The Health Journal - March 2016

MARCH 2016 | WILLIAMSBURG EDITION

ORTHOREXIA YEAH, THAT’S A THING

10

Minute Breakfast

Recipes

ADVANCED CARE PLANNING—

DO IT!

Extra

Sets:

Fitness

Experts 0PEN UP

HEALTHY

GREEN BEER

FOR ST. PATTY’S DAY

THEHEALTHJOURNALS.COM

OSC Patient Success Stories

JOINT REPLACEMENT “I am a nurse and have had both hips replaced with Outpatient Surgery by Dr. Boyd Haynes (2013 & 2015). I can say the anterior approach (Jiffy Hip) was an easy decision, with much less recovery time and no precautions. I am 7 months post-op, and very happy with my recovery. No regrets.”

d o o W a s s Vane

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

Computer-Navigated & Robotic Joint Replacement: Better Outcomes Using Advanced Technology

OSC

COMMUNITY LECTURE SERIES Speaker: Boyd W. Haynes, III, M.D.

Dr. Boyd Haynes will discuss advanced joint replacement technologies for knees and hips, using computers and robotic-assistive MAKOplasty™. Learn how direct anterior ( Jiffy) hip replacement and knee replacements can be performed with more accuracy and less bone loss, resulting in a quicker recovery.

Bring a friend, have some refreshments and get informed!

Tuesday, March 15th, at 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd. Newport News 23606 Call Shannon Woods to Register: 1-757-596-1900 ext.368

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

Pick up a FREE copy of The Health Journal at any of these Williamsburg locations.

4808 Courthouse Street Agape Home Care, LLC Ageless Dermatology & Laser Center Allergy Partners of Eastern Virginia Alzheimer’s Association American Family Fitness Aromas Coffeehouse B-Defined BAEPLEX Family Martial Arts Center Barnes & Noble Booksellers – New Town Benefits Personal Training Berrybody Frozen Yogurt Bike Beat Body Balance Studio Books-A-Million / Joe Muggs Coffee Buggy Bathe Auto Wash Cardiovascular Health CEALH Chambrel Child Development Resources CHKD - Pediatric Associates of Williamsburg City of Williamsburg Municipal Building Cloud 9 Bodywork Cogan’s Deli & Sports Pub College of William & Mary Bookstore College of William & Mary Health Clinic College of William & Mary Recreation Center Colonial Behavioral Health Colonial Center for Hearing Colonial Family Medicine Colonial Sports Comber Physical Therapy Comfort Keepers Comber Physical Therapy Conte’s Bike Shop CORE FITNESS / PEAK Physical Therapy Cullom Eye & Laser Center Dominion Village Erase the Canvas Evans Dental Care Eye Center of Virginia Family Living Institute Food Lion – select locations GNC - Monticello Marketplace Great Clips Hampton Roads Neuromuscular & Aesthetic Dentistry Heritage Commons Historic Triangle Dental Care Hospice House and Support Care Integrative Chiropractic Ironbound Gym James A. Burden DDS James City County Public Library James City County Recreation Center

M.D. Express Urgent Care Martin’s Pharmacy Morningside of Williamsburg n1Health New Town Dental Arts Norge Family Medicine Olde Towne Medical Center Pediatric Dental Specialists Performance Chiropractic Pinto Chiropractic & Rehabilitation Purre Bar Quarterpath Recreation Center R.F. Wilkinson Family YMCA Retina and Glaucoma Associates Rite Aid Pharmacy (Colony Square Shopping Center) Riverside Doctor’s Hospital Riverside Medical Complex - Kings Way Riverside Williamsburg Medical Arts Urgent Care & Family Practice Ruff Eyes Russian Therapeutic & Sports Massage Sentara Urgent Care Sentara Williamsburg Regional Medical Center Sticks Kebob Shop Studio A Fitness Studio South Subway – Monticello Marketplace SunTrust Building - New Town The Imperial Olive The Pavilion at Williamsburg Place The Spine Center of Williamsburg The Vitamin Shoppe Tidewater Physical Therapy - Norge Towne Bank – New Town TPMG Gastroenterology TPMG Lung Specialists TPMG Sleep Health Clinic Verena at the Reserve Virginia Gourmet Virginia Orthopedics & Sports Medicine Walgreens Pharmacy Williamsburg Center for Dental Health Williamsburg Dermatology Center Williamsburg Drug Williamsburg Ear, Nose and Throat Williamsburg Eye Care Williamsburg Family Medicine Williamsburg Ford Williamsburg Indoor Sports Complex (WISC) Williamsburg OB/GYN Williamsburg Place WindsorMeade

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

Questions? circulation@thehealthjournals.com

Caring for Women

Through all Stages of Life.

Since 1976 our team of experts has been supporting women through adolescence, the reproductive years, pregnancy, menopause and beyond.

Williamsburg Obstetrics & Gynecology is the exclusive provider of obstetric (OB) care at Sentara Williamsburg Regional Medical Center.

David C. Pearce, M.D.

Emily F. Roberson, M.D.

Benjamin T. Isbell, M.D.

Kristy A. Keller, M.D.

Karen McNamara, N.P.

Erin Wilkey, M.D.

Williamsburg Obstetrics & Gynecology 1115 Professional Dr. Williamsburg, VA 23185 757-253-5653

with 24-hour Emergency Answering Service

www.williamsburgobgyn.net

bits & Pieces | My health

BACK ON THE RIVER How total ankle replacement got me back to the life I love

By Raymond Babineau

N

ot many people can say that they broke their ankle three times before the age of 18, but unfortunately I can. When I was 10 years old, I was playing with friends in a pile of dirt and hit a rock, fracturing my right ankle. Years later, while playing intramural basketball in college, I fractured my ankle a second time. My doctor was not happy with the way my ankle was setting and broke it for a third time to set it properly.

For nearly 50 years, my ankle never bothered me again, until the spring of 2014. At first, over-the-counter pain relievers helped to dull the pain, but after several months, it became unbearable. Even cortisone injections provided zero relief.

Forced to walk with the use of a cane, I had had enough and searched for an end to my pain to help get me back to my regular, active self.

I was told I had neuropathy in my feet and that my

2 | thehealthjournals.com

only option was to undergo an ankle fusion procedure. After researching the procedure, I knew I didn’t want the back problems or shortened leg—a common side effect. After talking to my primary care physician, I learned of Dr. Matthew Hopson, an orthopedic specialist who offered total ankle replacement procedures.

Tired of limping around and being held back from doing the things I’ve always loved—being outside with family, playing golf, walking my dog and fly fishing—I scheduled a consultation later that fall.

After reviewing my medical history, I was diagnosed with end-stage ankle arthritis. This was the first time I had received this diagnosis, but knew I was in capable hands. He suggested that we replace my ankle with the INFINITY Total Ankle System.

Last winter, I underwent the ankle

replacement surgery and received my new ankle in my right foot. Six weeks of physical therapy and modified weight-bearing followed, but a short 10 weeks after my procedure, I was able to start playing golf again with zero pain.

I don’t like sitting around and it drove me nuts not being able to do some of the things I love— like my work at Project Healing Waters Fly Fishing (a charitable group that teaches and uses fly fishing for therapeutic value in physical and emotional rehabilitation of disabled active duty military and disabled veterans. See projecthealingwaters.org). It was an excellent experience from start to finish and I recommend anyone else suffering from extreme ankle pain to consider ankle replacement surgery. I would do this again in a heartbeat.

contents | bits & Pieces

MARCH

DID YOU

KNOW? The Truth About Kidney Disease

20

28 16

Yoga for Multiple Sclerosis

PRO Files: Fitness Experts Open Up

1/3 of Americans get 47% of their calories from junk foods.

DIGITAL ISSUE

MARCH 2016 | WILLIAMSBURG EDITION

Orthorexia

YEAH, THAT’S A THING

10

Minute Breakfast

Recipes

46

Quick, Healthy Breakfast Ideas

ORTHOREXIA

ADVANCED CARE PLANNING—

DO IT!

Extra

Sets:

Fitness

Experts 0PEN UP

36

HEALTHY

GREEN BEER

FOR ST. PATTY’S DAY

THEHEALTHJOURNALS.COM

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

Download your copy at thehealthjournals.com/ digital-edition

DEPARTMENTS BITS AND PIECES 02 04 06 07 08 08 09

My Health Staff Picks Editor's Note Page's Picks DIY In My Own Words Calendar

IN THE KNOW 10 13 14 16 18

Profile Second Opinion Profile Q&A Advances in Medicine

FEATURES 20 PRO Files: Local Trainers 28 The Truth About

Kidney Disease

FOOD 30 32 34 36 38

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

YOUR HEALTH 42 Fitness 44 Family 46 Women’s Health

48 50 52 53 54 56

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

STAYING WELL 58 60 61 64

Accepting New Patients One Last Thought Health Directory Brain Teasers

ON THE WEB @ THEHEALTHJOURNALS.COM

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

ISSUE CORRECTIONS

In the February Hampton Roads edition, on page 43, the photos for the Rope Hammer Curl and the Incline Bench Dumbell Curl were transposed.

In the February Brain Teaser, Abraham Lincoln did not appear in the word search puzzle.

In the February Family Column, Robert F. Kennedy was inaccurately attributed. The quote is from George Bernard Shaw.

thehealthjournals.com | 3

Bits & Pieces | staff picks

STOMP THE YARD

With gardening season here, check out these nifty items to nurture a green thumb.

MARIA'S PICK: GARDEN TOOLS BAG Tote your tools around the yard and keep them organized with this great bag.

Worth Garden Model 19 in.

6-Pockets Garden Hand Tools Bag $4.97, The Home Depot

MICHAEL'S PICK: GARDEN MACHETE This machete is especially crafted for an easy grip, with a razor sharp blade and a nylon zip sheath with shoulder straps for when you're on the go.

Head Hunter Green Undead Gardening Machete $24.99, Amazon.com

CHRISTIE'S PICK: GARDEN TROWEL

CHRIS'S PICK: GARDENING APP

A versatile tool for general gardening and planting, this trowel is ideal for planting, transplanting, weeding, moving and smoothing soil.

This well-designed iOS application lets you keep track of when you plant, water and fertilize plants. You can also schedule watering alarms and track growth with photos.

$4-$12, McDonald Garden Center

BRANDON 'S PICK: KNEELING PAD Protect your knees while weeding flowerbeds with this comfortably padded kneeling board.

Goldblatt Black Foam Kneeling Pad $24.98, Lowe's

4 | thehealthjournals.com

Life - Smart gardening journal/diary Free, iTunes Store

VOL. 11, NO. 09 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.

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

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Bits & Pieces | editor’s note

L

et’s face it, we hate failing. We would sooner walk away from doing something we couldn’t immediately master than to commit to the tedious and frustrating baby steps it takes to learn the skill.

Being a beginner feels, well, bad.

In 2007, I was asked to build a website in Dreamweaver for my employer. I had never used the program. Instead of letting me off the hook, he emailed me a link to Safari’s online learning site along with a username and password. I was building the site whether I knew how to or not. I tinkered with software and wrestled with inadequacy and my ability to grasp the concepts. My boss encouraged me to focus on learning HTML side, stating that the design side would come naturally.

I trusted his advice. Within a month, I had read entire books on Dreamweaver, learned code, discovered cascading style sheets (a real lifesaver then and now!) and took a class on the software. I completed the website and instantly increased my marketability and value.

BEGIN

“You must be willing to be a bad artist. Give yourself permission to be a beginner.”

—Julia Cameron

Looking back on the site now, it wasn’t very good. It was functional and aesthetically acceptable for its time, but it’s nothing compared to the work I am able to do now. But that experience taught me that if I persevere through the discomfort of learning a new skill, it would reward me.

In this issue, you’re going to read about a people who have overcome challenging starts. Emmy-winning news anchor Jessica Larche, this month’s Profile, opens up about her weight loss journey. Down 100 pounds, Larche continues to be an inspiration for those pursuing a healthier lifestyle. In One Last Thought, radio producer Ray J. Pope humorously recounts his fist time in the gym with his trainer. It’s sure to resonate with you.

Our primary feature this month is a series of Q&A-style interviews of personal trainers. Each tell their story, and dish on their likes, hobbies and preferences.

In March, we observe National Kidney Month and Multiple Sclerosis Awareness Month. Be sure to check out our feature on the five myths about kidney disease and our Fitness story on yoga poses to help those with MS.

6 | thehealthjournals.com

With spring just around the corner, it’s a great time to start thinking about trying something new when the weather breaks. Maybe you’ve contemplated paddle boarding or DIY furniture upcycling. Whatever you pursue, be sure to have grace on yourself; you’re going to fall off the board or scratch the wood. You’ll want to quit, but you won’t. In time, you’ll master the skill. Not everyone has the courage to begin, but you do.

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM

page's PICKS | BITS & PIECESs

Well-Rested PEACEFUL PATHWAYS HERBAL TEA BLEND A calming loose-leaf tea blend made of ginger, coconut, apple, rosehips, lemongrass and other herbs. $12 for 2 oz., Discover Teas (Williamsburg & Newport News)

ILUMINAGE COPPER-INFUSED SKIN REJUVENATING PILLOWCASE AND EYE MASK Clinically proven to reduce appearance of fine lines and wrinkles during sleep. $60/$35, Sephora.com

YOUNG LIVING ESSENTIAL OILS AND DIFFUSER

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Sleep soundly with these quality essential oils (I like the calming effects of lavender) either diffused in the air or applied to skin. $170 , YoungLiving.com, Amazon.com

Casts a warm glow while releasing therapeutic ions into the air. $ Varies, Williamsburg Salt Spa

Page Bishop Freer is the publisher of The Health Journal. She’s always trying new products and trends and loves sharing the scoop with readers.

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

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bits and pieces | IN MY OWN WORDS & DIY

IN MY

“ words OWN

Do it

Yourself

DRY SHAMPOO You Will Need

before

• 4 tablespoons cornstarch or tapioca flour • 4 tablespoons cocoa • 4–8 drops essential oil(s) of your choice

after

Hello

my name is

(i.e. peppermint and lavender)

Mix dry ingredients together. If mixture is too light for your hair, add more cocoa (and more cornstarch if too dark) and mix well.

Holly Claytor I am the senior director of public relations for Special Olympics Virginia. I oversee marketing and communications efforts for the statewide program, to include website management, social media, marketing materials, media partnerships, media outreach and advertising. Most importantly, I get to share incredible stories about our 30,000-plus athletes with and without disabilities every day.

I love The Health Journal because of the emphasis it places on whole body health, which is something we also try to do in Special Olympics through our sports and health programming. Physical activity is the closest thing to a wonder drug!

Add essential oil drop by drop and mix well again.

Transfer to an airtight container, like a spice jar or small mason jar.

To apply to hair, use a foundation brush. Start at the front and work your way back. Shake through your hair and run a comb or brush to distribute evenly.

TIP FOR DIFFERENT HAIR SHADES: Substitute cocoa for 1 tablespoon tumeric (for blondes) or 2 tablespoons paprika (for redheads).

8 | thehealthjournals.com

calendar | in the know

MARCH CALENDAR 5 SWAMP RUN 5K

Grab your running shoes for a fun race.

WHEN: 9:30 a.m.

WHERE: Jamestown High School $$: $25 CONTACT: 757-229-7375

BOXING CLASS

Learn boxing-based techniques to improve fitness, coordination and mental focus.

WHEN: 9 a.m. Saturdays WHERE: Bdefined $$: $15 class; $156 for 12 pack CONTACT: bdefinedfitness.com

TOANO FARMERS MARKET

Get fresh local produce; open year-round.

WHEN: 8 a.m. to noon Saturdays WHERE: Corner of Forge and Richmond Roads $$: free CONTACT: 757-566-1905

WILLIAMSBURG FARMERS MARKET

Find fresh local produce and more.

WHEN: 8:30 a.m. to noon WHERE: Merchants Square $$: free CONTACT: williamsburgfarmersmarket.com

7 FIVE STEPS TO A HEALTHY BACK

Learn strategies to dealing with back conditions.

WHEN: 6 p.m.

WHERE: Performance Chiropractic $$: $15 CONTACT: 757-220-9975

9 TECHNIQUES OF MEDITATION Learn basic meditation techniques.

WHEN: 6:15 to 7:15 p.m.

WHERE: James City County Recreation Center $$: $15 CONTACT: 757-259-4176

10 BASIC BICYCLE MAINTENANCE

Learn how to properly care for your bicycle.

WHEN: 7 p.m.

WHERE: Williamsburg Unitarian Universalists $$: $35 CONTACT: 757-220-9975

PAW OPEN HOUSE

Pediatric Associates of Williamsburg hosts this open house for new or expectant parents.

WHEN: 5:30 p.m.

WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: 757-564-7337

11-13 ONE CITY MARATHON WEEKEND

Event includes running, a health expo and other festivities.

WHEN: marathon, 7 a.m. March 13; see website for other event times WHERE: various locations throughout Newport News $$: marathon, $95; 8 mile, $55; 1 mile, $15 CONTACT: onecitymarathon.com

12 DIABETES RISK ASSESSMENT & BLOOD PRESSURE CHECK

Discover if you are at risk for Diabetes.

WHEN: 9 a.m. to noon WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4200

MARCH OF THE LIONS 5K Bring the family out for this race.

WHEN: 9:30 a.m.

WHERE: Warhill High School $$: 5K, $30; Fun Run, $10 CONTACT: warhill5k.blogspot.com

KIWANIS SHAMROCK THE BURG Event includes music by the Donnybrooks.

WHERE: Williamsburg Community Building $$: $10 CONTACT: WilliamsburgKiwanis.org

12-13 WILLIAMSBURG HOME SHOW

Event includes information for home and garden, and an indoor farmers market.

WHEN: 10 a.m. to 6 p.m. Saturday and Sunday WHERE: William & Mary Hall $$: $10 ($5 off coupon on website) CONTACT: williamsburghomeshow.com

17 MOTHERING CIRCLE

Share stories and receive support.

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

WHERE: Williamsburg Regional Library, Room B $$: free CONTACT: bmva.williamsburg@gmail.com

BABY CARE 101

Learn baby care basics.

WHEN: 6 p.m.

WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: 757-564-7337

19 DESIGNING THE SMALL GARDEN Learn about small garden design.

WHEN: 10 to 11:30 a.m.

WHERE: Williamsburg Botanical Garden $$: $5 suggested donation CONTACT: 757-220-0914

20 CHILD DEVELOPMENT RESOURCES BID N’ BUY AUCTION

Support CDR with this fundraiser that includes food and children’s activities.

WHEN: 11:30 a.m.

WHERE: Jamestown High School $$: free CONTACT: cdr.org

22 MEDICARE 101

Learn the basics of Medicare in this course.

WHEN: 10 a.m. to noon WHERE: Bay Aging Community $$: $15 CONTACT: 757-220-9975

23 SELF-PREPAREDNESS FOR EMERGENCY CARE

Dr. James McCorry presents this lecture as part of The Doctor Is In lecture series.

WHEN: 6:30 p.m.

WHERE: Riverside Doctors’ Hospital $$: free CONTACT: 757-585-2010

24 PRINCIPLES OF TRAINING FOR RUNNING

Improve your running game.

WHEN: 6 p.m.

WHERE: Williamsburg Unitarian Universalists $$: $20 CONTACT: 757-220-9975

26 QUEENS LAKE 5K

Colonial Road Runners sponsors this race.

WHEN: 8:30 a.m.

WHERE: New Quarter Park $$: $20 CONTACT: 757-253-0625

AWESOME OSPREY HIKE

Spot ospreys as they return for the season.

WHEN: 10 a.m. to noon WHERE: York River State Park $$: $4 parking fee CONTACT: 757-566-3036

GET MORE EVENTS AT: THEHEALTHJOURNALS.COM/CALENDAR

in the know | profile

Jessica Larche

by Chris Jones

A

N’awlins girl through and through, Jessica Larche was raised on fried chicken, crawfish, beignets, red bean and rice, and other heavily fried and overly creamy foods.

Despite being an active child, Larche observed that she was “a little heavier than other girls” her age. Still, that didn’t stop her from being accomplished throughout her school years. While weight was a factor, confidence and self-esteem were not. It wasn’t until she reached college where the incongruences of excelling at life, but failing in wellness crossed her mind.

“I had reached 260 pounds,” says Larche, the Emmy-winning news anchor at WTKR. “That’s when I realized that I had a bad relationship with food. I wasn’t exercising at all either and these choices were going to lead to a premature death.”

That notion hit home in 2011 when her dad, who also struggled to maintain a healthy weight, passed away at age 56.

“My father fought really hard, but his weight was something he couldn’t see past,” says Larche tearfully.

At the time of his passing, he was nearly 500 pounds and practically immobile. Still, Larche believed that he could win and encouraged him to fight.

“The last time I saw him was right before I moved to Virginia.

I gave him a pair of boxing gloves and said, ‘Dad, you can beat this,’” she recalls. “[Losing him] punched me in the chest. I was in the same boat he was in. I was facing the same obstacles. I could feel him saying, ‘Your journey doesn’t have to be mine.’”

10 | thehealthjournals.com

A year later, a health scare led to what has now become “Jessica on a Journey,” Larche’s public platform to inspire others to take charge of their health. While at urgent care for severe headaches, Larche was told that she had extremely high blood pressure.

Knowing her family’s history with hypertension, obesity and diabetes, Larche had a coming to Jesus talk with herself. Things had to change.

“It’s a hard moment when you have to be real with yourself,” she says. “I went home and researched foods to lower blood pressure.

I got rid of my old food. I realized it was going to be hard [to change] but not impossible. I can exercise. I can make better food choices. I can do it.

“I mapped out my meals. I started walking. At first, exercise was painful. I was 245 pounds. You have to have the right motivation— it’s not just about the outside, but how you feel inside. You have to think 30-40 years down the road.”

Fast forward to 2016. Larche has shed 100 pounds. In February, she was featured on the cover of Woman’s Day with two other women who have similarly inspiring stories. Her change motivated her 61-year-old mother, who Larche says is in the best health of her life and nearly off of her diabetes medication. Larche is even setting her own personal records in the gym, bench-pressing 125 pounds recently. But most important is her upcoming wedding this spring to the love of her life, Shawn.

“I would have never imagined all of this five years ago,” says Larche.

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As an Orthopaedic Surgeon who specializes in Sports Medicine, one of the most gratifying parts of my job is giving people the opportunity to return to their active lives.

When I met Alexsis Grate, she was a 16-yearold basketball player for Bethel High School who had already signed a college scholarship to play at George Mason University. During a tournament, her shoulder had dislocated completely out of socket.

Given her young age, active lifestyle, and bony injury, she would have been at a high risk for recurrent instability episodes without surgery. We talked about a plan, and how we felt that if we could fix her shoulder quickly, we would likely be able to get her back for her senior year.

Surgery was performed at the CarePlex Orthopaedic Ambulatory Surgery Center (COASC). The surgery was successful, and I was able to repair her large tear and bony fracture arthroscopically using new advanced techniques. After going through physical therapy at Tidewater Orthopedics, her strength soon returned. She was able to get back to basketball four months after surgery, and is currently playing at an extremely high level. She feels better than ever, and is excited about the opportunity to end her high school career with a state championship. ”

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. To schedule an appointment,

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

What am I to do if I knock out a tooth?

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

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

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

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

Having a tooth knocked out, usually the result of a traumatic sports injury, is a true dental emergency. The sooner the tooth is re-implanted, the better the chance of the tooth remaining with the smile for a lifetime. This type of event can be quite alarming, but there is no time for delay to re-insert the tooth. Research has shown that reinsertion of a permanent tooth should be performed in less than 1 hour.

Handling the tooth is critical.

One should only hold the tooth by the crown and avoid touching the root. If the tooth appears dirty or contaminated, gently rinse the tooth with milk or water. Never store the tooth in water. It is best kept and transported in a solution known as Hank’s Balanced Salt Solution, but milk, saline or saliva will suffice.

See a dentist immediately, as this is a dental emergency. Once the tooth is re-inserted it will need stabilizing with splinting.

Emergency medical attention takes precedence when severe head trauma or unconsciousness occurs. Never re-implant the tooth when one is unconscious as one could choke on it.

Refrain from re-implanting a baby tooth. Damage can occur to the adult tooth. Instead, this baby tooth is better to be inserted under the child’s pillow to await the tooth fairy.

Ralph Robertson, M.D.

Aubrey Myers, D.D.S.

Medical Director of Lackey Clinic 757-886-0608

Williamsburg Center for Dental Health 757-565-6303

Why am I hearing more about taking the vitamin CoQ10 with my heart medication, and where can I go when I have questions?

your health care questions answered

Many medications, both prescription and over-the-counter, can deplete our bodies of vitamins and nutrients. The term “drug muggers” coined by author and pharmacist Suzy Cohen embodies this premise. While we take medications prescribed by our physicians to make us feel better, sometimes these same medications are steadily “robbing” our bodies. As a result, we are losing essential building blocks to help us build energy, fight off infections and keep us healthy.

So how can you educate yourself and find a source to help protect you from these nutritional shoplifters? Your investigative expert can be found as close as your neighborhood pharmacy.

Pharmacists have the most extensive medication education of all healthcare providers. With medications becoming increasingly more bioengineered and complex, your pharmacist can help intervene in a nutraceutical manner when necessary. They can explain the link between your heart medication and CoQ10; probiotics needed when taking antibiotics; how your stomach medication may be reducing your magnesium, Vitamin B12 and calcium…and the list goes on.

So next time you have your prescription filled, take advantage of your pharmacist’s expertise. They can perform a medication analysis that not only monitors drug interactions and their side effects, but also sends those pesky vitamin thieves packing.

Kelly Authier, RPh

Williamsburg Drug Company 757-229-1041

thehealthjournals.com | 13

special advertising section

second opinion How can a man know if he has low “T” and what are the risks?

Testosterone begins to decline at age 30 by 1-2% per year. Symptoms of low T include fatigue, irritability, depression, low sex drive, erectile dysfunction, decreased mental clarity, memory loss, poor concentration, decreased exercise tolerance, loss of vitality, joint pain, decreased muscle mass, loss of body hair, and increase in fat with increasing abdominal circumference.

Medical conditions associated with low T include obesity, diabetes, hypertension, hyperlipidemia, atherosclerosis, cardiovascular disease, asthma/COPD, low bone mineral density with increased fracture risk, memory loss and cognitive decline.

Testosterone replacement has been shown to benefit obesity, metabolic syndrome/diabetes, heart disease, hypertension, inflammation, sleep, muscle mass and strength. Testosterone also plays a major role in brain function; testosterone replacement therapy can improve depression, apathy, drive, motivation, focus and memory, and has shown some reversal of cognitive dysfunction in men.

Although there are several methods of testosterone replacement, BioIdentical Pellet Therapy is safe and is the most effective. With pellet therapy, testosterone is automatically secreted into the bloodstream in small amounts throughout the day.

Whenever the body’s testosterone requirement increases due to mental or physical stress, the pellets are always available in correct amounts.

Harriet McCoy, NP, ABAAHP Hormone Health and Weight Loss 757-298-7966

If my gums are healthy and I don’t get cavities, why should I worry about my teeth?

Most people don’t realize that tooth structure health is just as important as avoiding tooth decay and gum problems. Quality of life and good health are reliant on nutrition from foods such as raw vegetables, fruits, nuts, seeds, and lean proteins.

Significant chewing is necessary to physically break down these foods. If teeth are worn, ground down, broken, or do not fit together properly, chewing function will be negatively affected. Our body’s process of extracting nutrients from foods must start with structurally strong teeth.

Subtle, early tooth damage is often difficult for patients to recognize.

Left undetected and untreated, small issues can become so significant that multiple teeth must be treated. In addition, eventually chewing function and overall health will become compromised.

It is always best to prevent this significant structural damage to teeth as soon as a chip, fracture, or ground enamel is observed. At the first sign of tooth damage, the teeth and bite must be assessed by an advanced dentist who has extensive training, experience, and spends a lot of their time correcting these issues. Healthy tooth structure is especially important as we age for optimal nutrition and overall well-being.

William Harper, D.D.S.

Harper Dental Care hamptonroadsvacosmeticdentist.com harperdentalcare.com 757-868-8152

Why is my urologist recommending Physical Therapy for my overactive bladder?

your health care questions answered

Many patients are confused when their doctor recommends seeing a physical therapist for bladder symptoms. There is no need to worry that your doctor didn’t understand you.

He or she is actually offering a very effective type of treatment. During physical therapy, patients will learn how to properly use their pelvic floor muscles to help retrain their bladder, learn about foods that may be contributing to the problem and some simple behavioral strategies to help control bladder frequency and urgency.

Pain free electrical stimulation can also help calm down an overactive bladder or help build strength and sensation to your pelvic floor muscles. One effective type of electrical stimulation, also called neuromodulation, is PTNS or Percutaneous Tibial Nerve Stimulation. This is effective in helping nocturia (getting up frequently at night). Other types of neuromodualtion can be used based on your evaluation, needs and lifestyle.

Pelvic muscle exercise and many of the treatments provided by pelvic floor physical therapists are recommended by the American Urological Association as a first line of treatment, meaning these treatments for some patients should be tried before more invasive treatments. So, if your doctor recommends pelvic floor physical therapy for your overactive bladder (or other bladder symptoms), make sure you thank that doctor and give PT a try.

Erin Glace, MSPT, PRPC, BCB-PMD Urology of Virginia 757-466-3406

thehealthjournals.com | 13

in the know | profile

Amy & Terry Perkinson

By Marie Albiges

L

oud, bumping music greets you from beyond the glass double doors at Williamsburg’s newest boutique fitness studio, Pure Barre.

A young, peppy instructor with a wireless headset smiles brightly as she calls out instructions for the 55-minute class.

“Curl, and curl. Press back, press back.

Up an inch, down an inch. Hold, and pulse, for 10, 9…” the instructor calls into her microphone, guiding the women as they pulse methodically to the sounds of Diplo and David Guetta, squeezing their abs together, lifting their “seat,” flexing their biceps again and again, using the ballet barre for support.

“Do you feel the energy? It makes you kind of want to get up and do some work,” says Amy Perkinson, the petite 25-year-old who co-owns Williamsburg’s first Pure Barre studio with her 53-year-old mother, Terry.

With a background in modern dance, Amy Perkinson began teaching Pure Barre full time in the Southside and in Richmond, driving back and forth each day while living in Richmond and continuing to dance with the Virginia Commonwealth University dance department, from which she graduated in the fall of 2013.

“It became a lot of teaching, and I was really stretching myself thin,” Amy Perkinson explains.

At the suggestion of entrepreneurial family members, she and her mother opened their own studio in Williamsburg in October 2015.

The structure of a Pure Barre class is simple: the 55-minute workout begins with a warmup, using core strength to really heat up the body in the first 15 minutes. Then comes the arm sculpting and the thigh toning, followed by some seat and abdominal work. And finally, mercifully, the cool down arrives with a series of stretches to leave you feeling “really, really good.”

The structure, developed by Pure Barre founder Carrie Rezabek Dorr, will always be the same, although the exercises in the sequence will change. A hybrid of Pilates and dance, Pure Barre uses small isometric movements to create “long, lean muscles,” concentrating on the areas women tend to fixate on, like their abs, core, thighs, seat and waistline.

14 14 || thehealthjournals.com thehealthjournals.com

 Amy and Terry Perkinson opened Pure Barre in 2015.

Amy Perkinson says the structure aids in muscle memory, but also prevents plateauing.

“It’s a really good, thought-out process of equally balancing not too much change but not too many similarities.

“Pure Barre eliminates all insecurities and judgment, and I think women just overall need that when it comes to fitness,” she says. “They need to be encouraged and know that wherever they are in their fitness goals is great. We’re

going to just work towards wherever they want to be.”

The Pure Barre community prides itself on just that—being a community that encourages each other, loves one other and celebrates its accomplishments.

“I think if you just come and try, you’ll fall in love with it,” she says. “The scariest and the hardest step is coming for the first time, and then maybe coming for the second time.”

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in the know | Q&A

Paul Scott Executive Director, Child Development Resources Williamsburg, VA

by Chris Jones

O

ne month shy of his ninth anniversary with Child Development Resources, Executive Director Paul Scott shares in jest that, “[On] my seventh day on the job was our Bid ‘n Buy auction…I met what seemed at the time like everyone in the whole community in one day!”

Today, he’s talking about the organization, its benefit to the community and what it’s meant to him to serve children and families.

How important is CDR to greater Williamsburg?

CDR is important to the community for a variety of reasons, but is especially important to families who have a child with special needs and they don’t know where to turn for help, and to those families whose situations have become so difficult and stressful that it has begun to impact their child’s development.

How does CDR support area families?

What resources are available?

CDR supports families with young children who have developmental delays and disabilities or who are at risk for delays. Our team of licensed therapists provides individualized therapy (such as physical, speech, or occupational therapy and special education), while our nurses provide support and information to ensure the child’s healthy development, and our family consultants support families as they work toward selfsufficiency and stability.

Who is eligible to access these resources?

Children are eligible for early intervention services if they have been diagnosed with a disability, have been assessed and found to have delays in development, or display atypical development.

Families with young children may be eligible for services if they are facing situations which we know to negatively impact the health, development and school-readiness of young children. Examples include living in poverty, experiencing homelessness or domestic violence, or having a caretaker struggling with substance abuse or mental health issues. Also, no family is ever turned away for their inability to pay—that’s critical.

16 16 || thehealthjournals.com thehealthjournals.com

In what ways do you create greater outcomes for developmentally delayed children?

CDR’s talented staff partners with families to set goals for the child and use a coaching model along with targeted interventions to help children develop the skills they need to grow, learn, walk, talk, play and eat. Our staff does more than just provide a specific intervention—they show the family what they can do to support the child’s development while we’re not there.

The vast majority of our services are provided in the family home, which is where the child is most comfortable and learns best, and ensures that families with limited transportation have access to the support.

We are committed to a family-centered approach and emphasize the importance of the family role as their child’s first and most important teacher.

“No family is ever turned away for their inability to pay—that’s critical.”

When you hear success stories from families who have used CDR, how gratifying is that for you and your staff?

Everyone associated with CDR—staff, board, donors, volunteers and other families—celebrate the success of every child and family we serve, and it is one of the joys of being a part of this great organization. I recall one day when a little girl walked into playgroup on her own without using her walker, and the whole room erupted in applause.

CDR has been serving families for 50 years, so in addition to seeing the immediate successes of the children we are working with now, we also see kids we served decades ago graduate from high school, college, and start families of their own. It would be difficult to exaggerate how gratifying and humbling it is to be a part of an organization which has changed the lives of so many children and families.

You have your annual Bid ‘n Buy Auction on March 20.

What is the purpose of the auction?

This year is the 38th auction for CDR and it is our largest annual fundraiser. The event raises funds to support the work that CDR provides to the community—home visits, specialized therapies, developmental play groups and child care. The auction is also a great family event—yes, we are raising money but there is also a food court, music and children’s activities! All in all, it’s a great community event for a great cause. You can purchase tickets online at cdr.org.

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in the know | advances in medicine

Screening for

COLON CANCER AT-HOME TEST USES DNA TO SPOT HIDDEN DANGERS

By Kim O’Brien Root

A

h, the colonoscopy.

The screening test for colorectal cancer— and the not-so-fun preparation that must precede it—is enough to make most people squirm in anticipation. Although it’s a recommended procedure for everyone after turning 50, many forgo the test because of what it entails.

Colorectal cancer is the third most common cancer that affects both men and women in the United States, with some 140,000 people diagnosed each year.

Although the disease is highly preventable with proper screening, fewer than half of those who should get checked for it actually do.

A fairly new at-home test might make getting screened a whole lot easier.

Approved by the Federal Drug Administration in 2014, Cologuard uses DNA to help spot potentially deadly tumors and growths.

The test—available by prescription—involves little more than collecting a stool sample and sending it to a lab. While it cannot tell you if you have cancer, it detects the presence of red blood cells and DNA mutations that may indicate the presence of abnormal growths that could be cancer or precursors to cancer.

A positive result comes with a recommendation to have a diagnostic colonoscopy.

Cologuard does not replace colonoscopy, which is still considered the gold standard for detecting cancers of the colon or the rectum. “But as a screening test, it’s a good tool,” says Dr. Bunan Alnaif, an obstetrician/ gynecologist at Western Branch Center for Women in Chesapeake.

Basically, Cologuard might help spur someone to visit a doctor to find out whether he or she really has cancer.

Alnaif, who began recommending Cologuard to patients about a year ago, said she’s had patients who had a positive test and then went on to get a colonoscopy. For one woman, Cologuard “saved her life,” Alnaif says. The test indicated there was a problem —and the subsequent colonoscopy found precancerous polyps that were immediately removed.

18 | thehealthjournals.com

Colorectal cancer caught early—treated by having precancerous polyps removed, for example—has a five-year survival rate of more than 90 percent. But if the cancer is found at a later stage, that survival rate drops to less than 30 percent.

That means someone has only a 30 percent chance of living five years past diagnosis.

“With colorectal cancer, early detection is everything,” Alnaif says. “It’s a very prevalent cancer. But it’s a preventable cancer if we catch it early enough. Our aim is to get them diagnosed early enough so we can give them those years.”

Doctors say there’s no better time to remind people to get screenings than during the month of March, which was designated Colorectal Cancer Awareness Month by former President Bill Clinton in 2000.

The American Cancer Society recommends that adults start getting colorectal screenings at age 50, with colonoscopy being the most comprehensive test. A colonoscopy allows a doctor to look at the inner lining of the large intestine (the rectum and colon), helping find ulcers, polyps, tumors and areas of inflammation and bleeding. If a precancerous growth is found, it can be taken out right then and there.

The Centers for Disease Control and Prevention estimates that if everyone followed the current colorectal screening guidelines, at least 60 percent of colorectal deaths could be avoided. As it stands now, more than 50,000 Americans die from colorectal cancer every year. It’s the second leading cause of cancer-related deaths in this country.

Dr. Joseph Frenkel, a colorectal surgeon with Bon Secours Surgical Specialists in Suffolk, said there’s actually been a big decrease in colorectal cancers in the past 10 years, thanks to improvements in the screening tests. Colonoscopies are more detailed than they used to be and Cologuard has been shown to be more accurate at detecting cancerous tumors than traditional stool blood tests.

If people are put off by the thought of colonoscopy, it’s usually because of the prep work that’s required. Called bowel prep, it involves a clear, liquid diet or drinking a special solution for one to two days to clean out the colon. The colonoscopy itself is done under sedation.

A clean colonoscopy means you likely don’t need one for another 10 years. If polyps are found, then not for three to five years. If one chooses to try Cologuard and it’s negative, the recommendation is to repeat it every three years. Just to be on the safe side.

Frenkel says Cologuard could be useful for patients, such as the very elderly, who might not be medically fit to undergo a colonoscopy.

He, too, has had a patient who had a positive Cologuard and then had a colonoscopy, which revealed three small polyps that were immediately removed.

“Not all polyps turn into cancer, but some do,” Frenkel says.

“By removing them, you remove that risk of developing cancer.”

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PROFILES Trainers talk fitness, fun, and favorite things

Interviewed by Chris Jones

20 20 || thehealthjournals.com thehealthjournals.com

photography by Michael Saunders

Profiles | features

“

You should embrace a fit lifestyle because it feels so good. It’s our true nature; how we’re meant to walk this Earth.

”

LARA WHITING Iron-Bound Gym Body Balance Studio Lara’s Yoga

ironboundgym.com bodybalancewilliamsburg.com larasyoga.com

A

fter a trapped nerve in Lara Whiting’s left foot put her on crutches for two months, the personal trainer and Spinning coach turned to vinyasa yoga for her fitness fix. Within weeks of practicing yoga, her foot healed— and her path changed.

Whiting earned her yoga certification and has since logged in more than 700 hours of teacher training to go with her more than 2,000-plus hours of teaching experience. She’s on the verge of a national teaching tour to accompany her international retreats, her next being in Costa Rica this month and another in July.

MY FITNESS PHILOSOPHY IS to be kind to yourself; to be the best version of yourself you can be; to be authentic. To find peace within yourself so that the physical efforts you apply stick.

MY CLIENTS WOULD SAY THAT I AM a powerhouse. I get ‘sunshine’ a lot, calming but encouraging. I’d like to remain humble as I admit that I hear I’m ‘amazing’ quite frequently.

THE MOVIE THAT INSPIRES ME IS Willow.

ON MY WORKOUT PLAYLIST, YOU’LL FIND yoga stuff for the beginning of class, more indie rock to get things moving, some big pop song in the middle of the class, something somber to bring it down and something ‘zen-y.’

ALL OF MY CLIENTS ARE AMAZING AND INSPIRE ME but Cindy Devore and Cindy O’Hare are the ones who have had the greatest impact. Cindy Devore helped me clear out my head and taught me how to be in this world.

Cindy O’Hare guided me and helped me to find my talent.

YOU SHOULD EMBRACE A FIT LIFESTYLE BECAUSE it feels so good. It’s our true nature; how we’re meant to walk this Earth. To respect the divine within us. It’s a gift for us to even be here, so do your best while you’re here.

thehealthjournals.com thehealthjournals.com || 21 21

features | profile

“

My philosophy is to keep it functional and keep it fit. ”

MEL JONES American Family Fitness amfamfit.com gripwork.com

I

f you visit the corporate website for Richmond-based American Family Fitness, you’ll find Mel Jones front and center. While he lives in and trains clients at the Williamsburg location, Jones is the top-ranked trainer for all nine facilities.

The son of military parents—a mother in the Air Force and a father in the Army—Jones moved around the country throughout his youth before landing at Tabb High School in Yorktown, where he played football for two years. Passionate about the sport since age 7, Jones played running back for five years at the College of William & Mary. After earning his degree in economics, Jones decided the corporate world wasn’t for him, and he instead focused his energy on what he loved—fitness.

22 22| |thehealthjournals.com thehealthjournals.com

MY FITNESS PHILOSOPHY IS THAT YOUR BODY IS YOUR TEMPLE. My philosophy is to keep it functional and keep it fit.

MY CLIENTS WOULD SAY THAT I’M energetic and goofy. I dance a lot. Personal training is the only job where I can dance and not get into trouble.

WHEN I’M NOT IN THE GYM, YOU CAN FIND ME recording a video. I’m a motivational speaker, so you can also find me writing a blog or writing my book. You can find me giving a speech. You can find me at Chipotle. You can find me hanging out at Target with my son. I’m reading a book, and he’s playing with the toys.

THE MOVIE THAT INSPIRES ME IS 300.

ON MY WORKOUT PLAYLIST, YOU’LL FIND Eric Thomas, Tony Robbins, Jim Rohn, Zig Ziglar and Grant Cardone.

THE CLIENT THAT INSPIRES ME IS a lady who lost 100 pounds before she met me. Her son asked her if she was overweight because the other kids said she was and she was like, “Yeah.” That’s what woke her up.

YOU SHOULD EMBRACE A LIFESTYLE OF FITNESS BECAUSE to be fit is natural. Every animal in the animal kingdom is fit in their own right. It creates confidence in yourself; you’re more productive and decisive in your decision-making.

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Recipe courtesy of n1health Williamsburg

Mediterranean Crustless Quiche

INGREDIENTS

MAKES 6 SERVINGS

• 6 eggs • 1/2 cup low-fat milk • 1/2 cup low-fat feta or low-fat mozzarella • 1/2 cup low-fat cottage cheese • 2 cups frozen broccoli or spinach, thawed • 1 jar (9.9 oz.) artichokes packed in water, drained well and chopped • 1 cup fresh chopped spinach, loosely packed • 1/2 cup chopped onion • 4 tsp. olive oil

PREPARATION 1. Grease a 13x9" casserole dish with 2 tsp. olive oil. Preheat oven to 350 degrees.

2. Sauté onion and shallot in 2 tsp. olive oil over medium heat for about five minutes or until soft. Remove from heat and add spinach and toss to wilt. In a large bowl beat eggs, milk, salt and pepper and add cheeses. Add broccoli, artichokes and onion-spinach mixture.

3. Carefully pour into casserole dish and bake for 25-30 minutes or until lightly brown on top. Let rest for 5 minutes.

Cut into 6 equal squares.

thehealthjournals.com | 23

features | profiles

“

You have one body and you have to take care of it. ”

TERRENCE RIGGINS

Bdefined bdefinedfitness.com

A

military brat, Terrance Riggins moved about the country playing football throughout his youth before settling in at Denbigh High School in Newport News. After graduating, he attended the College of William and Mary on a full scholarship where he continued to play football while completing his bachelor’s degree in kinesiology with a minor in psychology.

Riggins spent the next four years working in physical therapy and in doing so discovered a love for personal training. He joined Bdefined in 2015 where he greets clients with his warm, broad smile and jovial demeanor. But make no mistake; when it’s time to work, he gives you his A-game and expects you to reciprocate.

24 | thehealthjournals.com

MY FITNESS PHILOSOPHY INVOLVES pulling from different things. I take a lot from my PT background.

I like to [create fitness plans] that are dynamic and explosive.

MY CLIENTS WOULD SAY THAT I’M tough with a smile.

I don’t take it easy on people. I’m upbeat, happy and positive about it, but I’m still going to make you work no matter what.

WHEN I’M NOT IN THE GYM, YOU CAN FIND ME taking pictures, [shooting] videos, reading, playing sports—football, soccer, basketball, tennis.

THE MOVIE THAT INSPIRES ME IS Remember the Titans.

ON MY WORKOUT PLAYLIST, YOU’LL FIND audiobooks.

I’m looking to get the most out of everything.

THE CLIENTS THAT INSPIRE ME ARE the ones willing to put in the work and who come in even if they have a bad day. They know that working out is important for their lifestyle and that they have to push themselves at home, too.

Compliance is key.

YOU SHOULD EMBRACE A LIFESTYLE OF FITNESS BECAUSE it beats the alternative. You have one body and you have to take care of it. If you’re diligent [in caring for your body], it will treat you well.

Profiles | features

“

Less is more and you have to go slow to grow. ”

DAVID PIGGOTT Williamsburg Neck & Back/TPMG

williamsburgneckandback.com mytpmg.com

WHEN I’M NOT IN THE GYM, YOU CAN FIND ME reading.

I’m reading about fitness. I’m reading about philosophy.

I’m reading about how to bridge powerlifting with endurance.

I’m reading about how to rehab a knee.

B

ullied as a child, David Piggott took up martial arts to gain selfconfidence and discipline.

It taught him to own his mistakes and to use the lessons for growth and development. “When you let yourself down, there’s no one else to blame it on,” says Piggott.

He became a martial arts instructor and a cage fighter before entering the world of endurance sports where he’s an avid runner and cyclist. Piggott wanted to pursue a career in fitness, which led him to rehab aid and personal training.

THE MOVIE THAT INSPIRES ME IS The Chinese Connection.

MY FITNESS PHILOSOPHY IS that less is more and you have to go slow to grow. Enjoy the process and trust the system.

MY CLIENTS WOULD SAY THAT I’M very caring. I’ll provide a professional, yet personable experience.

My enthusiasm for fitness is contagious.

ON MY WORKOUT PLAYLIST, YOU’LL FIND Eminem and 50 Cent, if I’m in the gym. If I’m running, it's Daft Punk or deadmau5. I like podcasts, too. I love Joe Rogan.

THE CLIENT THAT INSPIRES ME IS a guy who was a prior Marine. He’s been in Vietnam. He’s been in Desert Storm. He’s been in Iraq. He suffers from PTSD because he feels like he should have died. Everyone essentially around him died. He comes to me with a report every week. It’s everything he eats, everything he drinks, every exercise, every activity. It puts it in perspective for me. Here I am upset that I missed a workout and he’s struggling with feelings that he shouldn’t be alive. He inspires me.

YOU SHOULD EMBRACE A LIFESTYLE OF FITNESS BECAUSE fitness in a sense is a medicine. If you keep yourself healthy mentally, physically, and spiritually, you’ll need to go to the doctor less. It’s good to check in, but a lot of times we wait until it’s too late and then try to address it. thehealthjournals.com | 25

features | profiles

“

We lose the fun because we stop moving. You’ve got to keep moving.

”

GAIL SCANLAN THE MOVIE THAT INSPIRES ME IS The Wizard of Oz.

Iron-Bound Gym ironboundgym.com

G

ail Scanlan took aerobics classes in the mid-1980s following the birth of her son to get back into shape. The joyful nature of her trainer encouraged her to continue working out. “It was fun, and not rigid,” she remembers.

That approach resonated with Scanlan—a nurseturned-personal trainer—which led her to teaching aerobics. She continued to work in nursing while teaching fitness part-time. In 2004, she earned her American Council on Exercise (ACE) certification and joined Iron-Bound Gym where she focuses on helping aging clients move better and live fuller, healthier lives.

MY FITNESS PHILOSOPHY IS to be healthy and keep yourself in the best shape so you can enjoy your life, especially as we age.

MY CLIENTS SAY that I’m a little nuts. We laugh. We joke. We have a good time. Laughter is the best medicine and it makes everything go down a bit easier.

26 26 || thehealthjournals.com thehealthjournals.com

ON MY WORKOUT PLAYLIST, YOU’LL FIND nothing. I don’t have an iPod. In my classes, I like a wide variety of music with a good beat. If there isn’t, then a good distraction on the television.

I’ll watch home improvement shows and cooking shows. People ask, ‘How can you watch food shows when you’re working out?’ and I say, ‘Have you ever seen the carrot in front of the donkey?’ It’s where I get my ideas.

THE CLIENTS THAT INSPIRE ME MOST ARE some of my older clients.

YOU SHOULD EMBRACE A FIT LIFESTYLE SO you can keep doing all of the things you love to do as you age—well into your 80s and 90s. Why not?

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FITNESS FACTS Less than

Only

1 3 in

children

are physically active

every day.

5%

of adults participate in 30 minutes of physical activity each day

Only about one in five homes have parks within a half-mile, and about the same number have a fitness or recreation center within that distance.

*Statistics from President's Council on Fitness, Sports & Nutrition http://www.fitness.gov/resource-center/facts-and-statistics/

features | KIDNEY DISEASE MYTHS

THE TRUTH ABOUT

KIDNEY DISEASE

By Alison Johnson

M

any people understand very little about one of the hardestworking, most complex organs in the body: the kidney.

They also don’t know much about kidney disease— or that in many cases, they have the power to prevent it.

One in 9 American adults is living with some degree of chronic kidney disease, which is also a major public health problem worldwide, according to the National Kidney Foundation, or NKF. While catching damage in its early stages is critical to avoiding dialysis or transplant, patients often don’t get to a specialist until much later.

“Chronic kidney disease is very common, but it’s also usually silent in its milder stages,” says Dr. Todd Gehr, chairman of the division of nephrology and a professor of medicine at Virginia Commonwealth University in Richmond. “That’s why it’s so important to screen at-risk populations, and to raise awareness in general.”

The kidneys are a pair of bean-shaped organs located at the back of the abdomen, near the waist. Each is about four or five inches long—roughly the size of a fist—and packed with millions of tiny structures that contain tubes and blood vessels tasked with filtering blood.

All blood in the human body passes through the kidneys several times a day. The organs work around the clock to remove waste products and excess fluids, while stimulating red blood cell production and regulating a precise mix of chemicals to keep the entire body running smoothly. As kidneys clean blood, they create urine, funneling that liquid through tubes that drain into the bladder.

When people think of kidney disease, doctors say, they often assume it is rare, mysterious in origin and treatable only with dialysis—the artificial filtering of blood—or a transplant. In honor of March’s National Kidney Month, here are five common misconceptions: MYTH #1: DOCTORS OFTEN DON’T KNOW WHAT CAUSES CHRONIC KIDNEY DISEASE.

REALITY: Poorly controlled high blood pressure and diabetes are associated with most kidney problems, because both cause damage to tiny blood vessels in the organs.

According to the Centers for Disease Control and Prevention, 1 in every 3 adults with diabetes has chronic kidney disease, along with 1 in 5 adults with high blood pressure. Other common risk factors are smoking, obesity, heart disease, a family history of kidney failure and being part of an ethnic or racial minority population.

High blood pressure is particularly dangerous in people older than 60 when it comes to kidney disease, specialists say. While blood pressure does gradually increase with age, many elderly patients can maintain a normal pressure with a healthy lifestyle or a doctor’s help.

28 28 || thehealthjournals.com thehealthjournals.com

KIDNEY DISEASE

 1 in 3 American adults is currently at risk for developing kidney disease.  26 million American adults have kidney disease— and most don't know it.  High blood pressure and diabetes are the two leading causes of kidney disease.  Major risk factors for kidney disease include diabetes, high blood pressure, family history of kidney failure and being age 60 or older. Additional risk factors include kidney stones, smoking, obesity and cardiovascular disease.  Those at risk should have simple blood and urine tests to check if their kidneys are working properly.

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Black Americans are 3 times more likely to experience kidney failure.  Hispanics are 1½ times more likely to experience kidney failure.  Once the kidneys fail, dialysis or a kidney transplant is required.

MYTH #2: PEOPLE CAN’T DO MUCH TO PREVENT KIDNEY DISEASE.

REALITY: “Strict control of blood pressure and diabetes are probably the two most important things anyone can do to protect their kidneys,” says Dr. John Gretes, a nephrologist (a doctor specializing in kidney care) with Riverside Health System, who practices in Gloucester and Newport News, Virginia. “Both can make a tremendous difference.”

Nearly half of people starting dialysis have kidney failure caused by diabetes, according to the National Institutes of Health. So anything to prevent Type 2 diabetes is good for the kidneys, Dr. Gretes adds: “Watch your weight, stay active and eat fresh foods instead of commercially prepared items. A good rule is that if you didn’t make it, don’t eat it—or don’t eat much of it.”

All of those steps can help preserve remaining kidney function after a diagnosis, too. So can avoiding sodium and not overusing painkillers, especially high-dose aspirin and nonsteroidal antiinflammatory medicines such as ibuprofen and naproxen.

CONTINUED ON PG. 31

Peripheral Neuropathy

If you have pain, numbness, tingling or burning in your feet or legs or balance problems you may be suffering from Peripheral Neuropathy.

Common causes of neuropathic pain causing short circuit in the nerves: Reduced blood flow to legs and feet, nerve Demyelinization due to Diabetes or Pre Diabetes, Chemotherapy, Statin overuse or Spinal stenosis.

Nerves may adapt to damage by contracting. Gaps between nerves expand. Nerve impulses going to and from the brain, muscles and blood vessels become obstructed or impaired causing pain.

We treat Peripheral Neuropathy utilizing a specialized Biofeedback Circuitry which: • Relieves Pain • Improves nerve signal conductivity • Improves blood flow • Re-educates muscle

For effective and affordable treatment for Peripheral Neuropathy call 253-1900.

Wade G. Quinn, DC, CCSP, Dipl.Ac. Diplomat International Academy of Medical Acupuncture

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Food | Vine & DINE

Luck Be with You

Shredded Green Cabbage Salad with Lemon and Garlic Recipe by Food & WINE

by Chris Jones

W

hile St. Patrick’s Day is a bigger celebration in the United States than it is in Ireland, every red-blooded American loves an excuse to enjoy good food and good times with friends. Nowadays, dressing up in costumes clad in greens and golds with shamrocks and leprechauns have added a more festive flair to the longstanding tradition, which was first celebrated in Boston in 1737.

Contrary to popular belief, the Celtic harp is the national emblem of Ireland, but the shamrock is deeply rooted in Irish culture and even its Catholic heritage. Legend has it that St. Patrick used the shamrock to help the pagan Druid High Priests and their followers comprehend the Holy Trinity: Father, Son and Holy Spirit—All-in-one Almighty God. And what of green beer? That’s believed to have stemmed from a custom called “drowning the shamrock.” Following parades and special events, men would hit the local pubs, drop a shamrock into their whiskey and drink it down, including the good luck leaf.

Total Time: 15 min.

Serves: 8 This light, tangy salad could not be simpler: shredded green cabbage tossed with lemon, garlic, olive oil and salt.

Ingredients 1 garlic clove

Bottoms Up for Good Luck

2 tablespoons freshly squeezed lemon juice

Of course, we’re all about health, so here are two natural methods for coloring your beer green. It’s recommended that you use a lightly-colored beer of our choice.

Wheatgrass: Fresh or powdered wheatgrass juice is chock full of minerals and vitamins. For a 16 ounce pint of beer, add 1 tablespoon of wheat grass juice to the glass, pour in the beer and stir.

Spirulina: This blue-green algae has more antioxidant power than chocolate and may be the most nutrient-dense food in the world. Some say it’s a little sushiseaweed like, others clamor over it. For a 16 ounce pint of beer, add 1/2 tablespoon of spirulina to the glass, pour in the beer and stir.

2 tablespoons extra-virgin olive oil 2 pounds green cabbage, cored and finely shredded Kosher salt

Make It

In a mortar, pound the garlic to a puree. Stir in the lemon juice and olive oil.

In a large bowl, toss the cabbage with the dressing. Season with salt and toss again. Serve right away or lightly chilled.

CONTINUED FROM PG. 29

THE TRUTH ABOUT KIDNEY DISEASE

MYTH #3: PEOPLE WILL KNOW WHEN THEIR KIDNEYS BEGIN TO FAIL BECAUSE THEY WILL EXPERIENCE PAIN OR PROBLEMS WITH URINATION.

REALITY: Many patients have no idea they are sick until they have just 10 or 15 percent of their kidney function remaining, according to the NKF. Kidneys rarely hurt unless there is an infection or blockage, such as a kidney stone, while how much or when people urinate doesn’t say much—if anything—about kidney health or function. Kidneys are resilient and can still produce urine even after they can no longer properly clean blood, Dr. Gehr notes: “Patients can have urinary output if they’re on dialysis or need a transplant.”

As kidney disease progresses, some people may need to urinate more at night or see other changes in their urinary patterns, but many see none at all. Early symptoms can also be subtle and non-specific, such as harderto-control blood pressure and swelling of the feet and ankles. Others include fatigue, nausea, appetite loss, muscle cramps and shortness of breath or chest pain if fluid builds up around the lungs or heart.

MYTH #4: TESTING FOR KIDNEY DISEASE IS A COMPLICATED AND COSTLY PROCESS.

REALITY: Simple blood and urine tests—readily available at an annual physical exam or an urgent care facility—can do the job. Blood work can measure toxins and waste products in the bloodstream; urine screens can detect a protein that isn’t present when kidneys are healthy.

Since kidneys release hormones to help regulate blood pressure and also help break down insulin, hypertension or diabetes can be red flags.

Anyone with either condition, or a family history of kidney problems, should talk to a doctor about regular screenings.

“These are inexpensive, basic tests that can make a major difference,” Dr. Gehr says.

MYTH #5: DIALYSIS IS THE IMMEDIATE GO-TO TREATMENT FOR CHRONIC KIDNEY DISEASE, AND IT IS ALWAYS VERY DISRUPTIVE TO DAILY LIFE.

REALITY: Milder forms of kidney disease may have little to no effect on a patient’s quality of life. People are blessed with extra kidney function—that’s why living donors can do fine with just one kidney.

If doctors catch progressive disease early enough, they may be able to slow damage with non-invasive steps: managing blood pressure and diabetes; overseeing lifestyle changes such as weight loss and quitting smoking; and prescribing medications also used for high cholesterol and other lipid disorders. Many medications now can be taken just once daily, which helps with patient compliance.

“While it’s hard to totally reverse the disease, stabilization is the goal,” Dr. Gehr says.

In a small number of more severe cases, doctors are able to perform a kidney transplant before a patient ever needs dialysis. Thanks to better immunosuppressive drugs, the number of living unrelated donors has increased in the past decade.

Dialysis normally becomes an option only with end-stage kidney failure, once patients have lost 85 to 90 percent of function. And those patients may be able to undergo treatment in a hospital, a separate dialysis unit or at home, based on what they and their doctor decide is best. While dialysis can be time-consuming and uncomfortable at first, many patients experience little pain, can go back to work or school and quickly feel stronger, according to the NKF. As one NKF publication puts it, “You as a patient have a great deal of control over your treatments.”

And the more everyone knows about kidney health, the better.

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Food | food & Nutrition

9 in 10 Americans Aren’t Eating Enough

Seafood

by RIMA Kleiner

Y

ou’ve heard that fish is brain food and that it’s good for the heart, so you occasionally choose the grilled salmon at a barbecue, go with a tuna sandwich from time-to-time and veer towards the seafood platter at your company party. But despite those efforts, the reality is you’re likely not eating enough seafood to meet the federal dietary guidelines or reaping the powerful heart and brain health benefits seafood offers.

A recent study by the United States Department of Agriculture (USDA) found that 80-90 percent of Americans don’t meet the recommendation to eat seafood—which includes fish and shellfish—at least twice a week. In fact, the average American ate just 14.6 pounds of seafood in 2014. While that might sound like a lot, compare that to the 101 pounds of red meat and 105 pounds of poultry the average American ate in the same year. We also consume more

32 | thehealthjournals.com

sugar, fats and oils, corn and wheat flour than fish.

When it comes to pregnant and breastfeeding women, the evidence of seafood deficiency is even more apparent. The Food and Drug Administration (FDA) found that the average expectant mother in the U.S. eats just 1.89 ounces of seafood a week, or less than half a serving.

According to the USDA and the FDA guidelines, pregnant and breastfeeding women—just like all Americans—need to eat seafood no less than twice each week. This means that these women need to quadruple what they’re currently eating to meet their nutrient needs.

A tremendous global body of scientific evidence continues to find that eating seafood is vital for health—from baby brain development and a lowered risk of depression to heart disease prevention. Not only is seafood the premiere

food & Nutrition | Food

dietary source of essential omega-3 fatty acids, it also provides high-quality protein, vitamin D, selenium and B vitamins in a low-calorie package.

Not eating enough seafood has real consequences.

A Harvard study found that low dietary intake of omega-3 fatty acids from fish is the second-biggest dietary contributor to preventable deaths in the U.S., taking 84,000 lives per year. It’s no surprise health organizations, from the American Heart Association to the American Diabetes Association, also have official recommendations to eat fish regularly each week.

So why do people eat so little seafood despite calls to eat more? Misinformation and rhetoric about everything from sustainability to mercury, peddled by an array of agenda-driven activist groups, has confused consumers. The distortion of facts and conflicting messages included in national and even global campaigns has compromised public health, as evidenced by America’s low consumption levels.

”

The distortion of facts and conflicting messages included in national and even global campaigns has compromised public health.

”

To bring clarity on how much seafood we should eat, consumers can break through the confusion with simple, independent, science-based advice found in the USDAs aforementioned dietary guidelines to, “increase the amount and variety of seafood you eat by choosing seafood in place of some meat and poultry.” The USDA recommends eating both farm-raised or wild-caught seafood, emphasizing there is no need to choose one type of fish over the other. When it comes to mercury, which is found in trace amounts in all ocean-caught seafood, the USDA says, “… evidence shows that the health benefits from consuming a variety of seafood in the amounts recommended outweigh the health risks associated with methyl mercury.”

Perhaps the most clear message around eating seafood is found in the World Health Organization (WHO) and the Food & Agriculture Organization of the United Nations (FAO) joint report—the real risk of seafood is not eating enough.

thehealthjournals.com | 33

Food | flavor

Cabbage by chris jones

C

abbage is nutrient rich and an excellent source of vitamin C. This cousin to broccoli and Brussels sprouts is also a source of vitamin K, folate and potassium. Like most vegetables, cabbage is low in calories, fat and cholesterol. Always available, cabbage is inexpensive and is believed to contain a natural chemical compound that may be helpful in the prevention of certain types of cancer.

eat it

Cabbage can be eaten in salad raw or placed on a sandwich. Try cooking it as a side dish, or mixing with other foods to create an entree.

feel it

The external leaves should be a good green or red color (depending on type), and relatively blemish free. Avoid cabbage if it’s wilted, discolored, or if its external leaves are yellowing.

store it

Cabbage keeps well. The vitamin C lasts longer if kept cold. Refrigerate in a loosely sealed plastic bag. Cabbage stays fresh 1-2 weeks; sliced cabbage 5-6 days. Rubbing cut surfaces with lemon juice prevents discoloration.

34 | thehealthjournals.com

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cab·bage /'kabij/ The word "cabbage" is an Anglicized form of the French caboche, meaning "head."

Cabbage was introduced to America in 1541–42

by JACQUES CARTIER.

Check our Vine & Dine column on PAGE 30 for a cabbage salad recipe.

Serving size: 1/2 cup, shredded (35 g) Calories: 10 Vitamin C: 20%

thehealthjournals.com | 35

Food | taste appeal

Protein Pancakes

HEALTHY ON-THE-GO

Breakfasts There are no excuses for skipping the most important meal of the day with these seven wholesome, but quick, recipes from local health and wellness experts.

Recipe courtesy of Bridgit Kin-Charlton, M.S., Ed., C.P.T.

INGREDIENTS

MAKES 1 SERVING

• 1/2 cup liquid egg whites • 3 ounces cooked sweet potato • 2 tablespoons unsweetened applesauce • 1 scoop chocolate or vanilla whey protein

PREPARATION 1. Whisk together all ingredients in a large bowl.

2. Microwave for 3 minutes.

3. Top with blueberries and agave nectar. Delish!

36 | thehealthjournals.com

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Recipe courtesy of Caroline Fornshell, M.S., R.D., C.P.T.

INGREDIENTS

MAKES 1 SERVING

• 1 clove of garlic, crushed, if desired

• 1/3 cup of spinach, if desired

PREPARATION

ati ebr ng

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yourself

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cel

• A handful pinto beans

240 McLaws Circle Suite 147 (Next to Starbucks) Williamsburg, VA 23185

FEEL LIKE

• A handful frozen bell peppers • 1 egg

X

AG A I N !

ye a rs

1. Throw a handful of peppers in the pan and season to taste (try garlic).

2. After the frost has melted, crack an egg in the pan and stir in a handful of pinto beans.

3. Top with a handful of spinach, if desired, and viola. So fast!

Dr. Robert Pinto Dr. Anne Pinto | Dr. Kenneth Boecker Schedule a consultation today, call 757.645.9353

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Food | herb-n-garden

LET’S CHILL

WITH

By Maria candelaria Daugs

N

ative to Southeast Asia and a member of the mint family, Thai basil is very fragrant.

Its taste has strong notes of mint, anise, licorice and is slightly spicy.

THAI SPICY EGGPLANT

This excellent dish highlights such a unique herb.

With its fantastic layers of complex flavors, this entrée will have some meat lovers considering vegetarianism.

1/4 cup plus 2 tablespoons oil, divided 1 medium yellow onion, diced 3 cloves garlic, minced 1 jalapeno pepper, minced 4-5 Chinese eggplants, cut into 3-4 inch wedges 1 red bell pepper, seeded and cut into strips 1/4 cup fish sauce 1/2 teaspoon roasted red chili paste 1 teaspoon soy sauce 1 tablespoon brown sugar 1 cup water

DID YOU KNOW? Basil has been known to reduce inflamation and swelling, contain anti-aging properties, and be rich in antioxidants.

40 Thai basil leaves Over medium-high heat, warm 1/4 cup of the oil in a wok or very wide, large skillet. Add the onion and cook until softened. Add the garlic and jalapeno peppers and cook, until softened. Add the red bell pepper and cook, for one minute. Add the remaining 2 tablespoons of oil and the eggplant and cook an additional 3-4 minutes, stirring occasionally.

Add the fish sauce, chili paste, soy sauce, brown sugar and water and let the mixture come to a boil and then continue to cook, stirring occasionally until the sauce has thickened.

If you’d like your eggplant extra soft, add more water and continue to cook until the eggplant reaches your desired texture.

Add the basil leaves and give everything a quick stir. Remove from heat and serve.

TIP: For best results, use firm, unblemished, pale purple Chinese eggplant.

Recipe adapted from Simply Thai Cooking

by Wandee Young and Byron Ayanoglu 38 | thehealthjournals.com

Photography By Maria Daugs

Overnight Oatmeal

Recipe courtesy of Karen Endsley

INGREDIENTS

MAKES 1 SERVING

• 1/4 cup old-fashioned oats, uncooked (don't use quick cooking oats or steel cut oats) • 1/4 cup low-fat vanilla yogurt • 1/4 cup skim milk • 2 teaspoons dried chia seeds • 2 teaspoons maple syrup or honey—whichever you prefer

Q

• 1/4 cup fresh blueberries

PRESENTS Q & A SERIES

• 1/4 cup diced canned peaches preserved in juice not syrup.

I heard there is a link between dementia and PREPARATION hearing loss. Is this true?

• *Optional: 1 tablespoon dried granola or nuts to add some crunch.

1. Mix all ingredients except fruit in a 1/2 pint mason jar.

A: Dementia is a scary topic; its prevalence is expected to double every 2. Screw on lid and shake vigorously.

20 years. Multiple studies by Dr. Frank Lin of Johns Hopkins and the 3. Stir in fruitonand replace lid. that hearing loss is independently National Institute Aging have shown associated with dementia.

The riskor of at developing dementia increases with 4. Refrigerate overnight, least 6 hours. the severity of hearing loss. This correlation held true even when age, 5. Inand thehypertension morning, add crunchy topping or loss more fruit, if desired. diabetes, werethe ruled out. When hearing is present, the brain is working overtime decoding sounds, thus taking away energy from• cognition, listening,understanding, andown! memory.

Hearing Get creative and make it your Change outloss thecan fruits and also cause social isolation such and that another risk factororforcocoa dementia and The add flavorings as iscoconut extract powder. other cognitive disorders.are People find it much easier to “fake” following a combinations limitless! conversation rather than constantly asking for repetition. Over time, this • Low on time?

Just throw the jar in your bag and take it to work for can lead to avoiding social situations altogether. healthy, you satisfying breakfast.

Thesememory will lastproblems, for 3-4 days in the If you ora someone know starts to experience so makewith a few to save time morning! schedulerefrigerator, a hearing evaluation anahead audiologist to find outinifthe there is another issue at hand that could be treated. Monitoring of hearing loss is crucial when memory issues are present.

Q

PRESENTS Q & A SERIES

I heard there is a link between dEmENTIA and hEARINg loSS. Is this true?

A: Dementia is a scary topic; its prevalence is expected to double every 20 years. Multiple studies by Dr. Frank Lin of Johns Hopkins and the National Institute on Aging have shown that hearing loss is independently associated with dementia. The risk of developing dementia increases with the severity of hearing loss. This correlation held true even when age, diabetes, and hypertension were ruled out. When hearing loss is present, the brain is working overtime decoding sounds, thus taking away energy from cognition, listening,understanding, and memory. Hearing loss can also cause social isolation and that is another risk factor for dementia and other cognitive disorders. People find it much easier to “fake” following a conversation rather than constantly asking for repetition. Over time, this can lead to avoiding social situations altogether.

If you or someone you know starts to experience memory problems, schedule a hearing evaluation with an audiologist to find out if there is another issue at hand that could be treated. Monitoring of hearing loss is crucial when memory issues are present.

757-229-4004

757-229-4004

430 McLaws Circle, Suite 101 Williamsburg, VA 23185

430 McLaws Circle, Suite 101 Williamsburg, VA 23185

Jude Liptak, Au.D.

Bethany Tucker, Au.D.

Jude Liptak, Au.D.

Bethany Tucker, Au.D.

Food | taste appeal

Cinnamon Raisin Ezekiel French Toast

Egg Muffins - Two Ways

Recipe courtesy of Gale Pearson, MS, RD, CDE

INGREDIENTS

MAKES 1 SERVING

• Cooking spray

Option 2: Broccoli & Goat Cheese

• 10 large eggs or egg substitute • 1/2 cup low-fat milk

• 2 cups frozen chopped broccoli, thawed and drained

• 1/2 teaspoon kosher salt

• 2 tablespoons goat cheese

• 1/4 teaspoon Tabasco sauce

• 1 teaspoon lemon zest

• 1/4 freshly ground pepper

Recipe courtesy of Chef Jalil Lindsey-Lowe

Options 1: Turkey Bacon & Greens

INGREDIENTS

• 2 tablespoons turkey bacon bits • 1/4 cup spinach or arugula • 2 tablespoons reduced fat cheese of choice • 18 grape tomatoes, quartered

PREPARATION 1. Preheat oven to 425 degrees and coat 12-cup muffin pan with cooking spray.

MAKES 1 SERVING

• 2 slices cinnamon raisin Ezekiel bread • 1 egg or 2 tablespoons egg substitute • 1/4 cup almond milk • 1 dash cinnamon • 1/2 teaspoon vanilla extract • Coconut or canola oil spray

PREPARATION

2. In a large bowl, whisk together 10 large eggs or egg substitute (can also do half-and-half), low fat milk, salt, Tabasco sauce and pepper.

1. Mix the egg, milk, cinnamon, vanilla extract in a bowl.

3. For Option 1: Mix bacon bits, greens and cheese. Saute greens about 2 minutes and add to egg mixture. Fill muffin cups and top with grape tomatoes. Bake until set, about 12 minutes. Cool in pan for 2 minutes and remove.

3. Spray skillet with cooking spray. Cook in a hot skillet for 2 minutes on each side until golden brown.

4. For Option 2: Divide frozen chopped broccoli among muffin cups, reserving 1/2 cup. Sprinkle goat cheese over broccoli. Stir 1 teaspoon lemon zest into egg mixture. Divide among cups. Top with reserved broccoli. Bake until just set, about 12 minutes. Cool in pan for 2 minutes and remove.

• This recipe can easily be cut in half if you only want to make 6 muffins.

Add vegetables of your choice for variety. They can be refrigerated in airtight container for a week.

40 | thehealthjournals.com

2. Dip bread in egg mixture.

4. Eat with reduced calorie syrup or low sugar jam.

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Energy Boosting Smoothie Recipe courtesy of Chef Jalil Lindsey-Lowe

INGREDIENTS

MAKES 2-3 SERVINGS

• 1/2 cup nonfat Greek yogurt, nondairy yogurt, or milk • 1/2 cup frozen cherries • 1/2 cup blueberries • 1 teaspoon honey • 1 tablespoon orange flavored Metamucil • 3 vitamin C capsules • 2 tablespoons of maca root* powder or capsules • 1 cup ice

PREPARATION 1. Add all ingredients to a blender. Blend until smooth.

• *Maca root is very earthy in flavor, but its a powerful adaptogen that can help with stress and increase your energy. No need for coffee with this smoothie.

thehealthjournals.com | 41

your health | fitness

YOGA FOR your health | fitness

by Shawn Radcliffe

photography by Michael Saunders

Y

oga is a gentle, low-impact exercise that offers many benefits for people living with multiple sclerosis (MS), including reduced muscle fatigue and stress.

Here are just a few of the yoga poses that are appropriate for people with MS. If you experience any discomfort, stop, check your position and try again.

If in doubt, talk to a qualified yoga teacher.

Mountain Pose

Downward-Facing Dog at Wall

Mountain pose will help lengthen your spine and release tension in your shoulders.

Traditionally done on the floor, downwardfacing dog can also be done at the wall while sitting in a chair or wheelchair.

Sit or stand tall with your shoulders relaxed and feet about hip-width apart.

Let your arms hang by your side.

Inhale, lift your arms to the side and overhead, palms facing each other. Palms don’t have to touch. Exhale, lower your arms. Repeat 4-5 times.

Variation: Inhale, lift your arms to the front and overhead, palms facing forward.

Exhale, lower your arms. Repeat 4-5 times.

Sit tall with your knees almost touching the wall. Place your feet slightly behind your knees.

Inhale, sweep your hands wide and high up on the wall, with your arms lined up with your ears.

Rest your forehead on the wall and press your hips back in your chair. Stay here for 4-5 breaths.

To come out, lift your head from the wall.

Lower your arms wide to shoulder height, with palms facing up. Then lower hands to your thighs.

42 | thehealthjournals.com

fitness | your health

MULTIPLE

SCLEROSIS Here are some resources to help you expand your MS yoga practice.

Seated Forward Bend

Reclined Pose

Seated forward bend is a great pose for stretching your back and finding stillness.

Reclined pose is great at the end of any yoga session, or even by itself.

Sit tall, with your feet hip-width apart and your hands resting on your knees.

Lie on your back with an eye pillow over your eyes. You can also cover yourself with a blanket.

Inhale, lift your arms overhead, with palms facing forward. Exhale, fold forward at the hips.

Bring your hands to the floor or a yoga block in front of you. You can also bring your hands to the seat of a chair facing you.

Stay here for several breaths, breathing normally.

To come out, inhale, lift your arms overhead and bring your torso upright.

Exhale, lower your hands to your knees.

Loren M. Fishman, M.D., & Eric L. Small.

Yoga and Multiple Sclerosis. A Journey to Health and Healing.

2007. Demos Medical Publishing.

If your lower back is tight, try placing a pillow or folded blanket under your knees.

You can also place a pillow under your head if you have tension in your neck.

Stay here for 5-15 minutes, breathing evenly in and out through your nose.

Laurie Sanford. Gentle Yoga Multiple Sclerosis.

2012. Hatherleigh Press.

The Yoga MS Project, yogamsproject.com thehealthjournals.com | 43

your health | family

The Last Word THE IMPORTANCE OF DOCUMENTING YOUR FINAL WISHES

By Wil LaVeist

W

hen Carolyn Brent received the shocking phone call in 1997 that her elderly father could no longer live independently, she felt prepared, rather than fearful of what was to come.

Years previously when Brent was 18-yearsold, her father first began preparing her for life without him.

Brent, who is now 50-something, recalled listening intently despite being in denial.

Brent’s father eased into the end-of-life conversation as they sat on a beach. Father and daughter would have at least two additional specific conversations over the years. A Vietnam veteran and Purple Heart recipient, William L. Brent would eventually file documents, including a medical care directive, a power of attorney and a will with the Veterans Administration. When his daughter received “that call” that he had been diagnosed with dementia, she knew, for example, that her father did not want to be in a nursing home. His advance care directive provided his youngest child with a blueprint that guided her for the 12 years she was her father’s primary caregiver.

Brent, who is the youngest of eight children, is also an elder care advocate, public speaker and the author of “The Caregivers Companion: Caring for Your Loved One Medically, Financially and Emotionally While Caring for Yourself,” as a result of her experience.

The National Institute on Aging defines advance care as planning that outlines

The advance directive kicks in if the sick loved one can no longer communicate his or her desires. The document can be created with the help of an attorney or hospital administrator, a palliative care program through a doctor or organizations, such as Aging With Dignity, which offers the 5 Wishes Form. The advance directive must be registered with the state where the person lives and it must follow that state’s guidelines. specifically the type of medical care you want if you become too ill to make decisions. Each state may have a different name for the document, but these instructions are written in a legal document typically called an advanced care medical directive.

The document has three forms: 1. Living will, which outlines types of medical treatment you want such as CPR done to restore your breathing or if you want to endure having to eat through a feeding tube.

2. Health care proxy, identifying a person to make medical decisions; and 3. Durable power of attorney, which assigns a person to handle transactions such as bank drafts and paying bills.

TOO FEW PEOPLE HAVE ADVANCE DIRECTIVES

The Centers for Disease Control and Prevention says that only one-third of adults have an advance directive. Among people 60 years and older, about half have one, but only 24-35 percent of their physicians know their patient’s directive exists. Some research suggests having a care plan in place leads to medical cost savings.

Carol Wilson, director of Palliative Care Services at Riverside Health System, works with doctors and patients on end-of-life planning and care. It’s common for elderly or dying patients to be more willing to discuss an advance care plan to “relieve a burden on their family,” she says. If the elder loved one doesn’t want to discuss it, Wilson suggests teaming with their doctor, rather than trying to force them.

An advance care directive is not just for the elderly, though. Wilson said that her advance care directive kicked in unexpectedly 10 years ago when she was hospitalized after an accident.

She couldn’t communicate for more than a week.

Her husband knew her exact wishes and made decisions on her behalf.

Learn more about ACD and start your process at bit.ly/ACDVirginia.

44 | thehealthjournals.com

“

The conversation should start before loved ones are sick.

Everyone over 21 should have an advance care plan.”

HOW TO START THE CONVERSATION

If a person becomes ill, ends up in the hospital, and can’t communicate for themselves, medical professionals will do what they believe is best for the patient. What “is best” may be inconsistent with what the patient wants.

Wilson said that she eases into conversations with patients by using questions that do not necessarily seem as though the discussion is about end of life.

“We’ll say, ‘Tell me what’s important to you right now. What makes life worth living for you? What is unacceptable to you in terms of treatment?’” Wilson says. “We find those things that are unacceptable and devise a plan that would avoid the treatment that the patient considers unacceptable.”

Invite your family members to Sunday dinner, but don’t reveal the topic until they all sit down.

Watching a movie or news story about an end-oflife issue can jump-start the conversation, she says.

BREAK THROUGH THE WALL OF DISCUSSING ADVANCE CARE PLANNING

Brent, who also has an updated advance care directive, recommends that families view it as a plan to come together to take care of the person they all love. Brent says the conversation should start before loved ones are sick. Everyone over 21 should have an advance care plan, she says.

Brent interviewed more than 1,500 caregivers for her book. Most of them wished they had gotten their loved one to complete an advance care directive. The caregivers also would have taken better care of themselves along the way, she says.

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

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

John R. Nordlund, MD, PhD

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

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your health | women's health

Orthorexia:

HEALTHY EATING TAKEN TOO FAR

by Shawn Radcliffe

E

ating healthy is, well, good for your health.

But for some people, trying to stick to a healthy diet becomes an obsession with only eating foods that they believe to be healthy.

Known as orthorexia nervosa, this condition seems to be on the rise in recent years, fueled in part by the popularity of restrictive fad diets like Paleo, glutenfree, vegan and raw.

“With all of the media attention around different health foods, different marketing of health foods, and social media, it seems to be getting more common,” says Natalie Wingfield, a counselor at Virginia Beach Counseling and Wellness, LLC, in Virginia Beach.

Orthorexia is not currently recognized as a clinical diagnosis. Some psychologists, though, are calling for its formal recognition, while those suffering from this condition struggle to find the help they need.

One challenge of orthorexia is that people are focused on eating healthy, so it may not appear as a problem right away.

“It’s really hard to tease out what’s going on,” says Wingfield. People with orthorexia “certainly aren’t realizing that it is a problem. Even with other people in their life, it might take longer to see that this has kind of crossed the line.”

Following a healthy diet does not mean that you have orthorexia.

When done in a balanced way, eliminating gluten or meat from your diet, or eating only raw foods, can be healthy.

46 | thehealthjournals.com

women's health | your health

But for some people, these restrictions are a slippery slope.

They may start out by eliminating gluten from their diet, and then meat. After that, they may become vegan, and then raw.

As people cut out more and more foods from their diet, they can develop deficiencies of certain nutrients.

Focusing too much on eating healthy can also take a psychological toll.

“There’s nothing wrong with eating healthy,” says Wingfield.

“It’s just when it becomes an obsession and takes over their whole life that it becomes a problem.”

As orthorexics spend more of their time and energy planning what to eat and avoiding “unhealthy” foods at restaurants, they may become socially isolated.

They can also forget how to eat intuitively—knowing when they are hungry and full. And as with other eating disorders, people with orthorexia can feel guilty when they deviate from their diet.

Even though orthorexia is not recognized officially, mental health professionals can still help people with this condition.

During therapy, orthorexics explore their thoughts around food as they move toward being less rigid about food choices.

But they may also need to work through underlying emotional

issues, especially those that may have triggered the obsession.

“One of the big features of orthorexia is making your food choices based on fear,” says Wingfield, “as opposed to appropriate preferences that are flexible.”

Learning how to eat a balanced diet can also help people with their recovery.

“If they become underweight, then restoring their weight needs to be the main focus,” says Wingfield, “because it’s very difficult to do any kind of work around thoughts when you’re malnourished.”

Not everyone who goes on a fad diet will develop “an unhealthy obsession with otherwise healthy eating,” as the National Eating Disorders Association calls orthorexia.

“Even though there are triggers—things like the media or body image, or weight concerns,” says Wingfield, “we know that those alone don’t cause eating disorders.”

Recent research suggests that underlying biologic or genetic factors may contribute to eating disorders. This alone can help people with orthorexia to move beyond their condition.

“Maybe going on the diet kind of flipped the switch on orthorexia,” says Wingfield, “but it’s something that was beyond your control, and it’s a real biological illness.”

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your health | MeN's Health

Top of the Class

Group Fitness Isn’t Just for the Ladies

by Bridgit kin-charlton

Y

ears ago, group fitness classes were a woman’s world. Men are now embracing the challenge of group fitness; It’s not all dance and choreography.

Despite a feminine stigma, cardio classes are drawing men that crave high-intensity interval training. Group fitness popularity coincides with a new optimal male aesthetic—it isn’t about the giant bodybuilder anymore. Guys want to be lean, ripped and more functional. You can get that in a group setting.

Ready to lean out and tone up?

Try these great class options:

Speed and Power This athletic class is designed to create an environment that teaches the athlete how to use all aspects of muscular movement with increased athletic reaction. Form follows function. Build the tools for speed and you will be fast.

Benefit: Athletic strength is the product of increased muscular output while maintaining balance and joint function. Speed and power ensures perfect muscular balance and athleticism while increasing muscular power.

Give it a Try: Take a speed and power class if you are a serious athlete looking to increase performance, durability and athleticism.

48 | thehealthjournals.com

Tabata A Tabata workout lasts four minutes, but it’s likely to be one of the longest four minutes you’ve ever endured. The structure of the program looks like this: workout hard for 20 seconds; rest for 10 seconds; complete 8 rounds. Pretty much any exercise works – squats, pushups, rows and other exercises that work your large muscle groups.

Benefit: Tabata training is considered high intensity interval training. This type of training increases both aerobic and anaerobic systems and can decrease body fat.

Give it a Try: If you’re short on time, need to switch up your program, or want to improve endurance and speed, incorporate this class into your routine and you will see results.

men's Health| your health

MMA Mixed Martial Arts requires serious skill. A good fighter must be powerful, agile, mobile, coordinated and strong enough to manipulate and control opponents. The fighter must be fast enough to move in for takedowns or pull away from dangerous situations.

Benefit: MMA challenges both body and mind.

These classes build endurance and speed and burn a whole lot of body fat.

Give it a Try: If you’re looking to build muscle and burn fat (and a lot of calories) while learning self-defense techniques, try one of these classes.

CrossFit CrossFit classes are a great way to meet friends while having fun and increasing your cardiovascular conditioning.

Benefit: CrossFit is an effective way to burn a high number of calories in a short period of time.

Every WOD (workout of the day) is different so if you’re not bobbing 40 minutes on the elliptical, then this class might be just for you.

Give it a Try: Do CrossFit if you like competition and want to part of a community of athletes who support and push each other.

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your health | outdoors

WHAT'S THE DILL WITH

Pickle Ball?

SPORT GAINING POULARITY, ESPECIALLY WITH OLDER CROWD

By Brandy Centolanza

O

n any given day you can find people waiting for a court to open up at Mid County Park or at Quarterpath Recreation Center in Williamsburg.

They aren’t there to play tennis, however; rather, they are waiting with paddles instead of rackets for a game of pickleball.

Pickleball—described as a combination of tennis, ping pong and badminton—began in the 1960s in the state of Washington when some friends wanted to play tennis but did not have enough equipment, so they used ping pong paddles and a perforated plastic ball. The sport is named after Pickles, one of the co-creator’s dogs.

Locally, the sport’s popularity has grown thanks in part to Jeff Anthony, an ambassador for the USA Pickleball Association (USAPA) who created the website pickleburg.com as a way to promote game play. Anthony began playing pickleball four years ago.

“I love it,” Anthony says. “I love it because it is high intensity, and there is a lot of movement, hand/eye

50 | thehealthjournals.com

coordination and strategy. For me, it is the total package.”

Pickleball is typically played outdoors on a tennis court using a smaller court about the size of a badminton court and a lower net. Anthony and other pickleball players worked with James City County to establish pickleball courts at Mid County Park and Jamestown High School. Robbi Hutton, the director for the City of Williamsburg Parks and Recreation, was instrumental in starting indoor play during the winter months on the basketball courts at Quarterpath Recreation Center. Players can also use the basketball courts at James City County Recreation Center.

Maryann Schwab and her brother, Rudy, play multiple times a week.

“I like it because it is lowimpact cardio so it is good for my knees and my feet,” Rudy Schwab says. “I also like the competitive aspect to it.”

Maryann Schwab enjoys it because it is a sport that anyone can play regardless of age or skill.

She and Rudy play with college students and other seniors.

“It is popular with the seniors,” Maryann Schwab says. “I like it because of the activity, and it is a quick game. It used to be that people our age sat home and did nothing, but pickleball gets us out of the house. It keeps me active and it gets me some fresh air.”

Anthony encourages people to give pickleball a try and offers demonstrations to people through the Pickleburg website.

“It is unique,” he says. “It is a game for your mind, body and spirit. Being outdoors, under the blue sky. Come out and watch people play. Play for fun, play for life. It is that simple.”

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your health | money

SHOULD YOU CONSIDER

BANKRU PTCY? THE PROS & CONS

Numbers show that the average American facing an unexpected expense (e.g. divorce, illness or job loss) are those who find themselves in need of bankruptcy protection. Are you one of them?

38

average age of typical bankruptcy filer

A chapter 7 bankruptcy liquidates all your non-exempt assets to pay off creditors. It’s generally the best option when you have a large amount of unsecured debt, like medical bills and credit cards, and little income.

CHAPTER 13

CHAPTER 7

Types of Filings A chapter 13 bankruptcy reorganizes or adjusts your debt using a repayment plan. It’s the best option if you have income, but want to avoid foreclosure of your home, or need time to catch up on outstanding debts.

IN 2015, FILINGS WERE DOWN

9.9%

Top 5 Reasons Why People Go Bankrupt

MEDICAL BILLS

52 | thehealthjournals.com

JOB LOSS

CREDIT CARD ABUSE

DIVORCE/ SEPARATION

UNFORESEEN EXPENSES

YOUR FINANCIAL HEALTH | YOUR HEALTH

Alternatives to Filing

your financial health helping to ease your personal finance concerns

How is buying or selling a home similar to taking a road trip?

• Take a second job • Create/stick to a budget • Downsize or get a roommate • Negotiate with lenders • Get credit counseling

When You Should File • Living off credit cards • Working two jobs already • Wage garnishments • Stress affects home & work • Exhausted retirement accounts

Advantages to Filing • Discharge of certain debts

Disadvantages to Filing • Damage to credit report • Doesn't discharge: • Mortgages, child support, alimony, student loans

When you and your family decide to take a road trip, there are certain factors you must consider. You already know your desired destination, mode of travel, overnight stops, and things to do along the way…and of course you want to make sure your car is ready for maximum performance.

Consider your Realtor the “AAA of Travel” helping you establish a road map to your final destination. The conversation with your realtor will answer important questions like “How do we get where we’re going and what is our estimated time of arrival? What road bumps should we expect along the way? What does our final destination look like? And finally, how do we keep our car running smoothly?”

There is a great deal of preparation involved before buying, such as completing the pre-approval process, prioritizing what amenities you want in your new home, and planning for out-of-pocket expenses. These include home inspections, closing costs, the appraisal and general moving costs. When you’re trying to sell your home, you must address many issues like deferred maintenance on your home, pre-home inspections and any other related repairs. Just as a “Net Sheet” allows Sellers to stay focused on bottom line proceeds from a sale, a Buyer focuses on the bottom line expenses for their purchase.

Another important part of “road tripping” is maintaining your vehicle along the way. You always want to check your oil and fuel levels and tire pressure, which is similar to the communication you should have with your Realtor.

Although route adjustments may be required due to inclement weather, always feeling comfortable when planning the next leg of the journey is vital.

Steve Ewell, REALTOR Coldwell Banker 757-603-2807 www.steveewell.com

special advertising section

your health | aging well

FIVE TIPS

for Healthy

AGING

by Dr. Daniel Shaye

A

s you grow older, you may notice more commercials for drugs and products designed for failing, aging bodies. Many of these conditions may represent your personal problems or fears. And conditions once thought “old people” problems may become reality.

Rather than being a victim of aging, take some steps to invest in aging gracefully.

Here are some simple, yet effective, tips for taking control of your future.

54 | thehealthjournals.com

Connect

Quit

Social connections are important to improving your chances of successful aging. Bill Massey, CEO of the Peninsula Agency on Aging, notes that, “Social connections are the key to maintaining self-control, personal freedom and independence, which are essential to successful aging.” Whether your social support group is your church community, your tennis buddies or your Bunko group, you’ll be wise to foster those relationships as if your mental and physical health depends on it.

They do.

Smoking cessation is a path to improved health and well-being. If you don’t know where to start, then take a look at the top causes of American mortality [see page 55] and then work backwards to attack preventable risk factors. Smoking is a key ingredient in several of the top causes of death and disability. Take action to remove that risk factor today.

aging well | your health

Walking

Take a walk. Exercise helps lubricate joints and pumps nutrition to cartilage keeping knees, hips and other body parts hydrated and healthy.

Though overuse or misuse can cause arthritis, underuse and weakness also cause cartilage and joint decay. Stay strong, and tap into the bonuses of social connection (if you enjoy walking with others) or quiet contemplation in nature (if you have a good place to walk outside). A.C.E.-certified personal trainer Bridgit Kin-Charlton notes that, “Making exercise and physical activity a regular part of your life can improve your health and help you maintain your independence as you age.

Even moderate exercise and physical activity can improve the health of people who are frail or who have diseases that accompany aging.”

Bonus: Exercise may also decrease your risk of Alzheimer’s disease and dementia, while strengthening your heart and decreasing your diabetes risk. How’s that for a handful of “wins?”

Sleep

Z

Z

Eat

Z

Sleep on it. Unable to exercise? Then get some healthy sleep. Though exercise decreases Alzheimer’s risk, so too might adequate sleep.

Research is strongly suggesting that sleep “washes” the brain of amyloid protein, the protein that builds up in Alzheimer’s disease.

Avoid chronic sleep deprivation, and you may be richly rewarded. Bonus: If you don’t always sleep during hours some might consider normal, don’t panic. Seek your own rhythm, and don’t fight the urge to nap if you have a lifestyle that allows it. Your body’s smarter than you might think.

Eat well (and minimize or avoid alcohol). Poor food choices increase the risk of cancer, diabetes, high blood pressure, obesity and (in the case of alcohol) even accidents. All of these are related to the top killers of Americans. Though a firearm may be a form of self-defense, so too is your choice of how to stock your refrigerator.

Why shoot yourself in the foot? Eat well every day with a focus on plant-based eating and minimal processed foods.

What's affecting our mortality?

Read more here: bit.ly/AmericanMortality

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.

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your health | mind matters

Resisting Addiction:

TWO SHARE HOW THEY OVERCAME DENIAL, ANGER AT FAMILY LOSSES

By Beth Shamaiengar

L

ast New Year’s Eve, Leigh Anne Vick* was celebrating, and not in the way you might expect. The day before, she had come to her regular Alcoholics Anonymous (AA) meeting to announce that she was “two years’ clean.”

But when she came forward— attractively dressed in indigo and black, her almond-colored hair stylishly coiffed—to be recognized for her two years without a drink, she admitted, in spite of her smile, that she’d gone two years since a relapse, not since her first attempt at the abstinence that AA requires. She wanted those assembled to know the real deal—that fighting back against her alcohol addiction has been, by no means, an easy journey.

And in a later interview in Vick’s immaculate, organized office at a Williamsburg bank, she says emphatically that she has relapsed “so many times.” She says she has only drunk alcohol on four or five occasions in the past 10 years, but numerous times she started with AA, then stumbled.

Because of the AA requirement of total abstinence, she’s had to start counting her drinkless days over and over again.

“DENIAL IS SUCH A FUNCTION OF THE DISEASE”

The odds of addiction were likely against her from early on. Her mother was an alcoholic and, after she and Vick’s father divorced and then abandoned Vick as an infant, 56 | thehealthjournals.com

her grandparents took her in and raised her.

Vick experimented with drinking in her teens, as many do, and though she felt she sometimes drank too much, she always had “rational thinking to justify my behavior.”

After learning about her mother’s history, she researched alcoholism and her own risk, but as her drinking in young adulthood began to increase, she denied it might be a problem.

She married in her mid-20s, had two children, then divorced and remarried and had two more children, but throughout that time she recalls “long periods of sobriety.”

Her drinking escalated when her family moved into a “party neighborhood,” and especially when her oldest daughter decided to move out and live with her father, Vick’s first husband. But when Vick’s second husband noticed her increasing drinking, she insisted she wasn’t any worse off than “the other heavy drinkers in our neighborhood.”

Vick asserts about alcoholism, “Denial is such a function of the disease.” Hers persisted because “I knew, if I admitted I had a drinking problem, what a struggle I was going to have. I kept telling myself, ‘I’m going to stop drinking on my own.’ ” She finally attended a few AA meetings, intoxicated, and an AA member told her she wouldn’t succeed because she “hadn’t hit rock bottom.” Once, while drunk, she did $4,000 damage to her car but had no recollection of the accident when her husband questioned her later.

Still, she refused to believe she needed help. She says now, “It was classic addiction thinking.”

Her game-changer was the AA member who, after Vick’s latest relapse, offered to be her sponsor (a guide that the program recommends

for completing its 12 steps). The woman had struggled past a relapse herself and, after finally coming clean, she became known as a sponsor who would patiently walk new AA members through the 12 steps [more on these in a later article].

“She really helped me apply them to my life,” Vick says. Now, she believes she will succeed at staying clean because she’s finally committed to the AA path.

At last, she says, “I’m not trying to do it my way.”

“I WAS ON TOP OF THE WORLD”

Like Vick, Desmond Jackson* has new optimism that he can steer clear of his previous drug of choice— marijuana—but his optimism, too, was hard-won. A few decades Vick’s junior, he has already seen how drug addiction can up-end life.

In an interview at the counseling center that turned his life around, he’s clad in a black striped sweater and slacks, and he has a subdued manner, considerable height and a sturdy build.

Fifteen and a sophomore at a Norfolk high school, he’s been raised by his mother and grandmother, and he didn’t learn until a few years back who his father was, or that he’s been incarcerated since Jackson was 8.

Jackson first tried marijuana at 11 years of age—he had a cousin who smoked joints, and “I was just curious”—but he didn’t like it at first. At 12, he wanted to try it again. His cousin was reluctant to supply him, but on a day when Jackson had some extra money, he just observed people in the neighborhood,

and “I spotted one dude who was real flashy and had nice shoes.”

Jackson had his source, and soon he also had a reason to smoke pot. After he tried it, he recalls matter-of-factly, “I felt like I could do anything, like I was on top of the world.”

He didn’t want to get in trouble, but he soon wanted to smoke more often, so he began lying to his mother and grandmother to get money for more joints. After they each caught him smoking and were “on alert,” he began stealing from their wallets and shoplifting.

During his worst period of drug use, Jackson “smoked [pot] every single day,” spending close to $5,000 on his habit.

That school year, his freshman year, he sums up now as “a lot of ignorance.” He recalls how he “would smart-mouth the teachers,” made “straight Fs,” and got repeatedly suspended.

“THE LITTLEST THING WOULD MAKE ME ANGRY”

In March 2015, a fellow student at school inexplicably threw a carton of milk at him at lunch, and the fight that ensued resulted in a 10-day suspension for Jackson and a five-day sentence in a juvenile detention center due to charges of disorderly conduct and obstruction of justice. When he didn’t fulfill an additional community service requirement, he was sent back for a 30-day sentence, followed by supervised probation. He couldn’t smoke pot at the facility, and Jackson remembers, “I was angry; I couldn’t do what I wanted to do.”

In April, when a drug test upon his release revealed that he had smoked pot before his sentence, he was sent to a counseling center for drug-using teens, and also assigned to work on anger management issues with his mother. At that time, he remembers, “the littlest thing would make me angry.”

Jackson’s work at the counseling center helped him

realize that his difficulties in recent years stemmed from anger that “I didn’t grow up with a father.” He had only found out in 2012, accidentally on Facebook, who his father was.

At first, he says, “I was hyped,” and they wrote a few letters back and forth while his father was in prison, but at one point his dad found out he smoked pot and told him to stop. Jackson felt his father could have contacted him years before, but hadn’t, so who was he to tell him, after all that time, how to behave?

“I don’t really need him now,” insists Jackson. “I’m halfgrown already.”

‘WOULD I RATHER GET HIGH OR BE LOCKED UP?’

Jackson’s probation officer had drug-tested him two weeks after his release and could tell he hadn’t quit his marijuana habit, so he laid out Jackson’s options.

“He told me that smoking [pot] is breaking the law, that I’d have to come back [to juvenile detention] if I started again,” Jackson says. “I told myself, ‘I’m going to stop,’ but it was a real hard challenge.”

During the coming months, he sometimes struggled to resist the temptation, but “I’d ask myself, ‘Would I rather get high or be locked up?’ If I could stop smoking [pot], then I’d be free.”

Jackson was finally able, through his own determination, to quit smoking pot, and since then he’s had more energy and feels his attitude has “gotten way better.” His relationships with his mother and grandmother have improved, and this year in school, he’s getting higher grades and has had “no trouble; it’s the best year I’ve had since fourth grade.” Now, in his free time, he enjoys writing rap songs, making “beats” on his computer.

“I’m doing good, real good,” Jackson says quietly with a smile.

And to others wrestling to resist drug use, he urges: “Don’t stop trying. You can do it!”

* Names and identifying information have been changed.

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

Because your loved one deserves the best.

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Call today: 800-582-6066 www.pavilionwp.com

The Pavilion accepts Anthem, TRICARE, Aetna, Cigna, Medicare and more.

5483 Mooretown Rd. Williamsburg, VA 23188

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.

OPTOMETRY

Bethany Tucker, Au.D.

Brent Segeleon, O.D.

Colonial Center for Hearing

Colonial Eye Care

Dr. Bethany Tucker graduated Summa Cum Laude from James Madison University, as the first Junior in the country to be accepted early to an accredited Doctor of Audiology Program.

After completing her externship at the Virginia Commonwealth University Medical Center,Dr. Tucker practiced audiology in St. Petersburg, Florida. She joined Colonial Center for Hearing in March 2014.

Dr. Tucker is a board-certified audiologist and holds accreditation by the American Speech-LanguageHearing Association. She undergoes extensive new product training on a monthly basis to ensure the highest quality of care provided to her patients.

Bethany was born in the Philippines, but raised in the Richmond, Virginia area. After almost 2 years of commuting from Chester, Bethany, her husband Tyson and their German Shepard Tuck have found a home in Williamsburg. In her spare time, Bethany enjoys reading, cooking, running and spending time with family and friends.

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

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

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

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

Colonial Center for Hearing

Colonial Eye Care

www.williamsburghears.com

www.colonialeyecare.com

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

SKINCARE & AESTHETICS Izabela Padurariu Beauty Therapy

by Iza

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

ALLERGY & ASTHMA Stephen Shield, M.D. Allergy Partners of Hampton Roads

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.

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.

Beauty Therapy by Iza

Allergy Partners of Hampton Roads

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

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

www.beautytherapybyiza.com

www.allergypartners.com/hamptonroads

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

DENTISTRY

GASTROENTEROLOGY

Aubrey Myers, D.D.S.

Richard J. Hartle, M.D.

Williamsburg Center for Dental Health

TPMG Digestive Disease Center of Virginia

Dr. Aubrey Myers brings over 17 years of experience to the Williamsburg Center for Dental Health team. She received her Doctorate of Dental Surgery from Louisiana State University School of Dentistry in New Orleans in 1998 and has an extensive dental background comprised of practicing for more than 10 years throughout the Southeast as well as proudly serving for five years as a Dental Officer in the Navy, two of which were aboard the USS Theodore Roosevelt.

Dr. Myers is a member of the Academy of General Dentistry, American Academy of Cosmetic Dentistry and The Dawson Alumni Association. She was past president of the Portsmouth-Suffolk Dental Study Club and is now a participating member of the Tidewater Dawson Study Club.

Dr. Myers, and her husband and son, enjoy spending time together with family and friends. Her other interests outside of the office include acrylic painting, physical fitness, fishing and travel.

• Consultative evaluations for all gastrointestinal diseases • Inflammatory bowel disease • Reflux treatment • Hepatology • Diagnostic and therapeutic procedures including endoscopy and colonoscopy

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

Williamsburg Center for Dental Health

TPMG Digestive Disease Center of Virginia

www.williamsburgpediatricdentist.com

www.williamsburgdentalhealth.com

www.mytpmg.com

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.

SPINE SURGEON

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

BEAUTY & AESTHETICS

Jonathan Mason, M.D.

Steven C. Mares, M.D.

Tidewater Ortho

Erase the Canvas, LLC

Dr. Jonathan Mason, a Norfolk, Virginia native, returns to Hampton Roads and joins the team of subspecialists at Tidewater Orthopaedics. He completed his residency training at the University of Virginia and his fellowship training at Twin Cities Spine Center in Minneapolis, Minnesota. Dr. Mason will be seeing patients in both office locations and performing surgery at the Orthopaedic Hospital at Sentara CarePlex.

Dr. Mason will bring minimally invasive outpatient spine surgery to Tidewater Orthopaedics and will be treating spine problems including cervical herniated disc, cervical stenosis, lumbar herniated disc, lumbar stenosis, lumbar spondylolithesis and degenerative scoliosis.

In his spare time he enjoys running and has completed several marathons. He also enjoys golf, playing basketball, and wakeboarding.

Tidewater Ortho

901 Enterprise Parkway, Suite 900 Hampton, VA 23666 5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188 (757) 637-7008 www.tidewaterortho.com

Dr. Richard J. Hartle received his Doctor of Medicine at Medical College of Virginia, Virginia Commonwealth University, in Richmond, Virginia. He completed his Residency in Internal Medicine and his Fellowship in Gastroenterology at University Hospital, Pennsylvania State University, Hershey, Pennsylvania. He offers board certified gastrointestinal care in an environment that is comfortable, personable and professional.

Services Include: • Variceal banding • Dilatations • APC therapy • Stent placement • Injection therapy • PEG tubes • pH probe and esophageal manometry

5424 Discovery Park Blvd., Bldg. B, Suite 104 Williamsburg, VA 23188 (757) 206-1190

RHEUMATOLOGY Ivan A. Marchena Mendez, M.D. TPMG Rheumatology

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.

Ivan A. Marchena Mendez, M.D. earned his Doctorate of Medicine at Universidad Nacional Pedro Henriquez Urena, Dominican Republic in 2005. He completed an internship and residency in internal medicine at Abington Memorial Hospital, Abington, Pennsylvania, in 2013, and a fellowship in Rheumatology at Upstate University Hospital, Syracuse, New York, in 2015.

Dr. Marchena is board certified in Rheumatology and Internal Medicine. He is a member of the American College of Physicians, American College of Rheumatology and Dominican College of PhysiciansDominican Republic.

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

Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 369-8138

www.erasethecanvas.com

www.mytpmg.com

Now Offering Rheumatology and Infusion Services in Williamsburg!

TPMG Rheumatology

Tidewater Medical Center 860 Omni Boulevard, Suite 111 Newport News, VA 23606 (757) 369-8138

PERSONAL TRAINING Brian Cole, CPFT, CMT

special advertising section

ACCEPTING NEW PATIENTS are you looking for a provider?

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

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

SKINCARE & AESTHETICS Izabela Padurariu Beauty Therapy

by Iza

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

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

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

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

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

Port Warwick Dental Arts

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

ALLERGY & ASTHMA Stephen Shield, M.D. Allergy Partners of Hampton Roads

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.

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.

Beauty Therapy by Iza

Allergy Partners of Hampton Roads

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

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

www.beautytherapybyiza.com

www.allergypartners.com/hamptonroads

PHYSICAL THERAPY

FAMILY MEDICINE

Allen R. Jones Jr., D.P.T., P.T. Dominion Physical Therapy & Associates, Inc. Dominion Physical Therapy & Associates, Inc specializes in the treatment of neck and back pain, sports and personal injury and other musculoskeletal conditions. Dominion has six locations throughout Hampton Roads and has been in business more than 25 years.

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

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

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

HAND SURGERY Robert M. Campolattaro, M.D.

Darany Toy, D.O. TPMG Patrick Henry Family Medicine Dr. Toy received her undergraduate degree in biology from the University of Kansas, and her Doctor of Osteopathy from the Edward Via Virginia College of Osteopathic Medicine in Blacksburg, Va. She completed an internship and residency in family medicine at the Wesley Family Medicine Residency Program in Wichita, Kan., where she served as chief resident.

Dr. Toy is board certified in family medicine and offers urgent, chronic and preventative services and care from newborn to geriatrics. She welcomes new patients to call today to schedule an appointment with her.

Tidewater Ortho Dr. Campolattaro, an expert in the field of hand surgery, has been with Tidewater Ortho since September 2004.

He began his career attending the College of William & Mary for undergraduate school and University of Medicine and Dentistry of New Jersey for medical school. Afterward, Dr. Campolattaro completed his residency at University of Rochester School of Medicine and Dentistry before completing his fellowship training in hand surgery at Wake Forest University. Tidewater Ortho serves the Peninsula with the only two board-certified orthopaedic surgeons with further subspecialty certification in hand surgery. The hand specialists at Tidewater Ortho rely on the knowledge, training and skill of the board-certified hand therapists who complete the team at Tidewater Ortho.

Dr. Campolattaro’s practice solely focuses on the treatment of hand and wrist conditions.

Tidewater Ortho

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

*See Health Directory for additional locations

ONCOLOGY/HEMATOLOGY Ranjit K. Goudar, M.D. Virginia Oncology Associates 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.

TPMG Patrick Henry Family Medicine

12695 McManus Boulevard, Building 6, Suite A Newport News, VA 23602 (757) 969-1755 www.mytpmg.com

BEAUTY & AESTHETICS

5208 Monitcello Ave, Suite 180 Williamsburg, VA 23188 901 Enterprise Parkway, Suite 900 Hampton, VA 23666 (757) 637-7008 www.tidewaterortho.com

ONCOLOGY/HEMATOLOGY

Steven C. Mares, M.D.

Guy W. Tillinghast, M.D.

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

TPMG Cancer Care Guy W. Tillinghast, M.D., received his undergraduate and his Doctor of Medicine degrees from Brown University.

He completed his residency in internal medicine at the University of Massachusetts in Worcester, Mass., followed by a hematology/oncology Fellowship at the National Institutes of Health.

Dr. Tillinghast is board certified in oncology and internal medicine, is a member of the American Society for Clinical Oncology and participates in the American Society of Hematology and the American College of Physicians.

Dr. Tillinghast is a recipient of the Virginia Coastal Magazine Top Doc 2015 award. He sees cancer of all types, including lymphoma patients, and specializes in breast cancer. Dr. Tillinghast has been practicing in Newport News since 2005.

TPMG Cancer Care

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

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

Mary Immaculate Pavilion 12720 McManus Boulevard, Suite 307 Newport News, Virginia 23602 (757) 234-6970

www.VirginiaCancer.com

www.erasethecanvas.com

www.mytpmg.com

STAYING WELL | ONE LAST THOUGHT

The Time My Trainer Tried to Kill Me

By Ray J. Pope

T

he crossroads—when you make those observations about yourself and realize that some things have to change. In history, those defining moments were battles, like the Battle of Bunker Hill or Gettysburg. For me—for Ray J. Pope—it was the battle of Ray versus Fat! When I met champion bodybuilder and motivational speaker L. D’Shawn Wright, I immediately noticed he was a different type of a trainer. I’ve had some amazing trainers in the past due to my ever-losing struggle with loving to eat lots of food! But no one did what he did. He sat me down and asked about my life, my goals and my motives.

He wanted to know what things make me tick, what upsets me, and the things that bring me joy.

Outside of my family, I told him I want to travel the world and help people of all cultures, opening my family up to a diverse way of living. I explained that I wanted to leave a legacy for my daughters and their future children.

I delivered such a response that I knew for sure I may have seen a possible tear in the muscle-bound mentor’s eye!

Then he took the time to share some of his past. I became the one with the tear in my eye as he revealed the reasons why he is so focused on living such a healthy, powerful and motivating life.

Our session ended that day with bittersweet emotions for me. I had a great conversation, but I was wondering why I had to wait to start working out. On my next visit it was clear. You know the statement, “Be careful what you wish for.”? It rang true that day! He began with simple activities for me. I started with steps—no problem. Then

60 | thehealthjournals.com

we went to push ups—I got this. Then he added in other things, and I began to feel muscles that haven’t been awakened in years! Then the sweat began pouring.

I scrambled around searching for a cool breeze. Each step now felt as if I were stepping from one level of a house to another. I pushed objects back and forth on the floor.

I went from one movement to another, and back again.

“D’Shawn, I can’t feel my legs!” I belted, buckling at the knees.

“They’re still there. I’m looking at ‘em,” He snapped.

“Stop dancin’ around like Michael Jackson, stabilize yourself and keep pushin’!”

“You’re evil!” I shot back.

“I’m not here to have friends. I have enough of them.

I’m here to help you change your life,” he said. “Didn’t you say that you wanted to leave a legacy for your girls? Didn’t you say that you want to change the world? You can’t even fathom changing the world without changing yourself.

Get up, RAY PEEZY!” I had no idea where he came up with that name. But, I did know that this session will ring out forever in my memory of the passion that my trainer had towards helping me change my life and motivating me to be healthy. At the end of that session (I had been there a good two hours), he opened the door for me as I was finishing a lap to the mailbox. I collapsed to the floor. He extended his arm with the intent to help me back on my feet. With a sarcastic smirk, he looked at me and said, “Great first 10 minutes. I like it. Go get some water and let’s do it again!”

HEALTH DIRECTORY | STAYING WELL

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

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

National Suicide Prevention Hotline

Toll-Free: (800) 273-8255

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

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

Williamsburg Plastic Surgery

Poison Control Center

Toll-Free: (800) 222-1222

333 McLaws Circle Williamsburg (757) 345-2275

ADDICTION TREATMENT

DENTISTRY

The Farley Center

New Town Dental Arts

5477 Mooretown Road Williamsburg (877) 389-4968

ALLERGY & ENT Hampton Roads ENT & Allergy

Sebastiana G. Springmann, D.D.S

4939 Courthouse Street Williamsburg (757) 259-0741

Williamsburg Center for Dental Health

5408 Discovery Park Drive Williamsburg (757) 253-8722

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

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

Wyatt Orthodontics

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

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

Riverside Williamsburg Family Medicine

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

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

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

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

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

AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004

BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place

5483 Mooretown Road Williamsburg (800) 582-6066

CARDIOLOGY Riverside Cardiovascular Health

DERMATOLOGY Associates In Dermatology, Inc.

17 Manhattan Square Hampton (757) 838-8030

Schumann Dermatology Group 5309 Discovery Park Blvd.

Williamsburg (757) 564-1200

Dermatology Center of Williamsburg

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

Dermatology Specialists

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

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

DIAGNOSTIC IMAGING

CHIROPRACTIC & ACUPUNCTURE

250 Nat Turner Blvd.

Newport News (757) 596-1444

Integrative Chiropractic, Acupuncture & Laser

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

Pinto Chiropractic & Rehabilitation

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

Orthopaedic & Spine Center

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

ENDOCRINOLOGY Riverside Endocrinology & Diabetes Center

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

Digestive Disease Center of Virginia, PC

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

Riverside Williamsburg Gastroenterology

GENERAL SURGERY

5207 Center St. Williamsburg (757) 345-6801

Riverside Ear, Nose & Throat Physicians & Surgeons

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

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

Bdefined Innovative Personal Training & Wellness

FREE CLINICS

134 Professional Circle Williamsburg (757) 903-2527

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

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

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

Historic Triangle Dental Care Michael J. Whyte, DDS

Colonial Gastroenterology

FITNESS

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

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

GASTROENTEROLOGY

American Red Cross Adult Dental Clinic

Angels of Mercy Medical Clinic

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

Beach Health Clinic

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

Chesapeake Care

2145 South Military Highway Chesapeake (757) 545-5700

The Community Free Clinic of Newport News

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

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

Mellette PC

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

HEALTH SPAS/ ESTHETICIANS Beauty Therapy By Iza

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

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

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

HERNIA SPECIALISTS

H.E.L.P. Free Clinic

The Hernia Center at Mary Immaculate Hospital

1320 LaSalle Ave. Hampton (757) 727-2577

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

H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577

Lackey Free Clinic

1620 Old Williamsburg Road Yorktown (757) 886-0608

Olde Towne Medical and Dental Center

5249 Olde Towne Road Williamsburg (757) 259-3258

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

Western Tidewater Free Clinic

2019 Meade Parkway Suffolk (757) 923-1060

HOME CARE

Bon Secours Maryview Medical Center

3636 High St. Portsmouth (757) 398-2200

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

Suffolk (757) 673-5800

Bon Secours Surgery Center at Harbour View

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

Chesapeake Regional Medical Center

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

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

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

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

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

Riverside Regional Medical Center

500 J. Clyde Morris Blvd.

Newport News (757) 594-2000

Sentara Independence

800 Independence Blvd.

Virginia Beach (757) 363-6100

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

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

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

Agapé Home Care

Sentara Norfolk General Hospital

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

600 Gresham Drive Norfolk (757) 388-3000

Visiting Angels

Sentara Obici Hospital

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

HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital

2 Bernardine Drive Newport News (757) 886-6000

Bon Secours DePaul Medical Center

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

2800 Godwin Blvd.

Suffolk (757) 934-4000

Sentara Port Warwick

1031 Loftis Blvd.

Newport News (757) 736-9898

Sentara Princess Anne

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

Sentara Virginia Beach General Hospital

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

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

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

Massage By David

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

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

NEUROSURGERY Riverside Neurosurgical & Spine Specialists

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

NON-PROFIT ORGANIZATIONS Access AIDS Support

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

Alzheimer’s Association

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

American Cancer Society

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

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

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

American Parkinson’s Disease Association

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

American Red Cross

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

The Arc of Greater Williamsburg

202 Packets Court Williamsburg (757) 229-0643

The Arthritis Foundation

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

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

62 | thehealthjournals.com

AWARE Worldwide, Inc.

Leukemia & Lymphoma Society

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

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

Beacon House Clubhouse for Brain Injury Survivors

National MS Society

3808-C Virginia Beach Blvd.

Virginia Beach (757) 631-0222

Beyond Boobs! Inc.

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

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

Center for Excellence in Aging & Lifelong Health

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

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

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

Citizens’ Committee to Protect the Elderly

PO Box 10100 Virginia Beach (757) 518-8500

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

Denbigh Clubhouse for Brain Injury Survivors

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

Dream Catchers Therapeutic Riding

10120 Fire Tower Road Toano (757) 566-1775

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

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

Norfolk (757) 461-8007

Faith in Action

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

Food Bank of the Virginia Peninsula

2401 Aluminum Ave. Hampton (757) 596-7188

Food Bank of SEVA

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

The Needs Network, Inc.

9905 Warwick Blvd.

Newport News (757) 251-0600

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

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

Norfolk Community Services Board

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

Peninsula Agency on Aging

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

The Up Center

1805 Airline Blvd.

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

VersAbility Resources

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

Vets Advocating for Vets

Hampton (757) 722-9961, ext. 3009

We Promise Foundation

160 Newtown Road Virginia Beach (757) 233-7111

OBSTETRICS & GYNECOLOGY Riverside Partners In Women’s Health

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

Williamsburg Obstetrics & Gynecology

1115 Professional Drive Williamsburg (757) 253-5653

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

ONCOLOGY

Peninsula Institute for Community Health

Riverside Peninsula Cancer Institute

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

Peninsula Pastoral Counseling Center

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

Protect Our Kids

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

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

Ronald McDonald House

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

Virginia Oncology Associates 3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403

404 Colley Ave. Norfolk (757) 627-5386

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

RSVP: Retired Senior Volunteers

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

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

St. Mary’s Home for Disabled Children

6171 Kempsville Circle Norfolk (757) 622-2208

The Sarah Bonwell Hudgins Foundation

800 Tidewater Drive Norfolk (757) 627-6599

1 Singleton Drive Hampton (757) 827-8757

Hope House Foundation

Senior Center of York

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

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

Hospice House & Support Care of Williamsburg

Susan G. Komen Tidewater

4445 Powhatan Parkway Williamsburg (757) 253-1220

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

Jewish Family Service

United Way

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

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

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

ORTHODONTICS Wyatt Orthodontics

260 Grayson Road Virginia Beach (757) 321-2223

11870 Merchants Walk, Suite 104 Newport News (757) 873.9328

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

Lee’s Friends: Helping People Live with Cancer

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

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

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

ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine

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

Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1900

Riverside Orthopaedics & Sports Medicine

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

Riverside Orthopedic Specialists

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

Tidewater Orthopaedic Associates

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

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

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy

5838 Harbour View Blvd.

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

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

HEALTH DIRECTORY | STAYING WELL 1817 Laskin Road, Ste. 100 Virginia Beach (757) 437-0471 1253 Nimmo Parkway, Ste. 105 Virginia Beach (757) 943-3060 101 Long Green Blvd.

Yorktown (757) 952-1900

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

466 Denbigh Blvd.

Newport News (757) 875-0861 729 Thimble Shoals Blvd., Suite 4-C Newport News (757) 873-2932 301 Riverview Ave. Norfolk (757) 963-5588 5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700 500 Rodman Ave., Suite 4 Portsmouth (757) 393-6119

Hampton Roads Orthopaedics & Sports Medicine

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

Orthopaedic & Spine Center Physical Therapy

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

250 Nat Turner Blvd.

Newport News (757) 596-1900

7190 Chapman Drive Hayes (804) 642-3028

Tidewater Orthopaedic Associates

204 Gumwood Drive Smithfield (757) 357-7762

5208 Monticello Ave. Williamsburg (757) 206-1004

Pulmonary & Sleep Consultants of Williamsburg

Riverside Hampton Roads Urology

Williamsburg Neurology and Sleep Disorders Center

VASCULAR SURGERY

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

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

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

Tidewater Physical Therapy

UROLOGY

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

2007 Meade Pkwy.

Suffolk (757) 539-6300

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

SLEEP MEDICINE

Riverside Peninsula Vascular Surgery

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

URGENT CARE

2106 Executive Drive Hampton (757) 838-6678

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

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

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

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

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

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

612 Denbigh Blvd.

Newport News (757) 874-0032

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

12997 Warwick Blvd.

Newport News (757) 369-9446

12494 Warwick Blvd.

Newport News (757) 599-5551

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

3321 West Mercury Blvd.

Hampton (757) 224-0056

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

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

Riverside Williamsburg Family Practice & Extended Care

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

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

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

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

MD Express

WEIGHT LOSS

120 Monticello Ave. Williamsburg (757) 564-3627

Riverside Weight Loss Specialists

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

5231 John Tyler Highway Williamsburg (757) 220-8300

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February 2016

FEBRUARY SUDOKU 5

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IN TEASERS

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FEBRUARY WINNER PATTI TRUBENBACH WILLIAMSBURG, VA

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FEBRUARY WORD SEARCH* Y S E P S E Q X W J J K T X T Z N R W R

R X Y A S U U E H E U R C O A V E L S Q

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UP FOR THE CHALLENGE? Challenge your brain!

Turn to page 64 to find out how you can win a gift card!

* Abraham Lincoln did not appear in February’s word search.

AMETHYST AQUARIUS BLACKHISTORY CANDY CHINESENEWYEAR EATINGDISORDERS GROUNDHOG HEARTS LEAPYEAR MARDIGRAS PARENTALLEADERSHIP PISCES REDENVELOPE ROMANCE ROSAPARKS SUPERBOWL VALENTINESDAY VIOLET

FEBRUARY CRYPTOGRAM Being deeply loved by someone gives you strength, while loving someone deeply gives you courage.

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Clue: Q=E, P=T, Y=S, U =A

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.

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WORD SEARCH March2016 R G N I R P S K V X J Y J R N F S S I M Aquamarine

*Entries must be received by the 17th of March.

NAME: EMAIL: CITY:

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WorldWildlife Easter

Kidneys

Puppies

World Wildlife

ADVANCES IN ORTHOPAEDICS Outpatient Joint Replacement and Stem Cell Therapy offered

at Tidewater Orthopaedics.

Call for an appointment today!

JOIN US FOR AN INFORMATIVE LECTURE:

“Jiffy Hip” A Muscle Sparing Joint Replacement

Stem Cell Therapy and Other Interventions

Michael E. Higgins, MD

Colin M. Kingston, MD

March 9 at 6:30pm

March 23 at 6:30pm

Legacy Hall 4301 New Town Ave Williamsburg

Tidewater Orthopaedics 901 Enterprise Pkwy, Suite 900 Hampton

To RSVP 757-827-2480 ext. 332

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

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

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

Loel Z. Payne, MD John J. McCarthy III, MD Jonathan R. Mason, MD Amanda K. Watkins, PA-C Gabrielle Lanzetta, PA-C

757-637-7016

www.tidewaterortho.com

170+ Physicians

and Advanced Practice Clinicians in over 50 offices.

Tidewater Physicians Multispecialty Group (TPMG) is an organization of health care professionals providing primary and specialty care.

Urbanna

“Our mission is to provide superior healthcare that is responsible, physiciandirected, and dedicated to keeping our patient’s best interest foremost.”

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Virginia Beach

Norfolk Suffolk 664 264

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