Health Journal - October 2018

TM

inspiration for better living

Breaking of

the

Stigma

Gender Dysphoria

Is Beer the New

Recovery

Beverage?

Ending the

Silence on Stillbirth Should You

Be Getting the Flu Shot?

OCTOBER 2018 — THEHEALTHJOURNAL.ORG

Managing Pain from Peripheral Neuropathy: Treatment Options for a Better Life Peripheral Neuropathy isn’t a single disease, but rather has many potential causes. For that reason, it can be difficult to diagnose and more difficult to treat. Early diagnosis and treatment is key. Join Dr. Jenny Andrus as she discusses Peripheral Neuropathy and how

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Amy Willia ms

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™

VOL. 14, NO. 5 The Health Journal is the perfect choice to reach readers wishing to stay current on healthy trends in fitness, nutrition and the art of living an informed life. We are Hampton Roads’ premier healthy lifestyle magazine. Copies are mailed and racked throughout the region.

STAFF PUBLISHER Brian M. Freer brianfreer@thehealthjournals.com EXECUTIVE DIRECTOR Rita L. Kikoen rita@thehealthjournals.com MEDICAL EDITOR Ravi V. Shamaiengar, M.D.

WRITERS Megan Armentrout Teresa Bergen John Fawkes John-Michael Jalonen Jason Liebler Amy McClusky Kim O'Brien Root

EDITOR Kim O'Brien Root kim@thehealthjournals.com BUSINESS MANAGER Ashley Ribock ashley@thehealthjournals.com DESIGNER/PHOTOGRAPHER Kristen Vann Bryant kristen@thehealthjournals.com

CONTENT

BITS AND PIECES 04 Staff & Writers 07 Editor's Note 09 Second Opinion

FEATURES 11 Breaking the Stigma of Gender Dysphoria 15 Should You be Getting the Flu Shot?

16 The Hidden Dangers of Running 20 Style Tricks to Make You Look Slimmer 23 Ending the Silence on Stillbirth 26 A New Approach to Hernia Repair 27 Well Fed: Pumpkins 28 Is There Such a Thing as a Healthy Beer?

LIFESTYLE 30 Travel for Wellness: Philadelphia 34 Is Beer the New Recovery Beverage?

GRAPHIC DESIGNER Lisa Williams lisa@wearetusk.com

FOOD & DRINK

CREATIVE PRODUCER Toria Diesburg toria@thehealthjournals.com

40 Taste Appeal: Pumpkin Seeds

COPY EDITORS Carolyn Brandt Beth Pepper

STAYING WELL 44 46 49 50

CIRCULATION Ryan Bishop circulation@thehealthjournals.com

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

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

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Editor’s Note

“

It’s such an important issue, but it’s a silent issue.

It needs to be talked about.”

I

t seems as though every month, we’re celebrating or recognizing some cause. Even individual days seem to stand for something. In October, there’s a National Taco Day, a National Chocolate Day and even a day for American beer (on that note, check out our stories on beer in this month’s magazine — we look at whether beer can be good for you!)

Dairy has its own month (June, in case you were wondering). So do hair loss, guide dogs and pianos.

Then there are the medical awareness months. We associate February with heart health. We recognize autism in April and arthritis in May. In October, we think of breast cancer awareness.

But recently, a woman in our community introduced us to a topic we weren’t all that familiar with: Stillbirth.

As it turns out, October is also Pregnancy and Infant Loss Awareness Month, a time for communities to look for ways to support bereaved parents who have lost babies. It was proclaimed as a month in 1988 by President Ronald Reagan.

We sat down with Shannon Renfro, who the chair of the Virginia chapter of the Star Legacy Foundation, a national support organization for those who have experienced stillbirths and neonatal deaths. Renfro, who lives in Gloucester, lost a baby girl to stillbirth in 2009. She told us that many as 71 babies are born still every day.

That’s more than 25,000 stillbirths every year. One in four pregnancies.

“It’s such an important issue, but it’s a silent issue,” she told us. “It needs to be talked about.”

The Star Legacy Foundation is working hard to bring the issue into the forefront by spreading their message of education, awareness and support. Stillbirth happens, whether you think it does or not, pointed out Deborah Dougherty, a perinatal bereavement nurse at Norfolk General Hospital, where 10 to 25 babies are born still every month.

Every Oct. 15th, which is Pregnancy and Infant Loss Remembrance Day, there’s a “wave of light” for lost babies.

People everywhere are asked to light a candle at 7 p.m. — whatever their time zone — and leave it lit for one hour, creating a wave of light around the world.

Shining light on issues is what we at the Health Journal strive to do, bringing you stories on remarkable people, exciting medical advances and things you can do to improve your health. Another topic you’ll read about this month is on gender diversity and some ways our society is addressing it, differing opinions and all. In the end, it all comes down to love and acceptance — because after all, isn’t that what we all want?

Grieving parents who have lost a child describe feeling lonely, as if they’re facing the world all alone. So do many transgendered people. One study reported that 84 percent of those who identify as LGBTQ (that’s lesbian, gay, bisexual, transgender and queer) said they’ve been harassed.

Look around at your neighbors, at your friends, maybe in your own family. Is anyone hurting? Do you know someone who could use a kind word, or a listening ear? A little empathy never hurt anyone. So why not reach out? We can all use a little more light and love.

KIM O'BRIEN ROOT / EDITOR KIM@THEHEALTHJOURNALS.COM

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Hearing loss can affect more than just your ears — it can also affect your brain, your heart and affect you socially.

When hearing loss is present, the brain works overtime to decode sounds, thus taking away energy from thinking, listening, understanding and memory. The effort of constantly straining to understand stresses the brain.

Studies also show that parts of the brain that handle sound processing can begin to atrophy and shrink faster with hearing loss.

Hearing loss can be one of earliest indicators of heart disease.

The inner ear is extremely sensitive to blood flow. If blood flow is inadequate, interrupted or the vessels suffer a trauma, the result can be damage to the inner ear nerves, negatively impacting a person’s ability to hear. In fact, the nerves in the inner ear are so fragile that researchers believe they may be the first organ affected by cardiovascular disease.

Hearing loss can often also cause social isolation. Having to frequently strain to follow a conversation can lead individuals to slowly give up on going out with friends.

Audiologists recommend getting your hearing checked if you’re over the age of 45 and as soon as you’re diagnosed with high blood pressure.

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

Bethany Tucker, AU.D Colonial Center for Hearing williamsburghears.com (757) 229-4004

Is chiropractic care safe?

Chiropractic care is by far one of the safest, most effective and cost-efficient ways of treating musculoskeletal problems. Some aspects of chiropractic care can be uncomfortable; however, there are many options for treating back, joint and muscle pain.

Chiropractic care offers far lessserious side effects compared to prescription medication, steroid injections and surgical intervention.

The most common side effect of treatment is tenderness or soreness.

This is no more painful than soreness after a firm or deep tissue massage.

Many chiropractors are trained in modern, less-aggressive techniques, which can include adjusting instruments, techniques such as flexion-distraction and drop tables.

A great chiropractor should learn his patients’ personal preferences during the first evaluation and develop a plan of care with adjustments to levels of pressure to fit the individual.

Know thy patient!

One more large misconception is that chiropractors just treat the spine or only “crack backs.” Your treatment plan could include massage therapy, corrective exercises and stretches or other musculoskeletal treatments that are performed in the clinic, under the chiropractor’s supervision. The main focus of any patient is to determine if the benefits of care outweigh the risks of any side effects. One should feel completely comfortable in the treatment plan in order to achieve overall wellness.

David Hummel, DC Comber Physical Therapy and Fusion Chiropractic comberpt.com 757-229-9740

I was told I have to replace my crown. I thought once you got a crown it was permanent.

It is very common for people to think once they have a crown they never need it replaced. A crown is a full coverage “cap” that covers the tooth after a lot of breakdown or a root canal. The crown meets the tooth usually close to the level of the gum line, called a margin.

Anywhere around the margin is an area susceptible to a cavity. This is where plaque and bacteria collect. If it is not brushed off or removed, the acidity that is created breaks the tooth structure down and a cavity results.

If it is found early and in an area that your dentist can access, the cavity can be fixed easily with a filling. If it is found late and between the teeth, the crown has to be removed, the decay removed, and a new crown made.

You could also have a bite that is not working for you. This can cause stress on the crown, causing it to break. Leaving a broken crown can cause food and bacteria to collect, creating a cavity, gum inflammation and/or periodontal disease.

It is important to have regular dental exams and X-rays when you have crowns. The dentist will check the margins for any decay or leakage and the X-rays for any signs of decay between the teeth. That way you can catch things early before they hurt you or it becomes a more expensive problem.

Stacey Hall, D.D.S. Williamsburg Center for Dental Health Williamsburgdentalhealth.com 757-565-6303

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Breaking of

the

Stigma

Gender Dysphoria

BY AMY MCCLUSKEY

J

an-Renee Carlson spent decades constantly stressed out. She would anger easily and admits that she was pretty hard to be around most of the time. She knew something was off, but back in the 1960s, there wasn’t the Internet to turn to for information.

Carlson was born male, and that’s how she was raised. She grew up in Vermont and New Hampshire with four siblings, a nurturing family and a stable home life, but all of that didn’t destine her to behave like a typical boy.

As a pre-adolescent — around 10 or 11 — she remembers trying on her sister’s discarded clothes that were kept in the basement, and later, cross-dressing while in college.

“There still was limited access to information at that time, so it was difficult to really understand what I was going through or if there were others who felt like I did,” Carlson says.

Despite the uncertainties in her life, Carlson graduated college, married a woman, and in 1980, landed a job at NASA Langley in Hampton, Va., as a scientist. But for all her analytical and deductive skills, she still struggled for answers in her personal life.

She tried attending meet-ups and social events with others that were sort of like her in the Hampton Roads area, but she couldn’t connect with anyone in those groups.

“I never really meshed with them,” Carlson says. “They all seemed to be dealing with other issues that just weren’t the issues and problems I was having.”

It wasn’t until the early 90s — and the dawn of the Internet — that Carlson learned of a week-long, yearly conference in Washington state called Esprit that focused “on changing lives for the better and creating pride and self-respect for anyone who is transgender.”

Traveling across the country to attend the conference was a no-brainer for Carlson. Maybe, she thought, this time she’d learn something about herself. There, she had access to psychologists, physicians, speakers and discussion groups.

“I finally found this group of educated professionals, of people who really had their stuff together — but they were trans,” Carlson says. “That’s where the light came on for me.”

Estimates of the number of people who make up the transgender community in the United States have doubled in the past few years — from 700,000 to about 1.4 million — though that amount may not be accurate.

For one thing, the U.S. Census Bureau and other keepers of official records do not ask about gender identity. Also, gender identity can be fluid and hard to define in a multiple-choice list. Facebook, for example, now offers more than 50 gender options on a drop-down list.

Basically, for approximately 1 in every 250 adults, according to a study by the Human Rights Organization, gender is fluid.

It’s not as simple as male or female, and with plenty of resources now at their fingertips, more and more people don’t have to wait decades like Jan-Renee Carlson did to understand what they are experiencing.

There’s even a term for what Carlson — who at a young age was wrestling with emotions related to her identify — was going through. Called gender dysphoria, it’s defined as an individual’s persistent discomfort related to their biological sex.

But not all medical communities agree on the issue, especially when it comes to children.

1.4 million

Estimated number of transgender people in the United States

What does transgender mean?

Historically speaking, the actual phrase was coined sometime in the 1960s and at the time, referred to people who identified with a gender different than the one assigned to them at birth.

Sometimes it’s confused with the word transsexual, which refers to people who have completed a sex-reassignment surgery.

Over the years, the word has grown into more of an umbrella term and doesn’t only refer to those who want to live as the opposite sex, but also includes a wide-ranging, ever-growing number of people with any number of “gender identities.” (see examples on page 37).

Increase in transgender teens

While there have been several smaller studies done, there is not much data on the number of teens who identify as transgender. A 2016 study of 81,000 Minnesota teens revealed that 2,200 identified as transgender or gender nonconforming, which means not identifying as particularly feminine or masculine.

Despite one’s personal or political feelings about the topic, the fact is that doctors are reporting seeing more and more teenagers for gender-identity issues.

Leah Hedblom, a counselor with Sunrise Counseling in Virginia Beach, Va., said when she first started her residency three years ago, she mostly worked with teenagers dealing with substance abuse and eating disorders. But over time, more of her patients seemed to be transgender teens.

“I’m not quite sure how it happened, but once it began, it was nonstop,” Hedblom says.

As she met with the teenagers, she learned that many of them didn’t know who to turn to or where to go to speak with anyone about what they were feeling. Hedblom did some research and found there was a significant lack of support groups for transgender teens and few counselors with the expertise to help them. She heard stories of some counselors turning teens away, telling them their behavior was “delinquent.”

“I was appalled,” says Hedblom, who started a transgender youth support group for those aged 12-17. “These youth need to feel that they are okay, ‘normal’ and have a safe place to Continued on page 36

THEHEALTHJOURNAL.ORG

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FEATURE

Timeline of some transgender firsts

1952

1968 The first peer-run support and advocacy organization in the world —the National Transsexual Counseling Unit [NTCU] — is created.

Christine Jorgensen (born in 1926 named George William Jorgensen, Jr.) becomes the first widely known American to have sex reassignment surgery.

1974

Angela Morley becomes the first openly transgender person to be nominated for an Academy Award.

1995 Georgina Beyer becomes the world's first transgender mayor (Carterton District, New Zealand).

2010

2010

Phyllis Frye becomes the first openly transgender judge appointed in the United States.

Kye Allums becomes the first openly transgender athlete to play NCAA basketball.

2013

2013

Kristin Beck, formerly Chris Beck, comes out as the first openly transgender retired Navy SEAL.

A 6-year-old girl named Luana, who was born a boy, becomes the first transgender child in Argentina to have her new name officially changed on her identity documents.

2014

Actress Laverne Cox appears on the cover of the June 9, 2014 issue of Time, becoming the first openly transgender person on its cover.

2014 Facebook offers users customizable gender options and preferred pronouns.

2018 Vermont Democrat Christine Hallquist becomes the first openly transgender candidate for governor nominated by a major political party in the United States.

2015

Scott Turner Schofield becomes the first openly transgender actor to play a major role on daytime television, as the character Nick on the soap opera The Bold and the Beautiful.

2017

Journalist Danica Roem becomes Virginia’s first openly transgender elected official when she was elected to the state House of Delegates.

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Should You Be Getting the Flu Shot?

Common Misconceptions About the Seasonal Flu Virus and Vaccine

BY MEGAN ARMENTROUT

O

ver the years, misconceptions about the influenza vaccine have arisen and spread, with much of the confusion caused by the ever-changing nature of the influenza viruses themselves.

Influenza — more commonly referred to as the flu — is a contagious respiratory disease that affects millions of Americans every year. Common symptoms of the flu include body aches, fever, cough, sore throat, fatigue and sometimes vomiting and diarrhea.

Just as the flu affects people differently, the symptoms and severity vary from person to person. In the worst cases, the flu can lead to hospitalization and even death.

Anyone can catch the flu, even healthy adults and children; however, those who are under the age of five, are over the age of 65, are pregnant or have compromised immune systems are among those most susceptible to the flu and flu-related complications, according to the Centers for Disease Control and Prevention (CDC).

Due to the increased susceptibility and risk factors, “it is important that not only those groups who are vulnerable be vaccinated, but for those around them to consider vaccination to help prevent the viruses’ spread,” says Dr. Steven Leblang, medical director of TPMG. Overall, the flu vaccine is intended to protect the public — especially those who are most vulnerable to the flu, as well as those who may not be able to get the vaccine. While the vaccine does not provide protection from all flu virus strains, the CDC does recommend the vaccine for nearly everyone six months of age and older as the best protection method.

Flu Vaccine Misconceptions

“Can you get the flu from the flu shot?”

It is not possible to get the flu from the flu vaccine, according to the CDC. If a vaccine recipient gets sick with the flu despite being vaccinated, there are various potential explanations — such as exposure to a flu virus strain not included in the vaccine or a strain in

the vaccine that has changed or mutated.

There are associated side effects of the flu vaccine, but typically, they do not last very long, Leblang says. “People who get the flu shot may experience side effects of the vaccine, such as a low-grade fever, soreness at the injection site and aches,” he says.

“I’ve never gotten the flu, so why should I get the vaccine?”

Preventing the Flu: Wash your hands regularly with soap and water.

Avoid touching your eyes, nose and mouth.

Clean and disinfect common areas thoroughly and regularly to kill germs.

Stay home if you are sick.

Cover your nose and mouth when you sneeze or cough.

Get the flu vaccine to protect yourself.

Source: Centers for Disease Control and Prevention

Someone who has never had the flu may feel as though they have built up natural immunity over time. But it doesn’t really work that way. Since every flu season is different, and because virus strains change from year to year, having the flu — or being exposed to it — in the past does not guarantee protection in the future.

To account for the continuous change in the virus strains, the World Health Organization (WHO) and its global partners, including the CDC, conduct continuous monitoring of the influenza viruses around the SPONSORED CONTENT

world. Based on that data, the WHO makes a recommendation of the flu viruses projected to be most prevalent in an upcoming flu season. The yearly vaccine is then created based on those viruses.

“How can you get sick from the flu if you have been vaccinated?”

If you get the flu despite getting a flu shot, a possible explanation goes back to the changing nature of influenza viruses and the challenge it presents in creating an effective seasonal flu vaccine.

While the flu vaccine is intended to protect against the viruses projected to be the most prevalent in a flu season, if someone encounters a virus strain not included in the vaccine, or if a strain included in the vaccine changes during the season, it is possible a vaccine recipient could get the flu. Or, someone could have gotten a flu shot, but been exposed to a flu virus during the two weeks it takes to build up immune protection after receiving the vaccine.

“I got the flu shot last year, so I’m covered for this season.”

Unfortunately, it doesn’t work that way.

Remember, the flu viruses change from season to season, which is why the CDC recommends annual flu vaccinations for the best protection. A previous season’s vaccine may not include the strains projected to be circulating in the current season.

Also, according to the CDC, the body’s immune protection gained from past flu vaccines can decline over time, so annual vaccination helps to provide the optimal level of protection.

As a final note, before receiving the vaccine, it is important to disclose any allergies, in particular an egg allergy, to your doctor or the licensed health care professional administering the vaccine.

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If you have questions about the flu or the vaccine, talk with your doctor or visit well-known and trusted websites such as the CDC or the state Health Department for more information.

The Hidden Dangers Of Running

BY JOHN FAWKES

A

ccording to exercise guidelines, you should get at least 150 minutes of exercise per week — and running is generally considered one of the healthiest ways to achieve that. However, there is evidence that excessive running can cause damage to the cardiac muscle. In a few extreme cases, runners have died of heart attacks during events.

One study found that people who jog live longer than people who run at high speeds, while some studies have even found that too much running is just as bad as no exercise at all.

So what gives? How much running is too much, and how hard is too hard? Let’s look at what the research has to say.

The Dangers of Excessive Running

First things first: yes, it is possible to run too much.

It’s just a question of how much running that takes.

Too much exercise can lead to overtraining — a state of chronic stress and fatigue that occurs when you overtax your body, exceeding its ability to recover from strenuous exercise.

When you become overtrained, you stop making progress. Your strength goes down, your mile time goes up. You get slower, weaker, tired. Your mood worsens, and you get sick more often.

Despite the name, overtraining is not purely caused by training too much, or too hard. Rather, overtraining results from a combination of many factors: too much training, too much life stress, lack of sleep, under-eating, illness and nutrient deficiencies.

It also depends on training status — the more experienced you are at running, the more of it your body can take. Novice runners might only run 10 miles in a week, spread over several days. Elite runners, on the other hand, will typically run twice a day when preparing for a race — between 100 and 130 miles per week. And that’s in addition to cross-training activities such as swimming and weightlifting.

Do Runners Live Longer?

That still leaves the question of how running affects your lifespan. Will too much running cause you to die young?

It is true that too much running can be bad for your heart (some research suggests that regular marathon running increases the risks of an abnormal heartbeat, damage to heart tissue and hardening of the arteries), and even runners can still develop heart disease.

Runners occasionally even suffer heart attacks during races, but this is extremely rare, happening only a few WELL FIT

times a year worldwide.

But the studies that call into question the healthiness of running all have one major flaw: they’re purely correlational, and can’t demonstrate causation. It may well be that many people who run a lot are doing so precisely because they’re unhealthy or overweight to begin with and trying to get healthier.

The fact remains that the overwhelming majority of studies have found that running is associated with a longer lifespan. Even elite runners, who run over 100 miles most weeks, consistently live longer than average — however, they may not live longer than people who only run recreationally. But while cardiologists involved in the studies say that competitive runners shouldn’t curtail their running, they do say there’s no need for moderate runners to extend their jogs in the hopes it will improve heart health.

“It appears that most people can get maximum health benefits with relatively low amounts of exercise, and that’s comforting,” exercise researcher Dr. Carl Lavie, medical director of Cardiac Rehabilitation and Prevention at the John Ochsner Heart and Vascular Institute in New Orleans, told the Boston Globe. “You don’t need to push it longer and harder if you’re trying to make yourself as healthy as you can be.”

Running is also associated with greater health benefits than resistance training, i.e. weightlifting. However, since resistance training has its own unique benefits, like increased bone density, the healthiest course of action is to combine both — lift weights a few days a week, and run or jog a few miles several times per week.

How to Avoid Overtraining as a Runner

Running doesn’t need to be avoided, but moderation is key. Let yourself have at least one rest day a week when you don’t run, and don’t force yourself to keep going past the point of exhaustion.

If you start to feel fatigued, sore and in a bad mood for several days in a row, or if you find that your progress stops or even reverses, you may be overtraining. In that case, the best thing to do is take two or three days off. If you find the extra time off improves your running, that’s a sure sign that you need to take things a little easier.

Remember, also, that not training too much is only half the solution — the other half is sleeping eight hours a night, minimizing stress and eating plenty of healthy food.

Ultimately, it’s about listening to your body — you should be running, but more isn’t always better.

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8

Style Tricks to Make You Look Five Pounds Slimmer — Right Now

BY SUZANNE DOUGLAS

A

re your clothes making you look heavier than you are? Believe it or not, it happens all the time.

A good personal stylist will tell you that the easiest five pounds you’ll ever lose is by getting the fit of your clothing just right. As we move into the fall/winter season, here are some quick fixes you can try right now — for men, women or both. No diet necessary!

Draw attention to your slimmest body part This is easier for women, but works for both. Are you a woman with great ankles?

Lucky you — ankle pants are in style.

Have a slim waist? Belt it. For those with an ample chest, subtract pounds instantly by wearing a V-neck top rather than a high crewneck, or by adding a long necklace or low-tied scarf. Make sure skirt hems fall at the slimmest part of your leg, and (for both men and women) avoid pants with super-wide legs, or pants that “pool” at the bottom — they will add instant pounds.

Keep your accessories in line with your size A tiny little watch on a great big body just makes the body look larger by comparison. And super-chunky bracelets on a petite wrist can overwhelm your look.

Keep your scale in mind when choosing your accessories — that goes for ties, collars and shoes, too — and you will look and feel much trimmer.

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Roll up those sleeves

Want to look five pounds lighter instantly? Simply alter those overly long jacket sleeves. For both men and women, jacket sleeves should end just below the wrist bone, or at three-quarter length for a more casual look. They should not be halfway down your hand or dragging on your knuckles. Give this a try: turn up your too-long sleeves right now in front of a mirror and see how much more “together” you look.

Add some proportion!

Good stylists know that no matter what your size, the right proportions can totally change the look of an outfit.

Try to create a pleasing ratio with your clothes, usually by using a one-third to two-thirds ratio. For example, for the most eye-catching, slimming look, women should pair a long jacket with a short skirt, or tuck in a shirt and add a belt to go with a long skirt. Whatever you do, don’t cut yourself in half! Also: Keep horizontal lines away from your widest parts.

Choose the right fabrics

If you are a solidly built man or woman, avoid ultra-thin or wispy fabrics, which will only exaggerate your size. Likewise, don’t add heavy, stiff material to a slight frame, or you’ll look top (or bottom) heavy. Like your accessories, fabrics should be in line with your scale — lighter fabrics/smaller patterns for smaller bodies, medium fabrics for medium sizes and more substantial fabrics for larger frames.

Add some stretch

Good news! The miracle of stretch fabrics is now available everywhere — for both women and men. Items with a little added stretch subtract pounds and add ease, movement and comfort to your look. Nothing puts visual pounds on faster than a bulky, stiff pair of jeans or pants.

Alter to fit Perfectly-fitting garments make everyone look slimmer.

Yes, we know that alterations can be expensive, especially if you haven’t paid much for the garment itself. But properly fitting clothes will make you look and feel like a million. Ask around for the best tailors in your area and use them regularly.

Choose clothes that echo your body shape

Contrary to what you might think, squeezing your body into a too-small size or hiding under billowy larger shapes will not make you look slimmer. Instead, whatever your size is, celebrate it with clothes that work with — not against — your body shape.

Fortunately, as manufacturers are finally beginning to reflect the needs of real consumers, there are more sizes and designs out there than ever before. Experiment!

STYLE

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Ending the Silence on Stillbirth

BY KIM O’BRIEN ROOT

WOMENS HEALTH

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S

hannon Renfro was worried when she went into the hospital to give birth to her second child.

For several days, she had noticed what she could only describe as “strange” movement coming from the baby. Call it mother’s intuition, but something seemed off. Repeatedly she called her doctor, who convinced her she was just imagining things. She tried to relax.

But when Renfro went to the hospital at 40 weeks and 3 days, her baby no longer had a heartbeat. Baby Savannah Grace was born still, the cause of her death unknown. Much later, Renfro learned that a change in movement can often be the only indication that something is wrong.

Renfro left the hospital holding not her baby, but a box with a few mementos — a tiny hospital bracelet, a blanket — and a folder of outdated resources. The box also included an envelope intended for a lock of hair and a card for the first foot and handprints. Both were empty. No one had bothered to remove them.

Trying to push away her grief, Renfro spent the next two years pursuing a congressional inquiry against a Hampton, Va., military hospital for negligence. Tired of the stress and the rhetoric she kept getting, she dropped the case. It never was about money, anyway — it was about changing the system so other women wouldn’t have to go through the same thing.

Renfro decided to pursue change her own way.

In 2011, Renfro got involved with the Minnesota-based Star Legacy Foundation, a national organization dedicated to preventing stillbirths and other neonatal deaths and to caring for families who’ve been through it. In 2014, she became a certified grief counselor. This summer, she was named the chair of Star Legacy’s Virginia chapter.

“I can’t do anything about my daughter, but I can help others,” says 37-year-old Renfro, who now lives in Gloucester with her husband, Eric, and three children — two of whom were born after the 2009 stillbirth. “It’s such an important issue, but it’s a silent issue. It needs to be talked about.”

Most importantly, Renfo says, people need to know stillbirths often can be prevented. And with October being Pregnancy and Infant Loss Awareness Month, it’s a good time to have the conversation.

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Every day, 71 babies are born still in the United States.

That’s about 26,000 each year. One in 160 pregnancies. At least half of those stillbirths occur in the 3rd trimester (when viability outside the womb increases) to mothers who have had mostly unremarkable pregnancies. They often seem to be healthy babies in the womb — until they’re not.

“Thousands more are miscarried or die shortly after delivery,” says Lindsey Wimmer, executive director of the Minnesotabased Star Legacy Foundation, which was started in 2006.

“Everyone knows someone who has been touched by pregnancy loss and infant death — but we don't talk about it. [The Foundation's] efforts are centered around making sure that every family knows how to reduce their risk of stillbirth and other poor pregnancy outcomes, educating health professionals on the latest research in stillbirth prevention and supporting families who are facing this tremendous loss.”

Virginia is only slightly behind the national average of stillbirths. At Norfolk General Hospital, for example, there are 10-25 stillbirths a month, according to Deborah Dougherty, a perinatal bereavement nurse at the hospital.

Through education — especially by letting women know how they can reduce their risk — the Foundation believes the stillbirth rate could be reduced by as much as 40 percent.

Star Legacy centers their efforts around five pillars: research, advocacy, awareness, education and family support. According to the Foundation, stillbirth is the most understudied issue in medicine today. It wasn’t until 2015 that legislation was passed in Virginia that established a hospital protocol when a stillbirth occurs, spelling out what should be in a standard evaluation, or autopsy.

“Studies show when you have a cause, it helps,” says Renfro, who worked with Virginia Sen. Tommy Norment on the legislation. “If you have an answer and a reason, it can help with future pregnancies.”

The legislation also directed hospitals to develop policies and guidelines to assist families coping with the heartbreak.

Renfro frequently meets with hospital staff to hand out Star Legacy’s informational pamphlets and to let them know about available training. The pamphlets are hugely beneficial,

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WOMEN'S HEALTH

Dougherty says, because they give information that often isn’t available anywhere else.

“In the parenting books, there’s no section on what to do if your baby dies,” Dougherty says. “It still happens, whether you want to think about it or not.

But it does happen.”

“Information is powerful,” ads Renfro, who points out that education can simply be encouraging conversations between women and their doctors about stillbirth prevention.

A few things women don’t always know: If they have a stillbirth, they are entitled to a birth certificate. And a woman who has a stillbirth from a cord accident is 10 times more likely to have another. That’s why it’s so important for women to listen to their bodies.

“We have had some saves,” Renfro says. “Women have contacted me and said something didn’t feel right. [After encouraging them], they went in and had a C-section.”

Supporting women and families is a large part of Star Legacy’s mission and is near and dear to Renfro’s heart. “There is support in the area,” she says. “Know it’s okay to talk about it.” Bon Secours Hampton Roads Bereavement Center offers support groups for people facing different kinds of grief, including from perinatal loss. Star Legacy also offers a number of online support groups.

Renfo knows there’s still a ways to go. Though her husband is now retired from the Navy, she still wants to see a federal law to establish protocols for military hospitals.

She also would like to see adjustments to the “39-week rule” that severely limits labor induction before 39 weeks of pregnancy. The 2009 rule was intended to prevent premature births, but its strict application has “probably led to hundreds” of early-term stillbirths, according to a study in the journal BMC Pregnancy & Childbirth.

“There are a lot of stillbirths that are unavoidable,” Renfro says. “But a lot of them are. We can do better.”

Ways to help avoid

stillbirth

Know your risk factors Talk to your doctor to see if you meet certain risk factors that could put you at high risk for stillbirth, including maternal obesity, use of alcohol, tobacco and other recreational drugs, infections such as Group B strep and HIV, advanced maternal age and more. If you are deemed high risk, you should get regular fetal monitoring.

Learn about your baby Get the tests and ultrasounds done that are recommended by your doctor. Blood tests don’t just determine whether a baby could be born with a chromosome defect; they evaluate how well the placenta is functioning. Thirdtrimester ultrasounds can monitor amniotic fluid and evaluate positioning of the baby, umbilical cord and placenta.

Sleep on your side Studies show that women who sleep on their backs during the third trimester have an increased risk of stillbirth. Lying on the left side can enhance blood flow. Also, make sure you are not suffering from sleep apnea.

Pay attention to your baby Fluttering usually starts around 20 weeks. By 28 weeks, most women notice patterns. Be aware of your baby’s movements and know what is usual for your baby. If you notice any changes, such as slowed or frantic movement, see your doctor immediately. Trust your instincts. You are your baby’s voice.

For more information Contact the Star Legacy Foundation at 952715-7731 or starlegacyfoundation.org or the Virginia chapter at starlegacyfoundation.org/ virginia-chapter or www.facebook.com/slfva1.

There is also a national support line staffed by trained grief counselors at 952-715-7731 ext. 1.

WOMENS HEALTH

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Robot-assisted Hernia Repair Promises Efficiency and Precision

BY MEGAN ARMENTROUT

TPMG surgeon plans to offer customizable hernia repair with newly acquired robotic surgery technology.

Over the last decade, robot-assisted surgery has steadily become a fixture in operating rooms across the country and continues to gain in popularity with surgeons as a minimally invasive surgical technique.

This fall, Dr. Steven Hopson, a general surgeon and hernia specialist at TPMG General Surgery and Hernia Center in Newport News, Va., will be among a handful of surgeons in the Hampton Roads area to offer an innovative technology for hernia repair.

Using robot-assisted surgery, or RAS, Hopson will be able to perform procedures with more ease, efficiency and precision than ever before — all while controlling the instruments from a nearby console.

“Having this technology as part of my practice allows me to provide options suited to the specific needs of each surgical case and patient,” Hopson says.

Surgical Hernia Treatment “A hernia occurs when an organ or tissue pushes through an opening or weak area of the abdominal wall, upper thigh or groin area either due to a preexisting weakness at birth or strain,” Hopson says.

Depending on the area, a hernia may resolve on its own.

However, if it doesn’t, surgery is often the only treatment to avoid serious, life-threatening complications. Factors including the hernia type, medical history, lifestyle, availability of post-operative care at home and recovery are all considered to determine the appropriate surgical approach for each case.

Historically, hernia repairs have been successfully completed using open repair and laparoscopic approaches.

Depending on the specific case, in an open repair a large incision is made to view the protrusion and reinsert the tissue or organ to its original area. The opening is then closed with sutures and may be secured with mesh to strengthen the area and prevent further occurrences.

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With the laparoscopic approach, small incisions are made at the insertion point for the instruments to complete the repair — one of which is an endoscope, a long tube-like instrument with a camera that allows the surgeon to view the operation. Patients who undergo this minimally invasive approach typically experience less pain and a quicker recovery time.

With robotic surgery, the surgeon is effectively performing the same procedure as with an open or laparoscopic approach.

But because the instruments articulate and mimic the surgeon’s movements in a way that is limited in the laparoscopic approach, the surgeon is able to operate with more ease, efficiency and precision.

The instruments are positioned through small incisions similar to the laparoscopic technique, but rather than the physician directly handling the instruments at the operating table, the physician sits at a nearby console to view the operation and control the instruments.

Determining The Right Approach While robotic surgery may offer multiple benefits such as quicker recovery, less pain and smaller, less-noticeable scars, it is important to note that traditional open and laparoscopic techniques remain sound surgical options for hernia repair, Hopson says.

“My goal is always to offer patients options and state-of-the-art care, but I do utilize the open and laparoscopic approaches in my practice … the needs of each specific case are always paramount when determining the surgical technique,” he says.

Some patients, due to a variety of factors, may not be candidates for RAS. For instance, a patient with a complex hernia repair may benefit from an open surgery, while a patient with a straightforward hernia repair may be better suited to a laparoscopic approach.

As robotic surgery is still relatively new to the general surgery field, it could still be a while before the technology is considered the gold standard in hernia repair.

“While there is evidence of success with robotic surgery, the technology is still unproven as a superior approach to treatment over other methods used for general surgery,” Hopson says. “We still have a ways to go before robotic surgery is commonplace in our field.”

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Is There Such a Thing as a

Healthy Beer?

BY JASON LIEBLER

N

o question, America has a love affair with beer.

For a long time, the relationship has been with the macro-breweries — you know, the ones whose names you immediately recognize — those that produce beers such as Budweiser and Coors Light. Even today, Anheuser-Busch (with more than 100 different brands) is king with 46 percent of the market share. Add in the rest of the fab-five — MillerCoors, Heineken, Constellation Brands (maker of Corona and Modelo) and Pabst Brewing — and these big businesses control more than 75 percent of the beer market.

But America has a couple of other love affairs. For one, there are some — from millennials to baby boomers — who enjoy the burgeoning landscape of microbrewers and all the delectable and dynamic potent potables they offer. The other is health.

There are CrossFit enthusiasts, goat yogis, micro-nutrient counters, juicers and those of us who are just health conscious and enjoy the social, almost speakeasy style of breweries, but would rather not drink two IPAs at 8 percent alcohol by volume (known as ABVs) and 250 calories each. To burn those off, that’s probably about a five-mile run in addition to a regular workout.

So how to reconcile the two? How does the group of healthconscious people enjoy more than one six-ounce pour from a brewery without feeling as if they have to sacrifice their personal goals?

Never fear, dear, sweet reader, for I have shouldered the burden of traveling from brewery to brewery, sampling away and asking experts and beer drinkers:

What is a “healthy” beer?

The results were wide spread. Though a majority of patrons suggested the norm of low-calorie, low-alcohol beers — such as American light lagers Bud Light and Michelob Ultra — these beers don’t really exist in the brewery world. Therefore, I have compiled a small list of beers that may fit the mold of “healthy”.

Caveat: When we’re talking about “healthy” beer, we’re not saying

any amount of alcohol is safe. As reported by The New York Times, a study published in the journal Lancet concluded that daily alcohol consumption increased (albeit slightly) the risk of health problems.

Whether or not there is a “healthy” amount of alcoholic beverages that can be consumed each day is still up for debate. It would seem that it is not the alcohol that is healthy, but the amount of alcohol per drink as well as ingredients mixed in that can be described as comparatively healthy. Indeed, the consumption of alcohol increases the risk for chronic disorders as well as impaired driving. Please know the limits and drink responsibly.

That said, on to the beers!

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FEATURE

Low alcohol | Southern Nully Guanabana Berliner Weisse Oozlefinch Craft Brewery, Fort Monroe Traditionally to have the name “Berliner weisse,” a beer must be brewed in Berlin, but the requirement has been loosened to incorporate other breweries in Europe and North America. A Berliner weisse is a cloudy, sour beer with a unique feature — lactic acid. Added during the fermentation process, lactic acid provides not only the sour flavor of this beer but also some unique microbial benefits. Lactic acid bacteria are commonly used as probiotics, which are used to promote the beneficial bacteria processes that occur in the stomach.

Oozlefinch Brewery’s take on the German brew incorporates a wide range of fruits such as citrus and guanabana, a strawberry and appleflavored fruit native to the Caribbean and South America. What’s remarkable about this beer is the balance between flavors of fruity tartness and beery beerness while keeping the alcohol to just 3 percent.

All-around balanced | Session Saison Ardent Craft Ales, Richmond Saison is a variety of Belgian ale traditionally brewed in the spring and summer months, but thanks to modern technology, this light and refreshing brew can be enjoyed year-round. These lightly hopped beers can have a lovely citrus flavor, but sometimes can drive off diehard IPA fans.

Enter Ardent Brewery’s Dry-Hopped Session Saison. This wellbalanced beer hits the palate easily, brings a body of hoppy bitterness and has a fruity finish that makes this beverage easy to enjoy on a hot summer day or a cold winter night. And because it’s only 4.5-percent ABV, it is one of the lighter-by-volume alcohol, I have found in the microbrewery market.

Gluten-removed | Mesa Table Beer Triple Crossing Brewery, Richmond-Fulton It’s unfortunate that the gluten-free world has become the butt of Saturday Night Live jokes. There is a rising habit of restaurant diners who prefer to claim a gluten allergy rather than reasonably research proper dieting, which probably leads to the negative stereotype.

The truth is celiac disease is a real thing, and the Celiac Disease Foundation estimates that one in 100 people may suffer from it. So for a long time, people with the condition or who have experienced sensitivities to gluten found themselves marking the social events at breweries relatively off-limits.

But there are breweries attempting to bridge the gap. To make Triple Crossing’s Mesa Table Beer, brewmasters utilize an enzyme called “clarity ferm” to remove a majority, if not all, of the gluten in beer during the fermentation process. These beers are more agreeable

FEATURE

to those with gluten intolerance (note: it is beyond the expertise in this article to suggest “gluten-removed” means “gluten-free”).

At only 4.5-percent ABV, with subtle fruity notes, this light blond ale is a pleasure to drink. And with a noticeable but not overpowering hoppy finish, it is sure to satisfy both the glutensensitive and the IPA-fan alike.

In speaking with brewmasters, I found a few breweries that will release seasonal or limited beers that use gluten-free substitutes for the traditional cereal grains such as rye, barley and wheat. Grains such as rice, buckwheat and even quinoa in one case can make these beers more palatable to those with gluten sensitivities. Be sure to check ahead with your favorite brewery for updated tap lists if you’re seeking this type of beer.

Antioxidants/Nutrients Duck Faced Flower Child Lickinghole Creek Craft Brewery, Goochland To be honest, I am not a fan of sweeter beers. But when I put the healthy beer question to Lickinghole Creek Brewery’s co-founder Ferris Loutfi, he didn’t hesitate to suggest this variation of the rattler.

Rattlers are traditionally brewed with a pilsner base, but this beer has a Belgian triple as its base which, combined with sparkling pomegranate, pineapple and blood orange juices, makes one delightful libation that finishes clean and complete.

Admittedly, it does have a comparable amount of natural sugars native to the juices used, but the fact that this unfiltered, unpasteurized beer is packed with antioxidants makes it a prime contender not only for one of the healthiest beers I encountered, but one of my favorites on the list.

Tea-style beer | Botanical IPA Back Bay Brewing Co., Virginia Beach Oceanfront OK, I may live in Richmond, but my heart is in the 757. And I would be remiss if I didn’t include at least one brewery from the Seven Cities. So, in my hunt for “healthy” beers I came across Back Bay Brewing’s Botanical IPA. Brewed with hibiscus, this beer caught me off guard. It’s the lowest ABV on tap right now at a paltry 3.9 percent, but it’s an India Pale Ale, which traditionally has more than 6 percent.

What’s nice about this beer is that despite its low alcohol, it is still a very full, flavorful beer. The hibiscus provides a deviously pleasant tea-like quality to the beer, which is a lovely deviation from the many citrus-infused IPAs on the market today.

It is clear that breweries along the Interstate 64 corridor are answering the call in unique ways for healthy alternatives to the high-calorie, high-alcohol beers that have saturated the microbrew market in recent years. But don’t just take my word for it.

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Health and History in

Philadelphia

BY TERESA BERGEN

THEHEALTHJOURNAL.ORG

/ 30 / TRAVEL FOR WELLNESS

W

alking around Philadelphia, everything looks like a famous building. You might find yourself wondering if this is a special site where our forefathers and foremothers did something notable, or just another old structure. But you don’t have to wonder for long — in addition to Philadelphia’s many touted firsts (United States capital, bank, free library, hospital, volunteer fire department), the City of Brotherly Love must have more historic plaques per square mile than any city worldwide.

Whether you want to see where Betsy Ross sewed the nation’s first flag or locate the site of the country’s first indoor circus, the plaques will guide you. This makes Philadelphia perhaps the best place for history buffs to get some exercise. But it’s also a modern city with all the amenities of interest to the health-conscious traveler.

Walking Philadelphia If you’re staying downtown, you can explore the Delaware riverfront to the east and the smaller Schuylkill River to the west. Follow the Schuylkill path to Fairmount Park, one of America’s largest green spaces, and you’ll find trails, historic mansions, museums and outdoor concerts. Stop off at the Philadelphia Museum of Art to see the current exhibit, or to get your photo taken outside with the iconic Rocky statue. A constant stream of tourists recreate the fictional boxer’s run up the museum’s 72 steps, to the consternation of museum staff who would rather they come inside.

If you prefer more structured sightseeing, many companies offer walking tours. History is the biggest topic, but you can also find tours focused on food, murals and architecture. Those who enjoy exploring the darker side can join Grim Philly Twilight Tours. Or, opt for a self-guided tour, such as the Constitutional, which covers 30-plus historical sites in the Independence National Historical Park area over a three-mile journey. You can download walking tour apps, or get an old-fashioned paper map.

Unusual fitness classes Like any big city, Philadelphia has plenty of gyms and fitness classes.

If you like to expand your fitness horizons, try a locally grown Red Hot Dance Fitness class, created by local choreographer Christine Gallagher as Philadelphia’s answer to Zumba. Yogis who like to try something unusual can check out Heavy Metal Mondays with Daniel Cordua at Palo Santo Wellness Boutique. Want to hear death metal band Cannibal Corpse during corpse pose? They’ve got you covered.

Famous vegan restaurant The buildings may be historic, but Philadelphian cuisine has evolved beyond salted meat and porridge. There seems to be a vegan hotspot around every corner, from Bar Bombon, a Puerto Rican bar/restaurant featuring empanadas and buffalo cauliflower tacos, to Goldie’s, home of falafel and the world’s most delicious tahini shakes. But most visitors interested in plant-based cuisine make a beeline for Vedge, one of the most famous vegan restaurants in America. This elegant, romantically lit eatery specializes in small plates such as

Independence Hall

Longwood Gardens

Urban farming

Vegan restaurants

Schuylkill River

Philadelphia Museum of Art THEHEALTHJOURNAL.ORG

/ 32 / TRAVEL FOR WELLNESS

avocado stuffed with pickled cauliflower, fried rice and black salt, and charred Brussels sprouts with kimchee glaze and pickled mushrooms.

Urban farming For a close-up look at where your food comes from, swing

by Greensgrow Farms in Kensington, a neighborhood once better known for urban blight and abandoned industry than healthy food. It was a radical move when Mary Seton Corboy founded a hydroponic lettuce farm on the site of a former steel galvanizing plant in 1997. Over the last 20 years, Greensgrow’s has worked to improve access to fresh foods for people in the neighborhood. Nowadays, 25,000 people visit annually to buy plants, attend farm dinners and even get married. Neighborhood kids stop by to visit the chickens and to admire animals saved from the dinner plate, including Milkshake the pig and Ping, a Muscovy duck. Pick up locally made foodstuffs at the farm shop, such as bottles of Greensgrow’s pineapple ghost pepper or jalapeno plum hot sauces.

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Longwood Gardens The name du Pont evokes thoughts of business and industry. But Pierre S. du Pont is responsible for one of the most relaxing places to visit in the Philadelphia area: Longwood Gardens. In 1906, du Pont bought a small farm in Chester County, about 30 miles from Philadelphia.

His travels to places like England’s Kew Gardens, Italian villas, French châteaux and world expositions inspired his arrangement of water features, architecture and plants at Longwood. Visitors can stroll through 1,083 acres of botanical pleasures ranging from forest walks to an enormous greenhouse filled with orchids, or marvel at 100 types of water lilies growing in a pond. There’s something to see year-round — from May to October, don’t miss the elaborate fountain show featuring 1,719 water jets, LED lights and music.

If you go Philadelphia is easily accessible from the Hampton Roads, Va., area. Nonstop flights from Norfolk on American Airlines take just over an hour. If you want to drive, allow about six hours. Stay at any of the downtown hotels and you’ll be able to easily get around by foot, subway and ride share. You’ll need a car to visit Longwood Gardens.

I am a 51-year-old former professional soccer player and now CEO of Eurotech Soccer. I began feeling chronic pain in my shoulders, back & knees about 2 years ago; never did I imagine it would be my hips causing the pain. I sought the care of Dr. Higgins because of his medical background & ability to operate at the cleanest facility in the area. He replaced my hip on 3/21/2018 and I am already back to walking, biking & swimming. Dr. Higgins exceeded my expectations.

- Jim Risher

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Is Beer The New

Recovery Beverage??

BY JOHN-MICHAEL JALONEN

Maybe not — but it can be part of an active, healthy lifestyle

F

or some, running is heart-pounding, sweaty and exhausting. For others, it’s refreshing, exhilarating and one of the most effective cardiovascular exercises there is. Regardless of the feelings it invokes, running depletes your body of important fluids that need to be replenished.

So what should you drink? Water for the hydration? A sports drink for the electrolytes?

How about popping the cap on a beer? After all, your body has lost fluids, electrolytes, carbohydrates and proteins — all of which need a fill-up. Beer is a fluid. It’s a carb and has electrolytes, too. It’s often served after 5Ks. But is it a good running recovery drink?

Well, yes and no.

Studies on the subject have been numerous, looking at everything from the dehydrating effects of alcohol consumption (which are more significant after a run) to how alcohol can impair the body’s ability to synthesize proteins your muscles need to repair after a run. Some research found that the only way to truly reduce the dehydrating effects — and to aid the overall fluid balance needed after exercise — was to actually reduce the alcohol percentage in beer and add sodium. Only then did beer offer “a potential compromise” between the effects of a typical recovery drink and the dehydrating effects of fullalcohol beer, according to the studies published in the journals PLOS One and the International Journal of Sports Nutrition and Exercise Metabolism.

Then, to the chagrin of beer lovers everywhere, a recent bombshell scientific study determined that “no level of alcohol consumption improves health.” The study, published in the journal Lancet in August, analyzed data from 195 countries over the course of 26 years.

The Lancet study did not, however, specifically look at whether exercise would mitigate any negative health effects from drinking moderately. But another study had already done so: In 2016, according to the British Journal of Sports

Medicine, researchers found that 150 minutes of moderateto-vigorous physical activity per week could lessen the link between consuming alcohol and death from a variety of causes, including from cancer and cardiovascular diseases.

In other words, all is not lost if you want to drink a beer after a run — as long as you rehydrate and replenish first.

Which brings up another bonus: While drinking solely beer as a running recovery drink might not improve your recovery, it might encourage you to work out more frequently.

When you turn running — or any exercise for that matter — into a social gathering, you’re more likely to keep up with the habit, and that could lead to better fitness outcomes in the long run. In fact, adults who consumed alcohol were more likely to be physically active than non-drinkers, according to the American Journal of Health Promotion.

With the explosion of craft breweries in the United States over the last 10 years, “drinking local” has become a way to become a deeper part of your community. High-quality breweries and their tasting rooms are becoming some of the hottest spots in the region — and many hope to tear down the long-held notion that beer can’t be part of a healthy and active lifestyle. (See story on page 28 about healthy beers.)

Some craft breweries host running clubs and races, encouraging runners to meet up, run away from and then back to their tasting rooms, where they offer discounted prices to participants. Meeting up with friends and running a 5K before drinking a glass of local beer can be a fun way to socialize and work out.

If you’re looking for the healthiest ways to replenish your body after a run, science says stick to water and to drinks specially designed to replenish what your body loses during a run. But if you’re looking to make running a social hobby — perhaps even a habit in order to reap the long-term health benefits of regular exercise — an alcoholic incentive might do the trick when it comes to getting off the couch and back into shape.

Places in Hampton Roads to Run (and Drink) Socially DOG Street Pub Running Club: Monday nights at DOG Street Pub in Williamsburg. Registration starts at 5:30 p.m.; run starts at 6 p.m.

Billsburg Brewery Running Club: Tuesday nights at Billsburg Brewery in Williamsburg. Registration starts at 5 p.m.; run starts at 6 p.m.

Water Street Grille Running Club: Wednesday nights at Water Street Grille in Yorktown; run starts at 6 p.m.

Big Ugly Running Posse (BURP): Wednesday nights at Big Ugly Brewery in Chesapeake, 6:30 p.m.

Team OV: Meets Thursday nights at Greenies in Norfolk The Williamsburg Beer and Running Group: Thursday Nights in Williamsburg. Locations announced weekly on their Facebook page; run starts at 6:15 p.m.

Feel like ending your run with wine instead of beer?

The Williamsburg Winery Run Club: Thursday nights in Williamsburg. Registration starting at 5:30 p.m.; run starts at 6 p.m.

LIFESTYLE

\ 35 \ THEHEALTHJOURNAL.ORG

Continued from page 12

discuss their feelings.… I offer some education, but mainly it is a safe, non-judgmental group for them so they know they aren’t alone.”

Helping youth who are transgender or who are experiencing gender dysphoria early on is of utmost importance, says Dr. Ilana Sherer, a San Francisco, Calif.-based pediatrician and founding member of the American Academy of Pediatric’s Section on Lesbian, Gay, Bisexual, Transgender Health, and Wellness.

“It became really obvious really quickly that the health outcomes and the psychosocial outcomes for transgender people are horrendous,” Sherer says. “The suicide attempt rate is around 40 percent. But, what I found out is that kids who presented early and who were supported by their families and providers didn’t experience the same negative outcome as the adults I was seeing.”

Why the high percentage of suicide ideation? The lesbian, gay, bisexual, transgender and queer (LGBTQ) community are not only targets of harassment, stigma and violence, but also deal with family and social non-acceptance.

In statistics published in Pediatrics, the journal of the American Academy of Pediatrics, among those teenagers who were open about being gay, transgender or questioning, 84 percent reported verbal harassment, 30 percent reported being hit, punched or injured and 28 percent dropped out of school because of harassment.

ideology that suggests people can be born into the wrong body. Her organization — the 15-year-old American College of Pediatrics (ACP) — is considered a socially conservative advocacy group, different than the 64,000-member American Academy of Pediatrics (AAP), a professional association of physicians that has been around since the 1930s.

“All behaviors and beliefs are due to nature and nurture,” Cretella says. “There is no single, family dynamic, social situation, adverse event, or combination thereof that has been found to destine any child to develop gender dysphoria.” In fact, Cretella suggests, some children may be vulnerable to the idea of being GD. “Studies suggest that social reinforcement (today this includes schools and other public institutions that recognize gender identity over sex), parental psychopathology, family dynamics, abuse, and social conditioning facilitated by the media (books/music/TV/movies/internet/social media), may all contribute to the development and/or persistence of GD in vulnerable children,” Cretella says. “There may be other as yet unrecognized contributing factors as well.”

Cretella says she believes the increase in children and teenagers being seen for GD is due to “widespread social promotion of transgenderism, and the fact that physicians and therapists face professional sanctions if they fail to affirm a child is transgender.” GD, she says, tends to resolve itself in the vast majority of patients by late adolescence.

“There is no rigorous science to support the claim that GD is innate and unchangeable,” Cretella says. “The message parents should convey repeatedly is that our bodies declare our sex, and we are loving and kind to all people, even when they break sex stereotypes or embrace beliefs different from our own.”

Sherer, on the other hand, has a different perspective.

“Transgender is not a new thing or a trend,” she says. “We know this is a part of the diversity of human existence. The fact that there are more people coming forward has a lot to do with the acceptance out there and because there is conversation about it, I think people are coming to care earlier.”

1 in 250 adults

Identify as Being "Gender Fluid"

How to approach the topic of gender identity

There are differing schools of thought on how to approach children who may be dealing with stress and anxiety relating to how they feel about their gender identity, but medical professionals do agree on one thing.

“The most important thing a family can do is to take a deep breath and look their kid in the eye and tell them ‘I’m going to love you no matter who you are or especially because of who you are,’ ” Sherer stresses.

Dr. Michelle Cretella, executive director of the American College of Pediatrics, agrees: If children “consistently and persistently insist they are not their biological sex, regardless of their age, parents should first and foremost assure them of their love for them.”

But that’s where the agreement between the two doctors ends.

Cretella is an outspoken opponent of the transgender

THEHEALTHJOURNAL.ORG

"that’s what’s going on with me" As transgender has become more the norm in mainstream media (in 2014, for example, actress Laverne Cox was the first openly transgender person to be nominated for an Emmy,) these teens are seeing someone like them and — much like the light turned on for Jan-Renee Carlson — are saying ‘oh, that’s what’s going on with me,’ ” Sherer says.

/ 36 /

FEATURE

Transgender: A person whose gender identity differs from the sex that was assigned at birth.

LGBTQ: Lesbian, gay, bisexual, transgender and queer/questioning.

Gender Dysphoria: Refers to the emotional distress of having a gender identity that is different from sex assigned at birth.

Cisgender: A person whose sense of personal identity and gender corresponds with their birth sex.

Gender Fluid: Having different gender identities at different times.

Gender Identity: A person's internal sense of self and how they fit into the world, from the perspective of gender.

Sex: Historically has referred to the sex assigned at birth.

Gender expression: The outward manner in which

an individual expresses or displays his/her gender. This may include choices in clothing and hairstyle, or speech and mannerisms.

Gender nonconforming: A person whose gender identity differs from that which was assigned at birth, but may be more complex, fluid, multifaceted or otherwise less-clearly defined than a transgender person.

Nonbinary: Transgender or gender-nonconforming person who identifies as neither male nor female.

They/Them/Their: Neutral pronouns used by some who

have a nonbinary or nonconforming gender identity. Last year, the Associated Press began permitting journalists to use neutral pronouns.

Sexual orientation: Describes sexual attraction only and is not directly related to gender identity.

Source: University of San Francisco California’s Center of Excellence for Transgender Health

84%

The percentage of teenagers who reported being harassed for being

lgBtq

1952

the year of the first widely known gender reassignment surgery in the U.S.

Because it’s natural for teenagers to try on different identities, she says, it’s important that while they go through that — even if it’s not their permanent path — that they are made to feel accepted. To Sherer, seeking out a physician or counselor who is trained in the gender affirmative model is a big part of that.

Published by the American Psychiatric Association, the Gender Affirmative Model is meant to help educate psychologists and other mental health providers on how to provide “culturally competent” care to transgender and genderexpansive children and their families.

The book was published just this past May, although the idea behind it was first laid out in a paper by eight doctors in 2013. The model is not without criticism — one online support group called Parents of ROGD (Rapid-Onset Gender Dysphoria) Kids calls the increase in transgender young people an epidemic.

Sherer, on the other hand, says it’s an emerging area of science. “With everything in medicine,” she says, “there’s going to be a period in time when we don’t have extensive data.” And just as the transgender community is evolving with different uses of pronouns and terms, so is the medical community.

No longer a mental illness

For decades, being transgender was considered a mental illness. Just this year, the World Health Organization announced that it has changed the designation of transgender from a mental illness to a sexual health issue.

And despite Cretella’s position that transgender is not biological, a recent brain scan study out of Belgium presented at the European Society of Endocrinology this year found that transgender brains more closely resemble brains of the sex they align with, rather than what they were born with.

Other studies note the role hormones play while babies are in utero and how they may affect gender identity.

Regardless of the many positions about the topic, Sherer says she works with many families who are supportive of their children despite their religious, cultural or political beliefs.

“The reality is there’s a kid in front of you, and it’s your kid, and you get to decide how to approach them,” she says. “I’ve been so inspired by families who were able to realize that this isn’t about politics, this is about their child and the health of their child.”

Another major topic of contention amongst some in the health care industry is use of hormone blockers for transgender youth who are approaching puberty.

Cretella says there’s a lot at risk health-wise if teens take puberty blockers and cross-sex hormones. One of those, she says, is permanent sterility. She also doesn’t think transitioning is the answer to preventing gender dysphoric teens from harming themselves.

“There is no evidence that transition prevents depression, anxiety or suicide in the long run,” she says.

Sherer, on the other hand, thinks of puberty blockers and hormones as “life-saving.” The AAP supports their use when necessary.

“We are healers; we are physicians; we have a tool in our arsenal to help children who are in some cases dealing with life-threatening circumstances,” she says. “With use of these medications, we see a dramatic reduction in incidents of depression and suicide. Obviously, the decision whether to use it is a complex one — and not every child needs the same care.”

For parents who have a child with GD or who may be questioning their gender identity, Sherer says that while it’s a good idea to reach out to the child’s pediatrician, it’s also important to realize that unless it’s a crisis situation, being transgender is not a medical emergency. One of the best things to do initially, she says, would be to reach out to an organization like PFLAG (Parents, Families and Friends of Lesbians and Gays) or a local advocacy group.

Dr. Nordlund is a Board Certified Ophthalmologist specializing in the diagnosis and treatment of retinal diseases and glaucoma.

John R. Nordlund, MD, PhD

Member, American Glaucoma Society; Member, American Society of Retina Specialists; Member, American Academy of Ophthalmology.

113 Bulifants Boulevard, Suite A Williamsburg, VA 23188

757-220-3375

www.rgava.com

Monday – Friday 8:00-5:00 Most insurance plans accepted

Love and support is the key

Having a strong support system is vital when it comes to GD. Carlson leaned heavily on friends she met through attending Esprit conferences, her family and her wife Ann, who has remained by her side, even through some challenging times.

In 2004, Carlson traveled to Arizona and had gender reassignment surgery. It was the final step in becoming JanRenee Carlson. Her wife, Ann, was supportive.

“Ann stayed with me,” Carlson says. “She’s been a coach, a friend and a companion, and she’s probably why I survived the whole thing.”

Mission

To practice the art of healing wisely, serving our patients with skill, respect and compassion. Offering them excellence in techniques, technology and care with joy and enthusiasm.

Vision

To care for each human being through the lens of Total Wellness.

Please mark your answers:

Are you looking for a dentist and team who will really listen to you and then share valuable, personalized dental health information? yes no

Support Groups

Is it intriguing to find a dental practice with a doctor who is trained in advanced nutrition and integrative medicine, allowing for an experience that enhances your total body wellness? yes no

Sunrise Counseling and Psychological Services, Virginia Beach, Va. James River Transgender Society, Richmond, Va.

Comprehensive Dentistry for

PFLAG www.pflag.org — local chapters listed on website

Total Wellness, Function and Beauty

Dr. Victoria McLaughlin, Cascadia Counseling PLLC, Williamsburg, Va.

Dr. Lisa Marie Samaha Serving the Hampton Roads community since 1982

If you answered “YES” , we believe we would enjoy discovering one another.

Please give us a call to learn more or schedule an appointment.

757-223-9270 www.PWDentalArts.com

Taste Appeal

KRISTEN PEYTON THE FUNCTION OF LIGHT

Opening Reception Saturday, October 13, 2-5pm

You’ve carved your pumpkins for Halloween — now what to do with all those seeds? Try some of these tasty recipes.

Roasted Pumpkin Seeds The easiest way to enjoy pumpkin seeds is to roast them. Rinse the seeds to separate them from the pulp, then spread on paper towels and let dry for about an hour. After they’re dry, get ready to roast!

For basic salted pumpkin seeds, toss in a bowl with olive oil (you can also use melted butter) and salt.

Spread the seeds in a single layer on a baking sheet (spray the sheet with cooking spray first) and bake in a 300-degree oven, stirring occasionally, until golden brown — about 45 minutes.

Try different flavors! Use garlic salt instead of regular salt for garlicky roasted seeds, or for a spicy version, toss with salt, Worcestershire sauce, cayenne pepper, cumin and paprika before roasting. If you prefer sweeter seeds, try tossing with cinnamon, sugar, nutmeg and a little salt.

The Linda Matney Gallery is dedicated to hosting exhibitions of innovative emerging artists, as well as displaying the work of more established national and international artists, including works of painting, installation, video, photography, sculpture and performance.

To schedule an appointment:

757-675-6627 ExhibitLocal.com

Avocado Hummus with Pumpkin Seeds

Ingredients ½ large ripe avocado 1 15½-ounce can chickpeas, rinsed and drained ⅓ cup tahini ¼ cup fresh lime juice 1 garlic clove, finely chopped ¾ tsp. salt ¼ tsp. pepper ¼ tsp. ground cumin 1 cup fresh cilantro leaves 2 tbsp. olive oil Roasted pumpkin seeds (see recipe on previous page) Use food processor to combine avocado, chickpeas, tahini, lime juice, garlic, salt, pepper and cilantro, leaving a few leaves for later. Process for about 1 minute, until smooth. Pour in 2 tbsp. oil and continue to process another minute, until mixture is creamy.

Scoop hummus into bowl, sprinkle with roasted pumpkin seeds and chopped cilantro, then drizzle with a little extra oil.

Chocolate Pumpkin-Chip Cookies Ingredients 1 cup raw pumpkin seeds 2¼ cups all-purpose flour 1 tsp. salt 1 tsp. baking soda 3/4 cup packed brown sugar 3/4 cup granulated sugar 1 tsp. pumpkin pie spice 1 cup unsalted butter, softened 1 tsp. vanilla 2 large eggs 2 cups semi-sweet chocolate chips Sea salt Preheat oven to 375 degrees. Spread pumpkin seeds on a baking sheet (spray with cooking spray) and toast on upper oven rack, stirring occasionally, for 8-10 minutes or until golden brown. Let cool.

While seeds are baking, mix together flour, salt, pumpkin pie spice and baking soda — set aside. In a separate bowl, use an electric mixer on medium-high to beat together brown sugar, granulated sugar and butter until creamy. Add eggs one at a time, reduce mixer speed, and gradually add flour mixture.

Carefully fold in chocolate chips and pumpkin seeds.

Drop by heaping tablespoons on ungreased baking sheet.

Sprinkle with sea salt and bake 10-12 minutes, until golden brown. Cool on baking sheet for 2 minutes, then remove to wire racks to cool completely.

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240 McLaws Circle 1302 Mount Vernon Ave. 757-229-3560 757-229-1041 www.williamsburgdrug.com

Are you looking for a provider?

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

Brian Cole, CPFT, CMT

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

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

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

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

Lisa Marie Samaha, D.D.S.

Jude Liptak, Au.D. Colonial Center for Hearing 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 and graduated Magna Cum Laude. 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 in his field, 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.

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.

Colonial Center for Hearing

Port Warwick Dental Arts

www.williamsburghears.com

pwdentalarts.com

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

PERSONAL TRAINING

WHOLE HEALTH DENTISTRY

FAMILY PRACTICE

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

PEDIATRIC OPTOMETRY Kelsey Guth, O.D.

Amy Campbell M.D.

Colonial Eye Care

Hampton Family Practice Dr. Amy Campbell joined Hampton Family Practice in 2011. After graduating with honors from the University of Illinois at Urbana with a Bachelor of Science degree in Biology, she attended St. Louis University School of Medicine for her Medical degree.

She went on to complete the VCU Riverside Family Medicine Residency Program, and is Board Certified by the American Board of Family Physicians.

Dr. Campbell’s clinical interests are broad but she enjoys focusing on preventative care, pediatrics, and women’s health. She views the practice of family medicine as more than a career, but a calling, and loves building relationships and educating her patients. Dr. Campbell offers comprehensive cares for all ages, and looks forward to working with your entire family.

Dr. Kelsey Guth is Williamsburg’s first residencytrained pediatric optometrist and is currently accepting new patients. Dr. Guth received her biology degree from Virginia Tech and graduated with honors while earning her Doctor of Optometry degree from Nova Southeastern University in Fort Lauderdale, Florida. She then completed an externship at the world-renowned Bascom Palmer Eye Institute in Miami, Florida and her Pediatrics and Vision Therapy residency in Memphis, Tennessee, focusing on vision disorders such as amblyopia, strabismus, convergence insufficiency, and learning-related vision problems.

Dr. Guth is an active member of the American Academy of Optometry, American Optometric Association, Virginia Optometric Association, and the College of Optometrists in Vision Development.

Originally from Manassas, Virginia, Dr. Guth recently relocated to Williamsburg with her husband, Matt, and feels right at home in the community. In her free time she enjoys traveling, physical fitness, playing with her puppy, Mabel, and all things Virginia Tech.

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

Hampton Family Practice 9 Manhattan Square, Ste A Hampton, VA 23666 757-838-6335 hamptonfamilypractice.com

Colonial Eye Care

5273 John Tyler Highway Williamsburg VA 23185 (757) 903-2633 www.colonialeyecare.com

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ALLERGY & ASTHMA

ACCEPTING NEW PATIENTS

DENTISTRY

Timothy J. Campbell, M.D.

Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443 895 Middle Ground Blvd., Suite 302 Newport News, VA 23606 (757) 596-8025 allergypartners.com/hamptonroads

UPPER CERVICAL CHIROPRACTIC

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

SLEEP APNEA AND TMJ

Via Vitae Chiropractic

Via Vitae Chiropractic

4511 John Tyler Hwy. Suite B Williamsburg, VA 23185 (757) 208-7108 viavitaechiropractic.com

LWell

Miranda Hayden is a licensed and registered dietitiannutritionist and a certified specialist in renal nutrition. She has over 15 years of experience counseling patients with chronic kidney disease, diabetes, weight loss, hyperlipidemia and hypertension.

Miranda received her master’s degree in public health/nutrition from Liberty University in Lynchburg, Va.; a bachelor’s degree in exercise science/ nutrition from Norfolk State University; and an associate’s degree in dietetics and applied sciences from Youngstown State University in Ohio. She is certified in adult weight management through the Academy of Nutrition and Dietetics and Diabetes Prevention.

“All of us are equipped to succeed,” Miranda continuously proves; she is passionate about helping others succeed with living a healthy lifestyle. Meet with Miranda at one of multiple locations in Hampton Roads, and she does take insurance. To read more, visit www.LWell.com/miranda-hayden LWell Serving patients in multiple locations throughout Hampton Roads 1309 Jamestown Rd., #102 Williamsburg, VA 23185 (757) 585-3441

BEAUTY & AESTHETICS

William G. Harper, D.D.S.

Brandon T. Babin, D.C. Dr. Brandon Babin is the owner of Via Vitae Chiropractic, a neurologically-based upper cervical chiropractic office serving the Hampton Roads area. After graduating Magna Cum Laude from Palmer College of Chiropractic in Florida, he and his wife, Heather, relocated to Williamsburg.

During his education, Dr. Babin spent countless hours outside the classroom learning how he could provide the highest quality of care possible for his patients. He discovered upper cervical chiropractic when he witnessed the life-changing effect it had on his wife, Heather, after reducing her severe migraines from 3-5 times per week down to 3-5 times per year. In 2015, Dr. Babin received his upper cervical certification and continues to learn more about this powerful, transformative technique.

Dr. Babin and Heather welcomed their first baby, Benjamin, in June and they are thrilled to be a part of the Williamsburg community to help change lives through natural healing methods.

Miranda G. Hayden, MPH, RD, LD, CSR

Stacey Sparkman Hall, D.D.S.

Allergy Partners of Hampton Roads

Timothy Campbell completed his undergraduate education in psychology and neuroscience at Miami University in Oxford, Ohio, and attended medical school at Northeast Ohio Medical University. Dr. Campbell completed his internal medicine residency at Summa Health System in Akron, Ohio. He completed his fellowship in adult pediatric allergy and immunology at the world renowned Cleveland Clinic in Cleveland, Ohio.

In his free time, Dr. Campbell enjoys traveling, playing soccer, volunteering at Camp Promise West, all things culinary and watching foreign and independent films. He is very excited to explore the Hampton Roads area and provide excellent allergy relief to the Peninsula.

DIETITIAN NUTRITIONIST

Coastal Virginia Sleep Solutions At Coastal Virginia Sleep Solutions, we work with your sleep medicine physician to treat Obstructive Sleep Apnea, snoring, and other sleep breathing disorders. We also work with many physicians to treat TMD/TMJ, jaw, joint, and muscle-related pain.

Dr. Harper has extensive training and experience in treating sleep apnea, including completing the University of North Carolina Dental Sleep Medicine mini-residency and is the only dentist in Hampton Roads to have received Qualified Designation by the American Academy of Dental Sleep Medicine.

Often, patients struggle with using their CPAP and many patients simply cannot use CPAP. To prevent the dangerous health consequences of untreated sleep apnea, Dr. Harper offers different types of appliances as an alternative to CPAP and Coastal Virginia Sleep Solutions works with many different insurances. Our goal is to find you the best and most comfortable appliance - leading to better sleep, improved health, and a higher quality of life.

Coastal Virginia Sleep Solutions 235 Wythe Creek Rd. Poquoson, VA 23662 757-659-1017

Steven C. Mares, M.D.

Erase the Canvas, LLC Dr. Steven C. Mares, is the owner of Erase the Canvas, LLC, specializing in Laser Tattoo Removal and AntiAging 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, Va. in 1995. He went on to complete a sports medicine fellowship at the Houghston Sports Medicine Center in Columbus, Ga. 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 Championships as well as the Women’s Olympic Softball Athletes. 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, Ariz., in 2010, and opened his clinic in 2013.

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

HEALTH DIRECTORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222 ADDICTION TREATMENT The Farley Center 5477 Mooretown Road Williamsburg (757) 243-4426 ALLERGY & ENT Allergy Partners of Hampton Roads 1144 Professional Dr. Williamsburg (757) 259-0443 895 City Center Blvd., Suite 302 Newport News (757) 596-8025 Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722 901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500 11803 Jefferson Ave Suite 260 Newport News (757) 643-7028 AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 279-7363 BEHAVIORAL HEALTH & PSYCHIATRY

Integrative Chiropractic, Acupuncture & Laser Wade Quinn, D.C. 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900 Pinto Chiropractic & Rehabilitation 5408 Discovery Park Blvd., Suite 200 Williamsburg (757) 220-8552

DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd.

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

COSMETIC & PLASTIC SURGERY

FREE CLINICS

Williamsburg Plastic Surgery 333 McLaws Circle Williamsburg (757) 345-2275

Angels of Mercy Medical Clinic 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700

DENTISTRY

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

New Town Dental Arts Sebastiana G. Springmann, D.D.S, F.A.G.D. 4939 Courthouse St. Williamsburg (757) 259-0741 Pediatric Dental Specialists of Williamsburg 213 Bulifants Blvd., Suite B Williamsburg (757) 903-4525 Pediatric Dental Specialists of Hampton 2111 Hartford Road, Suite C Hampton (757) 864-0606 Port Warwick Dental Arts Lisa Marie Samaha, D.D.S, F.A.G.D 251 Nat Turner Blvd., Newport News (757) 223-9270 Williamsburg Center for Dental Health Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Suite E Williamsburg (757) 565-6303

Chesapeake Care 2145 South Military Highway Chesapeake (757) 545-5700 The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060 H.E.L.P. Free Clinic 1320 LaSalle Ave. Hampton (757) 727-2577 H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577 HOPES Free Clinic-EVMS 830 Southhampton Ave, Norfolk (757) 446-0366 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 Park Place Dental Clinic 606 West 29th St. Norfolk (757) 683-2692

The Pavilion at Williamsburg Place 5483 Mooretown Road Williamsburg (800) 582-6066

DERMATOLOGY

CHIROPRACTIC & ACUPUNCTURE

Dermatology Specialists Michael C. White , M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161

Western Tidewater Free Clinic 2019 Meade Parkway Suffolk (757) 923-1060

Dermatology Specialists 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466

Digestive Disease Center of Virginia, PC Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Suite 104 Williamsburg (757) 206-1190

Comber Physical Therapy & Fusion Chiropractic 201 Bulifants Blvd., Ste B Williamsburg (757) 603-6655 5388 Discovery Park Blvd, Suite 100 Williamsburg (757) 903-4230

Associates In Dermatology, Inc. 17 Manhattan Square Hampton (757) 838-8030

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

GASTROENTEROLOGY

THEHEALTHJOURNAL.ORG

HEALTH CARE ATTORNEYS Brain Injury Law Center 2100 Kecoughtan Road Hampton (757) 244-7000 HOME CARE Visiting Angels 704 Thimble Shoals Blvd., #600-B Newport News (877) 618-4748 HOSPITALS & MEDICAL CENTERS Bon Secours Mary Immaculate Hospital 2 Bernardine Dr. 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

Riverside Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 345-0141 Riverside Doctors’ Hospital 1500 Commonwealth Ave. Williamsburg (757) 585-2200 Riverside Regional Medical Center 500 J. Clyde Morris Blvd.

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

Virginia Beach (757) 363-6100 Sentara CarePlex Hospital 3000 Coliseum Dr. Hampton (757) 736-1000 Sentara Heart Hospital 600 Gresham Dr. Norfolk (757) 388-8000 Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000 Sentara Norfolk General Hospital 600 Gresham Dr. Norfolk (757) 388-3000

Bon Secours Surgery Center at Harbour View 5818 Harbour View Blvd., Suffolk (757) 673-5832

Sentara Obici Hospital 2800 Godwin Blvd.

Suffolk (757) 934-4000

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

Sentara Port Warwick 1031 Loftis Blvd.

Newport News (757) 736-9898

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

Sentara Princess Anne 2025 Glenn Mitchell Dr. Virginia Beach (757) 507-0000

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

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

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

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

Hampton Roads Community Health Center 664 Lincoln St.Portmouth (757) 393-6363 Ocean View Medical and Dental Center 9581 Shore Dr. Nofolk (757) 393-6363 Park Place Family Medical Center 3415 Granby St. Norfolk (757) 393-6363

/ 46 / HEALTH DIRECTORY

MASSAGE THERAPY Oasis Healing Massage Jamestowne Professional Park, 1769 Jamestown Road Suite 209 Williamsburg (804) 916-9494 Spiral Path Massage and Bodywork 215 Ingram Road, Suite D Williamsburg (757) 209-2154

NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511 222 W. 21st St., Suite F-308 Norfolk (757) 640-0929 Alzheimer’s Association 6350 Center Dr., Suite 102 Norfolk (757) 459-2405 213-B McLaws Circle Williamsburg (757) 221-7272 24-hour Helpline: (800) 272-3900 American Cancer Society 11835 Canon Blvd., Suite 102-A Newport News (757) 591-8330 American Diabetes Association 870 Greenbrier Circle, Suite 404 Chesapeake (757) 424-6662 American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610 American Parkinson’s Disease Association 4560 Princess Anne Road Virginia Beach (757) 495-3062 American Red Cross 1323 W. Pembroke Ave. Hampton (757) 838-7320 3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228 6912 George Washington Memorial Highway Yorktown (757) 898-3090 The Arc of Greater Williamsburg 150 Strawberry Plains Rd, Suite D Williamsburg (757) 229-3535 The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-4900 Avalon: A Center for Women & Children Williamsburg (757) 258-5022 AWARE Worldwide, Inc. 6350 Center Dr., Bldg. 5, Suite 228 Norfolk (757) 965-8373 Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd.

Virginia Beach (757) 631-0222 Cancer Care Foundation of Tidewater 5900 Lake Wright Dr. Norfolk (757) 461-8488

Cancer Support Group - Kelly Weinberg Foundation kellyweinbergfoundation. org, info@ kellyweinbergfoundation.org (757) 250-3220 Center for Excellence in Aging & Lifelong Health 460 McLaws Circle Suite 110 Williamsburg (757) 220-4751 CHEAR, Inc. c/o Department of Otolaryngology, EVMS 600 Gresham Dr., Suite 1100 Norfolk (757) 634-3272 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 Dr. Norfolk (757) 627-6599 Hampton-Newport News Community Services Board 300 Medical Dr. Hampton (757) 788-0300 Here for the Girls 1309 Jamestown Road, Suite 204 Williamsburg (757) 645-2649

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 of Tidewater, Inc. 5000 Corporate Woods Drive, Suite 400 Virginia Beach (757) 321-2222 Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Suite 201 Norfolk (757) 440-7501 Leukemia & Lymphoma Services 6350 Center Dr., Suite 216 Norfolk (757) 459-4670 National MS Society 760 Lynnhaven Pkwy., Suite 201 Virginia Beach (757) 490-9627 The Needs Network, Inc. 9905 Warwick Blvd.

Newport News (757) 251-0600 National Alliance on Mental IllnessWilliamsburg Area P.O. Box 89 Williamsburg (757) 220-8535 National Alliance on Mental Illness-Norfolk Contact Lynn Martin Norfolk (757) 401-6318 Norfolk Community Services Board 225 W. Olney Road, Room 1 Norfolk (757) 664-6670 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 823-1600

Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771 Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386 St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208 Sarcoidosis Support Group/Charity #teamandreafight llc (757) 309-4334 The Sarah Bonwell Hudgins Foundation 1 Singleton Dr.Hampton (757) 827-8757 Senior Center of York 5314 George Washington Memorial Highway.

Yorktown (757) 890-3444 Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Dr., Suite 101 Norfolk (757) 222.4509 Susan G. Komen Tidewater 6363 Center Dr. Suite 205 Norfolk (757) 490-7794 United Way 1182 Fountain Way Suite 206 Newport News (757) 873-9328 5400 Discovery Park Blvd., Suite 104 Williamsburg (757) 253-2264 The Up Center 1805 Airline Blvd.

Portsmouth (757) 397-2121 222 W. 19th St. Norfolk (757) 622-7017 VersAbility Resources 2520 58th St. Hampton (757) 896-6461

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

VA Medical Center 100 Emancipation Dr. Hampton (757) 722-9961

Peninsula Institute for Community Health 1033 28th St. Newport News (757) 591-0643

We Promise Foundation 5700 Cleveland St. Suite 101 Virginia Beach (757) 233-7111

Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273 Protect Our Kids P.O. Box 561 Hampton (757) 727-0651

OBSTETRICS & GYNECOLOGY Williamsburg Obstetrics & Gynecology 500 Sentara Circle, Suite 105 Williamsburg (757) 253-5653

ONCOLOGY The Paul F. Schellhammer Cancer Center- a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177 Virginia Oncology Associates 725 Volvo Pkwy, Suite 200 Chesapeake (757) 549-4403 3000 Coliseum Dr., Suite 104 Hampton (757) 827-9400 1051 Loftis Blvd., Suite 100 Newport News (757) 873-9400 5900 Lake Wright Dr. Norfolk (757) 466-8683 5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215 2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670 1950 Glenn Mitchell Dr., Suite 102 Virginia Beach (757) 368-0437 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 OPTOMETRY & OPHTHALMOLOGY Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375 ORTHOPEDICS & SPORTS MEDICINE Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 5335 Discovery Park Blvd., Suite B Williamsburg (757) 253-0603 Orthopaedic & Spine Center 250 Nat Turner Blvd.

Newport News (757) 596-1900 Tidewater Orthopaedic Associates 901 Enterprise Parkway, Suite 900 Hampton (757) 827-2480 4037 Ironbound Road Williamsburg (757) 206-1004

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion Physical Therapy 13609 Carrollton Blvd., Suite 15 Carrollton (757) 238-2690 235 Hanbury Road East Chesapeake (757) 391-7660 2613 Taylor Road, Suite 102 Chesapeake (757) 465-7651 1416 Stephanie Way, Suite A Chesapeake (757) 391-7676 5 Armistead Pointe Parkway Hampton (757) 224-4601 14703 Warwick Blvd., Suite B Newport News (757) 947-1230

4677 Columbus St., Suite 201 Virginia Beach (757) 463-2540

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

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

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

Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd.

Newport News (757) 596-1900

154 E Little Creek Road Norfolk (757) 797-0210

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

2007 Meade Pkwy.

Suffolk (757) 539-6300

1253 Nimmo Parkway, Suite 105 Virginia Beach (757) 943-3060 101 Long Green Blvd.

Yorktown (757) 952-1900 Comber Physical Therapy and Rock Steady Boxing (Parkinson’s Program) 5388 Discovery Blvd., Ste 100 Williamsburg (757) 903-4230

2 Bernardine Dr. Newport News (757) 886-6480

201 Bulifants Blvd., Ste B Williamsburg (757) 229-9740

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

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

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

466 Denbigh Blvd.

Newport News (757) 875-0861

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

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

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 5838 Harbour View Blvd.

Suffolk (757) 673-5971 1417 North Main St. Suffolk (757) 934-3366

301 Riverview Ave. Norfolk (757) 963-5588 500 Rodman Ave., Suite 3 Portsmouth (757) 393-6119 5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700 Hampton Roads Orthopaedics & Sports Medicine

135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512 927 N. Battlefield Blvd., Suite 200 Chesapeake (757) 436-3350

2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316 1745 Camelot Dr., Suite 100 Virginia Beach (757) 961-4800

1580 Armory Dr., Suite B Franklin (757) 562-0990

4624 Pembroke Blvd.

Virginia Beach (757) 460-3363

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

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

2106 Executive Dr. Hampton (757) 838-6678

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

9 Manhattan Square, Suite B Hampton (757) 825-3400 7190 Chapman Dr. Hayes (804) 642-3028 751 J Clyde Morris Blvd Newport News (757) 873-2123 612 Denbigh Blvd.

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

Newport News (757) 599-5551 6161 Kempsville Circle, Suite 250 Norfolk (757) 965-4890

SEPTEMBER SUDOKU

BRA

204 Gumwood Dr. Smithfield (757) 357-7762

7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383 Tidewater Orthopaedic Associates 901 Enterprise Pkwy, Suite 900 Hampton (757) 827-2480 4037 Ironbound Road Williamsburg (757) 206-1004

NEWPORT NEWS, VA

Ambulatory Foot & Ankle Center Calvin H. Sydnor IV, DPM, FACFAS Earnest P. S. Mawusi, DPM, FACFAS 1618 Hardy Cash Dr. Hampton (757) 825-5783 UROLOGY The Devine-Jordan Center for Reconstructive Surgery & Pelvic Health — a division of Urology of Virginia 225 Clearfield Ave. Virginia Beach (757) 457-5110 Urology of Virginia 4000 Coliseum Dr., Suite 300 Hampton (757) 457-5100 7185 Harbour Towne Pkwy., Suite 200 Suffolk (757)457-5100 2202-A Beechmont Road, South Boston (434)333-7760 400 Sentara Circle, Suite 310 Williamsburg (757) 345-5554 The Paul F. Schellhammer Cancer Center – a division of Urology of Virginia 229 Clearfield Ave. Virginia Beach (757) 457-5177

UP FOR THE CHALLENGE? Challenge your brain!

Turn to page 50 to find out how you can win a gift card!

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PODIATRY

SEPTEMBER WORD SEARCH

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Urology of Virginia Physical Therapy 225 Clearfield Ave. Virginia Beach (757) 466-3406

SEPTEMBER CRYPTOGRAM

AUTUMN IS A SECOND SPRING WHEN EVERY LEAF IS A FLOWER. - ALBERT CAMUS THEHEALTHJOURNAL.ORG

/ 48 / HEALTH DIRECTORY

October

WHAT IS GOING ON IN

2018

OKTOBERFEST 2018

6 -28

On Saturdays and Sundays from 11 a.m. – 5 p.m., children 9 years of age and under can dress up to join in the costume party and participate in other family-friendly activities during this daytime event.

New this year, an expanded trick-or-treat trail and a fun kid-friendly hay maze.

WHEN: 11a-5p WHERE: Busch Gardens Williamsburg $$: Included with park admission CONTACT: (757) 253-3369 buschgardens.com/ williamsburg/events/halloween-spooktacular/

13

A WALK TO REMEMBER

A special time to honor all babies gone too soon and to promote support, education and awareness for those who grieve and mourn. Bring any special poems or readings to share in honor of your baby.

WHEN: 10a WHERE: Mary Immaculate Hospital Medical Pavilion $$: FREE CONTACT: 757-947-3371 or email shannon_renfro@bshsi.org

13

13 CRAFT BEER FESTIVAL RUN FOR THE HILLS

Join us virtually anytime or anywhere for a 1-mile, 5K, or 10K run or walk to benefit Here for the Girls! "Pink" out, wear your own decorated bra or Halloween costume, or just come wearing your own Run for the Hills performance tee. There will be a family friendly fall festival that will include food samplings, henna, face painting, games, a pumpkin patch & more!

WHEN: 8a-12p WHERE: Wanner B. Stadium, Williamsburg or Virtually Anytime Anywhere! $$: $20-40 CONTACT: hereforthegirls.org/calendar/

20

It's our Third Annual Craft Beer Bash at War Memorial Stadium and this year will be better than ever. It's an event full of charity, craft beer, great food and lots of activities. You get 20 samples of beer; 4 will get you a pint. You can buy more samples at the gate.

WHEN: 12-5p WHERE: War Memorial Stadium, Hampton $$: $15 for designated drivers & $40-50 for general CONTACT: facebook.com/junglegymnewportnews/

16

PUMPKINVILLE

Your family can pick their own pumpkins from the patch or choose from our pre-picked pumpkins in the yard. There is a large selection of pumpkins, gourds, winter squash, flowers and more. There are lots of free activities including a hayride, corn mazes and games.

WHEN: Everyday until Oct 28th WHERE: 7691 Richmond Rd, Williamsburg CONTACT: pumpkinville.net 757-869-9751

26 -27

CITY CENTER FALL FESTIVAL

19

BLACKLIGHT NEON YOGA PARTY

Join Breathe Easy and Smile Yoga Co. for a donation-based Blacklight Neon Yoga party at one of the Neon District's coolest showrooms for home decor. This fun, 60-min. class includes glow jewelry and a face-paint station, so make sure to show up early to get your glow on!

WHEN: 7:30p WHERE: Exotic Home Coastal Outlet, Norfolk $$: Suggested donation of $10 CONTACT: andsmileyoga.com

Don't miss City Center at Oyster Point's Annual Fall Festival where you can savor ample tastings of craft beer, hard cider and wine. There will also be food trucks, artisanal food vendors and much more!

Beyond food and drink, the festival will feature an abundance of fall fun including live music and a kids zone!

WHEN: 11a-6p WHERE: City Center at Oyster Point, Newport News $$: Free for general admin; $30 for tasting tickets (21+) CONTACT: citycenteratoysterpoint.com/events

HAUNTING ON DOG ST. TRICK OR TREAT!

Calling all trick-or-treaters! Fun-filled spooky delights include the haunting horsemen astride their skeleton steeds, the return of Blackbeard and his merry band of pirates, the Pumpkin Patch Dance Party with live music and American Heritage hot chocolate and baked goods available for purchase.

WHEN: 5:30-7:30p WHERE: Duke of Gloucester Street, Williamsburg $$: Children $5, Adults free with registration of child CONTACT: 888-965-7254 colonialwilliamsburg.com/plan/calendar/trick-or-treat

B

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

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O Winner announced in our next issue in the Inbox. See bottom of page for submission deadline and details.

STRETCH YOUR MENTAL MUSCLES AND WIN!

CRYPTOGRAM

S = A U = E O = I K = O M= R

USE THE ABOVE CLUES TO UNCOVER WORDS AND DECIPHER THE HIDDEN QUOTE. SOME CLUES HAVE BEEN FILLED IN FOR YOU.

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GSOM

OCTOBER

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/ 50 / PUZZLES

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golden pilsner porter brown honey

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Your Life. Your Style. Your Plan.

Better Fitness. In Just One Move.

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

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

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757-585-4437

w w w. W i l l i a m s b u r g L a n d i n g . o r g

5700 Williamsburg Landing Drive | Williamsburg, VA 23185

Experience

Coordination of After Hours Care • Allergy • Immunology • Audiology • Cardiology • Central Laboratory • Clinical Research Cosmetic and Reconstructive Surgery • Dermatology • Endocrinology • ENT • Otolaryngology • Family Medicine Internal Medicine • Geriatric Medicine • Gastroenterology • General Surgery • Hernia Center • Colorectal Surgery Hospitalists • Imaging and Breast Center • Nephrology • Neurology • Nutrition Services Obstetrics and Gynecology • Ophthalmology • Orthopedics • Sports Medicine • Foot and Ankle Pain Medicine • Pediatrics • Physical Therapy • Fitness • Procedure Suite • Psychiatry and Behavioral Medicine Pulmonology • Rheumatology • Sleep Health • Urology • Weight Loss Medicine

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