The Health Journal - November/December 2015

CELEBRATE WITH

WILLIAMSBURG EDITION | YOUR WELLNESS AND LIFESTYLE MAGAZINE

Seasonal Vegetables!

chef tim westby-gibson shows you how

+

economic impact of hospitals crowdfunding health care Reboot your breakfast renee champagne: Helping veterans tasty thanksgiving Recipes

NOVEMBER/DECEMBER 2015 — THEHEALTHJOURNALS.COM

This Christmas,

Give Yourself the Gift of Pain-Relief and Mobility—

a New Knee from OSC! The holidays are wonderful, but if your knee pain keeps you from enjoying the good times with your family and friends, trust the specialists at Orthopaedic & Spine Center with your knee replacement. We offer a wide variety of replacement options, including: • Partial or Total replacement • MAKOplasty® or computer-assisted navigation • Patient specific implant options, such as; ConforMIS, Visionaire, DePuy Sigma • Outpatient or Inpatient Surgery • Outpatient or Inpatient Recovery & Rehabilitation For more information or to read our patient testimonials, go to our website at osc-ortho.com.

To make an appointment, call 757-596-1900.

Happy Holidays!

Patient-Specific Knee Replacement: Life-long Options for Pain Relief Join Dr. Bob Snyder as he discusses treatment options for the most commonly-seen knee problems. Learn about advances in partial and total knee replacement, including the patient-specific ConforMIS Knee System,

OSC

COMMUNITY LECTURE SERIES Speaker: Robert J. Snyder, M.D.

that Dr. Snyder prefers for his patients.

Bring a friend, have some refreshments and get informed!

Tour our state-of-the-art facility after the lecture!

Tuesday, November 17th, AT 7PM Orthopaedic and Spine Center 250 Nat Turner Blvd. Newport News 23606 Call Shannon Woods to Register: 1-757-596-1900 ext.368

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

OSC

ORTHOPAEDIC & SPINE CENTER Open MRI Center

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

TPMG is at the center of your diabetes care.

Diabetes Education KAREN KNUDSEN, M.D.

ENDOCRINOLOGY

Diabetes Management

MARICEL RIDELLA, M.D.

ENDOCRINOLOGY

Ophthalmology

TPMG ANTHONY DEROSA, M.D.

GALE PEARSON, M.S., RD, CDE

OPHTHALMOLOGY

NUTRITION SERVICES

Wound Care

Nutrition Services Foot & Ankle

BENJAMIN PROTO, DPM

MATTHEW HOPSON, DPM

FOOT & ANKLE

FOOT & ANKLE

OPHTHALMOLOGY 860 Omni Blvd., Suite 202 Newport News, VA 23606 (757) 223 5321

NUTRITION SERVICES 860 Omni Blvd., Suite 106 Newport News, VA 23606 (757) 232-8768

101 Bulifants Blvd., Unit A Williamsburg, VA 23188 (757) 223-5321

5424 Discovery Park Blvd.

Bldg. B, Suite 102 Williamsburg, VA 23188 (757) 232-8768

FOOT & ANKLE 860 Omni Blvd., Suite 113 Newport News, VA 23606 (757) 327-0657

ENDOCRINOLOGY 11751 Rock Landing Drive, Suite 1 Newport News, VA 23606 (757) 595-4300

5424 Discovery Park Blvd.

Bldg. B, Suite 105 Williamsburg, VA 23188 (757) 345-5870

5424 Discovery Park Blvd.

Bldg. B, Suite 203 Williamsburg, VA 23188 (757) 595-4300

A Multispeciality Team Approach to Diabetes We invite you to take a pro-active approach to effectively treat and control diabetes.

It is important to get the most comprehensive care if you are one of the thousands of Virginians living with diabetes. Diabetes affects your entire body, but you can successfully control it with treatment from a team of highlyqualified physicians and professionals like the diabetes care team at TPMG. Diabetes can affect your eyes, causing serious vision impairment that can be prevented and treated by our ophthalmologist. Our endocrinologists are board-certified experts on diabetes. They are capable of treating endocrine/ glandular problems such as high cholesterol and thyroid disease, which often occur together with diabetes. Our foot and ankle physicians treat complex issues related to diabetes, and offer preventative care so you can put your best foot forward. Let our nutritionist guide you on how to make healthy choices, create an individual meal plan and teach you the importance of understanding your diabetes in one of our diabetes classes.

Learn more at www.mytpmg.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)

NOVEMBER/DECEMBER 2015 | CONTENTS

HOSPITALS & ECONOMICS PG. 20

CRANBERRIES PG. 34

BITS & PIECES

FOOD

04 / Contributors

30 / Vine and Dine / Spiced Wine

06 / Editor’s Note

31 / Food & Nutrition / Breakfast Reboot

08 / Inbox 09 / In My Own Words IN THE KNOW

34 / Flavor / Cranberries

renee champagne: Helping veterans tasty thanksgiving Recipes

YOUR HEALTH 40 / Yoganatomy / Pigeon Pose 42 / Fitness / Triceps

13 / Second Opinion

48 / Aging Well / Tips for Aging at Home

Don’t forget our digital edition is free, easy to download and supported on a variety of tablets and digital devices. Download your copy at thehealthjournals.com/digital-edition ON THE WEB @ THEHEALTHJOURNALS.COM

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

50 / Money / Chip Technology 51 / Your Financial Health 52 / Mind Matters / Holiday Stress

18 / Advances in Medicine / Ankle Replacement STAYING WELL

26 / Feature / Crowdfunding Health Care

Reboot your breakfast

NOVEMBER/DECEMBER 2015 — THEHEALTHJOURNALS.COM

46 / Outdoors / Hiking

20 / Feature / Economic Impact of Hospitals

economic impact of hospitals crowdfunding health care

12 / Out and About

FEATURES

+

37 / Taste Appeal

44 / Family / Caring for Caregivers

16 / Q&A / Chef Tim Westby-Gibson

CELEBRATE THE HOLIDAYS WITH

Seasonal Vegetables!

chef tim westby-gibson shows you how

36 / Herb-N-Garden / Thyme

10 / Calendar

14 / Profile / Renee Champagne

WILLIAMSBURG EDITION | YOUR WELLNESS AND LIFESTYLE MAGAZINE

PERMIT # 38

08 / D.I.Y. / Pinecone Firestarters

DIGITAL ISSUE

WILLIAMSBURG, VA

07 / Page's Picks

GET THOSE TRICEPS POPPIN' PG.42

58 / Accepting New Patients 60 / One Last Thought

HAPPY HOLIDAYS FROM

THE HEALTH JOURNAL

61 / Health Directory 64 / Brain Teasers

thehealthjournals.com | 3

BITS & PIECES | CONTRIBUTORS

BRANDY CENTOLANZA

RAY GOLD

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

Ray had been in the wine business since the early 1980s when he served as vice president of operations and finance for a large wine and spirits wholesaler in Washington, D.C. Gold moved to Williamsburg, Virginia, in 1999 and worked for a Richmond distributor as a wine buyer before getting involved in the retail wine business.

A. E. BAYNE A.E. Bayne is a writer and visual artist who lives in Fredericksburg, Virginia. She has been a frequent contributor to Front Porch Magazine, and is the co-editor of Fredericksburg Literary Review.

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.

KELSEY HINTON Kelsey completed her master's degree in creative writing at The New School in New York City, New York. Her published work has appeared in the Central Florida Future, Orlando Magazine, the Orlando Business Journal and the Orlando Sentinel.

KIM O'BRIEN ROOT Kim has been a reporter for 20 years and previously worked for the Daily Press and The Roanoke Times. She’s been a freelance journalist since 2010.

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

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

SUSAN SMIGIELSKI ACKER Susan is a freelance journalist and editor.

Previously, she was a newspaper reporter in Georgia, a feature writer on the U.S. Army Kwajalein Atoll, Marshall Islands, and worked at NASA Langley Research Center.

BRIDGIT KIN-CHARLTON Bridgit Kin-Charlton, M.S., Ed., C.P.T., is a certified personal trainer and owner of B-defined Innovative Personal Training & Wellness.

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

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SAPTA YIN, ASCM, RYT 200 Sapta is a personal trainer at ACAC Fitness and Wellness Center in Richmond, Virginia. She holds an ACSM Personal Trainer Certification andis certified as a Yoga instructor underneath Yoga Alliance.

THOMAS RICE Thomas is an American Council on Exercise certified personal trainer. He currently works as a fitness coach at B-defined Innovative Personal Training & Wellness. He is also a coach with the Williamsburg Lacrosse Club.

VOL. 11, NO. 06 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.

Holiday Pops concert

december 5 & 6, 2015

PUBLISHERS

Brian Freer brian@thehealthjournals.com

kimball theatre

1:30 p.m. & 3:00 p.m. daily

Page Freer page@thehealthjournals.com

music director, silas huff

guest artist sarah kate walston

EXECUTIVE DIRECTOR

Rita L. Kikoen

For tickets call 1-800-history

6

EDITOR IN CHIEF

Chris Jones chris@thehealthjournals.com

order online at

www.colonialwilliamsburg.com

MEDICAL EDITOR

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

Christie Davenport christie@thehealthjournals.com ART DIRECTOR

Maria Candelaria Daugs maria@thehealthjournals.com GRAPHIC DESIGNER

Michael Saunders michael@thehealthjournals.com VIDEO PRODUCTION MANAGER

Brandon Freer brandon@thehealthjournals.com CIRCULATION

Ryan Bishop circulation@thehealthjournals.com PHOTOGRAPHY

Brian Freer Brandon Freer Michael Saunders

ADVERTISE

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

Best steak you’ve

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BITS & PIECES | EDITOR’S NOTE

L

ike Thomas Jefferson, the sun rarely rose to find my grandmother in bed. She would be up boiling eggs, frying bacon and drinking a cup of coffee in the cool of the morning. By 7 a.m., she had flipped through her Bible, injected her insulin, watched the morning news, and leafed through the Washington Post, USA Today and the local dailies.

If it were Saturday, she would approach my grandfather for grocery money, load us into the car and head into town.

Gladys Jones was a selfless woman, a Leo by sign, who was loyal, courageous and a matriarch who gathered her relatives and friends to her like a hen gathers her chicks.

In late 2011, when she received her cancer diagnosis, I was among the last in the family to know. She was concerned how the news would affect me. I was one of the last children she raised—seven of her own, three from other relatives, and me— and much like the baby of any family, she sought to protect m. It was a pattern to which I was accustomed. When I was 4, she rushed me to the hospital after my cousin David and I were racing down the hallway. Afraid of losing, he nudged me and I went face-first into the edge of the wall near the kitchen.

Stitches. When I was 5, my kindergarten teacher, Mrs. Evans, had us performing jumping jacks at the end of the school day.

PHOTOGRAPHY BY BRIAN FREER

TWELVE NINETEEN I banged my knee on a desk and had to be helped on the bus.

My grandmother rushed me to the hospital. A cast. When I was 9, I was playing soccer at my friend Erik’s house when I landed wrong after a kick. Another trip to the hospital.

Another cast. Then when I was 10 or 11, I was engaged in mud ball combat with my friend Andy. I lifted my head from my bunker and “POW!” A mouth full of blood, a trip to the hospital and yes, stitches. But every time care was needed, she provided it.

When my grandmother asked me to be her caregiver as she managed her cancer, I was willing and happy to be there for her. I spent two days per week cleaning her house, running errands and making sure she had what she needed. She would fill her candy dishes with my favorite miniatures—Reece’s, Snickers and Milky Way—and as I worked, we would watch game shows. She enjoyed Wayne Brady’s over-the-top personality on Let’s Make a Deal. For the first four months, she was still relatively self-sufficient. Then one morning, she complained of fatigue. My grandfather and I encouraged her to go to the doctor. She refused. Within an hour, she took a turn for the worse and had to be taken to the hospital, by ambulance where her oncologist had her flown to iNOVA Fairfax Hospital. A stubborn woman, she refused to pass away in the hospital. She wanted to go home to her bed and to be with her family and her three dachshunds. The doctors warned us that her time was short and recommended hospice

6 | thehealthjournals.com

“TO CARE FOR THOSE WHO ONCE CARED FOR US IS ONE OF THE HIGHEST HONORS.” — TIA WALKER

care at home if we could get her transported. She summoned enough strength to get home and once there, she settled in and passed away peacefully within a week.

November is National Family Caregiver’s month.

It’s not always easy to be tasked with caregiving, but caregivers matter. Much like the joy I got as a father when I heard my children’s first words, I had the same fulfillment of hearing some of my grandmother’s last words. In what I discovered would my be final conversation with her, she did as all mothers do to see how I would respond. She asked a question she knew the answer to just to see if I would be honest.

“Am I going to die, Chris?” she whispered. “No, you’re going to beat this,” I lied. The tears forming in my eyes told a different story. She passed the next day—December 19.

CHRIS JONES /EDITOR IN CHIEF CHRIS@THEHEALTHJOURNALS.COM

PAGE’S PICKS | BITS & PIECES

Holiday Wine Pairings

Add layers of flavor to your favorite holiday dishes with perfectly-paired wines.

PHOTOGRAPHY BY MICHAEL SAUNDERS

1. GAMAY NOIR

2. GRENACHE BLANC

3. DRY ROSE

Termed the “grandfather of pinot noir,” this varietal pairs well with just about any traditional Thanksgiving fare.

A light, refreshing alternative to red granache, this exciting varietal pairs well with turkey, ham, pumpkin pie, sweet potatoes and more.

Subtle sweetness pairs especially well with ham, turkey and savory sides.

My Pick: Les Petits Fers (Oregon) $30

My Pick: Priest Ranch (Napa) $18

My Pick: LaFerme Julien (France) $6

4. PINOT NOIR

5. COTES DU RHONE

The go-to choice for gamey meats like venison or quail.

Ask your wine store experts for recommendations, and don’t skimp on price when it comes to pinot! Be prepared to spend $15 or more.

Complements just about any type of meat and can stand solo.

My Pick: Les Dauphins Reserve (France) $10-12

My Pick: Meiomi (California) $18-20

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

• Have a suggestion? Email page@thehealthjournals.com • Want her to try your product? Mail samples to: 4808 Courthouse Street, Suite 204, Williamsburg, Virginia 23188 thehealthjournals.com | 7

MAKE YOUR OWN

Pinecone FIRE STARTERS DIRECTIONS BY PAGE FREER

You Will Need • Candle stubs or leftover candle wax • Pinecones • Double boiler pan • Newspapers for drying • Glitter (optional)

To Make: 1. Gently heat wax in double boiler until melted.

2. Carefully dip cones in wax, place on newspapers to dry. Dip several times until coated.

3.

After last dip, while wax is still soft, roll in glitter for festive sparkle, if desired.

4. Place in decorative container or basket.

5. Use several cones to light a fire in the fireplace, staggering them under and between logs.

OCTOBER WORD SEARCH *

OCTOBER SUDOKU 6

IN TEASERS BRA

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OCTOBER WINNER MICHAEL GRIFFIN Williamsburg, Virginia

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UP FOR THE CHALLENGE? Challenge your brain!

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

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OCTOBER CRYPTOGRAM To keep the body in good health is a duty... otherwise we shall not be able to keep our mind strong and clear. —Buddha * The words "Breast Cancer Awareness" did not appear in October's word search puzzle.

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IN MY OWN WORDS | BITS & PIECES

Hi, I’m Laura Liechti.

IN MY

OWN WORDS

I’m a certified walk leader/fitness instructor teaching my “Walk Live with Laura” fit walk classes. I’ve also represented Leslie Sansone’s Walk at Home program since 2011.

I’m passionate about walking, healthy living and promoting what walking can do for you.

I love my dog, Sassy, and grandchild who is 1 1/2 years old. We have another soon joining us!

Health to me is being conscientious of your daily activities. It’s living mindfully within your surroundings, having a positive attitude and loving yourself and your environment.

I love The Health Journal because it provides excellent communication to the community about the services and wonderful people available to us in the Hampton Roads area.

T HE PERFECT G IFT.

NOVEMBER/DECEMBER SPA SPECIAL

(Better test it yourself, though, just to be sure.)

W I N T E R R A D I A N C E PAC K AG E Choose two exceptional services:

~60-minute Hot Stone Massage~ ~60-minute Sarsaparilla Mud Espresso Body Treatment~ ~60-minute Moisture Drench Facial~ $220 Monday ~ Thursday $230 Friday ~ Sunday

To book your service, call 757-220-7720.

All offers are subject to availability and cannot be combined with any other offers or discounts. Please make reservations. Prices do not include gratuities.

Packages with multiple services may not be split between persons, and all services must be enjoyed on same day. No rain checks. No substitutions on packages.

Sales of Spa products and services support the preservation, research, and educational programs of The Colonial Williamsburg Foundation. © 2015 The Colonial Williamsburg Foundation

Still looking for the perfect gift?

Colonial Williamsburg gift cards make the best gifts!

colonialwilliamsburg.com/spa 10/15-SPA-10781463

IN THE KNOW | CALENDAR

november 6 LIVE WELL EXPO This expo for those 55-plus features health screenings, information and more.

WHEN: 8:30 a.m. to noon WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4200

7 VEGAN THANKSGIVING DELICACIES Learn to make vegan holiday dishes.

WHEN: 9:30 a.m. to noon WHERE: Williamsburg Unitarian Universalists $$: $35 CONTACT: wuu.org/walt

BEGINNER’S MOUNTAIN BIKE RIDE Learn the ins and outs of mountain biking.

WHEN: 9 to 11 a.m.

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

DIABETES RISK ASSESSMENT SCREENING & BLOOD PRESSURE CHECK Find out if you are at risk for Diabetes.

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

TOANO FARMERS MARKET Gets fresh local produce; open year-round.

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

A CHEF’S GARDEN TOUR & TASTING: GOING NUTS FOR BUTTERNUT SQUASH Learn to make dishes featuring butternut squash.

WHEN: 10 a.m. to noon WHERE: Taste Studio, Colonial Williamsburg $$: $33.50 CONTACT: colonialwilliamsburg.com

10 WILLIAMSBURG FARMERS MARKET Pick up seasonal produce for your holiday meals.

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

11 EAT, MOVE AND LIGHTEN UP: THE KEYS TO A HEALTHIER HEART Dr. Vasudev Ananthram presents this lecture as part of The Doctor Is In series.

WHEN: 6:30 p.m.

WHERE: Riverside Doctors’ Hospital $$: free CONTACT: 757-585-2209

PEDIATRIC ASSOCIATES OF WILLIAMSBURG OPEN HOUSE PAW hosts this open house for parents looking for a pediatrician.

WHEN: 5:30 p.m.

WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: chkd.org

12 FAMILY CAREGIVER LUNCH & LEARN: DIFFICULT CONVERSATIONS Learn how to have difficult conversations with your loved ones.

WHEN: 11:30 a.m. to 1 p.m.

WHERE: Thomas Nelson Workforce Center $$: free CONTACT: 757-897-3462

13 BIRTH CIRCLE Pregnant women and new moms share their birthing experiences.

WHEN: 6:30 p.m.

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

EVENTS 14

A CHEF’S GARDEN TOUR & TASTING: FALL HARVEST SOUP SENSATIONS Learn to make a variety of soups during this course.

WHEN: 10 a.m. to noon WHERE: Taste Studio, Colonial Williamsburg $$: $33.50 CONTACT: colonialwilliamsburg.com

BOUNTIFUL BREWS & BITES Celebrate the season with this event that includes craft beer, food, music and a bonfire.

WHEN: 5:30 to 10 p.m.

WHERE: Jamestown Beach Park $$: $25 CONTACT: 757-259-5360

15 KIWANIS OF WILLIAMSBURG LOBSTER FUNDRAISER Event benefits Project Eliminate.

WHEN: 7 to 9 p.m.

WHERE: James River Grand Ballroom $$: $35 CONTACT: Gary Ripple at 757-221-6652

19 BABY CARE 101 Learn how to provide a safe and secure environment for your baby.

WHEN: 6 to 7 p.m.

WHERE: Pediatric Associates of Williamsburg $$: free CONTACT: chkd.org

20 ICEBURG OPENS Bring the family out for ice skating during the holiday season.

WHEN: hours vary depending on day WHERE: Mid-County Park $$: $7, adults; $5, child CONTACT: 757-603-1114

21 GROWING HERBACEOUS PEONIES Learn how to successfully grow herbaceous peonies.

WHEN: 10 a.m.

WHERE: Freedom Park $$: $5 suggested donation CONTACT: 804-330-2916

A CHEF’S GARDEN TOUR & TASTING: SAGE, ROSEMARY & THYME Learn how to make dishes using great flavors from your garden.

WHEN: 10 a.m. to noon WHERE: Taste Studio, Colonial Williamsburg $$: $33.50 CONTACT: colonialwilliamsburg.com

COLONIAL HERITAGE 5K This race benefits Friends of the Wounded Warrior Project WHEN: 9 a.m.

WHERE: Colonial Heritage $$: 5K, $25; Fun Run, $15 CONTACT: 757-645-2029

26 BLUE TALON BISTRO TURKEY TROT 5K Burn off your holiday meal during this annual Thanksgiving Day race.

WHEN: 8:30 a.m.

WHERE: Prince George Street $$: 5K, $35; Fun Run, $15 CONTACT: btb5k. mettleevents.com

happy holidays!

FROM THE HEALTH JOURNAL

GET MORE EVENTS AT:

THEHEALTHJOURNALS.COM/CALENDAR

10 | thehealthjournals.com

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

Face the Holidays with a great look!

A little Botox® or filler now can make you SPARKLE for the Holidays.

"Every Body is Born Beautiful."

www.williamsburgplasticsurgery.com

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

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

5The Health Journal staff serves at the Virginia Peninsula Foodbank.

5Editor in Chief Chris Jones spoke at The Convocation on Saturday, October 17.

Organized by D’Shawn Wright and emceed by Ray J. Pope, participants at the event heard motivational speeches from Kinja Dixon, Mel Jones, Wright and Rashad Cartwright.

12 | thehealthjournals.com

5Graphic designer Michael Saunders poses with mastectomy tatoo artist Amy Black (featured on our October cover) at Beyond Boobs’ Run for the Hills in Williamsburg.

special advertising section

second opinion What is making my​teeth sensitive?

Are breast implants safe?

Tooth sensitivity can have a number of causes including tooth decay, gum disease, worn enamel, exposed roots, or whitening.

Tooth decay may cause cold or biting sensitivity. It is best to have cavities filled early before they worsen causing more pain.

Bacteria collecting under the gum causes gum disease, which could result in sensitivity. The best treatment is visiting your dentist or hygienist for a thorough evaluation and cleaning.

Erosion or wear removes tooth enamel exposing the inner softer dentin. Gum recession uncovers the root surface, which can wear into dentin. Exposed dentin easily transfers cold temperature through its microscopic hollow tubes to the nerve, causing hypersensitivity.

Desensitizing toothpaste and fluoride treatments can help reduce sensitivity. More extensive wear requires fillings, crowns or gum grafting in areas of recession.

Chemicals in whitening products dehydrate the teeth, irritating the nerves. Often this is temporary and only requires taking a break from whitening until the sensitivity resolves.

Desensitizing gel or a fluoride treatment could also help in these cases.

Your dentist can work with you to help determine the specific cause of your sensitivity and the best treatment.

In a word, yes. During the 1990s, medical problems in women who had silicone implants caused concern for the U.S. Food and Drug Administration (FDA), resulting in their removal from the market in January 1992 (except in very limited cases). Two implant manufacturers continued studying patients and presented safety data leading the FDA to re-introduce silicone breast implants in November 2006.

Concerning to most women are capsular contracture (abnormally thick scar around the implant) and implant rupture. Both often require surgery. For cosmetic breast surgeries, the FDA regulated studies showed only 8 in 100 women are at risk for capsular contraction at three years and only 19 in 100 at 10 years. The implant rupture risk was less at 5 in 1000 at 3 years and 9 in 100 at 10 years.

No implant lasts forever.

Reoperation may be required for any number of reasons. The longer you have your implants, the more likely the need for revision surgery.

For years, breast augmentation has been the number one cosmetic surgery only now being rivaled by liposuction. Core studies demonstrated that silicone implants have an acceptable safety profile.

Talk to your plastic surgeon if you are interested in learning more about implants and breast augmentation.

Kasey Petersen, D.D.S.

Claude A. Hawkins, M.D.

Williamsburg Center for Dental Health 757-565-6303

Riverside Plastic & Reconstructive Surgery 757-534-6380

What are statins and who should be taking them?

Statins are medicines that limit cholesterol production by the liver, which is where about 75 percent of the body’s cholesterol comes from.

Statins lower LDL cholesterol, the “bad” kind and can raise HDL, the “good” cholesterol. HDL is a cholesterol vacuum cleaner. Where LDL carries cholesterol to the body, HDL carries it away. Statins also decrease triglyceride fat in the body.

But the statin guidelines have changed.

There is now more emphasis on a patient’s risk profile for heart disease and stroke than on the LDL level.

So who is at high risk?

your health care questions answered

• Those who have a known history of heart disease (not rocket science) • Those with an LDL greater than 190 (so LDL has not disappeared from the guidelines) • Those ages 40-75 years with Type 2 diabetes • Those ages 40-75 years with a 10-year risk of heart disease that is greater than 7.5 percent as calculated by a standardized cardiac risk calculator (cvdrisk. nhlbi.nih.gov). The calculator also considers age, gender, total and HDL cholesterol, smoking status and blood pressure.

The decision to start a statin should be made by you and your doctor and should be incorporated into a program that includes exercise and dietary discretion.

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

thehealthjournals.com | 13

special advertising section

second opinion My gums are receding and I am worried. What does this mean and what can I do about it?

Are breast implants safe?

You are right to be concerned about receding gums. Receding gums are never a normal part of aging. Most importantly, the cause of the recession must be identified and taken care of before any attempts are made to treat the condition.

Sometimes, gum tissue recession is caused by brushing with a hard bristle toothbrush or by brushing too vigorously. However, there are many other factors that could be the cause: thinner than usual gum tissue­—usually hereditary—and unhealthy habits, such as clenching and grinding, as well as imbalances in the way the teeth come together.

Sometimes recsssion is a result of a tiny muscle pull near the roots of the teeth.

If the cause is a muscle pull, the muscle can be released with a gentle laser procedure in a matter of minutes. If not, and the recession is aggressive or increasing, a variety of grafting procedures can be done.

In recent years, the Pinhole Surgical Technique has proven to be the most conservative and gentle way of treating gum recession. Instead of taking a patch of grafting tissue from the roof of the mouth, the treatment is gently done through a tiny pinhole.

In a word, yes. During the 1990s, medical problems in women who had silicone implants caused concern for the U.S. Food and Drug Administration (FDA), resulting in their removal from the market in January 1992 (except in very limited cases). Two implant manufacturers continued studying patients and presented safety data leading the FDA to re-introduce silicone breast implants in November 2006.

Concerning to most women are capsular contracture (abnormally thick scar around the implant) and implant rupture. Both often require surgery. For cosmetic breast surgeries, the FDA regulated studies showed only 8 in 100 women are at risk for capsular contraction at three years and only 19 in 100 at 10 years. The implant rupture risk was less at 5 in 1000 at 3 years and 9 in 100 at 10 years.

No implant lasts forever.

Reoperation may be required for any number of reasons. The longer you have your implants, the more likely the need for revision surgery.

For years, breast augmentation has been the number one cosmetic surgery only now being rivaled by liposuction. Core studies demonstrated that silicone implants have an acceptable safety profile.

Talk to your plastic surgeon if you are interested in learning more about implants and breast augmentation.

Lisa Marie Samaha, D.D.S.

Claude A. Hawkins, M.D.

Port Warwick Dental Arts pwdentalarts.com 757-223-9270

Riverside Plastic & Reconstructive Surgery 757-534-6380

What are statins and who should be taking them?

Statins are medicines that limit cholesterol production by the liver, which is where about 75 percent of the body’s cholesterol comes from.

Statins lower LDL cholesterol, the “bad” kind and can raise HDL, the “good” cholesterol. HDL is a cholesterol vacuum cleaner. Where LDL carries cholesterol to the body, HDL carries it away. Statins also decrease triglyceride fat in the body.

But the statin guidelines have changed.

There is now more emphasis on a patient’s risk profile for heart disease and stroke than on the LDL level.

So who is at high risk?

• Those who have a known history of heart disease (not rocket science) • Those with an LDL greater than 190 (so LDL has not disappeared from the guidelines) • Those ages 40-75 years with Type 2 diabetes • Those ages 40-75 years with a 10-year risk of heart disease that is greater than 7.5 percent as calculated by a standardized cardiac risk calculator (cvdrisk. nhlbi.nih.gov). The calculator also considers age, gender, total and HDL cholesterol, smoking status and blood pressure.

The decision to start a statin should be made by you and your doctor and should be incorporated into a program that includes exercise and dietary discretion.

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

your health care questions answered

IN THE KNOW | PROFILE

Renee

R

enee Champagne’s drive comes from the traumas she has survived, which led to the post-traumatic stress, the brain injury, the overmedicating. All of those, along with military and community resources, contributed to her ability to go from surviving to thriving.

Studying for a master’s degree in clinical mental health at the College of William and Mary, Champagne is fighting to erase the stigma of mental illness in the military, encourage veterans and their families to ask for help and championing alternative forms of healing.

“People with PTSD and brain injuries can learn to adapt just like someone missing a limb learns to adapt,” says Champagne, 43, who plans to complete her degree this spring and specialize in treatment for veterans and their families. “I also can often listen to other veterans and their families struggles and just get it—grasp so quickly what they’re going through.”

Champagne, who served with Air Force Security Forces, did not share details on her traumas for this story, instead focusing on how she healed and her drive to bring needed awareness and resources to the community. For years, she avoided conversations on the subject, smiled to cover sadness and over-scheduled her days until about three years ago when she was hospitalized for an accidental overdose on tranquilizers prescribed to numb her pain. Many people don’t recognize signs of mental distress, she says: not feeling like oneself or taking care of oneself, agitation and feeling withdrawn and/or hopeless.

Champagne now surrounds herself with a community of support. She has open conversations with her military spouse and two children, who write her reminders about daily responsibilities and do extra chores on her tough days. She also has a service dog, golden retriever Miley, to quiet her anxiety in public and after recurring nightmares.

To connect with and serve other veterans and their families, Champagne volunteers as chapter captain for Team Red, White & Blue (connecting veterans with physical and social activities), student liaison for Give an Hour (free mental health care for military families) and peer mentor for Wounded Warrior Project. She and Miley also are featured in the new book “Reporting for Duty”, which will raise money to pair injured veterans with service dogs.

champagne WRITTEN BY ALISON JOHNSON

PHOTOGRAPHY BY BRANDON FREER

R E S O U R CE S F O R V E T E R AN S Wounded Warrior Project: woundedwarriorproject.org Give an Hour: giveanhour.org Team Red, White & Blue: teamrwb.org Military Child Education Coalition: militarychild.org 14 | thehealthjournals.com

Warriors At Ease

(training yoga and meditation teachers for military settings):

warriorsatease.org colonial behavioral health colonialbehavioralhealth.org puller clinic (Veteran benefits clinic) veterans@wm.edu

“

Community support is just as important as military support when it comes to veterans and their families.”

changedirection.org

“I’ve changed by choosing to own my story, by not being ashamed of what I’ve been through,” or afraid to ask for help Champagne says.

“I won’t go back to that dark place. I take care of myself so I can be the best I can and help others. People battling mental health issues deserve just as much respect as someone with cancer.”

As a therapist, Champagne will incorporate a mind-bodyspirit approach outlined in the Department of Defense concept of Total Force Fitness. Personally, she relies on professional therapy, nutrition, faith and exercise—from 50-mile running events that help her feel physically powerful to yoga that quiets her mind—to stay positive and embrace chances such as enrolling at William and Mary.

Since Champagne and her husband, a colonel, plan to retire in Williamsburg, Virgnia her mission is to add local military support services such as transition programs for schoolchildren and wellness programs to foster post-traumatic growth. A personal trainer and yoga teacher, she recently completed a video on the benefits of yoga for the Consortium for Health and Military Performance (CHAMP) at Walter Reed Medical Center. Ultimately, she’d like to help other veterans train to become mental health clinicians.

Not surprisingly, Champagne is a big believer that positive psychological change can emerge from struggles. First, though, people have to talk about those struggles. “These are uncomfortable topics, but they’re reality,” she says. “We can’t hide from reality.”

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IN THE KNOW | Q&A

C

hef Tim Westby-Gibson is the king of the kitchen at Prime46forty in Williamsburg, Virginia. Sporting an ecclectic and delicious menu filled with fresh, seasonal ingredients, Westby-Gibson dishes on where to find the best ingredients, order wild game and what’s on his menu this fall.

How did you become a chef?

CHEF TIM Westby-Gibson INTERVIEWED BY CHRIS JONES PHOTOGRAPHY BY BRIAN FREER

16 | thehealthjournals.com

I started washing dishes at The Trellis in 1994. I worked my way up to sauté cook and was able to work under some very good chefs there. I’m originally from South Florida and I went back there for a while and worked under good chefs. I came back here and I’ve worked at several area restaurants. I spent a year as an accountant at Powhatan Plantation. After about three weeks of working 9 to 5, I got a night job in a kitchen. I worked at A. Carroll’s Bistro—Carroll Bull, my partner here was the owner. I was moonlighting while I was an accountant, making salads and stuff at night helping out my friend who was working there. She lost her chef and offered me the position. I took it over. I was 22 years old and I haven’t looked back since.

With the holidays coming, what delicious, seasonal ingredients do you recommend?

Well this season is obviously great for fall, autumn and winter squashes. Butternut squash, acorn squash, spaghetti squash, as well as some of the heirloom varieties. There are all kinds of winter squashes that are locally grown and produced yet under-utilized.

They’re all organic and sustainable.

Obviously, root vegetables in the fall and the winter are the biggest things—rutabagas, parsnips, celery root, mushrooms. A lot of mushrooms will be in season through the holidays. Fresh porcini mushrooms, chanterelle, royal trumpets. You can get them online. You can get cultivated mushrooms, like oyster mushrooms and shittake mushrooms, locally from farmers.

Wild game is obviously one of the biggest ingredients in the fall—venison, wild boar, elk, as well as game birds like quail, pheasant, guinea hens and squabs. Those are some of the ingredients we’ll also focus on for our fall and winter menu.

There are also braising greens—tuscan, kale, mustard greens—several varieties of chard—Italian shard, rainbow shard—as well as flowering cruciferous vegetables like broccoli, cauliflower, romanseco and kohlrabi. Those are great ingredients to have throughout the winter.

Q&A | IN THE KNOW

Can you get wild game in Hampton Roads?

You won’t find anything that’s locally gown and USDA processed. That’s the biggest thing. You have to find something that has been processed and inspected by the USDA so you know it’s safe to eat and not just from somebody’s backyard. You want to find a reputable source, preferably online, because most game is going to come from places like Texas or somewhere in the Midwest. We use Broken Arrow Ranch out of Texas. They do several different kinds of venison, as well as antelope and quail. D’Artagnan is an online purveyor that can ship everything to you FedEx. They can get anything you can think of. There is another company called Broadleaf in California and they import game from New Zealand and Australia and ship it overnight so you can have it at your door the next day.

Where can I get fresh ingredients?

Your local Farmers’ Market. They won’t run all winter long, but some of the farmers are part of co-ops, so you can get on a plan with them and once a week or once a month they can send you a box of what they have available. So in the summer, you get tomatoes; in the spring, you get berries; and in the winter, you get squashes and root vegetables. Some of the grocery stores do a good job of getting local produce. I know Harris Teeter and Farm Fresh try to find local farmers to supply their produce. But there is no substitute for meeting a farmer.

How do you do your menu planning for Prime46FORTY? The biggest thing I do is talk to the farmers that supply me. I ask what they’ll have available. Growing seasons in Virginia tend to be a little different from year-to-year depending on how the weather was [the year before]. Last year, we had a very cold winter so a lot of the spring crops came in late. We had a very hot summer for a little while, but it ended very quickly.

So in September, the temperature cooled off and we got a lot more rain so tomatoes ended very quickly as opposed to [the year before] when I had tomatoes going through the end of October. So I talk to my farmers and they tell me what they have planted, when they expect it to be coming up, what’s already coming up and what’s already looking good. That helps me forecast for the next three to four months.

CONTINUED ON PG.54

thehealthjournals.com | 17

IN THE KNOW | ADVANCES IN MEDICINE

Getting Back on Their Feet

Area residents benefitting from advancements in ANKLE REPLACEMENT surgeries WRITTEN BY BY KIM O’BRIEN ROOT

E

laine Evans wanted to wear cute shoes again. But until a few years ago, she could barely walk.

A bone disorder called avascular necrosis, caused by steroids she received nearly 30 years ago, caused her joints to deteriorate. She’s had both shoulders replaced.

Then the bones in her ankles began to go.

“It hurt to walk,” recalls the 69-year-old Williamsburg, Virginia, resident. “It hurt all the time.”

One doctor Evans saw wanted to fuse her ankles—a procedure that removes the worn-out part of the joint and permanently locks the bones together with screws and plates. Patients often do well with the surgery, and some 25,000 ankle fusions are performed in the United States each year.

Although ankle fusion is fairly successful at relieving pain, it causes loss in mobility and puts stress on other joints, such as the knee. Evans didn’t want that. Instead, she chose total ankle replacement surgery—also called ankle arthroplasty, which involves replacing the damaged joint with an artificial one.

Demand for surgery to replace ankles is on the rise as baby boomers—and their aging joints—reach their 60s and 70s. About 5,000 of the surgeries are performed each year in the U.S., a number the American College of Foot and Ankle Surgeons says has increased tremendously over the past few decades.

The hubs of ankle replacement surgery are generally considered to be in Baltimore, Maryland, and at Duke University Medical Center in Durham, North Carolina.

But in Hampton Roads, ankle specialists at TPMG Orthopedics and Sports Medicine and Tidewater Orthopaedics have been performing the surgeries for several years.

Ankle replacement has been around since the 1970s, but it was virtually abandoned for a while because of problems with early devices. Newer technology and better implants that allow the ankle to move more freely have meant an increase in the procedures over the past decade.

18 | thehealthjournals.com

“Some of the happiest people I have in my practice are my total ankle replacement patients,” says Dr. Matthew Hopson, who did Evans’ surgeries. “Most of these patients are now able to chase the grandkids around the backyard and participate in activities they weren’t able to before.”

Ankle replacement isn’t for young people, but for those in their 50s and up who suffer from rheumatoid arthritis, osteoarthritis, or the effects of a long-ago ankle injury that caused arthritis to develop in the ankle.

Although the ankle is the most stable joint in the body, any instability in the ankle over time can lead to arthritis. Loss or damage to the cartilage leads to the bones grinding against each other, causing pain, stiffness and swelling.

While ankle arthritis isn’t as common as hip or knee arthritis (about 800,000 total knee and hip replacements are performed per year), it’s just as debilitating. For Williamsburg resident Vivian Stull, every step had become painful. A cortisone shot gave her only temporary relief.

“If I walked, it hurt. If I sat down, it hurt,” says 57-year-old Stull, who had severe arthritis in both ankles because of a genetic condition. “There was no relief. Walking through the grocery store was a chore.”

Stull found herself no longer able to ride her bicycle or enjoy taking walks. She ended up getting both ankles replaced—the first in November 2011 and the second in January 2013.

Replacement won’t get someone running or climbing mountains, but it will allow daily activities without pain. Walking, golfing, swimming (no flippers) and non-impact exercise at the gym are all accepted activities. There have been anecdotes of people doing light jogging after ankle replacement, but most people who have the procedure weren’t runners before they had surgery. They just want to walk.

The surgery takes about two hours, but it’s an intricate procedure that requires skill and precise

ADVANCES IN MEDICINE | IN THE KNOW

“ They just want to

walk.”

Most people who have the procedure weren’t runners before they had surgery.

placement. After the surgeon shaves off the arthritic bone and cartilage, he inserts a three-component implant to create an artificial ankle. The materials are the same as those used in hip and knee replacements. The implants typically last about 10 years.

Unlike a hip replacement, where a patient is up and walking right away, the ankle is immobilized for six weeks— first with a cast, then a boot—in order to let the incision

heal. After the six weeks, a patient can start walking. Best of all, they can live without pain.

“I can do the things I couldn’t do, in moderation,” Stull says. “I can walk the dog. I can walk through the grocery store without a cane.”

FEATURES | HOSPITALS SOUND ALARM

Hospitals

Sound Alarm on Fiscal Stress

and Local Impact WRITTEN BY NATALIE MILLER MOORE

I

n October 2015, the Virginia Hospital and Healthcare Association launched a campaign called “Virginia Hospitals: Our Lifeline.” Why did they need to do this? Doesn’t everyone know that hospitals are critical pieces of our communities?

Well, no. Many people perceive that hospitals, and especially doctors and administrators, are well-off and paid top dollar. Seismic shifts in health care, particularly related to financing, have changed this for many health care organizations and anxiety is rising.

According to VHHA president Sean Connaughton, most people don’t understand the complexity of the finances of health care or the current realities.

“Everyone is looking backwards—hospitals were doing well, but those good old days are in the past. Challenges are real, especially reimbursement cuts from the state and federal governments at the same time, and trying to change service delivery within organizations,” he says. “There are challenges in trying to explain a very complex financial model—in health care, there’s federal and state government, insurers and individuals paying for it.”

The campaign to raise awareness is fundamentally about the financial stress, according to Connaughton.

“We are starting to see changes due to the financial challenges, first, hospitals are starting to delay capital improvements, second, they aren’t hiring the additional staff needed and third, services that are associated with hospitals close—like delivery rooms,” he says. Connaughton says that these steps are not visible to the public until a hospital announces its closing, and then it’s too late.

20 | thehealthjournals.com

HOSPITALS SOUND ALARM | FEATURES

• Health care is responsible for 1 •

in 9 Virginia jobs (11% of the workforce) In 2013, Virginia hospitals handled 3,572,959 emergency department visits

• Saw 781,625 inpatient admissions • Had 1,930,299 outpatient visits • Delivered 103,808 babies

OPEN 24/7, 365 DAYS A YEAR

Even if many people get their regular health care needs met by their family physicians, the coverage that hospitals provide in case of an emergency needs to be available around-theclock. This expensive care, which includes physicians, nurses, staff and specialists on site at the hospital or on call, must be provided whether it’s used or not. A Level I trauma center for example, has to have surgeons trained in trauma, orthopedic physicians, neurosurgeons and around 100 other staff members ranging from receptionists to security to cleaning crews. If they have an air ambulance or “life flight,” it’s considerably more. The Nightingale program at Sentara Norfolk General runs a $1.6 million operating deficit, in addition to the financial deficit for the Level I trauma program of $3.2 million.

Some hospitals are questioning the costs of providing high acuity care in light of the lower reimbursement levels. They have scaled back on some specialty services, and are considering changes to services, including stepping back on trauma center levels, which range from Level 1 (with the most services) to 5.

“Everyone agrees that they want a wellstaffed emergency room for the chance that they have an emergency, and they also want it nearby. But as hospitals strain due changes in finances, they have to make tough decisions,” says Connaughton.

thehealthjournals.com | 21

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Visit our Facebook page every weekday from December 7 through December 21 to find out how you can enter to win any one of these great prizes. Winners announced on Facebook the next business day. Prizes must be claimed within 24 hours or a new winner will be drawn.

THE IMPERIAL OLIVE Crown Your Cuisine with Oils & Vinegars A gift basket

WILLIAMSBURG SALT SPA A couples salt therapy session (williamsburgsaltspa.com)

ORTHOPAEDIC & SPINE CENTER A gourmet gift basket (osc-ortho.com)

WILLIAMSBURG SYMPHONIA Two section 1 tickets to a Masterworks concert in March. (williamsburgsymphonia.org)

PRIME46FORTY RESTAURANT A gift certificate (prime46forty.com)

DISCOVER TEAS Blended with Love, Steeped in Gratitude.

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TIDEWATER PHYSICAL THERAPY A gift basket that includes a running analysis (tpti.com)

HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE A sports-themed gift basket (hrosm.com)

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Shop Local, Get Rewards Meet the app that loves you back.

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11/23

Over the River and Through the Woods… to the Emergency Room We Go This care doesn’t just need to be open every moment of the day, it needs to be accessible geographically. Western Virginia not only has fewer hospitals, it has mountains and further distances for residents to reach them, making highly-skilled emergency care even more important. According to the National Rural Health Association, 14 rural hospitals shut down in 2013 nationwide, leaving whole communities without quick access to emergency care. One of those hospitals was Lee Regional Medical Center in Pennington Gap, Virginia, citing “reimbursement cuts associated with the Affordable Care Act, extremely low community use of the hospital and a lack of consistent physician coverage.”

The NRHA says that more than half of all rural hospitals are currently experiencing negative total margins and that rural health care access is not sustainable without targeted policy changes.

In addition to decreases in funding due to Medicare cuts and sequestration, there’s also the issue of uncompensated care, which nearly all hospitals provide at their cost of millions of dollars each year. According to a report from the Virginia Commonwealth University department of Health Behavior and Policy, uncompensated care absorbed by Virginia hospitals was $1.2 billion in 2013. And, there may be more to come.

“Many of the Medicare payment cuts associated with the ACA have not yet been fully phased in, so we expect that financial stress will increase over the next several years,” says Robert Broermann, senior vice president and chief financial officer of Sentara Healthcare. But Broermann also noted that the uncompensated care burden has eased slightly as more people have become insured with access to the federal health insurance exchange, so there are some ups and downs.

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FEATURES | HOSPITALS SOUND ALARM

Good Health Care Means FEATURES | HOSPITALS SOUND Good ALARMJobs

Besides the economic impacts of hospitals cutting back or closing, there is a desire to emphasize what health care as an industry brings to local communities. According to VHHA, one out of every nine jobs in Virginia is tied to health care and in most communities, the hospital is one of the largest private employers.

“The health care industry tends to be more stable than most because the need for health care does not fluctuate with economic conditions. That steady employment base creates opportunities throughout other sectors of the local economy. The average wage in a hospital usually exceeds the local and national averages because there are so many skilled positions needed in a hospital.

Most hospitals have internal training programs that provide opportunities for entry level employees to advance their careers,” says Broermann.

Hospitals also have an intense economic impact on their localities, including a skilled workforce, investment in real estate and capital improvements and a halo effect of good health care that appeals to businesses and people relocating to the area.

Hampton Roads Chamber of Commerce president Bryan Stevens says that everyone benefits from local high quality health care.

“Health care is extremely important to our economy. It’s one of the top three priorities for businesses looking to relocate or start here. Businesses are always looking for health and education opportunities for their employees and their families. We promote that quite a bit. ‘Relocate here, we have big hospitals and top facilities,’” he says.

Our numerous military branches also provide health care for service members and their families as well, increasing the variety of care and services available.

Health Care and Industry: Partners in Growth

“Health care is often overlooked in the three legged stool of military, port and tourism. There’s around 900,000 high-paying jobs. Even though most hospitals are non-profits, they still bring income tax from their employees, real estate tax on the homes that those employees buy with their stable income and some additional revenue,” says Stevens.

“Not only do we have four health systems in Hampton Roads, but clinics, doctors’ offices, a medical school and an insurer, Optima. And we’re looking at biotech expansion,” says Stevens.

Michael Dudley, president and CEO of Optima Health and senior vice president of Sentara Healthcare says that having a local insurance company benefits the economy of the community in which it operates in two ways.

“First, Optima works closely with hospitals and physicians to assure the right care is delivered at the right time in the right setting. The result of providers and health plan working together is high quality of care, enhanced patient experience and affordable coverage. Second, Optima is a not-for-profit health plan. That means that the income earned by Optima is returned to the community in the form of lower premiums and investment in health care services, technology or facilities,” Dudley says.

24 | thehealthjournals.com

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100 Cents Spent, 66 Cents Paid Back

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Virginia hospitals are feeling the pinch from both the state government and the federal government. Medicare reimbursement from the federal government, is about 88 cents for every dollar, with Medicaid from the commonwealth of Virginia around 64 cents per dollar. That means that the dollar is spent, but the expected repayment is never worth 100 cents. A rise in the aging population on Medicare means more patients with lower reimbursement for services.

Under federal law, all Medicare-participating hospitals with emergency departments must screen and provide stabilizing care to someone with an emergency condition, regardless of their ability to pay. Nearly all hospitals provide some level of uncompensated care, but the amount varies across hospitals and is related to the size of the hospital, ownership type and location. This is categorized as “charity care” but is not the only financial cost absorbed by the hospitals. Because Virginia did not expand the Medicaid program under the option to do so with the Affordable Care Act, many more people below the poverty line remain uninsured than in states where coverage was expanded.

According to a report by VHHA, in 2013, hospitals in Virginia provided $628 million in charity care (to uninsured or underinsured individuals), offered $376 million in community benefit programs (where they reached out to the community to offer services, education, research, in-kind contributions.) In addition, they offered $135 million in subsidized health services (paying part of the cost for the service) and then had a Medicaid shortfall of $341 million (where they were underpaid by Medicaid by the state). VHHA’s campaign aims to remind the public that hospitals are assets, not liabilities, and Connaughton aims to get state and federal legislators to support health care providers whole heartedly.

“We want to open minds to think about how important we are and who we are and that we have challenges. Health care has been through a lot of politics. It shouldn’t be partisan— let’s put aside politics and focus on hospitals as great assets, community drivers, and then sit down and work on solutions,” Connaughton says. “What we want in five years is to have a stable and growing hospital and health care sector in state.”

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

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

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

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Office hours:

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

FEATURES | CROWDFUNDING HEALTH CARE

Crowdfunding

Health Care How online giving buffers expensive medical costs for people—and pets WRITTEN BY BRANDY CENTOLANZA

E

arlier this year, when my cousin’s daughter was diagnosed with BuddChiari Syndrome, a rare liver disorder, a family friend started a fundraising campaign on the crowdfunding website gofundme.com to offset the cost of her extended hospital stay.

26 | thehealthjournals.com

CROWDFUNDING HEALTH CARE| FEATURES

“When I heard the news, I was extremely saddened that this was happening to a child let alone someone I knew, and I decided I needed to do something to help,” says Pam HuberTaylor of Williamsport, Pennsylvania, who set up the online campaign last January. Thanks to donations mainly from relatives and friends, $9,875 out of a goal of $10,000 has been raised.

“Donations went anywhere between $5 up to $2,000,” Huber-Taylor says. “I was amazed at how easy it was to set up this account as they have everything posted on their website.”

Crowdfunding—seeking funds online from the public—has been gaining in popularity. Funeral expenses, business ventures, dream vacations, home repairs and veterinarian bills are among the campaigns that people crowdfund. Most notably, though, are medical expenses. There are more than 800 fundraising campaigns on GoFundMe created by people in Hampton Roads and Richmond, Virginia, seeking monetary assistance for dealing with a range of health issues, from cancer and other diseases to vehicle and burn accidents to other surgeries and medical expenses.

Lauren Maxwell started an account on GoFundMe in June for her father, Cronan John Maxwell of Williamsburg, Virginia, after she learned he had developed cancer. “When I found

out about my father’s diagnosis, I felt helpless because I live far away, and I felt that a fundraising campaign would help the most,” Maxwell shares.

So far, her campaign has generated more than $4,000. The greatest contributors have been family and friends, though some people Maxwell doesn’t know have also felt compelled to donate to her cause.

“I have had a few donations from complete strangers,” Maxwell says. “Early on in the campaign, one man from England donated $100, and wrote a long, very uplifting message.”

Ethan Austin, co-founder of the website giveforward.com, helped start the site to combat colon cancer in memory of his father.

“People raise funds on GiveForward primarily for medical expenses, memorial funds, recovery from fires and natural disasters such as floods and earthquakes, life events such as adoption, and pet medical expenses,” Austin says. “We have 14,000 such fundraisers at the moment. The average amount raised per campaign for medical expenses is more than $3,000, but we’ve seen several such fundraisers reach into the hundreds of thousands of dollars. We’ve seen them as high as nearly $900,000.”

Ray Milano of Spotsylvania County, Virginia, started a drive on GiveForward to support his

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ORTHOTICS | DRY NEEDLING | BALANCE AND FALL PREVENTION | VESTIBULAR REHABILITATION | TEMPOROMANDIBULAR DISORDERS TREATMENT | ORTHOPEDIC CERTIFIED SPECIALISTS | AQUATIC THERAPY | NEUROLOGICAL REHABILITATION | PEDIATRIC ORTHOPEDIC THERAPY | LYMPHEDEMA | WORK HARDENING/ WORK CONDITIONING | FUNCTIONAL CAPACITY EVALUATION & IMPAIRMENT RATINGS | MCKENZIE® THERAPY CERTIFIED | WOMEN’S HEALTH SERVICES | TRAINER-LED FITNESS | TRAINING AND SPORTS PERFORMANCE | WORK PERFORMANCE SERVICES | HAND THERAPY | CUSTOM SPLINTING thehealthjournals.com | 27

FEATURES | CROWDFUNDING HEALTH CARE

GiveForward Case Study: Going Beyond Money In addition to offering a means for financial support, GiveForward.com recently launched online social communities where people can provide emotional support and other services to those suffering from various medical conditions. The website expanded in October to coincide with Breast Cancer Awareness Month.

Judi Lynn Smith, who was diagnosed with stage 2 breast cancer in July, appreciates the website’s new features.

“Sometimes all it takes is a kind word from someone who cares to turn your whole world around,” Smith shares.

“GiveForward has been a place for all those people who care to gather, to stay in touch and to keep up with how my journey is going. This has been more than a fundraiser. It’s been an incredibly emotional experience.”

At GiveForward, people not only have the opportunity to make a monetary contribution, but can also send an encouraging message, provide a meal, or donate other helpful items to patients in need.

“In addition to more ways to give, an enhanced activity feed allows GiveForward communities to easily network and communicate in real-time, post updates, anecdotes, memories, photos, like and share them, even filter them,” says Jay Foot, director of communications for GiveForward. “These additional giving options and communication enhancements make GiveForward the central hub for people who want to take action, organize and rally practical, emotional and financial support.”

28 | thehealthjournals.com

treat yourself to A best friend Mike Witt, who broke his neck after falling out of a bucket truck last year.

“We raised $2,000 in the first 24 hours,” Milano says. “Donations have come from various people, clients, family, friends, even people who didn’t know Mike, but heard his story. We’ve raised $19,000 so far. It’s been incredible.”

Most crowdfunding websites are easy to navigate, with instructions on how to start a fundraiser available online, while other sites provide assistance over the telephone. Those who start a campaign share their plight and set an attainable monetary goal.

Katie Smith of Williamsburg started a campaign on helphopelive.org last year after her brother suffered a traumatic injury during a swimming accident.

“I knew that he would have a very long journey with a lot of medical bills given the nature and severity of his injury,” Smith says.

“The site has been very successful. I did not set any fundraising goals, as we were just grateful for any and all donations. We ended up raising $12,576 to date.” The money came from family, friends and acquaintances, as well as a few donors who chose to remain anonymous.

This past summer, Liberty Dusza of Green Lane, Pennsylvania, set up drives on two websites, gofundme.com and youcaring.com, after her husband had his right leg amputated.

“The largest donation was $1,000 from an anonymous donor,” Dusza says. “I’m still completely in shock by that. We never expected to see anything like that. We have lots of friends, but there are lots of people whom we have never met.”

It’s not just humans who need help with medical expenses. XOXO Pet Rescue, Inc., an animal rescue group serving Hampton Roads uses two crowdfunding sites to fund animal surgeries and other needs.

“We have had varying success,” says Keri Penland, president of the animal rescue organization. “Some dogs have reached a goal in a few days, while others have not gotten much funds even after weeks. We are not sure why some appeal to people while others don’t pull the heartstrings. I believe it may depend on the story, and the photos.”

CONTINUED ON PG. 57

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FOOD | VINE & DINE

& CHEERY WARM

SERVED HOT OR COLD, SPICED WINE IS A GREAT TREAT FOR CHILLY FALL EVENINGS

S

WRITTEN BY RAY GOLD

piced wine’s exotic history stretches across the globe as an enduring part of emerging civilizations.

As palates grew more defined and indulgence more valued, cultures started spicing wine.

Spiced Wine • A bottle of dry red wine • 1/2 cup of water • 1/2 cup of sugar • 5 cinnamon sticks • 5 whole cloves • 1 lemon, sliced • 1 orange, sliced

The first known roots of spiced wine stem back as far as ancient Egypt when spiced wine with pine resin, figs and herbs (like balm, coriander, mint and sage) were used as an elixir.

As the allure of hot, spiced wine spread, this novelty became a staple in many parts of Europe and the Middle East, especially during frigid winter months. In addition to being a warm and cheery beverage, it was also rumored to have aphrodisiac properties.

Spiced wine has become customary in select parts of the United States and Canada, but has never quite reach the level of acclaim it has in Europe.

Over time, the purpose and dynamics of spicing wine evolved.

Where spices once served primarily to mask the flavor of bad wine, now they are commonly used as a way to incorporate unique flavors into already drinkable wine.

Around the world, spiced wines may be identified by different names. Mulled wine is popular in the United Kingdom at Christmas and throughout winter. Gluwein (roughly, “glowwine,” from the hot irons once used for mulling) is popular in German-speaking countries and in the region of Alsace in France.

It is a traditional beverage offered during the Christmas holiday.

Spiced wine is one of those beverages that lends itself perfectly to sitting in front of a fire on a cold winter’s evening. It is easy to make and can be a nice alternative to brandy or eggnog.

30 | thehealthjournals.com

Place water, sugar, cinnamon sticks and cloves in saucepan. Bring to boil and simmer for 5-10 minutes. Add the wine and lemon and orange slices. Simmer for one hour. Strain fruit and spices and pour wine into cups. Serve hot with cinnamon sticks for stirring. Enjoy.

Serving wine heated accentuates its tasty tannins and spices. Just warm to the temperature of your liking. I recommend 140 F.

FOOD & NUTRITION | FOOD

BENEFITFROM A

BETTER

BREAKFAST WRITTEN BY BRIDGET KIN-CHARLTON

T

he alarm rings and you press “snooze” one time too many.

By the time you roll out of bed, you think it’s too late for breakfast so you don’t eat. While some people do skip breakfast on a regular basis, it’s not a good idea. The potential perils include a more sluggish metabolism as the body shifts into starvation-response mode. Couple this with a tendency to become ravenous and binge later, and weight gain can happen. Cognitive abilities can also suffer. You may get headaches, feel fatigued and find it hard to concentrate.

Some people believe that by exercising on an empty stomach in the morning, they’ll burn more body fat. However, if the body burns a higher percentage of fat while exercising without breakfast in the morning (and study results are mixed), that doesn’t mean metabolism—or total calorie burn—is speeding up. If you’re going to do a long or strenuous work out on an empty stomach, you may not have adequate carbohydrates to power your workout. You therefore won’t be able to work out as long or as hard. Even if you are burning a slightly higher ratio of fat, with impaired performance you may not be burning as many total calories or fat calories as you could if you were well fueled.

Aim for a breakfast providing 25-30 percent of the calories for the day. The amount will depend on your daily energy expenditure.

Ideally, the morning meal should provide carbohydrates and fiber from fruits and vegetables, as well as protein from dairy or plant sources. While fruit is generally recommended over juice because it contains more fiber and fewer calories, a lean exerciser need not fear juice. Most people should avoid drinking their calories, but if juice is an easy energy source before your workout in the morning, go ahead and drink it.

What about doughnuts or pastries? Something is better than nothing, and if you’re in the woods starving, a doughnut is OK. But keeping a stash of easy breakfast bars, nuts or even cold leftovers can give you more nutritious choices so that you’re not just filling up on empty calories. Don’t be afraid to get creative. Some cultures eat soups for breakfast; others eat beans (on toast or in bean burritos). Aim for a breakfast that provides energy and nutrients and helps you feel satiated. thehealthjournals.com | 31

MAKING HEALTHY BREAKFAST CHOICES

Poor

BREAKFAST CHOICE

• Doughnut or pastry • Croissant • Pancakes • White bagel • Black coffee* • Sugary cereal with milk

Better

* Black coffee is a better choice if weight loss is your goal. From a health perspective, the added nutrients in milk, cream, and sugar are acceptable and help to body's uptake of caffiene.

BREAKFAST CHOICE

• Muffin with extra fiber • Breakfast/protein bar • Whole-grain pancakes, easy on the syrup • Whole-grain bagel • Coffee with milk and sugar

• High-fiber cereal with added fruit and nuts, plus milk or soy milk

32 | thehealthjournals.com

Best

BREAKFAST CHOICE

• Oatmeal or other hot-cooked grain cereal, like Kashi, with added fruit and nuts • High-fiber, whole-grain cereal with milk or almond milk, topped with fruit and nuts • Whole-grain pancakes topped with unsweetened applesauce and fresh fruit • Whole-grain toast topped with avocado, peanut butter or hummus • Fruit with yogurt, and coffee with milk or soymilk • Regular or egg-white omelet with added vegetables or beans

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FOOD | FLAVOR

Cranberries TINY BUT MIGHTY WRITTEN BY KIMBERLEY CUACHON HAUGH

N

ative Americans used the juice from cranberries as a dye for a number of different materials. They mixed deer meat and mashed cranberries to make pemmican— a survival food. They also believed in the medicinal value of cranberries—long before science discovered its health benefits.

A 2014 study published in Nutrients, a peerreviewed scientific journal published by MDPI, identified a correlation between cranberry juice consumption and healthy body composition.

This study is among many that outline the health benefits of cranberries. Previous studies have observed similar associations with 100 percent cranberry juice, but this study is one of the first to observe a correlation between healthy body composition and cranberry juice cocktail specifically.

So what came out of the study? A distinct connection exists between cranberry juice consumption and smaller waistlines. Cranberry juice consumers were predisposed to be less obese as compared to non-consumers.

“The correlation between cranberry juice consumption and its nutritive benefits are clear,” said Kiyah J. Duffey, Ph.D., Virginia Tech, first author on the paper. “While the data are preliminary, the results suggest that cranberry juice cocktail can provide positive benefits and be part of a balanced diet and healthy lifestyle.”

34 | thehealthjournals.com

A study from the University of Wisconsin School of Medicine has added to the benefits of dried cranberries. Researchers identified a correlation between dried cranberry consumption and reduced incidence of urinary tract infections in susceptible women.

Patients consumed a daily serving (approximately one-third of a cup) of dried cranberries for two weeks. The result: More than half of the patients did not experience a urinary tract infection (UTI) within six months.

Upwards of 50 years of research has studied the effects of cranberry juice consumption on urinary tract health. But this particular study published in Nutrition Journal, is among the first to connect dried cranberry consumption with improved urinary tract health. The emphasis on the research is to find more natural remedies for treating UTIs. Americans spend over $8 billion dollars a year on health care treating UTIs—the second most common bacterial infection. With more than 15 million cases each year, traditional treatment methods utilizing antibiotics has contributed to antibiotic resistance.

It’s hard to believe that this tiny fruit contains whole body health benefits including cardiovascular, gastro-intestinal and general health and well-being. Full of polyphenols, the same nutrients found in wine, tea and certain other fruits. One hundred grams of cranberries (or 3 1/2 ounces) contain more polyphenolic antioxidants than the equivalent amount of strawberries, broccoli, white grapes, bananas or apples. Cranberries also contain a unique antioxidant, proanthocyanidins or PACs, which are natural compounds that help cleanse the body by keeping certain bacteria from sticking.

If that isn’t enough, this humble fruit contains flavonoids, a type of polyphenol found in colorful fruits and vegetables linked to improved cardiovascular and cellular health, reduced inflammation, and may protect against certain effects of aging.

FLAVOR | FOOD

Cranberries are the state’s

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FOOD | HERB-N-GARDEN

Thyme time after

SautĂŠed Butter-Thyme Mushrooms 1 tablespoon butter

Preparation

1 tablespoon canola oil

Melt butter in a large skillet over medium-high heat. Add oil and shallots; cook 1 minute or until tender. Add salt and 1/8 teaspoon salt mushrooms to pan; cook 13 minutes or until mushrooms are 2 (8-ounce) packages cremini mushrooms, sliced brown and liquid evaporates.

Add wine to pan; cook for 2 1/3 cup dry white wine minutes or until liquid almost 4 teaspoons chopped evaporates. Stir in thyme, and fresh thyme cook for 30 seconds.

1/4 cup finely chopped shallots

Recipe borrowed from CookingLight.com

36 | thehealthjournals.com

Waypoint Seafood And Grill

For The Holidays

RECIPE COURTESY OF RELAY FOODS Not your Italian grandmother’s meatballs, though this is a lighter and healthier version that packs just as much flavor, if not more. Serve them over spaghetti squash for a light meal. All three components to this dish can be made in advance and quickly heated before serving. Recipe courtesy of Lynsie Steele.

INGREDIENTS 1 pound ground turkey 8 ounces mushrooms, cleaned 1/2 bunch fresh parsley, cleaned 1/2 cup freshly grated Parmesan cheese 8 cloves garlic

MAKES 4 SERVINGS

PREPARATION Bake the Spaghetti Squash • Preheat oven to 400 F. • Slice spaghetti squash in half. Line a baking pan with aluminum foil and place the squash cut-side down in the pan. Add water and olive oil. Roast until a knife can pierce the skin easily, about 20 minutes.

pinch of red pepper flakes

• Remove spaghetti squash from oven and flip over.

Using a fork, work from the outside of the spaghetti squash inward, shredding the flesh into thin spaghetti-like strings.

1/2 cup oats

Make the Meatballs and Sauce

3 teaspoons salt

1 egg 1 14.5 ounce can tomatoes 1 spaghetti squash 1 cup water 1 tablespoon olive oil

• While the spaghetti squash is baking, combine mushrooms, parsley, Parmesan cheese, half the garlic, 2/3 of the salt, oats and egg in a food processor or blender and purée. Lacking a blender?

Finely dice the mushrooms, parsley and garlic first, and then combine with the other ingredients.

• Add puréed mixture to ground turkey in a large bowl and mix well. Using a medium cookie scoop or two spoons, spoon out mixture onto the lined baking sheet. Shape into balls with hands (if desired) and bake for 20 minutes at 400 F, until browned. At this stage, meatballs can be refrigerated or frozen.

SNIP-SNIP! CUT ALONG THE LINE TO KEEP THIS RECIPE.

Turkey & Mushroom Meatballs Over Spaghetti Squash

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• To make the sauce, pour the can of tomatoes into a medium saucepan, add remaining garlic, remaining salt and a pinch of red pepper flakes. Bring to a boil, then reduce to a simmer. Pureé mixture using an immersion blender, or carefully use a blender.

Combine Ingredients and Serve • Serve the meatballs on a bed of spaghetti squash and spoon sauce on top. Garnish with shredded Parmesan cheese.

121 Reserve Way Williamsburg, VA 23185 RSVP (757) 345-2995

FOOD | TASTE APPEAL

VEGAN

RECIPE COURTESY OF RELAY FOODS Sweet and crunchy, nut-free and healthy, this wonderful mix is a great on-the-go snack. It's easy to make and kids will love it, so make it in large batches to share!

INGREDIENTS 3/4 cup popcorn kernels 1 1/2 cups pumpkin seeds 1 1/2 cups dried cranberries 1 teaspoon vanilla extract 4 tablespoons coconut oil or other oil, divided 3/4 cup – 1 cup maple syrup or honey

MAKES 15 SERVINGS

PREPARATION Prepare Mix • Heat a quarter of the coconut oil in a large stock pot over medium heat. Toss in a test popcorn kernel once hot to see if the pot is hot enough to pop the kernels. Pour in the kernels and cover with a lid, shaking and shifting the pan from side-to-side occasionally until the popcorn has finished popping. Make sure to discard all unpopped kernels.

• Preheat oven to 250 F. In a small saucepan over low heat, combine maple syrup, vanilla extract and the remaining coconut oil until warm through and oil is melted.

• Toss the pumpkin seeds, cranberries and popcorn together in a large bowl, then pour the maple syrup mixture over top. Toss thoroughly to coat, adding up to another 1/4 cup of maple syrup if the mixture is too dry.

Bake Mixture, Cool and Store • Spread mixture out on a parchment paper-lined jelly roll pan and bake for 45 minutes or so until mostly dry to the touch, stirring half-way through baking. Mixture will remain slightly sticky until it cools.

• Store in an airtight container.

38 | thehealthjournals.com

SNIP-SNIP! CUT ALONG THE LINE TO KEEP THIS RECIPE.

Maple Glazed Autumn Snack Mix

Roasted Honey-Lime Spaghetti Squash RECIPE COURTESY OF RELAY FOODS This roasted spaghetti squash is flavored with honey, lime zest and paprika.

It is a super simple recipe, and for a completely new way to enjoy this fall and winter kitchen staple.

INGREDIENTS 1 1/2 teaspoons dried basil, crumbled 1 1/2 teaspoons garlic powder 1/4 teaspoon salt 1/4 teaspoon pepper 1 teaspoon grated lemon zest 1 tablespoon fresh lemon juice 2 teaspoons olive oil 4 boneless, skinless chicken breast halves (about 4 ounces each), all visible fat discarded 1 small zucchini, cut lengthwise into slices 1/4 inch wide 1 small red bell pepper, cut crosswise into 4 rings 1/4 small eggplant (about 4 ounces), cut crosswise into 1/2-inch slices Cooking spray

MAKES 4 SERVINGS

PREPARATION • In a small bowl, stir together the basil, garlic powder, salt and pepper. Transfer 1 teaspoon of the mixture to a large shallow dish. Reserve the remaining mixture.

• Stir the lemon zest, lemon juice and oil into the basil mixture in the shallow dish. Dip the chicken in the mixture, turning to coat. Transfer to a large plate. Cover and refrigerate for 10 minutes to 8 hours.

• Preheat the grill on medium high heat.

• Put the zucchini, bell pepper and eggplant on a flat surface. Lightly spray both sides of the vegetables with cooking spray. Sprinkle both sides with the reserved basil mixture. Using your fingertips, gently press the mixture so it adheres to the vegetables.

• Grill the chicken for 4 to 5 minutes on each side, or until no longer pink in the center.

After grilling the chicken on one side, put the zucchini, bell pepper and eggplant on the grill.

Grill the vegetables for 2 to 3 minutes on each side, or until tender. Serve the chicken with the vegetables on the side.

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RECIPE COURTESY OF RELAY FOODS Slow roasting Italian-herb infused tofu draws out its flavors and creates a firm, toothsome texture. Balsamic vinegar adds a rich, sweet, tangy flavor. Serve with roasted Brussels sprouts for an easy and robustly flavored dinner.

INGREDIENTS 3 cups Brussels sprouts, cut in half 1 pound extra firm Italian tofu, cubed 2 1/2 tablespoons olive oil 2 tablespoons balsamic vinegar salt, to taste black pepper, to taste 4 garlic cloves, minced 1/2 cup walnuts, chopped 1 pound chicken breasts (optional)

MAKES 4 SERVINGS

PREPARATION Prepare the Tofu • Drain the liquid from the package of tofu and cut the block into 5 slices. Lay a paper towel on a cookie sheet, then spread the slices of tofu out with another paper towel on top.

• Lay another cookie sheet on top and weight it down with some heavy cookbooks (or a cast iron skillet works great). Leave it to sit for 30 minutes to drain the excess liquid from the tofu.

• Cut the slices into 1/2 inch cubes.

Prepare the Brussels Sprouts • Preheat oven to 400 F. • Cut sprouts in half, reserve any loose leaves, and rinse the halved Brussels sprouts.

Assemble and Cook • Toss tofu cubes and Brussels sprouts in balsamic vinegar, 4/5 of the olive oil, salt, pepper and minced garlic.

• On a foil-covered baking sheet, evenly distribute the mixture and bake for 30 minutes.

About 15 minutes into cooking, drizzle the remaining olive oil on the mixture, add chopped walnuts and toss.

• Throw reserved Brussels sprout leaves into boiling water for 1 minute.

• Garnish dish with the Brussels sprout leaves, and a drizzle of balsamic vinegar.

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Mr. Gibbs currently serves on the Olde Towne Medical Center Clinic Board. He has served as President of the Board of Directors for the AIDS Fund as well as Board Member and Chairman of the Board of Directors of the Williamsburg Aids Network. He has represented patients in commitment hearings, volunteered with the William & Mary Law School Legal Skills Program, and participated in the Williamsburg Bar’s Legal Outreach clinics.

Mr. Gibbs has long family ties to Virginia.

He lives in Williamsburg with his wife, Marta, and his two children.

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YOUR HEALTH | YOGANATOMY

Pigeon Pose

sanskrit: Eka Pada Rajakapotasana ❥ WRITTEN BY SAPTA YIN, ACSM, RYT 200

❥ PHOTO BY BRIAN FREER

ready?

Start in Downward Dog with long breaths.

With an inhale, raise your right leg to the sky.

With an exhale, bend the right knee into your chest as you roll into a plank. Let your knee softly rest on the ground by your right hand.

Your left leg stays extended as you begin to slide the ball of your left foot back to a point where your leg rests on the ground. The top of the left foot will rest on the ground, all five toes pointing straight back.

As you inhale, rest your hands close to the hips, rolling the shoulders back. With the exhale, press through the hands to provide leverage for you to shift your hips as you need to find a place where the weight rests even in both hips. It’s helpful to think of pulling the left hip forward as you roll the right hip back to keep the hips even for the most beneficial opening in this pose.

Relax with deep breaths.

Hips Pull left hip forward, right hip back to keep the weight even in both hips.

Chest Heart reaches forward from the rooting of the hips.

Bent Leg

Shoulders

The front foot will rest close to the opposite hip.

Relaxed and rolled down along the back.

40 | thehealthjournals.com

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Colonial Center for Hearing End of the year CHECKLIST order turkey Nutcracker tickets get my ears checked

send holiday cards wrap presents

Bethany Tucker, Au.D.

Jude Liptak, Au.D.

Finish your list! The holiday season is quickly approaching and our schedule is filling up.

Make your appointment today!

757.229.4004

YOUR HEALTH | FITNESS

T

GET THOSE

TRICEPS

he triceps brachii—on the back of the upper arm—is a three-headed monster made up of a long head, a medial head and a lateral head. The triceps muscle is a primary mover in elbow extension. Each time the arm straightens, the triceps engage.

Because of its action at the forearm, the triceps muscle is fundamental in all pushing movements. As one of the five primary movement patterns, people push often throughout the day. So, strengthening the triceps is essential to daily activity.

POPPIN’

WRITTEN BY THOMAS RICE PHOTOGRAPHY BY BRANDON FREER

Try these exercises to develop your triceps.

For best results, control the weight throughout the entire movement.

Dumbbell Kickbacks 10-15 reps

1. Begin with a dumbbell in each hand. Bend at the hips with a slight bend in the knees so your torso is parallel to the floor.

2. Bring your elbows up so your upper arm is parallel to your torso with your elbows tight to your rib cage. Your forearm should be at a 90-degree angle to your upper arm before you start the movement.

3. With your shoulders packed down and your gaze forward, initiate the movement by engaging your triceps. Make sure not to drop your elbows and use your shoulders throughout the movement.

4. Drive your pinky towards the ceiling until your forearm is parallel to the floor. Do not hyperextend at the elbow.

5. Lower the weight slowly and under control until your forearm and upper arm are once again at a 90-degree angle.

6. If your elbows begin to travel up or down, the weight may be too heavy.

42 | thehealthjournals.com

Resistance Band Pull Downs 12-20 reps

Resistance Band Overhead Extension 12-20 reps

1. Attach a resistance band to a stable object above your head.

1. Start with your band in the same place as for the pull downs.

2. With one hand in each handle, begin in an upright position with your elbows once again tight to your rib cage.

2. Face away from the bands’ insertion point with a band in each hand.

3. Your forearms should start at an angle slightly less than 90 degrees to your upper arm with the bands taught.

4. Initiate the movement by engaging your triceps and pulling your hands to your hips.

Again, make sure that your elbows stay tight to your rib cage.

5.

When your arm is straight, but not hyperextended, slowly allow the band to pull your hands back to the starting position.

Resist the tension of the band to remain under control on the way back up.

6.

Do not hunch your shoulders forward.

Throughout the movement, ensure you are standing tall with your shoulders pressed down and your upper back engaged.

3.

Maintain a slight forward lean and a staggered stance.

4. Your elbows should start on either side of your head. Start with a 90-degree bend between your upper arm and forearm. Your hands should be over your head.

5. Initiate the movement by engaging your triceps. Extend your forearms until they form a straight line with your upper arm.

Do not hyperextend.

6. Ensure your elbows remain stationary and there is no movement at the shoulder joint.

7. Resist the bands’ pull to slowly return to the starting position.

Important Reminders: • Keep your core engaged throughout each movement to support your lower back. To help with this, remember proper breathing: breathe in during eccentric moves (lowering the weight) and exhale with exertion.

• Avoid movement at the shoulder joint, except with the pushups. Once the shoulder joint mobilizes, the triceps muscle is no longer isolated. Keep your elbows in the same location throughout the first three movements by stabilizing your shoulders.

• Don’t lose your form. If your form begins to fall apart before reaching the suggested repetitions, the weight is most likely too heavy. The last two to three reps should be difficult, but not so hard you cannot maintain your form.

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CHERYL L. SHARP, WHNP/CNM

1. On your knees, bring the tips of your thumbs and the tips of your index fingers together on the floor. Your thumbs and index fingers should now make a triangle.

2. Raise your body into push up position with your shoulders, hip and heels aligned. Brace your core to hold this position throughout the movement.

3. With your hands directly beneath your shoulders, slowly lower your chest to the floor.

4. Without resting on the floor, engage your triceps and return to the starting position.

5. If this is too difficult, try starting on your knees, rather than your toes. Remember to keep a straight line from shoulders to hips to knees (rather than heels).

MARYANN CHEUVRONT, CNM

KELLY MURRER, WHNP TPMG OB/GYN

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YOUR HEALTH | FAMILY

Hand in Hand CAREGIVING IN A MODERN AGE

L

ike many Virginians, Mary Ross found herself as her father’s caregiver when her mother passed away. Mary’s father had been maintaining his Parkinson’s disease for nearly 20 years with the help of his wife and the assistance of doctors in his small town in South Carolina, but dementia had begun to addle his mind, and Mary realized he could not stay alone.

With three boys in school, a husband who traveled for work at times and a full-time job of her own, Mary knew that bringing her father to live with them in Virginia would be a challenge. For one thing, their home was a two-story, and mobility was a problem for her father. Like many seniors when they face a move from their own home, Mary’s father was concerned about his independence. In what she saw as a stand for his autonomy, Mary says her father had a difficult time accepting help from her husband. Top these limitations with the crippling grief of losing a life-long partner, and Mary knew there would be difficult hurdles for everyone involved.

44 | thehealthjournals.com

WRITTEN BY A.E. BAYNE

Mary remembers the family pulling together to make the situation work for her father for the couple of years he lived in their home: “We tried to make everything positive for daddy.

We told him we were happy to have his help with the kids after school, even though we knew he couldn’t do a whole lot. We tried to make him feel included.”

Mary’s son, Mike Ross, now an adult, says he remembers his mother and father taking time off of work to attend doctor’s visits and monitor his

In Virginia, there are 180,000 grandparents living with grandchildren, and about 122,000 people in Virginia are 85 years or older. grandfather at home. Despite the compromises and adjustments that were made, Mike sees this time in his youth as positive: “It made me more compassionate for people who can’t take care of

themselves. When you’re 16 years old and you’re helping your grandfather bathe himself, telling him not to be ashamed because you are his family and he needs you, it tends to leave an impression.

Together, we figured it out. I think my brothers and I developed an expectation of caretaking when we became adults from that experience.

We know we will take care of our parents when they need it.”

According to statistics compiled in 2014 by the Family Caregiver Alliance, a community based nonprofit dedicated to caregivers and their needs, the Ross’ story is far from unusual.

In Virginia, there 180,000 grandparents living with grandchildren, and about 122,000 people in Virginia are 85 years or older. With nearly a quarter of the households in the state housing people 65 and older, the intricacies and balancing act of caring for a family member is a common reality for many.

Jaynee Sasso, founder of Care Keepers, Inc. in Newport News, Virginia, says a lot of caregivers are part of the Sandwich Generation. She explains, “They are middle-

FAMILY | YOUR HEALTH

aged and are married, have children under 18, and they’re working full time.”

Not unlike their loved ones in need, these caregivers often face physical and psychological impacts from the energy they expend. Sasso says, “The health care industry is primarily focused on the patient, which they should be, but they forget that the caregiver has to be taken care of because they are basically picking up where the professional caregivers leave off.

Friends of caregivers can assist them in a very meaningful way by being someone who will get down and get their hands dirty, assisting beyond words of encouragement or praise.”

Sasso explains that caregivers neglect themselves to such extents that some even die before the loved ones they’re taking care of.

She notes, “It’s not always easy to convince someone they need help. You’ll start to notice that they’re overwhelmed or stressed. You may notice they’ve stopped eating, they’re not exercising, and maybe they’re isolating themselves. You’ll notice when people don’t call anymore or they’re not as social. As a friend, you can lend a helping hand.”

NEED A HELPING HAND? FAMILY CAREGIVER ALLIANCE Provides resources for caregivers

www.caregiver.org

CARE KEEPERS, INC. Provides physical assistance to caregivers

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US DEPARTMENT OF VETERANS AFFAIRS: HAMPTON VIRGINIA MEDICAL CENTER Caregiver Support Page Provides support for those caring for veterans

http://www.hampton.va.gov/services/caregiver/index.asp CAREGIVING.COM A blog providing reading and resources for caregivers

http://www.caregiving.com/

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

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YOUR HEALTH | OUTDOORS

VIRGINIA TRAILS LET’S HIKE!

WRITTEN BY A.E. BAYNE

I

t’s no secret that Virginia has some of the most spectacular terrain on the Atlantic coast. From its western mountains and Piedmont rivers to its shorelines on the bay, Virginia offers hikers the opportunity to experience a variety of natural environments, lush with a bounty of native species, natural features and a range of challenges to fit different physical needs. Whether you are a beginner, intermediate or expert hiker, Virginia has a trail for you.

Kate Tsagronis, a senior at the University of Mary Washington and an officer in its Outdoor Club, says one of her favorite spots to hike in Virginia is Billy Goat Trail off of the George Washington Parkway near Washington, D.C. The trail contains four sections and loops with some rock hopping and a portion of smooth trail, which make it an appropriate hike for people at varying levels.

Tsagronis says it’s about a four-hour hike, “but you can break it up to offer some variety.”

Tsagronis also recommends White Oak Canyon in Shenandoah National Park, a hike that can be both intermediate and expert in level due to its steep descents and long hike back to the top. She says, “It’s my favorite spot. There are six waterfalls throughout the hike, so it’s fun in the summer because you can take a dip.”

Also in Shenandoah National Park, Old Rag

46 | thehealthjournals.com

is a favorite hike of April Peterson, owner of River Rock Outfitters in Fredericksburg, Virginia. She says it never gets old, sharing, “A customer wanted to see Old Rag in a new way.

He and his group hiked it before sunrise and sat at the top making coffee in a French press and watching the sun come up. He said it was one of the most breathtaking sights he had ever seen.”

Megan Henry, Peterson’s employee, is among the top 100 fastest hikers to complete the Appalachian Trail. Henry says some of her favorite spots along the trail are through Waynesboro, near Charlottesville, Virginia.

She also enjoys the trails around Bluemont, Virginia. She recommends Westmoreland State Park in Montross, Virginia, as an excellent beginner level day hike, saying, “It’s the type of hike you can do with your kids.”

While mountains and forests are go-to spots for hiking, Mike Middleton of Hampton Roads Hikers reminds people that the beaches offer gorgeous vistas and miles of area to explore throughout the year. He recommends First Landing State Park, formerly Seashore State Park, for its trailhead at a beach on the

bay and 50 miles of hiking trails. He says, “You could probably hike there every day and take a different route.” Also in Newport News, Virginia, Middleton reminds hikers of the Noland Trail. Perks include access to public areas, trails through the city and a manicured five-mile path around Noland Pond.

Two other excellent hikes near the Hampton Roads area are York River State Park in Williamsburg, Virginia, and Beaverdam Park in Gloucester, Virginia. York River offers trails through an estuary rich with marine life that thrives throughout the Chesapeake Bay, and Beaverdam provides nearly ten miles of hiking trails around its lake. Middleton notes False Cape State Park in the southeast corner of Virginia as a little known gem on the shore.

He cautions against visiting in the heat of the summer due to bugs and snakes, but cooler weather clears this beachfront state park of pests. Middleton mentions Great Dismal Swamp for visits during the winter months when the rangers take groups out for owl calling events.

For more information, visit Hiking Upwards or Virginia is for Lovers, both of which provide trail details and reviews. Now, get moving!

OUTDOORS | YOUR HEALTH

1.

Want to Go? 2.

3.

4.

9.

10.

6.

5.

8.

7.

1. Billy Goat Trail, C&O Canal National Historic Park: Great Falls, Virginia 703-285-2965

6. Noland Trail, The Mariner’s Museum and Park: Newport News, Virginia 757-596-2222

2. White Oak Canyon: Shenandoah National Park, Skyline Drive, 540-999-3500

7. False Cape State Park: Virginia Beach, Virginia 757-426-7128

3. Old Rag: Shenandoah National Park, Skyline Drive, 540-999-3500

8. Dismal Swamp Canal: South Mills North Carolina, 877-771-8333

4. Westmoreland State Park: Montross, Virginia, 804-493-8821

9. York River State Park: Williamsburg, Virginia, 757-566-3036

5. First Landing State Park: Virginia Beach, Virginia, 757-412-2300

10. Beaverdam Park: Gloucester, Virginia, 804-693-2355

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YOUR HEALTH | AGING WELL

safely aging

AT HOME

T

he bad news: many home hazards that can cause serious injury or death in seniors are easy to overlook. The good news: those hazards often are easy to fix.

Falls are by far the biggest danger for older adults, but hot water scalds, stove burns, bathtub drowning and fires also are high on the list, says Dr. Kathy Menefee, executive director of the Riverside PACE program, which serves older adults living at home. Once hospitalized, elderly patients can suffer declines in physical strength and mental wellness within just 24 hours.

“You can’t always prevent everything—especially slips and falls—but you can make the environment safer so there’s likely to be less of an injury if an accident happens,” Menefee says.

Here are 10 tips: 1.

Remove all tripping dangers. Top culprits are area rugs, which can slip if not anchored to the floor with double-stick tape and electrical cords. But any clutter is a risk, including shoes, clothes and books or even doorway thresholds of a half-inch or less in height, which can be tricky for someone with a shuffling gait.

2.

Set water heaters to 120 degrees or below. Seniors can burn quickly because they have thinner skin and may not register heat as well due to a health condition, medication or neurological damage.

48 | thehealthjournals.com

3.

Keep rooms brightly-lit. Older adults may need extra light to see clearly, especially on stairs (Light switches should be at the top and bottom of staircases.). Have flashlights handy in each room and use nightlights in hallways and on the way to bathrooms.

4.

Alter furniture. Raise chair heights and toilet seats and replace low sofas with deep cushions, if possible, to make getting up and down simpler. Consider putting mattresses on the floor so a fall out of bed won’t be dangerous.

5.

Slip-proof bathrooms. Hang grab bars beside toilets and in showers and bathtubs, use shower seats as needed and cover hard surfaces with non-slip mats and strips. Also install locks on both sides of bathroom doors, in case a person falls and needs help.

6.

Guard against fires, especially in the kitchen. Mount smoke detectors on every level of the home, pre-plan an exit route, store matches and fires out of reach and keep a fire extinguisher that’s less than 10 years old in the kitchen. Invest in an automatic shut-off device that will turn off stoves, ovens and appliances after a set amount of time (two sources: Amazon or Stove Guard International).

8.

Organize daily medications. Sort pills into clearly marked boxes in a visible spot with reminder notes in other areas. If dementia is an issue, store extra pills in a separate, secure location to avoid possible overdose.

9.

Buy a medical alert system with a wearable pendant/bracelet. Also program emergency numbers into cell phones and post a written list by land lines.

10. Rethink storage. Move all frequently used items onto low

7.

Beware of stairs. Check for sturdy handrails on both sides, fix frayed or ripped carpeting and put down slip-resistant tapes and treads. Install an electric chair lift—or a ramp on outside steps—if strength or balance is limited.

shelves so seniors won’t have to stretch or climb to reach them.

Sources: U.S. Consumer Product Safety Commission’s Home Safety Checklist, Centers for Disease Control and Prevention, National Safety Council, Riverside PACE

YOUR HEALTH | MONEY

SWIPED OUT A new security clearance for America’s outdated credit card industry WRITTEN BY KELSEY HINTON

F

or decades, U.S. consumers have used magnetic-strip credit and debit cards to carry out their financial affairs swipe by swipe. The simplicity of magnetic strips that makes them cheap to make and easy to use, however, also makes them vulnerable.

The new standard for credit card security lies in EMV technology; EMV—Europay, MasterCard and Visa, the three companies that originated the standard—replaces the antiquated strip system with more complex (and, hence, safer) chip technology.

The United States trails dozens of countries by years in its shift to the EMV system. According to Meghan Cieslak, director of communications for the Electronic Transactions Association, this is due in

part to the relative safety of credit card processing in the U.S. “The U.S. has always had ‘real-time transactions’, meaning merchants immediately send off the credit card information to the issuer for verification,” she says. Other countries, she says, experienced a dangerous lag. “After swiping your card, your information would be stored with the merchant throughout the day, and wouldn’t be sent to your bank for approval until later that day, meaning fraudsters had more time to steal consumer data,” she says.

But with counterfeit card fraud rising sharply in the U.S. in recent years, Cieslak says the time has come for the U.S. to migrate to the EMV system.

How it Works Unlike cards with magnetic strips, which transmit the same data every time they are processed, chip-equipped cards create unique codes for each transaction, meaning the information they transmit is useless for the following transaction and unworthy of interception. And as for the card itself, whereas copying a magnetic strip is easy and cheap, chips are much more difficult to replicate—at least for now.

50 | thehealthjournals.com

“

chip-equipped cards create unique codes for each transaction, meaning the information they transmit is useless for the following transaction and unworthy of interception

’’

MONEY & YOUR FINANCIAL HEALTH | YOUR HEALTH

your financial health easing your personal finance concerns Which Is Better… the Regular IRA or the Roth IRA?

A Shift in Liability For the consumer, liability for any fraudulent use of their accounts remains unchanged. However, retailers now have a new, increased responsibility to ensure cards are used only by their rightful owners. Now, business owners who fail to upgrade to EMVenabled processing equipment are liable for any fraudulent transactions they process.

However, according to Cieslak, it may not be advantageous for some businesses to make the switch, since the cost of upgrading processing equipment may outweigh the liability of fraud.

“A small business merchant may view the need to convert to EMV terminals—in order to avoid liability for a $16 dry cleaning bill or a $10 car wash paid for by a fraudulent card— as a relatively low priority,” Cieslak says. “By contrast, a small jeweler’s risk of liability for a fraudulently purchased $6,000 diamond ring likely provides a greater incentive to convert to EMV terminals as soon as possible.”

Rob Nicholson, owner of Virginia Beach, Virginia-based East Coast Appliance, says he transitioned to EMV hardware even though liability changed little for his company. He says the new machines offered lower processing rates, as does requiring the customer’s zip code.

“Credit card charges to merchants are based on risk profiles. So the less risky, the lower the charge to merchant,” he says.

Risky Online Business

Depending on your needs and objectives, the tax-free distribution feature of the Roth IRA may produce superior overall results when compared a regular IRA, which may Which Is Better… the Regular IRA or thetoRoth IRA? provide for tax-deductible contributions, but taxable distributions. In choosing between a regular IRA and a Roth IRA, you may find Photo Credit: Odd Moxie it helpful to evaluate both the accumulation Depending on your needs and objectives, the tax-free distribution feature of the Roth IRA may produce superior period and the distribution period results of overall results when compared to a regular IRA, which may provide for tax-deductible contributions, but taxable distributions. In choosing between a regular IRA and Roth IRA, youplans. may find it helpful to evaluate both the thea respective accumulation period and the distribution period results of the respective plans.

Regular vs. Roth IRA Accumulation Period: $5,000 Annual Contribution Each Year for 20 Years Values in 20 Years (1) 8% Hypothetical Annual Rate of Return | 25% Income Tax Bracket Total IRA Value

Deductible IRA Tax Savings (2)

Total Cash Available

Traditional IRA (deductible contributions)

$247,115

$48,741

$295,856

Traditional IRA (non-deductible contributions)

$247,115

-----

$247,115

Roth IRA (non-deductible contributions)

$247,115

-----

$247,115

Distribution Period: Total Cash Available Distributed in Equal Amounts Over 20 Years (3) 8% Hypothetical Annual Rate of Return | 25% Income Tax Bracket Total Cash Available

Annual After-Tax Distribution

Total Distributions

Traditional IRA (deductible contributions; fully taxable IRA distributions)

$295,856

$21,535

$430,707

Traditional IRA (non-deductible contributions; partially taxable distributions)

$247,115

$18,729

$374,581

Roth IRA (non-deductible contributions; tax-free distributions)

$247,115

$23,305

$466,097

(1)

This is a hypothetical illustration only and is not indicative of any particular investment or performance. It does not reflect the fees and expenses associated with any particular investment, which would reduce the performance shown in this hypothetical illustration if they were included. In addition, rates of return will vary over time, particularly for longer-term investments. Depending on the performance of your IRA investment, it is also possible to lose money.

(1)

Assumes that the $1,250 annual tax savings on the $5,000 traditional deductible IRA contribution (25% tax bracket) are invested in a taxable account.

(2)

Assumes that principal and interest are distributed in equal annual installments over 20 years.

Rusty Woods Advisory Representative Cieslak warns that EMV technology does not protect against online fraud, which she says accounts for about half of fraudulent credit and debit card activity. Due to the increased difficulty in fraudulently using EMV cards in person, Cieslak anticipates a rise in online fraud, yet remains optimistic. The U.S., she says, “is leading the world in tokenization and encryption technologies that will better protect consumer data online.”

Lincoln Financial Securities Corporation  VSA, LP The information, general principles and conclusions presented in this report are subject to local, 757-461-1539, state ext.and 207federal laws and regulations, court cases and any revisions of same. While every care has been

LFG 2F4.16 ed. 09-12 Page 1 of 1

taken in the preparation of this report, neither VSA, L.P. nor The National Underwriter is engaged in providing legal, accounting, financial or other professional services. This report should not be used as a asubstitute registered representative of and offers securities andoradvisory services through for the professional advice of an attorney, accountant, other qualified professional.

Rusty Woods is Lincoln Financial Securities Corporation, Member SIPC. Lincoln Financial Securities Corporation is a member of the Lincoln Financial Group which is the marketing name for Lincoln National Corporation and its affiliates.

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

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

LFS-1322438-101215

specialthehealthjournals.com advertising section | 51

YOUR HEALTH | MIND MATTERS

Finding Your holiday

happy place Tips for a conflict-free season WRITTEN BY SUSAN SMIGIELSKI ACKER

G

oing the distance to visit family conjures up images of love and warmth for many. However, unpleasant reality can quickly set in making some people feel apprehensive about loved ones.

Holiday fun is still possible even with lingering family issues. Overall, it is important to focus on positive togetherness.

“Holidays should not focus on the cooking, decorating and all that needs to be done. Most importantly, it is not a time to resolve differences and conflicts that have occurred in the past,” says Kathy Locke, M.S.W., a counselor with Commonwealth Catholic Charities in Richmond, Virginia.

The holidays are a time to celebrate, she emphasizes.

It is also a time to be positive about spending time with loved ones and helping the generations connect.

Dr. Michelle Clark, a clinical psychologist at Clinical Associates of Tidewater and a lecturer in the psychology department at Christopher Newport University in Newport News, Virginia, says it is important to view a family visit as a positive experience, not one to dread.

“If you see it as high stress, then it will become a self-fulfilling prophecy and that can cause it to be 52 | thehealthjournals.com

unpleasant,” Clark says.

For those going home for the holidays for the first time, it can be difficult because some might think time stood still, when it did not.

Clark says, “some family members may see you as the same age as when you left. They may not realize that you have grown and changed. This could create some tension.”

She suggests just enjoying the time. “It is not a time to teach your family about the new you,” Clark says.

One way Locke helps her family reconnect during the holidays is to have each family member say something for which they are thankful during the past year and something for which they are hopeful for in the upcoming year.

This allows insight into each other’s lives, Locke adds.

When dealing with someone who raises uncomfortable subjects or attempts to aggravate, both experts agree deflecting the conversation is best.

“Know in advance how to deal with it and do not engage. If you know you have a relative who can be a jerk, then change the subject, do not advance it,” Clark says.

Redirect, ignore and when redirecting, change it to

MIND MATTERS | YOUR HEALTH

something positive. That is when people will pay attention,” Locke adds.

“It is also not a time to convince someone to change their mind on a subject. If they believe something different from you, then let it rest. The holidays are not a time to discuss it,” Locke says.

Scheduling conflicts can happen when visiting relatives. For instance, Locke says you may want to visit old friends or a local spot, while others prefer to stay home. She says it is best to come up with a compromise.

“No one wants the visit to be negative. If there is a conflict, first put a positive spin on it by saying something like, ‘That sounds fun but

we wanted to go to the museum,’ for example, followed by, ‘What can we do to make this work?’” Locke says.

Clark says it is best to schedule plans prior to the visit.

“If there is an issue, talk about it. Do not email or text because people can interpret the wrong tone,” Clark says.

“What is important to remember is this is a celebration,” Locke says. “It is not a time to bring up hurts or a time to judge. It is a time to celebrate and enjoy. That is what makes the holidays so beautiful.”

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Sweet Potato-Pumpkin Soup with Curry

CONTINUED FROM PG. 17

Let’s talk pairings. What’s good?

RECIPE BY RELAY FOODS This creamy soup will warm you from the inside out. Crunchy curry croutons, and toasted pumpkin seeds are a delightful garnish heel of bread, with melted Parmesan cheese.

INGREDIENTS 1 1/2 large sweet potato, cooked and mashed 1 loaf fresh bread, cubed into 1-inch squares 2 1/2 teaspoons ground cumin 1 1/2 teaspoons ground coriander 1 1/2 teaspoons salt 2 teaspoons olive oil, divided 1/2 cup raw pumpkin seeds, toasted 1 large onion, roughly chopped 1 two-inch piece of fresh ginger, peeled and roughly chopped 1 quart chicken stock 2 cups water 1 1/2 cups package pumpkin puree 1/4 cup apple sauce 2 tablespoons apple cider vinegar, or more to taste

MAKES 8 SERVIINGS • PREP: 15 MINS

PREPARATION Make Croutons and Toast Seeds • Preheat the oven to 375 degrees F.

• Pierce the sweet potato with a fork all over, wrap in aluminum foil, and place on on a baking sheet in the oven to bake for about 30 minutes, depending on size of the potatoes.

• Begin by putting the 1x1-inch cubed pieces of bread onto an unlined baking sheet. Sprinkle with 1/5 of the cumin, 1/3 of thecoriander, 1/3 of the salt and half the olive oil. Toss gently to coat bread. Scoot cubes ofbread to the side and pour pumpkin seedsonto the empty side of the baking sheet. Make sure all ingredients are kept separate but are kept evenly-dispersed on the baking sheet so as to ensure even toasting.

• Toast the bread and pumpkin seeds for 10-15 minutes. The pumpkin seeds may finish before croutons so pay attention.

Once crunchy and toasty, remove from heat and allow to cool and continue to crisp up further.

Make Soup

• Begin by adding the remaining half of theolive oil to a stock pot, and sauté choppedonions, chopped ginger, the remaining 4/5 of the cumin, the remaining 2/3 of thecoriander and the remaining 2/3 of the saltfor five minutes until the onions soften and the spices bloom and toast.

• Add the chicken stock and water and stir to break up any caramelized onions that are sticking to the bottom of the pan.

• Add pumpkin puree, cooked and mashedsweet potato, and apple sauce. Bring the soup to a boil, then reduce to a simmer and cook for 15 minutes.

• After 10 minutes, add the apple cider vinegar. Taste after five minutes and adjust seasonings if necessary. For a stronger bite, increase apple cider vinegar. For a softer and smoother flavor, add 1 more tablespoonapple sauce and a pinch more of salt.

To Serve

• Ladle into bowls (this soup is rich so small portions to start).

• Top with curry croutons and sprinkle with toasted

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We have beautiful fresh figs in. We’re getting quail in from Broken Arrow Ranch. So I’m pairing quail with fresh black mission figs and making a sauce out of the quail stock. We infuse that with the flavor of the fresh figs and I’ll grill some of the figs and garnish the plate with them. So the whole dish takes on the flavor of those fresh figs, which is beautiful.

Some of the winter squashes go well with venison. Venison is a very lean red meat. It has almost a sweet inherent quality to it which is very nice. So pairing some of those sweeter squashes with the venison, and adding some spice to it, goes very well together.

I have a thing for pastas, too, so we make all kinds of raviolis and fresh pastas. The winter squashes go fantastic with that. Right now we do a roasted sweet potato ravioli. We also do butternut squash ravioli. We do a grilled flatbread and top it with Kabocha squash.

And right now I also have a roasted butternut squash and local apple soup. Everything I put in the soups are grown within 30 miles of here which is fantastic.

Q&A | IN THE KNOW

I put in the soups are grown “ Everything within 30 miles of here, which is fantastic.”

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FOOD | TASTE APPEAL CONTINUED FROM PG. 39

RECIPE COURTESY OF RELAY FOODS This vegetable broth sings with savory flavors. It comes together in a snap, and it can be made from leftover vegetable scraps from your cooking adventures.

INGREDIENTS 2 medium onions, chopped leaving the skin intact 3 large carrots, peeled and chopped 2 ribs celery, chopped 1/4 cup parsley, chopped 2 thyme sprigs 2 cloves garlic, smashed 2 bay leaves 1/2 cup cherry tomatoes, whole 3 cups mushrooms, sliced 1 tablespoon black peppercorns 2 quarts water

MAKES 6 SERVINGS

PREPARATION • In a very large stock pot or slow cooker add chopped onions, chopped carrots, chopped celery, chopped parsley, thyme sprigs, smashed garlic, bay leaves, cherry tomatoes, sliced mushrooms, peppercorns and water.

• Bring the pot to a boil over high heat, then reduce heat to medium-low to simmer covered for about 3-4 hours, longer if time permits. If using a crock-pot secure the lid and set to high for at least 3 hours.

• Using tongs remove large pieces of vegetable and discard. Strain the broth through a finemesh strainer, or a large strainer lined with cheesecloth, into a smaller pot to cool for about 1 hour at room temperature. Transfer into large mason jars or resealable containers of choice. Refrigerate for one week or in the freezer for up to 6 months.

SNIP-SNIP! CUT ALONG THE LINE TO KEEP THIS RECIPE.

Vegetable Broth

Fennel and Apple Braised Pork Chops RECIPE COURTESY OF RELAY FOODS This comforting pork chop dish features an array of autumn ingredients, and requires only one pan! Sweet potato, apple, fennel and pork chops are doused in a delicious braising sauce.

INGREDIENTS 3/4-1 pound pork chops 2 tablespoons avocado oil, or other oil of choice, divided 1 tablespoon rosemary, chopped 1 tablespoon basil, chopped 3 garlic cloves, minced salt, to taste freshly ground black pepper, to taste 2 cups apple cider or juice 1 large sweet potato, peeled and cut into small cubes 1/2 medium onion, diced 1 fennel bulb, chopped 1 medium-sized green apple, peeled, cored and cut into small cubes

56 | thehealthjournals.com

MAKES 4 SERVINGS

PREPARATION • In a small bowl, stir together the basil, garlic powder, salt and pepper. Transfer 1 teaspoon of a large sealable plastic bag or container, add room temperature pork chops, oil, chopped rosemary, chopped basil, minced garlic, salt and black pepper.

Let the pork marinate for at least 20 minutes.

• Preheat the oven to 375 F. • While the pork is marinating, heat a large skillet over medium-high heat. Add apple juice or cider and cubed sweet potato. Let the sweet potatoes simmer uncovered for about 15 minutes, until the juice reduces by 2/3 and the potatoes are tender.

• Pour the potatoes and remaining liquid into a bowl, and reserve to the side for a few minutes.

• Using the same skillet, add the other half of the oil, diced onions and chopped fennel. Sauté for about 2-3 minutes until the onions start to become tender.

• Push the vegetables to the edge of the skillet to make room for the pork in the center of the skillet.

Add the pork chops and the marinade to the skillet.

Sear each pork chop for about 1 minute on both sides until a browned crust begins to form. Stir the vegetables, if needed, while the pork is searing to avoid the vegetables from burning.

• After both sides are quickly seared, immediately turn off the burner, add the reserved potatoes, juice and cubed apples into the skillet.

• Immediately place the skillet into the oven on the middle rack to bake for about 15 minutes until an internal temperature of 145 F is reached, and the pork is barely pink the center.

• Remove the pork chops to a serving plate to rest, and place the skillet with the vegetables and juices over high heat. Spoon the vegetables over the pork chops to serve.

CROWDFUNDING HEALTH CARE | FEATURES

CONTINUED FROM PG. 29

Still, “We have been surprised,” says Penland. “We are much more willing to take on very hard, and expensive cases now that we know this resource is out there. We recently took in Peanut, who needed an MRI and other expensive long-term help. We didn’t hesitate because we knew we could reach out to the public for help.”

XOXO Pet Rescue, Inc. has received donations from those locally and remote.

“We have gotten money from everywhere,” she says. “Anywhere from $5 to $1,000 from one donor.”

When seeking funds, particularly from strangers, Penland suggests being reasonable.

“Make the goal attainable, but don’t be afraid to ask for what is really needed,” she shares. “Let people know every dollar gets you one dollar closer to your goal. Also, pictures matter. When you are

hitting a slump in funds, be sure to update. People like to hear about how the recipient is doing, good or bad. They want to see updates and news. They have an investment in the health of the recipient now and feel connected, so keep them posted.”

There are drawbacks to crowdfunding. While these sites don’t typically charge a fee to create an account, they do take a percentage of each donation, some as high as 8 percent. But, that small expense outweighs the cost of trying to save someone’s life, points out HuberTaylor, who adds that donating online is easier and more convenient for some people, as well. “Although there is a fee, it is well worth it,” she says.

Crowdfunding could be the way of the future, especially when it comes to dealing with health issues.

“I think that anybody that goes through struggles in life should not be embarrassed to ask for help,” says Huber-Taylor.

Because your loved one deserves the best.

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

5483 Mooretown Rd. Williamsburg, VA 23188

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

ALLERGY & ASTHMA 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.

AUDIOLOGY

Dr. Cindi Sanders graduated from West Virginia University, earned her master’s degree at Western Michigan University and her doctorate from A.T. Still University. She holds her certificate of clinical competence in audiology, is a member of the American Academy of Audiology and the American Speech and Hearing Association.

Dr. Sanders has been providing audiology services to patients in Williamsburg and the surrounding area for over 15 years. She has over 20 years’ experience in adult and pediatric diagnostic audiology services and extensive experience fitting and dispensing the latest digital hearing aids. Her commitment to excellence in all aspects of patient care is evident and her motto has always remained to work hard, offer the very best to her patients and do what it takes to help them hear better.

New Location TPMG Williamsburg Audiology Tidewater Medical Center at New Town 5424 Discovery Park Blvd., Bldg. B, Suite 205 Williamsburg, VA 23188 (757) 707-3517 www.mytpmg.com

Jude Liptak, Au.D.

Stephen Shield, M.D.

Colonial Center for Hearing

Allergy Partners of Hampton Roads

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

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

Allergy Partners of Hampton Roads

Dr. Jude Liptak holds a doctorate degree in Audiology from Salus University. He completed his undergraduate and master’s programs at Kent State University in Kent, Ohio. He is a fellow of the American Academy of Audiology and a member of the Academy of Doctors of Audiology.

Dr. Liptak has been practicing audiology since 2000.

As a board-certified audiologist and expert, he has helped thousands of people rediscover the joys of healthy hearing.

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

Colonial Center for Hearing

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

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

www.allergypartners.com/hamptonroads

www.williamsburghears.com

NEUROLOGY

Cindi Sanders, Au.D, CCC-A TPMG Williamsburg Audiology

AUDIOLOGY

OPTOMETRY

Patricia Mayes, M.D.

Brent Segeleon, O.D.

TPMG Neurology

Colonial Eye Care

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.

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 and vice president of the Tidewater Optometric Society. 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.

TPMG Neurology

Colonial Eye Care

www.mytpmg.com

www.colonialeyecare.com

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

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

BEAUTY & AESTHETICS Steven C. Mares, M.D.

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

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

ORTHOPAEDICS John J. McCarthy III, M.D. Tidewater Ortho

Dr. McCarthy, an expert in the field of joint replacement surgery, is a familiar face to the Peninsula having been an orthopaedic surgeon for over 20 years before joining Tidewater Ortho in 2007. He began his career earning an undergraduate degree from College of Holy Cross in Worchester, Massachusetts, followed by his medical degree from Georgetown University. Dr. McCarthy went on to complete his internship at Mercy Hospital in Pittsburgh, Pensylvania, followed by his residency at the University of Pittsburgh. Afterward, Dr. McCarthy completed a hand surgery fellowship with the Hand Rehabilitation Center in Philadelphia, Pennsylvania.

While practicing in Pittsburgh, he served as a team physician for the Pittsburgh Penguins. Dr. McCarthy practices in the Williamsburg office in New Town.

He is dedicated to improving a patient’s quality of life whether it’s restoring function to an arthritic shoulder or replacing a painful hip or knee.

Tidewater Ortho

5208 Monitcello Avenue, Suite 180 Williamsburg, VA 23188 (757) 637-7008 www.tidewaterortho.com

DENTISTRY Stacey Sparkman Hall, D.D.S.

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

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

Stacey and her husband Michael have been blessed with three beautiful girls: Lanie, Gracie and Abbie. She is a loyal Virginia Tech Football fan and enjoys Bible study and missions work.

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

www.williamsburgdentalhealth.com

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

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

Dr. Graham-Mantaque is board certified.

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

SKINCARE & AESTHETICS THERAPEUTIC MASSAGE Izabela Padurariu Beauty Therapy

by Iza

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

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

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

Beauty Therapy by Iza

161 C John Jefferson Road Williamsburg, VA 23185 757-634-4044 www.beautytherapybyiza.com

Tom Batir

Russian Therapeutic & Sports Massage Tom Batir is a certified massage therapist with a vast knowledge of Russian therapeutic and sport massage, having been a massage therapist in his native country.

He attended Soma Institute of Clinical Massage in Chicago, Illinois, thereafter working with chiropractors and physical therapists before moving to Williamsburg, Virginia. He is accredited by the National Certification Board for Therapeutic Massage & Bodywork.

Batir is an expert in pain management and recovery specializing in therapeutic massage, deep tissue, myofascial, trigger point release, sports and Swedish massage.

Russian Therapeutic & Sports Massage

1761 Jamestown Road, Suite 103 A Williamsburg, VA 23185 (434) 229-1855

www.russiantherapeuticsportsmassage.com

ALLERGY & ASTHMA 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.

DERMATOLOGY Tanja Nunnold, P.A.

Stephen Shield, M.D.

Associates in Dermatology

Allergy Partners of Hampton Roads

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

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

Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443

www.allergypartners.com/hamptonroads

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

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

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

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

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

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

NEPHROLOGY Shkendie Velia, M.D. TPMG Nephrology

Shkendie Velia, M.D. earned, her Doctorate of Medicine degree at Tirana University, Tirana, Albania, in 1997.

She completed a residency in Internal Medicine at St. Barnabas Hospital, Albert Einstein College of Medicine, New York in 2013 and a fellowship in Nephrology at University of Rochester, Rochester, New York, in 2015.

Dr. Velia is board certified as a Diplomate of the American Board of Internal Medicine. She is a member of the American College of Physicians, American Society of Nephrology, Albanian American Medical Society and Medical Society of the State of New York.

She is authored in numerous publications and has participated with several research projects. Dr. Velia volunteered with the Kosova humanitarian and war crises, the Polio Eradication Program in Albania and the Rubella eradication in Albania.

Dr. Velia specializes in acute and chronic kidney disease, hypertension, kidney stones, kidney transplant, etc. Her hobbies include running, swimming and reading. Dr. Velia joined Dr. Amini and Dr. Vengal at TPMG Nephrology in August 2015. She welcomes new patients to reserve an appointment with her.

TPMG Nephrology

555 Denbigh Boulevard Suite C Newport News, VA 23608 (757) 599-3436 www.mytpmg.com

410 Marcella Road Suite A Hampton, VA 23666 (757) 599-3436

PERSONAL TRAINING

PHYSICAL THERAPY

Brian Cole, CPFT, CMT

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

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

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

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

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

Personal Training Associates - Private Studios

Oyster Point Port Warwick 738 City Center Blvd.

210 Nat Turner Blvd.

Newport News, VA 23606 Newport News, VA 23606 (757) 599-5999 www.briancoleandassociates.com

FAMILY MEDICINE

Dominion Physical Therapy & Associates, Inc.

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

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

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

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

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

FOOT & ANKLE

Marybeth Morgan, PA-C

TPMG Grafton Family Medicine Marybeth Morgan, PA-C earned her undergraduate degree in Biology from Radford University, Radford, VA and her degree in Physician Assistant from James Madison University, Harrisonburg, VA in 2001. She is certified by the National Commission on the Certification of Physician Assistants.

Marybeth is a member of the American Academy of Physician Assistants and Virginia Academy of Physician Assistants.

Marybeth is committed to life-long learning and care of her patients, and brings to patients vast experience and knowledge of family medicine.

She offers care in women’s health, management of chronic illnesses such as hypertension, thyroid disease, depression, diabetes mellitus, COPD, obesity, hypercholesterolemia, heart failure and osteoporosis. She also treats common problems including, but not limited to, upper respiratory infection, bronchitis, pneumonia, urinary tract infections and fractures/dislocations.

TPMG Grafton Family Medicine welcomed Marybeth to their practice in September 2015.

TPMG Grafton Family Medicine 222 Grafton Drive Yorktown, VA 23692 (757) 898-7737 www.mytpmg.com

WEIGHT MANAGEMENT

Paul Maloof, M.D. Tidewater Ortho

Dr. Paul Maloof, originally from Bergen County, New Jersey, began his path to becoming an orthopaedic surgeon at Tufts University where he did his undergraduate work. After spending three years in Steamboat Springs, Colorado, Dr. Maloof attended New Jersey Medical School for medical school and his residency, where he served as administrative chief resident in one of the busiest level one trauma centers on the east coast. He completed his fellowship training in Foot & Ankle Surgery at Duke University, a known pioneer in ankle replacement surgery. He brings this procedure to Hampton Roads along with numerous other cutting edge treatments for various foot and ankle disorders. Dr. Maloof lives with his young family in Williamsburg where he hopes to pursue his passion for playing golf.

Tidewater Ortho

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

Caroline Fornshell, M.S., R.D., C.P.T. LWell

Caroline is an integrative nutritionist who opened LWell, a modern health club for real people. By incorporating all the components of weight loss into one warm and friendly hospitality-oriented fitness and wellness facility, she guides people towards better health by improving nutrition, fitness, fun, stress, sleep and support. Caroline works to support you and your physician in improving your health through wellness. Caroline enjoys working with a wide range of nutrition-related conditions and concerns.

She graduated from Virginia Tech with a bachelor’s degree, then worked as a personal trainer for many years before becoming a registered dietitian and earning a master’s degree in nutrition from State University of New York (Oneonta). She is a member of the academy of Nutrition and Dietetics (AND), the American Association of Diabetic Educators (AADE), the American Diabetes Association (ADA), IDEA and the Physician’s Committee for Responsible Medicine (PCRM). She is certified in Adult Weight Management (AND) and is a Certified Personal Trainer (NASM).

LWell

301-A Village Ave. Yorktown, VA 23693 (757) 585-3441 www.lwell.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

STAYING WELL | ONE LAST THOUGHT

“Family is not an important thing,

it’s

everything.

—Michael J. Fox

”

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

Riverside Ear, Nose & Throat Physicians & Surgeons 120 Kings Way, Suite 2900 Williamsburg (757) 345-2600

895 Middle Ground Blvd., Suite 152 Newport News (757) 599-5505 7570 Hospital Drive, Building B, Suite 105 Gloucester (804) 693-3478

Toll-Free: (800) 273-8255

Poison Control Center

AUDIOLOGY & HEARING

Toll-Free: (800) 222-1222

Colonial Center For Hearing

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

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

5477 Mooretown Road Williamsburg (877) 389-4968

BEHAVIORAL HEALTH & PSYCHIATRY

Reneau Medical Center for Age Management & Aesthetic Medicine

ALLERGY & ENT

The Pavilion at Williamsburg Place

The Farley Center

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

11842 Rock Landing Drive, Suite 100 Newport News (757) 873-0338 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500

5483 Mooretown Road Williamsburg (800) 582-6066

CARDIOLOGY Riverside Cardiovascular Health

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

Dermatology Specialists

Wyatt Orthodontics

DIAGNOSTIC IMAGING

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

COSMETIC & PLASTIC SURGERY

ADDICTION TREATMENT

Williamsburg Center for Dental Health

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

Historic Triangle Dental Care Michael J. Whyte, DDS

Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1444

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

134 Professional Circle Williamsburg (757) 903-2527

ENDOCRINOLOGY

DERMATOLOGY

Riverside Endocrinology & Diabetes Center

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

Associates In Dermatology, Inc.

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

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

17 Manhattan Square Hampton (757) 838-8030

Williamsburg Plastic Surgery

Schumann Dermatology Group

333 McLaws Circle Williamsburg (757) 345-2275

5309 Discovery Park Blvd.

Williamsburg (757) 564-1200

DENTISTRY

Dermatology Center of Williamsburg

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

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

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

STAYING WELL | HEALTH DIRECTORY FAMILY PRACTICE Riverside Family Practice & Extended Care 5231 John Tyer Highway Williamsburg (757) 220-8300

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

Riverside Williamsburg Family Medicine

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

FITNESS B-defined Innovative Personal Training & Wellness 4801 Courthouse St., Ste. 122 Williamsburg (757) 345-6801

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

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

Angels of Mercy Medical Clinic

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

Beach Health Clinic

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

Chesapeake Care

Digestive Disease Center of Virginia, PC

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

Riverside Williamsburg Gastroenterology

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

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

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

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

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

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

62 | thehealthjournals.com

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

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

Riverside Doctors’ Hospital

HERNIA SPECIALISTS The Hernia Center at Mary Immaculate Hospital

Agapé Home Care

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

Visiting Angels

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

HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital

2 Bernardine Drive Newport News (757) 886-6000

Bon Secours DePaul Medical Center Granby St. & Kingsley Lane Norfolk (757) 889-5310

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

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

NEUROSURGERY Riverside Neurosurgical & Spine Specialists 120 Kings Way, Suite 3500 Williamsburg (757) 220-6823

NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511

1500 Commonwealth Ave. Williamsburg (757) 585-2200

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

Riverside Regional Medical Center

Alzheimer’s Association

Sentara Independence

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

500 J. Clyde Morris Blvd.

Newport News (757) 594-2000 800 Independence Blvd.

Virginia Beach (757) 363-6100

Sentara Heart Hospital

307 South England Street Williamsburg (757) 220-7720

HOME CARE

H.E.L.P. Free Dental Clinic

601 Children’s Lane Norfolk (757) 668-7098

Spa of Colonial Williamsburg

The Community Free Clinic of Newport News

1320 LaSalle Ave. Hampton (757) 727-2577

Children’s Hospital of The King’s Daughters

Sentara CarePlex Hospital

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

H.E.L.P. Free Clinic

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

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

2145 South Military Highway Chesapeake (757) 545-5700

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

Chesapeake Regional Medical Center

3000 Coliseum Drive Hampton (757) 736-1000 600 Gresham Drive Norfolk (757) 388-8000

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

Sentara Norfolk General Hospital

600 Gresham Drive Norfolk (757) 388-3000

Sentara Obici Hospital 2800 Godwin Blvd.

Suffolk (757) 934-4000

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

American Cancer Society

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

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

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

American Parkinson’s Disease Association

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

American Red Cross

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

Sentara Port Warwick

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

Sentara Princess Anne

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

1031 Loftis Blvd.

Newport News (757) 736-9898 2025 Glenn Mitchell Drive Virginia Beach (757) 507-0000

Sentara Virginia Beach General Hospital

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

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

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

Massage By David

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

The Arc of Greater Williamsburg

202 Packets Court Williamsburg (757) 229-0643

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

Avalon: A Center for Women & Children

Williamsburg (757) 258-9362

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

PO Box 10100 Virginia Beach (757) 518-8500

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

Denbigh Clubhouse for Brain Injury Survivors

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

Dream Catchers Therapeutic Riding

10120 Fire Tower Road Toano (757) 566-1775

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

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

Norfolk (757) 461-8007

Faith in Action

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

Food Bank of the Virginia Peninsula

2401 Aluminum Ave. Hampton (757) 596-7188

Food Bank of SEVA

800 Tidewater Drive Norfolk (757) 627-6599

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

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

Jewish Family Service

260 Grayson Road Virginia Beach (757) 321-2223

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

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

National MS Society

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

The Needs Network, Inc.

9905 Warwick Blvd.

Newport News (757) 251-0600

HEALTH DIRECTORY | STAYING WELL 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

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 Riverside Peninsula Cancer Institute

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

St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208

The Sarah Bonwell Hudgins Foundation

1 Singleton Drive Hampton (757) 827-8757

Senior Center of York

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

United Way

739 Thimble Shoals Blvd., Suite 400 Newport News (757) 873-9328 5400 Discovery Park Blvd., Ste. 104 Williamsburg (757) 253-2264

The Up Center

1805 Airline Blvd.

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

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

Tidewater Orthopaedic Associates

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

PAIN MANAGEMENT

Virginia Oncology Associates

Riverside Pain Medicine & Rehabilitation Specialists

3000 Coliseum Drive, Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

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

RSVP: Retired Senior Volunteers

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

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

Respite Care Center for Adults with Special Needs

404 Colley Ave. Norfolk (757) 627-5386

Riverside Orthopedic Specialists

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

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

Ronald McDonald House

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

5208 Monticello Ave. Williamsburg (757) 206-1004

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

500 Jamestown Road Williamsburg (757) 229-1771

Riverside Orthopaedics & Sports Medicine

5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670 5900 Lake Wright Drive Norfolk (757) 466-8683

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

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

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

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

PHYSICAL THERAPY & REHABILITATION

SLEEP MEDICINE Pulmonary & Sleep Consultants of Williamsburg

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

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

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

Williamsburg Neurology and Sleep Disorders Center

Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554

Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd.

Newport News (757) 596-1900

Tidewater Orthopaedic Associates

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

URGENT CARE MD Express

120 Monticello Ave. Williamsburg (757) 564-3627 4740 George Washington Memorial Highway Yorktown (757) 890-6339

3321 West Mercury Blvd.

Hampton (757) 224-0056

2012 Meade Parkway Suffolk (757) 934-3366

Tidewater Physical Therapy

Riverside Williamsburg Family Practice & Extended Care

5553 Portsmouth Blvd.

Portsmouth (757) 465-7906 3300 High St., Suite 1-A Portsmouth (757) 673-5689 4900 High St. West Portsmouth (757) 483-4518 7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 885 Kempsville Road, Ste. 300 Norfolk (757) 955-2800 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 2 Bernardine Drive Newport News (757) 886-6480 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

Hampton Roads Orthopaedics & Sports Medicine

828 Healthy Way Virginia Beach (757) 463-2540

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

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

Vets Advocating for Vets

Orthopaedic & Spine Center

101 Long Green Blvd.

Yorktown (757) 952-1900

160 Newtown Road Virginia Beach (757) 233-7111

301 Riverview Ave. Norfolk (757) 963-5588

5208 Monticello Ave. Williamsburg (757) 206-1004

ORTHOPEDICS & SPORTS MEDICINE

250 Nat Turner Blvd.

Newport News (757) 596-1900

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

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

5838 Harbour View Blvd.

Suffolk (757) 673-5971

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

We Promise Foundation

466 Denbigh Blvd.

Newport News (757) 875-0861

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

12997 Warwick Blvd.

Newport News (757) 369-9446

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

Hampton (757) 722-9961, ext. 3009

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

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

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

Bon Secours In Motion Physical Therapy

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

VersAbility Resources

Dominion Physical Therapy & Associates, Inc.

2106 Executive Drive Hampton (757) 838-6678

9 Manhattan Square, Suite B Hampton (757) 825-3400 2695 McManus Blvd., Building 6, Suite B Newport News (757) 223-5612 751 J. Clyde Morris Blvd.

Newport News (757) 873-2123 12655 Warwick Blvd., Suite B Newport News (757) 599-5551 156-B Strawberry Plains Road Williamsburg (757) 565-3400 7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 6970 Fox Hunt Lane, Gloucester (804) 694-8111 7190 Chapman Drive Hayes (804) 642-3028 2007 Meade Pkwy.

Suffolk (757) 539-6300

5231 John Tyler Highway Williamsburg (757) 220-8300

UROLOGY Riverside Hampton Roads Urology

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

VASCULAR SURGERY Riverside Peninsula Vascular Surgery

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

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

Riverside Weight Loss Specialists

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

204 Gumwood Drive Smithfield (757) 357-7762 2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316 100 Winters St., Ste. 106 West Point (757) 843-9033 1745 Camelot Drive, Ste. 100 Virginia Beach (757) 961-4800 4020 Raintree Road, Suite D Chesapeake (757) 484-4241 135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512

thehealthjournals.com | 63

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November/December 2

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WORD SEARCH H M U S T A C H E T J P W H B L B G H N

*Entries must be received by the 14th of December.

NAME: EMAIL: CITY:

PHONE:

I T G A U T D S R V S B I Y G X U G Y S

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F S R I B A S O E T P I P H K A E I Q F

G N G U N T P G U M V G A T G N Q J N X

Alzheimer’s Awareness Kwanzaa Men’s Health BillALZHEIMERSAWARENESS of Rights BILLOFRIGHTS Mustache Christmas CHRISTMAS Native Americans Hanukkah HANUKKAH HOLIDAYS Pearl Harbor Holidays KWANZAA MENSHEALTH MUSTACHE

J A V I Z X H R I E L H Q Y Y U P V F C

S R T F S Q K O A V Y T J C D K C Q S N

I E V C M E W M L V I S N A D K C Z Z J

M T T D Y D E T A I B N L T Z A M V V C

Pilgrims Presents Pumpkin Sagittarius Tanzanite

L E Y I B R L A S O D F G X Q H M K T V

D V M M I P E A R L H A R B O R K M B S

E L T C L F O M T C W J Y I Z U R V P A

Z S A M T S I R H C I I Y S C Y T M L S

G N I K P M U P C W O Y D U O G Z I U H

S S E N E R A W A S R E M I E H Z L A K

Thanksgiving Topaz Turkey Veteran’s Day Winter

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Nov. 11, 6:30pm

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Jonathan R. Mason, MD Amanda K. Watkins, PA-C Lindsey Townsend, PA-C Susan Walkley, FNP

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

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Nov. 17, 6:30pm

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To RSVP 757-827-2480 ext. 332

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www.tidewaterortho.com

Your Partner in Care

Watch Dr. Larkin explain his passion for patient care.

Scan the QR code

Timothy Larkin, D.O. I was drawn to family medicine because I like the idea of being able to treat anyone who walks through the front door. If we identify problems before they

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