TM
inspiration for better living
Herbal
Libations Friends with
Benefits
Zapped
QUITTING ANTIDEPRESSANTS The
MAY 2018 — THEHEALTHJOURNAL.ORG
Upside
of
Feeling Down
Patient Specific Knee Replacement: Life-long Options for Pain Relief
OSC
COMMUNITY LECTURE SERIES Speaker: Robert J. Snyder, MD
Join Dr. Bob Snyder as he discusses both surgical and non-surgical treatment options for some of the most-commonly seen knee problems. Learn about Dr. Snyder’s personal experience with the ConforMIS Knee Resurfacing System and why he prefers it for his own patients. Bring all of your questions about knee replacements and get the answers you need to make the best decision for yourself. Bring a friend, have some refreshments and get informed! Bring all your questions about knee replacement and get the answers you need to make the best decision for yourself.
Tuesday, May 15, 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 “Dr. Snyder is my hero!!! After twenty-plus years of unbearable pain, he magically and skillfully, of course, eliminated ALL pain. Both knees were replaced with the ConforMIS System and after 4 weeks, I was back to work. It was a pleasurable journey. The pain after surgery was well controlled, enabling me to exercise as instructed. As long as I have my new knees, I will continue to recommend him to all who need his service. The staff was sincerely caring, knowledgeable
r e d y n S t r e b o R 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
and friendly. I was a walking testament...folks commented on how well I had progressed and of course I had to ‘advertise!’”
- Marcilla Waters
OSC
ORTHOPAEDIC & SPINE CENTER Open MRI Center
250 NAT TURNER BOULEVARD • NEWPORT NEWS, VA 23606 • 757-596-1900 • www.osc-ortho.com
Amy Harrelson, PA-C Internal Medicine
A New Primary Care Provider is in Your Neighborhood Sentara Medical Group is pleased to have board-certified physician assistant, Amy Harrelson, caring for the Williamsburg community. Ms. Harrelson is committed to delivering personalized care to her patients and enjoys helping patients reach their health goals. In addition to receiving comprehensive care from Ms. Harrelson and her care team, you’ll also benefit from… • Same Day Sick Appointments • Sentara eCare ® – our electronic medical records system. • Sentara MyChart – Your secure way to view test results, renew prescriptions and even schedule appointments!
Sentara Internal Medicine Physicians 477 McLaws Circle, Suite 1 Williamsburg, VA 23185
See why patients are choosing Ms. Harrelson to care for them at www.sentara.com/Harrelson
Now Accepting New Patients!
To schedule, call 1-844-693-0274 or visit www.sentara.com/Harrelson.
GILDED SPLINTERS April 21 - June 23
May DEPARTMENTS BITS AND PIECES 05 06 07 09
Spring Cleaning Hacks Staff & Writers Editor’s Note Second Opinion
FEATURES 10 13 16 18 21 22
Getting Back on Course Outdoor Adventure in Moab, Utah Chip Away at the Salt A Prescription for Art Doctor's Hospital Celebrates 5 Years of Care The Upside of Feeling Down
LIFESTYLE 24 Zapped: The Daunting Discontinuation of Antidepressants 27 When a Loved One Forgets 30 Unstoppable: 94-Year-Old Runner 32 Furry Friends with Benefits
FOOD & DRINK 34 Touting Turmeric 36 Herbal Libations
STAYING WELL 44 46 43 50
Accepting New Patients Health Directory Calendar Brain Teasers
ODU’s Alison Stinely, Conglomerate I, 2017
Oil on panel, PLA (3D designed & printed elements), Goldleaf, and Hydrographics, 25 × 32 × 5 in
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
CHECK OUT our website for even more articles about fitness, health and wellness.
THEHEALTHJOURNAL.ORG
18
24
A Prescription for Art
Zapped: Quitting Antidepressants
27
When a Loved One Forgets
36 Herbal Libations
32
Furry Friends with Benefits
Spring Cleaning HACKS In the Kitchen
Clean stains from the inside of your empty dishwasher by filling the detergent compartment with a packet of Lemonade Kool-Aid and run on normal cycle.
In the Bathroom
Clean your toilet with almost no effort using Alka Seltzer. Drop two tablets in and leave for 5-15 minutes, depending on how long it takes them to dissolve. Swirl your brush, and you’re done!
In the Office
Run the sticky edge of a Post-it Note in between keyboard keys to pick up crumbs, dust and hair.
In the Bedroom
Liberally sprinkle baking soda on your mattress and let sit (24 hours is ideal) to absorb odors. Vacuum up using the upholstery tool and enjoy a refreshed sleep.
In the Living Room
Keep your baseboards clean by running a dryer sheet over them to help repel hair and dust.
Outdoors
Clean your grill using vinegar and aluminum foil. Start by heating up your grill and then spraying white vinegar on the grates to loosen residue. Finish up by scrubbing grates with a crumbled ball of aluminum foil.
™ VOL. 13, NO. 12 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 Teresa Bergen Brandy Centolanza Rebecca Reimers Cristol Kasey Fuqua Katie Gilstrap Alison Johnson Fred Kirsch Joan Lucera Kim O'Brien Root Mike Verano
BUSINESS MANAGER Ashley Ribock ashley@thehealthjournals.com DESIGNER/PHOTOGRAPHER Kristen Vann Bryant kristen@thehealthjournals.com GRAPHIC DESIGNER Lisa Williams lisa@wearetusk.com COPY EDITOR Carolyn Brandt Beth Pepper CLIENT LIAISON/ BUSINESS DEVELOPMENT Christie Davenport christie@thehealthjournals.com CIRCULATION Ryan Bishop circulation@thehealthjournals.com
ADVERTISE Email advertise@thehealthjournals.com or call 757 645 4475 for rates. 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.
THE HEALTH JOURNAL
4808 Courthouse St., Suite 204 Williamsburg, Virginia 23188 Phone: 757 645 4475 Fax: 757 645 4473 THEHEALTHJOURNAL.ORG
PLEASE recycle this magazine
Editor’s Note
Taking Care of Our Mental Health When you think about your health, what do you think of? Eating well? Taking vitamins? Hitting the gym or talking a walk around your neighborhood? When’s the last time you thought about your mental health? The thing is, when we talk about health, we can’t just focus on our hearts, livers or muscles. We have to look at the whole person. Being healthy should be about using your body and mind together. But what happens when your brain doesn’t work as it should? One in five Americans is affected by mental illness, yet according to the National Alliance on Mental
Being healthy should be about using body and mind together. ” Illness, about half of those in need don’t get help. Furthermore, the illness impacts more than just the afflicted — it affects caregivers as well. Each May, we as a country recognize Mental Health Awareness Month to bring awareness to the issue. The Health Journal wants to add to the conversation. This month, you’ll read about how caregivers can best take care of loved ones with dementia. You’ll learn about how being creative can help improve your mental health. And how the simple act of taking your dog for a walk can be beneficial to you and others. You’ll also read about the latest hot topic concerning antidepressants — how important it can be to take them, yet so hard to stop. Also look for a story by Mike Verano, who writes about how coming out on the other side of depression can make you stronger. This month should remind us that we can’t ignore mental illness. It’s out there, all around us. What we can do is support each other and make caring for our brains just as important as caring for our bodies.
KIM O'BRIEN ROOT / EDITOR KIM@THEHEALTHJOURNALS.COM
EDITOR'S NOTE
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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
A CommUNITY Conversation: Prescription Opioid & Heroin Use in Our Community Please join us for this FREE community event featuring Fred Brason II, from Project Lazarus, and breakout sessions discussing topics relating to the opioid misuse problem. How to Register
Where
When Thursday May 17, 2018 6:00pm-8:30pm *Dinner included & will be served at 6:15pm*
Chesapeake Conference Center 700 Conference Center Drive Chesapeake, Va 23320
https://acommunityconversation. eventbrite.com
*Please register by May 14th* Presented by: Chesapeake Integrated Behavioral Healthcare & Chesapeake R U Ready? Substance Use & Prevention Awareness Coalition
special advertising section
How can I best prepare myself to communicate with my physician before my appointment?
What do you think about using mail-order orthodontics to straighten my teeth?
Is there a link between hearing loss and dementia?
Back in the day, when you had a medical question, you looked to your doctor for answers. These days, there is more medical information available than you can shake a mouse at, most of which can be found online. It informs and educates to the extent that it’s accurate, reliable and understood. But the specific information you find has a great deal to do with how you search for it. Your doctor can’t know everything either, but his or her education, training and experience help serve as a lens through which information is brought into focus and perspective. Commonly discussed topics of medical care in many practices include prescribing antibiotics and ordering MRIs. As we all know but sometimes forget, antibiotics will not cure all infections and MRIs are not always the best imaging studies. But when a patient comes to see their doctor assuming that one of these will be provided based on information they have gathered, unmet expectations may be lurking up ahead. There’s nothing wrong with being prepared. It’s great to read and learn about new things, but allow yourself to remain flexible and open-minded. The most important tools you can bring to your doctor’s office are questions. That way, your doctor can help complete your information “search” and offer answers you can trust.
Straightening your teeth has so many benefits. It makes you have a more confident smile, and it’s easier to keep your teeth and gums clean, greatly reducing the amount of oral bacteria. But before jumping into do-it-yourself orthodontics, you must consider the benefits and consequences of this style of treatment. The only benefit is cost, but you do get what you pay for. There are many consequences to doing orthodontics yourself without your dentist or orthodontist involved. No one has evaluated the bone and tissue to see if you are a good candidate. Moving teeth where there is poor bone and gum tissue quality can increase the chances of you losing teeth during the process. When a professional straightens your teeth, they are looking at your smile AND how the teeth bite together. Additionally, if you have TMJ problems and aren’t diagnosed by a dentist, then you could create even more damaging problems when your teeth are not aligned properly. If you do not have the bite analyzed at the end, you can end up with a neuromuscular response that creates damage to the teeth, bone and TMJ. Think of it this way: You would not take your own appendix out or do your own heart surgery, would you? Therefore, unless you want more painful and expensive problems in the future, I would not skip having a professional work on your mouth.
Dementia is often a scary topic; its prevalence is expected to double every 20 years. Multiple studies by Dr. Frank Lin of Johns Hopkins and the National Institute on Aging have shown that hearing loss is independently associated with dementia. The risk of developing dementia increases with the severity of hearing loss. This correlation held true even when age, diabetes and hypertension were ruled out. When hearing loss is present, the brain is working overtime decoding sounds, thus taking away energy from cognition, listening, understanding and memory. Hearing loss can also cause social isolation, and that is another risk factor for dementia and other cognitive disorders. People find it much easier to “fake” following a conversation rather than constantly asking for repetition. Over time, this can lead to avoiding social situations altogether. If you or someone you know starts to experience memory problems, schedule a hearing evaluation with an audiologist to find out if there is another issue at hand that could be treated. Monitoring of hearing loss is crucial when memory issues are present.
Ralph Robertson, M.D. Medical Director of Lackey Clinic 757-886-0608
Stacey Hall, D.D.S. Williamsburg Center for Dental Health Williamsburgdentalhealth.com 757-565-6303
Bethany Tucker, AU.D Colonial Center for Hearing williamsburghears.com (757) 229-4004
second opinion your health care questions answered
We’ve Moved! 500 Sentara Circle Williamsburg, VA 23188
We are the only practice delivering babies in Williamsburg.
David C. Pearce, M.D.
Emily F. Roberson, M.D.
Benjamin T. Isbell, M.D.
Kristy A. Keller, M.D.
Getting Back on Course BY: KASEY FUQUA
After painful injuries, two LPGA golfers are back on the tour and ready to compete in Williamsburg
L
ike any sport, golf comes with its fair share of injuries. During the 2017 golf season, multiple LPGA golfers found themselves facing painful conditions and huge challenges to their careers. With perseverance and hard work, Sydnee Michaels and Joanna Klatten fought back against their injuries to return to the game. The two will be among the world’s top female golfers teeing off at the Kingsmill Championship May 14-20 at Kingsmill Resort in Williamsburg, Va. Nearly 150 golfers from 28 countries will hit the links to go after the title won last year by Lexi Thompson. Michaels, who hails from California, and Klatten, who is from Paris, France, were determined to not let injuries stop them from their chance to play Kingsmill’s River Course.
A Painful Back and a New Baby
Erin Wilkey, M.D.
Karen McNamara, N.P.
Chicquita White, N.P.
Caring for Women Williamsburg Through all Obstetrics &Stages of Life. Gynecology 757 253 5653
Williamsburg Obstetrics & Gynecology
with 24-hour Emergency Answering Service
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In January 2017, Sydnee Michaels found herself sitting on the sidelines with intense back pain. “I was hitting balls and, at impact, I felt a different pain than I’d ever experienced,” Michaels says. “I’ve had a sore back after being a golfer for years, but nothing like that.” An MRI revealed she had a herniated disc as well as several bulging discs in her low back. Complicating her path to recovery, Michaels discovered she was pregnant. While most people experiencing a herniated disc would get follow-up MRIs, take pain pills and work on strengthening their core, Michaels couldn’t do any of those things since they might have put her pregnancy at risk. “It was really challenging,” Michaels says. “I did work out when I was pregnant, but I had to be very careful. It was all just ice and heat and rest.” Working with her family and the tour doctors, she made the difficult decision to take the season off. She didn’t hit a ball for months, letting her back rest. After she had her daughter, Isla, she got back into the gym to work on her core and change her swing to take pressure off her back. Thanks to her time off for pregnancy, she had plenty of time to adjust her stroke. “It’s really hard to make a swing change while you are playing competitively in tournament golf,” Michaels says. “It’s near impossible. Even though I was pregnant and couldn’t hit like I normally would hit, the time off helped me retrain my muscles and swing without the pressure of playing tournaments.”
A recent MRI revealed that her back has improved, though she still has a few bulging discs. From now on, everything Michaels does in the gym and on the course is in an effort to prevent future back injuries. She completes a full warm-up before every round, receives regular chiropractic treatment and even uses a new treatment called postelectromagnetic field therapy to stimulate blood flow to her back. After months of hard work, Michaels, 29, is back on the tour for her seventh year, this time with her daughter Isla in tow. “My life on tour is completely changed,” Michaels says. “It’s awesome. I love bringing her with me.”
Shoulder Injury Tears Up Season
Michaels wasn’t the only LPGA golfer facing an injury in 2017. Joanna Klatten, a five-year veteran on the tour, experienced multiple shoulder problems. During a Crossfit session in October, the 33-year-old first felt shooting pain in her shoulder. She had developed adhesive capsulitis — a condition in which the tissues around the shoulder joint thicken and stiffen. The condition causes painful and limited range of motion that can take up to 18 months to heal. “I couldn’t lift my left shoulder,” Klatten recalls. “If I kept my arm straight and tried to lift it to the side, I couldn’t lift it more than like 45 degrees. I couldn’t even lift it parallel to the ground.” Luckily, Klatten caught the condition so early that she was already seeing improved mobility within a month. But in January of this
year, after an MRI, she got bad news: she had a ruptured tendon in her shoulder. “Either I was getting surgery or I had to get rehab every day to strengthen the shoulder so the tendon wasn’t used as much,” Klatten says. She chose rehabilitation, going to physical therapy for an hour, four to five times per week, for more than three months. She had to complete several exercises, both in rehab and at home, with resistance bands and suspension trainers, which use gravity and one’s body weight to provide resistance. “It was very painful exercise, no fun really,” Klatten says. “At first, I was wondering about how useful it was because in mid-February, I couldn’t see any improvement. It was still hurting as much.” But by the beginning of March, Klatten felt improvements. By the end of March, her pain was gone. She was able to get back on the course, but her return wasn’t easy. “At first, it was pretty disastrous,” Klatten admits. “It had been so long since I hit a golf ball. The first few weeks were really bad, but, little by little, I’m getting it back.” For the rest of her career, Klatten will have to keep up with her shoulder exercises to ensure that the joint stays strong. But returning to the tour was important to her, because she feels she has a lot left to accomplish as a pro golfer. “One of my dreams would be to win Kingsmill because I love the golf course,” Klatten says. “I’m really looking forward to it.”
Sydnee Michaels
To attend the tournament, you can purchase tickets online or at the gate. Visit www.thekingsmillchampionship.com for more information.
Joanna Klatten
Benefits of Birding: Mental Focus Patience Introspection Quick Reflexes Cardiovascular Health Connection with Nature
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A body in balance will sleep well, eat well, feel well, move well, think well and live well.
Body-in-Balance is the premier medical exercise facility on the Peninsula. Our mission is to enhance the lives of our clients through safe, effective and rewarding wellness and fitness programs provided by real professionals with real solutions.
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\ 12 \ TRAVEL FOR WELLNESS
Travel for Wellness
Outdoor Adventure in
Moab, Utah STORY & PHOTOS BY TERESA BERGEN
U
tah is famous for its national parks, which are collectively known as the Mighty Five. But the whole state is ridiculously scenic. Moab, a city in eastern Utah, is a gateway to both Arches and Canyonlands National Parks. If you want to avoid the park crowds — and/or travel with your canine best friend — quieter, dog-friendly public lands abound. The Sabuagana Utes long occupied this area of Utah along the Colorado River on the west side of the giant La Sal Mountains. White settlers tried unsuccessfully to gain control of the river crossing here, but they didn’t establish a permanent settlement until the late 1870s. Mormon farmers and ranchers moved in, followed by uranium miners, oilmen and a potash plant in the 20th century. Western filmmakers discovered Moab in the 1940s, and John Wayne spent some time here.
But it wasn’t until the early ’80s, when Moab was featured on the cover of Mountain Bike magazine, that the small city (which has a population of only about 5,000) became known as an adventure capital. Since then, people have come to Moab from all over the world to bike, hike, raft, base jump, skydive, rock climb and simply enjoy the striking red rock landscape.
Mountain Biking The terrain around Moab is smooth, red-weathered sandstone called slickrock, so named because shod horses found it notoriously slippery. Turns out, that rock, which gets even slicker when wet, is heaven for mountain bikers. The morethan-900 miles of mountain bike trails around Moab are classified as green (easy), blue (intermediate) or black diamond (advanced), just like ski slopes. If you’re curious about
TRAVEL FOR WELLNESS
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mountain biking but are too cautious to just rent a bike and go for it, you’ll find plenty of guided rides and skills clinics in Moab. Newbies can join Rim Tours’ family-friendly, half-day Courthouse Loop tour as an intro to mountain biking.
Hiking Moab also has many miles of hiking trails, both inside and outside of Arches and Canyonlands. If you brought your dog, you’ll want to stay outside of the pet-restrictive parks. Scenic Highway 128 stretches out of Moab and is chock full of impressive hiking spots. The four-mile roundtrip Grandstaff Canyon Trail includes many stream crossings and ends at a natural arch. The trail is named for William Grandstaff, the first African American in the area, who ran cattle in this canyon in the late 1870s. The Fisher Towers trail, also up Highway 128, boasts intricate red rock formations. Elevation changes over the fivemile, round-trip trail lead to tired legs. However, views of The Titan — said to be the largest, free-standing natural tower in the United States — and other notable rocks are worth it.
THEHEALTHJOURNAL.ORG
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Visitors who want more thrills can contact one of the many canyoneering outfitters for an adventure that includes hiking, rappelling, scrambling, climbing and swimming.
Rafting The Colorado River is a popular rafting destination. Visitors who like mild thrills can take a half-day guided rafting trip near Fisher Towers. Those who prefer a wetter and more intense experience can sign up for multi-day trips through Cataract Canyon in Canyonlands National Park. This option involves camping, cookouts and being flown out at journey’s end by a charter plane.
Side Trip to Bear’s Ears Moab has plenty to keep you busy for a week or so. But if you like exploring Native American sites, a side trip to Bear’s Ears is worth the two-hour drive. This natural area in southeastern Utah is sacred to multiple Native American tribes and has a huge concentration of ruins, pictographs and petroglyphs. Bear’s Ears became a national monument at the end of
TRAVEL FOR WELLNESS
President Obama’s administration and remains uncrowded. Take a short hike up to Ballroom Cave, a Native American dwelling set right into a cliffside, and you can almost imagine what it looked like in 1250.
inventive vegetarian rolls, including one with fried apples, mango and macadamia nuts. If you’re staying in a cabin with a kitchen and preparing your own meals, shop with the locals at Moonflower Community Cooperative.
What’s a trip without food?
If you go
Tourists can expect good food to complement all this outdoor adventure. Moab’s Eklecticafe has a beautiful garden and serves wraps, Indonesian satay and all-day breakfast. Sabaku Sushi’s menu includes unusual types of sake and a half-dozen
Moab has a small airport with few flights. The most direct way to get there from Virginia is to fly from Norfolk or Richmond to Grand Junction, Colo., and rent a car for the 110-mile drive to Moab. It’s a beautiful drive through the Colorado Plateau.
NOW HIRING
Orthopaedic and Spine Center Physical Therapy Clinic is seeking a full-time Physical Therapist to join our expanding outpatient orthopaedic clinic. No minimum work experience required.
• Quality patient-care focused environment • Streamlined, modern facility • Competitive salary based on experience plus productivity bonus • Continuing education benefits • Opportunity for professional and community relations: Surgical Observation, Community Lectures/ Outreach, Program Development Opportunities • Fantastic lifestyle with weekday hours only from 7-5:30 and no weekends OSC is committed to providing the best in patient care and employee benefits. Come join us and see what it means to truly “Experience Excellence at OSC!” Send resumes to TomToothaker, DPT, Physical Therapy Director at ttoothaker@osc-ortho.com 757.596.1900 ext. 356
Tom Toothaker, DPT
Physical Therapy Clinic Director
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
Chip Away at the
Salt
New Study Finds That Too Much Salt Could Affect Your Brain BY FRED KIRSCH
ne of our favorite food additives has come under yet more fire from the medical profession. Now we find out that studies are saying a diet rich in salt can lead directly to cognitive impairment and early dementia. Yikes. If we want to remain sharp, maybe it's finally time to say goodbye to potato chips, nachos, mac ’n’ cheese and all those processed foods we love. We have long known that salt — too much of it — is bad for us. Studies have shown that too much salt can cause hypertension, leading to physiological problems that could compromise longevity such as high blood pressure, heart issues, stroke, kidney diseases and vascular dementia. A January 2018 study in Nature Neuroscience conducted at the Cornell Weill Medical School at Cornell University has drawn what doctors and scientists call a “gut-brain” connection, meaning what we ingest, like too much salt, can have a bearing on our mental functioning. At least, it has in mice. Previously, effects of salt on cognitive functioning were attributed to hypertension. “This is new. It's the first time a direct connection has been made between the gut and brain and has great potential, but it's just a first step,” says Dr. Hamid Okhravi, THEHEALTHJOURNAL.ORG
associate professor of medicine/geriatrics at Eastern Virginia Medical School in Norfolk, Va., and director of the Memory Consultation Clinic at EVMS’s Glennan Center for Geriatrics and Gerontology. In the study, mice were given a high salt diet — from 8 to 16 times greater than their normal intake of salt, which would translate to a very large amount in humans. They showed loss of brain function associated with memory and learning. The study revealed a startling 28 percent drop of blood flow in the cortex and 25 percent in the hippocampus. The mice did poorly on several tests, even solving mazes, a mice specialty. The villain is a reduction in nitric oxide, which is generated in endothelial cells. It all starts when too much salt is introduced in the diet and our white blood cells go into high gear, producing an increase in IL-17 (Interleukin-17), a protein that suppresses nitric oxide flowing to the brain. The good news is that four weeks after returning to a normal diet, the mice regained normal brain functioning. Rather than sounding the alarm too loudly, Okhravi issued a word of caution. “While this could be a breakthrough study, results we see in mice do not always translate to humans,” he says. “So, the next step, I think, would be to give healthy human volunteers a high-salt
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ADVANCES IN MEDICINE
Advances in Medicine diet for a short period of time and see if it causes a drop in brain blood flow. A big discovery, at least in mice, is that blood pressure does not have to increase for salt to affect brain functioning. Salt may affect the brain with a different mechanism." Like Giuseppe Faraco, the first author of the study, Okhravi sees this new information about the connection between salt and the brain being used to combat other diseases — such as multiple sclerosis, rheumatoid arthritis and bowel diseases — by increasing nitric oxide. “But that's all down the road,” he says. So what does all this mean for the person in the street — or more to the point, at the dinner table or with a hand buried in a bag of chips watching TV? We probably don't need to forsake all of our favorite things. At least not just yet.
Almost all of us can cut back on our salt intake. We need sodium for fluid balance and cellular homeostasis. But a 2015 study by the National Health and Nutrition Examination Survey quoted in the Journal of American College of Cardiology states that 90 percent of Americans ingest more sodium than the 2,300 mg recommended by the American Heart Association to maintain good cellular functioning. Almost 70 percent of the sodium in our diet comes from processed foods. Okhravi suggests incorporating elements of the DASH diet — Dietary Approach to Stop Hypertension — as one way to keep our salt intake in check. The diet emphasizes vegetables, fruits and low-fat dairy products, with moderate amounts of whole grains, fish, poultry and nuts, as well as limited intake of red meat, sweets and fat. In the meantime, as we await more tests, we would be wise to monitor our chip intake.
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A Prescription for Art BY REBECCA REIMERS CRISTOL
Creating is Medicine for Your Mind
Y
Artists describe the feeling of creating as a Zen state of mind, ou might think you can’t draw or don't have an artistic bone in your body. But while your artwork or “experiencing flow.” You can set your worries aside, be in might never hang in a gallery, creating art may be the moment and focus on whatever you are making. Robert more beneficial to your mental health than you know. Oppecker, an accomplished silversmith and the art teacher Creating art can help people manage their depression or at Matthew Whaley Elementary School in Williamsburg, addictions, reduce anxiety and stress, increase self-esteem describes the process of making a silver vessel: “The creation and explore of the artwork is a emotions that spiritual experience; a are difficult to “The creation of the artwork is a spiritual experience; sacred connection is made with the idea.” express verbally. a sacred connection is made with the idea.” Simply put, you Making art can benefit from the has even been positive feelings that creating art elicits, even if you aren’t a shown to reduce agitation in patients with dementia. The act practicing artist. Oppecker has seen it in his years of teaching. of creating also increases levels of dopamine — the “feel good” “Most children have little trouble letting go and making neurotransmitter. art,” Oppecker says. “Young children show little inhibition Sarah Balascio, an art therapist in Williamsburg, Va., explains, “I have found that art making is helpful because we in their desire to draw. They realize early on that visual art is a language and they want to communicate visually.” notice the small things and are more focused on the present Yet something happens between childhood and becoming moment while creating. It is similar to meditation in that an adult — people seem to lose that easygoing freedom to way and tends to have a calming affect on people. It's a way create without judgment. How can you reconnect with your of putting out there our thoughts and feelings that we may not be able to express through words.” happy-go-lucky artist? Here are some ideas to get you started. THEHEALTHJOURNAL.ORG / 18 / FEATURE
Find Materials That Spark Your Curiosity Wander around a craft store and select something that inspires you. Buy some watercolors and brushes, check out those luscious pastels or invest in that gorgeous 150-color pencil set.
Make it Effortless to Create Have a dedicated box or place for your supplies so they are easy to access. Leave them out over the weekend and you might find that others in your household join you, doubling your enjoyment.
MORE THAN JUST HEARING AIDS
Let Go of Expectations “The experience of art therapy is more about the
process than the final product,” Balascio says. Start with no plan and just use whatever color or mark on the paper feels right. Sometimes starting smaller is less intimidating. Make some threeinch-square paintings to boost your confidence.
Experiment
Lauren A. Matsko, Au.D., MPH, CCC-A
Mavis W. Garrett, Au.D., CCC-A
Jodi Ritchie, M.Ed., CCC-A
Have fun playing around with your art materials. Cut paper in a variety of sizes, buy inexpensive pre-made canvases or add images from a magazine to your creation.
Notice Your Mood Are you happier and more relaxed after creating? Remember this mood the next time you arrive home after a hectic day. Is someone in your life having a rough time? Invite them to make art with you. You can talk and create at the same time.
What Does Your Art Tell You? After you make your piece, set it aside for a week, then come back to it and describe it with words. Did you choose a serene or dramatic palette? Are your marks delicate or bold? What does your painting resemble or does it remind you of anything? Art is a way to visually communicate your emotions — what did you learn about yourself?
D. Krystin Farrell, Au.D., CCC-A
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Experience Art Another benefit of art is that when you are creating, you aren’t staring at a screen. Isn’t that, in itself, a wonderful accomplishment? If making art is too much of a leap for you, but you would like more creative beauty in your life, go to a museum, attend a concert, sing in the car or dance at home to your favorite music. However you decide to have art in your life, it has the power to reduce anxiety, stimulate your brain and improve your mental health.
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henever Dr. James W. McCorry heads out into the community, he often runs into people he’s served during their stay at the hospital. The experiences, he says, are always positive. “Everyone is always appreciative and complimentary regarding their care at the hospital,” says McCorry, an emergency department physician for Riverside Doctors’ Hospital Williamsburg. “I am often stopped on the streets by people who want to share their stories. I had one man who’s had multiple family members who’ve been served by us who came up to me to tell me how grateful he was.” McCorry has been with Riverside Doctors’ Hospital since it welcomed its first patients five years ago. A 5th anniversary celebration is in the works for the hospital, which opened in the Quarterpath development near routes 60 and 199 to help serve Williamsburg’s sizable retiree population. Patient growth has climbed steadily since. “It’s gone by fast, and it’s been interesting,” says McCorry. “I hope we continue to expand and improve in our services and continue to look for opportunity for more growth.” The hospital has received many accolades since opening in May 2013. Riverside Doctors’ Hospital earned exemplar status as a Nurses Improving Care for Healthsystem Elders (NICHE) hospital for its treatment and care of senior citizens and is a Certified Primary Stroke Center. It was also designated as a Center of Excellence in Minimally Invasive Gynecology by the American Association of Gynecologic Laparoscopists. In the fall of 2017, the hospital was also recognized with the QUEST Award for high-value healthcare from Premier Inc., a leading healthcare improvement company, for providing outstanding patient care. It was one of just six hospitals out of 350 hospitals nationwide to earn the distinction. “We are proud of everything we’ve accomplished as a hospital and we are grateful to the Williamsburg community and everyone we serve,” says Adria Vanhoozier, Riverside Doctors’ Hospital’s administrator. In September 2014, the hospital teamed with Colonial Behavioral Health to open Williamsburg’s first Crisis
Intervention Team Assessment Center (CITAC). CITAC enables local law enforcement officers to bring individuals to the hospital for mental health evaluations instead of taking them into custody. Roughly 700 patients were seen at CITAC last year. “We have the busiest CITAC program in the state,” Vanhoozier says. “This program is just one example of how we partner with others in the community.” Commitment to the community has been a focus of Doctors’ Hospital since Day 1: More recently, it was instrumental in helping the Williamsburg area achieve status as a HEARTSafe community. The HEARTSafe program is a public health initiative that provides CPR training and resources such as defibrillators to assist when people go into cardiac arrest outside of a hospital. Riverside Doctors’ Hospital Williamsburg, Sentara Williamsburg Regional Medical Center and emergency medical services from Williamsburg, James City and York counties, along with other businesses and organizations, were a part of the alliance that worked to bring about the HEARTSafe designation. “The HEARTSafe recognition for Greater Williamsburg is a true demonstration of how community partners can collaborate to improve the health and wellbeing of the areas they serve,” Vanhoozier says. “This is something that we are extremely proud of.” Since opening in 2013, the two-story, 40-bed, state-of-theart hospital has nearly doubled the number of patients it sees on a daily basis, treating close to 60 individuals every day. The hospital had an economic impact of roughly $105.5 million in the Williamsburg area in 2016. “Everyone works very hard to serve our patients,” says McCorry, who credited the entire hospital staff for Doctors’ Hospital’s success. “They all go above and beyond in their duties to help our patients and their families.” As the hospital makes final preparations for their anniversary celebrations, those who work there continue to plan for the future. In early 2019, the hospital anticipates having a new MRI machine on-site as well as a third operating room. “I love hearing stories from our patients about how a team member helped them and really brightened their day,” Vanhoozier says. “That is why we are here. I feel very lucky to be a part of this organization and for us to be here in Williamsburg.”
Since opening in 2013, the two-story, 40-bed, state-of-the-art hospital has nearly doubled the number of patients it sees on a daily basis.
FEATURE
\ 21 \ THEHEALTHJOURNAL.ORG
Upside of Feeling Down The
BY MIKE VERANO
What Depression Teaches Us About Ourselves
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nyone who writes about depression faces the inevitable challenge of trying to present the information from being, in colloquial terms, a real downer. According to the National Institute for Mental Health (NIMH), depression is the leading cause of disability in the United States for ages 15-44. Knowing that it “can result in severe impairments that interfere with or limit one’s ability to carry out major life activities,” according to NIMH, is enough to give one a serious case of the blues. Common expressions of the depressive experience include “being in a black hole,” “a downward spiral,” “a heavy burden” and “the dark night of the soul.” People who have dealt with depression not only talk about the psychological and emotional pain of feeling helpless and hopeless,
but also about a physiological pain little understood by those who have not fallen into this dark place. Given its prevalence —16.2 million Americans reportedly experienced an episode of depression in 2016 — it’s imperative that we find a way to shine some light on this condition to provide both the hope and courage essential to recovery. Once known as melancholia, depression has led to many psychological theories on its origins and treatment. Away from the therapist’s couch, there is an almost romantic quality when one looks at literature and the arts. It has been suggested that many artists (including Vincent van Gogh and Edvard Munch) turned their depressive symptoms into some of the world’s greatest masterpieces. Additionally, many writers (Ernest Hemingway and Sylvia Plath, to name a few) have chronicled the ebb and flow of their inner turmoil, producing profound works of poetry and prose.
“In the midst of winter, I found there was, within me, an invincible summer.” ~ Albert Camus
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/ 22 / FEATURE
Back in the modern world of all-things-wellness, there is a growing movement toward the concept of taking our suffering head on, thereby finding meaning in one’s depression. Far from being a New Age twist on turning lemons into lemonade, using the down times in life as a method of transformation has deep roots in human development. The poet Rumi wrote, “The wound is the place where the light enters you.” For many, the passage through a depressed state is as much a spiritual journey as it is a psychological trek. Finding that the light at the end illuminates a stronger self is what the Stoic philosopher Seneca referred to when he wrote, “What is hard to endure is sweet to remember.” Regardless of its origins, anyone who has experienced a period of depression knows that, while in the grips, one seldom thinks, “I’m going to be better in the long run for going through this.” To the contrary, one of the first things that depression attacks is one’s ability to counter the errors in negative thinking that help to grease the downward slide. That being said, as a result of these down times, many people do turn to introspection, evaluation and/or altering life habits in an effort to decrease the pain. Survivors of depression, much like survivors of physical conditions like cancer, often report increased resiliency and appreciation of life. Whether professionally guided by a trained therapist, or through the compassionate support of a caring other, moving through depression can illuminate those hidden mechanisms in one’s life that contribute to the spiral of negativity that is the hallmark of the depressed state. As a counter measure to the happiness addiction so common in Western cultures, working through, and with, a depressed period helps to avoid the trap of immediate maladaptive coping skills, which often rebounds back in the form of still more pain.
We would be wise to heed the words of the poet Rilke, who wrote to a despondent young poet, “Why do you want to shut out of your life any uneasiness, any misery, any depression, since after all you don't know what work these conditions are doing inside you?” Rilke also advised: “ … you must be patient like someone who is sick, and confident like someone who is recovering; for perhaps you are both.”
According to the Center for the Study of Mind and Human Interaction at the University of Virginia in Charlottesville, Va., the gains from recovering from depression include: • Higher levels of empathy and awareness • Increased analytical thinking • Improved relationships • Enhanced stress management skills In my work as a therapist, and in my own struggles with depression, I’ve found that living as someone who is ill, while also in the process of healing, makes the depression less threatening. Addressing it as one would physical pain, as a call for attention and action, one acts with self-compassion — which is, in itself, an antidote to many of depression’s insidious symptoms. Ultimately, depression teaches us that the very vulnerabilities that create despair, if managed thoughtfully, will expose the opposite energies of endurance, resilience and even joy. These represent more than just rays of hope; they are the assurance of an “invincible summer.”
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ZAPPED
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The Daunting Discontinuation of Antidepressants
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BY KIM O’BRIEN ROOT
fter two years of being on the antidepressant Celexa following a period of unbelievable stress in her life, Sharon Jones felt well enough that she figured she didn’t need the medication any more. So she tried to wean herself off, taking the pills every other day, every third day, and so on. But then Jones (not her real name) realized she wasn’t feeling right without the Celexa. “There was constant buzzing in my head,” says Jones, 47, of Doylestown, Penn. “It was not pleasant. That finally stopped, but then I realized I was crying literally every day and I thought, ‘Why am I doing this to myself when there’s better living through science?’” Jones isn’t alone. At the same time long-term use of antidepressants has been surging in the United States, people are also reporting difficulty trying to get themselves off the medications. According to a new analysis of federal data by The New York Times, nearly 25 million adults have been on antidepressants for at least two years — a 60 percent increase since 2010. The problem of late has been patients complaining that they can’t quit because of the withdrawal symptoms, which can range from dizziness and confusion to insomnia and electric-shock sensations in the brain that many people call brain zaps. One big issue: Some medical experts say there just isn’t enough information about what proper tapering approaches should be. Then again, other experts say that there’s nothing wrong with having to be on antidepressants for the long term — especially if they are helping and if patients are under a doctor’s care. THEHEALTHJOURNAL.ORG
“Medications for some people are necessary and critical,” says Dr. Rudolph Freeman, the physician manager for TPMG Behavioral Health in Newport News, Va., and a practicing psychiatrist for 40 years. “These medications clearly have a role to play. The key is using them judiciously and monitoring them correctly.” Antidepressants are a class of drugs used to treat conditions such as depression, generalized anxiety disorder, obsessive-compulsive disorder, manic-depressive disorder, social anxiety disorder and post-traumatic stress disorder. Different types of medications have different effects on the brain, raising or blocking neurotransmitters in the brain such as serotonin, norepinephrine and dopamine that play key roles in stabilizing mood. The most commonly prescribed antidepressants are selective serotonin reuptake inhibitors, or SSRIs, which block absorption of serotonin in the brain, making it easier for brain cells to receive and send messages. This results in better and more stable moods. They’re known by the names Celexa, Prozac, Zoloft, Lexapro and Paxil. First developed in the 1950s, antidepressants have been used increasingly since. According to the Centers for Disease Control and Prevention, the percentage of people aged 12 and over using antidepressants in the U.S. rose from 7.7 percent in 1999-2002 to 12.7 percent in 2011-2014. About twice as many women use antidepressants as men, with 41 percent of users being white women over age 45. “What you see is the number of long-term users just piling up year after year,” Dr. Mark Olfson, a professor of psychiatry at Columbia
/ 24 / FEATURE
University who helped analyze the recent federal data, told The New York Times. Freeman says that increase isn’t without good reason. When antidepressants first hit the market, the suggested starting point was to take them for 6-12 months and then wean off to see the effects. But as medical knowledge has advanced over the last 50-plus years, so has the thinking of how to use antidepressants, Freeman says. “Our knowledge about different chemical changes taking place in the brain and how they might affect people’s thinking and behavior are becoming more sophisticated,” Freeman says. The knowledge behind those early treatment plans for depression “is basically archaic at this point. There are some patients who need to be on [antidepressant medication] for an extended amount of time, and may be on it for an indefinite period of time.” Freeman says, however, that antidepressants should only be prescribed after a careful comprehensive evaluation of patients to ensure what they’re experiencing is clinical depression and not just regular occasional sadness. He looks at four areas: What’s going on in someone’s life that could be causing stress, is that person using mood-altering chemicals to help them cope, are there any medical or physical health problems that could be to blame, and do depressive disorders run in the family. Use of antidepressants is cautioned in adolescents because of the risk of an increase in suicidal behaviors, which the Federal Drug Administration recognized in 2004. Even if antidepressants are recommended, they should be combined with counseling to have the best outcome, Freeman says. Research has shown that medication plus counseling works better than either alone, he says. And medication shouldn’t just be seen as an easy solution. “We have a tendency as a society that we want a quick fix,” Freeman says. “Sometimes it’s easier to take a pill than look at one’s self. It’s more work, but can be meaningful and sustaining work.” Cognitive behavioral therapy can be immensely helpful because it helps patients make lifestyle changes to improve their mood, says Dr. Lindsey B. Stone, a clinical psychologist and assistant professor of psychology at Christopher Newport University in Newport News. One issue with antidepressants is that they’re often prescribed by primary care providers rather than psychiatrists, so the therapy component is not always there. “The huge benefit in seeing a therapist is that their entire job is to find ways to make you feel better,” Stone
says. “You can get a lot of relief by figuring out some of the life issues and having that source of support.” In general, Stone says, about 64 percent of patients will get better whether they’re taking an antidepressant or are in therapy. However, she says, patients are more likely to relapse if they go off the medication — which can carry a host of problems. “People start feeling better, so they stop taking [medication] cold turkey, which can cause side effects,” she says. In one study cited by The New York Times, withdrawal symptoms were reported by more than 130 of 180 longtime antidepressant users. Almost half said they felt addicted to antidepressants, even though antidepressants aren’t physiologically addictive. They’re not a substance you crave, such as opiate pain medications and sleeping pills. Still, some people report feeling like they need their antidepressants. Jill, a 43-year-old from Tulsa, Okla., has tried to stop taking Lexapro in the four years she’s been on it. She experienced the so-called brain zaps, lethargy, heart palpitations and a return of depression. “I have a busy stressful job with three children who lead active lives,” says Jill, who didn’t want her last name used. “It’s stressful keeping it all balanced. The daily Lexapro keeps me feeling calmer, and the emergency Xanax helps when I have occasional panic attacks.” For those who do want to try stopping antidepressants, there is a way — and that’s to do it slowly under the guidance of your doctor, Freeman says. That way patients can not only minimize potential withdrawal symptoms, but they can also be on the lookout for early signs of reoccurrence. Every medicine has side effects. If you stay on antidepressants, you can experience commonly reported side effects such as weight gain, fatigue and decreased sex drive. Some people (up to 10-20 percent of clinical patients, in one study) report diminished emotional awareness, such as apathy and reduced empathy. Coming off them affects the receptors in the brain, creating almost a hypersensitive reaction, so tapering is the way to go, even if it takes months rather than days or weeks, Freeman says. The current conversations about antidepressants are what frontline doctors deal with every day, and what researchers and scientists look at as they work to come up with better models to deal with depression, Freeman says. But another important point to realize about antidepressants is that the stigma about using them has decreased over the years, he says. People are more willing to seek help for their mental health.
Patients complain that they can’t quit because of the withdrawal symptoms, which can include dizziness, insomnia and "brain zaps."
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Feature
When a Loved One Forgets... BY ALISON JOHNSON
When a Loved One Forgets... Caregivers for BY ALISON JOHNSON
S
Dementia Patients Don’t Have to Go It Alone
ince Sharron Warren was diagnosed with early-stage Alzheimer’s disease in 2013, her husband, Tom, has done all he can to help her stay healthy. Don’t call Tom a caregiver, though. He prefers care partner. “We’re on this journey together,” he says. “My health is as important as hers. From the start, we decided we weren’t just going to plop down in front of the TV and give up. We were going to stay active and keep going until we can’t go anymore.” Tom, 57, and Sharron, 70, like to travel, go to the gym, cook healthy meals, do jigsaw puzzles, plan social outings and host grandchildren at their Williamsburg, Va., home. They’ve even planned a May trip to Italy. Not that they haven’t faced reality: Sharron can be forgetful and needs Tom at doctors’ appointments, and she rarely drives alone outside a familiar sphere close to home. She has traded books for magazine
articles. And she has lined up legal, financial and medical documents to plan for an uncertain future. The Warrens believe their approach has slowed the progression of Sharron’s disease and eased Tom’s mental strain. “We’re very honest,” Sharron says. “Tom has always told me his concerns, which is why I originally went to the doctor. This is a part of my life, but it doesn’t define me. I’m not hiding.” Caring for a loved one with dementia is often an unexpected marathon, says Jo McCord, a family consultant with the Family Caregiver Alliance, a national nonprofit support organization. Success requires “training:” planning, expert coaching, support from loved ones and constant adjustments over time. “You can’t do this alone,” McCord says. “You have to take your head out of the sand, get educated and take care of yourself.”
Here are five necessary steps for all care partners:
1
Get an accurate diagnosis and regular checkups.
“Dementia” is an umbrella term — similar to “cancer” — for 80-plus conditions, each with varied symptoms and treatments, says Denise Butler, coordinator of the Geriatric Assessment Clinic for the Riverside Center for Excellence in Aging and Lifelong Health, a nonprofit based in Williamsburg. Alzheimer’s disease is just one form of dementia, generally diagnosed after doctors rule out other causes of cognitive decline. Another common dementia, Lewy body, affects the part of the brain devoted to vision, causing hallucinations. With vascular dementia, or brain damage from multiple strokes, patients may be able to slow progression with proper management of hypertension or diabetes. There are mixed dementias, too. Treatable medical issues also can mimic or contribute to memory decline, including depression, stress, vitamin B12 deficiency, medication side effects, sleep apnea, kidney failure, urinary tract infections, dehydration and alcohol use. “You can’t know what you’re dealing with unless you pursue a specific diagnosis,” Butler says.
2
Take care of legalities.
Early on, consult an elder law specialist on necessary documents to protect a person who may become mentally incapacitated. The Alzheimer’s Association, an area Agency on Aging, the National Academy of Elder Law Attorneys or the government’s Eldercare Locator program (eldercare.acl.gov or 1-800-677-1116) can identify local experts. Top priorities are durable powers of attorney for healthcare and finances — each with a backup agent should a first choice be unable to serve — advanced medical directives and living wills or trusts. Caregivers also should compile folders of medical records and assets such as bank account numbers and house and car titles. If a person with dementia has always handled certain tasks like paying bills or filing taxes, the caregiver should learn how to take over when necessary. Ideally, those processes should begin while a patient can still offer input, says Douglas Panto, community programs manager for the Alzheimer’s Association of Southeastern Virginia. “A lot of times it’s denial that hinders the bestintentioned caregivers,” Panto says. “We get so many calls from people in panic mode. Just call it what it is, dementia, and think about the future.”
3
Plan meaningful days. Dementia patients don’t stop being unique individuals after a diagnosis. Not everyone wants
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to play Bingo — maybe they’d rather take a community art class, listen to old music or walk a shelter dog. “Everyone needs to feel successful, like they can still make a contribution,” Panto says. “There will be good and bad days, but there will be many more good days if they can keep finding pleasures in life.” Regular daytime and sleep routines can ease feelings of fear, frustration and anger, as can writing down schedules and important facts on a dry erase board. Many dementia patients also benefit from regular social engagements, meditation exercises and an overall quiet home environment.
4
Be realistic.
Caregivers’ expectations must evolve based on health changes in their loved ones. “If you’re asking for something they can no longer do, they’re going to get upset,” McCord says. “That lashing-out behavior is not personal; it’s a communication tool.” For safety purposes, caregivers should order identification and tracking wristbands from the Project Lifesaver or MedicAlert programs — and also wear one themselves. “That way if they’re injured in a car crash, say, doctors will know there’s a dementia patient to check on,” Panto says. For concerns about driving ability, a family’s physician can help arrange new licensure tests. Finally, each caregiver should be honest about a personal “breaking point” — when to turn to a pre-researched in-home provider, assisted-living center or skilled nursing home. “It could be a loved one leaving a stove on, refusing to keep clothes on, or leaving the house alone,” Butler says. “It’s OK to say, ‘I can’t do this anymore.’” Outside help can be best for everyone, McCord adds: “Mom might not be cooperative with her child trying to bathe or dress her, while she would be with a professional.”
5
Take care of yourself.
Plenty of caregivers have died before a person with dementia, partly due to physical and mental strain. “It’s like on airplanes: put on your oxygen mask first,” Butler says. Healthy diet, exercise, stress management and proper sleep can have a major impact, as can attending local support, educational and grief counseling groups and getting help from relatives, friends and day- or respite-care programs. “It’s easy to get dangerously isolated,” McCord says. “For example, many people immediately quit their jobs, when they might truly benefit from having that outlet, regardless of financial or insurance factors. By safeguarding your own health, you may be able to keep a loved one at home longer.” That’s Tom Warren’s hope. “I’m not ever afraid to ask for help or admit there’s a problem,” he says. “It’s got to be OK for all of us to talk openly about cognitive issues. That’s what Sharron needs.” They’re partners, after all.
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IS IT NORMAL AGING OR DEMENTIA?
All human brains lose power with age; most begin to shrink around age 30, while “data” continues to pile up. Memory lapses are inevitable, but early signs of dementia involve more troubling failures and/ or personality changes. For example: it’s normal to forget the name of an acquaintance, but not a family member. Temporarily losing a car in a parking lot is typical, but forgetting how you got to a store in the first place is not.
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The Alzheimer’s Association lists 10 warning signs at https://m.alz.org/10-warning-signs.asp. Here’s what to look for, along with typical age-related changes: 1.
2.
3.
4.
5.
6.
7.
8. 9.
10.
Warning: Memory loss that disrupts daily life. Typical: Sometimes forgetting names or appointments, but remembering them later. Warning: Challenges in planning or solving problems. Typical: Making occasional errors when balancing a checkbook. Warning: Difficulty completing familiar tasks at home, at work or at leisure. Typical: Occasionally needing help to use the settings on a microwave or to record a television show. Warning: Confusion about time or place. Typical: Getting confused about the day of the week but figuring it out later. Warning: Trouble understanding visual images and spatial relationships. Typical: Vision changes related to cataracts. Warning: New problems with words in speaking or writing. Typical: Sometimes having trouble finding the right word. Warning: Misplacing things and losing the ability to retrace steps. Typical: Misplacing things from time to time and retracing steps to find them. Warning: Decreased or poor judgement. Typical: Making a bad decision once in a while. Warning: Withdrawal from work or social activities. Typical: Sometimes feeling weary of work, family and social obligations. Warning: Changes in mood and personality. Typical: Developing very specific ways of doing things and becoming irritable when a routine is disrupted.
If you notice any of the 10 warning signs of Alzheimer's in yourself or someone you know, don't ignore them. Schedule an appointment with your doctor. The organization also offers a 24-hour helpline — (800) 272-3900 — to answer questions about all dementias and refer families to local resources.
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UNSTOPPA
94-Year-Old Runner Doesn’t Intend To Slow Down Anytime Soon BYALISON JOHNSON
E
very other day, Robert S. White goes out for a run. Sometimes he covers three miles, sometimes more like six. If the weather is good and the roads aren’t too slick, he runs through his Hampton, Va., neighborhood. If not, he drives to the gym and hits the treadmill. Nothing unusual, except that White is 94 years old. The older he gets, the more inspiring he becomes to other runners who see him at local races. “I love to hear people say, ‘How do you do it?’” he says. “I do eat that up. I do feel proud to hear the cheers when I finish. I want to show people you can always keep going, even if you have to slow down.” Since he began running in his early 60s, White has competed at every distance from a 5K to a marathon, setting several age group records along the way. Last year, at age 93, the World War II veteran became the oldest-ever person in Virginia to complete an officially certified 10K race, according to USA Track & Field. He covered the 6.2 miles in 1:48:01,
THEHEALTHJOURNAL.ORG
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for a per-mile pace of 17 minutes, 25 seconds. That feat was particularly impressive due to unseasonably warm temperatures, a mostly shade-free route and a two-hour delayed start caused by a suspicious package found on the Yorktown course, recalls Greg Dawson, vice president of the Williamsburg-based Colonial Road Runners. “Conditions were miserable for everyone, let alone a person over 90 years of age,” Dawson says. “If asked to describe Robert in one word, I would call him ‘unstoppable’.” Although White played some baseball growing up in North Carolina, that was about the extent of his previous athletic life. “I mean, I’d run from my mama when she was after me with a stick, and I did find out I was pretty fast then,” he jokes. White credits two of his five children for introducing him to running. At first, he wondered why his sons were going so slowly, as he dusted them at top speed. Then he figured out why: He was gassed after a couple of blocks, and they were still going strong. He had to learn how to train. But then, White is no stranger to pushing himself. A Purple Heart re-
PABLE cipient during World War II, the Army veteran fought in the Battle of the Bulge, a brutal winter battle that ran from 1944 to 1945 in northwest Europe and was a crucial turning point for Allied forces. “It was bad over there,” he says. “Talking about combat is too painful, but truth is it was teenagers who won that war. It was rare to find a man older than 21.” White moved to Hampton in 1951 and worked in sheet metals at Newport News Shipbuilding for 37 years. He usually completes his training running solo, heading out from the home he shared with his wife of 72 years, Marie, until she died of cancer in 2015. Now a grandfather of 12 — and a great-grandfather many times over — “I need to count them up again,” he jokes –— he also enjoys fishing, dancing, writing poetry and painting pictures, especially of lighthouses. Other than a little hearing loss, White says he’s in good health. He lives independently, with some help from family and friends. To avoid injury and soreness, he stretches regularly and stays on high alert for debris on his running routes. He eats healthy — sweet potatoes, butter beans, rice, greens and fish are favorites — drinks only water, coffee and lemonade, doesn’t smoke and gets plenty of rest. “I don’t run around
with women, either,” he says with a chuckle. Fellow runners have almost stopped being shocked by him. George Nelsen, president of the Peninsula Track Club, watched White run 22.5 miles during a 24-hour cancer fundraiser in 2016, a feat he repeated last year. About a month after the 2016 event, Nelsen saw White at another race. “He said, ‘I know what I did wrong. I went out too fast. I think I can do 50 miles!’ I was not about to tell him he couldn’t.” Personal bests came during White’s first decade of running, including 19:30 in a 5K (6:17-minute miles) and 3:07:18 at the Shamrock Marathon in Virginia Beach (7:09-minute miles). He has run nine marathons in total, including the Boston Marathon at age 72. In 2009, he was inducted into the Virginia Peninsula Road Racing Hall of Fame. “It has gotten a little harder over time,” he concedes. “It seems like I run as fast, but somehow I don’t get there as quick. As far as how I feel, though, I feel just as good as I ever felt.” So even as birthdays continue to accumulate, White has no plans to quit running. Only God, he says, knows when that will be. “Getting tired is nothing new — I mean, I got tired when I was younger, too,” he says. “That’s never a reason to give up.”
Every child deserves a medical home A medical home is not a place - it’s the way we provide child-centered, family-focused care by serving as a home base for all of your child’s healthcare needs. This includes keeping a comprehensive medical history and working in partnership with you to ensure your child receives the right care at the right time from birth through young adulthood. Each CHKD pediatric practice has been awarded national recognition as a Level 3 Patient-Centered Medical Home from the National Committee for Quality Assurance - the highest level a practice can achieve. To establish a medical home with a CHKD pediatrician near you, visit CHKD.org/Pediatricians.
N
BY JOAN LUCERA
ow that spring is here, your thoughts may turn to getting outside, possibly even of exercising with your pet. But what if your dog isn’t built for exercise? What if you aren’t, either? There is irrefutable evidence that tells us simply getting out and about with your pet can improve your health, your pet’s health and that of people around you, regardless of the activity. Here are some ways that heading outside with your furry friend can be beneficial to you both.
Pets force us to go outdoors Liz Erfe-Howard, who’s worked in the mental health field for close to 30 years, has had therapy dogs in the past and worked with a variety of populations in her career as a counselor. But Erfe-Howard, along with a good percentage of the population, also suffers from Seasonal Affective Disorder (SAD) — a type of depression that comes and goes with the seasons. “Getting out with my dog — even when it is cold — just getting out in the sun helps,” she says. “That exposure to light, fresh air and the exercise are good for anyone. So many people want to interact when they see a dog.”
Pets get you out of your own head
Dogs make great walking or running companions
“A pet of any kind makes you more social and do things you wouldn’t normally do,” Erfe-Howard says. “Getting out with your pet makes you think of someone other than yourself.” Until she lost her Golden Retriever therapy dog to cancer last year, Erfe-Howard would often walk Samantha through Colonial Williamsburg and on campus at William and Mary. When walking with your dog, ease out of your comfort zone and take your dog places you’ve never been to but have been meaning to go — pick one of the numerous local scenic hiking trails, parks or beaches, depending on what your dog enjoys. Better yet, find a new favorite walking spot for you both.
Studies have showed that dogs can make better walking or running companions than friends do. They don’t complain or cancel plans, and their energy can be contagious. They can get you walking even more, too — dog owners, on average, walk 300 minutes a week, while dog-less people average just 168 minutes a week. All pets need exercise and dogs, especially, need regular walks to maintain a healthy weight. So why not turn those walks into something that will help you both? Doing activities with your dog can lower your weight, cholesterol and blood pressure. And don’t worry if it’s just you and your dog out on the trails. Dogs are
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companion animals — they will be happy just to spend time with you, even if you don’t cross paths with another soul! If you choose to run with your dog, wait until he or she has reached full maturity, or until at least 18 months. Otherwise damage to growing bones can occur.
Your pet can benefit others Your dog doesn’t have to be a trained therapy animal to be helpful. By taking your dog to pet-friendly stores and other establishments, you will naturally encounter other pet lovers. And you never know the number of lives your pet will touch. Think about the last time you walked your dog or saw a dog out, even riding (safely) in a car. Did you smile? Did you think, “Oh what a pretty dog? How fun! What breed is that?” The very same thing happens to others when they see you with your pet. Seeing your dog may have made their day. Even the act of training your dog can help others. Getting your dog out in public and teaching him or her to sit, stay, refrain from jumping and greet other dogs appropriately strengthens their good behaviors. That, in turn, makes you happier and less stressed — and others will appreciate those efforts as well. This also serves to socialize your dog and is great for puppies. To top it all off, you and your dog can set a good example for others, especially those who may not have much experience with animals. Animals bring rare unconditional love and acceptance into our lives, are constant companions and provide non-judgmental emotional support. They also help us get more exercise and just plain feel better, so do yourself, your dog and your community a favor by getting out there — together.
5208 Monticello Ave. Williamsburg, VA
443-243-9179
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We help our patients reach their goals for an active and healthy life
Touting Turmeric BY KATIE GILSTRAP PHOTO BY KRISTEN VANN BRYANT
Turmeric was found to improve inflammation-related skin-care concerns, like psoriasis, acne and sun damage, and reduce the negative effects of high-fat meals, lowering the body’s insulin response by about 20 percent.
W
hat do French fries, a glass of milk and chronic stress have in common? They’re all known to be causes of inflammation. Since inflammation seems to be the root of many degenerative illnesses, that could mean giving up some of your favorite foods. But there’s an exciting antidote emerging that has scientists scratching their heads in awe over its potential, and you won’t have to search far for it. In fact, you can find it in your local health food store. This magic elixir is turmeric. Native to Southeast Asia, a staple of Asian and Indian cuisine and a cousin to ginger, the excitement isn’t necessarily about turmeric itself but rather a component within it called curcumin — a phytochemical that scientists have found to have powerful antioxidant and anti-inflammatory properties with promising healing potential.
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So, what specifically can it do besides give your curries that signature shade of yellow? Wellness experts highlight a study that examined more than 700 research papers on turmeric, concluding that curcumin has substantial disease-prevention potential and other benefits, including guarding against cancer, arthritis and Alzheimer’s disease. The literature also revealed that turmeric outperformed many pharmaceuticals used to treat inflammation and had almost no side effects. In addition, turmeric was found to improve inflammationrelated skin-care concerns, like psoriasis, acne and sun damage, and reduce the negative effects of high-fat meals, lowering the body’s insulin response by about 20 percent. Some researchers do extend a note of caution, however. While there have been very promising studies about the benefits of turmeric, some controversy and uncertainty remains, particularly how to best dose it. Curcumin is rather fragile, and once it’s ingested, it’s quickly excreted. Some serious side effects have been reported with use, including gastrointestinal issues from taking high doses for an extended period of time. Those with gallbladder issues, bleeding disorders and iron deficiency should not take turmeric, nor should women who are pregnant or breastfeeding. Further, men should be cautious taking turmeric by mouth, as it might lower testosterone levels and reduce sperm movement. Still, Ajay Goel, a cancer researcher and director of Baylor University’s Center for Gastrointestinal Research in Dallas, Texas, says curcumin is “a very safe, effective natural compound” and worth trying. Make sure you’re not taking any medications that could interact with turmeric, particularly blood thinners and medications to treat
diabetes and acid indigestion. Before trying any supplements, it’s always best to talk to your doctor first.
If you are looking for ways to literally “spice up” your health regimen with turmeric, consider these tips: For a high dose, consider a turmeric supplement. These products are designed specifically to reduce inflammation, protect cells from damage and support the body’s detoxification processes. When looking for a supplement, choose one that contains bioperine, or black pepper extract, which enhances the body’s ability to absorb the curcumin. For a moderate infusion, consider adding the spice to your entrée or smoothie. But keep in mind that turmeric’s therapeutic value begins to diminish once it is ground, and because its compounds are sensitive to the effects of air and light, it is important that you grind a fresh batch each time you use it. That means that the turmeric powder sitting on your spice rack is not going offer you much benefit, so choose a whole turmeric root instead. For a low dose, try turmeric infused in tea. This is not only a delicious option, but it is also the most cost-effective one. Look for a turmeric tea blend that contains ginger. Ginger, like black pepper, aids in digestion. Plus, since the turmeric is heated by the brewing of the tea, the healing properties are activated, making tea an ideal delivery system.
Mission
To practice the art of healing wisely, serving our patients with skill, respect and compassion. Offering them excellence in techniques, technology and care with joy and enthusiasm.
Vision
To care for each human being through the lens of Total Wellness. Please mark your answers:
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Are you looking for a dentist and team who will really listen to you and then share valuable, personalized dental health information? yes no
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Comprehensive Dentistry for Fruits & Vegetables • Chef Demonstrations Meats & Seafood • Prepared Food • Live Music
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Dr. Lisa Marie Samaha Serving the Hampton Roads community since 1982
If you answered “YES” , we believe we would enjoy discovering one another. Please give us a call to learn more or schedule an appointment.
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Taste Appeal
Uncle Gene’s Velvet Armchair Courtesy of Amber Ox Public House
1 ½ oz. Isaac Bowman’s Port unfinished bourbon ¾ oz. Veritas Othello wine Bohea Tea ½ oz. Jaggery Syrup ½ oz. Cocchi Americano 2 dashes of Ao Aromatic Bitters 2 sage leaves 1 sprig thyme Shake drink ingredients vigorously together to properly combine flavors from the herbs and spirits. Serve over a large ice cube and garnish with a sage leaf. Cheers!
PHOTO BY KRISTEN VANN BRYANT
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Herbal Libations BY BRANDY CENTOLANZA
W
hen it comes to the world of libations, using fresh herbs can add a nice twist — or even a zing — to your favorite cocktail. Renowned bartender Beth Dixon, beverage director for Pasture restaurant in Richmond, Va., uses fresh local ingredients in her signature drinks, including fresh herbs, fruits and vegetables and edible flowers grown in her garden and on local farms. Dixon makes homemade syrups and shrubs using herbs and also uses infused spirits with herbs for her mocktails and cocktails. Far from being decorative plants, these shrubs are vinegar-based syrups mixed with herbs or fruits; Dixon likes using champagne vinegar in her shrub recipes. “Shrubs are a perfect ingredient for a drink for many reasons,” Dixon says. “They have acidity; they have flavor; they have sweetener. They are a good way to preserve herbs, and they are so refreshing.” Some of Dixon’s favorite alcohol and fresh herb or fruit combinations include: gin mixed with thyme, rosemary, dill, parsley, lavender or honeysuckle; vodka with pear, lavender or peppermint; whiskey with apple, fig, rhubarb, rosemary, chocolate mint, honeysuckle or sage; rum with apple or pineapple sage; and tequila with cilantro, pineapple sage or tarragon. One of Dixon's favorite herbs to use in drinks is parsley, and she's been known to throw some rhubarb in a cocktail. Joseph Veltre, assistant general manager for Amber Ox Public House, a restaurant and brewery in Williamsburg, Va., also mixes drinks using fresh herbs, such as tarragon. Amber Ox also uses local ingredients and even adds fresh herbs to its beer during the brewing process. A favorite drink, Uncle Gene's Velvet Armchair, is named after the proverbial uncle sitting in his armchair with his "juice." It's made with sage and thyme. “There is a trend toward using aromatic herbs," Veltre says. "When you use herbs, spices or fruit, it adds other balances to a cocktail. It’s a lot of fun.”
TASTE APPEAL
Strawberry Shrub Julep Courtesy of Beth Dixon, Pasture restaurant 1.5 oz. bourbon 1 oz. strawberry shrub 4 leaves spearmint & sprig for garnish Gently muddle 4 leaves of mint and the strawberry shrub in bottom of glass. Fill glass with ice (crushed if you have it!), then pour in the bourbon, Garnish with mint sprig. Pro-tip: Clap the mint between your hands to release the oils. Strawberry Shrub 1 cup chopped strawberries 1 cup sugar 1 cup champagne vinegar If you have time to make in advance: Place strawberries and sugar in sealable container, and leave at room temp until the sugar draws out all of the juices from the strawberries. Add the vinegar and put in the fridge for a few days, then strain for use. In a pinch, add the strawberries and sugar to a saucepan and mix until all the sugar is dissolved, then add vinegar and simmer for 5 minutes. Strain and chill.
\ 37 \ THEHEALTHJOURNAL.ORG
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Herbal
Cocktails
Lemonade Gin Fizz with Rosemary & Lavender The flavor of the rosemary and lavender work well with the gin; the lemonade and seltzer combined with them is reminiscent of a gin and tonic, only more refreshing and thirst-quenching. For those who don’t prefer gin, this also is very good with vodka. This is an assertive-flavored drink; lemon herbs could be used in place of the rosemary for a lighter flavor. Simply leave out the alcohol for a nonalcoholic beverage.
4-inch sprigs rosemary & lavender 2 ounces gin or vodka 2 ounces lemonade 3 dashes Angostura bitters, optional Ice, crushed and cubes 3 to 4 ounces seltzer water or club soda Small sprig rosemary for garnish Lemon slice for garnish In a cocktail shaker, muddle rosemary & lavender with gin or vodka. Add lemonade and bitters, if desired. Fill a chilled highball or Collins glass halfway with ice cubes. Add about 1 cup crushed ice to shaker and shake for 10 seconds. Strain liquid into the prepared glass and add seltzer or soda; stir briefly and garnish with rosemary sprig and lemon slice.
Sweet Herbal Syrup Herbal syrups can be added to beverages, as well as fruits and desserts. The syrups can be used for drinks with herbs; they are lightly sweet, but not overwhelmingly so. Some favorite herbs for drinks include bay, basil, lemon herbs, mints and citrus-scented geraniums.
Ingredients 2 cups water 1 cup sugar About 8 to 10 herb sprigs (4 to 5 inches long) or a large handful of leaves (for bay, only use 6 leaves). Directions Combine water and sugar in a small saucepan; bring to a boil over moderate heat. Add herbs, cover, remove from heat and let stand for at least 30 minutes. Remove leaves, squeezing them into the syrup to extract their flavor. Once cooled to room temperature, refrigerate. This syrup will keep in the refrigerator for a week to 10 days. Store for up to a year in the freezer.
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MONEY & YOUR FINANCIAL HEALTH
your financial health easing your personal finance concerns How Much Capital Will I Need at Retirement? A financially-secure retirement is the result of understanding and answering these essential questions: • How much money will you need? • Where will the money come from? • How much time do you have before retirement? OF THE THREE PRIMARY SOURCES OF RETIREMENT INCOME, PERSONAL RETIREMENT SAVINGS IS THE ONE OVER WHICH WE EXERCISE THE MOST CONTROL!
How much capital is required from personal retirement savings to supplement the other sources of retirement income? For each year that you need this much monthly retirement income:
This is the amount of capital required to provide that monthly income, assuming your capital earns an annual interest rate of:
4%
6%
8%
10%
$ 500
$ 150,000
$ 100,000
$ 75,000
$ 60,000
1,000
300,000
200,000
150,000
120,000
1,500
450,000
300,000
225,000
180,000
2,000
600,000
400,000
300,000
240,000
3,000
900,000
600,000
450,000
360,000
4,000
1,200,000
800,000
600,000
480,000
5,000
1,500,000
1,000,000
750,000
600,000
10,000
3,000,000
2,000,000
1,500,000
1,200,000
This example is based on the capital retention method, which uses interest return only to provide income. Principal is not liquidated and remains available. This is a hypothetical illustration only and is not indicative of any particular investment or investment performance. It does not reflect the fees and expenses associated with any particular investment, which would reduce the performance shown in this hypothetical illustration if they were included. In addition, rates of return will vary over time, particularly for long-term investments.
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-2083860-041018
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M
WHAT IS GOING ON IN
May
2018
10
5
20 WINE TOUR DE FRANCE FOR AVALON This wine event benefits Avalon. WHEN: 4 to 6 p.m. WHERE: Le Yaca restaurant $$: $75 CONTACT: priscilla@avaloncenter.org
21-22
PEDAL THE PARKWAY
Colonial Parkway will be closed to vehicles for cyclists and runners/walkers to enjoy. WHEN: 8 a.m. to 1 p.m. WHERE: Colonial Parkway $$: free CONTACT: bikewalkwilliamsburg.org
5
MUSIC. MEDICINE. HOPE. Charity Sunshine Tillemann-Dick will perform in an uplifting evening of music and hope. WHEN: 6:30 p.m. WHERE: Chrysler Museum of Art, Norfolk $$: free; registration required CONTACT: Chrysler.org
10
WILLIAMSBURG FARMERS MARKET
Enjoy fresh local produce, music, cooking demos and more during this farmers market. WHEN: 8 a.m. to noon Saturdays WHERE: Merchants Square $$: free CONTACT: williamsburgfarmersmarket.com
NEWPORT NEWS CHILDREN’S FESTIVAL OF FRIENDS
Have some fun with the whole family during this event. WHEN: 10 a.m. to 5 p.m. WHERE: Newport News Park $$: $5 parking fee CONTACT: nngov.com
CHRONIC PAIN ANONYMOUS
Share your experience, strength, and hope in dealing with chronic pain and illness. WHEN: 6:30 to 7:30 p.m. Thursdays WHERE: Orthopaedic & Spine Center, Newport News $$: free CONTACT: 757-690-4200
11 OTTER BALL
Enjoy cocktails, dinner, entertainment and an auction to benefit VLM. WHEN: 6 p.m. WHERE: Virginia Living Museum $$: $150 CONTACT: thevlm.org
12 FITNESS MARKET
5-6
TOWN POINT WINE FESTIVAL
Sample more than 200 Virginia wines during this event. WHEN: 11 a.m. to 6 p.m. WHERE: Town Point Park, Norfolk $$: $25-$30 CONTACT: festevents.org
Enjoy special activities related to fitness during this Yorktown Market Days market. WHEN: 8 a.m. to noon WHERE: Riverwalk Landing, Yorktown $$: free CONTACT: visityorktown.org
WILLIAMSBURG SYMPHONY ORCHESTRA SEASON FINALE Janna Hymes will conduct Bach’s Orchestral Suite No.1 in C. BWV 1066, Siegfried Idyll by Wagner and Symphony No 2 in A minor, Op.55 by Camille Saint-Saëns. WHEN: 8:00 p.m. WHERE: Kimball Theatre $$: $48/$58/$20 (students) CONTACT: 757-229-9857
June 1-3 BODACIOUS BAZAAR
Shop ‘til you drop during this event. WHEN: 10 a.m. to 7 p.m. June 1- 2; 10 a.m. to 5 p.m. June 3 WHERE: Hampton Roads Convention Center, Hampton $$: $4-$10 CONTACT: bodaciousbazaar.com/spring/
June 2 RUN FOR THE BACON
This 5K run benefits Bacon Street. WHEN: 7:30 a.m. WHERE: Eastern State Hospital $$: $10-$30 CONTACT: baconstreet.org
14 RAD BASIC PHYSICAL DEFENSE
James City County Police Department offers this self-defense course for women. WHEN: 10:30 a.m. Mondays and Wednesdays through May 23; 9 a.m. May 26 WHERE: James City County Recreation Center $$: free CONTACT: 757-259-4200
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OPTOMETRY Brent Segeleon, O.D. 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.
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 post-rehab conditioning following physical therapy, injury and/or surgery. Brian is certified as a personal fitness trainer by the American Council on Exercise (ACE), a massage therapist by the Virginia Department of Health Professions, a post-rehab conditioning specialist by the American Academy of Fitness Professionals and a weight management consultant by ACE. Brian is also the co-inventor of The Back Unit for low back strengthening and injury prevention. His trainers have college degrees in exercise science or fitness management, national certification by ACSM, ACE, or NASM, and in addition, they regularly earn advanced specialty certifications in a vatriety of disciplines. They are knowledgeable and experienced working with hip/knee replacements, ACL tears, spinal and shoulder surgeries, mastectomies, rheumatoid and osteoarthritis, scoliosis, etc. Personal Training Associates Private Studios
Oyster Point Port Warwick 738 City Center Blvd. 210 Nat Turner Blvd. Newport News, VA 23606 Newport News, VA 23606 (757) 599-5999
briancoleandassociates.com
Eric Karlin, M.D.
Allergist / Immunologist Dr. Eric Karlin is an allergist/ immunologist board-certified by the American Board of Allergy and Immunology. He is a native of South Florida and attended Rollins College for his undergraduate degree in biochemistry. After graduating from medical school at the University of Miami in 2009, he completed his internal medicine residency at Washington University in St. Louis before doing his fellowship in allergy and clinical immunology at Vanderbilt University. After completion of his fellowship, Dr. Karlin practiced as an associate professor in the division of Allergy and Immunology at New York Medical College and Maria Fareri Children’s Hospital. Dr. Karlin joined Allergy Partners in 2016. Having had allergies himself, Dr. Karlin has experienced the significant improvement in symptoms that an allergist can offer. He is happily married to Dr. Mariel Focseneanu. In their spare time, they enjoy cooking, seeing movies and traveling. They are excited about making the Peninsula their new home.
Colonial Eye Care
Allergy Partners of Hampton Roads
colonialeyecare.com
www.allergypartners.com/hamptonroads
5273 John Tyler Highway Williamsburg, VA 23185 (757) 903-2633
PERSONAL TRAINING
ALLERGY & ASTHMA
AUDIOLOGY 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
1144 Professional Drive Williamsburg, VA 23185 (757) 259-0443
DERMATOLOGY Joselin Tacastacas, M.D.
Dermatology Specialists Dr. Joselin Tacastacas joined Dermatology Specialists on August 1, 2017, after completing her dermatology residency at the University Hospitals Cleveland Medical Center. She has a special interest in cutaneous T-cell lymphoma and other skin cancers. She completed internal medicine training at the State University of New York Downstate Medical Center in Brooklyn, N.Y. She is board-certified in internal medicine and dermatology and is a Fellow of the American College of Physicians. Dr. Tacastacas practiced as a primary care physician for six years in Lebanon, Va., and Grants Pass, Ore. Dr. Tacastacas welcomes patients of all ages to the Newport News office on Mondays and Tuesdays and the Williamsburg office on Wednesdays, Thursdays and Fridays. Dermatology Specialists 475 McLaws Circle, Suite 1 Williamsburg, VA 23185 (757) 259-9466 11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161 opderm.net
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FOOT AND ANKLE
ACCEPTING NEW PATIENTS
DENTISTRY
Sara E. Zelinskas, D.P.M.
TPMG Foot and Ankle
100 Constitution Drive, Suite 217 Virginia Beach, VA 23462
TPMG Foot and Ankle
1100 Volvo Parkway, Suite 100 Chesapeake, VA 23320 (757) 963-1488 mytpmg.com
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
MASSAGE
SLEEP APNEA AND TMJ
Oasis Healing Massage
Flint Walker, D.O., received his undergraduate degree in biology at Arkansas Tech University (2008). He earned a Doctor of Osteopathy through Kirksville College of Osteopathic Medicine/A.T. Still University, Kirksville in Missouri (2014). Dr. Walker completed an Academic Fellowship/Osteopathic Manipulative Medicine (OMM) through Kirksville College of Osteopathic Medicine Department of Academic Affairs, and a residency through EVMS/Ghent Family Medicine Residency Program in Norfolk, Virginia. Dr. Walker is a member of the American Academy of Family Practice and American Osteopathic Association.
TPMG Indian River Family Practice 1016 Justis Street Chesapeake, VA 23325 (757) 420-8297 mytpmg.com
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
TPMG Indian River Family Practice
William G. Harper, D.D.S.
Laurie Andrews, LMT
Jamestowne Professional Park 1769 Jamestown Rd - Suite 209 Williamsburg, VA 23185 804.916.9494
Flint Walker, D.O.
Stacey Sparkman Hall, D.D.S.
TPMG Foot and Ankle
Dr. Zelinskas received her undergraduate degree in Biology from Iowa State University in Ames, Iowa. She earned a Doctor of Podiatric Medicine from Des Moines University, Iowa, and completed a residency in podiatric medicine and surgery at Franciscan Foot and Ankle Institute in Federal Way, Washington. She has further specialized training in sports medicine and bako dematopathology, a subspecialty of dermatology focused specifically on disorders of the skin and ankle. Dr. Zelinskas performs general podiatric care and treatment, as well as foot and ankle surgery. She sees patients at office locations in Virginia Beach and the Greenbrier area of Chesapeake.
FAMILY PRACTICE
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
ACCEPTING NEW PATIENTS DERMATOLOGY
ORTHOPEDICS
Michael C. White M.D.
ORTHOPEDICS
Thomas Durbin, M.D.
Dermatology Specialists
Matthew Hopson, D.P.M., F.A.C.F.A.S.
TPMG Orthopedics
Dr. Thomas Durbin is a fellowship-trained, board certified orthopedic surgeon specializing in sports-related injuries and conditions, with a focus on disorders of the knee
Dr. White was born in Norfolk, Virginia, and he grew up on the Southside of Virginia. While serving as a Major in the Air Force, he was Chief of the Department of Dermatology at Scott Air Force Base, IL from 1987 until 1989. He also received the Air Force Commendation Medal. In 1989, Dr. White founded Danville Dermatology Associates in Danville, VA where he practiced until September 2011, when he joined Dermatology Specialists. Dr. White practices general medical and surgical dermatology, including the evaluation and management of skin cancer. He and his wife live in Newport News and he enjoys sports, movies, and reading.
and shoulder. In his surgical practice, Dr. Durbin performs many advanced surgical and arthroscopic procedures including rotator cuff and meniscal repair. For general orthopedics and fracture care, Dr. Durbin takes a conservative approach to care and is adept at nonsurgical techniques and treatments. Dr. Durbin sees patients at offices locations in Newport News and Williamsburg, and performs surgeries at Mary Immaculate Ambulatory Surgery Center in Newport News and Sentara Williamsburg Regional Medical Center in Williamsburg.
Dr. White sees patients in our Newport News office.
TPMG Orthopedics
860 Omni Blvd., Suite 113 Newport News, VA 23606 (757) 327-0657
Dermatology Specialists 11844 Rock Landing Drive, Suite B Newport News, VA 23606 (757) 873-0161
Dr. Matthew Hopson is a foot and ankle surgeon specializing in adult and pediatric deformity correction of the foot and ankle. His practice includes a variety of cases ranging from complex deformities, lateral ankle instability, sports injuries, foot and ankle fractures, arthritis and other lower extremity ailments. Dr. Hopson has extensive experience in ankle arthroscopy, posterior tibialis tendon dysfunction, external fixation and limb salvage procedures. Dr. Hopson is board certified in Foot and Ankle Reconstructive Surgery, a Fellow of the American College of Foot and Ankle Surgeons and the co-founder and Current Director of the Sentara Foot and Ankle Center in Williamsburg. He sees patients at office locations in Gloucester, Newport News, and Williamsburg.
TPMG Orthopedics
Newport News & Gloucester (757) 327-0657
5424 Discovery Park Boulevard Building B, Suite 105 Williamsburg, VA 23188 (757) 345-5870 mytpmg.com
475 McLaws Circle, Suite 1 Williamsburg (757) 259-9466 opderm.net
TPMG Orthopedics
Williamsburg (757) 345-5870 mytpmg.com
HEALTH DIRECTORY EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802
895 City Center Blvd., Suite 302 Newport News (757) 596-8025
National Suicide Crisis Hotline Toll-Free: (800) 784-2433
Hampton Roads ENT & Allergy 5408 Discovery Park Drive Williamsburg (757) 253-8722
National Suicide Prevention Hotline Toll-Free: (800) 273-8255
901 Enterprise Pkwy., Suite 300 Hampton (757) 825-2500
Poison Control Center Toll-Free: (800) 222-1222
AUDIOLOGY & HEARING
ADDICTION TREATMENT
Colonial Center For Hearing 430 McLaws Circle, Suite 101 Williamsburg (757) 229-4004
The Farley Center 5477 Mooretown Road Williamsburg (877) 389-4968 ALLERGY & ENT Allergy Partners of Hampton Roads 1144 Professional Dr. Williamsburg (757) 259-0443
BEHAVIORAL HEALTH & PSYCHIATRY
CHIROPRACTIC & ACUPUNCTURE Integrative Chiropractic, Acupuncture & Laser Wade Quinn, D.C. 1318 Jamestown Road, Suite 102 Williamsburg (757) 253-1900 Pinto Chiropractic & Rehabilitation 5408 Discovery Park Blvd., Suite 200 Williamsburg (757) 645-9353 COSMETIC & PLASTIC SURGERY Williamsburg Plastic Surgery 333 McLaws Circle Williamsburg (757) 345-2275
The Pavilion at Williamsburg Place 5483 Mooretown Road Williamsburg (800) 582-6066
THEHEALTHJOURNAL.ORG
DENTISTRY Healthy Smiles Dental Center 9581 Shore Dr. Norfolk, VA (757) 393-6363 664 Lincoln St. Portsmouth (757) 393-6363 Historic Triangle Dental Care Michael J. Whyte, DDS 1769 Jamestown Road, Suite 2B Williamsburg (757) 903-2527 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
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Pediatric Dental Specialists of Hampton 2111 Hartford Road, Suite C Hampton (757) 864-0606 Port Warwick Dental Arts Lisa Marie Samaha, D.D.S, F.A.G.D 251 Nat Turner Blvd., Newport News (757) 223-9270 Williamsburg Center for Dental Health Stacey Sparkman Hall, D.D.S 5231 Monticello Ave., Suite E Williamsburg (757) 565-6303 DERMATOLOGY 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 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 The Community Free Clinic of Newport News 727 25th St. Newport News (757) 594-4060 H.E.L.P. Free Clinic 1320 LaSalle Ave. Hampton (757) 727-2577 H.E.L.P. Free Dental Clinic 1325 LaSalle Ave. Hampton (757) 727-2577 HOPES Free Clinic-EVMS 825 Fairfax Ave. Norfolk (757) 446-6190 Lackey Free Clinic 1620 Old Williamsburg Road Yorktown (757) 886-0608 Olde Towne Medical and Dental Center 5249 Olde Towne Road Williamsburg (757) 259-3258 Surry Area Free Clinic 474 Colonial Trail West Surry (757) 294-0132 Western Tidewater Free Clinic 2019 Meade Parkway Suffolk (757) 923-1060
GASTROENTEROLOGY Digestive Disease Center of Virginia, PC Richard J. Hartle, M.D. 5424 Discovery Park Blvd., Suite 104 Williamsburg (757) 206-1190 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
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 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
Spiral Path Massage and Bodywork 215 Ingram Road, Suite D Williamsburg (757) 209-2154
Beacon House Clubhouse for Brain Injury Survivors 3808-C Virginia Beach Blvd. Virginia Beach (757) 631-0222
NON-PROFIT ORGANIZATIONS
Cancer Care Foundation of Tidewater 5900 Lake Wright Dr. Norfolk (757) 461-8488
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 3901 Treyburn Dr., Suite 100 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
American Heart Association 500 Plume St. East, Suite 110 Norfolk (757) 628-2610
Citizens’ Committee to Protect the Elderly PO Box 10100 Virginia Beach (757) 518-8500
Sentara Norfolk General Hospital 600 Gresham Dr. Norfolk (757) 388-3000
American Parkinson’s Disease Association 4560 Princess Anne Road Virginia Beach (757) 495-3062
Colonial Behavioral Health 1657 Merrimac Trail Williamsburg (757) 220-3200
Sentara Obici Hospital 2800 Godwin Blvd. Suffolk (757) 934-4000
American Red Cross 1323 W. Pembroke Ave. Hampton (757) 838-7320
Chesapeake Regional Medical Center 736 Battlefield Blvd. North Chesapeake (757) 312-8121
Sentara Port Warwick 1031 Loftis Blvd. Newport News (757) 736-9898
3715 Strawberry Plains, Suite 1 Williamsburg 757-253-0228
Children’s Hospital of The King’s Daughters 601 Children’s Lane Norfolk (757) 668-7098
Sentara Princess Anne 2025 Glenn Mitchell Dr. Virginia Beach (757) 507-0000
6912 George Washington Memorial Highway Yorktown (757) 898-3090
Sentara Virginia Beach General Hospital 1060 First Colonial Road Virginia Beach (757) 395-8000
The Arc of Greater Williamsburg 150 Strawberry Plains Rd, Suite D Williamsburg (757) 229-0643
Bon Secours Maryview Medical Center 3636 High St. Portsmouth (757) 398-2200 Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800 Bon Secours Surgery Center at Harbour View 5818 Harbour View Blvd., Suffolk (757) 673-5832
CommuniCare Family Health Center 804 Whitaker Lane Norfolk (757) 393-6363 Dorothy G. Hoefer Comprehensive Breast Center 11803 Jefferson Ave., Newport News (757) 594-1899 Hampton Roads Community Health Center 664 Lincoln St. Portmouth (757) 393-6363
Sentara Leigh Hospital 830 Kempsville Road Norfolk (757) 261-6000
Sentara Williamsburg Regional Medical Center 100 Sentara Circle Williamsburg (757) 984-6000 MASSAGE THERAPY Oasis Healing Massage Jamestowne Professional Park, 1769 Jamestown Road Suite 209 Williamsburg (804) 916-9494
HEALTH DIRECTORY
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
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Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd, Suite 2E Newport News (757) 833-7845 Dream Catchers Therapeutic Riding 10120 Fire Tower Road Toano (757) 566-1775 Edmarc Hospice for Children 516 London St. Portsmouth (757) 967-9251 Endependence Center, Inc. 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007 Faith in Action 354 McLaws Circle, Suite 2 Williamsburg (757) 258-5890 Food Bank of the Virginia Peninsula 2401 Aluminum Ave. Hampton (757) 596-7188 Food Bank of SEVA 800 Tidewater Dr. Norfolk (757) 627-6599
Hampton-Newport News Community Services Board 300 Medical Dr. Hampton (757) 788-0300
Peninsula Institute for Community Health 1033 28th St. Newport News (757) 591-0643
Here for the Girls 1311 Jamestown Road, Suite 202 Williamsburg (757) 645-2649
Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273
Hope House Foundation 801 Boush St., Suite 302 Norfolk (757) 625-6161
Protect Our Kids P.O. Box 561 Hampton (757) 727-0651
Hospice House & Support Care of Williamsburg 4445 Powhatan Parkway Williamsburg (757) 253-1220
Respite Care Center for Adults with Special Needs 500 Jamestown Road Williamsburg (757) 229-1771
Jewish Family Service of Tidewater, Inc. 5000 Corporate Woods Drive, Suite 400 Virginia Beach (757) 321-2222
Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386
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 The Needs Network, Inc. 9905 Warwick Blvd. Newport News (757) 251-0600 National Alliance on Mental IllnessWilliamsburg Area P.O. Box 89 Williamsburg (757) 220-8535 National Alliance on Mental Illness-Norfolk Contact Marylin Copeland Norfolk (757) 375-5298 Norfolk Community Services Board 229 W. Olney Road, Room 1 Norfolk (757) 664-6670 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Suite 1006 Newport News (757) 873-0541 312 Waller Mill Road, Suite 105 Williamsburg (757) 345-6277
RSVP: Retired Senior Volunteers 12388 Warwick Blvd., Suite 201 Newport News (757) 595-9037 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
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) 2535653 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
Senior Services of Southeastern Virginia 5 Interstate Corporate Center 6350 Center Dr., Suite 101 Norfolk 757-222.4509
5838 Harbour View Blvd., Suite 105 Suffolk (757) 484-0215
Susan G. Komen Tidewater 420 N. Center Dr. Building 11, Suite 143 Norfolk (757) 490-7794
1950 Glenn Mitchell Dr., Suite 102 Virginia Beach (757) 368-0437
United Way 11870 Merchants Walk, Suite 104 Newport News (757) 873.9328 5400 Discovery Park Blvd., Suite 104 Williamsburg (757) 253-2264 The Up Center 1805 Airline Blvd. Portsmouth (757) 397-2121
2790 Godwin Blvd., Suite 101 Suffolk (757) 539-0670
500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236 OPTOMETRY & OPHTHALMOLOGY MyEyeDr. Jeanne I. Ruff, OD 4655 Monticello Ave., Suite 201 Williamsburg (757) 259-6823
THEHEALTHJOURNAL.ORG
Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 2203375 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 PHYSICAL THERAPY & REHABILITATION
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 4677 Columbus St., Suite 201 Virginia Beach (757) 463-2540 1817 Laskin Road, Suite 100 Virginia Beach (757) 437-0471 1253 Nimmo Parkway, Suite 105 Virginia Beach (757) 943-3060 101 Long Green Blvd. Yorktown (757) 952-1900 Dominion Physical Therapy & Associates, Inc. 304 Marcella Road, Suite E Hampton (757) 825-9446 466 Denbigh Blvd. Newport News (757) 875-0861 729 Thimble Shoals Blvd., Suite 4-C (Pediatrics) Newport News (757) 873-2932
Bon Secours In Motion Physical Therapy 13609 Carrollton Blvd., Suite 15 Carrollton (757) 238-2690
301 Riverview Ave. Norfolk (757) 963-5588
235 Hanbury Road East Chesapeake (757) 391-7660
5701 Cleveland St., Suite 600 Virginia Beach (757) 995-2700
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 2 Bernardine Dr. Newport News (757) 886-6480 7300 Newport Ave., Suite 300 Norfolk (757) 217-0333 885 Kempsville Road, Suite 300 Norfolk (757) 955-2800 930 W. 21st St. Suite 105 Norfolk (757) 738-1500 5553 Portsmouth Blvd. Portsmouth (757) 465-7906
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500 Rodman Ave., Suite 3 Portsmouth (757) 393-6119
Hampton Roads Orthopaedics & Sports Medicine 730 Thimble Shoals Blvd., Suite 130 Newport News (757) 873-1554 Orthopaedic & Spine Center Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900 Pivot Physical Therapy 4020 Raintree Road, Suite D Chesapeake (757) 484-4241 135 W. Hanbury Road, Suite B Chesapeake (757) 819-6512 927 N. Battlefield Blvd., Suite 200 Chesapeake (757) 436-3350 1580 Armory Dr., Suite B Franklin (757) 562-0990
6970 Fox Hunt Lane, Gloucester (804) 694-8111 2106 Executive Dr. Hampton (757) 838-6678 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 250 West Brambleton Ave., Suite 100 Norfolk (757) 938-6608 154 E Little Creek Road Norfolk (757) 797-0210 204 Gumwood Dr. Smithfield (757) 357-7762 2007 Meade Pkwy. Suffolk (757) 539-6300 2004 Sandbridge Road, Suite 102 Virginia Beach (757) 301-6316
1745 Camelot Dr., Suite 100 Virginia Beach (757) 961-4800
PODIATRY
4624 Pembroke Blvd. Virginia Beach (757) 460-3363 100 Winters St., Suite 106 West Point (757) 843-9033 156-B Strawberry Plains Road Williamsburg (757) 565-3400 7151 Richmond Road, Suite 101 Williamsburg (757) 345-0753 4125 Ironbound Road, Suite 100 Williamsburg (757) 220-8383
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
Tidewater Orthopaedic Associates 901 Enterprise Pkwy, Suite 900 Hampton (757) 827-2480
7185 Harbour Towne Pkwy., Suite 200 Suffolk (757)457-5100
4037 Ironbound Road Williamsburg (757) 206-1004
2202-A Beechmont Road, South Boston (434)333-7760
Urology of Virginia Physical Therapy 225 Clearfield Ave. Virginia Beach (757) 466-3406
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
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IDEWATER ORTHO
Tidewater Orthopaedics
All Hands on Deck Dr. Campolattaro and Dr. Smerlis performed over 1,400 Hand & Wrist Surgeries in 2017.
ONLY Hand Surgeons in the Area Treating: Arthritic Joint Reconstruction | Carpal Tunnel Syndrome Complex Trauma | Cubital Tunnel Syndrome | Fractures Tendonitis | Trigger Finger | Wrist Sprains Robert M. Campolattaro, MD
Nicholas A. Smerlis, MD
Gabrielle Lanzetta, P.A.-C.
Robert M. Campolattaro, MD | Michael E. Higgins, MD | Colin M. Kingston, MD | Paul Maloof, M.D. | Jonathan R. Mason, M.D. John J. McCarthy III, MD | Loel Z. Payne, M.D. | Nicholas K. Sablan, MD | Nicholas A. Smerlis, MD
WILLIAMSBURG 4037 Ironbound Road Williamsburg, VA 23188
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(757) 637-7016
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