The Health Journal - May 2016

Vine

MAY 2016 | THEHEALTHJOURNALS.COM

Dine

for a c

au

MAY 21 st se

THE EMOTIONAL UNEXPLAINABLE

IMPACT OF WEIGHT GAIN

INFERTILITY

WILLIAMSBURG EDITION

IN WOMEN

A Little BREAST Sass With

LEMONGRASS

HEALTH

OSC Patient Success Stories

MANAGE CHRONIC PAIN WITH MINDFULNESS “Dr. Robinson is so easy to talk to and is so helpful. He has helped me learn mindfulness principles and apply what I’ve learned to manage my chronic pain.

Because of mindfulness training, I experience much less pain in my leg and I can do more of what I want to do.”

s r e t n i W n Joa

ARE YOU SUFFERING FROM CHRONIC PAIN? LEARN ABOUT YOUR OPTIONS AT OUR UPCOMING LECTURE.

Practicing Mindfulness to Manage Chronic Pain

OSC

COMMUNITY LECTURE SERIES Speaker: F. Cal Robinson, PsyD, MSCP

Join Dr. Cal Robinson as he discusses pain, its biological, psychological and social causes and how mindfulness changes how pain is perceived. Dr. Robinson is the first medical psychologist in the United States to offer the Mindfulness Training for Chronic Pain Program™, developed by renowned Canadian Pain Physician, Dr. Jackie Gardner- Nix. If you are suffering from fibromyalgia, stress/anxiety or chronic, non-cancer pain, learn how the practice of Mindfulness can change your quality of life for the better,.

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

Tuesday, May 17th, at 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd. Newport News 23606 Call Shannon Woods to Register: 1-757-596-1900 ext.368 or email lectures@osc-ortho.com

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

OSC

ORTHOPAEDIC & SPINE CENTER Open MRI Center

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

The Only Hospital in Virginia to Make the

100 TOP HOSPITALS LIST SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER

Thank you to our physicians, employees and volunteers for making this happen.

As a 2016 Truven 100 Top Hospitals速 award winner, Sentara Williamsburg Regional Medical Center ranks among the best in the country on overall performance.

Out of nearly 2,800 U.S. hospitals included in a national study, Sentara Williamsburg Regional Medical Center was the only Virginia-based healthcare team selected.

Call us today at 1-800-SENTARA or visit switchtosentara.com and discover more reasons why Peninsula residents are making the switch to Sentara.

switchtosentara.com Your community, not-for-profit health partner

Your Health Care Team YourinHealth Care Team Williamsburg

in Williamsburg

Available When

You Need Care Enjoy same When day or next A vailable day appointments at each You Need Care practice.

Enjoy same day or next day appointments at each practice.

Call

Online Access Securely review your personal health record, Online Access test results, request Securely review your appointments and email personal health record, your Riverside physician.

test results, request appointments and email physician.

757-941-4849your toRiverside schedule your

Medicare Always Welcome Physicians who warmly Medicare Always welcome patients of any Welcome age, including those with Physicians Medicare.who warmly

welcome patients of any age, including those with Medicare. appointment

Call 757-941-4849 to schedule your appointment Riverside Internal Medicine & Family Care 5231 John Tyler Highway Jamey Burton, M.D. Johanna Larrazabal, M.D. Riverside Internal Medicine Itrish Scott-Brown, & Family Care M.D. Suzanne Robinson, NP

5231 John Tyler Highway

Jamey Burton, M.D. Your Larrazabal, doctors.

Johanna M.D.Your Itrish Scott-Brown, M.D. Suzanne Robinson, NP

Riverside Norge Internal Medicine & Family Care 7364 Richmond Road Catherine Davies, D.O. Cheryl Boggs, FNP Medicine Riverside Norge Internal Kimberly Maigi, NP

& Family Care 7364 Richmond Road

Riverside Williamsburg Family Medicine 120 Kings Way, Suite 1400 Krystal Ainsley, M.D. Richard Bagnall,Williamsburg M.D. Riverside Sheba Mohsin, Family M.D. Medicine Daniel Muench, M.D.

120 Kings Way, Suite 1400

Catherine Davies, D.O.

Krystal Ainsley, M.D.

Kimberly Maigi, NP

Sheba Mohsin, M.D. Daniel Muench, M.D.

facilities.Cheryl OurBoggs, commitment to Williamsburg.

FNP Richard Bagnall, M.D.

contents | bits & Pieces

MAY

DID YOU

KNOW? I Have Lupus, But Lupus Does Not Have Me

20

24 18

Saving Lives with Cord Blood Banking

Infertility: What Is the Emotional Cost?

Elizabeth Blackwell became the first woman to earn a medical doctorate when she graduated from the Medical Institution of Geneva in 1849.

DIGITAL ISSUE

Unexplained Weight Gain Summer Wines

36 48

Vine

MAY 2016 | THEHEALTHJOURNALS.COM

Dine

for a cause

MAY 21 st

THE EMOTIONAL UNEXPLAINABLE A Little IMPACT OF WEIGHT GAIN Sass With

INFERTILITY

IN WOMEN

LEMONGRASS

BREAST HEALTH

WILLIAMSBURG EDITION

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 FEATURES

BITS AND PIECES 04 06 07 08 08 09

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

IN THE KNOW 10 12 14 16

Calendar Out & About Profile Q&A

18

20

24 27

Cord Blood Banking Saves Lives Infertility and Its Emotional Cost I Have Lupus Breast Health Update

FOOD 48 50 52 54 56

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

ON THE WEB @ THEHEALTHJOURNALS.COM

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

STAYING WELL

YOUR HEALTH 31 32 34 36 38 40 42 44 45 46

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

58 60 61 64

Accepting New Patients One Last Thought Health Directory Brain Teasers ON OUR COVER:

Special thanks to Gloria Coker for this month's cover art, “Girl in the Yellow Blouse."

See more of her work at www.gloriacokerfineart.com. thehealthjournals.com | 3

BITS & PIECES | CONTRIBUTORS

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

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

KIMBERLEY CUACHON HAUGH

NATALIE MILLER MOORE

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

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

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

KHALIAH WILSON, MS. ED., CHES Khaliah is a certified health education specialist and consultant with over 12 years experience in health education and exercise. She currently works in corporate wellness, specializing in health promotion and disease prevention, and is an adjunct health instructor at Norfolk State University.

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

JAMIE MCALLISTER BRIDGIT KIN-CHARLTON Bridgit (M.S., Ed., C.P.T.) is a certified personal trainer and owner of Bdefined— Personal Fitness & Wellness Defined.

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

DAVID PIGGOTT DR. RICHARD BRANDON Dr. Brandon is Board Certified by the A4M – American Academy of Anti-Aging Medicine & ReGenerative Medicine. He practices cuttingedge healthcare, specializing in Bioidentical Hormone Replacement Therapy at Hormone Health Weight Loss & ReGenerative Therapy.

AMANDA KERR Amanda has been a reporter for more than 10 years, writing for the Virginia Gazette, Daily Press, The Post and Courier and The Local Scoop Magazine. She is currently a freelance writer and media specialist.

MICHAEL KIMBALL Michael Kimball, Marketing Director of The Williamsburg Winery at Wessex Hundred.

Michael was recently elected to the Virginia Wineries Association Board of Directors and also serves as the Marketing Director for the Colonial Virginia Wine Trail.

4 | thehealthjournals.com

David Piggott is a credentialed Level 1 US Track and Field Coach, Certified Personal Trainer, Corrective Exercise Specialist and a Performance Enhancement Specialist. He currently works at Williamsburg Neck and Back Center in Williamsburg, Virginia.

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

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

yourself

FEEL LIKE VOL. 11, NO. 11

ati ebr ng

25

cel

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.

AG A I N !

ye a rs

PUBLISHERS

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

Rita L. Kikoen rita@thehealthjournals.com MEDICAL EDITOR

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

Dr. Robert Pinto Dr. Anne Pinto | Dr. Kenneth Boecker

BUSINESS DEVELOPER

Christie Davenport christie@thehealthjournals.com ART DIRECTOR

Schedule a consultation today, call 757.645.9353

Maria Candelaria Daugs maria@thehealthjournals.com GRAPHIC DESIGNER

Michael Saunders michael@thehealthjournals.com VIDEO PRODUCTION MANAGER

5408 Discovery Park Blvd | New Town, Williamsburg | pintochiro.com

Brandon Freer brandon@thehealthjournals.com CIRCULATION

Ryan Bishop circulation@thehealthjournals.com PHOTOGRAPHY

Brian Freer Brandon Freer Michael Saunders Maria Candelaria Daugs

ADVERTISE

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

Addiction is a treatable disease

CONTRIBUTE

Email editorial@thehealthjournals.com for editorial and contributor guidelines.

SUBSCRIBE

Subscribe for $16/year. Send a check or money order, payable to RIAN Enterprises, LLC to the address below. Include mailing address and contact information. Notify us of any change in address.

e

e This cycl M ag Re ine az

4808 Courthouse St., Ste. 204 Williamsburg, Virginia 23188 Phone: 757-645-4475 Fax: 757-645-4473 thehealthjournals.com

Ple as

THE HEALTH JOURNAL

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

Most Insurances Accepted

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

FarleyCenter.com 800.582.6066

Bits & Pieces | publisher’s note

I

nspiration often comes from the most unexpected places. Recently, a longtime friend of mine gave up her six-figure salary to pursue a career as a stand-up comic. And it all started with a blank canvas.

Always an analytical, Type A personality, this friend had followed the executive path driven by strategic planning, sales goals and an unrelenting pressure to climb the corporate ladder. A few years ago, she took a painting class and discovered a creative side to herself that she didn’t know existed.

Feeling alive and inspired, she returned to the class every week. Over time she formed a close circle of friends who further sparked her creative energies.

It was in this new, inspired state of being that she felt compelled to conquer her greatest fear: public speaking. And what better challenge than to take a stab at standup comedy? She enrolled in improv classes at a local comedy club where she now works and performs. Rather than spend her days in a nine-to-five routine, she does volunteer work for causes she believes in. Sure, she’s no longer pulling a powerhouse salary, but she’s happier than she’s been in years.

We can never fully know what life has in store for us, but the choices we make, and the actions we take, either help guide us toward our purpose or move us away from it. Most simply, we can choose to follow whatever fuels our passion or waste valuable energy on things that don’t. Jo, my friend and holistic life coach, put it best: “Something either feeds your soul, or it doesn’t.”

So, what will it be for you? Painting may not be your gateway to a more inspired life.

Comedy either. But I encourage you to take time this month to really explore what sets your inner fire ablaze and take uninhibited, just-say-yes steps in that direction. Because as my friend—the unlikely artist—discovered, you never know where a little bit of inspiration may lead.

PAGE BISHOP FREER /PUBLISHER PBISHOP@THEHEALTHJOURNALS.COM

6 | thehealthjournals.com

Page's PICKS | BITS & PIECES

IN OUR DEFENSE SAFETY GIRL ROADSIDE EMERGENCY KIT $22.49, safetygirl.com

MINI PERSONAL PANIC ALARM $9.95, womenonguard.com

SMITH AND WESSON TACTICAL PEN Delivers a striking blow but can also be used as both a regular pen and stylus for screens!

DAMSEL IN DEFENSE GET A GRIP STUN GUN

$30, amazon.com

I have this in pink!

DAMSEL IN DEFENSE HOT LIL' HAND PEPPER SPRAY

$65, cme4defense.com

I take this along on solo runs.

THE CAT PERSONAL SAFETY KEYCHAIN

$20, cme4defense.com

Put your fingers through the eye holes, and the tips of the ears can be used to defend yourself against an attacker.

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

$8, amazon.com

Introductory Special: 3 Private Lessons Waltz Salsa Tango Foxtrot 5251 John Tyler Hwy #65-67 Williamsburg

757.903.4867 www.7citiesballroom.com

Rumba

& more!

Group classes and private lessons for all levels.

No partner required.

$99

*

*New students only (Individual or couple)

bits and pieces | IN MY OWN WORDS & DIY

IN MY

“ words OWN

Do it

Yourself

ALL NATURAL MOSQUITO REPELLANT MASON JAR You Will Need • 1-2 Lemon Wedges • 1-2 Lime Wedges • A couple sprigs of Rosemary • Water • Active Ingredient: Lemon Eucalyptus oil (7-10 drops)

Hello

• Floating Tea Candles

my name is

Janice Rose I am a Nationally Board Certified Therapeutic Massage Therapist (NCTM) and Licensed Massage Therapist (LMT).

As a 55-year-old female working with clients of all backgrounds, including those who are cancer survivors, I look forward to each monthly publication. One of my most favorite Health Journal publications of late featured “Amy Black & The Art of Mastectomy Tattooing.” That article gave great hope for those survivors to regain confidence in their body image. I have been reading The Health Journal for over 10 years and have watched it grow. I like that it offers great health articles, fabulous recipes, reviews of local health care professionals, and a comprehensive directory of local health care providers.

Cut lemons and limes into 1-2 individual wedges.

Combine the water, lemon, lime, rosemary and eucalyptus oil in the jar.

Set a floating Tea Candle gently on the surface and light the wick.

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

staff PICKS | BITS & PIECES

A GIFT FOR MAMA Need a little Mother's Day gift-giving inspiration?

Check out these suggestions from our team!

RIYANA'S PICK: SOY CANDLE AND UNIQUE MATCHBOX BOOK SET Pure Integrity Soy Candles are scented strong top to bottom, non-ttoxic, and burn cleanly and evenly. Expand your restricted reading section with this banned books matchbox set! Featuring Slaughterhouse-Five, The Adventures of Tom Sawyer, Black Beauty, Fahrenheit 451 and Song of Solomon.

Lily Of The Valley Soy Candle $3.99 - $27.99, PureIntegrity.com

MICHAEL'S PICK: TLC FOR HAPPY HANDS

Book Matchbox Set

Give the gift of happy hands with The Body Shop's Almond Hand and Nail Expert Gift Set! Their almond-scented cream nurtures nails as well as hands—perfect for giving mom some well-earned TLC. Presents don't get more caring!

$8. 99, PureIntegrity.com

Almond Hand and Nail Expert Gift Set $39.00, The Body Shop

BRANDON'S PICK: A MEANINGFUL, PERSONALIZED BRACELET Being a sentimental guy, I often feel a bit of pressure to come up with just the right gift for my wife on Mother’s day and holidays. More than that, I always task myself with outdoing my previous efforts. Sometimes this has meant trying to create a very unique gift myself but every once in awhile you stumble upon that One-of -a -Kind item and say to yourself - “That’s the one!” I ordered one of these with personalized birthstones of our kids and my wife truly loved it. So much that she wears it everyday without fail! Definitely a great gift for mothers and grandmothers!

Personalized Family Birth Month & Initials Mother/Grandmother Bracelet $69.00, Amazon.com

CHRISTIE'S PICK: LOVELY, FASHIONABLE TOTE Zip-top Tote features new exterior pockets: 2 large pockets (front), and 2 flat pockets (back) offer a stylish way for Mom to carry her essentials around town.

Scout Uptown Girl Tote $36.00, Williamsburg Drug, Anderson's Home & Garden Showplace, Mary Barnett's

MARIA'S PICK: FOR THE TECH-ATHLETE MAMA For the health-concious, active mom, track workouts, heart rate, distance, calories burned, floors climbed, active minutes and sync the information with your computer and/or smart phone.

Wireless Fitbit Charge HR Activity Band $109.99– $149.99 depending on model, Best Buy thehealthjournals.com | 9

in the know | Calendar

MAY CALENDAR 7 PEDAL THE PARKWAY

Bike or run/walk the Colonial Parkway vehicle-free during this event.

WHEN: 8 a.m. to 1 p.m.

WHERE: Colonial Parkway between Jamestown and Williamsburg $$: Free CONTACT: williamsburgbikemonth.org

SINGLETRACK MANIAC 50K TRAIL RUN

Run or cheer on other runners during this ultimate race.

WHEN: 7 a.m.

WHERE: Freedom Park $$: $65 CONTACT: 757-259-4176

BEGINNERS MOUNTAIN BIKE RIDE

Learn the ins and outs of mountain biking on this ride.

WHEN: 9 to 11 a.m.

WHERE: Freedom Park $$: Free CONTACT: president@evma.org

BOXING CLASS

Learn techniques to improve fitness, coordination and mental focus.

WHEN: 9 a.m. Saturdays WHERE: Bdefined $$: $15 drop in or $156 for 12 classes CONTACT: bdefinedfitness.com

WILLIAMSBURG FARMERS MARKET

Enjoy fresh local produce and more.

WHEN: 8:30 a.m. to noon Saturdays through October WHERE: Merchants Square $$: Free CONTACT: williamsburgfarmersmarket.com

8 MOTHER’S DAY SURF AND TURF

Bring Mom out for a canoe or kayak ride along the York River.

WHEN: 2 to 5 p.m.

WHERE: York River State Park $$: rental fee, $9-$16; mothers

free with paid guest CONTACT: 757-566-3036

11 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

PARKINSON’S DISEASE AND DEEP BRAIN STIMULATION Physicians Shawke Soueidan and Jackson Salvant present this lecture.

WHEN: 6:30 p.m.

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

12 GROCERY STORE TOUR

Learn to properly read food labels and make healthy choices on this grocery store tour.

WHEN: 10 a.m.

WHERE: Food Lion, Premium Outlets $$: Free CONTACT: 800-736-8272

14 STROKE AWARENESS & BLOOD PRESSURE CHECK Learn the risk factors for stroke.

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

BRING YOUR OWN KAYAK

Bring your own kayak for this tour of Powhatan Creek and Jamestown Island.

WHEN: 9 a.m. to noon WHERE: James City County Marina $$: Free CONTACT: adrienne@ chesapeakeexperience.org

CAP2CAP BIKE RIDE

Celebrate National Bike Month with this ride on Virginia Capital Trail.

WHEN: 7:30 a.m.

WHERE: Virginia Capital Trail $$: $40-$100 CONTACT: virginiacapitaltrail.org/ cap2cap-ride

17 HOSPICE HOUSE OPEN HOUSE Learn more about Hospice House & Support Care of Williamsburg during this event.

WHEN: 4 to 7 p.m.

WHERE: Hospice House & Support Care of Williamsburg $$: Free CONTACT: 757-253-1220

19 BIRTH CIRCLE

Pregnant women and new mothers are invited to gather for support.

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

WHERE: Williamsburg Regional Library $$: Free CONTACT: bmva.williamsburg@gmail.com

BABY CARE 101

Learn baby care basics in this course.

WHEN: 6 p.m.

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

20-21 RELAY FOR LIFE OF WILLIAMSBURG

Raise funds and awareness for American Cancer Society during this event.

WHEN: 7 p.m. Friday through 7 a.m. Saturday WHERE: Lafayette High School $$: Fundraising fees apply CONTACT: 757-903-9426

21 CREATING ENVIRONMENTALLY BENEFICIAL LANDSCAPES

WHERE: Williamsburg Botanical Garden $$: Free CONTACT: williamsburgbotanicalgarden.org

FAMILY FUN FEST

This event features various children’s activities as well as a fun run.

WHEN: 11 a.m. to 4 p.m.

WHERE: Chickahominy Riverfront Park $$: $5 parking fee CONTACT: jamescitycountyva. gov/recreation

VINE & DINE FOR A CAUSE

Follow the vine through downtown Williamsburg while sampling food and beverages. Collect stamps for prizes along the way, while enjoying live music at every turn. All proceeds benefit local charities.

WHEN: 2 to 6 p.m.

WHERE: Downtown Williamsburg $$: $50 CONTACT: 757-645-4475

28 NATURE WALK

Learn about the various plants and wildlife of Freedom Park on this walk.

WHEN: 8 a.m.

WHERE: Freedom Park $$: Free CONTACT: jamescitycountyva. gov/recreation

CANOEING UNDER THE STARS Enjoy this night canoe ride.

WHEN: 7:30 to 10:30 p.m.

WHERE: York River State Park $$: rental fee, $8-$13 CONTACT: 757-566-3036

June 4 TAILS ON THE TRAIL

Celebrate National Trails Day with a walk in the park with your pet.

WHEN: 9 a.m. to noon WHERE: Freedom Park $$: Free CONTACT: heritagehumanesociety/org

Learn how to grow native plants.

WHEN: 10 a.m.

GET MORE EVENTS AT: THEHEALTHJOURNALS.COM/CALENDAR 10 | thehealthjournals.com

#

1

CHOICE FOR ORTHOPAEDIC & SPINE CARE MARY IMMACULATE HOSPITAL

At Bon Secours Mary Immaculate Hospital, our doctors, nurses and therapists are the most experienced in the region and ready to get you back to good health.

1ST “Jiffy Hip” anterior hip replacement in Virginia 1ST MAKOplasty® partial knee replacement in the region 1ST cervical spine arthroplasty in the region Why go anywhere else?

To find a physician, call 757-525-8177 or visit OrthoFirstChoice.com

Bits & Pieces | Out and about

Check out what The Health Journal Community has been up to!

5Hampton— Fit Chef Jalil Lindsey-Lowe demonstrates a quinoa recipe (left) at The Health Journal booth during the 8th Annual MyTime Women’s Show. Karen Endsley (pictured with Client Liaison Christie Davenport), Cox 11’s host of Cooking from the Heart, prepares a delicious gazpacho recipe.

 Newport News— Riverside Foundation, the philanthropic arm of Riverside Health System, has announced Mr. Conway H. Sheild, III as its newly appointed board chairman, capitalizing on his years of local civic and charitable board leadership experience to ensure widespread community access to the best health care possible.

5 Williamsburg— The staff of New Town Dental Arts held a collection drive for Avalon – A center for Women and Children!

5 Norfolk—Bon Secours DePaul Medical Center announced

5 Contributing writer Dr. Daniel Shaye and fiancé Nicole Carson enjoy a homemade dinner using two recipes from the April 2016 issue of The Health Journal: Indian Cauliflower and Potatoes (Aloo Gobi) and a peach-tomato salad. “Thank you, Health Journal! These were yummy and delicious,” wrote the happy couple in an email that included this picture.

12 | thehealthjournals.com

that its bariatric surgical center has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). In addition, bariatric surgeons Gregory F. Adams, MD, FACS, and Elizabeth Z. Barrett, MD, FACS have been designated verified surgeons by the ASMBS.

Oncology and Hematology Designed to Fit Your Needs.

Providing personalized and professional care for the treatment of cancer, including hematology services.

Guy W. Tillinghast, M.D., 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 sees cancer of all types, including lymphoma patients, and specializes in breast cancer. He has been practicing in Newport News since 2005.

Guy W. Tillinghast, M.D.

Accepting New Patients

mytpmg.com

TPMG Cancer Care Mary Immaculate Medical Pavilion 12720 McManus Blvd., Suite 307 Newport News, VA 23602 757-234-6970

KEEPING YOU ACTIVE TPMG Hernia Center is the region’s only comprehensive hernia center.

Led by STEVEN B. HOPSON, M.D., the TPMG Hernia Center specializes in developing hernia treatments based on each patient’s individual needs using the newest innovations including lightweight, high-strength meshes that are customtailored for each patient to create tension-free hernia repairs.

If you’ve been diagnosed with a hernia, we invite you to learn more about our program.

For more information, please call:

(757) 874-1077

Now Accepting New Patients • Inguinal • Incisional • Sports Hernia • Umbilical • Laparoscopic and Single Lumen (SILS)

STEVEN B. HOPSON, M.D., F.A.C.S, Director

860 Omni Blvd., Suite 108 Newport News, VA 23606 757-874-1077

mytpmg.com thehealthjournals.com | 13

in the know | profile

velma CANADAY

by Brandy Centolanza

H

ealth and fitness have always been important to Velma Canaday, and now the Williamsburg, Virginia, native works daily to spread the word on healthy living to others.

Canaday, a graduate of Jamestown High School who currently resides in the Dallas, Texas area, published her second nutrition book 21 Days Cravin’ Fit, Go Beyond 21 Days & Make it Stick! in March.

Canaday’s book touches upon trends in diet and nutrition including eating gluten-free, vegan, organic, free-range, paleo, and low carb. The book offers tips on how much sodium, sugar, fat, protein, and fiber to consume, and provides more than 100 recipes for various dieting options.

“I encourage people to pay attention to the ingredients of the foods they consume, and how they can’t count on companies to provide them with one hundred percent healthy foods,” Canaday says. “There is so much out there that sometimes people don’t know where to start, or what certain things mean.”

They wanted a healthier lifestyle and came to me because they saw the choices I made. It was my lifestyle and everyday life that inspired the book.

I wanted to see how I can make it easier for others.”

14 | thehealthjournals.com

profile | in the know

Her book is a follow up to Melt Into Your Kick-Ass Body Food Diary, which she co-authored and self-published last year.

That book has more than 500 healthy meal suggestions for breakfast, lunch, dinner, and snacks, as well as space for writing daily meals and reflections for women and men looking to reach their healthy weight goal.

“I never imagined I would write a book, but the opportunity presented itself to motivate and advise people on what to eat,” Canaday explains. “A lot of people came to me wanting health advice, whether it was working out or with food. They wanted a healthier lifestyle and came to me because they saw the choices I made. It was my lifestyle and everyday life that inspired the book. I wanted to see how I can make it easier for others.”

Canaday has been active since she was eight years old. Her sport of choice is running, and she was a star athlete in track and field in high school. She knows all too well how fitness and nutrition go hand in hand.

“If you want to perform well, you also need to eat well,” Canaday notes. “Also, eating healthy helps you maintain your weight and prevent diseases like high blood pressure, heart disease, type 2 diabetes, and some cancers.”

Canaday worked as a web designer and developer at the U.S. Census Bureau for nine years before leaving last summer to pursue a career helping others learn to eat healthier and get fit. In addition to writing her two books, Canaday has experience as a virtual fitness coach, and is a certified nutrition and wellness consultant.

Recently, Canaday also started selling workout clothing, including leggings and yoga pants through the business Tights Presented

by Velma Canaday. Eventually, she would like to create her own fitness videos as well as videos demonstrating how to grocery shop and prepare healthy meals, and provide her own brand of healthy food options.

“I want the average, everyday person that doesn’t eat healthy to know that eating healthy isn’t all that bad or hard,” Canaday says. “There are a lot of things that taste good and are healthy. You just need to give it a try.”

Velma Canaday will return to her hometown of Williamsburg, Virginia, for a book signing and fitness boot camp demonstration in July.

Location and date/time to be announced.

For more information, visit velmacanaday.com.

LIFE CHANGING

RESULTS

50% OFF

PLATELET RICH PLASMA (PRP) PROCEDURES (FACIALS, HAIR RESTORATION & JOINT PAIN)

Call 757-213-3333

to schedule your FREE consultation.

Our PRP event is May 12, 2016 in our Virginia Beach location.

BIO-NATURAL HORMONE THERAPY

• • • •

VIRGINIA BEACH

757-828-0026

Increases mental & physical energy Lowers blood pressure & cholesterol Improves sex drive & performance Decreases/eliminates hot flashes

SCHEDULE A FREE CONSULTATION

• • • •

www.HormoneHealthTest.com

Improves sleep quality Decreases/eliminates night sweats Increases muscle tone Safe and effective

WILLIAMSBURG

757-707-1588

in the know | Q&A

Wade Crawford

By Alison Johnson

E

very season that Wade Crawford, his wife and three children have helped coach Special Olympics athletes has brought incredible highlights.

There are athletes who never imagined they could finish a 5K run, but then train for months and do. Some have started daily home workouts to take control of their health. One grew so strong that her doctor cancelled an upcoming heart surgery. One was able to stop growth hormone therapy; another is no longer diabetic after dropping 60 pounds.

“There are dozens of other smaller success stories, where athletes are seeing significant weight loss, successfully completing racing events and making school sports teams,” Crawford says. The goal, he adds, is to “create a culture of fitness” to include as many children and adults with intellectual disabilities as possible.

16 | thehealthjournals.com

Crawford, 46, has coached multiple sports since 2008 and is Head Coach for Get SO Fit—a yearlong exercise and nutrition training program—for Special Olympics Virginia Area 2 in Hampton Roads. His wife, Diane, and children Halley, 22, Zachary, 19, and Jesse, 13, also volunteer as head or assistant coaches, averaging four to ten hours a week outside of fulltime jobs or school.

A network technician from Chesapeake, Virginia, Crawford ran high school track and competed in decathlons but says Special Olympics programs have taught him much more about sports – and life. He only wishes more people would coach.

“A large misconception is that Special Olympics is an ‘Event’ like the Olympic Games, held at certain times,” Crawford says.

“It is a yearlong sports program with hundreds of athletes who meet most every week for practices and competitions.

We need a lot of volunteer support to make this possible.”

How many different programs does your Special Olympics region offer?

Seasonally, Area 2 offers basketball, volleyball, bowling, softball, roller-skating, speed skating, figure skating, swimming, soccer, golf, track and field, bocce, paddle boarding, tennis and year-round fitness training with Get SO Fit. Why did you become a coach?

My wife coached Special Olympics roller-skating in New York before we were married. After moving to Virginia, she sought out the (local) organization and started a roller-skating program.

She brought me and our kids out to a basketball practice and we were hooked.

What do you think would surprise people about Special Olympics athletes?

Our athletes truly play for the joy of the game. They love to compete and improve, and they love their fellow athletes.

If you want to see what sports are really supposed to be about, come watch a Special Olympics competition. You will see athletes trying their hardest to win, but always with love and respect for their fellow competitors. The crowd cheers on every player and everyone leaves knowing

their efforts were appreciated. Most of all, Special Olympics sports are a ton of fun to coach, volunteer for, participate in and watch. Many people see us as a charity organization, but this is a sports organization where practice, competition and sportsmanship are held in high regard.

Who is eligible to become an athlete, or a coach?

Anyone 8 or older who has an intellectual disability can become a Special Olympics athlete; there is a Young Athletes program for kids ages 2 to 7. To get involved as a coach, just find Special Olympics near you and contact your local leadership.

What have you found is the best approach as a coach?

I focus on small improvements every week of practice.

Those are a source of pride for me and my players, and they add up to better players, better teams and stronger sports programs overall.

What is the goal of Get SO Fit?

Special Olympics has put a massive amount of effort into successfully creating sports programs that mirror Olympic programs. In my opinion, where we fall short is in the culture of fitness. If our athletes want to get healthier, they need more than one or two sports practices in a 10-week season. Exercise and training are hard for everybody and that’s really the point.

I tell my athletes that if they compete with Special Olympics, then they are athletes, and athletes have a responsibility to themselves, their teammates and their sports to be as strong, fast and flexible as they can be. Our mantra is, “It doesn’t matter what anyone else can do. Work On You!” Our workouts are designed for athletes of all abilities.

I want our athletes to have the basic exercise knowledge to feel comfortable working out anywhere within our organization or outside of Special Olympics.

What kind of difference do the programs make?

We offer what all sports programs offer: opportunities for fun, competition, community, purpose and accomplishment. Within Get SO Fit, we’ve had success in making exercise, fitness and healthy food choices part of our local Special Olympics culture.

Your Life. Your Style. Your Plan.

Better Fitness. In Just One Move.

Can one move enhance your health and fitness? If that move is to an elegant home or apartment at Williamsburg Landing, then YES!

Premier Health Club and Spa • Cardio Gym Heated Indoor Pool • Personal Trainers Expert Staff • Tennis Courts • Outdoor Pool Picturesque Walking Paths At Williamsburg Landing, you have so many opportunities to stay active with no worries about future health care. Whether participating in a class led by a certified instructor or taking a relaxing stroll through our community, the choice is always yours.

Call today to schedule a personal tour and receive a FREE 7-day pass to our health club!

757-585-4436

What do you love most about being a coach?

The athletes have become part of my family and I look forward to seeing them every week. I also can’t think of a better way to have taught our children about perspective and respect for others. Our children, who have volunteered for as long as I have and who are now coaches themselves, have said Special Olympics will always be part of their lives.

What is the biggest challenge?

Getting enough volunteers on a consistent basis. The more volunteers we have, the more individual attention we can provide to our athletes.

w w w. W i l l i a m s b u r g L a n d i n g . c o m 5700 Williamsburg Landing Drive Williamsburg, VA 23185

features | cORD BLOOD BANKING saves lives

Cord Blood Banking

saves lives

By Teresa Bergen

18 18 || thehealthjournals.com thehealthjournals.com

CORD BLOOD BANKING saves lives | features

M

any pregnant women don’t know they have a painlessly altruistic way to help somebody suffering from serious disease. The blood remaining in the umbilical cord and the placenta are rich in stem cells. Thousands of cord blood stem cell transplants are performed worldwide each year, according to the Cleveland Cord Blood Center.

different diseases,” says Del Steckler, RN, BSN, MMA, and cord blood recruitment manager at the NMDP/Be the Match. “Many people with leukemia, lymphoma and sickle cell disease benefit from transplants,” she says. “Other diseases treated include aplastic anemia, myelodysplastic syndrome, inherited immune deficiency disorders and inherited metabolic disorders.”

There is no cost to donate cord blood, and the procedure is safe for moms and babies. Many moms tell us that they don’t even notice the collection taking place.

Cord blood banking means cryogenically storing the umbilical cord after delivery. Some people choose private cord blood banking—that is, they pay to preserve the cord blood for personal or family use.

Public cord blood banking means a woman chooses to donate her umbilical cord for anybody who needs it.

Be the Match operates the National Marrow Donor Program (NMDP) and manages a huge international registry that charts both bone marrow and cord blood donations. Bone marrow transplants are more widely known, but cord blood has the advantage of not needing to be as closely matched to the recipient.

Be the Match currently has 12.5 million volunteers registered to donate bone marrow, and 209,000 umbilical cord blood units in its registry.

“A marrow or umbilical cord blood transplant is a potentially life-saving treatment for more than 70

CORD BLOOD CELLS 101

Unlike embryonic stem cells, which have the ability to turn into many types of cells, cord blood cells turn into different types of blood cells. Currently, the FDA approves cord blood transplants only to treat blood cancers—such as lymphoma and leukemia—and blood and immune disorders, including sickle cell disease.

Since cord blood cells are usually discarded as medical waste after the birth of healthy, full-term babies, the donations are not controversial. The Vatican even endorses cord blood cell donation.

While other treatment applications are still in the early stages, medical researchers are running clinical trials to see if cord blood cells can help other conditions, including diabetes, heart disease, and autoimmune deficiency diseases.

CONTINUED ON PG. 57

thehealthjournals.com | 19

features | Infertility: The Emotional Side

IN FERTILITY What is the Em tional Cost?

by Natalie miller moore

H

ow do you calculate the cost of tears, hugs and sleepless nights? What about counseling for the guilt, stress, fear and pressure to get pregnant? And, what does it cost to be polite to people’s rude questions?

20 | thehealthjournals.com

Infertility: The Emotional Side | features

Internal Stress Navigating infertility can be like the five stages of grief—it starts with denial, then shock that it’s not working, and then acceptance that it’s time to seek help.

Unfortunately, dealing with the emotional roller coaster of the potentially long process is challenging.

“Infertility is always a very sensitive issue. Many women are ashamed to admit this diagnosis and often do not want to be labeled as such, especially when all of their friends are having babies. The pressure comes from all sources,” says Dr. Emily Thomson, of Hampton Roads OB/GYN. “I was a train wreck for years. It affected every single aspect of my life, and most decisions I made, including my nutrition, social life, family relationships, work relationships. It took over my life,” says Molly Tanner, 40, from Hampton.

Adding to that already-challenging situation is that infertility is taken less seriously as a disease. RESOLVE, the National Infertility Association, lists a number of emotional effects of infertility including: irritability, insomnia, extreme sadness, anger, guilt, shame and inability to concentrate. The influx of hormones during treatments doesn’t help matters either.

“Emotionally, the first cycle murdered me. IVF does a number on your body. Your self-esteem is usually affected. Physically, I was exhausted and drained,” says Candace Fox, 34, from Virginia Beach.

I was a train wreck for years.

It affected every single aspect of my life, and most decisions I made, including my nutrition, social life, family relationships, work relationships. It took over my life.

Marriages Often Don’t Survive Infertility “You have two people with different coping skills, trying to understand what the other is going through.

Even if they’ve been together for a long time, they may never have had a crisis together. And infertility is not acute. It can go on for a long time and it can be unrelenting stress,” said Helen Adrianne, licensed clinical social worker in New York who has worked with infertility for 37 years.

A large Danish study in 2007 estimated that couples who experience infertility and have failed treatment for it, are three times more likely to divorce or break up than those who don’t. Marriages can be affected by a conflict over what to do when fertility is impaired from who should undergo medical testing, to how to proceed. One partner may want to look into adoption, while the other may want to pursue artificial reproductive treatment.

“I think people may underestimate the strain on the relationship. It’s so hard to deal with, personally. You feel shame, like you are broken, like you are a complete failure.

You wonder, ‘Will my husband leave me for someone who can?’ says Candace Wohl, who runs an infertility support group. “And there’s the male factor, he has the same emotions but usually deals with it differently. There’s a communication strain, and men are less likely to seek a support group to talk about it,” says Wohl.

“I would say the most important thing is to talk to each other about how you are feeling. It's important not to blame your spouse and to recognize that your spouse married you, not your fertility,” says Fox. “We let our marriage fall to the wayside as we dealt with our grief of living with infertility and losing our pregnancies. We were in and out of counseling for five years. It finally clicked and we decided to navigate infertility together, even though we had very different coping mechanisms. I am so grateful (and a bit surprised!) that we made it through intact,” Tanner says.

In some cases, it does bring the couple together, depending on how they decide to frame it.

“I think infertility has the chance to either tear you apart, or bring you together. Thankfully, it brought us closer together. I think after making it through infertility, we can make it through anything!” says Anne Nowinski, 31, of Virginia Beach.

“In our particular case, IVF brought us closer together.

Many people nearly divorce over it. In my case, both my husband and I had issues so neither of us had to shoulder excessive guilt or blame about infertility. We really saw it as us versus the world,” says Fox.

thehealthjournals.com | 21

features | Infertility: The Emotional Side

Infertility Affects All Relationships It’s not just marriages that are affected—there are parents wondering when they’ll become grandparents, and peers to contend with who are announcing their own pregnancies. A large number of infertile couples don’t “go public” with their diagnosis. A 2009 study from Schering Plough found that 61 percent of couples try to hide fertility troubles from friends and family.

“We were silent for 3 years. In 2012, that’s when we came out about it, by starting a blog. We needed to talk about it, and our families didn’t know how to deal with it. But it helped us to explain our absences. ‘Here’s why we can’t…’” says Wohl.

“I pulled away from not just anyone having children, but anyone who may even be considering building their family.

I couldn't deal with the possibility of hearing a pregnancy announcement. I ‘hid’ so many friends on Facebook five years ago,” says Tanner.

Several women mentioned challenges with people who gave well-meaning but uninformed advice.

“People say ‘just adopt’ without knowing how challenging and expensive it is. Adoption is not a cure-all, and can cost a lot of money. I’ve heard about disaster-adoptions — where children have been taken away, sometimes after years with their adopted parents. You want a child that will be irrevocably yours,” says Wohl.

Understanding infertility as a disease and real challenge is an important part of supporting people dealing with it.

“I felt it was important to be open about it. I posted infertility blogs on Facebook. Several people from high school contacted me to talk about their own struggles. I felt a good deal of support most of the time, but I had a friendship break up over it, too,” says Fox. Tanner says it affected every single relationship in her life, and that’s an important reason to learn about infertility­— ­ to understand how to help, and to avoid making insensitive comments.

22 | thehealthjournals.com

Advice on if it’s you experiencing infertility: • Know that you’re not alone and find a support group.

• Try to stay positive, but also allow yourself to grieve your expectations and the loss of normalcy in your family-building pursuits.

• Talk about how you are feeling with your partner.

• Consider sharing what you are going through with your closest friends and family.

• Ask the people you tell to read about infertility and get educated.

Advice if it’s your friend who is experiencing infertility: • Be there, listen and don’t give unsolicited advice.

• Don’t pry; they’ll share the details they are comfortable with.

• Educate yourself about infertility and don’t be flippant or try to minimize the issue.

• Do not try to hide your pregnancy from them. It’s helpful to let them know before you announce it if you are close friends, via email so they can process it.

• Understand that people can be happy for your pregnancy, even if they are sad for themselves.

MAMMOGRAPHY is now available at Riverside Diagnostic Center Williamsburg.

“Riverside is committed to providing exceptional breast health care. 3D mammography is proving effective at reducing additional testing and enhancing early detection. Now the women of Williamsburg have a choice as to where they receive the best health care available today.”

Beth Anne Davis, Mammographer Riverside Diagnostic Center Williamsburg

Call 757-989-8830, option 2 to schedule your 3D mammogram.

Riverside Diagnostic Center - Williamsburg A Department of Riverside Doctors’ Hospital Williamsburg 120 Kings Way • Williamsburg, VA 23185

riversideonline.com/rdhw

find us on

features | I have Lupus

I HAVE LUPUS

But

Lupus

Does Not Have Me

by Chastity R. Corbett

24 24 || thehealthjournals.com thehealthjournals.com

I have Lupus| features

O

n July 5, 2005, my life drastically changed. I was diagnosed with Lupus at age 32. It was an unexpected blow that left me feeling sad, hurt and overwhelmed with questions. It all started when I had a small rash on my arm that did not go away with the normal topical treatments prescribed by my family practice doctor. He advised me to see a dermatologist, so I went to see Dr. Frederick Quarles of Hampton, Virginia. He suspected I had Discoid Lupus (which mainly affects the skin) and ordered a skin biopsy. Discoid Lupus mainly affects the skin. I had no idea what Lupus was, but I had heard the word before. Like most people would do, I quickly searched the Internet and was startled by what I learned. A lot of people have died from Lupus complications. When I was called in for my biopsy results, they revealed that I did in fact have Lupus.

My heart dropped, and it was as if someone knocked the breath out of me. I was given a lot of information and instructions on what I could and couldn’t do. The thoughts of not being able to be out in the sunlight for prolonged periods of time, and taking medication for the rest of my life, crippled me.

I had no idea what Lupus was, but I had heard the word before.

Like most people would do, I quickly searched the Internet and was startled by what I learned.

I was a very active young woman who enjoyed playing basketball and baseball with my three young sons. I enjoyed going to the beach. I had just earned my Master’s degree, and I was planning to go to law school. Not knowing what to expect made me feel insecure. I felt alone because I didn’t know anyone else diagnosed with it.

In November 2005, my symptoms started to worsen. I thought it was due to side effects caused by the medications the doctors prescribed. On January 11, 2006, I was hospitalized with pneumonia and a pulmonary embolism. The doctors finally made the determination that I did not have Discoid Lupus, but rather Systemic Lupus (SLE), which affects the entire body and not just the skin. SLE most often harms the heart, joints, skin, lungs, blood vessels, liver, kidneys and nervous system. It is unpredictable and can be fatal. My condition had progressed quickly and severely.

I was in and out of the hospitals and nursing homes for the first half of 2006 and many times thereafter.

I suffered from pneumonia, pulmonary embolism, a mild stroke, meningitis, epilepsy and so many other afflictions related to Lupus, but here I stand. As part of my Lupus treatment I had to go through chemotherapy (usually reserved for treating cancer) for six months in 2012, and I just finished another six months of chemotherapy in March 2015. Chemotherapy suppresses activity of the immune system, which goes somewhat haywire in people with Lupus.

Corbett (far left) at the Hampton Roads Walk to End Lupus Since my diagnosis in 2005 and after my lifethreatening situations, I am determined to not allow Lupus to win. My family has been right by my side, and my children had to watch their Mom endure so much.

I refuse to let them see me go down without a fight.

I needed to let my children see that you can do all things if you have faith. My faith in God has kept me strong and I believe that things happen to you for a reason.

It is how you allow them to affect you that determines the outcome. My challenges with Lupus have made me stronger in many ways. I have spent the past 10 years fighting to raise awareness about Lupus and sharing my experiences to help other patients. Speaking out about Lupus and educating people is essential. Lupus is so misunderstood and often misdiagnosed because it disguises itself as so many other things, which causes many otherwise preventable deaths. thehealthjournals.com | 25

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.

Corbett during her Chemotherapy treats in 2015

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

I have met so many Lupus patients who did not talk about their illness because they were ashamed or felt alone.

My goal is to motivate and encourage them to speak up.

Lupus affects approximately 1.5 million Americans and more than 80,000 in DC, Maryland, and Virginia alone.

This chronic, debilitating autoimmune disease attacks the skin, joints and organs. It is not terminal or contagious, but it can be life threatening. Currently, there is no cure. Lupus patients face a daily struggle with chronic fatigue, joint pain, and numerous complications. Unfortunately, because most Lupus patients don't "look sick" they often feel alone and isolated.

For the past 10 years I have worked with the Lupus Foundation of America’s DC/MD/VA Chapter to bring their Walk to End Lupus Now to the Hampton Roads community.

Last year, Hampton Roads residents were able to participate in the first nationally recognized Walk to End Lupus Now in our area. We raised over $48,000 for our first Walk to provide necessary resources and emergency assistance to Lupus patients in Hampton Roads.

This year's Walk to End Lupus Now will be on June 25, 2016 at John B. Todd Stadium in Newport News. We are proud to have Evelyn Braxton, the mother of Grammy Award winner and Lupus survivor Toni Braxton, as our Grand Marshal. Lupus awareness matters.

I am a Lupus conqueror, and I will to continue to reach out to anyone who will listen to raise awareness so lives can be saved. That’s why I chose to share my story. I have Lupus but Lupus does not have me.

Special Section

Breast Health Update SPRING 2016

When Should YOU Get Screened?

LOCAL EXPERTS SPEAK OUT ABOUT CONTROVERSIAL NEW SCREENING GUIDELINES Written by Drs. Kelley Allison, Lindy Dunn and Jacque Hogge s physicians with 50+ years of combined experience in diagnosing women with breast cancer, we are deeply troubled by recent news headlines suggesting that fewer women need mammographic screening. If these new guidelines are followed, thousands of women's lives will be put at risk unnecessarily. And thousands more women will endure extensive, expensive treatments they otherwise would not have had, had their breast cancer been found early with annual screening.

Since regular mammography screening began in the U.S. in the 1980s, the breast cancer death rate has plummeted 35 percent.

The science behind screening is clear and unchanged. Annual screening mammography starting at age 40 reduces breast cancer deaths by 30 percent.

The U.S. Preventive Services Task Force (USPTF), a politically appointed panel without any doctors specializing in breast cancer, issued a statement in January 2016 which continues to recommend that women in their 40s not undergo screening at all, despite their own acknowledgment that the most lives will be saved by annual screening starting at age 40. The American Cancer Society guidelines published in October 2015 state that women can wait until age 45 for annual screening.

However, these new ACS guidelines also show that if a woman wants to reduce, as much as possible, her risk of dying of breast cancer, she will choose yearly mammography starting at age 40.

SO WHAT SHOULD YOU DO?

Breast Cancers Diagnosed by Age* 2012

<40

2013

2014

So why then, would anyone suggest that we stop screening certain groups of women? In comes the “benefits vs. harms” discussion. The main "harm" they cite is re-examining a woman after a screening in order to do an ultrasound or take some extra pictures to ensure that a questionable reading on the mammogram is nothing to worry about. The USPTF weighs this concern against women's lives lost in their 40s by not screening. Within our two breast centers on the peninsula, (Women's Imaging Pavilion in Williamsburg and the Dorothy G. Hoefer Comprehensive Breast Center in Newport News), nearly 60 women a year are diagnosed with breast cancer in their 40s. These women matter (see chart below).

TOTAL

PERCENTAGE

5

19

6

30

2.5%

40-49

63

52

57

172

14%

50-59

79

116

103

298

24%

60-69

96

118

150

364

30%

70-79

78

76

100

254

21%

>80

43

40

32

115

9.5%

TOTAL

364

421

448

1223

100%

These numbers are from the Dorothy G. Hoefer Comprehensive Breast Center and the Sentara Williamsburg Comprehensive Breast Center

By age 40, you should have a discussion with your doctor about your personal risk of developing breast cancer (even earlier if you have a family history). It is important to Dr. Kelley Allison remember, though, that 75 percent of women diagnosed with breast cancer have no family history of the disease. So, screening only highrisk women will lead to a tremendous increase in the number of women whose breast cancer goes undetected and undiagnosed.

If you're willing to undergo an occasional Dr. lindy dunn second look ultrasound or additional pictures to confirm everything is OK on your mammogram, then you should continue with the annual screening. As physicians who take care of breast cancer patients every day, we strongly encourage women to obtain the maximum live-saving benefits from mammography by continuing with Dr. Jacque Hogge an annual screening schedule starting at age 40. thehealthjournals.com | 27

Special Section

to her medical team to help with decisions on medications that would be most effective against the cancer. Triple negative breast cancer usually responds very well to certain chemotherapy drugs, and Harriet's medical team determined that receiving chemotherapy first, before surgery, would be the best approach for her.

Harriett underwent 6 months of chemotherapy. Although not a walk in the park, Harriett made it through the treatment. The fatigue was bad and made it difficult to work, but she continued to work a part-time job throughout her treatment. Her cancer was very responsive to the chemotherapy and she had a complete response to treatment! On September 11, 2014, she underwent a segmental mastectomy (only the area where the cancer had been was removed from the breast) and removal of several lymph nodes under her arm. No residual cancer was found at the time of her surgery. The surgery was an outpatient procedure, so Harriett returned home that same evening.

After surgery, Harriett underwent 28 treatments of radiation therapy. Although the treatments were every day, Monday through Friday, they only took about 20 minutes and Harriett says they were not bad at all.

arriett Cary grew up in a close-knit family in Newport News, Virginia.

With 6 siblings, life was always full of fun and laughter, and she describes herself as always being a “helper.” She has been married for 28 years, has 2 children and 2 grandchildren who mean the world to her.

Harriett started getting screening mammograms in her early 40s at the persistence of her OB/GYN. A few times during her annual exam, he felt a lump in her breast, which always turned out to be a harmless cyst. This started to frighten Harriett, and in 2013 she skipped her annual mammogram. The following year, at age 54, Harriett’s screening mammogram revealed suspicious masses in both breasts and some enlarged lymph nodes in her left armpit. She had not felt anything abnormal in either breast before the mammogram. Ten days later she underwent biopsies at the Dorothy G. Hoefer Comprehensive Breast Center that showed

28 | thehealthjournals.com

that the right breast mass was benign, but that she had breast cancer in her left breast and the lymph nodes under her left arm. She returned to the Breast Center with her husband to get her results, and her first thought on hearing the word cancer was “I’m going to die.” From what she had read and heard about cancer, that was what she thought always happened.

She was quickly set up to see an oncology surgeon, Dr. Richard Hoefer, who led her treatment team. The type of breast cancer Harriett had was called invasive ductal carcinoma—the most common type of breast cancer—which starts inside the milk ducts in the breast. Invasive cancers have the potential to spread beyond the breast and Harriett’s had already gone into the lymph nodes under her arm. It was also found to be something called a triple negative breast cancer. This type of breast cancer does not express the genes for estrogen receptor (ER), progesterone receptor (PR) or Her2/neu. This information was important

Cancer-free now for a year and a half, Harriett is happy and feels good. She has some neuropathy in her fingers and toes (nerve damage from one of the chemotherapy drugs) but states, “As long as the cancer is gone, I’m fine with it.” She has also developed swelling in the left arm, a result of the lymph node removal which prevents proper drainage of lymph fluid.

She is currently undergoing physical therapy to learn to exercise and massage the arm.

Harriett credits her husband, family and friends with being her biggest supporters throughout her journey. “Their support was overwhelming. They were always there with me, for every office visit and procedure…

I couldn’t have done it without them.” She is also thankful to her medical team for being so positive throughout. “My Nurse Navigator told me to call her anytime and that was a big deal to me. I felt that I was never alone.”

Harriett’s message to newly diagnosed women is that “it will be okay. You will be alright. Trust and believe. God is good. I prayed and prayed every night and look at me now.

I am healed.”

Special Section

Simple Sesame Noodles

ingredients :

12 ounces thin noodles, cooked and drained (you can use Japanese noodles, linguine, angel hair or thin spaghetti) 1/4 cup soy sauce 2 tablespoons sugar 4 cloves garlic, minced 2 tablespoons rice vinegar 3 tablespoons pure sesame oil 1/2 teaspoon hot chili oil 4 tablespoons canola oil 4 whole green onions, sliced thin directions :

1. Whisk all ingredients (except noodles and onions) together in a bowl. Taste and adjust as needed.

2. Pour sauce over warm noodles and toss to coat.

3. Sprinkle with green onions and toss.

4. Serve in a bowl with chopsticks. Yummy!

Optional: If desired, add sauteed vegetables (like carrots, green beans, and mushrooms) to noodles.

Since 1985

ST

IN

S

F

SBI

BRE

A

I ETY O

G

OC

IMA

G

Special Section

BREAST CANCER Myths & Facts Myth

Fact

A woman has little or no risk of breast cancer if she has no family history of breast cancer.

Myth Fact

More than

75%

of women with breast cancer have no family history of the disease. Being female and getting older are the two biggest risk factors.

Women with large breasts have a greater risk of having breast cancer.

Size has no relation to risk. It may, however, be more difficult to examine large breasts because there is more tissue to mask a lump.

Myth Mammography is painful and can harm the breast.

Myth Fact

Breast cancer always appears as a lump.

Breast cancer can present as a lump in the breast.

But it can alo present as nipple discharge; a nipple that starts to sink in; dimpling, puckering or rash of the skin on the breast or nipple, or enlargement of one breast.

Myth Fact

Cancer is not caused by hurting or bruising the breast.

However, when a cancer is already present, it may be detected when a woman touches her breast after an injury.

Most early breast cancers do not hurt. However, some are associated with unusual sensations in the breast including pain, soreness or burning.

Breast cancer is always painless.

Myth Fact

If you do a self breast exam, you do not need a mammogram.

It is true that some women find their breast cancers by self exam. But a mammogram can find breast cancer before it can be felt, when it is an early stage and potentially curable.

Sentara Williamsburg Comprehensive Breast Center | Womenâ&#x20AC;&#x2122;s Imaging Pavilion 400 Sentara Circle Williamsburg, VA 23188

Womenâ&#x20AC;&#x2122;s Imaging Pavilion at New Town

Phone: (757) 594-1899

Fact

Myth

SATELLITE OFFICES

Dorothy G. Hoefer Comprehensive Breast Center | Sentara Port Warwick 11803 Jefferson Avenue, Suite 130 Newport News, VA 23606

all ages.

An injury to the breast can cause breast cancer.

COMPREHENSIVE BREAST CENTERS

Phone: (757) 345-4024

Breast cancer is more common in women over 50, but it can and does occur in women of

Breast cancer does not occur in young women.

During mammography, the breast is compressed to spread the tissue apart.

Although this can be uncomfortable, it does not last long and it is not harmful.

Scheduling the mammogram between days 7-14 of your menstrual cycle, when the breasts are less tender, can reduce discomfort.

Fact

Fact

Myth

(SCREENING MAMMOGRAMS ONLY)

4374 New Town Avenue Williamsburg, VA 23185 Phone: (757) 345-4024

Gloucester Imaging Center 5659 Parkway Drive Suite 130 Gloucester, VA 23061 Phone: (804) 210-1070

Sentara CarePlex Hospital 3000 Coliseum Drive Hampton, VA 23666 Phone: (757) 594-1899

special advertising section

second opinion I’ve been noticing more facial wrinkles and creases lately.

What can I do about them?

As you get older, your skin naturally becomes less elastic and more fragile.

Decreased production of natural oils dries your skin and makes it appear more wrinkled. Fat in the deeper layers of your skin diminishes. This causes loose, saggy skin and morepronounced lines and crevices.

Treatments include topical retinoids, nonprescription wrinkle creams and “in-office” medical procedures. Topical retinoids such as Retin-A or Tazorac are derived from vitamin A and are applied to your skin to reduce fine wrinkles, splotches and skin roughness.

The effectiveness of nonprescription wrinkle creams depends on the active ingredients. Retinol, alpha hydroxy acid, antioxidants and some peptides may result in slight to modest improvements in wrinkles.

Botox is a medical procedure paralyzing the muscles that lead to some wrinkles. Fillers “plump” the skin by filling the void left from the loss of collagen and fat.

Dermabrasion and chemical peels remove the top layer of skin and as new skin replaces it, helps reduce wrinkling. Plastic surgery will completely remove wrinkles with very good results typically, but is expensive with prolonged down time. Laser treatment is an excellent option. It is less expensive than surgery with less downtime, if the non-ablative treatment is performed. The best thing to do is see your skin specialist to discuss what treatment options will work best for you.

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

My parents need help keeping up with their medications.

Besides pill organizers, are there any other suggestions?

Medications are probably the single most important factor in improving the quality of life for seniors. Those over 65 represent 13.7% of the US population and consume more than one-third of all prescriptions. The average number of prescriptions for 50-64 year olds is 13 and increases dramatically to 22 for those 80 and older.

Using a pill organizer is a good first step. Pill organizers can be divided by days of the week and times of the day. Another option is “unit dose” packing offered by many pharmacies.

This method allows medications to be “bubbled packed” for ease of administration. It also helps identify missed doses in a timely manner.

You may also want to consider having a Medication Therapy Management review (MTM) performed by your pharmacist. Your pharmacist can evaluate medications and vitamins being taken, along with lab reports to look for possible interactions and appropriate dosing.

The interview during a MTM can also uncover “symptoms” that are actually side effects, and give insight on food interactions and possible vitamin depletions. Your pharmacist can then consult with the physician to achieve the most effective pharmaceutical plan with the least complications.

With medication related problems being estimated as one of the top five causes of death for those 65 and older, a pharmacist’s intervention is beneficial.

Kelly Authier, RPh

Williamsburg Drug Company 757-229-1041

your health care questions answered

Is a mouth guard necessary for all contact sports?

When there is potential for contact with other players and/or hard surfaces, it is always advisable to wear a mouth guard. Injuries to the cheeks, lips, tongue, teeth and jaw can be prevented by mouth guard use.

These injuries are usually associated with sports like football or ice hockey.

Yet, participants in soccer, basketball, lacrosse, baseball and field hockey are found to sustain facial injuries due to sudden falls or accidental collisions.

Hesitation to wear a mouth guard is usually associated with concerns over cost, discomfort and image. One should be aware that the loss of a single tooth could cost $10,000 over a lifetime.

There are three types of sports guards differing in levels of cost, fit and protection: • CUSTOM: A dentist makes the best fitting guards in a dental office. It is the most costly option ($65), but it provides superior protection and fit. Once a child reaches age 14, this type of guard can likely fit for as long as needed.

• BOIL & BITE: This type of guard ($10) is sold in stores, and allows the individual to make a semicustom guard. The disadvantage is that it offers less protection and comfort than the custom guard.

• STOCK: Also in stores, this guard is the least costly option (<$5), but offers the least amount of protection and fit.

Regardless of which option is chosen, any mouth guard is better than none!

Aubrey Myers, D.D.S. Williamsburg Center for Dental Health 757-565-6303 thehealthjournals.com | 31

special advertising section

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

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

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

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

The bottom line: Mammography saves lives.

Ralph Robertson, M.D.

Medical Director of Lackey Clinic 757-886-0608

How will grinding my teeth affect the appearance of my face?

Seemingly harmless clenching and grinding can lead to expensive dental problems. We all want to maintain a high quality of life as we age. Being able to chew nutritious foods and maintaining a youthful appearance are vital healthy aging goals. Clenching and grinding are major risks to these goals and should not be overlooked.

How do you know if you grind your teeth? Many people suffer from jaw and ear pain, headaches, or friends and family members can hear or see the grinding or clenching. Cracked teeth, chipped teeth, and short or worn teeth are all signs as well. Comparing your current smile to an old photo can be very informative.

While many people spend thousands of dollars on cosmetics, hair care, cosmetic surgery, and Botox to prevent the appearance of aging, it has been proven that unworn teeth have the most impact on preventing the appearance of an aging face. Once an individual recognizes this fact, they will hopefully seek help from a cosmetic-focused dentist to restore and return their worn teeth and smile back to their unworn appearance.

Unfortunately, this realization comes after years or even decades of ignoring the damage from grinding.

William Harper, D.D.S.

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

What are the treatment options for incontinence?

Incontinence is the involuntary loss of urine.

There are many different reasons why someone may have incontinence.

You may leak urine when you cough, laugh, sneeze or jump. This type of incontinence is called stress incontinence. It is treated by pelvic floor muscle strengthening exercises called Kegels. If the exercises do not provide benefit for some reason, you may be referred to a pelvic floor physical therapist. Slings and urethral injections are available to those who have failed conservative therapy.

Unfortunately, there are no FDA approved medications to treat stress incontinence.

If your bladder is overactive, it may squeeze more frequently causing you to void more often. With an overactive bladder, you may leak before making it to the bathroom. An overactive bladder is first treated with dietary and behavioral changes and at times, physical therapy. Medications may be used if conservative therapies do not provide adequate benefit. If diet, physical therapy and medications do not stop the leakage, newer therapies such as Botox, Interstim (a pacemaker for the bladder) or PTNS (posterior tibial nerve stimulation) are now available.

If you have incontinence, there is help. Talk to your doctor or see a urologist.

your health care questions answered

Jennifer Miles-Thomas, M.D., FPM-RS Urology of Virginia 757-457-5110

thehealthjournals.com | 31

your health | fitness

STRETC

by Bridgit kin-charlton Illustrations by Michael Saunders

S

tretching can be confusing.

One minute experts tell you to stretch before you run, and the next minute research reveals that static stretching (think: touching your toes) may actually zap performance. What's a runner to do?

Well, first, know this. You need to stretch. Running makes your legs strong, toned, and, unfortunately, tight. Every step you take forces those quads, hamstrings, calves, and hips to flex and extend over and over to propel you down the road. After many miles, those hardworking muscles and tendons can develop imbalances, scar

tissue, and tension, slowing you down and paving the way for common overuse injuries like IT Band syndrome, and Achilles tendonitis.

There are two types of stretches: dynamic and static. Dynamic stretches should be performed before you pound the pavement, and static stretches are great for after your run, when your muscles are pliable.

Dynamic—that's in motion—and static stretching is an essential part of any runner's training program. Dynamic stretches activate and loosen up your leg muscles, preparing you for your run. Static stretching at the end of your run can lower your heart rate, cut your risk of injury and decrease muscle soreness.

STAY LOOSE WITH THIS STRETCHING PLAN:

Pre-Run Both these dynamic stretches loosen up and activate all your leg muscles—inner and outer thighs, hips, hamstrings, calves and quadriceps—through full range of motion.

Leg swings Hold onto a sturdy object, stand on one leg and swing the other leg forward and back. Do 20. Then swing that same leg side to side 20 times. Each swing should build until your leg is close to its full range of motion.

32 | thehealthjournals.com

Walking lunges Take a large step forward with your right leg, and bend the knee until your thigh is parallel to the floor and knee is aligned with your ankle.

Push back upward, draw your left foot even with your right and step forward with the left. Try to keep your walking lunges fluid, and focus on proper form. Do 20 (10 per leg).

HING

fitness | your health

Every step you take forces those quads, hamstrings, calves, and hips to flex and extend over and over to propel you down the road.

Post-Run The following stretches target the major leg muscles to maintain healthy flexibility and range of motion. Hold all stretches for 30 seconds to two minutes.

Kneeling hip flexor and hamstring

Standing quad

Standing calf

From a kneeling position, plant the right foot on the ground in front of you, so the leg is bent 90 degrees, with the knee and ankle aligned. Keeping your back straight, press forward into your right hip while keeping your left knee pressed into the ground, stretching your left hip and right hamstring. To increase the stretch to the left hip flexors, squeeze and contract the glute muscles of your left hip.

Stand with legs together. Bend your left leg, bringing your heel toward your butt, and grasp your left foot with your left hand. Press your shoelaces into your hand, so that your leg does the stretching instead of pulling up with your hand.

Stand facing a wall with your hands on the wall at about chest level.

Placing the ball of your right foot up against the wall, heel touching the floor, gently lean into the wall until you feel a stretch in your calf while keeping your leg straight.

thehealthjournals.com | 33

your health | family women's health

Measuring Up

BOYS AND BODY IMAGE IS NO SMALL MATTER

By Alison Johnson

M

any girls want to be thinner—that’s a wellknown source of stress, unhealthy behaviors and parental concern.

Boys get much less attention.

But research increasingly shows they may be just as anxious about how they compare to “ideal” men, generally the strapping athletes and superheroes they see on television and in movies, video games and toy stores.

Instead of wanting to be smaller and thinking they’re heavier than they actually are, boys often yearn to be bigger and misperceive themselves as too skinny.

“There’s a cultural belief that guys should be big and muscular,” says Dr. Will Courtenay, a psychotherapist in Oakland, California, and author of “Dying to be Men”, a collection of research on men’s health. “They are feeling increasingly inadequate physically.

They’re also more likely to

34 | thehealthjournals.com

experience stress, poor self-esteem and doubts about how masculine they are.”

One- to two-thirds of teenage boys are trying to gain weight, while one in four normal-weight men thinks he’s underweight, Courtenay says. Boys with a poor body image are more likely to suffer from symptoms of depression into adulthood and, especially if they are bullied, turn to anabolic steroids.

Fighting stereotypes of masculinity is very difficult, says Betsy Mitchem, Health & Wellbeing Coordinator with the R.F. Wilkinson Family YMCA in Williamsburg, Virginia.

Take professional athletes: boys notice not only their muscles but also their money, clothes, cars, fans and girls. Boys who aren’t interested in traditional sports, meanwhile, can find themselves labeled as “wimpy” and “nerdy”.

“Boys are facing these non-stop images of ‘perfection’ just like girls, but hardly anyone talks about it,” Mitchem says.

“In fact, the more recent focus on women being healthy and fit—not skinny or any particular weight—hasn’t been applied to the male population.”

Emphasizing health and sportsmanship rather than a specific look or win-at-all-costs

mentality can help, whether in team sports or active alternatives such as martial arts. Parents also can point out real-life role models with “imperfect” bodies.

“Find somebody they look up to, somebody who is happy and healthy,” Mitchem says. “Are they built like Kobe Bryant?

Probably not.”

Like girls, boys need to hear that people with the physique they want often aren’t entirely real, and that companies are profiting off their insecurities. “Don’t buy into attaining the impossibly handsome and muscular bodies, many of which were manufactured, either digitally or with drugs,” Courtenay says. “Avoid ‘black and white’ thinking. The vast majority of people don’t have either perfect bodies nor awful bodies, so chances are you don’t either.”

And boys that are convinced they’ll get more girls with a buff build should reconsider, he adds:

TPMG ORTHOPEDICS, SPINE, SPORTS MEDICINE, FOOT AND ANKLE offers services in GLOUCESTER

“The body women like is about 15 to 20 pounds less muscular than what men think women like.”

Slender boys who want to gain natural strength can boost their calorie intake with a mix of healthy proteins, fats and carbohydrates, Mitchem says. “The common fallacy is to just add protein,” she says.

“You don’t just have half a chicken; you have a salad with it. And you can make small changes like going from skim to 1 percent milk.”

Boys also can start strength training, so long as they’re cautious about heavy weights while they’re still growing. Pushups, squats, lunges and resistance bands are good options, as are sessions with a trainer or gym classes geared toward kids or teenagers.

Finally, boys who are slower to hit puberty should be aware they’re almost always within a normal range, Mitchem says. “It will happen,” she says. “It’s natural for them to compare themselves to their friends. You just don’t want it to become an obsession.”

CUMMINGS

DURBIN

GRANT

HOPSON

MOORE

POTTER

PROTO

QUINLAN

MCCARTHY

VISIT US IN OUR NEW LOCATION

NOW OPEN

Sentara Gloucester Medical Arts 5659 Parkway Drive, Suite 200 Gloucester, Virginia 23061 (757) 327-0657 TIDEWATER MEDICAL CENTER AT NEW TOWN 5424 Discovery Park Blvd.

Bldg. B, Suite 105 Williamsburg, VA 23188 Phone: (757) 345-5870 Fax: (757) 345-6927

TIDEWATER MEDICAL CENTER 860 Omni Blvd.

Suite 113 Newport News, VA 23606 Phone: (757) 327-0657 Fax: (757) 240-5096

For additional information about TPMG, please visit mytpmg.com

ACCEPTING NEW PATIENTS mytpmg.com

your health | women's health

Causes of Unexplained Weight Gain in Women

by Dr. Richard Brandon

T

he human body is an incredibly intricate system, one that depends largely upon a delicate balance of natural chemicals and complex interactions that occur between them to maintain smooth and efficient function of its many subsystems, which, in turn, maintains optimal health and wellness. However, when body chemistry is not in balance, especially when it comes to hormones, a wide variety of issues can arise.

Unexplained weight gain is one of those issues and is a very common and frustrating problem faced by many women today.

Medical science is only just beginning to understand some of the thousands of complex chemical reactions that occur in the body and how they impact health, but we do know that there is a relationship

36 | thehealthjournals.com

between insulin, metabolism and body fat. This link is a very common cause of unexplained weight gain in women who consume the typical low-fat, highcarbohydrate diet that includes an abundance of processed foods, since this type of diet can eventually lead to a metabolic condition called insulin resistance.

Insulin is a hormone that plays a major role in metabolism, helping the body's cells absorb glucose from the bloodstream to be used for energy. In insulin resistance, the body loses the ability to use insulin effectively, impairing glucose absorption into the cells. When the cells cannot absorb the amount of glucose they need, the body kicks into starvation mode, storing away a higher percentage of calories as fat, causing weight gain without any increase in calorie consumption.

Another known link between hormones, metabolism and body-fat involves stress.

Stress hormones are released into the body in

response to stress. During prolonged periods of stress, levels of these hormones remain elevated. The body interprets long-term stress responses as famine, which triggers it to slow the metabolism, going into starvation mode to conserve resources in much the same way as it does with insulin resistance, adding to the body's fat stores.

Many women have both dietary and stress issues, causing imbalances in both insulin and stress hormones, a sure recipe for weight gain.

Additionally, high-carbohydrate diets and high stress levels can lead to fluctuations in blood glucose and serotonin levels, which can prompt food cravings as the body attempts to stabilize those levels. This creates a vicious cycle in which a person is driven to snacks and caffeine in an attempt to make themselves feel better,

Do you experience hearing difficulties in restaurants, church or on the phone?

Do you experience memory problems?* Do you have ringing or buzzing in your ears?

Do you hear, but can’t understand?

If you answered yes to any of these questions, you should have your hearing evaluated by an audiologist. Today’s hearing aids not only have superb noise suppression and smart directionality, many are also waterproof and rechargeable.

Some even offer relief to tinnitus sufferers.

WANTED 15 PEOPLE

Who have trouble hearing and understanding in noisy environments to evaluate the newest SMART, WATERPROOF and RECHARGEABLE hearing aids. We work with virtually all manufacturers of hearing aids in the world to match your hearing situation with the best possible hearing aid.

Call TODAY to schedule a complimentary hearing screening performed by our award winning audiologists.

Jude Liptak, Au.D., Bethany Tucker, Au.D.

Colonial Center for Hearing 757-229-4004

430 McLaws Circle, Suite 101 • Williamsburg, VA 23185

*Monitoring of hearing loss is crucial when memory issues are present.

Multiple studies have shown that hearing loss is independently associated with dementia.

Scout Bags • Jellycat • Catstudio Williamsburg

Mavala • NOW Essential Oils

DRUG CO.

established 1895

Williamsburg’s Newest Premier Gift Destination Inside Williamsburg’s Oldest Drug Store

Come in and save

20% off your Gift purchases with this coupon

Valid through May 31, 2016.

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

(757) 229-1041 Kneipp • Corkcickle • Lafco

Claire Burke • Poo~Pourri • Thymes

actions that actually worsen the underlying problems and cause even more weight gain.

Yet another link between hormones and metabolism is the relationship between estrogen levels and body fat, which is often a factor in unexplained weight gain during perimenopause and menopause. During perimenopause, estrogen levels fluctuate widely, and in menopause, estrogen is diminished significantly as the ovaries drastically slow production. The body needs estrogen for a number of functions, including the maintenance of bone mass, so it will begin to tap secondary sources of estrogen as it struggles to maintain hormonal balance. One of those other sources is body fat, so the body will try to conserve that resource by slowing metabolism.

Any one of these three mechanisms can spur unexplained weight gain, causing women to pack on the pounds while consuming the same daily diet that once kept them slim and trim. For women who have more than one of these hormonal issues working against them, the strictest diet and exercise plan can become a frustrating struggle that yields few results. However, having these issues properly diagnosed and treated can help, so if your best efforts at beating the bulge with diet and exercise have failed, seeing a doctor is your best next step.

your health | Men's HEALTH

5

Signs You Might be

Overtraining

by Stephen P. Sowulewski

F

it and 40 was my mantra a few years ago, but now I am finding fault with 42 due to a newly acquired overuse injury. According to the American Academy of Orthopedic Surgeons, exercise is one of the best medicines for the body, but too much can be harmful.

‘No pain, no gain’ is really counterproductive in the scheme of things. So what are the overt offenders that men might present with if weight training too much? A good rule of thumb is to approach training slowly and steadily and be wary of exercising too intensely. Younger individuals may feel impervious to injury early on, but as we age we are relegated to longer healing times.

According to Sarah Sheppard, an ACSM Certified Exercise Physiologist and Fitness Manager at the University of Richmond, a culmination of factors can lead to overtraining.

1. LACK OF PROGRESSION AND/OR REPETITIVENESS

Doing the exact same exercises every single time you lift weights or lifting the same weight every time tends to negate progress.

“Realistically, you should be progressing through heavier weights every 3-4 weeks, with some rest weeks mixed in,” says Sheppard. If it's been a year and progress seems to be stalled with regard to resistance training goals, then it might be wise to look for possible tell-tale signs of overtraining.

38 | thehealthjournals.com

2. GOOD PAIN & BAD PAIN

While some discomfort is part of a weight training regimen, knowing how to discern more deleterious pain is important. Sheppard is quick to point out that if something hurts for more than two days or if sharp pain is felt, this should be a red flag. It's normal to be sore the day or two after lifting, which is often the result of a condition called delayed onset muscle soreness (DOMS).

3. OVERTIRED

Your body is screaming for a rest day, your legs feel like bricks, you're not getting enough sleep; you can't lift your arms over your head.

The body needs rest and recovery to repair the muscles you're targeting. Allowing each specific muscle group at least 48-hours of rest before working it again is a good habit to adopt. “Making sure you're getting solid nutrition after a workout to help with muscle repair is essential,” said Sheppard.

men's Health | your health

4. MENTAL EXHAUSTION

When lifting becomes more of a chore than a passion, it could be a sign that it is time to take a break to regain your motivation. Chris Poff, an AFAA Certified Personal Trainer at the Weinstein Recreational Center at the University of Richmond, offers up some thoughts on rediscovery and revisiting the goals for strength training. “Try something new, like yoga or running, and see if a small time away from the weight room re-ignites the passion for lifting,” he said.

5. COMPARISON TRAPS

Are you trying to out-lift everyone else in the gym in order to be the biggest and the strongest while at the same time, disregarding your realistic abilities? Are you pushing yourself beyond your limits just to look like you're lifting as much (or more) than the guys around you? Poff notes that, “Just because the guy next to you can bench 300 pounds doesn't mean that's what your body can safely do right now. Don't compare your Chapter 1 to someone else's Chapter 22,” he said.

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

Stephen M. Smith, Esq.

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

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

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

your health | aging well

SEASONAL IMPACTS ON

ARTHRITIS by amanda kerr

F

or arthritis sufferers warm weather can mean a break from the aches and pains of bone-chilling winter temperatures.

But beware. For some arthritis patients, summer can bring a whole new set of discomfort if they’re not prepared. The hottest months of the year can prove uncomfortable for some arthritis patients. Others aren’t necessarily bothered by the temperature, but can find themselves achy and stiff because of overexertion or improper attire.

The good news is there are plenty of ways to beat the heat, keep your arthritis at bay and enjoy the dog days of summer.

COMFORT IS KING

HUMIDITY AND ARTHRITIS

• Stay Indoors: Air conditioning is your friend. Too much time outside, especially at the hottest times of the day, can cause increased inflammation in your joints.

The science behind arthritis pain and weather is inconclusive. All doctors and physical therapists know for sure is that the exacerbated pain some arthritis patients feel in cold or hot climates is real.

Some experts have speculated that patients with chronic pain have difficulty regulating their biomechanical systems during periods of extreme weather changes and increased moisture in the air. Some theories suggest that when the weather shifts from cold to hot or hot to cold, there are changes in the level of fluid that lines the joints, which may somehow cause an increase in joint inflammation and pain.

Regardless of the cause of arthritis pain in the summer, no one likes to hurt. The goal has to be finding ways to minimize your symptoms and maximize the season!

40 | thehealthjournals.com

Let’s face it; summer heat can be draining even for those of us in the best of health. If temperature and humidity really can alter the level of fluid in your joints and affect the stiffness or laxity in your tendons, muscles and ligaments, then summer can be a real slog for some arthritis sufferers.

But it’s 2016, not 1816. So we can take advantage of climate controlled environments, supportive shoes, and light summer attire to stay comfortable.

Here are a few tips to having a cool and comfortable summer:

• Stay Hydrated: Drink up! To keep your joints fluid during the summer months, hydration is key. Water and beverages, such as Gatorade, will help keep you comfortable on the go. Avoid drinks with caffeine, alcohol and those with a lot of sugar. They can actually dehydrate you.

• Keep It Comfortable: Don’t wear jeans in July folks. Wearing hot, heavy or tight clothes, that don’t breathe will constrict movement and exacerbate symptoms. Loose, cotton and linen fabrics that allow air flow will keep you cool and allow you to move with ease. And it goes without saying, wear sensible shoes that support your feet, knees and back.

aging well | your health

THE GOOD NEWS IS THERE ARE PLENTY OF WAYS TO BEAT THE HEAT, KEEP YOUR ARTHRITIS AT BAY AND ENJOY THE DOG DAYS OF SUMMER. GET ACTIVE (THE RIGHT WAY)

Summer can offer a variety of physical activities for arthritis patients that can actually help reduce symptoms and improve mobility.

Swimming is a great summer pastime that allows arthritis patients to comfortably take advantage of the season. The buoyancy of the water can relieve pressure from joints, while offering a great low-impact cardio exercise in a cool environment.

An early morning or evening walk can be a good way to stay active in the summer, as can other low-impact activities that offer shade and a place to rest.

Although, it is tempting to finally take that big family vacation to Florida or do some major sightseeing in California, plan those big trips carefully.

A physician or physical therapist can help you decide the best way to navigate your vacation to maximize comfort and minimize risk and pain. Timing of activities, for example, can be crucial. People with rheumatoid arthritis often experience fatigue later in the day, so a big outing in the late afternoon or early evening might not be a good idea.

The best summer is the one where you get the most out of the warm weather. You just have to know to plan ahead to keep things cool.

Working with a physical therapist to maximize your flexibility and movement patterns can help you long-term. Restoring and improving motion is the role of a physical therapist, and seeking their help and advice can mean more enjoyable seasonal changes.

WILLIAMSBURG

Plastic Surgery 333 McLaws Circle, Suite 3 Williamsburg, VA 23185

In addition to Juvederm® we now offer

NEW Juvederm® Voluma™ XC! Facials | Botox® | ViPeel® | Latisse® Facial Vein Treatment | Kybella | Liposuction Tummy tuck | Eyelid surgery | Facelift Sculptra®aesthetic | Neck rejuvenation Breast reconstruction | Laser skin resurfacing Breast augmentation & reduction Laser hair removal for men & women

Johnstuart M. Guarnieri, M.D. Board Certified Plastic Surgeon Yale University School of Medicine

Out with the cold, in with a new you!

Dr. Guarnieri—the doctor for people who want to FEEL GOOD about themselves.

Check out our specials by following us on Facebook or calling us at 757-345-2275

"Every Body is Born Beautiful."

Aspire www.williamsburgplasticsurgery.com

follow us on facebook Formerly known as Aesthetic Center for Cosmetic and Plastic Surgery

your health | outdoors

Why You Should Join a Running Club

by Rick Platt

Advice – Members of local running clubs

Membership – Open to all, regardless of

Competition – Each of the area running clubs has its own Grand Prix series, with anywhere from 10 to 20 or more races counting in the annual standings, and gives out award plaques, gift certificates, T-shirts or caps, etc. to the award winners. In addition, 2016 is the start of the Hampton Roads Super Grand Prix, a series of 12 races, four of the best races from each of the three major area running organizations, the Colonial Road Runners, Peninsula Track Club, and Tidewater Striders. There is also a twice-a-year, age-graded competition between the joint CRR-PTC team and the Striders team with, a 10K in the spring, and a 10-miler in the fall.

Resources – All local running clubs have websites complete with race schedules, race entry forms, results, photos, Grand Prix standings, course records, course maps, running routes, workout schedules, etc. You can also subscribe to club newsletters, email lists, Facebook, Twitter, etc.

have as much as a half-century or more of running experience, and are glad to share it with novice and advanced runners alike, everything from training to running shoes, injury prevention, favorite running routes, best races, best sports medicine doctors, physical therapists or massage therapists, suggested running stores, along with general fitness, health and nutritional advice.

42 | thehealthjournals.com

age, sex, ethnicity, speed, or ability, from the fastest gazelles to the slowest turtles, runners, joggers and walkers alike. No initiation fees, no interviews, no country club dues, just pay as little as $15 per year per individual, or $20 per family. No requirements beyond paying dues annually. No work obligations, although volunteering at races can be rewarding and fun. Often there are membership discounts from local running stores, sporting goods stores, bike shops and fitness centers. A 15% discount on a $100 pair of running shoes alone can pay for the membership dues.

Outdoors | your health

Hassle-Free Races – Although the mega events,

Want to join a running club?

with thousands of runners, are exciting, they are also expensive, have traffic and parking hassles, long lines for porta-johns, crowded starts, and crowded race courses. In contrast, many local running club races are professionally organized, averaging 100300 runners— large enough to generate a festive atmosphere, but small enough to be hassle-free.

Here are three major running clubs in the Hampton Roads area: Colonial Road Runners (James City County, Williamsburg, York County, Yorktown) www.colonialroadrunners.org President: Rick Platt (757-229-7375 or cell 757-345-1431).

Email: rickplatt1@juno.com

Social Opportunities – Make new friends at

many running club social activities, including annual awards banquets; monthly or quarterly membership meetings with featured speakers; picnics; parties; and social events at local restaurants or sports bars, sporting events, etc.

Group Workouts – There are daily and weekly

workouts throughout the Hampton Roads area where anywhere from a half dozen to several hundred runners congregate for 5K runs or longer; choices include evening runs, morning runs, Saturday long runs, interval workouts, track workouts, and fun runs.

Peninsula Track Club (Virginia Peninsula—Hampton, Newport News, Poquoson, York County, Yorktown) www.peninsulatrackclub.com President: Joe Harney (757-810-0928 cell).

Email: harneyjoe@hotmail.com Tidewater Striders (South Hampton Roads— Chesapeake, Norfolk, Portsmouth, Suffolk, Virginia Beach) www.tidewaterstriders.com President: Steve Shapiro (757-726-6246 work) Email: membership@tidewaterstriders.com or races@tidewaterstriders.com Races: Dan Edwards (757-495-3551)

Trust your care to Williamsburg's only fellowship-trained allergists 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443 895 City Center Blvd. Ste 302 Newport News, VA 23606 (757) 596-8025

www.allergypartners.com/hamptonroads

Dr. Timothy Campbell

Cleveland Clinic Foundation

Dr. Stephen Shield University of Tennessee

your health | money

Talk Through the Hand

By Jamie McAllister

T

he handshake is perhaps the most overlooked tool in a professional’s arsenal. As commonplace as name tags at a networking event, the power of the humble handshake should not be underestimated. But can something we never think twice about really be that complex?

Yes, says Shelley Smith, President of Premier Rapport, a business consulting firm.

“You give out signals to the other person when you shake hands,” she explains. “You may have the best intentions in mind, but if your handshake is off you could make a bad first impression, and that is hard to change.”

Elizabeth Veliz, President and CEO of Adelante HR Consulting, LLC, agrees.

“You transmit so much of yourself through a handshake,” she says. “Your confidence, credibility, knowledge and competence are all evident in the way you shake hands with people.”

The most dreaded type of handshake for both Smith and Veliz is a grip so loose it is nonexistent. Veliz refers to it as the “limp fish.”

“You never want to shake hands like that in business,” says Veliz. “Immediately you are communicating to the other person that you are self-conscious and unsure. For professional women, that could perpetuate corporate stereotypes.”

44 | thehealthjournals.com

Smith agrees and feels women should make a conscious effort to shake hands firmly, especially with male colleagues. “If the other person has any preconceived notions about your gender, a poor handshake will just confirm them,” she says.

Dr. Ronald S. Jacobson, a life coach with a background in clinical psychology and owner of Jacobson’s Ladder, LLC, a company that provides life enrichment solutions, struggled with sweaty palms and worried about how others would perceive him, which in turn made him even more nervous. He has developed the habit of ducking into the restroom to wash his hands to make sure his palms are nice and dry before greeting people, but he also relies on positive self-talk and recommends it to others for conquering their nerves.

“If you lack confidence when meeting other professionals, act as if you are confident and that is how they will see you,” he says.

“The end result will be what you want, even if internally it doesn’t feel that way.”

Hand shaking is not limited to job seekers and networkers. Handshakes are also vital for landing business deals, and a poor handshake could take you out of the running.

“Bad handshakes can send negative vibes,” says Veliz. “There have been times when

I was so put off by someone’s handshake in a business deal that I actually felt the need to conduct more research about that person before making a decision. It made me wonder ‘What is this person hiding?’” Although Veliz has never backed out of a business deal because of a bad handshake, she does acknowledge those with lousy handshakes happened to be the most difficult to deal with.

What is the definition of a good handshake? For Smith a quick, firm shake is best. “When meeting someone new, be the first one to offer your hand,” she advises.

“Don’t hesitate and don’t hold on too long.”

Jacobson echoes the importance of a firm grip, but warns against being too firm and running the risk of crushing the other person’s hand. “Focus on the behavior, not the emotion,” he says. “Make eye contact with the other person and smile.”

Veliz encourages everyone, whether they are C-suite executives or janitors, to develop and use a solid handshake. “The importance of the handshake in corporate America can’t be overstated,” she says. “It is a piece of the puzzle others are putting together to form an opinion of you, and you want to make sure you do it well.”

YOUR FINANCIAL HEALTH | YOUR HEALTH

your financial health helping to ease your personal finance concerns Would you purchase a lottery ticket with a 70% chance of winning?

Most would. A whopping 70% of people turning 65 can expect to use some form of long term care at some point in their lives, yet few plan for the cost. This leaves family, friends or worse yet, strangers, to make important

health care decisions for you.

So how would you pay for your care if you can't rely on family and need help? A few common ways include:

• Your savings & pension income. Once depleted or if your income falls short, typically the next step is to file for Medicaid, which requires a ‘spend down’ of assets (rules vary by state, consider consulting an attorney).

• Traditional long-term care insurance. Depending on the plan you purchase, your policy may cover all or a portion of the cost.

Long-term care policies have extensive underwriting, and if approved, these typically require an annual premium payment.

Most plans provide a couples discount. Premiums can go up. If you never use your policy, you lose the premiums paid (think fire insurance for your home) unless you pay extra for a refund option. Premiums may be tax deductible.

• Hybrid long-term care insurance. This type of insurance provides a death benefit and a larger multiple in the form of a 'bucket' of funds for you and/or your spouse for your care. These often require a single large payment initially (most are $50,000+) that may be all or partially refundable if you cancel. Hybrid policies offer a small death benefit even if you use all of your available longterm care funds. If you never have a need for benefits, your heirs receive the money you paid towards the policy plus a death benefit.

It's prudent to shop policies and options for the right fit for your budget. Some financial advisors are able to shop multiple companies for you and present several options. While you are younger and healthier, make this the year you build a plan and take this potential burden off the shoulders of family and friends… or even a stranger.

Jayne Di Vincenzo, AIF®, CEP®

Warning: The following information may be frightening!

But if you are thinking about selling your home, it may well be a game changer.

You have worked hard getting your home ready to sell: purging, painting, landscaping, cleaning the windows, fixing those things we all just seem to put off; and now it is time to go live!

The “back in the day” methodology of plunking down a broker’s sign in your front yard and having purchasers thumb through a binder with your home photo in it, ceased about the same time your house phone was no longer connected to the wall. About that same time, the internet and Wi-fi hit the scene.

Fast forward to 2016. Emails, tweets and social media are all portals for sharing information about your home, including HiDefinition photos. Real-estate search engines like Realtor.com, Zillow.com and Trulia are at your fingertips…and now people are asking if Facebook is the place to sell your home.

Imagine your Realtor providing you with the demographics of potential homebuyers. This includes statistical data such as median age, average education level reached, percentage of families with children, average family size, median commute time, average home income and median mortgage debt. Your realtor can also provide with the top 3-5 demographically segmented communities where your buyer is most likely to come from. Would you believe that once this information is obtained, your Realtor can then place advertising on Facebook targeting these specific markets?

Facebook provides this marketing opportunity through their “pay per click” program. The same listing description and hi-definition photos of your home can now be presented to identifiable profiles within Facebook. The information is based around a particular demographic in search of potential purchasers within the top segmented communities, including data parameters such as “likely to purchase home soon.” This is not a science-fiction movie, but the new landscape of marketing your home.

So make sure you have quality photos and a powerful marketing platform, as your purchaser will be touring your home from their computer. It’s also important to ask your Realtor about the marketing options they offer.

President Lions Bridge Financial Advisors 757-599-9111

Steve Ewell, Associate Broker Coldwell Banker Traditions

Securities and Advisory Services offered through LPL Financial, a Registered Investment Advisor. Member FINRA/SIPC.

www.steveewell.com

757-603-2807

special advertising section

your health | mind matters

Mommy Brain THE PSYCHOLOGY OF

by Khaliah Wilson

R

emember the old adage, “Charge it to my head and not to my heart”? Well, women in the perinatal period may be able to use this saying as an explanation for the forgetfulness and lack of concentration that seems to magically appear during and after pregnancy. This phenomenon is characterized as “Mommy Brain.”

Courtney Michels, LPC, CSAC, a licensed counselor with Tidewater Physicians for Women, uses this term often in her practice. “Women will describe struggling to remember simple words or entering a room forgetting what they intended to do. The image of a woman searching for her cell phone while speaking on it resonates with many women in the perinatal period,” Michels says.

Phrases such as “Your brain cells leave with the placenta” are common, and women seem to have no problem accepting it as an excuse for those ‘duh’ moments. Like many other women, Robin Kantor, a Hampton Roads mother of two young boys, likes to believe that there is an actual change in the brain causing memory lapses. It would be a good excuse to use when she’s trying to remember simple things such as people’s names.

46 | thehealthjournals.com

Is this so-called decline in cognitive functioning something that really stems from physiological changes in the brain, or is it a result of the behavioral changes that exist with being a new mom? Dr. Christine Truman, a board certified psychiatrist with Finney Zimmerman Psychiatric Associates and board member for Postpartum Support VA, says multitasking is a behavior that goes along with caring for a newborn. “It is easier to tend to things that have more emotional significance. They have more precedence over other things like [the placement of ] keys, or remembering to get an oil change,” Truman says.

The chores that were once easy to complete have become unpleasant and harder to sustain.

It has become a task for Kantor to keep track of things at work and at home. “My mind is always spinning trying to keep things in order. I’m sure I’m not alone in that,” Kantor says. She certainly is not. In Michels’ perinatal counseling experience, she believes that one of the biggest challenges for women is dealing with the shame and frustration that they feel with “Mommy Brain.”

mind matters | your health

“Women who are normally very organized and articulate find themselves struggling to verbally express themselves and carry out simple tasks. Many women feel as if they need to fit this image of doing it all flawlessly,” says Michels. The reality is that there are many who are not honest about their experiences with motherhood.

Let’s face it: there is no perfect pregnancy or postpartum period. Every mother does what works for her at the time.

Kantor shares that it is important not to compare yourself to other people’s standards. “Set your own routine and [don’t] feel bad about it.” Both experts advised that women set realistic expectations for themselves and practice good self-care. “Take time off from the caretaking role, focus on yourself or something unrelated [to being a mom] to avoid burnout,” says Truman. Finding support from family members or from organizations such as Postpartum Support VA can help through the awkward moments like leaving the house, only to realize that you are not wearing any shoes. Michels finds that attending to the present can help to eliminate distractions and can be beneficial to those struggling with “Mommy Brain.”

“

TAKE TIME OFF FROM OF THE CARETAKING ROLE, FOCUS ON YOURSELF OR SOMETHING UNRELATED TO AVOID BURNOUT.”

Why Choose Careplex Orthopaedic Ambulatory Surgery Center?

COASC is the Peninsula’s only dedicated orthopaedic ambulatory surgery center. Our surgeons are fellowship trained, receiving an additional year of sub-specialty training in orthopaedic surgery.

At COASC, we do not operate on patients with active infections, allowing us a much lower infection rate than the national average.

We work with a highly skilled team of anesthesiologists, who perform regional blocks and moderate sedation, which helps control pain after your surgery.

COASC is conveniently located within the Sentara CarePlex Hospital campus in Hampton, Virginia.

thopae dic COASC - Ca rePlex Or nt er Ce Am bula tory Surg er y

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

For more information about how COASC is leading the way in orthopaedic care in Hampton Roads, call 757-736-4100 or visit careplexortho.com.

Food | vine & Dine

HOT WINES

for Summer 2016

BY MICHAEL KIMBALL and Kenny Bumbaco

DRY ROSÉ

SAUVIGNON BLANC

Not to be confused with White Zinfandel, Dry Rosé is a crisp, refreshing pink wine made from red grapes. Most rosé sold in the United States is imported from Mediterranean regions, especially southern France, although some is also made in California, Washington, and Virginia.

Sauvignon Blanc is one of the world’s most planted white grapes and is the perfect summertime wine. Its home growing regions are the Loire Valley and Bordeaux in France, but much of the Sauvignon Blanc consumed in the United States is imported from New Zealand.

COMMON FLAVORS: Strawberry, Watermelon, Raspberry

COMMON FLAVORS: Lemon, Grapefruit, Kiwi

FRIENDLY FOODS: Grilled Chicken, Smoked Salmon, Fresh Fruit

FRIENDLY FOODS: Tilapia, Shrimp, Scallops

MAY WE RECOMMEND: Chateau d’Esclans “Whispering Angel,” France, $22

MAY WE RECOMMEND: Brancott Sauvignon Blanc, New Zealand, $14

PETIT MANSENG

This relatively uncommon grape is generating a lot of buzz for Virginia wine.

Originally from southwestern France, it produces a fun, food-friendly wine that can be either dry or slightly sweet.

COMMON FLAVORS: Coconut, Pineapple, Vanilla

PETIT VERDOT

Although you may not have heard of this French grape before, it is quickly becoming known as Virginia’s best red wine. It has a nice, dark color and lots of juicy, fruity flavors that make it great choice for a summer cookout.

COMMON FLAVORS: Blackberry, Blueberry, Cranberry

FRIENDLY FOODS: Pork Chops, Turkey, Indian or Thai Food

FRIENDLY FOODS: Steak, Burgers, Grilled Portabella Mushrooms

MAY WE RECOMMEND: Michael Shaps Petit Manseng, Virginia, $30

MAY WE RECOMMEND: Williamsburg Winery “Wessex Hundred” Petit Verdot, $32

48 | thehealthjournals.com

Saturday,May 21 2pmâ&#x20AC;&#x201C;6pm

Eat. Drink. Shop. Give local.

Follow the vine through downtown Williamsburg while sampling food and beverages.

Collect stamps for prizes along the way, while enjoying live music at every turn.

Cast ballots for your favorites. All proceeds benefit local charities.

Sponsored by

Tidewater Diagnostic Imaging

Supporting these local charities FISH, Inc.

For more information and sponsorship opportunities, visit The Health Journalâ&#x20AC;&#x2122;s Facebook page and call 757-646-5777.

Food | food & Nutrition

GET FAT

TO GET HEALTHY

By David Piggott, CPT, CES, PES, USTAF Level 1 Coach

A

question I often get from my clients is what should athletes, particularly runners, eat before workouts and races.

There is no one-size-fits-all answer. What is important is developing a regimen that works for you and produces the results you seek, whether that’s weight loss, general health maintenance or even performance.

Now onto the science: the meat and fats if you will. By today’s standard it is common knowledge that runners consume mass amounts of carbs before and during races as fuel. You hear talk about “Carb Loading” and “Carb Fueling” and the pre-race carb load pasta dinner.

The problem is carbohydrates are the body’s way of burning fuel quickly. However, our body can

50 | thehealthjournals.com

only store a limited amount of carbohydrates in the form of glycogen. What this means is that the body’s preferred source of energy for endurance and survival is fats. Our bodies get four calories from one gram of carbohydrate whereas we get nine calories per gram of fat. It is true that the body uses multiple sources for energy. Our bodies are designed to burn fats as a primary energy source, however we must train the body to utilize fats more efficiently.

Did you know that high-carb nutrition can cause inflammation, diabetes, obesity and a higher risk for cancer and cardiovascular

food & Nutrition | Food

SAMPLE RACE DAY MEAL PLAN

PRE-BREAKFAST: TWO EGGS, SLICE OF BREAD, AND ORANGE JUICE

PRE-RACE: FEW SIPS OF COCONUT WATER disorders? It’s a problem when our journey to good health leads to bad health for the sake of performance. We have to ask ourselves whether it is more beneficial to be an unhealthy, unfit athlete, or a healthy, fit athlete. If we can limit inflammation, we can limit our injury risk. When we eat too many carbs, we drop our body’s defenses. We must condition our body through proper and practical training to burn fats and use carbs when necessary. The problem I run into is I see clients sacrificing health for performance, which is never a good thing.

Healthy foods, such as eggs, avocados and fish, are great sources of fats and proteins.

It's good practice to keep a healthy balance of fats, proteins, and carbs throughout your diet and not tip the scale too far towards carbohydrates before, during, or after a race.

There are many factors that influence fueling for a race. What you use during a 5k will pale in comparison to what is required for an ultra-distance race. I always tell my clients to do in training what they plan on doing during race day.

DURING RACE: WATER AND POSSIBLY SPORTS DRINK FOR EFFORTS LASTING UP TO 60 MINUTES OR MORE

POST RACE: LIGHT FISH, AVOCADO, VEGETABLE OF CHOICE

Food | flavor

Disposables are making a comeback TREND ALERT:

AND THEY’RE PRETTIER THAN EVER

By Kimberley Cuachon Haugh

A

s a caterer I’ve seen my clients stray farther away from the usual threecourse-meal menus. Instead they want more selection and in smaller portions—they want to taste more while being mobile at the same time. After all, it’s far sexier to peruse a party holding a cute one- or two-biter instead of a loaded dinner plate while balancing a cocktail or glass of wine.

Whether you’re a caterer or the hostess with the mostess, this trend—that doesn’t seem to be quitting—means more dishes. So, thank goodness for disposables. But kiss your mother’s plastic forks and knives goodbye, along with anything Styrofoam. The latest trends in disposables will tickle you in so many ways and the best part is you can throw them away.

I first discovered this convenient trend when I attended the annual Catersource and Event Solutions Conference & Tradeshow

52 | thehealthjournals.com

in Las Vegas almost three years ago. And this year, there were more vendors showcasing pressed leaf plates, bowls and wooden cutlery.

While this has been an emerging trend, the increased availability of it has helped bring the prices down, and there are a lot more available styles to chose from.

Companies are now carrying extensive lines of these eco-friendly disposable serveware made from pressed palm leaves as well as bamboo. The products are biodegradable, so they can be thrown into the same bin as any scraps of food—no more fishing in the trash.

If you’re looking for a sleek look, plastic serveware has done a complete 180. Metallic finishes are hot in shades of silver, gold, rose gold, gun metal, and even multi-colored.

Until your guests actually pick up each piece, they won’t be able to tell that it’s plastic.

Plates can also be found in the same finishes so you can get glam with ease.

Gentle AffordAble ContemporAry dentAl CAre

A Commitment to Providing

HeAltHy SmIleS meet Sebastiana Springmann, ddS, fAGd PRODUCT RECOMMENDATIONS

kimberley's picks 1. VerTerra, www.verterra.com— Great event and catering disposable dishware made from fallen palm and reclaimed wood. Chemical and BPI Certified.

2. Solia Inc., www.solia-usa.com— Bamboo and plastic appetizer/single-bite size disposable dishware. Contemporary and progressive design.

3. Eco-Eats, www.ecoeatspartyware.com— Plate-A-Cup disposable product made from sugarcane is great for receptions and parties and allows guests to keep a free hand while dining and drinking.

But where would we be if we didn’t have something equally as pretty to wipe our mouth with? The latest disposable napkins feel like Charmin against your mouth. Blended with bamboo, the colors and patterns are as elegant as they are durable. Add the option of silk screening these babies, and you’ve got something that Grandma will be stuffing her pockets and leaving the party with.

The evolution of disposables is a nod to practicality, throwing our arms up and choosing that we’re no longer going to be slaving over the kitchen sink and dishwasher. But we’re also saying that we’re not going to skimp on the details either. As menus continue to evolve along with palates, disposable serveware is running right alongside to give cooks the perfect vessel to get each delicate morsel beautifully and conveniently into the mouths of yearning guests. This is where our food is taking us, and as many vendors told me at the show, it’s just the beginning.

For 23 years, Dr. Springmann has practiced dentistry in the Williamsburg community. Through her active participation in professional and community affairs she has touched the lives of many....

offering: • • • •

• Root Canals Family Dentistry Cosmetic Dentistry • Zoom Whitening • Six Month Smiles Implants Invisalign

www.newtowndentalarts.net 4939 Courthouse Street, Williamsburg • 757.259.0741 Located in New Town across from the theater parking lot

Now Hiring!

Food | taste appeal

Paleo Honey Mustard Salmon with Cauliflower Rice and Watercress Salad

Recipe courtesy Megan Flynn at freckleditalian.com.

Find these recipes at relayfoods.com

INGREDIENTS

Paleo Breakfast Wraps

Recipe courtesy Megan Flynn at freckleditalian.com.

Find these recipes at relayfoods.com

• 1 head cauliflower, florets blended

INGREDIENTS

• 1 tablespoon olive oil

• 8 slices bacon, room temperature

• 1 teaspoon kosher salt, or to taste

• 10 eggs

• 1 pound salmon

• 6 tablespoons almond flour

• 1/2 cup milk

• 3 tablespoons arrowroot powder

• freshly ground black pepper, to taste

• 1 teaspoon garlic powder

• 2 tablespoons Southern honey mustard sauce

• salt, to taste

• 1/2 bunch watercress, divided

• freshly ground black pepper, to taste

• 1 tablespoon capers

• 1­2 teaspoons coconut oil or ghee

• 1/4 cup almonds, sliced (optional)

• 1/4 cup mayonnaise, divided

Blend and Cook the Cauliflower Rice

• 1 cup spinach

1. Preheat the oven to 350 degrees F and line two baking sheets with aluminum foil, or spray with nonstick cooking spray.

• 1 tomato, sliced

2. A food processor works best for processing the cauliflower, but a blender or grater will work as well. Remove the core from the cauliflower, and cut the cauliflower head into florets. Add the florets to a food processor and pulse a few times, until the mixture resembles rice grains.

DIRECTIONS

3. Add the finely chopped cauliflower to a prepared baking sheet. Add oil and salt, toss well to combine, evenly spread out over the baking sheet, and add to the middle rack in the oven to bake for 18-20 minutes.

Bake the Salmon 4. Rinse salmon fillets in cold water, and pat dry with paper towels.

Fold aluminum foil into a bowl shape. Place aluminum bowl on top of a foil covered baking sheet. Lay a salmon fillet in each foil bowl and leave unsealed.

5. Pour milk over each fillet (pro tip: cooking fish in milk is a technique that helps create a tender and flaky fish and rids the fillet of unwanted “fishiness”). Drizzle half of the honey mustard sauce over each fillet.

Season each fillet with pepper.

6. Bake for 20 minutes, depending on the thickness of the fillet, then broil on high for 5 minutes, until the sauce begins to bubble and slightly darken. The salmon should no longer be shiny, but rather an opaque pink shade that is firm and easily flakes with a fork.

7. Distribute an even amount of watercress and baked cauliflower rice on each plate. Sprinkle capers and slivered almonds over salmon fillets before plating.

54 | thehealthjournals.com

• 1 avocado, sliced 1. Cook room-temperature bacon in a large, room-temperature skillet, over medium heat.

2. After about 5-8 minutes, once the bacon has started to brown and become slightly crisp, flip each slice.

3. Cook for another 5 minutes, or until the bacon has become crisp to your liking. Remove and place on a paper towel to cool slightly and drain excess fat.

4. In a medium-sized bowl, whisk the eggs, and add the almond flour, arrowroot powder, garlic powder, salt, and pepper.

5. Heat a large pan, over medium-high heat, spread coconut oil or ghee around the pan, and add a couple spoonfuls of the crepe batter.

6. Spread the batter around and let it cook. Flip the crepe and let it cook on the other side, about 1 minute.

7. Transfer the cooked crepe to a waiting plate and repeat the above steps for the remaining batter.

8. Once you’ve made all the crepes, spread each with mayonnaise, and layer each with an even amount of spinach, tomato, bacon, and avocado.

Paleo Maple Chai Custards

I AM BACK TO ENJOYING LIFE

tpti.com Recipe courtesy Megan Flynn at freckleditalian.com.

Find these recipes at relayfoods.com

INGREDIENTS

Comprehensive Physical Therapy Services No Prescription Needed HAMPTON | NEWPORT NEWS | WILLIAMSBURG | NORGE | WEST POINT

• 2 cups full-fat coconut milk • 3 chai teabags (the spicier the better) • 1/3 cup maple syrup • 4 eggs

Mellette PC

• 1/4 teaspoon salt

AT T O R N E Y S AT L AW

• 1 teaspoon vanilla extract

Serving Health Care Providers

DIRECTIONS 1. In a small pot, heat coconut milk and add the teabags. Bring to a simmer and let it steep for about ten minutes, or until you can really smell the chai and the milk is flavored to your liking.

2. In a mixing bowl, combine eggs, maple syrup, salt, and vanilla.

3. Very slowly add the hot coconut milk, a little at a time (you don’t want to cook the eggs).

4. Fill ramekins and bake 5. Preheat oven to 350 degrees F. 6. Place ramekins onto a baking sheet filled 1 inch with boiling water. Carefully pour the custard mixture into the ramekins and bake for 40-50 minutes, checking the doneness by inserting a knife into one of them. They’ll be finished when it comes out clean.

7. Let cool before eating. Enjoy!

Mellette PC serves the legal needs of health care clients so that they can focus on their primary mission of delivering high-quality patient care.

NICOLE FISHER Nicole Fisher joined Mellette, P.C. as an associate in September 2014, after serving as a law clerk for the firm for two years during her legal education at William & Mary Law School, where she graduated cum laude.

Ms. Fisher’s practice focuses primarily on health care provider regulatory compliance and business transactions, including nursing facility contracts, sales agreements and closings, and physician contracts. Ms. Fisher has handled a variety of employment law issues, including employee complaints, confidentiality agreements, non-complete arrangements, and severance agreements.

While at Mellette, P.C., Ms. Fisher has worked with hospital clients and a variety of long term care providers and health professionals.

Ms. Fisher lives in Norfolk with her husband, John.

428 McLaws Circle, Suite 200 Williamsburg, VA 23185

(757) 259-9200

www.mellettepc.com

Food | herb-n-garden

A LITTLE SASS

WITH

By Maria candelaria Daugs

W

idely used as a culinary herb in Asian cuisine, lemongrass carries a fragrant, lemon-lime taste with a hint of mint and ginger. Cuisine in Vietnam has a nice balance of flavors and textures, and features lemongrass often. The interplay of fresh herbs and seasonings in Vietnamese cooking take simple proteins to the next level of taste. Give it a try with the recipe below.

VIETNAMESE LEMONGRASS CHICKEN SKEWERS 3 pounds chicken breasts, cut into 2–3 inch cubes 1/4 cup of fresh lemongrass, finely minced 4 cloves garlic, crushed 2 shallots, finely chopped 1/2 teaspoon chopped thai chili or jalapeno pepper (optional) 1 stock of green onion, finely chopped 1/2 teaspoon ground black pepper 2 tablespoons fish sauce 1 tablespoon soy sauce 1 tablespoon brown sugar 1 tablespoon oyster sauce 1 tablespoon honey 1/4 teaspoon sesame oil 1/4 cup any type of oil Skewers for grilling, soaked in water before using Green Onions, thinly sliced, to serve Place lemongrass, garlic pepper, shallots, green onion, and jalapeno in a mortar and gently pound with a pestle until paste forms. Combine paste with fish sauce, soy sauce, brown sugar, honey, and sesame oil in to make marinade. Place in a glass bowl and add the chicken. Stir to combine, making sure to coat each piece. Cover with plastic wrap and marinate in the fridge overnight.

Thread the chicken evenly among the skewers.

Preheat a grill or char-grill pan on high. Brush chicken lightly with oil and add to grill or pan.

Cook for 2–3 minutes on each side or until cooked through. Transfer to a platter, sprinkle with green onion, and serve immediately.

NOTE: Chicken can be substituted for beef, pork, or shrimp.

56 || thehealthjournals.com thehealthjournals.com 56

DID YOU KNOW? Lemongrass oil is used in other countries for many purposes, such as a preservative and a pesticide.

Made into “fever tea,” it treats coughs, colds, fever, muscle paiin, stomachache, headaches and high blood pressure. It is also said to strengthen blood vessels and decrease varicose veins.

TIP: To mince lemongrass, cut off about an inch from the root end, and trim off the dry green tops. Peel off outer layer, and grate trimmed lemongrass midsection using a microplane rasp grater.

Photography

By Maria Daugs

CORD BLOOD BANKING saves lives | features

CORD BLOOD BANKING SAVES LIVES CONTINUED FROM PG. 19

HOW TO DONATE

Women who want to donate cord blood set up the process well in advance.

Prior to delivery, the soon-to-be mother should tell her nurse that she is donating her umbilical cord. The birth will proceed as usual. After the umbilical cord is clamped, medical staff put the blood from the cord and placenta in a sterile bag. It’s transported and stored at the public cord blood bank. Once frozen, cord blood keeps for an indefinite time.

“There is no cost to donate cord blood, and the procedure is safe for moms and babies,” says Steckler.

“Many moms tell us that they don’t even notice the collection taking place.”

Cord blood donation is currently an option in 23 states, according to Be the Match’s list of U.S. cord blood collection hospitals. Virginia does not yet have the necessary facilities. Steckler advises interested expecting parents to complete the Learn if You Can Donate tool at bethematch.org/cord to see if they meet the basic health guidelines.

Since cord blood cells are usually discarded as medical waste after the birth of healthy, full-term babies,

they’re not controversial.

Advanced Pain Relief Advanced Whether it’s back or neck pain, joint pain or arthritis, we can help you!

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

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

John R. Nordlund, MD, PhD

Member, American Society of Retina Specialists Member, American Glaucoma Society

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

© Lisa W. Cumming Photography

Office hours:

Monday-Friday 8:00-5:00 www.rgava.com 113 Bulifants Boulevard, Suite A Williamsburg, VA 23188 757-220-3375

Painless Painless Non-Invasive Non-Invasive Side-Effect Side-EffectFree Free Researched Researchedand andPROVEN! PROVEN! Scientifically proven to be effective, ourour laser therapy Scientifically proven to be effective, laser therapy techniques provide soothing relief of chronic pain from techniques provide soothing relief of chronic pain from arthritis, degenerative disc conditions, nerve pain, radiating arthritis, degenerative disc conditions, nerve pain, radiating pain, intervertebral disc problems and muscle pain. pain, intervertebral disc problems and muscle pain.

This therapy has been cleared by the FDA and penetrates deep into the tissues to accelerate new cellhas growth repair by tissue.

This therapy beenand cleared the FDA and penetrates deep into the tissues to accelerate new cell growth repair tissue. swollen areas and can even cause new This technology reduces scarand tissue, reduces growth of capillaries which the healing This technology reduces scarspeeds tissue,up reduces swollenprocess. areas and can even cause new growth of capillaries which speeds up the healing process.

Williamsburg Laser Therapy Center

Wade Quinn, DC Williamsburg Laser Therapy Center

1318 Jamestown Road, Ste 102 | Williamsburg, VA 23185

Wade Quinn, DC

253-1900 253-1900

1318 Jamestown Road, Ste 102 • Williamsburg, VA 23185

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.

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.

Colonial Eye Care

www.williamsburghears.com

www.colonialeyecare.com

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

Izabela Padurariu

Dermatology Specialists

Iza is a master aesthetician, Dr. Jason D. Mazzurco is a wax technician, threading board-certified dermatologist specialist and massage therapist and fellowship trained practicing in Williamsburg, Mohs Surgeon. He earned Virginia. She is originally from his Bachelor of Science Romania, and has worked as a master aesthetician in and Master of Science degrees from The Ohio a Board Certified Dermatologist a variety of settings including in London where sheDr. Jason D. Mazzurco State isUniversity, where he was a two-time Big Ten and Fellowship trained Mohs Surgeon. He earned his graduated from the West Thames College with a license Champion He continued his education Bachelor of Science and Master Gymnast. of Science degrees from whereUniversity he was a twoHeritage time Big Ten in aesthetics. She has been working in skin care andOhio State University, at Ohio College of Osteopathic Champion Gymnast. He continued his education at Ohio beauty therapy industry for over seven years.

Medicine, he earned medical degree.

University Heritage College of where Osteopathic Medicinehis where Upon moving to the United States, Iza continued her his medicalHe completed a residency in dermatology and a he earned degree. education and training at the American Spirit Institute fellowship in Mohs micrographic surgery at St. Joseph Dr. Mazzurco completed a residency in Dermatology and a in Williamsburg, Virginia. She is dedicated to helping Mercy Hospital through Michigan State University Fellowship in Mohs Micrographic Surgery at St. Joseph men and women improve and maintain their skin Mercy care Hospital through Michigan Statechief University where he and served as the resident. served He is published in numerous regimen. At her Williamsburg location, she’s created a as the Chief Resident.

Dr. Mazzurco practices surgical dermatology treating peer-reviewed journals and has presented both nationally place of tranquility and serenity where clients can come both benign and malignant lesions of the skin. He and internationally on cutaneous oncology. to restore the mind, body and spirit. specializes in the diagnosis and treatment of skin cancer, surgical dermatology treating Beauty Therapy by Iza offers a wide menu of Dr. Mazzurco practices Mohsprimarily surgery and reconstructive surgery. both benign and malignant lesions of the skin. He specializes therapeutic skin care treatments including facials, in the diagnosis and Dr. Mazzurco joinedMohs Dermatology Specialists treatment of skin cancer, Surgery and reconstructive microdermabrasion, microcurrant, Epiblade, chemical insurgery.

2014. peels, Derma Roller, waxing, threading, eyebrow and In 2014, Dr. Mazzurco joined Dermatology Specialists and lash tint, make-up consultations and massage. relocated to the Peninsula with his wife and daughter. In his

www.beautytherapybyiza.com

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

PAIN MANAGEMENT Mark Newman, D.O.

Jason D. Mazzurco, D.O.

Beauty Therapy

by Iza

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

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

, DO SKINCARE & AESTHETICS JASON D. M AZZURCO DERMATOLOGY

Beauty Therapy by Iza

OPTOMETRY

leisure time, he enjoys outdoor activities and spending time with his family and friends.

Dermatology Specialists

11844 new Rock Landing Dr. Mazzurco welcomes patients to hisDrive, practiceSuite in the B Newport News, VA 23606 Newport News office.

(757) 873-0161

www.opderm.net

TPMG Pain Management Mark W. Newman, D.O. earned his Doctor of Osteopathic Medicine degree at Ohio University College of Osteopathic Medicine in Athens, Ohio. He completed his residency in Pain Management at Youngstown Osteopathic Hospital Ohio University in Youngstown, Ohio.

Dr. Newman is a board certified anesthesiologist and interventional pain management physician with over 30 years’ experience. The services that he provides includes administering therapeutic injections to patients experiencing pain in areas such as the back, hip, knee, shoulder and neck.

In 2012, Dr. Newman expanded his practice with the creation of Virginia Ketamine Therapy. This practice is focused on pursuing treatment for CRPS, fibromyalgia, Lyme disease, depression, headaches and other diseases that may benefit from ketamine infusions.

Find out if Ketamine Therapy can help relieve your chronic pain by visiting www.vaketaminetherapy.com for additional information.

TPMG Pain Management

Tidewater Medical Center at New Town 5424 Discovery Park Boulevard, Bldg. B, Suite 204 Williamsburg, VA 23188 (757) 258-2561 mytpmg.com

PEDIATRIC DENTISTRY

HAND SURGERY Robert M. Campolattaro, M.D.

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

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

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

NEUROLOGY Patricia Mayes, M.D. TPMG Neurology Patricia Mayes, M.D. received her medical degree from Universidade Federal Do Espírito Santo. She completed a residency in neurology at SUNY Upstate Medical University and a fellowship in neurophysiology at Medical College of Virginia and Virginia Commonwealth University.

Dr. Mayes is board-certified by the American Board of Psychiatry and Neurology. She comes from a family of physicians, including her father. She believes in instilling a serious approach to medicine with a blend of her sense of humor, which allows for a more comfortable environment for patients and their families. Originally from Vitória, Espírito Santo, Brazil, Dr. Mayes speaks both Portuguese and Spanish. She enjoys spending time with her family and the flair of a small town atmosphere.

Dr. Mayes is a member of the American Academy of Neurology, American Medical Association, Medical Society of Virginia, Williamsburg and James City County Medical Society and American Headache Society.

TPMG welcomed Dr. Mayes, and the addition of neurology services at West Point Family Medicine, in October 2015.

TPMG Neurology

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

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

MEDICAL ONCOLOGY Christina W. Prillaman, M.D. Virginia Oncology Associates Dr. Christina W. Prillaman graduated Phi Beta Kappa from the College of William and Mary. She is an Alpha Omega Alpha graduate of the University of Virginia - School of Medicine. She completed her internship and residency in Internal Medicine at the University of Virginia Health Sciences Center, where she also served one year as the Chief Medical Resident. Dr. Prillaman is board certified in Internal Medicine and Medical Oncology. She completed a two-year fellowship at the University of Virginia in Hematology/Oncology. She is currently practicing with Virginia Oncology Associates in Williamsburg, Virginia.

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

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

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

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

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

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

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

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

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

408 16th Street West Point, VA 23181 (804) 843-3131

Virginia Oncology Associates 500 Sentara Circle, Suite 203 Williamsburg, VA 23188 (757) 229-2236

Williamsburg Center for Dental Health

www.mytpmg.com

www.virginiacancer.com

www.williamsburgdentalhealth.com

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

PHYSICAL THERAPY 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.

SPINE SURGEON

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

Jonathan Mason, M.D.

Dominion Physical Therapy & Associates, Inc.

Tidewater Ortho

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.

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

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

*See Health Directory for additional locations

SKINCARE & AESTHETICS Izabela Padurariu Beauty Therapy

by Iza

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

AUDIOLOGY

PERSONAL TRAINING Brian Cole, CPFT, CMT

Deborah M. Minnis, Au.D., CCC-A TPMG Otolaryngology, Head & Neck Surgery and Allergy

Celeste T. Bremer, M.D.

Personal Training Associates

Virginia Oncology Associates

Dr. Minnis earned the Master’s degree from Vanderbilt University, Nashville, Tennessee, and the Doctorate of Audiology from Vanderbilt/Central Michigan University, Nashville, Tennessee. She holds the Certificate of Clinical Competence from the American Speech and Hearing Association and is a fellow in the American Academy of Audiology.

She joins Dr. Eric J. Simko in providing audiology services to patients in the surrounding community and brings with her over 30 years’ experience in the areas of adult and pediatric audiology diagnostic services. She also has a wealth of experience fitting and dispensing the latest digital hearing aids that can substantially improve hearing and communication in the hearing impaired individual.

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

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

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

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

TPMG Otolaryngology, Head & Neck Surgery and Allergy

Personal Training Associates - Private Studios

Tidewater Medical Center 860 Omni Blvd., Suite 102 Newport News, VA 23606 (757) 534-7975 www.mytpmg.com

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

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

HEMATOLOGY/ONCOLOGY

Dr. Celeste T. Bremer has conducted hematology/ oncology research, with a special focus on breast tumors. Prior to joining Virginia Oncology Associates, Dr. Bremer served as associate program director for the National Capital Area (NCA) Hematology/Oncology Fellowship Training Program in Bethesda, Maryland.

Dr. Bremer is a diplomat of the American Board of Internal Medicine, with subspecialties in Hematology and oncology. She is a fellow of the American College of Physicians (FACP) and an active member of the American Society of Clinical Oncology (ASCO) and American Society Hematology (ASH). She also serves on the board of directors for Susan G. Komen.

Virginia Beach (Princess Anne) 1950 Glenn Mitchell Drive, Suite 102 Virginia Beach, VA 23456 (757) 368-0437 www.virginiacancer.com

JASON D. M AZZURCO , DO DERMATOLOGY

FAMILY MEDICINE Christiana Hebert, MSN, FNP-BC

Jason D. Mazzurco, D.O.

TPMG Kiln Creek Family Medicine

Dermatology Specialists

Dr. Jason D. Mazzurco is a Christiana Hebert, board-certified dermatologist MSN, FNP-BC received her and fellowship trained undergraduate degree from Mohs Surgeon. He earned Midwestern State University, his Bachelor of Science Wichita Falls, Texas, graduating Magna Cum Laude. and Master of Science degrees from The Ohio Dr. Jason D. Mazzurco is a Board Certified Dermatologist She earned her Master of Science, Family Nurseand State University, where he was a two-time Big Ten Fellowship trained Mohs Surgeon. He earned his Practitioner from Texas Tech University, Lubbock, Champion He continued his education Bachelor of Science and Master Gymnast. of Science degrees from whereUniversity he was a twoHeritage time Big Ten Texas in 2012. Christiana is board certified byOhio the State University, at Ohio College of Osteopathic Champion Gymnast. He continued his education at Ohio American Nurses Credentialing Center as a Family Medicine, he earned medical degree.

University Heritage College of where Osteopathic Medicinehis where Nurse Practitioner. completed a residency in dermatology and a he earned his medicalHe degree.

Christiana joins Dr. Charlotte Moore in providing fellowship in Mohs micrographic surgery at St. Joseph Dr. Mazzurco completed a residency in Dermatology and a care to children, adults and geriatrics in a professional Mercy Hospital through Michigan State University Fellowship in Mohs Micrographic Surgery at St. Joseph and caring environment. She comes to Kiln Creek Michigan Statechief University where he Mercy Hospital through and served as the resident. served He is published in numerous Family Medicine from Honolulu, Hawaii, where sheas the Chief Resident.

Dr. Mazzurco practices surgical dermatology treating peer-reviewed journals and has presented both nationally worked as a Family Nurse Practitioner. Her previous both benign and malignant lesions of the skin. He and internationally on cutaneous oncology. experience included working in California, New specializes in the diagnosis and treatment of skin cancer, Dr. Mazzurco practices primarily surgical dermatology treating Mexico, Texas and Okinawa, Japan.

Mohs surgery and reconstructive surgery. both benign and malignant lesions of the skin. He specializes Mazzurco joinedMohs Dermatology Specialists in the diagnosis and Dr. treatment of skin cancer, Surgery and reconstructive insurgery.

2014.

TPMG Kiln Creek Family Medicine 1405 Kiln Creek Parkway, Suite K Newport News, VA 23602 (757) 369-5784 www.mytpmg.com

In 2014, Dr. Mazzurco joined Dermatology Specialists and relocated to the Peninsula with his wife and daughter. In his leisure time, he enjoys outdoor activities and spending time with his family and friends.

Dermatology Specialists

11844 new Rock Landing Dr. Mazzurco welcomes patients to hisDrive, practiceSuite in the B Newport News, VA 23606 Newport News office.

(757) 873-0161

www.opderm.net

STAYING WELL | ONE LAST THOUGHT

Your Perfect Travel

“

Companion

Oh yes,

the past can hurt.

But the way I see it, you can either run from it or LEARN from it.

—Rafiki The Lion King

“

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

R

.net

Purchase yours exclusively at NapAnywhere.net

60 | thehealthjournals.com

HEALTH DIRECTORY | STAYING WELL

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

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

National Suicide Prevention Hotline

Toll-Free: (800) 273-8255

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

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

Williamsburg Plastic Surgery

Poison Control Center

Toll-Free: (800) 222-1222

333 McLaws Circle Williamsburg (757) 345-2275

ADDICTION TREATMENT

DENTISTRY

The Farley Center

Healthy Smiles Dental Center

5477 Mooretown Road Williamsburg (877) 389-4968

664 Lincoln Street Portsmouth (757) 393-6363

ALLERGY & ENT

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

Advanced ENT & Allergy

5408 Discovery Park Drive Williamsburg (757) 253-8722

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

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

Riverside Ear, Nose & Throat Physicians & Surgeons

Historic Triangle Dental Care Michael J. Whyte, DDS

BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place

5483 Mooretown Road Williamsburg (800) 582-6066

CARDIOLOGY Riverside Cardiovascular Health

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

CHIROPRACTIC & ACUPUNCTURE Integrative Chiropractic, Acupuncture & Laser

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

Pinto Chiropractic & Rehabilitation

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

7364 Richmond Road Williamsburg (757) 345-0011

Riverside Williamsburg Family Medicine

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

Sebastiana G. Springmann, D.D.S 4939 Courthouse Street Williamsburg (757) 259-0741

Williamsburg Center for Dental Health

LWell - Longevity Wellness

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

Angels of Mercy Medical Clinic

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

Chesapeake Care

Dermatology Center of Williamsburg

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

Dermatology Specialists

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

DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1444

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

ENDOCRINOLOGY Riverside Endocrinology & Diabetes Center

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

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

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

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

17 Manhattan Square Hampton (757) 838-8030

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

Bdefined— personal fitness & wellness defined.

Beach Health Clinic

Associates In Dermatology, Inc.

Colonial Gastroenterology

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

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

DERMATOLOGY

GASTROENTEROLOGY

FITNESS

FREE CLINICS

Wyatt Orthodontics

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

Riverside Norge Internal Medicine & Pediatrics Center

New Town Dental Arts

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

Colonial Center For Hearing

5231 John Tyer Highway Williamsburg (757) 220-8300

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

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

AUDIOLOGY & HEARING

Riverside Family Practice & Extended Care

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

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

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

FAMILY PRACTICE

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

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

Stay at Home Personal Care 651 RIver Walk Parkway Chesapeake (757) 392-1001 1030 Topping Lane Hampton (757) 825-2255

Visiting Angels

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

Bon Secours DePaul Medical Center

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

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

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

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

Hampton Roads Community Health Center 664 Lincoln Street Portmouth (757) 393-6363

Ocean View Medical and Dental Center

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

Park Place Family Medical Center

3415 Granby Street Norfolk (757) 393-6363

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

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

HOSPITALS & MEDICAL CENTERS

800 Independence Blvd.

Virginia Beach (757) 363-6100

Bon Secours Mary Immaculate Hospital

Sentara CarePlex Hospital

2 Bernardine Drive Newport News (757) 886-6000

3000 Coliseum Drive Hampton (757) 736-1000

thehealthjournals.com | 61

STAYING WELL | HEALTH DIRECTORY Sentara Heart Hospital

American Heart Association

Endependence Center, Inc.

Ronald McDonald House

Sentara Leigh Hospital

American Parkinson’s Disease Association

Faith in Action

RSVP: Retired Senior Volunteers

600 Gresham Drive Norfolk (757) 388-8000 830 Kempsville Road Norfolk (757) 261-6000

Sentara Norfolk General Hospital

600 Gresham Drive Norfolk (757) 388-3000

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

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

American Red Cross

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

6300 E. Virginia Beach Blvd.

Norfolk (757) 461-8007

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

Food Bank of the Virginia Peninsula

2401 Aluminum Ave. Hampton (757) 596-7188

Sentara Obici Hospital

3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228

Food Bank of SEVA

Sentara Port Warwick

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

Hope House Foundation

2800 Godwin Blvd.

Suffolk (757) 934-4000

1031 Loftis Blvd.

Newport News (757) 736-9898

Sentara Princess Anne

The Arc of Greater Williamsburg

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

202 Packets Court Williamsburg (757) 229-0643

Sentara Virginia Beach General Hospital

The Arthritis Foundation

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

Sentara Williamsburg Regional Medical Center 100 Sentara Circle (757) 984-6000

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

Massage By David

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

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

NEUROSURGERY Riverside Neurosurgical & Spine Specialists

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

NON-PROFIT ORGANIZATIONS Access AIDS Support

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

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

AWARE Worldwide, Inc.

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

Beacon House Clubhouse for Brain Injury Survivors

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

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

PO Box 10100 Virginia Beach (757) 518-8500

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

Colonial Behavioral Health

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

1657 Merrimac Trail Williamsburg (757) 220-3200

Denbigh Clubhouse for Brain Injury Survivors

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

American Cancer Society

Dream Catchers Therapeutic Riding

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

10120 Fire Tower Road Toano (757) 566-1775

American Diabetes Association

Edmarc Hospice for Children

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

62 | thehealthjournals.com

516 London St. Portsmouth (757) 967-9251

800 Tidewater Drive Norfolk (757) 627-6599 801 Boush St., Suite 302 Norfolk (757) 625-6161

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

Jewish Family Service

260 Grayson Road Virginia Beach (757) 321-2223

Lee’s Friends: Helping People Live with Cancer

404 Colley Ave. Norfolk (757) 627-5386

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

St. Mary’s Home for Disabled Children

5900 Lake Wright Drive Norfolk (757) 466-8683

1 Singleton Drive Hampton (757) 827-8757

Senior Center of York

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

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

United Way

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

The Up Center

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

1805 Airline Blvd.

Portsmouth (757) 397-2121

National MS Society

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

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

Peninsula Institute for Community Health

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

Peninsula Pastoral Counseling Center

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

Protect Our Kids

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

ONCOLOGY The Paul F. Schellhammer Cancer Center- a division of Urology of Virginia 229 Clearfield Avenue Virginia Beach (757) 457-5177

Riverside Peninsula Cancer Institute

120 Kings Way, Suite 3100 Williamsburg (757) 345-5724

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

12100 Warwick Blvd., Suite 201 Newport News (757) 534-5555

Respite Care Center for Adults with Special Needs

Virginia Oncology Associates

500 Jamestown Road Williamsburg (757) 229-1771

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

The Sarah Bonwell Hudgins Foundation

Leukemia & Lymphoma Society

9905 Warwick Blvd.

Newport News (757) 251-0600

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

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

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

The Needs Network, Inc.

725 Volvo Parkway, Suite 200 Chesapeake (757) 549-4403

6171 Kempsville Circle Norfolk (757) 622-2208

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

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

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

3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400

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

Patrick R. Wyatt, D.D.S. 195 Strawberry Plains Road Williamsburg 757-869-9108 12528 Warwick Blvd. F Newport News 757-595-7990

ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine

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

Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1900

Riverside Orthopaedics & Sports Medicine

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

Riverside Orthopedic Specialists

12200 Warwick Blvd., Suite 310 Newport News (757) 234-7882 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

HEALTH DIRECTORY | STAYING WELL PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy

5838 Harbour View Blvd.

Suffolk (757) 673-5971

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

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

101 Long Green Blvd.

Yorktown (757) 952-1900

612 Denbigh Blvd.

Newport News (757) 874-0032

Dominion Physical Therapy & Associates, Inc.

12494 Warwick Blvd.

Newport News (757) 599-5551

2012 Meade Parkway Suffolk (757) 934-3366

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

5553 Portsmouth Blvd.

Portsmouth (757) 465-7906

466 Denbigh Blvd.

Newport News (757) 875-0861

3300 High St., Suite 1-A Portsmouth (757) 673-5689

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

4900 High St. West Portsmouth (757) 483-4518

301 Riverview Ave. Norfolk (757) 963-5588

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

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

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

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

14703 Warwick Blvd., Ste. B Newport News (757) 947-1230

Hampton Roads Orthopaedics & Sports Medicine

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

Urology of Virginia Physical Therapy

225 Clearfield Avenue Virginia Beach (757) 466-3406

7190 Chapman Drive Hayes (804) 642-3028

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

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

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

12997 Warwick Blvd.

Newport News (757) 369-9446

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

3321 West Mercury Blvd.

Hampton (757) 224-0056

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

Riverside Williamsburg Family Practice & Extended Care

229 Clearfield Avenue Virginia Beach (757) 457-5177

VASCULAR SURGERY Riverside Peninsula Vascular Surgery

5231 John Tyler Highway Williamsburg (757) 220-8300

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

WEIGHT LOSS Riverside Weight Loss Specialists

UROLOGY

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

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

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

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

URGENT CARE

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

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

2106 Executive Drive Hampton (757) 838-6678

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

204 Gumwood Drive Smithfield (757) 357-7762

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

Tidewater Physical Therapy

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

120 Monticello Ave. Williamsburg (757) 564-3627

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

5208 Monticello Ave. Williamsburg (757) 206-1004

2000 Meade Parkway Suffolk (757) 934-9300

MD Express

2007 Meade Pkwy.

Suffolk (757) 539-6300

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

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

Williamsburg Neurology and Sleep Disorders Center

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

Tidewater Orthopaedic Associates

225 Clearfield Avenue Virginia Beach (757) 457-5100

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

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

250 Nat Turner Blvd.

Newport News (757) 596-1900

Urology of Virginia

Pulmonary & Sleep Consultants of Williamsburg

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

Orthopaedic & Spine Center Physical Therapy

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

SLEEP MEDICINE

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

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

Riverside Hampton Roads Urology

225 Clearfield Avenue Virginia Beach (757) 457-5110

250 West Brambleton Ave. Ste. 100 Norfolk (757) 938-6608 1580 Armory Drive, Ste. B Franklin (757) 562-0990

APRIL WORD SEARCH April 2016

APRIL SUDOKU 5

1

BRA

IN TEASERS

8

7

6

7

4

2

3

6

APRIL WINNER KAREN SNYDER WILLIAMSBURG, VA

3

2

8

4

8

5

7

1

3

4

6

9

6

9

9

8 1

7

1

3

5

7 8

2

6

2 8

7

4

6

1

O Z R T B X V A Q E P X E U D R Q C C U

9

3

4

8

5

2

9

7

6

rain

K D R A P K U R C M C S P R I N G C T U

D F W U L N V B V N L I B K F B S E E B

I W Z R Q A E O D F X E Q M E P K E F Y

A N R U E P N R M P U I O E G A Y R K X

M C R S N T Q D B C Q Z M H T D R D O X

showers

O K O O Q T M A J S I B L I N G S T J Y

N D X N F L E Y S L O O F B R A I N H C

D Q E R E Q M G L T T X B O Y K H H E S

E J M K I O B O Z T N G F P C C E P W O

Q S G C Z D Z X X B H Q I X K K H O W W

fools

W Q C J T B Z J F Q S Z C S F Q A L W K

green earth APRIL CRYPTOGRAM flowers pollen diamond bees arborday Daisyto achieve, Autism A creative man is motivated by the desire not by the desire to beat others.

—Ayn Rand

P I X A Q I F X L G U K A P I Q E L J P

S K P H O L C F O R Y S A E P T E E W S

X B R M W R T I W A G H I A Z Y F N W B

F Z A G G W H G E S H C I Z R Y N M O L

H J N A V V X L R S I O K Y S I A D W V

pranks grass Aries Siblings

J T K G R E E N S M S I T U A I E M G M

F Z S S N A L L E R G I E S X F C S G P

G Y I T Z S H O W E R S C Q G A N A B V

UP FOR THE CHALLENGE? Challenge your brain!

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

spring allergies Taurus sweetpea

thehealthjournals.com | 63

STAYING WELL | BRAIN TEASER

Complete all three puzzles correctly for a chance to win* a $15 gift card to Trader Joes!

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

IN TEASERS BRA

The Health Journal 4808 Courthouse St., Ste. 204 Williamsburg, VA 23188

STRETCH YOUR MENTAL MUSCLES AND WIN!

Winner announced in our next issue in the Inbox. See bottom of page for submission deadlines and details.

CRYPTOGRAM

Clue: M=A, I=E, V=S, F=L

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

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

A

L

E

S

S

MTSKF VYORISV A

E

L

S

G S K X P Z M A B F O R I S V. E

E L L

A

â&#x20AC;&#x201D;Q M S I X H Y M T T I F F

SUDOKU

WORD SEARCH May 2016 I T M Q G Y B R E D Y K C U T N E K X C Appreciation

*Entries must be received by the 17th of May NAME: EMAIL: CITY:

PHONE:

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

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

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

W R E H T O M W G F L Z P S Z C F F T B

K O Q T G N I R P S S Y Q V G O G N J P

X T D P R E C N A C N I K S A D E R J M

BreakfastinBed

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

H Q W U K G G V J G L P I M I M I U X D

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

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

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

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

CincodeMayo

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

Maternal Gemini KentuckyDerby Appreciation Indie500 Gemini May Indie 500 Breakfast in Bed Maternal May Memorial Memorial Kentucky Derby Cinco de Mayo SkinCancer Spring StarWars Mother Lilly Emerald Flowers

Maius

Nurture

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

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

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

Emerald Lilly Mother Taurus

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

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

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

Flowers Skin Cancer Maius Spring Nurture Star Wars Teacher Taurus Teacher

ARE YOU READY FOR SUMMER?

IS SHOULDER PAIN HOLDING YOU BACK? CALL TIDEWATER ORTHOPAEDICS TODAY 757-637-7016

Join Us For An Informative Lecture â&#x20AC;˘ To RSVP 757-827-2480 ext. 332

Managing Shoulder Pain Nicholas K. Sablan, MD

May 24 at 6:30pm

Williamsburg Library 515 Scotland St Williamsburg

LIFE WITHOUT LIMITS 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

Delivering Complete Obstetric and Gynecologic Care

ACCEPTING NEW PATIENTS

LAURA R. CORDES, MD

MARYANN CHEUVRONT, CNM

TPMG OB/GYN 5424 Discovery Park Boulevard Building B, Ste. 203 Williamsburg, VA 23188 (757) 223-9794

BARBARA GARNER, NP-BC, MSN

JEFFREY D. MORRISON, DO

KELLY MURRER, WHNP

TERESA X. TAN, MD

CHERYL L. SHARP, WHNP/CNM

LINDSEY WILSON, CNM, DNP

TPMG MIDDLE PENINSULA TPMG OB/GYN 860 Omni Boulevard, Ste. 110 WOMEN’S CARE 7685 Meredith Drive Gloucester, VA 23061 (804) 693-4410

Newport News, VA 23606 (757) 223-9794

mytpmg.com