage Envy SPA – Harbour View Starbucks - Harbour View Super Cuts - Harbour View SweetFrog Frozen Yogurt - Harbour View Tropical Smoothie Café - Harbour View Virginia Oncology Associates - Harbour View VOSS at Harbour View Medical Arts Building

In addition to hand delivery and rack distribution, The Health Journal is direct-mailed to thousands of homeowners and medical offices in Hampton Roads.

contents | bits & Pieces

JUNE Family Restoration Services: A Holistic Approach to Fostering Hope

18 New Hope for the Blind Mofongo

22 26

ADHD and Men

2016 Summer Festival Guide

16 50

DIGITAL ISSUE

JUNE 2016 | THEHEALTHJOURNALS.COM

2016 SU M M E R

H A M P TO N ROA D S

Festival Guide the truth about

ADHD

in adults

DEPARTMENTS Contributors Publisher's Note Page's Picks DIY In My Own Words Staff Picks

IN THE KNOW 10 12 13 14 16

Calendar Out & About Second Opinion Profile Advances in Medicine

helpful tips for

summeR camps

safety tips for

open water swimming

WILLIAMSBURG EDITION

FEATURES

BITS AND PIECES 04 06 07 08 08 09

helping troubled youth with

gardening restoration

18 Summer Festival Guide 22 Family Restoration Services 26 ADHD and Men

YOUR HEALTH 32 34 36 38 40 42 44 45 46

Fitness Family Women's Health Men's Health Aging Well Outdoors Money Your Financial Health Mind Matters

FOOD 48 50 52 54 56

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

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

STAYING WELL 58 60 61 64

Accepting New Patients One Last Thought Health Directory Brain Teasers

ON THE WEB @ THEHEALTHJOURNALS.COM

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

thehealthjournals.com | 3

BITS & PIECES | CONTRIBUTORS

BRANDY CENTOLANZA

ALISON JOHNSON

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

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

KIMBERLEY CUACHON HAUGH Kimberley has a passion for fashion and food; “Look good. Eat well,” is her philosophy.

She is the owner of Kimberley Ashlee Catering where she uses seasonal and sustainable ingredients.

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

SHAWN RADCLIFFE

JAMIE MCALLISTER

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

Jamie is a freelance writer in Virginia Beach, Virginia, and specializes in writing newsletters, press releases, blog posts, articles, and website copy for corporations and nonprofits.

LILLIAN STEVENS Lillian works full-time at the College of William & Mary. Since becoming an empty nester several years ago, she has dedicated much of her spare time to her hobby: writing.

Lillian lives in James City County, Virginia with her husband Sam.

TERESA BERGEN Teresa Bergen lives and writes in Portland, Oregon. She’s the author of "Vegetarian Asia Travel Guide" and has penned hundreds of articles about travel, nutrition, health, fitness and yoga. She holds a degree in journalism and an MFA in fiction writing.

CATHY WELCH Cathy, a freelance contributor, writes for five Hampton Roads media outlets. She is a ghostwriter, editor and photographer who lives in Newport News, Virginia, with her husband, Keith. She is also a mother of three adult daughters and is a part-time bookseller.

4 | thehealthjournals.com

NATALIE MILLER MOORE

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

A competitor and nature-lover at heart, he regularly runs, swims, and lifts weights.

STEVEN SOWULEWSKI Stephen P. Sowulewski is an associate professor and department head for health in the School of Nursing & Allied Health at Reynolds Community College in Richmond, Virginia. He is on the board of advisers at the Men's Health Network in Washington D.C., and teaches indoor cycling at American Family Fitness.

JOSEPH ASH Joseph B. Ash began his martial arts journey in 1981. He is a Master Instructor and owner of BAEPLEX where he teaches classes for children, families and adults. In 2013, Joseph published the book “Martial Arts Unlocked, A Parents’ Guide to Choosing a Martial Arts School.”

DINOSaurs

VOL. 12, NO. 01 The Health Journal is a monthly consumer health magazine serving Hampton Roads, Virginia. Magazines are distributed via direct mail, racks and hand delivery.

For more information, visit thehealthjournals.com.

are BaCK!

PUBLISHER

Brian Freer brian@thehealthjournals.com

From the giant T. rex. to the baby Triceratops... life-like animatronic Dinos return.

Prehistoric fun for ages 3 to 65 million.

EDITOR

Page Bishop Freer pbishop@thehealthjournals.com EXECUTIVE DIRECTOR

Rita L. Kikoen rita@thehealthjournals.com MEDICAL EDITOR

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

Christie Davenport christie@thehealthjournals.com ART DIRECTOR

Maria Candelaria Daugs maria@thehealthjournals.com GRAPHIC DESIGNER

Presented by

Michael Saunders michael@thehealthjournals.com

757-595-1900 • thevlm.org

VIDEO PRODUCTION MANAGER

Brandon Freer brandon@thehealthjournals.com CIRCULATION

Ryan Bishop circulation@thehealthjournals.com PHOTOGRAPHY

Brian Freer Brandon Freer Michael Saunders Maria Candelaria Daugs

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e

e This cycl M ag Re ine az

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Ple as

THE HEALTH JOURNAL

BIG BELIEVERS IN YOU

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Bits & Pieces | publisher’s note

SUMMER

BUCKET LIST

1. Shop Local: Visit the local farmer’s market on Saturday mornings for fresh produce, seafood, meats and more. And go berry-picking at some local farms.

2. Be Festive: Attend some of the amazing local festivals Hampton Roads has to offer by following the festival guide on p. 18 of this issue.

3. Catch a Wave: Learning how to surf is high on my list. (Tony with Virginia Beach Surf Sessions is the best instructor!)

4. Train for a Tri: Get myself in physical tip-top shape in time for the Patriot’s Half in September.

5. Paddle Out: Kayak and paddleboard through our amazing local waterways.

6. Roam: Take a road trip with my daughter, destination unknown.

7. Pitch a Tent: Plan a hiking/camping adventure to one of the scenic sites found on pg. 42.

8. Feast on Fish: Indulge in more local, wild-caught seafood.

9. Get Grooving: Attend at least one outdoor concert this summer.

10. Make it Memorable: Savor all of the special moments, and make it a priority to create them.

PAGE BISHOP FREER /PUBLISHER PBISHOP@THEHEALTHJOURNALS.COM

6 | thehealthjournals.com

T

his issue of the Health Journal is packed full of tips for having a sensational summer—from our complete Hampton Roads festivals guide (cover story) to suggested campsites within a day’s drive (Shawn Radcliffe, p. 42) and, of course, our guide to selecting the perfect summer beers (Jessica Smith, p. 54). What will make this the best summer ever? Each of us has our own list of “must-do” summer activities and traditions; below is my personal top 10 “Summer Bucket List.”

Page's PICKS | BITS & PIECES

MAKE A SPLASH INSTEN WATERPROOF DRY BAG PHONE POUCH $5, walmart.com

J. CREW TEXTURED SUMMER STRAW HAT $29.50, jcrew.com

BOOM SWIMMER SPEAKER $60, polkboom.com

GRAPHIC BEACH TOWEL $26, landsend.com

E.L.F. STUDIO LIP BALM SPF 15 $3, Target stores

COLORBLOCK BRALETTE TANKINI AND MEDIUM TIDE BOTTOM $64/$49, athlete.gap.com

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 pbishop@thehealthjournals.com • Want her to try your product? Mail samples to: 4808 Courthouse Street, Suite 204, Williamsburg, Virginia 23188

bits and pieces | IN MY OWN WORDS & DIY

IN MY

“ words OWN

Do it

Yourself

LAUNDRY-SOFTENING BALLS You Will Need • Wool yarn • Scissors • Old nylons • Small bowl • 1/2 cup vinegar • 10 to 20 drops lavender essential oil

Start by unraveling a six-foot length of wool yarn from the skein. Fold the lengths of yarn until they measure a two inch bundle. Tie the center of the bundle securely with yarn.

Hello

my name is

Lillian Stevens I am an operations manager in the Office of Strategic Initiatives & Public Affairs at the College of William & Mary. I am also the university’s Freedom of Information Act officer. In my spare time, I pursue my writing hobby and freelance for several magazines, including The Health Journal.

Now tie on the end of string from the skein, and start wrapping it around the folded center, continuously turning the ball. Wrap the ball until it measures three to four inches in diameter.

To finish the softening balls, press into an old nylon, and then secure tightly with a knot. Continue feeding the balls into the nylon and securing separately until you have a long length of knotted laundry balls.

I love the magazine because every time I pick one up, it’s as though someone climbed inside my head to find out what I’d love to read about.

Toss the nylon containing the rounds into the washing machine with a load of laundry, and then in the dryer to finish.

Mix together the vinegar and essential oil in a small bowl.

Remove rounds from the nylon.

Let air dry, and your laundry balls are ready to use.

Email your DIY ideas to production@thehealthjournals.com 8 | thehealthjournals.com

staff PICKS | BITS & PIECES

A FANTASTIC VOYAGE Vacations are abound this summer, and so is travel.

Our staff has picked out a few things to help you on your fantastic voyage!

MARIA'S PICK: NIFTY ITEMS FOR THE SMART TRAVELER Vacationing abroad can mean issues with packing your things, and once you get there, being able to use your electronics with foreign outlets. Target carries a few inexpensive ideas for your travel needs!

Travel Smart All-In-One Adapter with USB Port $19.99, Target

Travel Smart Multifunctional 3-in-1 Bag

RIYANA'S PICK: PURIFIED WATER ANYWHERE Together, the bottle and MicroFilter weigh just 2.7 ounces, and the filter is capable of purifying hundreds of liters of water from lakes, rivers, streams and tap water over its lifespan.

MicroFilter Bottle Set $49.99, Amazon

$14.99, Target

MICHAEL'S PICK : BE CONNECTED ANYWHERE

BRANDON'S PICK: A GREAT TRAVEL APP TripCase gives travelers a single place to manage and organize their trips. TripCase, top-rated by Forbes, is an itinerary management app that delivers the right information at the right time.

TripCase $49.99, The Apple App Store

This multi-purpose gadget solves a few problems. First, it is a portable Wi-Fi router, so if a hotel room only allows one connected gadget over wireless, you can connect the HooToo using Ethernet and then connect with multiple gadgets. It's also a two-port USB charger for your phones and tablets. Connect a thumb drive, and you can share files on a mini network.

HooToo TripMate Elite Versatile Wireless N Travel Router $37.99, Amazon

CHRISTIE'S PICK: A LUGGAGE SCALE Avoid charges for overweight luggage with this handy, portable luggage scale with high capacity up to 88 lbs.

Taylor® Digital Luggage Scale $21.99, Ace Hardware, Walmart, Kohl’s thehealthjournals.com | 9

OSC Patient Success Stories TREATMENTS FOR HIP AND KNEE ARTHRITIS PAIN “I have been dealing with a very painful knee for many years.

The first injury occurred in 1962 and there were multiple injuries since that time. When my Baker’s Cyst began to drain, I met with Dr. John Burrow. He advised that I get a total knee replacement ASAP. I expressed my concerns about the duration of recovery time. I am pleased to say–I returned to work in 2.5 weeks post-op, I was able to return to veterinary surgery. I am now without discomfort in my knee. I cannot be more pleased with the outcome from my total knee arthroplasty.”

—Andy Murphie Sr., DVM

DO YOU HAVE HIP OR KNEE PAIN?

M V D , . r S e i h p r u M y d An

LEARN ABOUT YOUR OPTIONS AT OUR UPCOMING LECTURE.

Overcoming Arthritis Pain: Effective Treatments for the Hips and Knees

OSC

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

Join Fellowship-trained Joint Replacement Specialist Dr. John Burrow as he discusses treatment options for painful arthritis of the hip and knee. Learn about the latest nonsurgical and surgical treatment options for relieving pain and restoring function. Bring your specific questions for Dr. Burrow.

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

Tuesday, June 21th, 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 or email lectures@osc-ortho.com

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 • Chris Schwizer, PA-C • Monica Beckett, NP-BC

OSC

ORTHOPAEDIC & SPINE CENTER Open MRI Center

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

in the know | Calendar

JUNE CALENDAR 7 NORFOLK WIRE GOLF TOURNAMENT

This annual golf tournament benefits Children’s Hospital of The King’s Daughters WHEN: 11:30 a.m.

WHERE: Virginia Beach National Golf Club $$: call or email for fee information CONTACT: 757-499-1100; jbrookover@me.com.

8 FOODBANK TOUR

Learn what Virginia Peninsula Foodbank is doing to stop hunger on this tour.

WHEN: 8 a.m.

WHERE: Virginia Peninsula Foodbank $$: free CONTACT: 757-596-7188

9 CITY CENTER FARMERS MARKET

Enjoy a selection of locally grown fruits, vegetables, plants, and herbs.

WHEN: 10 a.m. to 2 p.m.

Thursdays WHERE: City Center at Oyster Point $$: free CONTACT: citycenteratoysterpoint.com

11 LIFE’S A BEACH TRIATHLON Participate in this unique spin on the triathlon at the beach.

WHEN: 8 a.m.

WHERE: Buckroe Beach $$: $55-$70 CONTACT: lifesabeachtriathlon.com

10 | thehealthjournals.com

11 YORKTOWN MARKET DAYS

This farmers market returns for the season.

WHEN: 9 a.m. to 1 p.m. through September WHERE: Riverwalk Landing $$: free CONTACT: yorkcounty.gov

WORLD OCEANS DAY

Celebrate our oceans and learn the importance of ocean conservation.

WHEN: 9 a.m. to 4 p.m.

WHERE: Virginia Living Museum $$: free with museum admission CONTACT: thevlm.org

SUMMER CELEBRATION WINE FESTIVAL

Enjoy wine tasting, food, art, and music during this festival.

WHEN: 11 a.m. to 6 p.m.

WHERE: Lee Hall Mansion $$: $20 in advance or $25 at the door.

CONTACT: nngov.com

NATIONAL GET OUTDOORS DAY

Enjoy various outdoor activities including a scavenger hunt during this event.

WHEN: All day WHERE: First Landing State Park $$: $5 parking fee CONTACT: 757-412-2300

BREAST FEST

Enjoy food, drink, music, and more during this event to benefit Beyond Boobs!

WHEN: noon to 4 p.m.

WHERE: The Eagles Nest, Chesapeake $$: free CONTACT: beyondboobs.org

REVOLUTIONARY BEER FEST

More than 35 beers and ciders as well as food will be available at this fest.

WHEN: noon to 5 p.m.

WHERE: Chesapeake City Park $$: $13-$471 CONTACT: 757-482-4480

11-12 KAYAXPEDITION

Kayak, canoe, or standup paddleboard during this festival.

WHEN: all day WHERE: Chesapeake: Oak Grove Park, Great Bridge Lock Park, Northwest River Park $$: call for fee information CONTACT: 757- 382-6411

12 FREE YOGA CLASS

20 ZOOFARI GOLF TOURNAMENT This golf tournament benefits The Virginia Zoo WHEN: 12:30 to 4 p.m.

WHERE: Greenbrier Country Club $$: $125 per player or $500 per group of four CONTACT: virginiazoo.org

21 OSC COMMUNITY LECTURE

Head outdoors for this free yoga class.

Bring a mat.

WHEN: 8 a.m.

WHERE: Buckroe Beach $$: free CONTACT: 757-896-4695

Dr. John Burrow will discuss treatments for arthritis pain in this lecture.

WHEN: 7 p.m.

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

13

22

THYROID SEMINAR

Learn natural approaches to treating thyroid conditions during this seminar.

WHEN: 6:15 p.m. June 13 and 20; 10:15 a.m. June 25 WHERE: Total Health Center, Virginia Beach $$: free CONTACT: 757-363-8571

18 SUMMER SLAM 5K RUN

Join in the fun during this 5K race.

WHEN: 8 a.m.

WHERE: Mount Trashmore $$: 5K, $40; Fun Run, $25 CONTACT: roadrageevents.com/ summer-slam.html

INTERNATIONAL WINE CLASSIC

Enjoy dinner, wine and music during The Bronze Door Society’s International Wine Classic.

WHEN: 6 p.m.

WHERE: Mariners’ Museum $$: $60 CONTACT: marinersmuseum.org/ wine-classic

NO DRAMA DISCIPLINE

Learn to set clear and consistent limits without causing a scene.

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

WHERE: CHKD Health & Surgery Center at Oyster Point $$: free CONTACT: chkd.org

24-26 BAYOU BUGALOO MUSIC & CAJUN FOOD FESTIVAL

Enjoy Cajun food, art, and entertainment during this festival WHEN: noon to 10 p.m. Friday and Saturday; noon to 6 p.m.

Sunday WHERE: Town Point Park, Norfolk $$: $15-$30 CONTACT: festevents.org

26 ADULT SENIOR PROM

This event featuring dinner and dancing benefits Peninsula Agency on Aging.

WHEN: 5 to 9 p.m.

WHERE: Paradise Ocean Club, Fort Monroe $$: $5 in advance or $10 at the door CONTACT: 757-873-0541

THE CUTTING EDGE:

A series of articles about Stem Cell Therapy and other Treatment Options Simply put, arthritis is damaged and degraded cartilage. It is one of the leading causes of pain and can hinder a person’s quality of life. Up until recently, besides surgery, there have been very limited treatment options for individuals with cartilage damage in one or more of their joints.

Although surgery is sometimes necessary, .D. it has its limitations in Colin M. Kingst on, M regards to attempting to boar d- cert if ied regenerate cartilage. There or thopaedi c surgeon are a number of surgical techniques performed by orthopaedic surgeons, all with varied outcomes, and at times come close to replicating “normal” cartilage. By far, the most successful operation in returning function and ability to stay mobile is replacing the cartilage with metal and plastic, also known as joint replacement.

Joint replacements are very successful but are not without complication. The devices can wear out and don’t handle friction as well as normal cartilage does.

In an ideal world, damaged cartilage wouldn’t exist, but what if the damage to a person’s cartilage could actually be reversed? What if something could actually regenerate normal cartilage and potentially return normal function of a joint? There is a significant amount of research looking into techniques that may do this. The end goal is to restore normal tissue, not scar

tissue, and enhance the body’s innate ability to accelerate healing in a clinically relevant time. The Cutting Edge series will attempt to explain the different types of intervention.

The first type of intervention being discussed is prolotherapy, which is defined as an injection into the tissue, or a joint designed to regenerate that tissue. There are several prolotherapy techniques that have been implemented in orthopaedics over the past several years, and are rapidly growing in popularity and demand. This is due to early success and recent television shows such as Dr. Oz and The Doctors, but more importantly peer reviewed literature backing the claims. They are PRP (platelet rich plasma), BMA (bone marrow aspirate), LSA (liposuction aspirate), and amniotic stem cell therapy.

Platelet rich plasma (PRP) has been used very effectively in the treatment of tendon problems such as “tennis elbow” and more recently in the treatment of arthritis. PRP comes from taking a vial of an individual’s blood and spinning it down to concentrate one’s own growth factors. These growth factors are then injected into the damaged tissue or joint with the hopes of stimulating healing and regenerating the damaged tissue.

In the next part of our series, we will discuss stem cells and stem cell therapy.

—Colin M. Kingston, MD For more information about Dr. Colin M. Kingston or to set an appointment for consultation, please call 757-827-2480.

• Colin M. Kingston, M.D. • Robert M. Campolattaro, M.D. • Michael E. Higgins, M.D. • Nicholas A. Smerlis, M.D. • Nicholas K. Sablan, M.D. • Paul B. Maloof, M.D. • Jonathan R. Mason, M.D. • Loel Z. Payne, M.D. 3000 Coliseum Drive | Hampton, Virginia 23666

(757) 736-4100

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second opinion Is the diagnosis rate of breast cancer dropping? If so, why?

Breast cancer is common, accounting for 25% of all cancers in women. Yearly, about 200,000 cases of breast cancer are diagnosed in the United States. Fortunately, the breast cancer death rate has dropped 34% between the years 1990 and 2010. This decrease occurred as the mammography rate increased from 30% to 70% for women 40 and older.

Mammography detects breast cancer earlier when treatment is more likely to be successful. As a matter of fact, the overall five-year survival rate of early-stage breast cancer has reached 99%. That is most certainly in part due to better treatment modalities for breast cancer along with early detection, which plays a big role too.

For some women mammograms are uncomfortable, but the potential life-saving benefits should outweigh minor discomfort. After the age of 40-45, a yearly mammogram is highly recommended, as is a yearly breast exam by your medical provider. It is also very important for every woman to know about their family medical history and then discuss it with their doctor. Women at a higher risk of developing breast cancer due to family history need to start screening earlier. This may mean even being evaluated for the BRCA1/BRCA2 gene mutations (blood test).

The bottom line: Mammography saves lives.

Ralph Robertson, M.D.

Medical Director of Lackey Clinic 757-886-0608

I’m tired all the time; could a hormone deficiency be causing my fatigue?

Declining hormones can produce symptoms of fatigue beginning around age 40, with up to 75% of women experiencing fatigue and sleep deprivation by the time they reach menopause. Common complaints of hormone deficiency include “lack of energy, dragging by 3 in the afternoon, and poor sleep.” Persistent fatigue is often associated with weight gain, anxiety, memory lapses, poor concentration, low motivation and productivity, and social withdrawal.

Deterioration in the production of reproductive hormones is the primary physiological cause of menopausal fatigue, however it is rarely considered by many practitioners prior to prescribing medications. Patients are often prescribed antidepressants, stimulants, or sleeping pills, with multiple side effects. Many report they do not have a psychiatric disorder but know something is not right.

Bioidentical Hormone Replacement Therapy (BHRT) can be used as a natural solution to alleviate agerelated fatigue caused by hormonal deficiencies. BHRT, which can be customized according to your own biochemical needs, is safe and effective, with treatment based on your blood levels. Within 3 to 6 weeks of starting BHRT, most patients will begin to notice an increase in energy, improvement in mood and focus, and more restful sleep.

Harriet McCoy, NP, ABAAHP Hormone Health and Weight Loss 757-707-1588

What can I do about my TMJ pain?

The Temporomandibular joint, also known as the TMJ, is one of the most important joints in the body.

TMJ disorder and its symptoms can range from a mild daily nuisance to debilitating pain that affects every aspect of one’s life. We often take it for granted, but problems such as popping, clicking, tightness, pain, and headaches can have a tremendous impact on our comfort and health.

There are 2 main sources of TMJ problems: joint and muscle.

True joint problems, with or without muscle issues, can severely affect chewing and speech. Splints can be useful to manage pain but the problem really needs to be followed closely by a dentist or oral surgeon.

Sometimes surgery is necessary.

Muscle overactivity and incoordination, without joint problems, accounts for roughly 95% of all TMJ symptoms. The long term effects may include disk damage, ligament stretching/damage, and headaches. Thankfully muscle issues are very treatable. One of the best treatments for muscle issues is a properly made splint, sometimes referred to as a nightguard. To be effective, the splint must be custom and comfortable, and provide relaxation therapy to muscles of the head and neck. Yoga, chiropractic therapy, and massage are also great when utilized in conjunction with a splint.

your health care questions answered

William Harper, D.D.S.

Harper Dental Care hamptonroadsvacosmeticdentist.com harperdentalcare.com 757-868-8152 thehealthjournals.com | 13

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second opinion I’m tired all the time; could a hormone deficiency be causing my fatigue?

Declining hormones can produce symptoms of fatigue beginning around age 40, with up to 75% of women experiencing fatigue and sleep deprivation by the time they reach menopause. Common complaints of hormone deficiency include “lack of energy, dragging by 3 in the afternoon, and poor sleep.” Persistent fatigue is often associated with weight gain, anxiety, memory lapses, poor concentration, low motivation and productivity, and social withdrawal.

Deterioration in the production of reproductive hormones is the primary physiological cause of menopausal fatigue, however it is rarely considered by many practitioners prior to prescribing medications. Patients are often prescribed antidepressants, stimulants, or sleeping pills, with multiple side effects. Many report they do not have a psychiatric disorder but know something is not right.

Bioidentical Hormone Replacement Therapy (BHRT) can be used as a natural solution to alleviate agerelated fatigue caused by hormonal deficiencies. BHRT, which can be customized according to your own biochemical needs, is safe and effective, with treatment based on your blood levels. Within 3 to 6 weeks of starting BHRT, most patients will begin to notice an increase in energy, improvement in mood and focus, and more restful sleep.

Harriet McCoy, NP, ABAAHP Hormone Health and Weight Loss 757-707-1588

Should I be concerned about popping in my jaw when I open and close my mouth?

Yes, there is reason for concern.

The popping comes from the Temporomandibular Joint (TMJ), which is made up of the muscles and bone of the fossa and condyle with a disc that cushions and separates them.

When the jaw muscles are working overtime there is extra stress pulling on the disc. This continuous tension will cause the disc to stay out of place.

When you open your mouth, the disc pops back into place and when you close your mouth, the disc slips back out. Therefore, over a long period of time, the disc will wear down enough that the popping can stop. It does not stop because it is better, but because it is so broken down it will not go back.

Eventually, with no cushion, there will be wear on the bone which leads to more breakdown of the joint. As the TMJ breaks down, the bite changes even more causing breakdown of teeth and bone surrounding the teeth.

It is important to catch this in the early phase to prevent a more expensive and painful problem.

Stacey Sparkman Hall, D.D.S.

Williamsburg Center for Dental Health 757-565-6303

Can I do anything to prevent ACL tears?

ACL (Anterior Cruciate Ligament) tears are devastating injuries to athletes involved in sports ranging from football to soccer. The ACL is critical for knee stability during “cutting” activities such as zig-zag cutting drills. ACL injuries receive significant media attention because of the high profile athletes that have suffered ACL tears, from Adrian Peterson to Skylar Diggins. The number of ACL injuries has increased recently because of more participation by female athletes. Women have a much higher risk of ACL injuries compared to their male counterparts, due in large part to anatomical, hormonal, and biomechanical differences.

The orthopedic industry has come a long way with the minimally invasive techniques used to reconstruct damage from ACL injuries. These are no longer career threatening injuries, but they do require up to a year of not participating in sports activities.

Thankfully, while we cannot “stop” ACL injuries, we can greatly minimize the number of injuries. This can be performed by participating in programs that focus on plyometrics, balance, and strengthening exercises of the core and leg muscles. These programs are offered locally and require athletes to participate prior to the start of their season and prior to practice. Given the devastating effect ACL injuries can have on athletes’ careers, it seems like a small price to pay.

your health care questions answered

Nicholas K. Sablan, MD Tidewater Orthopaedics 757-637-7008 thehealthjournals.com | 13

in the know | profile

Keep moving forward.

—James Lawrence, aka The Iron Cowboy

The Iron Cowboy: A True Iron Man

By Dr. Daniel Shaye

Q: What’s harder than swimming 2.4 miles, biking 112 miles, and then running 26.2 miles, all in the same day?

A: Doing it every day, for 50 days straight, covering all 50 states.

14 | thehealthjournals.com

U

tah native James Lawrence conceived his world-record feat in a friend’s kitchen. He had just finished his 27th IronMan triathlon, on his way to a Guinness World Record for most Ironman events in one year (30, in 2012). Lawrence realized, “I knew I hadn’t reached my mental and physical limits.” There in that kitchen he came up with the idea for the 50-50-50, “A new precedent for what the mind and body is capable of.”

I have changed, my family has changed and those that were with us out there have changed. This is about the experiences and the people we’ve met and impacted along the way. We raised a lot for charity and have made lifelong friends.

Why do such a thing? Lawrence says simply, “People told me it couldn’t be done.” He was proud to set an example of determination and perseverance for his five kids, who along with his wife and friends were a part of his traveling support team; but he also raised awareness and funds to fight the dangers of a sedentary lifestyle, with a focus on decreasing rates of childhood obesity.

On obstacles to accomplishing a goal, Lawrence says, “It takes a creative mind to keep pressing forward when obstacles are placed in your path. Most would use these as an excuse to quit. These obstacles are mere speed bumps on your way to accomplishing plan A.” When asked about how he dealt with doubt and overcoming it, Lawrence responded simply, “Doubt is the first step to creating an excuse to quit. You need belief and conviction in order to accomplish the ‘impossible’. You don’t overcome; you adjust and keep moving forward.”

Despite thorough training, Lawrence’s body underwent some terrible stresses during the 50-50-50. In addition to eating like a horse and sleeping at every opportunity, he says, “I relied heavily on chiropractic and massage. We did scraping (soft tissue methods), cold laser, laser and needle acupuncture among other things.” These methods, and Lawrence’s iron will, helped him achieve the impossible.

Lawrence dismisses the 50-50-50 record as “a piece of paper.” He states that the real achievement was, “I have changed, my family has changed and those that were with us out there have changed. This is about the experiences and the people we’ve met and impacted along the way. We raised a lot for charity and have made lifelong friends.”

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in the know | advances in medicine

BIONIC EYE POWERS NEW HOPE FOR THE BLIND

By Jamie McAllister

K

aren Brown was a young bride in her early 20s when she lost her sight. Now, close to four decades later, she is part of a trial for the Argus II, a retinal prosthesis system doctors hope will bring them another step closer to helping the blind see.

Brown was diagnosed with retinitis pigmentosa, a degenerative eye disease that can cause severe vision impairment and blindness. She first heard about the Argus II, also known as the bionic eye, when she visited her eye doctor in early 2015 and jokingly asked him about the latest and greatest treatments. She was intrigued when he explained how the retinal prosthesis system uses a chip implanted behind the eye to stimulate the retina with small electrical pulses.

After determining she qualified for the implant, Brown made a trip to Duke University in North Carolina to get pre-screened. The surgery was expensive, and even though Medicare ended up changing some of their restrictions, Brown still came up $5,000 short.

“I prayed about it and put my thoughts on Facebook,” Brown says. Shortly thereafter, an anonymous donor gave her

16 | thehealthjournals.com

the additional money she needed to pay for the surgery. “Lots of strangers helped out,” she says. “I was so touched.”

Brown’s surgery was performed on February 9, 2016, at Duke University. It was only the third such surgery to take place at that facility, and it was the first for Brown’s surgeon, Dr. Lejla Vajzovic.

“It’s incredible to be working with something that is the first of its kind,” says Dr. Vajzovic, an ophthalmologist.

“While this particular device will not help blind patients regain all of their vision, it is a humongous accomplishment to have technology that can stimulate the retina and help the brain process that information.”

During surgery a chip just a few millimeters long and covered with 64 electrodes is implanted in the retina, a thin layer of tissue at the back of the eye. A pair of sunglasses with a miniature camera captures real-time images and sends them to a small processing unit worn across the chest and shoulder like a purse. The images are converted into electrical signals and sent back to the glasses. A coil transmits the signals wirelessly to the implant, which then stimulates the retina

advances in medicine | in the know Electronics Case

Electrode Array

Receiver (Coil)

with small pulses of electricity. The pulses travel along the optic nerve to the brain and are perceived as patterns of light.

With practice, the brain can learn how to interpret those light patterns as objects and shapes.

Duane Tsutsui, head of marketing at Second Sight, the company that designed and manufactures the Argus II, reiterates the device is not a cure for blindness, but it is a tool people can use in combination with other aids, like a Seeing Eye dog or a cane.

“We are working on constantly refining the technology we use,” Tsutsui says. “Right now patients with the implant can see contrast and outlines of shapes. We are focused on making improvements in the resolution and passing that technology on to patients through software updates so they can get more benefits from the device over time.”

Brown say she sees flashes of light where there is contrast.

For instance, the difference between the light gray color of a sidewalk and the darker color of the grass next to it.

Immediately after the surgery she could tell the difference between the door and the wall when she was wearing the

glasses. On the way back from Duke to her home in Virginia Beach, Virginia, she and her sister stopped at Cracker Barrel for something to eat and she could make out where the silverware and her glass of tea were on the table.

Although she knows the device won’t completely restore her lost sight, Brown is optimistic about the capabilities of the Argus II. She has set high expectations for herself and works with the device each day to train her brain to interpret the patterns of light she sees. A magnetic board with shapes of a contrasting color sits on her kitchen table and she uses the Argus II to identify their outlines, which she then traces with her index finger to confirm their shape.

Brown is excited that she is part of history in the making and is eager about what advancements the future holds.

“There may not be a cure for blindness in my lifetime,” she says, “but things can only get better. If my being part of this trial can help someone else down the way, I want to do that.”

For more information about the Argus II retinal prosthesis, visit www.secondsight.com.

thehealthjournals.com | 17

features | SUMMER FESTIVAL GUIDE

2016 SU M M E R

H A M P TO N R OA D S

Festival Guide MAY 27-JUNE 26

JUNE 3-5

BUSH GARDENS FOOD & WINE FESTIVAL

PATRIOTIC FESTIVAL

Sample authentic food and drink from around the world during this festival at Busch Gardens. Festival runs Fridays, Saturdays, and Sundays May 27-June 26. Food prices vary, or purchase a wristband. For more information, visit seaworldparks.com.

JUNE 2-5 NEWPORT NEWS GREEK FESTIVAL Enjoy Greek food, shopping, and entertainment during this festival. Festival takes place 11 am to 10 pm Thursday through Saturday and noon to 6 pm Sunday. Sponsored

by Saints Constantine and Helen Greek Orthodox Church. For more information, visit newportnewsgreekfestival.org.

18 | thehealthjournals.com

Kick off the summer by celebrating the military at the Virginia Beach Oceanfront with three days of concerts from national artists, military expos, and displays. For ticket information, visit www.patrioticfestival.com.

JUNE 4-5 BLACKBEARD FESTIVAL Celebrate the history of Blackbeard during this pirate festival for the whole family.

Hampton’s waterfront comes alive with dozens of pirate reenactors, costumed in historically accurate garb, who transform today’s Hampton into the busy seaport of yesterday. Festival takes place 10 am to 10 pm Saturday and noon to 6pm Sunday. For more information, visit hampton.gov.

SUMMER FESTIVAL GUIDE | features

JUNE 9-12 HARBORFEST This free maritime festival along the waterfront in Norfolk is celebrating its 40th anniversary this year. Enjoy various land and sea activities including tall ships and the Parade of Sail, food and drink, boat races, musical performances, family entertainment, and fireworks. For more information, visit festevents.org.

JUNE 11 SUMMER CELEBRATION WINE FESTIVAL This festival at Lee Hall Mansion in Newport News will feature wine tastings from Virginia wineries as well as music, food vendors, and craft vendors. Tickets are $20 in advance or $25 at the door. For more information, visit nngov.com.

JUNE 18 INTERNATIONAL WINE CLASSIC The Mariners’ Museum hosts The Bronze Door Society’s International Wine Classic.

Tickets are $25 for non-drinkers and $60$70 for drinkers and includes unlimited tastings, a commemorative wine glass, complimentary buffet, live music, and access to the front gallery exhibitions. For more information, visit marinersmuseum.org/ wine-classic/.

JUNE 18 NEW TOWN SUMMER FEST This summer festival on Sullivan Square in New Town will feature 14 breweries and live music. Cost is $40. For more information, visit newtownwilliamsburg.com.

JUNE 12 UNCORKED & UNPLUGGED 94.9 The Point presents this acoustic musical event featuring national acts at the Williamsburg Winery. General admission tickets are $45. For more information, visit williamsburgwinery.com.

JUNE 24 BAYOU BUGALOO MUSIC & CAJUN FOOD FESTIVAL Enjoy authentic Cajun food from New Orleans chefs, art, and entertainment during this festival at Town Point Park in Norfolk.

For ticket information, visit festevents.org.

JUNE 16-19 BOARDWALK ART SHOW AND FESTIVAL Roughly 300 artists will be featured during this art show and festival at the Virginia Beach oceanfront. Show times are Thursday, noon to 6 pm; Friday and Saturday, 10 am to 6pm and Sunday, 10 am to 5 pm. For more information, visit virginiamoca.org.

JUNE 24-26 HAMPTON JAZZ FEST Enjoy national acts including Gladys Knight, New Edition, Babyface, and more during this jazz festival at Hampton Coliseum. For ticket information, visit coliseumvirginia.com.

thehealthjournals.com | 19

features | SUMMER FESTIVAL GUIDE

JULY 23 JUNE 24-26 FUNHOUSE FEST Virginia Arts Festival and Bruce Hornsby present this musical event on the lawn of the art museums in Colonial Williamsburg.

Event times and ticket prices vary. For details, visit funhousefest.com.

MID-ATLANTIC HERMIT CRAB CHALLENGE This free, fun, family event features a hermit crab race and beauty pageant. More than 200 hermit crabs participate each year. For more information, visit beachstreetusa.com.

JULY 23 INFO-TAINMENT FAIR JULY 8 SUMMER BREW FEST Come on out and enjoy a cold beer at the end of the work week during this event at Town Point Park in Norfolk. Summer Brew Fest will feature 36 different beers and live music. For ticket information, visit festevents.org.

Community event at Legacy Hall in New Town featuring free food, games, vendors, a blood drive, and fun for the whole family. For more information, visit newtownwilliamsburg.com.

AUGUST 6 FAMILY FESTIVAL JULY 15-16 NORFOLK WATERFRONT JAZZ FESTIVAL

This festival at Williamsburg Indoor Sports Complex features various children’s activities as well as a Mad Dash 5K and Fun Run. For more information, visit thewisc.com.

Enjoy jazz music from national acts during this festival at Town Point Park in Norfolk.

For more information, including ticket package options, visit festevents.org.

AUGUST 6-7 JULY 16-17 PORK, PINE, AND PEANUT FESTIVAL Enjoy food including a BBQ cook off, family activities, arts and crafts vendors, and more during this summer festival at Chippokes Plantation State Park in Surry. For more information, visit porkpeanutpinefestival.org.

20 | thehealthjournals.com

BUTTERFLY FESTIVAL Williamsburg Botanical Garden in Freedom Park celebrates butterflies with over 200 native butterflies and various activities. Free and open to the public. For more information, visit williamsburgbotanicalgarden.org.

SUMMER FESTIVAL GUIDE | features

AUGUST 13 LATINO MUSIC FESTIVAL This free event at Town Point Park in Norfolk celebrates Latino music and culture with live entertainment as well as Latino food and drink. Enjoy salsa, meringue, guaguanco dancing and more. For more information, visit festevents.org.

SEPTEMBER 2-4 AMERICAN MUSIC FESTIVAL AND ROCK N ROLL HALF MARATHON End the summer with this annual Labor Day event along Virginia Beach oceanfront featuring national musical acts and the half marathon. For ticket information, visit beachstreetusa.com.

AUGUST 20 BEER, BOURBON, & BBQ This festival at Hunt Club Farm in Virginia Beach features beer and bourbon tasting, BBQ, and live music. General admission is $35. For more information, visit beerandbourbon.com.

AUGUST 27 ESTUARIES DAY This event at York River State Park includes a 5K Race, guided activities in fossil hunting, hiking, paddling, and seining. Eastern Virginia Mountain Bike Association will lead rides on several trails and there will also be hands-on displays and exhibits to enhance the estuarine experience. For more information, call 757-566-3036.

SEPTEMBER 2-5 BUSCH GARDENS BIER FEST Toast the end of summer with a variety of craft beers from around the globe. Â Sample traditional German food, listen to live music, and experience all this unique Bavarian celebration has to offer at Busch Gardens.

Bier Fest held September 2-5; 10-11; and 17-18. For more information, visit seaworldparks.com.

features | Fostering Hope

A Holistic Approach to Fostering Hope Hampton-based program helps local youth thrive in the face of challenges

by Brandy Centolanza

H

elping families of children with mental, emotional, or behavioral challenges is something dear to Ali Afonja’s heart, and that is part of the reason that he and his wife, Stephanie, started Family Restoration Services in Hampton, Va. The Afonjas opened FRS in 2007 as a way to address the needs of disadvantaged youth without having to send them away for treatment. The organization provides non-traditional counseling and therapeutic services to children aged birth to 21 with mental health issues including behavioral, emotional, intellectual, and developmental disabilities.

22 | thehealthjournals.com

Fostering Hope | features

Ali Afonja (far left) with his children Jada and William Jackson and wife, Stephanie

The main focus of FRS is to offer a fitness outlet for children to channel their emotions. Ali Afonja grew up with a sibling with special needs and saw the struggle of his parents in finding resources, and he also used sports as a way to handle his own issues. FRS partners with city youth sports and other organizations to offer the children they service counseling and instruction in numerous physical activities. Children can partake in baseball, basketball, bowling, boxing, dancing, golf, gymnastics, martial arts, skateboarding, soccer, swimming, and track.

partners with city youth “ FRS sports and other organizations

to offer the children they service counseling and instruction in numerous physical activities.

“

thehealthjournals.com | 23

features | Fostering Hope

Therapeutic sports and recreation “teaches children to use their bodies to regulate their emotions,” says Ali Afonja. “It’s a way for them to express themselves that isn’t destructive to themselves or others.”

FRS now includes four quadrants of wellness: fitness, spiritual, cognitive, and nutrition. The Alfonjas started a community learning garden to teach children about healthy eating. Children work in the garden, planting and harvesting the fruits and vegetables.

“Gardening has spiritual and emotional health benefits,” points out Stephanie Afonja. “The children care for the crops, and we send them home with fresh produce along with recipes for fresh salads and other healthy options.”

In addition to participating in a sport of their choice and tending to the garden, children also learn yoga and other forms of meditation as a way to keep their emotions in check. FRS also has a substance abuse program, vocational services, and music and art therapy, or expressive therapy.

now includes four “ FRS quadrants of wellness:

fitness, spiritual, cognitive, and nutrition.

“

In expressive therapy, children create their own albums, videos, or photographs.

“We are always looking to connect children with different activities to help them develop a better sense of themselves,” Stephanie Afonja says. “We use a holistic model to adjust children’s behavior. By using a holistic approach, we are providing them with tools they can use beyond their time with us.”

A trained staff of roughly 25 counselors, therapeutic sports specialists (including former pro sports figures), parent mentors, and other behavioral specialists assist the Afonjas with caring for the children. The staff knows each child’s individual needs and goals, and works with them to achieve those goals.

CONTINUED ON PG. 57

24 | thehealthjournals.com

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features | Out of Focus

Out of Focus Attention Deficit Hyperactivity Disorder

by Cathy Welch

A

ttention Deficit Hyperactivity Disorder (ADHD) is a diagnosis that affects more males than females: three times as many boys as girls and twice as many men compared to women.

“I was wondering, What the heck was wrong with me?” says Montreal resident Duane Gordon who was diagnosed with ADHD at the age of 32, about the same time his then nine-year-old daughter was diagnosed, he explains. “There was stuff that everybody else seemed to do with ease, but I struggled with it.”

26 | thehealthjournals.com

Out of Focus | features

Today, he is a high-tech consultant in software research and development and president of the Attention Deficit Disorder Association (ADDA). As a teenager, he was accepted into a prestigious military college and though he struggled there, he graduated. After leaving the military, he couldn’t hold a job or help out at home. He had big expectations for his life that never came to fruition.

He and his wife, in an attempt to understand their youngest daughter’s ADHD diagnosis, read “Driven to Distraction” by Edward Hallowell and John Ratey. The ADHD symptoms detailed in the book sounded familiar to both of them.

“That was a rude awakening,” Gordon says. “A lot of people say your first experience is relief, because at least you know you haven’t been a failure. Or if you have, there’s a reason for it.”

The National Institute of Mental Health

defines ADHD as A brain disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.

One of the most-diagnosed childhood neurodevelopmental disorders, ADHD is most commonly diagnosed in children.

Approximately three to seven percent of children and about two to five percent of adults are diagnosed with the disorder. The gender ratio for children is three to one, boys to girls. More often than not ADHD continues into adulthood when the gender ratio falls to 2:1 or lower. Clearly, males outweigh females in this neurological category.

Duane found a research project studying adults diagnosed with ADHD. At that time, he was on the verge of being fired from yet another job. As a part of this study, he completed eight hours of written, computer, calculation, working memory and audio

testing. In addition, there were tests to rule out other things that can mimic ADHD. The project offered a 12-week course, coaching and assisted in organizing a support group that continues today.

“I was so down at that point. I had completely given up any of the confidence I had as a young man,” he says. “I had gone from failure to failure to failure. We were financially in dire straits and on the verge of divorce.”

“The divorce rate is nearly twice as high for people with ADHD because of their increased distractibility, forgetfulness and impulsivity,” Dr. A. J. Marsden, an assistant professor of human services and psychology at Beacon College in Leesburg, Florida (the first accredited college to award bachelor's degrees exclusively to students with learning disabilities and ADHD), explains. “There’s a lot of anger and resentment from the nonADHD spouse.”

thehealthjournals.com | 27

features | Out of Focus

Early Diagnosis The earlier an individual is diagnosed with ADHD, the better their outcome.

“Kids can really learn to become mindful to monitor their own symptoms, redirect and reinforce themselves,” says Sanam Hafeez, Psy.D, a New York State licensed neuropsychologist and school psychologist, says. “We want them to learn how to have some of these coping mechanisms in place at an early age so they grow with them.”

“The fate of boys who have been diagnosed with ADHD depends upon what treatment they receive, if any,” America’s Psychiatrist, bestselling author and psychiatrist Carole Lieberman, M.D., explains. “If a boy gets casually diagnosed with ADHD by a guidance counselor, school psychologist, or family doctor, without proper and thorough clinical evaluation, then he is unlikely to get appropriate treatment.”

She believes that boys should be thoroughly evaluated in clinical sessions and through psychological testing.

“Many times behavioral problems are mislabeled ADHD, when they are actually the result of something else such as a dysfunctional home with abuse or an alcoholic parent or any undiagnosed physical issues such as poor eyesight or hearing,” she says.

The earlier their diagnosis, kids can really learn to become mindful to monitor their own symptoms, redirect themselves and learn how to reinforce themselves

28 | thehealthjournals.com

Not everyone sees their ADHD diagnosis as negative.

“Certainly, if you’re told you think outside the box and your brain is a bit different, they can come to really love the fact that they have this difference,” says Michelle Frank, Psy.D, a clinical psychologist and ADDA vice president. “I work with a lot of college students who say, ‘I wouldn’t trade ADHD. I just want to learn how to build some skills and feel better about myself.’”

She believes the term ADHD is a misnomer.

“ADHD research is keeping it as an executive functioning dysregulation,” she explains. “It's not necessarily a deficit of attention, but rather an inconsistency or dysregulation in attention.”

In 1998, Doug Harris, an ADHD coach and ADDA volunteer in Ann Arbor, Michigan, was 39 years old when his 10-year-old son was diagnosed with ADHD. Like Gordon, he recognized himself while going through his child’s assessment questions.

Prior to his diagnosis, he finished three out of five degree programs, earning a bachelor’s and two master’s degrees.

“I was in a master’s program at the University of Michigan in the neurobiology doctoral program and that’s where it was hard enough that I met my match,” he explains. “I had a semester where I got behind and kind of withdrew.”

Out of Focus | features

At the same time he and his wife, an internal medicine doctor, found out she was pregnant with their second child.

“I decided that it just wasn’t working,” he says.

“What I did was become a stay-home parent.”

National Institute of Health studies show that adults with ADHD are less likely to be employed full-time and have a lower household income than typical adults. Their work-related problems are often due to poor job performance, lower occupational status, lack of job stability and a high level of absenteeism.

Gordon’s daughter is overcoming these challenges.

“She is holding down a job, living in her own apartment and still in touch with us,” he explains. “She sits and thinks through things to be successful. It took her three different times to pass French and Math—two courses she needed to graduate. And she did as an adult, while she was working.”

Today, at age 28, she visits her parents every Sunday.

“We help her with getting organized, making sure she pays her bills and all that kind of stuff,” the proud father explains. “But she’s doing it and that’s fantastic.”

Health ute of it t h s In l a ults wit Nation that ad w o e h b s studies likely to are less e and have D H D A im than d full-t income employe ld o h e s hou a lower ults. pical ad y -t neuro

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features | Out of Focus

“The resistance to medication is something I’ve never understood,” Duane Gordon, president of ADDA, says. “I’m diabetic, so I take insulin. Nobody ever debated whether I should or not. I suffer in my daily life from my ADHD a lot more than my diabetes.

Unmedicated and untreated, ADHD is hell.”

Duane Gordon TREATMENT Medication is one of the best ways to help individuals diagnosed with ADHD. “It may take several months, or even years, to get the dosage right,” Dr. Marsden says.

“The best ways to assist children so that their adult life will not be negatively affected is to: find the right medication and dosage; teach them organizational skills; and allow them to move—desk jobs are terrible for people with ADHD—in the classroom and eventually at work. Know the person’s strengths and play to them.”

“A boy who is exhibiting symptoms of what may be ADHD, should be seen by a psychologist or psychiatrist who will thoroughly evaluate him with clinical sessions and psychological testing,” Lieberman explains.“Although some medications have been found to be useful for ADHD, they must be prescribed very judiciously and are not effective without concomitant psychotherapy.”

Dr. Lieberman believes men who were diagnosed with ADHD as a child and received no treatment or only medication, do not finish well.

“They are more likely to: spin out of control the older they get; abuse drugs or alcohol; self-medicate or get into other selfdestructive patterns,” she says.

Duane is a huge proponent of ADHD support groups.

“It is that connection with people who understand and can share their experiences,” he explains. “If you connect with people you can learn their strategies and see what works for you.”

“The longer you live with these challenges undiagnosed, the harder it is,” Dr. Frank says.

“It becomes internalized as something that is wrong with you as opposed to how your unique brain wiring works.”

Duane’s worse symptom is his working memory.

30 | thehealthjournals.com

“Once, my boss was looking for me to move up into a management position. He asked me to handle a department meeting because he was going to the dentist. I know he wanted to see if I was ready to step into that role.”

When it came time for the meeting, Duane forgot he was supposed to be in charge.

“You can imagine my boss’ reaction we he came in. I was demoted and given a cut in pay we couldn’t afford.”

“A boss is only going to put up with you for so long,” Dr. Hafeez explains.

“You’re always running late, never turn in what you’re supposed to, forget meetings and never respond to emails.

Eventually, I think a lot of them get found out.”

Once, Gordon’s ADHD-related impulsivity lead him to accept a job as a teacher in Newfoundland after watching a movie and thinking it would be fun.

“I didn’t tell my wife until they offered me the job,” he explains. “I woke her up to tell her. We had just bought a house in Montreal and had to sell it at a loss. Also, she couldn’t move right away because she was seven months pregnant.”

A drastic change for many ADHD-diagnosed boys is that their hyperactivity becomes more subdued as they mature.

According to Dr. Frank, “It becomes an inner sense of restlessness, rather than external restlessness.”

“If adult men have learned to recognize the effects of their ADHD

and use coping mechanisms to their advantage, they can be high achievers,” Dr. Andrea Brode, dean of student success and a learning specialist at Beacon College, says. “They are often creative thinkers.”

Today, Harris works part-time in his wife’s medical practice in bookkeeping and computer work. In addition, he works as an ADHD coach.

“Coaching is very satisfying,” he explains. “Most of my clients were diagnosed and had years of coping. To be with someone who knows what you’re going through? There's no substitute for connecting with people that get you.”

“Let’s learn to build communities where difference is, not just accepted or tolerated, but celebrated.” Dr. Frank says. “If we capitalize upon different brain profiles, we can target these young people and help them thrive with difference. Not only would individuals with ADHD lead better lives, we’d be a heck of a lot better off as a world.”

Doctors found that

39% of ADHD subjects had been arrested in adolescence or early adulthood

17%

ADHD subjects were more likely than the controls to develop Substance Use Disorder. (SUD)

According to Ashley Wroton, Ed.S According to Ashley Wroton, Ed.S., a licensed professional counselor with Genesis Counseling Center in Hampton Roads, “Due to the neurological deficits that a diagnosis of ADHD refers to, there are deficits in executive functioning. These challenges impact the man's development of problem-solving skills, social skills and self-concept. There is also a high likelihood that a male diagnosed with ADHD will receive other diagnoses such as a learning disorder, communication disorder, autism, conduct or oppositional/defiant disorder, anxiety and/or depression. Without support, these diagnoses (particularly if untreated) can have significant impact on a person’s life and ability to function.”

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your health | fitness

OPEN WATER SWIMMING KEEPING IT SAFE

by Dr. Daniel Shaye

O

pen water (OW) swimming in lakes, rivers, bays, and the ocean is a joy that also carries risks. Here are some ways to enjoy the experience, safely.

KNOW YOURSELF

If you can’t swim, don’t go in. If you’re a weak swimmer, turn around before you’re nearing fatigue, or swim only where you can touch bottom. Important note: Moving water can dig unexpected channels, and daily tides affect depth.

KNOW WHAT YOU’RE GETTING INTO

Many localities have Combined Sewer Overflow (CSO): discharge of sewage directly into waterways. Expect lower water quality after heavy rains. Beneath that water lie other hazards. Never dive if you’re unsure of what’s beneath. Concrete, sandbars, tree parts, old portions of docks, and other items lurk. Top-side, beware watercraft such as boats, jet skis, sailboards, kite and conventional surfers, even sail boats. Also, respect critters. Fish may scare you; but jellyfish, sharks, alligators, and other critters pack more of a punch. Don’t be wimpy, but don’t be stupid either.

32 | thehealthjournals.com

JUST SAY NO

Drugs (recreational, and sometimes prescription) and alcohol may impair judgment and endurance, and can cause you to pass out.

Every year, recreational swimmers disobey this rule and pay the ultimate price.

NEVER SWIM ALONE.

I’ve swum in 39.8 degree water, with icicles hanging off the dock; and finding company was not feasible. I can’t recommend solo swimming for most normal people. A buddy or friend can be a life-saver; but on the other hand, even strong swimmers may not be competent lifeguards. One of the joys of OW swimming is learning self-reliance, so don’t get complacent even if you have a partner. If you can’t find a swim buddy, at least consider a “shore buddy” to keep an eye on you.

fitness | your health

BEWARE THE MAMMALIAN DIVE REFLEX

SWIM IN DAYLIGHT

Cold water on your face causes the pulse to drop, which can make you pass out when combined with vigorous physical activity. If you’re going to enter cold water, splash some on your face first to accommodate. If you’re going to gasp and inhale, at least you’ll do so on land.

If things go wrong at night, you’re harder to rescue; and time may not be your friend if you’re alone or hurt. Yes, there are devices that help make you visible in open water at night, but generally they are used in organized events such as “glow swims” or planned and crewed crossings of large bodies of water.

RESPECT CURRENTS AND RIP TIDES

GET SOME GEAR

The best OW swimmers in the world go backwards in a 3-4 MPH current. Storms cause strong currents, as can natural ebb-andflow of daily tides. I once swam down-stream for 12 minutes, then had to crawl out of the Chickahominy River without successfully making it back despite 35 minutes of intense swimming.

Water will win, so don’t fight it. My simple rules are: 1. Don’t panic. Fear is your friend when it tells you not to do something foolish, but panic is an enemy. 2. In a rip tide, swim parallel to shore, rather than trying to fight your way back to shore; though in a current along a bank, your bailout may actually be directly to shore. 3. Know the path. Rip tides tend to be circular, so an outbound current may eventually pull you back in.

RESPECT THE ELEMENTS

Swimming in high winds with breakers and whitecaps, in icy waters, with poor visibility, is a rush; but it’s not for beginners, and it’s not the safest way to go. Without the right gear, cold (hypothermia) can be a killer that insidiously renders you weak, confused, or even unconscious.

Wind, rain, and fog can make breathing and sighting your base difficult, and they also hide you from boats and windsurfers. You can tempt fate and swim with the lightning and impending tornado, but I can’t recommend it.

Depending on conditions, I use a variety of gear. I always swim with goggles, but I know some who don’t. A wetsuit provides buoyancy and heat, and can help you withstand temperatures that you couldn’t going “skin”; though when water temperatures climb into the 70’s or even 80’s, it becomes a liability for those exercising vigorously. A swim cap can provide visibility (don’t wear a black one unless you’re a Navy Seal). A neoprene swim cap can provide some warmth, and a swim hood provides tremendous heat retention. Earplugs are useful in the cold, but some like them year-round (but beware not hearing oncoming motorized watercraft). Swim gloves are also handy in the coldest temperatures. Swim booties are useful in cold water, but they also come in handy should you find a fish hook or glass bottle with your foot. Personally I like to swim with a bright orange swim buoy, but I use it for visibility and not flotation (don’t ever rely on a float when you can’t swim).

Finally, I’ve seen wrist-mounted air horns that can be used to signal for help. I’m sure there’s someone, somewhere, swimming with a waterproof iPhone too – but me, I prefer the joy of swimming with as little “stuff” as possible, briefly fleeing my land life in favor for a land of open water wonder. thehealthjournals.com | 33

your health | family

by Joseph B. Ash

Happy Campers 3 tips to making 2016 Summer Camps the BEST ever

H

aving attended several camps in my days, first as a camper and now as a facilitator, I know there is a lot going on in the hearts and minds of moms and dads. Will they be okay without me? Will they eat the lunch I packed them? Will they behave? When is drop off-pick up? All these questions and more arise when it’s summer camp time.

So how do you prepare for the best summer camp experience? What will it take to ensure you have peace of mind during their days away from you?

Below are three tips for parents and another three for campers.

PARENTS/GUARDIANS: FIND THE CAMP THAT FITS

Whether it’s science camp, coding camp or horseback riding camp, one thing is certain: It should all start with the overall camp experience. Do you want a sports-specific camp that can help improve their game for next season or to expose them to something completely out of their comfort zone? Since you already know what they like, getting clear on what they may need would be a great factor to include in the selection process.

34 | thehealthjournals.com

DO YOUR RESEARCH

Who's teaching your child? What’s the camper-teacher ratio? What’s the policy for sickness? Your research can be as simple as making phone calls, looking online or stopping by for a visit. Parents should take time to do some research and ensure their child is in the best possible learning environment.

PAPERWORK & FEES

It is extremely important to ensure all the proper paperwork is complete before the first day of camp. It is the responsibility for the camp to provide you with all the necessary documentation prior to camp. However, it is your responsibility to ensure it is all completed correctly. It is imperative they have all the necessary information regarding allergies, special needs, contact information and who’s picking up your child each day. Keeping a folder of all registration forms and instruction sheets at the time of registration will help you stay organized. Also remember to stay on top of any remaining camp fees—oftentimes a deposit is required in advance with the balance due prior to the camp start date.

CAMPERS: SAFETY GUIDELINES

Rules are not made to be broken. Summer camps are fun activities to participate in, but in order to stay safe all campers must follow the safety rules set by camp leaders.

FRIENDS NEW AND OLD

Although we may go into a camp knowing a few friends, camp is a great place to make new friends. Even if you’re shy or nervous, remember that new friends make for new memories. Make it a goal to make a new friend at every camp and learn their names, favorite color and super hero. You never know, that new friend could end up being your best friend.

FEAR AND FUN

In order to make this a standout year, I encourage all campers to forget fear and have fun. Get outside the box, try new camps and make new friends. Fear can hold us back from some of life’s greatest joys. Not trying new things because you are afraid can limit learning and personal growth. So go ahead and take a chance on that new camp. It could be your greatest adventure yet.

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your health | women's health

The Cost to Conceive: Financial Costs of Infertility PART 3 IN A 3-PART SERIES

By Natalie Miller Moore

W

hen your friend mentions that he and his wife have cut back on eating out, and stopped buying new clothes – do you assume it’s because they are saving up for a home down payment?

Maybe a tropical vacation? Or for infertility treatments?

Infertility treatments have a lot of financial implications, combined with a race against time. Most private insurance does not cover the treatments, and the difficulties increase with age, leaving a couple dealing with infertility in a bind. The average cost of one cycle of in vitro fertilization (IVF), the most common type of assisted reproductive technology, is currently around $12,000, and the success rate per cycle is about 30 percent.

“Few people understand the overwhelming costs of fertility treatments. We spent over $70,000 on treatments and we were 100 percent out of pocket,” said Candace Fox, 34, from Virginia Beach.

“When it came time to actually have treatments, they ended up going on a credit card. I’m ashamed to say that, but there just was not enough money left over each month after paying bills and everything to be able to afford expensive medicines and treatments on top of it,” says Anne Nowinski, 31, from Virginia Beach.

When it comes to infertility and money, nearly all the choices are tough. Adding to that is the perception that infertility is a “cosmetic” condition and infertile couples should bear the heavy costs themselves since it’s “their choice.” The World Health Organization defines infertility as a disease, based on the fact that one of the major bodily systems is not working.

36 | thehealthjournals.com

Lee Rubin Collins, a RESOLVE board member, feels that “being involuntarily childless can fundamentally alter the course of one’s life.”

“To me, the question boils down to this: ‘What is important?’ Some people may not think that having children, that creating and raising families is important. But we, people who deeply wish to have children and who have a medical problem that prevents it, we believe that being able to have children is monumentally important. A social worker around here used to say that if everyone eventually got heart disease or cancer, it would be tragic. But if everyone got our disease, the human race would end,” Collins said.

UNCOVERED

Why don’t insurance companies cover infertility treatment? While they do cover the tests to determine infertility, coverage ends there, unless the state requires it (15 of them do.) The federal government insurance plans (including the Department of Defense, Veterans Administration, Medicaid and Federal Employee Plan) do not cover IVF. Self-insured employers (about 50 percent of U.S. companies) can dictate types of coverage for their employees.

“About 30% of self-insured plans cover infertility, and the main reason they do offer coverage is because employees asked for it,” says Barbara Collura, President/CEO of RESOLVE: The National Infertility Association.

“With fully-insured plans, insurance companies are reluctant to offer an infertility benefit as a routine part of their insurance plans because they believe it is a costly benefit

with high risk. Our field in general has done a poor job of providing information and data to insurance carriers on benefit design that reduces costs and risk, but provides with healthy outcomes for mom and baby. We believe it is possible to do all those things, but we need better data and information to convey that,” she says RESOLVE works to encourage lawmakers and insurers to cover infertility treatment because they “believe that couples should not have to spend their life savings, second mortgage their home, or incur thousands of dollars of debt to treat a disease and to fulfill a fundamental aspect of life the desire to bear children and raise a family. Decisions made during infertility treatments must be strictly medical decisions…”

In the meantime, couples dealing with infertility make a lot of personal sacrifices.

“For years, we’ve operated on a strict budget. For dinner, it was more spaghetti and less grilling a steak on the grill. We haven’t had a vacation since 2009. My first cycle cost roughly $20,000 and then $5,000 on medication,” says Fox. Besides the actual costs of treatment, there are prenatal vitamins ($200 a year) and supplements. There are ovulation tests, and then many hopeful pregnancy tests (about $8 each.) Alternative treatments include acupuncture ($100 a session) and yoga classes (around $15 a class).

“I also went natural with my approach.

I spent money on guided meditations, essential oils, good luck charms and cleansing rituals. Each failed cycle I was willing to try one more thing I’d heard of being necessary for success,” says Fox.

Travel expenses and time off of work are another factor.

“My clinic was two hours away so I was often away for five hours at a time driving there and back—that was a lot of gas money. During a full cycle, I drove back and forth 10 times,” Fox says.

Fundraising so you can raise a baby?

“After that cycle failed, I found a multi-cycle program. That cost around $25,000 and then the medications for each cycle being separate,” says Fox. Multi-cycle programs are part of the numerous options offered by fertility clinics, with “shared risk” programs that offer refunds for self-pay patients. An example would be six in vitro fertilization cycles, with a 100-percent refund unless you have a live born baby.

Many clinics have financing programs to help with the costs.

Although this guarantee helps with the financial risk, “no one wants the money back.”

Private foundations offer grant applications for infertility treatments, and video contests where potential parents submit their reasons for wanting to have a baby.

Online fundraising for medical expenses is becoming more common. There a number of sites for medical fundraising, as well as in-person events to help with expenses.

Other options include moving to a state with insurance (but the coverage required varies), deducting the costs on your taxes, using a flexible spending medical account or enrolling in a clinical trial.

COSTS FOR SOCIETY

Having genetically-related offspring rather than adopted ones, is part of the crux of the arguments against universal insurance coverage. The argument against it is that adoption is a more desirable good for society, and that having a genetically-related child is not quantifiably better for the cost.

Infertility advocates argue that adoption has just as many moral and ethical considerations against as for.

Adoption is also time-consuming (placement time ranges from 14 to 28 months) and expensive (between $20,000 and $40,000 for counseling, medical care and agency fees.)

The high costs of infertility treatment also creates a disparity in who can have children. People who have lower incomes (or who can’t subsidize the costs at that time in their life) experience infertility at the same rate, but they are much less likely to be able to have a child due to cost. Infertility affects up to 15 percent of reproductive-aged couples worldwide.

“Very few people truly understand infertility unless they have experienced it. We are sympathetic to cancer patients even if we haven’t had cancer, but we are still too often dismissive of infertility patients. I cannot explain the difference,” Collins says.

Missed the first two articles in the series?

Visit www.thehealthjournals.com

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your health | Men's Health

MEN'S HE Can Hernias

by Lillian H. St

evens

38 38 || thehealthjournals.com thehealthjournals.com

ALTH

Be Prevente

I d?

f you’ve ever had a hernia, you know the drill. The doctor dons a latex glove, positions his or her hand in the appropriate place, and instructs you to turn your head and cough. It’s a fairly straightforward condition to diagnose, but what encourages them to develop in the first place?

According to the National Institutes of Health (NIH), a hernia occurs when part of an internal organ or tissue bulges through a weak area of muscle. Most hernias are located in the abdomen. There are several types of hernias, including inguinal, or in the groin. Generally caused by a combination of muscle weakness and strain, inguinal hernias are the most common type. Common herniainducing types of strain include obesity or sudden weight gain, lifting heavy objects, diarrhea or constipation and persistent coughing or sneezing.

Typical signs of an inguinal hernia can include a bulge in the area on either side of the pubic bone, accompanied by an aching sensation. The bulge is usually more obvious when you stand upright, especially if you cough or strain. There may be pain or a heavy sensation in your groin area, especially when bending over, coughing or lifting. Treatment usually involves surgery to repair the opening in the muscle wall, but not always.

According to Dr. Steven Hopson, Director of the Hernia Center at Tidewater Physicians Multispecialty Group (TPMG) General Surgery and Hernia Center, proper evaluation is necessary.

“Depending on the symptoms and size and the patients we will sometimes recommend surgery,” he says. “But sometimes we won’t.

We assess the size and type of the hernia, the symptoms, and the patient’s comorbidities [whether or not the patient is obese, a smoker, or a diabetic] to decide which procedure is best.”

“

Dr. Hopson says that hernia repair has changed pretty substantially in recent years.

“The procedures we do now are highly technical. The materials we use, such as mesh, are becoming more and more specialized to each patient’s needs. We really try to individualize the hernia procedures that we do.”

Contrary to what a lot of people think, the minimally invasive or laparoscopic procedure might not always be the best remedy.

“In some instances, we are actually finding that a more traditional ‘open’ procedure may be better," Hopson says. “Due to these advances in technology, we understand better the science behind ‘abdominal wall reconstruction’ – that is what we are calling them – we are getting away from the word ‘hernia’. If we can reconstruct the abdominal wall with more advanced techniques and materials, sometimes an open or more traditional procedure is better than a laparoscopic one. It really just depends on the patient.”

Men's Health | your health

Hints for Preventing hernias • Stay at a healthy weight for your height and body type • Make fiber a regular part of your diet • Be careful when weight lifting or lifting heavy objects • If you’re a smoker, quit. Smoking can cause persistent coughing, which can strain your abdominal muscles. (The risk of hernia is just one more reason to kick the habit!)

Typical signs of an inguinal hernia can include a bulge in the area on either side of the pubic bone, accompanied by an aching sensation.

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your health | aging well

TIPS FOR DOWNSIZING YOUR HOME

by Page Bishop Freer

O

lder adults frequently face the decision of whether to stay in their home or downsize to a smaller living space. Oftentimes it’s a result of becoming “empty-nesters” or may be due to financial or health-related factors. Whatever the reason, here are some helpful tips to consider as you prepare for this time of transition:

1. PLAN AHEAD

You can begin the process of downsizing well before putting your house on the market. Speak with a financial advisor and refine your retirement plan. Set a housing budget that will maximize your ability to save for retirement and long-term care. Planning ahead also means choosing a home that will meet your future needs as you age. Decide what’s most important before starting your home search. You may opt for a first-floor master bedroom or even a single-story home.

Traversing flights of stairs may not be an issue now but could be 10 or 20 years down the road. Research neighborhoods, and perhaps scope out senior living communities that offer a continuum of care.

Proximity to friends or family members as well as nearby shopping centers should also be considered when deciding where to move.

40 | thehealthjournals.com

2. PARE DOWN

I recently heard someone say, “You’ll never see a U-Haul behind a hearse.” In other words, you really can’t take it with you. Downsizing means there will inevitably be some space limitations, so deciding what to keep versus part with is key. As you comb through your house and storage areas, ask yourself regarding each item: 1) Is it necessary?

2) When is the last time I used this? 3) Will I realistically use it again, and when?, and 4) Would it benefit someone else more?

After distributing items to family members and friends (perhaps even bestowing legacy gifts early), consider holding an estate sale and/ or donate items to charity for a tax write-off. Selling items online via Craigslist or other sites can garner quick cash, but responding to inquiries and arranging meet-ups may not be worth the hassle or risk. Many furniture consignment stores will pick up goodcondition furniture and décor for a small fee and will split the sale with you. For whatever remains, services such as 1-800-GOT-JUNK or 1-800-JUNK-USA will pick up items from your home. If there are still large items that you truly can’t part with, consider renting a storage unit—however, first weigh the cost of long-term storage versus what you feel those items are worth.

3. PACE YOURSELF

Your cache of clutter wasn’t created in a day, therefore it’s unlikely that you’ll be able to sort through a lifetime’s worth of “stuff” in one weekend. To avoid feeling overwhelmed, experts say to break time spent sorting into 30- or 60-minute sprints. Tackle one room— or one closet or corner—at a time. This will provide a sense of accomplishment and satisfaction and keep you from feeling like a ping-pong ball, bouncing back and forth between tasks. And try to start with out-ofthe-way areas such as the attic, basement or storage areas first (where most of the must-go items are found) and work your way into living spaces.

4. MAXIMIZE SPACE

Bed frames with built-in drawers, storage ottomans, built-in bookcases, wall-mounted shelving—multi-purpose furniture is key when downsizing to a smaller abode. While you are at it, a home technology upgrade can also save precious floor space. Swap the old tube-TV and cabinet for a flat-screen, wallmounted television. Eliminate a tangle of cords with a Wi Fi printer. Ask your kids or grandkids for help scanning photos or paper documents onto a computer hard drive.

5. COMMUNICATE EFFECTIVELY

If your adult children are involved in the decision-making or even just helping with the move itself, make sure everyone is on the same page and that each person has a list of assigned tasks and deadlines. Moving is hard at any age, period. But with open lines of communication, and by pausing to take a few deep breaths now and then, downsizing doesn’t have to be daunting. Once settled in your new digs, you may discover that less really is more.

Page Bishop Freer is co-founder and publisher of the Health Journal and a practicing Licensed Real Estate Agent in Virginia.

She can be reached at 757-897-1800.

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your health | outdoors

9

Great Cabin-Friendly

Outdoor Spots Near Virginia

by Shawn Radcliffe

I

f you’re looking for a place to enjoy the outdoors, but aren’t ready to squeeze into a tiny tent, then maybe a cabin is what you need. Rustic or plush, you can likely find a lodging that suits your style.

While it’s impossible to list all the best places to hike or immerse yourself in nature, here are a few great spots within a day’s drive to find a cabin to call home … even if just for a few days.

Virginia

Maryland

Shenandoah National Park is located just 75 miles from Washington, D.C. Its 196,000 acres of wilderness are bordered by the Shenandoah River and the Virginia Piedmont hills. Within the park you’ll find plenty of hiking trails, wildlife and waterfalls. And also the 105mile scenic Skyline Drive.

Mount Rogers National Recreation Area in southwest Virginia is 200,000 acres of National Forest land and four wilderness areas. There are over 500 miles of hiking trails, including 60 miles of the Appalachian Trail. The elevation reaches over 4,000 feet in some places, with large rock formations and even a herd of wild ponies.

Catoctin Mountain Park in north-central Maryland is ideal for hiking in the summer. But once the snow falls, it’s time to strap on your cross-country skis. On the east side of the park, you’ll find stunning views, challenging terrain and access to Cunningham Falls. On the west, wilder areas with wetlands and wildlife.

Savage River State Forest, located on the northwestern border of Maryland, offers hiking, whitewater rafting and canoeing. The park was the site of the 1989 World Whitewater Championships. If you go in May, you might catch the blooming of the mountain laurel, followed by the rhododendrons in June. Cabins are available in neighboring towns and state parks.

42 | thehealthjournals.com

OUTDOORS | your health

Tennessee

North Carolina Pisgah National Forest in the Appalachian Mountains of western North Carolina offers over 500,000 acres of hardwood forest, waterfalls and whitewater rivers. The forest is cross-crossed by hundreds of miles of trails.

There are also plenty of opportunities for rock climbing, horseback riding, fishing and inner tubing. Cabins are available in nearby towns.

Linville Gorge Wilderness Area, located in the mountains of western North Carolina, is part of the Pisgah National Forest, but bears special mention. This area offers rugged terrain and amazing scenery and trails without the usual overcrowding. The Linville River that forms the gorge drops 2,000 feet into the valleys below. You’ll find plenty of swimming holes along the river to refresh yourself while wandering in the wilderness.

Cabins can be rented in nearby towns.

Great Smoky Mountains National Park, spans the border of Tennessee and North Carolina, is the most visited national park in the U.S. Its 500,000-plus acres offer hikers all-year hiking, with waterfalls, old-growth forests and endless views to check out. Cabins can be rented in nearby communities.

Big South Fork National River and Recreation Area includes 125,000 acres in northeastern Tennessee and southeastern Kentucky. It has many sandstone bluffs, scenic gorges and natural bridges. The area boasts a large trail system with something for everyone. There’s also plenty of mountain biking, paddling and horseback riding.

Cabins can be found in neighboring communities.

West Virginia Monongahela National Forest, with over 900,000 acres, has five wilderness areas and 500 miles of trails. Located in the northcentral highlands of West Virginia, this national forest offers breathtaking views, gently flowing streams and a varied terrain.

The forest is ideal for hiking, mountain biking and fishing.

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your health | money

IS TRAVEL INSURANCE

Worth It?

By Teresa Bergen

Y

ou’ve just spent thousands of dollars booking a big trip.

You’re excited but also a bit worried about your wallet.

Then that question pops up on your computer screen: Do you wish to protect your trip?

What, spend more money?

From terrorism to the Zika virus, more and more Americans are finding reasons to say yes to travel insurance. According to the US Travel Insurance Association, the industry has grown from under $600 million in 2001 to $1.6 billion today.

“People are getting more protective of their money, and large businesses like airlines and cruise lines are getting less and less lenient when it comes to making exceptions for people,” says Georjeane L. Blumling, PhD, Vice President of Public Affairs for AAA Tidewater Virginia. Global instability also drives the travel insurance industry, she says.

TYPES OF TRAVEL INSURANCE

Trip cancellation, interruption or delay is the most common type of travel insurance. For an additional fee, some policies offer a “cancel for any reason” option. “Say you get cold feet due to the political climate,” says Sharon Gundrum, cofounder and chief creative officer of Williamsburg-based travel agency Tripbound.

Another type of travel insurance covers your medical costs.

“Anytime you are outside of the United States you are pretty safe to assume your medical coverage does not cover you in case of health issues while traveling,” says Blumling. This can

44 | thehealthjournals.com

be especially important for people going on high-risk trips in less developed countries. Being airlifted out of the Himalayas could cost you a year’s salary.

Many policies also come with travel assistance. For example, Allianz Global’s 24-hour travel assistance hotline helps arrange emergency overseas medical care and replace clients’ lost prescriptions.

Expect to pay an extra 4 to 8 percent of your trip cost for travel insurance, depending on coverage type and insurer, your age and health.

WHO SHOULD BUY TRAVEL INSURANCE?

Before you buy a travel insurance plan, check your existing coverage. Ask your health insurer about coverage while traveling. Many American Express cards carry travel accident insurance and baggage insurance. Visa cards typically include an auto rental collision damage waiver. AAA premier members automatically receive $300,000 in travel accident insurance coverage when purchasing airline, cruise or train tickets through AAA Travel. Determine what benefits you’re already entitled to, then note any gaps.

Your personality type also influences whether travel insurance is a worthwhile investment. “Are you a worrier?” asks Gundrum. “If so, you may want to buy travel insurance. It just might give you the peace of mind you need to alleviate your travel anxiety. What is the point of traveling if you can’t enjoy your trip?”

YOUR FINANCIAL HEALTH | YOUR HEALTH

your financial health helping to ease your personal finance concerns

CLAIMS DENIED

Read policies carefully before you buy. If you have a preexisting condition that may cause you to cancel, you must buy insurance within 14 days of booking the trip. “If you book after that window and something comes up in relation to that preexisting condition, there’s a good chance the claim would be denied,” Blumling says. You may also be denied if you were clearly too ill to travel when you booked your trip, even if you bought the insurance.

A sudden work obligation won’t be enough to justify a refund from your insurer. People who are married to their jobs should consider a cancel-forany-reason policy.

If recklessness and/or alcohol directly led to your claim, don’t be surprised to find your claim denied.

SHOPPING AROUND

Consumer Reports recommends comparing policies online with InsureMyTrip, which sells plans from nearly 30 different carriers. Purchasing from a carrier is safer than getting a policy from a tour operator or cruise line that might go bankrupt.

Young, healthy people taking a low-risk vacation may not need travel insurance, especially if they haven’t prepaid thousands of dollars on tours and accommodations. But the unexpected often happens.

“Things can and do go awry sometimes. So being prepared, or feeling more in control, can be a big motivator to buying travel insurance,” Gundrum says.

Regular IRA Basics in 2016 Regular IRA Basics inEligibility: 2016 SINGLE PERSON:

A single person who is under age 70-1/2 and has earned income may establish and contribute up to the lesser of $5,500 or 100% of earned income to an IRA.

Up to $5,500 can be contributed to an IRA for each spouse, even if one spouse has no earned income, provided that the combined A single person who is under age compensation 70-1/2 and hasof earned and both income spousesmay is atestablish least equal contribute up to the lesser of $5,500 or 100% of earned income to an IRA. to the combined IRA contribution (maximum Up to $5,500 can be contributed to IRA for each spouse, even if one spouse has of an $11,000).

MARRIED COUPLE:

Eligibility: Single Person: Married Couple:

no earned income, provided that the combined compensation of both spouses is at Workers(maximum who are age 50 or older may OLDER IRA contribution least equal to the combined of $11,000).

Older Workers:

WORKERS:

contribute an additional $1,000 to an IRA

Workers who are age 50 or older may contribute an additional $1,000 to an IRA in in 2016, for a total of is$6,500, thatIRA 2016, for a total of $6,500, provided that earned income at leastprovided equal to the contribution. earned income is at least equal to the IRA

contribution.

Deductibility:

Deductibility:

contributions are deducted fully deducted from income, and your are spouse areparticipants active IRAIRA contributions are fully from income, unless unless you andyou your spouse active in an employer-sponsored retirement plan, including a tax-deferred (TDA).

In that event, the IRA deduction is participants in an employer-sponsored retirement plan, annuity including a tax-deferred annuity (TDA). gradually phasedthe outIRA as follows: In that event, deduction is gradually phased out as follows: Maximum IRA Deductions (2016 Tax Year) Adjusted Gross Income

Joint Taxpayers

Single Taxpayers

One IRA

Two IRAs

Age 50 or Older

One IRA

$5,500

$11,000

$6,500

$5,500

$6,500

$60,000 & under

Age 50 or Older

$65,000

$5,500

$11,000

$6,500

$2,750

$3,250

$70,000

$5,500

$11,000

$6,500

$0

$0

$96,000

$5,500

$11,000

$6,500

$0

$0

$106,000

$2,750

$5,500

$3,250

$0

$0

$0

$0

$0

$0

$0

$116,000 & above

The spouse of an active participant in an employer-sponsored retirement plan who is not covered

The spouse of an active participant in an employer-sponsored retirement plan who is not covered by his or her by his or her own plan can make fully-deductible IRA contributions, if the couple’s adjusted gross own plan can make fully-deductible IRA contributions, if the couple’s adjusted gross income is below $184,000 in income below $184,000IRA in 2016 and partially-deductible if between $184,000 2016 and is partially-deductible contributions if between $184,000IRA and contributions $194,000 in 2016.

and $194,000 in 2016.

Contribution Deadline:

Contribution Deadline:

An IRA can be established and contributions made between January 1 of the current tax year and the date the income tax return the currentand yearcontributions is filed (no later thanbetween April 15th of the 1 following year). tax year and the An IRA can beforestablished made January of the current

date the income tax return for the current year is filed (no later than April 15th of the following year).

Rusty Woods Advisory Representative

 VSA, LP The information, general principles and conclusions presented in this report are subject to local, Lincoln Financial Corporation stateSecurities and federal laws and regulations, court cases and any revisions of same. While every care has been taken in the preparation of this report, VSA, L.P. is not engaged in providing legal, accounting, financial or 757-461-1539, ext. 207

LFG 2F4.04 ed. 01-16 Page 1 of 1

other professional services. This report should not be used as a substitute for the professional advice of an attorney, accountant, or other qualified professional.

Rusty Woods is a registered representative of and offers securities and advisory services through Lincoln Financial Securities Corporation, Member SIPC. Lincoln Financial Securities Corporation is a member of the Lincoln Financial Group which is the marketing name for Lincoln National Corporation and its affiliates.

Lincoln Financial Securities and its representatives do not offer tax or legal advice. Individuals should consult their tax or legal professionals regarding their specific circumstances. LFS-1498554-051116

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your health | mind matters

4 Ways to

Become Mentally and Emotionally Fit

by Kristyn Allred

I

f you ask most parents what they want for their children, they say health and happiness.

As a mother of five, I am interested in reports condemning trans-fat or heralding Chia seeds as well as work-out tips for teens. With childhood obesity on the rise our attention is often turned towards keeping our kids physically active and eating right. However, physical health is only one part of our overall wellness.

For the past 20 years I have worked with kids in schools and in my community and I’ve noticed an increase in mental and emotional health issues. According to Liz Parker, M.Ed, Coordinator of School Counseling Programs for Williamsburg James City County (WJCC) schools, “Up to 1 in 5 children in the U.S. will experience a mental disorder in a given year, and 20-30% of children have a major depressive episode before they reach adulthood.”

The question arises then, what can we do to strengthen our hearts and minds thus improving our overall health? If planks and push-ups increase our physical strength, are there exercises that can pump us up mentally and emotionally?

Current research says yes.

46 | thehealthjournals.com

One of the buzz words associated with developing mental and emotional strength is resilience. Amy Lazev, Ph.D., Director of the WJCC School Health Initiative Program (SHIP) explains that “Resiliency helps people persist in striving for their goals, even after set-backs.” As I have talked to counselors, teachers and parents, I’ve concluded that we can do more to help young people tackle life’s challenges, deal well with failure and disappointment, and generally be happier. To do this, I’ve developed mental and emotional exercises that I share with youth to help build resiliency. I’ve created an acronym to help teens remember what to do: MOVE.

M = Make it fun O = Own it V = Value Connections E = Empathy

mind matters | your health

MAKE IT FUN

VALUE CONNECTIONS

OWN IT

EMPATHY

When we are having fun, dopamine, a neurotransmitter, is released into our system and turns on all the learning centers of our brain (Shawn Achor, TED talk). We become more productive and can retain information longer when we are happily engaged at home, school or work. Turning up the music while cleaning or creating games that help your student review for exams are just a few ways to make it fun.

Some parents mistakenly believe that protecting their children from consequences and delaying their opportunities to practice choice and accountability will ease their path. However, just as the chick that struggles to hatch from its shell gains survival skills, children grow by making decisions and dealing with the results.

Carol Dweck has written about the need for children to develop a growth mindset. A belief in our ability to improve based on effort provides hope that we control our own learning and achievement.

In 1938 Harvard began a 75-year study of health and happiness. After following hundreds of men for decades, they concluded that the most important predictive factor of happiness was connection. We build positive connections by expressing gratitude. Children can start a gratitude journal or write thank-you notes to teachers and friends. My sister has each of her kids share a gratitude while eating dinner.

Empathy is emotional understanding, and it is one way we show love to ourselves and others.

Meditation helps us develop empathy for ourselves and has proven health benefits. Validation promotes empathy towards others by listening without judgement. Both of these exercises strengthen us emotionally.

Just as we are deliberate about our physical health, we should also encourage our children to move mentally and emotionally. Doing these four exercises can help our children to be more resilient and able to deal with the daily challenges of life.

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Everybody at your office is lovely and I just love coming to your special dental office. Now that I have my new smile all finished, I miss coming so often. It just makes my day to be with you. It is so peaceful and I feel a lot of love and warmth from each one of you. And it isn’t phony love. It’s REAL. Ever since you cured my periodontal disease, I am healthier and stronger, not lazy and sluggish like I always used to feel. And you never hurt me! I am so grateful to my friend for telling me about you.

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Food | food & Nutrition

In Good

Taste

by Caroline Fornshell, MS, RD, CDE, NASM-CPT

“E

at for nutrition not for taste.”

According to 101-year-old Ida Keening, that’s one of her secrets to longevity. Wait. What? Recognizing that Ida just set a world record for the 100-meter dash in her age group, I feel like I should reflect on her experience and wisdom.

Eating is pleasurable, as it should be, by my philosophy. As an experienced eater, you must wonder if Ida’s strategy is even worth the payoff. Is Ida right? Does optimal nutrition and longevity equal a tasteless, unsatisfying menu?

Define pleasurable eating by your standards. For me, it represents nourishing my body while entertaining my palate.

With all due respect to the inspirational and accomplished Ida Keening, I need nutrition and taste! I want to have my cake and eat it too, so to speak.

48 | thehealthjournals.com

Weight and Longevity A healthy weight is a major predictor of longevity. When dieters think about weight loss, many anticipate dining options void of flavor, aroma and texture. We also know that most dieters do not achieve goal weight.

Weight loss is not for the faint of heart. After all, if it was easy, everyone would do it. Sustainable, significant weight loss, defined by a minimum of 25 pounds, requires a symphony of mindfulness, exercise, nutrition, sleep, stress management, digestion, support, scheduling and sometimes pharmaceuticals and nutraceuticals.

Putting all those components together to yield results is already a challenge.

If you take away taste, then you’ve got an additional obstacle to overcome.

food & Nutrition | Food

Embrace Taste Taste, smell, touch, sight, sound. Those senses can be tantalized through cooking and eating, and finding moments of pleasure through food helps offset our daily stresses while fueling our activities. It’s no wonder why many of us have a few pounds to lose. Food can be an entertaining respite. Thankfully, you don’t have to let go of flavor to lose weight. Weight loss is sometimes described as a journey, but you are striving for the destination. Embrace taste to cross the weight-loss finish line.

So, was Ida wrong? As far as I’m concerned, a 101-year-old runner can do no wrong. I see her point. We don’t want to eat for taste if you prefer fatty, salty, sugary foods. For those seeking weight loss, it’s harder to stay on track when deprived of pleasure. So, try a positive spin on cutting back. Experience a shift in mindful eating driven by sensation.

Mindful Eating I wish embracing taste meant that you could actually have the aforementioned cake. Sure, fad diets like the infamous cookie diet can work for a few days, but for many of us, sweet confection and other processed foods are a triggers. These foods can stimulate irresistible cravings which can sabotage our well-intended meal plans. To choose a tasty approach to long-term weight loss, we need to evolve our palates to enjoy new flavors.

Adding new incredible flavor combinations make the weight loss journey less about deprivation and more about reacquainting with our senses. Connect with your taste buds. Satisfy your human drive and experience food in a way that is stimulating. Engage your mind in the activity of eating by immersing yourself in taste.

Mindful eaters are aware of hunger, but also of the entire experience of eating. Shifting perspective to embrace taste alleviates many obstacles in weight loss as the palate evolves.

Evolve your Palate We choose convenient food sources to support our incredibly busy modern lives, and the food business competes for a market share of your stomach. Convenience food is often laden with salt to open your taste buds, fat to lube food morsels and sugar to melt in your mouth.

It’s easy to overeat with big business guiding your palate. Learning to cook healthfully is one way to overcome the lure of prepackaged or restaurant foods. If learning to cook seems like an overwhelming task, as it does with so many busy people, learn to assemble quick, fabulous meals with strategically prepped ingredients.

This is a process, so expect your palate to evolve as you learn new techniques in the kitchen.

For example, you might turn up your nose to hearty greens now, but with the right approach, you could find yourself salivating with anticipation as you consider a fresh salad. Expect a dramatic transformation as you shift your palate to the finest nature has to offer.

Beginner Palate – 5 min prep Iceberg lettuce with ranch dressing and cheese Phase 2 Palate – 2 min prep Cucumber, a red bell pepper and plain Greek yogurt (6-ounce container) Just slice and dip! No measuring, no unhealthy foods and no drive through window.

Phase 3 Palate – 5 min prep Spinach and garbanzo beans Eyeball 2 cups of spinach, ½ cup garbanzo beans, ½ cup bell peppers, olives and put a small sprinkle of feta in a small container from the salad bar. When you get home, throw the ingredients in a warm pan with a teaspoon of olive oil, squeezable basil paste, parsley paste, dried herbs de province, salt and pepper. When warm and wilted, toss in the feta and voila!

Phase 4 Palate – 5 min prep An emerging foodie could take this simple meal to an even more exciting place by using green lentils, local rainbow chard, fresh herbs like basil and lemon thyme, roasted red peppers, roasted garlic, fresh lemon juice or even a splash of dry white wine, sardines, and salt and pepper over a warm skillet just until the chard wilts slightly.

thehealthjournals.com | 49

Food | taste appeal

Tofu, Broccoli, and Soba Noodle Stir Fry

Ginger Peanut Sauce

VEGAN

VEGAN

by Relay Foods

INGREDIENTS • 8 ounce soba noodles • 3 tablespoons vegetable oil, divided • 1 package extra firm tofu, cubed • 1 red onion, roughly chopped

water and a pinch of salt to a boil.

4. Cook soba noodles according to package directions, until al dente, about 10 minutes.

5. When finished cooking, drain and set aside.

• 3-4 carrots, thinly sliced

Cook the Tofu and Vegetables

• 1 head broccoli, stems removed and florets roughly chopped

1. While the soba noodles boil, heat 2/3 of the vegetable oil over medium-high heat in a large skillet.

• 4 cloves garlic, minced • 4 tablespoons peanut butter • 1 tablespoon toasted sesame oil • 1/2 teaspoon red pepper flakes • 1/3 cup rice vinegar • 1 heaping Tablespoon fresh ginger, minced • 1/2 bunch cilantro, roughly chopped • coarse salt, to taste • 3 tablespoons tamari or soy sauce

DIRECTIONS Prepare the Tofu and Cook the Noodles 1. Slice tofu into 5 slabs. Lay the slabs out on top of a couple of paper towels. Place another paper towel on top and set a heavy pot on top to squeeze out excess liquid.

2. Drain about 5 minutes, then finish cubing the tofu.

3. While tofu is draining, bring a pot of 50 | thehealthjournals.com

2. Add tofu and sear on all sides, allowing to brown for 5-8 minutes.

Add sesame oil, and stir to coat the tofu for 1-2 minutes before removing from heat and setting cooked tofu aside.

Submitted by Shelly Breitbeil, Published by How it all Vegan!

INGREDIENTS • 1 medium onion, chopped • 4 cloves garlic, minced • 1 tablespoon olive oil • 1 cup hot water • 1/2 teaspoon curry powder • 1 tablespoon fresh ginger, grated • 1 cup natural peanut butter (or other nut butter) • 3 tablespoons of Braggs or vegan soy sauce • 1 tablespoon sesame oil

3. In the same skillet, heat the remaining vegetable oil, add sliced carrots, chopped onion and broccoli, sauté for 10-12 minutes, stir occasionally.

• dash of cayenne pepper

Prepare the Sauce and Assemble the Dish

2. Stir in the water, curry, ginger, nut butter, Braggs or vegan soy sauce, sesame oil, and cayenne

1. In a small bowl, whisk together minced garlic and ginger, peanut butter, rice vinegar, tamari, and red pepper flakes. Set aside.

2. Add the tofu and soba noodles to the skillet with the warm vegetables.

3. Pour sauce into skillet and toss to coat. Heat for 2-3 minutes over low heat.

4. Serve topped with a hearty sprinkle of cilantro.

DIRECTIONS 1. In medium saucepan, sauce the onions and garlic in oil until translucent.

3. Whisk or stir together until smooth. Simmer for 5-7 minutes.

Tofu Salad VEGAN

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INGREDIENTS

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• 2 teaspoons Thai sweet chili sauce

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• 1/2 teaspoon grated fresh ginger • 1 clove garlic, crushed • 2 teaspoons soy sauce • 2 tablespoons oil • 8 ounces firm tofu • 3 1/2 ounces snow peas, cut into 1 1/4 inch sticks • 2 small carrots, cut into matchsticks • 3 1/2 ounces red cabbage, finely shredded • 2 tablespoons chopped peanuts

DIRECTIONS 1. Place the chili sauce, ginger, garlic, soy sauce and oil in a small screw-top jar and shake well.

2. Cut the tofu into 3/4 inch cubes. Place the tofu in a medium bowl, pour the marinade over and stir. Cover with plastic wrap and refrigerate for 1 hour.

3. Place the snow peas in a small pan, pour boiling water over and leave to stand for 1 minute, then drain and plunge into iced water. Drain well.

4. Add the snow peas, carrots and cabbage to tofu and toss lightly to combine. Transfer to a serving bowl or individual plates, sprinkle with peanuts and serve immediately.

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Food | flavor

mofongo

A PERSONAL ENCOUNTER WITH PUERTO RICO’S MOST FAMOUS DISH.

By Kimberley Cuachon Haugh

A

few months ago I catered a fundraiser and met a feisty Puerto Rican named Jose. As I prepped he tasted, and through his thick Puerto Rican accent described the foods he missed from the island. Jose missed mofongo the most. What a fun name, I thought to myself. I could almost picture Jose as a kid running through his abuelita’s home yelling mofongo.

Jose described mofongo to me as Puerto Rico’s answer to mashed potatoes. And it is usually topped with with some braised meat and vegetables. However I would learn with my first food encounter, at a food truck on the way out of San Juan that it can be served as an appetizer topped with sautéed seafood and vegetables.

“You should visit Puerto Rico and try it, Kim,” he said.

52 | thehealthjournals.com

“You know what, I will. And I mean it.”

And to escape the cold in February, I did.

Just 15 miles west of San Juan, I found what looked to me like a legitimate restaurant, a shack complete with outdoor seating, a stage, and a menu that included, lechon, rice with pigeon peas, and mofongo.

Alavara is an institution of sort. A place where locals flock to and tourists are curious about.

You can count on friendly service, good food, and a long wait—a way to rack up your bill with a few rounds of Medalla, a local beer.

“The mofongo takes a little while,” our server warned. But I assured him that I was vested. But after two rounds of Medalla, and the carbs filling me up, I decided to peek in on the kitchen to watch the process.

Everything is made from scratch, a la minute, in this kitchen. I understood that the

plantains couldn’t be peeled or sliced ahead because they will brown. And because they’re deep fried before they’re smashed by hand, well, another reason it can’t be done ahead of time either. I have a new appreciation for my mortar and pestle, which is called a pilón in Puerto Rico. The relleno sauce, which is a tomato and pepper puree, was done ahead of time, but the shrimp, octopus, and vegetables are cooked to order.

The mofongo turned out to be equally distinctive and enjoyable—the perfect introduction to Puerto Rico. The plantains to what I imagined weren’t sweet—somewhere in between a potato and a sweet potato.

While my palate was trying to decipher the flavors, every bite was a beautiful fusion of Afro-Caribbean, and Latin influences that exuded the visions that I had of Puerto Rico.

flavor | Food

MOFONGO

by Chef Jose Santaella, owner of Santaella Restaurant, San Juan

• Vegetable oil, for deep frying • 4 green plantains, peeled and cut into 1-inch chunks • 4 cloves garlic • 1 teaspoon kosher salt • 1 cup chicharron or crisp cooked bacon • ¼ cup good-quality olive oil

1. In a heavy skillet, heat 3 inches of vegetable oil over mediumhigh heat to about 350 F. Line plate with paper towels.

2. Fry the plantains in the hot oil until golden brown, about 5 minutes. Using a slotted spoon, transfer the plantains to the paper towel-lined plate to drain.

3. In a large pilón, mash 1 of the garlic cloves until very mushy.

Add one-quarter of the plantain chunks and ¼ teaspoon of the salt and continue mashing. Add ¼ cup of the cracklings, drizzle in a little of the olive oil to add moisture, and keep mashing it until it is all very well combined and has formed a chunky paste.

Press the pestle into the center of the mixture to form a hollow.

His Experience with a Scalpel Gives Him the Edge In The Court Room.

Stephen M. Smith, Esq.

Out of thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room.

If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options.

BrainInjuryLawCenter.com | 877.840.3431 | 757.650.9818 | ssmith@BrainInjuryLawCenter.com

Food | vine & Dine

Summer Beer

by Jessica Smith

I

cky sticky salty sweaty smelly wonderful weather is upon us. After your day of trudging through the summer heat, there is glorious relief ahead. Your beer calls to you.

You have run a mile through our summer Virginia sauna, the last stretch of steam hisses at your ear….beer…beer…BEER! It is time to reward yourself.

When consumed in moderation, some studies have shown beer to help reduce the risk of kidney stones, lower blood pressure, boost your confidence (no surprise there), and even raise your level of good cholesterol helping your ticker tock more steadily. The key word is moderation. A pint a day keeps the doctor away. Too much more makes a different article entirely.

So what beers should you try this summer to reward yourself and foster your health? Christina Arredondo, manager of Craft31—a new restaurant opening in Williamsburg this month—notes “a major trend in beer right now is fruit, fruit, and more fruit. We are also seeing more nitrogen beers that are not all heavy stouts.”

She recommends for this summer’s line up of beer-venturing: 1. Virginia Beer Company-Free Verse IPA – it’s juicy with earthy & bitter undertones but not overly heavy…these guys get it right 2. East Coat Tangerine Wheat – an easy drinking wheat ale with a tinge of citrus to cool you down 3. Boulevard Tank 7 Farmhouse Ale – earthy & spicy with citrus undertones make it refreshing & light 4. Hardywood Cream Ale – a crisp refreshing Virginia staple 5. Stiegl Radler – with 60% fruit soda, 40% lager, this one is super light and mild with a beautiful grapefruit finish 54 | thehealthjournals.com

Need something just right for the moment? Try Christina’s best beers by occasion: Best Lawn Mower Beer Champion Shower Beer-A Czech style pilsner…crisp & refreshing…the name says it all. Also comes in a can so you can strap a koozie on that lawn mower handle. You know you want to.

Best at the Beach or Pool Dales Pale Ale-Delicious, smooth, 6.5%, and it comes in a can, so no glass at the pool!

Best with a Steak Bill’s Amber Ale-Red and roasty, this one pairs nicely with the char of the grill Best Beers with a Burger (And conveniently located at Craft 31!)

Left Hand Milk Stout or Legend Brown Ale, not too hoppy and a bit softer on carbonation so they won’t take away from the gooey goodness of a burger.

TPMG Welcomes

Mark J. Kanter, M.D. and

Vegan Cheesecake

Peninsula Cosmetic & Reconstructive Surgery

Providing cosmetic and reconstructive procedures in a comfortable, officebased accredited facility.

SmartLipo and Cellulaze • Breast Enlargement, Reduction and Lift • Reconstruction Surgery • Face, Brow and Eyelid Lift • Liposuction and Tummy Tuck • Nose, Chin and Cheek Reshaping • Ear Lobe Repair Member of the American Board of Plastic Surgeons

MARK J. KANTER, MD, FACS

ACCEPTING NEW PATIENTS TPMG Peninsula Cosmetic & Reconstructive Surgery 4000 Coliseum Drive, Suite 110 Hampton, VA 23666 mytpmg.com (757) 827-8486 www.kanterplasticsurgery.com Fax (757) 827-8718

Submitted by Shelly Breitbeil, Published by veganliving.com

INGREDIENTS

MAKES 1 PIE

• 2 8-oz. containers Tofutti plain nondairy cream cheese • 1 cup sugar

Your Perfect Travel

Companion

• Juice of 1 lemon • Dash vanilla • Graham cracker crust • 1 can cherry pie filling or fresh berries

DIRECTIONS 1. Preheat the oven to 350°F. 2. Blend together the nondairy cream cheese, sugar, lemon juice, and vanilla and pour into the graham cracker crust.

3. Bake for 60 minutes, until the top is golden brown.

4. Chill overnight in the refrigerator.

5. Cover the top of the “cheese” cake with the cherry pie filling or fresh berries and allow it to chill for at least an hour.

NapAnywhere® is a head-support pillow designed for comfort and portability. It’s small enough to fit into a briefcase or laptop bag.

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thehealthjournals.com | 55

Food | HERB-N-GARDEN

It's on,

Tarragon!

By Maria Candelaria Daugs

T

arragon is one of the four major herbs of French cooking, and is particularly suitable for chicken, fish and egg dishes. This exquisite herb is rich in healthy phyto-nutrients that are indispensable for optimum health. It happens to also be the main flavoring component of BĂŠarnaise sauce. Fresh tarragon pairs beautifully with salmon, and just a little goes a long way in this simple recipe.

ROASTED SALMON WITH MUSTARD AND TARRAGON Recipe adapted from Fine Cooking Ingredients 3 tablespoons mayonnaise 2 tablespoons Dijon mustard 2 teaspoons fresh lime juice 1 small shallot, chopped 2 teaspoons finely chopped fresh tarragon 6 6-ounce center-cut, skin-on salmon fillets Kosher salt Directions Position a rack in the center of the oven and heat the oven to 400 F. Line a heavy-duty rimmed baking sheet with foil.

In a small bowl, stir together the mayonnaise, mustard, lime juice, shallot and tarragon. Arrange the salmon, skin side down, on the baking sheet and sprinkle lightly with salt. Spread the mayonnaise mixture evenly over each fillet (there may be a little left over).

Roast the salmon until just cooked through, 10 to 14 minutes. Using a spatula, lift the fillets off the baking sheet, leaving the skin behind, and transfer to plates.

DID YOU KNOW? Scientific studies suggest that certain compounds in this herb help lower blood-sugar levels.

Fresh tarragon is one of the highest antioxidant value food sources among the common herbs. It is a very rich source of vitamins such as vitamin-C, vitamin-A. It is also rich in B-complex groups that function as antioxidant, as well as cofactors for enzymes in metabolism.

56 | thehealthjournals.com

Photography

By Maria Daugs

FAMILY RESTORATION SERVICES

We help you get back to doing the things you LOVE!

Photo courtesy of OSSUR

CONTINUED FROM PG. 24

“The kids are happy to participate in something that they enjoy, and are good at,” Stephanie Afonja says. “It helps them to reshape their identities in a positive way.”

Having the support of other organizations in the community also helps.

“We are proud the children can go into those environments and be successful,” shares Stephanie Afonja. “The kids who have come into this program have gotten better. Families are saying it has been helpful. We are pleased.”

Traditional & High-Tech Artificial Limbs Custom Orthopedic Bracing & Splints Custom Foot Orthotics Sports Medicine Bracing Most Insurances Accepted Locally Owned

Addiction is a treatable disease

The Afonjas also periodically offer health workshops to the community through their non-profit, Families Overcoming Obstacles Together (FOOT).

The couple would like to expand FRS’s sports programs to include equestrian, fencing, and rugby as well as expand the community learning garden. In addition, the Afonjas will launch an online service, Holistic Family Solutions, this spring. Holistic Family Solutions will provide instructional videos, articles, and other content related to their four quadrants of wellness to families outside of Hampton.

There is no shame, there is only the opportunity for recovery when you decide to finally get help. Our Williamsburg, Virginia campus is home to one of the most respected addiction treatment programs in the country and our experienced medical and clinical staff will work with you in a safe residential environment.

Most Insurances Accepted

Verify your insurance at our website and find out if your insurance covers treatment at Farley Center on our website.

FarleyCenter.com 800.582.6066

DERMATOLOGY 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.

Jason D. Mazzurco, D.O. Dermatology Specialists Dr. Jason D. Mazzurco is a board-certified dermatologist and fellowship trained Mohs Surgeon. He earned his Bachelor of Science and Master of Science degrees from The Ohio State University, where he was a two-time Big Ten Champion Gymnast. He continued his education at Ohio University Heritage College of Osteopathic Medicine, where he earned his medical degree.

He completed a residency in dermatology and a fellowship in Mohs micrographic surgery at St. Joseph Mercy Hospital through Michigan State University and served as the chief resident.

Dr. Mazzurco practices surgical dermatology treating both benign and malignant lesions of the skin. He specializes in the diagnosis and treatment of skin cancer, Mohs surgery and reconstructive surgery.

Dr. Mazzurco joined Dermatology Specialists in 2014.

Dermatology Specialists

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

Tidewater Orthopaedics

5208 Monticello Avenue Suite 180 Williamsburg, VA 23188

11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161

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

www.opderm.net

www.tidewaterortho.com

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

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

Allergy Partners of Hampton Roads

SKINCARE & AESTHETICS Izabela Padurariu Beauty Therapy

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

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

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

Beauty Therapy by Iza

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

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

www.allergypartners.com/hamptonroads

www.beautytherapybyiza.com

FOOT AND ANKLE

PSYCHIATRY TPMG Chessen Behavioral Health

Benjamin R. Proto, DPM, FACFAS received his Doctor of Podiatric Medicine degree from Dr. William M. Scholl College of Podiatric Medicine in Chicago, Illinois, and completed his residency in Reconstructive Surgery of the Foot and Ankle at Bon Secours New Jersey Health System, Hoboken, New Jersey.

Dr. Proto is board certified in forefoot and rearfoot reconstructive surgery and specializes in all aspects of the foot and ankle.

Services include treatment of: • Soft Tissue and • Ankle Replacement Dermatitis Surgery • Diabetic Conditions

• Foot and Ankle Deformities

• Wound Care

• Trauma 860 Omni Blvd., Suite 113 Newport News, VA 23606 (757) 327-0657

TPMG Chessen Behavioral Health 12420 Warwick Boulevard, Bldg. 7, Suite C Newport News, VA 23606 (757) 595-3900

Tidewater Medical Center at New Town

www.mytpmg.com

www.mytpmg.com

ONCOLOGY/HEMATOLOGY

ONCOLOGY/HEMATOLOGY

5424 Discovery Park Blvd., Bldg. B, Suite 105 Williamsburg, VA 23188 (757) 345-5870

Ranjit K. Goudar, M.D.

Ligeng Tian, M.D., Ph.D.

Virginia Oncology Associates

Virginia Oncology Associates

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

Port Warwick Dental Arts

TPMG Orthopedics, Spine, Sports Medicine, Foot and Ankle

Tidewater Medical Center

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

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

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

Lisa Marie Samaha, D.D.S.

Benjamin R. Proto, DPM, FACFAS

Pelin Duzenli, M.D.

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 welcomes new patients to reserve an appointment with her.

COSMETIC DENTAL

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

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

PERSONAL TRAINING Brian Cole, CPFT, CMT

Personal Training Associates For over 20 years Brian has been building his personal training practice to serve not only those who want to improve their overall health and fitness but also those in need of 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

AUDIOLOGY 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.

Flip to pg. 60 for more providers!

UROLOGY

Jude Liptak, Au.D.

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

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

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

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

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

Colonial Center for Hearing

TPMG Williamsburg Urology

www.mytpmg.com

Dermatology Specialists Dr. Jason D. Mazzurco is a board-certified dermatologist and fellowship trained Mohs Surgeon. He earned his Bachelor of Science and Master of Science degrees from The Ohio State University, where he was a two-time Big Ten Champion Gymnast. He continued his education at Ohio University Heritage College of Osteopathic Medicine, where he earned his medical degree.

He completed a residency in dermatology and a fellowship in Mohs micrographic surgery at St. Joseph Mercy Hospital through Michigan State University and served as the chief resident.

Dr. Mazzurco practices surgical dermatology treating both benign and malignant lesions of the skin. He specializes in the diagnosis and treatment of skin cancer, Mohs surgery and reconstructive surgery.

Dr. Mazzurco joined Dermatology Specialists in 2014.

Dermatology Specialists

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

11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161

www.williamsburghears.com

www.opderm.net

SPORTS MEDICINE

DENTISTRY

Nicholas K. Sablan, M.D.

Omar Hasham, D.D.S.

Tidewater Ortho

New Town Dental Arts

Dr. Nick Sablan, an expert in the field of sport medicine, joined Tidewater Ortho in the fall of 2011 after having completed his residency in orthopaedic surgery at the University of Connecticut, and a fellowship in orthopaedic sports medicine in the Kerlan Jobe clinic in Los Angeles, California. In Los Angeles, Dr. Sablan served as assistant team physician to the Kings, Lakers, Dodgers, Anaheim Ducks and PGA Tour, as well as college and high school sports teams.

He joined Tidewater Ortho because he shares the same commitment to providing excellent subspecialty care.

His goal is to help relieve the pain and improve the joint conditions of the weekend warrior to the serious athlete and get them back in the game. Dr. Sablan provides expert care to athletes from Hampton University to Hampton high school teams, as well as the casual athlete who wants to continue to be active after an injury.

Tidewater Ortho

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

Jason D. Mazzurco, D.O.

Colonial Center for Hearing

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

DERMATOLOGY

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

Dr. Omar Hasham brings over 20 years of experience to the New Town Dental Arts team.

A native of the UK, he graduated from Cardiff University School of Dentistry in 1994, completed residencies in general practice, oral surgery, orthodontics and obtained Fellowship from the Royal College of Surgeons and Physicians Glasgow specializing in pediatric dentistry and orthodontics in 2002. After moving to the United States in 2009 with his Connecticut-born wife, he completed a two-year advanced education in general dentistry certificate at University of Connecticut School of Dental Medicine where he was trained in cuttingedge and evidence-based dentistry.

Dr. Hasham is a member of the American Dental Association, the Virginia Dental Association and the Academy of General Dentistry.

He joined a large multi office dental practice in northern Virginia but longed for a smaller community so he, his wife Kasia, and their two boys settled in Fords Colony and now Dr. Hasham makes his skillful care available to patients in Williamsburg.

5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 637-7008

New Town Dental Arts 4939 Courthouse Street Williamsburg, VA 23188 (757) 259-0741

www.tidewaterortho.com

www.newtowndentalarts.net

PEDIATRIC DENTISTRY Rana GrahamMontaque, D.D.S., M.S., M.S.D. Pediatric Dental Specialists of Williamsburg

OPTOMETRY

SNORE APPLIANCES / SLEEP APNEA Don W. Cherry, DDS, FAGD

Gregory M. Schultz, OD, FAAO, ABO Eye Center of Virginia

Dr. Cherry has practiced dentistry in the Williamsburg area for over 25 years.

His office treats all fields of dentistry. Due to demand from local physicians, he became a specialist in snoring and treating people using early to moderate sleep apnea appliances.

Dr. Cherry is a graduate of the Medical College of Virginia, a Fellow of the Academy of General Dentistry, a member of the Peninsula, Virginia and American Dental Associations and served many positions in the Virginia Dental Association and was past president of the Peninsula Dental Society.

Dr. Cherry has taken many snoring and sleep apnea courses presented by dental and medical personnel and hosted by the Virginia Dental Association.

We think you will be pleased with our staff’s expertise and the appliances we make for your snoring or sleep apnea problems. No referral needed.

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

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

Dr. Schultz has made patient education the cornerstone of his practice. Specializing in ocular disease and medical optometry, he received his undergraduate degree at Ursinus College in Pennsylvania, then attended the Pennsylvania College of Optometry in Philadelphia, graduating with honors.

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

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

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

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

Eye Center of Virginia 101 Tewning Road Williamsburg, VA 23188 (757) 229-1131

Don W. Cherry, DDS, FAGD 2225 S. Henry Street, Ste. U-1 Williamsburg, VA 23185 (757) 253-2500

www.williamsburgpediatricdentist.com

www.eyecenterofvirginia.com

www.dwcherrydds.com

FOOT AND ANKLE Matthew A. Hopson, DPM, FACFAS TPMG Orthopedics, Spine, Sports Medicine, Foot and Ankle

Dr. Matthew A. Hopson graduated Magna Cum Laude from Washington College and received his medical degree from Barry University School of Podiatric Medicine, Miami, Florida. Afterwards he completed a three-year surgical residency, specializing in reconstructive and trauma foot/ankle surgery at Highlands Presbyterian/St. Luke’s Hospital in Denver, Colorado.

His clinical expertise includes treatment of complex deformities, lateral ankle instability, sports injuries, foot and ankle fractures, arthritis and other lower extremity ailments. Dr. Hopson has extensive experience in ankle arthroscopy, posterior tibialis tendon dysfunction and limb salvage procedures. He has been a pioneer in total ankle replacement surgery in this region since joining TPMG in 2011.

Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 105 Williamsburg, VA 23188 (757) 345-5870

DENTISTRY

OPTOMETRY

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

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

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

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

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

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

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

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

Williamsburg Center for Dental Health

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

Colonial Eye Care

5659 Parkway Drive, Suite 200 Gloucester, VA 23061 (757) 327-0657 www.mytpmg.com

www.williamsburgdentalhealth.com

www.colonialeyecare.com

Sentara Gloucester Medical Arts

5273 John Tyler Highway Williamsburg, VA 23185 (757) 903-2633

BEAUTY & AESTHETICS 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.

Steven C. Mares, M.D. Erase the Canvas, LLC

—Steve Jobs

60 | thehealthjournals.com

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

My favorite things in life don’t cost any money. It’s really clear that the most precious resource we all have is

time.

SKINCARE & AESTHETICS

Beauty Therapy by Iza

STAYING WELL | ONE LAST THOUGHT

My favorite things in life don’t cost any money. It’s really clear that the most precious resource we all have is

time.

—Steve Jobs

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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

FAMILY PRACTICE

Toll-Free: (800) 222-1222

ADDICTION TREATMENT

DENTISTRY

The Farley Center

Healthy Smiles Dental Center

5477 Mooretown Road Williamsburg (877) 389-4968

664 Lincoln Street Portsmouth (757) 393-6363

ALLERGY & ENT

9581 Shore Drive Norfolk, VA (757) 393-6363

Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722

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

Riverside Ear, Nose & Throat Physicians & Surgeons 120 Kings Way, Suite 2550 Williamsburg (757) 345-2600

895 City Center 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

Historic Triangle Dental Care Michael J. Whyte, DDS

1769 Jamestown Road, Suite 2B Williamsburg (757) 903-2527

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

DERMATOLOGY Associates In Dermatology, Inc.

17 Manhattan Square Hampton (757) 838-8030

Dermatology Center of Williamsburg

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

Dermatology Specialists

Michael C. White , M.D. Emily R. Himes, M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161 Emily R. Himes, M.D 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466

DIAGNOSTIC IMAGING

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

Orthopaedic & Spine Center

Pinto Chiropractic & Rehabilitation

Tidewater Diagnostic Imaging

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

120 Kings Way, Suite 2550 Williamsburg (757) 534-5909 12200 Warwick Blvd., Ste. 590B Newport News (757) 534-5901

Poison Control Center

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

Riverside Endocrinology & Diabetes Center

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

333 McLaws Circle Williamsburg (757) 345-2275

Advanced ENT & Allergy

ENDOCRINOLOGY

250 Nat Turner Blvd.

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

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

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

Riverside Williamsburg Family Medicine

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

FITNESS Bdefined— personal fitness & wellness defined.

5207 Center St. Williamsburg (757) 345-6801

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

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

Angels of Mercy Medical Clinic

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

Western Tidewater Free Clinic

2019 Meade Parkway Suffolk (757) 923-1060

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

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

HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital

2 Bernardine Drive Newport News (757) 886-6000

Bon Secours DePaul Medical Center

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

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

Digestive Disease Center of Virginia, PC

Bon Secours Maryview Medical Center

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

Riverside Williamsburg Gastroenterology

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

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

109 Philip Roth Street, Newport News 757-873-6434

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

Mellette PC

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

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

Beach Health Clinic

HEALTH SPAS/ ESTHETICIANS

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

Visiting Angels

3636 High St. Portsmouth (757) 398-2200

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

Suffolk (757) 673-5800

Bon Secours Surgery Center at Harbour View

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

Chesapeake Regional Medical Center

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

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

CommuniCare Family Health Center 804 Whitaker Lane Norfolk (757) 393-6363

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

Beauty Therapy By Iza

Hampton Roads Community Health Center

2145 South Military Highway Chesapeake (757) 545-5700

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

The Community Free Clinic of Newport News

Spa of Colonial Williamsburg

Ocean View Medical and Dental Center

307 South England Street Williamsburg (757) 220-7720

9581 Shore Drive Nofolk, VA (757) 393-6363

H.E.L.P. Free Clinic

HERNIA SPECIALISTS

Park Place Family Medical Center

Chesapeake Care

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

The Hernia Center at Mary Immaculate Hospital 860 Omni Blvd., Suite 204 Williamsburg (757) 874-1077

664 Lincoln Street Portmouth (757) 393-6363

3415 Granby Street Norfolk (757) 393-6363

Riverside Hampton Roads Surgical Specialists

HOME CARE

120 Kings Way, Suite 2800 Williamsburg (757) 345-0141

Agapé Home Care

Riverside Doctors’ Hospital

Stay at Home Personal Care

Riverside Regional Medical Center

350 McLaws Circle, Suite 2 Williamsburg (757) 229-6115 651 RIver Walk Parkway Chesapeake (757) 392-1001 1030 Topping Lane Hampton (757) 825-2255

1500 Commonwealth Ave. Williamsburg (757) 585-2200

500 J. Clyde Morris Blvd.

Newport News (757) 594-2000

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STAYING WELL | HEALTH DIRECTORY Sentara Independence

800 Independence Blvd.

Virginia Beach (757) 363-6100

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

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

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

Sentara Norfolk General Hospital

600 Gresham Drive Norfolk (757) 388-3000

Sentara Obici Hospital 2800 Godwin Blvd.

Suffolk (757) 934-4000

Sentara Port Warwick

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

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

American Parkinson’s Disease Association

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

American Red Cross

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

The Arc of Greater Williamsburg

1031 Loftis Blvd.

Newport News (757) 736-9898

202 Packets Court Williamsburg (757) 229-0643

Sentara Princess Anne

The Arthritis Foundation

2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000

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

Sentara Virginia Beach General Hospital

Avalon: A Center for Women & Children

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

Williamsburg (757) 258-9362

Sentara Williamsburg Regional Medical Center

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

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 Riverside 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

AWARE Worldwide, Inc.

Beacon House Clubhouse for Brain Injury Survivors

3808-C Virginia Beach Blvd.

Virginia Beach (757) 631-0222

Beyond Boobs! Inc.

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

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

Center for Excellence in Aging & Lifelong Health

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

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

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

Citizens’ Committee to Protect the Elderly

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

62 | thehealthjournals.com

Food Bank of the Virginia Peninsula

2401 Aluminum Ave. Hampton (757) 596-7188

Food Bank of SEVA

800 Tidewater Drive Norfolk (757) 627-6599

Hampton-Newport News Community Services Board 300 Medical Drive Hampton (757) 788-0300

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

Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220

Jewish Family Service

260 Grayson Road Virginia Beach (757) 321-2223

Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501

Leukemia & Lymphoma Society 6350 Center Drive, Suite 216 Norfolk (757) 459-4670

National MS Society

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

The Needs Network, Inc.

9905 Warwick Blvd.

Newport News (757) 251-0600

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

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

Norfolk Community Services Board

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

Peninsula Agency on Aging

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

404 Colley Ave. Norfolk (757) 627-5386

RSVP: Retired Senior Volunteers

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

St. Mary’s Home for Disabled Children

6171 Kempsville Circle Norfolk (757) 622-2208

The Sarah Bonwell Hudgins Foundation

Dream Catchers Therapeutic Riding

10120 Fire Tower Road Toano (757) 566-1775

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

Peninsula Pastoral Counseling Center

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

Protect Our Kids

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

Respite Care Center for Adults with Special Needs 500 Jamestown Road

1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403 1950 Glenn Mitchell Drive, Suite 102 Virginia Beach (757) 368-0437 5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215

Senior Center of York

5900 Lake Wright Drive Norfolk (757) 466-8683

Susan G. Komen Tidewater

OPTOMETRY & OPHTHALMOLOGY

5314 George Washington Hwy. Yorktown (757) 898-3807 420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794

United Way

11870 Merchants Walk, Suite 104 Newport News (757) 873.9328 5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264

The Up Center

1805 Airline Blvd.

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

VersAbility Resources

Premier Eye Health

Jeanne I. Ruff, OD, LLC 5223 Monticello Avenue, Suite C Williamsburg (757) 229-4222 4754 George Washington Mem Hwy, Hayes (757) 229-4222

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

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

ORTHODONTICS

Vets Advocating for Vets

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

Hampton (757) 722-9961, ext. 3009

We Promise Foundation

Wyatt Orthodontics

160 Newtown Road Virginia Beach (757) 233-7111

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

OBSTETRICS & GYNECOLOGY

ORTHOPEDICS & SPORTS MEDICINE

Riverside Partners in Women’s Health

Hampton Roads Orthopaedics & Sports Medicine

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

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

401 Oyster Point Road, Suite A Newport News (757) 249-3000

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

12200 Warwick Boulevard, Suite 510 Newport News (757) 534-5700

Orthopaedic & Spine Center

Williamsburg Obstetrics & Gynecology

ONCOLOGY

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

3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400

2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670

Peninsula Institute for Community Health

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

Virginia Oncology Associates

1 Singleton Drive Hampton (757) 827-8757

Colonial Behavioral Health

Denbigh Clubhouse for Brain Injury Survivors

American Cancer Society

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

Ronald McDonald House

1115 Professional Drive Williamsburg (757) 253-5653

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

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

Faith in Action

Williamsburg (757) 229-1771

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

1657 Merrimac Trail Williamsburg (757) 220-3200

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

6300 E. Virginia Beach Blvd.

Norfolk (757) 461-8007

PO Box 10100 Virginia Beach (757) 518-8500

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

Alzheimer’s Association

Endependence Center, Inc.

The Paul F. Schellhammer Cancer Center- a division of Urology of Virginia

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

229 Clearfield Avenue Virginia Beach (757) 457-5177

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

Riverside Peninsula Cancer Institute

Tidewater Orthopaedic Associates

120 Kings Way, Suite 3100 Williamsburg (757) 345-5724 12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555

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

HEALTH DIRECTORY | STAYING WELL 120 Kingsway, Suite 2800 Williamsburg (757) 645-0145

5 Armistead Pointe Parkway Hampton (757) 224-4601

PAIN MANAGEMENT

828 Healthy Way Virginia Beach (757) 463-2540

Riverside Pain Medicine & Rehabilitation Specialists

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

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

Tidewater Physical Therapy

101 Long Green Blvd.

Yorktown (757) 952-1900

Bon Secours In Motion Physical Therapy

Dominion Physical Therapy & Associates, Inc.

612 Denbigh Blvd.

Newport News (757) 874-0032 12494 Warwick Blvd.

Newport News (757) 599-5551

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

5838 Harbour View Blvd.

Suffolk (757) 673-5971

466 Denbigh Blvd.

Newport News (757) 875-0861

1417 North Main St. Suffolk (757) 934-3366

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

3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 2 Bernardine Drive Newport News (757) 886-64å80 13609 Carrollton Blvd., Ste. 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651

301 Riverview Ave. Norfolk (757) 963-5588

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

URGENT CARE

BRA

IN TEASERS

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MAY WINNER CAMELOT SHUFF NEWPORT NEWS, VA

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12997 Warwick Blvd.

Newport News (757) 369-9446

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

3321 West Mercury Blvd.

Hampton (757) 224-0056

500 J. Clyde Morris Blvd.

Newport News (757) 534-5340

Riverside Urgent Care & Family Medicine

WEIGHT LOSS Riverside Weight Loss Specialists

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

MAY WORD SEARCH May 2016

MAY SUDOKU 2

Riverside Peninsula Vascular Surgery

225 Clearfield Avenue Virginia Beach (757) 457-5110

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

1416 Stephanie Way, Ste. A Chesapeake (757) 391-7676

VASCULAR SURGERY

The Devine-Jordan Center for Reconstructive Surgery & Pelvic Health — a division of Urology of Virginia

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

5208 Monticello Ave. Williamsburg (757) 206-1004

229 Clearfield Avenue Virginia Beach (757) 457-5177

UROLOGY

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

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

The Paul F. Schellhammer Cancer Center - a division of Urology of Virginia

5231 John Tyler Highway Williamsburg (757) 220-8300

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

Tidewater Orthopaedic Associates

11848 Rock Landing Drive, Suite 402 Newport News (757) 873-1374

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

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

250 Nat Turner Blvd.

Newport News (757) 596-1900

3640 High Street, Suite 3B Portsmouth (757) 452-3400

120 Monticello Ave. Williamsburg (757) 564-3627

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

Orthopaedic & Spine Center Physical Therapy

400 Sentara Circle Suite 310 Williamsburg (757) 345-5554

MD Express

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

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

2000 Meade Parkway Suffolk (757) 934-9300

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

204 Gumwood Drive Smithfield (757) 357-7762

Hampton Roads Orthopaedics & Sports Medicine

SLEEP MEDICINE

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

2007 Meade Pkwy.

Suffolk (757) 539-6300

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

4000 Coliseum Drive, Suite 300 Hampton (757) 452-3441

Williamsburg Neurology and Sleep Specialists

7190 Chapman Drive Hayes (804) 642-3028

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

225 Clearfield Avenue Virginia Beach (757) 466-3406

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

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

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

225 Clearfield Avenue Virginia Beach (757) 457-5100

Pulmonary & Sleep Consultants of Williamsburg

156-B Strawberry Plains Road Williamsburg (757) 565-3400

Riverside Urology Specialists

Urology of Virginia

Urology of Virginia Physical Therapy

751 J Clyde Morris Blvd Newport News (757) 873-2123

930 W. 21st St. Suite 105 Norfolk (757) 738-1500

5553 Portsmouth Blvd.

Portsmouth (757) 465-7906

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

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

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

PHYSICAL THERAPY & REHABILITATION

250 West Brambleton Ave. Ste. 100 Norfolk (757) 938-6608

2106 Executive Drive Hampton (757) 838-6678

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Gemini MAY CRYPTOGRAM Maternal SkinCancer April showers bring May flowers.

—Karen Chappell

J S U R U A T L Z S P A S M L C L S F B

P J J D C R J W I D S S B X M I B G F Q

T Q P G Q M U I R L R M O T P N M R A W

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BreakfastinBed Indie500 May Spring

X M D H U A F L A N R E T A M E M K W N

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Z N F X M K W L A I R O M E M A N V U O

Y U I P H O Y Q J E P L Q Q D Y I Y Q J

W I E N X F G I J J N F G V M O G A L V

H S H O H H N H W Q Y B S R E W O L F X

CincodeMayo KentuckyDerby Memorial StarWars

M E B I N O I T A I C E R P P A A V T R

A G S U I A M N 0 0 5 E I D N I L S E S

Y H T O F P D K F O N D Y T I S V J A G

W N V A N U R T U R E R Z M O X H X C L

Emerald Lilly Mother Taurus

F G B E M E R A L D M R C N S E T J H L

M A Y Z O S S T A R W A R S P K L R E S

B R E A K F A S T I N B E D E N H B R E

UP FOR THE CHALLENGE? Challenge your brain!

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Flowers Maius Nurture Teacher

thehealthjournals.com | 63

STAYING WELL | BRAIN TEASER

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Snap a photo of this page and email it to contest@thehealthjournals.com, or tear this page out and send it by mail to:

IN TEASERS BRA

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CRYPTOGRAM

Clue: T=A, C=E ,P=S, X=T

Use the above clues to uncover words and decipher the hidden quote. The clues have been filled in for you.

Hint: No cypher character will represent the same letter. ie: A will not equal A.

A T E

E

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WORD SEARCH June 2016 S W Z D O R E H T A F X W M X S E F N I Cancer

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