TM
inspiration for better living
Human Trafficking
#hooked on likes
The
Crystal Method
JULY 2018 — THEHEALTHJOURNAL.ORG
Effective Treatments for Shoulder Pain: Rotator Cuffs to Reverse Shoulder Replacement Join Dr. Marty Coleman as he discusses treatment options for painful conditions of the shoulder. The shoulder is the most complex joint in the body, so it is crucial to seek help from an experienced physician when faced with shoulder issues. Learn how almost every shoulder problem can be successfully addressed, relieving pain and restoring function. Treatments for Rotator Cuff Tears, Labral (SLAP) Tears,
OSC
COMMUNITY LECTURE SERIES Speaker: Martin R. Coleman, MD
Impingement, and Shoulder Arthritis will be discussed, as well as Traditional and Reverse Shoulder Replacement. Please bring your specific questions for Dr. Coleman. Bring a friend, have some refreshments and get informed!
Tuesday, July 17, at 7:00 PM Orthopaedic and Spine Center 250 Nat Turner Blvd., Newport News 23606 Call Shannon Woods to register: 1-877-202-9130 ext.368 or email lectures@osc-ortho.com
OSC Patient Success Stories “I am a firefighter and am very active. I injured my shoulder trying to break my fall on the ice. For three months, I struggled with burning pain, and did Physical Therapy, but the pain got worse and I lost strength. A friend referred me to Dr. Martin Coleman. Dr. Coleman diagnosed me with a severely torn labral (SLAP) tear, which required surgery to repair. Dr. Coleman assured me that if I did exactly as he recommended, everything would be fine. He was 100% right.
M ike Patton
In four months, I returned to my job, fullduty, with the Hampton Fire Department. If you need shoulder surgery, I would highly recommend Dr. Coleman!”
Boyd W. Haynes lll, M.D. • Robert J. Snyder, M.D. • Jeffrey R. Carlson, M.D. Martin R. Coleman, M.D. • Mark W. McFarland, D.O. • Raj N. Sureja, M.D. Jenny L. F. Andrus, M.D. • John D. Burrow, D.O. • F. Cal Robinson, PsyD, MSCP Tonia Yocum, PA-C • Erin Lee, PA-C • Chris Schwizer, PA-C Monica Beckett, NP-BC • Lauren Copley, PA-C
OSC
- Mike Patton
ORTHOPAEDIC & SPINE CENTER Open MRI Center
250 NAT TURNER BOULEVARD • NEWPORT NEWS, VA 23606 757-596-1900 • www.osc-ortho.com
Sentara Recognized as One of America’s Best Employers Sentara Healthcare has been recognized as one of the best employers in the nation - not just in health care but across all industries. The recognition by Forbes is a testament to the work and commitment of everyone within the Sentara community and a direct reflection of how we value our members of the team. We are proud to be among some of the nation’s most respected organizations and grateful to our talented team as they live our mission to improve health every day.
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™
July
VOL. 14, NO. 2 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. EDITOR Kim O'Brien Root kim@thehealthjournals.com
WRITERS Jacob Almeida Teresa Bergen Rebecca Reimers Cristol Kasey Fuqua John-Michael Jalonen Jason Liebler Fred Kirsch Alex Robins Kim O'Brien Root Mike Verano
BUSINESS MANAGER Ashley Ribock ashley@thehealthjournals.com DESIGNER/PHOTOGRAPHER Kristen Vann Bryant kristen@thehealthjournals.com
CONTENT
BITS AND PIECES 04 Staff & Writers 07 Publisher’s Note 08 Second Opinion
FEATURES 10 15 16 18 20
Trafficked: The Rise of Human Trafficking Food for Thought: The Eggplant Advances In Medicine: A Brighter Future For Brain Surgery Rules of Engagement: Do's and Don'ts of Digital Dating IV Narcotic Shortage: Changing How Hospitals Handle Pain Management 23 The Crystal Method: Can Stones and Minerals Improve Your Well-being?
LIFESTYLE 26 One Child Center for Autism 28 Hooked on Likes, Part 2: How to Escape the Addiction 30 Is It Memory Loss or Memory Disorder?
GRAPHIC DESIGNER Lisa Williams lisa@wearetusk.com COPY EDITORS Carolyn Brandt Beth Pepper
FOOD & DRINK 34 Know Your Leafy Greens 36 Taste Appeal: A Chef's Kitchen 40 Recipes
CLIENT LIAISON/ BUSINESS DEVELOPMENT Christie Davenport christie@thehealthjournals.com CIRCULATION Ryan Bishop circulation@thehealthjournals.com
STAYING WELL 44 46 49 50
ADVERTISE Email advertise@thehealthjournals.com or call 757 645 4475 for rates.
Accepting New Patients Health Directory Calendar Brain Teasers
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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CHECK OUT our website for even more articles about fitness, health and wellness.
THEHEALTHJOURNAL.ORG PLEASE recycle this magazine
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Publisher’s Note I LOVE AMERICA. But, things are a mess right now; no question. We’ve been on this ride too long, and it’s time to apply the brakes. If someone were to only watch television, they’d see a distortion. They might say we have no spirit and no empathy, or worse, we’ve all lost our minds. They’d say Americans are petty, argumentative, impolite and dangerous. The media are a funhouse mirror, distorting our reflection and telling us who we are not. Are we beginning to believe them? We’re pummeled by talking heads howling through our screens and sending us face-first into the corner. They endlessly emphasize our differences with divisive rhetoric. Great for ad sales, bad for us. We want gossip; we want victimhood; we want violence; we want someone’s head. But what we want is not always what we need. That’s entertainment. Are there things that we need to work on? Obviously. This year we’ve seen racists marching in Charlottesville and masked marauding Antifa assaulting people because they didn’t like what they had to say. It seems that everyone — from the media to the politicians — is out of control. We’re surrounded by corruption and conspiracy. Education is teetering toward indoctrination. So much is wrong that there is not enough space to list. We’re a nation in the midst of an identity crisis. Have we forgotten how to be Americans? We’re offended by soundbites and would rather get our news from comedians who aren’t even funny anymore. America is throwing
at Anzio. Or you could get a sense of patriotism from school. And if all else failed you could get a sense of patriotism from the popular culture. The movies celebrated democratic values and implicitly reinforced the idea that America was special. TV was like that, too, through the mid-60s. But now, we're about to enter the 90s, and some things have changed. Younger parents aren't sure that an unambivalent appreciation of America
To see the good, all we have to do is look at our history. a temper tantrum of epic proportions. But we are not all victims, regardless of what we are being told. Why would anyone swim in shark-infested waters to get to this dreadful place, anyway? Why would anyone risk their lives trekking through the desert — children in tow — to get here? So, what is right? Is there anything good to balance these perspectives? America has become the safety net for other countries with less-desirable economic and social policies. The generosity of Americans is unmatched in this way. We are the most charitable nation in recorded history. To see the good, all we have to do is look at our history. Americans have died to protect people around the world, even when there has been no economic gain. And there is no other nation that celebrates diversity more than America. We are the most diverse nation on earth. But is it diversity that gives us our strength? Maybe some of it. Perhaps more important, though, is our unity. I cannot articulate a better warning than President Ronald Reagan did in his Farewell Address to the Nation in 1989: An informed patriotism is what we want. And are we doing a good enough job teaching our children what America is and what she represents in the long history of the world? Those of us who are over 35 or so years of age grew up in a different America. We were taught, very directly, what it means to be an American. And we absorbed, almost in the air, a love of country and an appreciation of its institutions. If you didn't get these things from your family you got them from the neighborhood, from the father down the street who fought in Korea or the family who lost someone
PUBLISHER'S NOTE
is the right thing to teach modern children. And as for those who create the popular culture, well-grounded patriotism is no longer the style. Our spirit is back, but we haven't re-institutionalized it. We've got to do a better job of getting across that America is freedom — freedom of speech, freedom of religion, freedom of enterprise. And freedom is special and rare. It's fragile; it needs protection. So, we've got to teach history based not on what's in fashion but what's important — why the Pilgrims came here, who Jimmy Doolittle was and what those 30 seconds over Tokyo meant. … If we forget what we did, we won't know who we are. I'm warning of an eradication of that — of the American memory that could result, ultimately, in an erosion of the American spirit. Let's start with some basics: More attention to American history and a greater emphasis on civic ritual. And let me offer lesson number one about America: All great change in America begins at the dinner table. So, tomorrow night in the kitchen I hope the talking begins. And children, if your parents haven't been teaching you what it means to be an American, let 'em know and nail 'em on it. That would be a very American thing to do. … and here we are.
BRIAN FREER /PUBLISHER BRIANFREER@THEHEALTHJOURNALS.COM
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Does my child have asthma? Asthma is one of the most common chronic diseases in infants and children but can be effectively treated once it is properly diagnosed. Presenting symptoms usually include wheezing (whistling sound when breathing in/out), coughing, chest tightness or shortness of breath. Common triggers are exercise, viral infections, environmental allergies (i.e. pollens, animals and molds), extreme temperatures or irritant exposures such as second-hand smoke, perfumes or strong odors. Undiagnosed asthma can lead to fatigue, missed school, frequent emergency-room visits and oral steroid use. An allergist can perform tests that will safely evaluate whether or not your child has asthma and then prescribe a customized treatment plan to help your child feel and function better. The asthma workup usually will include a thorough history and physical, a spirometry breathing test to measure lung volumes before and after an albuterol medication is given (to confirm hyper-reactive airways) and environmental allergy skin testing. Medications to control asthma include short-acting bronchodilators like albuterol and daily controller medications such as montelukast (Singulair) or inhaled steroids. Controlling allergy symptoms by avoiding triggers and using allergy medications and/or allergy immunotherapy (allergy shots) often will improve breathing symptoms, prevent asthma flares and improve the quality of life in allergic asthma. An asthma action plan will help clarify when to use the appropriate medications and when to seek further evaluation. Timothy J. Campbell, M.D. Allergy Partners of Hampton Roads Allergypartners.com/hamptonroads 757-259-0450
2
ND
What are those metal tools used in physical therapy?
More than 28 million Americans suffer from hearing loss. Although it is the natural result of aging, hearing loss isn’t only found in older adults. In fact, nearly half of the people with hearing loss are below the age of 65. It can also result from heredity, exposure to loud noise, birth defects, illness, head trauma and certain medications. There are different types of hearing loss. Conductive loss occurs when sound waves are prevented from passing to the inner ear. This can be caused by something as simple as a build-up of earwax, or by infection, fluid in the middle ear or a punctured eardrum. Sensorineural loss develops when the auditory nerve or hair cells in the inner ear are damaged by aging, noise, illness, injury, infection, trauma, toxic medications or an inherited condition. Mixed loss is a combination of these two types. A conductive loss can often be corrected with medical or surgical treatment, while sensorineural loss usually cannot be reversed. On the basis of hearing evaluation results, an audiologist can determine whether hearing aids will help in your particular situation.
The Graston Technique (GT) is a non-invasive treatment option done by a certified GT clinician. The provider uses various shaped stainlesssteel instruments to treat a variety of chronic and acute conditions. The GT can be very beneficial in treating the following conditions: soft tissue inflammation, post-surgical scar tissue, muscular trigger points, cervical pain, tennis/golfer’s elbow, chronic inflammation, plantar fasciitis, carpal tunnel syndrome, sprains/strains, IT band syndrome and knee pain, as well as many other issues. The Graston Technique can treat virtually everyone. Positive results have been seen in 75-90 percent of all conditions treated. The non-invasive treatment is done in conjunction with some specific exercises and/or stretches. Is it painful? You may experience some discomfort depending on the injury and the area being targeted. GT does not need to be considered painful to increase effectiveness. The certified clinician always adjusts the pressure to your comfort level and treatment needs. Most patients see lasting results by the third treatment. For optimal results, the Graston Technique is typically utilized with physical therapy treatment twice a week, for 4-5 weeks. Make sure you find a certified clinician who has taken the specific coursework.
Jodi Ritchie, M.Ed., CCC-A Maico Audiological Services maicoaudio.com 757-873-8794
Daniel Muniz, DPT Comber Physical Therapy and Fusion Chiropractic comberPT.com 757-229-9740 SECOND OPINION
My snoring keeps my spouse up at night. What can I do to help with the noise? Snoring is when there is interference in airflow caused by the tissues of the palate (the roof of the mouth) and the throat vibrating together, causing a range of noises. You are at a higher risk for snoring if you are male, overweight, have a narrow oral cavity, drink alcohol, have nasal problems (which increases mouth breathing) and/or have a family history of snoring or sleep apnea. If you have any of these conditions and snore, it’s a good idea to get tested for obstructive sleep apnea first. There are several things you can do to decrease or prevent snoring, including losing weight, which reduces neck thickness, and not drinking alcohol prior to sleep, which can relax tissues. Also, oral myofunctional therapy — airway and muscle exercises — can naturally allow the airway to expand. Practicing breathing through your nose open ups the nasal cavity, preventing throat inflammation that comes from mouth breathing. There are several different dental appliances targeted to prevent snoring. These hold the mouth open and pull the jaw and tongue slightly forward, opening the airway and preventing the vibration that causes snoring. Your dentist can help you make the most informed treatment decision. Any treatment outside your dentist or physician’s care could lead to problems with the TMJ, so proceed with caution. Stacey Hall, D.D.S. Williamsburg Center for Dental Health Williamsburgdentalhealth.com 757-565-6303
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OPINION
How common is hearing loss and what causes it?
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TRAFFICKED BY JASON LIEBLER
Since the turn of the century, new legislation has been passed to combat human trafficking nationally and in Virginia. But there is still much left to be done.
I
n the public mind, the image of a human trafficking victim is one of a foreign national, kidnapped or otherwise coerced into traveling to another country for work or the promise of freedom, only to be betrayed and forced into modern slavery through sex or labor. This image allows the American public to believe the problem of human trafficking happens outside of our borders. It fails to include the tens of thousands of American citizens who are trafficked. It fails to include people like Portsmouth, Va., resident — and now victim advocate — Tanya Street, who fell into the trafficking world as a teen mother in the 90s after her trafficker exploited the vulnerability and trauma she experienced in her childhood and promised her the stability and safety she desired. The uncomfortable truth is that human trafficking is occurring at a staggering rate in this country. The Polaris Project (polarisproject.org), a nonprofit, victimcentered advocacy group, reports that in the past 10 years in the United States, more than 40,000 cases of human trafficking have been reported to its National Human Trafficking Hotline. In that same timespan, there have been nearly 180,000 calls, texts and live chats with the hotline. The Polaris Project estimates the amount of unreported trafficking cases in the United States at over 100,000. Virginia is ranked 15th in the number of reported cases by state, with California, Texas and Florida topping the list. In 2017 alone, 8,759 human trafficking cases were reported nationwide, with 10,615 individual victims, according to hotline statistics. In Virginia, there have been 1,025 cases reported since 2007, including 156 last year — the lion’s share from Northern Virginia, Richmond and Hampton Roads. Women, many of them black, comprise the overwhelming majority of these victims. About a third are minors. In 2016, an estimated 1 out of 6 endangered runaways reported to the National Center for Missing and Exploited Children were likely child sex trafficking victims. And although some trafficking victims are forced to do labor, such as domestic work, agriculture work or so-called “begging rings,” most of the reports are for sex trafficking. The top type of human trafficking reported last year in the U.S. involved escort services, according to the Polaris Project. For clarity, there is a legal difference between prostitution and human trafficking in the U.S. In general, it’s a question of choice — prostitution is a chosen vocation, where human trafficking is not. But this line is muddied when dealing with specific cases, as there are a number of reports of victims who do not see themselves as victims because of manipulation or coercion.
The Culture
Street is all too familiar with the issue. She’s spent the better part of the decade serving on numerous boards, committees and panels as an advocate for those caught up in the modern-day slavery of human trafficking. She is a member of the U.S. Advisory Council on Human Trafficking, which makes policy recommendations to the President’s Interagency Task Force (PITF) to Monitor and Combat Trafficking in Persons. The task force was created in 2000 and consists of agencies across the federal government responsible for coordinating U.S. government-wide efforts to combat trafficking in persons. Street began her own nonprofit in 2010 after difficulty finding services to help her heal after she became the victim of sex trafficking at the end of her senior year of high school. “The resources were very scarce, and everything was very hush, and I didn’t like that,” she says. “I didn’t ask for this. I didn’t like people judging me for something that happened to me.” For Street, who eventually broke free from her trafficker, healing meant retaking ownership of her life. “It’s about me identifying it — standing in my own power to figure out who I am,” she says. “And it worked.” Street’s nonprofit, Identifiable Me (identifiableme.org), soon grew from a healing project for Street to a voice for other victims of human trafficking. Now, Street is working on a documentary that aims to present a different perspective on human trafficking. The film contains true stories of trafficked persons — not to dramatize their experiences but to educate the public and answer questions from the perspective of people who have lived this life. “We traffic our own people,” she says. “I want people to understand the emotional and mental effect trafficking has on an individual.” The title of the short film, “Groomed,” is multifaceted: It describes not just the grooming of a victim by the trafficker through manipulation and coercion, but also how society grooms its youth through the representation and value of women, sex and power. Street references cultural norms found in music and television, which reinforce a skewed value system for vulnerable young adults. “It’s media, it’s what we see … how women are viewed,” Street says. After completion, the film will be submitted to a wide range of film festivals, including the renowned Cannes Film Festival.
40,000
Known human trafficking cases in the U.S. from 2007-2017
FEATURE
The Law
Nationally, legislation to specifically combat trafficking did not exist in earnest until after the turn of the century. In 2000, the same
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year it started PITF, the Trafficking Victims Protection Act (TVPA) provided comprehensive anti-trafficking legislation. It has been continually reauthorized to expand definitions and allocate funds for shelters, outreach and law enforcement. In 2014, the Preventing Sex Trafficking and Strengthening Families Act was signed into law by President Obama. Just this past April, President Trump signed legislation that rewrites a section of the Communications Decency Act of 1996. Now, websites that host classified ads that are directly linked to prostitution and trafficking cases are liable to state and federal criminal charges. In response, websites such as Craigslist have removed their personal ads sections altogether. In Virginia, the Hampton Roads Trafficking Task Force was created in 2016 with a $1.4 million grant from the U.S. Department of Justice. The task force’s mission is to combat trafficking in the area by creating synergy between law enforcement and community programs, as well as strengthening the relationship with state and federal agencies. Since its inception, the task force has enacted initiatives to post the human trafficking hotline’s phone and text numbers at rest stops and medical facilities, as well as at established shelters. It also will soon launch a billboard campaign to increase awareness of trafficking in Hampton Roads.
The Victims
The Trafficking Victims Protection Act removed the requirement for physical movement of a victim from one place to another to be considered trafficked — anyone coerced against their will can be considered a trafficked person. But how do people fall into this life? “I want to answer the question, ‘Why do they stay?’ ‘What’s missing in their lives?’” says Street. She refers to her experience as a trafficked person at age 18 as a “perfect storm.” “Everything that happened in my life pushed me into the arms of my trafficker because he was safe, and loving, and all the things I didn’t have a healthy grid for,” she says. For Street, who had been sexually abused by a family member from age 7 to 14, the love and support seemed healthy to her. She called him “Daddy.” He later beat her up. The banner “Stranger Danger” is not too effective when we consider that most trafficked victims in the U.S. are not trafficked by strangers. In “In Plain Sight,” another documentary that Street participated in, she describes a situation where a young girl is at the mall every weekend and meets a guy who looks like he has a lot of money and has pretty girls around him. After a couple of these interactions — a conversation or two — the young girl no longer considers him a stranger. But in reality, the guy is a modern-day pimp. Continued on page 32
She got her eyes from her dad... and her pills from her grandmother
Please remember to lock up your medication. For more information, go to lockyourmeds.org
CHESAPEAKE INTEGRATED BEHAVIORAL HEALTHCARE
1,025
156
Reported cases in Virginia last year
8,759
Reported cases in the U.S. last year
Virginia is
15th
in the nation in number of reported cases
180,000 Calls, texts and live chats to the human trafficking hotline from 2007-2017 In 2016, an estimated
1 out of 6
endangered runaways reported to the National Center for Missing and Exploited Children were likely child sex trafficking victims.
Do you know someone at risk? Here's what to look for:
Total cases in Virginia from 2007-2017
TOP 5 RISK FACTORS FOR HUMAN TRAFFICKING Recent migration/relocation Substance use Runaway/homeless youth Mental health concern Involvement in the child welfare system The following is a list of potential red flags.
Common Work and Living Conditions: Is not free to come and go as he/she wishes Is unpaid, paid very little or paid only through tips Works excessively long and/or unusual hours Is not allowed breaks or has unusual restrictions at work Owes a large debt and is unable to pay it off Was recruited through false promises about his/her work
Poor Mental Health or Abnormal Behavior: Is fearful, anxious, depressed, submissive, tense or nervous/ paranoid Exhibits unusually fearful or anxious behavior after bringing up law enforcement Avoids eye contact
Poor Physical Health: Lacks medical care and/or is denied medical services by employer Appears malnourished or shows signs of repeated exposure to harmful chemicals Shows signs of physical and/or sexual abuse, physical restraint, confinement or torture
Lack of Control: Has few or no personal possessions Is not in control of his/her own money or identification documents; no financial records or bank account Is not allowed or able to speak for themselves (a 3rd party may insist on being present and/or translating)
Other: Claims of just visiting and inability to clarify where he/she is living Lack of knowledge of whereabouts and/or of what city he/she is in Loss of sense of time Has numerous inconsistencies in his/her story Note: According to federal law, any minor under the age of 18 engaging in commercial sex is a victim of sex trafficking, regardless of the presence of force, fraud, or coercion.
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The Eggplant BY REBECCA REIMERS CRISTOL
Like tomatoes, potatoes and peppers, eggplant is a member of the nightshade family of plants. They are high in fiber and low in calories (only 20 calories per cup), making them filling. Their absorbent flesh will soak up as much oil as you pour on it, so it’s healthiest to dry roast them.
Thomas Jefferson is credited with bringing the first eggplant cultivar (a plant variety produced through cultivation) to the United States in the 18th century.
Eggplants are not vegetables; they are actually berries. Eggplant has by far the highest level of nicotine of any vegetable. People in the U.K. called them aubergines. The word “aubergine” goes all the way back to the ancient Indian language Sanskrit.
Quick recipe: Skin eggplant and slice into ½-inch thick pieces. Place on cooking sheet; brush both sides of the slice with olive oil if desired. Broil until golden brown. To make baba ganoush, add tahini and garlic and blend in food processor with juice of one lemon and salt to taste. Or just add parsley, basil or capers and eat as is.
Eggplants contain a fair amount of nasunin. This powerful antioxidant protects the lipids surrounding brain cell membranes, keeping free radicals out and your head healthy. However, they also contain a chemical called solanine, which could be a culprit in arthritis pain.
The eggplant is believed to have originated in India, where it is considered to be the King of Vegetables.
FOOD FOR THOUGHT
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Japan even has a proverb about eggplant: “The happiest omen for a New Year is first Mount Fuji, then the falcon, and lastly eggplant.”
A B F for B
S BY KIM O’BRIEN ROOT
A
s far as surgeries go, brain surgery might be the oldest of the practiced medical arts, with evidence of its use going back thousands of years B.C.E., even to the late Stone Age period. Pre-Incan civilizations, who used surgical tools made of sharp-edged volcanic rocks, could not have possibly envisioned brain surgery in the 21st century, when doctors use robots and 3D navigation. One of the latest advancements to hit the field of neurosurgery is the use of real-time surgical navigation systems that use robotic arms developed from technology used on the International Space Station. The equipment allows surgeons to navigate around critical structures when removing brain tumors and operating deep into the brain. This “next-generation” technology went into action at Bon Secours DePaul Medical Center in Norfolk, Va., in May. It’s the first hospital in Hampton Roads and the second in Virginia to use the new, BrightMatter navigation system from Synaptive Medical Inc., a Toronto-based medical technology company. Dr. Joseph Koen is one of two doctors at DePaul — along with Dr. David Waters — trained on the BrightMatter system. Koen’s first case using the equipment, on a woman with a brain tumor, was successful. “It went very, very nicely,” Koen says, with the patient recovering well. The BrightMatter technology assists surgeons in a few different ways. First, it uses a specialized MRI scan to map the brain’s sensitive white matter tracts. The approach gives surgeons a dynamic 3D visualization of the brain that allows for less-invasive surgery and safer surgical routes. By allowing the surgeon to devise a precise surgical plan, the surgery can start “in a more focused way,” Koen says. It may also allow surgery in cases previously deemed inoperable.
During surgery, the 3D image of the brain is projected on a computer monitor, where it highlights all the fibers in the brain — the tracts that connect the parts of the brain — in different vivid colors. “It allows us to peer inside the brain in the way we never have before,” Koen says. Lesions, or tumors, can be spotted because they push the tracts out of normal position. Meanwhile, the surgeon uses a specialized instrument — either a probe or an instrument that provides suction — that connects to a surgical robotic arm, called the Modus V. The robotic arm has a high-powered digital microscope that allows the surgeon to see the surgical field in real-time, magnified 12½ times on a 55-inch television screen near the operating table. As the surgeon works inside the brain, the camera automatically aligns to the instrument, keeping the field always in focus. “This can get into those tough angles for them,” says Gianna Lenzo, a clinical applications specialist for Synaptive Medical. Normally, a surgeon would have to keep checking on the surgical field through a microscope with oculars. “This allows more freedom of movement, and I don’t have to take my hands out of the field,” Koen says. The whole process cuts down on operating time. The BrightMatter system can be used on many types of brain surgeries, including tumors, hemorrhages, vascular malformities and cysts. In the future, it may be able to be used on aneurisms, Koen says. It can also be used for spine surgery — Koen’s second patient at DePaul using BrightMatter was a man needing back surgery. There are about 30 medical institutions using the BrightMatter technology and the Modus V robotic arm. “This equipment is incredible,” says Paul Gaden, chief executive officer at DePaul, where the Bon Secours Neuroscience Institute is located. “We’re always looking for technologies that improve the lives of our community members.”
One of the latest advancements to hit the field of neurosurgery is the use of real-time surgical navigation systems that use robotic arms developed from technology used on the International Space Station.
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Rules of Engagement The Do’s and Don’ts of Digital Dating BY ALEX ROBINS
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et’s be honest, there’s something appealing about meeting a potential love interest while wearing sweat pants and stuffing your face with pizza on the couch. So it comes as little surprise that dating apps are popular among young adults. With the right mix of strategically chosen photos and a witty bio, your profile does the work for you. There’s no way around it: our society has gone digital. Technology has encroached into every aspect of our lives. And yes, that includes our love lives — from matching with new connections through apps to planning dates over iMessage. Even relationships are introduced to the world through perfectly cropped photos of the new couple on Instagram. For millennials especially, it seems that the days of meeting people in coffee shops and getting to know one another across a table are relics of the past. But millennials and Gen-Xers alike find it hard to avoid digital influence as they navigate the dating world. In fact, according to the online dating website eHarmony.com, 40 percent of single Americans use dating apps, while 20 percent of committed relationships began online. In 2015, 7 percent of marriages were between couples who met on a dating app or website. The perspective on dating began to shift in 1995 when the online dating service Match.com was launched. Suddenly, the computer screen acted as a buffer that took the intimidation factor out of meeting people. It came with the chance to type —
DO Use your profile to show what makes you unique — Avoid clichés. Instead, opt to tell potential matches something funny or interesting about yourself, but keep it vague enough to make them want to know more. DON’T Lie on your profile or use outdated photos — Lying about your height, appearance or interests doesn’t do anyone any good. Once you meet in person and start getting to know someone, the truth comes out quickly and your lies can end up hurting both you and your date. Use photos that look like you, and don’t use a group photo as your main picture. Make it easy for other users to see who you are. Online dating is all about at-aglance impressions, after all.
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and then rethink and retype — pick-up lines before making an introduction. If even the most well-planned greetings were met with rejection, there was likely another match waiting to immediately try again with. As other sites such as OK Cupid, eHarmony and Plenty of Fish followed in Match’s footsteps, first impressions became based on perfectly crafted profiles rather than trying to understand someone in an overcrowded, noisy bar. More and more sites cropped up, some catering to specific races, ages and sexual orientations. Fast forward to 2018, and dating websites were joined by cellphone apps such as Tinder, Bumble, Hinge and Coffee Meets Bagel. These apps allow users to swipe “yes” or “no” on potential matches while hardly lifting a finger. Some might argue that the mere act of swiping through these apps is superficial, overtaking any real potential to get to know someone. But for others — at least those hopeful enough to keep at it — dating apps could be the ticket to meeting the love of one’s life. It can be tricky to navigate the liking, swiping and sharing that this new relationship culture entails. There are no formal rules mandating how to be successful at online dating; no formulas for finding your perfect match. Much like dating in the olden days, there’s a lot of trial and error involved. But there are a handful of unwritten, universally accepted dos and don’ts of dating in the digital age. Here’s what to keep in mind as you craft your profile and enter the online dating world.
DO Go into it with an open mind and optimism — If you’re joining a dating app, don’t join with a negative attitude. It’s important to join with the confidence that you’re going to meet interesting people. On a similar note, it’s best to avoid bringing past relationships into your online dating venture. That includes talking about exes or using photos with an ex cropped out. Think of creating your profile as a fresh start and leave the former flames at the door. DON’T Feel obligated to get to know everyone you match with — If you liked someone’s profile, but change your mind after you match, or you’ve sent a few messages back and forth, yet something feels off, it’s perfectly okay to put a stop to the conversation.
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DO Know what you’re looking for and be up front about it — Whether you’re looking for commitment or something more casual, don’t lead others on. That said, it’s always okay to change your mind. DON’T Be afraid to ask questions — You’re on these apps to meet a potential romantic partner. However, there’s a fine line between coming on too aggressively and learning what you need to know to decide if someone is worth pursuing. As a rule of thumb, talking about children, marriage, politics and controversial social issues with someone you haven’t met in person usually scares them off quickly. Instead, start with more lighthearted inquiries and as the conversation progresses, work your way up to harder-hitting questions.
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DON’T Chat through the app for weeks or months without meeting in person — Months of surface-level conversation doesn’t benefit either party. It should take a lot less time to feel confident in either wanting to get to know someone on a deeper level or deciding you’re not that into them. DO Proceed with caution if you decide to meet in person — It’s wonderful that you’ve connected with someone, but keep safety in mind any time you meet a stranger in person. Meet in a public place, take your own transportation and let a friend know where you’re going. It may seem like overkill, but anyone worth continuing to see will respect that safety is a priority for you. DON’T Get down on yourself if things don’t progress past a first date — Part of the appeal of online dating culture is having a seemingly limitless pool of potential partners at your fingertips. Some people use the apps to meet as many people as they can, and those same people likely end up on a lot of first dates trying to test the waters. Sometimes you’ll enjoy a date that the other person didn’t, and vice versa. When that happens, take a day off from the apps and be kind to yourself, then decide if you want to keep trying.
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ospitals across the country are facing a historic shortage of intravenous narcotic drugs that is expected to continue until at least the summer of 2019. In the short run, it will require hospitals to conserve IV narcotics for those in severe pain. The shortage could ultimately permanently change how hospitals manage pain in the future, depending more on oral medications and minimizing the use of IV injections. IV narcotic drugs — primarily morphine, hydromorphone and fentanyl (usually used during surgery) — are given to post-surgical patients or those recovering from cancer pain. The shortage, however, should not affect those who are in pain. Hampton Roads hospitals are committed to delivering the same level of pain management based on a patient’s diagnosis and severity of pain. “The goal is to be proactive and save IV narcotics for those who are in severe pain and find alternative ways to manage pain orally with narcotic and non-narcotic drugs,” says Jon D. Horton, director of pharmacy for Sentara Healthcare. “We have to be looking down the road.” Bon Secours hospitals have taken a similar stance and say they are employing an “aggressive approach to alternative medications
and treatment methods.” These include converting to oral narcotic therapy, as well as non-narcotic pain control. Patients who visit an emergency room at a Sentara facility and are able to swallow pills will be given narcotics in pill form or nonsteroidals such as Tylenol or Aleve in prescription dosages (800 mg compared to 200 mg when bought over-the-counter). To inform patients of the changes necessitated by the shortage of IV narcotics, Sentara put up posters in its emergency rooms. The poster explains “What You Need to Know” (IV narcotics are at a historic low), “What to Expect” (patients will be kept as comfortable as possible, pain will be monitored regularly and medication may be adjusted) and “What You Can Do” (patients should offer an accurate description of their pain, let doctors or nurses know if pain increases and if there are other things they may require.) Chesapeake Regional Healthcare is not posting the shortage and its effect on patients, but rather has “educated the medical and nursing staff regarding the shortage and availability of alternative therapies,” says Jack Lemanowicz, director of the pharmacy. The staff will inform patients when necessary, he says. Lemanowicz says oral products are now being used earlier in treatment, and alternative therapies, such as non-steroidal antiinflammatory drugs (ibuprofen, Celebrex, etc.) are more frequently
Studies have shown that patients can do well on prescription doses of generally available drugs, although they may take longer to work.
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considered. “First and foremost, we are here to care for our patients,” he says. The shortage of IV narcotics was brought about by a number of factors. First, the federal government reduced the amount of narcotics pharmaceutical companies can produce. Also, a large manufacturer of injectable narcotics was shut down due to quality issues and sold its business to pharmaceutical giant Pfizer. The federal government has recently cut back on its restrictive measures relating to the amount of narcotics that can be produced, but it will take time for companies to get up to speed. And then there are natural factors like Hurricane Maria, which devastated Puerto Rico in September. The island, which still hasn’t recovered, houses 80 companies that produce drugs and medical devices for areas of the United States including Hampton Roads. All of the factors could lead to a return to non-narcotic management of some pain. “Some patients may require narcotic drugs immediately after surgery and, after a few days, we can minimize the use of narcotics or eliminate them,” Horton says. “The feedback from physicians has been very positive about minimizing the use of narcotics.” Studies have shown that patients can do well on prescription doses of generally available drugs, although they take longer to work. Likewise, notes Lemanowicz, music therapy, meditation, aromatherapy and pet therapy have proved effective in treating pain. What happens in the future, agree Horton at Sentara and Lemanowicz at Chesapeake Regional, depends on the results doctors see using alternative means to control pain. The key, says Horton, is to have different strategies to manage a patient’s pain: “The goal, as always, is to keep patients as comfortable as possible.”
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The Crystal Method Can Stones and Minerals Improve Your Well-being? BY KASEY FUQUA
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very year, a new wellness trend emerges, from eating turmeric to visiting infrared saunas. One of the fastest growing and longest-lasting trends in wellness is actually a very old practice: The use of crystals or minerals to improve health. “Stones, just like any other kind of energy work, plus acupressure, acupuncture and chiropractic, are all considered CAM therapies,” says Melissa Kepley, owner of The Magickal Attic, a crystal and jewelry shop in Newport News, Va. “CAM therapies, meaning complementary alternative medicines, don’t take the place of allopathic [medicine]. They complement what is going on with allopathic medicine.” People use crystals or stones for many different reasons, such as for improving sleep, boosting mood or healing heartache, says Kepley, a hypnotherapist, interfaith minister and psychic. Certain stones are said to promote qualities, such as courage, luck or love. The mineral make-up of the stone can determine how it helps you. For instance, fluorite contains calcium fluoride, a mineral that may work with the calcium channels in the brain. Many people use fluorite to improve memory, perhaps taking advantage of the calcium fluoride.
WELLNESS
Understanding the mineralogy is important, but Kepley warns that reading a few books or blogs on crystals may not help you choose the right stone for your needs. “For a very beginner, stones are going to be very similar to medications,” says Kepley. “Some things you get along with, some things you don’t get along with. Only use books and websites as reference models to get an idea of what you would like to accomplish, then feel out the different suggestions of the stones.” She suggests people take their time when selecting a crystal to use since many different stones can serve the same purpose. Even different crystals of the same type can give you a different feeling. “Feeling encompasses a great deal of parameters,” Kepley says. “When I say the word feel, that can be a thought, an idea, an emotion, it can be tactile.” To receive the benefits of the minerals in a particular stone, Kepley says, you need to spend a lot of time with it, holding it in your hand, carrying it in your pocket, wearing it as jewelry or meditating with it. You’ll only see benefits from the use of crystals if you find a stone with which you connect.
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Beginner’s Guide to Healing Crystals Think it’s a bunch of hocus-pocus? Maybe not. If you want to give crystals a try, here are 10 good ones with which to start. Keep one in your pocket, or place around the home to amplify energy in a certain space. Clear quartz: Known as the master healer. Amplifies the energy, thoughts and vibrations of other crystals. Selenite: Removes negative energy. Amethyst: Boosts inner strength, provides spiritual protection and enhances intuition. Citrine: Instills a positive outlook and stimulates the mind. Rose quartz: Promotes all types of love, helps with emotional balance, calms. Green aventurine: Good for inviting luck and prosperity into your life. Helps with decisiveness. Moonstone: Helps with creativity, intuitiveness and fertility. Lapis lazuli: Promotes confidence and eases communication issues. Aquamarine: Connects to the calming balance of the ocean. Promotes inner peace, relieves stress. Black onyx: The crystal of protection. Shields body and mind from negative energy, alleviates symptoms of depression. Note: Experts recommend “charging” your crystals, which can become depleted from use, negativity and time. Periodically leave them out in sunlight or moonlight.
Another Role Crystals Play in Health At the Williamsburg Salt Spa, one specific type of crystal — salt crystals — plays a different complimentary role in health, particularly for people with respiratory problems. The spa’s warm salt cave houses 15 tons of Himalayan salt and three waterfalls that help churn the salt into the air. As you sit in the cave, you breathe in the salt, which contains 84 different minerals. “In general, our cave was designed to help people with respiratory problems,” says Agnieszka Drygala, who opened the salt spa 10 years ago. “Salt is anti-bacterial. It clears your lungs if you have congestion, if you have mucus.” Breathing in the salt cave air is comparable to spending three days on the seaside or using a saline (salt water) rinse. It can loosen mucus so you can clear your airways. Drygala also recommends salts for taking care of the skin and for relaxing sore muscles. The spa’s float tank contains 900 pounds of dissolved Epsom salt. A session in the tank may help athletes, people with arthritis or people with fibromyalgia.
Does This Stuff Actually Work? While there’s little published research to support the use of stones or salt in improving well-being, it doesn’t mean the use of these minerals can’t help you feel better. Meditation with or without stones has been shown to improve mental health. Some studies show taking any step toward better wellbeing, whether it is finding a stone that speaks to you, undergoing acupuncture or taking part in yoga, can improve your outlook. In fact, the mere act of doing something to take control of your destiny can often boost hope, brighten mood and improve your ability to cope with a chronic condition, says psychologist Stuart Vyse in his book “Believing in Magic: The Psychology of Superstition.” It might be a placebo effect, but for whatever reason, it works. How about those magnetic or copper bracelets that are said to relieve arthritic pain? Studies haven’t found any hard evidence to show they work, but some users swear by them. And the placebo effect is actually a real biologic process, says Ted Kaptchuk, a professor and director of the Program in Placebo Studies at Harvard Medical School. Placebos can activate specific regions in the brain, triggering the release of feel-good hormones like endorphins, dopamine and natural painkillers. The use of minerals, meanwhile, poses few risks to your health, though the Williamsburg Salt Spa does recommend you get your physician’s permission to visit its salt cave if you are pregnant or undergoing cancer treatment. In many ways, your mind and how it affects your body is still a mystery. Complementary alternative medicines like crystals or salt caves, along with your physician’s recommended treatment, may be exactly what you need to improve your well-being.
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One Child Center for Autism BY JOHN-MICHAEL JALONEN
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ocated in a nondescript office park in Williamsburg, Va., surrounded on all sides by dentists, dermatologists and other businesses, the One Child Center for Autism has been changing the lives of children and parents across Hampton Roads for nearly five years. The center’s mission is simple: To provide services and support children and families affected by autism and other developmental differences in their individual journey, regardless of financial circumstances. Julie Cullifer founded One Child after first beginning her professional life in public policy. An alumna of The College of William & Mary, Cullifer worked in Washington, D.C., and traveled around the world before returning to Williamsburg with her husband to raise her family. That’s when she discovered her son had autism. Finding a void in accessible and affordable services for children with autism, Cullifer decided to start a group of her own. Since then, the non-profit center has grown to not only providing services
for children with autism spectrum disorder, but also for children with varying differences and diagnoses. “One Child began with one social skills group for five preschool children in a rented room,” Cullifer says. “Today, the social skills program alone serves 30-plus children a week and has levels for children ages 3 through eighth grade in our own office space.” The name of the center is based on a quote from Dr. Stephen Shore, an acclaimed professor of special education at Adelphi University who is himself autistic. The quote goes, “Once you’ve met one child with autism, you’ve met one child with autism.” The saying reflects the reality that there’s no one way to navigate the world of autism spectrum disorder, and that each family has to figure out its own way. Over the past five years, more than 150 children have been served in the center’s weekly programs, which include applied behavior analysis therapy, speech therapy, art therapy, social skills programs, psychological and education evaluation services and recreational activities.
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The center “was exactly the kind of place my family and I were looking for,” says Sandy Vogt, whose son goes to programs at One Child. “It's not limited to just people with certain diagnoses — anyone who feels like their child could benefit from the programs can come.” The supportive and interactive environment of the programs has definitely helped her son gain social skills and improved his interactions with other children, Vogt says. “He was a kid who would always play alone on the perimeter of playground,” she says. “It's where he felt safe and comfortable. By the middle of the school year, his teacher sent me pictures of him playing all over the playground with other kids. He always had the desire to play with other kids; he just didn't have the skills and the chance to practice, and One Child gave him that.” One of the most difficult parts of offering its services, however, are the costs associated. One Child strives to make it as affordable as possible for families of all backgrounds. Thanks to community support, the center is able to award therapy scholarships. “The reality is families don’t plan on having a child with differences and are not prepared for the physical, emotional and financial stress,” Cullifer says. “Most people take for granted the cost of health care until they have a family member affected by a disease or disability.” Cullifer says she’s “blessed to live in a philanthropic community that values the work that One Child is doing.” At the same time, she says she wants to increase the center’s capacity to offer as many services affordably to as many families as possible. Making tax-deductible gifts to the One Child
Center helps offer services to children at much lower costs to their families and helps grow outreach in the wider community. Volunteers are also welcome, particularly for the monthly Kids’ Night at Williamsburg Indoor Sports Complex (WISC) in collaboration with Child Development Resources. Kids’ Night is intended to be a liberating opportunity for both the kids and the parents. Children get to play with others in a supportive and supervised environment, and the parents can take some time to themselves while knowing their kids are in good hands and having fun. Over the past five years, more than 300 children have been served through the Kids’ Night program. “It's our only date night,” Vogt says. “My husband and I will go eat, walk around Target ... it doesn't matter what we do — just being able to have a quiet night to ourselves, it's wonderful.” Hearing that the center’s programs have made a difference is what Cullifer strives for. Success for the center, she says, means “meeting the needs that exist in the community.” She wants families to feel more successful navigating and advocating for their child’s journey at the same time children are finding their voices and becoming more self-confident. Families are often referred to One Child Center by doctors, counselors and teachers, but parents can contact the center directly at their website, onechildcenterforautism.org, through email at info@onechildcenterforautism.org or by calling (757) 585-3216. “Our hope for One Child is that it will serve as an oasis,” Cullifer says, “a space where our children are celebrated for their unique talents and gifts and families feel a sense of acceptance.”
“Our hope for One Child is that it will serve as an oasis,” Cullifer says, “a space where our children are celebrated for their unique talents and gifts and families feel a sense of acceptance.”
PROFILE
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Hooked on Likes, Part 2 How to escape the addiction BY MIKE VERANO
Soon after writing part one of this series, feeling certain that I was not on the spectrum of ITD (Internet technology dependence), I dropped my iPhone off at a local office supply store to have the cracked screen replaced. Driving out of the parking lot I felt a strange sense of freedom at the thought that I now had a perfect excuse for not being easily accessible. This was quickly replaced by the anxious realization that I would not be able to immediately connect with anyone should I need to. This back and forth went on for a better part of the day and ended when I was reunited with my phone and its fresh non-cracked screen. My first act, once I was back online, was to ask Siri to remind me to go back and reread part one of this series and take the “are you addicted� test.
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T
he jury is still out on whether or not future generations will look back on today's concerns about people getting hooked on “likes” with a shrug of “What was all the fuss about?” or with a sigh of “How could they not see the problem?” What is clear is that social media use is not going away, nor will a surgeon general attach a warning emoji to it any time soon. The power to instantaneously connect with anyone anywhere on the globe is nothing short of miraculous. It is hard to argue with the list of pros that include ending isolation, contributing to the social welfare of the masses, quickly disseminating vital information and creating bonds beyond national borders. Advocates can readily make the case that for every identified negative, there is an actual workplace solution to the problem (on-line meetings for people who suffer from compulsive Internet use or apps that track how often one checks in online are just two examples). Social media is not the first, or last, problem-solver to create more problems only to become a solution when in the right hands. Just what constitutes the wrong hands is where things get tricky. It should certainly set off alarms that some of Information Technology’s giants, to include Bill Gates and the late Steve Jobs, limited the use of their creations within their own families. Recent headlines have pointed to the disastrous effects when face-to-face bullying goes digital and causes harm across great distances. Additionally, most reasonable people agree that children need extra protection from the dangers of social media use and that teenagers, who are known to take things to extremes, are at heightened risk for abuse. When we move into the adult world, we confront the age-old conundrum that is the undercurrent of most addiction debates: “How do we protect people from themselves?” Within the field of chemical addiction, the question of what to do when habit becomes addiction is answered by dropping the need to apply a label and deal with the impact. If what you’re doing is harming yourself and/or others, the question of what we call it is not as important as what we’re going to do about it. For chemical addiction, this meant expanding treatment interventions and acknowledging that those struggling with substance abuse often have
co-occurring mental health issues. The rise of treatment centers specializing in treating Internet addictions is still in its infancy, and anyone considering that route should do the same homework they would when choosing any form of treatment. A more readily accessible option would to turn to outpatient counseling. Many therapists who have been trained to treat chemical addictions and compulsive behaviors are adapting these techniques to address this latest manifestation of when good habits go bad. A quick search of the Psychology Today website is a great way to filter search for local providers who have unique skills in this area. For those who take this psychotherapeutic path, cognitive behavioral therapy (CBT) will most likely be the intervention of choice. This well-researched approach seeks to free clients from dysfunctional patterns of behavior by exposing the thinking errors that drive habits and addictions. Rather than teaching total abstinence as a means of extinguishing the behavior, a CBT therapist helps the client correct the cognitive distortions that are breathing life into dysfunctional patterns of behavior (i.e. the belief that my self-worth is determined by how many likes my recent post received) and replace them with thoughts that contribute to healthier life choices. For those who feel that their digital life has become unmanageable but prefer a self-help approach, a good start would be to take a page from our friends in Alcoholics Anonymous. Since AA and its 12-step program remain the backbone of many addiction-treatment models, one would be in good hands while attempting to bring a sense of sanity and serenity into one’s life. As the debate continues regarding the possible negative impacts of social media use, all of us would be wise to take stock of how we use these platforms. While most people will likely never fall down the rabbit hole of getting hooked on likes, many will discover the somewhat unnerving realization that in the words of poet T.S. Eliot, we are using Internet culture to be “distracted from distraction by distraction” and that its overuse is “filled with fancies and empty of meaning.”
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Stop the Spiral - Get the Facts.
is it Memory Loss or Memory Disorder? BY JACOB ALMEIDA, DO, CMD TPMG PENINSULA INTERNAL AND GERIATRIC MEDICINE
At some point we all forget our keys or misplace our cell phones, and as we age these occurrences only seem to become more prevalent. While memory decline comes with common aging, differentiating between what is normal and what may suggest a potential condition requiring medical intervention is not always simple.
Fearing the worst
As a geriatrician, I regularly see patients and their families struggle with the many problems associated with Alzheimer’s disease, including parent/child role reversal, caregiver burden, multiple physician appointments and medication management. One of the most distressing problems is witnessing a loved one’s memory loss, along with the fear of what a dementia diagnosis will mean moving forward.
What to look for
Establishing a formal diagnosis of dementia or Alzheimer’s disease — a type of dementia — is a complex process. If you suspect your loved one is suffering from memory decline more severe than that of normal aging, taking note of certain signs and symptoms can help guide whether it may be time to consult a doctor. Noticeable changes in appearance, mood, behavior and
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personality are common red flags. Take note of any decline in grooming habits, such as having poorer hygiene and dressing inappropriately for the season. Look for abnormal behavior such as taking medication twice or paying bills multiple times. Other concerning behavior includes losing objects with the inability to retrace steps to find them and difficulty completing tasks which were familiar in the past. Episodes of paranoia can accompany dementia, leading to mistrust and confrontation as sufferers perceive items to have been taken away or misplaced on purpose. Further mood changes such as anxiety, depression and social isolation without any prior history should be noted and monitored. Much of the difficulty in diagnosing memory disorders lies in deciding between what is normal memory loss of aging versus a pathological process such as dementia. Keep in mind — signs and symptoms of note are frequently subtle, persistent and impact daily life activities.
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Addressing the possibility of a memory disorder with loved ones can be a stressful event with the potential to become contentious if mishandled. While there is no one-size-fits-all approach, acknowledging that you are suggesting they see a doctor because you are concerned for their health and well-being is a good way to open a dialogue. When discussing the possibility of a visit to the doctor, be cautious to avoid focusing solely on the loss of memory. Bringing up instances of the loved one leaving the stove unattended or arriving at a destination without knowing how or why he or she arrived there can come across as a threat to independence. Instead, explain that by addressing the memory loss and by seeking a potential diagnosis early, you hope to prolong your loved one’s ability to live a high-functioning, independent lifestyle.
AT THE APPOINTMENT
Often the most difficult part of the journey is convincing a loved one to seek a doctor’s guidance and a formal diagnosis. When accompanying a loved one to the doctor, stay positive and continue to reinforce that you are there out of concern for their health. Taking the doctor aside and sharing your concerns about the memory loss and what a diagnosis could mean can alleviate some of the pressure and tension from the appointment. At this stage, allowing the doctor to take the lead by approaching the topic and providing guidance on the next steps can hopefully remove at least a portion of the burden.
Continued from page 12 “Traffickers are very wise in their choices,” Street says. “I remember in my own trafficking story, he said, ‘I knew it, I knew you were the one.’ And this was four months after the day he met me. It was a business deal — I was an investment. In his mind, he didn’t see me as a human with my own rights. His thing was, ‘How can I control her body to get her to a place where she would do anything I would ask her to do?’” “Now [the trafficker] can take over what society has already done,” she adds. “If this young one has been sexually abused already, abandoned, isolated, made to feel ashamed, [the trafficker] can take those valuable pieces and use them for [his or her] own benefit. They’ll tell her she’s valuable.” Trafficked persons do not usually see themselves as victims. Street describes the trafficked/trafficker relationship as a team, and the self-worth of the trafficked person comes through the work. “We’re thinking, ‘But I brought in so much money for us. My trafficker is dressed well, we have a nice car, we stay in great places — I did this for us.’”
The Next Steps
On Nov. 20, 2017, Maeem Lateef Odums of Portsmouth was sentenced to 40 years in prison for sex trafficking by force. According to the U.S. Attorney’s Office, Odums “used a combination of extreme physical violence, threats of violence, and threats of kidnapping Jane Doe 1’s children, and other forms of control to cause her to perform commercial sex acts.” “Everyone worked together — the judges, the prosecutors, law enforcement, everyone worked together, in our city!” Street says. “It’s really about people being open to making sure victims get access to appropriate care.” Jane Doe 1 had to testify against her trafficker in court, and the groups worked to keep her safe.
This is the future — local, state and federal agencies with similar motivations coming together to empower victims. The Portsmouth case can serve as a template, but “we still have a ways to go,” Street says.
What Can We Do?
There are local task forces and community advocacy groups in Hampton Roads that need people and donations. The YWCA of Hampton Roads has services for trafficked persons, including a 24-hour hotline, counseling and emergency shelter placement. Help and Emergency Response Inc. (HERshelter.com) also has services and shelters. Street stresses the importance of identifying organizations that are victim-centered in their approach through advocacy and rehabilitation as much as prosecution and awareness. Building a network of survivors and advocates to create the safe places is paramount to empower victims and combat traffickers. “I’d like to see more effort in having a survivor’s voice in the discussion because we are no longer under the control of our traffickers, but we also know how they work,” says Street, now a married mother of three. “So I appreciate looking at victim services — how organizations are working with victims, to make sure law enforcement is trained properly in treating victims as victims — but also finding creative ways to help understand how a trafficker thinks and how to dismantle the business side of this.”
Are you a victim of human trafficking or suspect someone is involved? Call the National Human Trafficking Hotline at 1-888-373-7888 or send a text to 233733. Chat live with a person at humantraffickinghotline.org. In Hampton Roads, call the YWCA 24-hour crisis hotline at 757-251-0144.
Virginia is ranked 15th in number of reported cases by state, with California, Texas and Florida topping the list. In 2017 alone, 8,759 human trafficking cases were reported nationwide, according to hotline statistics. In Virginia, there have been 1,025 cases reported since 2007, including 156 last year — the lion’s share from Northern Virginia, Richmond and Hampton Roads.
Tanya Street, who fell into the trafficking world as a teen mother in the 90s. She's now a victim advocate and working on a new documentary about human trafficking.
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Cancer Support Together we Thrive
Cancer Support groups and activities offered several times each month throughout the Williamsburg area. For more information about our groups, including our schedule and ways to support our local cancer community, please visit us at:
kellyweinbergfoundation.org 757-250-3220
This ad is sponsored by the Health Planning Region V Prevention Council and is funded by the Department of Behavioral Health and Developmental Services.
His Experience with a Scalpel Gives Him the Edge In The Court Room. Stephen M. Smith, Esq.
Out of thousands of trial lawyers in the United States, Stephen M. Smith was one of the select few invited to be trained in the Neuro-Anatomical Dissection of the Human Brain and Spinal Cord at Marquette University College of Health Sciences. This advanced medical training, coupled with his 41 years of national and international complex medical litigation experience, provides his clients with an advantage in the court room. If you or a loved one has suffered an injury and are experiencing difficulties, please contact us for a complimentary evaluation so you can learn about your legal options.
BrainInjuryLawCenter.com | 877.840.3431 | 757.650.9818 | ssmith@BrainInjuryLawCenter.com
Know Your Leafy Greens BY KASEY FUQUA
A
ll leafy greens provide great benefits to your health, but they’re not all created equal. With different flavors, different vitamins and different colors, they can all play unique roles in your diet, from reducing your risk for cancer to helping you maintain weight. “All green leafy vegetables are good stuff,” says Caroline Fornshell, a registered dietitian-nutritionist and co-founder of LWell in Williamsburg, Va. “Many greens are high in minerals like iron, magnesium and potassium as well as vitamins A, C, and E. Adding them to your daily diet in any fun way you can is the name of the game.”
Spinach
Spinach is not just for sailors. It’s a great green that contains beneficial micro- and macronutrients to boost your health. While spinach has less calcium than collard greens, it contains higher levels of potassium, magnesium, vitamin E, vitamin A and folate than the trendy kale. Spinach is also a versatile veggie. It provides great flavor for salads, is easy to include in pastas and fits in perfectly with wraps and sandwiches. Spinach can even add some color and nutrition to smoothies. “Spinach is a great starter green for a smoothie,” Fornshell says. “It probably affects the taste the least of all leafy greens.”
Romaine Lettuce
Lettuces, like romaine and iceberg, may have fewer nutrients than other leafy greens, but their great crunch makes them a favorite of many Americans. “Don’t overlook lettuce,” Fornshell says. “It’s a wonderful vehicle for other foods since it is juicy and crisp and fresh-tasting.” Fornshell recommends using lettuce as an introduction to leafy greens if you don’t currently eat many in your diet. You can mix in kale, spinach, arugula or other greens with your lettuce slowly to help you acclimate to the darker, more nutritious leaves. You can also use lettuce leaves as replacements for buns or sandwich rolls or even sneak into wraps to add texture and interest.
Kale
Kale has become a popular leafy green known for its nutritionpacked leaves. “Cruciferous leafy greens (like arugula, collard greens and kale) have additional detoxifying values in them that helps your body
get rid of some waste,” says Fornshell. “They do have an element of bitterness, which is the glucosinolates.” Research has shown that glucosinolates can have anti-cancer effects on your body, helping reduce inflammation and protecting cell DNA from damage. Kale can be bitter or hard to chew raw, but you can add flavor and texture by baking kale chips that are lightly sprayed with olive oil. Kale can also be cooked or added to salads for more flavor (massage leaves first).
Collard Greens
Collard greens need no introduction in Hampton Roads. These Southern favorites are not only delicious, but are filled with vitamins and minerals. “The whole country got obsessed with kale over the last few years, but collards may just be a bigger nutritional powerhouse,” Fornshell says. “There’s a lot you can do with the humble collard green.” While most people think of cooked collard greens in a Southern style (sautéed in bacon grease), you can create a nutritious wrap for sandwiches by blanching the greens, cooling and drying them, and then layering them together. Because of their mild flavor, collard greens are also a great addition to smoothies and a good stepping stone to other types of greens.
Swiss Chard
Swiss Chard is a lesser-known green that sounds fancy, but fits into everyday meals easily. The colorful leaves and stem make for beautiful and delicious dishes. In addition to being beautiful, Swiss Chard contains more magnesium and vitamin K than most other greens. To add Swiss Chard to your diet, try chopping it up into a pasta or adding it to a casserole or quiche. You can also sauté it as a side dish, adding garlic and parmesan or a splash of citrus. Though cooking any type of green can disable some of their digestive enzymes, Fornshell says you can still great health benefits from adding some heat to your leaves. “There added benefits to raw greens, but it’s a hard way to start,” she says. “You can have a combination of cooked and raw vegetables in your diet that appeal to your palate while giving you an even wider range of health benefits.” No matter how you choose to eat your greens, you’ll be eating your way to better health one leaf at a time.
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757-220-1839 Call us to setPHOTOGRAPHY BY BRIAN FREER Treyburn Drive RECIPES3800 COURTESY OF HABANA up a free tour. Williamsburg, Virginia HEMINGWAY CAFE
Taste Appeal
A Chef ’s Kitchen RECIPES COURTESY OF THE CHEF'S KITCHEN
PHOTOGRAPHS BY KRISTEN VANN BRYANT
For the Dilly Cucumber Slaw, simply combine spiralized or sliced cucumbers with thinly sliced fennel bulb, rice vinegar, chopped dill and a pinch of salt.
Applewood Smoked Canadian Salmon
with Dilly Cucumber-Fennel Slaw & Poached Garlic-Saffron Aioli
This is a hot smoke method over indirect heat. Substitute any fish you like. Home-smoking fish is easy if you have a Weber-style kettle grill or a gas grill. Makes four 6-ounce portions or 8 appetizer portions.
Ingredients for the Fish
Ingredients for the Aioli (makes about 2 cups)
1/2 cup Diamond Crystal brand kosher salt 1/2 cup sugar 4 cups water (The above ingredients are the brining liquid) paprika freshly ground pepper 1 tablespoon cooking oil 1 1/2 pounds boneless salmon filet
2 extra large or jumbo pasteurized* egg yolks 1/4 cup fresh lemon juice or orange juice 1 cup extra virgin olive oil 1 teaspoon salt 1/8 teaspoon freshly ground black pepper 1 healthy pinch of saffron covered in 2 tablespoons of water 4 cloves olive-oil poached garlic
Method Dissolve kosher salt and sugar in the water and submerge the salmon in the brining liquid for 3 hours. At the 2 1/2 hour mark, light one gallon (or so) of charcoal and allow to heat until covered with ash. Arrange on back portion of coal grate, mound up onto the side of the kettle and open all bottom and top vents fully. Wrap approximately 2 cups of your favorite smoking wood chips (dry, not water-soaked; we like alder, apple or cherry wood chips) in heavy-duty foil, and seal packet. Poke 5 or 6 small holes in top of packet to allow smoke to escape. Remove filet from brine and pat dry. Spray a single thickness of heavy-duty foil with non-stick spray. Rub both sides of filet with canola oil, and place on oiled foil, skin side down. Sprinkle top of filet with paprika and pepper. Cut the excess foil off, leaving about 1/2 inch of foil sticking out around the fish. Place fish with foil on the grill grate at the front of the grill, opposite the coals. If possible, place the thick side of the filet nearest to the coals, and fold the tail portion under to even up the thickness of the filet. Place the foil packet with the chips on top of the coals and close the lid, placing the open lid vent over the fish, in order to draw the wood smoke over the filet. Leave covered for about 1 to 1 1/2 hours. If the fish is not cooked enough, transfer the fish with the foil to a 300 degree oven and cook until firm, approximately 10-15 minutes. Remove fish from grill by sliding 2 large spatulas under the foil and lifting onto large platter or cookie sheet. A helper is valuable here. Fish should be cooked through, moist and flaky, with a wonderful crisp crust. TASTE APPEAL
Method Into the bowl of a food processor fitted with the blade, place the egg yolk and lemon juice. Measure the oil into a liquid measuring cup with a spout. Turn on the food processor. Gradually add the oil in a thin stream while the processor is running, creating the mayonnaise. Add saffron and poached garlic, blend until smooth. Taste for seasoning, adding more salt. Use immediately or store. Will keep for several days in an airtight container in the refrigerator. *For recipes that call for eggs that are raw or undercooked, use (pasteurized) shell eggs that have been treated to destroy salmonella. *To pasteurize extra large eggs, place them in a saucepan filled with water and fitted with a digital thermometer. Turn on the heat and bring the water up to 140 degrees. Keep the water temperature at 140 degrees for 3 minutes (and no more than 142 degrees), reducing the heat on the burner if necessary. Remove eggs from hot water and rinse thoroughly with cold water. Store in the refrigerator until needed or use right away. Jumbo-sized eggs need 5 minutes in 140 degree water. If made in advance and refrigerated, bring to room temperature before using.
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Baby Arugula, Strawberry & Pear Salad with Feta & Pistachio Vinaigrette
Skillet-Baked Cornbread
Serves 6
We serve the cornbread with homemade honey butter. Use a cast iron skillet that measures 10 inches at the base (12 inches rim to rim).
Ingredients 1/3 cup (1 1/2 ounces) pistachios 2 tablespoons white balsamic vinegar 1 tablespoon honey 1 1/2 tablespoon Dijon mustard 1 tablespoon chopped shallot vegetable broth or water for thinning as needed, about 1/4 cup 3/4 cup EV olive oil salt and freshly ground black pepper, to taste
Makes 8 large wedges
Ingredients
1 3/4 cups (9-ounces weight) stone-ground yellow corn meal 1 tablespoon sugar, optional For a sweeter style cornbread, add two tablespoons of sugar 1 heaping teaspoon kosher salt (we use only Diamond Crystal brand) 1 teaspoon baking soda 1 teaspoon aluminum-free baking powder, like Rumford 1 extra large or jumbo egg 2 cups buttermilk 1 heaping tablespoon unsalted butter
6 cups baby arugula or a mix of baby lettuces (about 5 ounces) 3/4 cup sliced fresh strawberries 3/4 cup peeled diced pears 4 ounces crumbled feta cheese
Method
Method Position a rack in the center of the oven and preheat to 350 degrees. Spread the pistachios on a baking sheet.
Place a well-seasoned 10-inch (base measurement) cast iron skillet in the oven. Preheat the oven to 450 degrees. Allow the pan to remain in the oven 5 minutes after the oven is pre-heated to ensure that it is fully heated.
Bake the nuts, stirring occasionally, until toasted and fragrant (about 10 minutes). Cool completely.
Place the corn meal, sugar, kosher salt, baking powder and baking soda in a mixing bowl and mix together. Add the egg and buttermilk and mix until smooth.
Combine the remaining pistachios, vinegar, honey, mustard and shallots in a blender. With a funnel placed in the hole of the lid and with the machine running, gradually add the oil to make a smooth vinaigrette. Thin as needed with the broth or water.
Remove the skillet from the oven and set on stove top burner. Add the butter to the skillet. Allow it to melt and to brown, swirling it to coat pan and edges. Pour in the cornbread batter. Return the skillet to the 450 degree oven and bake for approximately 12-15 minutes or until firm in the center and a toothpick inserted into the middle comes out clean. Note: Bake the cornbread on the lowest shelf of the oven for a crispier version. Otherwise, place on a rack in the middle of the oven.
Season the dressing with salt and pepper. Toss the lettuce, strawberries with some of the vinaigrette in a large bowl. Transfer to a serving platter or bowl. Sprinkle with chopped nuts, strawberries, feta and top with more dressing if desired.
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Turn the cornbread out onto a cutting board, presenting the cornbread bottom-side up. Serve fresh and warm.
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TASTE APPEAL
A summer exhibit featuring artists based in New York and the Northeast. Lineage is a workshop exhibit bringing emerging artists together with more established artists. What is the common ground among the practices of these artists that challenge, how do they support or diverge from current trends in contemporary art in 2018?
Honey Butter Ingredients 1 stick (4 ounces) unsalted butter, room temperature 1 teaspoon coarse sea salt or ½ teaspoon fine salt 2 teaspoons honey
Method Whisk all of the ingredients together until well incorporated and serve at room temperature with the cornbread.
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
Roast Rack of
New Zealand Lamb The Tagine Sauce can be made ahead, even a day in advance. Serves 4
Ingredients for the lamb 2 racks of lamb, French-cleaned and trimmed of excess fat salt and pepper
Method for the lamb Preheat the oven to 325 degrees. Season the lamb with salt and pepper. Brown the lamb over medium-high heat in a large skillet, roasting pan or on the grill until well browned on all sides. Cook the lamb in the oven for about 25 minutes or until the internal temperature is 135 degrees for medium-rare to medium doneness. Allow lamb to rest at least 10 minutes before slicing.
Vegetable Tagine Ingredients 2 tablespoon extra-virgin olive oil 1/2 teaspoon Raz el Hanout (Moroccan spice blend) 1/2 - 1 teaspoon Harissa (Tunisian pepper paste) 1 tablespoon tomato paste 1 sweet potato peeled and cut into 1/2-inch cubes 1 cup fresh green beans, cut into 1 1/2 inch pieces 1 medium yellow squash, diced 1 cup low-sodium vegetable or chicken broth Salt to taste
Method In a large high-sided skillet, heat oil over medium heat. Stir in the Raz el Hanout and the Harissa and cook 1 minute, stirring. Add the tomato paste and cook for 1 minute. Add the sweet potatoes and cook for about 5 minutes. Add the green beans and cook 3 minutes. Add the squash and cook for additional 3 minutes. Stir in broth, bring to a simmer, cover and cook about 5 minutes or until potatoes are fully cooked. Separately sautĂŠ the tomatoes in an additional tablespoon of olive oil.
1 cup couscous 2 cups low-sodium vegetable or chicken broth 1/4 cup chopped fresh parsley 1/4 cup chopped scallions 1 pint cherry or grape tomatoes as a garnish
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MONEY & YOUR FINANCIAL HEALTH
your financial health easing your personal finance concerns Risk of Outliving Retirement Income How long will your retirement savings last?
Just say no — Resist the upsell and freebies. Yeah, we know the cocktails and appetizers can be tempting, but just remember they can add fat, sodium, sugar and calories — not to mention expense — that you don’t need. And while you’re at it, you don’t have to accept the “complimentary” bread and butter or chips and salsa! Color your plate — The kiddie crayons on the table aren’t the only way to add color to your meal! Look for colorful fruits and vegetables you can add as sides or substitutes for other ingredients in your dish. Have it your way — What do you do if you just can’t find a healthy option? Be bold, and see what’s possible! Combine side veggies or items from different dishes. Ask if they can prepare your food to order. This may not work at the drive-thru window, but most chefs at sit-down restaurants want to be able to satisfy their diners, so it’s worth a shot! Check your oil — Ask about butter, solid fats and cooking oils used in the For the Couscous kitchen, and request that healthier nontropMeanwhile, a medium saucepan, cups ical vegetableinoils be used instead.bring Swap2 the broth a boil. bad fatstofor healthy ones your body actually Remove from heat. Stir in couscous. needs! Cover and let sit 5 minutes or until all liquid is Keep absorbed.it on the side — Request that cheese, salad dressings, Addbutter, the parsley andtoppings, the scallions. sauces and gravies be served on thewith sidethesolamb, Fluff with a fork. Serve the couscous you control how much you use. Look who’s the tagine and the tomatoes. in the driver’s seat now! You can half it all — If the portions are large, share an entree or set aside half to take home before you start eating. Split “indulgences” like appetizers, fries and desserts. Don’t supersize it, rightsize it.
If you withdraw both principal and interest, how long will it take to exhaust a $250,000 retirement savings fund?
Rate of Return
Amount withdrawn at the beginning of each month: $7,500 $2,500 $5,000
4%
121 monthly payments ( 10 years, 1 month)
54 monthly payments ( 4 years, 6 months)
35 monthly payments ( 2 years, 11 months)
6%
137 monthly payments ( 11 years,5 months)
57 monthly payments ( 4 years, 9 months)
36 monthly payments ( 3 years)
8%
163 monthly payments ( 13 years, 7 months)
60 monthly payments ( 5 years)
37 monthly payments ( 3 years, 1 month)
10%
211 monthly payments ( 17 years, 7 months)
64 monthly payments ( 5 years, 4 months)
38 monthly payments ( 3 years, 2 months)
If we knew exactly how long we were going to live after retirement, this arrangement might be satisfactory. The reality, of course, is that none of us knows how long we will live after retirement. This uncertainty is what makes it difficult to avoid the risk of outliving retirement income.
Rusty Woods, Advisory Representative Lincoln Financial Securities Corporation 757-461-1539, ext. 207
Rusty Woods is a registered representative of and offers securities and advisory services through Lincoln Financial Securities Corporation, Member SIPC. Mr. Wood’s office is located at 4016 Raintree Rd., Suite 220, Chesapeake, VA 23321. Lincoln Financial Securities Corporation is a member of the Lincoln Financial Group which is the marketing name for Lincoln National Corporation and its affiliates. Lincoln Financial Securities and its representatives do not offer tax or legal advice. Individuals should consult their tax or legal professionals regarding their specific circumstances. LFS-1913763-100417
© VSA, LP The information, general principles and conclusions presented in this report are subject to local, state and federal laws and regulations, court cases and any revisions of same. While every care has been taken in the preparation of this report, VSA, L.P. is not engaged in providing legal, accounting, financial or other professional services. This report should not be used as a substitute for the professional advice of an attorney, accountant, or other qualified professional.
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Spring Leeks and Celery Soup with Asparagus,Morel Mushrooms and Beet Puree
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Ingredients 8 cups chicken stock 6 russet potatoes, peeled and cut into large pieces 4 leeks (whites only), thoroughly washed and sliced 3 stalks celery, roughly chopped 1 bay leaf 1 1/2 teaspoons finely chopped fresh thyme Salt and freshly ground pepper 1 cup heavy cream, optional 1 ounce dried morels 1/2 bunch asparagus, cut into bite-sized pieces 1 tablespoon extra virgin olive oil and/or butter Beet purée, recipe follows
Method Put the chicken stock, potatoes, leeks, celery, bay leaf and thyme in a large pot and sprinkle with salt and pepper. Boil until the potatoes are soft, 15 to 20 minutes. Remove the bay leaf. Using an immersion blender (or in batches in a blender or food processor), blend the soup until smooth. Pour the soup into a medium pot; add the cream and simmer until the soup has thickened, about 20 minutes. When blending hot liquid, first let it cool for five minutes or so, then transfer it to a blender, filling only halfway. Put the lid on, leaving one corner open. Cover the lid with a kitchen towel to catch splatters, and pulse until smooth.
Separately reconstitute the morels in just enough water or broth to soften. Cut the morels into pieces and retain the reconstituting liquid. In a medium skillet over medium heat, sauté the asparagus in the olive oil or butter until tender. Add the drained morels and sauté for another minute. Strain the reconstituting liquid and add to the sauté. Cook for another minute. Serve the soup and top with the sautéed garnish of asparagus and morels. Garnish with the beet purée.
Ingredients for the Beet Purée 1 medium sized fresh red beet. Salt and pepper to taste
Method In a small sauce pan, cover the beet in water and add a 1/2 teaspoon of salt. Simmer the beet until fork tender. Reserve the cooking water. Remove the beet from the heat and allow it to cool. Peel the beet, cut it into pieces and place in the bottom of a blender. Add about 1/4 cup of the cooking liquid and carefully purée the beet. Add more cooking liquid gradually to ensure a smooth purée. Blend to desired saucy consistency.
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OPTOMETRY Gregory M. Schultz, OD, FAAO, ABO Dr. Schultz has made patient education the cornerstone of his practice. Specializing in ocular disease and medical optometry, he received his undergraduate degree at Ursinus College in Pennsylvania, graduating with honors. He completed his ocular disease and surgery residency at OMNI Eye Services in New Jersey in 1994 specializing in consultative 2nd and 3rd opinions. This advanced training in medical and surgical eye care has uniquely positioned Dr. Schultz to manage and treat complex diagnoses and eye diseases. Dr. Schultz has practiced in some of the most prestigious eye centers in the country, first at OMNI Eye Services, then Vision America in Memphis, Tennessee, where he was chief residency supervisor and head of student programs. He relocated to Virginia in 2004, joining Virginia Eye Consultants as clinical director. Most recently he served at Advanced Vision Institute, directing their Hampton clinic at Sentara CarePlex, before purchasing Eye Center of Virginia in Williamsburg. A fellow of the American Academy of Optometry, Dr. Schultz is considered a leader in his field. He is certified by the American Board of Optometry and lectures internationally on new developments in ocular disease treatment and management.
eyecenterofvirginia.com
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. 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
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Eye Center of Virginia
Eye Center of Virginia 101 Tewning Road Williamsburg, VA 23188 (757) 229-1131
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AUDIOLOGY
Allergy Partners of Hampton Roads
Dr. Timothy Campbell made Allergy and Immunology his medical career choice because it allows him the opportunity to care for both adults and children. A graduate of Miami University in Oxford, Ohio and Northeast Ohio Medical University, he completed his internal medicine residency at Summa Health System in Akron, Ohio, followed by a fellowship in adult and pediatric allergy, asthma and immunology at Cleveland Clinic. He was nominated to AOA and Gold Humanism Medical Honor Societies. Dr. Campbell joined Allergy Partners in 2014. He diagnoses and treats the full spectrum of immunodeficiency and allergic disorders including asthma, allergic rhinitis, stinging insect allergy, drug reactions, eczema, hives, sports-induced asthma and food and latex allergies. Dr. Campbell finds it very rewarding to improve quality of life for his patients that are debilitated by their allergic illnesses. He is accepting new adult and pediatric patients in the Williamsburg and Newport News offices.
Allergy Partners of Hampton Roads 1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443 allergypartners.com/hamptonroads
OPTOMETRY Brent Segeleon, O.D.
Bethany Tucker, Au.D. Colonial Center for Hearing
Dr. Bethany Tucker graduated Summa Cum Laude from James Madison University, as the first Junior in the country to be accepted early to an accredited Doctor of Audiology Program. After completing her externship at the Virginia Commonwealth University Medical Center,Dr. Tucker practiced audiology in St. Petersburg, Florida. She joined Colonial Center for Hearing in March 2014. Dr. Tucker is a board-certified audiologist and holds accreditation by the American Speech-LanguageHearing Association. She undergoes extensive new product training on a monthly basis to ensure the highest quality of care provided to her patients. Bethany was born in the Philippines, but raised in the Richmond, Virginia area. After almost 2 years of commuting from Chester, Bethany, her husband Tyson and their German Shepard Tuck have found a home in Williamsburg. In her spare time, Bethany enjoys reading, cooking, running and spending time with family and friends. Colonial Center for Hearing 430 McLaws Circle, Suite 101 Williamsburg, VA 23185 (757) 229-4004 williamsburghears.com
Colonial Eye Care
Dr. Brent Segeleon, owner of Colonial Eye Care, is a graduate of Gannon University and received his doctor of optometry degree from the Pennsylvania College of Optometry in 2005. He is proficient in comprehensive optometry, including the diagnosis and management of ocular diseases, as well as low vision. He has experience in fitting simple and complex contact lenses for complicated, diseased and post-surgical corneas. Dr. Segeleon is a member of the American Optometric Association, Virginia Optometric Association current board member and Tidewater Optometric Society President from 2014-2016. In 2013, the Virginia Optometric Association named him Young Optometrist of the Year. Originally from Pittsburgh, Pennsylvania, Dr. Segeleon calls Williamsburg home. He lives here with his wife, Brooke, and daughter, Gwen. He enjoys sponsoring the Williamsburg Youth Baseball League and working with William & Mary athletes. Colonial Eye Care
5273 John Tyler Highway Williamsburg, VA 23185 (757) 903-2633 colonialeyecare.com
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FAMILY MEDICINE
ACCEPTING NEW PATIENTS
DENTISTRY
Yu Kwan Chan, M.D.
Hampton Family Practice 9 Manhattan Square, Ste A Hampton, VA 23666 757-838-6335
hamptonfamilypractice.com
MASSAGE
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
Oasis Healing Massage
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 Steven C. Mares, M.D.
Erase the Canvas, LLC
Harper Dental Care
Laurie Andrews, LMT, owner of Oasis Healing Massage, is a graduate of the Utah College of Massage Therapy and brings over 20 years experience to the Williamsburg area. After receiving her diploma in Advanced Clinical Massage Therapy, with an emphasis in Clinical Injury Massage and Traditional Chinese Medicine, Andrews went on to receive diplomas in Natural Health Consulting and as a Relaxation Therapist. She has been an instructor of Massage Therapy since 1999 and has written and published more than 30 student handbooks. Andrews is a long-time member of the American Massage Therapy Association, state-licensed with the Virginia Board of Nursing and is proficient in many therapeutic modalities including traditional Swedish and deep tissue massage, trigger point, myofascial and injury massage, reflexology, acupressure, aromatherapy and hot/cold stone therapies. She specializes in restoring body rejuvenation, balance and relaxation, and is dedicated to bringing a place of healing refuge to the community of Williamsburg.
Dr. Harper has focused a significant part of his practice on sleep apnea and TMJ. He works closely with local sleep medicine physicians to diagnose and treat sleep apnea, snoring, teeth grinding and TMJ problems. When a CPAP device is not successful or necessary, Dr. Harper then uses his extensive training and background to choose the right custom appliance for his patients. His experience with many different appliance designs increases comfort and success of the appliance, and leads to better sleep, improved health, and a higher quality of life. Dr. Harper uses his background and knowledge of TMJ disorders to prevent common side effects of sleep apnea appliance therapy including bite changes, tooth pain and TMJ pain. He also helps patients who suffer with TMJ disorders and were not properly diagnosed or were given a thick plastic “night guard”, but still suffer from tightness, tension, pain and worn/fractured teeth.
Oasis Healing Massage
Harper Dental Care
o-h-m.weebly.com
LWell
William G. Harper, D.D.S.
Laurie Andrews, LMT
Jamestowne Professional Park 1769 Jamestown Rd - Suite 209 Williamsburg, VA 23185 804.916.9494
Miranda G. Hayden, MPH, RD, LD, CSR
Stacey Sparkman Hall, D.D.S.
Hampton Family Practice Dr. Yu Kwan Chan, M.D. earned his undergraduate degree from Johns Hopkins, and attended Medical School at University of Maryland. He fulfilled his Family Medicine Residency at Mountain Area Health Education Center in Asheville, and joined Hampton Family Practice in 2014, when he returned to the area with his wife and children. Dr. Chan is trained in a wide spectrum of clinical interests from newborn pediatrics through managing adult and geriatric chronic diseases and preventative care. He can provide a range of office procedures including, but not limited to, contraceptive device placement, skin procedures/biopsies, and joint injections. This, coupled with his understanding of all stages of life allows him to offer the best in care to the entire family. Dr. Chan looks forward to welcoming you to our family at Hampton Family Practice!
DIETITIAN NUTRITIONIST
235 Wythe Creek Rd. Poquoson, VA 23662 (757) 868-8152
harperdentalcare.com
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 (877) 389-4968 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 AUDIOLOGY & HEARING Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004 BEHAVIORAL HEALTH & PSYCHIATRY The Pavilion at Williamsburg Place 5483 Mooretown Road Williamsburg (800) 582-6066 CHIROPRACTIC & ACUPUNCTURE Comber Physical Therapy & Fusion Chiropractic 201 Bulifants Blvd., Ste B Williamsburg (757) 603-6655 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) 645-9353 COSMETIC & PLASTIC SURGERY Williamsburg Plastic Surgery 333 McLaws Circle Williamsburg (757) 345-2275 DENTISTRY 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
Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000 FREE CLINICS American Red Cross Adult Dental Clinic 606 West 29th St. Norfolk (757) 446-7756 Angels of Mercy Medical Clinic 7151 Richmond Road, Suite 401 Williamsburg (757) 565-1700 Beach Health Clinic 3396 Holland Road, Suite 102 Virginia Beach (757) 428-5601 Chesapeake Care 2145 South Military Highway Chesapeake (757) 545-5700
Pediatric Dental Specialists of Hampton 2111 Hartford Road, Suite C Hampton (757) 864-0606
The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060
Port Warwick Dental Arts Lisa Marie Samaha, D.D.S, F.A.G.D 251 Nat Turner Blvd., Newport News (757) 223-9270
H.E.L.P. Free Clinic 1320 LaSalle Ave. Hampton (757) 727-2577
Williamsburg Center for Dental Health Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Suite E Williamsburg (757) 565-6303
HOPES Free Clinic-EVMS 825 Fairfax Ave. Norfolk (757) 446-6190
DERMATOLOGY
Olde Towne Medical and Dental Center 5249 Olde Towne Road Williamsburg (757) 259-3258
Associates In Dermatology, Inc. 17 Manhattan Square Hampton (757) 838-8030 Dermatology Specialists Michael C. White , M.D. Jason D. Mazzurco, D.O. 11844 Rock Landing Drive, Suite B Newport News (757) 873-0161 Dermatology Specialists 475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466 DIAGNOSTIC IMAGING Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444
H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577
Lackey Free Clinic 1620 Old Williamsburg Road Yorktown (757) 886-0608
Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132 Western Tidewater Free Clinic 2019 Meade Parkway Suffolk (757) 923-1060 GASTROENTEROLOGY Digestive Disease Center of Virginia, PC Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Suite 104 Williamsburg (757) 206-1190
THEHEALTHJOURNAL.ORG
HEALTH CARE ATTORNEYS Brain Injury Law Center 2100 Kecoughtan Road Hampton (877) 840-3431 HOME CARE Visiting Angels 704 Thimble Shoals Blvd., #600-B Newport News (757) 599-4145 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
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
Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800
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 Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098
Sentara Port Warwick 1031 Loftis Blvd. Newport News (757) 736-9898 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
MASSAGE THERAPY
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
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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) 622-2989 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
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) 388-6229 Child Development Resources 150 Point O’ Woods Road Norge (757) 566-3300 Citizens’ Committee to Protect the Elderly PO Box 10100 Virginia Beach (757) 518-8500
Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161
Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386
Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220
RSVP: Retired Senior Volunteers 12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037
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 Society 6350 Center Dr., Suite 216 Norfolk (757) 459-4670 National MS Society 760 Lynnhaven Pkwy., Suite 201 Virginia Beach (757) 490-9627
American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610
Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200
The Needs Network, Inc. 9905 Warwick Blvd. Newport News (757) 251-0600
American Parkinson’s Disease Association 4560 Princess Anne Road Virginia Beach (757) 495-3062
Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd, Suite 2E Newport News (757) 833-7845
National Alliance on Mental IllnessWilliamsburg Area P.O. Box 89 Williamsburg (757) 220-8535
Dream Catchers Therapeutic Riding 10120 Fire Tower Road Toano (757) 566-1775
National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298
Edmarc Hospice for Children 516 London St. Portsmouth (757) 967-9251
Norfolk Community Services Board 229 W. Olney Road, Room 1 Norfolk (757) 664-6670
Endependence Center, Inc. 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007
Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 873-0541
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) 229-0643 The Arthritis Foundation 2201 W. Broad St., Suite 100 Richmond (804) 359-1700 Avalon: A Center for Women & Children Williamsburg (757) 258-9362 AWARE Worldwide, Inc. 6350 Center 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
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
312 Waller Mill Road, Suite 105 Williamsburg (757) 345-6277
Food Bank of SEVA 800 Tidewater Dr. Norfolk (757) 627-6599
Peninsula Institute for Community Health 1033 28th St. Newport News (757) 591-0643
Hampton-Newport News Community Services Board 300 Medical Dr. Hampton (757) 788-0300
Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273
Here for the Girls 1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649
Protect Our Kids P.O. Box 561 Hampton (757) 727-0651 Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771
St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208 Sarcoidosis Suport 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 Hwy. Yorktown (757) 898-3807
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
Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Dr., Suite 101 Norfolk 757-222.4509
2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670
Susan G. Komen Tidewater 420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794
500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236
United Way 11870 Merchants Walk, Suite 104 Newport News (757) 873.9328
OPTOMETRY & OPHTHALMOLOGY
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 VA Medical Center 100 Emancipation Dr. Hampton (757) 722-9961 We Promise Foundation 160 Newtown Road Virginia Beach (757) 233-7111 OBSTETRICS & GYNECOLOGY Williamsburg Obstetrics & Gynecology 500 Sentara Circle, Suite 105 Williamsburg (757) 253-5653
1950 Glenn Mitchell Dr., Suite 102 Virginia Beach (757) 368-0437
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) 873-1554 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
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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
240 McLaws Circle 1302 Mount Vernon Ave. 757-229-3560 757-229-1041 www.williamsburgdrug.com
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
204 Gumwood Dr. Smithfield (757) 357-7762
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
THEHEALTHJOURNAL.ORG
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
/ 48 / HEALTH DIRECTORY
Urology of Virginia Physical Therapy 225 Clearfield Ave. Virginia Beach (757) 466-3406 PODIATRY 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
July
WHAT IS GOING ON IN
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2018
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PADDLE FIT CLASS
Paddle Fitness Classes will be held at the Chickahominy Riverfront Park and are led by certified instructors. WHEN: Every Monday. Repeats weekly, 6:30 - 8 p.m. EVERY Sunday. Repeats weekly, 8:30 - 10 a.m. WHERE: Chickahominy Riverfront Park $$: $30 CONTACT: 757-254-8492
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COAST GUARD DAY 5K RUN/WALK EVENT
BUTTERFLY FESTIVAL
Enjoy educational booths and demonstrations, as well as lots of activities for butterfly enthusiasts of all ages. WHEN: 10:00 a.m. WHERE: Norfolk Botanical Garden $$: Regular Garden Admission CONTACT: 757-441-5830
NORFOLK WATERFRONT JAZZ FESTIVAL
Lots of good food, including a barbecue cook-off, all presented in an outdoor setting at one of the area's historic plantations — a 1,400-acre farm established along the James River in 1619. Live entertainment. WHEN: 10 a.m. to 5 p.m. each day WHERE: Chippokes Plantation State Park, Surry County $$: $5 per person, but 10 and younger are free CONTACT: 757-377-7495 or porkpeanutpinefestival.org
JUNE SUDOKU
IN TEASERS
KATARINA SMITH WILLIAMSBURG, VA.
Join us for raffles, food and fun for all ages. Collection for school supplies for local schools in need. Proceeds go to CDR for children in our area. WHEN: 12 - 2 p.m. WHERE: Colonial Eye Care $$: Free CONTACT: Optical@ColonialEyeCare.com
JUNE WORD SEARCH
UP FOR THE CHALLENGE? Challenge your brain! Turn to page 50 to find out how you can win a gift card!
Congratulations to our
JUNE WINNER
KIDS DAY
PORK, PEANUT AND PINE FESTIVAL
Two days of cool jazz in an outdoor setting. Friday's lineup includes The Rippingtons featuring Russ Freeman, Najee and Pieces of a Dream. Saturday's lineup includes Euge Groove, Spyro Gyra and others. WHEN: 5-11 p.m. Friday-Saturday WHERE: Town Point Park, downtown Norfolk $$: $30-$80 tickets and $200 VIP package CONTACT: 757-441-2345 or festevents.org
BRA
August 4
15-16
14-15
The U.S. Coast Guard Training Center invites all runners, walkers, military and civilian, to participate in the Thirtieth Annual Coast Guard Day 5K Run/Walk & 1 Mile Fun Run. WHEN: 8 a.m. WHERE: Historic Yorktown $$: $15-$20 CONTACT: forcecom.uscg.mil
JUNE CRYPTOGRAM
IT IS BETTER TO BE A YOUNG JUNE BUG THAN AN OLD BIRD OF PARADISE. - MARK TWAIN
B
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Personalized Care for Every Stage of a Woman’s Life Christina Cox Lebreton, M.D.
Areas of Service
Dr. Cox Lebreton offers individualized care through all phases of a woman’s life. She believes that her role is to establish teamwork with her patients and medical partners in order to provide the best possible care, education and support. “One of the things I enjoy the most is that I have the privilege of being involved in my patient’s lives,” says Dr. Cox Lebreton. Creating lasting relationships with her patients as they navigate many exciting and challenging events is her driving force.
General: • • • • •
Annual Gynecological Examinations Contraception Counseling Hormone Replacement Therapy Incontinence Therapy Endometrial Ablation
Gynecology Services: • • • • •
Pelvic Pain Acute and Chronic Infections Menopausal Symptoms Osteoporosis Pediatric Gynecology
Obstetrical Services: • • • • •
Infertility Evaluation 3D Ultrasounds Pre-conception counseling High risk pregnancy evaluations Post-partum support and care
Partners in Women’s Health
757-276-7847
120 Kings Way, Suite 3400 Williamsburg, VA 23185
Read about Dr. Cox Lebreton and her patients at riversideonline.com/coxlebreton \ 51 \ THEHEALTHJOURNAL.ORG Doctors’ Hospital Williamsburg: Your Care Partner
True Care 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 • Spine • 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
Chesapeake | Norfolk | Virginia Beach | Suffolk | Hampton | Newport News Williamsburg | Yorktown | Gloucester | Urbanna | West Point THEHEALTHJOURNAL.ORG
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